Justia Medical Malpractice Opinion Summaries

Alexander Rudnicki suffered permanent brain damage at birth due to Dr. Peter Bianco’s negligent use of a vacuum extractor, resulting in lifelong medical needs and disabilities. Nine years after the injury, Rudnicki’s parents filed a medical malpractice lawsuit against Bianco on his behalf. Their individual claims were dismissed as time-barred, but the claim for Alexander proceeded. A jury found Bianco liable and awarded $4 million in damages. The trial court found good cause to exceed Colorado’s Health Care Availability Act ("HCAA") $1 million damages cap, citing the unfairness of limiting recovery given Rudnicki’s extensive care requirements. The court reduced the award by $391,000, excluding pre-majority medical expenses based on then-existing precedent. On appeal, this reduction was reversed by the Colorado Supreme Court, which reinstated the $391,000 in damages.After remand, the trial court reinstated the previously excluded damages and awarded prejudgment interest, including $319,120 in prefiling interest, resulting in a total judgment of about $1,357,000. The court maintained its finding of good cause and awarded the full amount, holding that the statutory cap did not limit the inclusion of prejudgment interest. Bianco appealed, arguing that prefiling interest could only be awarded up to $1 million, even if the good cause exception applied. The Colorado Court of Appeals disagreed, interpreting the HCAA to treat prefiling interest as part of economic damages, subject to the cap and the good cause exception.The Supreme Court of Colorado reviewed the statutory language and affirmed the judgment of the Court of Appeals. It held that prefiling interest accruing on economic damages is part of the economic damages award and thus falls within the good cause exception to the HCAA’s $1 million cap. The Court clarified that prefiling interest is not a separate category of damages and overruled conflicting precedent. View "Bianco v. Rudnicki" on Justia Law

Chance and Erin Gresser sued Banner Health on behalf of their minor daughter, C.G., alleging medical malpractice during labor, delivery, and postpartum care that resulted in severe, permanent injuries to C.G., including neurological damage and cerebral palsy. The jury found Banner Health negligent and awarded the Gressers over $27 million in economic damages, including past and future medical expenses and lost wages. Given Colorado’s Health Care Availability Act (HCAA) generally imposes a $1 million cap on such damages, the Gressers moved to exceed the cap based on good cause and unfairness, while Banner Health sought to reduce the award to the statutory limit.The Weld County District Court determined that imposing the statutory cap would be unfair under the circumstances and found good cause to exceed it. The court concluded its role was limited to a binary choice: either impose the cap or allow the full jury award, subject only to challenges for insufficient evidence or excessive damages. After finding the evidence supported the jury’s award and that the amount was not manifestly excessive or based on improper motives, the court entered judgment for the full amount, nearly $40 million with interest. The Colorado Court of Appeals affirmed the trial court’s decision, though it reasoned the trial court retained some discretion in determining damages after finding good cause to exceed the cap.On certiorari review, the Supreme Court of Colorado affirmed the judgment of the court of appeals. The court held that, once a trial court finds good cause and unfairness under section 13-64-302(1)(b) of the HCAA to exceed the damages cap, the amount of damages is governed by common law. The jury retains authority to determine the amount of damages, subject only to remittitur and sufficiency-of-evidence review by the court. The Supreme Court thus affirmed the full judgment awarded to the Gressers. View "Health v. Gresser" on Justia Law

The case involves the family of a deceased inmate who alleged that certain medical professionals and a health services foundation, after performing an autopsy at the request of correctional authorities, removed and retained the decedent’s organs without family consent. The family contended they were not informed or asked for permission regarding the autopsy or retention of organs, and only learned the organs were missing when preparing the funeral. They claimed to have relied on statements from hospital staff that such practices were standard, and only discovered in December 2023, through media reports, that retention of organs without next-of-kin consent was allegedly unlawful.The Montgomery Circuit Court reviewed and denied the defendants’ consolidated motion to dismiss, finding that statutory limitations could be tolled due to alleged fraudulent concealment. The court determined that the amended complaint sufficiently alleged facts that, if proven, could justify equitable tolling under Alabama law, and that the family’s claims were not time-barred because they filed suit within two years of learning the alleged conduct was illegal.On review, the Supreme Court of Alabama considered a petition for writ of mandamus by the University of Alabama Health Services Foundation and Dr. Stephanie Reilly. The Court held that mandamus relief was appropriate because, from the face of the complaint, the claims were barred by applicable statutes of limitations. The Court reasoned the causes of action accrued by November 6, 2021, when the family learned the organs were missing, and rejected arguments for tolling or for treating the alleged conduct as a continuous tort. The Court distinguished between statutes of limitations governing different claims, and found that all claims against the petitioners except the AUAGA claim were time-barred. It therefore granted the petition and directed dismissal of all claims against the petitioners except for the AUAGA claim. View "Ex parte University of Alabama Health Services Foundation" on Justia Law

A patient in his mid-thirties, with a history of neurological complaints but no similar recent issues, was hospitalized twice in early April 2018 for severe testicular pain at a regional medical center. During the second admission, he received high doses of opioid medications, with documented warnings about their risks and instructions for monitoring his respiratory function. On the last day of his hospitalization, he exhibited abnormal drowsiness and a low respiratory rate. Shortly after discharge, his wife observed sudden, profound cognitive and behavioral changes, including confusion, speech difficulties, and memory problems. Over the following months, he underwent multiple neurological and psychiatric evaluations, many of which failed to show physiological brain abnormalities. Several providers ultimately diagnosed him with functional neurological (conversion) disorder, while a brain injury rehabilitation center noted a history of hypoxia based on family accounts.The patient and his wife filed a medical malpractice suit against the hospital and a treating physician in the Circuit Court of the Third Judicial Circuit, Beadle County, South Dakota. They alleged negligent overprescription of opioids and inadequate monitoring, resulting in a hypoxic brain injury. The defendants moved to exclude the plaintiffs’ causation expert, arguing that his methods were unreliable under Daubert and state law. The circuit court excluded the expert’s testimony and granted summary judgment for the defendants, reasoning that without expert causation testimony, the plaintiffs could not establish a genuine issue of material fact.On appeal, the Supreme Court of the State of South Dakota reviewed whether the exclusion of the expert’s testimony and the grant of summary judgment were proper. The court held that the circuit court erred by failing to assess the reliability of the expert’s overall differential diagnosis methodology and by excluding all his opinions based solely on certain quantitative tests. The Supreme Court reversed the exclusion of most of the expert’s testimony (except regarding two specific tests) and reversed summary judgment, allowing the case to proceed. View "Walton V. Huron Regional Medical Center" on Justia Law

The plaintiff, who is a type 1 diabetic, received treatment from the defendants for foot pain following an injury. Over several visits in January 2017, the treating physician diagnosed cellulitis and prescribed antibiotics and pain medication, but did not diagnose a fracture. Subsequent evaluation by a podiatrist revealed a dislocated fracture and other breaks in the foot, which ultimately led to multiple surgeries and the amputation of the plaintiff’s left leg below the knee. The plaintiff alleged that the physician misdiagnosed his condition, causing him to continue using the injured foot and suffer further harm.A jury trial was held in the Circuit Court of Adams County, and after six days of testimony, the jury deliberated and returned a verdict for the defendants. During deliberations, the jury sent several notes to the court, including one from a juror who expressed personal belief in the physician’s negligence but agreed to sign the verdict for the defendants to end deliberations. The plaintiff’s counsel moved for a mistrial based on this note, but the trial court denied the motion, gave the jury a supplemental Prim instruction to guide further deliberations, and subsequently polled the jury after the verdict was reached. All jurors affirmed the verdict. The trial court also denied motions for a new trial and for additional polling of jurors.The Appellate Court, Fourth District, affirmed the trial court’s rulings, finding no abuse of discretion. Upon further appeal, the Supreme Court of the State of Illinois held that the trial court did not abuse its discretion in denying the motion for a mistrial or refusing to conduct additional polling. The Supreme Court affirmed the appellate court’s judgment, upholding the verdict for the defendants. View "Schilling v. Quincy Physicians & Surgeons Clinic, S.C." on Justia Law

Jack Rose was a resident at Oakland Manor, a skilled nursing facility in Iowa. During the COVID-19 pandemic, Rose was hospitalized and later returned to the facility, where he was placed in precautionary isolation following public health guidance. After attending off-site medical appointments, he was again isolated but was subsequently hospitalized for a suspected stroke and tested positive for COVID-19. Rose died in the hospital, with COVID-19 listed as the immediate cause of death. A federal inspection later found Oakland Manor had failed to fully comply with recommended infection-control protocols, including inconsistent use of personal protective equipment and incomplete isolation measures.The plaintiffs, Rose’s sons, brought wrongful death and other related claims against Oakland Manor, alleging reckless and willful misconduct in failing to follow federal and state COVID-19 prevention guidelines. The Iowa District Court for Pottawattamie County granted summary judgment in favor of Oakland Manor, holding that the plaintiffs' evidence—primarily a federal inspection report and an expert witness disclosure—did not establish reckless or willful misconduct as required to overcome statutory immunity provided to health care providers for COVID-19-related injuries. The plaintiffs appealed, and the Iowa Court of Appeals affirmed the dismissal, finding insufficient evidence of recklessness and, in addition, lack of qualified evidence regarding causation.The Iowa Supreme Court reviewed the case and affirmed the district court’s judgment, concluding that the plaintiffs had not presented sufficient evidence to create a genuine issue of material fact regarding recklessness or willful misconduct under Iowa Code section 686D.6(2). The Court vacated the portion of the Court of Appeals decision related to causation, holding that the deficiencies at Oakland Manor amounted at most to negligence, not recklessness, and thus statutory immunity applied. View "Rose v. Oakland Healthcare Management, LLC" on Justia Law

Harold Berk, while traveling in Delaware, suffered a fractured ankle and sought treatment at Beebe Medical Center, where Dr. Wilson Choy recommended a protective boot. Berk alleged that hospital staff improperly fitted the boot, worsening his injury, and that Dr. Choy failed to order an immediate follow-up X-ray, resulting in delayed treatment and the need for surgery. Berk, a citizen of another state, filed a medical malpractice suit in federal court against both the hospital and Dr. Choy under Delaware law.Delaware law requires that a medical malpractice complaint be accompanied by an affidavit of merit from a medical professional. Berk requested an extension to file this affidavit, which was granted, but ultimately failed to secure the required affidavit and instead filed his medical records under seal. The United States District Court for the District of Delaware dismissed Berk’s suit for failing to comply with Delaware’s affidavit of merit statute. The United States Court of Appeals for the Third Circuit affirmed the dismissal, finding the state law substantive and applicable in federal court because, in its view, the Federal Rules of Civil Procedure do not address the affidavit requirement.The Supreme Court of the United States reviewed the case and held that Delaware’s affidavit of merit requirement does not apply in federal court. The Court reasoned that Federal Rule of Civil Procedure 8, which governs the information a plaintiff must provide at the outset of a lawsuit, sets the standard for pleadings and does not require supporting evidence such as an affidavit. Because Rule 8 is a valid procedural rule under the Rules Enabling Act and regulates the manner and means by which claims are presented, it displaces the contrary Delaware law. The Supreme Court reversed the Third Circuit’s decision and remanded the case for further proceedings. View "Berk v. Choy" on Justia Law

A woman with dementia became a resident at a memory care facility in Montana in June 2021. She died in November 2021 after suffering infections and complications. Her son, acting both individually and as personal representative of her estate, filed suit against the facility and related entities in November 2023, alleging claims including wrongful death, negligence, infliction of emotional distress, elder abuse, unjust enrichment, and contract rescission. The claims centered on allegations that the facility’s staff failed to provide adequate care, leading to the woman’s injuries and death. The original complaint, and a subsequent first amended complaint filed in November 2024, were never served on any defendant.The Montana Eleventh Judicial District Court, Flathead County, dismissed all claims with prejudice in March 2025, finding that the son’s claims were medical malpractice actions subject to the two-year statute of limitations and six-month service requirement under Montana law. The court concluded that because the complaints were not timely served, and the amended complaint was filed after the statute of limitations had expired, the claims were time-barred. The court also rejected arguments that the filing of the original complaint tolled the statute or that the amended complaint related back to the original complaint.On appeal, the Supreme Court of the State of Montana held that the care-related claims (Counts I-VI) were medical malpractice claims subject to the statutory time limits and service requirements, and affirmed their dismissal as time-barred. However, the court found that the unjust enrichment and contract rescission claims (Counts VII and VIII) were not medical malpractice claims and were not subject to those limitations. The Supreme Court reversed the dismissal of those two counts and remanded for further proceedings solely on those claims. View "Estate of Athy v. Edgewood" on Justia Law

After experiencing medical complications following a delayed appendectomy, a nineteen-year-old patient brought a medical malpractice action against a hospital, its corporate affiliate, and several health care providers. The patient had gone to the hospital's emergency department with abdominal pain and other symptoms and was initially diagnosed with a urinary tract infection and discharged. She returned the next day with worsening pain, was diagnosed with acute appendicitis, and underwent surgery after a twelve-hour delay. The appendicitis had perforated, resulting in additional surgeries and complications, including abdominal abscess and pleural effusion, and a prolonged hospital stay.The patient filed her complaint in the Superior Court, alleging negligence and adverse consequences from delayed diagnosis and treatment. She moved to impound her medical records, arguing for their confidentiality, but the judge denied her motion, citing failure to show good cause and allowing her to refile with more specificity, which she declined. She also sought a protective order, which was similarly denied. For the medical malpractice tribunal process, the plaintiff submitted an expert opinion letter without her medical records. The tribunal found the offer of proof insufficient to raise a legitimate question of liability for judicial inquiry. The plaintiff failed to post the required bond within thirty days of the tribunal’s finding, resulting in dismissal of her claims. The Appeals Court affirmed both the dismissal and the denial of impoundment.On further appellate review, the Supreme Judicial Court of Massachusetts held that the judge did not abuse discretion in denying impoundment of the medical records, as the plaintiff failed to provide particularized information or establish good cause. The court also held that the medical malpractice tribunal did not err in finding the offer of proof insufficient, as it lacked specific information regarding each defendant’s conduct. The Supreme Judicial Court affirmed both the denial of the impoundment motion and the judgment of dismissal. View "DosSantos v. Beth Israel Deaconess Hospital-Milton, Inc." on Justia Law

Renee Jauregui brought a medical malpractice claim against Dr. Shannon J. Cothran, her OB/GYN, alleging that between May and October 2018 she repeatedly informed Dr. Cothran about a lump in her breast during pregnancy-related visits. Jauregui stated that Dr. Cothran dismissed her concerns, diagnosing a clogged milk duct and assuring her that the lump was normal and would resolve itself. At her postpartum visit in October 2018, Jauregui was told to monitor the lump and call if there were changes. When Jauregui noticed a change in July 2019, she returned for a follow-up in August, resulting in a diagnosis of metastatic breast cancer.The Circuit Court of Fairfax County granted Dr. Cothran’s plea in bar, finding that Jauregui’s claim was barred by the statute of limitations. The court determined there was neither a continuous nor substantially uninterrupted course of examination or treatment after October 2018, thus the continuing treatment rule did not apply. The court concluded that no ongoing physician-patient relationship existed regarding the breast lump after the October 2018 appointment.The Court of Appeals of Virginia reversed the trial court’s decision, holding that the continuing treatment rule does not require specific treatment and that Jauregui’s return in August 2019, pursuant to Dr. Cothran’s prior instructions, established a continuous and substantially uninterrupted course of examination for the same condition.On appeal, the Supreme Court of Virginia held that the trial court did not err in sustaining Dr. Cothran’s plea in bar. It clarified that the continuing treatment rule requires a mostly continuous physician-patient relationship regarding a specific malady, and found that the ten-month gap between appointments constituted a substantial interruption. The Supreme Court of Virginia reversed the Court of Appeals and reinstated the trial court’s judgment, holding that Jauregui’s claim was time-barred. View "Cothran v. Jauregui" on Justia Law