Justia Lawyer Rating for Robert D. Kreisman

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Several studies have recently investigated the dangers of different radiology scans and the possibility of radiation overexposure. While many of these radiology scans are important diagnostic tools, research has suggested that many physicians are unaware of the dangers of several different scans, or else are poorly informed about the inherent risks.

Radiology scans are an important tool in screening for breast cancer and allowed physicians to diagnose breast cancer much earlier, thereby increasing the cancer patient’s hope of survival. However, depending on the type of radiology exam used the degree of radiation exposure varies drastically. For example, a typical mammogram increases a woman’s risk of developing breast cancer by 1.3 times per every 1,000 women.

A mammogram is the standard diagnostic exam to diagnose breast cancer, however, there are additional radiology exams that doctors might order if the mammogram fails to provide a clear diagnosis. Of of these exams, the breast-specific gamma imaging (BSGI) increases a woman’s risk of developing breast cancer by 20 to 30 times and the positron emissions mammography (PEM) increases the risk by 23 times. Also, while radiation exposure during a traditional mammograms only increases the risk of developing breast cancer, the BSGI and PEM also increase the risk of cancer in other major organs, i.e. the bladder, gallbladder, kidneys, etc.

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An Illinois Appellate Court reviewed an Illinois medical malpractice case to determine whether references to the defendant doctors’ military service had prejudiced the jury against the plaintiff and contributed to its not guilty verdict. After reviewing the facts of the case, the court held that the comments had not prejudiced the jury and were “harmless”. Pavnica v. Edwin Veguilla, et al., No. 3-09-0065.

The plaintiff’s medical malpractice complaint alleged that Dr. Veguilla, an emergency room physician, had failed to prescribe anaerobic antibiotics when the plaintiff presented to the ER with an injured toe. The plaintiff’s medical history was complicated by a long history of diabetes and immunosuppressive medications he was taking after receiving a kidney and pancreas transplant. All diabetic patients realize the importance of checking your feet on a regular basis for potential cuts and injury as diabetic patients can easily develop diseases in their feet that could lead to gangrene.

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When analyzing cases for possible Illinois medical malpractice, sometimes the resulting injury is a reasonable outcome of the procedure and as such does not quality as medical malpractice. However, sometimes you encounter a medical malpractice lawsuit where not only was the resulting injury not a foreseeable outcome, but it could have easily been avoided.

Lauro Ortiz’s medical malpractice lawsuit is such a case where the resulting injury would not have occurred if not for medical negligence. The kidney transplant malpractice lawsuit resulted in a $6 million settlement from Rush University Medical Center.

Ortiz presented for a kidney transplant at Rush University Medical Center. The 39 year-old had been born with only one kidney and also suffered from diabetes. At the time Ortiz was on dialysis and was hoping that the kidney transplant would free him from the regular dialysis treatments and allow him to live a more normal life.

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Oftentimes cancerous tumors are recognized in the process of investigating another medical problem. For example, a woman presents complaining of weight loss and an exam reveals breast cancer. Because early diagnosis of cancer can drastically improve the patient’s survival rate it is important that physicians capitalize on these opportunities.

In Tariq v. Naperville Radiologist, S.C., et al., 09 L 156, the plaintiff brought an Illinois medical malpractice lawsuit against Edward Hospital and its radiologist for failure to diagnose cancer. The plaintiff claimed that the radiologist had failed to comment on an area of abnormality in her abdominal area on a chest CT scan. The CT scan was being taken as part of the plaintiff’s screening for TB and was not told anything about the abnormal results.

Over the course of the next year the plaintiff began to experience weight loss and became fatigued. She returned for further workup, at which point a CT showed a 16 cm. abdominal tumor. In addition, the tumor had metastasized to other organs, including the spleen, stomach, pancreas, and colon.

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The University of Chicago Medical Center has agreed to pay $7 million to resolve a 2006 lawsuit filed by Attorney General Lisa Madigan alleging that the Chicago hospital violated Illinois licensing regulations that control the number of infants each unit can support. According to the Illinois lawsuit, University of Chicago routinely practiced “double-bunking” infants in its neonatal intensive care unit (NICU), i.e. placing two or more infants in beds designated for one infant only.

The Illinois Attorney General’s office was made aware of this double-bunking practice by two former University of Chicago Medical Center employees who traced the practice all the way back to 1997. Fortunately, as soon as the 2006 lawsuit was filed all doubling up of NICU patients ceased and has not resumed.

These bedding violations were against Illinois health laws and according to the attorney general placed some of the newborn infants at an increased risk for infections. However, a spokesperson from the University of Chicago Medical Center maintained that none of the NICU babies were at risk for any harm as a direct result of the over sized NICU and asserted that the hospital had only had its patients’ best interests in mind. The lawsuit itself did not include any claims of Illinois medical malpractice by the Chicago hospital’s NICU.

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In order to achieve the best possible outcome following a stroke, doctors and medical staff must identify the emergency situation and react quickly. Medicines aimed at breaking up blood clots that may have caused a thrombotic stroke have been found to increase survival rates and lessen the likelihood of permanent disability. However, these medicines must be administered within three hours of the stroke occurring, which makes an immediate response by emergency room physicians even more important.

In Chris Medina v. Henry C. Echiverri, M.D., et al., No. 07-L-000820, the emergency room errors led to the eventual death of a young stroke victim. The 24 year-old mother presented to Central DuPage Hospital’s emergency room complaining of sudden headaches, numbness to her right side, and problems speaking. However, despite the fairly obvious signs of a stroke, there were serious emergency room errors made and the correct diagnosis was not made for over 12 hours.

The decedent’s medical status was evaluated by Dr. Echiverri, a member of the hospital’s stroke team. However, despite specializing in stroke victims, Dr. Echiverri failed to diagnose and treat Medina’s stroke. Instead her condition was diagnosed by a neuroradiologist. But by the time the decedent’s stroke was diagnosed she was already significantly neurologically impaired and slipping into a coma. She died just 17 days after presenting to the emergency room.

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The Illinois Appellate Court recently affirmed a Cook County Circuit Court verdict in favor of the defendant surgeon in Robinson v. Boffa, No. 1-07-1128. The plaintiff had appealed the not-guilty verdict on the grounds that the trial judge had erred in allowing jury instructions that included sole proximate cause language. However, the appellate court was not persuaded to change the Illinois jury’s decision based on these arguments.

Robinson is an Illinois medical malpractice lawsuit wherein the decedent died about a month after having a second surgery to remove a cancerous colon mass. The second surgery was done just a mere five days after her initial surgery to remove the cancerous tumor because the surgeon incorrectly removed a non-cancerous tissue mass during the first operation.

The decedent’s estate contended that her death was a result of the stress the second surgery placed on her body and that her death could have been avoided had the surgeon removed the correct tumor during the first procedure. However, the surgeon argued that his alleged medical negligence was in fact caused by a vague colonoscopy report which he relied upon in order to determine the location of the tumor, thereby including elements of radiology error. The surgeon also claimed the that preexisting medical conditions of chronic heart failure, diabetes, and renal failure contributed to the decedent’s death, and that therefore he was not negligent.

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A Cook County jury recently awarded $2.75 million in an Illinois wrongful death case involving the death of an Illinois male from an undiagnosed pulmonary embolism. Instead of diagnosing the man’s pulmonary embolism, the Illinois emergency room staff misdiagnosed the decedent with a seizure disorder. Rhodes v. Malik, et al., No. 06 L 5467.

While misdiagnosing a patient can often be the result of medical negligence, misdiagnosed cases do not always lead to medical malpractice lawsuits. Whether or not a lawsuit is brought hinges on the degree of damages, or the final outcome. In Rhodes, the decedent’s estate alleged that the misdiagnosed patient died as a result of the incorrect diagnosis. However, if a delay in diagnosis had only led to some discomfort or minor inconvenience on the part of the decedent then there would not likely have been grounds for a medical malpractice claim.

In Rhodes, the decedent’s estate was critical of the emergency department’s errors at Weiss Memorial Hospital, specifically its misdiagnosis of a seizure disorder. The decedent had presented to Weiss’s emergency room after collapsing on a train platform. The initial doctor suspected that his collapse was due to seizures and ordered a wide range of tests to confirm this diagnosis. However, before the results came back, the initial doctor’s shift was up, at which time the decedent’s care was transferred to an additional emergency medicine physician.

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Nursing home residents are especially at risk for developing skin infections. Therefore, nursing homes should have a lot of practice at developing skin care plans for residents in order to prevent skin breakdown and the development of skin ulcers. However, recent Illinois nursing home negligence case involved allegations that the nursing home failed to implement a care plan that would have prevented the decedent’s skin from deteriorating. Moffett v. Mercy Health Care Rehab. Ctr., No. 06 L 11430.

Another issue in the Illinois nursing home negligence case was whether the nursing home had taken adequate steps to prevent the decedent from falling while in the nursing home’s care. Upon her admission to the Mercy Health Care Rehab Ctr., the decedent, Alberta Jones, was at risk for falling due to a recent stroke. During her time at Mercy Rehab, Jones did in fact fall and required a brace to support her right femur.

The brace caused her skin to breakdown when the device rubbed up against her leg. Over a period of weeks, nursing home employees and nurses chose not to monitor this patient who then developed osteomyelitis, a bone infection. Skin ulcers that have spread uncontrollably can cause osteomyelitis if the skin breaks down so far that the bone is exposed to air. If a patient develops osteomyelitis from skin ulcers it is normally a red flag that the nursing home did not implement a proper skin care plan and is an indicator of nursing home negligence.

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As a Chicago medical malpractice attorney I have seen all sides of human nature – the good, the bad, and the ugly. However, on a rare occasion I am inspired by clients’ reactions to a personal tragedy. The Mary E. Smith family are just such clients. They responded to their mother’s unnecessary death due to medical negligence by setting up a foundation to raise brain tumor awareness and honor their mother’s memory.

In addition to providing the public with health information regarding brain tumors, the Mary E. Smith Foundation awards several annual scholarships. The Mary E. Smith Foundation is now adding to their community outreach goals with its 1st Annual Mary E. Smith Tumor Awareness Walk. The walk details are as follows:

When: Saturday, August 14, 2010. Registration begins at 7:30 a.m., with the walk starting at 9:00 a.m.

Where: The Community Walk Path, 4200 W. 183rd St., Country Club Hills, IL 60478. (Next to the Farmer’s Market at the Country Club Hills Theater)

Cost: $10 for 1-mile walk and free T-shirt (children under 12 free)

For more information, visit www.maryesmithfoundation.org or call 708-342-0800.

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