Justia Medical Malpractice Opinion Summaries

A woman brought suit against the United States under the Federal Tort Claims Act (FTCA) after her child suffered severe and permanent nerve damage during childbirth at a Texas hospital. She alleged that the resident physician who delivered her baby used excessive force in responding to a complication known as shoulder dystocia, and that the attending physician failed to properly supervise. The plaintiff sought compensatory damages for medical care and related expenses.The United States District Court for the Western District of Texas dismissed the case for lack of subject-matter jurisdiction under Federal Rule of Civil Procedure 12(b)(1). The district court, adopting a magistrate judge’s recommendation, determined that shoulder dystocia is always an obstetrical emergency under Texas law. It concluded that, in such emergencies, Texas law requires proof of “willful and wanton negligence” (a heightened standard akin to gross negligence). The court further reasoned that because the FTCA does not waive sovereign immunity for punitive damages, and because damages for willful and wanton negligence are punitive, it lacked jurisdiction to hear the case.On appeal, the United States Court of Appeals for the Fifth Circuit reversed and remanded. The Fifth Circuit held that the district court erred in two respects: first, by presuming as a matter of law that the physician provided emergency medical care in every instance of shoulder dystocia, rather than treating it as a factual question; and second, by conflating the heightened standard of liability (willful and wanton negligence) with the nature of damages recoverable. The Fifth Circuit clarified that compensatory damages for gross negligence are available under Texas law and are not barred by the FTCA, which only precludes punitive damages. The case was remanded for further proceedings. View "Robledo v. USA" on Justia Law

William Carter, a paraplegic confined to a wheelchair, was arrested for unauthorized use of 911 and spent eight days in the Shreveport City Jail. During his incarceration, Carter, who had pre-existing bedsores, did not receive adequate medical care for his wounds, which allegedly led to their infection and his subsequent hospitalization. Carter's mother, suing on his behalf, filed claims under the Americans with Disabilities Act (ADA), the Rehabilitation Act (RA), 42 U.S.C. § 1983, and Louisiana state negligence law.The United States District Court for the Western District of Louisiana excluded the expert testimony of Dr. Joel Nitzkin before trial. After a jury trial, the court granted the defendants' Rule 50 motion for judgment as a matter of law on the ADA/RA claim, concluding that the claim was about medical treatment rather than an actionable disability claim. The jury returned a verdict for the defendants on the § 1983 and state-law claims.The United States Court of Appeals for the Fifth Circuit reviewed the case. The court affirmed the district court's judgment, holding that the ADA/RA claim amounted to a complaint about medical negligence, which is not actionable under the ADA. The court found that the failure to change Carter's bandages was a medical treatment issue, not a failure to accommodate under the ADA. Additionally, the court held that Carter's placement in a segregated cell for his safety did not constitute intentional discrimination under the ADA. The court also did not address the exclusion of Dr. Nitzkin's testimony, as it was only relevant to the ADA claims, which failed as a matter of law. The judgment of the district court was affirmed. View "Carter v. City of Shreveport" on Justia Law