Problems Arising From Poor Patient Communication
Medical malpractice lawsuits frequently arise because of misundertandings, poor communication, and the reactive emotions that naturally follow. When patients become angry, they are apt to escalate the situation, magnify the problems or bad outcomes, and become predisposed to blaming the doctor or the hospital. Much litigation can be avoided if situations are de-escalated early.
Published: Friday, 18 November 2011 13:49
There are ways to deal with such encounters in which you work with the angry patient and guide them through their emotions, and the accompanying volatility, to the point where it is possible to have a constructive, or at least manageable discussion with them.
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Can Vitamin Supplements Cause Death?
Published: Thursday, 03 November 2011 22:41
The following article is from a recent issue of Medscape. Vitamin supplements are ubiquitous and are commonly taking by people who want to be health conscious and maximally healthy. But not all vitamins and minerals are benign. The Medscape summarizes a recent study in the Archives of Internal Medicine. The citation appears at the end of this report. The study has serious public health implications.
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Substance Abuse: New DEA Emergency Ban for Bath Salts
Published: Thursday, 06 October 2011 16:19
Recently the DEA took emergency action to ban for one year bath salts that are composed of PABS, methylenedioxypyrovalerone, which is structurally and toxicologically related to pyrovalerone and a-pyrrolidinophenone compounds that inhibit norepinephrine-dopamine reuptake and act as central nervous system stimulants. These salts are deadly, and are sold under the brand names: Ivory Wave and Vanilla Sky.
Users take it orally, intranasally, intravenously, or rectally and achieve a high that is similar to methamphetamine. It enhances alertness, increases energy, and is an aphrodisiac. On the street, it is being called "legal cocaine".
Doses as low as 3-5 mg will produce an effect. The average dose ranges from 5 to 20 mg, and the risk for overdose is high because packages contain up to 500 mg. In fact, it was the increase in overdose, emergency room visits, and death that prompted the DEA to take action. Orally, absorption is rapid, and the rush (euphoria) that is produced peaks at 1-2 hours after ingestion, and the total effect lasts about 3-4 hours.
The physical effects of PABS include tachycardia, hypertension, arrhythmias, hyperthermia, seizures, stroke, myocardial infarction, and even death. Behavioral and mental effects include panic attacks, anxiety, paranoia, hallucinations, psychosis, aggressive or violent behavior (such as self-mutilation, suicide attempts, and homicidal activity), insomnia, anorexia, and depression.
Emergency treatment consists of benzodiazepams for sedation and IV fluids to prevent hypercatabolic rhabdomyolysis. Metabolic acidosis, if present, is treated in the usual manner.
Click Here: to obtain the New England Journal of Medicine article in PDF format
A Vaccine for Substance Abuse?
Published: Tuesday, 04 October 2011 23:48
Can you imagine a vaccine that would eliminate smoking, cocaine, methamphetamine, heroin or opiate use? Researchers are tantalizingly close to developing a vaccine that would permanently block those receptors that when stimulated by these and other substances of abuse provide the addictive euphoric and mind-altering effects.
Addicts would no longer be able to use and enjoy the effects of the substances they abuse. The research is being headed by Dr. Janda at Scripps Research Institute.
To read the full NY Times article: Click Here
ZOCOR SAFETY ALERT
Published: Thursday, 09 June 2011 01:21
The Food and Drug Administration on Wednesday announced new safety restrictions on high-dose simvastatin, also known as Zocor, a cholesterol-lowering drug taken by an estimated 2.1 million Americans.
The agency said the 80-milligram dose caused a potentially severe muscle disease, called myopathy, especially in the first year of taking the medication.
No new patients should be put on the high dosage, the F.D.A. said, recommending that existing patients should continue only if they have used the drug for more than a year without experiencing muscle pains. Alternative statins may be safer, the agency said.
This surely will lead to a spate of product/medical liability lawsuits against the manufacturers of this drug.
See the entire article in the NY Times by: Clicking Here
Arsenic in Chicken
Published: Thursday, 09 June 2011 01:13
The latest report from the FDA says that for decades chickens have consumed feed contaminated with Arsenic, a known poison and carcinogen. The FDA backpedals on this finding by saying that chicken is still safe to eat because the amount of Arsenic that has found its way into edible portions of chicken are too low to be significant. But they do not comment on the cumulative effect of regular Arsenic ingestion.
In response to this discovery, the companies that produce substances contaminated with Arsenic have stopped their production of these substances because of the possible adverse effect on the health of Americans. To read the full NY Times article, CLICK HERE.
Methamphetamine and New Legislation
Published: Tuesday, 03 May 2011 10:30
Several states are considering new legislation that will make decongestants prescription medication requiring a doctor's signature. The main ingredient of these medications is pseudoephedrine, an essential ingredient in the production of Methamphetamine. In one state alone, Tennessee, police shut down over 2000 Methamphetamine labs last year, about a 50% increase from the year before.
Methamphetamine is an extremely dangerous street drug. Once an individual becomes habituated, studies show that their life expectancy is less than 10 years. Once hooked, because of its effects on dopaminergic receptors of the brain, it is extremely difficult to stop use, and relapse is the rule rather than the exception.
Methamphetamine damages the brain, central nervous system, heart and other organs. It not only destroys the life of the user, but often seriously impacts those closest to the person including friends and family. Methamphetamine has become a serious public health problem in the U.S., and state legislation will be a big step in helping to curb access to this substance.
Adverse Drug Reactions: Terbutaline and Preterm Labor
Normally, I would put information like this in my "Latest News" section, but this is too important not to be on my front page where my blog is located. Terbutaline, given orally or intravenously, is routinely used to treat preterm labor. It has now been shown to significantly increase the risk of maternal heart problems and sudden death. You can read more about this by clicking my link, and you can also read more about this on the FDA website: http://www.fda.gov/Drugs/DrugSafety/ucm243539.htm
Published: Thursday, 17 February 2011 15:12
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De-escalating the Toxicologically Altered Aggressive Individual
Toxicologists when reviewing cases are often faced with a subject in question that had altered mental status as a consequence of the effects of illicit substances. In this setting, dealing with aggressive patients can make a big difference in outcome. Patient death or injury resulting from the use of restraint and seclusion is an increasing concern in the field and in prison. Excessive and inappropriate TASER use has also been associated with sudden death. A well-known 1998 article documented 142 restraint-related deaths nationwide over a decade, 40% of which were attributed to unintentional asphyxiation during restraint. Restraint not only poses a risk for patient harm but also is physically and emotionally traumatizing for staff involved in the incident. Many have pointed out that high restraint rates are now understood as evidence of treatment failure. Since the Joint Commission began tracking sentinel events in 1996, it has reviewed the deaths of 20 patients who were physically restrained. Since then, the Joint Commission has advocated standards based on prevention as an intervention and the use of restraint as a last resort only after the least restrictive measures are exhausted.
Published: Tuesday, 11 May 2010 21:52
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