Posted on January 01, 2017 in Medical Malpractice

An aortic dissection is an emergent condition in which the inner most layer of the aorta (the large vessel that comes out of the heart) develops a a tear. The blood that is being pumped out of the heart into the aorta then passes through the tear, separating (dissecting) the inner most layer and the middle layer of the blood vessel and creating what is known as a “false lumen” (false passageway for the blood to travel). As the pressure of the blood inside this false lumen gets to be too much, the blood-filled channel will rupture through the outside wall, resulting in a catastrophic loss of blood and ultimately death. As a result, doctors are trained to recognize the hallmark signs and symptoms of a developing aortic dissection and timely treat it before it ruptures. Like most other severe processes, if an aortic dissection is diagnosed early and treated promptly, the chance of survival great improves. Patients who have chronic hypertension (high blood pressure), narrow aortas or atherosclerotic arteries (hardening of arteries) are considered to be at a higher risk of developing an aortic dissection than others.

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 Posted on January 01, 2017 in Medical Malpractice

As the United States’ population continues to age, more and more people are requiring what are called total hip arthroplasties (THA) or total knee arthroplasties (TKA). In short, total hip replacements or total knee replacements. What many people do not realize is that the most dangerous part about these procedures is not the surgeries themselves, but the several days and weeks thereafter, when many of these patients carry a significant risk of developing a blood clot or pulmonary embolism that could seriously harm or kill them. As a result, these patient’s physicians must carefully tailor what are known as anti-coagulation regimens for each patient so as to effectively minimize the risk that their patients will develop a blood clot or pulmonary embolism. So how do they do it? First some background.

Normally, when an injury or surgical procedure causes bleeding to occur, the body sends out a signal that causes the blood to clot at that site. Blood clots typically form on the insides of someone’s blood vessels in one of two locations: the hips (called a proximal clot) or the deep veins of the calves (called a distal clot or deep vein thrombosis) (DVT). Patients who undergo orthopedic procedures on the knees, hips and spine are generally known to have an increased risk of developing a blood clot due to the immobility associated with these procedures and rehabilitation process. If one of these blood clots breaks off and travels to the lungs, it can lodge in the branches of the lungs, causing shortness of breath, a lack of oxygen to the brain, strokes, and even death. A blood clots that breaks off and travel to the lungs are known as pulmonary embolism, or PE for short.

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 Posted on January 01, 2017 in Medical Malpractice

Several weeks ago, a Charlotte County, Florida jury returned a $23 million dollar verdict against Peace River Regional Medical Center and Michael Coffey, M.D. in a medical malpractice case arising out of a baby girl who was born with a severe brain injury. According to the Complaint that was filed in this matter, in August 2010, the girl’s mother presented to the hospital multiple times during her pregnancy with classic signs of a troubled pregnancy – signs that included high blood pressure, high levels of protein in her blood and decreased fetal movement. Despite these warnings signs, the mother did not receive the necessary care and treatment she required. According to the expert obstetricians who testified on behalf of the Plaintiff, these findings required the Defendant health care providers to constantly monitor the health and well-being of the pregnancy, administer steroids designed to prevent a premature delivery. Because these treatments were not provided, Plaintiff’s experts alleged that the girl was born nearly 2 months premature. Babies that are born prematurely often experience severe pulmonary (lung) or brain injuries because those organs have not had the proper amount of time to fully develop and/or mature. In particular, the most important time period for the development and maturation of a baby’s lungs is between 27 weeks gestation and 37 weeks gestation. Babies that are born without the benefit of this lung maturation often are unable to breathe on their own and/or suffer injuries to their brain and/or other organs because an insufficient amount of oxygen is able to reach those organs. In the present case, the Plaintiff experienced a catastrophic brain injury around the time of her birth, an injury that occurred as the result of deprivation of suitable amounts of oxygen being delivered to the brain. She required hospitalization for the first 4 months of her life and her injuries are permanent. As a result of her injuries, the baby girl (who is four years of age now) must be fed through a feeding tube and must receive constant (24 hour) monitoring for strokes. The jury determined that the doctor was 70% at fault and the hospital was 30% at fault.

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 Posted on January 01, 2017 in Medical Malpractice

The Ohio State University Wexner Medical Center recently reported that it paid $5.25 million to settle out of court a medical negligence claim brought by the parents of a brain-damaged baby that had been delivered in 2006. According to the Complaint, the child’s mother was admitted to the hospital at approximately 3:20 p.m.on April 28, 2006. She was noted to be in the early stages of labor. Her obstetrician, Walter B. Hull, M.D., failed to deliver her son until approximately 5:10 a.m. the following morning. During the course of the labor, Dr. Hull administered the drug Pitocin to the mother. Pitocin is a medication that increases the frequency and intensity of uterine contractions, essentially inducing delivery of the baby. The medication is given through an IV and the dosage is regulated by a pump. Whenever Pitocin is used, it is understood that the well-being of both the mother and the fetus must be monitored carefully. Pitocin is the synthetic brand name of the labor hormone, Oxytocin. It is well known, however, that one of the side effects of Pitocin is that it decreases the supply of blood and oxygen to the baby. Accordingly, when Pitocin is administered, it is important to monitor the baby carefully for changes in its condition. Moreover, delivery must occur within a certain amount of time so as to avoid the likelihood of injury to the baby. In short, if the labor is stalled, health care providers should intervene to prevent the mother and/or baby from developing an infection and/or sepsis.

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 Posted on January 01, 2017 in Medical Malpractice

A St. Louis, Missouri man and his wife were awarded $6.4 million by a jury as the result of a preventable stroke that the man suffered in 2007. In early 1996, the man had been diagnosed with mitral valve prolapse, a heart condition in which one of the heart’s valves does not tightly close, resulting in the blood being able to flow backwards into the heart – a dangerous event. In 2001, the man’s primary care physician ordered an echocardiogram *(a test that uses wound waves to create a moving picture of the heart, images which are much more detailed than x-rays and which require no radiation exposure) which confirmed the existence of the condition. Sadly, after 2001, the primary care physician never again ordered any follow-up echocardiograms and/or referred the man to a cardiologist as the standard of care required.

In April 2007, the plaintiff suddenly began complaining of fatigue, abdominal pain and loss of appetite, classic signs and symptoms of mitral valve prolapse. The primary care physician, once again, failed to refer the man to a cardiologist or order any tests to examine his heart. The following month, May 2007, the plaintiff’s wife called the primary care physician and inquired if her husband should be admitted to the hospital for evaluation but the doctor said he should not. In June 2007, the plaintiff suffered a stroke caused by a bacterial infection on his heart valve. The stroke resulted in the man’s inability to use much of his right side, difficulty processing things mentally, an inability to process words and lost short-term memory. He also has been unable to work since the stroke, thereby incurring significant medical expenses and loss of earnings, not to mention the pain, suffering and emotional distress from which he suffers on a daily basis.

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 Posted on January 01, 2017 in Medical Malpractice

Perhaps the most pivotal components of medical malpractice lawsuit are the depositions of the expert witnesses. When trying to determine how the defendant’s conduct matched up with standards of care, attorneys on both side offer up medical experts to explain their position. The testimony of those experts is therefore crucial in getting to the crux of the disagreement.The back-and-forth in those depositions often determine the outcome of the legal matter.

Probe Following Deposition

For example, several years ago The Washington Times recently shared a story on one deposition that is making headlines not for the medical malpractice case for which it was taken but for what the defense’s medical expert admitted during questioning. The underlying case involved claims by a patient that she was burned by a surgical solution during an operation at the Washington Hospital Center several years ago. The defense team offered a surgeon as an expert witness in the case to rebut the charges. During the surgeon’s deposition he made some downright startling claims. In trying to explain that the surgical solution in question rarely ignites he said:

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 Posted on January 01, 2017 in Medical Malpractice

Many medical errors involve proactive mistakes from medical professionals–providing too much medication, applying too much force during an operation, and similar mistakes. However, malpractice can also take the form of omissions, when doctors fail to do something that a reasonable doctor would have done. Often that involves failing to notice that a patient has a life-threatening problem. If they do not treat it appropriately, serious injury or even death might result.

For example, Go Local recently shared the tragic story of a man who died after medical professionals did not act properly in responding to his complaints. According to the story the 56-year old went to the emergency room in severe abdominal pain. He rated it a “ten on a scale to ten.” Only a week before he had gallbladder surgery.

However, instead of taking significant action, the medical team (a doctor and nurse practitioner) gave him some medication and sent him on his way. A CT scan was not performed, and he was told not to do anything until a follow-up two days later. Before the follow-up appointment the patient’s wife called the facility over concerns that his situation had deteriorated. The doctor told her to try an over-the-counter drug but did not call for anything else to be done.

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 Posted on January 01, 2017 in Medical Malpractice

It is easy to get confused when dealing with legal jargon. Even basic concepts that most are familiar with can be difficult to grasp in the context of an actual real-world situation. For example, most people have heard of the terms “medical malpractice” and “wrongful death.” Medical malpractice is professional misconduct by doctors, nurses, and others which harm a patient. Wrongful death refers to situation where one dies because of the negligence of another. But what if a medical patient dies as a result of the errors made by their doctor? Does that mean you have a medical malpractice claim? Do you have a wrongful death claim? Both? Something else?

For starters, it is important to note that it is your attorney’s job to sort through all of the technical details to ensure the appropriate process is followed. All that really matters are the words used and procedures followed when dealing with the court. Often there are colloquial phrases used to describe types of cases or legal actions which differ slightly from the technical aspects required when filing a lawsuit.

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 Posted on January 01, 2017 in Medical Malpractice

Comprehensive patient safety efforts include an endless list of focus areas-from the quality of medical devices used in the facility to the competence of the professionals engaged in high-risk procedures. There is no single cause of medical errors, and so the best efforts to tackle the problem leave no stone unturned.

Research into many of these issues offers helpful benchmarks to identify factors increasing and decreasing the risk of medical mistakes. For example, as you might expect, doctors who work longer hours (and get less sleep) are more likely to commit malpractice. Medical professionals who report less engagement with their colleagues (and worse communication) are also more likely to make a mistake.

What about age difference between doctors? Are older doctors more of a risk because of decreased physical and/or mental abilities? Or are younger, less experienced doctors a threat? From the evidence that is available now, there is no easy answers to these questions.

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 Posted on January 01, 2017 in Medical Malpractice

In virtually all medical malpractice cases expert witnesses are needed to explain some of the more complex elements of the case to the judge or jury. In most matters, the experts will identify what a standard of care is in any given area and then explain if the defendant-medical professional did or did not meet that standard. This expert opinion is critical, because it is otherwise impossible for a lay person to truly know what should have been done. For example, a case may center on the misreading of a test which prevented a timely diagnosis. The jury cannot be expected to look at the test itself and determine on their own if the doctor should have identified the problem. Only another professional can explain what should have been spotted.

Yet, that is not to say that the typical community member is unable to identify negligence on their own in all medical malpractice matters. For example, some mistakes are so obvious that it is virtually a given that errors were made. In the medical community these mistakes are often called "Never Events," because there is simply no excuse for their ever being committed. This include things like leaving objects inside the patient’s body or performing the wrong operation.

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