Squeezed On: May 21, 2008

Medtronic Letter to Patients

Medtronic, Inc. sent a letter out a few weeks ago to patients who still have the “recalled” Sprint Fidelis defibrillator leads in their chests. The letter claims that the risk to patients is relatively small. The letter from Reggie Groves, Vice President, Quality and Regulatory, claims that the “chance there will be a problem with your Sprint Fidelis lead remains small.”

Statistically speaking, Mr. Groves is correct. But using Medtronic’s own data, there is a 2.5% fracture risk at 30 months. No one knows yet the longer term risk for these Medtronic wires that were meant to be permanently implanted. What will the risk be at 60 months? Even at 2.5%, who wants potentially defective wires sending signals to their heart?

Miller & Zois’ defibrillator lead recall lawyers are reviewing both individual and class action defective Medtronic lead cases throughout the country. If you want to discuss your case with a Medtronic lead recall lawyer, call us for a free consultation at 800-553-8082 or click here for a free Internet consultation.

Squeezed On: May 21, 2008

Ohio Birth Injury Case and the Ohio Medical Malpractice Cap

After three-and-a-half days of deliberation, a Hamilton County, Ohio, jury awarded $22.6 million to a Blue Ash woman and her child. The suit had been brought due to the child’s permanent brain injuries resulting from having been stuck for over 13 hours in the mother’s birth canal during delivery in 1997. Tragically, the child, now eleven years old, has spastic quadriplegia. Almost $16 million of the award was for future medical expenses.

There is a cap in medical malpractice cases in Ohio. The cap in medical malpractice cases in Ohio is the greater of either $250,000 or three times economic damages, subject to a maximum of $350,000 per plaintiff and a maximum of $500,000 per malpractice occurrence. If the Ohio malpractice cap was applied to this case, the cap would increase to $500,000 per plaintiff and $1 million per occurrence when the plaintiff suffers permanent and substantial physical deformity, loss of use of a limb, loss of a bodily organ system, or permanent physical injury that prevents self-care.

How unjust would it be to limit this mother and child’s recover in this case? Fortunately, the Ohio malpractice cap does not apply in this case because the cap applies only to negligence that occurred after April, 2003. But surely another child is coming down the pike with similar injuries, and that child will never receive the compensation that a jury deems appropriate.

Squeezed On: May 21, 2008

Nursing Home Fire Lawsuit in Illinois

Chicago lawyer Louis Cairo has filed a wrongful death lawsuit against a Cook County nursing home, alleging that the nursing home employees were woefully ill-equipped, causing the death of a 67 year-old man. The lawsuit alleges that staff members at Hampton Plaza Health Care Centre on 9777 Greenwood Avenue did not have the necessary training or equipment to adequately respond to a fire. The Plaintiff’s nursing home lawyer said that residents were awakened not by smoke alarms, but by people banging on doors to alert others of the fire. This is not exactly a sign of effective smoke detectors.

If you substitute the word “nursing home” for “restaurant” in this story, it would make me skeptical as to whether the restaurant was negligent, as opposed to a plaintiffs’ lawyer trying to manufacture a case because he has a death case (probably a high profile death case, as many fire deaths can be). Because it is a nursing home, I find myself nodding along, “Yes, they didn’t have fire detectors. That sounds about right.” I don’t think I’m alone. That is a sad commentary on nursing home care in this country.

Squeezed On: May 21, 2008

Indiana Jury Awards $4.45 Million... But Not Really

An Indiana jury awarded the family of a former Inland Steel security supervisor, who died of an abdominal aortic aneurysm, $4.45 million in a lawsuit brought against a St. Catherine’s Hospital emergency room doctor. The patient had the aneurysm about 12 hours after being discharged from the hospital with kidney stones, according to Plaintiffs’ medical malpractice lawyer Holly Wojcik. Plaintiffs’ claim was that the man’s death could have been avoided had the ER doctor ordered a CT scan as required by the standard of care given the patient’s symptoms.

In these cases, I wish reporters would report how much is actually recoverable in these medical malpractice cases because the verdicts are misleading. The Indiana Medical Malpractice Act limits recoverable damages to $1,250,000.00 in Indiana medical malpractice cases. This is one of the worst medical malpractice caps in the country because it caps damages in the worst medical malpractice cases. People with smaller medical malpractice claims – the ones that likely need the recovery the least – are untouched by the cap. But if a child suffers a serious brain injury and requires millions of dollars in future medical bills, the child’s claim is capped at $1,250,000. It makes absolutely no sense.

Squeezed On: May 20, 2008

Hernia Patch Recall

The Kugel mesh patch was recalled two-and-a-half years ago on December 22, 2005. The hernia patch, made by Davol, Inc., was used for ventral or incisional hernias but has been removed because of a product defect.

The Kugel mesh patch is made of two pieces of mesh that encompass a plastic ring. The Kugel patch would be placed in the patient's body and folded on the hernia. The released ring would then spring back into its original shape, flattening the patch.

This was a great advance because it allowed the patient's tissue to grow with the patch which was fantastice for the healing process. The problem is that this new ring breaks with great frequency which more than defeated the benefit of the new technology.

Last year, the Kugel mesh cases were consolidated in an MDL class action in Rhode Island. Our lawyers are currently reviewing Kugel mesh hernia patch cases throughout the United States and Canada. I'm blogging about it today because after all of this time, our lawyers are still getting calls with new cases. If you have one of these implanted devices, you may be entitled to compensation. Call our Kugel mesh hernia patch lawyers at 1-800-553-8082 click here for a free web consultation.

Squeezed On: May 14, 2008

Oregon Surpreme Court Find Emergency Instruction Reversable Error

In an auto accident case stemming from an accident on Route 22 in Linn County, the trial court gave the following jury instruction:

"People who are suddenly placed in a position of peril through no negligence of their own, and who are compelled to act without opportunity for reflection, are not negligent if they make a choice that a reasonably careful person placed in such a position might make, even though they do not make the wisest choice"

The Oregon Supreme Court ruled that it is always error for a trial court to give an emergency instruction because such an instruction is inaccurate statement of the negligence standard and constitutes improper comment on the evidence. This holding reflects the majority rule.

You can find the Oregon Supreme Court's opinion in Bjorndal v. Weitman here.

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Squeezed On: May 14, 2008

New York Medical Malpractice Lawyer Cap on Fees

New York limits an attorneys medical malpractice contingent fee in a medical, dental or podiatric malpractice case to 30 percent of the first $ 250,000 of the sum recovered; 25 percent of the next $ 250,000 recovered; 20 percent of the next $ 500,000 recovered; 15 percent of the next $ 250,000 of the sum recovered; 10 percent of any amount recovered over $ 1,250,000.

While contingency fees vary from malpractice lawyer to malpractice lawyer, 40% is a common fee in medical malpractice cases. So if a case settles or the plaintiff obtains a verdict for $1,000,000, the attorneys’ fees in many cases is $400,000. In New York, when a malpractice case recovers $1,000,000, the malpractice lawyer’s fee is limited to $225,000.

If you are not a malpractice lawyer, you might be thinking that this is not a bad payday for a single case. You are right. But the problem is that plaintiffs’ medical malpractice lawyers lose most cases. When a lawyer loses a case, he might lose $100,000 or more in out-of-pocket costs. This discourages many good lawyers from handling medical malpractice cases.

Because doctors and their insurance companies are not limited in what they spend on their lawyers, this creates an unbalanced playing field that favors doctors. Victims with legitimate malpractice claims suffer as a result. Good lawyers just find more lucrative cases.

It is easy to pass this kind of legislation because it appears to target the ostensibly already rich trial lawyers. But the reality is that victims with limited claims are the real losers.

Squeezed On: May 12, 2008

Missouri Nursing Home Verdict

Missouri Lawyers’ Weekly reports on a nursing home case involving a respiratory therapist who allegedly caused the death of a 79 year-old resident at Scenic View Nursing in Herculeaneum, Missouri. The respiratory therapist had a suspended license and was charged with second degree involuntary manslaughter in connection to the patient’s death. He entered an Alford plea and was sentenced to four years in jail.

Additionally, the therapist had been previously reprimanded four times for removing residents from oxygen without an order. His last reprimand was six months before the patient’s death. His supervisor said he was a danger to residents and was terminated. It gets better. He also pled guilty to the unlawful sale of Oxycontin to an undercover officer. It gets even better. He told the police officer who arrested him, "I know what this is about. It's about that old lady. I guess she thought she would live forever." This came out in the nursing home negligence trial.

If you are a nursing home lawyer, you are thinking one thing: I can’t lose this case. Obviously, I don’t have all of the facts. But apparently, in spite of all of this, the jury did not believe the doctor who said that he did not order the ventilator turned off, even though an eye witness recalls the order. One more dose of incredible: the doctor was the owner of the nursing home. But for whatever reason, perhaps tactical reasons that one cannot gather from a media report of the story, the plaintiff’s nursing home lawyer did not bring a malpractice action against the doctor.

The nursing home’s lawyer, Stephen M. Strum with Sandberg, Phoenix & von Gontard, P.C., in St. Louis, who tried the case with Veronica Armouti, seemed stunned by the outcome. The article said that Strum was surprised that he was able to overcome all of these issues. How often do you hear that? (If I were the Plaintiff’s nursing home lawyer, I would include the article in my motion for new trial, which is exactly the article indicated Leonard Cervantes, the Plaintiff’s lawyer, will seek.)

After the case, the lawyers could not even agree on the last pretrial offer and demand. Mr. Cervantes, the Plaintiff’s lawyer, said his demand was $300,000 and the last offer was $10,000. The defendant’s lawyer claimed the last demand was $1.5 million and the last offer was $30,000.

Although Missouri Lawyers’ Weekly called it a “defense verdict” it appears the jury actually rendered a 12-0 verdict in favor of the plaintiff for $26,401, the amount of the medical expenses in the case.

Obviously, you can never tell just how difficult a case was by reading an article about the trial after it happened. I’ve read article about my trials that did not resemble the trial at all. But you can bet that a lot of nursing home insurance companies are going to be dialing Steve Strum’s number in the years to come.

Squeezed On: May 12, 2008

Admissions Suspended at Three Tennesse Nursing Homes

ABC24 in Memphis, Tennessee reports that three nursing homes in Tennessee have been fined and suspended from accepting further admissions.

Tennessee Department of Heath officials have fined and suspended admissions of residents to Dove Health & Rehabilitation in Collierville, Claiborne County Nursing Home in Taxwell, and Hillcrest-West Nursing Home in Knoxville for a variety of infractions.

Squeezed On: May 11, 2008

Baxter CEO: No Legal Hit from Heparin

Baxter International Inc. Chief Executive Robert Parkinson told company shareholders Tuesday that Baxter has yet to experience significant legal costs related to the rising deaths linked to its recalled blood thinner heparin.

Ah, Mr. CEO, may I ask a few followup questions? Has the FDA counted more than 80 deaths and more than 1,000 adverse events in the U.S. alone from Baxter's tained heparin? Are there already lawsuits pending around the country and shouldn't we reasonably expect a concolidated MDL class soon? Isn't saying you have insignificant legal costs now exactly what you would expect at this stage? Aren't you expecting signifcant legal fees and expenses and much greater costs in verdicts and settlements?

Maybe this post could be a cheap shot because this quote could be taken out of context. But Baxter needs to realize that it has both legal and ethical culpability here. Baxter cannot simply say, "Oh, it is all the Chinese fault." One Baxter investor asked whether Baxter has taken steps to "close the loopholes" in its heparin supply chain to make sure another disaster does not occur with heparin or any other medications.

Speaking of the Chinese, China's State Food and Drug Administration said Tuesday that Baxter has not fully cooperated with their investigation into the heparin fiasco and apparently did not receive heparin samples it sought during an April 22 visit to the Cherry Hill facility. I really cannot imagine Baxter is stonewalling the Chinese investigation but Baxter does need to give the Chinese every opportunity to investigate if it looking for any accountability from China.

Our Heparin recall lawyers are reviewing these Heparin allergic reaction cases throughout the country expecting a class action lawsuit will be appropriate. If you want to discuss your case with a Baxter Heparin recall lawyerwww.marylandlawyerblog.com/2008/02/heparin_recall_death_toll_rise.html call us at 800-553-8082 for a free consultation or click here for a free Internet consultation.

Squeezed On: May 9, 2008

Oregon Medical Malpractice Statute of Limitations

In what can only be described as an awful decision, the Oregon Supreme Court yesterday rejected a claim challenging a five-year statute of limitations for medical malpractice lawsuits involving minors. In the challenge, Oregon medical malpractice lawyers contended that Oregon's constitution - not to mention common sense - prohibited the application of the five year statute of limitations in medical malpractice case.

Actually, I should not say the Oregon Supreme Court decision is awful because I have absolutely no idea whether the medical malpractice statute of limitations is constitutional. But I know that the law is awful. Hopefully the Oregon legislature will look hard at the question of whether you should be able to lose your rights while you are a minor, particuarly in birth injury cases.

Squeezed On: May 9, 2008

Bye Bye West Virginia Ad Damnum Clauses

West Virginia has prohibited lawyers from seeking damages in auto accident, medical malpractice and other personal injury cases in a complaint. The legislation passed unanimously through the West Virginia legislature.

West Virginia already has a similar law in medical malpractice cases. Other jurisdictions should follow suit because of the insanity of reporters reporting on the amount of the ad damnum clause - which has absolutely nothing to do with the true damages sought - was an embarrassment to all lawyers handling personal injury cases.


Squeezed On: May 9, 2008

Decline in Pennsylvania Medical Malpractice Cases

The Pennsylvania Supreme Court disclosed that the number of medical malpractice lawsuits filed in Pennsylvania declined again in 2007, the third consecutive year medical malpractice lawsuits have decline. In fact, malpractice lawsuits have declined some 40% since 2002.

Clearly, the key has been "medical malpractice reform" but the kind of malpractice reform that even plaintiffs' medical malpractice lawyers largely believe is a good law: the requirement that a doctor certify to a reasonable degree of medical probability that medical malpractice caused the plaintiff injury.

Squeezed On: May 5, 2008

Minnesota Personal Injury Verdicts

A Jury Verdict Research study found that the median award in Minnesota in personal injury cases is an even $30,000. Minnesota personal injury plaintiffs receive an award in 67 percent of cases that go to trial.

The median compensation in Minnesota is somewhat below the national median of $38,179 and I suspect Minneapolis, St. Paul and Rochester verdicts inflate that average a bit. But because Minnesota has no fault coverage (or PIP) in car accident cases up to $40,000 ($20,000 for medical bills and $20,000 for economic loss) that is subject to the collateral source rule, Minnesota personal injury lawyers tend to few small cases in Minnesota. In other words, Minnesota law provides that personal injury awards are offset by collateral source payments (if the source of reimbursement does not have a subrogation right). So the gap between the Minnesota median verdict and the national median verdict is probably wider than the numbers reflect. Not surprisingly, the U.S. Chamber of Commerce found Minnesota juries to be the "15th best" which means the 15th worst for personal injury victims.

Interestingly, Minnesota personal injury recovery probability is 67% compared to the national average of 53%. I would think that the fewer amount of smaller claims would lead to a lower recovery probability because Minnesota personal injury lawyers bring less smaller cases which typically do not involve a liability dispute which you would think would actually lower the recovery probability. Accordingly, it is fair to infer from the data that Minnesota juries are inclined to believe Minnesota plaintiff's claims as to how/why the accident/medical malpractice/injury occurred.

Although Minnesota juries are rather conservative, the big complaint that defendants' lawyers and drug and device companies have about Minnesota is that its laws are favorable to personal injury victims. Last year, there was an ABA Journal article, Lawsuits Travel Up North: Land of Ten Thousand Lakes Is Flooded With Thousands of Out-of-State Filings, that discussed the benefits of filing products liability claims in Minnesota, including Minnesota reasonable six-year statute of limitations in products liability cases. While lawyers rarely have seriously injured clients in a car accident that come to them years after the cause of action arose, this is a far more common occurrance in products liability cases because it sometimes takes a while for people to understand the connection between the negligence and their injuries, even if that information is available under the "know or have reason to know standard."


Squeezed On: May 2, 2008

California Nursing Home Profits Going Up, Nursing Home Care Going Down

The University of California San Francisco reported that two years after California the state passed legislation increasing reimbursements from Medi-Cal, average nursing home income from the state's healthcare program went up to $152 from $124 daily. But average spending on direct patient care went down by 3.6 percent and, not surprisingly, complaints of patient mistreatment proven went up by 36 percent. The study discovered 16 percent of nursing homes in the state failed to measure up to California's minimum staffing benchmarks.

The average nursing home netted $248,047 in 2006, a 233% increase from 2004. Charlene Harrington, the California studies lead author, told the Los Angeles Times, "They got so much money, they should have been able to do something."

You would think.

Squeezed On: May 2, 2008

No Tobacco Medical Monitoring in Oregon

Oregon's high court ruled unanimously yesterday that the mere possibility of injury is not enough to make a negligence claim against cigarette makers. Plaintiffs’ class action lawsuit on behalf of 400,000 Oregonians wanted medical monitoring for smokers to test for tobacco related disease.

It is difficult to argue with the court’s ruling in this case. While certainly the risk of disease from tobacco creates a greater risk for users, a mere threat of future harm probably should not be the basis for a claim in the tobacco cases. He or and court did not address this question, but I think it boils down to the question of whether the harm is expected to be imminent and how likely the harm is to occur. Certainly, you would think that the court would take a different posture in, for example, the Medtronic cases where the risk was more imminent.

But that explanation does not quite explain it because 400,000 people are dying a year from smoking and far less will die from Medtronic’s alleged negligence. I think a larger factor in the Oregon courts conclusion is that all of us believe on some level that smokers are also culpable by assuming the risks that they had incurred.

Squeezed On: May 2, 2008

Georgia's Medical Malpractice Cap Struck Down... For Now

A trial judge in Fulton County, Georgia has struck down Georgia’s cap in medical malpractice cases, if in fact in the legislature’s cap of $350,000 for non-economic damages was unconstitutional in its affording of special protections to doctors.

My guess is that this new rule is not going to spin because the Georgia Supreme Court will not agree. Practically, it may be a bad thing for injury victims if they do, because it would not be surprising to see Georgia Legislature respond by extending the cap on damages to old tort victims as opposed to singling out victims of medical malpractice.