The purpose of this site is to educate & empower one another exposing the good, bad & the ugly naive patients experience with little or no plan of care at the hands of inexperienced physical therapists & interns/surgeons who often practice on patients without prior dialogue or consent. Then the patients are often ignored, minimized, mistreated & dismissed. Please share your story here where you will be heard & valued. myhipjourney@gmail.com
Rothman Specialty Hospital is not really a hospital in the official definition of the word at all because in it is a physician owned facility where the doctors have a financial stake in the day to day profit sharing within the organization. So at a surgi-center they're permitted to cut a lot of corners that would never be permitted in a real hospital according to a nurse I met at the YMCA who told me never to go to a surgi-center for so many reasons and she actually worked at Jefferson Hospital in Philadelphia
That nurse informed me and some other ladies at the YMCA about the ins & outs of the surgi center short cuts like the Rothman Specialty Hospital for example the women prepping you for surgery are probably not even be "real nurses" they're just medical assistants which requires 6 weeks to a few months which is against the natural actions of moral laws that violate and way below what any patient is aware of and can be downright perilous and in the case below it was actually fatal!!
Once again Nazarian wasinvolved in a malpractice lawsuit where a jury found him and his partners negligent for a patient's blood clot resulting after surgery to administer aspirin to prevent blood clots and is basic protocol yet Nazarian & Rothman Hospital completely dropped the ball once again while overlooking a very basic protocol to administer aspirin to avoid what resulted in a fatal mistake.
Where is this Doctors priorities? How can Nazarian be so clueless, careless, thoughtless & so indifferent to take a knife to someones body without careful thought and preparation? Tell me now. I should know because this same man has devestated my life too and since then I have heard of many other horror stories. I am in the process of writing my own personal story along with interviewing other victims that has been devestated at the hands of so called "medical professionals" but will never be held accountable until the law of karma brings its full return to him & countless others that took advantage of their naive patients who were never informed of so much vital information left out during the pre-op info session.
When confronted with the truth he doesn't care and doesn't care to make things right. But if he's incompetent and really at 65 years old and so many mistakes back to back its time he hangs up the knives and STOP OPERATING!! Do the world a favor and stop practicing on innocent people that their only crime was trusting someone as unprepared and careless as you, Dr. Nazarian along with so many others. Its just not fair or ethical in my opinion.
The bottom line is if you have to get an operation bedside manner should be the last thing on your list because what truly matters is if the surgeon is skilled or not and is able to deliver what they promise and lead you to believe that they know what they are doing
"Only Skilled surgeons really matter" forget all the fluff that some of these guys present prior to surgery. Some of these Doctors deserve an academy award for the big sh**t show with all the bells & whistles Honest to God.
Dr. Rothman was noted for what appeared to be his cold demeanor but Dr Rothman & Lisa Moriarty, R.N. were some of the finest professionals in this century. They had created a system that worked like clockwork with stellar results. He would be disgusted at some of the horrific things that have happened under his name & legacy since he deceased.
Calling you the night before surgery is a nice gesture but make sure they are fully present & functioning at 100% with a well thought out game plan that the surgical team is capable of executing when they wheel you or your loved one into an operating room. Surgery is no joke and never to be taken lightly.
Nazarians' standard of care was completely substandard & its not the first time. Tragically in this case the lady died ; completely avoidable:: total negligence; 100% below the standard of care awarding the estate over $1,000,000 which can not compensate for a life.No way no how!! It was somebody's mother with hopes and dreams for a better future not arranging for her funeral.
And let me add this: just because a doctor or physical therapist is not on the record for malpractice does not prove their innocence or negligence.
In some cases if negligence or intentional tort waa reported to the stare board doesn't mean anything will be done about it anyway. Remember in many cases the doctor gets to re-write the record.
FYI the law is that if the doctor puts anything on the record and the patient requests to have the record corrected because the information is completely flawed, false or misconstrued the doctors notes will override the truth unless it is uncovered usually with the help of skilled litigators like Sachetta & Baldino in Media PA
Whether you believe it or not some doctors, physical therapists, nurses and medical professionals can omit the truth. Yes they lie!! They cover up, they write false reports, they string along the patients, families and friends. Some of them are completely indifferent to their actions & the devasting effects of their actions.
How many interns, rookies & manufacturing reps work in the O. R.'s witness or even orchestrate in negligence and disastrous wrongs that are calamitous to an individual and their loved ones. Some do some don't and others couldn't care less. And don't forget this is happening all around the country in every hospital across the nation. Think about that one.
But let me say this: I'm not down on Doctors but I am for accountability and justice. Nevertheless there are still some good doctors, nurses and hospital staff but they are all part of the system which is not your friend or advocate. Lets face it the "system" has an insatiable appetite for power, money and control even if its at your expense.
What is a voracious person or system? A voracious person, persons or system is prone to greed with lack of accountability or liablity.
So a system is an organized set of inter-connected parts working together to achieve a specific purpose or function which I believe you can agree that medical system has changed dramatically where the bottom line is money and the "system" basically is not viewing you the patient, friends or family members as a valuable part within the "system" and their specific outcomes of profit as the bottom line. Remember that the next time you go to a Doctor, hospital or other non-profit like the YMCA
The question is what can you add to the system and if it isnt' in dollars and cents you don't count or suffer the results of some of the incompetent unqualified stoonads out there. Sorry, not sorry for presenting it so bluntly but if it can spare you the tragedy of going to the wrong Doctor, hospital or interns then you can thank me later.
Again, if someone sees something that isn't according to standard of care they don''t want to lose their job or 401 K so they choose to look the other way, remain silent say nothing unfortunately it happens every day in every Operating Room/O.R. & hospitals across the country.
In reality many times they are probably guilty or cut corners or conveniently lost the x rays, images or changed the wording to their advantage which is a complete abuse of power & the majority of patients do not know that the law is in the favor of medical professional so if you as a patient write a letter to correct the record requesting it to be added to your medical recordsthe Doctors notes over ride the truth and therefore clouding the truth so as a patient you are at a disadvantage as you as a patient are scrambling to set the record straight when all you want to do is get your quality of life back & walk again. It can turn into a hideous epic fail on a on a merry go round that the patients didn't sign up for when they are putting their trust into the hands of the orthopedic surgeon and medical staff. Its a very disturbing perpetual sh--t show catastrophically turns into a complete fiasco with incompetent staff, surgeons, interns who are not be capable of operating & have absolutely NO BUSINESS OPERATING!! It also happens at the University of Penn all the time without any supervision unbeknownst to the patients. Its a travesty.
million. He was also a de%%fendant in a 2011 case alleging nerve damage during surgery. Separately, Nazarian sued his former partners at 3B Orthopaedics over the sale of their practice in 2013.
Malpractice lawsuits with David Nazarian, M.D.
2024 case:A jury found Nazarian and his partners at ROTHMAN Reconstructive Orthopaedic Associates II negligent in a case involving a patient who developed a blood clot after surgery. The estate was awarded
million, with liability attributed to a failure to properly treat the patient's increased risk of venous thromboembolism.
2011 case:Nazarian was named as a defendant in a case where a patient acquired nerve damage to a leg after surgery. The patient was a defendant alongside his partner, Dr. Arthur Bartolozzi, who performed another surgery on the same patient.
Business and partnership dispute
2013 lawsuit:Nazarian sued his former partners at 3B Orthopaedics after they sold the practice. He claimed they defrauded him of more than
by withholding his share of the sale proceeds and bonuses. The suit also alleged deceit, harassment, and unethical conduct by his former partners.
Response to the suit: The former partners denied the allegations, stating that the offer to hire Nazarian was withdrawn because he took too long to accept it. They also claimed his client base came from the 3B brand, not his own following, according to Inquirer.com.
Sep 11, 2011 — suffered nerve damage to her left leg following the negligent performance of the surgery. David. Nazarian, MD performe...
The issue of surgeon retirement age presents a significant concern within the medical community, particularly as it relates to patient safety and surgical outcomes. Research indicates that the physical and cognitive capabilities of surgeons may decline with age, leading to potential risks in surgical performance. The rapid advancements in medical education and technology further exacerbate this issue, as older surgeons may find themselves increasingly disconnected from the latest practices and techniques in their field. The absence of a federally mandated retirement age in the United States compounds the problem, allowing surgeons to continue operating despite evidence suggesting a decline in their abilities.
Anecdotal evidence, alongside objective assessments, highlights the reluctance of many surgeons to retire, often due to personal attachment to their profession or financial considerations. This reluctance poses a substantial risk to patient safety, as the cumulative effects of aging can lead to increased complications during surgery. The medical community must confront this uncomfortable reality and establish clearer guidelines regarding the retirement of surgeons, ensuring that patient welfare remains the paramount concern.
In light of these challenges, it is imperative that hospitals and medical institutions take proactive measures to evaluate the performance of aging surgeons. Regular assessments should be instituted to monitor both physical and cognitive capabilities, thereby ensuring that surgical teams are composed of individuals who can meet the demands of modern surgical practices.
Failure to address this issue not only jeopardizes patient safety but also undermines the integrity of the surgical profession as a whole. It is essential for the medical system to engage in this critical discourse and implement necessary changes to safeguard the future of surgical care for every patient not just some.
Learn how Rula can support your mental health journey
What should you do if you think you might be experiencing covert emotional abuse?
Because it’s so subtle, it can be hard to tell if you’re experiencing emotional abuse. Abusers often deny any negative intentions and can make you feel like you’re imagining things. For example, they may say things like “Geez it was just a joke” after insulting you. Or they may tell you the reason they don’t want you to spend time with friends is because they want to “protect” you.
So what should you do if you think you might be experiencing emotional abuse? Most importantly, remember that abuse can take many forms, and it’s never your fault. You don’t have to endure physical harm to be a victim or ask for help. Give yourself time to reflect on your experience and what’s really happening in your relationship. Take note of any suspected instances of abuse and how they made you feel. You can write your thoughts in a journal (but keep it in a secure place) and ask for external validation from friends, family, or other people who know you well.
As you begin to gain clarity about your situation, you can then take steps to seek support and keep yourself safe.
What options are available to someone experiencing covert emotional abuse?
If you or someone you care about is experiencing abuse of any kind, know that help is available. Your first priority should always be your safety. You can call 911, local crisis services, or the National Domestic Violence Hotline at 800.799.SAFE (7233) if you feel that you or your children are in danger.
If there are no immediate safety concerns, you can use the following suggestions to support yourself as you heal from the effects of emotional abuse. Remember these are just suggestions and what’s most important is finding what works for you.
Prioritize self-care. Abuse can take a toll on your mental health and physical well-being. So try to set aside some time to engage in activities that nurture your mind, body, and spirit.
Set healthy boundaries. You don’t have to stand by and listen to hurtful comments, manipulations, or insults. Let the other person know that if they belittle you or emotionally abuse you in any way, you’ll remove yourself from the conversation. Plan ahead, and consider where you’ll go if you need to make an exit.
Challenge self-blame. Abusers will often do or say things that leave you feeling like the abuse is your fault. But that is never the case. So when you notice self-blame creeping in, try to challenge those thoughts.
Nurture your support system. Abuse thrives on isolation because it’s harder for a perpetrator to harm you if other people witness their behavior. So reach out to your support network and talk about your experience with people you trust.
Seek professional help. Emotional abuse can have a lasting impact on your mental health. A therapist can help you regain your sense of self, set and uphold boundaries, learn to spot abuse, and build healthy relationships.
Find care with Rula
While it can be hard to detect, research shows that covert emotional abuse can sometimes be even more harmful than physical abuse. So if you or someone you care about has experienced it, know that it’s okay to ask for help. At Rula, our goal is to streamline access to effective, compassionate mental healthcare for anyone who needs it.
No matter the mental health challenge you’re facing, you can use our therapist-matching program to find a therapist who takes your insurance in just a few minutes. From there, you can schedule your first online appointment and begin accessing care as soon as tomorrow.
Taking legal action against a hospital or Doctor might feel hopeless at times. Remember that hospitals & Doctors are responsible for providing safe care, and if negligence caused your loved one's death or if you suspect negligence or any treatment or medical care below the standard of care before, during or after hip, knee and/or back and any & all Medical and/or Orthopedic procedures you really deserve answers.
Jury Returns $2.5M Award Against Rothman Specialty Hospital & Dr. DAVID NAZARIAN, M.D. for Failing to Prevent Blood Clot After Surgery :: MALPRACTICE :: NEGLIGENCE :: DEATH
DAVID NAZARIAN, M.D.
in a wrongful death lawsuit, discovering the Clinical Team NEGLIGENT in failing to properly treat a patient following hip surgery with David Nazarian.
Jury Returns $2.5M Award Against Health Care Providers for Allegedly Failing to Prevent Blood Clot After Surgery
"I am extremely happy for the family of Mrs. Koesterer. The verdict vindicated their feelings that the life of their mother, who was age 86, was worth more them a nominal sum. It seems to dispel the insurance industry myth that the life of an elderly person is minimal and confirms that no matter the age, all lives are precious," said the plaintiff's attorney, Thomas Sacchetta of Sacchetta & Baldino.
Correction: The article incorrectly stated the verdict was against Thomas Jefferson University Hospital. The verdict was only against Rothman Orthopaedics & Dr. David Nazarian.
A Philadelphia jury returneda $2.5 million verdict against Rothman Orthopaedics & DAVID NAZARIAN, M.D.in a wrongful death suit,
finding the Clinical Team NEGLIGENT
in failing to properly treat an elderly patient following hip surgery,which led to a lower left extremity deep vein thrombosis and a pulmonary embolism.
The case, Koesterer v. Thomas Jefferson University Hospital, was tried for three days before Philadelphia Court of Common Pleas Judge Gwendolyn N. Bright, with the suit stemming from the death of Virginia Koesterer, after she suffered a massive venous thromboembolism (VTE).
Koesterer's estate alleged her death was the result of negligence on behalf of numerous health care workers and health care facilities, claiming her VTE originated from a deep vein thrombosis (DVT) formed during or soon after her hip surgery the morning before.
Daniel Koesterer, as executor of Koesterer's estate, sued defendants Thomas Jefferson University Hospital, Thomas Jefferson University Hospitals, Thomas Jefferson University Physicians, Jefferson Health, Jefferson Health System, Reconstructive Orthopaedic Associates II, Reconstructive Orthopaedic Associates II, and Dr. David Nazarian. At trial against the Reconstructive Orthpaedic defendants and David Nazarian, he claimed the defendants failed to properly treat Koesterer for her increased rise of venous thromboembolism development, which he claimed was a breach in the standard of care.
A comprehensive review of the body of law upon which wrongful use litigation is built, based and written upon years of experience and a close study of the jurisprudence.
"I am extremely happy for the family of Mrs. Koesterer. The verdict vindicated their feelings that the life of their mother, who was age 86, was worth more them a nominal sum. It seems to dispel the insurance industry myth that the life of an elderly person is minimal and confirms that no matter the age, all lives are precious," said Koesterer's attorney, Thomas Sacchetta of Sacchetta & Baldino. "The carrier only valued Mrs. Koesterer life at nuisance value. The jury in our case took their job seriously, considered all the evidence, and delivered a fair verdict based on all the evidence."
According to the plaintiff's pretrial memorandum, Koesterer "clearly had a significant past medical history with known increased risk of development of venous thromboembolism," yet all of her anticoagulation medications were stopped before her left total hip arthroplasty.
The plaintiff alleged that Koesterer wasn't adequately mobilized during her postoperative period, and that her blood pressure wasn't adequately maintained, despite the acknowledgment that it should be. Sacchetta claims her orthopedic providers were made aware of her hypotensive episodes.
"This combination of lack of adequate care was a breach in the standard of care and led to the development of Ms. Koesterer's left lower extremity DVT, which ultimately led to a PE that caused her death. Had the standard of care been met, by adequately caring for Ms. Koesterer with maintenance of her aspirin, a bridging anticoagulation therapy, appropriate mobilization, and/or maintenance of her blood pressure to prevent hypotension, Ms. Koesterer would not have developed a left lower extremity DVT that led to a PE and her death," the plaintiff argued in the filing.
The memo further alleged that NAZARIAN failed "to follow the cardiology recommendation of aspirin immediately following surgery," and that this was a breach of the standard of care and "increased the risk of harm to Ms. Koesterer contributing to her death." The hospital, Thomas Jefferson University Physicians, and Thomas Jefferson Health Systems "violated their duty to Ms. Koesterer to ensure her safety and well being while under their care," by failing "to properly oversee all medical providers to ensure that patients safety and that proper medical care was provided," according to the memo.
"Additionally they failed to formulate, adopt, and enforce adequate rules and policies to ensure that quality care for patients including Ms. Koesterer by failing to have proper policies and enforce said policies as is relates to anticoagulation. The breaches of care by the hospital with regard to their failure to enforce the policies and to oversee the medical personnel was a direct violation of the standard of care and caused and increased the risk of harm to Ms. Koesterer thereby causing her death," the plaintiff's filing said.
Defendants, Nazarian, Reconstructive Orthopaedic Associates II, and Reconstructive Orthopaedic Associates II, argued in their pretrial memo that the plaintiff's claims were without merit and denied all allegations of negligence.
According to the defendants, Koesterer was admitted to the hospital for a planned hip replacement by Nazarian. Approximately 1,000 units of heparin were administered intraoperatively, and after the procedures, and Nazarian ordered a 2 mg tablet of warfarin, and entered an order for 2.5 mg warfarin tablets to be given to her once a day.
Koesterer was later seen by Dr. Kenneth Rosenberg at the request of Nazarian. Rosenberg noted that Koesterer "had permanent atrial fibrillation on warfarin with a controlled rate of diltiazem and recommended continuing it unless her systolic went under 100," that the Jefferson Antithrombotic Service (JATS) was following Koesterer for warfarin management, and that Koesterer was on Plavix, which "Dr. Rosenberg felt that aspirin was acceptable for a few days for DVT prevention," according to the defendants.
According to the memo, the morning of Sept. 19, 2019, it was noted that Koesterer denied chest pain, shortness of breath, and bleeding, and that Dr. Taki Galanis planned to start warfarin 2.5 mg that evening and check Koesterer's internal normalized ratio the following day. Galanis also noted that bilateral compression devices were to be continued.
The defendants claim that the cardiology and orthopedic surgery teams were working on plans for antiplatelet resumption, and that the present plan for Koesterer was to continue the current dose of warfarin the evening she died. According to the memo, Koesterer became hypotensive that night, and was later found in ventricular fibrillation and declared dead.
Marcie A. Courtney, a principal at Post & Schell, represented Thomas Jefferson University Hospital, Thomas Jefferson University Hospitals, Jefferson University Physicians, Jefferson Health, and Jefferson Health System.
Marshall L. Schwartz, a partner at O'Brien & Ryan, served as counsel for the defendants Nazarian, Reconstructive Orthopaedic Associates II, and Reconstructive Orthopaedic Associates II.
Neither attorney immediately responded to messages seeking comment.