Gair, Gair, Conason, Rubinowitz, Bloom, Hershenhorn, Steigman & Mackauf is a New York Plaintiff's personal injury law firm specializing in automobile accidents, construction accidents, medical malpractice, products liability, police misconduct and all types of New York personal injury litigation.

Articles Posted in Medical Malpractice

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Jeffery Bloom will participate in The 2012 Issues In Neonatology Symposium sponsored by Winthrop-University Hospital to be held March 8, 2012 at the Garden City Hotel, 45 Seventh Street, Garden City New York. Jeffery will take part in;

The Mock Trial: A Case of necrotizing enterocolitis (NEC)

Moderator and Judge: Avroy A. Fanaroff, MD Defense Expert: Gilbert I. Martin, MD Plaintiff Expert: Jonathan M. Fanaroff, MD, JD Defense Attorney: Charles Bach Plaintiff Attorney: Jeffrey B. Bloom

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Our partner Stephen Mackauf will speak at the New York City Seminar, Medical Malpractice-2012. He will discuss Deposition and Trial Examination of the Defendant. This seminar is sponsored by The New York State Bar Association and is being held State wide. The New York City Seminar is scheduled for March 9, 2012 at New York Hotel Pennsylvania 401 Seventh Avenue (at 33rd St.). For more information and to register click here.

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From RSN;

“In defending the U.S. military’s medical system in court, the U.S. Department of Justice is arguing that service personnel and their families are not allowed to sue for medical malpractice regardless of the circumstance.

As a general rule, military members are barred from taking the government to court, which has been established in several court cases, in particular the 1950 Supreme Court decision in Feres v. United States. But now government lawyers are trying to expand the scope of Feres to make it impossible for families of soldiers to sue for medical malpractice, if at the time of the bad care the service member was on active duty.” MORE.

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A Washtenaw County Circuit Court jury awarded a teacher $2.5 million in a medical malpractice verdict, after suffering permanent injury during a procedure at St. Joseph Mercy Hospital. Amy Garcia suffered a miscarriage in 2007 causing the death of her 14-week-old fetus and as a result required a dilation and curettage procedure.

Dr. Norman Gove, an obstetrician and gynecologist, told Garcia that the procedure was routine, according to her testimony. The lawsuit contended that Gove failed to properly supervise the resident physician’s work and in an effort to remove the fetal remains had inserted ring forceps through the perforated uterus and ended up grabbed a piece of bowel that snapped back. The patient’s rectum and bowel were then torn, the suit states.

Every field of surgery has its own common surgical errors. In obstetrics and gynecology, recurrent surgical errors involve injuries to the ureter during hysterectomies, injuries to the baby during a Cesarean section, and various injuries during operations for prolapse. This case involves a uterine perforation during a dilation and curettage (D&C). Whether there is a fetus in the uterus or not, most uterine perforations during D&C’s are preventable with the exercise of proper care and surgical technique. Each case is different, however, but if the uterus ends up having to be removed as a result of the perforation, one of the key pieces of evidence is the pathology report which will describe the area of the perforation in detail. It is important to remember that a D&C, however, is a “blind” procedure in the sense that the surgeon cannot see the inside of the uterus or the tips of the surgical instruments; the procedure is essentially done by feel.

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For those of us who represent plaintiff’s in medical malpractice cases it is, of course obvious that the law requires the Notice of Claim to be served on The New York City Health and Hospitals Corporation. It is basic law that service upon the Comptroller of the City of New York is insufficient and will lead to a dismissal of the claim and a potential legal malpractice case. Yet time and again we see cases where the plaintiff’s attorneys served the City of New York resulting in a dismissal of the claim. So was the case in Barnaman v New York City Health and Hospitals Corporation, et al., New York Appellate Division, Second Department, December 6 2011 in which plaintiff’s complaint was dismissed after the statute of limitations had run. The failure of The City of New York to plead an affirmative defense is of no consequence as is their participation in discovery. As The Court stated;

“Contrary to the plaintiff’s contention, the defendants were under no obligation to plead, as an affirmative defense, the plaintiff’s failure to comply with the statutory notice of claim requirement (see Laroc v City of New York, 46 AD3d 760, 761; Maxwell v City of New York, 29 AD3d 540, 541; Lynch v New York City Tr. Auth., 12 AD3d 644, 646). Furthermore, the defendants’ participation in pretrial discovery did not preclude them from raising the untimeliness of the notice of claim (see Laroc v City of New York, 46 AD3d at 761; Wade v New York City Health & Hosps. Corp., 16 AD3d 677; Hall v City of New York, 1 AD3d 254, 256).”

In fact the motion to dismiss can be made at the start of trial and will be granted by the Court.

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Fetal monitoring system display

Los Angeles County officials are expected to approve a $2.8 million settlement of a medical malpractice suit filed against medical staff at County Harbor-UCLA Medical Center over their failure to perform an emergency cesarean section after signs of distress. The 18-year-old woman, Guadalupe Fernandez, gave birth to a son who was later diagnosed with neurological injuries from fetal distress, according to court records.

Even after a completely normal prenatal course, a fetus may not tolerate the stresses of labor well. The main way that doctors and nurses have of following fetal well-being during labor is the electronic fetal heart monitor. If the fetal heart monitor shows evidence of fetal oxygen deprivation (fetal distress), the first step is try to make the problem go away by changing the mother’s position, giving the mother some oxygen to breathe, and increasing her IV fluids but decreasing or discontinuing any Pitocin that may be running. If these measures are not successful, then a fetus that is showing evidence of distress must be delivered via an emergency Cesarean section as soon as possible in order to prevent permanent brain damage.

Many medical malpractice cases revolve around the claim that the evidence of fetal distress on the monitor tracing was not properly assessed and that the baby sustained permanent brain damage (often cerebral palsy) because of the prolonged oxygen deprivation that resulted from the failure to perform an emergency Cesarean section.

Los Angeles County will also pay a $16,208 Medi-Cal lien issued against the family and waive Fernandez’s bill of $19,455 in addition to covering nearly $52,000 in legal costs, including attorney fees, in the case.

As a result of any settlement, the hospital is required to devise a plan of correction, much of which has already been implemented. Part of the plan involved a comprehensive survey to assess the hospital system’s protocols, along with training and credentialing procedures. According to the county, a further review of the hospital’s treatment history showed complication rates are at or below national benchmarks.

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The New York Appellate Division, Second Department, has, once again, ruled that the scope of a Frye hearing regarding a plaintiff’s theory of causation in a medical malpractice action is limited only to whether or not the expert’s opinion is based on generally accepted scientific principles, as opposed to the expert’s own unsupported beliefs. Specifically, plaintiff is not required to produce medical literature that demonstrates causation under parallel circumstances, but rather, an expert’s testimony must be allowed where a synthesis of various studies or cases permits the expert to reach such a conclusion.

In Lugo v. New York City Health & Hospitals Corp.,decided on September 13, 2011, the infant plaintiff indisputably suffered spastic diplegia type cerebral palsy, resulting in developmental delays and confirmed by abnormal findings on an MRI of his brain. He had been born with excellent Apgar scores, but experienced tremors when he was 40 minutes old. He was ultimately diagnosed in the NICU with a blood glucose level of 3 mg/dl (40 mg/dl being normal). After being given an infusion of glucose, his glucose level rose to a normal amount approximately one hour and twenty minutes after his birth.

The theory of plaintiff’s case was that the hospital’s failure to timely diagnose and treat the infant’s hypoglycemia caused his brain injury. The hospital’s attorneys successfully moved the Motion Court for a Frye hearing, supported by affidavits from its experts stating their opinion that a transient episode could not cause the type of brain injury seen on the infant’s MRIs. Following the hearing, the Motion Court precluded plaintiff’s experts from testifying with regard to their theory of causation, and dismissed the case, finding that plaintiff failed to provide “authoritative” medical literature that supported the theory that a “short episode” of hypoglycemia could have caused the infant’s brain injury.

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In a rather unusual case, the New York Appellate Division, Second Department held that there are limits to how far a defendant can go in examining a medical malpractice plaintiff during an Independent Medical Examination in New York. In the case D’Adamo v Saint Dominic’s Home decided on September 13, 2011, the Second Department was confronted with a defendant whose examining doctor wanted to perform a host of invasive examinations upon a non-communicative plaintiff who suffered from both mental and physical disabilities. The 19-year old plaintiff was a resident of the defendant’s group home as he suffered from mental retardation, cerebral palsy and autism. Through his guardian, the plaintiff alleged that the defendant’s malpractice caused him to sustain severe damage to his colon resulting in loss of a length of his colon and a permanent colostomy bag.

It is well-settled law in New York that a defendant is entitled to a medical examination of a plaintiff who places his physical condition in issue. It is also well-settled that the medical examination cannot be invasive in nature. In this case, the examining doctor chosen by the defendant initially sought to perform a rectal exam on the plaintiff with a rigid sigmoidoscope. Counsel for the plaintiff rightfully objected on the basis that the examination sought was clearly invasive and posed risks beyond that of a simple medical examination given the physical and mental condition of the plaintiff. The defendant and the examining doctor suggested alternative examinations involving a digital rectal examination, a pediatric sigmoidoscope and possible sedation. The plaintiff’s counsel again objected on the same basis. The Appellate Division, Second Department agreed that these examinations were too invasive and denied the defendant’s request.

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In The Courts

  • San Francisco’s Muni target of lawsuit by slain woman’s family (San Francisco Examiner, CA)
  • New York Hospital sues creator of website that discusses the 2003 death of his wife (Albany Times-Union, NY)
  • The family of a Georgia man who stabbed his mother to death in a psychotic rage will be permitted to file a medical malpractice lawsuit against his psychiatrist. (CBS News, GA)