Articles Posted in Surgical Errors

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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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Latasha Randall was admitted on June 1, 2010 to Vista East Medical Center in Waukegan, Ill., and was diagnosed with sepsis. Shortly after her admission, she suffered respiratory failure and was intubated.

On June 22, 2010, the defendant general surgeon, Dr. Laurence Gibson, performed an open tracheostomy and was assisted by his physician partner, Dr. Aaron Siegel.

After the procedure, 37-year-old Randall’s face was noticeably swollen and post-op x-rays showed subcutaneous emphysema (air outside lungs, under the skin). Three days later, her attending physician transferred her to Kindred Hospital in Chicago for management of her ventilation, but with a grim prognosis due to her sepsis and other lethal illnesses.

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John Antonucci was 52 years old at the time he underwent an MRI with contrast on his right hip. Two days later he was admitted to the hospital complaining of pain in the same hip. An orthopedic surgeon, Dr. Jason Fond, obtained a culture and later discharged Antonucci with a diagnosis of “inflammation.” One and a half days later, Antonucci was diagnosed as having septic arthritis.

As a result, Antonucci required a hip replacement and now suffers from chronic pain, which prevents him from doing many of the daily activities of living or returning to his job as a construction worker where he was earning $35,000 per year.

Antonucci and his wife filed suit against Dr. Fond and his practice, claiming that Dr. Fond chose not to timely treat the infection and that evidence of such infection was present on the culture results that the doctor ordered. The plaintiffs claimed that Antonucci required a timely surgical washout of the wound created by the contrast injection and that the delay in treatment allowed the infection to progress to dangerous levels.

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Barbara Watt underwent a hiatal hernia repair surgery. The procedure was carried out by general surgeon Dr. Cimenga Tshibaka, and it was unsuccessful. Dr. Tshibaka performed a second surgery, this time using a synthetic surgical mesh. The second surgery was about 2 weeks after the first.

The following month, Watt was diagnosed as having an esophageal leak, which required nine additional surgeries to, among other things, remove the synthetic mesh that had eroded into her esophagus.

As a result of these many surgeries, Watt must now eat slowly and in limited amounts. She must also wear special undergarments due to scarring and is unable to bend over to lift more than 5 pounds. She also missed time from her job as a financial operations specialist where she was earning $21 per hour.

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Shronda Thomason suffered from a cardiomyopathy, a disease of the heart muscle, which necessitated the implanting of a defibrillator. The treating cardiologist, Dr. John Gallagher, advised Thomason that she required a new pacemaker battery and the replacement of the defibrillator’s lead.

During the surgery, which was done in a hospital catherization lab, Thomason sustained a puncture and hole in her superior vena cava of her heart. Clearly, the hole resulted in profuse and immediate bleeding from that area of the heart. Dr. Gallagher called for a cardiothoracic surgeon to assist. Thomason was placed on cardiovascular bypass about an hour and a half later. By then, it was too late.

Because Thomason suffered excessive bleeding, she died. Thomason was a property specialist earning more than $50,000 annually and was survived by her four children, one of whom is a minor.

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Kevin Tolson was 49 years old when he was injured as the collapsible barrier he was walking over suddenly shot upward, entangling him. He was taken to the nearby hospital emergency room where he experienced symptoms, which included a cold left foot that he was unable to move, numbness and tingling in the foot as well as severe pain. X-rays were completed and a physician assistant diagnosed knee strain and released Tolson from the hospital with instructions to see an orthopedic surgeon.

When Tolson’s symptoms persisted, he consulted a local doctor who detected low pulse in his leg and instructed him to return to the hospital. An MRI revealed that all of the ligaments in Tolson’s left knee were damaged. Despite surgery, Tolson’s leg had to be amputated above the knee. He had been a security guard working two jobs at about $20 an hour, but is now able to hold only one position due to his medical condition.

Tolson sued the physician assistant and emergency room physician at the hospital and also named the hospital as a party defendant. It was alleged in the lawsuit that these medical providers chose not to diagnose a popliteal artery injury. Tolson claimed that based on his symptoms and the x-rays that were taken at the emergency room a dislocation and possible vascular injury could not be ruled out.

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Viola Morrisroe was diagnosed with COPD and emphysema in 1999. She was under the care of Dr. Edward Diamond of Suburban Lung Associates as her primary pulmonologist. In February 2009, a CT scan of her chest revealed a soft tissue density in the right upper lobe of her lung.

Dr. Diamond referred her for a PET scan, which was done in late April 2009, showing a standardized uptake valve that was elevated, but not high enough to be suspicious for lung cancer.

Dr. Diamond’s plan was to repeat the CT scan in about 4 months.

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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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Margaret Brown, a 71-year-old retiree, was admitted to St. Elizabeth’s Hospital in Belleville, Ill., in October 2002 to undergo a coronary artery bypass surgery. During the initial stages of the bypass surgery, Brown suffered a pulmonary artery injury. It was claimed in the lawsuit that the artery injury was caused by the insertion of a Swan-Ganz catheterization.

The Swan-Ganz catheter is commonly used by passing a thin tube, which is the catheter, into the right side of the heart and the arteries leading to the lungs to monitor the heart’s blood flow or output during the surgery. The Swan-Ganz catherization is also used to inform doctors and surgeons of an abnormal blood flow. Its use is standard operating procedure for monitoring patient heart and blow flood output in invasive heart surgeries.

In this lawsuit, the family of Margaret Brown maintained that the use of the Swan-Ganz catheter was the cause of her death on Oct. 28, 2002. The family alleged that the defendant anesthesiologist, Dr. Daniel Gillen, was responsible. Their claim was medical battery in that the doctor chose not to obtain consent for the use of the Swan-Ganz catheter by the patient before the beginning of the surgery. Medical battery is a legal cause of action where the medical provider is claimed to have treated the patient without the patient’s consent.

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Melvin Jones received a cervical laminectomy on Feb. 6, 2008 by surgeon Dr. Martin Luken. Dr. Charles Beck, an internist at the same hospital, evaluated Jones after the surgery. Jones developed gastrointestinal issues, and Dr. Beck ordered a series of tests. Dr. Beck remained involved with Jones’s care over the next several days.

Dr. Beck had a scheduled vacation, and so he turned over the gastrointestinal care to Dr. Shibban Ganju. Dr. Ganju ordered additional tests, but shortly afterwards, Jones’s colon perforated. Because of the colon perforation, Jones had his colon removed and had a permanent ileostomy tube installed. On Dec, 4, 2008, Jones and his wife filed a medical malpractice lawsuit against Drs. Beck and Ganju as well as the hospital in which he had received care.

In the lawsuit,. Jones alleged that the doctors chose not to properly treat and diagnose his condition. His wife, Loleather Jones, filed a claim for loss of consortium. Both the hospital and Dr. Ganju settled the case before trial and left Dr. Beck to defend at trial.

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