The top diagnosis of women veterans treated in the VA Connecticut Healthcare System is Post Traumatic Stress Disorder (PTSD) and it is usually accompanied by other mental health illnesses, according to VA officials. Most women veterans suffer from a mental illness, studies show, and the VA is taking steps to focus more on female-specific mental health care. A national study commissioned by the VA, Barriers to Care for Women Veterans, found that 52 percent of women veterans said they needed mental health care, but only 24 percent sought treatment. A survey by the nonprofit Service Women’s Action Network (SWAN) showed that women veterans consider mental health to be their biggest challenge. At Connecticut VA facilities, 1,404 women had at least one mental health visit last year, representing 45 percent of women who use the VA.
The state Medical Examining Board Tuesday disciplined a Fairfield pulmonologist for improperly prescribing opioids and a former UConn Health doctor who had stolen medication from the health center for his private practice. Dr. Igal Staw, who works at Respiratory Associates in Fairfield, was reprimanded, fined $7,500 and has been permanently restricted from prescribing opioids, under a consent order he agreed to. He also must hire a supervisor to monitor his drug prescriptions and will be placed on two years of probation if his state registration to prescribe controlled substances is ever reinstated, the order said. In 2012 and 2013, Staw prescribed opioids to eight patients with chronic pain, including some who may have been abusing the medicine, the order said. He also failed to document the reasons for the prescriptions or justify in the patients’ medical charts why he was increasing the doses, state records show.
In less than eight hours last June, Yale New Haven’s emergency department treated 12 patients who had overdosed on opioids. Three died; nine were saved. With opioids in wide circulation, Dr. Gail D’Onofrio, chief of emergency medicine at the hospital and chair of emergency medicine at Yale School of Medicine, isn’t sure that one-day spike will stand as a record. “To be honest, no, I don’t expect the numbers to get better,” D’Onofrio said. “We’re going to have more treatment options in Connecticut, I think, more safe prescribing — but I don’t know that we’ll see improvements in the numbers of people using.”
D’Onofrio’s concerns are borne out in a recent report by the Agency for Healthcare Research and Quality (AHRQ) that ranks Connecticut the 5th highest among 30 states in the rate of opioid-related emergency department (ED) visits — 254.6 per 100,000 population in 2014, well above national rate of 177.7.
Connecticut has seen significant reductions in deaths from breast and colon cancer in the last three decades, but the state exceeds the national mortality rate for uterine cancer and three other cancers, as well as for mental health and substance use disorders. An analysis of data compiled by the Institute for Health Metrics and Evaluation at the University of Washington, published in JAMA, also shows wide disparities between Connecticut counties in death rates from certain cancers and other illnesses. Windham County had the highest mortality rates for seven of 10 cancers identified in the study as having the highest disease burden or responsiveness to screening and treatment, including pancreatic, uterine and lung cancer. Tolland County, meanwhile, had the lowest death rates for five cancers, including breast cancer, while Fairfield County was lowest for four. Similarly, deaths from chronic respiratory diseases in Windham County were nearly double the rate in Fairfield County – 63.13 per 100,000, compared to 34.15.
The state has cited and fined three nursing homes for various violations, including mismanagement of medication. The state Department of Public Health fined Apple Rehab Rocky Hill $3,000 for seven incidents. One incident on Oct. 27, 2016, involved a resident’s hospitalization for an uncontrolled nosebleed. DPH found staff had mismanaged the resident’s anticoagulant medication prescriptions.
Forty-eight hours. The Center Against Rape and Domestic Violence says pimps often approach teenage girl runaways within just 48 hours of running away. Pimps go where they know runaways congregate—the mall, the movie theater, the train station—and then they lavish attention on the most vulnerable. From there, pimps convince young girls—and, sometimes, boys—to sell their bodies. It’s gross, and it works, and until now, it’s gone mostly unnoticed.
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.
The state’s top insurers were more likely to approve claims for mental health services in 2015 than the year before, but rates of rejection for residential care remained high, a new state report shows. About 6.4 percent of claims for mental health services were rejected by eight top managed care insurers – down from about 8 percent in 2014 – according to an analysis of the 2016 Consumer Report Card on Health Insurance Carriers in Connecticut. At the same time, insurers continued to deny more than one in six requests for residential behavioral health care. And the percentage of managed care plan enrollees who received any inpatient services for mental health was low, with most companies providing such services for fewer than 0.3 percent of all enrollees. The analysis is based on eight companies that reported the same categories of data in 2015 and 2016 to the state Insurance Department, which changed the reporting format across the two years.
A federal judge has agreed to a six-month delay in sentencing a Derby nurse who pleaded guilty to accepting kickbacks in exchange for prescribing a powerful opioid painkiller because she is cooperating in “numerous ongoing criminal investigations,” according to court records. U.S. District Judge Michael Shea approved a Jan. 17 agreement between federal prosecutors and attorneys for Heather Alfonso that delays her sentencing another six months, until July 2017. Alfonso was charged in June 2015 with accepting $83,000 in kickbacks from Insys Therapeutics in exchange for her high prescribing of the drug Subsys. In arguing for the new sentencing delay, the U.S. attorney’s office in Connecticut said Alfonso “continues to cooperate in (investigations in) several federal and state jurisdictions, including the District of Connecticut.” A previous story by C-HIT reported on prior sentencing delays because she was cooperating in an ongoing federal probe.
The state Medical Examining Board disciplined four doctors on Tuesday, including fining a Stonington doctor $8,000 for failing to provide adequate follow-up care for a patient who later died of cancer. Dr. David Burchenal of Stonington was also reprimanded and placed on three years of probation under a consent order approved by the board. During the probation, Burchenal must hire a physician to randomly review his patient records and must take a course in assessing urinary tract disorders. In November, the board had rejected a $3,000 fine against Burchenal, with some members saying they wanted a stiffer penalty. Burchenal failed to follow up on test results that showed his patient, George A. Ruffo, had abnormally high red blood cell counts in 2011 and 2012, state records show.