No Win No Fee Medical Negligence Claims Specialist –

In some cases, cancer misdiagnosis do not show any noticeable bad impacts on patients health until a long time passed, while certain cancer types such as colonic cancer and breast cancer could be unpredictable and aggressive over time. In view of the seriousness of patients condition, clinical negligence claims can threat the professional career of liable doctors. The modern advances in medical technology along with evolved cancer diagnosing methodology have exceptionally improved diagnosis accuracy many times than before. Thus, the occurrence of cancer related clinical negligence cannot be justified anyway. There is much better equipment and devices available today to rightly gauge the presence of different forms of cancer, still there are the cases of misdiagnosis occurring because of misinterpretation of test reports and visible symptoms.On discovering such mishaps, the victims are left with no option than filing cancer misdiagnosis medical negligence claims against their incompetent and negligent doctors who cause them suffer for nothing. What could be more worrisome that despite having state of the art technology, many people fall victim to such reprehensible malpractices which might prove literally dangerous for patients in question. However, in all those circumstances where patients worse condition is due to mere medical negligence, cancer misdiagnosis clinical negligence claims are the option to help the victims. With the rampant growth of different cancers day by day, every year several thousand people in UK get cancer diagnosis, however, prognosis proves really helpful for many of them in being diagnosed at an earlier stage. Those poor who are misdiagnosed have to resort to medical negligence compensation claims to get out of the trouble they have been caught in. sadly, it might take a longer time to resolve these claims as independent review and assessment of the case is needed. It also needs employing expert oncologists to assist in studying cancer related clinical negligence cases and discovering where a doctor has been at fault in the whole diagnosing process. The expert verification and reports play a vital role in substantiating misdiagnosis claims.

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Leaking kidneys and specialist treatment: Dr Rosemary Leonard answers your medical queries

What are the consequences of not taking this medication? Tue, March 4, 2014 Rampiril helps to reduce the amount of water re-absorbed by the kidneys [GETTY] A Persistent protein in the urine is a sign your kidneys are not functioning as well as they should. This is common in older people and is often termed as Chronic Kidney Disease (CKD). In the early stages it rarely causes symptoms and is often detected by a blood test. Over time CKD can become worse and lead to symptoms such as breathlessness and puffy ankles. Ramipril is one of a group of drugs known as ACE inhibitors. These work by relaxing blood vessels and also helping to reduce the amount of water re-absorbed by the kidneys. They can help slow the progress of kidney disease and I encourage you to take them. They can also help control high blood pressure. Most people dont have any side effects from ACE inhibitors but they can cause a dry, tickly cough so if you find you are constantly trying to clear your throat, see your GP. It is possible for people living in Wales to be treated in England and that decision is made by the local area commissioning group Q My granddaughter, 12, has Ehlers-Danlos syndrome (EDS). We live in Wales and are concerned that the only specialists are in England and private consultations are very expensive. How can we ensure she gets the treatment she needs? A Ehlers-Danlos syndrome is a rare condition where the structural proteins in the skin, blood vessels and ligaments are abnormal. This makes them weak and stretchy, leading to easy bruising and very lax skin.

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The Great Canadian Fart Survey

Gifford Jones May 4, 2003 This week it’s tough getting back to work. I’ve just returned from a cruise around South America’s Cape Horn. Each day I was pampered on Holland America’s ship, the Ryndham. Then a stay in Rio de Janeiro strolling Copacabana’s magnificent beach. One doesn’t forget the bikini-clad Latin ladies! So still in a vacation mood I’ve searched hard and long for a lighter topic for this week’s column. I finally found The Great Canadian Fart Survey. This study will never be nominated for a Nobel Prize. It’s certainly not a topic for a sedate dinner party. But there are some amazing facts suitable for Trivial Pursuit. Besides the problem is universal. Kings, Queens and the rest of us are all affected by it. So what did the report prove. I have to be cautious on this one as I have no intention of offending any province. But the survey revealed that Manitobans experience the most flatus!

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Alternative Medicine Use by Canadian Ambulatory Gastroenterology Patients: Secular Trend or Epidemic?

METHODS: An 80-item questionnaire, addressing symptoms, general health, quality of life, and AM use, was administered and analyzed using logistic regression. RESULTS: 52.5% of 341 participants used AM in the previous year. Most commonly used were herbal medicine (45.2% of users; 95% CI 35.452.5%), chiropractor (40.7%; 95% CI 31.448.0%), and massage therapy (22.9%; 95% CI 15.929.1%). Reasons prompting AM use were ineffective medical therapy (39.5%; 95% CI 30.446.8%), a greater sense of self-control (29.1%; 95% CI 21.235.7%), agreement with personal beliefs (19.5%; 95% CI 13.125.4%), and conventional drug adverse-effects (17.3%; 95% CI 11.222.9%). AM use was predicted as follows: (1) higher education (odds ratio (OR) 2.10; 95% CI 1.223.60), (2) comorbid medical conditions (OR 1.80; 95% CI 1.083.00), 3) poor mental component summary score of the SF-12 health survey (OR 1.04; 95% CI 1.011.07), and (4) higher annual income (OR 1.17; 95% CI 1.0011.36), but was not related to response to conventional medical therapy. AM practitioners had instructed 8.6% to change prescription medications. AM usage for gastrointestinal disease was greater in patients with IBD (44.6%vs 10.0%; p< 0.05), who were more likely to cite adverse drug effects as a reason for AM use (28.9 vs 14.4%; p= 0.03). CONCLUSIONS: AM was used by 52.5% of gastroenterology outpatients and its use was greater in those with a higher level of education, comorbid conditions, poorer mental health-related quality of life, and higher income. Drug-related side effects also led to increased AM use. Main navigation

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Do You Need A Gastroenterologist?

RSS Follow me on: When you first start developing digestive problems, you might see your internist or a general practitioner. If you first experience pain, you might end up in the emergency department of your local hospital. Now, if your symptoms continue, or you are not getting a definitive diagnosis and effective treatment — do you need to see a gastroenterologist ? Internists and general practitioners tend to be a little like gatekeepers (although I’m sure that analogy doesn’t sit well with them). In many cases, they can treat a problem and everyone goes on about their lives. You have some diarrhea or some constipation, they offer some treatment suggestions, and then you see if the problem clears up. In most cases, it will. But there are some situations where it will not, and at that point your doctor may consider referring you to a gastroenterologist. A gastroenterologist is a digestive disease specialist. In the same way that it’s probably better to take your Ford to the Ford dealership than it is to take it to the Toyota dealership, a gastroenterologist might be the best choice when you’ve got persistent, or emergency, digestive problems. Now, nothing against your regular doc, but they aren’t trained in a specialty. You wouldn’t go to your gastroenterologist to fix a broken bone, but you will certainly need one if you have a change in bowel habits or some bleeding . If you’re on the fence, I have some rules of thumb that can help you determine if you should ask for a referral or if you should make an appointment with the gastroenterologist you’ve already been seeing. More about digestive disease specialists:


UVMC welcomes new gastroenterologist to Ukiah

“I have always wanted to return to the Bay Area,” said Dr. Hermens, who continued, “But after living in a small town in the Midwest my opinion has changed about returning to a large metropolitan area. My wife and I have come to find smaller communities more appealing, so when we discovered the need for a gastroenterologist in Ukiah, we thought it would be the perfect fit.” Dr. Hermens has fond memories of his childhood vacationing in Ukiah, “My family and I vacationed here every year growing up,” reflects Dr. Hermens, “I have also brought my kids through the area on several camping trips. When the practice opportunity became available in Ukiah I couldn’t help but feel excited!” As a gastroenterologist, Dr. Hermens specializes in caring for and treating digestive disorders and diseases. Dr. Hermens explains, “I treat intestinal disorders from top to bottom, including the liver, bile ducts, gallbladder and pancreas which are all part of the digestive system and included in the practice of gastroenterology. Diseases of the liver are an especially large part of my practice. Most people know that endoscopic procedures of the upper and lower digestive system are one of the primary means for evaluation and management of digestive diseases. I also rely on esophageal motility testing, esophageal pH testing and capsule endoscopy to assess problems of the esophagus and small bowel respectively. One of the things I like best about gastroenterology is the wide spectrum of problems I am able to diagnose and treat.” Dr. Hermens explains, “Gastroenterology is mostly a consultative specialty. Most patients are referred by their primary care doctors for help with specific GI problems.

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West Orange Gastroenterologist Pleads Guilty to Kickbacks

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The announcement came from U.S. Attorney Paul J. Fishman. Dr. Green, a resident of Basking Ridge, pleaded guilty before U.S. District Judge Claire C. Cecchi to soliciting and receiving more than $14,000 in illegal cash kickbacks for patient referrals in violation of the federal health care anti-kickback statute. Green’s office is located at 61 Main St. in West Orange. Information from the US Attorney’s Office is as follows: “Green was a licensed and board-eligible gastroenterologist who operated his own medical practice in West Orange. From January 2009 through December 2011, Green agreed to take cash payments from Orange Community MRI LLC (Orange MRI) in exchange for MRIs and CAT scans he referred to the diagnostic testing facility. During his guilty plea proceeding, Green admitted to receiving cash on a per-patient basis for approximately three years. Green met with an Orange MRI representative nicknamed Kenny on Oct. 6, 2011, and Nov. 10, 2011, at Greens medical office in West Orange. On each occasion Green received an envelope with more than $800 in cash for referring patients. The anti-kickback charge carries a maximum potential penalty of five years in prison and a maximum $250,000 fine, or twice the gain or loss caused by the offense.

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Ruling In Physician Whistle-blower Case Could Have Far-reaching Consequences

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Ruling in Physician Whistle-Blower Case Could Have Far-Reaching Consequences

by George Lauer, California Healthline Features Editor , California Healthline, Thursday, March 6, 2014

A California Supreme Court ruling last month in a case involving a Modesto physician who filed a lawsuit challenging the termination of his hospital privileges could have significant long-lasting ramifications, according to some observers.

In Fahlen v. Sutter Central Valley Hospitals, the court upheld a physician’s right to file a whistle-blower lawsuit before exhausting the peer-review process. Some experts contend the case could fundamentally alter hospital-physician relationships in California.

Mark Fahlen, a nephrologist, filed suit in March 2011 after Sutter Health rescinded his privileges to care for patients at Memorial Medical Center in Modesto. The suit included a whistle-blower claim under the state Health & Safety Code, alleging the hospital’s actions against Fahlen were in retaliation for his complaints about insubordination and substandard care by hospital nurses.

The hospital sought to have the suit dismissed because Fahlen had not first exhausted the peer-review process of challenging the action.

In a unanimous decision, the state Supreme Court ruled a physician claiming that his or her hospital privileges are restricted or terminated as an act of retaliation for whistle-blowing may file a civil suit without first exhausting the professional-review process.

The case was closely watched by hospital officials and physicians, many of whom believe the decision will have an impact on the peer-review process in California hospitals.

The California Hospital Association and California Medical Association filed briefs on opposite sides of the case.

Milestone Case? Depends Who You Ask

Fahlen is definitely a milestone case,” said Steve Schear, Fahlen’s lead attorney.

“It is the first case since the California Supreme Court’s 1976 decision in Westlake v. Superior Court to allow a California physician to go directly to court to sue for bad faith peer review. Because the courts in California and throughout the nation have been extremely deferential to hospital peer review decisions, hospital peer review has become the preferred mechanism of silencing physician whistleblowers.

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Hot Job: Physician Assistant Denise Harty a key part of patient care


She was very supportive of my decision and was very instrumental in assisting me with some of my studies. She is in the medical field as a medical technologist and her medical background complemented my education in P.A. school, Harty said. Physician assistants rank 39th on the 2012 Hoosier Hot 50 jobs list produced by the Indiana Department of Workforce Development. The list, which ranks jobs based on expected wage and demand in 2020, is compiled using information based on Indianas occupational projections and wage data from the Occupational Employment Statistics survey. The profession is expected to grow by 290 jobs over the next six years. Many state universities and colleges offer physician assistant degrees, such as Butler, Indiana and Indiana State universities. In 2016, the University of Evansville will launch its own program. In Indiana, there are many underserved areas that need medical care and a physician assistant is one solution to this dilemma. We are already seeing an increase in the physician assistant schools in Indiana, Harty said. The Affordable Care Act doubles the projected need for PAs and Indiana is certainly preparing for such a need. Q: How do you expect your profession to change or evolve over the next 10 years? A: The trend I see in the future is a push for more primary care and internal medicine physician assistants to handle the underserved areas and the increased load of patients from our health-care system.

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Thank You Doctor, May I Have Another — Its Second Opinion Time.

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When a second opinion produces a different diagnosis or treatment recommendation, at a minimum it provides you with information and options. It also may identify a misdiagnosis or incomplete diagnosis or produce a better treatment plan. Where there are conflicting opinions or recommendations or if you are not comfortable with the opinions that you have received, you may want to seek the opinion from yet another doctor. Many medical institutions have tumor review boards and panels in which cases are presented to a group of doctors to obtain their input and thoughts regarding diagnosis, further work-up, and treatment. Either way, cancer presents too great a danger to not get a second opinion. Further, with all of the emerging options and the fast pace of developments, you want to take advantage of available options and will be well-served by seeing another set of physicians. In selecting treatment options, consider any discipline bias that may exist. Physicians specializing in stem cell transplants, for example, may be more inclined to recommend a stem cell transplant. Make sure that you have explored your treatment options sufficiently before embarking upon treatment. Most insurance plans cover second opinions , but check with your insurer to make sure it is covered and to ensure that you comply with any requirements and obtain any necessary approvals. Keep in mind that obtaining a second option may not be a one-time event. Many patients have cancer that is a chronic condition. In view of the pace of developments, it is important to review options and obtain consultations periodically to ensure that you have up-to-date information. Even if you are in the hands of a leading physician at a leading institution, you should obtain a second opinion.

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Sa ‘cannot Afford’ The Medical Specialists It Trains

Her presentation showed South Africa had 0.18 specialists per 1000 population, a quarter of the 0.8 per 1,000 average of developing countries surveyed by the World Bank. The shortage of specialists contributed to South Africas poor health status, said Dr Strachan. For example, South Africa had an infant mortality rate of 34 per 1,000, more than double that of Brazil (13.9 per 1000) and Argentina (12.6 per 1,000), two countries that spent a similar percentage of gross domestic product (GDP) on health (8.9% and 8.1 percent respectively). South Africa spends 8.5% of GDP on health. The availability of specialists varied widely across South Africa, and was largely concentrated in Western Cape and Gauteng, she said. Dr Strachan warned that South Africas specialist corps was aging, and too few young doctors were being trained in disciplines such as surgery, obstetrics and ophthalmology. One of the biggest challenges facing the public sector was its inability to retain the doctors it trained, she said that 10 years after graduation, only 20% to 30% of them remained. “It is clear we are losing what we produce to the private sector and overseas,” she said. A recent report to the UKs house of Lords said there were 765 South African specialists working in the UK, out of a total of 39,400. Dr Strachan said South Africa needed a specialist review, and better planning of the training and allocatioan of specialists. “They cant just be left to the forces of the market,” she said.

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Medical specialists look for greener pastures

While the exact numbers are unknown, around 20 nurses and “several” specialists have already quit in the last few months – or are set to leave, the source added. A spokesperson from Dubai Healthcare Authority (DHA) acknowledged the recent staff movements – but declined to call it “brain drain”. “While some doctors have left DHA to join the private sector, we still have highly qualified specialists. Overall, we have a high staff retention rate.” “It’s true that Abu Dhabi hospitals and private clinics offer more attractive packages,” a specialist government doctor in Dubai said. “Otherwise, no one would move out of his or her comfort zone.” An oncologist from a Dubai government hospital who recently moved to Abu Dhabi is the fourth staff to resign in the last few months from the hospital. Specialist doctors get up to Dh80,000 a month in some of Abu Dhabi’s medical institutions. Meanwhile, experienced nurses here are also chasing higher pay abroad or in Abu Dhabi’s government or private hospitals and clinics. “The entry-level salary of an experienced nurse in a government hospital in Dubai is around Dh7,500, which is quite good,” said a senior nurse in Dubai. Government institutions in Abu Dhabi and private hospitals, however, offer a starting pay of Dh12,000. “Leaving it [salary] is not brainy,” a medical ICU nurse for a government hospital said. However, not everyone wants to leave government jobs.

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Access 350 medical specialists from the UAE

“We based our selection on scientific ethics only. These are what we believe are the very best of the best,” said Jerome Droesch, CEO of Axa Gulf. “When a customer is suffering from a severe disease, he or she may want to receive a second opinion on what the best treatment would be. Depending on the condition, our team will then select the specialist that would best be able to provide that opinion, and provide it to the customer,” he explains. As a step further and if the situation so requires, the team also offers assistance to the customers in booking an appointment with the specialists for a face-to-face review of the medical condition. “The experts will provide the necessary advice as per the medical condition and his/ her diagnosis but the further course of action is dependent on the patient as well as the treating doctor,” he adds. Similarly, if the customer is not suffering from a severe disease but is doubtful where to go for the best medical treatment, the team recommends the best local specialist, he explained. The new strategy extends the traditional role of health insurance provider from one handling claims to providing medical consultation. However, its an alleged dubious role as the selection of medical expertise has an influence on the premium the same company charges. Aware of the role change, Droesch explained: “The insurance company must ask itself is it a claims handler or a service provider? “Since our inception, we have always tailored our products and services in line with the requirements of our customers. We have seen a lot of instances in life when people with medical conditions do not know where to turn for help.

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