Med Board Fines Doc $5,000 Following Infant’s Death, Disciplines Four Others

The state Medical Examining Board Tuesday disciplined five doctors, including fining a Danbury obstetrician $5,000 for her lapses in care in connection with a baby girl’s death during delivery at Greenwich Hospital in June 2015. The board also reprimanded Dr. Marjan Hedayatzadeh and found that she failed to make an adequate assessment of the baby’s well-being and failed to order an ultrasound of the baby and her twin brother, a consent order that Hedayatzadeh agreed to with the board said. The order also said that Hedayatzadeh failed to accurately monitor the baby girl’s heart rate during three hours of labor and delivery, the consent order said. In signing the order, Hedayatzadeh did not contest the allegations or admit wrongdoing, the order said. The doctor has completed courses in fetal heart monitoring in the case of twin pregnancies and is now working under a protocol that requires an ultrasound in the case of all labor and deliveries, the order said.

Doctors, Clinician Team Up For C-HIT Forum On Stress, Mindfulness

There’s no denying it: most of us are stressed. Stress levels in the country are at their highest in at least a decade, research shows, and a recent American Psychological Association (APA) study found two-thirds of respondents feel stressed about the future. To learn about the leading sources of stress, how stress affects your health and how to reduce stress, the Connecticut Health I-Team will host a community forum, “Getting Ahead of Stress: A Primer on Medicine, Mental Health and Mindfulness,’’ from 5 to 7:30 p.m. on Oct. 5, at the Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road in North Haven. The free event is open to the public and you can register here.

Menopause Puts Women At Higher Risk Of Fall-Related Injuries

A growing number of women are getting hurt by falling, and they are much more likely to suffer fall-related injuries than men, data show. From 2011 to 2014, 51 women per 1,000 population were hurt in falls, up from 47 per 1,000 from 2005 to 2008, according to recent data from the National Center for Health Statistics and the Centers for Disease Control and Prevention (CDC). Falls were the most common cause of nonfatal injuries to women, the report found, and significantly outpaced injuries from overexertion, the second leading cause of injury that afflicted just 14 per 1,000.  

Hormone-related changes associated with menopause are the main reasons women are so prone to falling, especially as they age, said Dr. Karen Sutton, an orthopaedic surgeon, director of Women’s Sports Medicine at Yale New Haven Hospital, and associate professor of orthopaedics and rehabilitation at the Yale School of Medicine. “Their muscles are weaker, their bones are weaker,” she said, since hormone changes lead to reduced bone mass and the onset of osteoporosis in many women.

Hospitals Wake Up To The Need For Sleep

Clattering carts, overly bright lights and frequent disruptions make hospitals a tough place to get a good night’s sleep. But now, hospitals across Connecticut are launching efforts to help patients sleep longer and better. At Yale-New Haven Hospital, researchers are expanding a pilot program that successfully reduced noise in the medical ICU and kept staff out of patient rooms overnight. At Hartford Hospital, where noise levels sometimes resembled airport runways, they’ve eliminated overhead paging on patient floors except in true emergencies. And Stamford Health’s new hospital building, slated to open in September, is designed with sleep in mind.

Yale Study: Clinicians Often Overlook Veterans’ Mental Health Disorders

Nationally, at least one in five military veterans who experience trauma are at a heightened risk for depression, suicide or substance abuse but are often overlooked in clinical settings because they don’t fit the criteria for post-traumatic stress disorder (PTSD), according to a Yale University-led study. The research, published June 1 in the World Psychiatry journal, examined sub-threshold PTSD, which occurs when someone experiences trauma-related symptoms that aren’t severe or long-lasting enough to warrant a PTSD diagnosis. The study, which included 1,484 veterans nationwide, found 8 percent were diagnosed with PTSD but more than 22 percent met criteria for sub-threshold PTSD. Also, in addition to 4.5 percent of veterans diagnosed with PTSD within the last month, 13 percent had sub-threshold symptoms, the study reported. Veterans with sub-threshold PTSD had a 20 percent chance of suffering from major depression in their lifetimes, compared with about 4 percent of veterans without sub-threshold symptoms, the study found.

Low-Income Diabetics Paying High Price For Insulin

The high cost of insulin, which has risen by triple-digit percentages in the last five years, is endangering the lives of many diabetics who can’t afford the price tag, say Connecticut physicians who treat diabetics. The doctors say that the out-of-pocket costs for insulin, ranging from $25 to upwards of $600 a month, depending on insurance coverage, are forcing many of their low-income patients to choose between treatment and paying their bills. “Some of my patients have to make the choice between rent or insulin,” said Dr. Bismruta Misra, an endocrinologist with the Stamford Health Medical Group. “So they spread out taking insulin [injecting it less frequently than a doctor has prescribed] or don’t take it.”

Experts and recent studies point to drug companies’ long-standing patents and the lack of generic or “biosimilar” insulin as key reasons why the drug is so expensive. A study by Philip Clarke, a professor of health economics at the University of Melbourne in Australia, reported that the price of insulin has tripled from 2002-2013.

Fewer Errors Reported By Hospitals, But Concerns Remain

Connecticut hospitals reported fewer numbers of patients killed or seriously injured by falls or perforations during surgery or suffering from severe pressure ulcers in 2014 than in 2013, but the incidence of such “adverse events” still remains higher than in 2012, a new state report shows. The report by the Department of Public Health (DPH) shows that the total number of hospital adverse events, or errors, dropped by 12 percent — from 534 in 2013, to 471 last year. Deaths or serious injuries from falls declined from 90 to 78; perforations during surgical procedures fell from 79 to 70; and life-threatening medication errors fell from six to one. The number of patients with serious pressure ulcers dropped from 277 to 245. Rates of all four of those incidents had climbed in 2013, in part because of an expansion of required reporting on pressure sores to include “unstageable” ulcers.

Children’s Sexting, Internet Safety, Among Rising Worries Of Parents

Parents are increasingly worried about the negative effects of technology – sexting, in particular – and its effects on their children’s health, according to a national poll. “Parents are seeing [sexting] happen more with their kids or kids’ friends,” said Dr. Brian Keyes, a child, adolescent and adult psychiatrist who sees patients through various non-profits including the Children’s Center in Hamden and NAFI Connecticut in Hartford. “Parents get concerned, and rightly so, as kids start to get involved in any sexually related material.”

Sexting – sending sexually explicit text, photo or video messages via mobile phone or other electronic devices – also is gaining more attention in the media, bringing it to the forefront of parents’ minds, said Keyes, who also is on the clinical faculty at the University of Connecticut School of Medicine and the Yale Child Study Center. In the C.S. Mott Children’s Hospital National Poll on Children’s Health, adults ranked sexting as the sixth health concern facing children. Forty-five percent of adults listed sexting as a top concern, the poll released in August reported.

Mental Health Is Main Cause Of Hospitalizations in CT, New Data Show

Mental disorders surpassed respiratory problems and all other ailments as the leading cause of hospitalization in Connecticut in 2012 for children ages 5 to 14, teenagers and younger adults, according to a new state health department report. The report shows that the number of days that patients with behavioral health problems were hospitalized surged 5.3 percent between 2011 and 2013, to nearly 260,000 patient days. Other categories of hospitalizations, including cardiac and cancer care, declined during that time. The data show five hospitals had increases of more than 12 percent in the number of days that patients with behavioral health problems were hospitalized. The biggest increases were at Yale-New Haven Hospital, which saw the number of patients rise 61 percent, and inpatient days jump 51 percent; and Waterbury Hospital, with 26 percent more patients and a 37 percent increase in inpatient days.

Undocumented Immigrants To Strain Safety-Net Hospitals

Undocumented immigrants are expected to make up a larger share of Connecticut’s uninsured population next year, putting new financial pressures on safety-net hospitals that provide emergency care to everyone, state and national health experts predict. The Affordable Care Act (ACA) provides coverage options for legal immigrants, but those in the U.S. illegally cannot apply for Medicaid, even if they are poor, or buy coverage at Access Health CT (the new insurance marketplace), even if they have cash. That means illegal residents without coverage will continue turning to local emergency departments for care at a time when Connecticut hospitals face the loss of millions of dollars in federal and state subsidies to help defray the cost of uncompensated care. “This is a global problem that isn’t going away. This population (of undocumented residents) is not being addressed by any state or federal initiatives.