Testing Category Archives — DC Medical Malpractice & Patient Safety Blog Published by Washington, D.C. Personal Injury Lawyers

November 24, 2020

Even as the pandemic hits grim phase, we have much to be thankful for

With the pandemic tearing through the United States and overwhelming U.S. health care system, we pause from the grim news to tally some of the nation’s blessings in this time.

We can be thankful for the courage, fortitude, dedication, and skill of an army of health workers of all kinds. They have put themselves and their loved ones at formidable risk and strain to treat patients under unprecedented duress. They have dealt with fear and uncertainty, giving little quarter, and approaching their own breaking points. Some health workers have themselves fallen ill, with some dying. Their sacrifices cannot be forgotten, and we need to give sustained and extra support to health workers as the pandemic enters its next perilous phase.

November 18, 2020

Grim reprise in nursing homes: four-fold infection hike and doubling deaths

by Patrick A. Malone

Coronavirus cases are spiking among residents and staff at nursing homes and other long-term care facilities. They increased four-fold between May’s end and late October — even as deaths among the vulnerable also doubled, disturbing new data show.

Those are the findings of Rebecca Gorges and Tamara Konetzka, University of Chicago researchers who analyzed federal data at the request of the Associated Press. They focused on 20 states hard hit by the latest pandemic surge.

Konetzka said the data raise major questions about the Trump Administration’s efforts to safeguard the aged, ailing, and injured in institutional care by sheltering them from infections in their surround areas and increasing testing for residents and health workers. But Koentzka, an expert on long-term care, told the AP this about such a plan:

November 17, 2020

Americans urged to redouble infection preventions as pandemic rips nation

by Patrick A. Malone

Although company-reported data on the potency of a prospective coronavirus vaccine provided rare glimmers of hope, the rampaging coronavirus pandemic triggered clangorous coast-to-coast health alarms: Infections are skyrocketing. So, too, are hospitalizations. And, yes, deaths are spiking, as well. Records are falling each day.

Covid-19 is raging unchecked among the American people, with a season of travel and festivities with friends and families bearing down on the country.

Will travelers heading across the country or around the block to Thanksgiving feasts or December religious celebrations also ensure that public health forecasters’ glum models turn into lethal reality? Will the 1,000 daily deaths occurring now double to 2,000 by mid-January and will the U.S. coronavirus death toll hit 440,000 by March?

November 11, 2020

Caregiver staffing a key issue in shielding vulnerable in nursing facilities and in their own homes

by Patrick A. Malone

Nursing homes put their residents at heightened health risks by scrimping on personnel costs and failing to deal with significant staffing shortfalls, especially as the coronavirus inflicted some of its highest death and infection tolls on the elderly, sick, and injured in long-term care, media investigations have found.

The profit-focus by health providers is not unique, and it has put huge burdens on poorly paid, lightly trained, and over worked home health aides. They have toiled to keep the vulnerable out of institutional care, even as the agencies that employ them give them little support.

Here is what the Wall Street Journal reported about long-term care facilities, based on its “analysis of payroll-based daily staffing data released … by the Medicare agency … [for hundreds of] nursing homes that reported to the federal government virus-related deaths in the first half of 2020″:

November 8, 2020

As nation focused on vote tallies, coronavirus cases and deaths kept soaring

by Patrick A. Malone

While Americans have been riveted for days about incremental shifts in election results, other confounding numbers raced ever higher and into worrisome places. Just consider these numbers: 128,000, 9.6 million plus, and 235,000 and more.

“Covid, covid, covid. By the way, on Nov. 4 you won’t hear about it anymore,” President Trump asserted during his closing re-election campaign rallies.

If only. The nation’s coronavirus pandemic is unchecked and showing signs of worsening, bigly, with records shattering on consecutive days for infections diagnosed: 100,000 on Nov. 4, 120,000 on Nov. 5, and 128,000 on Nov. 6.

November 6, 2020

Colorectal screening may need to start at age 45, U.S. panel advises

by Patrick A. Malone

An important federal advisory group has joined with medical specialists in recommending a change in the age at which patients should start screening for colorectal cancer, to age 45 and not the current 50 years old.

Earlier detection of bowel issues could save lives, the U.S. Protective Services Task Force (USPSTF) has decided, with the influential medical group issuing a draft screening guidance and posting it online for public and expert comment.

Clinicians have reported for a while now that they are seeing more cases of colorectal cancers in younger patients, and their treatment might have better outcomes if it could be started earlier, too. As the New York Times reported:

November 5, 2020

As virus burned through nursing homes, inspectors cleared most of infection violations

by Patrick A. Malone

Disturbing new data shows that a much-promoted plan by federal watchdogs to protect vulnerable residents of nursing homes and other long-term care facilities from Covid-19 resulted in dismal outcomes, with inspectors dispatched by the Centers for Medicare and Medicaid services largely dismissing infection-control concerns as the deadly pandemic raged.

“During the first six months of the crisis [inspectors] cleared nearly 8 in 10 nursing homes of any infection-control violations,” even as tens of thousands of facility residents were infected and died from the coronavirus, the Washington Post reported.

The newspaper’s investigation found this:

November 1, 2020

Optimize November: Vote with care, plan holidays, scrutinize health coverage

by Patrick A. Malone

As coronavirus infections rage unchecked from coast-to-coast, Americans may need to redouble the attention they pay to their health and safeguarding it.

To deal in optimal ways with what threatens to be a tough November, we all may wish to:

Vote as safely as possible.

October 28, 2020

Vulnerable, especially in nursing homes, unsafe in covid’s community spread

by Patrick A. Malone

Audiences laugh when Sancho Panza, a sage but servile character in the musical “Man of La Mancha,” observes that “whether the pitcher hits the stone or the stone hits the pitcher, it’s bad for the pitcher.” A paraphrase of that aphorism — regarding community spread of the coronavirus and the elderly, particularly those in nursing homes — might be sadly apt these days.

From Norton, Kansas, to La Crosse, Wis., public health officials and owners and operators of long-term care facilities are watching with dread the predicted Covid-19 surge occurring in communities across the country and surrounding the aged, sick, and injured in institutions.

And while some extreme theorists — including in the White House — argue for a pandemic response that claims the vulnerable can be protected (say, in nursing homes) while the healthy should, doggone it, just get sick with the coronavirus and get it over with, common sense and evidence are laying waste to the risky “let’s let Covid-19 blaze so herd immunity takes effect” theory.

October 25, 2020

‘Turning a corner’ on pandemic? The hard numbers disagree.

by Patrick A. Malone

Numbers can tell a persuasive story, but will even overpowering figures shock Americans into taking the steps needed to deal with the coronavirus cases surging across the country?

By many metrics, it is counter-factual to contend, as President Trump insists, that the nation is “rounding the corner” on the Covid-19 pandemic and “the country is learning to live with it” — as opposed to getting sick and dying from it. Let’s take a look at a bunch of the metrics:

The United States’ new coronavirus case count exceeded 70,000 in a day for the first time since July.