Scalpel Weekly News

Week of: December 07, 2015

IN THE NEWS


Compounded Multivitamins Linked to Vitamin D Toxicity

The FDA is alerting health care professionals and patients of a voluntary recall of compounded multivitamin capsules containing high amounts of Vitamin D3 (Cholecalciferol), distributed nationwide by Glades Drugs in Pahokee, FL. The FDA has received reports of several adverse events potentially associated with these compounded capsules. Click title to continue reading...


 
MEDICAL ALERTS


FDA Approves Vaccine for Use After Anthrax Exposure

The FDA has approved a new indication for BioThrax (Anthrax Vaccine Adsorbed) to prevent disease following suspected or confirmed exposure to Bacillus anthracis, the bacterium that causes anthrax disease. The vaccine’s new use is approved for people 18 through 65 years of age in conjunction with recommended antibiotic treatment. BioThrax was initially approved by the FDA in 1970 for the prevention of anthrax disease in persons at high risk of exposure. Click title to continue reading...



Coatings on Intravascular Medical Devices May Separate; Potential Serious Injury

The FDA wants to make health care providers aware of the possibility that hydrophilic and/or hydrophobic coatings may separate (e.g., peel, flake, shed, delaminate, slough off) from medical devices such as intravascular catheters, guidewires, balloon angioplasty catheters, delivery sheaths, and implant delivery systems and potentially cause serious injuries to patients. Medical devices such as these are commonly used during minimally invasive procedures in the cerebrovascular, cardiovascular and peripheral vascular systems, and have been used for more than 20 years on millions of patients. Click title to continue reading...



Education about PrEP for HIV Needed for Health Care Providers

A new CDC report estimates that 25 percent of sexually active gay and bisexual adult men, nearly 20 percent of adults who inject drugs, and less than one percent of heterosexually active adults are at substantial risk for HIV infection and should be counseled about Preexposure prophylaxis (PrEP), a medicine taken daily that can be used to prevent getting HIV. However, the report also finds one in three primary care doctors and nurses have not heard about PrEP. Increasing awareness of PrEP and counseling for those at substantial risk for HIV infection is critical to realizing the full prevention potential of PrEP. Click title to continue reading...


  CASE ALERTS


Facial Deformity After Facelift; Plastic Surgeon As Expert Cosmetic Surgeon

A woman underwent a neck and jowl “S” facelift procedure. During the procedure, the dermatologist, who held himself out as a specialist in cosmetic surgery, cut the woman’s left facial nerves, buccal branch nerves, and zygomatic branch nerves, resulting in the woman suffering facial neuropathy and deformity. Click title to continue reading...



Failure to Communicate Cancer Diagnosis to Minor Barred by Two-Year Limitations

A seventeen-year-old boy went to a public hospital to have a lump on his forehead excised. Five days later the boy returned for follow up care. The hospital’s pathology lab found the lesion was cancerous and this diagnosis was confirmed by a conference committee six days after the excision. Twelve days later the boy returned for suture removal. At the suture removal appointment, none of the treating physicians informed the boy of the cancer diagnosis. The treating physician asked the boy to return in two to three months for follow up. Click title to continue reading...



Guardianship Fee Not “Medically Necessary”; Incapacitated Nursing Home Resident

A nursing home resident paid a portion of his social security income to the nursing home as his patient responsibility payment, and the Medicaid Institutional Care Program (ICP) paid the balance of the cost of his care. The ICP is a program that provides coverage for healthcare services to individuals who require institutional care in nursing facilities. The Department of Children and Families is the state entity that determines ICP eligibility. The nursing home resident’s total income consisted of a $985 monthly Social Security benefit. The Department of Children and Families calculated the nursing home resident’s monthly personal needs allowance to be $35. Subtracting that amount from the nursing home resident’s total income left $950 remaining as his monthly patient responsibility payment to the nursing home. Click title to continue reading...


FEATURE


Plaintiff’s Opposition-Pneumonia Negligence Motion

As a special feature to our Premium subscribers we have included this feature containing an illustrative Plaintiffs' Opposition to Defendant Hospital's Motion for Partial Summary Judgment. The motion involves the alleged negligence of the defendant medical center’s transfer of the pneumonia patient to another hospital, resulting in brain injury. Included in the illustrative opposition is witness deposition testimony. Click title to continue reading...