August 20, 2010

Illinois Car Crash and Medical Malpractice Combo Case Settles for $1.9 Million - Khourny v. Sarmed Elias, M.D., et al.

Many people's circumstances never require them to file one lawsuit, let alone two. Yet within the span of four months Jihan Khourny was injured on two different occasions, leading to her filing two different, but related lawsuits - one being an Illinois personal injury lawsuit, the other an Illinois medical malpractice lawsuit. Both cases recently settled for a combination of $1.9 million. Khourny v. Sarmed Elias, M.D., et al., No. 07 L 3871.

Neck%20Brace%201.jpgThe personal injury claim arose from a car crash that occurred in Elgin, Illinois. Khourny was driving along Route 31 when she was hit by another car. The Illinois car accident lawsuit was brought against the driver of the other vehicle and settled for $100,000. The plaintiff was claiming property damage to her vehicle and a neck injury as a result of the car accident.

Shortly after the accident Khourny began seeking medical treatment for her neck injury. Her doctor recommended she try cortisone injections as part of her treatment plan. Cortisone injections are typically given to relieve inflammation and pain and are used for a wide variety of complaints, including arthritis, tendinitis, and carpal tunnel syndrome.

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August 13, 2010

Cook County Medical Malpractice Settlement Approved for Surgical Negligence in Laparoscopic Tubal Ligation Surgery - Estate of Yvonne Harris v. Advocate Healthcare Network, et al.

While medical advances have made many formerly difficult surgeries routine, there are still dangers with any surgery, especially when anesthesia is involved. In Estate of Yvonne Harris v. Advocate Healthcare Network, et al., No. 03 L 6421, medical negligence during a routine laparoscopic tubal ligation surgery left the decedent with severe brain damage. An Illinois medical malpractice settlement totaling $8.95 million was reached between the decedent's estate and the surgeon, anesthesiologist, physician group, and surgical center.

Surgical%20instruments%201.jpgThe healthy, young mother of two presented for the laparoscopic tubal ligation surgery, a permanent form of contraception that was supposed to be a simple in and out procedure. She was given general anesthesia and the procedure began. However, within five minutes the anesthesiologist noted that she had cardiac arrhythmia, which is an abnormal heart rate, and no blood pressure. All parties affirmed that the patient had not been getting any oxygen to her brain for several minutes.

The Illinois medical malpractice lawsuit alleged that the surgeon and anesthesiologist failed to recognize the plaintiff's deprived condition for several minutes, which resulted in her subsequent brain damage. The patient's abnormal heart rate and lack of blood pressure were a rare complication of the surgery and were thought to be the result of a carbon dioxide embolism.

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August 9, 2010

Illinois Product Defect Liability and Medical Malpractice Combo Case Settles for $3.5 Million - Susan Calles, et al. v. Scipto-Tokai Corp., et al.

A recent Illinois wrongful death case combined both medical malpractice counts and product defect counts. Susan Calles, et al. v. Scipto-Tokai Corp., et al., No. 07 L 4577, was initially dismissed on summary judgment, but was then returned to the trial court by the Illinois Appellate Court. The case has now concluded after reaching a settlement of $3.5 million; $1.5 million for the medical malpractice and $2 million for the product defect.

Lighter%201.jpgCalles involves the death of Jillian Calles, a three year-old girl who suffered smoke inhalation as a result of a fire her twin sister caused. The twin was playing with a butane lighter when she accidentally started the fire. The Illinois product defect claim alleged that the lighter design improperly lacked a child-resistant device.

Under product defect liability, a manufacturer may be held liable for a design flaw in its product if that flaw presents a danger to consumers that could have been eliminated. In addition, the danger must be a byproduct of the product's intended use. For example, if someone becomes injured while balancing a chair on two of its four legs then this would not be the result of a design flaw given that the product was not meant to be used that way.

However, this caveat does not apply in Calles where the twin sister was obviously using the lighter correctly given that she was able to light it. Rather, the estate claims that the design should have prevented the three year-old from being able to use the lighter, period. The specific type of lighter was an Aim N Flame utility lighter manufactured by Scripto-Tokai.

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June 7, 2010

Illinois Birth Injury Case to Be Retried: Will Include Previously Barred Expert Testimony

The Illinois appellate court recently overturned a $12 million Illinois medical malpractice jury verdict, ordering a new trial with a new jury. The new trial involving Northern Trust Co., et al. v. Burandt, et al., No. 2-08-0193, will include evidence brought by defendant's medical expert that had been barred from being heard at the previous trial.

Baby%20Hands%201.jpgBurandt is an Illinois birth injury lawsuit filed by the parents of a child born with neurological injuries. The Illinois brain injury claim was brought against a family practice physician, alleging that the Illinois doctor contributed to the child's injury by delaying a Cesarean delivery.

The claims specifically accused the doctor of being too slow to obtain an operating room for the C-section and in negligently slowing down the mother's contractions before deciding to proceed with the C-section. The plaintiffs alleged that the child's brain injuries were the result of a decreased flow of oxygen during his delayed delivery.

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April 14, 2010

Chicago Birth Defects Result of Medical Malpractice: Claim Filed Under Federal Tort Claims Act

Complications during childbirth may lead to severe injuries if they are untreated or treated incorrectly. In a Chicago birth injury case, the family of a six year-old quadriplegic boy filed a lawsuit against the United States under the Federal Tort Claims Act, or FTCA, claiming that medical malpractice during childbirth was the reason the child contracted a bacterial infection that led to his brain damage.

Crib%20Mobil%201.jpgUnder FTCA, the United States is liable for injuries resulting from a federal employee’s negligence. The doctors who failed to correctly treat the infection were employees of the federally funded clinic, Erie Family Health Center and working at Northwestern Memorial Hospital when the child was born in May 2003.

The Illinois birth injury lawsuit falls under the FTCA even though Northwestern Memorial Hospital, where the child was treated, is a private company and not federally funded. This reason for this is because the doctors who allegedly committed the medical malpractice, and therefore were the ones the lawsuit was against, were federal employees at the time. So as long as a physician is employed by the federal government in any capacity, then your Illinois medical malpractice claim would be subject to FTCA rules, even if you are being treated at a non-federally funded hospital.

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April 9, 2010

Late Diagnosis of Cancer in Illinois Woman's Elbow Led to Arm Amputation

When treating cancer the goal is always to obtain as early a diagnosis as possible so as to give the cancer patient the best possible odds. However, sometimes an early diagnosis is not possible. Sometimes there are no warning signs that something is wrong until the cancerous tumors have reached a later stage in development. But sometimes the warning signs are missed and the cancer is misdiagnosed as something else, in which case there would be an Illinois medical malpractice claim for failure to diagnose cancer.

Elbow%20MRI%201.jpgA recent settlement of an Illinois woman illustrates this point. The Cook County resident filed an Illinois medical malpractice lawsuit against her orthopedic surgeon for a failure to diagnose cancer in her elbow. The delay in diagnosis required an amputation of her right arm in order to try and halt the cancer from spreading. However, this strategy did not work and the cancer metastasized to other areas of her body within the following year.

In order for there to be an Illinois medical malpractice case regarding a delayed diagnosis of cancer there needs to be evidence in the cancer patient's medical records that medical professionals missed clear signs of the patient's cancer. For this particular woman that sign came in the form of an MRI of her right elbow.

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April 2, 2010

Chicago Brain Injury Occurs During Cardiac Surgery

A recent Chicago birth injury settlement provides an extreme example of Illinois surgical complications. The Cook County medical malpractice case was filed on behalf of a boy who was left with severe brain damage following his cardiac surgery at Loyola University Medical Center.

brain-scan%203.jpgThe minor plaintiff was eight months-old at the time the Chicago medical malpractice occurred. According to the details of the case, the little boy presented to Loyola University Medical Center for cardiac surgery. This surgery was necessary due to his congenital heart condition, but should not have resulted in severe brain damage.

However, both during and after the procedure there was a marked reduction in the oxygen flow to the plaintiff's brain, which in turn led to the unexpected brain injury. The minor plaintiff's brain injury was classified as a hypoxic brain injury versus an anoxic brain injury. The difference between the two types of brain injuries is that a hypoxic injury results when the brain does not receive enough oxygen to properly perform its functions, whereas an anoxic injury occurs when the brain does not receive any oxygen. However, both hypoxic and anoxic brain injuries can result in severe brain damage, which is exactly what occurred in this case.

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February 3, 2010

Illinois Medical Malpractice Jury Award Limits Struck Down By Illinois Supreme Court in Lebron v. Gottlieb Memorial Hospital

After almost three years of legal battles, the Illinois Supreme Court came to a decision on whether economic limits should be placed on Illinois medical malpractice lawsuits. In Lebron v. Gottlieb Memorial Hospital, the Illinois high court upheld a Cook County Circuit Court ruling that the Illinois law on medical malpractice non-economic damage caps violate the Illinois Constitution’s “separation of powers” clause.

LawScales%203.bmpThis decision essentially states that the Illinois legislators interfered with a jury's right to determine the amount of economic damages in Illinois medical malpractice lawsuits. The recent Lebron decision marks the third time that the Illinois Supreme Court struck down unconstitutional limits on medical malpractice awards, having done so with similar law in both 1976 and 1997.

The underlying lawsuit, Lebron v. Gottlieb Memorial Hospital, stems from a 2006 Illinois birth injury lawsuit filed by the family of a girl who suffered severe brain damage during her delivery at Gottlieb Memorial Hospital in Melrose Park, Illinois.

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February 1, 2010

Cook County Medical Negligence Results From Poor Post-Surgical Care: Plaintiff Prevails at Trial

Any surgical procedure inherently carries certain risks, so it is not necessarily uncommon for patients to experience post-surgical side effects. However, when those side effects are not treated properly, this type of surgical medical negligence can result in complications and poor results.

Med%20Image%203.gifA recent Cook County medical malpractice verdict demonstrates the importance of a timely response to surgical complications in order to avoid Cook County medical negligence, Lovell v. Sarah Bush Lincoln Health Center, No. 4-09-0249. The facts of the case involve a Cook County resident with prostate cancer who underwent a radical retropubic prostatectomy at a local Illinois hospital.

Following the surgical procedure, the patient complained of a “bloated, constipated feeling” four days after surgery. His family physician ordered a tap-water enema to try and relieve the bloating feeling. Soon after, the urologist whom performed the original surgery resolved that the plaintiff had a fistula that had been caused by the enema. A fistula is essentially an opening that develops between two organs or vessels that do not normally connect.

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January 11, 2010

Excess Radiation Treatment Results in Chicago Medical Settlement in Cancer Patient's Death

Oftentimes cancer medical negligence cases in Illinois hinge on a failure to diagnose cancer in a timely manner. However, a recent Chicago wrongful death settlement deals with a different type of medical negligence surrounding a cancer patient's treatment. In this case a woman with endometrial cancer died as a result of a perforated bowel, which her estate claimed was the result of her receiving 50 percent more radiation than was necessary.

Radiation%201.jpgDecedent Patricia Quirk was diagnosed with stage three endometrial cancer and received all of her radiation treatments at Chicago's Little Company of Mary Hospital. While the first third of her radiation treatments were appropriate, it was the last two-thirds of her radiation treatment that resulted in the Chicago hospital's medical negligence. In essence, the decedent was 'over-radiated', receiving two times as much radiation at each treatment than was necessary and safe.

Even radiation given in appropriate amounts comes with some negative side effects, including nausea, fatigue/malaise, and hair loss. Yet when given in overwhelmingly large amounts, radiation can have disastrous effects on one's body, as the decedent's case unfortunately illustrates. The large doses of radiation eventually caused decedent's bowel to perforate, or tear, which resulted in a blood infection and her eventual death.

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December 30, 2009

Cook County Medical Malpractice Verdict Affirmed by Illinois Appellate Court

The Illinois Appellate Court affirmed a Cook County medical malpractice jury verdict in favor of the defendant doctors regarding the death of an orthopedic surgeon from an allegedly misdiagnosed malignant nasal polyp. The plaintiff's appeal had focused on alleged violations of the Dead Man's Act. Agins v. Otolaryngology Group, Ltd., et al., No. 1-08-3207.

Med%20Image%204.gifThe facts of the case begin when the decedent presented to an otolaryngologist complaining of a severe nose bleed for six days straight. On examination, it was found that the decedent had a 5-millimeter opening to the airway on the right side with severe scarring and a polyp on the anterior part of his right nose. The bleeding was stopped by the doctor through cauterization and the decedent was advised to get a CT scan and referred to another doctor with more expertise.

The decedent continue to follow up with the same physician group over the next few months. Then about five months later the decedent followed up with yet another physician who diagnosed the polyp as neuroblastoma cancer. While the polyp was removed, the decedent died from the cancer two years later.

In the Cook County medical malpractice lawsuit brought by the decedent’s widow, it was claimed that the otolaryngology group that the decedent saw several times during the summer of 2000 and who had cauterized the decedent’s nose bleed but did not otherwise evaluate or treat the decedent’s condition, which in turn led to the failure to diagnose the cancer. However, the defendant doctor claimed that he never saw the decedent in his office.

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December 2, 2009

Cook County Medical Malpractice Verdict Decided in Favor of Parents for Delay in Treatment of Child with Heart Defect

A recent Cook County medical malpractice verdict of $22.3 million was awarded to the parents of a now ten year-old boy. A review of the case reveals that the damages included the loss of both legs as well as brain injuries that included cognitive and neurological abilities. These severe damages were allegedly the result of a delay in diagnosing and treating the boy's congenital heart defect.

Heart%20Anatomy%203.jpgThis case is an unfortunate example of the way that a series of seemingly minor delays and mistakes can lead to disastrous outcomes. The boy was born with a congenital heart defect and had a shunt placed just two days after his birth in an attempt to correct this defect. However, this proved inadequate and two weeks later the baby returned to the emergency room, at which time an echocardiogram suggested that the shunt was partially blocked.

At this point instead of immediately preceding with a surgery to correct the blocked shunt, the attending cardiologist ordered a cardiac catheterization. This procedure was ordered not to correct the baby's defect, but according to plaintiff's attorneys was done simply to confirm the diagnosis of the blocked shunt that had been made by another doctor. The plaintiff's attorneys further alleged that the cardiac catheterization unnecessarily delayed the surgery and directly contributed to the Cook County medical negligence.

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November 25, 2009

Illinois Wrongful Death Case Brought by Family of Man Who Died of a Brain Injury When Brain Bleed Not Recognized

Bleeding seems like a simple enough problem to correct. We've all had a cut or scrape that has resulted in some sort of bleed and we all know the proper way to stop the bleeding: apply pressure and elevate the area. However, when bleeding is internal it is a completely different matter and can result in severe medical complications or death.

Med%20Image%201.gifThis concept is illustrated by a recent Illinois wrongful death settlement where a hospital's failure to recognize a brain bleed in a timely manner resulted in this man's death. The decedent had presented to Advocate Lutheran General Hospital and was admitted to the hospital's surgical intensive care unit for neurological observation after he sustained a brain injury as a result of hitting his head in a fall. Upon his admission a CT scan showed a small hemorrhage in his brain, which is basically another way of saying he there was a small bleed in his brain.

The plaintiff’s family alleged that the healthcare providers were medically negligent in their failure to recognize the importance of subsequent signs that indicated that this brain bleed had progressed. Further, they alleged that the doctors should have known and acted on those signs in time to prevent permanent damage and death by ordering an operation that would have relieved the increased pressure in the decedent's brain.

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November 20, 2009

Chicago Birth Injury Case Settled: Delay in Delivery Results in Severe Brain Damage to Baby

During labor and delivery minutes can sometimes be the difference between a good outcome and a poor outcome. So consider the case of a Chicago mother who was forced to wait over two hours before her baby was finally delivered. A recent Chicago birth injury malpractice case settled with Northwestern Memorial Hospital highlights the importance of timing during labor and delivery.

Crib%201.jpgAccording to the mother's statement, she waited for more than two hours in the obstetrical waiting area at Northwestern Memorial Hospital before a physician even evaluated her. The plaintiff's lawyers alleged that this lengthy wait was negligent in light of the fact that upon arrival to the hospital she had been ordered for an immediate induction of labor due to her severe lack of amniotic fluid. Amniotic fluid is what protects the baby inside the womb and is extremely important to the baby's well-being.

During the two hour wait the physicians were apparently waiting for confirmation of the baby's status via newer tests. When the results finally did arrive they confirmed that the fetal heartbeat was very faint and that an emergency Cesearean section was in fact required. However, this delay resulted in a severe birth injury to the baby boy. He was born nearly lifeless and required resuscitation in order to be revived. He was diagnosed with severe brain damage and immediately placed on life support. The baby passed away a month after he was born.

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November 13, 2009

Chicago Man's Partial Paralysis Leads to Medical Malpractice Settlement

A Cook County resident filed a medical negligence lawsuit against a neurosurgeon and neurologist who allegedly failed to correctly diagnose a cancerous growth on the man's spine. The delay in the diagnosis allowed the tumor to grow larger, which resulted in partial paralysis and permanent neurological deficits.

xray%202.jpgThis particular Chicago medical malpractice lawsuit demonstrates the importance of a timely diagnosis. A review of the case facts indicates that if this man's tumor had been diagnosed earlier that his resulting paralysis would not have developed to the same degree of severity. This issue of a delay in diagnosis lies at the center of many Chicago medical negligence cases.

The 50-some year-old male presented to the physicians at NorthShore University Health System, f/k/a Evanston Northwestern Healthcare, with complaints of lower back pain and leg numbness. An MRI was ordered, which did in fact show the cancerous growth on the spine. However, the neurosurgeon didn’t identify the growth and the neurologist reportedly didn’t view the MRI film prior to reaching the incorrect diagnosis.

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November 6, 2009

Negligent Cook County Delivery Results in Brain Damage to the Child

A Cook County birth injury lawsuit that alleged a baby boy had suffered severe brain damage during a delay in his birth was settled. The medical malpractice lawsuit was against Northwest Community Hospital, a nurse midwife, and the midwife's employer. The case was settled and approved by a Cook County Circuit Court judge.

Waterbirth%201.jpgWhat was particularly interesting about the case was that the delivery was actually a waterbirth. A waterbirth is a birthing method wherein the mother is immersed in a small pool of warm water. Proponents of this method argue that it is safe and offers improved pain relief for the mother and less trauma for the baby.

In this particular Cook County birth injury case, the baby's shoulder became trapped during the end of the delivery. The plaintiff alleged that the nurse midwife and assisting nurses did not drain the birth tub quickly enough to use the standard birthing maneuvers to free the baby's shoulder, and that their actions delayed the baby's delivery. Any delay in delivery can result in harm to the baby, and in this case the plaintiff alleged that the delay resulted in oxygen deprivation and brain damage in the form of cerebral palsy.

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November 4, 2009

Cook County Emergency Room Malpractice Verdict Returned in Favor of Woman's Surviving Family

A jury returned a Chicago medical malpractice verdict for the family of a 45 year-old diabetic woman who died after suffering a cardiopulmonary arrest while in the emergency department of Little Company of Mary Hospital. The woman is survived by two children and a husband.

ER%203.jpgThe decedent's estate alleged that the Chicago emergency room nurses failed to appropriately triage the patient as “urgent” and to properly monitor her deteriorating physical condition, which it alleged was medical negligence on the part of the Chicago hospital. According to reports, the defendant's argued at the trial that warning alarms on devices monitoring the patient’s vital signs did not activate to indicate that her condition was worsening toward cardiac and respiratory arrest. However, the jury obviously did not buy into this defense and found that the Chicago emergency room errors had resulted in the decedent's death.

The woman had severe hyperglycemia when she arrived at the Chicago hospital. Hyperglycemia is a condition in which an excessive amount of glucose/sugar circulates in the blood and is something that the Chicago emergency room staff should evaluate for, especially in those already diagnosed with diabetes. Signs and symptoms of hyperglycemia include high blood glucose levels, high levels of sugar in the urine, frequent urination, and increased thirst. If left untreated hyperglycemia can worsen quickly and develop into a diabetic coma.

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November 2, 2009

Illinois Medical Malpractice Verdict Stands On Appeal For Doctor’s Failure to Diagnose

An recent Illinois medical malpractice jury verdict was affirmed by the Illinois Fifth District Appellate in favor of an injured plaintiff in a medical malpractice lawsuit. The appellate court's decision effectively denied a physician's claims that the plaintiff had failed to effectively prove the defendant had breached the standard of care. Cummings v. Jha, M.D., et al., No. 5-0-0182.

Scalpel%202.jpgThe plaintiff's, Kevin Cummings, original Illinois medical malpractice claim for a failure to diagnose and treat a bile leak following surgery was against two physicians; however, the physician who performed the actual surgery settled out of court. Therefore the jury verdict was only against one of the physicians, a doctor who had been standing in for the defendant surgeon while he was out of town.

The stand-in physician appealed the $210,000 jury verdict in favor of the plaintiff, claiming that he was entitled to a judgment notwithstanding the verdict and contending that the plaintiff failed to show he breached the standard of care or that the alleged breach was a proximate cause of Cummings’ injury. However, the Illinois Appellate Court rejected those arguments and affirmed the lower court’s medical malpractice verdict.

The court said that the evidence showed that the second doctor breached the standard of care when he failed to fully investigate and inquire about Cummings’ history and didn’t obtain sufficient information to make an appropriate clinical diagnosis. One of the experts for plaintiff also testified that the history of plaintiff’s gallbladder surgery should have prompted a reasonably competent physician to investigate Cummings for a surgical complication.

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October 12, 2009

Cook County Medical Malpractice Breast Cancer Jury Verdict Upheld By The Illinois Appellate Court

A woman brought an Cook County medical malpractice lawsuit against her gynecologist for a failure to diagnose her breast cancer in a timely manner. The woman had been seeing the defendant gynecologist regularly since the mid-1980s, but the diagnosis was not made until May 2000, at which point the woman was diagnosed with Stage III breast cancer. The Illinois Appellate Court upheld a jury verdict in favor of the plaintiff, rejecting the defendant's arguments. Dienstag v. Margolies, No. 1-06-1558.

Medical%20Records%203.jpgAs early as 1991 the woman underwent a breast biopsy after her left breast showed an area of calcification. While that biopsy returned benign, i.e. non-cancerous results, the results did show atypical ductal hyperplasia. Furthermore, the woman was at an increased risk for developing cancer due to a family history of cancer.

Following the '91 biopsy the woman underwent annual mammograms to screen for possible breast cancer. Also significant is that in 1998 her gynecologist prescribed estrogen, which could increase the risk for breast cancer, to alleviate menopause symptoms.

The following November, the plaintiff began to complain to her gynecologist of breast tenderness and enlargement. However, on exam the doctor could not feel any dominant lump so continued her estrogen treatments. Then in May 2000, the gynecologist was able to feel a palpable lump in her breast. At that point she was referred to a surgeon for another breast biopsy. This time the results were malignant.

At that point plaintiff was diagnosed Stage III breast cancer, which is fairly progressive. She required a modified and radical mastectomy to entirely remove her left breast and any involved lymph nodes. She later had reconstructive surgery.

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October 2, 2009

Cook County Medical Malpractice Settlement Reached For Misread Of Abnormal EKGs

A recent Illinois settlement in a Cook County medical malpractice claim sought to compensate the family of a 53 year-old man who died during a heart transplant surgery. The issue in the Illinois wrongful death case was whether the man would have even required the surgery if his internist had correctly interpreted test results from several years preceding his death.

EKG%20a%201.jpgThe decedent had undergone regular annual exams with his internist, which each year included an electrocardiogram (EKG) that was performed by the internist. EKGs are typically used to analyze a patient's heart rhythm and identify any abnormalities. The internist interpreted all of the decedent's EKGs from 1998 to 2002 to be normal.

However, in November 2002, the man suffered a massive heart attack, which resulted in extensive heart damage. At that point a triple bypass surgery was performed and a pacemaker was placed. However, from this point forward the man was unable to continue his previously-active lifestyle due to his congestive heart failure. Nor was he able to return to his job as a baggage handler because it was too demanding considering his present condition.

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September 25, 2009

Illinois Wrongful Death Case Settled: Physician To Pay $1.2 Million To Surviving Family Members Of A Man With A History of Sleep Apnea

An Illinois resident suffered respiratory failure after being prescribed a narcotic pain reliever following a minor motorcycle accident. The pain reliever also happened to be a respiratory suppressor, which, when coupled with his pre-existing history of sleep apnea, led to his untimely death as a result of the Illinois physician's medical negligence.

Prescription%20Bottle%202.jpgSleep apnea is a chronic disease that involves pauses in breathing while sleeping. The pauses can range anywhere from a few seconds to several minutes and can occur anywhere from five to fifty times in an hour. The decedent's sleep apnea put him at increased risk for respiratory complications.

During the decedent's hospital stay at Edward Hospital in Naperville, the defendant doctor allegedly prescribed the patient a dose of the narcotic pain reliever that exceeded the therapeutic levels in light of his pre-existing sleep apnea. This Illinois medication error directly affected his ability to breathe and led to his wrongful death on the fifth day of his hospitalization as a result of the medical malpractice.

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September 21, 2009

Cook County Medical Malpractice Case Results in $5 Million Award to Woman Who Received Unnecessary Hysterectomy

An Illinois mother was awarded $5 million by a Cook County jury for an unnecessary hysterectomy she received following the delivery of her first child. Because of the defendant obstetrician's medical negligence the 31 year-old woman will not be able to have children in the future.

Scalpel%201.jpgThe mother arrived at Northwestern Memorial Hospital to have labor induced for her first child and underwent a Cesarean section. While the labor and delivery itself was relatively uncomplicated and did not result in any birth injury to the child, the mother did develop post-operative bleeding following the procedure.

Citing the post-operative bleeding, the defendant physician elected to perform a hysterectomy. The obstetrician claimed that there was not enough time to try an alternative method to stop the mother's bleeding and that therefore the hysterectomy was necessary in order to save the plaintiff's life and that it did not constitute Illinois medical malpractice.

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September 9, 2009

Cook County Birth Injury Settlement Reached in Illinois Cerebral Palsy Case

A Cook County medical malpractice case was settled for $9.5 million after an injured child's parents reached an agreement with his delivering obstetrician, Elmhurst Memorial Hospital, Elmhurst Clinic, LLC, and Elmhurst Memorial Healthcare. The Northern Trust Co. et al. v. Nirali Ghia, M.D., Elmhurst Memorial Hospital, et al., Case No. 04 L 7500, Circuit Court of Cook County.

Newborn%201.jpgIn December, 2002, the now six year-old boy's mother arrived at Elmhurst Memorial Hospital to induce labor. However, the labor did not run smoothly, and after over four hours had elapsed the medical providers opted to perform a cesarean section. When the baby boy was delivered it was found that he had cerebral palsy.

The parents' Cook County birth injury complaint alleged that the obstetrician had failed to adequately assess and recognize that the fetus was not tolerating the stress of labor. During labor and delivery it is imperative that the nursing and medical staff not only monitor the baby and mother's condition, but also properly interrupts the information available.

The plaintiffs further alleged that a four hour delay in performing the cesarean section led to the child's permanent brain injury. The baby boy now suffers from cerebral palsy, a neurological disorder that affects muscle coordination and body movement.

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September 8, 2009

Gastric Bypass Surgery Complications Lead to Death of Illinois Woman: Family Receives Cook County Settlement

The family of a 39 year-old woman brought an Illinois wrongful death lawsuit against MacNeal Hospital and other medical professionals. The decedent had allegedly died as a result of medical negligence related to her gastric bypass surgery. A settlement of $3 million was reached between the decedent's surviving sister and the hospital, nurses and resident physicians.

Doctor%20with%20hand%203.jpgIn the complaint, the decedent's estate claimed that the medical providers had failed to recognize a leak at the surgical site in a timely manner, and that this failure constituted Illinois medical malpractice. Following the gastric bypass surgery, decedent developed a leak in the area that the small intestine had been sewn up. Before the leak was identified the Illinois resident developed sepsis.

The leak was not recognized until the decedent returned to the emergency room with signs and symptoms of sepsis. These symptoms could include rapid respiratory rate, elevated blood pressure, and elevated temperatures. She was taken to emergency exploratory surgery, where the leak was discovered and repaired. Yet by this time her situation had become grave. She died the next day from peritonitis and multi-system organ failure.

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August 26, 2009

Illinois Wrongful Death Case Results from Chicago Hospital's Negligence

In many Illinois medical malpractice cases time is of the essence and can make the difference between a positive or a negative outcome. A recent Chicago wrongful death case typifies this point. The case was brought against a suburban Chicago hospital for the death of a 22 year-old woman who developed sepsis and acute respiratory distress syndrome.

Hospital%20Gurney%202.jpgThe Chicago lawsuit claimed that the hospital's nursing staff discharged the patient despite her continued symptoms of nausea, severe abdominal pain, and faintness following surgery to treat her endometriosis. The woman returned to the hospital within less than 24 hours after her discharge, this time with complaints of extreme pain. She was prescribed an antibiotic, but it was not actually administered to her until 8 hours after it was ordered. Furthermore, the cause of her severe pain was not discovered for over 18 hours after she returned to the emergency room, depleting even more crucial hours in this woman's care.

During exploratory surgery it was discovered that she had suffered a perforation in her small bowel, presumably during her recent surgery to treat her endometriosis. Even though surgeons were able to repair the perforated bowel, by this time it was too late. The patient's condition worsened and she was dead by the following day.

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August 24, 2009

Emergency Room Misdiagnosis of Brain Aneurysms Is All Too Common

Recent studies have shown that the Emergency Room errors in diagnosing brain aneurysms could result in over 50% of cases going undiagnosed. Each year more than 30,000 Americans suffer from a ruptured brain aneurysm, a condition that carries the serious risks of developing a subarachnoid hemorrhage, i.e. bleeding around the brain.

ER%20a%201.jpgIn the case of brain aneurysms any delay in diagnosis can bring dire consequences and is often the difference between life and death. Therefore it is imperative that Chicago and Illinois Emergency Rooms errors in diagnosing brain aneurysms are minimized.

An aneurysm is similar to a ballooned pocket along the arteries and is thought to be caused by weak artery walls. Because most brain aneurysms appear among the large arteries at the brain's base, when they rupture the blood leaks into the brain's subarachnoid space, i.e. the area between the arachnoid membrane covering the brain and the pia mater surrounding the brain. From here the blood spreads to the cerebral spinal fluid that cushions the brain and spinal cord.

The sudden bleed results in a sudden increase in intracranial pressure that can present itself as an explosive headache. Almost 20% of patients reporting "the worst headache of my life", or similar symptoms, are found to have ruptured aneurysms associated with physical exertion. However, too many of these patients are discharged from the Emergency Room with the wrong diagnosis and without necessary medical treatment, which can be a form of medical negligence.

Continue reading "Emergency Room Misdiagnosis of Brain Aneurysms Is All Too Common" »

August 19, 2009

Chicago Birth Injury Case Settled For $11 Million

A recent Cook County medical malpractice case illustrates the importance of a timely delivery. The Illinois birth injury case involved the late delivery of a child after the mother presented to the hospital with warning signs of an uterine rupture.

Baby%204.jpgThe child is now four and has sustained permanent injuries, including cognitive visual impairment and cerebral palsy. A Cook County Circuit Court judge dismissed the case after the family reached a settlement with Loyola University Medical Center.

In this case the mother had arrived at Chicago's Loyola University Medical Center with weak contractions and after being evaluated was assessed as not being in labor. In order to induce labor the attending physician and resident decided to administer Pitocin, a drug designed to accelerate contractions and labor.

As the staff continued to wait for the labor to progress the baby's heart rate began to weaken, which is yet another sign of uterine rupture. Yet the physicians continued to focus on a vaginal delivery and wait. It wasn't until the fetal heart rate had slowed to dangerously low levels that the Cesarean section was even ordered. But unfortunately by this time it was too late and the child was delivered with lifelong impairments.

Continue reading "Chicago Birth Injury Case Settled For $11 Million" »

July 31, 2009

Good Communication The Key To A Successful Doctor Visit

Whether you're an Illinois resident or reside in another state you have experienced the frustration of having only a few precious minutes to explain your ailments to your doctor. When we feel rushed it is easy to forget to mention specifics, or dismiss our complaints as unimportant. Yet when we don't speak up for ourselves our health can suffer. We suggest a few tips to ensure that you get the most out of your medical visit and make sure you are getting the best care possible.

Doctor_Patient%203.jpgOne suggestion is to come to your doctor's appointment prepared, which means writing down any medical questions or concerns you may have. This will ensure that you don't leave the doctor's office and later remember you wanted to know if you should be concerned about the new mark on your upper arm, or if your frequent headaches should be addressed.

It is most important that patients are always honest and forthright with their doctors. Too often, patients withhold critical information because the truth is embarrassing or because they don’t want to disappoint the doctor by admitting that they did not follow the advice or the treatment plan that was laid out for the patient.

If you have been diagnosed with a new disease or health problem, consider doing a bit of research on it prior to your doctor's visit. This will help you become more familiar with the topic and be a better informed patient. However, doctors suggest that sometimes over searching can be problematic and that it is important to remember that each case is different so your care might not necessarily follow what you found online. It is just as important to listen as it is to do your research.

However, if you have trouble remembering the speedy conversation that takes place in your physician's office it might be a good idea to keep a record of it. For example, you could ask your doctor in advance whether you can record your conversations. it is not uncommon for family members to bring video cameras to their visits, but make sure that you get your doctor's permission first. Otherwise, taking some notes during the visit itself is also a good idea.

Continue reading "Good Communication The Key To A Successful Doctor Visit" »

July 24, 2009

Chicago Wrongful Death Case Involving Failure to Diagnose Meningitis of Thirteen Year-Old Girl Awarded $3.75 Million By Federal Judge

An Illinois medical malpractice lawsuit was decided by Chicago Federal District Court Judge Robert M. Dow, Jr., who awarded $3.75 million to the child's surviving family. The case had been brought in federal court versus an Illinois state court because the defendant physician was employed by a government operated facility, which brought the case under federal jurisdiction.

Medical%20Records%202.jpgThe case involved a 13 year-old girl who had presented to her physician with sinusitis, which the physician failed to diagnose. Following the bench trial, Judge Dow concluded that had the sinusitis been diagnosed that it probably would not have developed into bacterial meningitis, which would have increased her chance of survival.

Prior to seeing her physician, the girl had been seen at a hospital emergency room. However, the defendant physician failed to review these records when treating the girl, which the judge found to be a breach of the required standard of care. Furthermore, the physician failed to question the decedent as to the degree of her headaches, which would have been a key piece of information in diagnosing the severity of her symptoms. No antibiotics were prescribed to the girl to aid her in fighting off her infections.

Continue reading "Chicago Wrongful Death Case Involving Failure to Diagnose Meningitis of Thirteen Year-Old Girl Awarded $3.75 Million By Federal Judge" »

July 17, 2009

Cook County Medical Malpractice Jury Verdict Affirmed On Appeal As To Apparent Authority of Emergency Room Physician

The Illinois First District Appellate Court affirmed a Chicago jury verdict, thereby reaffirming its interpretation of apparent authority. The Cook County lawsuit involved a woman who was treated by an emergency room doctor who was not employed by the hospital, but was instead employed by Emergency Specialists of Illinois, P.C. Yet both the trial and appellate courts felt that there was sufficient evidence in the medical malpractice lawsuit to prove that the plaintiff had believed the ER physician was employed by the hospital and therefore that the hospital was also liable for the Illinois emergency room errors. Spiegelman v. Victory Memorial Hospital, No. 1-07-3915.

ER%201.jpgThe plaintiff presented to the Victory Memorial Hospital ER complaining of headaches, pain in her left ear, congestion, a sense of dizziness when turning her head, nausea, and occasional double vision. Upon her arrival she informed the ER nurse that she had a medical history of sinusitis, was allergic to penicillin, and had previously been smoking about 2 ½ packs of cigarettes a day.

The plaintiff was examined by a doctor and diagnosed with Bell's palsy, sinusitis, and an eardrum infection. An x-ray of her sinuses was ordered and she was discharged with instructions to follow up with her primary physician the following day. However, before the patient even left the hospital she became unable to walk straight and had to lean against a wall to support herself.

Continue reading "Cook County Medical Malpractice Jury Verdict Affirmed On Appeal As To Apparent Authority of Emergency Room Physician" »

July 1, 2009

Birth Injury Reduction Unlikely to Occur Under Revised Fetal Monitoring Strip Guidelines for Doctors in the Delivery Room

The current standard for labor and delivery practices is to use electric fetal monitoring (EFM) to evaluate a baby's status. Physicians and nurses will review the EFM readings in order to reduce the risks of a birth injury, such as erb's palsy or cerebral palsy (CP), and death as a result of inadequate oxygen to the fetal brain. However, there is some concern regarding whether the EFM does more harm than good due to inconsistent interpretations of the EFM strips by both physicians and nurses.

Fetal%20Monitoring%20Strips%201.gifEFM has been used in the labor and delivery setting since the early 1970s. Essentially the EFM monitors the fetal heart rate and reproduces the fetal heart tracings on both a screen and paper to enable the medical staff to determine when a baby is distressed. The readings are ultimately used to determine if the baby needs to be delivered surgically by Cesarean section or can be delivered vaginally.

However, unlike a basic medical marker like temperature or blood pressure which is not subject to interpretation, the EFM tracings can be interpreted differently by different doctors. Depending how the individual physician interprets a monitoring strip there can be a difference in opinion about the proper course of action. Recent information has show an increase in the number of c-section deliveries. For example, in Chicago almost 40 percent of deliveries are done via Cesarean.

Some critics say that this rise in c-section deliveries is the result of an increased fear among labor and delivery physicians of potential medical malpractice litigation. While a Cesarean is not necessarily a dangerous option, it still carries risks for both the mother and infant and is much more expensive than a simple vaginal delivery.

Continue reading "Birth Injury Reduction Unlikely to Occur Under Revised Fetal Monitoring Strip Guidelines for Doctors in the Delivery Room" »

June 29, 2009

Illinois Surgeon Not Responsible For Forgotten Sponge

A recent Illinois Appellate Court granted a surgeon's motion for summary judgment in a medical malpractice lawsuit when it found that the surgeon was not responsible for a sponge that was left in a patient after performing a surgery. Two months after the procedure was performed the patient underwent an additional procedure, at which time the surgical sponge was discovered. Forsberg v. Edward Hospital and Health Services, No. 2-08-0243 (April 8).

Surgical%20Sponge%201.jpgThe patient sued both the surgeon individually and the hospital where the procedure was performed. However, after the hospital settled out of court the surgeon requested summary judgment based on his opinion that he had satisfied the standard of care by relying on information he received from the nurses. After a surgical procedure the circulating nurse and scrub nurse are responsible for accounting for all surgical materials. In this case they had told the surgeon that the sponges were all accounted for, at which point the surgeon proceeded to stitch the patient up.

Typically the plaintiff in an Illinois medical malpractice case has the burden to prove that the defendant doctor breached the standard of care, which is usually done by providing expert testimony. However, in Illinois expert testimony is not required to establish the relevant standard of care “where the common knowledge of laymen is sufficient to recognize or infer negligence.” Walski v. Tiesenga, 72 Ill.2d 249 (1978). In the present case the court held that medical expert testimony was not necessary because it is common knowledge that sponges should not be left behind in a patient after a surgery.

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June 23, 2009

Quadruple Amputee Gets Rare Second Opportunity To Recover For Doctors' Medical Errors

In September 2003, Lisa Strong reported a sharp shooting pain in her back. She thought it was yet another kidney stone and expected the discomfort to pass, but this time it was different and became worse. Because of a series of mistakes, misdiagnosis and miscommunication, Lisa Strong lost both of her legs and both of her arms to amputation because of medical negligence.

Doctor%20with%20hand%202.jpgMs. Strong filed a Florida medical malpractice lawsuit against various physicians whom she alleged caused her injuries and resulting amputations. The physicians all seemed to agree that there were profound medical errors that caused Ms. Strong's injuries, but apportioned blame on each other.

However, the jury did not seem to agree that there was medical malpractice and returned a verdict of not guilty against all of the defendant doctors. There were numerous mistakes made by the various hospital doctors, which combined with the finger pointing by all the physicians during the trial made for a very confusing case. Lawyers involved in the case believe the not guilty verdict was a result of the jury being confused by the case facts and unable to correctly determine who was at fault.

In a rare move the trial judge threw out the jury's verdict, concluding that the verdict was "contrary to the law and manifest weight of the evidence." It is very rare for a trial judge to reverse a jury's verdict with only 1/2 to 1% of verdicts being set aside in this manner. Most jury verdicts are left undisturbed by trial judges who prefer to let any issue of law be decided by the appeals process. A new trial has been ordered, which will give Ms. Strong another chance at pleading her case against the negligent physicians.

Continue reading "Quadruple Amputee Gets Rare Second Opportunity To Recover For Doctors' Medical Errors" »

June 12, 2009

Nursing Home Residents Face Uncertain Future With Long-Term Care Insurance Denials

As my dad used to always say, "it's no fun getting old," something that baby boomers are discovering as they begin to reach their golden years. More and more baby boomers are settling into nursing homes and are looking to make a claim on the long-term care insurance that many of them have been paying for over many years. But many people have been disappointed in this not-unreasonable expectation as the insurance companies have been denying claims on a regular basis.

Elderly%20Hands%201.jpgStarting in the 1990s insurance companies began taking advantage of baby boomers by scooping up thousands of individual long-term care insurance policies. It seems that the expectation by the insurance companies was that the buyers would eventually give up paying the annual premiums and close out the files by taking the collected premium.

However, instead more and more claims are being made on an increasing basis. So more and more the long-term care insurers are unable to meet their legal obligations and are denying claims for illegal reasons in an attempt to avoid payment.

In essence the insurance companies were taking advantage of the elderly insureds by denying their claims for long-term care insurance. This left many people without any resources to pay for their nursing home care or other long-term care needs. This dishonesty on the part of insurance companies has resulted in a jump in lawsuits filed against insurance companies, many of which have been successful at thwarting the insurance company's attempts to avoid payment of the long-term care.

Continue reading "Nursing Home Residents Face Uncertain Future With Long-Term Care Insurance Denials" »

June 1, 2009

Autopsy Answers And Painful Questions About Untimely Deaths In Medical Malpractice Cases

Last year our law firm reviewed a tragic Chicago medical malpractice case involving the death of a 28-year-old mother of three. While the facts seemed to point towards medical negligence as a contributing factor of the young woman's death the medical records did not reveal a clear cut cause of death.

Hospital%20Gurney%201.jpgI remember the first conversation I had with the decedent's husband, which took place shortly after her sudden death. During that conversation we discussed whether or not an autopsy should have been ordered. In my opinion whenever the cause of death seems unclear or suspicious it is wise to have an autopsy performed. However, in this case the woman's surviving family members opted not to get an autopsy done.

Sadly, in this young woman's case the real cause of death was never determined. While the medical records were reviewed by both a pathology expert and an infectious disease physician, neither were able to point to a definitive cause of death without an autopsy report. However, both physicians ruled out the causes of death listed on her death certificate, making the case even more of a mystery. Yet without any clear evidence there was nothing that could be done from a medical malpractice standpoint.

Would an autopsy have revealed the true cause of her death? Would it have shown something the doctors overlooked? Could the doctors have done something to prevent her untimely death?

Continue reading "Autopsy Answers And Painful Questions About Untimely Deaths In Medical Malpractice Cases" »

May 28, 2009

Illinois Appellate Court Finds Patient’s Consents Makes Doctor Contractors Not Hospital Employees

When people receive medical treatment at a hospital they typically assume that the doctors are employees of that hospital. However, in many cases the doctor may be an independent contractor of the hospital and not a hospital employee.

Doctor_Patient%202.jpgBecause of the confusion that exists around who treating physicians and staff are actually working for, medical malpractice cases often involve an issue of apparent authority. The general rule is that if a patient believes that his or her doctor is employed by the hospital where he or she received treatment and can prove that it was reasonable for them to think so, then the hospital is liable for any negligence by that physician.

A recent decision by the Illinois Appellate Court further clarifies the apparent authority rule. In Wallace v. Alexian Brothers Medical Center, No. 1-08-2852, the Illinois Appellate Court ruled that a hospital was not liable for negligence by its independent contractor doctors because the plaintiff had signed several consent forms which clearly stated that the doctors treating her injured daughter were independent contractors and were not in fact hospital employees. By doing so they affirmed the partial summary judgment granted by the trial court in favor of the defendant.

Continue reading "Illinois Appellate Court Finds Patient’s Consents Makes Doctor Contractors Not Hospital Employees" »

May 18, 2009

Illinois Enforcing Reporting of Hospital-Acquired Infections

Hospital-acquired infections are on the rise and have become a serious health problem. A 2007 study showed that 99,000 deaths were attributable to hospital-acquired infections alone. Illinois responded to this health problem by becoming the first state to enforce requirements that hospitals report incidences of hospital-acquired infections.

MRSA%201.jpgIn 2007, Illinois passed two pieces of legislation regarding the control of hospital-acquired infections, which were Senate Bill 233/Public Act 95-312 and House Bill 192/Public Act 95-282. The Senate Bill requires each hospital to create a MRSA (Methicillin resistant Staphylococcus aureus) control program. This infection control program must include an active testing system to identify all MRSA-colonized intensive-care unit (ICU) patients and other at-risk patients. The policy mandates that those patients infected with MRSA bacteria are placed on isolation. The Senate Bill also requires that each hospital make annual reports of all MRSA incidences among those ICU and at-risk patients.

The House Bill represents a more gradual approach to infection control and is supported by the Association for Professionals in Infection Control Epidemiology (APIC). The law requires hospitals to perform annual risk assessments regarding infections and to develop infection control plans that follow the Centers for Disease Control and Prevention (CDC) guidelines for MRSA and other multi-drug resistant organisms.

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April 24, 2009

Wrongful Death Action Allowed Against Nursing Home by Missouri Supreme Court, But Arbitration Clause Not Allowed

A recent Missouri Supreme Court case ruled that a nursing home cannot enforce a mandatory arbitration clause against a former resident’s children even if an arbitration agreement with the nursing home had been signed. The court found that “the plaintiff in a wrongful death action is not bound by an arbitration agreement signed” by a sister on the mother’s behalf in Lawrence v. Beverly Manor, 2009 WL 77897 (Mo. Jan 13, 2009).

Hospital%20Bed%202.jpgIn 2003, the resident, Dorothy Lawrence, began living at Beverly Manor Nursing Home in St. Joseph, Missouri. At the time Lawrence's daughter, Phyllis Skoglund, had power of attorney for her mother and signed the contract with the nursing home on behalf of the resident.
This contract included an arbitration clause that stated that "any and all claims, disputes and controversies [regarding the nursing home's care and treatment of Lawrence] shall be resolved exclusively by binding arbitration".

Shortly after her admittance to the nursing home, and the signing of the contract, Lawrence died. Her family filed a wrongful death lawsuit against Beverly Manor Nursing Home alleging that she died as a result of the nursing home's negligence when she was dropped by the nursing home staff.

A trial court ruled that the wrongful death claim could go forward despite the contract including the arbitration language. This decision was affirmed by the Missouri appellate court, at which point Beverly Manor Nursing Home appealed to the Missouri Supreme Court.

Continue reading "Wrongful Death Action Allowed Against Nursing Home by Missouri Supreme Court, But Arbitration Clause Not Allowed" »

April 17, 2009

Cervical Cancer Causing Virus Can Be Tested with New DNA Test as an Alternative to a Pap Smear

A new DNA test has been developed by Qiagen to identify the human papillomavirus (HPV), a virus found to be associated with cervical cancer. Scientists state that this new test is an improvement on current testing methods and might eventually replace the Pap smear test as a way to diagnose HPV.

DNA%201.bmpEarly diagnosis is key in fighting all types of cancer, including cervical cancer. In fact, the most common pitfall doctors fall into regarding patients with cancer is failing to diagnose cancer early enough to provide treatment. This new test could reduce the number of missed cervical cancer cases and improve cancer patients' outcomes.

The optimism around this new DNA test is based on the results of an 8-year study of 130,000 women in Indian that was recently published in the New England Journal of Medicine. The study, financed by The Bill and Melinda Gates Foundation, revealed that a single screening with the DNA tests met all the same standard as all other methods of early diagnosis of cancer.

Similarly, a study by the University of Chicago reports that a predictive model based on family history of breast or ovarian cancer can aid genetic counselors in diagnosing breast cancer in African women. Development of genetic testing for different ethnicities is important because research shows that genetic mutations vary among racial and ethnic groups.

Continue reading "Cervical Cancer Causing Virus Can Be Tested with New DNA Test as an Alternative to a Pap Smear" »

April 15, 2009

Illinois Residents Injured by Fleet Phospho-Soda Application

Thousands of Americans across the country, Illinois, and in the Chicago area have suffered life-threatening kidney injuries after taking Fleet Phospho-Soda in preparation of colonoscopies and other surgeries. Fleet Laboratories is the principal manufacturer of Phospho-soda and has been promoting the product without warning of its drug side effects, which can include kidney damage and renal failure.

Rx_symbol%202.pngStudies have revealed that the link between Fleet Phospho-Soda and these side affects could be the result of calcium phosphate tubules that form in a kidney, which can lead to acute renal failure.

As far back as April 2002 a Health Canada advisory first warned the medical community that oral sodium phosphate solutions like Fleet Phospho-Soda can affect heart and kidney function. A later article published by the New England Journal of Medicine in September 2003 warned that this product could result in serious side effects, such as seizures and acute renal failure.

In December 2008 the U.S. Food and Drug Administration (FDA) issued a patient saftey alert which advised that oral sodium phosphates solutions should be available by prescription only. Immediately following that warning Fleet issued a recall of Phospho-Soda, which had been sold as an over-the-counter medication. In their statement regarding the recall, Fleet advised doctors to no longer directed patients to use this product for bowel cleansing.

Continue reading "Illinois Residents Injured by Fleet Phospho-Soda Application " »

April 2, 2009

Chicago Hospitals Pays $6 Million to Settle Birth Injury Lawsuit for Late Delivery of Child

A mother whose daughter was born mentally disabled and prone to seizures received $6 million in settlement from the University of Chicago Medical Center. Chicago birth injury lawsuit claimed that a Cesarean should have been ordered 35 minutes earlier and that because of the late delivery the child suffered brain damage due to lack of oxygen.

Baby%203.jpgThe mother in this Illinois medical negligence case was admitted to the University of Chicago Medical Center to have labor induced. At her admission two tests were done that could not establish the fetal well-being. While labor was being induced the fetal heart rate was not showing accelerations even though it should. Over the next two hours the fetal heart rate steadily declined.

The plaintiffs argued that due to that heart rate trend a Cesarean section should have been ordered immediately. The doctors waited until the baby’s heart rate fell between 100 and 105 beats per minute to order an urgent Cesarean section surgery. The baby was delivered about 30 minutes from the time the procedure was ordered. That baby is now an adult and is mentally disabled.

Continue reading "Chicago Hospitals Pays $6 Million to Settle Birth Injury Lawsuit for Late Delivery of Child" »

March 25, 2009

Preeclampsia Among Pregnant Women Can Increase Risk of Heart Attack, Strokes, and Blood Clots

Preeclampsia is a condition that results in high blood pressure and leaky blood vessels during pregnancy. It has been estimated that 5% of pregnant women in Illinois will be affected by preeclampsia and that about 300,000 woman per year are affected in the United States. A growing body of evidence suggests that women who develop preeclampsia double their risk of having a heart attack or stroke.

Pregnant%20Silhoutte%201.jpgIn most cases the symptoms of preeclampsia disappear soon after delivery, so most women never have to think about it again. But in light of recent research findings women with a history of preeclampsia might need to think about it after all.

One study found that these women had a higher propensity for forming blood clots. Research from 2007 found more hardening of the arteries of women who experienced abnormal high blood pressure in pregnancy. Other studies have found that women with preeclampsia had more heart attacks, strokes and blood clots later in life when compared to other women who did not have preeclampsia.

Continue reading "Preeclampsia Among Pregnant Women Can Increase Risk of Heart Attack, Strokes, and Blood Clots" »

March 9, 2009

Wyeth v. Levine: Supreme Court Overturns Pharmaceutical Litigation Preemption Claim

In its recent ruling the U.S. Supreme Court ruled that premarket approval from the Food & Drug Administration (FDA) does not preempt pharmaceutical companies from being held liable when their drug fails to meet state standards. In Wyeth v. Levine the court held that drug manufacturers can be sued in state courts even when they follow the rules and standards set out by the FDA.

Wyeth v. Levine involves a female, Vermont musician who lost part of her right arm after Wyeth's drug Phenergan was injected into one of her arteries. The drug's FDA-approved warning label warned against administering the drug this way, but did not prohibit it.

Wyeth argued that they were not required to change their labels to comply with Vermont regulations and that meeting the federal standards was enough. Levine argued that she was able to bring a liability claim under Vermont law even though Wyeth complied with federal standards.

The key issue of the case was whether or not Levine's claim was preempted since Wyeth met the federal standards. The Supreme Court ruled that the case was not preempted and that Levine is able to bring a claim under Vermont law.

Continue reading "Wyeth v. Levine: Supreme Court Overturns Pharmaceutical Litigation Preemption Claim" »

March 6, 2009

Medical Device Malpractice Changes: Congress Makes Efforts to Restore a Patients Right to Sue In Reaction to Riegel v. Medtronics, Inc.

A February 2008 decision by the Supreme Court stands as a barrier to patients who desire to sue for medical device liability. The Supreme Court ruling in Riegel v. Medtronic, Inc. holds that patients or their surviving heirs would be barred from suing makers of complex medical devices like the Medtronic's heart device product, if the Food and Drug Administration (FDA) approved its sale.

FDA1.bmpSince that ruling, judges nationwide have applied the Supreme Court decision to a wide range of cases where manufacturers was being sued. The most recent dismissal was just last week by the Wisconsin Supreme Court.

But now members of Congress want to change the law. Lawmakers and patient advocate groups say that that February 2008 Supreme Court decision left patients legally powerless against the FDA's oversight of products.

Continue reading "Medical Device Malpractice Changes: Congress Makes Efforts to Restore a Patients Right to Sue In Reaction to Riegel v. Medtronics, Inc." »

February 24, 2009

Birth Injuries Are Devastating to Children and Parents

Birth injuries are tragic and traumatic for parents, the child, and the whole family. Compared to the number of healthy live births in the United States, those children born with injuries are a small percentage. Improved medical devices and practices have reduced the number of birth injuries and can go a long way to preventing future birth injuries.

Baby2.jpgFor example, clinicians use electronic fetal monitoring (EFM) and ultrasound equipment to visualize the fetus to confirm that the unborn child is moving, breathing, and posturing properly and to evaluate the amniotic fluid and monitor the laboring mother’s contractions. All of this information is used to detect signs of fetal distress including hypoxia, which is the lack of oxygen, and ischemia, which is the lack of blood flow.

If there is a detection of non-reassuring fetal heart tones or indications of over stimulation of the uterus during the early stages of labor then the fetal environment can become threatening and very dangerous. When the fetus is endangered the risk of neurological damage, asphyxiation, and other birth injuries increases.

Continue reading "Birth Injuries Are Devastating to Children and Parents" »

February 11, 2009

Chicago Attorney Robert Kreisman Attends a Civil Justice Conference

This year New Orleans was the host city for the American Association for Justice’s mid-year meeting. Illinois attorney Robert Kreisman, a civil justice attorney, attended the seminars and the birth trauma litigation group’s day long event on Monday, February 9, 2009.

NOLA%2020709%20020909%20008_1.jpgAttorneys practicing civil justice traveled from all over the United States to attend the meetings. Different seminars were available each day from Saturday, February 7 through Wednesday, February 11, 2009. At the birth trauma litigation group’s full day seminar, attendees were treated to new developments in electronic fetal monitoring tracing and other issues in medicine, nursing, and hospital practices.

Additionally, the AAJ conference featured a session with a emergency department physician speaking about sepsis, pneumonia, strokes and other potential medical malpractice issues in the emergency department.

All of the speakers, medical professionals and colleagues provided insight and valuable new information to keep up to date on medical legal practices.

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February 8, 2009

Illinois Appellate Court Finds Doctor Not Qualified As Medical Malpractice Expert

An Illinois oncologist was found not to be qualified to testify as an expert witness in a Chicago medical malpractice case against a surgeon accused of failing to diagnose and treat a patient’s lymphoma. McWilliams v. Dettore, et al., No. 1-07-0678.

Medical%20Symbol%202.jpgIn a split decision, the Illinois Appellate Court for the First District affirmed a Chicago Cook County Circuit Court Judge’s granting of a motion in limine brought by the defendant in a medical malpractice suit. The motion was brought to prevent plaintiff's named physician expert from testifying that the defendant violated the standard of care when he chose not to perform a biopsy on the plaintiff’s swollen lymph node. The motion focused on the fact that the physician expert was a hematologist/oncologist, whereas the defendant was a surgeon.

However, the difference in specialties had nothing to do with the court’s decision to bar the plaintiff’s expert. Rather the court found it key that the physician expert had no experience with a surgeon's decision-making process in deciding whether or not to perform a biopsy.

In his opinion, Judge Garcia stated that in order for a medical expert to be able to testify as to what the medical standard of care is for a given physician, he or she must be able to "step into the shoes" of that doctor. Judge Garcia found that while the oncology expert in this case might be critical of the defendant's decision to not obtain a biopsy, he did not demonstrate in his testimony that he was familiar with the medical standards guiding a surgeon's medical judgement.

Continue reading "Illinois Appellate Court Finds Doctor Not Qualified As Medical Malpractice Expert" »

February 6, 2009

Cook County Verdict in Medical Malpractice Misdiagnosis Case Gets Second Chance in Medical Malpractice Case

At the completion of a jury trial where the family of the deceased patient received a verdict of $3.6 million in an Illinois wrongful death case, a Cook County Circuit Court judge entered a verdict in favor of the defendant notwithstanding that verdict. However, on appeal, the Illinois Appellate Court reversed the trial judge’s decision and ordered that the case be returned on a motion for a new trial. Walton v. Dirkes, No.-08-0461.

Blood%20vial%201.jpgThe key issue in the case was whether or not the the patient had reported symptoms that would have matched a diagnosis of acute lymphoblastic leukemia, which wasn’t diagnosed until hours before his death.

The acute lymphoblastic leukemia went undiagnosed during two office visits to the defendant doctor. It wasn't until Walton was admitted to the emergency room at Loyola University with an alarmingly high white blood count that the correct diagnosis was made. He died the next day from cardiac arrest related to his acute lymphoblastic leukemia.

Continue reading "Cook County Verdict in Medical Malpractice Misdiagnosis Case Gets Second Chance in Medical Malpractice Case" »

February 3, 2009

Class Action Settlement in Chicago Hospital Overcharing Case Grants Patients Vouchers for Future Services

Chicago-based Resurrection Health Care has dispensed with a class action lawsuit by settling with uninsured patients who allegedly were excessively charged. Under the settlement agreement these patients will be issued vouchers for future health services at Resurrection Health Care facilities. Niewinski et al. v. Resurrection Health Care.

Notices have been sent to Med%20Money%202.gifsome 220,000 former patients informing them that they might qualify for the vouchers. The value of each voucher to be awarded will be determined on an individual basis and depend on payments that the uninsured patient made to the hospitals. In order to be considered for a voucher, a patient must have paid some or all of at least a $500 medical bill during a one year period from September 2001 to September 2008.

It is important to note that although Resurrection agreed to this settlement, it continues to deny any allegations of wrongdoing. However, since the settlement it has modified its billing structure and reduced the charges to all uninsured patients.

Resurrection Health Care System’s network includes the following Chicago hospitals: Resurrection Medical Center, St. Mary and St. Elizabeth’s Medical Center, St. Joseph’s Hospital, and Our Lady of the Resurrection Medical Center. The extended network also includes St. Francis Hospital of Evanston, West Suburban Medical Center in Oak Park, Holy Family Medical Center in Des Plaines, and West Lake Hospital in Melrose Park, Illinois.

For more information on obtaining your voucher, please contact Resurrection Health Care.

Continue reading "Class Action Settlement in Chicago Hospital Overcharing Case Grants Patients Vouchers for Future Services" »

January 28, 2009

Illinois Supreme Court Clarifies Lawsuits Brought By Masquerading Lawyers

A lawsuit brought on behalf of an individual for Illinois medical malpractice was found to be a nullity because the supposed lawyer was unlicensed. The so-called nullity rule directly punished the unknowing client in this case.

LawScales%201.bmpIn Applebaum v. Rush University Medical Center, 2008 WL 4943860 (Nov. 20), the high court of Illinois explained that the nullity rule:

Should be invoked only where it fulfills its purposes of protecting both the public and the integrity of the court system from the actions of the unlicensed, and where no other alternative remedy is possible.

The high court clarified the application of the nullity rule in a case where the plaintiff personally filed a medical malpractice on behalf of his deceased father’s estate. At the time of filing the lawsuit, the plaintiff who was on inactive status with the Attorney Registration and Disciplinary Commission (ARDC).

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January 12, 2009

Illinois Reports That Dangerous Drug Interaction Could Affect Older Adults

A new study by researchers at the University of Chicago Medical Center has stated that at least 2.2 million U.S. adults take medicine in combinations that could trigger dangerous drug interactions. Some of the possible dangerous interactions include muscle breakdown, gastrointestinal bleeding, disruption in heart rhythm, and other serious problems.

Pills%20Hands%201.jpgPerhaps even more alarming is that at least half of these dangerous interactions involve the use of over-the-counter medications, such as aspirin or dietary supplements. According to the study, one in 25 older adults are at risk for serious drug interactions, the study has found. And for men ages 75 and 85, the risk is as high as 1 and 10.

However, the risk might be even higher because the research focused on major interactions among the 20 most common drugs and dietary supplements. “The public has an awareness that two prescription medications used together might be dangerous,” said the study author, Dr. Stacy Tessler Lindau. Lindau is the assistant professor of geriatric medicines, obstetrics and gynecology at the University of Chicago Medical.

The dangerous drug interactions cited in the study were more a byproduct of individuals unknowingly mixing medications rather than the result of pharmaceutical prescription errors by medical providers.

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January 6, 2009

When Do Nurses Have a Duty To Intervene Under Illinois Law?

While much attention is given to cases where a physician commits medical malpractice, nurses also must meet a certain level of standard of care. Oftentimes in Illinois medical negligence a nurse's obligations seem to be overlooked.

Nurse%201.pngFor example, let's say that a Chicago patient has known allergies to certain medications which his or her physician has prescribed. The nurse has a duty to be aware of these allergies and inform the physician. If the nurse does not inform the attending physician that the patient should not be receiving these medications then he or she is acting below the standard of nursing care. This is just one example of how a nurse can fail to perform his or her duties.

Good communication is the cornerstone of any relationship, and the physician-nurse relationship is no exception. Nurses have an obligation to question a doctor’s treatment if it is inconsistent with customary medical practices.

For Illinois medical malpractice cases, both Illinois and Chicago courts have upheld this duty of nurses to go over a physician's orders in instances where a failure to intervene could ultimately result in the patient suffering dire consequences. Or if the nurse perceives that a physician is insensitive to a patient’s condition, or is not making appropriate decisions regarding the patient’s condition, then he or she must intervene. One way to intervene is by initiating the chain of command to exert the pressure necessary to change the course of treatment.

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December 19, 2008

Organ Transplant Surgeon Cleared of Harming Organ Donor

A California organ transplant surgeon was acquitted in a criminal action that alleged he had intentionally harmed a donor by prescribing excessive amounts of drugs in order to speed up the extraction of the patient’s kidney and liver. The surgeon's attorney argued that the doctor had flown in from his San Francisco offices in order to retrieve the organs and had prescribed medications in attempts to ease the patient’s suffering after other doctors had failed to perform their duties.

Heart%201.jpgDr. Roozrokh, the transplant surgeon, was found not guilty of a felony count of abuse of a dependent adult. Two other charges for administering harmful substances and unlawful prescription medicines had both been dropped last spring.

This San Francisco jury trial drew attention to the medical and ethical issues surrounding the complexities of organ transplantation. Typically medical transplant cases are medical malpractice lawsuits, not criminal cases. In Illinois, these cases typically involve some sort of medical transplant error, whether infection or diseased donated organs. This is believed to be the first instance where a doctor had been accused of such criminal actions.

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November 25, 2008

Illinois Medical Malpractice Case on Constitutionality of Damage Caps for Doctors and Hospitals Argued before Illinois Supreme Court

On Thursday, November 13, 2008, the Illinois Supreme Court heard oral arguments from attorneys representing the various parties in the case of Lebron v. Gottlieb Memorial Hospital Nos. 105741 and 105745. The main issue of contention was whether or not there should be caps on non-economic damages in Illinois medical malpractice cases.

IL%20State%20Seal1.gifLebron is appealed directly from the Cook County Circuit Court following a decision by Circuit Court Judge Diane J. Larsen that caps on damages were unconstitutional. These caps were enacted as part of an amendment to the Medical Malpractice Act. The caps dealt specifically with non-economic damages and imposed a legal limit of $500,000 for physicians and healthcare professionals, whereas the cap for hospitals is $1 million.

Lebron was originally filed as an Illinois birth injury case against Gottlieb Memorial Hospital in 2005 after plaintiffs’ daughter was born with birth defects as a result of substandard care at the hospital and negligence on the part of the staff there.

Former U.S. solicitor general Theodore B. Olson presented the first oral argument on behalf of defendants. The core of the Olson argument was that the Illinois Supreme Court has acknowledged in the past that there is a healthcare crisis and that the malpractice caps law was an attempt to solve that problem.

In response to Olson's assertion, several Illinois Supreme Court justices questioned how the proposed medical malpractice caps could conform with the decision in Best v. Taylor Machine Works, 179 Ill.2d 267 (1997). Best held that a law limiting damages in tort claims was unconstitutional because it violated the state Constitution’s prohibition on special legislation and the principle of separation of powers.

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November 7, 2008

Chicago Hospital's Negligence Clarified by Illinois Appellate Court

The Illinois Appellate Court affirmed a Cook County jury's $2.7 million verdict for institutional negligence against Loyola Medical Center in a Chicago transplant error case. Longnecker v. Loyola University Medical Center, 2008 WL 2550686 (1st Dist., June 25).

Transplant%20cooler%201.jpgThe issue in Longnecker was whether Loyola University Medical Center was negligent when they transplanted the decedent with a severely hypertrophic replacement heart. The harvested heart was severely diseased and was only considered for transplantation because the harvesting doctors did not examine it. Despite the diseased state of the new heart, the decedent's heart surgeon went ahead with the transplant. The decedent died without ever waking up from the surgery.

Most times we think of medical negligence cases as those caused by doctors or medical personnel individually. But a hospital or institution is held to the same standard of care as a doctor or a physician. So when evaluating a case for institutional negligence one asks what a reasonably careful hospital would and should do under similar circumstances. Illinois Pattern Jury Instructions, Civil, No. 105.03.01 (1995). Jones v. Chicago HMO Limited of Illinois, 191 Ill. 2d 278 (2000).

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October 27, 2008

Are All FDA Approved Devices Safe?

The U.S. Food and Drug Association is responsible for ensuring that new medical devices are safe enough to be put on the market. As a federal agency, the FDA controls regulation nationwide and within Illinois and Chicago. But what most consumers don't know is that the process for approving these medical devices doesn't always ensure that they are effective alternatives to already established medical treatments.

Approved%20Stamp.jpgThe majority of newly approved medical devices undergo a 501(k) review. Under this review process the manufacturer needs to prove that their device is substantially similar to another device that has already been approved for the market. Once they have done that, the manufacturer just needs to show that the device does what it claims. Yet in the field of medicine, just performing a function is different than guaranteeing the supposed outcome.

For example, let's suppose that Elaine, an Illinois woman, was trying to decide between which type of radiation she should get to treat her breast cancer. Her options range from conventional radiation, which would irradiate her whole breast five times per week for a total of five weeks, to a newly-FDA approved radiation therapy method called MammoSite brachytherapy. This new method only requires radiation for five days and uses radioactive 'seeds' to treat the cancer.

All things being equal, the MammoSite option is much more appealing because it gets the job done in a fraction of the time and is Elaine's first choice. Her doctor recommends it and she decides to go with the newer treatment option. However, what Elaine doesn't know is that even though MammoSite is FDA-approved, the long-term effectiveness of the treatment is not yet proven. While early studies have come back with promising results, it will be years before there is enough data to determine whether it is as effective as conventional radiation. Yet many of the women undergoing this form of treatment are unaware that it is still in an experimental state and are trusting the FDA-approval and their doctors' recommendation.

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October 20, 2008

Medical Records Falsified In Birth Injury Case

In the many years that I have practiced medical malpractice in Cook County and Illinois, my clients have warned me that the pertinant medical records in their case had been falsified, changed, deleted or simply removed from the hospital and medical charts.

Medical%20Records%201.jpgIn Illinois, the “intentional destruction, mutilation, alteration or concealment of evidence” is called spoliation of evidence. If medical records were to be destroyed or altered, the Illinois Supreme Court can impose a sanction upon any party who unreasonably refuses to comply with any discovery rule or order entered pursuant to the Illinois Supreme Court Rules. The court has the power to stay the proceedings pending compliance; default the case, barring further pleading related to the issue; dismiss a claim or counterclaim related to that issue; exclude testimony related to the issue; to strike any relevant portion of the offending party’s pleadings and enter judgment on the issue; and to enter a default judgment or dismissal against the offending party.

In 1995, the Illinois Supreme Court recognized a separate cause of action for negligent spoliation of evidence. So if your medical records in a medical malpractice case were altered by the medical staff, then you could file a separate lawsuit regarding the altered evidence. And because adequate remedies for the destruction of evidence already exists under Illinois Supreme Court Rule 219, a new tort wasn't created. Instead, the Supreme Court held that an action for negligent spoliation could be brought under existing negligence law.

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October 15, 2008

Illinois Erb's Palsy Medical Malpractice Case Turns on Engineering Expert's Testimony

Erb’s palsy is a injury to a child's brachial plexus nerves caused by an abnormal or difficult child birth. The brachial plexus is a cluster of nerves in your neck that control all arm movements. Erb’s palsy can be caused by excessive pulling on the shoulders of the infant by the medical staff during delivery. The resulting paralysis affecting the movement of the child's shoulders, arms or hands can be partial or complete. And while sometimes the paralysis can resolve on its own, it could also necessitate physical therapy or surgery.

Baby%201.jpgIn a recent Illinois case, baby Tanisha Ruffin’s shoulder became impacted on her mother’s pelvic bone during delivery, which put stress on Tanisha's shoulders. In order to free up her shoulders from her mother’s pelvic bone, the defendant obstetrician testified that he used a vacuum extractor cup and a gentle traction on the baby’s head to manipulate her out. Nonetheless, Tanisha was born with Erb’s palsy because of the damage to the brachial plexus nerve network in her shoulder area.

The big issue at trial was whether the Illinois birth injury was caused by excessive traction with the extractor cup, or by the natural propulsive forces of labor.

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October 14, 2008

Are MRI Scans To Be Relied On By Chicago and Illinois Doctors?

When you go for an MRI at a local Chicago hospital you expect that the technician interpreting it will give a clear and correct diagnosis. However, oftentimes the MRI and other scans that are the basis for the medical treatment and care prescribed by our doctors are simply not reliable because of radiology errors.

xray%201.jpgIn one of our cases, a treating radiologist viewing an MRI scan noted certain changes in her lumbar spine. But later, this same patient was re-examined by another orthopedic surgeon who ordered new scans. And this time around the radiology report found none of those subtle changes. The meaning of all of that is that the treatment plan laid out by our client's first treating physician relied on scans that were flawed. The images seen were different on the second set of MRI scans.

Did the radiologist make a mistake? Not really, according the second doctor. But the scans themselves can be different. What's sobering to know is that some MRI scans and other scans, X-Ray and CT can appear different because of the quality of the images. Even academic radiologists say that different scans of the same part of the body can reveal very different findings.

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October 6, 2008

Infected Pressure Sores from Malnutrition and Other Nursing Home Abuse Results in Illinois Legislation

Illinois has enacted legislation to protect nursing home residents because of past instances of nursing home abuse. For example, like many nursing home residents, Fred was admitted to a nursing home when his health declined to the point that his daughter was no longer able to continue caring for him at home. At the time of his admission the 84 year-old male was confined to his bed, needed a feeding tube, and had a Stage II pressure sore on his left hip.

Hospital%20Bed1.jpgMaking the decision to entrust an elderly relative to receiving care at a nursing home is a hard one. Laws like the Illinois Nursing Home Care Act seek to alleviate some of the anxiety of the nursing home decision by addressing concerns of inadequate, improper and degrading treatment of patients in nursing homes. The Act provides residents with a wide range of rights, including the retention of a person’s own personal physician at their own expense. Chicago Mayor Richard M. Daley, then a State Senator for the 23rd District, was one of the chief sponsors of the Act when it was passed in 1979.

In addition to Illinois law, there is also the federal statute called the Omnibus Budget Reconciliation Act of 1987 (OBRA). This statute sets up requirements for long-term care facilities throughout the country. What’s most important about the two statutes is that they demonstrate that the elderly need advocates.

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September 30, 2008

Nursing Home Abuse And Alzheimer's Residents: Protection Under the Illinois Nursing Home Care Act

The Illinois Nursing Home Care Act was created to protect the rights of nursing home residents and combat Illinios nursing home abuse. In order to ensure a high standard of care for patients with Alzheimer's disease or dementia, the Act requires that each individual providing care to a patient with dementia undergoes proper "training in the care and treatment of such residents".

Alzheimer's disease is a brain disorder that affects over 5 million people throughout the U.S. This tragic disease destroys brain cells and affects the memory, behavior, and thinking processes of those with the disease. The nature of the symptoms, which can range from verbal outbursts, violent tendencies, or hallucinations, health care professionals must be patient and understanding when caring for patients with Alzheimer's.

Nursing%20Home1.jpgHowever, too often we hear about nursing home residents with Alzheimer's who receive substandard care and come to harm because of a lack of understanding regarding their disease. Take for example the case of 87 year-old Melanie, a nursing home resident suffering from the Alzheimer’s disease. One day she became increasingly aggressive and the employees called for nursing assistance to assess the situation. But no one answered the repeated calls for assistance over the next several hours.

When Melanie's Alzheimer's made her so aggressive that the employees were unable to calm her down or control her a nursing home employee finally resorted to calling the local police. They reported that Melanie was extremely aggressive and threatening. The police arrived at the nursing home and subdued Melanie by handcuffing her. None of this would have been necessary had the nursing staff stepped in and diffused Melanie's outburst. Instead the police had to step in and bring this 87 year-old woman to the hospital to receive treatment.

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September 2, 2008

Prisoner's Medical Malpractice Claim Allowed to Go Forward By Chicago's Seventh Circuit Court of Appeals: Reverses District Court Ruling

Chicago's 7th Circuit Court of Appeals reversed a ruling that had dismissed a prisoner's medical malpractice claim against his prison. Inmate Diego Gil brought a suit against the Federal Correctional Institution of Oxford, Wisconsin, claiming negligence and medical malpractice under the Federal Torts Claim Act, along with a violation of his Eighth Amendment rights. Diego Gil v. James Reed, et al., No. 06-1414.

Jail%20Cell%201.jpgIn March 1998 Gil underwent surgical repair of a rectal prolapse. When his condition worsened after the unsuccessful surgery Gil sought medical aid from a physician's assistant at his prison. But the physician assistant refused to give Gil medical attention, stating he was abusing the facility's emergency care.

This refusal of care continued for the next year and a half. During that time Gil developed an infection near the surgical site and was denied antibiotics. Gil's requests to see a specialist were continually denied. When Gil was finally allowed to see a colorectal surgeon he was immediately taken to surgery for rectal prolapse. After his second operation Gil was prescribed specific pain medications and warned against taking Tylenol III as it could cause constipation that would exacerbate his condition. Yet the prison staff refused to give Gil the prescribed pain medications and instead gave him Tylenol III.

At this point Gil filed suit against several of the prison officials for medical negligence and malpractice. He also alleged that the refusal to follow the surgeon's instructions amounted to a deliberate indifference to his serious medical needs as a violation under the Eighth Amendment of the Constitution.

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August 27, 2008

Illinois Appellate Court Upholds Verdict Over Expert Qualifications

A Cook County jury verdict was entered in favor of the University of Chicago Hospitals in a 2005 trial and was upheld on appeal to the Illinois Appellate Court (Kashief Weathers et al. v. University of Chicago Hospitals, et al., No. 1-061726). In the case, several doctors were accused of causing brain damage to an infant born with his umbilical cord wrapped around his neck. The plaintiff child now suffers from cerebral palsy and severe brain damage.

Newborn%20Baby.jpgThe baby's mother brought an Illinois birth injury malpractice claim against University of Chicago Hospital alleging that defendant doctors failed to relieve the trauma caused by his umbilical cord during his birth in October 1988. There were also allegations that the doctors didn't timely treat the baby's seizures after his birth.

The plaintiffs’ obstetric expert testified that the defendant doctors deviated from the standard of care by not performing a cesarean section, which would have sped up the delivery. The expert felt that a quick delivery could have changed the child's outcome because the brain damage likely occurred at some time during labor.

But the defense expert, a pediatric neurologist, disagreed. He felt that a cesarean section would not have made a difference because in his opinion the baby was injured at least one day prior to his birth. So by the time his mother was in labor there was nothing the doctors could have done to alter his outcome.

The trial jury sided with the defense and entered a verdict in favor of the University of Chicago Hospitals. The plaintiff brought the case for appeal on several counts.

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July 14, 2008

Apparent Authority: Who is Your Doctor Really Working For?

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When you go to the hospital for a surgery you are seen by a bevy of treaters- anesthesiologist, surgeon, attending physician, residents, etc. And all of them are employed by the hospital, right? Wrong. Many of the physicians that practice at a hospital are actually independent contractors and the hospital can argue that it has no liability for medical negligence these individuals commit- even while working on their property.

In order to bring a claim against a hospital for medical negligence in Illinois by a non-hospital employed physician who provided services at the hospital, there needs to be "apparent authority". Apparent authority deals with whether the physician appears to be an agent/employee of the hospital or clinic and has the power to act on their behalf. So if a patient can prove that they thought their physician was employed by the hospital and that it was reasonable for them to do so, then the hospital is liable for the negligent physician.

The current case law relies on the decision in York, M.D. v. Rush Presbyterian St. Luke's Medical Center, et al. (2006 WL 1702529), an Illinois case based locally in Chicago. York established that because a patient relies upon a hospital to provide services during the course of his or her stay then they make hold the hospital liable for negligence by those performing those services, even if they are not employed by the hospital.

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July 11, 2008

Be Your Own Best Advocate: How Being Proactive in Your Own Care Can Improve Your Medical Outcome

Patient responsibility is a common phrase bantered around in medical negligence cases. It refers to the patient's obligation to accurately represent their symptoms and complaints. The main reason this is an issue hinges on the fact that a large part of what a treating physician relies on, at least in the initial contact with a patient, is the patient's subjective telling of his or her complaints.

879205_stethoscope.jpg For example, if a patient presents with a persistent cough but isn't sure for how long this makes a large difference in the initial work-up by the physician. A cough is not a red flag for a serious, life-threatening disease and oftentimes is indicative of nothing more than a common cold. However, when combined with other factors, such as a history of smoking, recent unexplained weight loss, or bloody phlegm, it can be a clue to a more serious problem.

Gone are the days when our local family doctor took care of us from childhood through adulthood and knew all our family's medical history. Nowadays a yearly check-up with your primary physician is comprised of a quick interview with a nurse and then an even quicker visit with the doctor. Most physicians don't spend a lot of time prodding and considering each individual question. They expect that you will tell them concisely what is wrong, give them all the relevant information, and then they will diagnose and treat you. But it really isn't that straightforward. In order to ensure that you get the most out of any physician encounter, and are receiving proper treatment, you need to be your own advocate.

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July 9, 2008

Medical Malpractice Verdict Affirmed by Illinois Appellate Court: Good Samaritan Act Does Not Apply

1028001_helping_hands_4.jpgA Lake County, Illinois circuit court presided over Muno v. Condell Medical Center, et al., (No. 2-06-0587), a medical negligence case where a minor died after the planned surgery failed with respect to the anesthesiology provided. In this case, the anesthesiologist and his group decided not to bill the family after this child died during surgery. When the family brought suit against the anesthesiologist for his anesthesiology error, the physicians argued that he should be immune from any legal action under the Good Samaritan Act because he did not bill for his services.

Good Samaritan Act Regarding Exemption from Civil Liability for Emergency Care

Any [physician] who, in good faith, provides emergency care without fee to a person, shall not, as a result of his or her acts or omissions, except willful or wanton misconduct on the part of the person, in providing the care, be liable for civil damages. (745 ILCS 49/25)

At the bench trial the jury ruled in favor of the child's family . But one of the defendants, an anesthesiologist, appealed the verdict stating that the court should rule in his favor because he didn't bill the family for his services. The appellate court relied on Estate of Heanue v. Edgcomb for the proposition that a doctor cannot simply withhold a bill to the injured patient and stand behind the immunity provided by the Good Samaritan Act each time he/she choses not to diagnose, treat or simply errors causing injury or death to a patient.

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June 26, 2008

Hospital Liability in Cook County Jury Verdict Upheld Against Loyola University Medical Center In Heart Transplant Case

Loyola University Medical Center was held liable by a Cook County jury in 2006 for "institutional negligence" involving the unsuccessful heart transplantation attempt of Carl Longnecker, the plaintiff decedent. The hospital was held liable for not ensuring that a doctor understood his role on the heart transplant team. At the same time the jury found that the same doctor, also named as a defendant, was not guilty of Illinois medical negligence.

Longnecker had been waiting for a transplant for 14 months when he was notified that a heart had been found for him. Dr. Parvathaneni was responsible for obtaining that heart and getting it to Loyola, where the transplant would be performed. According to surgeons at Loyola, Parvathaneni played a crucial role in the process in that they relied on his inspection and evaluation when they accepted and used the heart. Dr. Parvathenani testified that he was unaware that he needed to perform a detailed assessment of the heart, but just was responsible for getting it to Loyola quickly. So when it became evident that the heart had significant disease and allegedly never functioned after its removal the question was who was responsible.

The transplant surgeons decided to go ahead with the surgery, stating that they needed to go ahead with the transplant of the diseased heart because Longnecker's own heart had already been removed. However, it should also be noted that the doctors could have used an artificial heart in this case. Longnecker never regained consciousness after the surgery and died several days later.

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June 20, 2008

Illinois Supreme Court Interprets Medical Malpractice Law

In a sharply divided decision, 4-3, the Illinois Supreme Court held that plaintiffs who are allowed to refile a case after a voluntary nonsuit, would still be allowed 90 days after the refiling to present the required Section 2-622 affidavit of a physician or other medical provider to certify that an Illinois medical negligence complaint has merit.

In Illinois it has been the law that as a prerequisite to filing any Illinois medical malpractice case, the plaintiff's attorney must include with the complaint a certificate of merit asserting that the case has merit from a physician or medical provider expert in the area of medicine being complained about. Sometimes lawyers find that although they believe the facts support a case for medical malpractice, no medical certificate was available in advance of the running of the statute of limitations.

In Illinois the statute of limitations is two years for most tort/negligence cases with some exceptions. What the statute of limitations does is act as a complete bar from bringing the action at all, i.e. the court would dismiss the case unless it is filed within the time limit.

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June 19, 2008

Illinois Wrongful Death Case Settled by Kreisman Law Offices

June 18, 2008- After a lengthy mediation session led by retired Cook County Circuit Court Judge Stuart Nudelman, the defendants, Victor Colin, M.D. and his professional practice, Elgin Family Physicians, agreed to settle the Illinois wrongful death case of decedent, Timothy.

Kreisman Law Offices handled the Illinois wrongful death claim which centered on the Illinois physicians' medical malpractice as a result of an incorrect diagnosis and treatment of Timothy's condition of fever, headache, and sleeplessness for at least two weeks. While these signs might not be overly alarming in your typical patient, Timothy's circumstances weren't those of your typical patient.

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Born with a congenital heart valve defect of Tetralogy of Fallot, Timothy had undergone three open heart surgeries for valve repair, including a porcine (pig) valve replacement of his pulmonary valve in 1981. This history placed Timothy at high risk for bacterial endocarditis, which is a serious infection of the endocardium (the smooth interior lining of the heart) and the heart valves, typically caused by bacteria. It was this type of infection that eventually led to Timothy's death.

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June 9, 2008

Illinois Medical Malpractice Reform Faces Judicial Challenge

The Medicare Modernization Act of 2003 requires the president to submit legislation to remedy Medicare's money problems. Mixed up in this formula is the dangerous prospect that a tort reform provision will be attached that would severely limit the rights of citizens to bring Illinois medical negligence claims against doctors, hospitals, nurses and clinicians who may be responsible for injuring patients.

Tort reform or "deform", as some opponents refer to it, has been enacted into law in many states, usually only to limit the ability of the injured to bring Illinois medical malpractice lawsuits. In 2005 Illinois fell to tort reform in medical negligence cases only, the constitutionality of which is now being challenged. A test case succeeded in the Circuit Court of Cook County, where Judge Larson found the law to be unconstitutional. Currently that circuit court decision is being appealed and a decision by the Illinois Supreme Court is due later this year on the validity of that act.

The requirement for legislation is triggered when Medicare funding exceeds 45% by the general revenues for two consecutive years. The act also requires the majority and minority leaders of the Senate and the House to submit their own bills for consideration.

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January 13, 2008

Illinois Medical Malpractice Caps: An Overview

On August 25, 2005, an Illinois law went into effect that placed monetary limits on the possible awards in medical malpractice cases (735 ILCS 5/2.1706.5). In a case against a hospital the caps are set at $1 Million, and against a physician at $500,000.

Since its inception this law has caused much debate, the most recent of which involves a November decision by the Cook County Circuit Court ruling this law to be unconstitutional. Judge Joan Diane Larsen determined that caps on non-economic damages in medical malpractice cases violates the Illinois Constitution by violating the Separation of Powers Clause. This clause states that three branches of government (legislative, executive, and judicial) are separate and that no branch shall exercise powers properly belonging to another (Illinois Constitution).

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November 27, 2007

Medical Negligence Settlement by Chicago Medical Malpractice Lawyer Robert Kreisman for Death of Patient

A $2.1 Million settlement was reached against the hospital and doctors in an Illinois medical negligence lawsuit involving the wrongful death of a woman from brain herniation after being discharged from a hospital. She was discharged with complaints of headaches despite a diagnosis of a brain tumor.

Mary, a 50 year-old female, was diagnosed at South Suburban Hospital with a right frontal lobe meningioma in early September, 2003, at which time she was discharged from the hospital with a referral to a University of Chicago neurosurgeon. However, before seeing the neurosurgeon she presented back to South Suburban Hospital two days later complaining of headaches and vomiting.

She is given some pain medication and sent home. Early the next morning she is found unresponsive by her husband. She was taken by ambulance back to South Suburban, but died later that day. An autopsy revealed that the cause of the Illinois woman's wrongful death was excessive fluid building up around her tumor causing her brain to shift to the left and down through the brain stem, putting extreme pressure on her brain, resulting in brain herniation.

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