Because many congenital heart disease cases are overlooked in the prenatal stages or even in early infancy, a government agency has begun recommending screening newborns for critical congenital cyanotic heart disease (CCCHD).

The Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children recently announced that there is cause enough to get CCCHD screenings for newborns, which is a severe type of heart defect that is life-threatening.

The Health and Human Services Department now recommends adding CCCHD to the newborn screening panel, according to a release from the Health Resources & Services Administration. The recommendation is supported by a variety of groups including the American Academy of Pediatrics and the Children’s Heart Foundation.

The Secretary’s Advisory Committee added the screening recommendation, but also noted that more research needs to take place quickly to ensure the whole process is working correctly. This means the National Institutes of Health will now research the entire screening process. The Health Resources and Services Administration will look closely at standards, and the Centers for Disease Control and Prevention will look at outcomes after completing its study, according to a release from HRSA.

Missed or even delayed diagnosis of CCCHD can result in injury or infant death. The newborn injuries can include morbidity or injury to vital organs that can be permanent.

The existing CCHD detection approach of ultrasounds and physical exams in the nursery have failed to identify enough cases of the heart disease, according to the Journal of the American Academy of Pediatrics’ website. Studies have shown that pulse oximetry ¨C a painless, non-invasive technology ¨C is universally available to add to newborn assessments.

The motion-sensitive pulse oximeters come in both disposable and reusable varieties, and both options are acceptable detection devices, according to the Pediatrics website. To reduce the number of false-positive results, Pediatrics recommends that screening occurs more than 24 hours after the birth or as close to the time of discharge from the hospital as possible.

The Secretary of Health and Human Services Kathleen Sebelius announced that CCCHD will be added to the recommended uniform screening panel in September. It is up to each state to determine how to incorporate the new screenings into their own programs, according to the Pediatrics website.

The HRSA has pledged to develop training and educational materials for parents and relevant health care professionals. Public health and professional health care organizations will help the development, but it will be funded by the HRSA.

If a medical professional fails to order a critical test that leads to a birth injury or fails to diagnose a heart problem that needs immediate care, the family has the right to seek compensation for additional health care costs and pain and suffering caused from the missed diagnosis.

Robert Briskman is a Chicago birth injury lawyer and Chicago birth injury attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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A new study in the journal Health Affairs shows that some health care providers are not always completely honest about medical errors, the severity of a prognosis or their relationships with drug companies.

The study involved surveying about 1,800 physicians from across the country in a variety of practice areas and specialties. Researchers found that 20 percent of these physicians had not revealed a medical error in the past year because they were concerned about being sued. An even larger group ¨C about 35 percent ¨Creported that they did not “completely agree” if they should disclose medical errors considered serious to their patients, according to the Huffington Post.

More than a third of the surveyed physicians did not “completely agree” that they needed to disclose a financial relationship with a drug company or a medical device company. Alarmingly, more than half of the respondents said they had described a prognosis in a more positive light than was warranted, according to Fox Business online. More than 10 percent of the surveyed physicians admitted they had told a patient an untruth in the past 12 months.

The study aimed to reveal physicians’ attitudes about communications with patients. According to the Charter on Medical Professionalism, communication is among the three principles that guide physicians. The study relies on the charter’s communication claims as a guide for pursuing more data about how physicians communicate with patients and their families. General surgeons were more likely than their physician counterparts to agree that medical errors needed to be revealed to patients. The study also found that about 25 percent of physicians admitted that they had revealed unauthorized information about a patient.

There are many reasons that physicians feel the need to bend the truth, according to the study’s author, Dr. Lisa I. Iezzoni, who is the director of Massachusetts General Hospital’s Morgan Institute for Health Policy.

A bad prognosis can be difficult to give especially if the physician and patient have a history together, Iezzoni said. Some doctors give a rosier prognosis than is warranted because it is less stressful for the patient, but that is not in the best interest of the patient, she said. Hiding medical errors might be more justifiable in terms of reducing patient stress, Iezzoni said. She emphasized that patients with more information will be able to better understand their condition and how to confront it.

The Physician Payment Sunshine Act of 2009 will require companies to disclose payments to physicians of more than $10. This law goes into effect in 2013. The study points out that once this law goes into effect, patients will want to have more conversations about the relationships their physicians have with drug companies and medical device companies, according to Fox Business.

Patients who suffered because they made medical decisions based on bad information from physicians who were trying to “protect” them from the truth have the right to consider seeking a claim. An experienced medical malpractice lawyer can advise patients on how best to proceed against a physician who was not honest about a diagnosis.

Robert Briskman is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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Members of the Illinois Department of Financial and Professional Regulation spent a lot of time at the spa in 2011. It was not all about pampering, though. The department was investigating the state’s day spas and salons to make sure visitors had a safe experience, according to an IDFPR press release.

Working with local government agencies, the regulatory group visited 446 salons and day spas in 2011 and found more than half of them did not have the proper state and local licenses. Across Illinois, 273 spas and salons were not properly licensed. The surprise inspections prompted more than half of the violators to get their licenses immediately. Associations that represent cosmetologists spoke out in favor of the IDFPR’s raids.

“Cosmetologists wholly support Illinois law requiring that salon and spa services be performed on Illinois’s consumers by appropriately licensed salon and spa professionals at properly registered salon and spa service venues,” said Cosmetologists Chicago CEO Paul Dykstra in the press release.

Some cities and towns in the state have regulations that deny local licensure to day spas and salons that do not already have applicable state
licenses. This partnership with the IDFPR prevents health issues that can arise in unlicensed spas like infections or injuries, according to the release.

Chicago personal injury attorney Paul Greenberg counsels individuals who have sustained serious injuries because of the carelessness or negligence of others. To learn more, call 877-595-HURT (4878) or visit more of http://www.briskmanandbriskman.com.

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Group B Strep is a dangerous bacteria that lives in the digestive tract and the birth canal of as many as one in four pregnant women and can cause permanent handicaps for the baby.

According to GBS International, a group that promotes awareness of Group B Strep, the condition is the most likely cause of infections in newborns.

GBS does not infect every newborn that is exposed and women who carry the bacteria do not carry it consistently. Babies are most likely to become infected with the bacteria as they pass through the birth canal.

GBS can leave a baby with handicaps like deafness, blindness or cerebral palsy, according to GBS International.

Protecting a baby from GBS involves testing. Doctors can do a urine culture for GBS or other bacteria during the first and third trimesters. It is important for pregnant women to see a doctor immediately if they show signs of a vaginal infection. C-section babies are still at risk, according to GBS International, and IV antibiotics before the surgery can help reduce the risks of infection.

If an expectant mother tests positive for GBS during pregnancy, she should be given IV antibiotics for as long as four hours. In half of GBS infection cases, the mother showed no signs of risk factors, according to the Canadian Pediatric Society. This is why testing is an important step during pregnancy.

Symptoms of GBS include vaginal irritation or burning. The bacteria is also likely to give women bladder infections.

Pregnant women in the United States and Canada are tested as a standard of care. Even if a woman tests negative during a pregnancy, GBS International suggests being retested during the third trimester and again for each subsequent pregnancy. In a baby, GBS causes blood infections, sepsis, lung infections or infections in the fluid or the lining around the brain.

In order to reduce the risks to the unborn baby, a mother who has GBS should be given four hours of IV antibiotics before the baby is born. If the baby comes sooner than that, the hospital should observe the baby for 48 hours, according to GBS International. Breastfeeding also may supply a baby the needed antibodies to fight an infection. Everyone in the delivery room should wash their hands immediately before handling the baby, especially when the mother tested positive for GBS.

Most importantly, ask the doctor what needs to be done during every step of pregnancy and delivery if a mother has GBS. Parents of children who have tested positive for GBS should contact a medical malpractice attorney to understand their rights.

Robert Briskman is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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The medical community is being called upon to make procedural changes that would significantly reduce the risk of wrong site and wrong side surgeries. Across the country, about 40 surgeries a week are performed on the wrong side of the body, the wrong site on the body, or even on the wrong patient.

The problem with surgeries was originally highlighted in 1998 by the Joint Commission, a nonprofit group that accredits health care organizations. The health care community has made many necessary fixes, but there is still a long way to go, according to Commission President Mark Chassin.

Many hospital groups across the country have been successful addressing these surgery mistakes through procedural changes, according to Hospitals and Health Networks Magazine.

A Safe Surgery Coalition in Minnesota began a campaign to eliminate surgeries performed on the wrong site in three years. In its first year, the campaign brought wrong site surgeries down from two or three a month in the state to only one per month. In Pennsylvania, one group of hospitals reduced its wrong site surgery numbers from an average of 15 a year down to only four.

These positive changes are the result of disciplined work, according to the magazine. Hospital groups unwilling to put in the effort still have unacceptable rates of surgery site mistakes. The causes of wrong site surgeries can be complicated to solve. Errors usually happen because of miscommunication during surgery prep, according to the magazine.

The procedural fixes that can lead to fewer or even zero wrong site surgeries are so simple, they sometimes do not get enough attention, according to Dr. Bill Berry, who is the program director of Safe Surgeries 2015, an initiative from the Harvard School of Public Health.

Wrong site surgery problems can occur in several places throughout the process including scheduling, consent forms, on-site marking and operating room time outs. The procedure that can bring about the biggest change when done correctly is known as the OR time out. A time out is the final check before the surgery begins.

The state health department in Minnesota created a process to address wrong site surgeries called the Minnesota Time Out. Researchers there found that the time outs were chaotic and rarely consistent or thorough, according to the magazine.

By creating a time out process where everyone in the room has a role and the procedure is followed every time, Minnesota has seen improvement.
Sometimes adding new processes to protect the patient can ruffle the feathers of health care professionals who are set in their ways, but that is where a hospital CEO must step in and insist that safe surgery processes be implemented and followed, according to the magazine.

Victims of wrong-site surgeries have real and long-term effects from the incorrect procedures. A medical malpractice attorney can hold the guilty party responsible while the victim recovers.

Robert Briskman is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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Missed or delayed pain management diagnoses create a serious risk for hospital patients. Today’s Hospitalist found that nurses, doctors, and support staff frequently failed at communicating dosing amounts, did not conduct appropriate monitoring, and struggled to communicate effectively with each other.

These mistakes play a huge role in causing serious injuries and wrongful deaths in hospitals nationwide. Today’s Hospitalist found that 11 percent of claims brought against hospitals involved pain medicine and management practices. Medical professionals must be cognizant of the fact that most patients enter the hospital already on numerous medications. A full medical history and physical examination are critical before administering new medicines. In instances where a patient is not able to give his or her history, hospitalists should reach out to the patient’s family, pharmacy, or insurer to gather all the prescription information the patient is using.

One area of critical concern is with written prescriptions. The study showed that many hospitalists wrote orders for a dose range instead of an exact dosage and time interval. This is especially problematic when narcotics and sedatives are being used to alleviate pain symptoms given their propensity to cause respiratory depression and respiratory arrest. Hospitals should have guidelines when prescribing multiple narcotics and sedatives to prevent fatal events. And when numerous, powerful medicines are being used, hospitalists need to check on patients every hour to check their respiration, pain, and sedation levels.

A case history that Today’s Hospitalist looked at involved a patient who died after excess dosages of Dilaudid, a narcotic pain medication. As the investigation into the incident followed, it was discovered that a range of pain medication was given instead of precise directions. The nurse spoke to the doctor after the patient’s pain was still at a level 10 after many hours. The doctor was harsh in his responses with the nurse, which ultimately resulted in the patient receiving the equivalent of 88 mg of morphine along with Demerol and Valium. When the nurse gave the last dose to the patient, the doctor stopped by the hospital room but decided not to disturb the patient as he was finally not feeling pain.

Everyone involved should have given more time to the patient and his safety. Nurse and doctor communication should have been more open than tense; dosage directions should have been explicit; and the patient should have been monitored more closely. Medical professionals cannot lose sight of delivering quality care to each patient. Hospitalists owe this duty to their patients, even when they are managing numerous patients and critical care situations. Pain management protocols must be in effect to provide clinicians with checks and balances in these situations, especially when they hand off the patient to the next nurse and hospitalist on duty.

When an individual or their loved one suffers injuries or a wrongful death from a hospitalist’s missed or delayed pain management diagnoses, they should promptly seek legal action. In Illinois, the Chicago medical malpractice attorney Paul A. Greenberg, Esq. will go after the liable individual and hospital to rectify the wrongdoing. The law firm of Briskman Briskman & Greenberg has helped clients for decades as they seek compensation for their pain and suffering, medical bills, and related costs. As successful Chicago medical malpractice lawyers, the team will uphold your rights when your health has been compromised or neglected. To learn more, visit http://www.briskmanandbriskman.com or call 877-595-HURT (4878).

Briskman Briskman & Greenberg
351 West Hubbard Street, Ste 810
Chicago, IL 60654

Paul Greenberg is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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A family in St. Louis, Ill. is dealing with a traumatic birth injury that they blame on Memorial Hospital medical professionals. Mistakes made during the pregnancy caused their daughter to have cerebral palsy. During the baby’s delivery, the parents allege that the doctor ruptured membranes, failed to perform in utero resuscitation, and failed to deliver the baby by C-section. This allegedly deprived the baby of sufficient oxygen during delivery, which resulted in a hypoxic brain injury.

Oxygen deprivation is the primary injury that starts a downward spiral, says the nonprofit group Birth Injury, which educates and increases awareness for individuals and families affected by birth injuries. Inappropriate use of medications, force, and medical instrumentation during a delivery can cause brain damage. Compression of the brain, cerebral contusions or bleeding, and tearing of brain tissue or blood vessels can lead to lifelong injuries. Prolonged contractions and pushing can also cause harm.

The extent of the cerebral palsy may vary depending upon the extent of the child’s oxygen deprivation. Low oxygen during delivery can also cause other injuries, sometimes even more significant than cerebral palsy. Speech and communication impairments, learning and behavioral disorders, as well as hearing and vision problems can occur. Damage to the heart, liver, kidney, and gastrointestinal tract caused by oxygen deprivation can be fatal.

Birth injuries can place a huge burden on families and escalate medical costs depending on how much around-the-clock care is needed. Individuals with more severe cases of cerebral palsy need physical, speech, and occupational therapy in addition to medications and devices to control muscle spasticity and pain. Sometimes surgery is needed to repair joints and muscles.

The Chicago birth injury lawyer Robert I. Briskman vigorously defends an individual and family’s right to hold the doctor or facility accountable for their child’s birth injury. The law firm of Briskman Briskman & Greenberg recommends getting legal counsel early on and works for your cause on a contingency basis, so there are no fees unless the case is successful. To learn more, visit http://www.briskmanandbriskman.com or call 877-595-HURT (4878).

Briskman Briskman & Greenberg
351 West Hubbard Street, Ste 810
Chicago, IL 60654

Robert Briskman is a Chicago birth injury lawyer and Chicago birth injury attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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The Illinois Patients’ Right to Know Act is awaiting Governor Quinn’s signature. Once enacted, the Act will allow individuals to search a licensed doctor’s history, including if the doctor has been criminally convicted, fired, or had made a medical malpractice payment in the last five years. This is good news for patients, says the consumer advocate group Public Citizen.

In March, Public Citizen published a study revealing that healthcare professionals had some serious violations without having their license revoked. In Illinois, Wisconsin, Nebraska, Montana, Texas, Florida, and Georgia, 60 to 69 percent of physicians with clinical privilege sanction reports had “no state licensure action.” Public Citizen reported that many violations involve doctors who have been practicing for years in Illinois. And, just because a doctor has a clean record in Illinois does not mean he or she has never been sanctioned. Frequently, doctors who have been sanctioned in other states move to Illinois because it does not request out-of-state records to verify a physician’s past history.

Without state medical boards or watchdog groups policing these doctors, the public is put at risk. The Illinois Patients’ Right to Know Act will let the public research a doctor prior to selecting a family physician or specialist. The Chicago Tribune has been reporting all year long that Illinois has been grappling with how to discipline doctors. Their reports have “shown how regulators can be slow to respond to doctors accused of sex crimes – even those who have been convicted – and that some dangerous doctors continue to practice without supervision.”

The most egregious case Public Citizen found in Illinois involves physician #12405. This doctor was permanently denied privileges and had 10 medical malpractice reports from 1992 to 2006, costing a total of $7 million. Despite this these reports, no licensure action was taken. The physician had “four cases of improper management in obstetrics, one case of improper surgery performance, one case of failure to diagnose in obstetrics, one case of failure to identify fetal distress, one case of failure to order an appropriate obstetric test, one patient suffered a major permanent injury, and one patient became a quadriplegic due to a brain injury.”

Healthcare professionals have a duty to care for their patients and safeguard them from further harm. When a patient’s rights and health have been compromised or neglected, they should immediately contact a Chicago medical malpractice lawyer to hold the physician accountable. Chicago medical malpractice attorney Robert I. Briskman, Esq. is skilled in helping individuals and families who have been hurt by the negligence of medical professionals. The law firm of Briskman Briskman & Greenberg has decades of experience upholding a client’s rights to fair compensation for medical bills, pain and suffering, lost wages, and other costs associated with medical malpractice.

Robert I. Briskman is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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Women who have a history of epilepsy are frequently prescribed the anti-seizure medicine Topamax or Depakote. In pregnant women, seizures are particularly dangerous, as they can restrict oxygen to the fetus. For years, these antiepileptic drugs have been deemed safe to prescribe to pregnant women. But the U.S. Food and Drug Administration (FDA) has recently raised some causes for concern with these drugs.

In the spring, the FDA decided to reclassify Topamax as a pregnancy Category D drug because it now has evidence that it can cause problems to the fetus. Research by the North American Antiepileptic Drug Pregnancy Registry showed that women who took the drug during the first trimester were four times more likely to have a child with an oral cleft. A cleft can deform the child’s mouth and affect eating, talking, their appearance, and can even cause more ear infections. Corrective surgery is required within the infant’s first year to prevent these complications from occurring.

Last year, the FDA reported that Depakote could have more serious side effects for children of mothers who used it during the first trimester. The most serious side effect was spina bifida, but urinary problems, holes in the heart, abnormal skull formation, malformed limbs, and cleft palates also occurred.

Motherisk, an information and counseling center for expectant mothers, reports that the risk of these complications is dose dependent. Risks from these antiepileptic drugs “begin increasing at doses of 600 mg/d and become more prominent at doses above 1000 mg/d.” More importantly, many expectant moms only discover they are pregnant after the first critical weeks of the first trimester, when damage to the fetus may have already occurred.

The FDA advises that pregnant women should consult their doctor immediately. For many women, the drug is necessary for her and the child’s safety. The FDA recommends that if a woman needs to stay on the antiepileptic medicine, the lowest dose possible for seizure control is best.

When healthcare professionals or drug manufacturers fail to adequately warn women about the dangers of taking these and other potentially dangerous drugs, they have a right to pursue legal action and monetary compensation for their child’s past, current, and future medical concerns.

In Illinois, Chicago birth injury lawyer Robert I. Briskman has decades of experience suing medical practices and product manufacturers who did not have the best interests of their patients at heart. As a Chicago birth injury attorney, he has handled many different types of birth injuries and will tirelessly work to get you the care that you and your baby deserve. The law firm of Briskman Briskman & Greenberg works on a contingency basis, so there is no payment unless they are successful in getting your child compensation.

Robert I. Briskman is a Chicago birth injury lawyer and Chicago birth injury attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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Most patients in a hospital are there because they have had a heart attack, stroke, congestive heart failure, pneumonia, or suffered some sort of physical trauma. Hospitalists, or hospital-based physicians, must care for and treat numerous patients, often at the same time, as well as collect and interpret myriad lab results, X-rays, and other diagnostic reports. When a shift ends, they must “hand off” patients (i.e., communicate a comprehensive status report and treatment plan) to the next doctors and nurses. As anyone who has been in a hospital can attest, a handoff can become fumbled if a doctor is distracted – including being paged over the intercom, multitasking, or simply socializing with a colleague.

With so many patients “come many drugs and data to track and more opportunities for a mix up,” says Dr. Vineet Arora, assistant director of the Internal Medicine Program at the University of Chicago’s Pritzker School of Medicine.

Up to 80 percent of adverse hospital-based incidents happen because of bad communication, and many of these incidents can be traced back to what occurred during the handoff between doctors. Analysis of medical malpractice cases from 1991 to 2000 showed that inadequate communication was the primary reason why individuals and their families initiated lawsuits. Medication errors, failure to order tests, failure to follow patient wishes for end-of-life care, and even ignoring treatment orders can lead to serious consequences.

“Fumbled handoffs can lead to redundant tests, prolonged hospitalizations or readmissions after discharge, all of which lower the quality of care for patients and drive up healthcare costs,” said Dr. Rahul Parikh, who specializes in pediatric medicine and also writes about medicine for many newspapers and online magazines. “Handoffs are the glue that holds together a patient’s care in the hospital. Yet traditionally they have been a disorganized – even sloppy – process.”

Gone are the days when a family doctor can frequently attend to their patient in the hospital setting. As hospitals have pushed for less arduous work hours for their staff, more doctors and nurses inevitably will see a patient during the course of a typical hospital stay. The failure to communicate treatment plans, analyze basic patient history, review and interpret laboratory results and diagnostic tests, and scrutinize medication schedules becomes a huge patient safety issue.

Many individuals who are admitted into the hospital are in no condition to speak to or update the next healthcare professional that comes to check on them. It is the duty of the healthcare professional to know a patient’s current medications, or consult “family or someone who came in with them, check pharmacy databases, or even the patient’s insurer,” says Nurse Robin Diamond in Today’s Hospitalist.

Doctors, nurses, and even hospital pharmacies should be vigilant about giving each other clear orders and advising when they think a different course of treatment will benefit the patient. Chicago medical malpractice attorney Robert I. Briskman, Esq., sees a lot of room for improvement for patient care, and he understands the needs of individuals and their loved ones to take legal action when their rights to proper medical care have been violated. At Briskman Briskman & Greenberg, the team of Chicago medical malpractice lawyers know how to litigate your claim and ultimately vindicate your rights when a doctor or healthcare professional fails in their duty to give you the quality of care you deserve.

Robert Briskman is a Chicago medical malpractice lawyer and Chicago medical malpractice attorney with Briskman Briskman & Greenberg. To learn more call 1.877.595.4878 or visit http://www.briskmanandbriskman.com/.

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