Justia Medical Malpractice Opinion Summaries

White, pregnant with her tenth child, was charged with federal bank fraud. She failed to appear and was taken into custody when she was 35 weeks pregnant. The U.S. Marshals arranged for her housing at JCDC, which had a full-time medical staff and a relationship with an obstetrics practice. White’s intake form indicated an October 18 due date. Her blood pressure was high. No medical history was taken. White did not disclose that with her ninth pregnancy, she had an emergency cesarean section at 34 weeks. White signed a release but JCDC did not obtain her prenatal care records. For 10 days, White had multiple contacts with medical staff. She told a nurse that she was not having any problems. White then refused to be seen and signed a refusal form. Days later, White awoke with pain and called for assistance at 5:10. An ambulance arrived at 5:22. White arrived at the hospital at 5:52. White again denied having any complications or chronic medical problems. At 6:07, the nurse was unable to find fetal heart tones. At 6:13, the doctor ordered an emergency cesarean section. J.L. was delivered at 6:33. White had suffered a complete abruption of the placenta which stopped the flow of oxygen to J.L., who has severe, permanent disabilities. The abruption likely occurred in the ambulance or at the hospital, because J.L. would not have survived had it occurred earlier. Her father sued under the Federal Tort Claims Act (FTCA), 28 U.S.C. 2671, alleging medical malpractice. The Seventh Circuit affirmed summary judgment for the defendants. Placement and retention of White at JCDC fell within the discretionary function exception to the FTCA’s waiver of sovereign immunity. There was no indication that White needed immediate care before the morning of J.L.’s birth, when staff promptly called for help. View "Lipsey v. United States" on Justia Law

Carle’s medical residency program, which has an employment component, was governed by annual contracts. Residents were required to complete rotations before advancing and to pass the Step 3 U.S. Medical Licensing Examination before entering the third year. A third Step 3 failure results in termination. Carle residents cannot graduate unless they complete licensing requirements. Illinois medical students with five failures in the Step tests are not eligible for licensure without significant remediation. Rodrigo failed his first attempts at Step 1 and Step 2. He was required to repeat four rotations. His supervisors thought a neuropsychological examination might identify issues affecting his performance. Rodrigo never underwent recommended testing. Carle extended Rodrigo’s first and second years to allow him to repeat rotations and the Step 3 test, which he failed a second time. Rodrigo then informed Carle that he had a sleep disorder. Although Rodrigo did not request an accommodation, the director suggested that he take time off. Rodrigo did so, but failed a third time. Rodrigo asked to be promoted so that he could attempt to pass Step 3 in California. After termination of his residency, Rodrigo sued under the Americans With Disabilities Act. 42 U.S.C. 1210. The Seventh Circuit affirmed summary judgment in favor of Carle, finding that Rodrigo was not a “qualified individual.” Passing Step 3 is an “essential function.” Rodrigo presented no evidence of a causal connection between his protected activity (seeking an accommodation) and his termination. View "Rodrigo v. Carle Foundation Hospital" on Justia Law

Madden, suffering from morbid obesity, respiratory acidosis, congestive heart failure, chronic obstructive pulmonary disease, obstructive sleep apnea, obesity hypoventilation syndrome, hypertension, and hyperlipidemia, was admitted to the V.A. Hospital several times before his last admission on December 28, 2007. The Hospital placed Madden in respiratory isolation. On the same day, Madden’s wife described him as “not being himself,” and unsuccessfully requested the presence of a staff member in the room with Madden at all times. The Hospital allowed Madden to sit in a wheelchair because of his difficulty with lying in bed. Madden consistently reported that he was feeling fine, with a few comments about shortness of breath. On January 1, 2008, Madden was found unresponsive in his wheelchair. It took the Hospital 25 minutes to resuscitate him; Madden had suffered a cardiopulmonary arrest. On January 25, Madden was transferred to a long‐term care facility. He never regained consciousness and died on January 8, 2010. Madden’s estate filed a wrongful death suit under the Federal Tort Claims Act. The Seventh Circuit affirmed in favor of the government, agreeing that the government’s expert’s opinions were supported by medical records, relevant literature, data, studies, and medical explanations; while the government successfully impeached the family’s expert, a family friend, for lack of consultation of relevant medical literature and even Madden’s medical records. View "Madden v. United States Department of Veterans Affairs" on Justia Law

Proctor, an Illinois prisoner who was confined for seven years at Hill Correctional Center, suffers from chronic abdominal pain and spasms in his colon. He sued medical providers working at Hill for Wexford Health Sources, the contractor providing healthcare to Illinois prisoners, and corrections officials, claiming that they violated the Eighth Amendment by not ordering a colonoscopy and endoscopy to diagnose his persistent abdominal pain. The district court granted summary judgment for the defendants. The Seventh Circuit affirmed. A jury could not reasonably find that the defendants were deliberately indifferent to Proctor’s medical condition. Proctor’s abdominal pain and colon spasms were investigated thoroughly, and that investigation substantiated only a diagnosis of IBS. Over the course of treating him, the medical professionals routinely performed physical exams and ordered X‐rays, an ultrasound, bloodwork, stool cultures, and other tests, but the results were consistently normal. The decision whether further diagnostic testing— like a colonoscopy—was necessary is “a classic example of a matter for medical judgment. View "Proctor v. Sood" on Justia Law

Moshiri, other physicians, and hospital administrators were charged (42 U.S.C. 1320a-7b(b)) based on a kickback scheme. The former director of the podiatry residency program (Noorlag) testified that teaching contracts were a vehicle to pay physicians for referrals. Moshiri received $2,000 per month and was named as the Director of External Podiatric Office Rotations. Another doctor was named to that position at the same time. According to Noorlag, neither doctor was considered to hold that position, and neither performed the related duties. The Chair of the Counsel on Podiatric Medical Education, which oversees and certifies residency programs nationally and publishes standards, offered an expert opinion that teaching stipends are uncommon for attending physicians at residency programs and that he had never heard of such a physician being paid $2,000 per month. According to multiple witnesses, Moshiri did not conduct workshops and did not manage external rotations. Moshiri worked with residents about three times per month, while 11 other program physicians averaged 10 cases per month with residents. During the period at issue, the Hospital billed Medicare and Medicaid $482,000 for patients Moshiri treated. The Hospital’s Chief Operating Officer had recorded conversations in which Moshiri discussed his referrals. The agent who arrested Moshiri testified that Moshiri said that “the contract turned into basically paying for patients.” The Seventh Circuit upheld Moshiri’s conviction, rejecting challenges to the sufficiency of the evidence and to the expert testimony. View "United States v. Moshiri" on Justia Law