Jeffrey Segal, MD, JD

We received a call from a dentist in the Midwest. A week earlier someone called for an appointment. He wanted a run of the mill check-up. First available appointment was Friday at 4PM. Just before closing. In the waiting room, the patient appeared morbidly obese. It was impossible to estimate accurately. But, the receptionist assumed … Read more

The FDA regulates drugs and devices to make sure they are safe and effective for their intended use. Its regulatory authority to achieve that goal is broad.  For years, the FDA took the position that it did not have authority to regulate drugs used for executions – or in the alternative – it had discretion to avoid … Read more

If a dog bites a man, that is not newsworthy. When a man bites a dog, it makes news. A patient sues a doctor. Not newsworthy. Doctor sues a patient. That’s a headline. Dr. Leonard Hochstein, star of the reality TV series “The Real Housewives of Miami” is suing two patients, Nicole George and Kristen … Read more

Casey Smitherman is superintendent of a small school district in the Midwest. The town, Elwood, Indiana, has 8,500 people and struggles with serious poverty. Many of its students do not have adequate resources.   Ms. Smitherman had helped a specific student in the past, buying clothes for him and helping clean his house.   This specific student failed to show up at school. Smitherman apparently did not … Read more

I had never heard of the phrase “serial malpracticer.” It seems to apply to Dr. Spyros Panos, an orthopaedic surgeon who surrendered his medical license six years ago. An arbitrator awarded $140 million to resolve 255 medical malpractice lawsuits in New York. Dr. Panos refused consent to settle. His carrier, MLMIC, overrode him. It’s not clear that the carrier has (or … Read more

A unicorn is a mythical creature. It does not exist.   Which brings me to Press Ganey scores.   For those of you entirely immune to the numeric patient satisfaction benchmarks, Press Ganey is eponymous with HCAHPS scores mandated by CMS. HCAHPS was initially rolled out to allow comparisons between institutions providing inpatient care. How satisfied are patients receiving care at … Read more

Here’s a question that perplexes many plaintiff’s attorneys. I hear it all the time.   Why do doctors take medical malpractice so personally?   Why do doctors treat medical malpractice differently than being in an auto accident? Shouldn’t we just turn it over to our carriers and be done with it? I don’t think myself the worst … Read more

Recently, we published a piece by Dr. Rada Jones on the 68 Laws of the ER. She returns now for prescient and timely advice to patients on how to stay out of the ER. The best way to do her post justice is to present it as is without editorial or comment. Enjoy! I’m an … Read more