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The Reporter Volume 2 2011

March 22, 2011

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TMB rules you may not know but should, part 1; CRNAs and the anesthesia care team model (CME);
Failure to diagnose pneumonia; Failure to conduct pre-operative evaluation

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The Reporter Volume 3 2011

TMB rules you may not know but should; Proceed with caution: treating family, friends, and staff; Failure t...

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Reporter 2010 Orthopedics

Improper performance; Gadolinium, renal failure, and NSF: a potentially dangerous combination

VIDEO: Failure to Insist on EMS Transport

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Performing an MRI when contraindicated; Guidelines for the release of medical records

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Improper performance of carpal tunnel surgery

A 56-year-old man with a history of fibromyalgia and depression went to his his primary care physician due to sensory changes in his upper arms. The patient was referred to an orthopedic surgeon.

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Reporter Quarter 2 2019

From difficult to dangerous: How to handle disruptive patients; How to address ethical misconduct by a colleague or staff member; Improper performance of breast biopsy; Improper prescribing

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Reporter 2019 Dermatology

Failure to respond to complications in a timely manner; Guidelines for the release of medical records

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Case Study: Failure to supervise aesthetician

A 33-year-old woman sought laser hair removal at a plastic surgeon’s medical spa, located next to his medical office.

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Reporter 2018 Orthopedics

Improper performance of left carpal tunnel surgery; Law requires Texas physicians to query PMP before prescribing opioids and other drugs

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Failure to obtain consent for esophageal dilation

On May 6, a 79-year-old man came to a gastroenterologist for an evaluation of iron deficiency anemia.

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Failure to monitor thiamine levels

A 50-year-old woman consulted with a bariatric surgeon for weight reduction surgery. The patient was 5’ 4” and weighed 265 pounds.

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Reporter Quarter 3 2018

CME - Human Trafficking; Communicating with millennials; Wernicke's encephalopathy: Failure to monitor thiamine levels; Failure to obtain consent for esophageal dilation; TMLT Board Election 2019

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Failure to diagnose cornual pregnancy

A 33-year-old woman came to the emergency department (ED) complaining of bilateral abdominal pain, back pain, and shortness of breath.

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Failure to insist on EMS transport

At 8:30 a.m., a patient’s wife called her husband’s family physician and requested an appointment because her husband was experiencing chest pain that began the previous evening.

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Failure to diagnose rhabdomyolysis

At 3:20 p.m., a 3-year-old girl was brought to the emergency department (ED) with complaints of fever, lethargy, sore throat, severe leg pain bilaterally with decreased sensation, and absent reflexes.

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Failure to monitor patient’s postoperative INR

A 54-year-old woman came to an orthopedic surgeon with complaints of chronic bilateral hip pain lasting for 30 years.

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Failure to properly supervise

A 28-year-old woman came to an orthopedic clinic with right hip pain lasting for two weeks. Orthopedist A’s physician’s assistant (PA) examined the patient and obtained x-rays.

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Failure to evaluate patient

A 72-year-old man was evaluated by Ophthalmologist A on several occasions. The patient had cataracts, with best corrected visual acuity of 20/25 in the right eye and 20/40 in the left eye.

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Negligence in placing incorrect lens

A 59-year-old man came to his ophthalmologist complaining of ongoing visual problems. He had a long, complicated history that included uveitis, inflammation, and glaucoma.

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Improper performance — cataract surgery

A 63-year-old man came to Ophthalmologist A complaining of visual changes to both eyes. He had a history of bilateral cataracts.

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Failure to properly perform surgery

A 45-year-old woman came to her ob-gyn for complaints of heavy bleeding and pelvic pain. The patient’s history included pelvic inflammatory disease, a bilateral tubal ligation, and myomectomy.

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Failure to discontinue medication

A 34-year-old woman came to an ob-gyn for prenatal care on May 25. This was the patient’s fifth pregnancy.

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Failure to diagnose breast cancer

A 49-year-old African-American woman came to an internal medicine physician in August 2001. She continued to see this physician and his physician’s assistant for several years.

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