Study Finds ER Doctors Over-Prescribing Opioids for Migraine Headaches
September 4th, 2014 at 1:49 pm
According to a recent study, emergency room doctors are prescribing too many opioids to patients who suffer from migraine headaches. Migraine headaches account for the fifth biggest reason patients visit the emergency room.
Researchers from the Albert Einstein School of Medicine and Montefiore Medical Center, The Bronx, analyzed data that was collected for the National Hospital Ambulatory Medical Care Survey. This data was gathered between the years of 1998 to 2010.
During that time period, millions of patients visited the ER because of migraine headaches. In 2010 alone, there were 1.2 million ER patients with complaints of severe headaches. In 1998, 51 percent of migraine headache patients were prescribed opioids by the attending ER physician for pain relief. In 2010, that number rose to 53 percent, despite study results over the past two decades that other drugs work much better at relieving migraine pain.
According to lead researcher Dr. Benjamin Friedman, frequent use of opioids to treat migraines should not be happening. “Opioids are not as good as other medications in the short-term and they may have long-term effects that are harmful to patients,” said Friedman. The study found that opioids are only necessary in approximately 5 percent of patients. Drugs such as triptan and ketorolac work better and quicker at relieving pain compared to opioids. Yet emergency room doctors prescribe these two drugs to only 10 percent of migraine sufferers.
There is also concern that opioids actually cause harm to a patient by making the migraines worse. Therefore, this then causes the patient to visit the emergency room more frequently. The researchers recommend an investigation be conducted to find out why ER physicians are prescribing such a high amount of opioids.
If you have been prescribed medication that has caused serious side-effects, or a medication has caused your condition to worsen, contact an experienced Westport medical malpractice attorney to find out what compensation you may be entitled to for pain and loss.
Sepsis Causes Alarming Number of Hospital Patient Deaths
August 28th, 2014 at 9:46 am
Medical errors that result in death inside a hospital are oftentimes caused by the neglect of healthcare professionals. According to CNN, medical errors kill more than 250,000 people every year in the U.S., which by some estimates could be “the third leading cause of death.” Examples of these types of medical malpractice include treating the wrong patient, accidentally leaving surgical tools inside a patient’s body, misplacing patient records, and waiting too long in the emergency room.
However, one such disturbing trend of failure in American hospitals is the number of patients who die from sepsis every year. In fact, the CDC reports that between 28 and 50 percent of those who get sepsis end up dying from the illness.
According to the American Thoracic Society, nearly half of all deaths in U.S. hospitals are sepsis-related, with sepsis also accounting for close to 22 percent of all hospital charges. Vincent Liu, M.D., of the Kaiser Permanente Northern California Division of Research, notes how “improved care for sepsis patients of all severity levels and in all hospital settings could result in many future lives saved.”
Sepsis is not an infection or a disease, but an illness that arises from an infection. Once the infection enters the bloodstream, it can spread rapidly through the body, and often result in the loss of muscle function, limbs, or organ failure. Despite several medical advances meant to curb the rate of infection and spread of disease, sepsis continues to be an unexpectedly severe issue.
Several causes of sepsis include surgical site infections, catheter-related urinary tract infections, and infections of the lungs or skin. Those more susceptible to sepsis include the elderly, infants and children, those with weakened immune systems, and those suffering from a physical trauma or severe burn. Symptoms of sepsis include:
- Fever,
- Chills,
- Rapid breathing and heart rate,
- Rash,
- Confusion, and
- Disorientation.
Early detection and treatment of sepsis can prevent serious bodily failure and death. However, noted by the National Institute of General Medical Sciences, it can be difficult to diagnose as many of the sepsis symptoms “mimic other conditions, making sepsis hard to diagnose in its early stages.”
If you suffered from sepsis while in a hospital, or had a loved one die as a result of sepsis while in the hospital, you may be eligible for compensation. Do not go through it alone. Contact an experienced Westport medical malpractice attorney to discuss your case today.
Surgical “Black Box” May Help Decrease Surgical Errors
August 20th, 2014 at 11:05 am
When people hear the term “black box” they generally think of the device that is used in airplane disasters which crash investigators retrieve in order to help determine what caused a plane to crash. A black box consists of a cockpit recorder and flight data recorder. However, one Toronto surgeon believes that operating rooms should also have their own black boxes.
Dr. Teodor Grantcharov, who works at St. Michael’s Hospital, has come up with a prototype black box and he has been utilizing it for all of his laparoscopic surgeries. In laparoscopic surgeries, doctors use small video cameras and surgical tools that are placed inside the body. They are considered “minimally invasive” compared to traditional surgeries. Dr. Grantcharov’s goal is to help minimize medical mistakes from occurring in laparoscopic surgeries. Several mistakes that may occur include perforations to the blood vessels, intestines or bowels.
The black box that Grancharov uses records all the conversations taking place in the operating room during surgery, as well as records the footage from the video camera. It also keeps track of decibel and temperature and records an entire view of the operating room.
Currently, when something goes wrong with a patient’s surgery, most hospitals have morbidity and mortality meetings which try to determine what happened based on the limited information they may available. But with the black box method, everything that occurred in the operating room can be viewed, much the same way professional athletes watch footage of games to see where certain plays worked and where they did not work.
Each one of Grancharov’s surgeries are watched by a peer review committee. He performs approximately six surgeries per week. “We define error as very, very minor deviation from the perfect course,” Grantcharov says. “People believe that surgeons are perfect and never make mistakes, and that’s not true, as long as there are humans there will always be mistakes. We have to be more transparent about our business.”
If you have had laparoscopic surgery that resulted in serious surgical errors or complications due to your doctor’s negligence, please contact an experienced Westport medical malpractice attorney to discuss any compensation you may be entitled to for pain and loss.