Medical Malpractice
I received a call at 7 AM this morning asking whether I was Walmart. I politely told the caller, after rubbing the sleep out of my eyes that she was calling an attorney's office and not Walmart. When I finally awoke, I questioned why this woman would think that I was Walmart.
I don't have a big-box store-front office. I don't discount my fees. I don't offer sales on goods and services. I don't advertise on TV, and I don't have thousands of customers pouring in and out of my parking lot on a daily basis.
- As a solo practitioner, I have the benefit of knowing every detail of every case but I handle.
- As a solo practitioner, I don't have to ask three associates what was the last thing that happened on your case, when you call asking for information.
- As a solo practitioner, I have the privilege of meeting you at your very first office visit.
- I have the privilege of being with you when you are questioned at your question and answer session, known as a deposition. I also have the privilege of representing you at trial.
There are many large law firms in New York that are set up differently. The attorney you first meet with may not be the attorney who handles your deposition. The attorney you call to get an update may not be the same lawyer that you met on your first visit. The attorney who handles your deposition may not be the trial attorney who tries your case. There are some law firms that have attorneys dedicated to the pretrial phase of your case, and those lawyers do not try cases. Likewise, those law firms may have teams of dedicated trial lawyers, where all they do is try cases.
I personally found, in almost 21 years in practice, that clients love continuity.
Clients like to know that if they have a question, they can go directly to their point person at the lawyer's office to ask them a question or address any concerns they have. No one likes to be shuffled around from one person to the next. However, the question I always ask is "Do you want to deal with the senior trial attorney from day one?" or "Do you want to go to a large firm with many attorneys to handle your case where you may not speak to the actual trial lawyer until shortly before trial?" The choice, as always is yours to make. Choose wisely.
Conclusion:
Am I Walmart? Clearly not. Obviously, she got the wrong number.
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."
Learn about the 5 key questions I need to know in a failure to diagnose cancer case. Read a list of defense attorneys whom I consider to be worthy adversaries in the State of New York. Learn 6 common definitions of legal terms that you may not know.
A New York medical malpractice attorney must be able to prove three things:
(1) Liability,
(2) Causation and
(3) Damages
OK, but what does that really mean?
(1) Liability means that we must be able to prove "with a reasonable degree of medical probability" that the doctor or hospital who treated you "departed from good and accepted medical care."
"What does that mean?"
It means that we must prove that we are more likely right than wrong that the doctors who cared for you did not treat you properly and in accordance with the standard of care that other physicians with the same specialty would use to treat your problem.
In New York, we are required to have a medical expert confirm that the treatment was inappropriate and explain how and why.
(2) Causation means that our medical expert must be able to say, again, that what he is saying is more likely right than wrong, and that the medical wrongdoing or carelessness was a cause of your injuries.
"In human language please..."
Our expert must be able to connect the dots to this puzzle. He must be able to show that the medical wrongdoing was a cause of your injury. If he is unable to show that the wrongdoing caused your injury, you will be unable to prove your case.
"What if there are multiple causes of my injury? Does he have to show that the wrongdoing caused all of them in order for me to prove my case?"
No. We are not required to show that the doctor's carelessness was THE cause of your injury, only that is was A cause of your injury. The distinction is very important.
(3) Damages mean injuries.
"Well, why didn't you say that to begin with?"
In law, specific words have certain meanings. Our expert must prove not only that there was medical wrongdoing and that the wrongdoing caused injury, but we must also show that your injury is significant and/or permanent.
We use your treating doctors to explain to a jury what injuries you suffered. If your treating doctors are unavailable, we use medical experts to describe to the jury the extent of your disability and permanent problems.
CONCLUSION:
Once we have proven these three requirements, we will be able to have a jury decide whether we have successfully proven our case, and if so, how much money to award to you as appropriate compensation.
You think you're the victim of wrongdoing by a doctor or hospital.
You don't know any lawyers personally.
You don't have any friends who know a good medical malpractice lawyer.
What can you do to find a good medical malpractice lawyer?
Here are your options:
1. Look in the yellow pages
2. Watch daytime TV and wait for the loudest TV commercial screaming "HAVE YOU BEEN INJURED? IF SO, CALL ME."
3. Remember a catchy phone number from a billboard you pass each day on the way to work
4. Look in the classified ads
5. Go online and do a Google search
Let's examine each to see what information you can learn about whether a particular lawyer is right for you.
1. Yellow pages.
Look carefully at each ad to see if you can distinguish one lawyer from another. I've been in practice over 20 years and can't tell one lawyer from another. Yes, one has a full page ad; one has color; one has the total number of years all the lawyers have been in practice; another says they're open 24/7; another says they offer free parking; another says they handle 10 different types of law.
The problem with the yellow pages is that none of the ads give you any information to explain how these lawyers can help solve your legal problem.
2. TV commercials are usually 30 seconds long. They show pictures of crashed cars; sirens in the background; people in an ambulance. So what? How does that explain how they can help you? How do you know if that lawyer is right for you? I can't distinguish one lawyer from another after watching a 30 second TV commercial. How do you know if they've handled cases just like yours? What type of law firm is it- a large firm, a small firm? Who handles your case on a day-to-day basis?
The problem with TV ads is that they don't explain anything. They just shout at you.
3. Billboards: These are
even worse than the yellow pages or TV ads. Why? They give no useful information. "Call Me, at 1-800-I SUE FOR YOU" or some other cheesy catch phrase. How can you tell anything about a law firm from a billboard ad? Who are these people? How many cases do they handle? How many lawyers are in their firm? Who handles my case on a day to day basis? Do they give free information in a book or pamphlet?
The problem with billboards is that unless you pass it each day, you're unlikely to remember the number. Even if you do, ask yourself what information that billboard tells you. If you simply switch someone else's name and phone number, can you tell the difference between the two attorneys? If you can't, how can you tell if that lawyer is right for you?
4. Classifieds: Again, like the billboards, these offer zero information. Who searches in the classifieds? Everyone looking for a bargain, or a used car. What information does the classified ad tell you? Nothing, except that "I'm a lawyer and here's my number."
The problem with classified ads is they don't give an injured victim any useful information that will allow them to make an intelligent decision about who to call, and who to hire as their lawyer.
5. Go online: This is the best way to search for an attorney if you don't know one. Do a google search for a medical malpractice lawyer in your State. Go onto YouTube to search for attorney videos. Look at the lawyer's website. Look critically to see what information they offer. Does the lawyer offer free reports on their website? Do they explain how lawsuits work? Do they have free informational books about medical malpractice? Do they have free video tips that help explain the legal process. Do they have more than 10 FAQ's that every lawyer seems to have? If the lawyer has video on their website, look carefully to see what information the attorney provides. Are they simply telling you how great they are, or are they explaining different types of cases they handle? Does the lawyer help you understand what an experienced lawyer looks for when evaluating a case?
CONCLUSION: Only by looking critically at the information an attorney provides online can you begin to make an intelligent decision about which attorney is right for you.
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.
I am thrilled to post an excellent legal blog review (known as a blawg) by fellow New York personal injury lawyer John Hochfelder. Here is an excerpt of his review where he graciously included
my blog among three for New York medical malpractice attorneys he would have turned to had he needed our advice.
"It was in the 1970's that Mom got cancer. She was a free spirit, and after traditional medicine failed she sought alternative treatment (including a clinic in Germany with reggae star Bob Marley) but ultimately the scourge that is cancer took her life in 1982. Was she treated properly by all of her physicians? Did they delay the diagnosis of cancer when they could have saved her? I don't think so and I hope not. Had I thought otherwise, I could have turned for advice either to the aforementioned
Eric Turkewitz or other bloggers and top medical malpractice lawyers such as Andrew Barovick at
New York Medical Malpractice Law Blog or Gerry Oginski at
NY Medical Malpractice Blog."
Read the rest of the blog post
here.


Gerry's new book, DOCTORS GONE WILD, is an insider's view of medical malpractice cases here in New York. Reading this book you’ll learn 10 Reasons Why You Shouldn't Sue Your Doctor. You'll learn about a Urology Disaster, a Dental Implant Nightmare, a botched breast reduction surgery. Find out whether a doctor who perforates your colon during colonoscopy is responsible for your injuries. Learn about a failure to diagnose ectopic pregnancy, failure to diagnose lung cancer, emergency room mistakes and much much more. If you live in New York, and want to learn about medical malpractice cases in New York, you can download the book immediately, for FREE!
Just click here and enter your information.
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.
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.
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.
Negligence Cases
All attorneys who handle cases involving accident or medical malpractice in New York handle them on "Contingency." What does this mean?
It means that the lawyer receives a fee only if he is successful in getting you compensation for your injuries. His fee is 'contingent' upon you getting money. If the lawyer is unsuccessful and you receive nothing, the lawyer also receives no fee.
FOR AN ACCIDENT CASE IN NEW YORK:The attorney's fee is 1/3 of the amount you recover, after the attorney's expenses have been paid back to his law firm. What this means is that the lawyer pays all litigation expenses and really provides you with an interest-free loan during the time your case is in litigation. At the end of the case, if you are successful, the lawyer's gets repaid for his expenses.
FOR A MEDICAL MALPRACTICE CASE IN NEW YORK:The attorney's fee is
LESS THAN an accident case. This has been true since 1985. The fee is based on a sliding scale, which means that the more you recover, the more you get to keep.
$1-$250,000, the attorney's fee is only 30%.
$250,001-$500,000, the attorney's fee is only 25% for that segment.
As the amount increases, the attorney's fee decreases, until you reach $1.25 million. Anything above $1.25 million, the attorney's fee is only 10% for that segment.
Remember, at the end of the case, if you are successful, the lawyer's gets repaid for his expenses. From the remaining amount, his fee is calculated, and then you receive the remaining amount.
CONCLUSION:The purpose of having a contingency fee is so that people who could not afford an attorney's hourly rate would be able to hire an experienced lawyer without having to worry whether they could pay.
You win your case; the attorney gets paid. You lose your case; your lawyer gets nothing. That's a significant incentive for your lawyer to work hard to get you the most compensation you are legally entitled to.
Find out why Gerry Oginski, an experienced New York medical malpractice and personal injury trial attorney believes that jurors in NY should be allowed to twitter during a trial. Currently, jurors are not allowed to talk to each other about the case until after they have received legal instructions from the judge.
Likewise, attorneys and the litigants are also prohibited from talking to the jurors. Twitter allows us to see what a juror is thinking about the testimony. Watch the video to learn more.
For answers to your legal questions, call Gerry personally at 516-487-8207 or by email at lawmed10@yahoo.com. He welcomes your call.
How many times have we heard the term ambulance chasing and thought of lawyers who were unscrupulous and had no ethics?
Just yesterday I critiqued an attorney video where a lawyer was seeking accident victims while shooting her video in an operating room. What made the video even more unusual is that there appeared to be a real patient on the operating room table, a physician operating, and a nurse attending to the patient. Unlike a video that depicts a hospital in the background, this medical malpractice attorney was clearly and visibly located within the operating room itself. Whether the people in the operating room were actors or not I could not tell.
However, this brief video did nothing to educate an injured victim who was searching for an attorney online. It is this type of advertising that gave rise to the term of ambulance chaser for negligence and medical malpractice attorneys years ago. Typically, lawyers had a very limited means in which to educate consumers about which lawyer was the right one for them. Traditional forms of advertising consisted of television advertisements lasting no more than 30 seconds, and a Yellow Pages ad that contained very little useful information.
Comedians routinely spoofed lawyer advertisements and movies portrayed negligence lawyers hanging out in funeral homes, (The Verdict with Paul Newman), as being the only way they could find cases. Other lawyers were shown hanging out in emergency rooms seeking to sign up every available accident victim.
Although every spoof has a hint of truth to it, it is highly unusual for attorneys nowadays to be found lurking in hospital emergency rooms or chasing ambulances to track down injured victims.
The other day while in court I ran into a defense attorney I worked with on a number of cases. He was on my mailing list to receive my monthly newsletter. I hadn't seen him in a few years, but the first thing he said to me when we saw each other was "I still get your newsletter." The comment he made after that prompted me to write this blog post. He said, "Your newsletter appears to be a bit of ambulance chasing, doesn't it?" I asked him what he meant by that.
He said, "I recognize that attorneys have to have their shtick as a way of getting potential clients." I replied that my newsletter was not only informative, but helped educate potential clients, friends, colleagues and injured victims about how the legal process works. Importantly, I told him that there are people who have not received my newsletter on time who call me up wanting to know why their newsletters are late because they enjoy it so much.
Contained within my informative newsletter I have a trivia game, interesting news items, one or two stories about law, and in many cases an ongoing story called "Gerry's Never Ending (fictional) Story." When I returned back to my office later that day, I removed this defense attorney from my mailing list recognizing that he truly didn't understand the purpose of the newsletter. Clearly, I never want to send my newsletter to someone who doesn't want it. I will tell you that in all the years I've publish my newsletter, this is only the second person I've removed my mailing list.
You've brought a lawsuit in New York for injuries you received in a car accident. You've just given a deposition (a question and answer session) under oath where you explained in detail how your injuries prevent you from playing sports and doing many of your life's daily activities.
A few weeks later you are on Facebook telling your friends how you just went skiing and had no problem speeding down the double diamond slopes on an amazing mountain. While on Twitter, you posted a few quick comments about how you spend your day working part-time for a carpenter as a helper carrying heavy items in and out of the job site.
A bright defense attorney decides to check out your Facebook profile while he prepares his report to the insurance company. He also does a Google search of you to see where your name pops up. He finds your Facebook comment about your skiing adventure as well as your Twitter posts saying that you're working part-time.
What does this mean for your lawsuit in New York?
The short version is that you're in trouble. The longer version is that you have created contradictions between the injuries that you claim to have suffered versus information that you have put out for public consumption on at least two social network sites.
Many people using Facebook and Twitter fail to recognize that by using and posting on these sites they generally have no expectation of privacy. It's not like having a private face-to-face conversation with one person. When you post to Facebook and Twitter, you are talking to the world.
Will a trial judge allow a defense attorney to cross-examine you with the statements that you made on Facebook? Will your contradictions show that you were less than truthful under oath? In my opinion, a trial judge in New York will allow this information in.
What do you think will happen to your credibility once you are portrayed to have lied? A jury will no longer believe what you have to say. I'm not even going into the possibility of fraud or an intention to lie.
So what's the take home message? Remember, that when you post comments on Facebook, Twitter and other social networking sites, the entire world can see them. Contradict yourself at your own peril.
General
When looking for an attorney online it is often difficult to determine which lawyer is right for you. Before making any decision, look critically at the information the lawyer is providing to you, either in an advertisement, an article or even a video. If the lawyer simply provides a brief message that says nothing more than "Call me because I'm here," ask yourself "Why?"
Selecting the right attorney to help solve your legal problem is an important decision. Read the article to learn the difference between pay per click ads and organic search results. Find out what experience this particular attorney has and how it can help you in your quest for justice. At the end of the article, read the conclusion for a neat little trick that will tell you a lot about any attorney that you call.
To read the full article,
click here. Your dreams are gifts that set you in motion.
On the tides of time where life is an ocean.
Your sails are filled with the winds of desire, to surge through the wake of muck and mire.
And when you awaken with your goal at hand, you see your true destination was the voyage, not the land!
(Comment: I read this many years ago, and found it to be very inspiring. I would love to credit the author, but do not know who it is.)
In this 12 page newsletter you'll learn about Gerry's new book, "Doctors Gone Wild." Learn how medicare and medicaid can ruin your accident lawsuit. Find out how Twitter and Facebook led to mistrials in recent lawsuits. Read about a juror in New York who was Twittering during the jury selection process. Learn why a permanent nerve injury resulted in a $1 Million Dollar settlement. Test your knowledge of medical malpractice and negligence cases in NY; Try our trivia game, and see what sits on top of the St. Maarten Courthouse.
Just today I received mail from a company called Elite Lawyers of America asking me to join their organization to promote my success stories. How did they propose to do that? By joining an organization that supposedly restricts its membership to attorneys who have had awards, settlements or verdicts of at least two million dollars. Now I have no problem with an attorney who wants to tell their prospective clients about their accomplishments. Keep reading to find out the catch.
"Acceptance in this organization represents an incredible accomplishment by the civil trial attorney." You may ask, "What do I get for joining this Elite group?"
Well my friends, I get a lucite object to put on my desk which is etched with the name of the (previously never heard of) organization and a statement that says "Membership limited to civil trial lawyers who have obtained a verdict or settlement of at least 2 Million dollars." Then there is a place for your name, and the accompanying photo says "Your name here." How nice.
And the cost to have this company pay a few dollars to put my name on a generic lucite obelisk and for a fancy certificate I can impress you with? Only $500. Payment of this fee guarantees lifetime membership. Ooh, I feel so lucky.
Guess what? I personally don't need to spend $500 to show my clients that I have obtained settlements in excess of $2 million dollars. All they need to do is read my website and realize some of my accomplishments include settling a failure to diagnose heart attack case for $6 million dollars. Why do I tell you about this? The next time you walk into an attorney's office and are impressed with their certificates and fancy objects on their desk, look closely at it and ask them how they got it. The answers may surprise you.
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.