Neonatal Intensive Care Unit Scrutinized

Neonatology deals with the care and treatment of newborns during the first thirty days of life. The hospital-based specialty is practiced in the neonatal intensive care unit. These medical specialists treat ill newborns who require complex and specialized care. Neonatologists may also be present in the labor and delivery room preparing for the birth.

After the death of three infants in six weeks at Geisinger Medical Center’s neonatal intensive care unit in Danville, Pennsylvania, parents of baby Abel Cepeda filed a medical negligence lawsuit. Their six-day-old baby died from a bacterial infection. The lawsuit alleges that the medical center knew at the time that its neonatal intensive care unit was contaminated with the bacteria that infected several babies. Abel Cepeda was the third infant to die and five others were infected. Pseudomonas bacteria are common but can pose a health risk in fragile patients such as premature infants.

Geisinger Medical Center is a 594-bed hospital which serves as the primary hospital for the Danville-based Geisinger Health System, one of Pennsylvania’s largest health networks. In a press conference, Geisinger officials said they became aware of the presence of the bacteria in early August. Plaintiff’s attorney Matt Casey states that the contamination was concealed for two months. The bacterium was traced to equipment used to measure and administer donor breast milk. The milk itself was not the source of the deadly exposure.

The American Academy of Pediatrics describes the role of the expert witness in medical liability cases thus:

The role of the expert witness is often to establish standards of care applicable for the case at hand. The expert may also be asked to evaluate whether the factual testimony provided by other witnesses indicates any deviation from acceptable standards. When care has been deemed “substandard,” the expert witness may be asked to opine whether that deviation from the standard of care could have been the proximate cause of the patient’s alleged injury…

Because courts and juries depend on medical experts to make medical standards understandable, the testimony should be clear, coherent, and consistent with the standards applicable at the time of the incident.

Neonatologists are certified by the American Board of Pediatrics in both pediatrics and neonatal-perinatal medicine. The typical patient of the neonatologist is an ill newborn requiring complex, specialized care due to prematurity, low birth weight, congenital malformations, sepsis, birth injuries, etc. Elite Medical Experts covers the entire spectrum of neonatology litigation and consultation. Contact Elite Medical Experts to secure a neonatology expert from a leading university whose expertise is tailored to the needs of your case.

Malpractice Litigation Addresses Baby Born With Lack Of Oxygen

Minnesota couple Leotha Pinkney and John Richardson filed a malpractice lawsuit against the medical staff at Regions Hospital and HealthPartners in St. Paul, MN, alleging that medical staff did not provide adequate medical care during Ms. Pinkney’s labor. Their baby was born with brain damage due to a lack of oxygen during the birthing process.  Their son is now fifteen months old and has been diagnosed with spastic quadriplegia cerebral palsy, microcephaly, as well as physical and developmental delays.  He also suffers from permanent neurological injuries and seizures.

The lawsuit describes the medical staff as observing fluctuations in the baby’s heart rate but continuing to administer Pitocin to Pinkney. When her temperature and pulse increased, she was given antibiotics during labor. Plaintiffs allege that hospital staff failed to observe that the baby’s heart was showing distress and then failed to properly respond and did not advise his mother that she should have an emergency cesarean section.  Her son was born limp and special care nursery staff administered resuscitation but the baby was already harmed.

HealthPartners.com manages Regions Hospital and the company website describes HealthPartners as “the largest consumer governed nonprofit health care organization in the nation – serving more than 1.8 million medical and dental health plan members nationwide. Our care system includes a multi-specialty group practice of more than 1,800 physicians that serves more than 1.2 million patients.”

Obstetrics deals with the care and treatment of women during pregnancy and childbirth. Obstetricians treat both routine and high-risk pregnancies.  They manage a variety of conditions related to pregnancy such as hypertension, gestational diabetes, preeclampsia, and placental abruption. Obstetricians perform a variety of procedures such as routine vaginal delivery, Cesarean section, forceps-assisted delivery, as well as vacuum-assisted delivery.

Litigation in obstetrics is common.  Obstetricians are often named in lawsuits whenever there is an unexpected or poor or fetal outcome. Allegations include failure to properly monitor the patient and fetus, failure to recognize signs of fetal distress, failure to perform delivery in a timely fashion, and failure to convert to a Cesarean section to avoid undue fetal distress.

Contact Elite Medical Experts to hire the most qualified expert witness in obstetric consultation and litigation.

Tight Scalp Bandage Results in $47M Verdict Against Neonatologist

A Pennsylvania federal jury awarded $47M to parents in a medical malpractice lawsuit filed on behalf of their daughter. Ian Harker and Corradina Baldacchino filed their lawsuit against Dr. John Chan, the Conemaugh Memorial Health Center, the Conemaugh Health System, as well as Duke Lifepoint Healthcare. In the Western District of Pennsylvania case (3:15-cv-00277-KRG), plaintiffs argued that Chan’s decision to use a head wrap on their newborn daughter caused lasting injuries. The Texas family held Chan responsible for their daughter’s permanent head scarring stating that she will never grow a full head of hair and will face a lifetime of reconstructive surgeries. The complaint states:

As set forth more fully below, the care and treatment provided by Defendants and their agents, servants and/or employees to minor-daughter GH, as set forth herein, was negligent and a substantial factor that increased the risk of harm and/or caused minor-daughter GH to suffer the following injuries and their sequela:

  1. pressure ischemia and necrosis of the forehead and scalp;

  2. ischemia/necrosis of the skin and underlying tissues of the scalp;

  3. ischemia/necrosis of the skull and periosteum;

  4. bruising, swelling, edema and fissures of the forehead and scalp;

  5. extensive eschars of the scalp;

  6. severe scarring of the skin, underlying tissues of the scalp, and skull;

  7. swelling and injury around the right eye;

  8. skull damage preventing and/or delaying closure of the anterior fontanel; loss of hair;

  9. permanent alopecia;

  10. future need for high-risk, complex surgical procedures…

Chan’s defense attorneys argued that the neonatologist ordered the bandage for the three pound baby when he saw a hemorrhage growing at the base of her skull and was concerned it could become fatal. Chan testified that he has used the procedure successfully multiple times previously.

However, the plaintiff’s neonatology expert opined that there is no evidence that the Ace Bandage head wrap procedure is safe and that Chan violated the medical standard of care. The medical expert testified that Chan should have ordered further radiology scans to follow-up and failed to diagnose cephalohematoma. The bandage was left on for three days and the baby’s face began to swell causing permanent damage. The family sought more than $3M. The Pennsylvania jury awarded them $47M in damages.

Neonatologists are pediatricians who specialize in the treatment of newborns through the first thirty days of life. Most neonatologists treat premature and high-risk infants. BirthInjuryGuide.com tells that “at least 2% of live births in the U.S. are adversely affected by physical injuries not related to any congenital condition.” The most common neonatal injuries affect a baby’s head, neck, and shoulders. Birth traumas include brachial palsy, oxygen deprivation, fractures, swelling of the scalp (caput succedaneum), and bleeding under the scalp (cephalohematoma).  A neonatology expert witness is commonly needed in cases of poor outcomes related to birth trauma. These experts explain complex medical conditions and provide unbiased testimony to the court. Contact ELITE Medical Experts to be connected with a university professor in full-time clinical practice who has been specifically selected for the fact pattern in your case.