Scalpel Weekly News

Week of: December 12, 2016

IN THE NEWS


Drug to Reduce Cardiovascular Death in Type 2 Diabetes Adults

On December 2, 2016, the FDA approved a new indication for Jardiance (empagliflozin) to reduce the risk of cardiovascular death in adult patients with type 2 diabetes mellitus and cardiovascular disease. Click title to continue reading...


 
MEDICAL ALERTS


Contamination from Valves, Accessories Used for Endoscopic Gastrointestinal Irrigation

On November 29, 2016, the FDA issued guidance for “Mitigating the Risk of Cross-Contamination from Valves and Accessories Used for Irrigation Through Flexible Gastrointestinal Endoscopes.” The objectives of this guidance document are to: (1) highlight the cross-contamination risk associated with specific types of irrigation valves and accessories when used with flexible gastrointestinal endoscopes; (2) clarify terminology used to describe these devices; and (3) outline strategies to mitigate the risk of cross-contamination between patients. Click title to continue reading...



Adulterated Milk Products Seized; Food Safety Violations

On November 30, 2016, the U.S. Marshals Service seized more than 4 million pounds of product produced by Valley Milk Products LLC (Valley Milk) of Strasburg, Virginia. The company is owned by the Maryland and Virginia Milk Producers Cooperative Association Inc. in Reston, Virginia. The seized products, worth nearly $4 million, include dry nonfat milk powder and buttermilk powder packaged in 40- and 50-pound bags for further manufacturing. Click title to continue reading...



CDC Report on Work-Related Asthma

As many as 2.7 million U.S. workers might have asthma caused by or exacerbated by workplace conditions, according to a report published by the CDC on December 2, 2016.  Click title to continue reading...


  CASE ALERTS


Treatment Delay from Failure to Diagnose Fracture-Dislocation of Shoulder; Expert

A woman fell and injured her shoulder but did not seek treatment for her injury until five days later. A physician at a healthcare facility examined the woman’s shoulder and diagnosed the cause of her pain as bursitis. The physician did not order an x-ray of the woman’s shoulder. The physician discharged the woman with a program of exercises. Click title to continue reading...



Vascular Surgeon Not Expert on Varicose Vein Removal by Family Medicine Specialist

A woman underwent a phlebectomy, an excision of a segment of a vein. Specifically, two doctors removed varicose veins from her legs through small puncture sites in her skin using  surgical hooks. This procedure is also known as a microphlebectomy. Click title to continue reading...



Doctor’s Failure to Get Preauthorization for Medivac; Promissory Estoppel Survives

A woman was admitted to a hospital emergency room (ER) with pregnancy-related complications. The attending physician examined the woman and determined that the woman was at risk of premature delivery and needed an immediate transfer to a facility better equipped to handle her condition. The attending physician recommended that the woman be transported by aircraft (medevacked) to a different facility. The woman and the woman’s husband informed the attending physician that without the insurer’s preauthorization for that course of action the woman could be personally liable for the costs. Click title to continue reading...


FEATURE


Glaucoma Malpractice Complaint

As a special feature for our Premium subscribers we have included this feature containing an illustrative Complaint for Failure to Diagnose Glaucoma. The complaint includes counts for malpractice, negligence, and gross negligence. In this illustration, the patient had cataract surgery after which the defendant physician failed to act appropriately on the plaintiff's complaints of sharp pains in her eyes and by treating her incorrectly with steroidal eye drops.  Click title to continue reading...