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PRESORTED
                                                                                                                                                FIRST CLASS MAIL                                                                                                                                                                                               FALL 2010
                                                                                                                                                  U.S. POSTAGE
                                                                                                                                                       PAID
                                                                                                                                                  BENSALEM, PA




                                                                                                                                                                                      Anapol
                                                                                                                                                   PERMIT #118
1710 SPRUCE STREET
PHILADELPHIA, PA 19103




IN THE COMMUNITY
                                                                                                                                                                                    FIRM NEWS
                                                                                                                                                                                                                          Advocate
NEARLY 1,000 CONSUMERS VOTE TO SELECT FIRST ANAPOL ADVOCATE
                                                                                                                                                                                    We are pleased to announce                                           COURTSIDE
This past spring, The Anapol Schwartz Foundation            FOR AMPUTEES, ANAPOL SCHWARTZ PICKS                        FOUNDATION SPONSORS DEATH                                    our merger with Coben &                                              Anapol Schwartz works tirelessly to ensure that drug manufacturers are held accountable
(ASF) named burn survivor Dennis Gleason, a                 UP WHERE INSURANCE LEAVES OFF -                            NOTIFICATION CLASS - The ASF recently                        Associates, and welcome                                              for their defective products, and we’ve earned a national reputation for handling complex,
certified professional estimator (CPE) and former           After winning a case on behalf of an amputee,              provided Mothers Against Drunk Driving (MADD)                Larry Coben as shareholder                                           high-profile pharmaceutical liability cases. In the past several months, we’ve been actively
safety trainer with PECO, as its first Anapol Advocate      The ASF donated $50,000 to Magee Rehabilitation            with the funding to host a death notification class.         to complement our extensive                                          pursuing claims surrounding the HPV vaccine Gardasil, and prescription drugs Fosamax,
Award winner. Established by The ASF in winter              Hospital, the area’s leading rehabilitation hospital for   Nearly 80 people -- police officers, first responders,       personal injury practice and                                         Yaz/Yasmin and Zocor, as well as medical devices such as DePuy Orthopaedics’ defective
2010, the Anapol Advocate Award recognizes                  individuals who have suffered traumatic, life-changing     and other personnel responsible for delivering               our well-established mass                                            ASR Acetabular Hip System which was recently recalled.
inspiring individuals who have helped victims affected      injuries, such as brain or spinal cord injuries, strokes   devastating news that a loved one has died --                tort practice.
by disabling injuries lead better and more productive       or amputations.                                            attended the seminar, which provided training on
                                                                                                                                                                                                                                                         Some of our recent sucesses:
lives. This inaugural award focused on the burn care                                                                   how to share such news in the most compassionate             Coben is nationally known for
                                                                                                                                                                                                                                                                             • James Ronca achieved $19.9 million in collective settlements for consumers
community, and nearly 1,000 people voted online to          Anapol Schwartz made the gift to establish a fund that     manner possible. Funds from the gift came from a             handling brain and spinal cord
select the winner from among three semi-finalists.          will pick up where amputees’ insurance leaves off,         recent dram shop case settled by the firm.                                                                                                            who had been given Trasylol, Bayer AG’s blood-clotting drug, during coronary
                                                                                                                                                                                    injury cases, with a special
                                                            aiding them in obtaining necessary items and training                                                                   emphasis on helmet failure and crashworthiness, including                                artery bypass graft procedures. The drug is known to cause kidney failure and
As part of the award, The ASF made a $5,000 gift to         – such as wheelchairs, home modifications, and             Since its inception in 2008, The ASF has granted             seat belt and seat back failures, as well as air bag deployment                          increase mortality risk.
a nonprofit of the winner’s choice that served the local    driving lessons – that often present a financial burden.   more than $180,000 to local 501(c)(3) public                 failure, ejection and sudden acceleration.
burn community. Gleason selected the burn unit at           The fund will also help provide smaller quality-of-        charities. As we win cases on behalf of clients and
                                                                                                                                                                                                                                                                             • Ronca also obtained a $7.6 million settlement for a 21-year-old man involved
Crozer-Chester Medical Center, where he was treated         life items, such as prosthetic cleaning products and       their families, we will continue to contribute to The        The recipient of the American Association for Justice’s 2010
                                                                                                                                                                                                                                                                             in a zip line accident when a frayed rope snapped, causing him to fall and
after suffering second and third degree burns over 20       diabetic socks and shoes.                                  ASF and to critical community programs. Visit                Consumer Advocacy award, Coben has obtained numerous
percent of his body. The burn unit plans to use the gift                                                               www.anapolschwartzfoundation.org to learn more.              seven- and eight-figure verdicts and settlements nationwide,                             rendering him a paraplegic.
to purchase a special crib for pediatric burn patients.                                                                                                                             including a $26 million verdict for a woman rendered a
                                                                                                                                                                                    quadriplegic in a motor vehicle accident involving a seat failure,                       • Lawrence Cohan and Melissa Hague served as co-lead counsel for more than

FIRM NEWS                                                                                 CONTACT INFO
                                                                                                                                                                                    and a $12 million verdict for a high school football player who
                                                                                                                                                                                    became a quadriplegic due to the defective design of
                                                                                                                                                                                                                                                                             900 plaintiffs in the human tissue national multi-district litigation which recently
continued from page 1                                                                                                                                                                                                                                                        settled in Federal Court in Newark, N.J. Cohan and Hague are continuing to
                                                                                                                                                                                    his helmet.
                                                                                                                                                                                                                                                                             litigate the claims of the donor families, whose loved ones’ body parts were
Honors                                                                                      ANAPOL, SCHWARTZ, WEISS, COHAN, FELDMAN & SMALLEY, P.C.
                                                                                                                                                                                    He also achieved a $10.2 million verdict against Volkswagen                              harvested without their consent.
Eight shareholders were named 2010 PENNSYLVANIA SUPER LAWYERS®:                                          www.AnapolSchwartz.com
James Ronca*, Sol Weiss*, Bernard Smalley*, Alan Schwartz, Mark LeWinter,                                                                                                           on behalf of a Bucks County high school student who was                                                                                                          continued, page 4
                                                                                                           Reach us at 866.735.2792 and find us in:
Lawrence Cohan, Joel Feldman and Thomas Anapol.                                                                                                                                     injured as a result of her car’s defectively designed rear seat
*Ronca, Weiss, and Smalley were also named among the top 100 lawyers in Pennsylvania
                                                                                               PHILADELPHIA             MEDIA                      HARRISBURG                       system, and a $30 million verdict in Gloucester County for a
and Philadelphia.
                                                                                             1710 Spruce Street   230 North Monroe Street          252 Boas Street                  man rendered a quadriplegic due to a faulty airbag design. He
                                                                                                                                                                                                                                                         U.S. News & World Report ranked Anapol Schwartz
                                                                                           Philadelphia, PA 19103   Media, PA 19063              Harrisburg, PA 17102               is the author of “Crashworthiness Litigation,” a guide providing
Three attorneys were named 2010 PENNSYLVANIA RISING STARS®:
Tracy Finken, Gregory Spizer, Jeffrey Downs and Michael Schafle.                                READING                   WHEELING                 SCOTTSDALE
                                                                                                                                                                                    tactics for prosecuting such cases.                                  among the best law firms in the Mass Tort Litigation/
                                                                                            146 North 6th Street         89 12th Street         8700 East Bonita Drive
                                                                                            Reading, PA 19601          Wheeling, WV 26003       Scottsdale, AZ 85255
                                                                                                                                                                                    Two associates joining from Coben’s previous firm will practice      Class Actions-Plaintiffs category. The ranking was
Associate Amber Racine recently received the President’s Award from the Barristers’                                                                                                 out of Anapol Schwartz’s new office in Scottsdale, Ariz.
Association of Philadelphia for her extraordinary service to the organization.                                         CHERRY HILL                                                                                                                       based on results from an industry survey.
                                                                                                             1040 Kings Highway North, Suite 304                                    Also Joining Us:                                                     For more details on the survey methodology, visit
                                                                                                                    Cherry Hill, NJ 08034                                           Anita Pitock and Shayna Slater as associates.                        h t t p : / / b e s t l a w f i r m s . u s n e w s . c o m / m e t h o d o l o g y. aspx




www.AnapolSchwartz.com                                                                                                             ANAPOL ADVOCATE FALL 2010                    4        www.AnapolSchwartz.com                                                                                                                                                     1
ADDRESSING GRIEF                                                                                        MEDICAL WOES
                                Supporting Those                                          Sleep Apnea and Orthopedic Surgery:
                                Who Have Suffered                                         A Dangerous Mix
                                                                                          by Anita Pitock
                                Tragic Losses
                                by Joel Feldman
                                                                                          As common as adult diabetes, yet not as
                                                                                          frequently diagnosed, sleep apnea is a disorder
                                Following my 21-year-old daughter Casey’s death
                                                                                          in which pauses in breathing or shallow breaths
                                last July, I realized how difficult many people found
                                                                                          occur during sleep. These pauses can last from
                                it to offer comfort to me and my family. I believe that
                                                                                          a few seconds to minutes and often occur five to
                                most people care and want to be helpful, but simply
                                                                                          30 times or more in an hour. Typically, normal
                                do not know what to do or say. Drawing on my own
                                                                                          breathing will start up again, sometimes with a
                                experience, I’d like to offer some suggestions:
                                                                                          loud snort or choking sound.

THERE ARE NO MAGIC WORDS: Most likely, you will not be able to say
                                                                                          The most common type of sleep apnea is obstructive sleep apnea, in which an
anything that will “cure” those who are suffering, so don’t try. It is enough to say
                                                                                          individual’s airway has collapsed or is blocked. Most people who have sleep
that you care, you are thinking of them and you are sorry. Being present – as the
                                                                                          apnea don’t know it, since it only occurs during sleep. In fact, a family member
term is used in counseling – is comforting to those who are grieving: This simply
means that you are there for them, not for yourself; that you are prepared to
                                                                                          may first notice the signs.                                                                                                      MEDICAL WOES
listen if they want to talk, but will also stay with them if they are silent; and that
you can sit in silence without feeling the need to fill it with whatever pops into
                                                                                          While sleep apnea can strike anyone at any age – even children – being                                                          We Regret to Inform You . . .
                                                                                          male, over age 40 and overweight are the biggest risk factors. Case in point,                                                   by Stephen Pokiniewski, Jr.
your head.
                                                                                          according to the National Institutes of Health, of the 12 million Americans with
                                                                                          sleep apnea, more than half are overweight. If you fall into one of these at-risk                                               In 2002, the Pennsylvania Legislature created the Pennsylvania Patient Safety Authority (PSA) to reduce or eliminate
YOU ARE NOT INTRUDING: Social support, the compassionate efforts of others
                                                                                          categories, talk with your family about these warning signs.                                                                    medical errors by identifying problems and recommending solutions to promote patient safety. As part of its mandate, the
to be with and help a person who has suffered a loss, is one of the best predictors of
                                                                                                                                                                                                                          PSA developed a system for reporting “serious events” (involving the clinical care of a patient in a medical facility that
successful resolution of grief. Those who have support get through the process more       ARE YOU:
                                                                                                                                                                                                                          results in death or compromises patient safety and results in an unanticipated injury requiring the delivery of additional
quickly. I felt that people who stated they did not want to intrude on my grief were      • a loud and/or regular snorer?
                                                                                                                                                                                                                          healthcare services), as well as “incidents” (involving poor patient care, but not resulting in a patient injury).
just too uncomfortable to try to offer comfort. Avoiding those who are grieving adds      • often fatigued during the day?
another injury – the feeling of being different and isolated.
                                                                                          DO YOU:                                                                                      Healthcare facilities are required to notify patients or their families in writing with an adverse event letter when a serious event occurs. The most recent
                                                                                          • have frequent pauses in your breathing while sleeping?                                     annual report issued by PSA in 2008 indicated that there were 8,795 serious events reported and approximately 211,079 incidents. The number of
RESPECT FEELINGS AND PROGRESS: If you care for someone who is
                                                                                          • wake up with a headache?                                                                   serious events was up three percent from 2007. Starting in 2008, patients who developed a hospital-acquired infection also received an adverse
grieving, you will respect how he is feeling at any given moment and allow him
                                                                                                                                                                                       event letter.
to grieve at his own pace. Respect is not giving unasked for advice, especially           • fall asleep while driving, sitting, reading or watching TV?
if it’s about how long he has grieved or where he is in the process (even if you          • often have problems with your memory or concentration?
                                                                                                                                                                                       With the creation of the PSA and its requirements of notification, Anapol Schwartz has been consulted by a number of clients who have received adverse
think he is doing well).
                                                                                          Sleep apnea also presents a danger for patients during surgery, including                    event letters from healthcare facilities. Two recent case examples include a wrong-sided surgery and a facility that failed to notify the patient of the results of
                                                                                          orthopedic surgery. Patients commonly have more complications, such as                       diagnostic testing, causing a delay in diagnosis. In both cases, the patients ultimately died due to the adverse event.
THERE IS NO TIME LIMIT ON GRIEF: Let those who are grieving know you
care – not just in the days and weeks after the loss, but in the months and years         substantial respiratory and cardiac problems, including irregular heartbeats,
                                                                                          lack of blood flow to the heart, and/or problems with breathing. The majority of             Since 2004, Pennsylvania law has mandated written notification of serious events; however, the law does not require the facility to disclose any other
that follow. As the first anniversary of my daughter’s death approached, I was
                                                                                          complications occur in the first 72 hours.                                                   information. It is our experience that often the notification letter is intentionally vague and does not clearly describe what took place in connection to the
touched by the cards that I received. They let me know that Casey would not be
                                                                                                                                                                                       patient’s injury. Typically, this is done so that the hospital puts as little information in writing as to what specifically happened.
forgotten, that my grief was not forgotten and that people still cared and thought
of my loss. It is never too late to send a card or tell a story about the deceased.       Many obese patients who present to an orthopedic physician actually have
                                                                                          undiagnosed sleep apnea. It is critical that these patients are appropriately                Receiving an adverse event letter is a very serious matter, as healthcare facilities only issue such a letter because they are required to under state law. The
Those of us who have lost a loved one want desperately to believe that person
                                                                                          recognized and evaluated prior to surgery in order to minimize any potential                 letter is not a legal admission of liability, but an acknowledgment by the healthcare facility of an injury (usually significant) to a patient. If you do receive
will not be forgotten.
                                                                                          complications related to sleep apnea both during and after surgery.                          such a letter, here’s what to do:
Managing Partner Joel Feldman concentrates his practice in personal injury
                                                                                          If you have obstructive sleep apnea or are at risk for it and are scheduled for orthopedic   • Discuss with the hospital staff and your physicians what specifically occurred and how the resulting injury or injuries were or will be treated; and,
actions, as well as securities litigation and stockbroker claims. He is also
                                                                                          surgery, you should talk with your physician. Ask the following questions:                   • Consult with your attorney as soon as possible since there is only a two-year statute of limitations after the letter has been received.
pursuing a master’s degree in counseling at Villanova University. Contact him at
jfeldman@anapolschwartz.com. Learn more about his daughter Casey at
                                                                                          •   What precautions will be taken to monitor me after surgery?                              For more information about adverse events and how to take action, visit www.anapolschwartz.com/adverseletters.
CaseyFeldman.com.
                                                                                          •   Is same-day surgery appropriate for me?
                                                                                          •   Will my breathing be monitored post-operatively, and for how long?                       Stephen Pokiniewski, Jr. is a partner at Anapol Schwartz. He concentrates his practice in medical malpractice and personal injury matters, specializing in
                                                                                          •   How will sleep apnea affect my recovery period?                                          managed care cases. Contact him at spokiniewski@anapolschwartz.com.

                                                                                          Remember that when it comes to your health, you are your own best advocate!

                                                                                          Anita Pitock is a registered nurse and an associate at Anapol Schwartz.
                                                                                          She concentrates her practice in medical malpractice-wrongful death,
                                                                                          pharmaceutical liability-dangerous drugs, and major personal injury matters.
                                                                                          Contact her at apitock@anapolschwartz.com.



www.AnapolSchwartz.com                                                                                                                 ANAPOL ADVOCATE FALL 2010                   2   www.AnapolSchwartz.com                                                                                                        ANAPOL ADVOCATE FALL 20103

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Anapol Advocate Newsletter Fall 2020

  • 1. PRESORTED FIRST CLASS MAIL FALL 2010 U.S. POSTAGE PAID BENSALEM, PA Anapol PERMIT #118 1710 SPRUCE STREET PHILADELPHIA, PA 19103 IN THE COMMUNITY FIRM NEWS Advocate NEARLY 1,000 CONSUMERS VOTE TO SELECT FIRST ANAPOL ADVOCATE We are pleased to announce COURTSIDE This past spring, The Anapol Schwartz Foundation FOR AMPUTEES, ANAPOL SCHWARTZ PICKS FOUNDATION SPONSORS DEATH our merger with Coben & Anapol Schwartz works tirelessly to ensure that drug manufacturers are held accountable (ASF) named burn survivor Dennis Gleason, a UP WHERE INSURANCE LEAVES OFF - NOTIFICATION CLASS - The ASF recently Associates, and welcome for their defective products, and we’ve earned a national reputation for handling complex, certified professional estimator (CPE) and former After winning a case on behalf of an amputee, provided Mothers Against Drunk Driving (MADD) Larry Coben as shareholder high-profile pharmaceutical liability cases. In the past several months, we’ve been actively safety trainer with PECO, as its first Anapol Advocate The ASF donated $50,000 to Magee Rehabilitation with the funding to host a death notification class. to complement our extensive pursuing claims surrounding the HPV vaccine Gardasil, and prescription drugs Fosamax, Award winner. Established by The ASF in winter Hospital, the area’s leading rehabilitation hospital for Nearly 80 people -- police officers, first responders, personal injury practice and Yaz/Yasmin and Zocor, as well as medical devices such as DePuy Orthopaedics’ defective 2010, the Anapol Advocate Award recognizes individuals who have suffered traumatic, life-changing and other personnel responsible for delivering our well-established mass ASR Acetabular Hip System which was recently recalled. inspiring individuals who have helped victims affected injuries, such as brain or spinal cord injuries, strokes devastating news that a loved one has died -- tort practice. by disabling injuries lead better and more productive or amputations. attended the seminar, which provided training on Some of our recent sucesses: lives. This inaugural award focused on the burn care how to share such news in the most compassionate Coben is nationally known for • James Ronca achieved $19.9 million in collective settlements for consumers community, and nearly 1,000 people voted online to Anapol Schwartz made the gift to establish a fund that manner possible. Funds from the gift came from a handling brain and spinal cord select the winner from among three semi-finalists. will pick up where amputees’ insurance leaves off, recent dram shop case settled by the firm. who had been given Trasylol, Bayer AG’s blood-clotting drug, during coronary injury cases, with a special aiding them in obtaining necessary items and training emphasis on helmet failure and crashworthiness, including artery bypass graft procedures. The drug is known to cause kidney failure and As part of the award, The ASF made a $5,000 gift to – such as wheelchairs, home modifications, and Since its inception in 2008, The ASF has granted seat belt and seat back failures, as well as air bag deployment increase mortality risk. a nonprofit of the winner’s choice that served the local driving lessons – that often present a financial burden. more than $180,000 to local 501(c)(3) public failure, ejection and sudden acceleration. burn community. Gleason selected the burn unit at The fund will also help provide smaller quality-of- charities. As we win cases on behalf of clients and • Ronca also obtained a $7.6 million settlement for a 21-year-old man involved Crozer-Chester Medical Center, where he was treated life items, such as prosthetic cleaning products and their families, we will continue to contribute to The The recipient of the American Association for Justice’s 2010 in a zip line accident when a frayed rope snapped, causing him to fall and after suffering second and third degree burns over 20 diabetic socks and shoes. ASF and to critical community programs. Visit Consumer Advocacy award, Coben has obtained numerous percent of his body. The burn unit plans to use the gift www.anapolschwartzfoundation.org to learn more. seven- and eight-figure verdicts and settlements nationwide, rendering him a paraplegic. to purchase a special crib for pediatric burn patients. including a $26 million verdict for a woman rendered a quadriplegic in a motor vehicle accident involving a seat failure, • Lawrence Cohan and Melissa Hague served as co-lead counsel for more than FIRM NEWS CONTACT INFO and a $12 million verdict for a high school football player who became a quadriplegic due to the defective design of 900 plaintiffs in the human tissue national multi-district litigation which recently continued from page 1 settled in Federal Court in Newark, N.J. Cohan and Hague are continuing to his helmet. litigate the claims of the donor families, whose loved ones’ body parts were Honors ANAPOL, SCHWARTZ, WEISS, COHAN, FELDMAN & SMALLEY, P.C. He also achieved a $10.2 million verdict against Volkswagen harvested without their consent. Eight shareholders were named 2010 PENNSYLVANIA SUPER LAWYERS®: www.AnapolSchwartz.com James Ronca*, Sol Weiss*, Bernard Smalley*, Alan Schwartz, Mark LeWinter, on behalf of a Bucks County high school student who was continued, page 4 Reach us at 866.735.2792 and find us in: Lawrence Cohan, Joel Feldman and Thomas Anapol. injured as a result of her car’s defectively designed rear seat *Ronca, Weiss, and Smalley were also named among the top 100 lawyers in Pennsylvania PHILADELPHIA MEDIA HARRISBURG system, and a $30 million verdict in Gloucester County for a and Philadelphia. 1710 Spruce Street 230 North Monroe Street 252 Boas Street man rendered a quadriplegic due to a faulty airbag design. He U.S. News & World Report ranked Anapol Schwartz Philadelphia, PA 19103 Media, PA 19063 Harrisburg, PA 17102 is the author of “Crashworthiness Litigation,” a guide providing Three attorneys were named 2010 PENNSYLVANIA RISING STARS®: Tracy Finken, Gregory Spizer, Jeffrey Downs and Michael Schafle. READING WHEELING SCOTTSDALE tactics for prosecuting such cases. among the best law firms in the Mass Tort Litigation/ 146 North 6th Street 89 12th Street 8700 East Bonita Drive Reading, PA 19601 Wheeling, WV 26003 Scottsdale, AZ 85255 Two associates joining from Coben’s previous firm will practice Class Actions-Plaintiffs category. The ranking was Associate Amber Racine recently received the President’s Award from the Barristers’ out of Anapol Schwartz’s new office in Scottsdale, Ariz. Association of Philadelphia for her extraordinary service to the organization. CHERRY HILL based on results from an industry survey. 1040 Kings Highway North, Suite 304 Also Joining Us: For more details on the survey methodology, visit Cherry Hill, NJ 08034 Anita Pitock and Shayna Slater as associates. h t t p : / / b e s t l a w f i r m s . u s n e w s . c o m / m e t h o d o l o g y. aspx www.AnapolSchwartz.com ANAPOL ADVOCATE FALL 2010 4 www.AnapolSchwartz.com 1
  • 2. ADDRESSING GRIEF MEDICAL WOES Supporting Those Sleep Apnea and Orthopedic Surgery: Who Have Suffered A Dangerous Mix by Anita Pitock Tragic Losses by Joel Feldman As common as adult diabetes, yet not as frequently diagnosed, sleep apnea is a disorder Following my 21-year-old daughter Casey’s death in which pauses in breathing or shallow breaths last July, I realized how difficult many people found occur during sleep. These pauses can last from it to offer comfort to me and my family. I believe that a few seconds to minutes and often occur five to most people care and want to be helpful, but simply 30 times or more in an hour. Typically, normal do not know what to do or say. Drawing on my own breathing will start up again, sometimes with a experience, I’d like to offer some suggestions: loud snort or choking sound. THERE ARE NO MAGIC WORDS: Most likely, you will not be able to say The most common type of sleep apnea is obstructive sleep apnea, in which an anything that will “cure” those who are suffering, so don’t try. It is enough to say individual’s airway has collapsed or is blocked. Most people who have sleep that you care, you are thinking of them and you are sorry. Being present – as the apnea don’t know it, since it only occurs during sleep. In fact, a family member term is used in counseling – is comforting to those who are grieving: This simply means that you are there for them, not for yourself; that you are prepared to may first notice the signs. MEDICAL WOES listen if they want to talk, but will also stay with them if they are silent; and that you can sit in silence without feeling the need to fill it with whatever pops into While sleep apnea can strike anyone at any age – even children – being We Regret to Inform You . . . male, over age 40 and overweight are the biggest risk factors. Case in point, by Stephen Pokiniewski, Jr. your head. according to the National Institutes of Health, of the 12 million Americans with sleep apnea, more than half are overweight. If you fall into one of these at-risk In 2002, the Pennsylvania Legislature created the Pennsylvania Patient Safety Authority (PSA) to reduce or eliminate YOU ARE NOT INTRUDING: Social support, the compassionate efforts of others categories, talk with your family about these warning signs. medical errors by identifying problems and recommending solutions to promote patient safety. As part of its mandate, the to be with and help a person who has suffered a loss, is one of the best predictors of PSA developed a system for reporting “serious events” (involving the clinical care of a patient in a medical facility that successful resolution of grief. Those who have support get through the process more ARE YOU: results in death or compromises patient safety and results in an unanticipated injury requiring the delivery of additional quickly. I felt that people who stated they did not want to intrude on my grief were • a loud and/or regular snorer? healthcare services), as well as “incidents” (involving poor patient care, but not resulting in a patient injury). just too uncomfortable to try to offer comfort. Avoiding those who are grieving adds • often fatigued during the day? another injury – the feeling of being different and isolated. DO YOU: Healthcare facilities are required to notify patients or their families in writing with an adverse event letter when a serious event occurs. The most recent • have frequent pauses in your breathing while sleeping? annual report issued by PSA in 2008 indicated that there were 8,795 serious events reported and approximately 211,079 incidents. The number of RESPECT FEELINGS AND PROGRESS: If you care for someone who is • wake up with a headache? serious events was up three percent from 2007. Starting in 2008, patients who developed a hospital-acquired infection also received an adverse grieving, you will respect how he is feeling at any given moment and allow him event letter. to grieve at his own pace. Respect is not giving unasked for advice, especially • fall asleep while driving, sitting, reading or watching TV? if it’s about how long he has grieved or where he is in the process (even if you • often have problems with your memory or concentration? With the creation of the PSA and its requirements of notification, Anapol Schwartz has been consulted by a number of clients who have received adverse think he is doing well). Sleep apnea also presents a danger for patients during surgery, including event letters from healthcare facilities. Two recent case examples include a wrong-sided surgery and a facility that failed to notify the patient of the results of orthopedic surgery. Patients commonly have more complications, such as diagnostic testing, causing a delay in diagnosis. In both cases, the patients ultimately died due to the adverse event. THERE IS NO TIME LIMIT ON GRIEF: Let those who are grieving know you care – not just in the days and weeks after the loss, but in the months and years substantial respiratory and cardiac problems, including irregular heartbeats, lack of blood flow to the heart, and/or problems with breathing. The majority of Since 2004, Pennsylvania law has mandated written notification of serious events; however, the law does not require the facility to disclose any other that follow. As the first anniversary of my daughter’s death approached, I was complications occur in the first 72 hours. information. It is our experience that often the notification letter is intentionally vague and does not clearly describe what took place in connection to the touched by the cards that I received. They let me know that Casey would not be patient’s injury. Typically, this is done so that the hospital puts as little information in writing as to what specifically happened. forgotten, that my grief was not forgotten and that people still cared and thought of my loss. It is never too late to send a card or tell a story about the deceased. Many obese patients who present to an orthopedic physician actually have undiagnosed sleep apnea. It is critical that these patients are appropriately Receiving an adverse event letter is a very serious matter, as healthcare facilities only issue such a letter because they are required to under state law. The Those of us who have lost a loved one want desperately to believe that person recognized and evaluated prior to surgery in order to minimize any potential letter is not a legal admission of liability, but an acknowledgment by the healthcare facility of an injury (usually significant) to a patient. If you do receive will not be forgotten. complications related to sleep apnea both during and after surgery. such a letter, here’s what to do: Managing Partner Joel Feldman concentrates his practice in personal injury If you have obstructive sleep apnea or are at risk for it and are scheduled for orthopedic • Discuss with the hospital staff and your physicians what specifically occurred and how the resulting injury or injuries were or will be treated; and, actions, as well as securities litigation and stockbroker claims. He is also surgery, you should talk with your physician. Ask the following questions: • Consult with your attorney as soon as possible since there is only a two-year statute of limitations after the letter has been received. pursuing a master’s degree in counseling at Villanova University. Contact him at jfeldman@anapolschwartz.com. Learn more about his daughter Casey at • What precautions will be taken to monitor me after surgery? For more information about adverse events and how to take action, visit www.anapolschwartz.com/adverseletters. CaseyFeldman.com. • Is same-day surgery appropriate for me? • Will my breathing be monitored post-operatively, and for how long? Stephen Pokiniewski, Jr. is a partner at Anapol Schwartz. He concentrates his practice in medical malpractice and personal injury matters, specializing in • How will sleep apnea affect my recovery period? managed care cases. Contact him at spokiniewski@anapolschwartz.com. Remember that when it comes to your health, you are your own best advocate! Anita Pitock is a registered nurse and an associate at Anapol Schwartz. She concentrates her practice in medical malpractice-wrongful death, pharmaceutical liability-dangerous drugs, and major personal injury matters. Contact her at apitock@anapolschwartz.com. www.AnapolSchwartz.com ANAPOL ADVOCATE FALL 2010 2 www.AnapolSchwartz.com ANAPOL ADVOCATE FALL 20103