Justia Medical Malpractice Opinion SummariesArticles Posted in Supreme Court of Pennsylvania
In Re: Enforcement of Subpoenas b/f the Bd of Med.
Sarah DeMichele, M.D., was a board-certified psychiatrist licensed to practice medicine in Pennsylvania. From August 2011 through February 2013, Dr. DeMichele provided psychiatric care to M.R. M.R. struggled with suicidal ideations and engaged in a pattern of self-harming behavior, which she discussed regularly with Dr. DeMichele. In December 2012, M.R.’s self-inflicted injuries necessitated emergency medical treatment. M.R. ultimately was transferred to a Trauma Disorders Program in Maryland. In the program, M.R. was treated by psychiatrist Richard Loewenstein, M.D., and psychologist Catherine Fine, Ph.D. During the course of his treatment of M.R., Dr. Loewenstein obtained M.R.’s medical records from Dr. DeMichele. In 2014, Dr. Loewenstein submitted a complaint to the Professional Compliance Office of Pennsylvania’s State Board of Medicine (“Board”), in which he alleged that Dr. DeMichele’s care of M.R. was professionally deficient. Dr. Loewenstein’s complaint prompted an investigation and, ultimately, the initiation of disciplinary proceedings against Dr. DeMichele. In 2015, the Pennsylvania Department of State’s Bureau of Professional and Occupational Affairs (“Bureau”) filed an order directing Dr. DeMichele to show cause as to why the Board should not suspend, revoke, or restrict her medical license, or impose a civil penalty or the costs of investigation. In advance of the hearing, Dr. DeMichele requested that the hearing examiner issue subpoenas for the testimony of M.R. and the medical records of Dr. Loewenstein, Dr. Fine, the program, and M.R.’s former treating psychologist, April Westfall, Ph.D. Relying upon the authority provided under 63 P.S. 2203(c), the hearing examiner issued the requested subpoenas. However, when served with the subpoenas, all of M.R.’s treatment providers refused to release their records absent a court order or M.R.’s authorization. M.R. subsequently refused to authorize the release of her records. In this direct appeal, the Pennsylvania Supreme Court was asked to consider the enforceability of the subpoenas, as well as related questions regarding the scope and applicability of numerous statutes that protect a patient’s medical information. The Commonwealth Court granted the physician’s petition to enforce the subpoenas. Because the Supreme Court concluded the Commonwealth Court lacked subject matter jurisdiction to decide the issue, it vacated that court’s order. View "In Re: Enforcement of Subpoenas b/f the Bd of Med." on Justia Law
Posted in: Civil Procedure, Government & Administrative Law, Health Law, Medical Malpractice, Supreme Court of Pennsylvania
Mitchell. v. Shikora
In a medical negligence case, the Pennsylvania Supreme Court considered the admissibility of evidence regarding the risks and complications of a surgical procedure in a medical negligence case. Consistent with the Court's recent decision in Brady v. Urbas, 111 A.3d 1155 (Pa. 2015), the Court found that evidence of the risks and complications of a surgery may be admissible at trial. View "Mitchell. v. Shikora" on Justia Law
Posted in: Civil Procedure, Medical Malpractice, Professional Malpractice & Ethics, Supreme Court of Pennsylvania
Nicolaou v. Martin
Sometime in 2001, Nancy Nicolaou was bitten by a tick on her left ankle, after which she developed a rash and experienced numbness and tingling in her left toe, fatigue, and lower back pain. This appeal presented the issue of whether Appellants Nancy and Nicholas Nicolaou satisfied the discovery rule so as to toll the running of the statute of limitations on their medical malpractice action filed against Appellee health care providers for failing to diagnose and treat Mrs. Nicolaou’s Lyme disease. The trial court granted summary judgment in favor of appellees, deeming appellants’ action time-barred. The Superior Court affirmed, holding that the discovery rule did not toll the statute of limitations because, as a matter of law, appellants failed to establish that they pursued their action with reasonable diligence. The Pennsylvania Supreme Court held summary judgment was granted improperly because the determination of whether appellants acted with due diligence under the circumstances presented was one of fact for a jury to decide. View "Nicolaou v. Martin" on Justia Law
Shinal v. Toms M.D.
In a medical malpractice action premised upon lack of informed consent, the issue presented was whether the trial court erred in refusing to strike prospective jurors for cause based upon their relationships to the case through their employer or their immediate family member's employer. The Pennsylvania Supreme Court concluded the trial court did not err in this regard. However, the Court concluded the trial court erred when it instructed the jury to consider information provided by the defendant surgeon's qualified staff in deciding the merits of the informed consent claim. Because a physician's duty to provide information to a patient sufficient to obtain her informed consent is non delegable, the Court reversed the Superior Court's order affirming the judgment entered in favor of the defendant, and remanded for a new trial. View "Shinal v. Toms M.D." on Justia Law
Sernovitz v. Dershaw
In a discretionary appeal, the Pennsylvania Supreme Court addressed a legislative-process challenge to a 1988 enactment. This issue was raised in the context of a professional negligence lawsuit filed in 2010, asserting causes of action for wrongful birth. Rebecca Sernovitz sought medical care after becoming pregnant. Because she and her husband are both of Ashkenazi Jewish heritage, their child was at increased risk of suffering from a genetic disorder known as familial dysautonomia (“F.D.”). Her treating physicians, negligently misinformed her about the test results, telling her she was not a carrier. Thereafter, Mrs. Sernovitz gave birth to a son, Samuel, who suffered from F.D. and would suffer from the disorder for the rest of his life. Mrs. Sernovitz later learned that both she and her husband were carriers of the mutation. If she had been correctly informed of the results of her test in a timely manner, further testing would have ensued, which would eventually have revealed Samuel’s condition while he was still in utero. Had that occurred, Mrs. Sernovitz would have obtained an abortion. In October 2010, plaintiffs Mr. and Mrs. Sernovitz filed an amended complaint against the health-care providers and their employers and corporate parents (“Defendants”), asserting claims for wrongful birth and seeking damages for medical expenses and emotional distress. Although Section 8305(a) of the Judicial Code barred such claims, plaintiffs alleged that Act 47 of 1988 (of which Section 8305 was enacted) was unconstitutional in its entirety on several grounds. In particular, they averred that: the act’s original purpose was changed during its passage through the General Assembly, contrary to Article III, Section 1; it contained more than one subject, in violation of Article III, Section 3; and, in its final form, it was not considered on three days in each House, thus failing to conform with Article III, Section 4. The common pleas court determined that the act complied with Article III, sustained the preliminary objections on the basis that the wrongful-birth claims were barred by Section 8305, and dismissed the amended complaint. A three-judge panel of the Superior Court reversed in a published decision. Having stricken Section 8305, the Superior Court reversed the common pleas court’s order dismissing the amended complaint and remanded for further proceedings. Defendants moved for reconsideration, and appealed to the Supreme Court when their motion was denied. The Supreme Court disagreed with the Superior Court’s decision, reversed, and remanded for reinstatement of the common pleas court’s order dismissing the complaint. View "Sernovitz v. Dershaw" on Justia Law