Justia Lawyer Rating for Robert D. Kreisman

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A Wisconsin appellate court has ruled that a trial judge improperly excluded a defendant physician’s expert testimony. The expert wanted to testify about the maternal forces of labor being a cause of the plaintiff child’s brachial plexus injury.

In this case, Leah Bayer and her husband filed a lawsuit against her obstetrician, Dr. Brian Dobbins, claiming that he mishandled their infant’s shoulder dystocia, causing the baby girl to suffer a permanent brachial plexus injury.

The defendant doctor contended that the child’s injury came from maternal forces of labor. This is probably the most common and over-used defense in a birth trauma injury cases. The Bayer family then filed a motion in limine and requested that the judge exclude the defendant’s expert testimony related to the maternal forces of labor theory. The trial judge granted the motion.

However, the appellate court reversed. Whether expert testimony is admissible under the Daubert standard depends on whether an expert is qualified and uses a methodology that is scientifically reliable and whether the testimony will assist the trier of fact to determine a fact in issue.
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Irena Dujmovic-Terman was seven weeks pregnant when she began prenatal care with the defendant obstetrician and gynecologist, Dr. Elliot Levine on Feb. 1, 2008. She was 37 years old at the time. Because of her advanced maternal age, Dr. Levine recommended genetic testing for fetal anomalies. The patient agreed at her 11-week visit.

The blood draw for the quad screen test was planned for the 15-week visit on March 27, 2008, but Dr. Levine’s staff chose not to perform the blood draw at that time, giving no explanation.
Dr. Levine later took the first quad screen blood draw on April 24, 2008. The test results came back from the lab on April 29 showing a high risk of fetal anomaly (trisomy 21 Down syndrome) and thus Dr. Levine signed off on them on May 2. Dujmovic-Terman was not informed of the results during the next three weeks.

Dr. Levine finally told her about the results at her next visit on May 22 when she was 23 weeks pregnant. Dr. Levine ordered an amniocentesis at Weiss Memorial Hospital, which was scheduled for June 3, the next available appointment. However, Dr. Levine chose not to tell the patient that a legal abortion would not be available in Illinois once she passed gestation of 23 weeks and 6 days. He also failed to order the amniocentesis on an expedited basis.
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On June 6, 2006, the newborn baby, America Camacho, was delivered by the defendant obstetrician, Dr. Sonya Thomas, at Norwegian American Hospital in Chicago. Baby America weighed 10.5 pounds at birth. A medical negligence lawsuit was filed against Dr. Thomas and Norwegian American Hospital. The family of America maintained that Dr. Thomas chose not to review a June 1, 2006 prenatal ultrasound report, negligently chose not to suspect fetal macrosomia based on the ratio of the fetal head circumference to abdominal circumference, and relied solely upon the estimated fetal weight measurement of just under 8 pounds before the vaginal delivery.

Fetal macrosomia is a medical term used to describe a newborn whose size at birth is significantly larger than average. A baby diagnosed with fetal macrosomia will have a birth weight of more than 8 pounds, 13 ounces (4000 grams).

Fetal macrosomia poses health risks for the baby and the mother. One of the most common dangers to the unborn fetus is injury to the baby’s shoulder or injury to the important nerves in the baby’s shoulder area that control movement and arm function.
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Andrew and Marni Hotchkiss, a couple in their 30s, were struggling with infertility. They consulted an obstetrician and infertility physician, Dr. Siu Ng-Wagner. The couple and the doctor agreed to use a gestational carrier. As the Hotchkiss family selected potential surrogates online, the couple sent these candidates to Dr. Ng-Wagner for medical screening. Dr. Ng-Wagner subsequently interviewed Christina Jensen and told the Hotchkiss family that everything was “all clear.”

Jensen delivered the Hotchkiss’s baby at 25 weeks gestation after developing pre-eclampsia during the pregnancy. The newborn child developed sepsis and died just 3 weeks after birth.
The Hotchkisses filed a lawsuit against Dr. Ng-Wagner and her medical practice claiming that she chose not to review Jensen’s medical records before recommending her as a suitable surrogate.

This would have revealed Jensen’s history of pre-eclampsia in her pregnancy the year before the Hotchkiss’s baby’s birth. The plaintiffs also argued that Dr. Ng-Wagner had a duty to inform the Hotchkisses that she had not reviewed Jensen’s records before clearing her to be named a surrogate.
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Shamir Tillery was 11 months old when he went to the Children’s Hospital of Philadelphia emergency room. Shamir was suffering from fever and breathing difficulties. The hospital and emergency room staff diagnosed an upper respiratory infection or pneumonia and sent him home.

The next day, Shamir was returned to the Children’s Hospital with worsened symptoms. This included increased fever, irritability, increased pulse and respiration rates, dehydration and lethargy. The emergency room physician, Dr. Monika Goyal, ordered chest X-rays, ruled out pneumonia and upper respiratory infection and again sent Shamir home with instructions to follow up with his pediatrician.

The following day, Shamir returned to the same hospital. Over the next several hours he was examined and received a diagnosis of possible pneumonia or bacterial infection. More than 6 hours after he arrived at Children’s Hospital, he underwent a lumbar puncture that revealed bacterial meningitis. The late diagnosis and treatment was devastating. Shamir is now 6 years old. He suffers from brain damage and a profound hearing loss.
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Christina Yarbrough and David Goodpaster brought a medical negligence lawsuit against Northwestern Memorial Hospital (NMH) and Northwestern Medical Faculty Foundation (NMFF) after the premature birth of their daughter, Hayley Joe Goodpaster. This case came to the Illinois Appellate Court by the request of NMH regarding the doctrine of apparent authority in the medical negligence context. The trial court certified a question of law pursuant to Illinois Supreme Court Rule 308.

The question was this: “Can a hospital be held vicariously liable under the doctrine of apparent agency set forth in Gilbert v. Sycamore Mun. Hosp., 156 Ill.2d 511 (Ill. 1993), and its progeny for the acts of the employees of an unrelated, independent clinic that is not a party to the present litigation?”

The case involved Christina Yarbrough, who believed she was pregnant. She went to Erie Family Health Center Inc. (Erie) a federally funded, not-for-profit clinic on Nov. 14, 2005 after searching the Internet for a nearby clinic offering free pregnancy testing. After receiving a positive pregnancy test, healthcare workers at Erie inquired where Yarbrough would receive prenatal care. Yarbrough was advised that if she obtained prenatal care from Erie, she would deliver at NMH and would receive testing and additional care at NMH, including ultrasounds. She was given a pamphlet and a flyer with information regarding scheduling tours and classes at NMH. The plaintiffs in this case alleged that based on her knowledge of NMH’s reputation and the information provided by Erie, Yarbrough believed that if she received prenatal care from Erie, she would be receiving treatment from NMH health care workers.
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In a significant birth trauma injury case, the mother was given Pitocin while in delivery at the hospital. Labor was more than 14 hours. It was managed by two resident physicians and an attending physician. There were signs of uterine hyperstimulation, which was alleged to have occurred hours before the delivery and followed by hours of obvious fetal distress.

According to the report on this case, a nurse told one of the residents that the fetal monitoring signs indicated fetal distress.  However, even with this information, the physician allegedly concluded there was no fetal distress and instead increased the dose of Pitocin. The nurse reported the fetal monitoring signs of distress to her supervisor who then contacted a more senior resident and the attending physician who then stopped the administration of Pitocin.

The baby was later delivered with the assistance of forceps. At the baby’s delivery, the APGAR scores of 3 at 1 minute and 5 at 5 minutes were charted. The baby, who’s now nearing 7 years old, had suffered a brain injury from inadequate oxygen.

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Daniel Cantu was 3 months old when he was brought to Walker Baptist Medical Center’s emergency room suffering from fever, crying, fussiness, tachycardia, diarrhea and other symptoms. He underwent a physical examination, a chest x-ray and a flu test, which were all reported to be negative. Daniel was diagnosed as having an upper respiratory infection and was discharged.

That same night, Daniel’s condition worsened. He was returned to the hospital the next day and was noted to have additional symptoms such as vomiting, dehydration and a sunken fontanelle as well as weight loss. Testing at the hospital revealed many abnormalities, including impaired liver function and white blood cell levels.

Pediatrician Dr. James Wilbanks examined Daniel the following day and ordered flu tests, IV fluids and Tylenol on an as-needed basis. Two days later, Daniel was discharged again. He was then brought to another pediatrician who ordered an immediate lumbar puncture. The lumbar puncture showed that Daniel was likely suffering from bacterial meningitis, a diagnosis that was later confirmed. Daniel was hospitalized for about one month and now, at the age of 6, suffers from a seizure disorder, blindness, deafness and other problems.

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Llulin Cruz, 31, was admitted to St. Barnabas Hospital to deliver her first child. The attending obstetrician was Dr. Michael Ihemaguba, who performed a midline episiotomy after he delivered the baby’s head. Dr. Ihemaguba then told Cruz to continue pushing. This resulted in a fourth-degree laceration, which Dr. Ihemaguba then repaired. The next day, Cruz complained of vaginal gas and Dr. Ihemaguba told her this would improve over time.

About 5 months later, Cruz became pregnant with her second child. She consulted midwife Gloria Murray for prenatal care and told her that she had fecal-smelling vaginal discharge. Murray called Dr. Ihemaguba and told him about Cruz’s symptoms. Dr. Ihemaguba instructed Murray to do nothing, but he told her to send Cruz to him after the baby was born.

After the vaginal delivery, which the midwife performed, Cruz was diagnosed as having a rectal-vaginal fistula. Cruz required 13 surgeries during the next 3 years, including an ileostomy and a “pulled down” procedure involving removal of her rectum. Cruz has lost control of her bowel function and is no longer able to engage in sexual relations. As she ages, her medical condition is expected to worsen, necessitating a permanent colostomy.

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Baby Doe was less than two months old when she contracted respiratory syncytial virus (RSV), which caused her to stop breathing during the night. Her foster mother, Betty Cook, called the doctor’s office 4 hours later and was told to go to an emergency room. Instead, she took the baby to a clinic where she was seen by a family physician, Dr. Anne Hamilton.

During the appointment, Baby Doe stopped breathing necessitating resuscitation by Dr. Hamilton. Dr. Hamilton told Cook to drive the child to a hospital five minutes away. At the hospital,the baby was diagnosed as having suffered a hypoxic brain injury. Baby Doe is now 5 years old. She suffers from cortical blindness and is unable to walk, stand, sit, and feed herself or talk.

The Doe family filed a lawsuit against Betty Cook, the foster parent and Dr. Hamilton and the insurance fund for foster parents alleging that (1) Hamilton choose not to summon emergency care or accompany Baby Doe to the hospital; and (2) Cook choose not to timely go the hospital after she was told to do so by the doctor.

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