Justia Medical Malpractice Opinion Summaries

A woman employed as an office support technician sought treatment from an orthopedic surgeon in 2016 for symptoms of carpal tunnel syndrome in her right hand. After conservative treatment failed, the surgeon performed carpal tunnel release surgery in January 2017. Following surgery, the patient continued to experience symptoms such as pain, grip weakness, and functional limitations. Her surgeon repeatedly reassured her that these symptoms were normal and that her healing was progressing as expected. Occupational therapy records indicated improvement, and at the time, both the patient and her doctor attributed any lingering issues to normal recovery or her repetitive work duties.Nearly four years later, in April 2021, the patient consulted a different physician due to worsening symptoms. Diagnostic imaging revealed the ligament that should have been severed during the 2017 surgery remained intact. The new physician explained the possibility of an incomplete release during the prior surgery, and a revision surgery was performed. The patient and her husband then filed a medical malpractice action against the original surgeon and his practice, alleging negligent surgery and delayed diagnosis. The Superior Court of San Diego County granted summary judgment for the defendants, finding the claims barred by the statute of limitations under California Code of Civil Procedure section 340.5, reasoning that the injury had manifested within months after the 2017 surgery.The California Court of Appeal, Fourth Appellate District, Division One, reviewed the case. It held that there were triable issues of material fact regarding when the plaintiff’s injury became sufficiently appreciable to trigger the statute of limitations. The appellate court concluded that the record supported the plaintiffs’ contention that the injury was not manifest until 2021, and thus summary judgment was improper. The judgment was reversed and the case remanded for further proceedings. View "Godshall v. Peterson" on Justia Law

A patient presented to an emergency department with symptoms of COVID-19. He was examined by a physician, who determined that he was stable and did not exhibit severe symptoms, so she did not prescribe monoclonal antibodies—a treatment option available at the hospital. Instead, the patient was discharged with advice to use over-the-counter medications and to return if his condition worsened. A few days later, his condition deteriorated, and he was readmitted to the hospital, where he ultimately died from complications related to COVID-19.The patient’s survivors filed a negligence lawsuit in the San Bernardino County Superior Court against the treating physician, her medical group, and the hospital. The defendants moved for summary judgment, arguing that the Public Readiness and Emergency Preparedness Act (PREP Act) provided them immunity because their treatment decisions involved allocation of a covered countermeasure (monoclonal antibodies) during a period of constrained supply. The Superior Court denied the motion, finding a triable issue as to whether the physician’s decision not to prescribe the medication fell within the scope of PREP Act immunity, specifically whether it was related to prioritization due to limited supply.On review, the California Court of Appeal, Fourth Appellate District, Division Two, considered whether the PREP Act constituted a complete defense to the alleged liability for not prescribing monoclonal antibodies. The court held that the PREP Act does provide such immunity when failure to administer a covered countermeasure results from a conscious decision to prioritize or allocate it, rather than from mere neglect or lack of decision-making. The court found no triable issue of material fact regarding the physician’s conscious allocation decision and directed the trial court to grant summary judgment in favor of the defendants. View "Nassman v. Super. Ct." on Justia Law

A woman employed as an office support technician with the FBI underwent carpal tunnel surgery on her right hand in January 2017, performed by an orthopedic surgeon. After the surgery, she continued to experience symptoms such as numbness, pain, and decreased grip strength. Her physician reassured her that these ongoing symptoms were normal and that she was healing well. She continued therapy and work with certain restrictions but did not realize the surgery might have been unsuccessful until 2021, when another physician diagnosed her with an incomplete release of her transverse carpal ligament during the original surgery. She subsequently underwent a corrective surgery.The Superior Court of San Diego County granted summary judgment in favor of the surgeon and his medical group, finding the plaintiff’s claims barred by the statute of limitations under California Code of Civil Procedure section 340.5. The court reasoned that her postoperative symptoms in 2017 were sufficient to trigger the three-year limitations period, which had expired before she filed suit in July 2022. The plaintiff appealed, arguing there were triable issues of fact regarding when she knew or should have known of the alleged injury and its negligent cause.The California Court of Appeal, Fourth Appellate District, Division One, reversed the summary judgment. The Court of Appeal held that triable issues of material fact remained as to when the plaintiff’s injury became sufficiently appreciable to trigger the statute of limitations and when she knew or, in the exercise of reasonable diligence, should have known the cause of her injury was the 2017 surgery. The court concluded that summary judgment was improper because reasonable minds could differ on when the statute began to run. The judgment was reversed, and costs on appeal were awarded to the appellants. View "Godshall v. Peterson" 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

A woman with a Medtronic infusion pump for fentanyl died from an overdose while hospitalized for a hernia repair. Her doctors included her pain management physician, who managed her pump, and a surgeon at a hospital. After surgery, she continued receiving fentanyl from the pump and self-administered additional doses. Hospital staff noticed changes in her mental status, but the actuator allowing self-administration was not removed. The family alleged that the managing pain doctor treated her at the hospital without proper staff privileges and failed to turn off the pump when asked.Her children filed a lawsuit in the Superior Court of Yuba County, initially against other medical providers, and later amended their complaints several times to add the pain management physician as a defendant, more than four years after their mother’s death. They asserted claims for professional negligence, lack of informed consent, wrongful death, negligent infliction of emotional distress, and elder abuse.The Superior Court of Yuba County sustained the pain management physician’s demurrer to the fifth amended complaint without leave to amend. It found that the medical negligence claims were barred by the statute of limitations and that the complaint did not sufficiently allege elder abuse. Judgment was entered for the physician, and the plaintiffs appealed.The California Court of Appeal, Third Appellate District, affirmed the judgment. The court held that the statute of limitations under Code of Civil Procedure section 340.5 applied to the negligence-based claims because the alleged acts constituted “professional negligence” and did not fall within exclusions for acts outside the scope of hospital-imposed restrictions. The court also found no factual basis for tolling the statute for intentional concealment and concluded that the claims did not relate back to the original complaint against fictitiously named defendants. Finally, the court agreed that the elder abuse allegations were deficient and found no abuse of discretion in denying further leave to amend. View "Nichols v. Alghannam" on Justia Law

After the death of Sandra Robinson from a fentanyl overdose, her adult children brought suit against Muhammad Alghannam, M.D., and others, alleging professional negligence, lack of informed consent, wrongful death, negligent infliction of emotional distress, and elder abuse. Sandra had an implanted fentanyl infusion pump managed by Alghannam and underwent surgery at Rideout Health. Post-surgery, she continued to receive fentanyl through the pump and self-administer doses, with clinical staff observing changes in her mental status. Plaintiffs claimed Alghannam treated Sandra without proper hospital staff privileges, failed to turn off the pain pump as requested, and did not obtain valid consent.The Superior Court of Yuba County sustained Alghannam’s demurrer to the fifth amended complaint without leave to amend, finding the medical negligence claims time-barred under Code of Civil Procedure section 340.5 and the elder abuse allegations insufficient. Plaintiffs appealed, arguing that the medical negligence statute of limitations did not apply, that tolling should occur due to intentional concealment, and that the claims related back to the original complaint under section 474.The Court of Appeal of the State of California, Third Appellate District, reviewed the case de novo. It held that section 340.5 applied because Alghannam’s alleged actions fit within the statutory definition of professional negligence. The plaintiffs failed to plead facts supporting intentional concealment or timely substitution under section 474. The court also determined the elder abuse claim was insufficient, as there was no well-pleaded allegation of a caretaking relationship or physical abuse with the requisite culpability. The court affirmed the trial court’s judgment, concluding plaintiffs did not meet their burden to show a reasonable possibility of amendment. View "Nichols v. Alghannam" on Justia Law

Ana Faiaipau, an elderly woman recovering from heart surgery, was transferred to a long-term acute care hospital operated by Kindred Healthcare. During her stay, Ana allegedly suffered neglect, including lack of dialysis, malnutrition, inadequate hygiene care, and failure to properly monitor her ventilator. The ventilator became disconnected, leading to a severe anoxic brain injury and Ana’s subsequent death. Ana’s daughters, Jennifer and Faamalieloto, acting both individually and as successors in interest, filed suit against Kindred for negligence, elder neglect, fraud, violation of the Unfair Competition Law (UCL), and wrongful death.The Alameda County Superior Court reviewed Kindred’s motion to compel arbitration based on agreements signed by Jennifer as Ana’s legal representative. The court granted arbitration for survivor claims brought on behalf of Ana, including negligence, elder neglect, fraud, and UCL claims, but denied arbitration for Jennifer and Faamalieloto’s individual claims for wrongful death, fraud, and violation of the UCL. The court also stayed litigation of the individual claims pending arbitration.The Court of Appeal of the State of California, First Appellate District, Division Four, reviewed the appeal. Citing the California Supreme Court’s decision in Holland v. Silverscreen Healthcare, Inc., the appellate court held that the wrongful death claim—premised on failure to monitor and reconnect Ana’s ventilator—constituted professional negligence and must be arbitrated under the arbitration agreement. However, the court affirmed the denial of arbitration for Jennifer and Faamalieloto’s individual fraud and UCL claims, finding Kindred had not shown that the agreement bound them in their individual capacities. The order was modified to compel arbitration of the wrongful death claim and affirmed as modified. View "Faiaipau v. THC-Orange County, LLC" on Justia Law

Adria Snover, represented by her spouse and guardian ad litem, suffered permanent brain injury and entered a coma following complications during a cesarean section. She sued Dr. Aruna Gupta, Riverside Community Hospital, and another doctor, alleging negligent diagnosis and treatment. Before trial, Snover settled with the hospital for $2.5 million and with the other doctor for $1 million. The hospital’s settlement included $250,000 allocated to Snover’s son for waiving a potential future wrongful death claim. The case proceeded to trial solely against Dr. Gupta.A jury in the Riverside County Superior Court awarded Snover $17,458,474 in total damages: $7,458,474 in economic damages and $10 million in noneconomic damages. The jury found Gupta 15 percent at fault, the other doctor 80 percent, and a nurse 5 percent. After trial, the court applied the Medical Injury Compensation Reform Act (MICRA) cap to the noneconomic damages, reducing them to $250,000, and then held Gupta liable for 15 percent of that amount ($37,500). For economic damages, the court used the Mayes rule, first applying the MICRA cap, then calculating the percentage of economic damages and applying that percentage to the settlement amounts, resulting in a setoff of $3,142,750. The court did not exclude the $250,000 allocated to Snover’s son from the setoff calculation.The California Court of Appeal, First Appellate District, Division Four, reviewed the case. It held that the trial court correctly applied the MICRA cap before apportioning liability for noneconomic damages among health care providers, consistent with Gilman v. Beverly California Corp. and Rashidi v. Moser. The court also affirmed the use of the Mayes rule for calculating the economic damages setoff and found no abuse of discretion in including the $250,000 allocated to Snover’s son. The judgment was affirmed. View "Snover v. Gupta" on Justia Law

An adolescent female, who was continuously enrolled as a dependent under her mother’s Kaiser health care plans from 2005 to 2023, received gender-affirming medical care between the ages of 13 and 17. After experiencing negative outcomes and later detransitioning, she filed a medical malpractice lawsuit against Kaiser Foundation Hospitals, The Permanente Medical Group, and several individual providers. The claims alleged that the care provided was not medically justified, that risks were not adequately disclosed, and that the providers failed to meet the standard of care in both treatment and informed consent.The Superior Court of San Joaquin County reviewed Kaiser’s petition to compel arbitration, which was based on arbitration provisions in the health plan documents. Kaiser argued that the plaintiff, as a dependent, was bound by arbitration agreements incorporated in the evidence of coverage and benefits booklets for both the union-based and self-funded plans. The trial court found that Kaiser failed to establish the existence of a valid agreement to arbitrate, noting that the relevant documents referenced in the enrollment forms were not provided, and there was no evidence of the plaintiff or her mother expressly agreeing to the specific arbitration provisions Kaiser sought to enforce. The court denied the petition to compel arbitration and later denied Kaiser’s motion for reconsideration.On appeal, the California Court of Appeal, Third Appellate District, affirmed the trial court’s order. The appellate court held that Kaiser did not meet its burden to prove, by a preponderance of the evidence, the existence of a valid and binding arbitration agreement covering the controversy. The court emphasized that mere enrollment and general references to arbitration were insufficient; the precise arbitration provision must be clearly incorporated and agreed to. The order denying the petition to compel arbitration was affirmed. View "Brockman v. Kaiser Foundation Hospitals" on Justia Law

An elderly man with significant medical needs was admitted to a skilled nursing facility, where a physician provided in-facility care. The physician was responsible for evaluating the patient, making treatment orders, and recording medical information. The complaint alleged that the physician performed only cursory examinations, failed to follow up on necessary tests, did not adequately address serious medical issues, and maintained illegible records. The patient’s condition deteriorated, leading to hospitalization and eventual death.The patient’s brother, acting as successor in interest and on behalf of the heirs, filed suit in the Superior Court of Los Angeles County against the facility, its operators, and the physician. The complaint included claims for elder neglect and financial abuse under the Elder Abuse and Dependent Adult Civil Protection Act, as well as negligence and wrongful death. After settling with all defendants except the physician, the plaintiff proceeded against him alone. The physician demurred to the elder abuse claims, arguing that he did not have the requisite caretaking or custodial relationship with the patient and that the financial abuse claim was not viable. The Superior Court sustained the demurrer without leave to amend, finding the allegations amounted only to professional negligence, which is excluded from the Act’s heightened remedies.The California Court of Appeal, Second Appellate District, Division Five, reviewed the case. The court held that a physician’s negligent provision of medical services to an elder in a skilled nursing facility, without more, does not constitute “neglect” under the Act because the physician lacks the necessary robust caretaking or custodial relationship. The court also held that a financial abuse claim based solely on alleged professional negligence is not actionable under the Act. The judgment in favor of the physician was affirmed. View "Frankland v. Etehad" on Justia Law