Articles Posted in Hospital Negligence

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In a confidential settlement, the parties agreed to $1,250,000 for the unfortunate death of a newborn infant. In this case, before the mother’s scheduled Caesarean section, the mother underwent three transplacental amniocenteses to assess her baby’s lung maturity. The purpose of a transplacental amniocentesis is to compare transplacental with non-placental amniocentesis because of possible complications.

Amniocentesis is a frequently used invasive procedure during a woman’s pregnancy guided by ultrasound to remove a sample of amniotic fluid for testing. The procedure requires specialized medical or assistant training. Amniocentesis is a technique for withdrawing amniotic fluid from the uterine cavity using a needle.

The fluid is then tested in a laboratory to determine the health of the unborn fetus. The fluid is composed mostly of fetal substances including urine and secretions. Many times amniocentesis is done to determine whether there are genetic difficulties or to study the maturity of the unborn fetus’s lung maturity. There are risks involved with the transplacental amniocentesis, which occurred here. There was fetal bleeding from an alleged placental abruption that may have been caused by the amniocentesis procedure.

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In most cases of medical malpractice that occur at private institutions, the hospital, its physicians and medical providers could be held liable for injuries caused by choosing not to take an order for proper tests, by not making the correct diagnosis and by not rendering the appropriate medical treatment. But in a hospital such as Cook County Hospital (John Stroger Hospital) or any other public hospital or medical provider, the outcome could be much different. Under the Illinois Tort Immunity Act, a public institution like the John Stroger Hospital/Cook County Hospital could be responsible for injuring a patient only if it were found that it was negligent in treating the patient. However, the hospital would not be held liable if injury or death came upon a patient for the omission of not ordering tests or improperly or incorrectly diagnosing a patient.

Under the Illinois Tort Immunity Act, public entities and their employees are “immunized” from liability in the event of hospital or medical negligence for an act or omission by an employee, physician or other hospital-employed medical provider when the claim is for a misdiagnosis or in choosing not to correctly diagnose an illness or condition that causes injury to a patient.

In one stark example of how this immunization arises is the case of Michigan Avenue National Bank v. Cook County, 191 Ill.2d 493 (2000), where the Illinois Supreme Court weighed in on the case of a young woman who made a number of visits to Cook County Hospital indicating that she had a mass that had developed in her left breast. She returned to the hospital a number of times, but it was not until two years later that the lump was diagnosed as breast cancer.

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The baby, Zoey Stavrou, was delivered by Cesarean section at Edward Hospital in DuPage County, Ill., at 12:25 a.m. on May 14, 2006. She had Apgar scores at 0 at 1, 5 and 10 minutes. At the time of the delivery, a 9-centimeter umbilical cord hematoma was discovered, which had occurred as a result of a ruptured umbilical vein.

Zoey is now 8 years old and has severe cerebral palsy. She is non-verbal and has no functional mobility. She has the cognitive level of a 6-9 month infant and is dependent for all activities of daily living.

Zoey’s family contended that the defendant delivering physician and labor and delivery nurses chose not to properly interpret and act upon non-reassuring fetal monitor strips throughout the evening of May 13. They also contended that the emergency C-section should have been ordered around 9 p.m., but the defendant obstetrician, Dr. Chen, negligently waited until midnight to order the C-section. It was also claimed that Dr. Chen did not perform the incision for the C-section until 12:19 a.m. and the child would have been born neurologically intact if she had been delivered before 12:08 a.m.

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During Ms. Doe’s 32nd week of pregnancy, she experienced contractions. Doe went to a nearby hospital where vaginal bleeding, elevated blood pressure and pre-term labor were all noted in her hospital chart. She was under observation for about 36 hours at the hospital before she was discharged to go home.

About 14 hours after discharge, Doe’s water broke. She returned to the hospital where she delivered her daughter by way of an emergency Caesarean section. The child’s Apgar scores were 1 at one minute and 4 at five minutes.

The child was diagnosed as having suffered an asphyxia and spent a number of weeks in the hospital’s intensive care unit. The baby died one year later from pneumonia and complications of severe brain damage suffered at birth.

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A settlement was reached in a case where a newborn, known as “Doe,” was born with a congenital condition in which part of her internal organs developed outside of her body.Right after her birth, Doe underwent a series of surgeries to place those organs inside her body.  After one of the surgeries, Doe began having difficulty breathing.  Her treating doctors placed her on a mechanical ventilator and cardiac machine and also gave her medications, all of which were not successful in returning her oxygen saturations to normal.

Doe then suffered cardiopulmonary arrest, which resulted in permanent brain damage.  Doe died two years later.

Doe’s family sued the hospital and Doe’s treating physicians claiming that the defendants chose not to provide extracorporeal membrane oxygenation (ECMO) and also failed to timely transfer the child to another hospital. Use of ECMO, a heart and lung machine for babies that circulates blood outside the body, would have permitted Doe’s body to rest and recover, the lawsuit claimed.

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Matthew Chimis’s mother went into labor during the early morning of Oct. 26, 1997.  She contacted her obstetrician, the defendant, Dr. Scott Pierce, who told her to go to Gottlieb Memorial Hospital; he said he would meet her there. Chimis was admitted to Gottlieb’s labor and delivery unit as a vaginal birth after Cesarean section patient and placed on a fetal heart monitor.

A few hours after Chimis arrived, the hospital staff paged Dr. Pierce twice, once at 3:30 a.m. and another time at 4 a.m. in order to advise him of his patient’s status. At 4:10 a.m., Dr. Pierce spoke to a nurse who reported a lack of progression of labor and that the fetal monitor showed tachycardia, which is a heart rate that is above the normal range for a fetus. 

Dr. Pierce spoke with the mother on the phone and they both agreed she would wait for the doctor to come to the hospital to do a C-section since delivery was not imminent given the prolonged labor.

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Throughout the pregnancy of Ms. Doe, she received prenatal care at a hospital’s clinic. She underwent ultrasound tests that showed that she had two gestational ages for her baby, each a week apart. During the third trimester, Ms. Doe was diagnosed with gestational diabetes, and her treating physicians told her that she would be induced to deliver the child at 39-40 weeks.

At 40-41 weeks, her membranes ruptured and she was admitted to the hospital. Fetal heart tones were nonreassuring over the course of three hours. The nurses gave Ms. Doe fluids and oxygen and repositioned her.

Forty hours after she was first admitted to the hospital, she underwent an emergency Caesarean section. The baby was born in a depressed condition and required resuscitation, with Apgar scores of one at one minute and nine at five minutes.

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Ms. Doe, 37, suffered from gestational diabetes. During Doe’s pregnancy, she experienced cramping and met with her obstetrician, Dr. Roe, who was covering for Ms. Doe’s regular obstetrician. 

While at her appointment with Dr. Roe, an ultrasound revealed positive fetal breathing, tone and movement. However, a few days later, Ms. Doe returned to Dr. Roe complaining of decreased fetal movement. Dr. Roe performed a non-stress test and a biophysical profile and diagnosed a lack of fetal breathing. The obstetrician sent Ms. Doe immediately to the hospital.

Dr. Roe called a perinatologist and requested that Ms. Doe be evaluated when she arrived at the hospital. Dr. Roe also notified the hospital labor and delivery nurse that Ms. Doe would be arriving for further evaluation after a non-reactive stress test. 

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Illinois law prohibits punitive damages awarded in any medical malpractice case.  However, in this medical malpractice case there was a separate count alleging that the University of Chicago Hospitals acted in willful and wanton indifference to the plaintiff’s right to possession of her daughter’s remains.

This lawsuit originated in the Circuit Court of Cook County after Valentina Dearring, the daughter of the plaintiff, Alexandria Drakeford, died at the University of Chicago Hospital on April 10, 2003.  Valentina was just over one month old when she died.  She was born with persistent pulmonary hypertension of the newborn (PPHN).  This is a syndrome that is fatal in many infants.  In April 2005, Drakeford filed suit against the University of Chicago Hospitals for medical negligence.

At first, the Drakeford lawsuit alleged only wrongful death and survival based on medical negligence.  However, an amended complaint added a second count alleging willful and wanton interference with the right of possession of the remains of Valentina.

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Disha Mookherjee was in her first pregnancy at age 30.  She was seeing the defendant, OB/Gyn physician Elizabeth Nye, M.D., for her prenatal care. Disha was also a physician — a cardiology fellow at Rush University Medical Center. Because Dr. Nye had concerns regarding low amniotic fluid and abnormally slow fetal growth, Dr. Nye referred Disha to a specialist in maternal/fetal medicine. That doctor recommended induction of labor at 39 weeks gestation.

Dr. Nye followed this recommendation and at 39 weeks, Disha was admitted to Rush for induction on May 5, 2008. 

Labor progressed slowly until it was complete. Disha began pushing at 4:45 p.m. on May 6, 2008. At 5:30 p.m., Dr. Nye used a vacuum extraction device in an attempt to facilitate delivery. There were three “pop-offs” (sudden detachment of the vacuum device from the baby’s head). 

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