Articles Posted in Hospitals

dcflags-300x131Nineteen months after the coronavirus pandemic first began to rage, the nation has racked up mortality  and morbidity statistics that are tragic and horrifying:

  • 1 in 500 Americans now has died of the disease
  • People older than 85 make up only 2% of the population, but a quarter of the total death toll

govtrustpew-181x300It’s a small occupational hazard that accompanies membership in the Bar — the ribbing that all lawyers take at social functions with those groan-inducing lawyer jokes.

While the good-natured jests typically merit a chuckle and a pass, it’s worth noting, two decades after the 9/11 tragedy and with all the deeply divisive events that have occurred since, that there are clear indicators that the legal profession deserves more credit than jibes. Lawyers are striving at least to preserve their constitutional responsibilities as a pillar of truth-telling in the contentious world. Others? Maybe less so. And the public should not be confused about this.

When viewers see the splashy Netflix documentary Worth, for example, they should take judicial notice that it creates a fictionalized account about trial lawyers and the push to compensate victims of the Sept. 11 catastrophe, argues the Center for Justice and Democracy at New York Law School.

vaper9112021-220x300The federal Food and Drug Administration punted on a scheduled showdown over e-cigarettes, delaying decisions on whether to allow Juul and other market-dominating firms to keep selling trendy “smokeless” devices while also banning millions of vaping products from other, mostly smaller manufacturers.

The agency argued with a defensive and defiant tone that it had acted on 6.5 million filings and 93% of the requests for approval to market e-cigarette and vaping-related products, rejecting most (including millions of flawed  applications from a single applicant).

But the FDA said it needed more time — how much it didn’t say — to weigh evidence from big e-cigarette makers who hold sway over 40% of the market. They claim their products’ benefits in helping adults stop smoking tobacco, especially killer cigarettes, outweighs the harms they cause to young people, likely addicting new generations to health-damaging nicotine and opening a gateway to tobacco and marijuana consumption.

shapona-large-150x150housougami-150x150To those unfamiliar with the history of world religions and disease, the formidable duo shown here are Hosogami (left) and Shapona (right). In two different societies of yore, in the 600s and 700s A.D. in Japan and in the 18th and even into the 19th century in Nigeria, the fervent built religious rites around these smallpox deities.

Worshippers hoped various behaviors would appease their lords of infection, with later experts coming to believe that the priests of Shapona (aka Sopona) also helped to spread the highly contagious and disfiguring illness by scratching villagers as part of extortion schemes. Science and vaccinations eventually eradicated smallpox globally, with infectious disease and public health experts historically mindful how fear, ignorance, and societal pressures can lead numbers of people to embrace counterfactual and cultish responses to scary illnesses.

Now, can President Biden and his administration — with a new and tougher program to get millions of unvaccinated Americans to finally get coronavirus shots — back down what increasingly has become a politically partisan and almost theological opposition to proven methods to quell a disease that has killed 660,000 Americans already and is taking 1,500 lives each day?

elijahmcclain-150x150Manslaughter, criminally negligent homicide, and other felony charges filed against paramedics in a Denver suburb will provide the public with a queasy close up look at not only the stresses weighing on medical first responders but also how complacent too many people have become as a crucial part of health care frays under fiscal pressures.

The case against Aurora Fire and Rescue paramedics Jeremy Cooper and Lieutenant Peter Cichuniec provides a grim view of municipal emergency medical services.

A grand jury, empaneled by the state attorney general, indicted the city paramedics and two Aurora police officers on an array of charges in the 2019 death of  Elijah McClain, a 23-year-old black man. He was walking home from a convenience store on an August evening, wearing a ski mask because, his parents said, he was an anemic, idiosyncratic individual and often felt cold.

childcovidcasesaugend21-300x168As tens of millions of travelers hit the road  to enjoy the Labor Day weekend, public health officials warned the unvaccinated anew against moving around freely during the holiday marking the unofficial end of summer. Authorities cautioned the vaccinated, too, against letting their guard down as the Delta variant fuels a fourth, deadly surge in the coronavirus pandemic.

Infections, hospitalizations, and deaths have spiked after too many of the holidays in recent months, experts say. And the sunny optimism that led health officials to forecast a significant quelling of the coronavirus by this summer’s Independence Day has, of course, wilted in the continuing rise of the Delta onslaught.

The U.S. health care system, already buckling in many regions under the pandemic’s terrible recent spike, underwent more pummeling by raging Western wildfires and a hurricane that drenched the Gulf Coast and then pounded the Northeast with spin-off weather calamities (like a tornado) and drenching rains. The inundation of Pennsylvania, New Jersey, and New York claimed dozens of lives and wreaked havoc on regional infrastructure, even as Gulf Coast residents struggled with unbearable late-summer heat and humidity and without basics like dependable food and water supplies, reliable electric power, and undamaged and livable housing.

bloodtest-300x200Lights are flashing and alarms are blaring. A health care nightmare is growing before us and threatens the future of the nation: Younger people — those under age 40 or even age 50 — are sicker than they should be, and their conditions are worsening, not improving, especially with the destructive coronavirus pandemic.

An independent and highly respected federal advisory panel has just recommended a drop in the age at which doctors should screen overweight adults for diabetes and prediabetes, urging that a fasting blood test or possibly a glucose tolerance test be given to these patients and lifestyle questions be posed to them at age 35, not at 40 years old, as was the previous advice.

The United States Preventive Services Task Force (USPSTF) — elite specialists who review tests and screenings for their effectiveness and usefulness and issue recommendations that hold big sway, notably with insurers — said that diabetes poses serious and growing risks to young adults. They can benefit from earlier interventions, such as changes in diet and lifestyle, that can prevent prediabetes from developing into a chronic, and potentially debilitating or even fatal condition. As experts reported in an accompanying editorial, published in an online section of the Journal of the American Medical Association:

agedcare-300x200Nursing homes and other long-term care facilities keep bleeding staff, and their inability to hire and keep  workers poses significant risks to the well-being of aged, sick, and injured residents — a vulnerable group already savaged by the coronavirus pandemic.

The long-term care industry employed 3 million  personnel in July, which is 380,000 fewer staff than were on facilities payrolls in February 2020, the Wall Street Journal reported of federal labor statistics. Terry Robertson, chief executive of Josephine Caring Community, a long-term-care facility in Stanwood, Wash., told the newspaper this:

“I’ve been in the industry for 40 years and I’ve never seen it this bad.”

hospitalinvesting-khn-300x106In an unbelievable fiscal oasis surrounding a spot that a newspaper columnist dubbed Baghdad by the Bay, slick dudes who call themselves VCs (as in venture capitalists) scurry around carrying the equivalent of magic wands and sacks of money in pursuit of elusive unicorns — rare start-up enterprises that Wall Street will value at $1 billion or more.

The sky-high stakes in this modern equivalent of an investing casino typically deters more cautious investors. But apparently not an increasing number of hospitals, which, of course, describe themselves, especially for tax purposes, as nonprofits, reports Jordan Rau of the Kaiser Health News (KHN) service.

As he laid out in a recent article:

covidhospitalizations08212021nyt-300x171The coronavirus keeps ripping through the country with a fourth, Delta-variant fueled surge that also is producing confounding, confused behaviors that only add to the pandemic’s considerable gloom.

The pandemic, which already has killed at least 635,000 Americans and infected just under 40 million of us, is slamming hospitals. More than 100,000 coronavirus patients, including rising numbers of children and younger patients, are jamming intensive care and other units in numbers not seen since the pandemic’s start (see New York Times graphic). This is slashing hospitals’ capacity to treat non-coronavirus patients, even many in serious shape. And hard-hit southern facilities braced for the double-whammy of a hurricane making landfall.

Disease deaths continue their scary spike, now averaging 1,000 a day. Florida is taking a bludgeoning from the disease, crashing records for infections, hospitalizations, and fatalities.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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