Ryan family sues HUP for malpractice
· January 16, 2008, 5:00 am
Last Friday the family of College sophomore Anne Ryan, who died from meningitis at the Hospital of the University of Pennsylvania on Sept. 9, filed a lawsuit against HUP alleging misdiagnosis and mistreatment.
According to Thomas Kline, the family's lawyer, HUP emergency room doctors failed to properly diagnose Ryan when she first visited the hospital on Sept. 6 with meningitis-like symptoms. He claims doctors then performed an "unnecessary and unwarranted" spinal tap during her second visit on Sept. 8 that caused her brain to herniate.
The University released a statement later on Friday defending the actions of the medical team and denying allegations that Ryan was misdiagnosed.
"Although her unexpected death is a terrible tragedy and a great loss to the Penn community, the care she received in the Emergency Department was timely and appropriate," the statement said.
A copy of the complaint could not be obtained from the Court of Common Pleas.
According to Kline, Ryan displayed meningitis-like symptoms - fever, nausea and a head and neck ache - when she first visited HUP on Sept. 6.
Although blood tests revealed that she had a high white blood cell count and low spinal fluid sugar - evidence of a bacterial infection, according to Kline - an analysis of her spinal fluid came back negative for bacteria. She was diagnosed with a viral infection, given medicine for nausea and discharged from the hospital.
"There was a negligent failure to properly diagnose her and treat her with antibiotics," Klein said.
But the statement released by the University says that Ryan "unquestionably did not have meningitis when she was tested."
When her condition worsened on Saturday, Ryan returned to HUP, where doctors performed a CAT scan that revealed swelling of her brain, Klein said.
At that point, Klein said Ryan was given the antibiotics to treat meningitis, but doctors also performed a second spinal tap. He alleges that the procedure - risky to perform on a person with brain swelling - caused Ryan's brain to herniate.
Both a CAT scan performed after the spinal tap and an autopsy performed after her death confirmed evidence of a massive infection and a herniated brain, he added. The autopsy also showed a massive brain infection.
Due to the pending litigation, the University cannot comment beyond expressing "strong disagreement" with Kline's statements, said Susan Phillips, senior vice president and chief of staff for Penn Medicine.
P.J. Brennan, chief medical officer for the health system, said the lawsuit represented "shameful inaccuracies" in the facts. He refused to discuss the case further, saying "we are not in a position - and don't wish to be in a position - to debate this in the media, but we stand by our doctors and nurses."




Comments (2)
Jamie Callahan
December 31, 1969, 7:00 pm
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The Meningitis Foundation of America (MFA), a national organization, would like the public and media to know that information is available regarding the diagnosis, treatment and prevention of meningitis. MFA was founded by parents whose children were affected by meningitis. In addition to supporting vaccines and other means of preventing meningitis, the MFA provides information to educate the public and medical professionals so that the early diagnosis, treatment and, most important, prevention of meningitis, will save lives. Meningitis is a dangerous and sometimes fatal inflammation of the brain and/or spinal cord that can leave survivors with serious life-long physical problems such as deafness, brain damage and other disabilities. Complications from bacterial meningitis can sometimes result in loss of limbs. MFA has many spokespersons available. If you would like to arrange an interview with a spokesperson please call Scott Lawson, Development Director or myself Jamie Callahan, General Manager of the MFA. A MFA press kit and b-roll footage is available upon request. For further information, visit the MFA website at www.musa.org. Thank you, Ms. Jamie Callahan, General Manager Meningitis Foundation of America 6610 North Shadeland Ave. Suite 220 Indianapolis, IN 46220 (800) 668-1129 ext.7 jcallahan@musa.org
Nadine
December 31, 1969, 7:00 pm
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Although blood tests revealed that she had a high white blood cell count and low spinal fluid sugar... This alone makes me very suspicious of the plaintiff lawyer's claims. While blood tests can affirm a high white blood cell count in the blood, they can NOT assess for "low spinal fluid sugar"...or high spinal fluid glucose....or anything else in the cerebrospinal fluid for that matter. You can only get such readings regarding glucose, white blood cells, and protein in the CSF from a lumbar puncture, which, according to this article, was not in the picture until 2 days later. If the blood tests revealed high WBC and low glucose, that certainly could depict what was in the blood, but it can not translate directly to reflect CSF levels.
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