A Good Deed Ends in Arrest

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

A “Serial Malpracticer”

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

Male doctor talking to a man in a suit

A Spanking for an Internist Who Failed to Provide an Interpreter for Deaf Patient

One must have a great deal of patience to wade through the text of the American with Disabilities Act (“ADA”). In addition, different courts in the various federal circuits have arrived at conflicting interpretations. And a recent ADA case affecting physicians gives pause for thought. Here, a rheumatologist in New Jersey, Dr. Fogari was on the receiving end of a $400,000 verdict against him, including punitive damages. To add insult to injury, punitive damages are generally not covered by professional liability insurance. And, it is unclear the underlying ADA case itself was even covered.

The Situation

What happened? The court concluded Dr. Fogari’s transgression was failure to provide an interpreter for his deaf patient. Such an interpreter apparently costs ~$150 to $200 per visit. And Medicare only reimbursed ~$49 per visit. Apparently, Dr. Fogari communicated by exchanging written notes with the patient assisted by family members.

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Press Ganey Scores and Unicorns

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

Why Facebook Advertising Can Be Dangerous for Doctors

Before we dive in, some fast advice. Social media is wrought with regulatory landmines. Doctors can use the space to their practice’s benefit, but you must be cognizant of the pitfalls. If you are navigating the online space, don’t go it alone. Schedule a consultation with our Founder and CEO, Jeff Segal, MD, JD. He … Read more

Why Do Doctors Take Med-Mal Lawsuits So Personally?

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

47 Tips to Keep You Away from My ER

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

Doc, How Long Do I Have to Live?

“Doc, how long do I have to live?” When a patient has a difficult diagnosis, they want answers. That’s reasonable. They want to know how to structure the time they have left. Why? Priorities change. They want to get their affairs in order. It’s also a question that determines whether a patient qualifies for government … Read more

Board of Medicine Gives Reprieve Enabling Sexual Predator to Practice for 18 Years. Justice Finally Served.

I have never understood why some women spontaneously become pen pals and virtual lovers with violent felons currently incarcerated. Some even marry the object of their desire. This behavior is not dissimilar to a recent Facebook group launched in support of Dr. Johnnie Barto, a Johnstown, Pennsylvania pediatrician. Dr. Barto was recently sentenced to 79 … Read more

How Language in an Operating Report Can Lead to a Trip to the Courtroom

Sometimes, the specific language in an op-report can lead to misunderstanding and litigation. I’m not talking about using words like “suddenly” or “to my unexpected surprise” in the document. I’m talking about how you label anatomic structures. Surgeons start with a clinical diagnosis. This diagnosis is often reinforced or guided by an imaging study. Then, … Read more

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