Mutual Matters

Marshaleen King, MD

Recent Posts

Complicated Communication: Discussing Unexpected Outcomes 

Posted by Marshaleen King, MD on Feb 8, 2018 12:05:00 PM

Case Scenario

A 32-year-old woman underwent emergency cesarean section due to fetal bradycardia. Her C-section was complicated by an injury to her bladder which was repaired immediately by her obstetrician.

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Topics: Patient Care and Interaction

FDA Alert: Betrixaban Approved for Extended VTE

Posted by Marshaleen King, MD on Jan 25, 2018 1:00:00 PM

MMIC_Pill_bottles_close up.jpg

In 2017, betrixaban, a factor Xa inhibitor, became the first drug to be approved by the U.S. Food and Drug Administration (FDA) for hospital and extended duration (35 to 42 days) VTE prophylaxis.

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Topics: Patient Care and Interaction

Is Thrombolysis Only for a Crisis?

Posted by Marshaleen King, MD on Dec 21, 2017 1:00:00 PM

Indications for Thrombolytic Therapy in Patients with Acute Pulmonary Embolism

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Topics: Patient Care and Interaction

Communication Breakdown Contributes to Shoulder Dystocia Claim

Posted by Marshaleen King, MD on Dec 14, 2017 2:24:58 PM

The Case

A 29-year-old female patient (G2, P1) presented with a past history of shoulder dystocia in her first delivery. Her estimated delivery date (EDD) was 4/24/14. At her next prenatal visit on 4/5/14, she was seen by a certified nurse midwife (CNM). At that time, the patient weighed 226 pounds and the clinical assessment estimated the fetal weight to be over 8 pounds.

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Topics: Patient Care and Interaction

Don’t Complicate your Complication, a surgical complication case study

Posted by Marshaleen King, MD on Nov 30, 2017 1:00:00 PM

Case Scenario

A 64-year-old woman presented to the emergency room (ER) with right sided abdominal pain. Her ER evaluation revealed cholelithiasis with thickening of the gall bladder wall. The patient was admitted by the surgical team on call and underwent laparoscopic cholecystectomy. 

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Topics: Patient Care and Interaction

Reducing Medical Errors by Improving the Diagnostic Process

Posted by Marshaleen King, MD on Nov 16, 2017 1:30:00 PM

Introduction

Medical errors remain a major cause of morbidity and mortality and recent estimates indicate that it is likely the third leading cause of death in the US, [1] with some sources reporting an incidence of 210,000 to 400,000 deaths annually due to errors among hospitalized patients.[2]

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Topics: Patient Care and Interaction

Costly Genes: Genetic Testing and Patient Care

Posted by Marshaleen King, MD on Oct 5, 2017 12:23:00 PM

Case scenario

A 28-year-old woman presented to a primary care physician for a new patient visit. The physician conducted a fairly thorough history; however, he obtained the patient’s family history from a patient intake form, which only included questions about hypertension, heart disease and diabetes in family members. The physician neglected to ask the patient about any family history of cancer and failed to revisit her family history at any point during her subsequent follow-up visits.   

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Updated Guidelines for Management of Pulmonary Nodules on CT

Posted by Marshaleen King, MD on Aug 24, 2017 1:00:00 PM

The Fleischner Society has published new guidelines for the management of incidental pulmonary nodules detected on CT images. The updated guidelines reflect new data in the field and are based on the consensus of a multidisciplinary group comprised of experienced thoracic radiologists, pulmonologists, surgeons, pathologists and other specialists. The guidelines apply to incidental nodules found in adults ≥ 35 years and should not be used in persons < 35, patients at risk for infection due to an immunocompromised state, individuals being screened for lung cancer or people with a known history of a primary cancer.

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The Social Doctor

Posted by Marshaleen King, MD on Jul 27, 2017 3:16:14 PM

Five ways to use social media to your advantage and become a social doctor:

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The Case of Provider vs Private Investigator: When Patients Record

Posted by Marshaleen King, MD on Jun 29, 2017 1:30:00 PM

Case Scenario 1

A 46-year-old woman took her 15-year-old daughter to a pediatric practice for a routine physical. During the visit the mother became uncomfortable and felt the physician assistant (PA) repeatedly violated her personal space. Unknown to the PA, the 15-year-old daughter recorded the entire visit using her cell phone.

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As one of the leading mutual providers of Medical Professional Liability insurance, we're here to help all healthcare professionals with the challenges they face on a daily basis. The topics we cover include: 

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