Focus: Infection (Yuck!) Wash your hands!

Clostridium Difficile. C. Difficile or “C-dif” has been implicated in a number of diseases and tends to cause gastrointestinal problems. It is a remarkably resilient (and apparently sticky) spore which survives in hospitals and nursing homes and newborn nurseries. Sampling has located spores on everything from hands, lab coats, computer keyboards, telephones and [...]

Hormone Therapy and Breast Cancer

Source: The Wall Street Journal and USA Today

It is commonly accepted that hormone replacement therapy, while important, increasesthe risk of breast cancer in women. Recently published research suggests, however, that the risk of breast cancer drops significantly within 2 years of ending hormone replacement.

The lead author of a study published in the New England Journal [...]

In the Spotlight: Diagnostic Errors

Source: Johns Hopkins Medical Institutions -Media (3/11/2009)

Patient safety experts at Johns Hopkins are pushing for medical providers to give the same attention to diagnostic errors as they devote to drug prescription errors, wrong-site surgeries and hospital-acquired infections.

Drs. Newman-Toker and Pronovost, estimate that 40,000 to 80,000 hospital deaths per year are the result of errors in [...]

Post Surgical Shoulder Pain and Pain Pumps

Postarthroscopic Glenohumeral Chrondrolysis (PAGCL) is a serious medical condition where the cartilage of the shoulder breaks down causing extreme pain and limited mobility when the bones of the joint rub together.

Medical studies suggest a causal relationship between Marcaine (Bupivicaine), a medication commonly used for pain management through a pain pump, and PAGCL. Pain pumps [...]

Informed Consent

Informed consent is a interesting concept. The idea is that before a doctor performs any invasive procedure upon you, typically surgery, or before you are administered an “experimental” medication, you, the patient, should be aware of all of the potential risks and alternatives. It wasn’t always so, btw.

Add to this that states deal with informed [...]

The Case of Baby H -Malpractice in child birth

Our case:*Mrs. H, a 36 year old woman became pregnant and completed all required prenatal care visits.

Despite assurances of a normal and healthy pregnancy, Dr. S decided Mrs. H should be admitted for induction as the baby might be “too large for gestational age.” On the evening of August 12, at approximately 10:16 p.m. [...]

Focus: Drugs and Devices under Federal Law

Source: The New York Times -Barry Meier and Natasha Singer, 3/5/2009

Drug Ruling puts Devices in Spotlight. The Supreme Court has ruled that federal law does not protect (preempt) drug companies from being sued for product liability in state courts.

The Court previously ruled, as recently as last year, that manufacturers of stents, artificial joints and other [...]

Concerns over Breast Cancer Surgery

Source: British Medical Journal, 2/20/2009, Editorial: Minimally invasive surgery for breast cancer

Dr. Monica Morrow, Chief of the Breast Cancer Service at Memorial Sloan-Kettering Cancer Center in NY, has raised concerns that for the past 30 years, surgery has been increasingly devoted to improving cosmetic outcomes. Her concern is that failure to demand rigorous evaluation of [...]

War Stories -Technology in the Courtroom

Ours is a visual society. One with an incredibly short attention span. Consider how many children and adults, are taking medication for ADD. This presents a challenge for the lawyer presenting a case in a courtroom. How to keep the jury’s attention, for the entire case, or at least for your client’s portion of it [...]

Board Certification

This could easily be a one hour lecture topic. In a nutshell, following 4 years of college, doctors go to medical school (4 years), then do an internship (1 year) and Residency (3-4 years). Some pursue a fellowship (1-2 years) thereafter. Surgeons and other specialists can easily rack up 6-8 years of training, post med [...]