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Stories from the dialysis comunity across the globe.



Shatabdi Hospital lacks dialysis team, 26 die on their beds - Mumbai Mirror PDF Print
Of the 91 people who were brought to Kandivali's Shatabdi Hospital on Friday after they drank contaminated liquor, 26 died during treatment owing to the lack of qualified medical professionals. The 320-bed BMC-run facility, which was built at a cost of Rs 110 crore, does not employ a single nephrologist to oversee dialysis, a procedure that the victims desperately needed.

Of those that were transported to Shatabdi, 11 were declared dead on arrival. While 26 died during treatment; 24 were shifted to KEM Hospital, Sion Hospital and Nair Hospital so they could receive dialysis; three to Siddharth Hospital in Goregaon; 10 to private facilities; and 17 remained in Shatabdi, of which nine are tethered to ventilators. The Kandivali hospital was constructed with the purpose of easing the burden on KEM, Sion and Nair hospitals.

"We have eight dialysis machines which we run through a public-private partnership. However we can only take the chronic patients for treatment and not emergency cases," said Mahendra Wadiawala, chief superintendent of peripheral hospitals. The hospital cannot admit such patients because it does not have a functioning nephrology department. "This procedure can only be done by a proper nephrology team," said Dr Krishna Pimple medical superintendent of Shatabdi Hospital.

All patients are suspected to have suffered methanol poisoning. Dr Pratit Samdani, who practices in several private hospitals said that a patient develops metabolic acidosis - a condition where the body produces excessive quantities of acid and the kidneys fail to remove these from the body. "While dialysis would be the most essential step, these patients also need ventilators as they develop respiratory issues and may even develop cardiac and neurological problems," he explained.

UNDETERRED, SLUM RESIDENTS CONTINUE TO GET HIGH ON HOOCH

A day after 56 residents of a Malvani slum died after drinking illicit liquor, at least 50 people were found to be consuming the hooch, undeterred.

"Despite Thursday's incident, people are still consuming liquor, some of which is part of spurious consignment supplied to at least a dozen bootleggers in the slum," a police officer told Mumbai Mirror. Reports of the deaths did little to stanch the flow of patients complaining of the effects of the hooch. "We thought by early Friday morning this will stop but the flow continues. People are complaining of vomiting and stomach pain," the officer said.

He added that initial testing on the liquor seized from arrested accused indicates that it contained methanol. "During the monsoon customers normally ask for strong liquor and that's why hooch manufacturers mix methanol in water," he said. - Dharmendra Tiwari

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Family of inmate who died after not getting dialysis sues Utah State Prison - fox13now.com PDF Print

SALT LAKE CITY — The family of an inmate who died after going days without getting kidney dialysis has filed a lawsuit against the Utah Dept. of Corrections and University of Utah Health Care.

Ramon Estrada’s children filed the lawsuit this week in federal court, accusing state prison officials of negligence and cruel and unusual punishment. Estrada, 62, who was serving time for a rape conviction, was due to be paroled shortly before he died on April 5.

Ramon C. Estrada

Ramon C. Estrada (photo provided by the Utah Dept. of Corrections)

“They knew he had a serious medical condition that he needed this life-saving dialysis,” Estrada family attorney Alyson McAllister said. “He didn’t get it on Friday and they knew he didn’t get it. He didn’t get it on Saturday and they knew he didn’t get it, and he didn’t get it on Sunday.”

University of Utah Health Care at the time said a scheduling error led to dialysis technicians not showing up to provide the treatment at the prison. Several other inmates who were due to receive dialysis were hospitalized as well. Corrections officials said Estrada died from cardiac arrest, likely due to renal failure.

“It’s definitely negligence, but it’s more than negligence,” McAllister told reporters on Friday. “It’s deliberate indifference.”

Estrada’s children, who live in Texas, complained that they have not been able to get much information from the Utah Dept. of Corrections about his death. McAllister claimed Estrada’s body has yet to be released to the family so they can bury him.

“We have not officially received the lawsuit and therefore haven’t had a chance to review it. In addition, our internal investigation is still ongoing,” Utah Dept. of Corrections spokeswoman Brooke Adams said in a statement to FOX 13.

University of Utah Health Care, which provides medical services to the prison, also declined comment on Friday but noted that “we have taken steps to ensure such a mistake does not occur again.”

The lawsuit filed by the Estrada family does not list an amount in damages. The state has 60 days to respond.

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Utah Inmate's Son Sues After Father Misses Dialysis, Dies - ABC News PDF Print

The son of an inmate who died at the Utah state prison has sued corrections officials and health care providers, accusing them of violating his father's civil rights by failing to give him dialysis for two days.

Inmate Ramon C. Estrada died April 5 after two dialysis technicians switched shifts and nobody showed up for his appointment.

Estrada's son, Jose Estrada, who lives in Edcouch, Texas, filed the lawsuit in federal court this week. The lawsuit was filed against the state prison warden, the clinical services director at the prison and the director of the offsite dialysis clinic that's part of the University of Utah health care system

"Defendants exhibited a shocking degree of deliberate indifference and reckless disregard for the serious and evident medical needs of Ramon Estrada," the lawsuit alleges.

Utah Department of Corrections spokeswoman Brooke Adams said she can't comment because they have not officially received the lawsuit and because the department's internal investigation is ongoing.

University of Utah Health Care system spokeswoman Kathy Wilets also declined comment on the lawsuit, referring to statements made in April when the university said it deeply regretted the mistake and vowed to take the necessary steps to ensure a scheduling mix-up would not happen again.

The two technicians have been disciplined, but they remain employees, Wilets said. The health care system's investigation didn't find any bad intentions, just a terrible scheduling error, she said.

Clair Coleman, office manager at the South Valley Dialysis Center where the technicians work, declined comment on a lawsuit he hasn't seen yet. But he said they have taken steps to improve scheduling and ensure prison officials know how to get ahold of him or his workers.

He lamented the fact that prison workers waited two days to call his office after the appointments were missed in April. "All the changes in the world won't make a difference if the prison doesn't call when someone is late or doesn't show up," Coleman said.

The attorney for the Estrada family, Alyson McAllister, said the four adult children are suing because they can't get any information from the prison about what happened and because they want to ensure the same thing doesn't happen to other inmates.

"Those technicians definitely bear some responsibility for this, but more responsibility lies on the supervisors and the jail," McAllister said. "There needs to be some kind of oversight so a simple scheduling error like this doesn't' cause catastrophic damages."

Autopsy results have not yet been released, but corrections officials say it appeared Estrada died of a heart attack related to kidney failure. The lawsuit doesn't mention a heart attack, but it says he died of kidney failure.

Estrada had been in prison since August 2005 on a rape conviction. He was 62 and was set to be paroled less than three weeks later.

The Salt Lake Tribune first reported the lawsuit.

The lawsuit says the prison failed to provide Ramon Estrada with a level of care that a "civilized society would think necessary." It also accuses prison officials of failing to intervene in time to prevent his death.

Six other male inmates were also waiting for dialysis treatment because of the scheduling mix-up and were taken to a hospital for evaluation.

The situation reflects a lack of adequate training and oversight of dialysis providers at the prison, the lawsuit says.

The lawsuit doesn't list a monetary figure for the damages they are seeking, but it says Ramon C. Estrada's death deprived his family of "the companionship and society of their father."

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This story has been corrected to show Ramon C. Estrada died on April 5, not April 19.

-- This embed didnt make it to copy for story id = 31895917.

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DaVita dialysis patients lose bid for class certification - Reuters PDF Print

A federal judge in Colorado has declined to certify a class of patients who said Colorado-based healthcare clinic operator DaVita Healthcare Partners administered potentially hazardous dialysis products that increased their risk of suffering a heart attack.

On Thursday, U.S. District Judge R. Brooke Jackson in Colorado said that individual issues were "so central" to plaintiffs' claims that certifying a class of as many as 300,000 members "would not achieve significant economies of time, effort and expense." Hagens Berman Sobol Shapiro represented the proposed class.

To read the full story on WestlawNext Practitioner Insights, click here: bit.ly/1RhrUiP

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Utah inmate's son sues after father misses dialysis, dies - U.S. News World Report PDF Print
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By BRADY McCOMBS, Associated Press

SALT LAKE CITY (AP) — The son of an inmate who died at the Utah state prison has sued corrections officials and health care providers, accusing them of violating his father's civil rights by failing to give him dialysis for two days.

Inmate Ramon C. Estrada died April 5 after two dialysis technicians switched shifts and nobody showed up for his appointment.

Estrada's son, Jose Estrada, who lives in Edcouch, Texas, filed the lawsuit in federal court this week. The lawsuit was filed against the state prison warden, the clinical services director at the prison and the director of the offsite dialysis clinic that's part of the University of Utah health care system

"Defendants exhibited a shocking degree of deliberate indifference and reckless disregard for the serious and evident medical needs of Ramon Estrada," the lawsuit alleges.

Utah Department of Corrections spokeswoman Brooke Adams said she can't comment because they have not officially received the lawsuit and because the department's internal investigation is ongoing.

University of Utah Health Care system spokeswoman Kathy Wilets also declined comment on the lawsuit, referring to statements made in April when the university said it deeply regretted the mistake and vowed to take the necessary steps to ensure a scheduling mix-up would not happen again.

The two technicians have been disciplined, but they remain employees, Wilets said. The health care system's investigation didn't find any bad intentions, just a terrible scheduling error, she said.

Clair Coleman, office manager at the South Valley Dialysis Center where the technicians work, declined comment on a lawsuit he hasn't seen yet. But he said they have taken steps to improve scheduling and ensure prison officials know how to get ahold of him or his workers.

He lamented the fact that prison workers waited two days to call his office after the appointments were missed in April. "All the changes in the world won't make a difference if the prison doesn't call when someone is late or doesn't show up," Coleman said.

The attorney for the Estrada family, Alyson McAllister, said the four adult children are suing because they can't get any information from the prison about what happened and because they want to ensure the same thing doesn't happen to other inmates.

"Those technicians definitely bear some responsibility for this, but more responsibility lies on the supervisors and the jail," McAllister said. "There needs to be some kind of oversight so a simple scheduling error like this doesn't' cause catastrophic damages."

Autopsy results have not yet been released, but corrections officials say it appeared Estrada died of a heart attack related to kidney failure. The lawsuit doesn't mention a heart attack, but it says he died of kidney failure.

Estrada had been in prison since August 2005 on a rape conviction. He was 62 and was set to be paroled less than three weeks later.

The Salt Lake Tribune first reported the lawsuit.

The lawsuit says the prison failed to provide Ramon Estrada with a level of care that a "civilized society would think necessary." It also accuses prison officials of failing to intervene in time to prevent his death.

Six other male inmates were also waiting for dialysis treatment because of the scheduling mix-up and were taken to a hospital for evaluation.

The situation reflects a lack of adequate training and oversight of dialysis providers at the prison, the lawsuit says.

The lawsuit doesn't list a monetary figure for the damages they are seeking, but it says Ramon C. Estrada's death deprived his family of "the companionship and society of their father."

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This story has been corrected to show Ramon C. Estrada died on April 5, not April 19.

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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