Bhaumik Shah MD

01/22/2021

07/08/2020

Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014.

From 1992-1996 to 2009-2014, the rate of paid claims decreased by 55.7% (from 20.1 to 8.9 per 1000 physician-years)

Diagnostic error was the most common type of allegation, present in 31.8% (35 349 of 111 066) of paid claims, ranging from 3.5% in anesthesiology (153 of 4317) to 87.0% in pathology (915 of 1052).
Mean increase $138 708 in pathology (from $335 249 in 1992-1996 to $473 957 in 2009-2014; P = .005).

The mean compensation payment was $329 565.
The mean payment increased by 23.3%, from $286 751 in 1992-1996 to $353 473 in 2009-2014.

Of 280 368 paid claims, 21 271 (7.6%) exceeded $1 million (4304 of 69 617 [6.2%] in 1992-1996 and 4322 of 54 081 [8.0%] in 2009-2014), and 32.1% (35 293 of 109 865) involved a patient death.

Decreases in Claims:
Cardiology:
- a 13.5% (from 15.6 to 13.5 per 1000 physician-years)
Pediatrics
- 75.8% (from 9.9 to 2.4 per 1000 physician-years).

Increases:
General Practice
- $17 431 (from $218 350 in 1992-1996 to $235 781 in 2009-2014)
Gastroenterology
- $114 410 (from $276 128 in 1992-1996 to $390 538 in 2009-2014) and

Although physician concerns about medical malpractice are substantial, national data are lacking on the rate of claims paid on behalf of US physicians by specialty.To characterize paid malpractice claims by specialty.A comprehensive analysis was conducted ...

03/26/2020

One investigational treatment being explored for COVID-19 involves the use of convalescent plasma collected from the recovered COVID-19 patients that are eligible to donate blood.

1. Prior diagnosis of COVID-19 documented by a laboratory test
2. Complete resolution of symptoms at least 14 days prior to donation
3. Female donors negative for HLA antibodies or male donors
4. Negative results for COVID-19 either from one or more nasopharyngeal swab specimens or by a molecular diagnostic test from blood.

Eligible patients for use under expanded access provisions:
1. Must have laboratory confirmed COVID-19
2. Must have severe or immediately life-threatening COVID-19, for example:
3. Severe disease is defined as:
- dyspnea,
- respiratory frequency ≥ 30/min,
- blood oxygen saturation ≤ 93%,
- partial pressure of arterial oxygen to fraction of inspired
-oxygen ratio < 300, and/or
- lung infiltrates > 50% within 24 to 48 hours

Life-threatening disease is defined as:
respiratory failure,
septic shock, and/or
multiple organ dysfunction or failure
Must provide informed consent1.

It is possible that convalescent plasma that contains antibodies to SARS-CoV-2 (the virus that causes COVID-19) might be effective against the infection.
Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including the 2009-2010 H1N1 influenza virus pandemic, 2003 SARS-CoV-1 epidemic, and the 2012 MERS-CoV epidemic.
Although promising, convalescent plasma has not been shown to be effective in every disease studied. It is therefore important to determine through clinical trials, before routinely administering convalescent plasma to patients with COVID-19, that it is safe and effective to do so.

One investigational treatment being explored for COVID-19 involves the use of convalescent plasma collected from recovered COVID-19 patients. It is possible that convalescent plasma that contains antibodies to SARS-CoV-2 (the virus that causes COVID-19) might be effective against the infection.

11/08/2018

https://consumer.healthday.com/women-s-health-information-34/birth-control-news-62/vaginal-ring-that-targets-pregnancy-hiv-seems-safe-study-738925.html

07/24/2018

Pulmonary (Lung) Strongyloidiasis - Strongyloides stercoralis worm in Bronchoalveolar lavage fluid

06/06/2018

Look what I got ..a HUGE cyst - appx 45 cm.

Happy to see this case of a lady, who initially couldn't get operated due to lack of an insurance and had this expanding cyst, building pressure over the period of 2 years and causing significant distress during day to day life activities. She was presumed to have this mass/cyst arising from o***y based on the imaging/scans, henceforth the high likelihood of possible cancer. But, during surgery she was found to have this cyst away from o***y which was apparently normal.
I am sure she must be relieved of pressure, just like this cyst is losing by peeing it out.

05/28/2018

This video from Mike might motivate some of my friends, who asked me repeatedly, about how to practice an intermittent fasting and to gain its proposed benefits..some benefits might be obvious such as weight reduction (not loss - which is a passive phenomenon). In my case it helped me from 191 lbs once upon a time to a current weight of approx 150 lbs)..but there are other benefits, which you will learn if you have a bit of understanding of physiology. My initial practice of intermittent fasting started not by choice but due to having no other good choice, after I moved to States.
1. Being vegetarian (now eggetarian) I had a hard time to find tasty (not just good) vegetarian food (sometimes even amongst from vegetarian options) to eat on a daily basis, specially during busy weekdays working long hours in the hospital. ( I was spoiled by yummy gujarati Indian food by my family).
2. Lazy to learn cooking and cook itself during off hours, specially in Miami when you have dancing on the mind..😂😂😂😂

Blessing in disguise, that it helped me to explore path of intermittent fasting, which became my routine. In this video by Mike, he explained benefits of IF, however , still not clear how to practice for your own body..but shoot me questions if you want to learn how to practice for your body, depending your life style and how to avoid its side effects such as mental fog.

My initial understanding regarding intermittent fasting came from my religion (Jainism) where it is a very normal ritual to observe fasts by religious means ( I am not religious though)... Some rituals/practices even include complete abstinence from food for a month or two and surviving by drinking water that too between sunrise and sunset.. which is extremely hard to believe and scientifically not believed to be possible by certain people..but YES yet in practice by people (Jains) in my religion..many of my friends back home, who practiced themselves would nod that.

Hey guys! I've seen over and over questions and comments regarding dieting so I decided to start a series where I conduct a diet review in detail. I know man...

04/25/2018

The various indications of genetic tests....