Articles Posted in Medical Malpractice

A federal district judge in Washington, DC has granted a pharmaceutical company’s motion for summary judgment in a lawsuit brought by a patient alleging the failure to warn of certain risks associated with the company’s drug. In Patteson, et al v. AstraZeneca, L.P., et al, the plaintiff allegedly suffered debilitating complications from prolonged use of the company’s anti-psychotic medication Seroquel. She filed suit against the company and her treating physician. The court granted AstraZeneca’s motion for summary judgment on the grounds that the company’s duty to warn of risks applied to the doctor, not the patient.

The plaintiff, Kay Patteson, sought treatment from Dr. John Maloney, also a defendant in the lawsuit, in May 2006, according to the court’s ruling. She complained of “anxiety, depression, chronic insomnia, and serious alcohol abuse and dependence.” After other drugs did not alleviate her insomnia, Dr. Maloney prescribed the anti-psychotic drug Seroquel for off-label insomnia treatment. Patteson’s symptoms improved at first, but then began to worsen in April 2007. She began to suffer “progressive weakness in her lower extremities and difficulty walking.” Several physicians could not determine the cause of her condition, although Dr. Maloney reduced her Seroquel dosage during this time. Most doctors attributed her symptoms to the large number of stressors in her life.

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The family of a woman killed by her husband can sue the husband’s doctor, the Utah Supreme Court held in February. In B.R. and C.R. v. West, et al, the children of Kristy Ragsdale sued the doctor and nurse practitioner who treated the children’s father, David Ragsdale, alleging that the mixture of medications they prescribed caused a deterioration of David Ragdale’s mental state that led to Kristy Ragsdale’s murder. The trial court ruled for the defendants, finding that no doctor-patient relationship existed between the plaintiffs and the defendants. The Supreme Court overturned the verdict, which could significantly impact medical practices all over the country. Some states already hold doctors liable for certain third-party injuries, but the question remains open in many situations.

David Ragsdale was a patient of Dr. Hugo Roeder and nurse practitioner Trina West at a clinic in Draper, Utah. According to the court’s opinion, West prescribed six or more medications for Ragsdale, under Roeder’s supervision. These included psychotropic drugs like Concerta, Valium, Paxil, and Doxepin; and the steroids pregnenolone and testosterone.

Ragsdale and his wife were reportedly estranged during this time, and she had petitioned for a restraining order against him. West reportedly modified Ragsdale’s drug regimen in November or December 2007, after he told her about the divorce and restraining order. While Ragsdale had all of these drugs in his system, he shot and killed Kristy Ragsdale the morning of Sunday, January 6, 2008 in their church parking lot. He pleaded guilty to aggravated murder in 2009 and will serve at least thirty years in prison. Although Ragsdale took responsibility for the killing, he said he does not believe he would have done it but for the medications.

The Ragsdales’ children, identified only as B.R. and C.R., were only four and nineteen months old at the time of the murder. Their conservator, William Jeffs, filed a lawsuit in 2010 against Roeder and West for medical malpractice in prescribing medications with alleged risks of psychiatric side effects. The trial judge dismissed the case in February 2011 on the grounds that the plaintiffs lacked standing because they were not patients of Roeder and West. The Supreme Court agreed to hear the case directly, bypassing the appellate courts. It ruled in February 2012 that the defendants have a duty to nonpatients “to exercise reasonable care in the affirmative act of prescribing medications that pose a risk of injuries to third parties.”

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As medical devices grow increasingly sophisticated, disputes have begun to arise between doctors and medical device manufacturers over who bears the responsibility when a patient is injured by a device. In some instances, manufacturers try to hold doctors liable for using a device improperly, and in others doctors try to hold manufacturers liable if the device did not function correctly. Disputes such as these bring two different theories of liability together in unforeseen ways: medical malpractice and products liability. How these disputes are resolved could have an important impact on how courts assess liability in future malpractice cases.

American Medical News, a publication of the American Medical Association, reported last month on an orthopedic surgeon in Kentucky who implanted a pain pump in a patient’s shoulder to administer painkillers after reconstructive surgery. The patient later returned, complaining of shoulder pain. An examination revealed that the patient had developed chondrolysis, a condition that causes significant deterioration of joint cartilage. It can be caused by certain types of anesthetic if they are continuously administered into or near the joint. The pain pump had evidently caused the chondrolysis because of the type of anesthetic administered.

The patient sued the pump manufacturer, alleging that the company failed to warn the doctor of the risks of complications from this particular use of the pain pump. The manufacturer brought the doctor in as a third-party defendant and alleged that the doctor used the pain pump “off-label,” meaning in a way not intended by the manufacturer or approved by the Food and Drug Administration (FDA). The case is still in progress in Kenton County, Kentucky.

Doctors have a duty to their patients to provide diligent care. Because of their special training, they occupy a particular position of trust under the law and have unique responsibilities. They must rely, however, on a wide range of products and equipment in order to provide state-of-the-art care, which means they must rely on various warranties and assurances from third-party companies. These include pharmaceutical companies and medical device manufacturers. Doctors can only provide care to the best of their ability with the knowledge available to them. They are responsible for learning how to use medical devices such as pain pumps, but in the event that something goes wrong, the question becomes whether or not they used a device correctly or if the device was somehow defective.

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A Washington, DC-area dentist recently warned about the importance of protecting children’s teeth and jaws from injury as they participate in fall and winter sports, noting the potential for serious damage and complications from fairly common sports injuries. The dentist, of course, recommends obtaining a custom-made mouth guard with the assistance of a dental professional. His advice demonstrates the importance of ensuring safe and reliable protection for children (and adults) who participate in sports, whether the protective device is store-bought or professionally-made.

Sporting goods stores and other retailers sell a variety of protective equipment, including mouth guards, pads, and braces. Almost any of these types of equipment are also available custom-made from medical professionals. The recent article focuses on mouth protection, but its advice applies to protection for the head, limbs, back, and more. Manufacturers of products offered for sale to the public have a duty to take reasonable steps to ensure that their products are fit for their advertised use.

Consumers, under the legal theory of products liability, may be able to recover damages from the manufacturer of a product if that product causes them injury in certain circumstances. A manufacturing defect could be any sort of flaw occurring during the production of a product that makes it unsafe. A design defect is a problem inherent in the product that would have occurred before the product was ever produced or assembled. A marketing defect refers to the advertising of a product for some improper use. Any of these defects could cause an injury to a consumer, and could entitle the consumer to compensation for injuries.

Medical professionals, by virtue of their education, training, and unique position of responsibility to their patients, have a very high duty of care. Producing customized protective equipment for athletes places them into a position of responsibility for the design, manufacture, and marketing of these products. They therefore bear some potential liability for customized equipment along with the actual manufacturers.

The Consumer Product Safety Commission (CPSC), an agency of the federal government, monitors the safety of consumer products, issuing recalls for products it deems sufficiently unsafe. It enlists the cooperation of the manufacturers themselves when possible, but it has the legal authority to order a recall when necessary. The CPSC maintains records of recalls it has ordered or requested, organized by market segment. It has issued multiple recalls for sports equipment, including safety equipment for both adults and children, such as:

Football helmet chin straps due to “laceration hazard,” November 3, 2011
Ski helmets due to “head injury hazard,” July 21, 2011
Baseball and softball gloves due to “presence of mold,” July 6, 2011
Bicycle helmets due to “head injury hazard,” May 31, 2011
Lacrosse gloves due to “violation of lead paint standard,” July 26, 2010

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A jury in a federal lawsuit in Cheyenne, Wyoming has awarded $9 million to Louis and Rebecca Prager. The suit against Campbell County Memorial Hospital in Gillette, Wyoming and Dr. Brian Cullison alleged medical negligence during treatment of Mr. Prager in 2008, leading to permanent disabilities. The award may be the largest medical malpractice verdict in Wyoming history.

Prager, an oil field worker, was involved in a rollover accident on December 9, 2008, when the truck he was driving for his employer went off the road in icy conditions.. An ambulance crew immobilized him on a backboard, placed a neck brace on him, and rushed him to the emergency room at Campbell County Memorial Hospital. According to the lawsuit, despite complaints of neck pain, Cullison released Prager without examining him, taking x-rays of his neck, or providing him with a cervical collar.

Prager, 51 years old at the time, returned to the hospital four days later after losing the use of his left arm and shoulder. The hospital found multiple fractures to his cervical spine and performed emergency neck fusion surgery. The surgery prevented any further injury, but could not repair the nerve damage. He has since had a second neck fusion operation and will probably require more in the future. He has also undergone several procedures aimed at reducing his pain. He has been unable to work since the accident.

Prager’s lawsuit alleged that Cullison’s failure to diagnose his broken neck led to permanent C5 nerve root injuries, and sought to hold the doctor and the hospital liable for his expenses, pain and suffering, and future costs. Defense attorneys argued that Prager’s pain and loss of use of his arm resulted from a progressive shoulder injury, not the failure to diagnose the cervical injury. After a nine-day trial in October 2011, the jury determined that the negligence of the hospital and doctor caused Prager $7 million in damages. They awarded an additional $2 million in damages for loss of consortium to Prager’s wife, Rebecca. “Loss of consortium” damages relate to the loss of companionship and support suffered by the spouse or partner of an injured plaintiff. According to the Casper Star-Tribune, this is the largest medical malpractice award in the state’s history, beating the previous record of $1.5 million by a wide margin.

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According to an article published this week in the New England Journal of Medicine, most doctors will face at least one medical malpractice lawsuit as a defendant by the time they turn 65. Their findings come from looking at the files of a national malpractice insurance carrier.

The five most-sued specialties, with its doctors having a 99% chance of being sued by the time they celebrate their 65th birthday, are:

• Thoracic cardiovascular surgery

An appeals court isn’t letting a deceased doctor off the hook for his share of a Washington DC medical malpractice settlement owed to a woman who sustained serious injuries because anticoagulants were improperly administered to her. Per the court, the estate of Ronald Kurstin, MD must pay $1 million of a $2 million settlement.

The plaintiff, Rosalee Blue, was administered the heparin compound Lovenox during an abdominal hernia repair procedure at Sibley Memorial Hospital on April 2004. It was Dr. Kurstin who directed anesthesiologist Dr. John Lordan to give Blue the anticoagulant.

Unfortunately, the medication caused her to experience spinal bleeding and suffer permanent injuries, including impaired mobility and bladder and bowel dysfunction. Blue also continues to experience chronic pain.

11 years after he was mistakenly diagnosed with HIV, an appeals court has said that Terry Hedgepeth’s $20 million Washington DC medical malpractice lawsuit against the Whitman-Walker Clinic can proceed. His original complaint was dismissed on the grounds that he did not sustain any physical injuries from the medical mistake. However, now that the DC Appeals Court has changed the law in the District, emotional injury can be grounds for such a case. Hedgepeth wants compensation for emotional distress, anxiety, weight loss, loss of contact with family and friends, psychiatric facility commitment, suicidal tendencies, depression, damage to his reputation, lost earnings (past, present, and future,) and loss of almost four years of a normal life.

The clinic diagnosed Hedgepeth, now, 42, with HIV on December 13, 2000. He says that the news broke him and he ended up in a psychiatric ward. After his release, he sough treatment for his disease and obtained regular blood tests from the clinic. At the same time, however, he says that his life in havoc. He broke ties with his family because he didn’t want them to know that he was HIV-positive. He also moved into a Whitman-Walker run house for homeless patients, took cocaine, and wanted to die. All the while, he continued to show no signs of infection and he never had to take any meds to treat his HIV.

Four years later, Hedgepeth decided to try holistic treatments and went to the Abundant Life Clinic. A blood test he took there gave him an HIV-negative result. He also tested negative at Johns Hopkins University Hospital.

According to a report issued last week by the city’s Office of the Inspector General, the paramedic who told Edward L. Givens to take Pepto-Bismol for acid reflux hours before the 39-year-old suffered a fatal heart attack was either unaware of or failed to follow a number of department protocols. Givens died on December 2, 2008 after paramedics failed to take him to the hospital when he called to report chest pains and breathing problems. He died six hours later. His family would go on to file a $17 million Washington DC medical malpractice case against the District and Emergency Medical Services alleging wrongful death.

Although initially the District had sought to have the case dismissed on the grounds that case law doesn’t permit someone hurt by an emergency worker to sue for medical malpractice, earlier this year a judge said that because of a new statute letting victims hold paramedics liable for negligence, the DC wrongful death lawsuit could proceed.

According to this latest report, even though Givens declined to go to the hospital after paramedics asked him multiple times if he wanted to go, the emergency responders should have done more to convince him. One emergency worker reportedly told Givens when he asked if he needed to go to the hospital that it was up to him. The inspector general’s report also found that emergency workers were at fault for not recording key information on Givens’ peatient care report, such as his age, first name, medical history, and interactions with family members.

According to a new study by UC Davis Health System, not all children who sustain minor blunt head trauma need to undergo CT scans. Yet, about half of those who do end up in hospital ERs for this type of injury get a head computed tomography scan. More about the study can be found in the June 2011 issue of Pediatrics.

Our Washington DC personal injury law firm represents children and adults who suffered unnecessary injury or health complications because of medical negligence. If you believe that unnecessary exposure to radiation from a medical device, do not hesitate to contact us and ask for your free consultation.

Researchers evaluated 40,113 under age 18 who went to 1 of 25 emergency rooms between June 2004 and September 2006. 5,433 of the kids were observed before medical staff decided to give them a CT scan. What researchers found is that not only was CT use was lower in the children who were observed, but also this did not affect the quality of care that they received. 3,744 of these kids went home without a scan and only 26 of them came back to have one. Of these children, four had traumatic results and just one had a clinically important injury that required hospitalization for two nights.

The fact that not all children with a minor head injury needs to undergo a head scan to get treated properly is good news, seeing as exposure to radiation through CT scans does carry some health risks—especially for children. A single CT scan to a child’s brain provides a dose of radiation equal to about six months to a year of “background radiation.” Radiation can increase the chances of a child developing cancer later in life.

Obviously some head injuries are serious enough to warrant a CT scan, but it is also important that children not be exposed to radiation from this type of test unnecessarily. It might be a good idea to ask your child’s doctor whether there are other medical imaging tests that can be used that wouldn’t expose your son/daughter to radiation.

UC Davis study examines need for CT scans in children, The Sacramento Bee, May 10, 2011
Observation After Head Injury Cuts Kids’ CT Scans, WebMD, May 9, 2011

Related Web Resources:

Pediatrics

Radiology


More Blog Posts:

Botox May Get Rid of More than Wrinkles, Says New Study, Washington DC Injury Lawyer Blog, April 23, 2011
US Lawmakers Seek to Reinstate Right to Sue Medical Device Makers for Personal Injury and Wrongful Death, Maryland Accident Law Blog, February 19, 2009
Walgreens Pharmacy Misfill Leaves Toddler With Dangerous Drug, Pharmacy Error Injury Lawyer, May 4, 2011

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