Archive for March, 2007

Laparoscopic Gall Bladder Surgery

Thursday, March 29th, 2007

When someone is diagnosed with having gallstones or disease of the gall bladder, it is usually necessary to remove the gall bladder. The most common method now used is laparoscopic gall bladder removal or what is now as a laparoscopic cholycystectomy. During a laparoscopic cholycystectomy, a surgeon and an assistant use a laparoscopic instrument inserted through small holes in the abdomen to remove the gall bladder. The procedure for a laparoscopic gall bladder is no different than an open laparotomy. The gall bladder needs to be identified, as well as the structures leading into it, which are the cystic duct and cystic artery. Once those structures are identified, they are clipped and transected and the gall bladder is removed. Errors can occur during a laparoscopic gall bladder removal when the cystic duct and cystic artery are not properly identified and there are inadvertent injuries to the common bile duct or the common hepatic duct. These structures are adjacent to the cystic duct and lead into the liver and stomach. If these structures are clipped and transected, serious injuries can occur such as the bile from the liver being unable to drain, causing jaundice and pain. Injuries to the common hepatic duct and common bile duct which occur during laparoscopic gall bladder surgery are usually the result of negligence.

Rights Under the FMLA

Monday, March 26th, 2007

Q. If someone in my family is sick, can I get time off from work?

A. Yes, in some cases. The Family and Medical Leave Act (FMLA) allows some employees to take time off (usually unpaid) to care for a seriously ill child, parent (but not “in-law”) or spouse, and to recover from your own serious illness. The FMLA also allows you to take time off to care for a newborn or newly adopted child or foster child.  You may be able to (or be required to) first use any paid time off that you have, such as vacation days, to cover some or all of your leave.

Q. Who is covered under the FMLA?A. Both the state and federal government have FMLA laws–each with different rules. You will be covered under the federal FMLA if you have worked for at least 12 months for a private company that has 50 or more employees and you have worked 1250 hours within the last 12 months. You will be covered under Connecticut FMLA, if you have worked at least 12 months for an employer that has 75 or more employees and you have worked 1000 hours within the last 12 months. For both federal and Connecticut FMLA, only hours actually worked count–paid vacation, holiday or sick leave do not count.

Both the state and federal government have FMLA laws–each with different rules. You will be covered under the FMLA if you have worked for at least 12 months for a private company that has 50 or more employees you have worked 1250 hours within the last 12 months. You will be covered under FMLA, if you have worked at least 12 months for an employer that has 75 or more employees you have worked 1000 hours within the last 12 months. For both federal and Connecticut FMLA, only hours actually worked count–paid vacation, holiday or sick leave do not count. Q. How much leave can I get? Do I have to take the leave all at once?A. If you are covered under federal FMLA, you can get 12 weeks of unpaid leave in any 12-month period. If you are covered under Connecticut FMLA, you can get 16 weeks of unpaid leave in any 24-month period. (Connecticut state agency employees can get up to 24 weeks of unpaid leave.) You don’t have to take the leave all at once–it can be taken in parts or occasionally if your employer agrees or if it is medically necessary.  For example, a half a day at a time or by working fewer hours on a regular basis to attend appointments. 

If you are covered under FMLA, you can get 12 weeks of unpaid leave in any 12-month period. If you are covered under FMLA, you can get 16 weeks of unpaid leave in any 24-month period. (Connecticut state agency employees can get up to 24 weeks of unpaid leave.) You don’t have to take the leave all at once–it can be taken in parts or occasionally if your employer agrees or if it is medically necessary.  For example, a half a day at a time or by working fewer hours on a regular basis to attend appointments.  Q. Do my health benefits continue while I am out on leave?A. Yes. An employer must continue group health benefits throughout your leave. The payment arrangement for health benefits would continue as if you were still working. This means if your employer previously paid the benefits, you will not start paying for them yourself. However, if you pay for all or part of your benefits, you will continue to pay.

Yes. An employer must continue group health benefits throughout your leave. The payment arrangement for health benefits would continue as if you were still working. This means if your employer previously paid the benefits, you will not start paying for them yourself. However, if you pay for all or part of your benefits, you will continue to pay.

Q. What do I have to do before taking leave?

A. As soon as possible, tell your supervisor that you need to take leave and the reason why. You do not have to ask for the leave in writing (but it is better if you do). Unless you have an emergency medical condition, you can be required to give 30 days notice (or as much notice as you can if 30 days is not possible). 

 As soon as possible, tell your supervisor that you need to take leave and the reason why. You do not have to ask for the leave in writing (but it is better if you do). Unless you have an emergency medical condition, you can be required to give 30 days notice (or as much notice as you can if 30 days is not possible).  Once you ask for the leave, the employer is supposed to explain your rights under FMLA and tell you what information/documentation you must provide.Q.  What happens when I get back from leave? Can I get my job back?A.    Once your leave ends, you are entitled to go back to your original position or, if it is no longer available, you must be given a similar position with similar pay and benefits. If you took medical leave and you are unable to perform your original job for medical reasons, your employer should transfer you to a job which is suitable to your physical condition. However, an employer is not required to create a job for you.

Q.What if I am fired for trying to take FMLA leave or if I need help getting a leave?

A. An employer cannot deny or restrict your rights under FMLA or discriminate or take negative action against (such as fire) you while you are on leave or upon your return.  If you have been discriminated against for taking or trying to take FMLA, please contact us.

An employer cannot deny or restrict your rights under FMLA or discriminate or take negative action against (such as fire) you while you are on leave or upon your return.  If you have been discriminated against for taking or trying to take FMLA, please contact us.

An employer cannot deny or restrict your rights under FMLA or discriminate or take negative action against (such as fire) you while you are on leave or upon your return.  If you have been discriminated against for taking or trying to take FMLA, please contact us.

CT Adopts Mode of Operation Rule

Sunday, March 25th, 2007

The Connecticut State Supreme Court recently adopted the mode of operation of rule.  This rule is extremely important for people injured as a result of a fall down (slip and fall) at a self service store.  Self service stores are supermarkets, cafeterias, fast-food restaurants and other businesses where the customer selects the merchandise or food from the displays as opposed to an employee getting the product or food for the customer.  The mode of operation rule allows a customer injured due to a condition inherent in the way a store is operated to recover compensation without establishing that the store had actual or constructive knowledge of the danegrous condition.  For example, if a restaurant has a self-service salad bar one would expect that customers will be dropping food on the floor.  If this is occuring and the restaurant does not take reasonable measures to prevent this from happening then the restaurant is liable for injuries suffered by a customer that falls due to food on the floor.  The rule does away with requiring the injured person from proving that the restaurant had specific notice of the very item that caused the person to fall.  This rule will allow many more injured customers to rightfully recover compensation in slip and fall incidents.  The name of the case that adopted the mode of operation rule is Kelly v. Stop and Shop, Imc. and the decision will be officially released on April 3, 2007.