Justia Medical Malpractice Opinion Summaries

Articles Posted in Supreme Court of Alabama
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Lavonne S. Mottern died after receiving a contaminated intravenous injection at Princeton Medical Center, operated by Baptist Health System, Inc. (BHS). Donald J. Mottern, as administrator of Lavonne's estate, filed claims against BHS, Meds I.V., LLC (the manufacturer of the injection), and three individuals associated with Meds I.V. The claims against Meds I.V. and the individuals were settled, leaving only the claims against BHS, which included negligence, wantonness, a claim under the Alabama Extended Manufacturer's Liability Doctrine (AEMLD), and a breach of implied warranty under the Uniform Commercial Code (UCC).The Jefferson Circuit Court dismissed all of Mottern's claims against BHS, including the negligence and wantonness claims, which BHS conceded should not have been dismissed. BHS argued that the AEMLD and UCC claims were subject to the Alabama Medical Liability Act (AMLA) and required proof of a breach of the standard of care. The trial court agreed and dismissed these claims, leading to Mottern's appeal.The Supreme Court of Alabama reviewed the case and agreed with BHS that all of Mottern's claims, including those under the AEMLD and UCC, are subject to the AMLA's standard-of-care provisions. The court held that the AMLA applies to all actions for medical injury, regardless of the theory of liability, and requires proof of a breach of the standard of care. The court reversed the trial court's dismissal of the negligence and wantonness claims and remanded the case for further proceedings consistent with its opinion. The main holding is that the AMLA's standard-of-care provisions apply to all claims alleging medical injury, including those under the AEMLD and UCC. View "Mottern v. Baptist Health System, Inc." on Justia Law

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In Alabama, an attorney was representing three individuals, Charles, John, and Linda Evans, in relation to a car accident. Following the accident, Charles was taken to Shelby Baptist Medical Center and discharged. He subsequently collapsed at home and died. The attorney filed a complaint asserting medical malpractice, negligence, wantonness, and recklessness on behalf of John as next friend of Charles. Eventually, an insurance company provided a settlement check and a general release relating to Charles. However, this check was signed by John and not Charles' personal representative, Bowers, who had been appointed after Charles' death. The trial court ruled that the settlement was binding on Bowers, and all claims against the defendants were dismissed.Bowers appealed, and the Supreme Court of Alabama partially reversed the trial court's decision. It ruled that the trial court erred in entering a summary judgment in favor of the malpractice defendants without a motion from them and without holding an evidentiary hearing to determine whether the attorney had express or apparent authority to settle the wrongful-death claim against Short. The court affirmed the summary judgment in favor of Short with respect to John's and Linda's individual claims. The case was remanded to the trial court for further proceedings. View "Bowers v. BBH SBMC, LLC" on Justia Law

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Victor Chin, M.D., and Sportsmed Orthopedic Specialists, P.C. (collectively "the Sportsmed defendants"), were defendants in an action brought by their patient, Malik Woodard. Woodard alleged that, against his wishes, Dr. Chin obtained records of Woodard's prior psychological treatment. The Sportsmed defendants sought mandamus relief from: (1) the circuit court's order denying their motion to change venue based on the Alabama Medical Liability Act and the Alabama Medical Liability Act of 1987 (collectively "AMLA"); and (2) the court's order prohibiting them from using the psychological records (and certain related documents) in the case and requiring them to return or destroy those records and documents ("the protective order"). As to the venue order, the Alabama Supreme Court denied the petition because the Sportsmed defendants did not argue that the complaint did not support an inference that Dr. Chin had no medical reason for obtaining the psychological records. As to the protective order, the Supreme Court denied the petition because the Sportsmed defendants did not demonstrate that the order was subject to mandamus review. View "Ex parte Victor Chin, M.D., and Sportsmed Orthopedic Specialists, P.C." on Justia Law

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Consolidated appeals arose from circuit court judgments in two identical medical-malpractice actions commenced by Cynthia Diane Dennis Thomas against Tarik Yahia Farrag, M.D. In appeal no. 1200541, Dr. Farrag appealed the trial court's judgment denying his Rule 60(b), Ala. R. Civ. P., motion seeking relief from a default judgment entered against him in case no. CV-18-2. In appeal no. 1200542, Dr. Farrag appealed from the judgment dismissing case no. CV-18-900005. On appeal, Dr. Farrag first presented an argument that was not raised in his Rule 60(b) motion -- that Patrick Hays, Dr. Farrag's personal attorney, was not authorized to accept service on Dr. Farrag's behalf and that, therefore, the default judgment was void because of insufficiency of service of process. Similarly, Dr. Farrag raised several other arguments for the first time on appeal -- specifically, that he did not receive proper notice of Thomas's filing of her application for a default judgment and that the damages awarded to Thomas were excessive. Dr. Farrag also argued he was entitled to relief from the default judgment on the basis of "excusable neglect" and that the trial court, therefore, erred in denying his Rule 60(b) motion. Dr. Farrag testified that, at the time he terminated Hays's representation of him, Hays had told him that the malpractice action had been dismissed. Dr. Farrag argues on appeal that his reliance on that purported representation by Hays constitutes excusable neglect warranting relief from the default judgment. The Alabama Supreme Court determined Dr. Farrag did not preserve his service or notice issues, and disagreed that Dr. Farrag was not prevented from appearing and defending the action due to excusable neglect. Regarding the appeal in case number 1200542, which was the dismissal of a duplicate action, the Supreme Court dismissed the appeal as the judgment was in Dr. Farrag's favor. In appeal no. 1200541, the judgment denying Dr. Farrag's Rule 60(b) motion was affirmed. Appeal no. 1200542 was dismissed. View "Farrag v. Thomas" on Justia Law

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Premier Plastic Surgery, P.C. ("Premier") petitioned the Alabama Supreme Court for a writ of mandamus directing the Jefferson Circuit Court to vacate its order denying Premier's motion for a change of venue in this medical-malpractice action brought by plaintiff Deborah Bush, and to enter an order transferring the action to the Shelby Circuit Court. Premier offered cosmetic and reconstructive surgery at its medical facility located in Shelby County. Bush went to Premier's medical facility to receive a consultation from Dr. Peter Van Hoy. It is undisputed that all of Bush's treatment by Dr. Van Hoy occurred at Premier's medical facility. In December 2017, Dr. Van Hoy died. Because he was Premier's sole shareholder, director, and owner, Premier was dissolved in September 2018. In June 2019, Bush filed suit at the Jefferson Circuit Court relating to her surgical procedure and treatment by Dr. Van Hoy. Bush's complaint also alleged that she was a resident of Jefferson County. Premier denied all allegations and argued that because the surgical procedure and treatment at issue in Bush's action occurred at Premier's medical facility in Shelby County, venue was proper in Shelby County. In her response to Premier's motion, Bush did not dispute that Shelby County was the proper venue for the action. Instead, she argued that because Premier's motion was filed almost three years after the litigation began and only three weeks before the scheduled trial, the motion cannot be deemed timely. The Supreme Court concurred that Premier's challenge to venue had been waived and denied the petition for mandamus relief. View "Ex parte Premier Plastic Surgery, P.C." on Justia Law

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The United States Court of Appeals for the Eleventh Circuit certified a question of law to the Alabama Supreme Court. Dr. Dino Ferrante, a gastroenterologist, prescribed LIALDA, which is manufactured by Shire U.S., Inc., and Shire, LLC (referred to collectively as "Shire"), to help patient Mark Blackburn with his Crohn's disease. "LIALDA is the brand name for Shire's mesalamine drug, which is an anti-inflammatory drug specifically aimed at the gut. LIALDA is not approved by the FDA to treat Crohn's, but it is approved to treat ulcerative colitis, Crohn's 'sister' disease." After taking LIALDA for between 12 to 16 months, Blackburn discovered that he had developed kidney disease, specifically advanced chronic interstitial nephritis, which had resulted in irreversible scarring and had diminished his kidney function to 20% of normal capacity. As a result, Blackburn is awaiting a kidney transplant. The federal appellate court asked: (1) consistent with the learned intermediary doctrine, may a pharmaceutical company's duty to warn include a duty to provide instructions about how to mitigate warned-of risks?; and (2) might a plaintiff establish that a failure to warn caused his injuries by showing that his doctor would have adopted a different course of testing or mitigation, even though he would have prescribed the same drug? The Supreme Court answered both questions in the affirmative. View "Blackburn v. Shire U.S., Inc., et al." on Justia Law

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Defendant-petitioner Lisa Mestas petitioned the Alabama Supreme Court for a writ of mandamus directing the circuit court to vacate its order denying her motion for a summary judgment in this wrongful-death/medical-negligence action brought by David Lee Autrey, as the personal representative of the estate of his wife, Bridgette Ann Moore, and to enter a summary judgment in Mestas's favor on the basis of State-agent immunity. In May 2017, Autrey's wife, Moore, went to the University of South Alabama Medical Center to undergo a surgery required by the prior amputation of her right leg. The surgery was performed without incident, and Moore was transferred to a hospital room for recovery. At approximately 9:30 p.m. that night, nurses found Moore unresponsive. Attempts to revive her were unsuccessful, and Moore was pronounced deceased. It was later determined that Moore died as a result of opioid-induced respiratory depression ("OIRD"). Mestas argued that, at all times relevant to Autrey's lawsuit, she was an employee of the University of South Alabama ("USA") and served as the Chief Nursing Officer ("CNO") for USA Health System, which included USA Medical Center, various clinics, and a children's hospital. According to Mestas, as the CNO, her primary responsibilities were administrative in nature and she had not provided any direct patient care since 2010. Mestas argued that because Autrey's claims against her arose from the line and scope of her employment with a State agency,2 and because she did not treat Moore, she was entitled to, among other things, State-agent immunity. The Supreme Court concluded Mestas demonstrated she was entitled to state-agent immunity, and that she had a clear right to the relief sought. The Court therefore granted her petition and issued the writ, directing the trial court to grant her summary judgment. View "Ex parte Lisa Mestas." on Justia Law

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Dahlia McKinney, M.D., a defendant in the wrongful-death/medical negligence action, petitioned the Alabama Supreme Court for a writ of mandamus directing the Jefferson Circuit Court to vacate an order compelling Dr. McKinney, ostensibly under Alabama's discovery rules, to alter the contents of a registered death certificate she prepared in connection with the death of Paydro White ("Paydro"). On December 31, 2013, Paydro sought medical treatment at the emergency department of Princeton Baptist Medical Center where he was diagnosed with possible pneumonia; he was discharged on that same date. The following afternoon, Paydro returned to the emergency department seeking follow-up care; he was formally admitted for treatment by the emergency physician on duty at that time. Later that evening, after Dr. McKinney began her evening shift, Paydro become unresponsive. Although he was initially successfully resuscitated, Paydro later died in the early morning hours of January 2, 2014. Dr. McKinney, who completed and signed Paydro's death certificate, identified the contributing causes of Paydro's death as "Pulseless electrical activity" due to "Acute Myocardial Infarction." Subsequent postmortem examinations and the autopsy of Paydro's body revealed that "the most likely cause of ... death [was] pulmonary Thromboembolism" -- a final diagnosis with which Dr. McKinney's later deposition testimony indicated she agreed. Dorothy White ("Dorothy"), Paydro's mother, was the personal representative of Paydro's estate. In that capacity, she sued numerous defendants allegedly connected with Paydro's medical treatment, including Dr. McKinney, largely arguing Paydro's death had been caused by the defendants' purported failure to timely diagnose and treat the pulmonary thromboembolism that ultimately caused Paydro's death. Dr. McKinney, who had provided no medical treatment to Paydro other than in connection with emergency resuscitation attempts, informally requested her voluntary dismissal as a defendant. In an email communication to Dr. McKinney's counsel, the estate's counsel indicated that a decision on that request would be aided by Dr. McKinney's voluntary amendment of the original cause of death indicated on Paydro's death certificate to identify his cause of death as a pulmonary thromboembolism. The Alabama Supreme Court concluded the trial court exceeded its discretion in compelling Dr. McKinney to amend the death certificate. Dr. McKinney therefore demonstrated a clear legal right to her requested relief. The trial court was ordered to vacate its order compelling Dr. McKinney to amend the cause of death on Paydro's death certificate. View "Ex parte Dahlia McKinney, M.D." on Justia Law

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Dr. Zenon Bednarski and his practice, Auburn Urgent Care, Inc. ("AUC"), appealed a circuit court judgment awarding Cortney Johnson ("Cortney"), as the administrator of the estate of Hope Johnson ("Hope"), deceased, $6.5 million. In October 2014, Hope and her mother visited Dr. Kerri Hensarling for evaluation and the prescription of a birth-control method. Hope's mother informed Dr. Hensarling that she had personally experienced multiple blood clots, and Dr. Hensarling ordered tests to determine if Hope was also at risk of experiencing blood clots. The test results revealed the presence of factor V Leiden, which contributes to the possibility of blood clotting. However, Dr. Hensarling failed to accurately determine the results of the test, and Hope and her mother were informed that the test results were negative for blood-clotting factors. Dr. Hensarling prescribed hormonal birth-control pills for Hope, the taking of which in combination with the presence of factor V Leiden would increase her risk of experiencing blood clots. Hope began taking the birth-control pills as prescribed, without knowledge of her increased risk for blood clots. In December 2014, Hope visited the AUC clinic, complaining of shortness of breath, chest pains, coughing, a headache, and a sore throat. Dr. Bednarski diagnosed Hope with bronchitis and prescribed an antibiotic medication. Hope returned to the AUC clinic a few days later, complaining of a much worsened condition, with sharp chest pains and extreme shortness of breath. A blood test was conducted, and Hope was diagnosed with leukocytosis and dyspnea and was prescribed an inhaler. The next morning, Hope died of a pulmonary blood clot. In May 2016, Hope's father, Cortney, as the administrator of her estate, filed suit, naming as defendants Dr. Hensarling and her practice, and Dr. Bendarski and AUC. Cortney settled with Dr. Hensarling; the Bednarski defendants unsuccessfully moved for a judgment as a matter of law at the close of Cortney's case-in-chief. The jury returned a general verdict in favor of Cortney against the Bednarski defendants. Finding that the Bednarski defendants failed to demonstrate they were entitled to a judgment as a matter of law, the Alabama Supreme Court affirmed the trial court. View "Bednarski v. Johnson" on Justia Law

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Mobile Infirmary Association ("MIA"), doing business as J.L. Bedsole Rotary Rehabilitation Hospital ("Rotary Rehab") and doing business as Mobile Infirmary Medical Center ("Mobile Infirmary"), petitioned the Alabama Supreme Court for mandamus relief from a complaint filed by John McBride alleging medical malpractice. According to McBride's complaint, he had undergone a craniotomy, hospitalization, and treatment at Mobile Infirmary for a subdural hematoma he had suffered while at home. He alleged that, in early June 2018, he was transferred to Rotary Rehab "to receive skilled and specialized nursing, medical and rehabilitative therapy." McBride further alleged that, while he was a patient at Rotary Rehab, he "suffered a decubitus pressure ulcer to his left and right heels, causing severe pain and suffering, infection, hospital treatment, financial loss, emotional distress, and eventually amputation below his left knee." McBride's complaint asserted counts of negligence and wantonness against the defendants, based on several alleged breaches of the applicable standards of care. MIA, in its capacity doing business as Rotary Rehab and in its capacity doing business as Mobile Infirmary, moved to dismiss McBride's complaint, arguing that his claims are barred by the limitations period set out in 6-5-482(a), Ala. Code 1975. Specifically, MIA contended the complaint was not filed until July 22, 2020, more than two years after the date of accrual of any potential claims against Mobile Infirmary or Rotary Rehab. The Alabama Supreme Court determined the statutory bar was apparent from the face of McBride's complaint. Therefore, MIA demonstrated a clear legal right to an order dismissing the complaint. Accordingly, MIA's mandamus petition was granted, and the writ of mandamus was issued directing the circuit court to vacate its order denying MIA's motion to dismiss, and to enter an order granting the motion. View "Ex parte Mobile Infirmary Association d/b/a J.L. Bedsole Rotary Rehabilitation Hospital and d/b/a Mobile Infirmary Medical Center." on Justia Law