Overlawyered: Chronicling The High Cost Of Our Legal System

Posts Tagged ‘hospitals’

Update: Passalaqua v. Kaiser Foundation Hospitals

I got an email asking me what happened to the case in the following post:

While his wife, Jeanette Passalaqua, was giving birth, Steven fainted in the delivery room, fracturing his skull and dying two days later. This is, says the family, the fault of Kaiser Foundation Hospitals and Southern California Permanente Medical Group Inc. “‘This avoidable tragedy was a direct result of Kaiser’s ordinary negligence in failing to exercise reasonable care to prevent foreseeable injuries to Steven,’ according to the suit, which was filed last week in San Bernardino County Superior Court.” So if your maternity ward is rubber-padded next time you go there, you know why.

So I looked it up in the San Bernardino County Superior Court docket database: the case settled almost immediately. The docket does not report the amount of the settlement, which could conceivably have been for a token amount, but one can infer that there was some substantial money involved, because the settlement required proof of the purchase of annuities for the two plaintiff minors, which normally wouldn’t be worth the transactions costs if the sums were tiny. But that inference may be incorrect. If ever I find myself in San Bernardino, maybe I’ll check the paper record to see if there’s more public detail.

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Microblog 2008-12-19

  • Newest “Trial Lawyers Inc.” report is on Louisiana [Manhattan Institute, Point of Law]
  • Mel Weiss disbarred automatically w/strong language from judges [Matter of Weiss h/t @erwiest]
  • Pro se claimant: I wrote down cure for cancer and then the darn hospital stole it! [Above the Law]
  • “California Supreme Court Ruling May Deter Good Samaritans” [The Recorder; SF Chronicle with copious reader comments, GruntDoc, our coverage last year]
  • Due diligence on dodgy funds? Sometimes it seems everyone’s relying on someone else to do that [Bronte Capital] Madoff fraud may date to 1970s, maybe “recent laxity” angle has been overdone [Securities Docket] “Ponzi crawl” = pub crawl whereby new person is added at each location and has to buy a round [Re Risk]
  • Radley Balko on Julie Amero malware-prosecution story [Reason, earlier]
  • Join Paul Ehrlich in some of the world’s most famously refuted predictions, and you too may get to be Obama’s science adviser [John Tierney/NYT, John Holdren]
  • Wisconsin Minnesota pig-sitter trial set for March, claim is that defendant let star porker overfeed and gain a hundred pounds [LaCrosse Tribune h/t @kevinokeefe]
  • More on the Patent and Trademark Office “acceptable error” employment case [Venture Chronicles, Jeff Nolan; earlier]
  • Procter & Gamble “Satanism” case finally settles, soap giant got $19 million verdict against four Amway distributors who spread rumor [OnPoint News]
  • Once filing of a suit severs the channels of communication, attorneys and clients alike begin to make up “what really happened” narratives [Settle It Now]
  • Sometimes lawyers need to be formal. Don’t IM “Court denied your appeal u will b executed saturday thx” [Beck & Herrmann]
  • Bangladesh hoping to build replica of Taj Mahal despite copyright claims [Times Online h/t @mglickman]
  • Midnight regulations? “OMB Watch” vigilant (and with reason) during this R-2-D transition but sang different tune in 2000’s D-2-R [Gillespie, Reason]

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GWB as regulator: new opt-out “conscience” rules for health workers

“The Bush administration, as expected, announced new protections on Thursday for health care providers who oppose abortion and other medical procedures on religious or moral grounds.” (NYT via GruntDoc). I briefly criticized this bad idea in a post last week at Secular Right, and there are hopes that the incoming Obama administration will rescind it. P.S. Longer post now up over there.

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Microblog 2008-12-13

  • Holman Jenkins on auto bailout [WSJ] Bush’s willingness to use TARP helped the unions scuttle a reasonable deal with Corker; and why exactly did CEO Wagoner commit GM to the (dubious and self-injuring) position that buyers’d abandon the company in the event of a Chapter 11? [Hodak Value h/t Ted] So that’s what dragging Detroit down — domestic partner benefits [Brayton] And Ted wonders if it might be cheaper in the long run for the government just to buy a Senate seat from Gov. Blagojevich for every auto worker;
  • Where’d Gov. Blagojevich pick up idea it was OK to sell official acts for $$$? Can’t imagine [Ribstein] Who is Advisor B? [Byron York] Sing, Rod, sing! [Coleman] “Blago’s decision to let SEIU and not AFSCME organize Ill. child-care workers” Hmmm [Freedom-at-Work, NRTW] “How do they think Chi pols talk in private when muscling some guy for cash? Like Helen Mirren playing the queen?” [John Kass, Tribune] A look at AG Lisa Madigan [PoL] Illinois pols have shaken down hospitals before, state’s “certificate of need” (permission-to-build) law is one culprit [StateHouseCall]
  • J.K. Galbraith’s best bon mot: “bezzle” = inventory of unexposed embezzlement, revealed as tide of boom recedes [Cox, Breaking Views] Fascinating memoir of why Madoff had been giving off fishy smell for years [Tokyo Cassandra] So sleazy! “Many” investors put $ with Madoff because they suspected he was crooked — but cheating someone else [Blodget] “Madoff didn’t run one of these much-maligned, unregistered hedge funds. He was registered with the SEC. Here’s his latest 13-F, which looks perfectly normal.” [Weisenthal]
  • Daily downer for media folk [@themediaisdying h/t @amyfeldman] “Remember, America, you can’t wrap a fish in satellite radio” — P.J. O’Rourke wants bailout for print [The Australian]
  • Jurors’ political leanings predict whether they’re pro-plaintiff or defendant? Not as simple as that [Wisconsin Lawyer h/t @juryvox]
  • Asbestos rise in Madison County, Illinois could signal return to “old school” tactics [MC Record h/t @icjl]
  • Sue me harder, don’t stop now: competing Fla. fetish clubs feud in court, which’ll get whipped? [ABA Journal]
  • Russian patent office grants trademark for 😉 emoticon, businessman asking royalties [BBC h/t @bodhi1 @mediadonis]
  • Arnold Kling: loan modification way oversold as remedy for housing ills [EconLog h/t @tedfrank]
  • Best line: “the goose was not our employee or our agent” [CKA Mediation h/t @vpynchon, earlier]

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Religious accommodation law

I expect to be blogging on that subject quite a bit at the new site I’ve helped launch, Secular Right. Today I’ve got a few thoughts up on the so-called Freedom of Choice Act and its potential impact on Catholic hospitals, so-called conscience laws entitling employees of clinics and drugstores to opt out of their job duties when asked to dispense contraceptives or assist in other reproductive services, the never-ending war over Christmas and tit-for-tat atheist displays, and more. (Dec. 7).

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Microblog 2008-12-04

  • MDs retreating from hospital-based practice for many reasons, including legal [Happy Hospitalist]
  • Mark Twain: “It usually takes me more than three weeks to prepare a good impromptu speech.” Know that feeling [h/t @lawfirmblogger]
  • Among Murdoch properties, stolid WSJ has begun sharing stories with tabloid NYPost, think of the satiric possibilities [Calderone/Politico]
  • Oral history of libertarian magazine Reason over 40 years, lots I didn’t know about its past [Brian Doherty and many others]
  • As rescuers neared, “immaculate” champagne service: sang-froid of staff and guests under Taj siege [Daily Mail] Security at Mumbai’s Oberoi hotel couldn’t get gun permits from gov’t [WSJ] Tunku Varadarajan: What India must do now [Forbes]
  • Good! Obama camp hedging support for EFCA (card-check, imposed union contract) bill [Las Vegas Sun h/t @Eric_B_Meyer]
  • Lap dancing “is not sexually stimulating”, British parliamentary committee is told [Guardian via Feral Child]

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“Woman didn’t know she was pregnant, gives birth”

And now here comes the lawsuit against the hospital, blaming it for the baby’s deficits. Attorney Harold “Tripp” Sebring III has couched the suit against University Community Hospital in Tampa as one on behalf of the child, Brianna Rose Lumley, rather than the mother, Robin Lumley. Per Chicago psychiatric trauma specialist Alexander E. Obolsky, the suit represents “chutzpah”: “This is America. You’ve got to love this country. This woman doesn’t know she is pregnant, but somebody else should.” (Colleen Jenkins, “St. Petersburg Times, Oct. 7).

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October 14 roundup

  • Don’t miss Roger Parloff’s tour de force coverage in Fortune blowing whistle on that dodgy suit in Moscow against Bank of New York Mellon, adorned by participation of lawprofs Dershowitz and Blakey [PoL overview, main article]
  • Digital remixes and copyright law [Lessig, WSJ]
  • Surgeon at Connecticut’s Greenwich Hospital revealed as drug abuser, Koskoff, Koskoff & Bieder now pressing suit on behalf of general class of patients, which sounds like it means “whether harmed or not” [Greenwich Time, Newsday via TortsProf weekly roundup]
  • Chicago sheriff halting foreclosures, or maybe not, reportage is confused [Reuters, big discussion at Steve Chapman blog] And is Obama taking the idea national with bid for 90-day moratorium on foreclosures? [AP]
  • Foie gras-style financial gavage? “None of banks getting government money was given a choice about it, said one of the people familiar with the plans.” [Bloomberg, Bernstein @ Volokh] More: Ann Althouse, Kuznicki/Cato at Liberty.
  • Trey Allen law firm in Dallas agrees to pay $840,000 restitution after profiting from staged car crash scheme, but Allen’s lawyer says client wasn’t aware of any fraud [ABA Journal]
  • Smoking bans, alcohol taxes contributing to steep decline of English village pubs [Newsweek]
  • Bias-law panel rules Wal-Mart within its rights not to hire a female applicant for Santa Claus position [eight years ago on Overlawyered]

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Critical lab value? Gotta page the doc

We’ve often touched on the subject of lab testing and defensive medicine, but as Happy Hospitalist points out [Oct. 11], ordering needless testing is by no means the only way the various parties endeavor to avoid liability. Another is the superfluous communication of not-really-urgent abnormal test results, sometimes on a doctor’s pager at 4 a.m.:

Unfortunately, patient safety is rarely an issue. It’s a giant game of shifting liability. The lab documents they notified the nurse–>lab off the hook if something bad happens. The nurse notifies the doctor —> nurse off the hook if something bad happens. Doctor is left with a critical value called 10 or 20 times a day, interrupting the entire flow of patient evaluations and discharges. Every time, I must stop what I’m doing and answer a page for a critical lab value, I lose valuable face time with patients. And it all adds up over the course of a day. I wouldn’t have a problem with the system, except that critical thinking has been removed from the equation. The nurse is not allowed to make judgments as to whether a phone call is warranted or not.

As a default protocol of calling all critical lab values, the liability is shifted up the educational food chain, landing ultimately on the physician’s lap. Often times a nurse is not allowed to not call a critical lab value. The problem is, what the hospital has defined as critical, does not apply to the vast majority of critical lab values reported. What’s considered critical by hospital standards, is a normal or chronic value for [that particular] patient.

Whole thing here.

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