The impaired physician. What he doesn't know will hurt him.
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Biomedical subjects
Publications and source records attributed to M J Valaske.
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I surveyed 183 hospitals with medical school pathology residency affiliations regarding their recognition and use of the autopsy in loss control/risk management. Thirty physician-owned, medical society-created professional liability companies and nine other malpractice liability underwriters were also surveyed. The results generally supported my bias for increased use of autopsy information in the field of hospital-risk management. I also examined an opposing minority view. Autopsy surgeons' and hospital administrators' responses supported increased use of autopsies in loss control activities for the following reasons: to eliminate suspicion, to provide reassurance to families, to substitute facts for conjecture, to construct a better defense, to reduce the number of claims, and to improve the quality of care.
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A three-year old male ingested approximately 100 tablets of Bendectin. He developed tonic-clonic seizures followed by cardiac arrest. Toxicologic analysis yielded high levels of doxylamine, dicyclomine, and pyridoxine in blood, peritoneal fluid, and tissue homogenates. The antihistamine, doxylamine succinate appears to be the toxic constituent. Analytical methods used to document the case are herein described.
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