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Two patients from the Specialty Surgery Center in Crossville, Tennessee have contracted fungal meningitis, according to a recent report of the Tennessee Department of Health as reported by Channel 2 News.

The facility has stopped performing lumbar steroid injections but has not been closed. 

Earlier news reports indicated that the outbreak was limited to three facilities in Tennessee, with the Saint Thomas Outpatient Neurosurgery Center identified as first facility.  Two patients from Saint Thomas have died because of the infection.  The third facility has not been identified.

Health insurance companies know that certain types of injuries are often caused by trauma, and that trauma many times is caused by the negligence of one or more people other than the person who has hurt.

So, when a health insurance company is presented with a claim that involves an injury that it believes may be related to trauma, it sends out a questionaire trying to figure out the circumstances giving rise to the claim and whether a personal injury claim will be made.

And why do insurance companies do that?  Because most health insurance policies have a contractual provision called "subrogation" or "reimbursement" that gives them the right to be repaid in the event that a liability settlement is reached for the injury that required payment of health insurance benefits.

Local news outlets are reporting that some eleven patients who had lumbar epidural steroid injections at Nashville’s Saint Hospital have contracted meningitis.

Meningitis is an inflammation of the meninges, which is the membrane surrounding your brain and spinal cord.  Usually meningitis is caused by a viral infection, but it can also be caused by bacterial or fungal infections.  Meningitis can be deadly, and news reports indicate that two people have died from meningitis contracted at the Saint Thomas Outpatient Neurosurgery Center.

The Center was voluntarily closed on September 20, 2012. A total of 737 patients who had lumbar epidural steroid injections between July 30, 2012 and September 20, 2012 have been notified .

 

An updated article in The Tennessean reveals that the meningitis outbreak at the Saint Thomas Outpatient Neurosurgery Clinic was caused by a fungus.

Some eleven patients have contracted a strain of fungal meningitis – all of them received epidural steroid injections at the Outpatient Neurosurgery Clinic between July 30 and September 20, 2012.

There is some evidence that pain-relieving injections themselves may be to blame in this case. The Tennessee Department of Health has indicated that the injections have been recalled and that patients in more than a dozen other states could be affected. One patient in another state allegedly contracted meningitis after receiving a epidural steroid injection.

A dog presents a real hazard to bicyclists.  A dog can attack the bicyclist, or the bicycle, and cause a crash.  An attacking dog can cause the bicyclist to swerve, running off the road into a ditch or into the road and a passing car.  And, when you fall on a bicycle, particularly if you are traveling at a high speed, you will be very fortunate if you avoid serious injuries. (Clink on the link for more information about Tennessee dog bite or dog attack cases.)

Tennessee law provides that a dog owner has the responsibility to keep that dog under reasonable control at all times and to keep that dog from running at large.  "Running at large" specifically includes a dog going uncontrolled on a public highway or street.

A dog owner who does not keep the dog from running at large is responsible for any damages suffered by a person who is injured by the dog if the dog is in a public place or lawfully in or on the private property of someone else.  Liability is imposed in these circumstances even if the dog has never shown any dangerous propensities or whether the dog’s owner knew or should have known of the dog’s dangerous propensities. 

One question frequently asked by our Tennessee automobile accident clients is why they have to repay their health insurance company out of any settlement they receive in their automobile accident claim.  The clients feel that they have paid for the health insurance for many years and, when they have to use it to pay medical bills arising from a car accident, the health insurance company wants its money back.  It seems unfair.

The reason that repayment of some amount is often necessary is because the health insurance contract has a “subrogation” or “reimbursement” provision that requires repayment  if you get a settlement of a personal injury case and the bills were incurred because of the injury covered by the settlement.  The power your insurance company has to enforce this provision depends on how it is written, whether it is governed by state or federal law, and other factors.

These provisions in health insurance contracts are now commonplace.  Indeed, it is the rare health insurance contract that does not have such a provision.   The laws that govern Medicare and Tenncare have similar provisions.

Under Tennessee law the responsibility of a landlord for dog bites or other attacks by dogs owned by the landlord’s tenant depends on the facts of the case.

The landlord is responsible only if he, she or it knew or had notice of the vicious propensity of the tenant’s dog and the landlord had sufficient control of the leased premises to require the tenant to remove the dog or safety restrain it.

Control can be demonstrated by provisions in leases that give the landlord the right to evict if the tenant engages in "dangerous" activities or "inappropriate" activities.  Control can also be demonstrated in the lease gives the landlord the right to allow or disallow the keeping of a pet.

Tennesseans have been surprised to learn that thirty-one children who had interaction with the Tennessee Department of Children’s Services have died this year.  Apparently,  202 children that DCS officials said died in two previous years after having had some interaction with the agency when they were alive.

According to the Tennessean, DCS  data revealed that 10 infants who died were the subjects of open case files by DCS workers died between January and June, 2012.   An additional 17 children died who had been investigated by DCS in the past. Four children died in state custody during the same time period.

DCS is alleged to have violated the law by failing to report these deaths, according to an article in the Tennessean.

A person who suffers an injury in Tennessee automobile accident as a result of the negligence of another person has a right to recover damages for their injuries.  As a Tennessee car accident attorney i am fortunate to have represented many people who have been injured in car and truck accidents.

Tennessee law provides that a car or truck accident  injury victim can recover damages for the following:

  • medical expenses
  • lost wages
  • pain 
  • suffering 
  • disfigurement 
  • disability
  • loss of enjoyment of life.

If the injury received in the car or truck accident results in future or permanent physical or emotional problems, additional damages may be recovered for 

In virtually every type of Tennessee personal injury case a lawyer will be required to order medical records concerning the treatment that the received in the incident giving rise to the injuries.  The lawyer is charged for every page of every record from every health care provider. At the Law Offices of John Day, P.C. we have spent over $1000 to order medical records for a single client.

Why do lawyers have to pay for records?  The health care industry got a special law passed that permits each health care provider to charge a minimum fee for the first five pages of records ($20), 50 cents for each additional page plus the cost of mailing the records.  An additional $20.00 is charged when the lawyer asks the provider to certify the records as “business records” under the law.

The charges are clearly unreasonable, especially in light of the fact that many records are now electronic and it is much easier to produce medical records.  However, the health care lobby is very strong and thus the charges will undoubtedly continue.

 

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