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Medical Malpractice
Many hospitals consistently provide quality care to their patients, but there are always instances where certain individuals don’t receive the professional attention they deserve. This is to be expected in any business, but in hospitals, the consequences can be more serious and could lead to life-threatening situations. Hospitals also present more difficulty because patients are not always in a sufficiently stable mental or physical state to be their own care quality advocates. The following are steps to be taken by patients or their family members and should serve as a guide to proceeding through the proper channels to achieve fast and effective results.
What happens when doctors-in-training perform surgery unsupervised? Think it doesn't happen? Think again.
As more hospitals cut back on expenses, training and personnel, who do you think suffers the most? The nurses? The technicians? The doctors? Wrong.
The patient suffers. Read the article to learn why.
On Friday, July 23, 2010, a Westchester County jury in the Supreme Court of the State of New York determined that my client, Annemarie Flannery was entitled to be compensated $1.5 million as compensation for injuries caused by a podiatrist during bunion surgery. Her husband, David Flannery was entitled to be compensated $50,000 for his lost services claim.
The case involved a claim of a failure to properly perform foot surgery involving my client's bunion on her right foot. It was our claim that the podiatrist removed too much bone during the procedure, and improperly positioned the first metatarsal. As result, this changed the dynamic forces of her foot and forced her to bear most of her weight underneath the second and third metatarsals in her foot. We also claimed that the patient should have had her second and third metatarsals surgically shortened during her first bunion surgery. This would have prevented the problem from arising.
FACT: Patients sue doctors and hospitals. They’re unhappy with the outcome of a procedure; they’re upset because a doctor misdiagnosed their condition and now they have a permanent injury or disability. That’s a fact. However, the facts and trends show an entirely different story.
Fact: Most victims of medical malpractice in NY don’t even know they’ve been a victim of improper medical care because nobody tells them.
When two prominent physicians say in an editorial of a medical journal that they edit that robotic surgery, fetal surgery and cord blood collection has no proven benefit because it costs too much for healthcare, I can't help but wonder what agenda they have going on.
Read the blog post to learn more about this outrageous editorial.
I often get calls from potential clients telling me that because of some doctor's wrongdoing they "almost" died.
Luckily for them, "almost" doesn't count.
Some callers say they almost suffered permanent harm from carelessness of a doctor or nurse. Again, "almost" doesn't count.
This medical malpractice case, tried in Kings County Supreme Court, also known as Brooklyn, NY had a bizarre twist.
The case involved a man who underwent knee surgery and suffered permanent injury. The first trial resulted in a verdict of $1.5 million. After appeal, the case had to be re-tried. During the second trial, as the jury was deliberating, the parties agreed to settle the case for $150,000. The jury, almost simultaneously announced they had reached a verdict.
It's holiday time. You're sitting around the table listening to family members discuss the tragedy that has befallen on someone close to you.
You hear these questions:
"How did this happen?"
"Why did this happen?"
"Why didn't the doctor speak to us after it happened?"
"What if..."
Read the article to learn more...
With all the talk about health reform today, and proposed 'tort reform' by Republicans together with sensationalized lawsuits in the newspaper today, it's no wonder that many people think that they're "Entitled" to money just because they had a bad outcome.
Our society is conditioned to think, rightfully so, that if they've been wronged, then they have a right to go to court and obtain compensation from the person or company that caused them harm.
I received a call late tonight from a woman who was in the middle of a medical malpractice trial here in New York. She asked whether I would like to take over her case since she was unhappy with how her attorney was representing her.
I told her that it would be impossible since the trial judge would not suspend her trial just to get a new attorney. Nor would the judge give her a 'do-over' because she didn't like the way the testimony was going in to the jury. The middle of a trial is not the time to realize that you don't like your attorney.
You have brought a lawsuit seeking compensation for the injuries you suffered at the hands of a doctor or hospital. Your goal, is to win your case and to obtain "Justice" for the injury you suffered. Your attorney is known as a "plaintiff's attorney." His entire goal is to obtain compensation for your injuries. His success is directly linked to yours. Should he win your case or settle your case favorably, he stands to receive a portion of whatever is recovered, after his expenses.
Not many people outside of New York recognize that the lawyer's fee in medical malpractice cases in New York only starts at 30% and decreases by 5% as we go up in the amount we recover for you. To put it simply: 30% is the maximum fee allowed in New York. As we go up incrementally, the attorney's fee goes down by 5%. This is known as a "sliding scale."
What does this have to do with a defense attorney's agenda? Everything.
A defense attorney's job is to defend the doctor or hospital as best he can. A defense lawyer gets paid by the doctor's insurance company. He gets paid an hourly fee for the work he performs. It is an unspoken fact that defense attorneys prefer to handle a case as long as possible before having to resolve it or go to trial. Why? The longer they handle a particular case, the more they are able to bill for the work they perform. There is no incentive for a defense attorney to resolve a case sooner rather than later.
Having said that, there are some excellent medical malpractice defense lawyers in New York who recognize troublesome cases at the beginning of a lawsuit. Those experienced trial lawyers will sometimes attempt to resolve a case in the early stages to save the insurance company money by having to pay extensive legal fees, a protracted trial and appeal.
Good defense attorneys who recognize they cannot defend a case will recommend to their insurance carrier that they should make an effort to resolve a case sooner rather than later. An early settlement can often save an insurance company a great deal of money by discounting the ultimate amount of compensation a victim receives years before the case goes to trial.
An experienced plaintiff's attorney recognizes the benefits of early settlement because it means that his client will receive a guaranteed amount of money years earlier, without the need to spend many thousands of dollars. Of course, along with that early settlement proposal, both sides recognize that they expect some type of discount for the benefit of settling early.
The defense attorney's only incentive to settle a case early and save the insurance company money is the knowledge that doing so may put him in good standing with the insurance company. An attorney who saves an insurance company money is likely to benefit from additional cases that the insurance company sends to them as a "reward" for saving money.
Conclusion:
When you wonder why your case is not settling early, keep in mind a defense attorney's hidden agenda and recognize that you may have to go to trial in order to prove your case. Your attorney should recognize this and be prepared to go the distance in every case.
Have you ever wondered how some cases are eagerly accepted by an attorney and others are not? What are the top five things an experienced attorney looks for when deciding whether to take a case?
DOES YOUR STORY SOUND BELIEVABLE?
If your story is not believable, an attorney will likely reject your case without ever doing an investigation. Why not? The moment you walk in the door, an attorney looks at you as if you are walking into court and taking the witness stand. He will look at your story from the viewpoint of a jury sitting and listening to your case to see if they will find it believable and is credible. If your story lacks credibility, no attorney will want to spend thousands and thousands of dollars and hundreds of hours prosecuting your case, knowing at the outset that the chance of you winning your case is minimal.
DOES WHAT YOU SAY MAKE SENSE?
This is commonly referred to as the ‘smell test’. What’s that? If it doesn’t smell right, then a jury will find it hard to believe your story. Again, if the attorney thinks a jury will not accept your story, then he likely will not take your case.
WHAT DO YOU THINK WAS DONE WRONG?
Every attorney who evaluates a medical malpractice case in New York wants to know what you think was done wrong. The injured victim or their family is usually a very good source of information when trying to find out what went wrong.
WHAT HARM DID THE WRONGDOING CAUSE?
The reason we need to know what injuries you suffered is because we are required to link the injuries with the wrongdoing in order to proceed forward with a valid case. This is known legally as ‘causation’. If there is a missing link, then it becomes impossible to prove a valid case. Keep in mind that in any evaluation of a medical malpractice case, the attorney MUST get a medical expert to review your records and confirm each element of your case.
What are those elements? Exactly what I talked about in paragraph 3 and 4. I must prove (1) wrongdoing; (2) that the wrongdoing caused harm; and (3) that the harm is significant and permanent.
DO I GET ALONG WITH YOU?
Believe it or not, your case will take approximately 2-3 years from start to finish. The attorney will need to determine whether you are a good fit and whether you will have a good relationship that you can both live with for the duration.
If you do not get along with each other, it’s probably not a good idea to stay together at the outset. The attorney-client relationship is an important one. If the fit is a good one, great. If it’s not, just as in a marriage, don’t get started.
CONCLUSION:
These five tips will help you understand what an attorney looks for when you walk in the door and they start asking you questions.
New York Daily News blows the lid on cover-ups at
New York City municipal hospitals including Bellevue hospital,
Coney Island hospital,
Elmhurst hospital, Harlem hospital,
Jacobi hospital, Kings County hospital,
Lincoln hospital, Metropolitan hospital, North Central
Bronx hospital,
Queens General hospital and
Woodhull hospital.
"City-run hospitals faked records and covered up dozens of botched operations, deadly accidents, malpractice and other medical screwups, a Daily News investigation has found.
The coverups hid a trail of human suffering among patients who were maimed and relatives who were never told the truth about how their loved ones died or were injured unnecessarily."
Read the full article
here.
I was contacted today by a physician who claimed to do expert witness work for injured victims. He wanted some business. I asked him what his medical speciality was. Instead of a direct answer, he said he'd done consulting for attorneys before, and that if I want, I should go to his website to see what he has done.
I said "No. Tell me what your medical specialty is."
His reply- "Research."
"Are you board certified in any field of medicine?"
"No, but I help attorneys understand their case, and I don't have to be board certified to testify."
I asked, "How can you testify as a credible expert witness if you're not board certified?"
His response: "I do this all the time. I don't really testify. I help explain the case to you so you become more familiar with the medicine."
"What types of cases do you review?" I asked incredulously. "Surgery, pulmonary, cardiac, cancer..." was his reply.
I was amazed.
I then asked why I should hire him, and then have to hire a second expert to testify at trial? I only heard silence on the phone.
I asked again.
"Why should I hire two medical experts; one who reviews the case, and another who testifies?"
His reply was "Because I'm a better teacher."
"But wait," I said. "You still haven't answered my question."
"If I hire a medical expert to spend 5 hours to review medical records, and that expert feels the case has merit, I don't want to hire another expert two years later to review the case starting fresh, and close in time to the trial. That's double the work, and double the money. What do you have to say about that?"
He had no answer.
"But I'm a better teacher," he repeated.
"So are many of the experts I hire. They're clinical doctors with academic credentials who are board certified," I said.
I was getting frustrated talking with this guy.
"What good does it do for my client if you're a good teacher, but you can't come into court to teach a jury that our position is more likely right than wrong?"
His final answer was "I've been doing this for a long time, and you really should see my website."
My final reply was "Have a nice day."
The moral of the story: Don't let your medical malpractice attorney hire a "medical consultant" who does not testify, just to confirm you have a case, and then have to hire a new medical expert during your case. Make sure you hire a board certified expert in the specialty you need to review and to testify."
Here's a letter I received:
"Dear Mr. Oginski,
Enclosed is your check for $1,000,000. This represents the full and final settlement of this action."
Looking at this remarkable check, I couldn't help but think how useful this will be for my client who suffered permanent and irreversible injury due to medical wrongdoing. So often we read about injured victims who abuse the legal process for their own financial gain, as well as lawyers looking to make a quick buck at the expense of their clients. However, little is written about the seriously injured victim who goes quietly into the night after settling their case with a "no publicity" clause.
In New York, many insurance companies demand that the attorney and injured victim agree not to publicize the terms of the settlement. The injured victim is often left without much choice should they wish to settle their case for the number being offered by the insurance company. Obviously, if the settlement offer is unacceptable and the case goes to a verdict, the winner is free to publicize that verdict in any way they choose.
There are some people who think that a $1 million settlement is a windfall. There are others who look at it as a winning lottery ticket. Yet there are similarly injured victims who look at it as insufficient compensation for the horrible and irreversible injuries this person suffered through no fault of their own.
So, when I saw the check addressed to my client and my law firm telling me "Here's your $1 million dollar settlement, I couldn't help but think about the injuries, the suffering, and the turmoil my client endured to justify obtaining a $1 million settlement on his case.
The failure to recognize that a nerve was being compressed, despite the patient complaining about symptoms of pain, numbness and tingling were ignored during a busy emergency room shift. The failure to perform surgery in a timely manner resulted in permanent damage to the nerve, the arm and hand. This case was settled during discovery and shortly before it was placed on the trial calendar.
You just found out that your treating doctor was sued for medical malpractice. You do not know the details, nor do you know what injuries the patient claimed as a result of the alleged malpractice. Does the fact that your doctor was sued mean that he or she is not a good doctor? The short answer is "No," and here's why.
In this great Country we live in, an injured victim has a legal right to seek compensation from those people he believes caused him physical and emotional harm. This is true in New York as well. Our civil justice system is set up so that if you choose to bring a lawsuit against a doctor or hospital, then the "burden" of proving your case is on the person bringing the lawsuit. "That seems fair, right?"
In New York, an injured victim must show to a jury that what he is alleging is more likely right than wrong. In other words, he is not required to prove to a panel of 6 jurors that what he is saying is 100% absolutely true. Instead, he is only required to show that his version of his claim is "more likely true than not true." "But what if a juror just isn't sure about the injured victim's claim? What happens then?"
The answer is that a juror does not have to be absolutely sure. Instead, the juror just needs to determine whether what the plaintiff (the injured person bringing the lawsuit) is saying is more likely true than not true. If it is, then the jury is required to render a decision in favor of the plaintiff. During jury selection, a good trial lawyer may tell prospective jurors that "Dr. Jones is a good doctor and we are not here to dispute that. However, at a particular time, and at a particular place, this doctor was careless and that carelessness caused my client injury. When a doctor was careless, we expect that person to take responsibility for their actions."
To answer the question posed in the title of this article- just because a doctor is sued for malpractice does not mean that he is a bad doctor. This is especially true if the case has not finished and is still in litigation.
Most patients will not know what the facts of the case are. They will not know what the doctor's defenses are. Nor will they likely know the patient's injuries and whether that patient is permanently disabled. For all you know, the case may not have merit. On the other hand, it may.
The bottom line: Don't judge a person by accusations you may have overhead somewhere else. Wait for the outcome. Learn the details. If you are truly concerned, be straightforward with your doctor. Ask him directly. Ask for reassurance. The answer will help you make an informed decision about whether to continue your medical care with this doctor.
Many calls I receive are from potential clients who want to know if they have a valid medical malpractice case. These callers want to tell me their story, but sometimes the story rambles on and on. I can't follow the timeline, and I can't determine why this person is calling, and cannot tell what injury they're calling about. As politely as possible I tell them to stop and list to this two-part question:
"What do you think was done wrong that caused you permanent harm?"
That question usually stops most callers cold. They pause to think about the permanent injury they may have suffered.
Most callers have no problem explaining how they feel a doctor or hospital did something wrong. However, when asked to link the wrongdoing to the permanent injury, many callers simply get stumped, finally recognizing that they may not have a potential case here in the State of New York.
The two-part question listed above has, contained within it, three elements needed to prove a successful case. In every medical malpractice case in New York I must be able to prove that
1. There was wrongdoing,
2. The wrongdoing caused injury, and
3. The injury is significant and permanent.
Lots of callers can talk at length about elements number one and two, but when they think about the permanent injuries, many realize that they simply don't have any long-term permanent injury. It is also important for any lawyer to speak to, to inform you that in New York, all three of the elements needed to prove a malpractice case must be confirmed by a medical expert who has either treated you, or reviewed all of your medical records. If any one of those elements is missing, then there's no way to prove your case.
Even though there are still calls for "Tort Reform" the vast majority of malpractice victims in New York fail to recognize that they are a victim of medical neglect.
1. Patients don't know they are victims of medical malpractice.
Studies show that roughly 2.9 to 3.7 percent of admitted hospital patients suffer some sort of preventable injury as a result of improper medical care. Even more management-related injuries occur outside of the hospital. These injuries are a result of a physician's affirmative mistake, or that person's failure to act. Types of mistakes include errors in diagnosis, use of automated materials, and inappropriate delay of treatment.
However, one of the most common errors occurs with administering medication. Up to 98,000 patients are killed each year as a result of preventable medical errors, the eighth leading cause of death in the U.S., yet only 10,000 cases of malpractice are filed each year. In the vast majority of cases, however, the fact that a poor medical outcome was caused by malpractice is hidden from the patient.
2. No autopsy was ever performed.
Remember that we must prove both carelessness on the part of the doctor or hospital and that the carelessness resulted in death or injury. In a medical malpractice case that results in death, it is extremely difficult to prove that the death occurred because of the malpractice without an autopsy. This is because there are so many reasons why a person might have died, but we must prove that at least one of the reasons for the death was the negligence or carelessness of the doctor or hospital.
1. A physician's poor bedside manner does not constitute negligence.
In the vast majority of cases, even extremely poor bedside manner cannot be considered in determining whether a physician was legally negligent in providing treatment. We have reviewed many cases where arrogant doctors provided care and the patient was injured. It just doesn't matter legally that the doctor was a jerk. We must prove, with expert medical opinion that the treatment departed from good and accepted medical care; that such care was a substantial factor in causing injury and that the injury is significant and permanent. Bedside manners are not, in and of itself, part of the formula that a jury will use to establish responsibility.
2. The patient suffered no significant damages.
If the victim suffered minor injuries, the legal system is not set up to handle small medical malpractice cases. We decline hundreds of cases a year where it appears that the doctor was careless but the resulting injury was not significant. A pharmacist may incorrectly fill your prescription, and you might get sick for a few days. If you have a good recovery, however, you probably don't have the basis for a case. That's because the costs of pursuing the case will be greater than the expected recovery. Our Court system may not be perfect, but it does act as a filter to keep out all but the most serious cases of medical malpractice.
The physician or hospital's mismanagement did not necessarily cause the injury suffered.
When proving that medical malpractice was the reason why the patient suffered an injury, I must show that the treatment rendered or not rendered was a departure from good medical care. That medical neglect had to have been a cause of an injury, and the injury has to be significant and/or permanent. The attorneys for the doctors and hospital have many standard defenses such as: (1) The injury was an unforeseeable consequence of the initial condition/injury, (2) The injury was due to the patient's non-compliance with prior medical advice, (3) The risk of the patient's particular injury was a known, recognized, risk (acceptable to whom?), (4) Some other party was responsible for causing the injury, or (5) The injury was caused by a previous illness or disease.
Medical malpractice claims must show that the doctor's substandard care, more likely than not, was a substantial factor in causing injury.
The injured patient has not retained an experienced attorney.
The world of medical malpractice claims is a world unto its' own. It has its' own special rules and laws. We believe that it is imperative that an experienced medical malpractice attorney or an attorney that is 'teaming up with' an experienced malpractice attorney represent you.
The statute of limitations has expired.
This is the time a person has to start a lawsuit. The time limit is very different for a city, state or municipal hospital than it is for a private hospital or doctor. One reason that you should consult an experienced medical malpractice attorney early is to determine when the statute of limitations expires in your case! DON'T LET YOUR TIME RUN OUT without knowing your legal options!
A woman who had spinal surgery was sent home shortly after undergoing successful spine surgery.
Two days later, she was unable to move her legs and had difficulty urinating. A call to the surgeon's office revealed that the surgeon was unavailable, and he would get back to the family shortly. A repeat phone call to the doctor's office resulted in being told to wait for an available hospital bed, and that they would be called as soon as a bed opened up.
The family decided they could not wait at home as the patient's symptoms were getting progressively worse. The doctor's office had told them to go directly to the admitting office where they would wait until a bed was available. Unfortunately, this patient waited about five hours in the admitting office for a bed. During this time, she was never examined or treated by any physician.
Once the patient was admitted to the hospital, the wrong diagnostic imaging test was performed. The imaging test turned out to be inconclusive, and it wasn't until a full day later that the "gold standard" imaging test was done. This conclusively showed there was a fluid collection in the area of her prior surgery that was compressing her spine.
The reason she had neurological symptoms was because the buildup of fluid compressed the spine. In spite of these findings, surgery was not performed immediately to remove the fluid and relieve the pressure on the spine. It was not until many hours later when surgery was finally performed and the fluid evacuated.
The patient required hospitalization and then a transfer to a rehabilitation facility. She had difficulty walking and ambulating. After a few weeks in physical rehab, she was finally sent home to recuperate.
Shortly before we were scheduled to begin jury selection on this case, all sides were able to reach a mutually agreeable pre-trial settlement. Because the terms of the settlement require confidentiality, I am unable to disclose the amount of the settlement, the people involved or where within New York this took place.
A surgical error can range from an improper procedure to an unrecognized perforation in an intestine leading to injury and death. How do you know whether a surgical error rises to the level of a departure from good and accepted practice? By having either a treating physician tell you that the treatment was improper, or having a medical expert confirm that there was improper medical care.
In New York, before an attorney is permitted to bring a medical malpractice lawsuit on behalf of an injured victim, he must have the case reviewed by a medical expert who is qualified in that field of medicine. The expert must be able to confirm that there was improper medical care; that the improper treatment caused harm, and that the harm is significant and permanent.
If any one of those elements is missing, then it will be difficult, if not impossible to bring a successful case. If the expert confirms there is a valid case, then your attorney must submit a "Certificate of Merit" which lets the Court know that you have had an expert review and confirm there is a basis for a case.
If you have questions about the care and treatment you received, and believe there was wrongdoing that cause you permanent harm, then call Gerry today to answer your legal questions at 516-487-8207. He welcomes your call.
Obstetrical Malpractice
When a woman goes into labor is hardly something that can be controlled. Often it happens at the most inopportune time. We have all heard at least one story of a pregnant woman traversing a snowstorm, hailing a cab, or rushing to the hospital in the middle of the night.
As much as the timing of going into labor can catch a mother to be with her guard down, it can also catch hospital staff when it is down. A recent study of 700,000 births indicates that complications are much more likely at night then during the day.
Did you know that a deposition is nothing more than a question and answer session in your lawyer's office? It's true. The only difference is that it's sworn testimony, as if you are testifying at trial. Watch the video to learn more.
This is the 5th video, in a series of videos that explain how medical malpractice cases work in New York.
Learn what an "Answer" is. Find out what "Affirmative Defenses" are and how defense attorneys use them. Watch the video to learn more.
This is the 4th video, in a series of videos that explain how medical malpractice cases work in New York.
You believe you have a valid medical malpractice case. Find out what documents actually start your lawsuit and learn who actually delivers the papers to begin your New York medical malpractice case. Watch the video to learn more.
This is the 3rd video, in a series of videos, that helps you understand how medical malpractice cases work in New York.
Did you know that in order to start a medical malpractice lawsuit in New York, we must have confirmation from a medical expert? It's true. Watch the video to learn more.
This is the 2nd video in a series of videos about how medical malpractice cases work in New York.
How does an attorney get copies of your medical records in order to evaluate your possible case. Watch the video to learn how.
This is the first video, in a series of videos, that help you learn how medical malpractice cases work in the state of New York.