Articles Posted in Cardiac Arrest

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More than 25 lawsuits have been filed against Johnson & Johnson subsidiaries, Janssen Pharmaceuticals and Bayer Corporation, in consolidated cases in the Louisiana federal district court regarding the serious side effects of the blood-thinning drug, Xarelto.

Xarelto has been associated with serious side effects, including internal bleeding, gastrointestinal bleeding, brain bleeds and death.

It has been reported that thousands of individuals — patients who have been prescribed Xarelto as a blood-thinner  — have been affected. The presiding federal judge is Judge Eldon E. Fallon.

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On Jan. 8, 2008, Nicole Yerkovich, who was 35 at the time, was taken by ambulance to the emergency department at LaGrange Memorial Hospital because of severe abdominal pain and nausea. The ER doctor at the hospital ordered a contrast CT scan of her abdomen and pelvis to see if she was suffering from an appendicitis attack. The CT scan was initially read by a teleradiologist who reported she could not visualize the appendix and therefore could not rule out appendicitis. The teleradiologist recommended the hospital’s doctors obtain the delayed images to get better visualizations of the appendix and noted a moderate amount of free fluid in the pelvis, which could have been due to a ruptured cyst.

The following morning, the in-house radiologist, Dr. Vladislav Gorengaut, reviewed the same CT scan and reported there were no definite findings to suggest appendicitis. He noted there were ascites, which may be caused by peritonitis, and there could be a gynecological issue such as a ruptured hemorrhagic ovarian cyst. Ascites refer to the accumulation of fluid in the peritoneal cavity in the abdominal area.

Based upon the first report of Dr. Gorengaut, the emergency department doctor canceled the delayed CT scan and instead admitted Yerkovich to gynecology and ordered a pelvic ultrasound. Dr. Gorengaut read the ultrasound and reported there was echogenic fluid most likely representing blood from a ruptured ovarian cyst.

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Anthony Bausal was transported by ambulance to the emergency department at OSF St. Joseph Medical Center in Bloomington, Ill., on Sept. 20, 2008. Bausal had a cellulitis infection in his left leg, increased pain and shortness of breath. He also had underlying conditions of lupus nephritis, cardiomyopathy and chronic anemia.

Bausal, 34, was admitted into the hospital, where additional testing showed that he had a dangerously low cardiac ejection fraction of 20-25% (55% is considered normal), which is the measure of how the well or poorly the heart is pumping out blood through the body. He also had acute anemia and a gastric ulcer with erosive gastritis of the stomach.

One of the defendants, a general surgeon, Dr. Darryl Fernandes, was consulted on Sept. 25, 2008 because of concern about an infectious process in Bausal’s left leg.

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At issue in this South Carolina Supreme Court case was whether the medical malpractice statute of repose applied to indemnify the claim of Columbia/CSA-HS Greater Columbia Healthcare System — also known as Providence Hospital. The trial court in the Court of Appeals in South Carolina held that it does and thus barred the indemnity action brought by Providence Hospital. Because the statute of repose barred the indemnify action brought by the Providence Hospital, the Supreme Court of South Carolina affirmed the lower court’s and the appellate court’s decision.

In 1997, Dr. Michael Hayes and Dr. Michael Taillon were working as emergency room physicians at Providence Hospital as independent contractors. Arthur Sharpe came to Providence Hospital in the emergency room on the same date. He was complaining of chest pain. Drs. Hayes and Taillon evaluated Sharpe and diagnosed him as suffering from gastric reflux. Sharpe was then discharged from the hospital; in fact, he had actually suffered a heart attack. That heart attack was determined a few days later when he went to seek other medical care.

Because of the misdiagnosis, on May 25, 1999, Sharpe and his wife filed a medical malpractice and loss of consortium suit against Providence Hospital and Dr. Hayes. The Sharpes did not name Dr. Taillon as a defendant. Providence Hospital settled with the Sharpes on June 10, 2004.

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A Cook County jury found that no medical negligence that caused the death of Jerome Granat following a cardiac catherization. On June 16, 2010, the defendant cardiologist, Dr. Surendra Avula, performed a cardiac catherization procedure on 64-year-old Granat at Advocate Christ Hospital. The patient’s previous cardiac history included quadruple coronary artery bypass surgery in 1994, three stents put in place in 2002 and 2007 and one heart attack, but he still had normal heart function and was in reasonably good health at the time of this procedure.

Dr. Avula, the head of the cardiac cath lab at Christ Hospital, found 99% blockage in Granat’s old bypass vein graft, requiring a new stent; however, the old graft ruptured when the stent was inserted.

Despite emergency surgery, Granat suffered brain damage and died 2 weeks later. He had recently retired and was survived by his wife and three adult children. The family filed a lawsuit against Dr. Avula and his practice maintaining that he selected a stent that was too large (4 mm instead of 3.5 mm), that he improperly responded to the graft rupture and that he should have re-inserted a balloon to stop the bleeding rather than transferring the patient for emergency cardiovascular surgery.

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A jury deliberated 12 hours over two days before it was deadlocked, unable to reach a verdict by unanimous consent. The jury was deadlocked 8-4 or 7-5 in favor of the defendant Dr. Ian J. Goldberg.

This case arose out of an April 25, 2009 event, when Michael Knorps experienced crushing chest pain, shortness of breath and diaphoresis. Diaphoresis is a medical term for sweating profusely. Paramedics came to the 52-year-old Knorps giving him nitroglycerin, which completely relieved his chest pain. He was admitted to St. Alexius Hospital in Hoffman Estates, Ill., and was diagnosed with unstable angina. EKGs, cardiac enzymes and a cardiology consultation were all ordered. Knorps, 52, was seen the next day by a cardiologist, Dr. Ian Goldberg, who suspected coronary artery disease and recommended cardiac catherization/angiogram.

The angiogram was done the following day by Dr. Sumeet Sachdev, who found only mild coronary disease with 20% blockage of the left anterior descending artery and no disease in the other coronary arteries.

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A 65-year-old woman, we’ll call her Ms. Doe, underwent a successful elective surgery at a California hospital and was later transferred to a private room. The woman was stable by midnight that day, but three hours later nurses found her unresponsive. A code blue was called and despite resuscitation efforts, Doe’s condition deteriorated. She died of cardiopulmonary arrest. Doe had been retired and was survived by her husband and two adult children.

The family of Doe sued the hospital and several nurses claiming that a malfunctioning medication pump had caused Doe to receive an overdose of morphine. In addition, the lawsuit claimed that an inadequate pulse oximetry alarms prevented the nurses from timely responding to Doe before she became unresponsive. The defendants denied that they had chosen not to attend to Doe’s hypoxia state in a timely fashion. Before trial, the parties settled for $375,000.

In some cases, morphine, which is an extremely potent pain drug, can give rise to severe and often deadly side effects for patients who have an intolerance to this drug.  There are many effective pain medication alternatives to the use of morphine for patients who have a history of harmful side effects.

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Katherine Crawford was admitted to Westlake Community Hospital for shortness of breath and hypotension following an arterial venous fistula repair surgery of Sept. 17, 2005. She was 38 years old and was an end-stage renal disease patient. Crawford had been on dialysis for 11 years. Her medical history also included COPD, obstructive sleep apnea, chronic hypotension, hypertension and pulmonary hypertension.

The defendant internist, Dr. Karim Yunez, was the attending physician for the hospitalization of Sept. 17, 2005 and had previously treated Crawford during prior admissions to the hospital.

The defendant nephrologist, Dr. Constantine Dellis, was consulted to handle the patient’s dialysis needs during her hospitalization.

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In May 2001, Michael Hamilton was a worker at the Behr Process Corp. plant in Chicago Heights, Ill., when he began experiencing severe pain.  He was taken by ambulance to St. James Hospital in Chicago Heights, Ill. 

At the hospital, Hamilton was met by Dr. Jose Almeida.  Within a few hours, Hamilton was discharged saying that his pain had ended.  He was instructed to see his primary care physician the next day.  However, the next day Hamilton was found dead in his mother’s apartment.  An autopsy revealed that Hamilton died of pericardia tamponade, which is blood surrounding the heart as a result of an aortic dissection.

The mother of Hamilton, Evelyn Hart, filed a lawsuit in Cook County claiming that the hospital, St. James and Dr. Almeida, as well as the doctor’s employer, Excel Emergency Care LLC, were negligent. 

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Andrew Hanson, 49, was injured at his job.  He went in to see his family practice physician, Dr. Ronald Davis, who diagnosed a crushed injury to his chest.  Hanson then underwent a work-up, which showed a left chest contusion.

The next day, Hanson experienced other symptoms, including shortness of breath.  Dr. Davis told Hanson that his injury would take time to heal. Two days later, Hanson met with Dr. Davis; Hanson was suffering from extreme hypotension (low blood pressure) among other symptoms.  Dr. Davis referred Hanson for a CT scan, and he was then diagnosed as having a heart attack.

He is now totally disabled and unable to continue his job as a truck driver; until his injury and illness, he was earning about $50,000 a year.

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