Medical Mental Candy: Top 10 Celebrity Malpractices Cases

by Michael Sacopulos, JD; General Counsel, Medical Justice   From Mary-Poppins to Michael Jackson, below are ten unbelievable, shocking, horrific malpractice cases from the past decade.   Michael Jackson The King of Pop died in 2009 as a result of an overdose of the sedative Propofol. The drug was administered by Dr. Conrad Murray who … Read more

Notes from a Plaintiff’s Attorney: Taking a Defensible Consent – Part 2

We continue with Part 2 of our series of articles penned by one attorney, an MD, JD, giving you a view of the world through a malpractice plaintiff attorney’s eyes. In this article, the author addresses “Taking a Defensible Consent”. This attorney is a seasoned veteran. The series includes a number of pearls on how to stay out of harm’s way. While I do not necessarily agree with 100% of the details of every article, I think the messages are salient, on target, and fully relevant. Please give us your feedback – and let us know if you find the series helpful.

 

By Dr. JD, a plaintiff’s attorney, practicing in the Northeast

4. Will including a documented discussion of a risk or complication protect me from a lawsuit if that problem actually then occurs, since the patient agreed to risk it?

No

 

Many doctors misinterpret a patient being informed of a potential problem and still electing to go ahead as an “assumption of the risk” situation that would then bar that patient from recovering for an injury incurred as a result. They believe the consent to be a “get out of being sued card”.

 

The actual fact is that just because something is a known complication or a possibility that was discussed, and which the patient indicated a willingness to risk in hopes of a greater benefit, does not mean that if that problem occurs that it was not the result of negligence. The fact that the patient was aware that it might happen is irrelevant because, in consenting, the patient accepted that sometimes even a perfectly done procedure may have a complication but did not thereby also consent to having the procedure performed negligently, causing the same complication.

 

Therefore, if the patient-turned-plaintiff can prove that the problem occurred as a result of a breach of the standard of care, that he or she knew that it might happen if the procedure were actually done perfectly does not restrict them from suing for damages that resulted from it.

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Notes from a Plaintiff’s Attorney: Taking a Defensible Consent – Part 1

By Dr. JD, a plaintiff’s attorney, practicing in the Northeast

 

Consenting a patient is really the entering into of a contractual agreement that will govern the medical care that you will engage in and, as in all contracts, that process requires a meeting of the minds to be valid.

 

The document called a “consent” is, like a written contract, merely a legal formality that memorializes the end result of that process.

 

The only role it really plays in a medical malpractice action is when it is not there at all or looks so deficient on its face that it raises serious questions about the propriety of the care ( e.g.; the physician is not named, suggesting that there may have been “ghost surgery”, or the patient’s signature is a scrawl that suggests that they may not have been competent when they signed, or the document itself is post-dated, suggesting that it was only filled-in after the fact).

 

In fact, since a malpractice claim in which a patient is alleging “lack of informed consent” is actually the patient saying “I did not know something critical to my decision about my care because you did not tell me, and I would not have made the choice about my care that led to my present problem if you had told me what I needed to know”, a signed piece of legal boilerplate is no bar at all to that claim proceeding. At most, it creates a rebuttable presumption that the patient agreed as an informed person, but that simply moves the case forward to the presentation of evidence to provide that rebuttal.

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Sometimes It’s Better to Break Up Sooner Rather Than Later

Everybody knows a couple that’s not going to “make it.” They’re destined to part. The question is how much pain or indifference they’ll endure before the inevitable happens.   Occasionally, there’s a doctor-patient relationship that’s not going to make it.   A dentist recently described his story.   Several years ago, he fashioned upper teeth … Read more

iPads and Implantable Cardiac Devices. Avoiding Death While Surfing?

Doctors understand the need to warn patients about side effects of medications, as well as drug-drug interactions. The list of things to warn about just got longer.   iPads.   Apparently magnetic interference from ubiquitous technology devices can alter the settings or potentially deactivate implantable cardioverter defibrillators (ICDs). A study was performed by a 14 … Read more

Mandatory Urine Drug Screens for Physicians?

A recent article in Journal of the American Medical Association delved into the touchy subject of mandatory alcohol and drug screening programs for physicians. In their piece titled “Identification of Physician Impairment”, the authors Drs. Pham, Provonost, and Skipper concluded healthcare lags behind other high-risk industries in detecting high-risk factors causing injury or accident.   … Read more

A Tough Ethical Conundrum

The NY Times hosts a column each Sunday called the Ethicist. Readers send in their real-life ethical conundrums, and the columnist weighs-in with advice.   Recently, a doctor wrote that “years ago” his patient was having headaches. The patient finally confessed that he committed a serious crime and somebody else “took the fall for it.” … Read more

FL Bill Trims Who Can Be an Expert Witness

Earlier this week the Florida State Legislature passed a bill which would require expert witnesses testifying against a physician in a medical malpractice case to practice in the in the exact specialty of medicine as the defendant physician. This is an important piece of legislation which Governor Rick Scott should sign into law. Florida already … Read more

Your Patient is a Criminal. Carrier Denies Payment. Now What?

Most doctors have taken care of patients who were medically impacted by their illegal act. Some of these patients actually have third party insurance. I know, you’re skeptical. OK, how about a rock star who overdoses? Maybe he’s not come to your ER. But, he came to someone’s ER.

Dzokhar Tsarneav, another criminal, was transported to a hospital to be treated – probably at great cost – for injuries sustained in a gun battle with the police. This issue brings into focus the problems physicians face in getting an insurer to cover patients for what they brought on themselves through illegal acts.

The basic rule of insurance is carriers will not cover an insured for intentional illegal acts. Insurers will cover patients for harm resulting from their illegal act IF that crime was not intended. Therefore, if a driver is injured while trying to run down his neighbor that driver will not be covered. But if the driver drove while drunk – itself an illegal act but without intention to commit a crime – he would be covered for injuries he sustained when he crashes into a lamppost.

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