Justia Lawyer Rating for Robert D. Kreisman

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Last Friday, the Dana-Farber Cancer Institute in Boston hosted a symposium for patients diagnosed with Gastrointestinal Stromal Tumor (GIST) and their families. The all-day event, “Living with GIST”, was not only informative for GIST patients, but was also a celebration. The event marked the ten-year anniversary of finding a successful treatment for GIST.

GIST is a rare type of cancer that affects the body’s digestive tract and its nearby abdominal structures. Unlike the majority of cancers, which are carcinomas, GIST tumors are sarcomas and do not respond to chemotherapy or radiation therapy. As Dr. George Demetri explained to the audience, prior to the development of effective treatments, GIST tumors were surgically removed until it was no longer clinically effective to do so. The development of molecular targeted therapy, such as Imatinib (Gleevec) and Sunitinib (Sutent), changed the prognosis for GIST patients, bringing hope where there had been none.

Dr. Demetri and his colleagues shared the joy of the early days of the Imatinib clinical trials, when they saw the previously untreatable cancer tumors shrinking and stabilizing after short trials of drug therapy. The enthusiasm of Dr. Demetri and his colleagues, combined with the stories of hard work and barriers overcome, spoke to the amazing accomplishments of these medical professionals.

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H.R. 3962, also referred to as the Health Care Reform Bill, promises “To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.” However, at 2,000 pages, the Health Care Reform Bill is a very lengthy document. Over the next five to ten years the Health Care Reform Bill will change the way Americans receive healthcare so it is important for all U.S. and Illinois residents to understand this bill.

This post will summarize the key issues involved in the Health Care Reform Bill rather than how the Healthcare Reform Act impacts Illinois residents. Basically, the Health Care Reform Bill deals with the issues of community rating in health insurance markets, employer mandates to offer health insurance, imposing a tax on “Cadillac” health insurance plans, and health insurance market competition.

The purpose of establishing community rating in health insurance markets is so that people with pre-existing conditions can gain access to affordable health insurance. Currently these people, who some would argue are the ones who need health insurance the most, are subject to higher rates and premiums on health insurance. These increased premiums were imposed by health insurance companies based on the logic that people with pre-existing conditions are more likely to see doctors than those without. Under a community rating plan, insurance companies would not be prohibited from charging higher health insurance premiums for people with pre-existing conditions and would be required to provide insurance to anyone who desires it.

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A recent appeal in an Illinois wrongful death case begs the question of what constitutes an appropriate monetary award following a wrongful death or Illinois medical negligence. When Illinois medical negligence has occurred and changed the course of someone’s life forever, what is the price we put on that negligence? This is something Chicago medical malpractice attorneys struggle with and even when you get a sizable verdict, it is no replacement for the damage that has been done. Dobyns v. Chung, M.D. and Sparta Community Hospital, No. 5-07-0568.
The Illinois wrongful death case was brought by the decedent’s husband against a Randolph County hospital following the death of his wife. The plaintiff alleged that during the course of treating his wife for back pain syndrome that the defendant doctor had prescribed an inappropriately high amount of medications, which led to her wrongful death.

The defendant doctor testified at the Illinois trial that he had in fact prescribed her numerous medications during the two and a half years he treated her. The decedent had previously been diagnosed with a bulging disc in her back and had a history of pain in her back, leg and abdomen since 1992. However, despite the numerous narcotic medications the doctor prescribed, she continued to suffer pain in her back, abdomen, hip and knees. The doctor’s testimony stated that during the several years he treated the decedent that he never saw any sign of over-medication.

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Yesterday, President Obama signed into law the house bill overhauling the United States’ healthcare system. Illinois’ Director of the State’s Department of Insurance will be at the center of overseeing changes that will affect Illinois citizens through the new bill, most of which involve insurance premium rates and eligibility.

One of the first changes that will affect Illinois residents is that the U.S. Department of Health and Human Services now has the ability to review and challenge any unreasonable health insurance rate increase. For example, the insurance hikes like those proposed by Anthem BlueCross in California this past February of rate increase of up to 39% would definitely raise a red flag under the new Healthcare Reform Act.

While Illinois did require insurance companies to report any increases to premiums within the local market, the Illinois Department of Insurance did not have the authority to approve or deny rate changes. Likewise, in small-employer markets the Department of Insurance did not have any authority to authorize rate changes, nor was it automatically given any information about rate increases or premiums charged to individual companies. But now, with the new healthcare laws, Illinois’ Department of Insurance will receive reports on rate increases and promises to examine and challenge any unreasonable insurance rate increase.

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A recent Cook County jury awarded a positive verdict to a 20 year-old man for severe brain damage that he sustained as a result of a Cook County birth injury. Given that a plaintiff has 8 years from the date of injury to file an Illinois birth injury claim, typically we see these lawsuits filed and settled well before the injured child reaches adulthood.
And while the age of the injured child at the time of the Cook County verdict might be unusual for a Cook County birth injury lawsuit, the case facts are fairly typical of an Illinois birth injury.

The Illinois birth injury lawsuit was brought by the plaintiff’s mother, who claimed that her son was born with severe brain damage as a result of negligence on behalf of Cook County Hospital. The plaintiff’s defense rested on claims that a delay on behalf of the hospital staff in delivering the baby was the cause of his subsequent brain damage.

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Medicine is an area where new advances are being made on a regular basis that lead to better care and treatment for patients. However, this means that in some cases, patients who received older forms of treatment develop unforeseen complications, particularly in the area of Illinois defective medical devices. Consider the case of patients receiving metal-on-metal hip replacements. Once considered the norm, these types of hip replacements are now leading to an increase in problems for patients.

A recent editorial in The Journal of Arthroplasty, a medical journal for orthopedic surgeons, urge doctors to use metal-on-metal devices only with “great caution, if at all.” This comes on the heels of reports that metal-on-metal hip replacement procedures create tiny particles of debris that can damage soft tissue and bone.

Recent studies that estimated that anywhere from one to three percent of hip implant recipients could be affected by the problem, however, given the large number of people who have received metal devices the number could actually be dealing with thousands of patients in the United States who have been affected by defective medical devices.

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A recent Illinois medical malpractice lawsuit involving a Chicago boy’s brain injury demonstrates the importance of timely medical care and treatment in order to avoid disastrous outcomes. In this case several treaters and physicians failed to recognize the baby boy’s signs and symptoms of severe dehydration, which caused the boy to develop cerebral palsy.

Ten days after the Chicago boy’s delivery his parents brought him to his pediatrician for a follow-up exam. The pediatrician was practicing at the Chicago Family Health Center, a federally funded community health clinic. At the time of the baby’s visit his body weight was noted to have dropped by 23% from his birth weight.

At that visit the pediatrician also detected a heart murmur on exam, so referred the baby to a pediatric cardiologist. This appointment was made for a month later and the boy and his parents were sent home.

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The Archives of Internal Medicine released a new report revealing that roughly 48,000 people a year in the U.S., including patients in the state of Illinois, are killed as a result of pneumonia and sepsis caused by hospital-acquired infections. Not only did this take an obvious toll on the survival rate of patients nationwide, but it also increased U.S. healthcare costs by $8.1 billion within a single year. Some of these Illinois cases could have been the result of Illinois medical malpractice or Illinois nursing negligence.

Both pneumonia and sepsis are caused by potentially deadly microbes, which includes the well-known Methicillin-resistant Staphylococcus aureus (MRSA), an antibiotic-resistant bacteria. Sepsis is a potentially lethal, systemic response to infection wherein the body’s bloodstream is overwhelmed by bacteria, that can eventually lead to massive organ failure. Pneumonia is an infection limited to the lungs and respiratory tract that can also be fatal. The study reports that it analyzed 69 million discharge records from hospitals in 40 different states.

The increase in hospital costs is mostly due to the fact that patients who acquire pneumonia or sepsis in the hospital typically require longer stays and more care than those who don’t. For example, the study found that patients that developed sepsis after surgery were hospitalized 11 additional days than those patients who did not develop sepsis, which increased the hospital costs by $33,000 per patient. And for those patients who acquired pneumonia after surgery, their hospital stay was lengthened an additional 14 days, leading to additional costs of $46,000 per patient.

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The Food and Drug Administration (FDA) announced that it is working with other entities to launch The Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. The purpose of the initiative is to promote safer use of all relevant medical imaging devices, to support and increase the degree of clinical decision making, and to further patient awareness.

This initiative is part of a growing movement to increase the safety of life-saving diagnostic and therapeutic radiation and prevent Illinois radiology errors from occurring. The FDA has promised to take steps towards increasing its regulatory supervision of some of the more powerful forms of medical radiation, including fluoroscopy, CT scans, and nuclear medicine.

Some of these forms of radiology can deliver enough radiation in one exposure to equal almost 400 chest x-rays. Obviously with scans this powerful it is important that the medical community is making informative decisions as to the appropriateness of their use and practicing safe administration of these tests.

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An Illinois medical malpractice case recently was settled, avoiding an Illinois jury trial regarding the death of an Illinois man with undiagnosed bladder cancer. The Illinois medical malpractice lawsuit revolved around the urologist who allegedly failed to diagnose the man’s bladder cancer in a timely manner.

The case calls to mind the importance of securing a timely diagnosis in Illinois cancer cases, where just a few months delay may result in drastic differences in the cancer’s staging and in the patient’s chance of a positive outcome.

In this particular case the man had first been referred to the urologist for a second opinion regarding continued complaints of urinary tract difficulties. The defendant doctor determined that the man’s symptoms were behavioral, meaning that they had more to do with the patient’s mental state than with his physical state. In light of this diagnosis, which was later found to be unfounded, the doctor decided that these symptoms did not present any risk to the patients lower or upper urinary tracts.

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