Scalpel Weekly News

Week of: May 11, 2015

IN THE NEWS


FDA Approves Spray to Help Control Bleeding During Surgery

 The FDA approved Raplixa (fibrin sealant [human]), the first spray-dried fibrin sealant approved by the agency. It is used to help control bleeding during surgery. Click title to continue reading...


 
MEDICAL ALERTS


New Injectable Drug Approved To Dissolve Fat Below Chin

The FDA approved Kybella (deoxycholic acid), a treatment for adults with moderate-to-severe fat below the chin, known as submental fat. Using Kybella for the treatment of fat outside of the submental area is not approved and is not recommended. Click title to continue reading...



Problems with Mammogram Quality at Physician's Practice

The FDA is alerting patients who had mammograms at Coastal Diagnostic Center located in Pismo Beach, CA, anytime on or after February 24, 2013, about possible problems with the quality of their mammograms. This does not mean that the results of the mammograms were inaccurate, but it does mean that the patients should consider having their mammograms re-evaluated at a Mammography Quality Standards Act (MQSA)-certified facility to determine if the patients need a repeat mammogram or additional medical follow-up. Patients have the right to request their mammogram and copies of their medical reports from Coastal Diagnostic Center. Click title to continue reading...



Work-Related Asthma Cluster at Marine Foam Manufacturing Facility

Work-related asthma is asthma that is caused or exacerbated by exposure to specific substances in the workplace. Approximately 10% to 16% of adult-onset asthma cases are attributable to occupational factors, and estimates of asthma exacerbated by work range from 13% to 58%. Work-related asthma is common but is under-recognized and under-reported by clinicians. Early diagnosis of work-related asthma and subsequent cessation of exposure to substances that cause asthma can lead to resolution of asthma symptoms among workers with existing asthma and can prevent future cases. Click title to continue reading...


  CASE ALERTS


Discovery Rule Applied Even Though Doctor’s Name in Medical Records

A man presented to the emergency room complaining of pain in his lower back and leg weakness. Rather than consulting the orthopedist on call, the ER doctor decided to consult the orthopedic surgeon with whom the man had an appointment scheduled for a few days later for the same problem. A neurosurgeon was covering the orthopedic surgeon’s calls. The ER doctor spoke with the neurosurgeon and made a note that the neurosurgeon would come to the ER to see the man. The neurosurgeon did not appear at the ER, and he maintained that he never agreed to do so because he was out of town. The ER doctor made two notes about consulting with the neurosurgeon and ordered an MRI for the man under the neurosurgeon’s name. Click title to continue reading...



Foreign Body Malpractice Claim Statute of Repose Not Subject to Tolling

A woman was in a car accident. She underwent an exploratory laparotomy. Nearly 14 years later, she underwent another exploratory laparotomy at a different hospital because she was having pain in her side. During the second laparotomy her doctors found for foreign objects that had been left inside her abdomen during the first surgery. Click title to continue reading...



Medical Malpractice Insurance Not Subject to NJ Consumer Fraud Act

A doctor purchased a medical malpractice policy from a non-profit member-owned risk-sharing insurance exchange. As part of her initial membership, the doctor was required to make a one-time contribution to the exchange's surplus equal to the first year premium. The doctor was offered and accepted the opportunity to make this surplus payment in ten annual installments. The doctor's obligation to make the full surplus contribution remained even if she withdrew from the exchange prior to completing the ten annual installments. About nineteen months after purchasing the policy, the doctor notified the exchange and its administrator that she was cancelling her policy as of that month. Click title to continue reading...