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Kentucky Injury and Accident Library
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- Can't Wait For The Government To Pass Tort Reform in Your State? Here Is A Form You Can Sign That Voluntarily Opts Your Family Into Tort Reform. Is This What You Really Want? If So, Go Ahead And Sign It!! [PDF]
Lots of politicians and pundits argue that "tort reform" is needed in order to cut back on all of these "frivolous" medical malpractice lawsuits. I couldn't disagree more. But if you are one of those that agree with the short-sighted, narrow-minded insurance company driven agenda, there's no need to wait for the government to institute tort-reform, here is a legal document that you can sign and give to your health care provider voluntarily subjecting you to tort reform and limiting your legal rights. - Healthcare Spending Greater in Northeast States
A study shows that per capita health care spending is greatest in the northeast states. These states are also the most densely populated with physicians, making health care more available. Kentucky is right on the national average for per capita spending. - D.C. Government pays $650,000 to guardian of mental patient who gouged eyes out, going blind.
- A New York single mother had both breasts removed after a mix-up in a medical lab.
- Hospital Residents Still Overworked
Two new studies in the Journal of the American Medical Association have found that the ACGME's attempts to limit resident duty hours have done little to reduce patient mortality rates. - 22% of Stroke Patients Told to Call Physician, Not 911
1 in 4 stroke patients recieve the wrong advice from hospitals about the best way to recieve treatment. - The Flea's First Day of Trial [PDF]
A northeastern pediatrician is blogging about his own medical malpractice trial. He is known as the Flea. His blog was live until a day or two ago. Through the miracle of the waybackmachine.com we were able to find some of his posts.
Here, the Flea discusses the first day of trial (he has even drawn a cartoon of the plaintiff's attorney). What is most interesting is Flea's comment about what kind of juror he wants.... - The Flea's Tells Us About his Private Conversations with his Lawyer [PDF]
The Flea explains their trial strategy. - Flea Explains "what juries care about." [PDF]
The Flea explains that "juries don't base their decisions on the medicine." - The Flea reveals why he was sued. [PDF]
The Flea is a pediatrician who has been sued for malpractice. Here he outlines the plaintiff's complaint. - Special Report Exposing the Myth around Medical Malpractice Insurance [PDF]
Are huge verdicts and settlements driving insurance rates so high doctors can't afford to practice? Not likely, this report says. - Former Kentucky Doctor Facing More than 100 Lawsuits Moves Assets and Changes His Name.
A former Kentucky doctor is facing more than 100 lawsuits arising out of an 8-month stint at a West Virginia hospital.
Accounting Malpractice Attorney
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Kentucky Nursing Home Neglect Attorney
- Pressure Sores
Have a loved one who is bedridden? Whether at home or in a nursing facility, it is imperative this person regularly change positions. In cases where a patient can’t help him or herself, “turning” insures pressure against the body is relieved, even for a short time. If possible, the person should sit up, stand or walk with assistance to avoid lying in one position in bed.
Lying in the one position fosters pressure by way of friction with the mattress, wrinkled clothing or a tangled bed sheet. The heels of the foot, shoulder blades, tailbone and elbows are points where friction against the underside of the body is acute. Bedsores are caused by 1) pressure such as the compression from the force of bone against surface; 2) shear force when skin tissue or muscle sags with gravity or when the skin moves in one direction and the underlying bone in another, pinching a blood vessel, restricting blood flow and depriving a skin area of healing agents oxygen and nutrients or 3) friction, which may cause shedding of epidermis layers. Incontinence and perspiration contribute to bedsores as moisture breaks down bonds between cellular tissues which can break down the epidermis.
With prolonged, unrelieved pressure, sores develop. Commonly called bedsores, they are termed pressure ulcers or decubitus by doctors. These sores are defined and revised by the National Pressure Ulcer Advisory Panel, a professional organization dedicated to the prevention and treatment of pressure sores.
Stage One is referred to as superficial, where redness may occur and pain may be felt to the touch, although there is no skin tissue damage. Stage Two involves open wounds and damage to the epidermis and into but no deeper than the dermis. The sore is referred to as an abrasion or blister. Stage Three features a crater-like wound into but not through the subcutaneous skin layer. This layer has limited blood supply or circulation, so it becomes difficult to heal. With this stage, there may be more damage than apparent. Stage Four is the deepest wound, which extends into the muscle, tendon, joint or bone. Dead skin cells and wound fluid can mask the wound’s depth. According to the MayoClinic.com, Stage Four pressure sores are “extremely difficult to heal and can lead to lethal injections.”
There are two theories about pressure ulcer formation. The most accepted is the deep tissue injury theory, claiming ulcers begin deep near the bone and destroy tissue as they move outward toward the epidermis. The second theory contends skin deteriorates at the outer surface and moves deeper into the body.
As with any open wound, controlling infection is at issue. Discharge of pus (bacterial, yellowish-white liquid) is a breeding ground for excess bacteria, especially in patients with weakened immune systems. Symptoms include fever, pain, skin redness, skin warmth and odor. Antiseptics are recommended but hydrogen peroxide is not. Bandage dressings should be changed frequently
For patients with Stages One and Two ulcers, the wound care team should use guidelines established by the American Medical Directors Association (AMDA) for treatment of these lower-grade sores.
For those with Stage Three or Stage Four sores, surgery such as a tissue flap, skin graft or other closure methods may be necessary to counter anemia, gangrene or sepsis. Gas gangrene can produce toxins that completely destroy muscle tissue. Sepsis occurs after bacteria from a massive infection (Stage Four) enters the blood and spreads rapidly, possibly causing shock as well as organ failure.
A more recent intervention is negative pressure wound therapy, which is the application of topical negative pressure to the wound. This technique, developed by scientists at Wake Forest University, uses foam placed into the wound cavity which is then covered in a film which creates an airtight seal. Once this seal is established, the technician is able to remove pus and other infectious materials in addition to aiding the body to produce tissue for the creation of new skin layers.
In the most severe case (someone with paralysis) pain from the development of a pressure sore cannot be sensed. With no warning signals, the patient doesn’t know to shift their position in bed. For smokers, their ability to physically fight a pressure sore is compromised since nicotine impairs blood flow and reduces oxygen in the bloodstream. Older individuals tend to have thinner skin and are susceptible to physical injury from pressure, friction or shear on the body. They weigh less, meaning there is less muscle or fatty tissue surrounding bones. If someone has poor nutrition, their skin and blood vessels are weakened, making them vulnerable to wound formation. The healing and re-growth rate of skin cells declines in an elderly person who may be fighting a pressure sore. - Identifying Four Stages of a Bedsore
It is important to recognize the different stages of a pressure sore. - Information on the new Medicare Precription Drug Plan [PDF]
We can't rely on nursing homes to to ensure our loved ones get their medicines paid for by Medicare. If you or a loved one use Medicare to get precription drugs, you'll want to read this helpful document. - Kentucky Nursing Home Abuse
Information to help the general public determine when there is a legal case of elder abuse. - National Coalition for Nursing Home Reform's Guide to Choosing a Nursing Home [PDF]
Published by the National Coaltion for Nursing Home Reform, this nine page guide will help you choose a nursing home for your loved one. - Medicare-How to Choose a Nursing Home [PDF]
If you are responsible for choosing a nursing home for a loved on, download this special Medicare publication.
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- Poppe Law Firm April 2009 Newsletter [PDF]
Poppe Law Firm Newsletter from April 2009. Discusses various issues pertaining to medical malpractice, legal malpractice, nursing home negligence, automobile accidents and wrecks, unfair insurance claims handling and breach of contract. - Poppe Law Firm November Newsletter [PDF]
- Louisville Magazine "On the Rise" profile in the Louisville Top Lawyer's issue. [PDF]
Recently, Hans was recognized as one of six "On the Rise" attorneys profiled in Louisville Magazine's issue of Top Lawyers. - How to Avoid Getting or Spreading MRSA
Invasive MRSA infections will kill more Americans this year than AIDS. Avoiding MRSA "hot spots" and taking these precautionary steps can help you from contracting the deadly strain. - Pamphlet on Kentucky's Open Records Law [PDF]
In Kentucky, public officials are required to produce records under Kentucky's Open Records Act. This pamphlet, published by the Attorney General's Office explains what records are required to be produced and how to request those records. - Anthem Insurance shows breakdown of insurance premiums. [PDF]
Recently, Anthem sent a brochure to its insureds regarding increasing premiums and the reasons it was necessary. Publicly, insurance companies bash lawyers and lawsuits for increasing premiums; however, when the issue is pressed, even they must admit that litigation only accounts for a small percentage of insurance premiums. See the brochure here. - Poppe Law Firm Fall 2006 Newsletter [PDF]
- Poppe Law Firm Spring 2006 Newsletter [PDF]