COMMITTED TO PROTECTING THE RIGHTS OF PERSONS INJURED BY THE NEGLIGENCE OF OTHERS.

Archive for November, 2009

Tort Reform Hurts People

Monday, November 30th, 2009

On the surface, tort reform sounds like it might be a fine idea, but the underlying premise is flawed and would actually hurt those it is supposed to help.

The great health care debate has actually dragged up more for discussion besides health issues, and one of those issues deals with the concept of tort reform. Tort reform sounds like not a bad idea until one really takes a close look at what it means to victims of medical malpractice whose lives have been devastated.

Typically, medical malpractice lawsuits that make it to court are the ones in which the victim has sustained serious injuries; injuries that have altered their lifestyles to the point where they need ongoing medical care of one type or another. They may also need therapy, medications, regular treatments, counseling, in-home care and renovations to make their house livable. In instances such as this, juries have been known to hand out high awards to pay for such serious damages.

Tort reform would stack the deck even further against the victims. Physicians and hospitals already have a significant advantage going into a medical malpractice lawsuit because med mal cases have the shortest statute of limitations for any case. Mounting a complex med mal lawsuit with only a year to get things together is nigh onto impossible. While the clock is ticking in favor of the defendants, the plaintiffs are struggling to get evidence together to prove their case.

In addition, a lawsuit cannot be filed against a doctor or hospital unless it has been certified by a qualified medical expert to be a lawsuit of merit so these are not frivolous lawsuits.

If these points are not enough to ponder, add in that any incriminating evidence or information uncovered by internal investigations into an injury or death cannot be discovered by the patient or the patient’s family. Talk about prejudicial actions.

Furthermore, insurance companies protecting the doctor and/or hospital have financial and other resources and access to experts that far exceed the resources available to most patients. Add to this that the primary evidence in any medical malpractice case is the medical chart, which is authored by the doctor(s) and other medical personnel at a hospital, and the patient has no say in what goes in that chart, nor any control over it. Once again, the deck is stacked in favor of the medical profession and the victim is left hanging out in the wind trying to make a case.

Unfortunately for the victims of med mal, jurors are usually more sympathetic to a doctor being sued than the patient, particularly if it is the patient’s family who has brought the suit to court. Even if a plaintiff/patient does stick to their guns and pursues the case, 48 out of 50 states have capped the limit on the amount of damages that may be recovered. This cap has no relation to actual injuries and is only in place so the insurance companies may have a “fixed” cost when insuring negligent doctors.

In a nutshell, tort reform means patients having to give up constitutional rights just to have access to health care, and insurance companies coming out ahead by limiting their claim payouts. The person who needs the most help is the patient, and tort reform does anything “but” help a patient who has suffered at the hands of the medical establishment. Victims of medical malpractice need to get an experienced med mal attorney to help level the playing field.

To learn more about Cleveland medical malpractice, Cleveland malpractice lawyer, Cleveland medical malpractice, Cleveland medical malpractice lawyer, visit Christophermellino.com.

Concussions or TBI?

Sunday, November 29th, 2009

Is there really any difference between a concussion and traumatic brain injury?

The question of whether or not a concussion is a more benign form of head injury as compared to traumatic brain injury is a good one. By all reports however, concussion and traumatic brain injury are the same thing and merely distinguished by degrees

Put another way, concussion is a milder form of traumatic brain injury, but certainly nothing to be downplayed, as even though it may be a mild concussion, it may still have serious consequences.

Witness any football game in the US, or anywhere else for that matter, and one will see bone jarring hits and collisions that often result in players being trucked off to the hospital for observation. Blows to the head are especially problematic.

While many sportscasters and players refer to a head blow as a concussion, most medical staff call it a traumatic brain injury. Oddly enough, in the world of sports, a hit to the head is often regarded as being funny and couched in terms like “the player got his bell rung.” There is definitely nothing funny about a mild concussion or any form of traumatic brain injury.

For those who don’t understand the term traumatic brain injury, it occurs when the brain is smacked up against the skull resulting in temporary neurological impairment. Other cellular processes that routinely happen in the brain are also disrupted for days or weeks after the initial impact, largely depending on the grade of the concussion. Concussions range in grade from 1 to 3, and concussion and mild traumatic brain injury are the same thing.

Grade III concussions are considered to be any loss of consciousness due to a blow to the head or by something else like whiplash. Even with lesser grades of concussion, they may lead to things like epidural hematoma; the cause of film star Natasha Richardson’s death. Richardson’s death was the impetus for school athletes to stay away from sports for several “months” if they’ve sustained even “one” mild traumatic brain injury.

Playing sports like football, soccer and hockey come with inherent risks, and that risk relates to things like brain injuries. Nonetheless, if someone has been injured as a result of a slip and fall accident, a car crash or by playing sports without the proper safety gear, and negligence is present in the equation, consulting an expert personal injury attorney is a smart idea.

To learn more about Cleveland medical malpractice, Cleveland malpractice lawyer, Cleveland medical malpractice, Cleveland medical malpractice lawyer, visit Christophermellino.com.

TBI and Sports Go Hand-in-Hand

Saturday, November 28th, 2009

Traumatic brain injury is popping up in the news more and more these days in association with high-contact sports.

It used to be that most people associated traumatic brain injury with car accidents or slip and falls. These days, however, it is occurring more often when people are playing sports. This isn’t too much of a surprise as traditionally boxing has indeed been a sport associated with a high degree of minor concussions (traumatic brain injuries) on a smaller scale.

Nowadays the spotlight is focused on hockey, football, soccer and other sports that see hard hits and even harder falls. In either case, the brain stands a high likelihood of being rattled around inside the skull and leaving the individual confused and dazed. Interestingly enough, many of these “mini-concussions” are going undiagnosed and over the course of a season, the player may suffer multiple traumatic brain injuries.

Another interesting fact is also beginning to emerge as professionals study this particular phenomenon. It seems that people who have already experienced at least one concussion are more susceptible to getting further, similar injuries during other playing seasons. The reason for this doesn’t seem to be entirely clear, but the theory is that once the brain has been shaken up badly enough, it doesn’t take much to disturb it again if it sustains a thump.

While these “smaller” concussions are often referred to as mild, the fact is if they happen often enough, multiple concussions are linked to dementia and other neurological diseases later in life. One of the more classic cases is boxer Muhammad Ali, who was diagnosed with Parkinson’s syndrome in 1984, a result of the frequent concussions he sustained during his fighting career.

In addition, a report commissioned by the National Football League in the U.S. shows that former football players were struck down by Alzheimer’s or other memory-related diseases at an astonishing rate of 19 times the norm for men between 30 and 49 years of age. Sobering statistics to say the least and it poses the question of what will happen to the younger players coming up through the ranks.

It should go without saying that those who sustain a concussion during rough sports need to have “more” attention paid to them and a very thorough medical evaluation, mild concussion or not. The fact of the matter is that any blow to the head could be dangerous now and in the future. More particularly, cumulative concussions have the potential to alter a person’s life by bringing on dementia a lot earlier in life.

Does having helmets and/or the right safety gear play a role in reducing head injuries? This is one of the questions that should be discussed with a skilled personal injury lawyer if you have been the victim of a head trauma that may have been avoided if you had been provided and were wearing the right safety gear.

Christopher Mellino is a Cleveland Malpractice Lawyer specializing in Cleveland Medical Malpractice cases in Ohio. To learn more about Cleveland medical malpractice, Cleveland malpractice lawyer, Cleveland medical malpractice, Cleveland medical malpractice lawyer, visit Christophermellino.com.

Where Are the Firing Offenses in Medicine?

Tuesday, November 24th, 2009

Author: Patrick Malone
Originally Published in the Huffington Post

The recent news about the two Northwest Airlines pilots whose licenses were revoked, less than a week after they let their plane wander 150 miles off course, raises the question: Where are the firing offenses in medicine?

The pilots injured no passengers, and the event didn’t even qualify as a “near miss.” But because they egregiously violated safety rules by working on their flight schedules on a laptop in the cockpit, the aviation authorities did not hesitate to pull their licenses.

In the medical industry, by contrast, it is well known that a doctor will lose his or her license for only flagrant patterns of drug or alcohol abuse or other criminal behavior, with a trail of dead and injured patients usually lasting years before the practitioner is finally put out of business.

Medicine’s big safety emphasis in recent years has been to create a “no blame” culture that encourages reporting of errors, injuries and “near-misses” by promises of confidentiality and non-punitive action. The idea has been to bring systemic problems out into the open so they can be corrected by implementing “systems” changes, such as checklists to make sure all appropriate steps are taken to prevent infections when inserting catheters into blood vessels.

But what about a doctor who repeatedly puts patients in jeopardy, in small or big ways, by ignoring the rules? Many don’t wash their hands routinely when they enter a patient’s hospital room, and deadly infections sometimes get spread from patient to patient. Others don’t “sign out” their patients at the end of a shift by a person-to-person encounter with the provider taking over.

Some surgeons still won’t follow the now routine practice of “signing the site” to prevent wrong-site surgery. If the surgeon is a prominent “feeder” of patients to the hospital, such transgressions can easily be overlooked by administrators who don’t want to lose the business. That helps explain why an estimated 4,000 wrong-site surgeries still are performed every year in the United States, more than a decade after the “sign your site” campaign by orthopedic and other surgical specialties.

The good news is that medical safety leaders are starting to call for accountability for rules violations. Dr. Robert Wachter of UC-San Francisco and Dr. Peter Pronovost of Johns Hopkins recently wrote about this in the New England Journal of Medicine. Comparing medicine to aviation (the article was published before the Northwest Airlines incident), they noted: “Every safe industry has transgressions that are firing offenses.”

They proposed a short list of offenses in the hospital that should call for suspension of the doctor’s practice for one or two weeks: failing to perform hand hygiene, skipping the sign-over to a new provider at the end of a shift, not marking the surgical site, and failing to use a checklist at the start of surgery to make sure everyone in the operating room knows the special needs of the patient. These penalties, they suggested, should only apply after the doctor has failed to respond to an initial warning and counseling.

These modest, tentative steps forward are proposed by the authors to their colleagues as a way of fending off intrusive government regulation. But they also say: “The main reason to find the right balance between ‘no blame’ and individual accountability is that doing so will save lives.”

Amen to that.

Medical Malpractice Suits Driven by Plaintiffs

Saturday, November 14th, 2009

Who drives medical malpractice lawsuits and are they as prevalent as people actually think?

In actual fact, lawsuits are usually driven by plaintiffs. If that is the case, then it is reasonable to assume that medical malpractice lawsuits are a rapidly burgeoning sector within the total lawsuit industry. It appears that med mal lawsuits are beginning to play a greater role than they have ever played before, for a variety of reasons.

There are recent surveys that indicate medical errors are on the increase even in the face of new technology. The reasons for that vary, but by and large the main reason for the increase in errors is a lack of time. In the 21st century the American health system is in total shambles and seriously overburdened. Doctors and other medical professionals are overworked and dead on their feet from trying to keep up with the constant demand for medical services.

While it’s nice to have new technology, it takes time to learn that technology and what it is able to achieve. If there is no time because the physicians are running to keep up with non-emergency cases, the hospital ERs are jammed with people who should not be there and the clock is ticking, medical errors will still happen.
The more medical mistakes happen, the greater the potential for lawsuits, as it seems that today’s patients are more aware of what constitutes medical malpractice and are willing to file a lawsuit to seek justice.

Never assume that you do have a case of medical malpractice without consulting with a highly trained medical malpractice attorney. Choose one who has an extensive record handling all kinds of medical malpractice suits, who knows how difficult these cases are and who is prepared to ensure you receive the proper compensation for any injuries you may have sustained.

Christopher Mellino is a Cleveland Malpractice Lawyer specializing in Cleveland Medical Malpractice cases in Ohio. To learn more about Cleveland medical malpractice, Cleveland malpractice lawyer, Cleveland medical malpractice, Cleveland medical malpractice lawyer, visit Christophermellino.com.

This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.
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