Articles Posted in Brain Injury

A neuropathologist, Dr. Meena Gujrati, and her employer, Central Illinois Pathology, were named as defendants in a medical-malpractice lawsuit brought by Rebecca Gapinski who alleged that this doctor misdiagnosed Daniel Gapinski’s brain tumor as being benign.

Right before the start of the jury trial, Dr. Gujrati requested permission to proceed with a substitution of counsel. The attorneys for the Gapinski family objected, arguing that the motion was tardy because the case had been pending for three years. However, the Gapinski family accepted a compromise, and the trial judge ruled that the defendants could have separate counsel, separate pleadings and separate experts if they were otherwise barred from double-teaming at trial.

The verdict for Gapinski was $1,727,409. On appeal, Dr. Gujrati and Central Illinois Pathology argued, among other things, that the judge erred in barring “dual representation.”
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Annually in the U.S., at least 3.5 million people are treated for traumatic brain injuries (TBI). A recent article published in the Journal of the American Medical Association’s neurology section reports that the development of therapies for TBI has been limited by the absence of diagnostic and prognostic biomarkers. The microtubule-associated protein Tau is an axonal phosphoprotein. Up to now, the presence of the protein in plasma from patients with acute TBI and chronic TBI has not been investigated.

Traumatic brain injury (TBI) is considered an event and/or a disease. Traumatic brain injuries may lead to chronic functional, neurocognitive and neuropsychiatric deficits. The three classifications of a TBI are measured by severity, which can be mild, moderate or severe.

There were more than 3.5 million emergency department visits for TBI and more than 280,000 patients are hospitalized annually with TBI; most of these are classified as mild TBI. It is presumed that there are many more individuals who have mild TBI, but do not seek medical attention. Between 2000 and 2014, more than 300,000 members of the military sustained TBI during combat and training. Approximately half of the patients with TBI in the U.S. have at least some short-term disability related to that injury or illness. TBI is associated with an increased risk of neurodegenerative disorder such as Alzheimer’s disease, which can occur in individuals years after the injury.
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Mark Brown was a 39-year-old high school wrestling coach who began experiencing dizziness, neck pain, blurred vision and nausea while at a wrestling practice. He went to a local hospital, and paramedics transferred him to Banner Good Samaritan Medical Center where he was given a CT scan without contrast as part of a stroke workup.

The next day, Brown was discharged with a diagnosis of benign positional vertigo.

On the way home from the hospital, he suffered a massive stroke that caused severe brain damage. As a result, he lost vision and experienced difficulties with walking and speaking, among other problems. Brown now requires 24-hour-a-day care.
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Jenny Copsey, on behalf of her late husband, Lance Copsey, filed a lawsuit against a radiologist, Dr. John Park, claiming that he chose not to properly analyze radiological images, which purportedly contributed to the her late husband’s fatal stroke.

The state’s court of appeals said that the evidence of negligence by Copsey’s other physicians who previously settled out of the case was properly admitted by the trial court because it was essential to provide Dr. Park with a fair trial.

The decision stated: “Evidence of nonparty negligence was relevant and necessary in providing Dr. Park a fair trial as it tended to show he was not negligence; thus, the alleged prejudice did not outweigh its probative value.”
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Gretchen Altemus, 68, struck her head in a fall. She went to the Indiana Regional Center emergency room where she underwent a CT scan. The radiologist working for Aris Teleradiology interpreted the test as being normal.

She was admitted to the hospital. Just three hours later, she became non-responsive. A second CT scan was done showing intracranial bleeding. Although she was transferred to another hospital, she died the next day of brain damage resulting from the intracranial bleeding. She is survived by her two adult children.

Altemus’s daughter, on behalf of her family and estate, sued Aris Teleradiology and the hospital claiming that they chose not to timely diagnose and treat the intracranial bleeding. Had the radiologist identified the small area of bleeding in the brain, the family alleged that she could have received lifesaving treatment and survived.
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This appeal is from the district court’s dismissal, on statute of limitations grounds, of a medical malpractice lawsuit. The plaintiff, Johnnie Watkins, filed the action on behalf of her adult daughter, Johnnice Ford, who is a disabled person. The lawsuit alleged that Ford sought treatment at the emergency room of Ingalls Memorial Hospital in Chicago where she was treated by a doctor who was an employee of Family Christian Health Center. This facility was operated pursuant to grant money from the Public Health Services, an agency of the U.S. government. The lawsuit was brought under the Federal Tort Claims Act (FTCA), and the United States is the defendant.

In the lawsuit, it was asserted that the treating physician chose not to correctly diagnose and treat Ford who was eventually correctly diagnosed with Wernicke’s encephalopathy and who sustained neurological injuries, including permanent disability. Encephalopathy is a general term that describes a disease that damages the brain. Wernicke’s encephalopathy is a neurodegenerative disorder caused by a severe vitamin B1 deficiency. Parts of the brain may be damaged as a result of this deficiency causing increased difficulty with memory, movement, vision and coordination.

The federal district court judge dismissed the lawsuit that was filed beyond the relevant statute of limitations. Watkins appealed that dismissal order to the U.S. Court of Appeals.
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It is no secret that thousands of American patients die or are permanently and seriously injured by medical providers. More than 250,000 Americans die in hospitals every year due to medical errors. That staggering number makes deaths in hospitals, clinics, nursing homes, assisted living facilities and long-term care centers the third most common cause of death in the United States. The number of Americans who die because of the negligent errors made by medical providers is higher than those who die because of respiratory disease, accidents, stroke and Alzheimer’s disease.

According to the study by Johns Hopkins University School of Medicine, the causes of the deaths are not isolated to one common medical practice area.

The Johns Hopkins research involves a comprehensive analysis of four large studies. According to a report a year ago by the Washington Post, the Johns Hopkins report took into account studies from the U.S. Health and Human Services Department’s Office of the Inspector General and the Agency for Healthcare Research and Quality between 2000 to 2008. The calculation of 251,000 deaths in a year amounts to nearly 700 deaths a day — about 9.5 percent of all deaths annually in the United States.
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Kelly Wolfe was 56 years old when he was involved in a motorcycle crash. Paramedics from the city of Grand Prairie arrived at the crash location where they found him alert and breathing regularly. The paramedics attempted unsuccessfully to intubate Wolfe. The paramedics undertook the intubation even though Wolfe told the paramedics that he wanted to go home.

A helicopter service operated by PHI Air Medical Inc. came to the scene to transport Wolfe to a nearby hospital. Before the helicopter transport, the paramedics provided the PHI Air personnel with a paralyzing agent to facilitate Wolfe’s intubation.For some reason, the paramedics were determined that intubation was the thing to do.

Twenty minutes later, when Wolfe arrived at the hospital, he was deemed brain dead due to prolonged oxygen deprivation. Wolfe subsequently died. He had been working as a paramedic instructor, earning about $50,000 per year. He is survived by his three children, one of whom was a minor.

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A  Springfield, Mo., jury signed a verdict for $28.9 million for a 24-year-old woman who sustained a devastating brain injury caused by a rare copper disorder. The lawsuit, brought in Greene County, Mo., claimed that a local hospital’s medical staff chose not to correctly diagnose and treat Emilee Williams’ symptoms. In fact, it was alleged that the hospital took the position that it did not need to do a full and complete neurological exam even though Williams presented to the hospital with symptoms. The hospital dismissed her symptoms as anxiety.

It was in December 2012 that Williams presented to the hospital. She was examined by Dr. Elene Pilapil with complaints of fatigue, tremors, balance issues, insomnia, difficulty concentrating, crying spells and anxiety. Dr. Pilapil diagnosed Williams with anxiety and did not consider ordering more diagnostic testing. A prescription for Prozac was written and Williams was sent home. Eight months later, not until August 2013, was an MRI finally ordered that showed that Williams was brain damaged, caused by the previously undiagnosed Wilson’s disease. This was done only after Emilee and her mother continued to complain to the doctor that Emilee had something much more significant happening to her than just anxiety.

As it was proved at trial, Williams had undiagnosed Wilson’s disease. This disease, although rare, causes too much copper to accumulate in the liver, brain and other vital organs, which was the cause of her devastating permanent injuries. Williams was a former high school student and athlete, but today is limited from paralysis, motor and speech impairment and must be fed through a tube in her stomach.
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On Oct. 30, 2009, J.S. (DOB: 5/7/09) suffered a bilateral tension pneumothorax at the defendant hospital, which resulted in a cardiopulmonary arrest for 23 minutes. A bilateral tension pneumothorax is a medical emergency, and it requires immediate treatment. This 6-month-old child was a post-cardiac surgical patient who suffered from chronic lung disease and was ventilator dependent. He was at an elevated risk of suffering from pneumothoraxes.

He also was born prematurely and was diagnosed with Down Syndrome. It was anticipated before this event that J.S. would have been discharged the next day.

By 9:30 p.m. that night, J.S.’s treating physicians should have entertained a differential diagnosis that included pneumothorax (collapsed lung) based upon J.S.’s clinical presentation (ashen colored, diminished and labored breathing), as well as pH of 7.15. The standard of care was a stat chest x-ray at bedside.
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