Thomas Jackson, 57, underwent a hernia repair surgery by a general surgeon, the defendant, Dr. Kenneth Goldman.  Hours after the surgery, Jackson complained of severe stomach pain.  His condition deteriorated overnight;  the next morning Jackson developed a fever and a rapid pulse.

The hospital staff noted a decrease in urine output and an elevated white blood cell count, a sign of possible infectious process. The next day Jackson went into organ failure.

Jackson was later diagnosed as having an infection resulting in an intestinal perforation. He then went into surgery to repair the perforation, but spent six months in intensive care, where he developed severe pressure sores.

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Ronald Cobb underwent surgery to insert an implantable cardioverter defibrillator (ICD) at Advocate Lutheran General Hospital in Park Ridge, Ill.  When the procedure was completed on Feb. 3, 2009, Cobb was  51.  Just two hours after the surgery, Cobb suffered a myocardial infarction in the recovery room and passed away.

His family brought a lawsuit alleging that the defendant doctors were negligent in that they withheld his Plavix medication and chose not to perform an angiogram before this surgery.  It was claimed that the failure to do the angiogram resulted in simultaneous stent thrombosis in two coronary arteries. 

The defendants maintained that discontinuation of Plavix was appropriate under the American College of Cardiology and American Heart Association guidelines. The defendants contended that Cobb did not require an angiogram.  The jury agreed with that proposition and found in favor of the doctors and their practice group.

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In November 2008, 26-year-old Heather Hinshaw underwent gallbladder surgery at Trinity Medical Center in Rock Island, Ill.  The general surgeon who did the surgery thought he saw a stone in the common bile duct during an intraoperative cholangiogram, which is a procedure using a catheter to inject dye into the gallbladder to better visualize the blockage using X-ray.  He referred the patient to a gastroenterologist, the defendant Ahmad Cheema, M.D. 

A few hours after the gallbladder surgery, Dr. Cheema decided to perform an endoscopic retrograde cholangiopancreatography (ERCP), but he did not look at the cholangiogram results or discuss the case with the referring general surgeon.

Hinshaw did not have jaundice, yellowing of the skin, or any other symptoms of a stone in the common bile duct at the time. During the ERCP procedure, Dr. Cheema introduced a guidewire into the pancreatic duct and the wire curved back on itself puncturing the patient’s pancreatic duct.

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Tony Love, 13, came through the emergency department at Ingalls Memorial Hospital complaining of left knee pain and a fever on Sept. 23, 2007.  He was diagnosed with a quadriceps strain and was sent home. 

The next morning, Sept. 24, 2007, Love was seen by the defendant physician, Dr. Arun Shah at Harvey Health Center for complaints of continuing knee pain, but his temperature was normal. 

Dr. Shah diagnosed Love as having a sprained knee.  Three days later on Sept. 27, 2007, Love was taken to South Suburban Hospital with a high fever, severe knee pain and inability to walk. The lab work there showed an elevated white blood count and elevated liver enzymes as well as a blood culture that revealed methicillin resistant staphylococcus aureus (MRSA) in the knee.

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In September 2007, 55-year-old Barbara Ann Drebek-Doyle underwent a CT scan of the sinuses due to her recurrent sinusitis condition. The test was performed at Advocate Condell Gurnee Outpatient Radiology Center. The scan was interpreted by the defendant Dr. David E. Foosaner, a radiologist.  In a lawsuit that was filed by Ms. Drebek-Doyle, she contended that Dr. Foosaner chose not to detect and report a brain mass or tumor that was seen on the CT scan. As a result, the tumor remained undiscovered and untreated for 3.5 years. 

In March 2011, an MRI of the brain showed the brain mass at the top center of Ms. Drebek-Doyle’s head. Surgery was done to remove the benign mass, a meningioma that was in the membrane lining of the brain. Meningioma occur most frequently with women; they cause various types of symptoms.  Some symptoms include chronic headache, nausea, vomiting and balance issues. If the tumor is not removed fairly quickly, there is a risk that it may increase in size and cause much more serious effects, including death.

The plaintiff maintained that if the radiologist defendant had reported the mass in 2007, it could have been removed at that time. Instead, the delay caused Ms. Drebek-Doyle to suffer various problems over the next 3 ½ years, including increased headaches, loss of balance, memory deficits, bowel incontinence and fatigue. 

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A confidential settlement was reached wherein a 63-year-old woman’s misdiagnosed lung cancer led to her untimely death. The woman, identified only as Doe, underwent a CT scan while she was hospitalized. This showed a lung lesion that the interpreting radiologist reported as possible cancer. A hospitalist reported these findings to Doe’s primary care physician. 

The primary care physician referred Doe to a pulmonologist but did not tell her that cancer was suspected.  The hospital sent Doe’s CT scan to the pulmonologist, who reported to the primary care physician that part of the scan was missing. The primary care physician allegedly said that he would provide the missing film. However, there was no followup. The pulmonologist also chose not tell Doe that cancer was suspected when the two subsequently met.

Five years later, Doe developed shortness of breath and other ominous symptoms. Doe was diagnosed with having Stage IV lung cancer; she died two months later. Doe was survived by her husband and two adult children. Doe’s husband filed a lawsuit against the primary care physician and the pulmonologist claiming that these defendants chose not to follow up on the radiologist’s suspicion of lung cancer. The lawsuit did not claim any lost income.

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It is estimated that 250,000 people die each year in the United States as a result of medical malpractice according to the U.S. Department of Health and Human Services.  Approximately 80,000 Medicare patients suffer preventable adverse events that contribute to their deaths; as many as half of those deaths are due to emergency room errors. 

In 2003, the nonpartisan Congressional Budget Office stated that “181,000 severe injuries (attributable to medical negligence) occurred in U.S. hospitals [,]”.  These numbers show that medical malpractice deaths have worsened during the past ten years. Despite this increase, state governments and legislatures have tried to impede the amount of money recoverable to injured or killed persons and/or their families as the result of medical malpractice. 

For example, in Missouri, where I have been a member of the bar since 1976, nearly 1/3 of medical malpractice cases involve surgery in some way. The next largest percentage of medical errors reported there is 18.7% for misdiagnosis leading to severe injury or death followed by 13.2% involving falls or injuries during transport of patients. 

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It has been reported that the medical devices that pose the greatest safety risk to patients, including the metal-on-metal hip implants, are allowed into the marketplace without sufficient evaluation for safety and effectiveness.

According to a recent New England Journal of Medicine article, it was found that previously cleared medical devices, including  the metal-on-metal hip implant, were cleared without being fully assessed for safety and effectiveness.

The medical device amendments of 1976 created three classes of devices:  Class I included low-risk devices like a toothbrush; Class II devices were of moderate-risk like an infusion pump; and a Class III medical device would be one that would put a patient at high risk, such as the metal-on-metal hip implants.

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South Korean immigrant Young Bahng, 60, was admitted to the University of Chicago Hospital on April 18, 2006. He was there to undergo a live-donor liver transplant from his son. Bahng was self-employed in the conveyor system business. He was suffering from end stage liver disease as a result of having hepatitis B since 1990. 

On April 19, 2006 in the early morning hours, Bahng fell in his hospital room while attempting to walk to the urinal. He struck his head in the fall and sustained a massive subdural hematoma and intracranial bleed, which required immediate surgery.

By the time the surgery was under way, Bahng had sustained profound brain damage and was placed on life support immediately following a craniectomy. He died as a result of his brain trauma on April 25, 2006 and was survived by his wife and children.

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Kody Myrick, 17, suddenly slumped over at his job and had difficulty speaking. He was brought to Bakersfield Memorial Hospital’s emergency department. A nurse there made note of a possible stroke. Then an emergency room physician diagnosed profound neurological deficits and ordered a brain CT scan. The scan results showed an abnormality.

Four hours after the onset of symptoms, Kody was seen by a hospitalist to arrange admission to the hospital. The doctor called in admission orders and included a diagnosis of possible stroke. However, Kody was not seen by a doctor for the remainder of that night.

Kody’s neurological condition worsened suddenly the next morning. He was later diagnosed as having an ischemic stroke, which resulted in significant damage to his brain stem. Kody now suffers incomplete tetraplegia and requires 24-hour care.

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