Justia Medical Malpractice Opinion Summaries

David Kaplan brought a lawsuit against MedStar Georgetown Medical Center, Inc. and an affiliated medical group, alleging that they failed to meet the national standard of care in treating his Crohn’s disease and did not obtain his informed consent for treatment. As a result of the alleged medical negligence, Kaplan endured prolonged use of steroids, which did not alleviate his condition and ultimately led to the complete deterioration of his hip bones. He subsequently required three hip replacement surgeries, experiencing significant physical pain, emotional distress, and limitations on his lifestyle and activities.The Superior Court of the District of Columbia presided over a jury trial, where the jury found MedStar liable for both breaching the standard of care and failing to obtain informed consent. The jury awarded Kaplan $4 million in damages, allocating separate amounts for past and future physical injury and for past and future emotional distress. MedStar timely objected to the verdict form, aspects of Kaplan’s closing argument, and the amount of damages, and subsequently filed a post-trial motion seeking judgment as a matter of law or, alternatively, a reduction in damages. The trial court denied these motions.The District of Columbia Court of Appeals reviewed the case and affirmed the Superior Court’s judgment. The appellate court held that the trial court did not abuse its discretion by allowing the verdict form to separately list damages for physical injury and emotional distress, as these are conceptually distinct forms of harm. The court further found that any improper argument in Kaplan’s closing was adequately addressed by curative instructions, and that the damages award was not so excessive as to shock the conscience or require remittitur. The judgment in favor of Kaplan was affirmed in its entirety. View "Medstar Georgetown Medical Center, Inc. v. Kaplan" on Justia Law

A teenage patient experienced persistent back pain and, in 2010, was treated by an orthopedic physician at a medical clinic. The physician misdiagnosed her condition and performed unnecessary surgeries in 2010 and 2012. Over the following years, internal complaints and concerns surfaced among other physicians and administrators at the clinic regarding this doctor’s substandard care, but the clinic did not take corrective action until the physician resigned in 2013. Subsequent medical evaluations revealed the original diagnosis was incorrect and the surgeries were not properly performed, resulting in further harm to the patient.The patient and her parents brought suit in Wake County Superior Court in 2016, alleging medical malpractice against the physician, and both vicarious liability and direct claims—specifically negligent retention and supervision—against the clinic. The trial court dismissed the malpractice claims as untimely under North Carolina’s four-year statute of repose, but allowed the negligent retention and supervision claims to proceed. On summary judgment, however, the trial court concluded that all remaining claims were also time-barred. The North Carolina Court of Appeals affirmed summary judgment on most claims but reversed as to the negligent retention claim, reasoning that such a claim against a corporate medical practice was not subject to the statute of repose for medical malpractice actions.On discretionary review, the Supreme Court of North Carolina held that a negligent retention claim against a corporate medical practice qualifies as a “medical malpractice action” under N.C.G.S. § 90-21.11, and thus is subject to—and barred by—the statute of repose in N.C.G.S. § 1-15(c). The court reversed the Court of Appeals’ decision on this point, holding that summary judgment was properly granted on the negligent retention claim. The court declined to review the dismissal of other tort claims. View "Cottle v. Mankin" on Justia Law

A mother, acting on behalf of her minor child, brought medical malpractice claims against a hospital, a medical practice, and a physician after her child suffered injuries during birth. She alleged that the defendants failed to meet the applicable standard of care before, during, and after delivery, including failing to discuss delivery options, improperly conducting the delivery resulting in a shoulder injury, and failing to perform certain ultrasounds. The original and first amended complaints detailed specific alleged breaches of care. After fact discovery concluded, the mother disclosed expert witnesses whose opinions went beyond the scope of the existing pleadings, addressing acts or omissions not previously alleged.The defendants moved to strike the portions of the expert disclosures related to these new allegations. In response, the mother filed second amended complaints, adding new claims based on the acts and omissions identified by her experts, including allegations concerning the administration of Pitocin, repair of a perineal tear, and additional alleged nursing errors. The defendants then moved to dismiss these new allegations, arguing they were untimely under Alabama’s Medical Liability Act (AMLA), which requires timely amendment of complaints upon learning of new or different acts or omissions. The Talladega Circuit Court denied the motions to dismiss and motions to strike, reasoning that the amendments were timely because they were filed more than 90 days before trial and soon after the close of discovery.Reviewing the matter on petitions for writs of mandamus, the Supreme Court of Alabama held that the new allegations in the second amended complaints were not timely under AMLA § 6-5-551. The Court concluded that the plaintiff had knowledge of the facts underlying the new claims well before amending and failed to act promptly as required by statute. The Court directed the trial court to grant the motions to dismiss the new allegations, but the plaintiff’s remaining, timely claims could proceed. View "Ex parte Coosa Valley Medical Center" on Justia Law

A patient with multiple serious health conditions was taken to a hospital after being found unconscious by his minor daughter. He was treated briefly and discharged in the middle of the night, despite the absence of any adult at home to care for him. His wife, who was away at the time, had expressed concerns to the hospital staff about his ability to manage his condition at home, but her concerns were neither documented nor communicated to the attending physician. The patient was sent home alone via ride-share, and was later found by his wife in a severely deteriorated state. He died after subsequent hospitalization.The patient’s wife filed suit in the Second Judicial District Court of Nevada, alleging professional negligence as well as ordinary negligence, including a claim for negligent credentialing, hiring, training, supervision, and retention. The defendants moved to dismiss the ordinary negligence claim, arguing it was inseparable from professional negligence. The district court denied the motion, reasoning that some aspects—such as discharge decisions—were administrative and could support a claim for ordinary negligence. The district court also denied a subsequent motion for reconsideration after new case law was issued.The Supreme Court of the State of Nevada reviewed the case on a petition for a writ of mandamus. The court held that claims relating to the discharge decision and alleged failures in credentialing, hiring, training, supervision, and retention were not independent of the medical relationship and therefore sounded in professional negligence, not ordinary negligence. The court ruled that such claims must be subsumed under the existing professional negligence claim and are subject to the requirements for professional negligence actions. The court directed the district court to vacate its prior order and subsume the challenged claim under the professional negligence claim. View "RENOWN REGIONAL MED. CENTER VS DIST. CT." on Justia Law

A group of medical professionals and a pharmacy were alleged to have negligently prescribed and dispensed controlled substances to a patient with a history of substance abuse. The patient, while impaired by these drugs, drove her vehicle, crossed the center line, and fatally struck a cyclist. The personal representative of the cyclist’s estate brought wrongful death claims against the patient and the medical providers, asserting that the providers’ negligence foreseeably led to the fatal collision.In the Deschutes County Circuit Court, the medical providers and pharmacy moved to dismiss the complaint, arguing that, under Oregon law, medical professionals can only be liable in negligence to their own patients or those with whom they have a special relationship, not to third parties like the deceased cyclist. The trial court agreed, relying in part on prior Supreme Court precedent, and dismissed the claims against these defendants. The plaintiff appealed, and the Oregon Court of Appeals reversed, holding that the complaint stated a claim for relief under ordinary negligence principles, finding that prior case law did not bar such claims.The Supreme Court of the State of Oregon reviewed the case and affirmed the Court of Appeals’ decision. The Supreme Court held that, under Oregon’s common-law negligence principles, a plaintiff can state a claim against medical professionals for physical harm to nonpatients if the professionals’ conduct unreasonably created a foreseeable risk of the kind of harm that occurred. The Court rejected the argument that liability should be limited only to patients or those with a special relationship, declining to create an exception for medical professionals. The Court reversed the circuit court’s limited judgments and remanded for further proceedings, clarifying that ordinary negligence liability extends to foreseeable physical harm to nonpatients caused by medical professionals’ unreasonable conduct. View "Stone v. Witt" on Justia Law

A patient received treatment for diabetes at VA facilities from 2016 to 2022. In early 2020, he reported worsening symptoms and expressed dissatisfaction with his medical care, believing negligence contributed to his condition. Two years later, he filed a complaint with the Office of the Inspector General, alleging improper diagnosis and treatment at VA facilities. He also submitted a Standard Form-95 (SF-95) to the Office of the General Counsel, naming himself as claimant and his wife as a witness and property owner. The agency denied his claim, and he was informed of his right to sue. The couple then filed a pro se lawsuit under the Federal Tort Claims Act (FTCA), alleging negligent medical care caused kidney disease. Subsequently, the wife filed her own SF-95, asserting power of attorney, but the agency denied this claim as duplicative and because the couple had already sought judicial remedy.The United States District Court for the Eastern District of Texas, following a magistrate judge’s recommendation, dismissed the wife’s claims for failure to exhaust administrative remedies, dismissed both plaintiffs’ claims as time-barred, and denied leave to amend as futile. The plaintiffs objected, but the district court adopted the recommendations and dismissed the case with prejudice. The plaintiffs appealed.The United States Court of Appeals for the Fifth Circuit reviewed the case de novo. The court held that the district court erred in finding the wife failed to exhaust administrative remedies for her property damage claim, because the administrative filing gave sufficient notice for that claim. However, the Fifth Circuit affirmed the district court’s dismissal on the alternative ground that all claims were barred by the FTCA’s statute of limitations, as the plaintiffs’ injuries and property damages were or should have been known more than two years before the administrative claims were filed. The denial of leave to amend was also affirmed. View "Ellsworth v. Dallas Texas Department of Veteran Affairs" on Justia Law

David Ray Gunter, who had a mechanical heart valve and required daily anticoagulant medication (Coumadin), was arrested and detained at two North Carolina county jails. During his detention, Gunter did not consistently receive his prescribed medication, missing doses over several days due to failures by the contracted medical provider and jail staff. After his release, he suffered serious medical complications, including blood clots and subsequent surgeries. Gunter alleged these injuries were the result of inadequate medical care during his incarceration.The United States District Court for the Middle District of North Carolina granted summary judgment for defendants on Gunter’s constitutional claims under 42 U.S.C. § 1983, including deliberate indifference and Monell claims, finding insufficient evidence that jail officials or contracted medical providers acted with deliberate indifference or that county policies caused the deprivation. The district court also granted summary judgment to Southern Health Partners, Inc. (SHP) on the medical malpractice claim, finding that Gunter’s expert testimony did not establish a breach of the standard of care by SHP, and excluded expert evidence it found speculative. However, the district court found genuine disputes of fact regarding medical malpractice claims against two individual medical providers, but ultimately found no proximate cause. The district court denied Gunter’s motion to compel deposition of the defendants’ expert as untimely and granted a motion to strike a post-deposition declaration from Gunter’s expert.The United States Court of Appeals for the Fourth Circuit reversed the district court’s dismissal of Gunter’s deliberate indifference claim against the medical provider defendants, the Monell claim against the counties, and the medical malpractice claims against SHP and two medical providers, holding that genuine disputes of material fact remained. The appellate court also reversed the exclusion of certain expert testimony and the grant of the motion to strike, but affirmed the denial of the motion to compel. The case was remanded for further proceedings. View "Swink v. Southern Health Partners Inc." on Justia Law

Mark Stanford, an incapacitated resident of a Mississippi nursing facility, suffered severe burns after starting a fire in his room. The Mississippi State Department of Health determined that the nursing center failed to adequately supervise Stanford and maintain a safe environment, citing the facility for violating federal regulations regarding the safety and supervision of residents. Stanford, through his conservator, brought a lawsuit alleging negligence and medical malpractice against the nursing facility and related entities.Brandon Nursing and Rehabilitation Center moved to compel arbitration based on an agreement signed in 2017 by Stanford’s brother, Russell Phillips, who acted as Stanford’s health surrogate during his admission. Stanford opposed arbitration, arguing that the agreement was invalid because Phillips lacked authority under Mississippi’s Uniform Health-Care Decisions Act to bind Stanford, since Stanford’s adult son—a higher-priority family member under the statute—was reasonably available and willing to serve as surrogate. The United States District Court for the Southern District of Mississippi held that Phillips was not a proper surrogate under the statute and denied the motion to compel arbitration.Reviewing the case, the United States Court of Appeals for the Fifth Circuit applied de novo review to both the denial of arbitration and interpretation of state law. The Fifth Circuit determined that the key issue was whether, under Mississippi’s Uniform Health-Care Decisions Act, a health care provider must ensure that no higher-priority family member is “reasonably available” before accepting decisions from a lower-priority family member acting as surrogate. Noting the statutory ambiguity and lack of controlling Mississippi precedents, the Fifth Circuit did not resolve the merits but instead certified this question of state law to the Mississippi Supreme Court for authoritative interpretation. View "Stanford v. Brandon Nursing" 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

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