Scalpel Weekly News

Week of: November 16, 2015

IN THE NEWS


Drug Quality and Security Act Enacted; Regulation of Compounders and Outsourcers

On November 27, 2013, President Obama signed the Drug Quality and Security Act (DQSA). This legislation contains important provisions relating to the oversight of compounding of human drugs. Drug compounding is a practice in which a licensed pharmacist, a licensed physician, or, in the case of an outsourcing facility, a person under the supervision of a licensed pharmacist, combines, mixes, or alters ingredients of a drug to create a medication tailored to the needs of an individual patient. Click title to continue reading...


 
MEDICAL ALERTS


Injectable Drug Approved to Treat Severe Asthma

The FDA has approved Nucala (mepolizumab) for use with other asthma medicines for the maintenance treatment of asthma in patients age 12 years and older. Nucala is approved for patients who have a history of severe asthma attacks (exacerbations) despite receiving their current asthma medicines. Nucala is made by GlaxoSmithKline, in Research Triangle Park, North Carolina. Click title to continue reading...



Risk of Heart Disease, Cancer Not Increased with Plavix

A November 6, 2015 FDA review has determined that long-term use of the blood-thinning drug Plavix (clopidogrel) does not increase or decrease overall risk of death in patients with, or at risk for, heart disease. The FDA evaluation of the Dual Antiplatelet Therapy (DAPT) trial and several other clinical trials also does not suggest that clopidogrel increases the risk of cancer or death from cancer. Click title to continue reading...



Multistate Foodborne Disease Outbreaks Sicken Thousands

Multistate outbreaks cause more than half of all deaths in foodborne disease outbreaks despite accounting for only a tiny fraction (three percent) of reported outbreaks in the United States, according to a November 3, 2015 CDC report. Multistate outbreaks can be hard to detect. Contaminated food grown or produced in a single place can wind up in kitchens across America. People in many states may get sick from a contaminated food, making it difficult to spot the outbreak. Click title to continue reading...


  CASE ALERTS


Wrongful Death Verdict Reversed-Judge Communicated with Jury; Kidney Stone

A man underwent a kidney-stone-removal procedure. During the procedure, the man suffered a heart attack. He was revived, but the heart attack caused him to suffer hypoxic encephalopathy (deprivation of oxygen to the brain), which left him in a nonresponsive state. Twenty days later, he was transferred from the hospital where he underwent the kidney-stone-removal procedure to a second hospital. Click title to continue reading...



No Subpoena Proof Required to Tax Expert Witness Fees as Costs; Jaundice Treatment

An infant suffered from a severe case of jaundice. He was treated at the hospital. He suffered serious complications and was left permanently disabled. Click title to continue reading...



TennCare’s Termination of Coverage for 24/7 At-Home Nursing Care Upheld

A twenty-six-year-old man was diagnosed with traumatic and anoxic brain injury, quadriplegia, blindness and other conditions. He was dependent on a ventilator, bed or wheelchair bound, nonverbal, and fed and medicated through a tube. He was enrolled in Tennessee’s state Medicaid program, TennCare, the only program in the U.S. to enroll the entire state’s Medicaid population in managed care. TennCare paid for the man to receive care twenty-four hours a day, seven days a week (24/7) from a private duty nurse (PDN) at his grandparents’ home. Click title to continue reading...


FEATURE


Alzheimer’s Patient Settlement

As a special feature to our Premium subscribers we have included this feature containing an illustrative Motion for Approval of Settlement and Disbursement of Funds in a medical malpractice action arising out of the inappropriate ordering of in-home physical therapy for a 90 year-old Alzheimer’s patient, resulting in a leg fracture and total hip replacement. Click title to continue reading...