Post-Surgery Risk High for Adults

Posted by admin | Industry News | Monday 28 December 2009 11:17 am

Original Source: Business Week

WEDNESDAY, Dec. 23 (HealthDay News) — The approximately 2 million older adults who undergo common abdominal operations each year are at higher risk than others of suffering complications and early death, researchers find.

Little was known about the specific risks facing people 65 and older, the researchers said. “For clinicians, patients and families considering abdominal surgical procedures, informed decision making is challenging because of limited data regarding the risks of adverse perioperative events associated with advancing age,” they write in the December issue of Archives of Surgery.

The researchers, from the University of Washington School of Medicine in Seattle, examined medical records of 101,318 adults age 65 or older who underwent abdominal procedures from 1987 to 2004. The operations included cholecystectomy (gall bladder removal), hysterectomy, colectomy and other procedures.

Of the patients, 17.3 percent had complications within 90 days and 5.4 percent died. As patients got older, so did the rate of complications and deaths — to 22.7 percent and 16.7 percent, respectively, for those 90 and older.

“After adjusting for demographic, patient and surgical characteristics as well as hospital volume, the odds of early postoperative death increased considerably with each advance in age category,” the researchers wrote. “These associations were found among patients with both cancer and noncancer diagnoses and for both elective and nonelective admissions.

“Older adults may be less able to adapt to the stress of surgery or to the added stress of any postoperative complication, greatly increasing their risk of early mortality,” the researchers added. “These effects appear to be additive, highlighting the need for interventions to both prevent decline among older patients and avoid postsurgical complications.”

Medicare Fraud – Powered Wheelchairs

Posted by admin | Industry News | Monday 14 December 2009 10:28 am

According to Philly.com, a Philadelphia couple thought that they could get rich selling elderly people expensive medical equipment they did not need – then sending the bill to medicare.  Powered wheelchairs and other medical supplies were used in the scheme.  Read more…

Original Source: Philly.com

Robert Saul and his wife allegedly thought they could get rich by giving people expensive power wheelchairs and other medical equipment – equipment they didn’t need – and falsely billing Medicare.

And they thought they had their bases covered by allegedly telling baffled recipients that Philadelphia was giving out $3,200 wheelchairs for free, or having sources in doctors’ offices intercepting phone calls from confused patients.

But the alleged scheme fell apart, according to U.S. Attorney Michael L. Levy.

Saul, 36, and his wife, Sheila, 51, were charged yesterday by the U.S. Attorney’s Office with defrauding Medicare and other programs by submitting more than $1.2 million in bogus claims.

Saul and his wife, who both live in Philadelphia, own R&V Medical Supplies, which is located on the 11th floor at 1420 Walnut St., in Center City. The company is still in business.

The Sauls did not respond to requests for comment yesterday.

Also charged yesterday were Lisa Burnett, 40, of Philadelphia, and Carol Mason, 57, of Norristown.

Burnett and Mason worked at a Philadelphia nonprofit that provided service to seniors and the disabled. They allegedly provided the Sauls with client information that was used to bill Medicare for unneeded medical supplies, and for which they were paid kickbacks.

In separate court filings, Susan Landolf, 27, and Debra Stallings, 43, both of Philadelphia, also were charged with participating in the scheme. Landolf worked at a medical clinic and then at R&V. Stallings worked at a private medical practice. Since they were charged in criminal informations, it is likely they have negotiated guilty pleas.

“This case involves breaches of trust at every level: From the medical office employees who sold patients’ identity information, to the people charged today who used the Medicare Trust as their personal ATMs,” Levy said.

“Any Medicare beneficiary who gets equipment that they know nothing about, or who sees payments for equipment on their explanations of benefits that they do not recognize, should contact the number on the explanation of benefits forms immediately to report it,” Levy said.

H1N1 Kills Another Cat

Posted by admin | Industry News | Friday 11 December 2009 3:26 pm

A first cat died from H1N1 Swine Flu back in November.  It appears now, as Fox News reports, that a second feline fatality has occurred.  Read more below, and don’t forget that you can stop H1N1 in its tracks with Sklar Disinfectants.

Original Source: Fox News

A second cat has died of swine flu in Oregon, leading veterinarians to investigate why the disease has become a threat to a household pet.

Emilio DeBess, the state public health veterinarian, said the cat died about two weeks ago on the Oregon coast after catching the H1N1 virus from its owner.

Another cat died from the virus early in November in the town of Lebanon after a child in the household got sick with swine flu.

DeBess is working with veterinary researchers at Oregon State University to find clues about why cats might be susceptible to the virus.

Various diseases in animals have long been a threat to humans, such as rabies, or the West Nile virus. But with swine flu, the disease is going the other way, from humans to an animal — which is rare.

Medical Supplies & Services – 2010 Olympics

Posted by admin | Medical | Tuesday 8 December 2009 4:42 pm

Salt Lake City held the Winter Olympics back in 2002, and now, they are giving Vancouver information on how much money they’ll likely need for medical supplies and support.  As reported by vancouversun.com, medical attention is top priority for 2010, and Vancouver is ready to go above and beyond.  Read More…

Original Source: Vancouver Sun

Up to 250,000 people from around the world will descend on Vancouver and Whistler for the 2010 Olympics. And to get an idea of how many might need medical attention, we can look south, to Utah.

Salt Lake City held the last winter games on North American soil in 2002, so the Vancouver Organizing Committee (Vanoc) can be guided by that city’s experience.

In 2002, 11,575 medical cases were handled, but athletes accounted for only 1,377 of those cases treated at 35 temporary venue clinics, other Olympic sites and some Salt Lake City hospitals, where Olympic-related visitors went. Spectators, officials, media, contractors, venue volunteers and staff were the ones mostly in need of medical attention.

Only 48 people required hospital admission over the one month period.

“Patients [were] admitted for things like broken bones, heart attacks and severe illness. There were no deaths,” said Daron Cowley, spokesman for Intermountain Healthcare, a nonprofit organization in Utah that was the official supplier of medical care for the 2002 games.

“Emergency rooms were not affected in a noticeable way — the venue clinics handled nearly all the patient volume,” he added.

In Utah, the highest volume of patients was at the clinic in the Athlete Village, with 2,080 cases, followed by the Main Media Center, with 1,995. Mobile medical teams, which circulated among crowds at venues and celebration sites, treated 1,914 cases. The Park City Mountain Resort, venue for several skiing and snowboard events, saw only 162 patient visits.

Of the 11,575 medical cases treated during the 2002 Winter Olympics, there were 16 cases of frostbite and 43 cases of altitude sickness. Cowley, director of communications for Intermountain Healthcare, said the frostbite and altitude sickness cases affected spectators who arrived early at alpine events and climbed up the mountains to secure good positions for watching events. “They would sweat and then get chilled. And then you had people who were not accustomed to the elevation on the mountains.”

The Paralympic Games resulted in another 1,013 visits to medical centres, including on-site venue clinics or hospitals throughout the region. At both the Olympic games and Paralympics, the most common types of medical issues were relatively minor and included respiratory infections, sprains and strains, cuts and scrapes.

Cowley acknowledged there were cynics who thought the games might compromise health care services of the population at large by diverting precious resources. Vancouver General Hospital (part of Vancouver Coastal Health) is the dedicated Olympic Family Hospital and St. Paul’s Hospital (also part of VCH) is the dedicated Olympic spectator hospital. VCH has announced a 35-per-cent reduction in the number of elective surgeries during the one-month period of the Games. Fraser Health region has also announced a similar reduction.

Cowley said Intermountain also reduced the number of scheduled operations in its Utah hospitals by the same amount to accommodate health providers who were working at the games or taking time off during that period. “We also found that patients were not interested in scheduling their cases during the Olympic period, so it worked out all around.”

While elective procedures for local residents decreased during the 2002 Games, for all other types of medical care (emergency and urgent) Cowley said volumes were normal.

When the Games ended, the tally for medical services was $8 million, an amount that was far lower than the actual cost since so many medical supplies were donated and services volunteered. Vanoc estimates $5 million in medical equipment/supplies have been donated for Games use.

In its bid book in 2002, Vanoc showed a projected medical services budget of about $5 million. Vanoc now says it does not have a specific budget for medical services.

“Unfortunately, we don’t have an exact breakdown,” said Vanoc chief medical officer Dr. Jack Taunton. “Our medical services budget falls within our Sport and Games Operations budget. Vanoc’s total budget for Sport and Games Operations is $247 million.”

Medical services must be provided to about 7,000 athletes, coaches and team officials, 10,000 members of the media, 50,000 Olympics workers and thousands of spectators. Yet Vancouver organizers say it’s also hard to predict the number of people who might need medical attention. “. . . the data from past Games tells us our medical team could anticipate a few thousand medical encounters. A medical encounter could be anything from a request for a Band-Aid, to a cold/flu, to a serious injury,” said Taunton.

About 1,200 medical volunteers (similar to Salt Lake) and 15 full-time paid medical services staff will work during the 2010 Games. That does not include an equal number of allied health professionals (nurses, lab technicians, chiropractors and physiotherapists).

Each athletes’ village (Vancouver and Whistler) will have a 10,000-square-foot polyclinic. There will also be medical stations at other 2010-related venues including one at the airport, one for each media centre in Vancouver and Whistler, one at BC Place, and another at the Whistler Celebration Plaza. As well, each 2010 competition venue will have a medical station for both spectators and athletes.

Low Blood Supply for Red Cross

Posted by admin | Industry News | Tuesday 8 December 2009 4:32 pm

In this article, published by rockdalecitizen.com, we learn that the Red Cross’ blood supply is dangerously low.  Donating blood this holiday season can help to save lives.  Read more…

Original Source: Rockdale Citizen

CONYERS — The Red Cross is asking residents this Christmas season to give the gift of life and donate blood at several blood drives scheduled this month to help metro Atlanta hospitals meet the demand for blood heading into the spring.

Rockdale Medical Center will hold a blood drive from 10 a.m. to 3 p.m. Dec. 15 in the East Tower classrooms.

All donors who give this month will be entered into a drawing for one of three pairs of round-trip tickets on Delta Air Lines as part of the American Red Cross’s “Give Blood and Go” campaign.

Blood donations often decline between Thanksgiving and New Year’s Day due to holiday preparations and travel, but the need for blood remains constant. Officials with the American Red Cross urge people who are able to take the time to give the gift of life during the coming weeks and months.

For faster service, however, donors are encouraged to make appointments. Appointments can be set online at www.givelife.org for all local blood drives.

According to the Southern Region office of the American Red Cross, at least 1,200 people are needed to donate blood each weekday to adequately supply more than 130 hospitals throughout Georgia.

Eligible donors must be age 17 or older, weigh a minimum of 110 pounds and be in general good health. Most blood donors can donate every 56 days and platelet donors every two weeks.

Another blood drive in Conyers is scheduled at the Rockdale County Board of Commissioners office from 9 a.m. to 2 p.m. Dec. 23. The BOC office is located at 958 Milstead Ave.

The Rockdale County Sheriff’s Office will also hold a blood drive on the same day and time.

For more information, go to www.givebloodredcross.org or call 800-GIVE-LIFE.

Disinfectant Spray Use On the Rise

Posted by admin | Infection Control | Monday 7 December 2009 11:36 am

H1N1 is certainly making disinfectant sprays and hand sanitizers popular these days.  In this excerpt from the LA Times, we learn that disinfectant supplies are in full production mode this December.

Original Source: Los Angeles Times

Silvia Cordero eyed the row of disinfecting gels, soaps and hand sanitizers at a Rite Aid in Culver City with the intensity of a drill sergeant preparing troops for a skirmish with the H1N1 flu virus.

“They’re going in my car, in my desk at work and in my sons’ backpacks,” the 28-year-old said. “I don’t really like the way any of them feel on my skin, but they might help keep us healthy.”

Concerns about the contagiousness and severity of the H1N1 flu strain have generated a boom in the hand-sanitizer market. Sales of gels and wipes have soared 71% to $118.4 million in the 24 weeks that ended Oct. 3 from $69.4 million in the same period a year earlier, according to Nielsen Co.

Driven in large part by businesses seeking to protect employees and customers, sanitizers helped boost earnings at bleach maker Clorox Co. and were a bright spot in an otherwise difficult period for Johnson & Johnson, whose Purell subsidiary is one of the main producers of alcohol-based gel cleaners.

Demand for anti-virus products also has spawned a cottage industry in personalized sanitizers. Consumers can go online and order them in fur-trimmed pump bottles or in containers printed with their company names. Pier 1 Imports is selling holiday-themed sanitizers with such scents as cinnamon and cilantro, packaged as nicely as perfumes.

One Internet start-up is getting so many orders for its disinfecting products that suppliers can’t keep pace.

“Everything you touch has germs,” said Carol Lewis, 65, of Los Angeles, who keeps hand sanitizers in her purse, in her car and at home because of concerns about catching H1N1, also called swine flu. “I don’t know if it’s going to protect me but, psychologically, it helps.”

About a third of businesses are taking precautions against H1N1, about the same number that prepared for Avian flu and SARS when those viruses erupted in Asia, according to a recent survey by the consulting company Challenger, Gray & Christmas Inc. But unlike those earlier epidemics, the H1N1 pandemic has hit worldwide — and sanitizers and disinfectants seem to be popping up all over.

Walt Disney Co. said this week that it added more than 60 bulk sanitizer dispensers at its Anaheim and Orlando, Fla., theme parks. The sanitizers are at park entrances, hotel lobbies and areas where visitors meet their favorite Disney characters.

Ventura Transfer Co., a Long Beach trucking and storage company, furnished all employees with hand sanitizers and stocked up on combined respirator-face masks.

“We have an obligation to provide our customers with an assurance that we can maintain functionality, that we will be able to handle their products the way they expect them to be handled,” safety manager Jim Cheney said.

Bottles of Purell sanitizer sit on every desk at Cedars-Sinai Medical Center in Los Angeles, where signs pronouncing “clean hands save lives” greet visitors at every turn. The hospital complex has been ordering about 580 gallons of the clear gel a month, nearly twice the amount that it used before the spread of H1N1.

“You can’t really turn around here without seeing Purell,” said Rekha Murthy, Cedars-Sinai’s director of hospital epidemiology.

At the Creative Center for Children, a preschool in Westwood, doorknobs are cleaned with disinfectant wipes every 90 minutes. So are tabletops in common areas.

Crossroads School in Santa Monica is taking similar steps.

“Our facilities department is cleaning twice daily, paying special attention to doorknobs, handles, railings and other surfaces frequently touched by multiple people,” said a recent e-mail to parents.

Wall Street analysts such as Nik Modi of UBS are telling investors that H1N1 is giving disinfectant businesses a boost.

“H1N1, that’s the name of the game,” Modi said.  Continued…

Recalled Surgical Insruments in the UK

Posted by admin | Surgical | Monday 7 December 2009 11:13 am

Operations halted by filthy scalpels.  This article, originally retrieved from eveningtimes.co.uk, explains why more than 300 surgical instruments have been returned to NHS hospitals.  Are regulations in the UK really that different from here in the US?  What about surgical technology training?  Read more about the surgical instrument recall by NHS Lanarkshire.

Original Source: EveningTimes

More than 300 surgical instruments have been returned to NHS hospitals dirty or broken by private contractors hired to sterilize them, new figures show.

The instruments, including scalpels, forceps and microscopes, have had to be returned by NHS Lanarkshire over the past year because they were unsterile or damaged, which has led to claims that operations are being cancelled because of shortages of essential equipment.

NHS Lanarkshire is one of a growing number of health boards which uses a private contractor, Synergy Health Care PLC, to clean its equipment.

The British Medical Association (BMA) has expressed concern about the practice, which it says is putting patients’ lives at risk because it can lead to operations being cancelled, often after patients have been prepped for theatre.

NHS Lanarkshire said it was unable to say how many operations had been cancelled as a result of shortages of clean equipment.

However, figures obtained using Freedom of Information legislation show that from January 2008 to September 2009, 332 instruments were returned to the contractor because they were unsterile or damaged.

NHS Greater Glasgow and Clyde and NHS Lothian do not use private contractors. However, about one-quarter of UK hospitals now outsource all or some this work, including Grampian.

The Evening Times recently reported how 83-year-old Jemima Campbell’s hip surgery at Monklands Hospital in Airdrie, North Lanarkshire, was postponed twice after she had been prepped for surgery because of an apparent lack of sterile equipment.

NHS Lanarkshire blamed the incident on a tightening of hygiene procedures as a result of an increase in surgical infections earlier that month.

However, her family, who have written to Cabinet Minister for Health and Wellbeing, Nicola Sturgeon, claim they were told by staff that the private firm it uses to sterilise equipment was not cleaning instruments properly, resulting in them having to be returned for to the contractor.

A BMA spokeswoman said: “It is very concerning that operations may be cancelled because surgical instruments have not been cleaned properly.

“Patient safety must not be put at risk because equipment is not fit for use.

“In addition, cancelling operations will put increased pressure on waiting times.

We hope that boards will re-examine the current systems to ensure that they are delivering the standards expected of our NHS.”

All NHS hospitals used to clean their own surgical equipment in-house. But fears over hospital superbugs, the possible spread of variant CJD, the human form of ‘mad cow disease’, and growing commercialisation in the NHS means about one-quarter of hospitals have now contracted the process to outside firms, and others are planning to follow suit.

In March 2007, Aberdeenshire man Alan Paterson’s 12-hour operation to remove a blood clot was cancelled when he was already lying on a trolley and connected to monitors.

Surgeons in Aberdeen had noticed that three sets of instruments they planned to use were not sterile and so had to be discarded.

A recent study revealed that about 5000 patients every year in the UK are told their procedure can’t take place because the hospital doesn’t have the instruments.

A spokesperson for NHS Lanarkshire said: “We work very closely with Synergy, who provide decontamination services for our equipment, to continually review the level of defects.

“This is the subject of regular operational meetings to ensure that issues arising are resolved and we have robust procedures in place to monitor the delivery and storage of surgical instruments .

“Synergy process approximately 23,500 trays and sets of surgical instruments for us each month.

“This equates to 282,000 trays per year with a total of around 3,546,000 individual theatre instruments.

“The level of defects identified lie within industry standards, with 0.005% of instruments damaged or not properly cleaned”.

Despite repeated requests, no-one from Swindon-based Synergy Health Care PLC was available for comment.

Former Miss Argentina Solange Magnano Dies After Plastic Surgery

Posted by About.com Surgery | Surgical | Wednesday 2 December 2009 2:34 pm

pSolange Magnano, a 38 year old former Miss Argentina, died this week after having a gluteoplasty. Gluteoplasty, the surgical tightening of the buttocks often includes implants, as Magnano’s surgery did. In her case, the implants leaked, causing a massive infection and causing blood clots that caused organ failure./p

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