Results
The recoveries in these cases are not necessarily indicative of recoveries in similar cases in the future, as each case must be decided on its own facts and circumstances.
Medical Malpractice case settles for $3 million dollars
Walter H. Emroch and Thomas J. McNally obtained a $3 million dollar settlement for a 50 year old woman in February of 2003. On January 23, 1999, the plaintiff, then age 46, a resident of Emporia, Virginia, traveled to Washington, DC to undergo a gynecological operation to remove a large cyst that had developed in her abdomen. The defendant doctor had previously treated the plaintiff for obstetrical and gynecological conditions and had successfully handled a previous high risk pregnancy of the plaintiff.
Unfortunately, during the January 23, 1999 surgery, the defendant doctor, believing that he might have cut and/or ligated with a suture the plaintiff's right ureter, performed what is referred to as an indigo carmine dye test. After performing the indigo carmine dye test, which is not adequate to rule out a ligated ureter, the defendant doctor erroneously concluded that the ureter was not ligated or damaged and closed the plaintiff's operative site.
Over the course of the next several days, the plaintiff developed post-operative signs and symptoms of ureteral damage, including complaints of back pain, elevated creatinine, blood in her urine, nausea and fever. Despite being aware of her post-operative signs and symptoms of ureteral damage, the defendant failed to timely investigate the cause of those symptoms and failed to request a consult with a urologist to rule out ureteral damage. Eight days after the surgery, the doctor obtained a consultation by a urologist who concluded the plaintiff had a right ureteral obstruction. On February 4, 2000, twelve days after the initial surgery, the urologist, along with a transplant specialist, attempted to repair the ureter; however, by that time the ureter was beyond repair and had to be removed along with her right kidney, which could not be relocated due to extensive swelling, scarring and adhesions from the ligation. By September, 1999, due to the loss of the right kidney, the plaintiff's kidney function, which had been relatively stable, began a precipitous decline and she was compelled to begin dialysis treatment in May, 2000.
Complicating the case for the plaintiff was the fact that the plaintiff was a diabetic who had pre-existing renal disease which caused some divergence of opinion between the plaintiff's expert nephrologists. The plaintiff's treating nephrologist opined that starting in approximately 2006, the plaintiff would have been on dialysis for 18 months, even had she not been injured, prior to receiving a kidney transplant. Another nephrology expert opined that because of the plaintiff's very slow indolent course of declining kidney function, the plaintiff would not have needed the dialysis prior to obtaining a kidney transplant. Plaintiff also alleged a reduction in her life expectancy of six to seven years due to the accelerated need for dialysis.
The defense experts opined that the defendant did not violate the standard of care and suggested that the right ureteral blockage was not caused by a stitch or ligature, but was due to pre-existing disease. However, the plaintiff's pathologist actually observed a suture or ligature granuloma. Lastly, the defense experts opined that the injury did not cause as much dialysis as claimed because the plaintiff would have had to undergo dialysis anyway, and that her injury was due primarily to the lack of more aggressive treatment by her doctors and/or the plaintiff's non-compliance with medical recommendations.
 
 
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