Document 5DLgkrD3p2MZZkYyXRobBxOY0

vu,'`` --LAW U>:,1a^Y SO ?"iiTE'ST. BOX 530 crp 2 S ff ":i A MONTHLY REVIEW OF NEW GLAND STATE AND FEDERAL COURT CIVIL jimj^VERDICTS WITH PROFESSIONAL COMMENTARY AND AN ^ -"^"V . Providing --A BASIS FOR EVALUATION AND COMPARABLE CASES. ` . I*^ . .............. SETTLEMENT OF --PROFESSIONALLY ORIENTED TRIAL ANALYSTS OFPROOFS,TECHNIQUES AND PRESENTATION. --NAMES OF EXPERT WITNESSES TESTIFYING FOR PLAINTIFFS AND DEFENDANTS. --THEORIES OF LIABILITY .AND DEFENSE AS ACCEPTED * OR REJECTED BY JURIES. --PERTINENT ATRIAL* DATA TFOR FURTHER REFERENCE. ... _' Published Monthly - - _^v Subscription Price SI50 Per Year *b^f-r . The cases summarized herein are obtained and selected from a currant and ongoing survey of the State and the Federal Courts in New England. However members of the bar are encouraged to advise this publication of any current plaintiff or defendant jury^ verdict they believe to be of sufficient interest to warrant publication. ......"? r ;V-.'n ^L. f 1* _ " i* * - Volume I, Issue 8 -- February, 1986 wi?Pi jmf I nofjgj -siosjlfl nhdr . thelSlJ sory^js - .......... Table of Contents '' Page . 53.000,000 Verdict - Med Mai - Failure to timely diagnose breast cancer results in 2 year delay in treatment - Death....... I `- Defendant's Verdict - Dental Mai - Alleged unnecessary removal ofmolar without consent * Loss of function............ ....13 V Defendant' $ Verdict - Products Liability - Alleged failure to warn & breach of warranty - Copper 7IUD causes sterility.... 4' 3550.000 Verdict - Breach of contract - Insurance carrier refusejLto pay on life insurance invoking suicide exclusion.........6 - Defendant's Verdict - Products Liability - Negligence - Alleged defective braking system and negligent repairs...............- 8 * 5550.000 Verdict - Premises Liability - Failure to provide demolition contractor with pertinent information.......................9 Defendant's Verdict - Auto/Train collision - Alleged failure to maintain adequate crossing protection - Wrongful death... 11 ` Plaintiffs Verdict - Liability only - Alleged willful infringement on patented method ofcancerdetection..................... . 12" 5105.000 Verdict - Head on Auto Collision - Passenger sustains lumbosacral sprains and cervical strains...................... .7.13T Defendant's Verdict - Alleged defamation and interference with contractual relations..^................................................ ... 14 Verdicts--At--A--Glance..................................................................... .......... ............... ...................................................... I5V h>* ,.r-- S3,000,000 VERDICT * MEDICAL MALPRACTICE - ALLEGED NEG- Suffolk "LIGENT FAILURE TO TIMELY DIAGNOSE BREAST CANCER RESULTS Mass. IN 2 YEAR DELAY OF NECESSARY TREATMENT - PAIN AND SUFFERING - WRONG FUL DEATH. This was a medical malpractice action brought by the estate of the 59 year~old female decedent against the defendant general surgeon for negligent failure to timely diagnose . breast cancer in the.decedent's left breast when she presented to him complaining of swelling or thickening in the breast on 8 occasions within a 2 year time period. As a result, the cancer in the breast was allowed to progress and metastasize until 2 years after the initial visit when the defendant finally performed a biopsy on the abnormal breast which was positive for breast cancer. The decedent thereafterjinderwent a mastectomy and chemotherapy treatments, but , rshe died of.breast pancer 3 years subsequent to thediagriosis. The plaintiff additionally named T as a defendant the treating ob/gyn who had examined the decedent on several occasions during ^ - T I-jE-'U'3XTS ' ---------- * --------- - (cant'd on next page)- ~ E3WW4" ` & ---- UCC 085875 r-rCT REVIEW A ANALYSIS t** (ComCd) .'"" TV,' w '. ifae-critical 2 .year period, claiming-that he negligently failed to detect the abn nnality and refer herfor testing..The co-defendant ob/gyn and the defendant general surgeon were brothers. - . ' -'The decedent initially presented tothe defendant surgeon in August of 1979 with complaints of an abnormality in her left breast Upon examination of the breast, the defendant noted,aslight swelling or thickening, whereupon he had the decedent undergo a mammogram which was negative r for breast .cancer: TThe defendant made a diagnosis of fibrosis of the left breast at that time.. The plaintiff related that the defendant performed no other diagnostic tests on the decedent, but continued to follow the decedent for 2 years within which time he made note in the office records kept cm the ^decedent of the continued presence of the thickening in the left breast. The plaintiff rclatedThat. despite the existence of this continuing abnormality, the. defendant negligently failed to older a ___ _.foUow-up mammogram to be performed and ^negligently failed to perform a biopsy on the'breast until 2 years-after the initial visit, which was positive for Stage II breast cancer. 'V . The plaintiffs expert opined that in view of the abnormality noted in 1979 and the stage.to .which the cancer had progressed 2 years later, the breast cancer was undoubtedly present at an^ " "Stage in August of 1979. The plaintiffs expert oncologist maintained that the defendant's canprnd ;r-------- it: treatment of the decedent deviated from the standard in his failure to perform a biopsy bn'thcJeft: . breast much sooner, especially taking into consideration the particular circumstances of the persistent v ------------- abnormality-and the fact that the decedent was in the age group most susceptible to developing breast :? cancer.. The plaintiffs expert oncologist further maintained that the defendant was negligent-in ~ relying solely on -a`mammogram for. such diagnostic purposes because of the high inaccuracy rate -' -- of the mammogram. The plaintiff's expert related that a biopsy, on the other hand, is 100% accurate * i>a and should unquestionably have .been,performed,on the decedent's left breast much earlierJin^*** face of the persistent abnormality, despite the negative mammogram. - -- The defendant general surgeon denied negligence and contended that because the abno in the left breast was not a discrete mass, but merely a swelling or a thickening, it did not reqi - ~ a biopsy. "The defendant further maintained that the decedent exhibited classic signs and symfnoms of fibrocystic disease and in the face of the..negative mammogram, the defendant's diagnosisrofl fibrocystic disease was completely reasonable under the circumstances. The co-defendantjpf" denied that his care and treatment of the plaintiff- deviated from standard and maintained, that;on each and every office visit, he rendered a thorough and complete examination of the decedent's breasts, but that he had detected no abnormality. The defendant ob/gyn further denied the existence of proximate cause between his alleged negligent actions or inactions and the resulting injury on the * basis that if he had detected the abnormality, he would have referred her to his brother, the defendant general surgeon. -The plaintiff presented testimony from family members who vividly described the adverse reactions experienced by the decedent as a result of the chemotherapy treatments, specificallythat , she became very weak and she lost almost all of her hair. The family members further described ....... the emotional.trauma suffered by the decedent as a result of her knowing that death from the cancer' - was inevitable and described the severe and unrelenting pain experienced by the decedent prioEto her death, particularly in the last months as the cancer had .spread throughout ,her body, finally, invading her lungs causing her to gasp for each breath, until she finally suffocated. The decedent left a.husband and 6 adult children. The jury found the defendant ob/gyn negligent, but also found .. that his negligence was not the proximate cause of the injuries complained of, thereby exonerating -: this defendant.. The'jury, found for the plaintiff against the defendant general surgeon and awarded^ ------ - $3,000,000 plus interest. The casejs presently on appeal. Case no. 63471; Judge Barbara Rouse,* 6-85. Attorneys for plaintiff: Philip J. Crowe, Jr. and Elizabeth Mulvev of Lubin & Mever in Boston; Attorney for defendant general surgeon: Jim Anderson of Boston; Attorney for the defendant ob/gyn: Ed Crosse of Boston. _ "NEW ENGLAND JURY VERDICT REVIEW AND ANALYSIS is published Monthly for S15(Vyear by lory Verdict Review Publican*. . 'JnCirSuite. JT22-:24Cpnuncnx^l.^ NevrafcNJ- 07102. Second Class Postage Pending at Newark.- NJ. and additional mailing offices. .^Postmaster:Send Addtiwa^hangcfioNewEagl^Jaiyyj^iaJteyiewAndAmlxas.Suite-1722.-24 Commerce St.. Newark. NJ.P710G**-^~~^ PAGE 2 UCC 085876 (coni'don ha /ConrtfJ -` >/ - ^ - * -^T' f COMMENTARY: The plai ^ was able to prevail notwithstandir ^)e fact that the defendant :r a rtj=: surgeon had actually taken a mammogram, which was negative, auring the alleged offending period of misdiagnosis. The plaintiff established liability bv the introduction of evidence that the decedent had presented to the defendant on numerous occasions over a 2 year period of time complaining of an obvious abnormality, which the defendant himself examined and noted, that the plaintiff was in the age group most susceptible to developing breast cancer, and that there was a diagnostic technique available whichrwas.100% accurate in the diagnosis of breast cancer of which the defendant chose not to avail himself.'The defendant ob/gyn was able to prevail on the proximate cause issue by asserting that had he detected the abnormality, he would have referred the decedent to his brother, the defendant general surgeon. The substantial damage award to the estate of a 58 year old woman whose 6 children had reached majority ageprobably reflected the prolongedpainmid suffering experienced by the decedent as a result of the debilitating disease itself as well as the painful -course of chemotherapy treatment over the 3 year time period prior to her death. > -i-A-' - Hff DEFENDANT'S VERDICT - DENTAL MALPRACTICE - ALLEGED UN- Grafton NECESSARY REMOVAL OF MOLAR WITHOUT-CONSENT - LOSS OF Rhode Island " FUNCTION - EMOTIONAL DISTRESS. This was a dental malpractice action brought byjhe ratej rate-vT ` thesis 50 year old female-plaintiff against the defendant general dentist in which it was contended that the defendant was negligent in unnecessarily extracting the plaintiffs molar without first attempting less drastic alternatives and in doing so without the plaintiffs informed consent and, alternatively, in doing so without any consent whatsoever. As a result, the plaintiff sustained a permanent loss offunction ofthe tooth, pain and suffering, and emotional distress^^. ; It was undisputed that the defendant general dentist had treated the plaintiff in 1972 and during the 5 year period between 1977 and 1982. On her last visit to the defendant in 6- 82, the defendant^, examined a molar which the plaintiff complained was bothering her. The defendant was familiar * with this molar as he had worked on the tooth before. The defendant related that he had previously'v;;V filled the -tooth, but problems developed with the filling necessitating an attempted root canal? Tire root canal, which was attempted approximately one year prior to the molar's extraction, was unsuc"^^,,xiaLo cessful and the defendant determined that a pulpotomy should be performed, an alternative procedure `!ymt-- to root canal or extraction whereby the nerves are severed from the crown of the tooth. Some tune after the pulpotomy, the plaintiff again began complaining of discomfort at the location of the molar m ?> - and the defendant determined on the plaintiffs last visit that extraction was necessary. -_ The plaintiffs expert general dentist maintained that based on his review of the plaintiffs thatgj ibedjaf t ?.6*m i **8*1 iallv!lt| deot records and the facts as related by the plaintiff, the defendant general dentist was negligent in electing (o extract the molar, as the removal was medically unnecessary. The plaintiffs expert opined that ^ "i'T-- - the plaintiffs molar could probably have been saved with a properly performed root canal. The plaintiffs expert further contended that the defendant general dentist was negligent in failingjto.' explain all the options to the plaintiff in detail prior to the extraction. The defendant's expert general dentist countered that a general dentist cannot accurately determine whether or not extraction of"a r-Xv* * tooth was necessary after the fact. The defendant's expert explained that making the decision whether _ . 4TAr* ^ or not to remove a tooth is a judgment call and there are a number of practical considerations which go into the decision making process. The defendant's expert maintained that the defendant dentist rded-^r was in a much better position, having worked on the tooth for years and having examined it numerous limes, to evaluate the need to extract the tooth as opposed to the plaintiffs expert, who has made an after-the-fact determination based simply upon the plaintiffs records and the plaintiffs recounting of the events leading up to the extraction without the practical considerations which the defendant had before him prior to the extraction. .... ., On the issue of consent, the plaintiffs expert general dentist opined, based on the office records 5*^; on the date of extraction and based upon the plaintiffs testimony as to what she was told by the defendant on the day the tooth was extracted, that the defendant did not give an informed consent prior to the removal of the molar. The defendant's expert general dentist agreed that if the plaintiff had been told nothingjegardjng the extraction, then the defendant general dentist was negligentin^^^y . - -----S''v h vr -.1..---- UCC 085877