Surgical Tools Washed With Hydraulic Fluid

I hope the patients got refund on their services.

By ESTES THOMPSON, Associated Press Writer
Tue Jun 14, 9:53 AM ET
RALEIGH, N.C. - Doctors at two North Carolina hospitals unwittingly used surgical instruments that were cleaned with hydraulic fluid instead of detergent, a mistake that affected nearly 4,000 patients.

Toward the end of last year, elevator workers at Duke Health Raleigh Hospital and Durham Regional Hospital drained hydraulic fluid into empty soap containers and capped them without changing the labels.

Not long afterward, medical staff complained that some of their surgical tools felt slick. But it was not until January that the patients affected learned that for two months their surgeons had unknowingly used instruments washed in the fluid. The instruments also had been run through a steam bath for sterilization.

Eeks. OK, the question that many of you are wondering...how did the fluid affect the cutting performance of the scalpels?

The hospital claims there was no real danger.

Duke University Health System assured patients that the mix-up created little chance of medical problems. The hospital said it monitored infection rates and found no increase for the time the hydraulic fluid was used.

But a federal agency determined both hospitals had endangered patients.

Yeah, so the next time you get a cut on you hand make sure you cleanse it with hydraulic fluid. Let's test their theory. When their kids scrape a knee they should be forced to apply hydraulic fluid to the abrasions.

And of course, the litigation lottery commences.

Since the problem became public, at least one patient has sued the elevator company, complaining of severe infection, temporary loss of kidney functions and other ailments.

This week, a Raleigh lawyer began running television ads recruiting patients exposed to the fluid. About 15 or 20 former patients complaining of aching joints and infections have contacted him.

"What we really want is a response from Duke to prove their assertions that there was very little risk to the patients," attorney Thomas Henson said. "I mean, patients are hanging out there with problems and Duke won't give an answer to us."

I think that actually may be a fair use of the court system.

Both hospitals have created plans to prevent such problems in the future, said a spokeswoman for Duke University Health System, which owns the two hospitals. The system also includes Duke University Hospital, widely considered one of the nation's top medical facilities.

Carol Svec, 46, had surgery at Duke Health Raleigh on Nov. 15 for a torn rotator cuff. Before her operation, she did research to find the best surgeon close to her home in Raleigh. But she said her recovery has been slow, and she wonders whether the hydraulic fluid might be a factor.

"Maybe this is how I would have recovered under normal circumstances, but we don't know," she said Monday.

"We put our faith in Duke, and in one way, they failed us," she added. "It seems to me that a good company with a good reputation should be bending over backwards for us."

Give me a break. Nothing like a little drama to bolster the lotto attempt that will be coming. "They failed us. They lied to us. They told us it was safe, but it wasn't. Those evil sharks." Where is Quint the shark hunter when we need him?

Opinions on the potential harm from the fluid varied. A report by the federal Centers for Medicare and Medicaid Services said the hospitals' errors put patients in "immediate jeopardy."

But state investigators — while citing the hospitals and the elevator company for mistakes that created the confusion, including poor communication and improper labeling of chemicals — did not consider the problem serious, said spokeswoman Heather Crews of the state Labor Department.

Seriously I think a second out-of-state opinion is necessary. The NC Labor Department does not want the reputation of Duke being sullied more than necessary. I mean, the Duke track record is stellar, right?

Duke has struggled with patient safety issues since February 2003, when a surgeon accidentally transplanted a heart and lungs of the wrong blood type into 17-year-old Jessica Santillan. She received a second transplant but soon died.

A federal inspection prompted by Santillan's death found toxic chemicals stored next to food and other problems. Later that year, two infants were burned in separate incidents in the hospital's neonatal intensive care unit.

After the problems were revealed, Duke officials pledged major changes to the hospital's patient-safety programs to avoid a potential loss of more than $300 million in Medicare and Medicaid reimbursements.

Oooh, I guess not. Again, seriously, I think that the state has a higher interest for the state the may lead them to minimize the actual danger. They need Duke's hospital reputation to stay high. They should ask the opinion of a neighboring state of (eeks) the Feds to assess the situation.

Back to the fluids...

At least one medical expert questioned how the error could happen and how it was allowed to persist through 3,800 operations performed in November and December.

"It should be pretty easy to see when you start to wash something that detergent is different from hydraulic fluid," said Dr. Michael Grodin, director of medical ethics at the Boston University School of Medicine. He said the two fluids normally have different colors and textures.

There is little data on how hydraulic fluids — made of many kinds of chemicals that are used in cars, industrial machinery and airplanes — affect humans. In studies, rabbits that inhaled the fluid had trouble breathing and other animals experienced nervous-system tremors and well as diarrhea and breathing problems.

"It's pretty toxic stuff," Grodin said.

See, again I don't think that the NC officials are giving this the proper attention. We'll see.