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> Goldie was born in 1938. In 1995 she had back surgery, got an infection in her back after
> the surgery and has suffered ever since...Tell me what you think about her lawsuit, please...
Then she is 64 now and was 57 in 1995?
> >
> > The situation:
> >
> > 1973-1995
> >
> > Goldie has back problems (complaints) which she treats with
> medicine and chiropractic care.
What kind of back complaints?
What kind of shape was she in? Did she exercise in any program or just daily living?
> >
> >
> > 1986_
> > diagnosed with arthritis of the neck (cervical spine) and has
> spasms in her back muscles (thoracic area of her spine)
> > no neurological deficits.
Most likely due to all the manipluations from the chiropractor (arth in neck)
Spasm are most likely due to a problem of not stretching or in any decent physical activity program.
> >
> >
> > 5/1986- 7/1995
> >
> > No neurological impairment
> > MRI shows degenerative disease (every body has that over the age of
> 35) narrowing of disc.
> >
Narrowing of which disc? All of them, or a particular one?
> >
> > 10/95
> > Pain in the back of both legss radiating up to her buttocks- given
> darvocet and Daypro
Years of walking and carrying herself wrong has led to a piss off sciatic nerve no doubt.
> >
> > 11/95
> > Ct scan done no disc herniation found bulging disc at L- 4-5
What injury or accident did she have between the MRI above and CT scan of 11/95?
Who does the MRI and CT scan if she is now going to a neurologist?
> > 12/95
> > goes to neurologist complains of leg pain for the last month- darvocet and daypro not
> helping the pain both legs weak pain worse with walking when she walks she has to lean forward
welcome to the world of a pinched nerve.
> >
> > 1/96
> > neurologist refers to to orthodepist orthopedist notes tenderness at the sciatic nerve
> > and limited motion
Why would a Neuro refer to an ortho for a spinal problem?
> >
> > Orthopedist wants to do a bone graft fusion with pedicle screws (in
> 1996 FDA says it is ok to use these screws, but in 1998 FDA says those
> screws aren't good for this procedure).
That is not the orthos fault. At the time they were okay to use.
> > and that at the same time the neurosurgeon should do a laminectomy.
Then why not refer back to nuero?
> >
> >
> > 1/18/96
> > Ortho's physician ass't conducts a pre-operative exam.
> > no neurological problems found
So she was not symtomatic or what?
> >
> >
> > 2/13/96 surgery performed by orthopedist (fusion using screws) and
> > neurosurgeon (laminectomy)
If there was no nuerological problems, why do surgery?
Meanwhile what kind of therapy was this woman given?
> >
> > interoperative x-ray indicates on of the screws is slightly
> malpositioned. Records do not indicate whether orthopedist noted this or knew this.
> > In orthopedist's deposition he acknowledges that the screw was slightly
> > malpositioned but it is not a big deal.
Nothing in this world is perfect.
> >
> > 2/15/96
> > orthopedist's physican ass't notes that Goldie stated that her back
> feels like jello.
> >
> >
> > 2/14- 2/15
> > Given antibiotic therapy (Kefeol) after surgery...
> >
> > 2/16
> > physician's ass't notes drainage at the incision
Why is there a 2 day wait on looking further into the drainage?
Oh, never mind, there was a weeks wait looking into mine.........never mind
> >
> >
> > 2/18
> > drainage- no culture taken given Cephalexin antibiotic 500 mg by mouth
> >
> > 2/19 scheduled for discharge cancelled discharge due to drainage
> > orthodpedic doctor didn't see her for these 5 days- his physician's
> ass't saw her
What was she doing for 5 days? PT, up and moving? Not able to? What kind of narcotics did they give her?
> >
> > 5/20
> > orthopedist sees her in the hospital- notices pus on hardware sees
> some dead muscle.. does a culture
> >
> > they find E-coli and bacteroides fragilis..
> > urine shows a systemic infection.
> > E-coli comes from fecal material.
Welcome to a stay in the hospital. Been in one time that I have NOT gotten an infection.
> >
> > Well she is a mess. she needed 13 other surgeries
What 13 other surgeries? Please let me know dates and reasons.
> > says she can't do her housework anymore- can't take care of the
> grand kids etc.
Could she do that before the surgery?
> >
> > She is on Methodone for pain now and Zoloft for depression.
Welcome to long tern pain care.
> >
> >
> > Ok who do you agree with or disagree with:
> >
> > Starting with the defense:
> > surgery was necessary
There is no way to prove it wasn't.
> >
> > plaintiff's experts say:
> > laminectomy ok but fusion was too radical
Don't have the test results to see or an understanding of the chief and ongoing complaints to make that call.
Did she agree to the surgery and what were the reasons stated by the surgeon for doing this and not refering back to nuero for laminectomy?
> >
> > What do you think?
> >
> >
> >
> > Plaintiff says the malpositioning of the screw was malpractice
> > defense says it was malpositioned a centimeter and that didn't
> cause
> > infection.. It was the infection that was her problem..
> >
> > What do you think?
Same thing I was told . It is a back problema dn as many DR that they get to say it was wrong, they will get to say it is right.
I had a paper of the doctors dictated by him saying he tore the root sleeve in the surgery, admitted it, and I was told there was still no case. So I do not see how she would have one based on this info.
> >
> >
> > Plaintiff says:
> > some thing was not sterile, never should get an E coli infection and
> > they should've caught the infection sooner.
She got fecal matter in her wound which is in the area of the incision. Maybe blaming the nurses for poor hygeneie is a better suit?
> >
> > Defense says:
> > post surgical infection is a known complication of any surgery. was
> > treated with antibiotics and they were watching it and did not
> discharge her early.. as a matter of fact they saved her life.
> >
> > What do you think?
> >
> > thanks in advance.. I need your logical minds here...
I am sorry if I sould callous Amy. I just do not know if there is a claim here. I also do not know the extent of her limitations now. Heck, I am still pretty darn active for a para and my body is falling apart slowly at 45. She was 57 when she started this and 64 now, I am not sure what she wants.
LT
> > Amy
>
>
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