Gair, Gair, Conason, Rubinowitz, Bloom, Hershenhorn, Steigman & Mackauf is a New York Plaintiff's personal injury law firm specializing in automobile accidents, construction accidents, medical malpractice, products liability, police misconduct and all types of New York personal injury litigation.

Articles Posted in Medical Malpractice

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Jeffrey BloomOur partner, New York Medical Malpractice Lawyer Jeffrey Bloom was quoted in an article about medical malpractice insurance in NY which appeared on Politico New York/Capital New York.com. The article focused on the influx into the New York medical malpractice insurance market of out of state insurers known as risk retention groups. While New York’s carriers are more expensive, they are safer than out of state insurers because they pay into a guaranty fund that acts as a safety net.  If one of them is in trouble and goes belly up, the costs are passed along to the other insurers of the State. Out of state companies also known as Risk Retention Groups (RRGs) do not pay into this guaranty fund. This is one of the reasons why they can offer cheaper rates to physicians than New York insurers.  RRGs are regulated by their home state and not by New York Sate. If a RRG goes under,  in some cases physicians maybe exposed and personally liable for malpractice claims. Because New York can’t regulate these funds it weakens the state’s safety net. Additionally the recent turmoil of Physicians’ Reciprocal Insurers, or PRI, the second largest carrier in the state, is further undermining the market.  Jeff pointed out that the New York  medical malpractice market is not only quite stable but obviously viewed as a potentially  quite profitable market by medical malpractice insurers nationwide.
In addition to trying and managing medical malpractice cases, Jeffrey Bloom is the Co-chair of the Medical Malpractice Committee of the New York State Trial Lawyers Association as well as the Co-Chair of LAWPAC New York, the Trial Lawyers political action committee. In these roles, he works to protect the rights of victims of medical malpractice in Albany with the Legislature and State government.
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Distribution of the maxillary and mandibular nerves, and the submaxillary ganglion. Source: Wikipedia

Facial nerves, Source: Wikipedia

Failure to diagnose a rare disease called trigeminal neuralgia (TN) can be medical malpractice. The disorder can cause pain so extreme to a patient that it has been nicknamed “the suicide disease”.

In a recent article in the Washington Post, Sandra G. Boodman describes the story of a 59 year old man who almost died after a cohort of doctors he visited were unable to make a proper diagnosis.

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brOur managing partner, New York Medical Malpractice Lawyer Ben Rubinowitz will be a panel member at the Medical Malpractice Litigation 2016 NYC Live & Webcast seminar organized by the NYSBA on April 15.   Ben will be speaking on effective methods of deposing the defendant doctor in a medical malpractice case.

This seminar is an excellent opportunity for young and experienced lawyers to keep up to date with recent issues in medical malpractice and to learn trial strategies and techniques from top litigators and distinguished judges. The Agenda includes:

  • Developments in the Substantive Law
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Medical malpractice is on the rise in hospices. Once a place handled by nuns and caring volunteers, hospice care has become a multi-million dollar business handled by not so caring CEO’s who are often putting profits ahead of patient needs.

Recently the FBI busted Brad Harris the 30 year old owner and CEO of a Texas Hospice for instructing nurses to overdose patients.  The Daily Beast  writes that during the course of the investigation Harris texted one of the nurses “You need to make this patient go bye-bye”. Harris who has no medical education also texted another nurse to increase by four times the patient’s medication. In another conversation Harris said “if only this F*** would die”.

Because hospices are paid by the government through Medicaid and Medicare  they receive a cap amount of $27,820.75  per patient. Therefore a patient who stays alive too long is not profitable for a hospice. The incentive is to have more patients with shorter stays. The FBI said Harris spoke about “finding patients who would die within 24hrs”.

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NursingMedical malpractice is often preventable. According to statistics from the Journal of the American Medical Association, 80% of adverse events in the health care system are the result of human errors. Medical malpractice is not only committed by doctors but also by nurses and other health care professionals. In a recent article in Minority Nurse, Nicole Thomas, a legal nurse consultant shares some very interesting statistics about medical malpractice. She also gives the following tips to nurses to avoid being sued for medical malpractice:

  1. Nurses should make sure they always proprely document their work. When a nurse writes a clear and precise description of what happens to a patient when he is under her care it  not only helps her and the staff make sure the patient is proprely being taken care but it also protects the nurse in case of a potential lawsuit. A nurse who defends herself  by saying “I did it but I forgot to document it”  will have trouble convincing the jury in a medical malpractice trial.
  2. Not only nurses should document everything but they should make sure their notes are easy to read. Even though a nurse may have been doing the right thing, unreadable notes open the door for a patient to question the nurse’s actions in considering filing a medical malpractice lawsuit.
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Urgent Care Centers have been opening all around New York City and the US these recent years  but are they really safe? Here are the most common acute care medical malpractice risks:

  • Patient is being send home with a very abnormal vital sign without a re-evaluation of that abnormal sign
  • Poor risk factor evaluation happens when  practitioners forget to ask important questions about the medical history of the patient
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Abdominal compartment syndrome is well recognized as a potential complication of laparotomy for trauma. It has also been reported after repair of large ventral hernias and may be anticipated in any case in which there is a loss of domain for abdominal organs. Failure to diagnose Intra-Abdominal Hypertension leading to Abdominal Compartment Syndrome, multi-system organ failure and patient death following surgery of the Abdominal Cavity may constitute medical malpractice. For a complete discussion of this insidious condition see our web page, “Abdominal Compartment Syndrome”

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missing hospital patientTo let a dementia patient wander out of a hospital in New York constitutes medical malpractice that can result in serious injury and in some cases the death of the patient.

On Monday, Mt Sinai Roosevelt Hospital located on 10th Avenue in Manhattan called the police after they discovered that one of their patients with dementia eloped from the hospital. 58 year old Nilsaida Smiley, a hospital patient who has been there for the past year, wandered out of the hospital barefoot in a red t-shirt and blue pajama bottoms. The police are now asking New Yorkers to help them to find her. The woman is 58 years old, 5-foot-3 and 115 pounds. She is black with brown eyes and black hair. Anyone who saw her can call the Police at 800-577-TIPS. A dementia patient who gets lost in New York is at high risk of injury or death from falls, accidents and exposure.

According to a report from the Alzheimer’s Association, approximately 35% of the hospital population has some type of dementia. Wandering is a common habit for people with Alzheimer’s or dementia. It is the hospitals responsibility to keep them safe and prevent them from elopement. If a loved one suffers from dementia and needs to be hospitalized make sure that the hospital has a specific policy and rules in place. Hospitals who are effectively  protecting their most vulnerable patients will usually have the following:

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Multiple cases of medical malpractice committed by several doctors including 3 neurosurgeons almost killed a patient according to a recent article written by Sandra Boodman in the Washington Post. Brad Chesivior from Maryland almost died after several doctors failed to diagnose a brain bleed. When a neurosurgeon finally made the proper diagnosis, the acute subdural hematoma that he was suffering from was as large as the size of an adult’s palm and was threatening to kill him. According to the neurosurgeon who made the proper diagnosis, Bard had probably no more than 24 hours to live and needed immediate surgery.

In the article the author describes how multiple doctors misdiagnosed the 60 year old man to the point that he almost died. The first significant symptoms appeared just after Thanksgiving 2013. Chesivoir suddenly became very weak and unable to walk. He was transported by ambulance to a Maryland emergency room. As he arrived at the ER he felt better and was able to walk again. The ER staff performed CT and MRI brain scans as well as multiple blood tests.  Doctors thought that he was the victim of a heart attack or a stroke but tests didn not show any of these. They completely missed evidence of multiple bleeds and sent Chesivior home with a diagnosis of headache.  They told him he should consult with his internist.  Chesivior went to see his internist who recommended he sees a neurosurgeon. The neurosurgeon looked at the previous scans made at the ER and missed the bleeds too. Instead she ordered additional tests and scheduled a follow up appointment almost two months later. In between, Chesivior’s headaches got worse. When they got even worse, he consulted with another neurosurgeon as his neurosurgeon was out of town. The second neurosurgeon told him that his problem was a typical migraine and prescribed amitryptiline. A few days later he developed double vision. The neurosurgeon told him it was an adverse effect from the medication and reduced his dose. The problem got worse. Two days later, he went to consult with a ophthalmologist who told his wife to drive him immediately to the ER where a fourth neurosurgeon finally proprely diagnosed the problem and saved him from death by operating on him the following day.

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Among the various types of medical malpractice suffered by hospital patients, misdiagnosis accounts for approximately 10% of patient deaths. In a recent Opinion Page from the New York Times, Sandeep Jauhar, a Long Island cardiologist, wants to Bring Back the Autopsy as a weapon to fight misdiagnosis.

With the evolution of medicine and the proliferation of medical tests, autopsy doesn’t seem as essential these days as it was in the past to determine the cause of death of a patient. Before 1971, community hospitals were required to perform autopsies on 20% of their dead patients to earn their accreditation from the Joint Commission. This requirement was dropped after that date. Furthermore in 1986, Medicare considered autopsies financially draining and stopped paying for them. Now an autopsy is mostly considered by doctors as an educational tool.

Recent studies however have demonstrated that despite the medical technological advances autopsy can be a very effective manner to reduce the rate of hospital misdiagnosis.  In his opinion Sandeep Jauhar suggests that Medicare and private insurers pay for them again so that financial considerations doesn’t limit their use.

 

 

 

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