Articles Tagged with surgery malpractice

This week, a North Carolina jury awarded $7.5 million to a gentleman whose botched colon surgery left him with severe and debilitating complications. In June of 2010, the patient underwent surgery to remove a portion of his colon due to a potentially cancerous mass that had been found. It was alleged that when the surgeon connected the new ends of the colon together, there was a leak. The patient in this case became extremely ill following the surgery. He suffered from a prolonged period of low blood pressure as well as kidney failure, infection and internal bleeding. He also underwent two additional surgeries during which his physicians were unable to locate the source of the infection. A colonoscopy later that same year revealed a leak in the area where a portion of the colon had been resected. A fourth surgery was then performed to repair the leak and mitigate the resulting internal damage.

When a perforation occurs in the gastrointestinal tract, substances such as fecal matter, food and bacteria can leak in to the abdominal cavity which can cause infection, organ damage and even death. Perforations of the colon can happen on their own but, more commonly, occur during surgeries in the abdomen. Symptoms of a colon injury include fever, pain, increased heartbeat, increased respiratory rate and distension of the abdomen. Generally speaking, a perforated colon can be diagnosed using the CT Scan technology that is available today.

Often times, the defense in these types of cases is that the perforation – and the resultant leak – in and of itself is not a breach of the standard of acceptable medical care. While the truth of this defense depends on the circumstances, a good medical malpractice attorney can get around this argument by showing that a delay in diagnosing the perforation and leak resulted in unnecessary harm and damages.

Patients expect that their doctors will take good care of them and do whatever necessary to stabilize or treat their condition. However, one doctor – an orthopedic surgeon – recently was found guilty of medical malpractice when his actions led to his patient becoming a paraplegic; the jury awarded the patient and his wife $2.85 million.

The patient presented to the emergency room in the spring of 2004 after he suffered numerous and severe injuries in an automobile accident. While being prepped for surgery to stop the bleeding in his forearm, the treating orthopedic surgeon ordered a CT scan of the patient’s knee, which he also injured in the accident. According to the trial testimony, when the physician ordered the CT scan, the patient’s blood pressure was at a dangerously low level. The CT scan caused a nearly 30-minute delay in the patient’s surgery. During this delay, the patient went into cardiac arrest and respiratory arrest. Although two physicians nearby – an emergency room doctor and an anesthesiologist – fortunately resuscitated the patient, the delay and resulting injuries led to the death of a portion of his spinal cord, also known as a spinal cord stroke. Tragically, he suffered permanent paralysis from just above the waist down.

According to the lawyers and experts who testified at the trial, the patient’s extremely low blood pressure should have alerted doctors and nurses that he was on the verge of a cardiac arrest and that to interrupt the necessary treatment of the patient’s arm was negligent. Several doctors further testified that the patient should not have been transferred from the pre-operative holding area when his vital signs were as low as they were – even the experts for the defendant physician. Various witness accounts and medical records also presented at trial revealed that the patient’s blood pressure and pulse remained at zero after the cardiac arrest, leaving his body without blood flow for approximately eight to twenty-seven minutes.

Recently, a New York District Judge ordered Mogen Circumcision Instruments of New York to pay compensatory and punitive damages totaling $10.8 million to a Florida boy and his parents following a medical instrument malfunction. Despite the instrument maker’s claims that injury arising from the use of their Mogen clamp was impossible, the boy lost a portion of his penis. This is not the first time Mogen has been at the center of a circumcision injury lawsuit. Mogen was involved in a 2007 Massachusetts lawsuit where it was forced to pay $7.5 million. In the current case, the baby lost the entire head (glans) of his penis. The judgment amount was based on the court’s determination the Mogen had to pay for both medical expenses and the years of therapy that the child will need.

Malpractice is sometimes to blame for circumcision mistakes and injuries as well. A jury in a 2009 case awarded $2.3 million to a baby and his parents after too much tissue was removed during his circumcision. Despite a nurse’s complaint of excessive bleeding, the baby’s pediatrician failed to respond; had he, the tip of the penis might have been reattached. As a result of the medical negligence, the baby lost a third of the glans of his penis. The New York jury found both the physician who performed the circumcision and the pediatrician negligent.

As an experienced Baltimore, Maryland medical malpractice lawyer, I have handled a number of medical malpractice cases involving injured children. Many of these cases involve psychological as well as physical injury and damage. They are extremely complicated and require expertise that most general personal injury attorneys do not have.

There has been a lot of publicity lately about a doctor at St. Joseph Medical Center in Towson, Maryland, that supposedly implanted cardiac stents that may not have been necessary. The publicity started after St. Joseph Medical Center sent out letters to 369 former patients stating that a review of surgeries by Dr. Mark Midei revealed that Dr. Midei may have told these people that they had severe coronary artery blockages that they actually didn’t have, and then recommend and performed stent surgery on these people when it was not necessary. Usually, such stents are only placed in people who have blockages of 70% or more.

In the article, a women is quoted who was told that she had a 90% blockage and underwent stent surgery as a result, but after getting a letter discovered that she only had a 10% blockage and didn’t need the surgery. Not only did she undergo unnecessary surgery, but she incorrectly believed she had severe cardiac disease and now has to take blood thinners for life due to the stent.

There are clearly a lot of unanswered questions here. Who was reading the heart scans and incorrectly interpreting / reporting on them, why did Dr. Midei not pick up on this, why did St. Joseph Medical Center not pick up on this earlier, were there financial incentives for any of these parties that gave them incentive to do this, etc.

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.

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.

Today, MSNBC ran a story about Operating Room fires. The article states that the latest data reveals about 600 cases annually. These fires, sometimes called surgery fires or surgical fires, are completely preventable occurrences.

I have successfully handled a number of these cases, including operative room burns and unintended surgical burns. In these cases, the patient caught on fire because the surgeon did not keep the cautery device away from the oxygen that was being given to the patient during the surgery. The patient also received oxygen at too high a concentration, thereby contributing the likelihood of fire. Doctors and hospitals have known for decades how to prevent surgical fires, yet they still occur. I would say that any time a patient catches on fire during surgery it is a clearly due to medical malpractice and should result in a malpractice lawsuit.

We handle cases like these all of the time in my practice.

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