Articles Posted in Emergency Room Errors

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A Chicago federal judge entered a Chicago medical malpractice verdict in the amount of $8,8330,182 against the United States following a bench trial. In July 2004, Ernesto Maldonado was a patient at Chicago’s Mount Sinai Hospital. He was admitted because of pneumonia. A few days after the admission, a CT scan was done of Maldonado’s chest and back. The scans revealed destruction of a vertebral body in the mid-thoracic spine (T-7). Maldonado v. United States of America, et al., 06 C 4149 (January 2010).

The radiology report stated that the vertebra was destroyed. But neither Maldonado’s treating doctor, interventional radiologist, nor infectious disease physician ever followed up with treatment. The patient was never referred to an orthopedic surgeon or for a neurosurgery consultation. Five days later Mr. Maldonado was discharged and antibiotics were discontinued.

The plaintiff, Mr. Maldonado then attempted to see his attending physician at his office. But this doctor refused to see him. By August 14, 2004 the plaintiff had lost sensation in his low legs and he became urine incontinent.

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In order to achieve the best possible outcome following a stroke, doctors and medical staff must identify the emergency situation and react quickly. Medicines aimed at breaking up blood clots that may have caused a thrombotic stroke have been found to increase survival rates and lessen the likelihood of permanent disability. However, these medicines must be administered within three hours of the stroke occurring, which makes an immediate response by emergency room physicians even more important.

In Chris Medina v. Henry C. Echiverri, M.D., et al., No. 07-L-000820, the emergency room errors led to the eventual death of a young stroke victim. The 24 year-old mother presented to Central DuPage Hospital’s emergency room complaining of sudden headaches, numbness to her right side, and problems speaking. However, despite the fairly obvious signs of a stroke, there were serious emergency room errors made and the correct diagnosis was not made for over 12 hours.

The decedent’s medical status was evaluated by Dr. Echiverri, a member of the hospital’s stroke team. However, despite specializing in stroke victims, Dr. Echiverri failed to diagnose and treat Medina’s stroke. Instead her condition was diagnosed by a neuroradiologist. But by the time the decedent’s stroke was diagnosed she was already significantly neurologically impaired and slipping into a coma. She died just 17 days after presenting to the emergency room.

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A Cook County jury recently awarded $2.75 million in an Illinois wrongful death case involving the death of an Illinois male from an undiagnosed pulmonary embolism. Instead of diagnosing the man’s pulmonary embolism, the Illinois emergency room staff misdiagnosed the decedent with a seizure disorder. Rhodes v. Malik, et al., No. 06 L 5467.

While misdiagnosing a patient can often be the result of medical negligence, misdiagnosed cases do not always lead to medical malpractice lawsuits. Whether or not a lawsuit is brought hinges on the degree of damages, or the final outcome. In Rhodes, the decedent’s estate alleged that the misdiagnosed patient died as a result of the incorrect diagnosis. However, if a delay in diagnosis had only led to some discomfort or minor inconvenience on the part of the decedent then there would not likely have been grounds for a medical malpractice claim.

In Rhodes, the decedent’s estate was critical of the emergency department’s errors at Weiss Memorial Hospital, specifically its misdiagnosis of a seizure disorder. The decedent had presented to Weiss’s emergency room after collapsing on a train platform. The initial doctor suspected that his collapse was due to seizures and ordered a wide range of tests to confirm this diagnosis. However, before the results came back, the initial doctor’s shift was up, at which time the decedent’s care was transferred to an additional emergency medicine physician.

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An Illinois medical malpractice verdict in favor of the defendant emergency room physician was upheld by an Illinois Appellate Court. The Illinois medical malpractice complaint in Pavnica v. Veguilla, et al., No. 3-09-0065, alleged that the emergency room doctor’s error had contributed to the amputation of plaintiff’s toes after he developed gangrene.

As a diabetic, the plaintiff was already at a heightened risk for developing foot and toe infections. However, the plaintiff had also recently been placed on immunosuppressive medications following a pancreas and kidney transplant, placing him at an even greater risk for developing infections. Because of his increased risk for developing a foot or toe infection, the plaintiff sought medical assistance when he stubbed his toe on a piece of furniture.

While the plaintiff would normally follow up with his regular physician regarding any potential infection issues, his doctor was out of town. So the plaintiff opted to seek treatment at the emergency room. At that time the plaintiff was seen by the defendant doctor who diagnosed a breakdown of the skin in the area of the injury and prescribed oral antibiotics.

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