Justia Medical Malpractice Opinion Summaries

Susan Cox, a resident of Albion, Washington, died from an overdose of medications prescribed by her primary care physician, Dr. Patricia Marciano. Dr. Marciano, along with Gritman Medical Center, both based in Idaho near the Washington border, had treated Susan for several years. Although Susan lived in Washington, her medical treatment occurred in Idaho. At Susan’s request, her prescriptions were regularly transmitted to pharmacies in Washington. Susan’s husband, Mark Cox, and her estate brought a wrongful death and survivor action in the Eastern District of Washington, alleging that Susan’s death resulted from negligent over-prescription of pharmaceuticals.The United States District Court for the Eastern District of Washington denied the plaintiffs’ request for jurisdictional discovery regarding general personal jurisdiction over Gritman and dismissed the case for lack of personal jurisdiction. The district court found that Washington’s long-arm statute did not confer jurisdiction and that exercising specific jurisdiction would violate due process, as the defendants had not purposefully availed themselves of the Washington forum. The district court did not reach the question of venue.On appeal, the United States Court of Appeals for the Ninth Circuit reversed the district court’s dismissal. The court of appeals held that the district court’s exercise of personal jurisdiction over the Idaho defendants was proper under Washington’s long-arm statute and consistent with the Due Process Clause because the defendants maintained ongoing, deliberate relationships with Washington residents and regularly sent prescriptions to Washington pharmacies in compliance with state law. The court also held that venue was proper in the Eastern District of Washington since a substantial part of the events underlying the claims occurred there. The case was remanded for further proceedings, with dismissal affirmed only for one defendant whom the plaintiffs conceded was properly dismissed. View "COX V. GRITMAN MEDICAL CENTER" on Justia Law

A woman died after a rapid health decline while receiving emergency and critical care at a West Des Moines hospital. Her husband, who was appointed as the administrator of her estate, filed a wrongful-death medical malpractice lawsuit against various medical providers. He brought the suit both on behalf of the estate and in his individual capacity, alleging multiple claims including negligence and seeking damages for emotional and financial loss. The husband, a nonlawyer, filed the petition without legal counsel and argued that, as the sole beneficiary, he should be allowed to proceed pro se or, alternatively, be given time to retain an attorney if one was required.The Iowa District Court for Polk County dismissed the lawsuit, ruling that the petition was a legal nullity because a nonlawyer cannot represent an estate or other parties in court, and denied the husband’s request for more time to secure counsel. The court also denied his motion to amend the petition. On appeal, the Iowa Court of Appeals affirmed the dismissal, agreeing that the wrongful-death action could not proceed without a lawyer and finding that the request for additional time had not been properly preserved for appeal. Two appellate judges dissented, concluding the husband was entitled to a warning and additional time to obtain counsel.The Supreme Court of Iowa granted further review. The court held that a nonlawyer cannot represent an estate or other persons in a wrongful-death action in district court. However, it found that the district court abused its discretion by not granting the husband reasonable time to retain counsel before dismissing the case. The Supreme Court vacated the court of appeals’ decision, reversed the district court’s judgment, and remanded the case with instructions to allow at least thirty days for the husband to secure trial counsel. View "Estate of Tornell v. Trinity Health Corporation" 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

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 patient underwent a laparoscopic bilateral tubal ligation and endometrial ablation performed by a physician at a women’s clinic. About a week after the procedure, she experienced severe abdominal pain and was hospitalized for sepsis. An exploratory surgery revealed a perforated small bowel, which was surgically repaired. The patient subsequently recovered.The patient filed a medical negligence lawsuit in the Hinds County Circuit Court against the clinic and the physician, attaching the required certificate of expert consultation to her complaint. The defendants moved for summary judgment, supporting their motion with an expert affidavit. The plaintiff did not timely file an expert affidavit or testimony in response. On the day before the scheduled summary judgment hearing, she filed a response without any expert affidavit. The circuit court denied the summary judgment motion and granted her an additional thirty days to obtain an expert affidavit. After she submitted an expert affidavit and a second hearing was held, the circuit court again denied summary judgment, finding that the competing expert affidavits created a genuine issue of material fact.On interlocutory appeal, the Supreme Court of Mississippi reviewed the circuit court’s denial of summary judgment de novo and its grant of additional time for abuse of discretion. The Supreme Court held that, in medical malpractice cases, a plaintiff must produce sworn expert testimony to survive summary judgment. The court found that the plaintiff failed to provide such testimony before the initial hearing and that the circuit court abused its discretion by granting additional time without a specific finding of diligence or good faith. The Supreme Court reversed the circuit court’s judgment and rendered summary judgment in favor of the defendants. View "Lakeland Premier Women's Clinic, PLLC v. Jackson" on Justia Law

A woman with COVID-19 and multiple underlying health conditions was admitted to a hospital and then transferred to a skilled nursing facility for ongoing treatment. During her stay at the facility, she was under the care of a physician who prescribed various treatments for her COVID-19 infection. Despite these interventions, her condition deteriorated, and she developed additional complications, including pressure wounds and dehydration. After being discharged from the facility without hospice or home health arrangements, she was readmitted to the hospital, where her condition continued to decline. She was eventually discharged home under hospice care and died shortly thereafter. Her surviving spouse filed a wrongful death lawsuit, alleging that the facility and physician were negligent in her care.The District Court of Garfield County granted summary judgment in favor of the defendants, finding that they were immune from liability under both the federal Public Readiness and Emergency Preparation (PREP) Act and Oklahoma’s COVID-19 Public Health Emergency Limited Liability Act. The district court reasoned that the acts and omissions in question were incident to the provision of care for a COVID-19 patient and thus fell within the scope of the immunity statutes. The plaintiff appealed this decision.The Supreme Court of the State of Oklahoma reviewed the case de novo. It held that the defendants were not entitled to summary judgment on the basis of immunity. The court found that the defendants failed to provide evidence establishing a causal relationship between the administration or use of covered countermeasures and the plaintiff’s injuries, as required for PREP Act immunity. Additionally, the court determined that the defendants did not meet the evidentiary burden to show the requisite impact under the state COVID-19 Act, and that a genuine issue of material fact existed regarding gross negligence. The Supreme Court reversed the district court’s judgment and remanded the case for further proceedings. View "AUSTBO v. GREENBRIAR" on Justia Law

A patient alleged that she suffered a neck fracture after falling from her hospital bed while medicated and unattended at a hospital. She filed a complaint against the hospital within the one-year statute of limitations for medical claims, also naming ten John Doe defendants described as unknown medical providers involved in her care. The hospital was served and answered the complaint, but the plaintiff did not obtain summonses or attempt service on the John Doe defendants. Several months later, with the hospital’s consent, she amended her complaint to replace the John Doe defendants with specific individuals and entities, including two doctors and a medical group.The newly named defendants moved to dismiss, arguing that the claims against them were time-barred because they were not named before the statute of limitations expired and the plaintiff had not complied with Ohio Civil Rule 15(D), which governs the naming and service of unknown defendants. The Richland County Court of Common Pleas granted the motion, holding that the statutory 180-day extension for joining additional defendants in medical-claim actions did not apply to defendants who were “obvious” at the outset and that the plaintiff was required to comply with Civil Rule 15(D). The Fifth District Court of Appeals reversed, finding that the statutory extension applied to any additional defendants not named in the original complaint, regardless of whether their existence was contemplated at filing.The Supreme Court of Ohio affirmed the appellate court’s decision. It held that a plaintiff is not required to comply with Civil Rule 15(D) to name additional defendants in an amended complaint under R.C. 2323.451(D)(1), and that the 180-day extension under R.C. 2323.451(D)(2) is not limited to newly discovered defendants. Because the plaintiff properly amended her complaint to join the additional defendants, the extension applied and her action was timely commenced. View "Lewis v. MedCentral Health Sys." on Justia Law

A woman died after being treated at a hospital and left behind two minor children. Her mother took custody of the children following a juvenile court order that granted her authority over their care. The mother, acting as custodian, sent pre-suit notice to the health care providers she believed responsible for her daughter’s death, identifying herself as the “claimant authorizing the notice” but not mentioning the minor children. She later filed a wrongful death lawsuit, initially on her own behalf and on behalf of the children, but ultimately pursued the claim solely for the children.The Circuit Court for Anderson County first granted, then vacated, the defendants’ motions to dismiss, finding that the mother had substantially complied with the pre-suit notice requirements and that the omission of the children’s names did not prejudice the defendants. The court also found that while the children held the right to the claim, the mother was the claimant on their behalf. The Court of Appeals, however, reversed this decision, holding that the pre-suit notice was deficient because it failed to identify the children as claimants, and that this failure prejudiced the defendants. The appellate court did agree that the mother had standing to bring the suit on behalf of her grandchildren.The Supreme Court of Tennessee reviewed the case and reversed the Court of Appeals. The Court held that under Tennessee Code Annotated section 29-26-121(a)(2)(B), the “claimant authorizing the notice” is the person who asserts the right and formally approves giving pre-suit notice. Since the minor children could not act for themselves, their legal custodian was the proper person to authorize notice and file suit on their behalf. The Court concluded that the mother complied with the statutory pre-suit notice requirements and remanded the case to the circuit court. View "Denson ex rel. Denson v. Methodist Medical Center of Oak Ridge" on Justia Law

The plaintiff sought medical care for severe headaches and related symptoms from various providers in Oklahoma and Missouri, including Freeman Health System (FHS) and Dr. Gulshan Uppal in Joplin, Missouri. After multiple visits and treatments, she was ultimately diagnosed with serious neurological conditions and suffered lasting health consequences. She alleged that several healthcare providers, including FHS and Dr. Uppal, negligently diagnosed, treated, and discharged her.She filed suit in the District Court of Ottawa County, Oklahoma, naming multiple defendants. FHS and Dr. Uppal moved to dismiss for lack of personal jurisdiction, arguing their actions and contacts were insufficient for Oklahoma courts to exercise jurisdiction. The district court granted the motion, finding it lacked both general and specific personal jurisdiction over these defendants, primarily because the relevant treatment occurred in Missouri and the claims did not arise from FHS’s Oklahoma contacts. The Oklahoma Court of Civil Appeals affirmed this decision.The Supreme Court of the State of Oklahoma reviewed the case on certiorari. It held that the district court erred by only considering whether the suit “arose out of” the defendants’ contacts with Oklahoma, and not whether it “related to” those contacts, as required by the two-pronged standard for specific personal jurisdiction clarified in Ford Motor Co. v. Montana 8th Judicial District Court. The Supreme Court found that the plaintiff met her burden regarding FHS’s contacts with Oklahoma, warranting further proceedings to determine if her claims “relate to” those contacts. However, the plaintiff failed to show sufficient contacts for personal jurisdiction over Dr. Uppal. The Supreme Court vacated the appellate court’s opinion, affirmed the district court’s dismissal of Dr. Uppal, reversed the dismissal of FHS, and remanded for further proceedings. View "Barfell v. Freeman Health System" on Justia Law

A Georgia corporation operates several hospitals and clinics in west Georgia and, through an affiliated entity, also operates a small hospital and clinics in east Alabama. An Alabama resident sought treatment at the Alabama hospital and was subsequently transferred by ambulance to the corporation’s Georgia facility for a heart-catheterization procedure. The procedure was performed by a Georgia-based physician employed by the corporation, who is not licensed in Alabama and has never practiced there. The patient alleges that the physician’s negligence during the procedure in Georgia caused him to suffer renal failure and require further medical intervention. The patient sued both the corporation and the physician in the Randolph Circuit Court in Alabama, asserting claims under both Alabama and Georgia medical liability statutes and alleging the corporation’s vicarious liability for the physician’s actions.The physician and the corporation moved to dismiss the case, arguing that the Alabama court lacked personal jurisdiction over them and that venue was improper. The circuit court dismissed the claims against the physician for lack of personal jurisdiction but denied the corporation’s motion to dismiss. The corporation then petitioned the Supreme Court of Alabama for a writ of mandamus to direct the circuit court to dismiss the claims against it.The Supreme Court of Alabama held that the corporation was not subject to general jurisdiction in Alabama, as it was neither incorporated nor had its principal place of business there. However, the Court found that specific personal jurisdiction existed because the patient’s treatment began at the Alabama facility operated by the corporation, and the subsequent care in Georgia was sufficiently related to the corporation’s activities in Alabama. The Court also concluded that the corporation had not demonstrated a clear legal right to dismissal based on improper venue, as it had not adequately addressed whether Alabama’s venue statute applied to claims brought under another state’s law. The petition for a writ of mandamus was denied. View "Ex parte Tanner Medical Center, Inc." on Justia Law