Articles Posted in Birth Injury

In the many years that I have practiced medical malpractice in Cook County and Illinois, my clients have warned me that the pertinant medical records in their case had been falsified, changed, deleted or simply removed from the hospital and medical charts.
In Illinois, the “intentional destruction, mutilation, alteration or concealment of evidence” is called spoliation of evidence. If medical records were to be destroyed or altered, the Illinois Supreme Court can impose a sanction upon any party who unreasonably refuses to comply with any discovery rule or order entered pursuant to the Illinois Supreme Court Rules. The court has the power to stay the proceedings pending compliance; default the case, barring further pleading related to the issue; dismiss a claim or counterclaim related to that issue; exclude testimony related to the issue; to strike any relevant portion of the offending party’s pleadings and enter judgment on the issue; and to enter a default judgment or dismissal against the offending party.
In 1995, the Illinois Supreme Court recognized a separate cause of action for negligent spoliation of evidence. So if your medical records in a medical malpractice case were altered by the medical staff, then you could file a separate lawsuit regarding the altered evidence. And because adequate remedies for the destruction of evidence already exists under Illinois Supreme Court Rule 219, a new tort wasn’t created. Instead, the Supreme Court held that an action for negligent spoliation could be brought under existing negligence law.

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Erb’s palsy is a injury to a child’s brachial plexus nerves caused by an abnormal or difficult child birth. The brachial plexus is a cluster of nerves in your neck that control all arm movements. Erb’s palsy can be caused by excessive pulling on the shoulders of the infant by the medical staff during delivery. The resulting paralysis affecting the movement of the child’s shoulders, arms or hands can be partial or complete. And while sometimes the paralysis can resolve on its own, it could also necessitate physical therapy or surgery.
In a recent Illinois case, baby Tanisha Ruffin’s shoulder became impacted on her mother’s pelvic bone during delivery, which put stress on Tanisha’s shoulders. In order to free up her shoulders from her mother’s pelvic bone, the defendant obstetrician testified that he used a vacuum extractor cup and a gentle traction on the baby’s head to manipulate her out. Nonetheless, Tanisha was born with Erb’s palsy because of the damage to the brachial plexus nerve network in her shoulder area.
The big issue at trial was whether the Illinois birth injury was caused by excessive traction with the extractor cup, or by the natural propulsive forces of labor.

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A Cook County jury verdict was entered in favor of the University of Chicago Hospitals in a 2005 trial and was upheld on appeal to the Illinois Appellate Court (Kashief Weathers et al. v. University of Chicago Hospitals, et al., No. 1-061726). In the case, several doctors were accused of causing brain damage to an infant born with his umbilical cord wrapped around his neck. The plaintiff child now suffers from cerebral palsy and severe brain damage.
The baby’s mother brought an Illinois birth injury malpractice claim against University of Chicago Hospital alleging that defendant doctors failed to relieve the trauma caused by his umbilical cord during his birth in October 1988. There were also allegations that the doctors didn’t timely treat the baby’s seizures after his birth.
The plaintiffs’ obstetric expert testified that the defendant doctors deviated from the standard of care by not performing a cesarean section, which would have sped up the delivery. The expert felt that a quick delivery could have changed the child’s outcome because the brain damage likely occurred at some time during labor.
But the defense expert, a pediatric neurologist, disagreed. He felt that a cesarean section would not have made a difference because in his opinion the baby was injured at least one day prior to his birth. So by the time his mother was in labor there was nothing the doctors could have done to alter his outcome.
The trial jury sided with the defense and entered a verdict in favor of the University of Chicago Hospitals. The plaintiff brought the case for appeal on several counts.

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