Tag: standard of care

  • Medical Malpractice Claim Fails: No Expert Testimony to Support Allegations

    The following case highlights the critical role of expert testimony in medical malpractice lawsuits and the difficulty of succeeding on such claims without it.

    Case Background

    Claire James sued Dr. Shahed Jameel, alleging that his negligent care caused the death of her mother, Laura James. However, a Medical Review Panel had previously reviewed the case and found no breach of the standard of care by Dr. Jameel. Despite this, Claire proceeded with her lawsuit. The trial court granted summary judgment in favor of Dr. Jameel, and Claire appealed.

    Medical Malpractice in Louisiana

    To succeed in a medical malpractice claim in Louisiana, a plaintiff must prove:

    1. Standard of Care: The degree of care and skill expected of a healthcare provider in the same or similar circumstances.
    2. Breach of Duty: The healthcare provider’s actions fell below the accepted standard of care.
    3. Injury: The patient suffered an injury.
    4. Causation: The healthcare provider’s breach of duty directly caused the patient’s injury.

    The Importance of Expert Testimony

    Expert testimony is crucial in medical malpractice cases because it helps the court understand complex medical issues and determine whether the standard of care was breached. Without expert testimony, it’s often impossible for a layperson (judge or jury) to make that determination.

    The Court’s Analysis

    The appeals court reviewed the case and focused on the lack of expert testimony to support Claire’s claims. Here’s what they considered:

    • Medical Review Panel: The panel, consisting of medical experts, unanimously found no breach of the standard of care by Dr. Jameel.
    • Plaintiff’s Evidence: Claire failed to present any expert testimony to contradict the panel’s findings or support her allegations of negligence.
    • Tangential Evidence: The only expert opinion Claire offered was from a panel member who criticized a different doctor’s actions, not Dr. Jameel’s.

    The court emphasized that without expert testimony to establish a breach of the standard of care, Claire could not meet her burden of proof in a medical malpractice case.

    Key Takeaways

    • Medical Review Panel: The opinion of a Medical Review Panel carries significant weight in Louisiana malpractice cases.
    • Expert Testimony is Essential: Without expert testimony, it’s very difficult to win a medical malpractice lawsuit, especially when the medical issues are complex.
    • Summary Judgment: If a plaintiff fails to produce expert evidence to support their claims, the defendant is likely to succeed on a motion for summary judgment.

    Outcome

    The appeals court affirmed the trial court’s decision, granting summary judgment in favor of Dr. Jameel. This case illustrates the high bar plaintiffs face in medical malpractice cases and the necessity of expert testimony to establish a breach of the standard of care.

  • Louisiana Court Reverses Summary Judgment in Medical Malpractice Case, Highlighting Importance of Fact-Finding in Proving Negligence

    In a significant development for medical malpractice litigation in Louisiana, the Fourth Circuit Court of Appeal recently reversed a summary judgment, underscoring the importance of thorough fact-finding and the potential need for expert testimony in such cases. The case, Diana Deruise-Pierce v. University Healthcare System, L.C., et al., underscores the necessity of thorough fact-finding and the potential need for expert testimony in medical malpractice cases, even when negligence appears evident.

    Case Overview:

    The lawsuit stemmed from the treatment rendered to Mr. Pierce at University Medical Center in New Orleans. Mr. Pierce was admitted for a medical procedure, but his condition deteriorated overnight. Despite this, the medical team proceeded with the planned procedure.

    Tragically, Mr. Pierce went into cardiac arrest during the procedure and passed away. His widow, Diana Deruise-Pierce, filed a medical malpractice lawsuit alleging that the healthcare providers breached the standard of care by transporting and leaving Mr. Pierce unattended in the hallway outside the radiology suite while he was in a severely deteriorated state.

    Trial Court’s Ruling:

    The trial court granted summary judgment in favor of the defendants, relying on the medical review panel’s opinion that no breach of the standard of care occurred. The court also emphasized the absence of independent medical expert testimony to support the plaintiff’s negligence claim.

    Court of Appeal’s Decision:

    The Court of Appeal reversed the summary judgment, highlighting the presence of genuine issues of material fact that precluded summary judgment. The court emphasized the ambiguity surrounding whether Mr. Pierce was left unattended and for how long.

    Crucially, the court recognized that even without expert testimony, a breach of the standard of care could be established if the alleged negligence was so obvious that a layperson could infer it. The court also pointed to the deposition testimony of a fellow physician, Dr. Cooper, which suggested potential deviations from the standard of care.

    While acknowledging the challenges in proving causation without expert testimony, the court stressed the need for further fact-finding to determine the circumstances surrounding Mr. Pierce’s death and whether the alleged negligence contributed to it.

    This case underscores the critical importance of thorough investigation and fact-finding in medical malpractice cases. It highlights that even when negligence seems apparent, a detailed examination of the circumstances is necessary to establish a breach of the standard of care and its causal link to the patient’s injuries.

    The decision also emphasizes the potential role of expert testimony in proving medical malpractice. Still, it acknowledges that negligence may be so evident that expert opinion is not required in some instances.

    This case serves as a reminder that medical malpractice cases are complex and require careful consideration of all relevant facts and evidence. If you or a loved one has suffered harm due to potential medical negligence, it is crucial to consult with an experienced attorney to understand your legal rights and pursue appropriate action.

    Written by Berniard Law Firm

    Other Berniard Law Firm Blog Articles on Fact-Finding and Expert Witnesses: When Do I Need Expert Testimony for a Medical Malpractice Lawsuit? and Appeal Necessary in Car Accident Case Where District Court’s Finding of Fact Strays

  • Louisiana Court Reverses Summary Judgment in Medical Malpractice Case: The Importance of Expert Testimony

    A recent Louisiana Court of Appeal decision has underscored the significance of expert testimony in medical malpractice cases. The case, Mariakis v. North Oaks Health System, involved a wrongful death lawsuit alleging that the hospital failed to provide adequate care, leading to the patient’s death. The trial court initially granted summary judgment in favor of the hospital, but the Court of Appeal reversed this decision, highlighting the necessity of expert evidence to resolve complex medical malpractice claims.

    Lori Mariakis presented to the emergency department at North Oaks Hospital with severe abdominal and vaginal pain. She was diagnosed with a colitis flare-up and discharged. Five days later, she returned with worsening symptoms and was diagnosed with constipation. However, her condition deteriorated, and she was admitted to another hospital, where she tragically passed away.

    Her sons sued North Oaks Health System, alleging that the hospital’s negligence in diagnosing and treating their mother led to her death. The medical review panel initially found no evidence of malpractice. However, the plaintiffs presented an expert witness, Dr. Robert V. West, who opined that the care provided by North Oaks fell below the applicable medical standard of care and caused Ms. Mariakis’s death.

    After initially excluding the testimony of the plaintiffs’ first expert witness, the trial court granted summary judgment in favor of North Oaks, arguing that the plaintiffs lacked expert evidence to support their claims. The plaintiffs appealed this decision.

    The Court of Appeal reversed the trial court’s grant of summary judgment, focusing on the importance of expert testimony in medical malpractice cases. It held that the plaintiff’s expert witness affidavit and subsequent report were sufficient to create a genuine issue of material fact regarding the standard of care and causation, thereby precluding summary judgment.

    Things to Know: 

    • Expert Testimony is Crucial: In medical malpractice cases, expert medical testimony is generally required to establish the standard of care, breach of that standard, and causation.
    • Summary Judgment and Expert Evidence: When a defendant in a medical malpractice case moves for summary judgment based on the plaintiff’s lack of expert testimony, the plaintiff must present competent expert evidence to counter the motion and demonstrate a genuine issue of material fact.
    • Admissibility of Expert Evidence: The court also addressed the admissibility of expert evidence, emphasizing the need for proper authentication and compliance with procedural rules.

    Implications for Patients and Medical Providers

    The Mariakis decision highlights the challenges of navigating medical malpractice litigation in Louisiana. For patients and their families, it underscores the critical importance of securing qualified expert witnesses to support their claims. Expert testimony can be the deciding factor in establishing a healthcare provider’s negligence and its causal link to the patient’s injuries or death.

    For medical providers, the case serves as a reminder of the importance of adhering to the standard of care and documenting their actions thoroughly. Even if a medical review panel initially finds no evidence of malpractice, a plaintiff can still prevail in court if they present compelling expert testimony.

    The Mariakis case illustrates the complexities of medical malpractice litigation and the critical role of expert witnesses. Whether you’re a patient seeking justice for medical negligence or a healthcare provider defending your actions, seeking legal counsel from an experienced medical malpractice attorney is crucial. They can help you understand the legal standards, gather and present expert evidence, and navigate the complexities of the litigation process.

    Additional Resources:CHRISTOPHER CHARLES MARIAKIS AND MICHAEL ANDREW MARIAKIS, INDIVIDUALLY AND ON BEHALF OF THE ESTATE OF LORI HALE MARIAKIS VERSUS NORTH OAKS HEALTH SYSTEM

    Written by Berniard Law Firm

    Other Berniard Law Firm Articles on Expert Testimony: Louisiana Court Reinstates Summary Judgment in Medical Malpractice Case: The Importance of Timely Expert Evidence and The Role of Expert Witnesses in Accident Claims: Resolving Conflicting Testimony