California Injury Blog

If you put your beloved parent, grandparent, aunt, or uncle into a nursing home, how would you feel if you found out that the nurses and doctors at the home tied them up to a bed or wheel chair? How outraged would you be if you knew that the people you're paying to look after the well-being of your loved one were physically restraining them just so they would be "less of a bother?" According to a recent report from the American Association for Justice entitled, "Standing Up for Seniors: How the Civil Justice System Protects Elderly Americans," it turns out that what is happening in nursing homes with increasing frequency is not that far off. Instead of using ropes and chains though, nursing homes are using chemical restraints on seniors -- psychotropic drugs that sedate or control behaviors.

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In the not too distant past, most nursing homes in this country were family-run affairs. The people running the nursing home lived and worked in the community, and the homes were places where seniors and their families could count on compassionate care. Nursing home neglect and abuse were unthinkable. According to a recent report by the American Association for Justice entitled, "Standing Up for Seniors: How the Civil Justice System Protects Elderly Americans," this situation is changing drastically and senior abuse is on the rise. One of the main reasons is that an ever increasing number of America's nursing homes are being run by corporations who are often more interested in profits than people. The result is that the corporations cut staffs, services, and standards of care to save some money.

Continue reading "Report Reveals Serious Issues Affecting Seniors Today" »

Justice for Service Members Who Are Victims of Negligence

Our friends at the American Association for Justice (AAJ) are now fighting for the rights of service members who died not in combat, but because of medical negligence. One case in particular that is coming before a House judiciary subcommittee involves the tragic death of Marine Sgt. Carmelo Rodriguez.

Sgt. Rodriguez served his country with honor for nearly a decade including a tour of duty in Iraq. Tragically, he died of medical negligence. His death should not have happened. When Rodriguez enlisted in the U.S. Marine Corps, he received a routine medical exam. Doctors diagnosed a blotch on his buttock as melanoma, but did not inform him of their diagnosis. Over the next eight years, the melanoma continued to grow. During his service in Iraq, Rodriguez had it examined again. This time he was told that it was "just a wart" and that he should have it examined upon his return to the United States. But when he actually got around to doing that, it was too late. Rodriguez died 18 months later from skin cancer, leaving behind his 7-year-old son.

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This is a victory for patients and California consumers. I’m talking about the California Supreme Court’s decision, which firmly establishes that emergency room physicians may not go after patients to collect any remaining balance remaining after being paid for their services by the patient’s HMO. Before the court’s decision ER physicians had this practice of hounding patients to pay additional bills for emergency services, often sending collection agencies after them. Our source for this blog was this news report in the San Francisco Business Times.

How big is this problem? A 2007 study by the California Association of Health Plans, an HMO industry group, reports that more than 1.8 million insured Californians who visited emergency rooms between 2005 and 2007, received bills on top of their copayments and deductibles. The average bill was $300, translating to an overall tab (for that two-year period) of $528 million.

State law requires that ER physicians perform emergency services to stabilize a patient. If the patient has HMO, then the HMO is required to pay for such emergency care. The problem, however, is that in emergency situations, HMOs may not have had a prior contract with the physician who is performing that service. So there has been increasing friction between the HMOs and emergency physicians about the discrepancy between what the HMOs will pay and what the physician has billed or will accept. This situation has forced many ER physicians to bill patients directly for the balance.

Continue reading "California Supreme Court Decides to Say “No” to ER Balance Billing" »

My response to “Frivolous Lawsuits Hurt Patient and Doctor” by Dr. Augusto Lopez-Torres in the Sun-Sentinel and posted on Sun-Sentinel.com.

As a practicing personal injury attorney, I naturally see medical malpractice issues differently than Dr. Augusto Lopez-Torres. I’d like to share my views on three issues doctor Lopez-Torres’ article raised: (1) Protecting doctors from frivolous lawsuits; (2) Expert witnesses; and (3) Protecting patients from doctor negligence.

As background, I have practiced personal injury law in California for a few months short of thirty years. My law firm, Bisnar Chase, receives about 200 medical malpractice inquiries a year from people who feel they have been the victims of medical malpractice. We find that about 25% of the inquiries probably include medical error. About half that many, 12% of those inquiries, probably involve medical malpractice, which is different that medical error. Of the inquiries that probably are medical malpractice, less than 20% of them are economically viable to pursue. Bottom line, less than 3% of the medical malpractice inquiries that we receive, actually involve medical malpractice and are economically viable to pursue.

Continue reading "Medical Malpractice Cases: Fact and Fiction" »