Chiropractor’s Acupuncture Needle Collapses Woman’s Lung, Lawsuit Alleges

A San Diego woman is suing an unlicensed acupuncturist, claiming that a procedure he mishandled caused her lung to collapse.

“I remember I was sitting there… having a hard time breathing, so I kept trying to take a deep breath,” plaintiff Jaime Del Fierro said. “I didn’t know if it was a nerve that was hit or a muscle, and maybe when I breathe it was kind of pinching the nerve, I had no idea. I mean anytime I had acupuncture before I had great results.”

Del Fierro went to Dr. Walker Scott for help with her ongoing tension headaches, paying him for chiropractic adjustments and for acupuncture procedures. When she told Scott about the pain, she says he dismissed her symptoms and sent her home. Several hours later, Del Fierro took herself to a hospital, where she then underwent surgery for what doctors told her was a collapsed lung.

“It was really, really scary for me,” she said. “I kind of went into like a really dark place because I faced mortality.”

According to the lawsuit, one of Scott’s acupuncture needles “pierced through plaintiff’s chest wall and into the pleural space surrounding her lungs, causing acute pneumothorax, a collapsed lung.”

Now, Del Fierro is suing Scott for thousands of dollars in hospital bills and damages. Sean Foldenauer, Del Fierro’s attorney, said that the lawsuit also seeks a court injunction for Dr. Walker Scott to stop performing acupuncture on patients.

Though he would not comment on the specifics of the case, Scott did say in an interview that the lawsuit came as a big surprise.

“This is my first time ever dealing with anything of this magnitude, so I guess I’ll have to say, you know, I wish I could tell you way, way more but you’ll have to give it a little while and I’ll get back to you,” he said.

In order to guard against such incidents and ensure that practitioners are properly trained, it takes five years and over 3,000 hours for the California state board to grant a license to a practitioner.

Though his website lists “electro-acupuncture” as an area of practice, state records show that Scott does not have an acupuncture license.

“It’s really important to do your homework because had I known that he wasn’t licensed, I never would have went to see him,” said Del Fierro. “I just don’t want anybody to suffer like I did. I don’t want it to ever happen again.”

Why Bumper-to-Bumper Bus Ads Aren’t Leaving State College, PA Anytime Soon

The Centre Area Transportation Authority (CATA), which serves State College, PA, has said the massive, bumper-to-bumper graphic advertisements that currently emblazon the sides of its buses are here to stay.

According to a February 16 StateCollege.com article, these wrap-around ads were first applied to four CATA buses in January 2014 as part of a year-long test run. In a recent meeting, CATA board members voted to make these wraps permanent, which means all CATA buses will now be emblazoned with these giant ads.

Mobile advertisements such as vehicle wraps are among the most effective methods for generating brand exposure, as more than 95% of Americans report being reached by mobile advertising regularly.

The CATA vehicle wrap ads cover almost every inch of each bus, including most of its windows. For obvious safety reasons, the front windshield and front-side windows are not covered.

Public reception to these mobile billboards has been largely mixed. Some people voiced concerns about the bus windows being covered; however, many CATA riders told StateCollege.com that the bold advertisements don’t bother them.

“Overall, the input we received was very positive,” CATA spokesperson Jackie Sheader explained. “There were a couple of concerns, mainly about aesthetics and maintaining the CATA brand on our buses.”

The bus wraps have brought a major source of funding to CATA, which had been struggling financially up until this point — CATA would have had to cut the number of bus routes it offers if it hadn’t found a way to make more money. Sheader said the four trial bus wraps helped generate $35,000 toward CATA’s bottom line in their first year of use.

Full implementation of the bus wraps will be gradual. CATA plans to have 12 of its 71 buses covered in wrap graphics by July 1, according to Sheader. If every ad opportunity is purchased, these wraps could ultimately bring in as much as $120,000 in funding for CATA each year.

Georgia Woman Forced To Call 911 After Hospital ER Fails To Provide Treatment for Life-Threatening Condition

In most cases involving 911 responders and life-threatening medical conditions, patients call the emergency hotline before being transported to the nearest emergency room. But for Christy Mitchell, a Georgia resident with a rare pulmonary disease, simply going to the emergency room at Gwinnett Medical Center in Lawrenceville, Georgia was not enough — Mitchell actually had to call 911 after arriving at the hospital’s emergency room because she wasn’t getting the immediate care that she needed.

According to CBS 46 News, Mitchell suffers from a life-threatening disease that requires medicine to be “pumped into her body every two minutes” to ensure that her blood flow stays constant and transports enough oxygen to her lungs. When Mitchell’s medicine pump suddenly malfunctioned, she called a friend to drive her to the closest hospital right away.

But when she arrived at the ER, Mitchell says that she encountered some problems when she tried to explain how serious her condition is. After offering to call up the PA who works with Mitchell regularly, and who could explain her condition to the hospital staff more fully, Mitchell was told that calling the PA wouldn’t make a difference, since that medical technician worked at a different facility which had “no jurisdiction” at the Gwinnett Medical Center.

Left with no other choices — and no hope of receiving treatment before the dozens of other patients in the ER — Mitchell says that she left the hospital and proceeded to call 911 immediately.

“Making that decision to leave the ER was the hardest thing I’ve ever done in my life,” said Mitchell’s friend Brannon Chappell, who had driven her to the hospital.

Chappell then drove Mitchell to a nearby shopping center, according to Fox6 News, where an ambulance arrived and provided immediate treatment to restart her medication flow.

According to Fox6 News, the specialist who normally treats Mitchell stated that he wasn’t surprised by the incident — very few people suffer from the same pulmonary disease, meaning that very few emergency medical staff know how life-threatening it can be if the medication isn’t administered on time. Beyond inserting a regular IV, the specialist explained, the staff at Gwinnett Medical Center likely had no clue how or why Mitchell’s medication had to be administered.

Although Mitchell’s case is not the norm, it’s evidence of a growing problem among hospital emergency rooms: too many patients seek treatment at emergency rooms when they don’t really need it, and patients like Mitchell are left without adequate immediate treatment. Mitchell certainly couldn’t sit around in the ER waiting room for hours until the center was able to understand her condition — she couldn’t even wait the 15 minutes that patients often encounter at urgent care clinics.

The hospital has declined to provide any specific details about Mitchell’s incident, citing mandated privacy regulations, but it did release a statement saying that “[ER] patients are assessed and treated based on acuity [and] initiation of certain treatments require physician orders to ensure patient safety.”

Study: Resistance Regarding Electronic Health Records Culturally, Not Empirically, Based

Hospitals and doctors’ offices across the country have worked in recent years to adopt electronic health records, spurred largely by the 2011 Health Information Technology for Economic and Clinical Health (HITECH) Act and its financial incentives. But critics say these EHRs have not been shown to significantly improve patient care quality, and may even leave patients vulnerable to having their information stolen.

According to a recent study, however, the real reason such anxiety surrounds the implementation of EHRs is simply fear of change among medical professionals. “They want to stick with what they know works,” co-author Jaeyong Bae, of Northern Illinois University, said in a March 5 news release.

Bae, along with William E. Encinosa of Georgetown, found that hospitals that do not use EHRs see a 14% increase in medical errors over those that do. Because of this and other factors, their study concludes that cultural changes, and not efficacy, are the real impediment to expansion and more efficient use of EHRs.

The study has been published in the March issue of the journal Healthcare.

 

The Question of Interoperability

Another major criticism of EHRs is that current efforts — including billions of dollars in public funds awarded through the HITECH Act — have done little to address interoperability, or sharing of EHRs among practitioners.

Part of the vision of EHRs is that doctors will be able to pull up information from visits with other providers and be able to better coordinate care, but even Bae acknowledges this is not yet fully a reality.

Because providers use many systems, most of which are incompatible with one another, it’s fairly common for one practitioner to receive patient information via fax or in physical form, then have to actually enter it into a new EHR.

Interoperability was even the subject of a scathing blog post written by five American senators and released on the Health Affairs blog March 4. “What have the American people gotten for their $35 billion dollar investment [in the HITECH Act]?” the authors ask. “… There is inconclusive evidence that the program has achieved its goals of increasing efficiency, reducing costs, and improving the quality of care.”

Utah Public Health Official Warns That Measles Danger Has Not Passed

After a California-centered measles outbreak that has affected at least three Utah residents — as well as 146 others in seven states, Canada and Mexico — Dr. Joseph Miner of the Utah County Health Department is still concerned that the public is not as knowledgeable as it ought to be about the potential for a serious outbreak in the state.

“Because the vaccine has been so successful, a lot of parents think they are not at risk and don’t know how serious [outbreaks] are,” Miner told KSL News Feb. 17.

Many of those affected by the California outbreak either visited Disneyland or were in contact with other park guests or workers. The strain contracted by the patients is similar to one prevalent in the Philippines, which is unsurprising given the number of out-of-country tourists who visit the amusement park every year. Most of the infected people had not been vaccinated.

All three of the cases in Utah involved unvaccinated teens from the same family.

Miner said it’s important that people look to history for perspective on just how seriously measles should be taken, and let that guide both policy debates and personal decisions regarding vaccination opt-outs.

“Cemeteries have many, many gravesites of infants, toddlers and preschool children who died from vaccine-preventable diseases,” he warned. “We could easily return to that if people decided they didn’t want to immunize.”
A National Focus on Measles

The most recent outbreak has also spurred conversation on a national level. The Centers for Disease Control and Prevention issued new guidance on the treatment of measles Feb. 20, saying that Vitamin A should be used.

Patients should be treated in airborne isolation rooms to prevent the transmission of the highly contagious disease, and people showing symptoms are being encouraged to call their healthcare providers for guidance instead of just showing up in clinics or emergency rooms, since a lack of adequate preparation places other patients at risk.

The good news, at least, is that modern tools in the form of electronic health records are helping physicians and public health officials to better track immunizations and urge non-compliant patients to come in for the necessary shots.

As of 2013, about 69% of physicians reported that they had already applied or intended to apply to participate in the Medicare or Medicaid EHR incentive programs — one major driver of the rapid adoption of electronic records — and having such records makes it far easier for staff to rapidly contact people who may simply have forgotten about the vaccination schedule, rather than purposefully chosen not to vaccinate.

The MMR (measures, mumps and rubella) vaccine is typically given in two doses, the first between 12 and 15 months of age and the second between ages four and six.

South Dakota Business Owner Faces Charges for Selling Recalled Mexican Supplement Online

It’s one thing when an herbal supplement doesn’t contain all of the active ingredients listed on the label — which happens more often than consumers realize, according to a recent Clarkson University study — because these supplements rarely guarantee results anyway, and the herbs tend to have minimal side effects (if any at all). In fact, the Food and Drug Administration (FDA) doesn’t even require herbal supplements to be tested and approved before hitting the shelves.

However, it’s an entirely different matter when a business buys cheap herbal drugs from Mexico, rips off the labels, and sells them online under a different American name to American consumers — which is exactly what Stanley Brower, the owner of dietary supplement business Brower Enterprises, has been caught doing.

According to South Dakota newspaper The Daily Press, Brower bought up the Mexican pain-relieving supplement “Reumofan Plus” — which was sold in the U.S. up until the FDA and Mexican health officials issued recalls on the drug in 2012 — and sold it under the name “WOW” on at least two different websites between July and December 2012.

The recall was issued due to findings that the “100% natural” supplement actually contained three prescription drugs, including methocarbomal (a muscle relaxer) and dexamethasone (an anti-inflammatory drug), which can have life-threatening side effects when taken with certain other prescriptions. These side effects include severe bleeding, stroke, and death.

The problem with Brower’s rebranding scheme wasn’t necessarily that he sold Reumofan Plus, since the official warning was released around the time of the sales. The problem was that people weren’t aware that they were actually consuming Reumofan Plus when they purchased WOW, and therefore were not aware of its side effects. Similar to online pharmacies, which sell drugs that are rarely approved by the FDA, Brower’s business ended up causing quite a disaster with just 220 bottles.

Brower has been charged with nine counts of introducing a misbranded drug into the market with intent to defraud, and five counts of receipt and offered delivery of a misbranded drug. The 68-year-old business owner (yes, his business is still somehow running) has plead not guilty to all charges, and is scheduled to appear in court sometime in April.

Both Brower and his attorney have declined to comment on the charges.

Northeast Utilities’ Re-Branding Reflects New Focus in the Marketing Industry

New signage can be a big secret when a re-branding campaign is involved. The Lauretano Sign Group, for example, recently created all-new signs for Northeast Utilities, keeping the designs and manufacturing process on a need-to-know basis even within the facility.

When the signs for the new company — called Eversource Energy as of Jan. 7 — were installed at 11 sites throughout Connecticut, Massachusetts and New Hampshire, they were carefully covered with vinyl so that they wouldn’t be seen until their official unveiling Feb. 2.

New attention to signs is part of an intense focus in the marketing industry on not just labeling companies or their buildings, but creating a brand with a personality that consumers can relate to — and an image that will persuade those consumers to choose one company’s products or services over a competitor’s.

CEO Mike Lauretano Sr. said this isn’t the first time his workers have been required to sign non-disclosure agreements, and that in fact branding is taken so seriously within the corporate world that such restrictions are the norm.

There’s no doubt that outdoor signage serves an important purpose in branding a company and driving sales. “Signs serve as a type of silent salesperson for your business,” Chris Joseph explained recently in the Houston Chronicle small business section. “Exterior signs draw attention to your place of business and help differentiate it from others on the street.”

 

Expanding Signage Options

Signage and printing companies are offering more options than ever to keep up with growing demand for highly visible outdoor branding materials, and expensive fixed signs aren’t the only option.

In a Feb. 12 article for Talk Business Magazine, Scott Hartley recommended that businesses on a tighter budget consider vinyl signs. “From humble roots years ago, the vinyl banner is now a high-tech, durable and highly flexible communicator that offers great returns on investment,” he wrote, suggesting that they can double as effective tools for both outdoor advertising and indoor events such as conferences and exhibitions. Because vinyl banners are lightweight, they’re easy to hang in a variety of indoor and outdoor spots.

And far from being made obsolete by online marketing, Hartley argues that print marketing can make an even bigger impact in the real world than it used to: “Real, touchable communications place brands and campaigns right in front of their target audience, day after day.”

Snow-Covered Air Vents To Blame for a Sudden Rise in Carbon Monoxide Poisonings

In Boston, a mother returned home around midnight on January 28th to find her husband and two children “incapacitated and sleepy” due to carbon monoxide buildup in the house. The father and two children all had to be hospitalized for carbon monoxide poisoning.

In Portland, Maine, a man woke around 7 a.m. on February 4th to find that he was too dizzy to stand, and was having trouble staying conscious. When emergency crews came to his house, according to the Portland Press Herald, they found the carbon monoxide levels in his bedroom to be about 1,000 ppm (parts per million) — only 35 ppm is required to set off a carbon monoxide detector (which he did not have).

And in Wisconsin, on February 2nd, an entire business warehouse in Wauwatosa had to be evacuated after the fire department responded to an alarm — which employees reportedly ignored at first, thinking that the warehouse couldn’t possibly fill up with enough carbon monoxide to make them sick.

The one connecting factor in all of these cases is that the carbon monoxide buildup was caused by snow drifts that had blocked exterior air vents. The first thing everyone wants to do when it starts snowing outside is to crank up the furnace as much as possible — but as many homeowners have discovered, furnaces and home heating systems do not get along well with piles of snow.

Even homeowners who live in cold regions where snow is common, like the Northeast and Midwest, find that they forget about how the weather might affect their HVAC systems. Most people are primarily concerned that freezing temperatures could cause furnaces and pipes to freeze up and stop working, but the possibility of a blocked air vent can be even more dangerous. As all three of the recent cases show, carbon monoxide poisoning happens very quickly and the victims usually aren’t even aware, since the gas is undetectable in taste, smell, and appearance.

“The flues have to be open to the house. Also when it gets colder, the furnace runs longer and people should make sure that their filters are changed on a regular basis and have it maintenanced at least once a year,” said Teri Boennighausen, office manager at Comfort Experts Inc.

they should just make sure that their filters are changed on a regular basis and have it maintenanced at least once a year when they’re running a long time and with the cold — have a humidifier.”

The first signs of carbon monoxide poisoning are a headache, nausea, and confusion. Health experts advise anyone who may be suffering from carbon monoxide poisoning to seek fresh air if possible, and to call 911 for immediate medical attention.

Neutral Colors Make a Comeback in Home Renovations for 2015

Marble, quartz, and honed granite, in addition to neutral colors and design patterns, are en vogue for 2015 home design, especially come selling time, according to experts.

The shift in tastes comes at a time when homeowners are spending more on home renovations (including kitchen remodels), thanks to a recovering economy and a rise in home prices.

According to Harvard University’s Joint Center for Housing Studies, home renovation spending was on track for a record-breaking year in 2014. In fact, home and kitchen remodels were expected to exceed the $145 billion tallied in 2006 — just before the housing crash.

However, while spending on home renovation projects is increasing, new styles and trends are replacing the excessive and lavish aesthetic that became popular in recent years. Expensive, restaurant-quality, customized kitchens have now become passé.

“I think there is a decrease in excitement about granite everywhere,” said James Roche, chief executive of Houseplans.com, which monitors building design trends across the U.S. “The idea of covering everything in granite is equated with the Baby Boom McMansion phase. I don’t think people like that aesthetic.”

Homeowners who went to town designing over-the-top custom kitchens during the 1990s and 2000s are learning the hard way, as new homeowners often gut the entire kitchen and start from scratch, according to Neda Vander Stoep, a top agent at the Back Bay office of Coldwell Banker Residential Mortgage.

Examples of this excessive aesthetic include “crazy ornate backsplashes, black appliances, ornate floor tiles, custom cabinets with ornate detail and overly customized cabinet hardware,” Vander Stoep said. While homeowners still want beautiful kitchens, they also want to ensure they’re making a smart investment, she added.

Vander Stoep sees a shift from bold, bright colors towards more neutral shades of grays and whites with on occasional pop of color throughout the home to create a cohesive look. Wallpaper is also making a comeback, as it creates subtle variety without being gaudy.

“By going more neutral, you are bound to appeal to a larger pool despite varying tastes,” Vander Stoep said. “Overly customized renovations are out and I am personally seeing less and less of them.”

Jobs Report: Unemployment Falls, Wages Rise for U.S. Workers

So far, 2015 has been a year of better-than-predicted drops in the unemployment rate as well as steadily rising wages across several job sectors, signalling more good news for U.S. workers and consumers.

According to a January 13 Fiscal Times article, the unemployment rate has now reached 5.6%, which is closer than ever to the Federal Reserve’s ideal range of long-term unemployment, 5.2 to 5.5%. With the Congressional Budget Office’s natural rate of unemployment at 5.5%, the current unemployment rate seems to show good signs for the economy.

But if unemployment continues to drop at its current pace, the U.S. jobless rate will easily fall to just 5% by the summer — the Federal Reserve’s goal for the end of 2016. By the end of this 2015, it could fall as low as 4.7%.

Lower unemployment is good for everyone, right? Not necessarily.

These faster-than-expected drops in the jobless rate could place pressure on the Feds to raise interest rates sooner and more aggressively than the market is equipped to handle.

However, this hiccup of a tightening labor market might ultimately be absorbed without issue — as payrolls continue to dole out more attractive wages to U.S. workers. According to the Fiscal Times, inflation-adjusted take home pay, or the amount of money one has left over after taxes are taken from a paycheck, surged forth in a big way last month.

If this trend continues, it could give middle-class Americans a much-needed financial respite, and would increase their spending power to levels not seen since before the recession hit.

For example, the average managerial accountant can usually expect to earn between $77,000 and $101,500 per year. With “real payroll income growth” — an aggregate measure of job creation, hours worked and hourly wages — rising at a current annual rate of 4.5%, it’s safe to say that the salary for these accountants would get a major boost in disposable income and spending power.

So while the Federal Reserve could soon come under unexpected pressure due to greater-than-expected job creation, the American worker won’t feel much of that impact in 2015.