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Posts Tagged ‘malpractice lawsuit’

Other Disability Factors that May Affect Your Malpractice Lawsuit

Tuesday, July 19th, 2011

Concealment and Deceit

These are specific forms of disability.  A doctor delivers a baby and causes a brain injury; he knows that he can be sued.  So, he alters the medical records, deletes references to what happened, and deliberately misleads the parents into thinking their child was brain damaged for some other reason.

You can understand the doctor’s feelings, even if you cannot sympathize with his actions.  It is a temptation to head off a major lawsuit that will cause his medical malpractice insurance premiums to skyrocket, just by making a few judicious entries in the medical records and some soothing statements to the parents.  Or, a doctor sews up an instrument inside a patient and when asked about it lies and says that all the instruments were accounted for, hoping to string the patient along until the time limit for a medical malpractice lawsuit has run out.

These actions would toll the statute of limitations until the concealment or deceit is discovered.  However, the doctor has to do more than just keep quiet and not volunteer any information.  No doctor is going to come right out and tell you that he committed medical malpractice.

You have to show there was active and deliberate concealment or deceit by the doctor or the hospital, and that it was designed to keep you from learning you had been the victim of malpractice.  Failure to tell you, or giving you an explanation that makes him look good, is not sufficient reason to sue.  The doctor has to actually try to mislead or deceive you by altering medical records, lying about what happened, or otherwise falsifying the information you receive.

Foreign Object

This means that some foreign object, a sponge or surgical instrument, was closed up inside your body without you knowing it.  The clock does not start running until you detect it or should have detected it.  For example, a surgical clamp or needle can stay inside your body for years without causing any trouble that would alert you to the fact it is there.  A broken surgical needle can migrate around your chest or abdomen for years and cause strange symptoms without the victim realizing what is causing them.  On the other hand, a gauze sponge in your abdomen, or dye injected into your spinal column, will probably cause a lot of trouble almost immediately.

In a New Hampshire case, the doctors committed medical malpractice by failing to deliver the entire placenta after the birth of a baby.  That resulted in the patient having to undergo a hysterectomy.  The doctors committed further malpractice by sewing up a gauze sponge inside the patient.  The sponge caused serious infections over the next two or three years, but the same doctors, still treating her, either did not know or did not tell her what it was.  She finally became so ill that she went to a hospital in Boston where the sponge was found and removed.  But, by that time, it was too late, and she died leaving three orphans.

When her family filed a lawsuit, the doctors’ lawyers claimed the case was over the time limit, because the deceased lady and her family should have known something was wrong much earlier.  But, the court held that her confidence in her doctors meant that the statute of limitations was tolled until the sponge was discovered and removed in Boston.  If the doctors had advised doing an exploratory operation to find the cause of the trouble, and she had ignored that advice for more than two years, it might have been a different story.

The Rule Is: No patient can be criticized for continuing to have blind faith in a doctor even though he or she may have serious doubts about the doctor’s competence or performance.  It is not a defense to a charge of medical malpractice, to say the patient should have suspected something was wrong and consulted another doctor.  The doctor is the expert; it is his or her duty to refer the patient to another doctor, if referral is indicated.

Negligent Errors in Making a Diagnosis

Tuesday, April 13th, 2010

A doctor’s duty to make a correct diagnosis requires him to inform himself by ordering the necessary tests, interpreting the test results correctly, and arriving at a logical conclusion by putting all the pieces of the diagnostic picture in their proper places and perspectives.  With the sophisticated diagnostic tools today, a wrong diagnosis is more often the result of negligent or careless diagnostic work-up than lack of medical knowledge.  It is often impossible to make a precise diagnosis, but there is rarely an excuse for making a wrong diagnosis.  The following are some of the most common negligent errors:

1. Failure to do all routine screening tests indicated by the patient’s history or physical findings.

2. Ignoring test results which do not fit in with the doctor’s preconceived idea of what is wrong with the patient, especially when those results are positive.

3. Failure to repeat laboratory tests periodically or if the patient’s condition does not respond as expected.

4. Attributing the patient’s illness to a previous disease without checking to learn whether or not a new condition has developed.

5. Reliance on negative laboratory results, which do not square with other test results or the patient’s general condition, especially if the patient’s condition continues to decline.

6. Failure to repeat physical examinations and laboratory tests at frequent intervals during the course of a long illness.

In a Florida case, a 50 year-old man, with a history of smoking, went to a doctor complaining of wheezing and pain in the chest, a clinical picture suggestive of lung cancer.  Even though the doctor was a specialist in Internal Medicine, he treated the patient and failed to take a chest x-ray for almost a year.  When another doctor finally ordered a chest x-ray, the man’s lung cancer was inoperable.

In a Georgia case, an elderly man in a nursing home complained of passing blood in his urine.  This is a cardinal sign of cancer of the urinary tract and demands an immediate and complete work-up to identify the cause.  However, the nursing home doctor did nothing about it for over a year, even though the bleeding was repeatedly noted in his chart, and the nursing home staff did nothing to notify the man’s family or any other doctor.  When his family finally found out and took him to a urologist, he was found to have terminal kidney cancer and died within a few weeks.

Now that you know what constitutes medical malpractice or dental malpractice, you can decide whether your doctor actually committed a departure from good and accepted practice that caused your bad results and is grounds for a malpractice lawsuit.  Do not think about the words malpractice or negligence, which carry a moral implication of wrongdoing.  Think about a departure from good and accepted practice.  Did the doctor or the hospital employee do something that was not in keeping with accepted practices by good doctors?  Did he make a serious mistake that a good and careful doctor should not have made?

The Rule Is: A valid medical malpractice case or dental malpractice case should be based upon a showing that the doctor did something that a good and careful doctor, in the same or similar situation, under the same or similar circumstances, would not have done.

     
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