In December 2015, the plaintiff, Michael Burke, who was then 73 years old, underwent a scheduled hernia repair at Northwestern Medicine-Kishwaukee Hospital in DeKalb, Ill.

After this hernia repair surgery, his blood pressure dropped and he complained of severe abdominal pain. Burke’s family asked the surgeon, Dr. Stephen Goldman, to look in on Burke, but Dr. Goldman allegedly said that he would not do so until he was finished with other patients.

At about 6 p.m. that same day, Dr. Goldman performed an exploratory surgery and found Burke’s abdomen was full of blood. An hour later, Burke’s wife noticed her husband had weakness on the left side of his face, he was unable to fully open his left eye, his lip was drooping and his speech was slurred.
Continue reading

A Texas Appellate Court has held that a trial court had not erred in denying a defendant’s motion to dismiss based on a plaintiff expert physician’s failure to perform the procedure at issue in the case within the last 20 years.

Alice Waggoner sued physician Dr. Carl Jones, maintaining that he breached the standard of care by performing an endoscopic retrograde cholangiopancreatography (ERCP) before running another noninvasive test to determine whether an ERCP was necessary.

Under Texas law, the plaintiff served the defendant with an expert report by Dr. Perry Hookman, a board-certified physician in both internal medicine and gastroenterology.
Continue reading

Anita Irvin went into the emergency room complaining of swelling and pain in her leg. During that visit, her primary care physician informed the emergency-room physician that she had recently made suicidal ideations.

The emergency-room staff prevented Irvin from leaving the hospital, dressed her in a paper hospital gown, and forced her to turn over her purse and provide blood and urine samples before a counselor could be called to evaluate her.

Irvin sued the hospital for false imprisonment.
Continue reading

Linda Shelly, 56, suffered from various health problems including hypertension, congestive heart failure and diabetes. When she experienced shortness of breath, she was admitted to a local hospital, where a CT scan revealed a retroperitoneal cyst.

The next day, Dr. Muthiah Thangavelu, a general surgeon, performed surgery to remove the cyst. A subsequent pathology report showed that a portion of Shelly’s ureter was removed during the surgery and was included with the frozen section of the cyst. She was later diagnosed as having a right ureteral injury, a urinoma, and kidney swelling. Urinoma is the result of a breach of the integrity of the pelvis or calices of the kidney or of the ureter. Urinomas are urine collections usually found in the retroperitoneum, most commonly in the perirenal space, as a result of renal tract leakage caused by urinary obstruction, trauma or post-surgery complications.

Despite attempts to save her ureter and kidney over the next two years, she lost a kidney, necessitating dialysis and hastening her death. She was survived by her three adult children.
Continue reading

After a fall, John Mitchell, 53, went to a Kaiser Permanente occupational medicine specialist complaining of back pain, numbness and weakness. The doctor prescribed steroids and a muscle relaxer and asked Mitchell to return in one week.

At the next appointment, Mitchell reported increased numbness and weakness in his legs. The doctor referred Mitchell to a Kaiser Permanente emergency room for an MRI of his lumbar spine. The MRI showed mild degenerative changes. Mitchell was referred to a neurologist.

Before the neurology appointment, he met with a Kaiser specialist who ordered a STAT MRI of the thoracic spine. The first available appointment was four days later.
Continue reading

Bradley Metts, who was 9 years old at the time of this incident, was evaluated for severe ear pain by his primary care physician at University Medical Associates. Eight days after the evaluation, Bradley’s condition deteriorated; he developed headache, nausea, vomiting and photophobia. Bradley returned to the clinic where a nurse practitioner described him as being acutely ill.

The medical provider at the clinic ordered various STAT (immediate) blood tests, including an erythrocyte sedimentation rate test and a C-reactive protein test.

Although the lab samples were sent to Athens Medical Laboratory by the mid-afternoon, the results, which were markedly elevated, were not returned for six days.
Continue reading

Matthew Standley had a history of osteomyelitis, bone disease or bone infection, 14 knee surgeries, and numerous skin grafts and muscle harvests. When he experienced pain in his left knee, he consulted osteopathic orthopedic surgeon Dr. Melvyn Rech. Several weeks later, Dr. Rech performed a left knee arthroscopy, meniscectomy, a chondroplasty, and hardware removal.

Several months after these procedures, Dr. Rech performed a total knee replacement.

At Standley’s post-operative evaluation two weeks after the knee replacement, Dr. Rech prescribed Keflex, an anti-bacterial drug. Within two weeks, Standley went to a hospital emergency room, complaining of severe knee pain and drainage from the surgical site. Dr. Rech did not respond to several nurses’ calls, and Standley, 51, was subsequently admitted for treatment of cellulitis and a possible hardware infection.
Continue reading

Keimoneia Redish was a 40-year-old mother of five who suffered from asthma. When she experienced breathing difficulties, her partner took her to a hospital emergency department. Testing there showed that her carbon dioxide level was above normal at 57 mmol/L and that her pH level was 7.28, which is below normal and indicated mild hypercapnia and acidosis. Hypercapnia is a condition of abnormally elevated carbon dioxide (CO2) levels in the blood. Acidosis is a condition in the blood that causes the pH level to fall below the normal limit of 7.35.

Although steroids and other treatments over several hours were administered, Redish’s condition did not improve. She was admitted to the hospital’s intensive care unit, where an attending physician intubated her and placed her on a mechanical ventilator.

Her carbon dioxide level and pH remained stable but still out of range of normal. A pulmonologist later examined Redish and recommended that she continue the ventilator but also add Ketamine, which is a medication mainly used for starting and maintaining anesthesia. The pulmonologist indicated that if Redish’s condition did not improve, general anesthesia to relieve her bronchospasms would be recommended.
Continue reading

St. Luke’s Surgicenter-Lee’s Summit LLC appealed the circuit court’s judgment against St. Luke’s after a jury trial. The gist of the claim was for negligent credentialing. The claim had been brought by the plaintiff, Thomas E. Tharp and Paula M. Tharp, his wife. The jury found in favor of the Tharps and awarded damages. On appeal, the jury verdict was reversed by the Missouri Appellate Court.

“This case arises from a medical malpractice action against a surgeon operating out of St. Luke’s Surgicenter in Lee’s Summit, Mo. In December 2011, Thomas Tharp underwent a laparoscopic cholecystectomy — a surgical procedure to remove his gallbladder.”

The surgeon who handled the gallbladder removal applied for staff privileges at St. Luke’s in 2005 and renewed his privileges several times thereafter. Among other requirements, St. Luke’s required physicians applying for staff privileges to disclose whether they had ever been sued for professional malpractice and, if so, the number of lawsuits they had defended.
Continue reading

Ferid Okic’s common bile duct was damaged during a routine gallbladder removal surgery. His injury went undiagnosed for over a month, requiring corrective surgery and significantly delaying Okic’s recovery. Okic sued his surgeon, Dr. Athanasios Diniotias, alleging that both the surgeon negligently performed the surgery and that he was negligent in providing postoperative care.

Most significantly, Okic did not retain an expert qualified to testify regarding the applicable standard of care for performing gallbladder removal surgery.

Just before the beginning of the trial, the trial judge granted several of the defendant’s — Dr. Diniotias’ — motions in limine, including ones barring him from presenting any evidence related to the performance of the surgery because of the absence of expert testimony on this issue. In any event, the jury found against Okic and in favor of Dr. Diniotias and on Okic’s remaining theory of negligence.
Continue reading