No, Man – They’re Taking Me To Pittsburgh

My work takes me to strange places. I’ve attended autopsies in Atlanta, crashed plane inspections at small rural airports, multi-day car and truck inspections in salvage yards, surreal crash sites and countless hospital and rehabilitation settings to witness and record clients struggling to overcome devastating injuries. Eyewitness observation of a client’s experiences can be essential to understanding […]

Overdose (No. 3)

This is the third in our blog series on obtaining and using confidential peer review records in litigation. In Overdose (No. 1), I reviewed JCAHO Hospital Root Cause Analysis and Sentinel Event Reporting. In Overdose (No. 2), I reviewed Hospital adverse medical incident reports, including Code 15 reports on nursing negligence submitted in Florida to the […]

Overdose (No. 2)

In my last Weekly Blog, I reviewed an Accreditation Decision Report I secured from internal Hospital and JCAHO investigations of a fatal overdose. These reports are usually confidential and contain information not available in other sources. That kind of sensitive information is rarely available but can be critical to a successful outcome in medical malpractice […]


On April 4, 1997, Charles Blair wrote a letter for the Joint Commission for the Accreditation of Hospitals Organization (JCAHO) to a Hospital Administrator. The JCAHO letter describes a “sentinel event” that occurred in March, during which a patient died in the Hospital Recovery Room from an overdose of concentrated medicine given by her healthcare providers […]

The Cost of Care

Dartmouth study on reigning in healthcare costs This chart on the left (in the article linked above) was originally created by the Kaiser Foundation and is now outdated (as shown in the chart on the right) – largely because the cost of drugs, medical devices and hospitalizations has skyrocketed. As a percentage, the amount we spend on primary […]

Quality Fraud Drives Medical Costs

Daraprim was first made available in 1952. It treats toxoplasmosis and cystoisosporiasis, diseases caused by eating undercooked food and other digestive problems – often with no detectable symptoms. Turing Pharma, operated by Martin Shkreli, bought this old drug in August of 2015, immediately jacking up the price of Daraprim from about $13 a pill to […]