| Medical Malpractice What is medical malpractice? In general, it is the failure of the doctor, hospital or other healthcare professional to meet the level of care, skill and treatment, whichis recognized as acceptable and appropriate by reasonable prudent healthcare providers giving care under similar circumstances. Simply put, it is negligence by the health care provider causing injury to the patient. How does one prove medical malpractice? Typically, medical malpractice is established by the testimony of anexpert witness, who practices in and/or is well familiar with the field ofmedicine of the doctor or other health care provider you believe harmed youor your loved one. This evidence is called the "standard of care." Becausemedical knowledge is so specialized, the best experts are those whose dailypractice involves the same questions of diagnosis and care as your doctor facedwhen he or she treated you for your medical complaints. Through the useof a qualified expert witness -- and different states have different ruleson qualifying an expert medical witness -- you show that your health care provider did not meet minimum professional standards in her care ofyou or your loved one. An example: suppose your doctor sends you to a radiologist for a mammogram. Your radiologist reports back to your doctor that she sees suspicious microcalcifications and suggests a biopsy. Your doctor does not immediately tell you of this potentially life threatening development. You go onto develop a cancer not only in your breast, but also in your lymphaticsystem, threatening to further spread into other parts of your body. If my doctor was negligent, does that meanI win? Not necessarily. Sometimes, the negligence of the doctor will not causeyou any increased harm or damages. You have to establish not only thatthe doctor, through negligence, violated the standard of care, but alsothat your doctor's negligence played a substantial role in causing you harm. What is the statute of limitations for suingmy doctor or health care provider? The statute of limitations is a time limit set by law, which createsa deadline for filing a lawsuit. Each state has its own statute of limitations. Each particular statute of limitations has its own intricacy. In somestates, the statute of limitations will not begin to run so long as the doctoris continuing to treat the patient. In other states, the statute of limitations will expire even if the plaintiff is unaware that her doctor has injuredher. In other states, the statute can be of one duration if you are stillalive, but of a shorter duration for your heirs if the health care provider's negligence proved fatal. As you might imagine, there are variationswithin each of these settings, and there are variations that depend upon whether your health care provider was in private practice, state or local clinical practice, or federal government service. The best rule is for you,the victim of medical negligence, to immediately discuss with an attorney of yourchoice your specific factual circumstance and to be guided by your attorney's determination of the statute of limitations. In following this rule,be very clear that defense lawyers will always research the facts and the lawto develop an argument that your claim is time barred because of the passageof the statute of limitations. Time is always of the essence in seekingout your attorney. What should I bring to my first meeting withmy attorney? Each attorney will guide you specifically. In general, you should gothrough your notes and documents so that you will have a good ability to showand tell your attorney your information on the following topics: (1) whowere the doctors, nurses and hospitals involved in providing health care toyou (2) what problems or issues did you come to your doctors with for help;(3) how do you think your health care providers let you down; (4) what madeyou first think, and when did you first think, that your health care providerslet you down; (5) what evidence is there that your health care provider's actions were improper: For examples: did a nurse suggest to you that you shouldtalk with a lawyer, or, were you told that quality assurance would lookinto this matter, and; (6) how do you believe your health and well being havebeen impaired and compromised as a result of the medical care you believewas inadequate. If you have your medical and billing records in hand, itis always good to bring them to the first meeting. What types of medical negligence claims haveyou recently handled? In the past several years, cases I have handled for victims of medical malpractice include the following factual circumstances, presentedhere in very boiled down form: a. Claims against a radiologist and gynecologist for failure to diagnose breast cancer. b. Wrongful Death claim against a hospital and anesthesiologist forfailure to properly monitor the patient. c. Claims against a Home Health Care, Hospital and orthopedic surgeonfor failure to diagnose and treat an infection causing a below the knee amputation. d. Claims against hospital and surgeons for delayed diagnosis and surgery causing anoxic brain injury. e. Claim against an urologist for failure to diagnose prostate cancer. f. Claims against a hospital, emergency room physician, admitting physician and cardiologist for failure to timely diagnose and treat an acuteMyocardial Infarction (heart attack). g. Claims against gynecologist for failure to obtain medical clearanceprior to removing patient's medications causing a stroke, brain injury and paralysis. What is Personal Injury? Personal injury is a broad area of law that encompasses injuries anddeaths from a variety of different types of negligence. These include butare not limited to the following: a. Automobile accidents; b. Slip and falls; c. Motorcycle accidents; d. Pedestrian accidents; e. Boating accidents; f. Airplane accidents; and g. Train accidents. Negligence alone is not sufficient to present a Personal Injury Casein Florida. An attorney must prove three elements: 1) Defendant's duty to protect others, including the plaintiff; 2) Failure on the part of the defendant to perform that duty; and 3) Injury or damage to the plaintiff proximately caused by that failure. When all these factors are brought together, they constitute actionable negligence. For example: A driver of a car has a responsibility touse due care in operating his vehicle. If that driver is negligent in failingto keep his car under control and hits another vehicle, he would be negligent. However, that negligence must also cause a permanent injury under Floridalaw in order to recover for pain and suffering. With a slip and fall case, one must only prove that the negligence causedthe injury. There is no requirement of a permanent injury. All areas of Personal Injury Law have hundreds of different little nuances. Because of this, it is important to contact an attorney who will makesure your case is handled properly and your rights are protected. Phillips P. O'Shaughnessy Esq. is "Of Counsel" to the law Firm ofJones and Wolfe P.A. and primarily handles Legal Malpractice Cases. He hasbeen gracious enough to provide some insightful information regardingthat area of law. Legal Malpractice: What is legal malpractice? In general, it is the failure of the attorney to meet reasonable professional standards in his/her representation of the client. How does one prove legal malpractice? Typically, legal malpractice is established by the testimony of an expert witness, an attorney with familiarity with the same type of transactionsand claims as your attorney handled on your behalf. The expert witness establishes the "standard of care" of an attorney in handling thistype of matter and provides expert analysis on the ways in which your attorneyfailed to meet those standards. A good way to think about the "standard ofcare" is the rules of the road for professionals in the field. Just as we expect licensed automobile drivers to recognize and obey Yield and Stop signs, practitioners in a given field of law should be held to know and obeyYield and Stop signs in their professional work. There are some violations of the standard of care that many courts consider so plain as to not require the injured person to put on expert testimonythat the attorney violated the standard of care. Not all courts agree onwhich conduct is so far from accepted standards as to represent obvious negligence. But, certain types of conduct by attorneys have been routinely scrutinizedas evidencing obvious negligence. Examples include the failure of an attorneyto file an injured person's case before the statute of limitations ---a legislatively set time period requiring that claims be filed withinsome many years of the occurrence of the harm --- has run and terminated theability of the injured person to present her case in court. Another example isan attorney who fails to obey court orders and rules of procedure directly causing the client's case to be diminished and/or dismissed from court. If I prove my attorney's negligence, does thatmean I win? Not necessarily. You must also establish that the attorney's negligence actually caused you harm. Sometimes, an attorney can be very negligent,such as in failing to file a medical negligence claim against a doctor whoinjured you, before the statute of limitations came and extinguished your rightto sue the doctor. But, if you sue your attorney, you can expect thatshe will claim that even if she had timely filed your case, it was not a casethat you would probably have won. Because you would have lost your medical negligence claim anyway, your former attorney will argue, her failure to fileit in court on time did not harm you at all. What is meant by the "case within a case"? The "case within a case" is the case in which your attorney committed negligence. For example, the medical negligence case against a doctorfor the failure to diagnose your breast cancer, which the court dismissed,for example, because your lawyer failed to name expert witnesses on yourbehalf in the time period set by the Court's scheduling order. This case --the case your attorney should have properly handled for you -- is within thelegal negligence case, that is your claim that the attorney committed negligence. In this "case within a case" analysis, the Court will require the person injured by the lawyer's malpractice to also show that if the lawyerhad done her job professionally you would likely have won your case againstyour doctor for medical negligence. What is meant by the "collectibility" defense? The lawyer defending himself against a claim for legal negligence willargue that he is only financially responsible to you for losing the caseyou had entrusted to him to the extent that you would have been able to collectmoney from the person he should have successfully sued on your behalf. Forexample, if your lawyer did not file your case in time to beat the running ofthe statute of limitations against a driver who ran into your vehicle and permanently injured you, your lawyer will argue that if he had donehis job and won a judgment in court against the driver he still would not oweyou any money for his negligence if the driver was a man without any assetsor insurance. In other words, this is the extreme end point of the "casewithin a case" analysis. If the lawyer you are suing would have been unable,despite prodigious efforts, to collect a dime on your behalf from the defendantyou sued, then the lawyer will argue that his negligence did not depriveyou of any money. Many courts today accept this analysis, even if the lawyerhimself has tremendous assets and malpractice insurance. What is the statute of limitations for suingmy attorney? Each state has its own statute of limitations. Because the types ofclaims that can be brought against an attorney can fall into several different types, no overall answer can be provided to this question. Claims canbe for negligence, for breach of contract, for breach of a fiduciary duty-- such as maintaining your funds in an escrow or trust account, for civil theftunder specific state laws, and, as another example, for fraud and negligent misrepresentation. Oftentimes, especially in transactions crossingstate lines, the law of one state will provide a different period of limitations then another. This leads to a type of analysis called "choice of law."It is kindred to counting angels on pin heads and provokes much learned discussion, but sometimes leads to a pointed outcome. If the wrong state law applies, your case will be thrown out of Court even though it was timely broughtunder the law of a different state. The best rule is for you, the victimof legal negligence, to immediately discuss with an attorney of your choiceyour specific factual circumstance and to be guided by your attorney's determination of the statute of limitations. In following this rule,be very clear that defense lawyers will always research the facts and the lawto develop an argument that your claim is time barred because of the passageof the statute of limitations. Time is always of the essence in seekingout your attorney. What should I bring to my first meeting withmy attorney? Each attorney will guide you specifically. In general, you should gothrough your notes and documents so that you will have a good ability to showand tell your attorney your information on the following topics: (1) wasthere a written engagement letter setting forth your attorneys duties to you;(2) what did you ask your attorney to help you achieve; (3) how do youthink your attorney let you down; (4) what made you first think, and when didyou first think, that your attorney let you down; (5) what evidence is therethat your attorney's actions were improper: For example, is there an opinionfrom the trial judge or from the appellate court that is critical of your attorney's conduct, and; (6) how has your attorney's actions harmed you and howdo you calculate your losses. What types of legal negligence claims haveyou recently handled? In the past several years, cases I have handled for victims of legal malpractice include the following factual circumstances, presentedhere in very boiled down form: a. Claim against a law firm for betraying its clients and sabotagingtheir effort to bring their technology company public. b. Claim against a law firm for negligently prosecuting a US patent application for a valuable technology and for negligently failing toamend and correct the patent in time for the rights granted by the patentto be sold to a large pharmaceutical company. c. Claims against an attorney for failure to file a negligent maintenance of premises case against a hotel before the expiration of the statuteof limitations. d. Claims against an attorney for failure to answer a court pleadingon time so that all defenses of an honest businessman were struck andhe became exposed to a significant claim for financial damages and business losses. |