Justia Medical Malpractice Opinion Summaries

St. Alexius Medical Center, d/b/a CHI St. Alexius Health Bismarck, requested a supervisory writ preventing enforcement of the district court’s order compelling disclosure of privileged information. Kevin McKibbage sued Daniel Dixon, Bone & Joint Center, and CHI for medical malpractice relating to a surgery Dixon performed in 2017. In response to McKibbage’s discovery requests, CHI produced some of the requested documents and asserted privileges on others. CHI provided a privilege log identifying undisclosed documents and the privileges claimed. McKibbage filed a motion to compel arguing CHI did not provide sufficient information in the privilege log. CHI responded that it identified all the information it could without violating the peer review law, but CHI agreed to produce an amended privilege log containing greater descriptions. The district court found the law permitted the disclosure of additional information and ordered the following to be disclosed: the dates the documents were created, the identity of the person who created each document and their position at the time of creation, and the identity of the person who received each document and their position for peer review. CHI argued to the North Dakota Supreme Court that the disclosures violated North Dakota’s statutory peer review privilege. The Supreme Court granted CHI's petition and directed the district court to vacate its November 8, 2021 discovery order. View "St. Alexius Medical Center v. Nesvig, et al." on Justia Law

Pappas sued Dr. Chang for malpractice. During mediation, they agreed that Chang would pay Pappas $100,000. Both parties and their counsel signed a settlement agreement, which provided that Pappas “will execute a release of all claims ... in a more comprehensive settlement agreement ... to include a provision for mutual confidentiality as to the facts ... the terms and amount of this agreement.” The parties unsuccessfully negotiated the “more comprehensive settlement agreement” and “provision for mutual confidentiality” for months. Pappas discharged her attorney and, representing herself, advised Chang’s attorney that she would only comply with a confidentiality provision if she received $525,000, then sued Chang for breach of contract.The trial court ruled against Pappas “because she has not signed a ‘more comprehensive settlement agreement’ and release which includes a provision for mutual confidentiality.” In consolidated appeals, the court of appeal affirmed, rejecting an argument that a confidentiality provision would be against public policy and violate the Business and Professions Code. The court also rejected Chang’s appeal of the trial court’s denial of her attorney fees as costs of proof at trial (Code Civ. Proc., 2033.420) based on its finding that Pappas’s denial of two requests for admission was based on a good faith belief she would prevail at trial and that the requests went to the ultimate issue. View "Pappas v. Chang" on Justia Law

The University of Mississippi Medical Center (UMMC) appealed a county court judgment granting Genevieve Jensen’s motion for extension of time to serve process on the attorney general and its decision denying UMMC’s motion for summary judgment based on a statute of limitations defense. Since Jensen failed to articulate good cause for an extension of time to serve process, the Mississippi Supreme Court determined the county court abused its discretion by granting her motion for extension, it reversed the county court’s decision and dismissed Jensen’s case with prejudice. View "University of Mississippi Medical Center v. Jensen" on Justia Law

Relatives of Saldana, who died from COVID-19 at Glenhaven nursing home, sued Glenhaven in California state court, alleging state-law causes of action. Glenhaven removed the case to federal court. The Ninth Circuit affirmed a remand to state court,The district court lacked jurisdiction under the federal officer removal statute, 28 U.S.C. 1442, because Glenhaven did not act under a federal officer or agency’s directions when it complied with mandatory directives from the Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention, and the Department of Health and Human Services.The claims were not completely preempted by the Public Readiness and Emergency Preparedness Act, which provides immunity from suit when the HHS Secretary determines that a threat to health constitutes a public health emergency, but provides an exception for an exclusive federal cause of action for willful misconduct. A March 2020 declaration under the Act provided "liability immunity for activities related to medical countermeasures against COVID-19.” The Act does not displace non-willful misconduct claims related to the public health emergency, nor did it provide substitute causes of action. The federal scheme was not so comprehensive that it entirely supplanted state law claims.The district court did not have jurisdiction under the embedded federal question doctrine, which applies if a federal issue is necessarily raised, actually disputed, substantial, and capable of resolution in federal court without disrupting the federal-state balance approved by Congress. View "Saldana v. Glenhaven Healthcare LLC" on Justia Law

Albright was severely injured in a car accident and used opioids to manage her chronic pain. She became addicted to opioids. Seeking treatment for her addiction, Albright turned to Dr. Christensen to administer a one-week in-patient detoxification program. Christensen started Albright with a patient-controlled analgesia pump to supply her with hydromorphone, a pain reliever; he also gave Albright phenobarbital, which depresses the central nervous system. Christensen terminated these treatments after Albright became “anxious and tearful” while the two discussed the treatment. Changing tack, Christensen twice administered Suboxone—an opioid-replacement medication—to Albright. On both occasions, Albright immediately developed muscle spasms, pain, contortions, restlessness, and feelings of temporary paralysis. She refused further treatment and was discharged. Albright still suffers shaking, muscle spasms, and emotional distress.The Sixth Circuit reversed the dismissal of Albright’s suit against Christensen. The suit sounds in medical malpractice rather than negligence. Michigan’s affidavit-of-merit and pre-suit-notice rules for medical-malpractice actions conflict with the Federal Rules of Civil Procedure and do not apply in diversity cases in federal court. Federal Rule 3 requires only the filing of a complaint to commence an action—nothing more. The district court mistakenly invoked Erie and applied the pre-suit-notice rule in Albright’s case. View "Albright v. Christensen" on Justia Law

Tomei went to Parkwest Hospital after he injured his foot and leg. He is deaf and communicates using American Sign Language. He asked for an interpreter. Parkwest never provided one. Medical staff gave him an antibiotic and ibuprofen and sent him home. Days later he went to the emergency room, where doctors determined he had blood clots in his leg. Parkwest offered only to connect Tomei with an off-site interpreter via webcam. The connection was so glitchy that Tomei could not effectively communicate. After surgery, Tomei could not tell the medical staff that he was still experiencing pain. Tomei was sent home. Tomei’s family doctor sent him to the University of Tennessee Medical Center, where interpreters helped him through a second surgery. Ultimately, doctors amputated nearly one-third of his leg. About 15 months after he was first denied an interpreter, Tomei sued under section 1557 of the Patient Protection and Affordable Care Act (ACA).The Sixth Circuit rejected an argument that the suit was untimely under Tennessee’s one-year statute of limitations for personal injury suits. Unless federal law provides otherwise, a civil action “arising under” a federal statute enacted after December 1, 1990, is subject to a four-year statute of limitations. 28 U.S.C. 1658(a). Tomei brought his discrimination claim under the ACA—not the Rehabilitation Act. No statute or regulation explicitly sets a statute of limitations for violating the ACA’s discrimination bar. View "Tomei v. Parkwest Medical Center" on Justia Law

In 2016, Craig Steltz filed a medical malpractice action against Dr. William Meyers, Vincera Core Institute, and Vincera Institute (collectively Appellants). While rehabilitating from surgery, Steltz, a professional football player, felt a pop in his right leg. This led him to return to Dr. Meyers, after team physicians received results from a MRI. At a follow-up appointment, Dr. Meyers also performed an MRI on Steltz, discussed the MRI with Dr. Adam Zoga, a musculoskeletal radiologist, and concluded Steltz had scar tissue breakup, a normal postoperative finding, and not a new injury. However, Dr. Paul Read, a second musculoskeletal radiologist, also independently reviewed the second MRI, and issued a report concluding there was a complete tear of the adductor tendon. Based on these conflicting interpretations of the MRI, Steltz alleged Dr. Meyers was negligent in failing to diagnose and disclose the existence of the tear as reported by Dr. Read. Appellants’ counsel’s first line of questioning to Dr. Zoga on direct examination at trial, asked Dr. Zoga's estimation of how many musculoskeletal radiologists there were in the US, and commented, in his question, that "plaintiff couldn’t find one of them to come into this courtroom to support Dr. Read, did you know that?" Steltz's counsel requested a curative instruction, and moved for a mistrial. The trial court gave the jury a curative instruction and denied the mistrial. Appellants' counsel, in closing, referred back to that line of questioning, asserting Steltz “didn’t bring anybody in to dispute [Dr. Crain and Dr. Zoga] because they can’t.” Steltz’s counsel did not object to any of these statements. Instead, in rebuttal, Steltz’s counsel reiterated that Dr. Read was a board-certified radiologist with a focus in musculoskeletal radiology. The jury returned a verdict for Appellants. Steltz filed a post-trial motion asserting the trial court erred in denying his motion for a mistrial because the effect of Appellants’ counsel’s question to Dr. Zoga was so prejudicial that no jury instruction could adequately cure the prejudice. The Pennsylvania Supreme Court concluded the trial court did not abuse its discretion in denying a mistrial based on a single, unanswered question proposed to an expert witness, and that decision alone could not later serve as the basis for granting a new trial. View "Steltz v. Meyers M.D., et al." on Justia Law

Plaintiff State Farm Mutual Automobile Insurance Company (State Farm) filed an Insurance Fraud Protection Act (IFPA) action alleging defendants Sonny Rubin, M.D., Sonny Rubin, M.D., Inc., and Newport Institute of Minimally Invasive Surgery (collectively, defendants) fraudulently billed insurers for various services performed in connection with epidural steroid injections. A month prior, however, another insurer, Allstate, filed a separate IFPA lawsuit against the same defendants, alleging they were perpetrating a similar fraud on Allstate. The trial court sustained defendants’ demurrer to State Farm’s complaint under the IFPA’s first-to-file rule, finding it alleged the same fraud as Allstate’s complaint. State Farm appealed, arguing its complaint alleged a distinct fraud. After review, the Court of Appeal agreed the demurrer was incorrectly sustained, but for another reason. The Court found the trial court and both parties only focused on whether the two complaints alleged the same fraudulent scheme, but in this matter of first impression, the Court found the IFPA’s first-to-file rule required an additional inquiry. "Courts must also review the specific insurer-victims underlying each complaint’s request for penalties. If each complaint seeks penalties for false insurance claims relating to different groups of insurer-victims, the first-to-file rule does not apply. A subsequent complaint is only barred under the first-to-file rule if the prior complaint alleges the same fraud and seeks penalties arising from the false claims, submitted to the same insurer-victims." Judgment was reversed and the matter remanded for further proceedings. View "California ex rel. State Farm Mutual Automobile Ins. Co. v. Rubin" on Justia Law

In 2005, Alexander Rudnicki suffered serious injuries when OB-GYN Peter Bianco, D.O., negligently performed an operative vaginal delivery using a vacuum extractor to assist in the delivery. Alexander suffered injuries to his brain as a result of the trauma to his scalp and skull caused by the vacuum extraction. Alexander required ongoing physical, occupational, and speech therapy; he was intellectually disabled and enrolled in special education at school; and he was not likely to be able to live independently in the future. In 2014, Alexander’s parents, Francis and Pamela Rudnicki, in both their individual capacities and as parents, filed a complaint against Dr. Bianco and the hospital where Alexander was born, alleging, among other things, professional negligence by Dr. Bianco. Dr. Bianco moved to dismiss, asserting that Alexander’s parents did not bring their individual claims against him within the applicable statute of limitations. The district court agreed and dismissed the parents' individual claims, and the case proceeded to trial with Alexander as the sole plaintiff. A jury ultimately found Dr. Bianco had acted negligently and awarded Alexander damages, including, among other things, sums for past and future medical expenses until Alexander reached the age of twenty-two. Dr. Bianco filed a post-trial motion to reduce this verdict, arguing that under Colorado common law, only Alexander’s parents could recover Alexander’s pre-majority medical expenses and, therefore, the court was required to deduct from the verdict the medical expenses incurred prior to Alexander’s eighteenth birthday. The district court ultimately agreed with Dr. Bianco and vacated the entirety of the jury’s award for past medical expenses, as well as sixty percent of the award for future medical expenses, concluding that the claim for pre-majority medical expenses belonged solely to Alexander’s parents, but their claim for such expenses had been dismissed as time-barred. The Colorado Supreme Court granted certiorari in this case to decide whether to adhere to a common law rule under which only a minor plaintiff’s parents may recover tort damages for medical expenses incurred by their unemancipated minor child. The Supreme Court concluded the traditional rationales for the common law rule no longer applied, and that "the realities of today’s health care economy compel us to abandon that rule. Accordingly, we conclude that in cases involving an unemancipated minor child, either the child or their parents may recover the child’s pre-majority medical expenses, but double recovery is not permitted." View "Rudnicki v. Bianco" on Justia Law

In 2015, Dr. Robert Easton performed a left total hip arthroplasty on Mrs. Cheryl Mitchell, who had dislocated her hip. Shortly thereafter, Mrs. Mitchell re-dislocated her hip and Dr. Easton performed a revision surgery. While Mrs. Mitchell was in the recovery room, Dr. Easton observed that she had "foot drop;" Dr. Easton performed a second surgery that same day. During the surgery, he discovered that Mrs. Mitchell’s sciatic nerve had been lacerated. Dr. Easton advised Mrs. Mitchell’s family of the situation and consulted with Dr. Rasheed Ahmad, a hand surgeon who handled nerve repairs for Dr. Easton’s medical group. Dr. Easton further advised Mrs. Mitchell that “time would tell how much, if any, function and sensory perception she would get back.” Unfortunately, Mrs. Mitchell’s foot drop never improved and she was left with sciatic nerve palsy. In 2017, Mrs. Mitchell and her husband Michael, filed a medical malpractice lawsuit against Dr. Easton, his employer, the Baton Rouge Orthopaedic Clinic, L.L.C., and their insurers, Physician Assurance SPC. Defendants filed a peremptory exception of prescription, which the trial court granted, dismissing the action. The court of appeal affirmed, reasoning that, although Mrs. Mitchell continued to treat with Dr. Easton for more than a year after the alleged act of malpractice, that treatment was unrelated to the alleged act of malpractice. The Louisiana Supreme Court found no question the Mitchells, knew of the alleged act of malpractice within a day of its occurrence. "It is equally certain that suit was not filed against the treating physician, Dr. Robert Easton, within a year of the alleged malpractice. ... The sole issue, therefore, is whether prescription was suspended during this time period pursuant to the continuing treatment rule." The Court determined the record supported the lower courts' determinations that Mrs. Mitchell did not receive any specific care from Dr. Easton designed to correct or otherwise treat the injury related to the alleged act of malpractice. Even had Mrs. Mitchell received continuing treatment of her injury, the Court did not find Dr. Easton’s statements regarding her questionable prognosis to fall within the scope of the continuing treatment rule. Accordingly, under the specific circumstances of this case, the Supreme Court found the continuing treatment exception of contra non valentem did not apply to suspend prescription in this case, and affirmed the judgments below. View "Mitchell v. Baton Rouge Orthopedic Clinic, LLC et al." on Justia Law