Not All Threats Patients Make Are Equal
Patients may be unhappy with their doctor for a variety of reasons. Dialogue solves most of them. But, sometimes this angst escalates. It culminates in a threat. All threats are not equal in the eyes of the law. A common threat is “Give me my … Read more

Is it Really Unprofessional to Write Prescriptions Outside the Office?
A famous US Supreme Court Justice Potter Stewart once opined on obscenity: “I know it when I see it.” The Maryland Board of Medicine weighed in on whether it was unprofessional to write a prescription for a patient at a restaurant / bar. Excerpts from … Read more











Lions Tigers, and Bears. Oh My. Therapy Animals in the Operating Room
First, let’s discuss the difference between a service animal and a therapy animal. According to the U.S. Department of Justice, “service animals are defined as dogs that are individually trained to do work or perform tasks for people with disabilities. Examples of such work or tasks … Read more











Pros and Cons of Allowing Family into the Trauma Bay
Many years ago, the presence of family members during cardiopulmonary resuscitation was verboten. The reigning principles were two-fold. Family members would get in the way of allowing the team to save the loved one. And they would be emotionally scarred forever. The medical literature has … Read more











Looking for Deep Pockets
Ebola is making a comeback in Africa. Fortunately, the World Health Organization is on top of it. Further, vaccines are being distributed. Hopefully these vaccines will prove safe and efficacious. Which brings me to Coming Attractions Bride and Formal in Ohio. “Coming Attractions” went out … Read more











Ambulance Chasers on Mobile Phones
When you vote, supporters for a candidate carrying leaflets and signs have to stay outside of some defined perimeter. You’re not supposed to be pestered as you walk into the voting booth. And, there are billboards of personal injury attorneys not too far from hospitals. … Read more











Arbitration for Med Mal. One Sentence You Must Include in Your Agreements.
Imagine you received a request for records from a medical malpractice attorney. Not a good start to your day. But, the clock is ticking. The statute of limitations is about to run. If the clock runs out, you’re home free. (Actually, not always the case, … Read more











Using Alexa in the Operating Room
A client recently asked our thoughts on using Alexa in the operating room. Presumably, the tasks Alexa would be charged with doing would be basic. Turn the lights on. Turn the lights off. Make a call. And so on. For those of you unfamiliar with … Read more











Pesky Little Details in Brain Death Determination
We have previously written about medico-legal challenges related to brain death determination. The American Academy of Neurology updated its guidelines in 2010 to create more uniform determination. Its checklist is as below. There’s a checklist related to systemic information (eg: the patient is in a coma, systolic blood pressure … Read more











The Curious Case of Cassandra
Not too long ago, the Connecticut Supreme Court ruled on a case called in re Cassanda C. The case dealt with a mature minor; someone not quite 18, but close, and whether they are entitled to make their own medical decisions. If any reader has … Read more











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