O-Rings and Phone Numbers

On occasion, complex systems crumble because of a single defective part, a part no one anticipated. The space shuttle Challenger is a case in point. What happened? O-rings failed at 31 degrees, the temperature at Cape Canaveral at launch.  That led to a cascade of badness which resulted in the Challenger exploding. Some at NASA … Read more

Demystifying EMTALA: Issues that Pop up When You Are On-Call

We continue with our series of articles penned by one attorney, an MD, JD, giving you a view of the world through a malpractice plaintiff attorney’s eyes. In this article, the author addresses “Assumption of risk versus informed consent..” This attorney is a seasoned veteran.  The series includes a number of pearls on how to … Read more

The Difference Between Skydiving and the Practice of Medicine  

Skydiving is dangerous. Most skydivers land safely. But, not all. And if your chute does not timely open (and properly), death or injury are likely. How is it skydiving facilities are rarely sued? And, if they are sued, the facility usually prevails.   There’s a legal defense known as “assumption of risk.” The skydiver presumably knows that skydiving is a dangerous … Read more

Do You Want Your Kid to Be a Doctor?

There’s an old joke regarding different cultures’ interpretation as to when a fetus is considered alive.   The broadest definition of the beginning of life pinpoints the date at conception.   Others target a later date – namely, viability outside the womb.   But, the longest delay for the ‘beginning of life” is when the “person” graduates from medical school.   I hear two stories from … Read more

A Contingency Plan for Taking a Case on Contingency

Plaintiff’s attorneys frequently argue there is no way a seasoned attorney would take a meritless med mal case. They note that taking such cases to trial to case is expensive. They take such cases on contingency. If they lose, they lose big. And they would be the party bearing the out-of-pocket risk. Now, the market … Read more

Can You Patent a Medical Procedure? Well, Yes and No. 

In the mid-1990s, Dr. Samuel Pallin patented a type of stitch-less cataract surgery procedure. He attempted to license the patent to other ophthalmologists. One such surgeon was Dr. Jack Singer. Singer not only refused the demand for royalties, but started a broad political movement against medical procedure patents. Singer argued he actually devised the procedure before Pallin’s patent was filed. Pallin said he was not interested in the money, but recognition. Pallin had … Read more

Jail Time for Using the Wrong Pronoun

Most physicians defer to patients’ wishes as to how they want to be called. It’s a sign of deferential respect. If there’s a 40-year age discrepancy between a young treating physician and an elderly Medicare patient, the senior likely doesn’t want to be called Pops.   There’s a brewing brouhaha in California related to Senate Bill 219 which … Read more

Medical School for Free

NYU Medical School recently announced it will waive tuition for all medical students, now and going forward. NYU has raised $450M of the needed $600M to fund this gift in perpetuity. Kenneth Langone (one of the Home Depot founders) and his wife donated $100M.   One reason NYU made this commitment was because many medical students are saddled with crushing … Read more

Why Doctors Don’t Like to Retire

Guest Blog Post by David Mokotoff, MD The past decade has seen an enormous upheaval in the practice of medicine. The private independent medical practice is in danger of extinction. Management overhead and red tape has skyrocketed due to government regulations and private insurance and pharmaceutical benefit rules. Added to that are multiple electronic medical … Read more

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