Archive for the ‘Medical Malpractice’ Category

IL Court Limits Scope of Doctor-Patient Relationship

Saturday, January 28th, 2012

In one of the latest medical malpractice cases out of the Illinois Appellate Courts, the Third District limited the scope of the doctor-patient relationship, and in doing so prevented a mother from seeking recovery for the inability to obtain life-saving treatment for her newborn child. This case, Estate of Kundert v. Illinois Valley Community Hospital, 2012 IL App (3d) 110007 (January 10, 2012), has not yet been appealed to the Illinois Supreme Court.

In Kundert, the parents filed a medical malpractice suit on their own behalf and on behalf of their deceased son’s estate. Their infant son died at six weeks of age from bacterial meningitis.

When her infant son began experiencing the symptoms of serious illness, Mrs. Kundert called the ER of the defendant, her local hospital. The person who answered the phone at the hospital ER told Mrs. Kundert that she was overreacting, which was “typical for new mothers,” that her son’s symptoms did not require immediate medical attention, and that she should simply give her son Tylenol and periodic tepid baths, and follow up with her physician in the morning.

Based upon these instructions, Mrs. Kundert waited and took her son to her pediatrician at 8 a.m. the following morning. He examined him, called an ambulance, and had the infant transported to the emergency room. The infant was quickly transferred to another hospital for specialized care. He was treated for bacterial meningitis, but died about two weeks later. Plaintiffs alleged that the 15 hours lost between Mrs. Kundert’s call to the E.R. and the infants treatment the following morning were crucial hours which could have saved the infant’s life.

Certainly, this case is horrifying to any parent. Unfortunately, however, this case turned upon the fact that the person who answered the phone at the hospital ER also told Mrs. Kundert that the hospital did not have the personnel or equipment required to treat infants. For this reason, the Appellate Court of Illinois for the Third District affirmed the decision of the Circuit Court dismissing the case.

This is because the court found that the hospital employee informing Mrs. Kundert that it could not treat her infant daughter prevented the formation of a doctor-patient relationship, a necessary element of a medical malpractice claim.

Each of the cases upon which the court based its decision involved a defendant medical professional who did not provide medical advice directly to the patient regarding treatment. The only exception was an appellate case in which the “patient” was a volunteer helping to test medical equipment, and specifically declined to accept advice from the physician who reviewed the test results. These cases are thus completely inapplicable.

In short, although the court correctly noted that a physician-patient relationship is necessary for a medical malpractice claim, it failed to acknowledge that by offering Mrs. Kundert a diagnosis (an “overreacting mother” and providing her with specific medical advice and instructions, the hospital willingly created such a relationship.

The court fixated on the hospital’s statement that it lacked the equipment to provide medical services to infants, stating that this could not be interpreted in any way other than as declining to treat the infant. But what the court fails to recognize is that medical treatment does not include only providing inpatient hospital services, but also the simple act of consulting with patients and instructing them as to how to treat their condition at home – exactly what occurred here, despite the hospital’s statement.

To discuss a potential case with an experienced Chicago medical malpractice lawyer at Passen Law Group, call us at (312) 527-4500.

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Hypertension Medicine Can Prevent Glaucoma

Thursday, January 26th, 2012

In good news for preventative medicine, a new study in the journal “Archives of Ophthamology” has found that certain medicines currently used to treat ocular hypertension can, in fact, prevent one of the most common forms of glaucoma.

Glaucoma is any one of several conditions that damage a victim’s optic nerve, which transmits visual information from the eye to the brain. The front of the human eye contains aqueous humor, a clear liquid which is made continually behind the iris, or colored part of the eye. This fluid exits the eye through various channels.

When these channels are blocked, or the flow of the fluid out of the eye is slowed or stopped, pressure builds up behind the eye (intraocular pressure). When this pressure significantly exceeds normal levels, the victim has ocular hypertension. This can then cause damage to the optic nerve – Glaucoma.

In this most recent study, over 1,500 people with ocular hypertension were either observed or treated with medication. The two groups were then followed for over seven years. At that point, all the patients were treated with medication for an additional five-and-a-half years, and observed. Those who were treated for the full period cut their risk of developing one type of glaucoma by 50%. This included African-Americans, who generally have higher glaucoma rates than Caucasians.

In light of these significant findings, it may now constitute medical malpractice not to propose medical treatment for those suffering from ocular hypertension. This treatment, the simple regular application of a topical cream, could over the long term prevent significant ocular damage and vision loss to an enormous number of patients. If you suffer from ocular hypertension and are not already on medication, talk to your ophthalmologist as soon as possible about starting treatment. This simple act could save your vision down the road.

To discuss a potential case with an experienced Chicago medical malpractice lawyer at Passen Law Group, call us at (312) 527-4500.

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Most Hospital Errors Go Undetected and Unreported

Tuesday, January 24th, 2012

The families of the victims of hospital errors are often told that these type of problems and complications “just happen” or are unfortunate but “we did all we could do”.

Perhaps for this reason, the inspector general of the U.S. Department of Health and Human Services has released a new report finding that over 80 percent of all hospital errors in the United States are unreported. The report, released last week, used data from Medicare patients as a proxy for the general population.

In addition to the chronic underreporting of errors, the report found that in the vast majority of hospitals, no changes to policies and practices were made when an error occurred to prevent that same error from recurring.

Common errors which were unreported and did not inspire any changes were overused medications, administering the wrong medication, allowing patients to contract hospital-borne infections, and allowing severe bedsores to develop. Interestingly, more serious errors, including those that lead to patient deaths, were no more likely to result in a report than minor or trivial errors.

This problem is of course significant to analysis of medical malpractice trends and claims. But it is also highly significant in Medicare law. Hospitals which collect payments from Medicare are obligated to both track and analyze all medical errors which occur. Yet this study shows that not only are hospitals and their employees failing to report errors that cause patient harm, but hospitals are also eschewing real analysis and change in response to those errors. This leaves hospitals open to both Medicare-abuse charges and accusations of medical malpractice by future victims.

This is not the first study to reach this conclusion. In April of last year, the journal “Health Affairs” published a study which found that one-third of all hospital visits resulted in a hospital-acquired illness or injury, and that around 90 percent of hospital errors went unreported. Of those errors, 44 percent were conclusively preventable.

All this is why, if you or a loved one are admitted to the hospital, you simply must take responsibility for protecting yourself from errors and medical malpractice: the hospital will not do so for you.

Things that you can do include the simple act of asking questions, tracking each person – whether nurse, doctor, or other personnel – who participates in your care, tracking your medications and confirming the identity of the medication and the dosage before it is administered, and requesting that all personnel who enter the room wash and sterilize their hands before beginning examination, consultation, or treatment.

Although the hospital’s failure to itself perform any or all of these tasks can be medical malpractice for which you can be compensated, no compensation can truly replace your lost health or lost loved ones.

For a free consultation with an experienced Chicago medical malpractice lawyer at Passen Law Group, call us at (312) 527-4500.

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