May 18, 2013

The fix is in for Second Injury Fund (AUDIO)

The long-awaited “fix” to Missouri’s Second Injury Fund cleared the state Senate a little before 1 a.m. today and could be sent to the Governor by the House before the day is out.

The fund ran out of money long ago because the legislature in 2005 limited the surcharge businesses paid to support it. 

The bill also overhauls the workers compensation program, which now will include occupational  and toxic diseases.  It also gives employers several options  for insurance coverage. 

Senate Sponsor Scott Rupp of Wentzville outlined the elements of the bill shortly before Senate passage.

AUDIO: Rupp explains the bill 5:45

Legislature sends ‘webcam abortion’ ban to the Governor

The state legislature has approved a bill that would bar the use of telemedicine to administer abortion-inducing drugs.

Representative Jeanie Riddle (photo courtesy; Tim Bommel, Missouri House Communications)

Rep. Jeanie Riddle (photo courtesy Tim Bommel, House Communications)

The bill (HB 400) would require that when a woman is using RU-486 or another abortion-inducing drug she must be in the presence of her doctor, rather than have him monitor her by a videoconference.

The bill’s House sponsor, Rep. Jeanie Riddle (R-Mokane), says such procedures happen elsewhere in the country and leave patients at risk.

“We’ve had 15 deaths and well over 1,000 … 1,300, 1,500 serious complications with this drug. We’ve had two in the United States … two teenage girls that bled to death at home because they were afraid to tell their parents. Yes, this is about quality care for women.”

Rep. Genise Montecillo (D-St. Louis) says Riddle overplays the risks, and is not genuine in stating her motivation.

“If you’re opposed to RU-486, say you’re opposed to RU-486 and that’s what this bill is about, but don’t stand up and say that this has nothing to do with a woman’s right to choose because it has everything to do with a woman’s right to choose” Montecillo said. “Let’s just be honest about the discussion for once.”

Other opponents argued that the drug is meant to be administered and followed-up on at home.

The proposal goes to Gov. Jay Nixon on veto-proof majorities in both chambers. Ten House Democrats voted with Republicans in passing it.

Nerve stimulation treatment shows change in brain function for people with depression (AUDIO)

Researchers at Washington University in St. Louis have found an alternative way that could treat patients with severe depression through nerve stimulation in the brain. Dr. Charles Conway with Washington University in St. Louis says a nerve stimulator implanted in the brain could help treat patients with severe depression who don’t respond to standard anti-depressant medication.

Conway says little is known about how this stimulation works to relieve depression, but patients who receive stimulation of the vagus nerve, which is located in the lower-back of the brain; can begin to see positive changes in brain function and brain metabolism within weeks or months.

“We’re seeing with people with this vagus nerve stimulator is it generally, most of the patients who get this, they’re the most severe and they’ve failed multiple medications; so these are sort of the sickest of the sick,” he said. “They don’t typically respond right away, but over the course of many months- usually about 6 to 12 months of stimulation they start to get better.”

He says he doesn’t understand why or how this was coming about.

However, Conway says brain scan studies are beginning to reveal the processes that occur in the brain during stimulation and that could provide clues about how it combats depression. “In the patients who respond to vagus nerve stimulation, the majority of them maintain their response,” he said.

Studies have shown that if a patient responds to the stimulation at 12 months, he says somewhere between 70 to 80 percent of patients maintain their response a year later.

“These are patients who have failed multiple medications,” Conway said. He adds that nerve stimulation is looking promising for severely depressed patients.

AUDIO: Mary Farucci reports. (:58)

“Sky’s the limit” after medical malpractice bill sidelined

An effort to protect doctors from large punitive damage awards in medical malpractice suits has been stopped in the state senate.

The state supreme court has ruled the state’s previous caps on non-economic damages violate the constitution.   Doctors had been hoping the legislature would pass a new law this year saying they could not be hit with punitive damages greater than $350,000. 

But eight hours of stalling debate left sponsor Dan Brown of Rolla without a vote. One senator opposing Brown’s limits complained the legislation was protecting everyone but the malpractice victim.  In the end, Brown and opponents could not agree on a limit amount. 

Although he hopes to continue negotiations to salvage the bill this year, he admits his chances are limited in the time left—and that means doctors are vulnerable.  “You can sue him for any amount of money,” he says. “The sky’s the limit.”

Brown fears doctors and insurance companies will leave the state, as they were doing before tort reform passed in 2005.  He says the damage limits imposed then quadrupled the number of malpractice insurance companies providing coverage, and increased numbers of doctors here.

An alternative proposal to establish a state pool that would pay punitive damage claims above $350,000 was voted down. 

AUDIO: Brown interview 9:14

Bacteria in women linked to contributing STDs, preterm birth (AUDIO)

Researchers at Washington University in St. Louis has found a link in a bacterial condition in women that can contribute to preterm birth, and sexually transmitted diseases. Research instructor Warren Lewis says bacterial vaginosis affects one in every three women, and some may not be aware they have it.

He says it’s more common than a yeast infection, and often does not cause significant symptoms. “What we looked at specifically are the formation of clue cells,” Lewis says. “Those cells are formed when the bacteria go and stick to the epithelial cells, so the surface of the interior of the vagina has these surface cells and bacteria will go and stick to them.”

Warren says however, he’s uncertain of where the bacteria stems from or what species of bacteria actually causes the condition. “There’s quite a bit of controversy in the field about what species, or what bacterial organisms are causing the symptoms,” he said.

New research suggests that an organism called “Gardnerella vaginalis” is likely to be the cause, though not for certain. Gardnerella vaginalis is commonly found in the vaginal fluids of women with bacterial vaginosis and even in some women who don’t have the condition.

AUDIO: Mary Farucci reports. (1:04)