Posted on November 10, 2011 in Medical Malpractice

A six year old boy went to Baltimore-Washington Medical Center complaining of a fever, swollen tonsils, and unexplained hip pain. The hospital, located in Anne Arundel County, Maryland, allegedly failed to perform a "rapid strep test" – standard safety protocol at hospitals in such situations. It has been alleged that this medical error led to the amputation of the boy’s legs as that was the only way to save his life.

A year later, his parents have filed a medical malpractice lawsuit against the Maryland hospital, and the doctor who failed to adequately treat the boy, seeking compensation for his medical costs. The family alleges that, because the boy was wrongly diagnosed as suffering from a hip strain and nasal congestion, his strep infection worsened. In addition, they allege that the standard of care dictates he should have been given antibiotics, even if just as a precaution. Instead, his condition continued to deteriorate as he went untreated. When the boy’s parents rushed him back to the hospital, it was only to learn it was too late. The strep infection, which had gone undiagnosed, had entered the boy’s bloodstream. The infection was so severe that it had begun to attack the child’s organs.

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 Posted on October 21, 2011 in Criminal Defense

Baltimore Maryland Criminal Attorney discusses case evaluation and the plea bargain process. The ability to objectively and dispassionately evaluate a case is critical to being an effective criminal defense attorney. Far too often I witness inexperienced or simply ineffective attorneys taking cases to trial only to pursue defenses that have no realistic chance of success. The unavoidable fact of this business is that sometimes your client is guilty as charged and the State can easily prove it. In defense attorney parlance these are known as "dead up cases". Criminal defense attorneys need to recognize and accept that this is true when confronted with such a case and advise their clients honestly as to their situation.

This is not to say that there is nothing an attorney can do for their client in a situation like this – far from it. I have represented thousands of clients throughout my career who have been able to significantly reduce the consequences of a conviction by recognizing that trial was not an option and pursuing an effective strategy to minimize the damage. I had a case last week that is a terrific example of this in the Circuit Court for Baltimore County. The client accepted the situation as I explained it to him and did what I told him to do and it worked out extremely favorably by any measure. Here are the facts:

My client is a 40 year old divorced father of 3. In the latter part of the last decade he was running a successful construction company, was happily married and was providing a very nice lifestyle for his family including living in a large single family home. Then the economy crashed. As we all know, the construction industry was among the hardest hit industries and his company was not spared. In a period of less than 2 years, his business imploded, his wife left him and his house was foreclosed upon. He found himself living in an apartment with custody of his three children, trying to figure out a way to keep a roof over their heads and put food on the table.

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 Posted on October 20, 2011 in Medical Malpractice

A couple in Pennsylvania has filed two medical malpractice lawsuits following, what should have been, a routine organ transplant.

The couple alleges that the organ transplant went awry when, despite test results indicating the donor-spouse had hepatitis C, the hospital transplanted her kidney into her husband. Hepatitis C is an incurable infectious disease that attacks the liver causing a wide range of problems including damage, cirrhosis, cancer or failure.

The first lawsuit was filed against the hospital and various staff members. The suit, filed by the donee and the donor, alleges negligence. The couple states that the donor’s blood results were available months before the organ transplant, but that the hospital and physicians missed them. The organ transplant, which took place in April, was preceded by a blood test on January 26 which indicated that the donor had hepatitis C. The hospital never notified the donor of these results or disqualified her as an organ donor. Another test, which occurred weeks after the organ transplant, also indicated the presence of the infection. It was not until a month after the kidney transplant had taken place when the donor was notified of these results.

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 Posted on October 04, 2011 in Medical Malpractice

In early 2003, a Pennsylvania pharmacist died of a heart attack while at work. In 2009, a jury found his family doctor negligent and awarded the man’s widow $4 million. Later, after determining the delay in the conclusion of the case was improper, the presiding Judge awarded the man’s widow an additional $1.2 million in damages. Last month, the Pennsylvania Superior Court upheld that $5.2 million award in the medical malpractice case.

This case is an example of the catastrophic results of a doctor failing to correctly diagnose and treat his patient. The man went to see the doctor four days before his death as a result of unexplained chest pain, jaw pain and anxiety. The doctor advised him that these symptoms were the result of anxiety. However, the man’s attorneys argued that the the doctor made a critical error by failing to take into account the following: the man was overweight, he had high cholesterol, he had high blood pressure and he had a history of heart disease in his family. On the day of his death, the man again contacted the doctor as a result of his symptoms persisting. By the time the doctor returned his call, the man was already in cardiac arrest.

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 Posted on September 23, 2011 in Medical Malpractice

A woman in Pennsylvania was recently awarded one of the highest sums ever recorded in a medical malpractice suit after an infection went unnoticed and nearly killed her. The lawsuit was based upon medical negligence and medical errors committed by a home nurse that was treating the woman, who was suffering from Crohn’s disease. The woman was receiving care from a home nurse when the R.N. failed to recognize that she had an infected catheter. As a result of the nurse failing to refer the patient to a physician to treat the infected catheter, both of the woman’s legs were amputated below the knee. This was a result of the infection spreading to the bloodstream.

The jury in this case awarded the woman $23.12 million after hearing about the failure of the nurse to treat the bacteria-infected catheter and found both the nurse and the employer negligent. The damages were based on compensatory awards of economic damages for medical expenses and lost wages, as well as non-economic damages associated with pain and suffering. A medical malpractice case requires a plaintiff to establish that a health care provider undertook care of a patient, and thus had a duty to the patient; the duty was breached by the health care provider upon their failure to perform at the standard level of care; and that damages to the plaintiff resulted. A finding of negligence means the jury thought that the evidence showed that the woman’s health care provider committed a medical error resulting from an omission which deviated from the standards of practice generally accepted in the medical community, and found that this failure caused injury to the patient.

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 Posted on September 16, 2011 in Family Law

In our August 25, 2011 blog we discussed custody evaluation as one of the services that can be available to parties subject to domestic litigation. The Circuit Court for Baltimore County is one of the County courts that currently offers custody evaluations to those litigants with highly contested custody matters. They also offer co-parent education classes, custody mediation, home studies and supervised visitation. These services are currently offered to parties who qualify at no cost. The litigant or the litigant’s attorney needs to either file a motion with the Court requesting these services or request the service at the scheduling conference.

Commencing October 3, 2011, the Circuit Court will begin charging for these services, due to a decrease in funding received from the State Judiciary. The fees will be as follows:

• Co-Parent Education Classes: $35 per person
• Custody Mediation: $100 per person
• Home Study: $100 per study to be split between the parties
• Custody Evaluations:$450 per study to be split between the parties

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 Posted on September 12, 2011 in Family Law

Many times in cases where I represent the Father in a Maryland custody case, child support is often an issue where perhaps some believe the man is treated somewhat inequitably. While I do not necessarily agree that is always the case, I have heard many Father’s say "If I were a woman, child support would not even be an issue, I would get what I am supposed to get." Well for all those Dad’s out there, I am happy to report that I recently successfully argued a ‘voluntary impoverishment’ case. In this case, the non-custodial parent (who happens to be a Mother) is being forced to pay child support based upon what she has the ability to earn because the Court determined she was not doing so at the time of the hearing.

Voluntary Impoverishment cases are difficult cases to prove unless the non-custodial parent basically admits s/he not working to avoid paying child support. In Maryland, for the purposes of child support guidelines, a parent shall be considered "voluntarily impoverished" whenever the parent has made the free and conscious choice, not compelled by factors beyond his or her control, to render himself or herself without adequate resources. The factors a Court will consider in making such a determination as to whether a parent is a voluntary impoverished are: (1) his or her current physical condition; (2) his or her respective level of education; (3) the timing of any change in employment or other financial circumstances relative to the divorce proceedings; (4) the relationship between the parties prior to the initiation of divorce proceedings; (5) his or her efforts to find an retain employment; (6) his or her efforts to secure retraining if that is needed; (7) whether he or she has ever withheld support; (8) his or her past work history; (9) the area in which the parties live and the status of the job market there; and (10) any other considerations presented by either party.

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 Posted on September 02, 2011 in Criminal Defense

Most Experienced and Aggressive Criminal Defense Attorneys handle many cases in which the client is charged with Violation of Probation. Typically when a judge places a criminal defendant on probation, the judge will require the person to do certain things while on probation such as report to an agent, perform community service, participate in drug treatment. The probation also requires the defendant to remain law abiding and very often to be randomly tested for drug use.

If a defendant violates any of these conditions, the agent will notify the judge who will usually order a hearing to determine if he probation has been violated and very often issue a warrant for the defendant’s arrest. Many judges routinely order that the defendant be held without bail until such hearing takes place. Many attorneys wrongly assume that violations of probation are not defensible since there is no prohibition on the use of hearsay testimony and the State must only prove the violation by a preponderance of the evidence standard, not beyond a reasonable doubt as is the case in criminal trials. Many defenses are in fact viable in violations of probation including speedy trial type defenses. I successfully defended a client in a violation of probation hearing this week in Baltimore County District Court using this type of defense. Here are the facts:

My client was convicted of possession of a controlled dangerous substance in 2007, when she was just 18 years old. In May of 2008 she tested positive for opiates and a violation of probation was issued. The court issued a bench warrant for her arrest ordering that she be held without bail pending the hearing. I find this tactic by judges troubling, particularly in cases involving non-violent misdemeanors, as it often causes lengthy incarceration prior to that person being adjudicated guilty of the violation; and in many cases, such as this one, where the person was ultimately found not to have violated her probation.

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 Posted on September 01, 2011 in Medical Malpractice

A Maryland jury awarded the wife and two children of a 59-year-old man $2.5 million in damages following his untimely death from medical malpractice at Montgomery General Hospital in 2007. The lawsuit alleged that the doctor attending to the man at Montgomery General failed was negligent in failing to recognize and diagnose that he was suffering from "hemorrhagic shock" and treat the same. A copy of the article regarding the settlement can be found here.

The man’s death occurred two days after he fell and fractured his pelvis. The family alleged that the primary care physician, who was the sole defendant in the medical malpractice case, did not realize that the man was suffering from internal bleeding. The family believes that had the doctor treated this condition when he first examined him, he could have saved the man’s life. Instead, the man ultimately died from multiple organ failure due to the internal bleeding.
While the primary care physician argued that the man died as a result of a side effect to medication that restricted his intake of oxygen, this theory was discredited because no mention was made of any such complication on the death certificate.

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 Posted on August 25, 2011 in Family Law

As we have explained in previous blogs, in most counties in Maryland, the first scheduled court date once litigation has commenced is a scheduling conference. This is an opportunity for the litigants to tell the Court what hearings/trials they will need and court services they might need. Among those services to ask for may be a custody evaluation. In counties such as Anne Arundel County and Baltimore County custody evaluations are available at no cost in those custody cases where a Judge or Master can be convinced it is necessary. These would typically be cases where custody is highly contested or other exceptional circumstances exists (an unfit home, potential abuse, etc). A description of the custody evaluations performed in Anne Arundel County and Baltimore County can be found at their respective websites.

Depending on the county where the evaluation is ordered, an evaluation typically involves a meeting with both parents with the children, possibly a visit to each parent’s home, and interview with those who frequently interact with the parents and children (counselors, school staff, family members). Once the evaluation is completed, a report is typically drafted by the evaluator where he or she will recommend a custody arrangement and their reasons for recommending same. The Court may set in a conference date for the parties to review the evaluation, or the evaluation will be sent to the parties and/or their attorneys.

A custody evaluation can be helpful in many ways as it is a tool for the Judge or Master to hear about the parties’ homes and interactions with their children from a third party professional. However, a custody evaluator’s recommendation may or may not have bearing on the Judge or Master’s ultimate decision with regards to custody. It is up to the Court to decide if they will even allow the contents of the evaluation to be disclosed at the final custody hearing, as much of it contains hearsay ( out of court statements). Additionally, a custody evaluation can aid parties in reaching a resolution prior to going to trial on their matter.

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