Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts

Sunday, April 12, 2015

UC administrators hiding financial information; doctors strike at student health centers

Is the University of California top-heavy with administrators who conceal information and make decisions behind closed doors?

Doctors at UCSD student health centers strike
Contract negotiations began over a year ago
Apr 11, 2015

...The most critical issue in the negotiations is UC's failure to provide financial information, which the union needs to bargain fairly on behalf of the doctors, union officials said.

"For more than a year, UC said it could not afford to make the changes needed to attract and retain student health center doctors," UAPD president Dr. Stuart A. Bussey said. " Recently they admitted they can afford to improve health care on campus, they just choose not to.

"We continue to push hard for this financial information because we believe UC has enough resources to improve student health care," Bussey said.

”They can make student health a priority."

The union said it has filed "multiple" unfair-labor-practice complaints against UC with the Public Employment Relations Board since contract negotiations began more than a year ago...

Wednesday, February 18, 2015

Patient safety and the medical device tax repeal: The good, the bad and the ugly


The medical device tax repeal: The good, the bad and the ugly
When $30 billion dollars are injected into the device industry, it will stimulate the good, the bad and the ugly all the same
Hooman Noorchashm MD, PhD and Amy J. Reed MD, PhD.
Philadelphia Enquirer
February 18, 2015

Recently we’ve been getting some feedback from medical device industry advocates.

Ironically, this feedback did not come when we started to raise an alarm about the severe patient safety hazard the device industry’s federal regulations have caused. Rather, it came when we raised a significant concern about providing this unsafe industry a tax advantage – the so-called “medical device tax repeal”.

You see, giving a financial boost to an industry whose products have virtually no standardized guarantee of safety, is wrong...
We do believe that a vast majority of medical devices in our country are designed to be ‘life saving’ – and to make a good profit for their manufacturers. We are not against industry or profits. But, a minority subset of these devices are faulty, in design or conception – as the power morcellator is. And no real federal safety checkpoints are in place to protect unsuspecting patients. Doctors and device reps are the only things that stand between the patient and this monster we call “harm” – and that’s just not acceptable.

When $30 billion dollars are injected into the device industry, it will stimulate the good, the bad and the ugly all the same. And when the bad and the ugly in the medical device realm have no real federal safety checkpoints and are stimulated to grow, they devastate unsuspecting patients’ lives in America.

The real problem in the medical device industry comes from the corrupted way in which the Food and Drug Administration is using the 510(k) law to clear the vast majority of medical devices in the United States. This legislation was never designed for this purpose and it was certainly not designed to ensure patient safety. But, with definitive certainty, the way to protect patients from an industry gone rogue due to defunct federal regulation, is not to boost it with a sizable tax advantage.

So, our response to our friends and colleagues in the medical device industry when they tell us to “keep ‘em separated” is: Help us drive a leadership overhaul of the FDA’s Center for Devices and Radiological Health by congress. Help us make a “Medical Device Safety Reform Act” a reality and the law of this land. Only then can we help you achieve your tax repeal, stimulate your industry and create your jobs.

Monday, May 26, 2014

UCSD doctor concealed six-figure pay from medical device company and used that company's products on his patient; despite state law, UCSD says he did nothing wrong, pays settlement


Dr. William Taylor, UCSD, implanted screws from a company that paid him a six-figure income and in which he owned hundreds of thousands of dollars in stock options

I don't believe that Dr. Taylor intentionally made this woman suffer. I think he was simply blinded by his financial interest. He couldn't believe the screws he had implanted (and heavily invested in) could be causing harm. He had hundreds of thousands of reasons not to believe it.

This does not explain, however, why Dr. Taylor kept his financial interests secret. I'll take a stab at explaining that. Perhaps he had confidence in his own ability not to be influenced by his large income from the medical device company and by the possibility that his investment in the company would pay off grandly if the screws proved to be successful in treating patients. He kept his financial dealings with the company secret because he didn't trust others to have confidence in him.

And why doesn't UCSD crack down on its doctors who violate law and university policy in this manner? Perhaps because the doctors who are tasked with enforcing the rules are getting just as much money from outside companies as Dr. Anderson is.

Dr. William Taylor got his medical degree from UCLA, whose medical school seems have particular problems with conflicts of interest.

"It took longer to uncover some critical details that Dr. William Taylor, the surgeon, had not told the retired special education teacher or the university: He owned stock options worth hundreds of thousands of dollars in the company selling the spinal devices and had also collected six-figure annual fees from the same firm, the lawsuit said. Disclosure of such corporate payments is required by state law and university policy.

"A lawyer for UCSD said Taylor did nothing wrong and denied that any patients were harmed. But the university last year paid Kitrosser $1.75 million to settle the case."


UC system struggles with professors' outside earnings
Failing to report compensation from other sources leads to concerns about conflicts.
BY MELODY PETERSEN
OC Register
May 25, 2014

Doctors eventually solved the mystery of why Brenda Kitrosser suffered from unrelenting pain after her back surgery at a University of California hospital in San Diego.

A UCSD surgeon had implanted experimental screws and other hardware into her back, promising this would relieve her pain. Instead the devices pressed on her nerves endlessly, according to a lawsuit she filed later.

It took longer to uncover some critical details that Dr. William Taylor, the surgeon, had not told the retired special education teacher or the university: He owned stock options worth hundreds of thousands of dollars in the company selling the spinal devices and had also collected six-figure annual fees from the same firm, the lawsuit said.

Disclosure of such corporate payments is required by state law and university policy.

A lawyer for UCSD said Taylor did nothing wrong and denied that any patients were harmed. But the university last year paid Kitrosser $1.75 million to settle the case.

The controversy over Taylor’s undisclosed compensation is not an isolated case. The University of California has repeatedly failed to discipline medical professors who did not disclose payments from drugmakers and medical companies.

Last month, after UCLA paid $10 million to settle a lawsuit that centered on undisclosed corporate compensation, the non-profit group Consumer Watchdog called on state Attorney General Kamala Harris to investigate how widespread the unreported payments have become...

See more HERE.

Saturday, February 02, 2013

Dennis Laurion answers questions after his recent win in Minnesota Supreme Court against Dr. McKee's lawsuit about online comments

Dennis Laurion

Below are questions asked of Dennis Laurion by interviewers during the lawsuit McKee vs Laurion. Sued for his comments in online rating sites and letters to medical groups, Laurion deferred answering those questions in the past but has now offered his answers in this venue.

1) First and foremost, how’s your dad doing? We’d love to learn a little
more about his service to the country, as well.

ANSWER: My father had his stroke at age 84. He is now 88. He has difficulty with gait and balance. His speech and mental resources remain well. My father enlisted in the Navy at age 17 during World War II. By age 19, he was a Navy combat medic in the Solomon Islands, a Second Class Petty Officer, the equivalent of an Army or Marine Corps Staff Sergeant. My father worked two jobs and supported a family while obtaining a Ph.B. and an M.S. in Geriatric Counseling. He was a Boy Scout leader, an Elder in his church, a high school teacher, and a systems analyst at the advent of the computer age.

2) Undoubtedly, this defamation case has caused some stress for your
family. Would you like to talk a little about that?

ANSWER: This entire experience has been distressing to my family. We were initially shocked and blindsided by “jocular” comments made so soon after my father’s stroke by somebody who didn’t know us. We were overwhelmed by my being sued after posting a consumer opinion, and we were shocked by the rapidity with which it happened. It has been the 800 pound gorilla in the room. My parents would be 88-year-old witnesses. My mother and wife prefer no discussion, because they don’t want to think about it. Conversation with my father only reminds him of his anger over this situation. My siblings and children don’t often bring it up, because they don’t know how to say anything helpful. I have been demoralized by three years of being called “Defendant Laurion” in public documents. While being sued for defamation, I have been called a passive aggressive, an oddball, a liar, a coward, a bully, a malicious person, and a zealot family member. I’ve been said to have run a cottage industry vendetta, writing 19 letters, and posting 108 adverse Internet postings in person or through proxies. That’s not correct. In reality, I posted ratings at three consumer rating sites, deleted them, and never rewrote them again.

3) You know what they say about talking politics and money in mixed
company, but would you care to talk about the financial situation this
lawsuit has put you in?

ANSWER: The plaintiff’s first contact with me was a letter that said in part that he had the means and motivation to pursue me. The financial impact of being sued three years to date has been burdensome, a game of financial attrition that I haven’t wanted to play. The suit cost me the equivalent of two year's net income - the same as 48 of my car payments plus 48 of my house payments. My family members had to dip into retirement funds to help me.

I wish I could sleep, but then my short attention span kicks in: "St. Luke's Hospital, defamation, lawsuit, Minnesota Supreme Court, one sheep, two sheep, three sheep, cow, horse, chicken, duck, duck, goose, old McDonald had a farm; heeeeeeeyy, Macarena!"

What it’s like for a patient or family member to be caught up in a case like this was already described by the plaintiff's lawyer in a Star Tribune newspaper article, “Company sues over info put on Yahoo message board,” August 27, 2001, and repeated in http://chronicle.augusta.com/stories/2001/08/27/bus_321610.shtml .

It said in part:

“Message-board participants have the right under the First Amendment to voice their opinions. That freedom is troublesome for companies and their legal and public-relations staffs, which wince about the complaints and scramble to correct inaccurate information that could be posted by consumers, investors, employees or competitors. If a company sues, alleging simple business disparagement or perhaps defamation, its goal isn’t necessarily to win,” said Marshall Tanick, a First Amendment expert at Mansfield & Tanick in Minneapolis. “The strategy is to force the other person to incur huge legal expenses that will deter them and others from making such statements,” he said.

“Companies typically shy from suing customers because it creates bad publicity. Thus, much of the legal activity involves employees or former workers. I’m seeing it happen with increasing frequency…yet very few (cases) go all the way to trial and verdict,” Tanick said.

“A company’s strategy typically includes filing in a state that might be inconvenient and costly for defendants. Lawyers will seek ways to avoid First Amendment issues because they are difficult to win. One option is to allege breach of contract or violation of trade secrets rather than defamation,” he said.

4) You’ve probably learned lots about defamation law since this began,
have you spoken with anyone else who is going through the same thing?
Have they given you any invaluable insight? Support?

ANSWER: After receipt of a threat letter, I deleted my rate-your-doctor site postings and sent confirmation emails to opposing counsel. Since May of 2010, postings on the Internet by others include newspaper accounts of the lawsuit; readers’ remarks about the newspaper accounts; and blog opinion pieces written by doctors, lawyers, public relations professionals, patient advocates, and information technology experts. Dozens of websites by doctors, lawyers, patient advocates, medical students, law schools, consumer advocates, and free speech monitors posted opinions that a doctor or plumber shouldn’t sue the family of a customer for a bad rating. These authors never said they saw my deleted ratings – only the news coverage. Newspaper stories have caused people to call or write me to relate their own medical experiences. I’ve referred them to my lawyers. I've also received encouragement from other persons who have been sued over accusations of libel or slander.

5) Due to the publicity your case has received, has it affected
your dealings with other medical professionals?

ANSWER: My wife, my mother, my father, and I each have a different doctor. Each of us continues to see his or her attending physician, as before. They're all aware of this suit, but none has commented on it.

6) Do you feel like McKee’s status as a doctor has given him an unfair advantage in how the media is covering this lawsuit?

ANSWER: Medical peer newsletters or magazines that interviewed the plaintiff did not approach me. Websites maintained by doctors for doctors or lawyers for lawyers often caused an inference that I was a zealot family member or somebody who had asked about my dad's chances and then shot the messenger. Generally, however, those websites echoed other websites in advising public relations responses other than a lawsuit - for fear of creating the "Streisand Effect." As a retired layman, I brought far less resources to the battle of financial attrition.

7) Do you have a favorite founding father?

ANSWER: Thomas Paine.

[Maura Larkins comment: Good choice!]

8) Your father selflessly served this country, and now the laws of the
land are causing you and your family discord. Has this experience
ignited a justice reform fire – with regards to defamation law -- in
your gut?

ANSWER: I've learned that laws about slander and libel do not conform to one's expectations. I've read that an online complaints are safe "if you stick to the facts." That's exactly the wrong advice. I did not want to merely post my conclusions. I wanted to stick to my recollection of what I'd heard. I don't like to read generalities like he's arrogant, rudest waiter I ever met, worst plumber ever, etc. However, such generalities are excused as opinion, hyperbole, or angry utterances. If one purports to say what happened, factual recitations can be litigated. The plaintiff must prove the facts are willfully misstated, but the defendant can go broke while waiting through the effort.

I feel that defamation lawsuits are much too easy for wealthy plaintiffs. If I were to attempt suing a doctor for malpractice, my case would not proceed until I'd obtained an affidavit from another doctor, declaring that the defendant's actions did not conform to established procedures. In a defamation suit, there's generally no exit short of a judge's dismissal order - which can be appealed by the plaintiff. Being called "defendant" is terribly personal, but the civil suit path is totally impersonal. During the three years that I went through depositions, interrogatories, a dismissal hearing, an appellate hearing, and a state Supreme Court hearing; I never once spoke to a judge. At depositions, the plaintiff and I sat opposite each other, while I answered his lawyer's questions, and he answered my lawyer's questions. We were not to speak to each other.

Minnesota and two other states allow "hip pocket" lawsuits. The plaintiff can start a suit by sending the summons and complaint to the defendant without filing the documents in court. The plaintiff enjoys complete anonymity from public awareness. The defendant has 20 days to respond, but the court is unaware that the suit exists. The plaintiff can conduct interrogatories and depositions while the court is unaware that the suit exists. The plaintiff can send settlement demands to the defendant's insurance company while the court is unaware that the suit exists. Until the suit is actually filed, the plaintiff's lawyer orchestrates everything as the officer of the court. If the defendant files his answer, in order to publicly get onto the docket and under the supervision of a judge, the defendant pays the filing fee. In Minnesota, if the plaintiff loses his effort at rule by law, the rule of law generally allows the defendant no remuneration. The plaintiff can lose the suit while winning the battle of financial attrition.

9) Tell us about yourself.

ANSWER: I'm a retired Chief Petty Officer, Social Insurance Specialist, and Medical Records Analyst, having worked for the Coast Guard, the Social Security Administration, and St Mary's Medical Center. I majored in Industrial Supervision at the Purdue University Calumet School of Engineering, Manufacturing, and Technology. My wife and I have 6 children and 9 grandchildren.

Between high school and the Coast Guard, I worked in a steel mill. I spent part of those two years as a blacksmith helper. I helped make pry bars, jackhammer chisel points, air hose couplings, rods, and hooks. I once set the back of my shirt on fire without knowing it, because I was wearing a sweatshirt and flame retardant long underwear.

I've never been afraid of heights, bodies of water, or love - just falling, drowning, and rejection.

I wish I could sleep, but then my short attention span kicks in: "St. Luke's Hospital, defamation, lawsuit, Minnesota Supreme Court, one sheep, two sheep, three sheep, cow, horse, chicken, duck, duck, goose, old McDonald had a farm; heeeeeeeyy, Macarena!"

Dennis

*********************************

Dennis K. Laurion
Chief Yeoman, U. S. Coast Guard (Retired)
Social Insurance Specialist (Disability Post-Entitlement), Social Security Administration (Retired)
Outpatient Medical Records Analyst, St. Mary 's Medical Center (Retired)

Monday, August 27, 2012

Two interesting Internet defamation cases filed by doctors

UPDATE: Dennis Laurion wins with free speech defense to Dr. David McKee's defamation lawsuit.

ORIGINAL POST:

#1--Patient Susan Walker was able to get Dr. Aaron Filler's defamation lawsuit thrown out of court. See: California patient wins anti-SLAPP motion against doctor she criticized


#2--[SEE UPDATE ABOVE!] Dennis Laurion is still fighting this defamation case by Dr. David C. McKee: See: Dr. David McKee sues patient's son for Internet defamation, hires a private detective to find out which nurse called him a "tool"

"When a doctor hires a private detective to find out which one of the 4,400 nurses in St. Louis County, MN may have called him a “tool” you know the man is serious about defending his reputation. That is just what Dr. David McKee of Northland Neurology and Myology is doing in preparation for the next leg of his defamation lawsuit against the son of a former patient, Dennis Laurion..."



The irony of all this is that is is perhaps more likely that positive reviews are false than negative reviews.

Here's an Aug. 25, 2012 New York Times article by David Streitfeld about how reviews are bought and sold:

...“The wheels of online commerce run on positive reviews,” said Bing Liu, a data-mining expert at the University of Illinois, Chicago, whose 2008 research showed that 60 percent of the millions of product reviews on Amazon are five stars and an additional 20 percent are four stars. “But almost no one wants to write five-star reviews, so many of them have to be created.”

Consumer reviews are powerful because, unlike old-style advertising and marketing, they offer the illusion of truth. They purport to be testimonials of real people, even though some are bought and sold just like everything else on the commercial Internet.

Mr. Liu estimates that about one-third of all consumer reviews on the Internet are fake. Yet it is all but impossible to tell when reviews were written by the marketers or retailers (or by the authors themselves under pseudonyms), by customers (who might get a deal from a merchant for giving a good score) or by a hired third-party service.

The Federal Trade Commission has issued guidelines stating that all online endorsements need to make clear when there is a financial relationship, but enforcement has been minimal and there has been a lot of confusion in the blogosphere over how this affects traditional book reviews...

Thursday, January 21, 2010

Overweight women get substandard care from doctors

The surprising reason why being overweight isn't healthy
By Ginny Graves, Health.com
January 21, 2010
Health.com

It's shocking, but it's true: Being a woman who's more than 20 pounds overweight may actually hike your risk of getting poor medical treatment. In fact, weighing too much can have surprising -- and devastating -- health repercussions beyond the usual diabetes and heart-health concerns you've heard about for years.

Recent studies have found, if you are an overweight woman you:

• May have a harder time getting health insurance or have to pay higher premiums

• Are at higher risk of being misdiagnosed or receiving inaccurate dosages of drugs

• Are less likely to find a fertility doctor who will help you get pregnant

• Are less likely to have cancer detected early and get effective treatment for it

What's going on here? Fat discrimination is part of the problem. A recent Yale study suggested that weight bias can start when a woman is as little as 13 pounds over her highest healthy weight.

"Our culture has enormous negativity toward overweight people, and doctors aren't immune," says Harvard Medical School professor Dr. Jerome Groopman, M.D., author of "How Doctors Think." "If doctors have negative feelings toward patients, they're more dismissive, they're less patient, and it can cloud their judgment, making them prone to diagnostic errors."...

Thursday, September 17, 2009

We need better evaluation for teachers--and doctors. Constant evaluation by professionals would be better than having jury trials re medical problems

#1 Doctors cover up for each other too much, allowing incompetent doctors continue to practice.

#2 Good doctors sometimes get sued for unpreventable tragedies, and juries who don't understand the complexities of these cases are asked to decide of the doctor acted properly.

As we talk about reforming medical the medical malpractice tort system, maybe we could solve problem #1 at the same time as problem #2.

Perhaps doctors who are currently evaluated as good could be given lower insurance rates.

But capping medical malpractice claims would only serve to encourage incompetent doctors. Insurance companies would have little to lose by insuring them.