Justia Lawyer Rating for Robert D. Kreisman

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The Illinois Appellate Court ruled that the emergency-room resident physician, Dr. Nicholas Strane, was immune from suit under the Illinois Emergency Medical Services System Act.

This case arises out of transporting an 11-year-old boy, Donail Weems, who had a severe asthma attack and was taken to Provident Hospital, which is managed by Cook County. One of the physicians who rode along in the ambulance was Dr. Strane, a University of Chicago Medical Center physician. The University of Chicago Medical Center asked the Illinois Appellate court, First District Court to address whether one of its doctors was immune under the Emergency Medical Services Systems Act.

The trial was held in July 2013; the presiding judge denied the hospital’s motion for summary judgment, which asserted civil immunity, but the judge certified the question for appellate review.

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In December 2009, Marion Peterson was admitted to Our Lady of Resurrection Hospital in Chicago because of respiratory distress. After several days in the intensive care unit, she was transferred to a stepdown unit and started on the anticoagulant Lovenox for atrial fibrillation. Atrial fibrillation is an irregular heartbeat or an abnormal heart rhythm that can be characterized by rapid or irregular beating of the hart. Some would describe atrial fibrillation as a quivering heartbeat or an irregular heartbeat; it can be very dangerous and lead to stroke or heart attack or other health issues. Symptoms of atrial fibrillation include lack of energy, dizziness and heart palpations.

On Dec. 18, 2009, Coumadin was initiated, which is another anticoagulant. However, Peterson, 72, became hypotensive and had a dangerously low blood pressure the next day, Dec. 19, 2009; she also experienced a 3 to 4 gm drop in her hemoglobin level.

She was then seen by several doctors until her internist, the defendant Dr. Danail Vatev, arrived. Once Dr. Vatev was involved in the medical care, he ordered a repeat hemoglobin test, a CT scan and other diagnostic studies. The hemoglobin test showed that Peterson had anemia, and Dr. Vatev ordered a blood transfusion, fresh frozen plasma (FFP) and vitamin K to reverse the anticoagulation effects.

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Walter Hoover was 70 years old when he suffered a compression fracture in his back at L4. After the first rounds of treatment were found to be unsuccessful, he was transferred to a Veterans Administration Hospital where two neurosurgeons performed a corpectomy and diskectomy at L3-5 with placement of spinal instrumentation. This procedure was done to decompress the spine.

After the surgery, Hoover experienced paralysis in his left leg. Days later, he underwent additional surgeries to remove a misplaced surgical screw, reposition his surgically implanted hardware and to decompress his spinal cord.

Even after that series of surgeries, Hoover remained paralyzed and required multiple hospitalizations and treatments until he died several years later.

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A Minnesota Appellate Court has held that expert testimony was required to prove a plaintiff’s claim that the paramedic’s negligent transfer was the cause of a patient’s ankle injury and later resulted in a leg amputation.

Mary C. suffered from various health problems and was a left-leg amputee. After she developed respiratory problems, Mary called an ambulance. When the ambulance arrived, she was being moved from her wheelchair to a stretcher. While she was being moved, she suffered a fractured right ankle. This fracture led to unsuccessful ankle surgeries followed by infection and ultimately the amputation of her right leg.

Mary C. sued the ambulance service, alleging its paramedics were negligent in transferring her to the stretcher and caused her fall and ankle fracture, which ultimately led to the amputation of her right leg. The defendant moved to dismiss, arguing that Mary had failed to serve the required affidavit of expert identification within the statutory time frame. The court granted defendant’s (the ambulance service) motion to dismiss.

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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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General practitioner physician Dr. Ram Thawani was the attending physician for Peter Gates during his hospitalization at Chicago’s South Shore Hospital on Oct. 23, 2009. Gates, 57, died from a brain herniation, which is a swelling of the brain, and a brain hemorrhage on Oct. 29, 2009. Gates was survived by his wife and seven daughters.

The Gates family filed a lawsuit against Dr. Thawani claiming that he was negligent in choosing not to order a CT scan of the head, despite complaints of severe headaches with pain, described as level 10 on a scale of 1-10. Gates was also taking a blood thinner, Coumadin, at the time.

The defendant doctor argued that the headaches had waxed and waned and were associated with a fever of recent onset. He also said there was no focal neurological deficits to point to any problem in the brain, and the brain hemorrhage was a sudden event that no surgical intervention could have averted.

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Eric Topol, M.D., is the director of Scripps Translational Science Institute, which is believed to be one of medicine’s most innovative programs about the digital future in medicine. The book written by Dr. Topol, “The Patient Will See You Now” was reviewed in the New York Times Book Review section on Sunday, Feb. 15, 2015.

Commenting on the future of medicine and how it will be administered, he writes, “We are about to see a medical revolution with little mobile devices. Smartphones will play a role well beyond a passive conduit.”

Dr. Topol’s book says smartphones will be used to accomplish what doctors in their offices and at hospitals have been doing for many decades. The author says smartphones will be able to perform blood tests, medical scans and even parts of the physical examination. This is what Dr. Topol calls “bottom-up medicine.”

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On June 1, 2009, the defendant surgeon Dr. Aaron Siegel agreed to assist a urologist during a urological surgery on 60-year-old Ivory Lakes at the Advocate Condell Medical Center in Libertyville, Ill. She had been a patient of Dr. Berger, the urologist, for about a year, treating for retroperitoneal fibrosis. Retroperitoneal fibrosis is a condition that causes urinary flow problems in both ureters. The surgery involved a procedure to free the ureters and encase the ureters with tissues harvested from the patient; the procedure was designed to prevent recurrence of the urinary flow problem.

Dr. Siegel’s role at the surgery was limited to being an assistant to Dr. Berger. Dr. Siegel never met the patient before she was placed under anesthesia, and Dr. Siegel did not know anything about her medical history or what specific procedure was planned.

During the surgery, Dr. Siegel held retractors, provided visualization for Dr. Berger and suctioned fluids from the operative field. However, one of the ureters tore when Dr. Berger grasped it, and it then it disintegrated when he tried to grasp it above the tear. Dr. Berger than decided to remove the kidney due to the lack of a viable ureter.

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The state of South Dakota has imposed a medical malpractice cap that leaves many who are injured or killed without a remedy. It was reported recently that a young woman who brought herself to a hospital in Sioux Falls, S.D., because she was carrying a dead fetus for removal from her uterus found things going from bad to worse.

The hospital did a procedure to remove the fetus, but things in the recovery room left the woman in shock. The doctor who examined her did not notice that the first doctor who removed the fetus had perforated her uterus during the procedure. She was literally bleeding to death.

A nurse eventually noticed that something was wrong and rushed the woman back to the operating room where the doctors performed emergency surgery to remove her uterus. She survived the ordeal, but lost the ability to have children.

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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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