Scalpel Weekly News

Week of: March 19, 2018

IN THE NEWS


Direct-To-Consumer Breast Cancer Gene Mutations Test

On March 6, 2018, the FDA granted marketing authorization to 23andMe for the Personal Genome Service Genetic Health Risk Report for BRCA1/BRCA2 (Selected Variants). It is the first direct-to-consumer (DTC) test to report on three specific BRCA1/BRCA2 breast cancer gene mutations that are most common in people of Ashkenazi (Eastern European) Jewish descent. These three mutations, however, are not the most common BRCA1/BRCA2 mutations in the general population. Click title to continue reading...


 
MEDICAL ALERTS


First Test for Tickborne Parasite in US Blood Supply

On March 6, 2018, the FDA approved the Imugen Babesia microti Arrayed Fluorescent Immunoassay (AFIA), for the detection of antibodies to Babesia microti (B. microti) in human plasma samples, and the Imugen Babesia microti Nucleic Acid Test (NAT), for the detection of B. microti DNA in human whole blood samples. Click title to continue reading...



Neurovascular Embolization Coils for Brain Aneurysm Decrease Image Quality

On March 12, 2018, the FDA provided information about the potential for increased image artifact associated with Magnetic Resonance Angiography (MRA) imaging for patient follow-up of certain neurovascular embolization coil procedures. Click title to continue reading...



Rapid Increase in Opioid Overdoses

On March 6, 2018, the CDC published a report that found that the number of opioid overdoses increased 30 percent in the U.S. from July 2016 through September 2017. Click title to continue reading...


  CASE ALERTS


Willful and Wanton Failure to Diagnose Testicular Torsion

A man presented to an emergency room (ER) complaining of right side abdominal and flank pain. The man was examined by a registered nurse. The man alleged that the man reported to the nurse inner thigh and groin pain. The nurse did not record any complaints of inner thigh or groin pain. Click title to continue reading...



Wrongful Death Action for Stillbirth; Better-Position Instruction

A pregnant woman contacted an obstetrics practice group to explain that the woman had a rash on the woman’s arms and chest and that the woman was concerned it might be fifth disease, an infection caused by human parvovirus B19. According to the CDC, in less than five percent of all pregnant women with parvovirus B19 infection, the fetus will develop severe anemia caused by the mother’s infection with fifth disease, and the woman may have a miscarriage. Click title to continue reading...



Narcoleptic Woman Not Eligible for Unemployment Compensation

A woman worked as an office facilities manager. The woman began suffering from narcolepsy and migraine headaches. After approximately 12 years of employment, the woman’s treating physician sent a letter to the woman’s employer stating that the woman suffered from narcolepsy; was likely to become drowsy and fall asleep throughout the day, often at inappropriate times and places... Click title to continue reading...


FEATURE


Client Interview Checklist: Advance Health Care Directive

As a special feature for our Premium subscribers we have included this feature containing a checklist for an initial client interview regarding an advance directive for medical care. In this illustrative situation, a man would like an advance directive designating the man’s daughter as health care proxy and setting forth the man’s medical care preferences. Click title to continue reading...