Justia Medical Malpractice Opinion Summaries

A patient underwent surgery on September 4, 2020, and died twelve days later. Her estate and children brought a medical malpractice suit against the surgeon and hospital, alleging negligence. The defendants sought dismissal, arguing the plaintiffs had not satisfied Iowa’s certificate of merit requirements under Iowa Code section 147.140(1), which mandates a supporting expert affidavit early in medical malpractice litigation. The district court denied the motion to dismiss.The defendants then sought interlocutory review from the Iowa Supreme Court. The Iowa Supreme Court reversed the district court’s denial, finding the plaintiffs had not complied with the statutory affidavit requirement, and remanded with instructions to dismiss the case with prejudice. Following the remand, the plaintiffs attempted to file dismissals without prejudice before and after the district court’s order of dismissal with prejudice. Despite these filings, the district court entered a dismissal with prejudice as directed by the Iowa Supreme Court. The plaintiffs then filed a new lawsuit asserting the same claims against the same defendants. The defendants moved to dismiss this second action, citing claim preclusion (res judicata) and the statute of limitations. The Iowa District Court for Clinton County dismissed the second action.On appeal, the Iowa Supreme Court affirmed the dismissal. The court held that its prior mandate required dismissal with prejudice, and any attempt by the plaintiffs to dismiss without prejudice was contrary to that mandate and thus ineffective. The court found that the elements of claim preclusion were satisfied: the parties and claims were identical to the prior action, and there was a final judgment on the merits. Accordingly, the second lawsuit was barred. The Iowa Supreme Court affirmed the district court’s dismissal on claim preclusion grounds. View "Shontz v. Mercy Medical Center-Clinton, Inc." on Justia Law

A Pennsylvania state prisoner with a history of opioid addiction participated in a prison Medication Assisted Treatment program, receiving Suboxone to help control his cravings. After prison officials twice accused him of possessing contraband and diverting his medication to other prisoners, he was removed from the treatment program. Instead of abruptly ending his medication, a prison doctor tapered his doses over a week to reduce withdrawal symptoms. The prisoner later suffered withdrawal effects and mental health challenges but was not reinstated in the program despite his requests. He claimed the diversion finding was unfair but did not allege personal animus or pretext by the officials involved.He filed a pro se lawsuit in the U.S. District Court for the Middle District of Pennsylvania against various prison officials and a doctor, alleging violations of the Eighth Amendment (cruel and unusual punishment), the Americans with Disabilities Act (ADA), and a state-law negligence claim. The District Court dismissed all claims, finding the federal claims inadequately pleaded and the state-law claim procedurally improper for lack of a certificate of merit under Pennsylvania law.The United States Court of Appeals for the Third Circuit reviewed the case de novo. The court affirmed the dismissal of the Eighth Amendment claim, holding that the complaint failed to allege deliberate indifference to medical needs as required by precedent; the officials’ actions were judged to be good-faith medical decisions, not constitutionally blameworthy conduct. The court also affirmed dismissal of the ADA claim, finding no plausible allegation that the prisoner was excluded from treatment “by reason of” his disability, but rather for diversion of medication. However, the court vacated the dismissal of the state-law negligence claim, as recent Supreme Court precedent abrogated the procedural requirement relied upon by the District Court, and remanded for further proceedings on that claim. View "DiFraia v. Ransom" on Justia Law

A mother of four regularly sought care at a federally funded health center in Rhode Island from 2006 onward. Over a period of several years, she repeatedly reported persistent, weeks-long headaches with changing characteristics to her primary-care providers, also disclosing experiences of domestic abuse. Despite these reports, she was diagnosed with migraines and prescribed medication, but was never referred to a neurologist or for neuroimaging. In 2019, her symptoms worsened, and she lost consciousness, leading to hospitalization and the discovery of a slow-growing brain tumor, which had caused a buildup of cerebral fluid. Surgery to remove the tumor resulted in cerebellar strokes and permanent neurological damage, severely limiting her mobility and ability to care for her family.After the Department of Health and Human Services denied her administrative claim, she and her family filed suit under the Federal Tort Claims Act (FTCA) in the United States District Court for the District of Rhode Island. The district court found negligence by the primary-care providers, awarded her damages for medical expenses, pain and suffering, and homemaker loss, and awarded her children damages for loss of consortium. The government appealed, arguing that the children’s consortium claims were not properly presented administratively, that the homemaker damages were excessive, and that the findings on standard of care, causation, and medical expenses were erroneous.The United States Court of Appeals for the First Circuit held that the children’s loss-of-consortium claims were barred for failure to exhaust administrative remedies and reversed those damages. The court vacated the homemaker damages award as excessive and unsupported by the evidence, remanding for further proceedings. The court affirmed the district court’s findings on negligence and causation and upheld the pain and suffering awards, but reduced the medical expense award by the cost of an unrelated spinal MRI. The judgment was thus affirmed in part, reversed in part, modified in part, and remanded. View "Urizar-Mota v. US" on Justia Law

A woman in her mid-30s suffered a severe stroke that left her paralyzed and unable to speak, requiring months of inpatient care at a rehabilitation hospital operated by a corporate defendant. While at the facility, she was assigned daily intimate care, including by a male certified nursing assistant. She later alleged that this male attendant sexually assaulted her multiple times during her stay. After her discharge, she sued the hospital, its corporate parent, and the attendant, asserting claims for assault, battery, negligence, and abuse of a dependent adult.The case went to a jury trial in Marin County Superior Court. The jury found in favor of the attendant on all claims, concluding he had not assaulted, abused, or been negligent towards the plaintiff. However, the jury found the hospital and its parent negligent, and determined their negligence was a substantial factor in causing harm to the plaintiff. The jury awarded her $1,000,000 in noneconomic damages. The hospital and its parent then moved for judgment notwithstanding the verdict, arguing there was no causal link established between their negligence and the plaintiff’s harm. The trial court agreed, granting the motion and entering judgment for the defendants.The Court of Appeal of the State of California, First Appellate District, Division Two, reviewed the case. It held that substantial evidence supported the jury’s finding that the hospital’s failure to offer the plaintiff, or her representative, the option of receiving intimate care from a female caregiver (as required by the Patient’s Bill of Rights) was a substantial factor in causing her emotional distress. The court found this basis for liability was independent of the alleged sexual assault and did not require expert testimony on causation. Accordingly, the appellate court reversed the judgment notwithstanding the verdict and directed the trial court to reinstate the judgment in accordance with the jury’s special verdict. View "Sobalvarro v. Vibra Health Care" on Justia Law

Mitchell Glenn Revette sought medical care from Dr. Andrew Mallette at The Surgical Clinic Associates, P.A. for abdominal pain and underwent surgery for diverticulitis in June 2021. He later returned for a follow-up surgery in January 2022, after which he died due to complications related to respiratory depression. His wife, Nitkia Revette, brought a wrongful death and medical negligence lawsuit on behalf of his estate, alleging that negligent anesthesia and pain management led to his death.The defendants, Dr. Mallette and the Clinic, moved to compel arbitration based on an arbitration agreement included in an intake packet mailed to Mitchell. The agreement was signed "Mitchell Revette," but during a hearing in the Hinds County Circuit Court, Nitkia testified that she signed her husband’s name without his knowledge or presence, and she stated she had no authority to sign for him. The Clinic’s staff testified that patients were required to sign such agreements personally. The circuit court found that Mitchell did not sign the arbitration agreement and that Nitkia lacked authority to bind him, thus ruling the agreement unenforceable and denying the motion to compel arbitration.On appeal, the Supreme Court of Mississippi reviewed the circuit court’s findings, applying a deferential standard to factual determinations and de novo review to the denial of arbitration. The Supreme Court affirmed the circuit court’s decision, holding that substantial evidence supported the findings that Nitkia lacked both actual and apparent authority to sign for Mitchell and that there was no basis for binding the estate via direct-benefits estoppel. The case was remanded to the circuit court for further proceedings. View "Mallette v. Revette" on Justia Law

James Secrist, after recovering from COVID-19, began experiencing significant neurological symptoms, including leg weakness and inability to urinate. He was evaluated by various healthcare professionals at Rush Medical Foundation and Cardiovascular Institute of the South between March and June 2021. Ultimately, he was diagnosed with transverse myelitis attributed to COVID-19. James and his wife Dawn filed a medical malpractice suit against the involved healthcare providers, alleging negligence in failing to recognize and urgently address his worsening neurological condition.The case was brought in the Lauderdale County Circuit Court. The defendants moved to dismiss, asserting immunity under Mississippi Code Section 11-71-7, which provides legal immunity to healthcare professionals and facilities for acts or omissions related to healthcare services performed during the COVID-19 state of emergency. The circuit court found that the alleged negligent acts occurred during the COVID-19 state of emergency, that James’s condition was caused by COVID-19, and that the defendants’ actions were covered by the statutory immunity. The court therefore dismissed the complaint for failure to state a claim upon which relief could be granted.On appeal, the Supreme Court of Mississippi reviewed the statutory language and the facts alleged in the complaint de novo. The Supreme Court determined that Section 11-71-7 immunity applied because James’s injuries resulted from treatment for a condition caused by COVID-19 during the COVID-19 state of emergency. The court rejected plaintiffs’ arguments that the statute should be construed more narrowly to exclude these facts, and also found extrajurisdictional cases cited by plaintiffs to be distinguishable. The Supreme Court of Mississippi affirmed the Lauderdale County Circuit Court’s dismissal, holding that the defendants are immune from liability under Section 11-71-7. View "Secrist v. Rush Medical Foundation" on Justia Law

Four women incarcerated at the Huron Valley Correctional Facility in Michigan suffered from persistent, painful rashes between 2016 and 2019. Despite repeated complaints, medical staff—contracted through Corizon Health—failed to diagnose scabies, instead providing ineffective treatments and attributing the condition to environmental factors like improper laundering. It was only after an outside dermatologist intervened that scabies was correctly identified, prompting prison-wide treatment efforts. However, these efforts were delayed and, in some cases, inadequate, resulting in prolonged suffering for the affected inmates.After their experiences, the four women filed suit in the United States District Court for the Eastern District of Michigan against multiple defendants, including high-level Michigan Department of Corrections officials and Wayne State University medical officers, alleging Eighth Amendment violations and state-law negligence. The district court found that the women’s complaint plausibly alleged “clearly established” Eighth Amendment violations by all defendants and denied the officials’ request for qualified immunity. The court also rejected a claim of state-law immunity, finding that the officials could be the proximate cause of the inmates’ injuries under Michigan law.On appeal, the United States Court of Appeals for the Sixth Circuit reviewed the district court’s denials. The Sixth Circuit held that existing precedent did not “clearly establish” that the non-treating prison officials’ reliance on contracted medical providers was so unreasonable as to violate the Eighth Amendment. Thus, it reversed the district court’s denial of qualified immunity on the federal damages claims. However, the appellate court affirmed the denial of state-law immunity, finding the plaintiffs adequately pleaded proximate cause under Michigan law. The case was remanded for further proceedings consistent with these holdings. View "Machelle Pearson v. MDOC" on Justia Law

Several women incarcerated at a Michigan prison developed painful, persistent rashes between 2016 and 2019. Their complaints were largely ignored by prison staff, and medical providers initially misdiagnosed the condition, ruling out scabies, a highly contagious skin infestation. The prison’s contracted health care provider, Corizon Health, and its infectious disease coordinator were tasked with managing infectious diseases but failed to control the outbreak. Only after an outside dermatologist diagnosed scabies did prison officials begin widespread treatment and quarantine measures, though these efforts were not immediately effective. Four inmates who suffered from these conditions filed suit, seeking damages and injunctive relief against both the medical providers and high-level prison officials who had not directly treated them.The United States District Court for the Eastern District of Michigan denied motions for judgment on the pleadings by the Michigan Department of Corrections and Wayne State Officials. The district court held that the inmates had plausibly alleged that all defendants, including non-treating prison officials, committed clearly established Eighth Amendment violations and were not entitled to qualified immunity. The court also found that the gross negligence claims could proceed under Michigan law, as the complaint adequately alleged that the officials proximately caused the harms.On appeal, the United States Court of Appeals for the Sixth Circuit determined that, under existing precedent, non-treating prison officials’ reliance on contracted medical providers did not clearly constitute an Eighth Amendment violation. The court reversed the district court’s denial of qualified immunity on the inmates’ federal damages claims against these officials, finding no clearly established law requiring them to override medical judgments. However, the court affirmed the denial of state-law immunity, concluding that proximate cause under Michigan law could not be resolved at the pleading stage. The case was remanded for further proceedings consistent with these rulings. View "BLC Lexington SNF, LLC v. Townsend" on Justia Law

Jenna Sondag underwent hip surgery performed by Dr. John Hoffman at Orthopaedic Specialists, P.C. in February 2017. She filed a medical malpractice action in January 2019, agreeing to designate expert witnesses by a deadline set under Iowa Code section 668.11. Sondag missed this deadline due to a combination of her attorneys’ involvement in a lengthy trial, a medical emergency affecting one attorney, and a calendaring error by their docketing software. The defendants moved for summary judgment based on the missed deadline, while Sondag sought an extension to name her expert witnesses.The Iowa District Court for Scott County held a hearing on both motions, and in 2019, found good cause for Sondag’s delay due to the circumstances described. The court denied summary judgment and extended the expert designation deadline. The defendants did not seek interlocutory appeal at that time. Nearly four years later, days before trial, the district court revisited its prior order after the defendants filed a motion in limine to decertify Sondag’s expert. The court reversed its earlier finding, excluded the expert, and dismissed the case for failure to timely designate an expert witness.Sondag appealed, and the Iowa Court of Appeals affirmed the dismissal, siding with the district court’s 2023 decision. The Supreme Court of Iowa granted further review. The Supreme Court held that while a district court may correct an erroneous ruling before final judgment, its 2019 order extending the deadline was not an abuse of discretion, but its 2023 order excluding the expert and dismissing the case was an abuse of discretion. The court vacated the decision of the court of appeals, reversed the district court’s judgment, and remanded the case for trial. View "Sondag v. Orthopaedic Speciatists, P.C." on Justia Law

The appellant arrived at the emergency room of a medical center with severe lower back pain, right flank pain, and numbness and weakness in her left leg. Initial evaluations suggested symptoms consistent with sciatica, but further testing revealed profound anemia and a herniated disk, which did not warrant surgery. Imaging also showed a nonoccluding thrombus in her aorta. She was discharged after several days, with recommendations for follow-up. About two weeks later, she returned to the hospital with ischemic symptoms in her left leg, which led to an above-the-knee amputation due to advanced ischemia.The matter was initially heard in the Houston Circuit Court, where the appellant sued the medical center and a physician for negligence, alleging that improper evaluation and failure to initiate anticoagulant therapy resulted in limb loss. The physician was dismissed as a defendant, leaving the case against the medical center. After discovery, the medical center moved for summary judgment, arguing the appellant lacked substantial evidence of causation. The circuit court granted summary judgment, finding that causation could not be established.Upon appeal, the Supreme Court of Alabama reviewed the grant of summary judgment de novo, applying the standard that summary judgment is appropriate only when no genuine issue of material fact exists and the moving party is entitled to judgment as a matter of law. The Court found that the appellant failed to present expert testimony establishing a proximate causal connection between the alleged breach and her injury. The medical expert's causation testimony was deemed speculative, as it relied on hypothetical actions by a vascular surgeon outside the expert’s specialty. The medical center’s expert, a vascular surgeon, testified that no different treatment would have been provided. The Supreme Court of Alabama affirmed the circuit court’s judgment. View "Armour v. Southeast Alabama Medical Center" on Justia Law