ARTICLE: More Workers File Lawsuits Over Popcorn Flavoring

CINCINNATI (AP) -- Dozens of plant workers who claim their health was damaged by exposure to a chemical used to give a buttery flavor to microwave popcorn have filed lawsuits in Cincinnati against makers of the flavoring.

At least 43 workers have filed lawsuits that claim their lungs were damaged by inhaling fumes from the chemical. Some work at a local plant of Givaudan (ZHIV'-uh-dahn) Flavors Corp. of Cincinnati, which supplies the flavoring to food manufacturers. Many others are from a plant in Marion, Ohio, owned by ConAgra Foods, which is based in Omaha, Neb.

Last month, a jury awarded $7.5 million to Ronald Kuiper of Sioux City and against Givaudan. The verdict came a day after the man died.

Kuiper filed suit in 2006 against four companies that made popcorn flavoring used at the American Pop Corn Co., where he worked. The Sioux City company wasn't named in the lawsuit and the other cases were resolved earlier.

As if that wasn't scary enough, last year a man settled a lawsuit (favorably) against a popcorn maker after contracting "popcorn lung." But he wasn't a worker at a large popcorn factory--he was a consumer making microwave popcorn!

Yikes.

ARTICLE: Austin ERs got 2,678 Visits from 9 People Over 6 Years

According to the Austin American Statesman, there appears to be a bit of ER abuse in its fair city. And by "a bit of ER abuse" I mean "rampant, out of control, why-has-taken-you-six-years-to-put-a-stop-to-this ER abuse."

In the past six years, eight people from Austin and one from Luling racked up 2,678 emergency room visits in Central Texas, costing hospitals, taxpayers and others $3 million, according to a report from a nonprofit made up of hospitals and other providers that care for the uninsured and low-income Central Texans.

One of the nine spent more than a third of last year in the ER: 145 days. That same patient totaled 554 ER visits from 2003 through 2008.

"We looked at frequent users of emergency departments ... and that's the extreme," said Ann Kitchen, executive director of the Integrated Care Collaboration, the group that presented the report last week to the Travis County Healthcare District board. "What we're really trying to do is find out who's using our emergency rooms ... and find solutions."

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The ICC staff, meanwhile, has been gathering data so its members could learn more about the kinds of patients who use the ER.

The report that mentioned the nine high-frequency patients didn't include reasons for all of those ER visits and didn't identify the patients because of privacy laws. But Kitchen, a former state legislator from Austin, gave a sketch: All nine speak English; three are homeless; five are women whose average age is 40, and four are men whose average age is 50. Seven have a mental health diagnosis and eight have a drug abuse diagnosis. Kitchen said she did not know their citizenship status.

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In a report last year, Austin-Travis County Emergency Medical Services said that 10 patients made up more than 1 percent of the system's 130,000 contacts with patients in two years. The patients' most common ailments were stomach or chest pains, injuries or respiratory problems.

In the comments section of this blog, a reader adds, "This means that, on average, each of the nine people visited the ER about once a week." Wow.

Ask any juror in any city what their number one complaint about emergency rooms is, and you'll hear "long waits." And it goes without saying that these negative experiences reinforce predispositions about the quality of health care in the local area.



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Article: Dennis Quaid and His Wife Settle with Hospital

According to the Associated Press:

Documents show Dennis Quaid and his wife have agreed to a a $750,000 settlement with a hospital that gave his newborn twins an overdose of blood thinner. A petition filed in Los Angeles Superior Court on Monday shows the Quaids and Cedars-Sinai Medical Center have agreed on the parents' damages, but can still pursue claims for their children.

The documents state Cedars-Sinai is not admitting wrongdoing as part of the settlement.

Documents show the Quaids sued drug maker Baxter Healthcare Corp. in Illinois over the drug's packaging, but that case has been dismissed. The petition filed Monday indicates Baxter may also sue Cedars-Sinai, which administered too much Heparin to several patients in November 2007, including the Quaids' twins.

If you recall, the Quaids' twins, along with another newborn at Cedars-Sinai, were accidentally given 1,000 times the normal dosage of heparin. Instead of administering vials with a 10 unit per millileter concentration, the infants recieved 10,000 units per milliliter . According to the lawsuit against Cedar-Sinai, the adult and newborn medications were allegedly stored in the same place, providing opportunity for this very outcome.

The lawsuit against Baxter was a product liability case regarding the labeling and packaging of the vials, which it is alleged were strikingly similar for newborn and adult dosages. Baxter, which used a blue label for both the 10 and 1,000 unit vials, claimed Cedars-Sinai was responsible for improper use of their product.

When the suit was filed, Baxter spokeswoman said, "While we strive to clearly differentiate our products and dosages, no amount of differentiation will replace the value of clinicians carefully reviewing and reading a drug name and dose before dispensing and administering it."

Importantly, and thankfully, none of these infants suffered permanent damage. Sadly, three of six infants given the same 10,000 units in Indianapolis in 2006 were not as fortunate and passed away.

Survey: Half of primary-care doctors would leave medicine

According to CNN:

Nearly half the respondents in a survey of U.S. primary care physicians said that they would seriously consider getting out of the medical business within the next three years if they had an alternative.

The survey, released this week by the Physicians' Foundation, which promotes better doctor-patient relationships, sought to find the reasons for an identified exodus among family doctors and internists, widely known as the backbone of the health industry.

According to the survey, 49% said they would consider walking away from medicine because they are "overwhelmed" by the red tape created by insurance companies and government entities.

Also interesting to note was the effect this growing sentiment could have on the future of medicine.

A U.S. shortage of 35,000 to 40,000 primary care physicians by 2025 was predicted at last week's American Medical Association annual meeting.

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And if that many physicians stopped practicing, that could be devastating to the health care industry.

"We couldn't survive that," says Dr. Walker Ray, vice president of the Physicians Foundation. "We are only producing in this country a thousand to two thousand primary doctors to replace them. Medical students are not choosing primary care."

And let's not forget one of the primary factors driving a distaste for a career in medicine: lawsuits and the effect they have on medical malpractice insurance rates.

To manage their daily work schedules, many survey respondents reported making changes. With lower reimbursement from insurance companies and the cost of malpractice insurance skyrocketing, these health professionals say it's not worth running a practice and are changing careers....

This is a sad state of affairs.

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