Justia Medical Malpractice Opinion Summaries

In 2011-2012, Godofsky was a doctor at a “pill mill,” the Central Kentucky Bariatric and Pain Management clinic. The clinic accepted payment by only cash (later by debit card), at $300 for the first visit and $250 per visit thereafter, and did not give change. The clinic had thousands of dollars in cash on hand every day, so the manager was armed with a handgun and patrolled the clinic with a German Shepherd. The clinic scheduled multiple “patients” at the same time, every 15 minutes, and was often open until after 10:00 p.m. The clinic received hundreds of “patients” per day, many of whom had traveled long distances and waited for hours for a few minutes with a doctor who would then provide a prescription for a large amount of opioids, usually oxycodone. The Sixth Circuit affirmed Godofsky’s conviction for prescribing controlled substances, 21 U.S.C. 841(a), and the below-guidelines 60-month prison term and $500,000 fine, upholding the trial court’s refusal to use a jury instruction titled “Good Faith,” which would have instructed the jurors that his “good intentions” were enough for his acquittal or, rather, that the prosecutor had to prove that he had not personally, subjectively, believed that the oxycodone prescriptions would benefit his patients. View "United States v. Godofsky" on Justia Law

In this medical malpractice action against an anesthesiologist, the jury found that defendant breached the duty of care she owed plaintiff, but that the breach did not cause plaintiff's paralysis. On appeal, plaintiff argued that the trial court erred in denying the Batson/Wheeler motion the trial court made sua sponte after defendant's attorney exercised peremptory challenges to six Hispanic prospective jurors out of his seven total challenges.The Court of Appeal agreed with plaintiff that the trial court erred in not requiring defense counsel to offer nondiscriminatory reasons for his first four challenges that formed the basis of the trial court's prima facie finding of racial bias. Therefore, the court reversed for the limited purpose of conducting the second and third steps of the Batson/Wheeler inquiry as to all six challenged Hispanic jurors. The court held that the prohibition against the exercise of peremptory challenges to exclude prospective jurors on the basis of race or other group bias applies to civil as well as criminal cases. The court remanded with instructions. The court affirmed as to plaintiff's claim of error regarding the trial court's exclusion of evidence of defendant's dishonesty; motion to exclude expert testimony; and assertion that defense counsel's closing argument was improper. View "Unzueta v. Akopyan" on Justia Law

In this medical malpractice action the Supreme Court affirmed the order of the circuit court granting summary judgment to Defendant and finding that Defendant did not have a duty to provide follow-up medical care after Plaintiff left Raleigh General Hospital against medical advice, holding that the circuit court properly granted summary judgment to Defendant.The day after Defendant performed surgery on Plaintiff, Plaintiff left the hospital against medical advice (AMA). Plaintiff was later diagnosed with an infection resulting from the fact that the temporary stents she received in her surgery had never been removed. Plaintiff sued. The circuit court granted summary judgment for Defendant, determining that the patient-doctor relationship between the parties ended the day that Plaintiff left the hospital against medical advice. The Supreme Court affirmed, holding (1) Plaintiff failed to establish that Defendant had a duty to provide medical care to her after she terminated their physician-patient relationship; and (2) in discontinuing the physician-patient relationship she had with Defendant when she left the hospital AMA, Plaintiff removed herself from the class of individuals sought to be protected by the West Virginia Medical Professional Liability Act, W. Va. Code 55-7B-1 to -12. View "Kruse v. Farid" on Justia Law

For four years, nurse practitioner Jordan treated Clanton’s severe hypertension. Jordan, an employee of the U.S. Public Health Service, failed to properly educate Clanton about his disease or to monitor its advancement. Clanton’s hypertension developed into Stage V kidney disease requiring dialysis and a transplant. Clanton successfully sued the government under the Federal Tort Claims Act. The court determined that Clanton had not contributed at all to his own injuries, noting that Clanton did not understand why it was important to take his medication and to attend appointments. The court awarded $30 million in damages. The Seventh Circuit vacated, finding that the court erred in its analysis of comparative negligence. Clanton’s subjective understanding does not end the inquiry. Illinois law requires the court to take the additional step of comparing Clanton’s understanding of his condition to that of a reasonable person in his situation. Clanton was in the position of a person whose caregiver failed to provide information about the severity of his condition but he had external clues that he was seriously unwell: two employment-related physicals showed that he had dangerously high blood pressure. The court upheld the court’s method of calculating damages and agreed that Clanton’s Medicare benefits are collateral to his damages award under Illinois law, so the government is not entitled to a partial offset. View "Clanton v. United States" on Justia Law

While in federal prison in Ohio, Gallivan had surgery. According to Gallivan, the surgery left him permanently disabled and the Bureau of Prisons was to blame. The Bureau found no evidence that its employees had done anything wrong. Gallivan sued the United States for negligence under the Federal Tort Claims Act (FTCA), 28 U.S.C. 1346(b)(1). The district court believed Ohio Civil Rule 10(D)(2) governed and required a person alleging medical negligence to include a medical professional’s affidavit stating that the claim has merit. Gallivan did not include an affidavit with his complaint; the district court dismissed his case. The Sixth Circuit vacated and remanded. The FTCA expressly requires courts to use the Federal Rules. Federal Rule of Civil Procedure 8(a) requires that a complaint include a short and plain jurisdictional statement, a short and plain statement of the claim, and an explanation of the relief sought. Rule 8 implicitly excludes other requirements that must be satisfied for a complaint to state a claim for relief. Rule 8 does not require litigants to file any affidavits. Nor does Rule 12, which does not demand “evidentiary support” for a claim to be plausible. View "Gallivan v. United States" on Justia Law

Illinois requires medical-malpractice plaintiffs to file an affidavit stating that “there is a reasonable and meritorious cause” for litigation. The plaintiff needs a physician’s report, indicating that the physician has reviewed the plaintiff’s medical records and justifying the conclusion that “a reasonable and meritorious cause” exists. This requirement applies to malpractice litigation in federal court because it is a substantive condition of liability. The suit at issue is against the United States under the Federal Tort Claims Act, which says that the government is liable to the same extent as a private person, 28 U.S.C. 1346(b)(1). The Seventh Circuit found the rule applicable. The court noted that a prisoner may have insuperable difficulty obtaining a favorable physician’s report before filing a complaint and concluded that a complaint in federal court cannot properly be dismissed because it lacks an affidavit and report under 5/2-622. Federal, not state, rules often apply to procedural matters—such as what ought to be attached to pleadings—in federal suits, whether they arise under federal or state law. In federal court, supporting documents come later. Illinois wants insubstantial medical-malpractice suits resolved swiftly. That goal can be achieved in federal court under summary-judgment practice. View "Young v. United States" on Justia Law

Susan Yanakos suffered from a genetic condition called Alpha-1 Antitrypsin Deficiency (AATD). In the summer of 2003, one of Susan’s physicians, Dr. Amadeo Marcos, advised her that she needed a liver transplant due to the progression of her AATD. Because Susan was not a candidate for a cadaver liver, her son Christopher volunteered to donate a lobe of his liver to his mother. Christopher advised one of his mother’s physicians that several of his family members suffered from AATD, but that he was unsure whether he did as well. Additional laboratory tests for Christopher were ordered, but Christopher was never informed him of the results, which allegedly showed that Christopher had AATD and was not a candidate for liver donation. One month after Christopher’s consultation with physicians, surgery proceeded; a portion of Christopher’s liver was removed and transplanted into Susan. More than twelve years later, Christopher, Susan, and Susan’s husband, William Yanakos sued UPMC, and the doctors involved, raising claims for battery/lack of informed consent, medical malpractice, and loss of consortium. The Yanakoses alleged that they did not discover Appellees’ negligence until eleven years after the transplant surgery, when additional testing revealed that Susan still had AATD, which the transplant should have eliminated. In this appeal by allowance, the issue presented for the Pennsylvania Supreme Court was whether the seven-year statute of repose in Section 1303.513(a) of the Medical Care Availability and Reduction of Error Act (MCARE Act) comported with Article I, Section 11 of the Pennsylvania Constitution. Because the Court concluded the seven-year statute of repose was not substantially related to an important government interest, it reversed the Superior Court’s order affirming the trial court’s grant of judgment on the pleadings and remanded for further proceedings. View "Yanakos. v. UPMC, et al" on Justia Law

Knight, a Wisconsin prisoner, sought treatment for a knee injury. Dr. Grossman, who worked at a hospital that provided medical services to state prisoners, diagnosed Knight with a tear in his anterior cruciate ligament and performed reconstruction surgery. A few years later, Knight reinjured his knee and returned for treatment. Dr. Grossman examined Knight, ordered x-rays, and, without consulting an MRI, diagnosed him with a torn ACL revision. Dr. Grossman offered Knight the option of undergoing a revision procedure to repair the tear. During surgery, he determined that Knight did not have a tear but had degenerative joint disease or arthritis. Not knowing when Knight would be available for surgery again, Grossman performed an alternate procedure, which he had not discussed with Knight. Knight did not learn of the change in course until his follow-up visit. In Knight’s suit under 42 U.S.C. 1983, the Seventh Circuit affirmed summary judgment in favor of Dr. Grossman. The court stated that prisoners retain a liberty interest in refusing forced medical treatment while incarcerated, with an implied right to the information necessary to make an informed decision about treatment. Knight did not establish a violation of that right because no reasonable jury could find that Dr. Grossman acted with deliberate indifference to Knight’s knee condition or to his right to refuse treatment. View "Knight v. Grossman" on Justia Law

In this medical malpractice action, the Supreme Court affirmed the district court's order denying Plaintiff's renewed motion for judgment as a matter of law and motion for new trial, holding that the district court correctly denied Plaintiff's motion for judgment as a matter of law and her motion for a new trial.Plaintiff sued Dr. Robert Replogle and Spineology, alleging that Dr. Replogle did not obtain her informed consent for surgery because he did not disclose his financial interest in Spineology to her. The jury returned a verdict for Dr. Replogle, finding that the was not negligent in either obtaining Plaintiff's informed consent or the way he performed surgery. Thereafter, the district court denied Plaintiff's motions for judgment as a matter of law and for a new trial. The Supreme Court affirmed, holding (1) a reasonable mind could accept the testimony presented at trial that Dr. Replogle was not required to disclose his financial interest in Spineology to obtain Plaintiff's informed consent prior to surgery; and (2) substantial evidence supported the jury's verdict, and neither reversal of that verdict nor a new trial was warranted. View "Howard v. Replogle" on Justia Law

The Georgia Supreme Court granted certiorari review in Case Number S18G1189 to consider whether: (1) the standard that appellate courts should apply when reviewing a trial court’s ruling on a claim under OCGA 51-12-12; and (2) whether the Court of Appeals properly applied that standard in this case. In Case Number S181190, the Supreme Court questioned whether it was error for the appellate court to remand the case for retrial on both liability and damages, assuming the proper standard of review had been applied. Janice Evans fell violently ill and was taken to defendant Rockdale Hospital. What was first diagnosed as high blood pressure was later revealed to have been a blood clot to the brain from a ruptured aneurysm. She and her husband sued Rockdale for medical malpractice. Her damages totaled over $1 million. A jury found in Mrs. Evans’ favor, and awarded her husband damages for loss of consortium. Plaintiffs filed a new motion for additif or for a new trial on the ground that the jury’s damage award was so inadequate as to be inconsistent with the preponderance of the evidence. The Georgia Supreme Court found the Court of Appeals applied the wrong standard when reviewing the trial court’s decision, so that judgment was vacated and the matter remanded for further proceedings. View "Rockdale Hospital, LLC v. Evans" on Justia Law