Latest news with #PresbyterianHealthcareServices
Yahoo
04-06-2025
- Health
- Yahoo
Jury hits Presbyterian with $40 million verdict in medical negligence case
Jun. 4—A jury this week awarded more than $40 million in damages to a couple who argued that personnel at Presbyterian Healthcare Services failed to diagnose a condition that resulted in brain damage to their infant child. The couple argued in a lawsuit that Presbyterian personnel failed to diagnose the infant's low blood glucose levels after the child's birth in April 2019, resulting in permanent developmental effects. The award included $15 million in punitive damages against Presbyterian. Jurors also awarded nearly $25 million to the child, now 6, and a total of $825,000 to the boy's parents, Samantha and Patrick Leonard. Jurors also found that the conduct of four Presbyterian personnel, including two physicians and two registered nurses, showed "reckless or wanton" behavior on the part of the health care system, 2nd Judicial District Court records show. Jurors handed down the verdict on Monday following a two-week trial before state District Judge Denise Barela-Shepherd. Presbyterian called the judgment "excessive" in a statement issued Tuesday. "While we respect the judicial process, we have serious concerns about this outcome and the unprecedented size of the damages awarded," the statement said. "We intend to pursue legal options to address what we consider to be an excessive judgment." "Presbyterian is committed to providing safe, high-quality care to our communities," it said. The verdict comes about six months after a Bernalillo County jury awarded nearly $17 million in damages to a woman who carried a 13-inch metal instrument in her abdomen for two months following a 2019 surgery at Presbyterian Hospital. That Jan. 14 verdict included $15 million in punitive damages against Presbyterian. Earlier this year, lawmakers failed to approve a bill that sought to counter the shortage of health care providers in New Mexico by changing the state's Medical Malpractice Act, including limiting attorney fees in medical malpractice cases. Senate Bill 176 died in committee after drawing strong opposition from trial lawyers and patients injured by medical malpractice. Supporters of the bill argued that New Mexico's medical malpractice laws have made the state a magnet for out-of-state attorneys and discouraged doctors from practicing here. In 2022, New Mexico had the highest medical malpractice insurance loss ratio in the country, according to a recent Think New Mexico report, meaning insurers paid out 183% of the premiums they took in. Indeed, New Mexico was one of only seven states where insurers lost money, making it much more expensive for them to function in this market. Lisa Curtis, an Albuquerque attorney who represented the Leonard family, said jurors awarded $15 million in punitive damages as a warning to Presbyterian. "It's clear they were just trying to send a message — take better care of our children," Curtis said Tuesday. An attorney for Presbyterian Healthcare Services, Colleen Koch, did not immediately return phone messages Tuesday seeking comment. The boy, who was born about three weeks prematurely at Presbyterian Hospital in April 2019, had undetected hypoglycemia, or low blood sugar, due to high insulin levels, according to the 2022 lawsuit. The boy was discharged from the hospital two days after birth. Seven days after discharge, the boy became "fussy and febrile with less active feeding" and was readmitted to Presbyterian. Eight days after the boy's birth, his brain and heart shut down, Curtis said. "They started testing his blood sugar after that," she said. "His blood sugars were super low. They figured it out in a day once he had crashed and they tested him." Presbyterian violated its own policies that require blood-sugar testing for all babies born prematurely within 24 hours of birth, Curtis argued. The boy "suffered undetected hypoglycemia with subsequent seizure activity and respiratory arrest when he was only (8) days old," the lawsuit said. The boy "is suffering the long-term consequences of developmental delay/sensory disorder, abnormal vision and behavioral effects."
Medscape
28-05-2025
- Health
- Medscape
Juice Cleanses Likely Good for Nothing, Bad for Much
'It's a great way to get those fruits and vegetables into my diet, especially since I can't be bothered peeling or preparing them…' 'I lost weight and felt lighter…' 'I'm helping my body detox, and that's a good feeling.' Social media is rife with statements like the above about juice cleanses. It's a favorite topic as well as something patients often ask about. The perception is that by doing a juice cleanse, they're doing something healthy for themselves — yet experts agree that in most cases, they're not. But if they're having a conversation or asking about it, it offers an opportunity to provide evidence-based guidance. American Gastroenterological Association Spokesperson Fazia Mir, MD, clinical assistant professor at the University of New Mexico and a gastroenterologist with Presbyterian Healthcare Services, both in Albuquerque, New Mexico, said some of her patients ask about juice cleanses because they're interested in doing a liver detox or helping their gut inflammation. 'I tell them that, in fact, it does the opposite,' she told Medscape Medical News . 'The majority of juice cleanses impact gut health negatively. They can cause bowel habit irregularity and even precipitate inflammatory bowel disease, as the gut microbiota is disrupted due to the lack of fiber in these cleanses. And we see patients all the time whose irritable bowel syndrome worsens after they've embarked on a juice cleanse.' What the Evidence Says There's little evidence to support the use of juice cleanses for eliminating toxins from the body, according to the US National Center for Complementary and Integrative Health. Furthermore, some juices used in 'detoxes' and 'cleanses' haven't been pasteurized or treated in other ways to kill harmful bacteria, meaning they can expose individuals to toxigenic E coli, Salmonella , hepatitis A, and Cryptosporidium . In addition, some juices are made from foods high in oxalate, such as leafy green vegetables and beets. Individuals susceptible to kidney stone formation should limit their consumption of high-oxalate foods, which can present a health threat. In fact, a case report published several years ago documented acute oxalate nephropathy caused by a 'green smoothie cleanse' prepared from juicing oxalate-rich green leafy vegetables and fruits. 'Reality Check' Two recent studies highlight the negative impact of juice cleanses. In a small randomized, three-arm intervention study with 14 healthy participants published online in Nutrients , 'a 3-day exclusive juice cleanse (800-900 kcal/d) led to shifts in the oral and gut microbiome, with increases in taxa linked to inflammation, gut permeability, and even cognitive decline after juice consumption,' said principal author Melinda Ring, MD, executive director, Osher Center for Integrative Health at Northwestern University in Chicago. Participants followed one of three diets — juice only, juice plus food, or plant-based food — for 3 days. Microbiota samples (stool, saliva, and inner cheek swabs) were collected at baseline, after a pre-intervention elimination diet, immediately after the juice intervention, and 14 days after the intervention. Gene sequencing was used to analyze microbiota taxonomic composition. The juice-only group showed the most significant increase in bacteria associated with inflammation and gut permeability, as well as associated changes in the saliva and cheek microbiota — particularly in the relative abundances of proinflammatory bacterial families. These changes are potentially due to the high sugar and low fiber intake of the juice-related products, the authors suggested. Ring said the study 'offers a reality check' on juice cleanses. 'Whether a cleanse is 'healthy' depends on the individual and the intent behind it,' she told Medscape Medical News . 'A short, structured cleanse, ideally lasting no more than 1-3 days, can be safe for many people if it focuses on polyphenol-rich, low-sugar vegetables rather than fruit, retains some fiber (as in blended rather than pressed juices), and avoids extreme calorie restriction.' Pediatricians should also be aware that a high-sugar, low-fiber diet may promote the growth of pro-inflammatory taxa, first author Maria Luisa Savo Sardaro, PhD, a professor of food microbiology at San Raffaele University in Rome, Italy, told Medscape Medical News . 'Families often rely on juice boxes in lunch packs, believing they're a healthy substitute for whole fruit, and school cafeterias frequently offer sugary drinks throughout the day,' she said. 'Together, these habits may contribute to an early life increase of inflammation in children.' Change Dietary Guidelines? Although it did not address juice cleanses per se, a new review published online in Nutrition Bulletin specifically compared evidence on whole fruit and 100% fruit juice with regard to nutrient composition, impact on hunger and satiety, and association with chronic health conditions. Lead author Hemangi Mavadiya, a PhD candidate at the Joe C. Wen School of Population & Public Health, University of California Irvine, Irvine, California, said that, like the Nutrients study, the review of 83 studies found juicing does indeed remove much of the dietary fiber that has beneficial effects on the gut. In addition, processing and/or storing 100% fruit juice reduces vitamins and other antioxidant contents and transforms intrinsic sugars in the whole fruit into free sugars, which have little nutritional benefit. Furthermore, fruit consumed in solid form provides greater satiety due to delayed gastric emptying and related physiological reactions, and 'the synergistic effects of polyphenols and fiber in whole fruit benefit the gut microbiome by acting as prebiotics and producing short-chain fatty acids that reduce inflammation,' the authors wrote. The review also showed that consuming high amounts of fruit juice is associated with increased risks for certain types of cancer, while results were mixed for type 2 diabetes and hypertension. As a result of their findings, the authors recommended that the next version of the next set of Dietary Guidelines for Americans, coming out at the end of 2025, be updated to better reflect the amount of whole fruit and 100% fruit juice adults and children should consume. Current guidelines recommend that at least half of the daily recommended fruit intake of two cups a day should come from whole fruits, potentially allowing the other half to be fulfilled by 100% fruit juice. Tips for Patients What are clinicians telling their patients regarding juice cleanses? 'When used as a bridge to more sustainable, whole-food, high-fiber eating habits, a brief cleanse might serve as a motivational tool,' Ring said. 'However, clinicians should counsel patients that detoxification is a natural, ongoing function of the liver and kidneys, not something that requires commercial juice products.' Patients should also be told that juice cleanses may temporarily disrupt the body's microbial balance, likely due to their high sugar and low fiber content and may not support long-term gut health. 'Cleanses may offer a psychological 'reset,' but without adequate fiber and protein, they could undermine microbial diversity and resilience, especially if repeated or prolonged.' Patients who love juicing can consider blending instead, to keep the fiber intact, or pairing juices with whole foods to balance the impact on the microbiome, she suggested. Mavadiya advises patients read food labels, which can help distinguish between fruit juice and fruit drinks, since the latter 'is loaded with added sugars,' and it's easy to confuse the two. 'Ultimately, the healthiest path forward is not a periodic cleanse, but a consistent, nutrient-dense, fiber-rich diet that supports gut and systemic health over the long term,' Ring concluded. Furthermore, clinicians should assess for underlying conditions such as diabetes, eating disorders, or frailty, which may make juice cleanses inadvisable. No conflicts of interest were declared.
Yahoo
28-03-2025
- Business
- Yahoo
'Our focus is on us': Presbyterian CEO says there are no updates on potential mergers
Mar. 27—Presbyterian Healthcare Services' chief executive avoided directly addressing merger speculation at an Albuquerque business meeting Wednesday, following the collapse of a major deal two years ago. "No updates. ... Our focus is on us. Our focus is on New Mexico. Our focus is on 2025," Dr. Rishi Sikka, the Presbyterian CEO, told a group of business leaders at the Economic Forum of Albuquerque. The response follows a blown deal between Presbyterian Healthcare Services and Iowa-based UnityPoint Health — which disintegrated in 2023 for reasons the state's largest health system has not disclosed. Presbyterian executives had promoted the deal as a cost-cutting and efficiency-improving move that would've created an $11 billion conglomerate. It also comes as hospital mergers have grown. A report from the health care consulting firm Kaufman Hall noted 72 U.S. hospital mergers took place in 2024 — an increase from the previous two years, in part stimulated by a troubled medical industry. The report found that nearly one in three mergers involved a distressed party operating with negative budgets. The Legislature also approved a bill requiring a review of "proposed transactions that involve mergers, acquisitions or other actions that change control of a hospital or certain health care provider organizations," according to an analysis from the Health Care Authority. Its the second session in a row lawmakers have strengthened merger oversight. Sikka focused his hourlong speech on Presbyterian's future. In doing so, he acknowledged volatility at the federal level — which has created uncertainty for all health systems, including Presbyterian. Sikka's speech did not specify any issues in particular — like pending cuts to federal Medicaid dollars, threats to medical research funding or the U.S. Health and Human Services Department embrace of vaccine skeptics to head key positions — but said the ever-changing shifts are a concern. "There's so many of those dynamics at the federal level that affect health care in states and in local communities," Sikka said. But in looking to the future, Sikka described three goals for 2025: delivering safe, high-quality, compassionate and equitable care; keeping patients and members healthy; and engaging and retaining a talented team. To the first point, Sikka highlighted Presbyterian's Healthcare Advanced Learning Lab. The $6 million facility includes four inpatient rooms, an emergency room, a clinical room, an apartment meant to simulate how first responders would react to a home call and a post-operation room. "This is the kind of environment where you train folks to be able to deliver safe and high-quality care so they can perfect it," Sikka said. Sikka, who took over the leadership role at Presbyterian in October 2024, also highlighted Presbyterian's Food Farmacy, a referral-based food pantry for patients deemed food insecure. Based on a high demand for services, Sikka said that Presbyterian planned to expand the program, although he did not provide specifics on the plan. "We couldn't accomplish any of this without having an incredible, incredible workforce," Sikka said. "We have challenges in our state with recruitment, and it's not just a challenge for New Mexico, it's a challenge for the country." Sikka pointed out that the Health Resources and Services Administration, under the purview of the federal Department of Health, designates 32 of New Mexico's 33 counties as health care provider shortage areas. Moreover, federal data shows that New Mexico is short about 7,000 registered nurses and 150 primary care physicians. "The workforce shortage problem is not simply a New Mexico problem. We are competing with states all across the country for talent," Sikka said. At the audience's request, Sikka addressed some of the legislative proposals aimed at alleviating the shortage, including a failed bill that would've capped medical malpractice settlements. Supporters of the measure said it would help to improve New Mexico's provider deficit, while opponents said it would make it harder for patients to sue after botched procedures. "I've seen both sides. As an emergency medicine physician and how that experience kind of weighs on you, and I've also seen it as a son and as a husband, where I saw things happen in care that I didn't think were very cool," Sikka said. Sikka didn't take a side but added that Presbyterian is committed to hiring more physicians. He also said Presbyterian had granted an additional week of paid time off to all staff as a means of improving retention. In closing, Sikka repeated a mantra from Marion K. Van Devanter, one of Presbyterian's founders: If we can help, we should. "That is still her heartbeat," Sikka said. "It is still a part of the pulse of our organization, and that pulse is the pulse that we are going to raise up and have even louder and stronger in 2025 and as we go forward."
