Entries from June 2007

June 27, 2007

Nursing home non-records & the CXO

The Grunt Doc reports that he is encountering a new strategy when Nursing Home patients are transferred to his care. They come with the list of medications but no record of when these dosages were last administered to them.

When they’re my patients I now ask for a faxing of the patient’s MAR from the [...]

June 27, 2007

Another cost of liability paranoia

Panda Bear, MD recently blogged about how he and other hospital staff deal with notorious hypochondriacs. I’m pasting some of it here without endorsing all the sarcasm (in other words, be offended by him, not me!).
In one month I have had Mary as a patient four times. I have also noticed her roaming restlessly [...]

June 26, 2007

Illinois medmal setback

Here is a story that might be especially important to our Illinoise doctors.  It appears that some are lobbying to get around the lawsuit caps put in place for medical malpractice cases back in 2005.
One of the measures, signed into law last month, allows plaintiffs in wrongful death cases to seek damages for grief, sorrow [...]

June 25, 2007

Another way online communication can create reasonable expectations

I’ve blogged about how medical malpractice allegations and problems can sometimes be the result of poor communication. With that in mind, I thought the Medical Quack’s post on how a growing number of hospitals are posting patient reports about surgery on the web might be a positive development for preventing medmal litigation. “Hospitals are [...]

June 20, 2007

Making the case

If you have any interest in medical malpractice, and medical malpractice insurance, you cannot only read doctors, or insurance providers. You have to read trial lawyers who take medical malpractice cases. Thus, I notice from one attorney blog that,

SURGICAL ERRORS ON THE RISE

Of course, this by itself doesn’t mean much. “With the increasing [...]

June 19, 2007

Usually I stick to medical practice…

…since, after all, this is a medical malpractice blog. But this somewhat old post caught my eye and led me to search and find yesterday’s NYT article on OxyContin.
The $634.5 million in penalties and fines that the maker of the painkiller OxyContin and some of its executives agreed to pay to resolve a false [...]

June 18, 2007

Bypassing constraints?

I just saw this at the injuryboard.com blog:
According to the facts in the lawsuit, in June 2003 Dr. Vaidya treated Dr. Westmoreland for removal of a stent from his urterer. During the procedure Dr. Westmoreland maintains he experienced pain and repeatedly told Dr. Vaidya to stop. Dr. Westmoreland also claims the procedure took 15-20 minutes [...]

June 12, 2007

Communicating caring to patients

I wasn’t intending to say anything more about the importance of doctor-patient communication. But Kevin, a primary care physician and blogger pointed out this morning that “How you do it matters.”
He links a story about a recent study that shows a divergence between what patients want for reassurance and what doctors typically give them.

According [...]

June 11, 2007

Liability from a patient not following orders & failing and succeding to communicate

Liability from a patient not following orders?
InsideSurgery’s Grand Rounds included InsureBlog’s post on Andrew Speaker, the flying TB sufferer.
Advised against flying.
So what does he do?
He takes a trans-Atlantic flight, then a circuitous route back home to avoid compliance with orders from the CDC to remain in Italy.
The man, however, told the Atlanta Journal-Constitution that doctors [...]

June 7, 2007

Hypothesis: if a lower likelihood of being sued means more doctors then…

A few days ago I put my amateur free market economist hat on, and recommended that everyone listen to a Budweiser commercial. Following a tip from the medskool blog, I passed on news that Texas is dealing with a sudden influx of doctors and it was possible this was the result of tort reform.
In [...]