New York Medical Malpractice Statute Of Limitations Legislation

There is a limited amount of time within which a patient can make a medical malpractice claim against a medical professional.  These statutes vary by state. The New York Senate is considering legislation to change the statute of limitations for medical malpractice claims. The New York bill would amend the statute of limitations to start the fifteen month clock from when a patient first realizes they were possibly misdiagnosed or harmed by a medical professional instead of fifteen months from the original incident.

The Medical Society of New York opposes A00285A.

This bill would amend the statute of limitations for medical, dental or podiatric malpractice to include a discovery of injury rule, allowing the current two and half year statute of limitations to run from the date an injured patient discovers, or should have discovered, that their injury was caused by malpractice. The bill would prohibit a malpractice action to be filed more than ten years after the date of the alleged malpractice. As this measure would potentially lead to enormous increases in the cost of liability insurance for physicians and hospitals at a time when no increases can be tolerated due to the enormous changes occurring in health care delivery, the Medical Society of the State of New York strongly opposes this measure and urges its defeat.

Medical Pharmacology Expert Witnesses Drug Allergy Award

Regina Honts filed a medical negligence lawsuit in 2013 against HealthSouth Rehabilitation Hospital of Gadsden, AL, over the death of her mother Doris Green. Ms. Green died from an allergic reaction to an overdose of unprescribed opiates while she was a patient at the facility. The jury heard that Green suffered permanent brain damage after being administered an opiate even though there were “clear warnings” she was allergic to such drugs.

Green planned to receive rehabilitation treatment for two weeks at HealthSouth Rehabilitation Hospital and then return home to live with her daughter. During her 2011 stay, a nurse found her unresponsive. In a coma, Green was transported to Gadsden Regional Medical Center. Tests found opiates in her system. Upon returning home, she exhibited permanent brain damage. Green died on Oct. 22, 2011. An Etowah County jury supported the medical negligence argument and awarded $20M to Ms. Honts.

Medical pharmacology expert witnesses are critical in medical negligence cases such as Honts v. HealthSouth Rehabilitation Hospital. These experts have a comprehensive understanding of pharmaceuticals and their actions in the body. They are physicians trained in understanding medication overdose, medication side effects, and toxic ingestions and are called upon to testify regarding drug interactions, overdose, and drug allergies.

Florida Supreme Court Case & The Anesthesiology Expert Witness

The Florida Supreme Court will hear arguments this week in the medical negligence case against North Broward Hospital District and anesthesiologist Dr. Robert Alexander. In 2007, plaintiff Susan Kalitan underwent outpatient surgery to treat carpal tunnel syndrome in her wrist. Under general anesthesia and during intubation, her esophagus was perforated. The hospital released her the same day without noticing the damage.

Esophageal perforation is a medical emergency.  Statistics show that a delay in diagnosis of more than 24 hours doubles the overall mortality rate from 14 to 27 percent.  Ms. Kalitan was not diagnosed in the hospital and sent home. A neighbor found her unresponsive the following day and her condition required life saving surgery to repair her esophagus. More surgery followed.

The trial court jury voted in favor of Kaltian, finding that she had suffered catastrophic injury and awarded her $4,718,011 in total damages. Relying on Florida’s statutory cap on damages, the court then limited the award by approximately $3.3M.  In 2015 the Florida Fourth District Court of Appeals reversed the circuit court’s decision and reinstated the total damages award.  North Broward Hospital District, et al., responded by appealing to the Florida Supreme Court.

Medical malpractice litigation against anesthesiologists may arise from procedural complications following the placement of an epidural catheter or administration of anesthesia by intubation.  Failure to control an airway during intubation may result in serious damage. As this case demonstrates, medical negligence litigation can be very complex. A top anesthesiology expert witness is a key aspect of any medical malpractice case regarding the standard of care in the administering of anesthesia.

Louisiana Supreme Court Orders Medical Negligence Retrial

The Louisiana Supreme Court has ordered a new trial in a medical negligence case against general surgeon Dr. Donald Schwab. Richard and Carrie Logan are seeking damages after Mr. Logan’s gallbladder removal surgery in 2010. The plaintiffs allege that during the procedure Dr. Schwab cut the wrong connecting tissue between Logan’s gallbladder and liver, damaging the liver. The Louisiana Supreme Court has ruled in the couple’s favor after more than two years of appeals.

ON WRIT OF CERTIORARI TO THE COURT OF APPEAL,

FIRST CIRCUIT, PARISH OF TERREBONNE

PER CURIAM

It is well settled that a new trial should be ordered when the court is convinced by an examination of the facts that the judgment would result in a miscarriage of justice. Lamb v. Lamb, 430 So. 2d 51, 53 (La. 1983). Having reviewed the record and considering the briefs and oral argument of the parties, we are convinced that the trial judge’s actions resulted in a miscarriage of justice. Therefore, considering the unique and narrow facts presented, we conclude a new trial must be granted.

General surgery expert witnesses join the legal team when a surgical complication results in litigation. They may opine on a wide range of medical procedures including bariatric surgery, colon surgery, breast surgery, endocrine surgery, gastroenterological surgery, and more. Complications specific to gallbladder surgery may include internal bleeding, infection of the incision, and injury to the bowel, bile duct, small intestine, or liver by one of the instruments used during surgery. In this type of litigation, the general surgery expert witness is crucial in helping the court decide whether the medical standard of care was breached.

Tear during childbirth results in complications

FOCUS

A woman during vaginal childbirth experiences a tear and complications from a failed repair.  A medical negligence case requiring Obstetrics and Gynecology medical expert witness review.

 

BACKGROUND

Vaginal tearing during childbirth is an extremely common injury. The repair can be simple or complex, depending on the severity and location.

 

CASE

A 40-year old woman underwent a routine vaginal delivery and experienced a tear. The obstetrician repaired the wound, but the patient alleges that the repair was performed improperly and that it failed to adequately correct an underlying muscular injury. She has since experienced a range of complications.

 

ELITE’S ROLE

ELITE’s physician-led team was asked to secure a top-tier professor of OBSTETRICS AND GYNECOLOGY to act as a medical expert witness and to determine if the treating obstetrician deviated from any applicable standard of care that were causative to the patient’s outcome.  A pending statute of limitation placed time constraints on the case, and a review and oral opinion had to be completed less than 72 hours after the assignment was given to ELITE.

 

THE MEDICAL EXPERTS

ELITE rapidly secured a top-tier professor of OBSTETRICS at a major west coast US Medical School to review the records and opine on any deviations from the standard of care.  The OB/GYN physician was considered a leading expert in the field of childbirth, lecturing nationally on operative management of childbirth.  ELITE coordinated with the expert to complete the review within the given deadlines, and the expert provided an oral opinion to the legal team within 48 hours.

 

OUTCOME

After receiving a favorable review and an affidavit of merit from a top OBSTETRICS expert, the case was confidently filed by the legal team before the statute of limitations expired.  Subsequently, the OB/GYN expert provided a full written report on the case, and the legal team successfully negotiated a strong settlement for their client.

 

E-CASE STUDIES are brief clinical vignettes based upon actual cases handled by ELITE. Identifying information has been redacted or altered to protect case confidentiality.

Kidney Transplants And The Urology Expert

The U.S. Department of Health & Human Services reports that despite advances in medicine and technology as well as increased awareness of organ donation and transplantation, the gap between supply and demand continues to widen. While 17,107 kidney transplants took place in the US in 2014, the Living Kidney Donors Network estimates there are over 80,000 people on the kidney transplant waiting list. The waiting list has doubled in size over the past 10 years and continues to grow.

In the news, the family of a Florida man who died in 2015 while undergoing surgery to donate a kidney to his father has filed a medical malpractice lawsuit against the urologist who performed the procedure. Christine Donaldson, wife of deceased John Donaldson, alleges that Dr. Barry Blitz failed to take appropriate measures to prevent his death. The lawsuit against Dr. Blitz and 21st Century Oncology states that Mr. Donaldson suffered “significant bleeding” after the procedure and died due to Dr. Blitz’s negligence.

Urology experts specialize in the medical and surgical treatment of the kidneys, ureters, urinary bladder, and genitals. The medical negligence case involving a kidney transplant requires testimony from the urologist at the top of their field who also understands medical litigation.  This expert witness is key to the litigation team.

Pulmonary Medicine Experts

What areas of medicine do pulmonary medicine expert witnesses consult on? These experts may write reports and testify on standards of care involving chronic obstructive pulmonary disease, mesothelioma, pulmonary embolism, lung cancer, and other conditions. In a complicated medical malpractice case against the treating emergency physician and the emergency physician’s group, parents of Shaquille Johnson sued Price Paul Omondi, M.D., and Southwest Emergency Physicians, P.C., in the death of their son.

Johnson died following treatment by Omondi in the emergency department at Phoebe Putney Memorial Hospital. The Johnsons and their experts argue that the history taken by Omondi, the physical exam he conducted, and his interpretation of the chest x-ray and EKG were all deviations from the standard of care. Furthermore, the Johnsons contend that Omondi’s failure to properly to rule out a pulmonary embolism and order a chest CT scan constitute medical negligence. The trial court dismissed the case for failing to meet the “gross negligence” standard of proof and the appellate court affirmed the decision.

However, the Georgia Supreme Court reviewed the case, and held that the treating physician’s care may have been grossly negligent and a jury would have to decide the issue. The higher court heard testimony from plaintiff experts Dr. Peter Rosen and Dr. Steven Gabaeff. Both experts stated that the standard of care required the treating physician to obtain a CT scan in order to rule out a pulmonary embolism and that the failure to do so was “grossly improper, egregious, and contrary to well-known and fundamental medical principles.” Emergency Physicians Monthly writes:

Drs. Rosen and Gabaeff testified that the EKG showed “Q3T3” abnormalities and the chest x-ray demonstrated cardiomegaly – which were allegedly both suggestive of a pulmonary embolism.

Pulmonology expert witnesses are critical in lawsuits claiming pulmonary medicine negligence. A medical malpractice determination is devastating to both physicians and medical groups. Following a guilty medical malpractice outcome, a physician’s malpractice coverage can be denied and their medical license rescinded.

 

How To Select A Medical Expert Witness: Mission-Critical Steps for Success

The expert witness is the foundation of any medical malpractice case. From analyzing the elements of negligence to testifying at deposition and trial, your strategic success depends upon competent medical insight. Given the pivotal role played by medical expert witnesses, it is surprising how often the search for an expert is left to chance. Choose incorrectly and you’ve made a common and costly mistake that may prove fatal to your case. Secure the right expert, however, and you’ll build a solid strategy and partnership from the outset. Rather than leaving the decision to chance, the following steps will immediately improve your chance of success:

Assure Board Certification

For medical malpractice cases, your expert must be Board Certified by the American Board of Medical Specialties (ABMS). Although other “boards” exist, only ABMS is universally recognized as the official certifying body governing all medical and surgical specialties. The key is to choose an expert whose ABMS certification and active practice identically match the issues in the case.

Know Your Expert

Perform a background check to learn about credentials, experience, prior testimony, and conflicts of interest. Confirm that your expert was in full-time clinical practice, with a spotless professional record, both before and during the time of the alleged negligence in the case. Before agreeing to proceed, speak with your expert to assure that he or she is a good match with your personal style and case requirements. Since the expert has not yet been formally retained, use the time to meet the expert rather than ask case-specific questions. Knowing that your professional relationship with an expert may span a period of years, invest the time to vet your candidates closely.

Avoid Referral Services

Expert witness referral services rely upon preexisting lists of professional experts. These services simply match the medical specialty required by your case (e.g. Cardiology) with a random expert (e.g. Cardiologist) from a predetermined list. Rather than hand-selecting unique experts with qualifications, interests, and expertise chosen for your specific case, referral services are really selling you a random name from a list of subscribing experts. Experts on referral lists typically have suboptimal credentials, advertise on the internet, and can be located without using a referral service at all. A better strategy is to rely upon established consulting firms, ideally staffed by physicians and nurses, who utilize their resources to locate and hand-vet specific experts uniquely suited for your case. Such experts are true experts, typically serving at the professorial level at major medical universities. Professors of Medicine and Surgery have top-tier credentials and never advertise their expert services. Since university experts are generally inaccessible to the public, you will require assistance in securing an ideal candidate for your case. Only trust reputable and recommended firms with established success working for both sides of the bar. Such firms utilize proven practices that respect the critical importance of transparency and discoverability.

Build a Winning Relationship

The key to winning your case is a rock-solid theory supported by an articulate expert. Start that relationship by relying upon your expert’s honest and independent interpretation of the medical facts. Provide all documents, theories, and questions that you wish, but then let the expert do the work of determining whether the facts support the requisite elements of negligence. If the expert’s opinion is positive, take the time to understand every facet, including strengths, weaknesses, and the likely theory of any opposing expert. If the opinion is negative — a common occurrence in randomly screened plaintiff cases — take a similar amount of time to understand the flaws in your case theory. Although the natural inclination is to feel disappointed, experienced attorneys recognize that a well-reasoned negative opinion saves vast amounts of money and time. When you can confidently rely upon your expert, any opinion holds tremendous value.
Bottom line: Maximize your return on investment and winning success by securing an optimal expert witness early in your case.