The state Medical Examining Board disciplined four doctors on Tuesday, including reprimanding and fining a prominent Norwalk plastic surgeon $2,500 for failing to keep adequate medical records. The medical license of the plastic surgeon, Dr. Laurence Kirwan, was also placed on probation for four months while he must complete a course in medical documentation, a consent order states. In 2015, the mother of a patient who had two chin procedures from Kirwan in 2014 filed a complaint with the state Department of Public Health, records show. A plastic surgery consultant found that Kirwan’s treatment records did not meet the standard of care, records show. On his blog, Kirwan says he is a professor and an internationally recognized expert in plastic surgery who has practiced in Norwalk, Manhattan and London.
State health officials have fined a Norwalk residential care home $1,000 and ordered it to hire an independent consultant after uncovering safety violations there earlier this year. Carlson Place was ordered to hire a consultant within four weeks of the consent order, which was signed June 26 by state Department of Public Health (DPH) officials and Carlson Place manager and owner Diane Mortali. The consultant must be familiar with public health codes, federal regulations, state building and fire codes, and others standards the facility failed to meet. According to the consent order, which is in effect for two years, the consultant will evaluate the facility’s engineering and maintenance program, assess the coordination of daily maintenance services various vendors provide, make recommendations and report back to DPH on the facility’s compliance efforts. The facility manager must meet with DPH representatives every 90 days.
The state Board of Examiners for Nursing has disciplined four nurses, including three in cases involving alcohol or drugs. The board on July 19 temporarily suspended the registered nurse license of Fernando Roldan of Hartford for failing to comply with the terms of a four-year probation, including attending therapy or support group sessions and submitting drug or alcohol test results, state Department of Public Health (DPH) records show. DPH records show that Roldan admitted that he abused alcohol between 2010 and 2014. The board’s April memorandum of decision said that Roldan was charged with driving under the influence of alcohol for the third time in 2013 and spent a year in prison. It also said he was fired from his job at Connecticut Valley Hospital’s Whiting Forensic Institute, where he had worked for 20 years, for using unreasonable force during a restraint of a patient.
When the lights power on in the operating room at Bridgeport Hospital, more than a half of the acute care team of surgeons peering from behind the masks are women. That’s unusual, given that only 28 percent of all surgeons in Connecticut are female, according to the latest figures from the American Medical Association (AMA). Flexible work schedules and hiring more surgeons to ease the on-call burden has helped to lure more women to the trauma surgical team, said Bridgeport Hospital’s chief medical officer, Dr. Michael Ivy, a trauma surgeon. Hospitals statewide have launched initiatives to help boost the ranks of women surgeons. There’s been progress, but gaps persist.
On the surface, it looks as if Connecticut children fare pretty well. According to the annual Kids Count report from The Annie E. Casey Foundation, the state ranks fourth in education, third in health, and sixth in overall well-being for children. The foundation pointed to nearly universal health insurance—97 percent—for Connecticut’s children as a major contributor to the state’s high ranking. Of all the states, Connecticut also had the lowest rate of deaths among children ages 1 to 19: 15 deaths per 100,000 children. But that’s not the entire story, not by half.
Last fall, Sharon Boland was worried she’d never lose the extra 70 pounds she was carrying. At age 54, everyone told her, it would be nearly impossible to slim down. “I’ve probably carried weight most of my life,” said Boland, a business lawyer who lives in Greenwich, but she had gained an extra 25-30 pounds in the previous few years. Her friends were right: It is undeniably harder to lose weight after about age 50. Eating and exercise habits that worked fine during the 30s and 40s can quickly lead to extra pounds and paunches a decade or two later.
If you are an American woman, be afraid of the Trump administration’s latest attempts to repeal Obamacare. If you are an American woman living in poverty, be very afraid. Connecticut has taken note. During the legislative session that just ended, the Connecticut Senate unanimously voted to protect 21 health benefits (such as contraceptives and mammograms) that Trumpcare would obliterate. Sadly, that bill died in the House.
Six nursing homes have been fined for violations, including two incidents where residents died. The Reservoir in West Hartford was fined $3,000 after a resident died and investigators found staff did not administer CPR for the required period of time, according to the state Department of Public Health (DPH). The resident, who was at the facility for short-term rehabilitation, had difficulty breathing on Feb. 6, 2016. A licensed practical nurse (LPN) began performing CPR compressions but soon after, a registered nurse told the LPN to stop the compressions, according to DPH.
A genetic test that helps doctors determine how best to treat breast cancer—and whether chemotherapy is likely to help—is significantly more likely to be administered to white women than blacks or Hispanics, a Yale study has found. The test, called Oncotype Dx (ODx), uses gene expression to gauge how early-stage breast cancer is affecting patients’ gene activity. It uses the information to determine how likely cancer recurrence would be, and physicians and their patients can use that knowledge to decide how to proceed with treatment. Yale researchers retrospectively analyzed a group of more than 8,000 Connecticut women who were diagnosed with hormone receptor positive breast cancer between 2011 and 2013, and found “significant racial and ethnic disparities in use of this new gene test,” said study leader Dr. Cary Gross, a member of Yale Cancer Center and professor of medicine and epidemiology at Yale School of Medicine. “It reinforces that, at the same time we are investing in developing new treatments and new testing strategies and we’re promoting them with great excitement, we really need to double-down our efforts to eliminate disparity,” Gross said.
Federally Qualified Community Health Centers (FQHCs) in Connecticut have expanded services, upped their staffing and renovated their facilities mostly due to increased revenue streams from the Affordable Care Act (ACA). Connecticut and the 30 other states that opted for the ACA Medicaid expansion program have benefitted from billions of dollars in additional core grant funding, with Connecticut receiving $150.7 million from 2011 to 2016, according to a January report by the Congressional Research Service. Health centers in Connecticut used some of that funding to hire professionals to enroll thousands of residents in health insurance—residents who were previously uninsured and used the centers for their health care. Now the centers are serving about 70,000 more insured patients, mostly covered by Husky Health plans. The cost of treating uninsured patients has declined by about $10 million since 2012, according to Deb Polun, director of government affairs and media relations at the Community Health Center Association of Connecticut.