Articles Posted in Medical Malpractice

Florida law has a very complex and often expensive pre-suit process for anyone who seeks to sue for medical malpractice. The pre-suit requirements are mandatory, and must be strictly complied with. But in many cases, it may not be so clear whether an injury was caused by medical malpractice or not. If that question is answered incorrectly, the result can be devastating for a case.

The Pre-Suit Requirements

If someone believes they have been a victim of medical malpractice, notice to all prospective defendants must be sent, describing the nature of the claim and the injuries. The potential defendants can then reject the claim, offer to settle it, or request the claim go to arbitration.

Normally in a jury trial involving personal injuries, a jury is free to award as damages whatever amount they see just and fit, based upon the evidence presented. Traditionally there has been no cap or maximum on an amount that can be awarded, again, so long as the award is supported by the evidence presented.

However, with the push of doctor and insurance lobbyists, a few years ago, Florida passed a cap on certain damages that could be recovered by victims and their families in a medical malpractice claim.

About the Cap

A recent article from Forbes discussed the topic of medical malpractice lawsuits, particularly, how the motivation in filing a malpractice lawsuit is not always about a monetary damage award. Although many areas of personal injury law have emotional aspects to them which go beyond monetary awards, medical malpractice lawsuits and the emotion involved in them can be especially motivated by more than simply a damage award. It is critical to secure the services of a skilled Miami malpractice attorney to succeed in your case.

Recent Case of Malpractice

The Forbes article discussed a daughter whose mother was in a hospital. The mother was not doing well, and the patient’s daughter called the treating doctor to change medications. She was met with a refusal to even respond, with the treating doctor saying that it was a weekend and he needed a break. The mother eventually did survive, but the daughter, upset with the standard of care, and wanting to effect a change, opted to file a formal complaint with the governing medical board as opposed to filing a lawsuit.

On July 1, 2013, Senate Bill No. 1792, codified in Florida Compiled Statutes at Ch. 2013-108, went into effect, and, within hours, spurred several legal challenges by Florida trial attorneys. The law allows physicians and defense attorneys to interview a physician regarding his or her patient’s treatment during the fact-finding period of a potential lawsuit without the patient’s presence, consent or knowledge. The statute also requires that any expert witness that testifies in medical liability must practice the same specialty as the defendant’s physician.

Physicians, hospitals, and other medical professionals owe their patients a duty to act with a certain level of care generally accepted within the medical industry. When medical professionals fail to satisfy this duty, the resulting negligence may result in liability for medical malpractice. As this blog has discussed before, between 1990 and 2010, nearly 10,000 medical malpractice judgments were paid out totaling $1.3 billion. In the cases underlying those judgments, death occurred in 6.6% of patients, permanent injury in 32.9%, and temporary injury in 59.2%.

The Florida Justice Association (“FJA”), a group comprised of Florida trial attorneys, is leading the challenge to the new law, claiming that it violates state privacy rights and the federal Health Insurance Portability and Accountability Act. According to the lawsuits filed by the FJA, allowing defense attorneys to contact nonparty physicians without patient consent will lead to illegal medical history disclosures. Critics of the law also contend that it will deter the filing of medical malpractice lawsuits for fear personal information will be improperly divulged.

According to a study released late last year by the Johns Hopkins School of Medicine, approximately four thousand surgical “never events” occur annually in the United States. The study defines “never events” as those incidents for which there is universal professional agreement that should never occur during a surgery. The study, run by associate professor of surgery Dr. Marty Makary, attempts to quantify the extent of medical malpractice that occurs on a weekly basis across America.

According to the study’s estimations, a foreign object is left inside a patient during an operation thirty-nine times every week, an incorrect procedure is performed twenty times every week, and the wrong body part is operated on twenty times every week. The study also approximates that a staggering 80,000 never events have taken place in hospitals from 1990 to 2010, however, the actual quantity of such occurrences is likely higher.

Using the National Practitioner Data Bank (“NPDB”), a federal database comprised of medical malpractice claims, the study analyzed nearly 10,000 medical malpractice judgments that were paid out between 1990 and 2010. With this data, the study was able to estimate that never events happen in the United States at a rate of 4,044 per year. The NPDB data compiled by researchers revealed that malpractice judgments and claims totaled $1.3 billion during the period covered by the study. In the cases studied, death occurred in 6.6% of patients, permanent injury in 32.9%, and temporary injury in 59.2%.

Hospitals Overdosing Patients on Drug Already Infamous
For Causing Liver Failure

Findings published in the November 12 edition of Archives of Internal Medicine reveal that hospitals may be overdosing a significant number of their patients who are being treated with the drug acetaminophen. More specifically, researchers found, in two carefully studied inpatient facilities, that overall, 6.6% of patients on acetaminophen received more than the recommended daily dose of the drug. Among older patients and patients already suffering from chronic liver disease, between 18% and 22% were given more acetaminophen than is deemed safe for these high-risk populations.

These statistics indicate a gravely serious breakdown in the care of inpatients, but they are particularly concerning in light of the fact that acetaminophen, best known as the active ingredient in Tylenol, poses unusually high risks for liver damage at any dose. Acetaminophen’s infamous capacity to poison the liver has been the foundation of many liver-injury lawsuits brought against Tylenol’s manufacturer over the years, and news of institutional acetaminophen overdosing lends a new urgency to claims such as those raised by Charlotte Lee Thompson, a Floridian who suffered serious liver damage while taking Tylenol in 2008, and whose case against Tylenol’s manufacturer was very recently moved from a Florida state court to a Florida federal District Court.

The Well-Known Dangers of Acetaminophen

As stated in Ms. Thompson’s lawsuit filing, acetaminophen is the leading cause of acute liver failure in the United States. The above mentioned Archives of Internal Medicine report confirms this, and adds that acetaminophen is linked not only to liver injury, but also to blood clotting disorders and deafness. It is particularly easy to overdose on acetaminophen because the drug is a common secondary ingredient in many other drug products, and patients who are unaware that one of their medications contains acetaminophen may add Tylenol (or a store-brand equivalent) to their drug regimens, unwittingly exceeding safe dosage levels. This accidental overdosing can become chronic or “staggered,” and according to the February 2012 edition of the British Journal of Clinical Pharmacology, staggered acetaminophen overdosing is particularly likely to cause liver toxicity with life-threatening effects such as multiple organ failure.

In 2009, the U.S. Food and Drug Administration (FDA) recommended that acetaminophen manufacturers place stronger warnings about the risk of severe liver damage on their products. In 2011 the FDA directed manufacturers of combination drugs containing acetaminophen to limit acetaminophen content to 325 mg per unit. Effective earlier this year, in response to FDA pressure and high rates of acetaminophen-related liver failure, Tylenol’s manufacturer lowered the maximum daily dose for Regular Strength Tylenol.

The Consumer’s Right to Adequate Warning
Lawsuits filed on behalf of acetaminophen victims are generally framed as product liability claims, in which injured individuals focus on the unusual dangerousness of the drug and the inadequacy of warnings placed on product packaging. In the Florida case brought by Charlotte Lee Thompson, Ms. Thompson explains that in February of 2008, she took Tylenol for several days, all the while keeping her dosage within the limits recommended on the product packaging. During this period, she was admitted to hospital, on an emergency basis, for severe liver damage. She required over 10 days of hospitalization, enduring substantial pain and suffering, and later suffered a loss of earning capacity.

Ms. Thompson asserts that Tylenol is defective, unreasonably dangerous to consumers, and not safe for its intended use. Her complaint also states that she should have been warned that Tylenol should not be taken on an empty stomach, and that at the time she took the Tylenol, the manufacturer-recommended dosage was too high. In addition to these claims, Ms. Thompson has alleged that Tylenol’s manufacturer breached the implied warranty of safety that goes with consumer products like Tylenol. Ms. Thompson hopes to recover damages to cover her medical expenses and economic losses, along with damages for physical and emotional injuries and punitive damages.

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Earlier this month, Palm Beach County Civil Division jurors awarded $28.45 million in damages to the mother of a Boynton Beach child who suffered a stroke and permanent brain damage after two doctors misdiagnosed what was a very serious, but eminently treatable, infection of the child’s nervous system. The child had presented at Bethesda Memorial Hospital with a persistent fever, and his doctors correctly ordered a diagnostic spinal tap; but when spinal fluids showed the presence of bacterial meningitis, the doctors failed to take notice.

The child subsequently fell victim to a massive stroke that left him with profound and permanent developmental disabilities. His doctors alleged that they eventually did diagnose and treat for meningitis (and they are planning to appeal the verdict). However, in an interview given to the Palm Beach Post on the occasion of the verdict, the family’s medical malpractice attorney discounted this better-late-than-never argument, noting that all the injuries and losses suffered by the child and his family could easily have been prevented through timely administration of antibiotics.

The hefty verdict in this case included $12 million in non-economic damages reflecting the patient’s pain and suffering. Though Florida legislation imposes a cap of $1 million on such non-economic damages in medical malpractice cases, the successful plaintiff in this lawsuit may ultimately recover the full verdict amount, because the Florida Supreme Court is currently in the process of deciding a case, brought by key policy-makers, that seeks to get rid of the legislated malpractice damage limits.

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An East Naples man is suing NCH Downtown Naples Hospital after he reportedly suffered second-degree burns during surgery to install a pacemaker in 2008. Earlier this month, 72-year-old Frank Komorowski testified that he was burned on his chest, neck, and shoulder while under anesthesia. Komorowski stated he awoke to smell his own skin burning after he heard a nurse’s screams.

Although surgical fires are rare, between 550 and 650 operating room fires occur each year in the United States. In addition to severe burns, surgical fires may cause permanent disfigurement and death. The Anesthesia Patient Safety Foundation estimates about 65 percent of operating room fires involve a patient’s face, neck, head, and upper body. If a burn reaches the patient’s airway, it is often fatal. The problem is common enough the nation’s Food and Drug Administration (FDA) began a medical professional education safety initiative designed to combat operating room fires last fall. The FDA also recently held a webinar to teach health care providers how to reduce the risk for surgical fires.

At a recent hearing on Komorowski’s case, an attorney for the hospital argued in Collier Circuit Court that the hospital was not negligent. Instead, she told the court the surgeon who installed the pacemaker caused Komorowski’s injuries. The attorney also argued the hospital could not be held liable because the surgeon was not an employee of the hospital at the time of the fire. An expert for the hospital stated oxygen under a surgical drape likely caused the fire.

Komorowski’s attorney countered the hospital’s arguments by stating it is widely recognized that surgical fires do not occur absent negligence. Although no one was willing to take responsibility for the incident, operating room nurses and Komorowski’s own surgeon reportedly agreed that an alcohol-based antiseptic was not allowed to dry fully before the surgeon began to operate. As a result, an electrical cauterizing device allegedly ignited the fire.

Following the hearing, Judge Hugh Hayes ruled adequate evidence existed to prove hospital negligence. As a result of the judge’s ruling, a jury will soon be tasked with determining the amount of damages Komorowski and his wife will receive from the hospital as a result of his burn injuries.

Each year, many people in Florida are hurt or killed by a health care provider’s negligence. Medical professionals such as surgeons and nurses have a duty to provide their patients a certain level of care. When health care providers make mistakes or fail to provide the required level of care, a patient may file a medical malpractice lawsuit. If you were hurt by someone tasked with providing your medical care, you should contact a skilled South Florida medical malpractice attorney to help you protect your rights.

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A Florida mother has sued Heart of Florida Regional Medical Center and a nurse employed by the hospital for negligence after the nurse allegedly severed part of her 3-month-old daughter’s finger. The baby’s mother, Veronica Olguin, has alleged hospital nurse Emily Anna Stutz negligently failed to follow proper safety procedures while using scissors near her child. Olguin has also accused the hospital of failing to properly train its employees and failing to properly supervise Stutz. In the Polk County Circuit Court lawsuit, the baby’s mother is seeking more than $15,000 in damages.

The lawsuit resulted from an October 2011 incident during which Olguin’s daughter, Selena, reportedly lost half of her left pinky finger. According to Olguin, the nurse was attempting to cut a plastic intravenous tube from Selena’s hand immediately before the baby was scheduled to be discharged from the hospital following a fever. Instead, Stutz allegedly severed part of the child’s finger and ran out of the room screaming. Following the accident, hospital doctors unsuccessfully attempted to reattach the infant’s finger.

An attorney for the child’s mother claims the lawsuit was filed after the hospital refused to respond to his settlement requests. He also stated his client wanted to ensure other children did not become the victims of similar accidents in the future. Olguin reportedly expressed concern that the loss of her finger may result in future emotional damage to Selena. Hospital officials expressed regret over the incident and said the parties had yet to reach a settlement agreement.

An attorney for the nurse stated his client was distraught over the incident and took time off of work immediately following the accident. Hospital officials also stated Stutz is a skilled nurse who made an unfortunate mistake while removing bandages from an infant’s tiny finger. Stutz is still employed as a nurse at Heart of Florida Regional Medical Center.

Each year, many Florida residents are killed or disabled by medical negligence. Health care professionals such as doctors and nurses owe their patients a certain standard of care. When health care providers fail to provide the required level of care or make mistakes, a victim may hold them accountable by filing a medical malpractice lawsuit. If you or a family member was injured by a doctor or nurse, a capable South Florida medical malpractice lawyer can help you preserve your rights.

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