Medications

For more than two decades, Wanda Remo has battled one illness after another. Asthma, chronic lung disease, heart disease, high blood pressure, arthritis, depression, chronic pain, strokes. Specialists treat her lungs, her heart and her joints. Her litany of ailments brought her to emergency rooms six times last year, between numerous additional visits to a federally subsidized health clinic in South Los Angeles. "You are one of the million-dollar patients," her doctor, Derrick Butler, tells the 57-year-old as she leans on her walker during one appointment.

White Memorial Medical Center in Los Angeles has agreed to pay $14.1 million to settle allegations that it paid illegal kickbacks to physicians to get their patient referrals. The settlement announced Friday by the U.S. Justice Department stemmed from a whistle-blower complaint filed under seal in 2008 by two Los Angeles doctors who objected to the hospital's practices. The two internal-medicine physicians, Hector Luque and Alejandro Gonzalez, will share $2.8 million as their portion of the settlement.

LOUISVILLE, Ky. - With nary a thought to Hamlet, trainer Bob Baffert is currently suffering the slings and arrows of outrageous fortune. In his current situation, and in a world where oft-misinformed social media stirs the rumor pot to a boil, there is little he can do. Shakespeare might advise not to "take arms against a sea of troubles. " Baffert's friend Wayne Lukas advises the same, but in straighter language. "Bob will take the high road," Lukas said Thursday. The issue is a prickly one. It has created more Internet buzz than an acre of beehives.

Fearing lawmakers may fail to pass a package of medical reform bills, a coalition of consumer groups and trial lawyers is mounting a campaign to put before voters an even more ambitious slate of initiatives aimed at curbing prescription drug abuse and holding doctors more accountable for misconduct. About two dozen state and national advocacy groups - including the Consumer Attorneys of California, California Nurses Assn., the Center for Public Interest Law, and Public Citizen - have been organizing privately since December and plan to unveil the campaign at the state Capitol on Thursday.

Ever since the drug warfarin was discovered to be a highly effective anti-clotting agent as well as a good rat poison in the early 1950s, it has been the frontline weapon in preventing stroke among those with atrial fibrillation. But its growing use has always raised the specter of dangerously hard-to-stanch bleeding if someone taking it is wounded or bleeds internally from a fall or a car accident. Roughly six decades after its introduction, Kcentra has been approved by the Food and Drug Administration.

Stanley A. Dashew, an inventor and entrepreneur who helped revolutionize the credit card industry, died of natural causes Thursday in Los Angeles, according to a family spokesman. He was 96. Dashew held 40 patents in fields as diverse as credit card processing, mining, mass transit, medical equipment and offshore oil transportation. He also was an avid sailor, writer and photographer who late in life wrote for the Christian Science Monitor and the Huffington Post. At 94, he distilled his insights about life and business in a book, "You Can Do It: Inspiration and Lessons from an Inventor, Entrepreneur, and Sailor.

WASHINGTON - For more than a decade, conservative Orange County Rep. Dana Rohrabacher has formed an unusual alliance with liberals on an unexpected topic - the defense of marijuana. Rohrabacher (R-Huntington Beach) and his allies have so far waged a futile effort to pass legislation that would prevent federal authorities from interfering with medical marijuana use in California and other places where pot use is permitted by state law. But as more states have moved to allow the drug's use, Rohrabacher believes his Respect State Marijuana Laws Act may be gaining momentum in Congress.

Robert Greenberg got tired of hearing from senior engineers that it wasn't possible to build his product idea: a bionic eye that gives sight to the blind. "A lot of the folks straight out of school didn't know any better, so I hired them instead," quipped Greenberg, chief executive of Second Sight Medical Products Inc., a Sylmar biotech company. "They didn't know how hard it was going to be, that it was impossible. And so they tried. " Greenberg can laugh now that he once thought developing the device would take a year and $1 million.

The Medical Board of California on Friday embraced a host of reforms aimed at combating prescription drug abuse and reducing overdose deaths but balked at a proposal to strip it of its authority to investigate physician misconduct. The board, meeting in Los Angeles, voted to support proposed legislation that would upgrade the state's prescription drug monitoring system, require coroners to report prescription drug overdose deaths to the board, and give the panel new power to halt a doctor's prescribing in some cases.

The time has come to put the Medical Board of California out of its misery. The board oversees the licensing of doctors and their discipline for misdeeds or incompetence. It also has jurisdiction over doctor-owned surgical clinics. Long ago the board acquired the reputation of being one of the least effective regulatory bodies in Sacramento. But evidence has mounted that it's worse: It's a danger to the community. Because of its ineffectiveness in a variety of spheres, patients have died.