Safe Discharge from the Pediatric Emergency Department

TASA ID: 1028

The future condition of pediatric patients discharged from the emergency department can never be guaranteed even when the diagnosis has been clearly defined.  As a result, we are dependent on our clinical judgment of the patients' stability, as well as the understanding and capability of the parents in safely discharging pediatric patients.  Up to 75% of patients/parents do not understand the instructions given at the time of emergency department discharge and not surprisingly almost all malpractice complaints arising from the emergency department have incomplete discharge instructions as a component.

Medical Device Registration and Clearance is NOT the same as Approval

TASA ID: 4338

Since 1976, the FDA has classified devices as low (1), medium (2) and high (3) risk.This article goes into detail about what medical device manufacturers are required to do to sell their products in the USA. I’ve been working on a case as an expert witness for a very experienced attorney. Our discussions made me realize that many of us are unaware of the details that separate a device tested in humans before being put on the market, from the vast majority of devices that are tested in the laboratory only and then sold.

Hospitalists throughout the Years: Growth of a Specialty...and Its Problems

TASA ID: 3333

In the early 1990s, Americans started seeing a new type of doctor who spent all of his or her work hours in the hospital and never went to an office. Pediatricians, family practitioners and internists were the first to divide themselves into those doing outpatient care and "hospitalists." The original incentive for the change was simple efficiency: hospital rounds take primary care doctors away from more-lucrative office visits, and a doctor who spends all day at the hospital knows the way around and can serve patients faster. Doctors who got tired of driving from office to hospital and back were happy to have their sickest patients seen by somebody else; doctors fresh out of training, on the other hand, generally know little about managing an office but are very comfortable in the hospital environment.

Lessons from a Doctor's Recent Trial Testimony

TASA ID: 3656

Recently, I testified as a plaintiff internal medicine expert in a trial located in California, against a primary care doctor.  This was a missed breast cancer diagnosis case, where the jury awarded a $1.9 million verdict.  The jury was hung against the radiology group, despite the fact that they sent her the wrong letter in which she was congratulated on a normal mammogram, when in fact it showed suspicious breast calcifications.

Medical Spas Acting Beyond Their Expertise: Adverse Complications Resulting in Potential Litigation

TASA ID: 3797

The very term "medi-spa" or "medical spa" raises a conundrum which the industry does not want to address. Is this a medical facility which, therefore, should meet the standard of care expected of physicians?  Is this a spa facility which conjures expectations of a pampered experience consisting of massage, nourishment, meditation and the like?  Or is this a combination of the two?

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