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A 35 year old Chicago man was killed and 4 others were seriously injured early Sunday morning in a car accident in Chicago’s Little Village neighborhood. The 5 vehicle crash occured at 3:30 am at the intersection of 31st Street and California.

One of the vehicles involved in the crash fled the scene and its occupants are wanted for questioning by the Chicago Police. The crash is currently under investigation by the Major Accident Investigation Unit of the CPD.

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The Chicago Tribune is reporting that Dr. Nicholas Caro is facing disciplinary charges from The Illinois Department of Professional Regulation after being sued for medical malpractice 50 times in Cook County.

In the complaint against Dr. Nicholas Caro, the Illinois Department of Professional Regulation claims Caro failed to properly diagnose a patient’s keratoconus, a pre-existing eye condition that should have ruled him out as a candidate for Lasik surgery. Caro has yet to respond to the allegations. The agency is asking that Caro’s license be suspended or revoked because of his conduct.

The IDPR has been criticized for not aggresively prosecuting physicians who repeatedly subject their patients to risky and harmful medical care and treatment. The IDPR is the Illinois state agency empowered to discipline a doctor’s license in the case of misconduct.

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The second federal lawsuit against the Marion, Illinois Veteran’s Hospital has settled in the wake of substandard care at the hospital which resulted in the Hospital suspending surgical procedures for the past two years. Surgeries at the hospital were halted after the Veteran’s Administration found that patients had died at the facility due to substandard care and treatment. The terms of the settlement are undisclosed.

The VA has been critical of the marion facility, finding its prior administration to be dysfunctional and inefficient. The Veteran’s Administration has been under harsh criticism for the operation of its hospitals which has been highlighted by the wars in Iraq and Afghanistan.

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A study prepared by the Chicago Reporter shows that black Chicago area nursing home residents receive the worst quality care in the country. There is just one nursing home in the Chicago area rated excellent by the federal government where the majority of the patients are black. These homes have more federal violations, medical malpractice and personal injury claims against them then majority white nursing homes.

The Reporter analyzed records from over 15,000 nursing homes nationwide in order to determine whether disparities exist in the quality of care based on a variety of factors, including race. The Reporter found that the worst rating was given to 57% of Chicago area nursing homes where the patient population was majority black.

Nursing homes have to comply with a variety of state and federal regulations that govern the quality of care required of their patients. There is a particular need to regulate nursing homes as they are usually operated as a for profit business and the patients are typically infirm and/or elderly. In 1987 the federal government passed The Omnibus Budget Reconcilliation Act which outlined the rights of nursing home patients, including the right to be properly evaluated at the time of admission and regularly thereafter as well as the right to have a doctor care for them.

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In the July issue of The Journal Of Obstetrics And Gynecology the American College of Obstetrics & Gynecology (“ACOG”) is rolling out its revised practice guideline for Fetal Heart Monitoring. According to the New York Times, the college hopes the new guidelines will do away with inconsistent interpretations and cause a reduction in the rate of caesarean sections, which is as high as 40% in cities like Chicago, New York and Philadelphia.

More then 85% of the more than four million babies born in the United States are subjected to continuous fetal heart monitoring. The force behind the revised ACOG guidelines, Dr. George Macones, a Washington University OB/GYN, believes that continuous fetal heart monitoring became the standard of care before studies could be done to show that the benefits of monitoring outweigh the risk of caesarian section. The college believes that fetal heart monitoring has caused a rise in caesarian section and forcep deliveries, is used by lawyers to bolster meritless malpractice claims and has not reduced the incidence of Cerebral Palsy and/or fetal death.

http://www.youtube.com/watch?v=1PwGRDnXwow

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Darlene McCue of Bristol, Illinois, a Chicago suburb, was killed on Sunday when her bicycle was hit by a Yorkville man who was driving a pickup truck. Her daughter, age 25, was also injured in the accident and remains in fair condition at Rush-Copley Hospital. The pickup truck was driving east on Kennedy Road when it struck the two cyclists who were travelling in the same direction.

Police cited the truck driver for improper lane usage. Early investigations do not show any sign of alcohol or drug involvement. Bicycle accidents and injuries are often tragic. Following basic safety guidelines will help to prevent a bicycle tragedy.

Here are some tips to help you remain safe when riding your bicycle:

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What does reforming medical malpractice have to do with the current health care reform debate that is a hot topic in Washington and here in Illinois? Not much, at least according to one ranking United States Senator.

“I honestly really don’t see this as a health care issue,” said Sen. Sheldon Whitehouse (D-R.I.). The Senator, a former Rhode Island attorney general, argues that medical malpractice is more of an “intruder” into the debate to protect insurance companies, hospitals and doctors from being accountable for their mistakes.

There is very little objective evidence that malpractice reforms, like capping damages awards, have any impact on health care costs. California, which has had caps on medical malpractice awards for more then thirty years, has not seen health care costs reduced over that time period. The argument that doctors are practicing defensive medicine by ordering expensive tests to protect themselves from litigation is equally unpersuasive. Susan Steinman, the American Association for Justice’s director of policy, argued that hospitals and doctors seek additional tests to make more money, not because of the fear of lawsuits. Defensive medicine is not nearly the issue that doctors make it out to be and is more of a red herring to distract from real problems with the health care system, she said.

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A Chicago man was critically injured and another chicago man was killed when they were sucked under a Metra Train on Chicago’s Southside yesterday. The accident occured yesterday in an area between the Metra tracks near the 7500 block of south exchange avenue in the city’s South Shore neighborhood.

The electric train was travelling at 8 miles per hour, according to a spokesman for Metra, when the men were sucked under the train and dragged along the tracks.

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The Chicago Tribune is reporting that Juan Johnson, a Chicago resident, was awarded $21 million dollars by a jury in a wrongful conviction lawsuit. Johnson was framed for a 1989 murder and spent eleven and a half years in prison before he was finally cleared of the crime in 2004. The award is the largest ever in Chicago for a wrongful conviction case.

The defendants in the case, The City Of Chicago and former police officer Reynaldo Guevara were alleged to have intimidated witnesses into testifying that Johnson killed a rival gang member outside a nightclub on North and Western Avenues on the northside of Chicago. The former officer allegedly told witnesses that if they didn’t blame Johnson for the murder then they themselves might be implicated.

http://www.youtube.com/watch?v=8wYaOsCVRCI

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How do we cap medical malpractice without capping medical malpractice awards for those patients who are injured by the negligence of doctors. Everyone agrees that the health care system in the United States is in need of a drastic overhaul. The key is accomplishing an overhaul without further abridging the rights of the needy.

Andy Hoffman in Friday’s Daily Kos Online wrote an excellent editorial suggesting a novel, yet thusfar, unexplored solution to reducing the cost of medical malpractice claims on society. Weed out the worst offenders, those doctors who repeatedly victimize their patients and have no business practicing medicine.

Focusing on medical malpractice caps will do nothing to reduce health care costs. California, as Hoffman notes, has had caps on medical malpractice awards for the past 34 years. The caps in california are drastic, $250,000 limits on malpractice awards, and have had literally no effect on the cost of malpractice insurance or the price of health care in that state. Why not focus on the cause of medical malpractice cases and the conduct of those bad doctors who are driving up prices for everyone else, rather then the victims? Sounds reasonable to us.

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