Articles Posted in Birth Injury

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The Illinois Appellate Court, First District has decided that when a plaintiff dies during medical malpractice litigation, even after the statute of limitations has run, the estate can add a wrongful death claim.  Previously, plaintiffs were faced with inconsistent statutes which made this scenario unclear.  In Lawler v The University of Chicago Medical Center Justice Delort, writing for the appellate court, resolved this conflict in favor of justice for the victims of medical malpractice.

The court found that since the defendants were on notice of the claim for medical negligence brought by Ms. Prusak before her untimely death that same complaint was not barred by the expiration of the statute of limitations or repose simply because her death claim did not accrue until after the expiration of the same because the original claim was filed within the statute.

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In 2003 the American College of Obstetricians and Gynecologists(ACOG), along with the American Academy of Pediatrics, published Neonatal Encephalopathy and Cerebral Palsy: Defining the Pathogenesis and Pathophysiology (“NEACP”). This monograph became more commonly known as “the Green Book” and it has been roundly criticized as an attempt by its authors to use “junk science” to create hard an fast “essential” criteria to diffuse obstetrical malpractice claims against Ob/Gyns. In the more than 10 years since its publications its authors have backed off the allegedly essential nature of its core criteria and physicians have been forced to admit that factors like cord blood ph levels above 7.0 can still occur in births where the fetus experiences perinatal asphyxia that is the result of negligence.

Recently, ACOG published an update to the Green Book titled Neonatal Encephalopathy and Neurologic Outcome, Second Edition. This update changes some of the so-called “essential” criteria that expert witnesses have relied upon to defend causation in birth injury cases.

The update defines Neonatal Encephalopathy as a clinically defined syndrome of disturbed neurologic function in the earliest days of life in an infant born at or beyond 35 weeks of gestation, accompanied by early onset seizures and difficulty initiating and maintaining respiration and depression of fetal tone and reflexes. The update relaxes the criteria which obstetricians and pediatricians feel demonstrate the likelihood of peripartum or intrapartum ischemia playing a role in the pathogenesis of neonatal encephalopathy.

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This blog entry comes courtesy of the President of the Illinois Trial Lawyers Association and was published in the February 24, 2011 edition of the Belleville News Democrat:

It is once again time to set the record straight with your editorial board. There was never a health care crisis in this state and there were no “jackpot justice conditions” that caused doctors to flee Illinois.

Your editorial board and the president of the Illinois State Medical Society (ISMS) have chosen to ignore important facts when it comes to medical care access in this state. Over the years, we have consistently increased the number of physicians in our state. That’s right. The American Medical Association data reflects increases for each of the last 45 years. Clearly not a climate of doctors leaving Illinois or retiring early.

Funny how it used to be, for years, ISMS would falsely claim doctors were fleeing our state and that we already had a shortage of doctors because of fabricated “jackpot justice conditions.” As the data has failed to support that claim, the dialogue now shifts to an attempt to create a “future crisis”. In fact, a recent survey – funded in part by ISMS – clearly demonstrated oversaturation of physicians in the largest populated area of our state. That’s correct – more than enough doctors in the greater Chicagoland area.

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A low vitality score, better known as an Apgar score, at birth is a strong predictor of a later diagnosis of Cerebral Palsy according to a new study published on bmj.com. The authors learned that children with an Apgar score of less than 3 at birth had a 100 times more likely chance of developing cerebral palsy than those with an Apgar score of 10. The correlation between a low Apgar and cerebral palsy was highest in children with normal birth weight and modest in children with low birth weight.

The study measured these correlations in more then a half million Norwegian children born between 1986 and 1995. Of those children almost 2 in 1000 were given the diagnosis of Cerebral Palsy before they reached the age of 5.

The most important conclusion to be drawn from this data is that Cerebral Palsy is closely related to factors that also effect infant vitality, something that has been strongly suspected in medicine for years. Low Apgar scores can be indicitive of a brain injury that has occured at the time of birth.

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Goldberg & Goldberg, LLC is pleased to announce that they have settled a wrongful death case involving the death of a newborn child for $1,625,000.00. The case, Vega v. St. James Hospital, et al, involved the negligent diagnosis and management of fetal distress of mother and child during labor and delivery at St. James Hospital in Chicago Heights, Illinois in 2002. The baby survived a little over one hour before he ultimately died due to complications surrounding his resuccitation.

The defendants claimed that the child suffered from a microscopic pathologic defect which prevented him from being able to adequately perfuse oxygen in utero. The child is survived by his parents and three brothers and sisters.

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Lawyers at Goldberg & Goldberg, LLC secured a $5 million dollar settlement on behalf of a 22 year old man who was brain injured at birth when his labor and delivery at Northwestern Memorial Hospital was negligently managed by resident physicians. The labor and delivery was managed by residents because the plaintiff was a low income patient and in 1988 Northwestern Memorial Hospital had a policy of allowing residents manage the delivery of patients who did not have private physicians.

The plaintiff was able to file his lawsuit against Northwestern thanks to a law in Illinois that preserves the rights of brain injured people against the statutes of limitations and repose which would have ordinarily run. Goldberg & Goldberg, LLC challenged the statute of limitations law in a prior lawsuit and helped create this protection for brain injured children in a prior piece of litigation.

The settlement money in this case will be used to buy our brain injured client a handicap accesible home, electric wheelchair and a special van with a lift, among other things. He and his mother have had to do without this assistance for the past 22 years.

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The Illinois Supreme Court in a 4-2 decision struck down limits on damages awards in medical malpractice cases with its decision in Lebron v. Gottlieb Memorial Hospital on thursday. The court held that the legislation was unconstitutional. The majority opinion, authored by Justice Fitzgeral held, in part: “[W]e necessarily consider…the legislature’s goal in enacting the statue-responding to a health-care crisis. Our separation of powers analysis, however, does not stop there. The crux of our analysis is whether the statue unduly infringes upon the inherent power of the judiciary. Here, the legislature’s attempt to limit…damages in medical malpractice actions runs afoul of the separation of powers clause.”

This is a major victory for patients and consumers in Illinois. The legislature has tried, on three seperate occasions, to enact caps on damages in medical malpractice cases. For years lobbiests for the insurance industry have argued that medical malpractice awards have contributed to the high cost of health care in Illinois despite the fact that insurace payouts on these claims have remained level for the past two decades.

All citizens of Illinois should have a right to ask a jury of their peers for redress when they have been victimized by negligence, regardless of the profession of the guilty party. To see a copy of the Supreme Courts landmark opinion look here.

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Bloomberg News is reporting that GlaxoSmithKline has paid almost $1 Billion to settle lawsuits over the antidepressant drug Paxil since 1993. Almost $400 million of those dollars have been used to settle lawsuits over claims that Paxil users were more likely to commit or attempt to commit suicide after taking the drug. Another $200 million was used to settle claims regarding Paxil related birth defects.

To date almost 450 Paxil related suicide lawsuits have been settled by the drug manufacturer. There are an additional 600 claims outstanding claiming that Paxil caused birth defects. In October, a Philadelphia jury found the drug maker responsible for birth defects in a 3 year old boy and ordered a $2.5 million dollar award to the boy and his family.

At Goldberg & Goldberg, LLC we routinely handle drug product liability cases and have the largest drug product liability verdict in Illinois history, and award of more then $127,000,000. Please feel free to contact us for a free consultation.

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Conventional wisdom says don’t get sick over the holidays. Hospitals are understaffed, doctors are distracted and the overall quality of medical care is diminished at even the finest of institutions. Over and over again we see cases at otherwise fine Chicago area hospitals that have one thing in common. The negligence occurs over the Thanksgiving, Christmas or New Year’s holidays. Unfortunately, we can’t choose when we get sick and people certaintly need medical help over the holidays, so keep the following in mind:

Become an advocate for yourself. Hospitals run on skeleton shift over any major holiday. Do not simply assume that Doctors and Nurses are thinking about you and your condition, they are not. they are thinking about the holidays like everyone else. Remind them of critical information and ask questions. If you are not satisfied with a response make sure they explain it to you again in plain english until you understand.

Go up the Chain of Command. if you are unhappy with the care you are receiving or if you are felling neglected, ask to speak with a supervisor, the head of the department or the vice-president of nursing. Doctors are accountable to the chairman of their service as well. Demand someone pay you the proper amount of attention.

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Joanne Doroshow wrote an excellent article in the Monday, November 9, 2009 edition of The Huffington Post called Medical Malpractice Tort Reform – We Are Already Suffering And Don’t Need More. She points out that unless you are currently living under a rock you have heard the term “tort reform” but, sadly, probably don’t know what it really means.

In Illinois we have tort reform as it relates to medical malpractice. Starting in 1985, and every ten years thereafter, the state legislature has based some sort of restriction on the publics right to sue for personal injury. In the late 1990s the Illinois Supreme Court struck down these restrictions, overruling the legislature, and finding them to be unconstitutional. The legislature, bowing to pressure from the insurance industry, tried again in 2005 and passed limits on jury awards as they relate to doctors and hospitals only. That legislation is currently being reviewed for constitutionality by the Supreme Court and we expect a ruling on the issue in the near future.

The term tort reform implies that its results would be beneficial to everyone. Sadly, this is not the case. Tort reform in Illinois will only make it harder for average hard working men and women to seek redress for the harms caused to them as victims of negligence. The tort reform movement was started by and is funded by insurance companies. The same companies that have the most to gain financially by limiting jury awards.

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