Justia Medical Malpractice Opinion Summaries

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

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

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

Susan Cox, a resident of Albion, Washington, died from an alleged overdose of medications prescribed by her primary care physician, Dr. Patricia Marciano. Susan’s husband, Mark Cox, and her estate initiated a wrongful-death and survivor action against Dr. Marciano and Gritman Medical Center after Susan’s death. The Coxes had lived in Washington, while Dr. Marciano and Gritman are based in Idaho, with all medical treatment having taken place in Idaho. However, at Susan’s request, her prescriptions were regularly transmitted by Dr. Marciano and Gritman to pharmacies in Washington, and Gritman engaged in marketing and accepted patients from the Washington area.The United States District Court for the Eastern District of Washington dismissed the action for lack of personal jurisdiction over the Idaho-based defendants, holding that Washington’s long-arm statute did not reach them and the exercise of jurisdiction would violate due process. The district court also denied the plaintiffs’ request for jurisdictional discovery relating to general personal jurisdiction over Gritman, and did not address the issue of venue.On appeal, the United States Court of Appeals for the Ninth Circuit reversed the district court’s dismissal. The Ninth Circuit held that the district court’s exercise of personal jurisdiction over Dr. Marciano and Gritman Medical Center was proper under both Washington’s long-arm statute and the Due Process Clause. The court found that the defendants had sufficient minimum contacts with Washington, as they cultivated relationships with Washington residents and regularly transmitted prescriptions to Washington pharmacies in compliance with Washington law. The court also held that venue was proper in the Eastern District of Washington because a substantial part of the events underlying the claims occurred there. The Ninth Circuit remanded the case for further proceedings and affirmed the dismissal only as to one defendant who was conceded to be properly dismissed. View "COX V. GRITMAN MEDICAL CENTER" on Justia Law

A woman with a long history of lupus, a chronic autoimmune disease, was under the care of a rheumatologist who managed her symptoms with medications over several years. In early 2018, the patient experienced severe joint pain and other symptoms, and her physician adjusted treatments accordingly. In February, she visited a walk-in clinic with fever and chills; tests were negative for infection, but a chest X-ray showed a possible abnormality. As a precaution, antibiotics were prescribed, and her symptoms improved. In March, she again presented with a fever and minor symptoms. The rheumatologist ordered new tests and increased her medication but did not urgently refer her to an infectious disease specialist or order new chest imaging. Over the following weeks, her symptoms worsened, leading to hospitalization, emergency surgery, and ultimately her death from intestinal tuberculosis.Her spouse, representing her estate, filed a medical malpractice suit against the treating physician and clinic, alleging a failure to meet the standard of care by not acting more urgently on March 1 and 2. Both sides presented expert testimony about the standard of care. The plaintiff objected to a jury instruction allowing the jury to consider whether the physician’s exercise of judgment in choosing among alternative treatments was reasonable, arguing it was unwarranted and prejudicial. The Snohomish County Superior Court gave the instruction, and the jury found for the defense.The Washington Court of Appeals affirmed, holding that evidence supported the instruction because the physician made choices among treatments and exercised clinical judgment. The Supreme Court of the State of Washington reviewed whether the record contained sufficient evidence to justify the "exercise of judgment" instruction. The court held that such an instruction is proper when the record contains evidence that the physician’s decision-making process and treatment choices complied with the applicable standard of care. The court affirmed, concluding the trial court acted within its discretion. View "Beard v. Everett Clinic, PLLC" 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

The plaintiff underwent a total hysterectomy and bilateral salpingo-oophorectomy, performed by a board-certified obstetrician-gynecologist at a medical center. Subsequently, she experienced symptoms that led to the discovery of a ureteral injury requiring surgical repair at a different facility. She alleged that the defendants were negligent in both the performance of the surgery and the postoperative care. To support her claims, she designated a board-certified urologist as her expert witness to opine on the applicable standard of care and alleged breach.After the expert’s deposition, the defendants moved to strike his testimony, arguing that he was not qualified under Iowa Code section 147.139 because he was not board-certified in the same or a substantially similar specialty as the defendant physician. The Iowa District Court for Polk County agreed, concluding that urology was not substantially similar to obstetrics and gynecology, and therefore the plaintiff’s expert was not qualified to testify about the standard of care or breach. Lacking a qualified expert, the district court also granted summary judgment for the defendants, effectively dismissing the case.On appeal, the Supreme Court of Iowa reviewed whether the district court erred in its application of the statutory requirements for expert qualification. The court held that, while both physicians were licensed to practice medicine, the statute required that, where the defendant is board-certified, the plaintiff’s expert must also be board-certified in the same or a substantially similar specialty. The court concluded that urology and obstetrics/gynecology are not substantially similar specialties. As a result, the Supreme Court of Iowa affirmed the district court’s decision to strike the expert and grant summary judgment for the defendants. View "Jones v. Lindell" on Justia Law

A patient was hospitalized after contracting COVID-19 and, as his condition worsened, was transferred between several hospitals in Kentucky and Indiana. During his treatment, he was intubated, placed on a ventilator, and medically immobilized. While under this care, he developed a severe bed sore that progressed to necrotizing fasciitis. Despite ongoing treatment, he ultimately died, with his death certificate listing multiple causes including cardiopulmonary arrest and sepsis. His estate claimed that negligence in the treatment of the bed sore caused his death and filed a proposed medical malpractice complaint against more than eighty healthcare providers.The case began when the estate filed its complaint with the Indiana Department of Insurance, while a medical-review panel was being requested. Before the panel was constituted, the providers moved for summary judgment in Vanderburgh Superior Court, arguing they were immune from liability under Indiana’s Healthcare Immunity Act, Premises Immunity Act, and the federal PREP Act. The trial court granted summary judgment for the providers, finding that statutory immunity applied and that the court, not the medical-review panel, could decide the immunity issue. The estate appealed, and the Indiana Court of Appeals reversed, holding that the question of immunity required expert input from the medical-review panel, especially regarding causation.The Indiana Supreme Court granted transfer, vacating the Court of Appeals’ decision. It held that the trial court could make a preliminary determination on statutory immunity without waiting for a medical-review panel’s opinion, since the facts relating to the connection between the patient’s COVID-19 treatment and his injury were undisputed for summary judgment purposes. The court further held that the providers were immune from civil liability under both state and federal law, as the patient’s injuries arose from treatment provided in response to the COVID-19 emergency. The court affirmed summary judgment for the providers. View "Estate of Waggoner v. Anonymous Health System, Inc." on Justia Law

Gene Cleveland Battieste, a veteran, underwent surgery at a Veterans Affairs Medical Center in Jackson, Mississippi in 2006. Although he had consented to surgery on certain cervical vertebrae, an additional procedure was performed on his C2 vertebra without his knowledge or consent. Following the surgery, Mr. Battieste experienced post-operative complications, including infection and increased pain. He applied for VA disability benefits in 2008, which were ultimately approved in 2020. The 2020 decision by the VA Board of Veterans’ Appeals was the first time Mr. Battieste or his family learned of the unauthorized surgery and the VA’s failure to provide proper informed consent or adequate post-operative care. Mr. Battieste died in 2022.In November 2022, the administrator of Mr. Battieste’s estate filed an administrative claim under the Federal Tort Claims Act (FTCA), which the VA denied. In May 2024, a lawsuit for medical negligence was filed in the United States District Court for the Southern District of Mississippi. The district court dismissed the case, finding that Mississippi’s medical malpractice statute barred any action brought more than seven years after the alleged negligence.The United States Court of Appeals for the Fifth Circuit reviewed the case de novo. The court determined that Mississippi Code Annotated § 15-1-36(2)’s seven-year period is a statute of repose, not merely a statute of limitations. The court found that Mississippi’s intermediate appellate courts consistently interpret the seven-year provision as an absolute bar to claims, and the statute’s structure and language support this reading. Because the suit was filed more than seven years after the surgery, the court held the claim was time-barred and affirmed the district court’s dismissal. View "Battieste v. United States" on Justia Law