Justia Lawyer Rating for Robert D. Kreisman

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Often surgery is seen as a last resort in medical treatment; doctors usually turn to performing an operation only if no other option exists. This is because surgery itself is not only risky, but can also lead to a wide range of additional complications. Doctors often opt for the least invasive surgery possible in an attempt to minimize the risk of complications. However, the McHenry County surgical malpractice lawsuit of Douglas Andrews v. Marshall E. Pederson, M.D., et al., 05 LA 180, claimed that the defendant surgeon instead performed a more invasive surgery than was necessary.

The Illinois medical malpractice lawsuit was brought by the 59-year-old plaintiff against his surgeon and his medical group, Dr. Marshall Pedersen and Fox Valley Neurosurgery, Ltd., respectively. The plaintiff, Douglas Andrews, a former Illinois State Police trooper, claimed that Dr. Pedersen performed an unnecessary spinal surgery that resulted in additional back problems.

Mr. Andrews, had originally presented to Dr. Pedersen with a herniated disc that was radiating pain down his leg. Dr. Pedersen recommended that Andrews undergo an extensive spinal fusion surgery, which he then performed on Andrews. However, this type of surgery is often done as a last resort for persistent back pain. A spinal fusion involves permanently fusing together vertebrae, which not only limits a patient’s mobility, but can also lead to additional back pain because of the increased pressure put on the other areas of the spine.

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The journal of Science Translational Medicine published an article describing the surgical procedure developed at Northwestern Memorial Hospital regarding organ transplantation. The article, co-authored by Dr. Joseph Leventhal, a surgeon at Northwestern, said the new organ transplant procedure would help eliminate the need for numerous medications that individuals must take to prevent the body’s immune system from rejecting a new organ.

The reported study described the procedure in which a recipient’s immune system accepts a mismatched organ, even one with a high rate of rejection, from a donor who is unrelated. Those kinds of organ donors represent the majority of the roughly 28,000 organ transplants each year in the United States.

In traditional organ transplant procedures, recipients take medications for the rest of their lives to prevent the body’s immune system from rejecting the organ.

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A Cook County jury has found in favor of internist Dr. Sanjeev Joshi in a claim for an undiagnosed pulmonary embolism resulting in the death of K.R. K.R. presented to her internist, Dr. Joshi, at his Suburban Heights Medical Center office in Chicago Heights, Ill., on March 3, 2003. Her principal complaints consisted of an extended period of shortness of breath, dizziness and vaginal bleeding.

Dr. Joshi ordered a blood draw in his office, which revealed a severely low hemoglobin level at 7.6. Because of the blood level, K.R. was admitted to St. James Hospital in Chicago Heights for testing, observation and blood transfusions. During the 23-hour hospitalization, K.R. was evaluated by an obstetrician/gynecologist who ordered Depo-Provera in an attempt to stop her vaginal bleeding.

K.R.’s condition improved after receiving blood transfusions, but she died of a massive saddle pulmonary embolism four days later.

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It was not long ago that Yaz and Yasmin ranked as one of the leading birth control pills on the market. They were able to corner a large share of the market in large part due to a successful ad campaign marketed towards women under 35 and promises to decrease acne and premenstrual depression. However, nowadays when Yaz and Yasmin are in the news it is related to the large number of lawsuits filed against the drugs’ manufacturer.

Bayer Pharmaceuticals Co. began manufacturing Yasmin in 2001 and Yaz in 2006. These new forms of birth control differed from older versions of oral contraceptives in that Yasmin and Yaz contained less estrogen and added a new synthetic form of progestin, called drospirenone. Supposedly, this new combination would lower the risk of blood clots typically caused by high levels of estrogen in birth control pills.

However, recent studies have shown that in fact Yaz and Yasmin users actually have a greater risk of developing blood clots than women using older forms of birth control. In addition, new information has suggested that Yaz and Yasmin also can cause heart failure, strokes, and other organ failures. As a result, over 11,300 product liability lawsuits were filed against Bayer.

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As we age, our health problems multiply, leaving many Americans on numerous medications whether to treat high blood pressure, thyroid problems, high cholesterol, diabetes, Alzheimers disease, etc. And while many of these medications are necessary to prevent serious health problems, they also come with potentially life-threatening side effects. An estimated third of patients over 65 have suffered a serious adverse side effect from their prescription medications.
A recent article in The New York Times highlighted some of the problems with the growing overmedication of the elderly. Recent studies have found that elderly patients are more at risk for adverse drug reactions not only because they are generally on such a large number of medications, but also because some medications can have a different effect on elderly patients. For example, hypnotic sedatives, such as Ativan, that are used to treat anxiety can cause confusion and severe sedation in elderly patients. Likewise, sedating antihistamines can also cause confusion, blurred vision, or drowsiness.
The American Geriatrics Society addressed this issue by publishing new guidelines that identify which medications are most likely to have adverse effects on elderly patients. Again, given that almost half of patients over 65 years-old take five or more medications on a daily basis, these guidelines will be extremely helpful to geriatric doctors. The intent of these new guidelines are not only to help prevent negative medication side effects, but also to decrease the overall cost of medication.

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In a Cook County medical malpractice lawsuit, a patient’s surviving family members filed a medical negligence lawsuit claiming that the doctor had misdiagnosed the patient’s disease and elected not to properly treat it. However, a jury found in favor of the defendant doctor after determining that the doctor’s actions did not directly cause the patient’s death in The Estate of D.W., deceased, et al. v. Dr. Lee, Midwest Surgery, S.C., 11 L 79.

The decedent first met the defendant doctor after being admitted to Sherman Hospital with complaints of chest and abdominal pain in April 2003. Dr. Lee, a general surgeon, was brought in on consult after a CT scan did not return any clear or obvious cause for the patient’s pain; the CT scan only showed the presence of free air.
After reviewing the patient’s medical history, the doctors concluded that the pain was likely caused by a perforated duodenal ulcer located near the patient’s small intestine. Dr. Lee performed an emergency surgery to repair the perforated ulcer. A little over three weeks later, the patient was discharged from Sherman Hospital with orders to follow up with Dr. Lee in four days.

Everything seemed to be going well, until December 2003 when the patient returned to Sherman Hospital, this time with a diagnosis of cholecystitis and cholelithiasis, i.e. a bladder infection and gallstones. Once again, Dr. Lee was called as a consultant and ended up performing the surgery to remove the patient’s gallbladder. He was then discharged just four days after presenting to the hospital and was again instructed to follow up with Dr. Lee.

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A Cook County jury returned a $5.1 million verdict in a wrongful death lawsuit filed against a city and its paramedics. The case had initially been dismissed on the basis that the city was immune from such claims. However, the Illinois Supreme Court reversed that ruling and held that the city and its paramedics could be tried under the Illinois Emergency Medical Services Act.

The Illinois wrongful death lawsuit involved a 16 year-old Park Ridge teen whose parents had called 911 after he was found unconscious during the early morning hours. However, by the time the paramedics arrived, the teen was conscious and breathing. While there was later some debate as to whether or not the family denied the need for further services at that time, the end result was that the paramedics left without doing a full assessment of the teen’s condition. Several hours later, his condition further deteriorated and another 911 call was made. However, this time the paramedics did not arrive in time and the teen ended up dying of a drug overdose.

As a result of the teen’s death, the family filed a lawsuit against the City of Park Ridge in which it alleged that its paramedics acted willfully and wantonly by choosing to not correctly assess the extent of the teen’s medical condition. The family maintained that at the time of the first 911 call that the teen should have been transported to a nearby hospital for further treatment.

The courts dismissed the claim after finding that the City of Park Ridge was immune under the Illinois Tort Immunity Act. The Immunity Act bars any liability against a local public entity for failure to evaluate, diagnose or prescribe treatment for an illness or physical condition. Therefore, the City of Park Ridge could not be held responsible for any of its employee’s failure to properly diagnose and treat patients.
The teen’s family appealed this decision to the Illinois Appellate Court, where it was affirmed. However, when it arrived before the Illinois Supreme Court, the decision was reversed on the finding that the Emergency Medical Services (EMS) Act was the controlling law and not the Tort Immunity Act. The case was then remanded to the trial court for further handling.

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Doctors and nurses have a responsibility to advocate for their patients and to exercise due diligence in making sure their patients’ needs are being met. That responsibility increases when the patients cannot speak on their own behalf, e.g. when the patient is a child, in a coma, or perhaps a stroke victim. This issue of nurse and doctor responsibility was at the center of a recent Kentucky nursing home abuse lawsuit involving an elderly resident’s injury at a Louisville nursing home.

The patient was an elderly resident who was in the Kentucky nursing home after a stroke left him with decreased mobility. As part of his care and treatment, doctors had instituted a policy that required the Treyton Oak Towers nursing staff to use a lift and two staff members to transfer the resident in and out of his wheelchair. Typically, care plans like this are put into place to help reduce the risk of falls and injuries.

However, in this nursing home abuse case the nursing staff chose not to follow the transferring plan. Instead, just one staff member attempted to move the resident from his wheelchair to his bed. The staff member of course dropped the resident, fracturing both of his legs. Yet rather than telling someone, the staff member simply put the resident back into his bed as if the fall had never happened. And since the resident’s stroke left him unable to tell anyone else about the fall, his fractures also went undiagnosed. It was not until the resident was transferred to a hospital that his fractures were diagnosed and treated. The resident died just two months after the fall.

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Since the first successful kidney transplant in the 1950s, organ donation has given many patients a new lease on life. In the US alone, over 100,000 people are currently waiting for an organ donation, with a new person being added to the list every ten minutes. However, the biggest barrier for many of those on the organ transplant list is not a lack of medical technology, but rather a lack of available organs.

According to statistics compiled by the U.S. Department of Health’s Organ Procurement and Transplantation Network (OPTN), an estimated 18 people die every die while waiting for organ donations. Furthermore, because a patient’s health typically declines when there is a delay in receiving a needed organ, even those that do receive organ donations typically face worse outcomes due to the delay in their transplants.

The United States relies on volunteers to sign up and become organ donors. And while 90% of Americans support organ donation, only 30% have taken the required steps to become a donor. In an effort to increase the rate of organ donations, other countries, like Austria and Spain, have tried an opt-out approach where people are automatically considered donors unless they opt out of the process. However, doctors have faced resistance from family members opposed to donating their deceased relative’s organs, so the opt-out approach hasn’t led to a drastic increase in overall organ donations.

A recent blog published by The New York Times highlights a completely different approach taken by the Israeli government that took a multi-dimensional approach to increasing organ donations. The government launched a public awareness campaign that addressed some of the primary barriers to organ donation. In addition, the government initiated a new law that would give priority to patients who were organ donors themselves. Before Israel’s campaign, about 3,000 to 5,000 organ donation cards were turned in each month; however, during the ten week period of the campaign over 70,000 Israelis registered as organ donors leading to a 60% increase in available organs.

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Doctors are relying more and more on narcotic medications to treat patients’ increased complaints of chronic pain. However, while this might mean that more patients’ pain is being treated in the short-term, it has some potentially harmful long-term consequences. The longer patients remain on opiate medications, the less effective they are at treating pain, which sometimes results in the dosage increasing to potentially dangerous levels.

A recent medical malpractice lawsuit, Estate of Mary Shannon v. Dr. Timothy Sanders, et al. involved claims that the defendant physician’s negligence in prescribing a pain patch caused a patient’s death. The Grundy County lawsuit alleged that Dr. Timothy Sanders, an anesthesiologist, contributed to the decedent’s death by extending the use of her Fentanyl patch. The anesthesiologist had used the Fentanyl patch to treat the patient’s pain following a short, one-hour surgery to treat her broken hip. However, within nine hours of the surgery the patient died.

While the patient’s death was ultimately attributed to her Chronic Obstructive Pulmonary Disease (COPD), an autopsy report revealed that Fentanyl intoxication significantly contributed to her death. The 71 year-old decedent had been on a Fentanyl Duragic Patch for several years prior to her death as a means of treating chronic pain caused by compression fractures in her back. Fentanyl is an opiate drug and is often not prescribed for patients with COPD because of its potential to cause respiratory problems.

The decedent’s family brought a lawsuit against the defendant anesthesiologist in which it was alleged that he should not have continued the order of the Fentanyl patch for as long as he did. Instead, the family contended it should have been removed following the surgery, arguing that its continued use was contraindicated. Furthermore, the decedent’s family was critical of the anesthesiologist prescribing the Fentanyl patch in conjunction with her warming blanket on the basis that the patch should not have been exposed to a heat source.

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