May 27, 2009

Orthopedic Malpractice

As an experienced Baltimore, Maryland medical malpractice lawyer, I am frequently asked to comment on malpractice cases from around the county. Recently, a Rhode Island jury awarded a former truck driver $4 million in an orthopedic negligence case. The man filed suit in 2002 alleging that the doctor negligently performed surgery on his hand by slicing a nerve. This allegedly caused his hand to hurt, change color and temperature, and sweat. He eventually was diagnosed with Reflex Sympathetic Dystrophy Syndrome, a chronic neurological disorder that causes severe pain. His hand since has become claw-like, and continues to have pain. As a result, he has become addicted to pain medication and relies on drugs to fall asleep each night. A copy of an article regarding the case can be found here.

This was a major verdict in a difficult case. While it would have been easy to show the jury the disfigured hand, juries sometimes have difficulty understanding Reflex Sympathetic Dystrophy, which is a chronic pain syndrome. The defense usually claims the person is exaggerating, and juries have difficulty grasping that a limb that may look ok is causing severe pain. Brining is experts to explain RSD to the jury is key.

I have handled a large number of medical malpractice cases in Baltimore, Maryland and other places involving surgical mistakes. Sometimes the mistakes are discovered right after surgery and others times it take months or years to discover. Usually, the client is told that the surgery will solve their problem, but the surgery ends up making it worse. Some of the cases I have handled have involved medical malpractice due to the failure to properly perform brain surgery, failure to properly perform back or spinal surgery, failure to properly perform gallbladder surgery, failure to properly perform lung surgery, failure to properly perform bariatric surgery (also known as stomach stapling), etc. To see some of the cases I have handled, click here .

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December 1, 2008

Back Surgery Malpractice / Paralysis - Medical Malpractice

A Los Angeles County woman may receive more than $1.6 million to settle a malpractice lawsuit she brought against the county after being paralyzed during back surgery at a Los Angeles medical center. The L.A. county Claims Board is prepared to discuss the proposed medical malpractice settlement with legal counsel behind closed doors. If they give their go-ahead, the matter will then go before the county Board of Supervisors for final approval.

The lawsuit was brought by a woman who had two vertebrae fractured in a car accident in 2005. During surgery at the hospital, the woman, who was 20 years old at the time, was paralyzed. In her lawsuit, the woman claimed that no one explained the risks of the procedure to her and that the hospital's staff failed to provide her with the necessary care. Although the medical center took the position that she received proper care, the settlement was proposed to avoid a potentially risky jury trial.

Under the terms of the proposed settlement, the county would pay $1.5 million to the woman and assume medical bills totaling $112,999. The county has already paid more than $217,000 in attorney fees in the case. A copy of an article regarding the case can be found here.

I have successfully handled a number of medical malpractice / medical negligence / medical error cases in Baltimore and other counties in Maryland involving a failure to properly perform surgery. In one such medical malpractice case I am handling now in the District of Columbia, a woman was paralyzed during spinal cord stimulator replacement surgery. Other cases that I have handled involved injuries to arteries during surgery and nerve compression injuries, which have caused paralysis and even quadriplegia.

Interestingly, in the Los Angeles case cited above, the county has to approve all settlements with county hospitals. In Maryland, state hospitals such as the University of Maryland Medical Center are able to settle medical malpractice cases on their own.

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October 11, 2008

Heart Surgery - Malpractice

A jury in a medical malpractice case returned a jury verdict of $9.9 million last week to a Kentucky woman who suffered severe injuries and damages after routine heart surgery. The woman had surgery on her mitral valve in her heart in April 2006. The surgery took less than an hour and was successful. However, during the sugery, the surgeon allegedly misplaced the cannula, or hose, for a machine that pumps blood during the surgery. The woman claimed during the trial that the misplacement caused too much blood and oxygen to be pumped to her right hand and too little to her brain and spinal cord, causing her to no longer be able to walk due to paraplegia and to suffer mild to moderate brain damage.

The jury awarded the woman $455,229.06 in past medical experiences, $4,426,408.72 for future medical bills, $482,538 in lost wages and $4.5 million for pain and suffering. The total verdict was $9,864,175.78. The jury found that the anesthesiologist was responsible for 23 percent of the fault, and the perfusionist, the person who operates the heart-lung machine, was responsible for 41 percent of fault. Since the hospital defendant had already settled with the patient and did not participate in the trial, the verdict only will affect the surgeon. The jury assigned 31 percent of fault to the surgeon, or $3,057,894.49 of the total damages sought. Unless overturned during post-trial motions or on appeal, that portion of the verdict will be paid by the surgeon’s insurance company. A copy of an article regarding the case can be found here.

It is highly unusual for routine heart surgery to result in injuries like this. I have successfully handled a number of medical negligence cases in Baltimore and other counties in Maryland involving a failure to properly perform surgery, causing severe injuries and damages. Some of these medical malpractice cases have involved brain surgery, shoulder surgery, lung surgery, heart surgery, gallbladder surgery, colon surgery, etc. Its always tragic when a person suffers life-long injuries due to someone else’s medical mistake.

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September 15, 2008

Hernia Repair / Bowel Injury - Medical Malpractice

A Michigan husband and wife have been awarded almost $1.2 million by a jury in a medical malpractice lawsuit filed against a local doctor. The jury decided late last week after a two-day trial that the doctor was negligent regarding hernia surgery he performed in June, 2003. During the procedure, the man’s small bowel was nicked but the injury was not repaired at the time, causing him to have a septic reaction that included an long hospital stay. As part of the treatment for the nicked bowel, the man incurred several hundred thousand dollars of medical bills. The surgeon denied any negligence, saying that the patient knew of and appreciated risks and hazards involved in the medical treatment. The man’s wife was awarded $50,544 for being deprived the comfort, companionship, society, and services of her husband. A copy of the article regarding the case can be found here.

I have successfully handled a number of medical negligence / medical error cases in Baltimore and other counties in Maryland, and the District of Columbia, involving surgical malpractice. In this case, the malpractice probably was not causing the injury to the bowel, as that can happen during abdominal surgery. The problem here was the failure to timely diagnose (recognize) and treat the injury once it occurred. Before finishing up the hernia surgery, the surgeon should have checked to make sure that there was no unintended injury to organs including the bowel, found the injury and then repaired it. By not timely recognizing and repairing it, the man developed a severe abdominal infection, which progressed to sepsis, which is when the infection spreads through the blood to the rest of the body. Once the patient came out of surgery and exhibited signs and symptoms of an infection – usually abdominal pain, swelling, bloating, hardness of the abdomen – surgeon should returned the patient to surgery as soon as possible to stop the leak, wash out the abdomen and start the patient on antibiotics. These cases are tragic b/c someone goes in for a routine procedure and should be back on their feet in a few days, but ends up a long hospitalization, extensive medical care and problems that can last a lifetime.

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August 17, 2008

Injury to Blood Vessels During Surgery - Medical Malpractice

I have successfully handled a number of medical malpractice cases involving doctors (surgeons usually) injuring an artery or vein during a surgical procedure. For example, in one severe injury case, a spinal / orthopedic surgeon was installing hardware on the cervical spine of a woman who had cervical disk (disc) disease, when he hit an artery with a drill and caused the woman to have a severe stroke. The storke caused the woman to have a lifetime of medical and other care expenses as a result of the surgeon’s negligence.

In another case, a woman who had a long history of peripheral vascular disease underwent a bypass of the blood vessells of her lower leg, called a fem-pop (femoral to popliteal) bypass. After the surgery, the woman complained to her doctor of excessive bleeding from the surgical wound site. The surgeon negligently said not to worry about it, and told the woman that if she kept on bleeding she should put her finger on the wound to stop the bleeding. Unfortunately, when the woman went to sleep that night, the wound really opened up and she bled profusely. She woke up covered in blood and screaming, causing her family to rush to her rescue. Unfortunately, she could not reach medical treatment in time and bled to death (exsanguinated).

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June 25, 2008

Surgeon Operates on Wrong Part of Body / Altered Medical Records - Medical Malpractice / Medical Negligence / Medical Mistake

A New Jersey doctor's medical license has just been suspended after regulators determined that he performed the wrong surgery on a patient, by removing the wrong lung, then tried to cover up the error. The New Jersey Board found Dr. Santusht Perera removed a portion of the patient's right lung when he should have been removing a tumor in the left lung. According to the Board, the surgeon then told the patient that the right lung contained a life-threatening tumor, though there was no such growth. He also altered the patient's records to show he intended to operate on the right lung. The board determined that Perera's actions constituted gross negligence. A copy of the article regarding the case can be found here.

While most medical care is good, sadly there are significant number of doctors and hospital staff who commit serious medical malpractice / medical mistakes each day. In the case above, the patient's healthy lung was removed while the cancerous lung was left unaltered. As if that is not bad enough, the doctor then tried to cover up his mistake. Like in this case, the doctor usually gets caught.

Unfortunately, I have been involved in a number of cases in which doctors and hospital personnel in the Baltimore, Maryland and Washington area have tried to cover up their medical malpractice / medical negligence / medical mistakes by changing or altering medical records. Surprisingly, it is not always hard to catch these people. After having reviewed hundreds and hundreds and hundreds of medical malpractice cases, I know what to look for in a medical chart, both in terms of what should be in there and what should not be in there. We also have the experience and resources to have a forensic document examiner test a document to determine whether there is anything unusual about the document.

For example, I was involved in one medcial malpractice case in Maryland where a doctor said he told my client to follow-up after an abnormal chest x-ray, but there was no subsequent visit. The doctor even pointed to an entry in his chart that he had written which said that he told the patient to follow-up. This was a critical issue in the case because if the doctor did not tell the patient to follow-up, everyone in the case agreed he would have committed malpractice. If he did tell the patient to follow-up and she didn't, she certainly would have lost the case because the jury would have found her to be guilty of contributory negligence. The client's family was sure that if she had been told to follow-up, she would have. But she was dead and so we couldn't have her deny the doctor's claim. So, I obtained the original medical record and had it tested by a forensic document examiner who was able to prove - by highly magnifying the section where the doctor allegedly told the patient to follow - that the line containing the follow-up recommendation was written with a different pen then the rest of the entry for that day. That was enough to get the case to settle! If necessary, we were prepared to have the ink on the medical record tested to determine the date on which it was written, but that wasn't necessary.

In another Maryland medcial malpractice case, a women died a couple of days after minimally invasive gallbladder surgery (called a laparoscopic cholecystectomy). Strangely to me, the surgeon did not dictate his operative report for months after the surgery. In fact, he waited to dictate it until after the woman's autopsy report came out. The autopsy showed that there had been a leak of bile from the gallbladder's cystic duct after the surgery. When I finally got my client's operative report, it was a full 3 pages long and went on and on about how he carefully did this, and carefully checked that before finishing the surgery. That operative note was suspicious to me because I had seen a number of operative reports from other gallbladder cases I had reviewed and all of those operative reports had been only a paragraph long and certainly no more than one page. When I took the surgeon's deposition, I purposely got him to say that his operative report in my client's case was typical of his operative reports in other gallbladder cases and that he would expect all his other gallbladder operative reports to look virtually the same as my client's. Right after the doctor's deposition, I subpoenaed the last 10 gallbladder operative reports that he generated before and after my client's surgery. When I got those reports, as I had suspected, all 20 were only one paragraph long - which was in stark contrast to our client's 3 page long operative report in which tjhe doctor claimed to check and double-check everything. At trial, the jury hated the doctor for lying under oath during his deposition, and trying to avoid responsibility for killing his patient, and rendered a verdict in excess of $3 million. That is what you can do when you know what to look for!!!!

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June 10, 2008

Medical Malpractice During Open Heart Surgery

A Rhode Island man has been awarded $2 million due to allegations that he suffered brain damage because he did not receive proper care during open heart surgery at a Rhode Island hospital. The man alleged in his lawsuit that he got low amounts of oxygen to his brain during the 1998 operation. A copy of the article regarding the verdict can be found here.

These type of medcial malpractice cases can be catastrophic becuase of their severe and long-term consequences. As an attorney in Baltimore, I am frequently called upon to evalute whether there has been medical malpratice at two of the leading hospitals in the region, Johns Hopkins Hospital and the University of Maryland Medical System. They frequently perform some of the most cutting edge procedures known in medicine, including open heart surgery. Yet sometimes, these procedures have catastrophic results due to medical malpractice. When that happens, we investigate and pursue medical malpractice cases against Johns Hopkins and the University of Maryland Medical System. Over the years, we generally have been very successful in these cases.

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