The Medical Liability Minute Podcast
Sponsored by Medical Justice Services, Inc.
Season 2, Episode 1
Gadolinium Deposition Disease – The Litigation Tsunami No One Sees
There’s a litigation tsunami on the horizon – perhaps the largest risk management exposure related to radiology to date. If you order any MR imaging studies, you will want to hear more. Including how to mitigate the aforementioned risk. Gadolinium is a contrast agent. Each year, about 30 million MR scans are performed. 1/3rd use contrast. Recently, a spotlight has been placed on the longstanding understanding that gadolinium based contrast agents (GBCAs) leave some gadolinium behind.
In 2009, the risks associated with radiation of CT scans permeated public consciousness. Ten years later, gadolinium toxicity has begun to occupy the same head-space – pardon the pun.
Why this matters – this is a complex issue that will blindside all hospitals, radiology groups, and, no less important, referrers.
On this episode of the Medical Liability Minute, Dr. Segal interviews Dr. Benjamin Harvey, Director of Quality Improvement, Department of Radiology, Massachusetts General Hospital, Harvard Medical School. The topic of the hour – gadolinium “toxicity”, the risks associated with ordering MR contrast agents, and what physicians can do to minimize those risks.
Hosts & Guests
Jeffrey Segal, MD, JD (Host)
– Founder and CEO, Medical Justice Services, Inc.
Benjamin Harvey, MD, JD (Guest)
– Director of Quality Improvement, Department of Radiology, Massachusetts General Hospital, Harvard Medical School
About The Medical Liability Minute Podcast
Medical Justice Founder and CEO, Jeffrey Segal, MD, JD, and Medical Justice General Counsel, Michael Sacopulos, JD, (and many others) summarize modern medico-legal threats to physicians in 15 minutes or less – but if the topic is substantive, we don’t mind exceeding that time limit. Opening and closing music written and produced by Grammy award winning artists: Lili Haydn and Itai Disraeli (performed by The Service Cats).
About Medical Justice
In 1998, founder and CEO Dr. Jeffrey Segal developed the concept of Medical Justice while practicing neurosurgery. His vision is a unique approach that forms part of our two-pronged strategy: to deter the filing of frivolous medical malpractice lawsuits and to enable viable responses and remedies from wrongful suits against physicians. We filed our first patents in 1999, and with the signing of our first distribution agreement in 2002, Medical Justice commercialized our proactive professional liability service.
Today, Medical Justice has assisted over 12,000 physicians in the US. We create a practice infrastructure to prevent, deter, and respond to frivolous medical malpractice suits. We offer prospective and retroactive service plans that enable “points forward” service as well as optional benefits as far back as residency. Medical Justice supports a broad group of medical specialties and is endorsed by many state, county, and specialty medical societies.
Missing Toes & Shotgun Lawsuits: Why Throwing Your Colleagues Under the Bus Never Pays
The subject of this week’s podcast is a podiatrist. The podiatrist was scheduled to treat a patient suffering from a fungal infection in his toenails. The problem – the patient didn’t have any toes. The bigger problem – when the patient later died, the podiatrist was named in the ensuing lawsuit…
Trolling for Medical Malpractice Litigation – Why Staff Chaperones Will Save Your Skin
If a patient’s reported symptoms are grossly incongruent with your objective examinations, you might be looking at a red flag. Such was situation the subject of our podcast found himself navigating. The patient (female) alleged his the doctor’s examination was so brutal, it aggravated her existing condition…
Consent Vs. Informed Consent: How Should Doctors Communicate Risk to Patients?
If surgeons told their patients everything that could go wrong during a procedure, only the most courageous would consent. That said, doctors must set appropriate expectations. Patients must have an adequate understanding of the risks. These conversations are memorialized in consent forms…