Attorney Articles
Law.com Features Espey Article Examining Appellate Clarification on NJ Fee-Shifting Statute Requirements
April 16, 2026 - Law.com and New Jersey Law Journal
Christopher Peticca (Associate-White Plains, NY) and Alan Friedberg (Senior Counsel-White Plains, NY) obtained summary judgment in New York State Supreme Court, Bronx County, securing dismissal of a medical malpractice action against Wilson Elser’s clients, an orthopedic surgeon and his practice. The plaintiff, who sustained a workplace injury years earlier, underwent more than six years of treatment under workers’ compensation coverage before undergoing a total knee replacement performed by our clients. She alleged that the surgery was negligently performed, claiming the components were oversized and improperly aligned. In moving for summary judgment, Chris and Alan argued that the surgery was performed in accordance with the standard of care and that recovery was barred under Workers’ Compensation Law § 11, as the plaintiff had already been compensated for the same injuries.
In opposition, the plaintiff submitted an expert affirmation challenging the size and alignment of the knee replacement components, as well as case law in support of her position that her workers’ compensation claims did not bar the malpractice action because the subject knee replacement surgery caused her additional harm. On reply, Chris and Alan prevailed on both arguments, demonstrating that subsequent treatment records and radiological films confirmed the components were properly aligned and installed, and that the plaintiff’s expert ignored material evidence in rendering an opinion to the contrary. They further relied on findings from multiple non-party medical providers within the workers’ compensation records to establish that the clients’ treatment did not cause any additional harm to the plaintiff. Accordingly, the Court held that summary judgment was warranted on two distinct grounds and dismissed the plaintiff’s complaint.
Christopher J. Peticca and Alan B. Friedberg
Christina Huston (Of Counsel-Houston) and John Shepperd (Partner-Houston) obtained a defense verdict for a neurosurgeon client in the 170th District Court of McLennan County, Waco, Texas, after a four-day trial.
The plaintiff in this case, a 44-year-old female, underwent an anterior cervical discectomy performed by our client, followed by a posterior cervical laminectomy and fusion after her continued complaints of pain and neurological symptoms. The plaintiff later experienced significant deterioration, including impaired mobility and bowel and bladder issues, and ultimately sought care from a subsequent neurosurgeon who performed a two-level corpectomy. The plaintiff alleged that our client negligently failed to recognize the need for a corpectomy from the outset, asserting claims supported by expert testimony and seeking substantial damages, including a life care plan valued at $3.8 million, as well as lost earnings and noneconomic damages.
At trial, Christina and John presented evidence and expert testimony establishing that both procedures performed by the client were appropriate and within the standard of care. They further demonstrated that the plaintiff initially improved following the second surgery, but deteriorated weeks later due to a known postoperative complication – an encapsulated fluid collection placing pressure on the spinal cord. Evidence showed this condition, rather than any surgical decision-making, caused the patient’s subsequent neurological decline, and was later addressed during the third surgery. The Wilson Elser team also noted that our client did not have access to critical post-operative imaging after the second surgery, which he had ordered before the patient transferred care.
After approximately two hours of deliberation, the jury returned an 11–1 verdict in favor of our client, finding no negligence on the surgeon's part despite the patient suffering poor outcomes after the first two surgeries.
Christina C. Huston and John R. Shepperd
Christopher W. Hofmann (Associate-White Plains, NY) obtained a decision from the Bronx County Supreme Court granting complete summary judgment in favor of a large, certified home health agency client based in New York City. The action, sounding in negligence and medical malpractice, concerned skilled nursing visits provided to the plaintiff’s decedent, an insulin-dependent diabetic, at home following her admission to a non-party hospital. The plaintiff alleged that the agency failed to monitor the decedent’s blood glucose levels properly and failed to correctly administer insulin and/or monitor insulin dosages, resulting in a worsening of her diabetic condition. The decedent subsequently developed altered mental status, hypothermia, and hypoxia secondary to severe hypoglycemia, resulting in her death.
Chris moved for summary judgment, arguing that responsibility for administering insulin and monitoring the decedent’s blood glucose levels rested exclusively with the decedent’s caregiver. The motion was supported by a nursing expert who opined that the agency’s initial and ongoing nursing assessments properly determined that the caregiver demonstrated appropriate diabetes-specific knowledge and self-management skills, including recognition and treatment of hypoglycemia, insulin administration, and blood glucose monitoring. In further support of the motion, an expert geriatrician affirmed that the sole proximate cause of the decedent’s severe hypoglycemia and related symptoms was due to a medication error, namely, the administration of excessive insulin by the decedent’s caregiver. Plaintiff opposed the motion by arguing that the agency should not have allowed the decedent’s caregiver – an untrained “layperson” – to administer insulin and monitor the decedent’s blood glucose levels.
In granting summary judgment, the court found that the opinion of plaintiff’s expert was “pure speculation,” and agreed with Chris’s arguments that the opinion of plaintiff’s expert was conclusory, without evidentiary support, and outright contradicted by the medical records and testimony which established that the decedent’s caregiver had an long-standing history and demonstrated competence with respect to performing these tasks. The Court further agreed with Chris’s arguments that the sole departure raised in opposition was not previously pleaded, that the plaintiff’s expert physician was unqualified to opine regarding the standard of care applicable to skilled nursing, and that the plaintiff failed to explain how any alleged error by the decedent’s caregiver was attributable to our agency client.
Christopher W. Hofmann
Jianlin Song (Partner-San Francisco) and Trishala Parikh (Associate-San Francisco) obtained dismissal with prejudice for two nationally recognized nonprofit eye bank clients on a demurrer in the Superior Court of Solana County, California. The case involved allegations of unauthorized organ donation arising from a highly sensitive end-of-life situation. The court sustained our demurrer in full, dismissing negligence claims against our clients without leave to amend and concluding that the plaintiffs could not state a viable cause of action as a matter of law. The plaintiff's motion for reconsideration was denied.
Jianlin Song and Trishala Parikh
Jodi Terranova (Partner-Washington, DC), Nathan Lefko (Associate-Washington, DC), and Stuart Davis (Associate-Washington, DC) secured a defense verdict in a medical malpractice case in the Prince George’s County Circuit Court, Maryland, following a two-week-long trial. The case involved allegations of negligence against Wilson Elser’s gastroenterologist client arising from a colonoscopy that was complicated by a perforation, which was identified in the PACU following the procedure. The plaintiff alleged the perforation resulted from excessive use of CO₂ (barotrauma) during the procedure, and sought damages for a subsequent ileocecectomy, ongoing gastrointestinal symptoms, emotional distress, loss of enjoyment of life, loss of consortium (along with his wife), and past medical bills. Jodi, Nate, and Stuart demonstrated that the physician encountered a tortuous colon with extensive diverticula immediately upon entering the colon and relied primarily on water infusion, with continuous suctioning throughout the procedure, rather than excessive CO₂. The team further established that the perforation was consistent with a shearing injury due to the tortuous colon, supported by pathology findings showing microscopic adhesions and a bowel-on-bowel connection. After just 30 minutes of deliberation, the jury returned a unanimous verdict in favor of the client.
Jodi V. Terranova, Nathan Lefko and Stuart W. Davis
Christopher W. Hofmann (Associate-White Plains, NY) and Alan Friedberg (Senior Counsel-White Plains, NY) secured total summary judgment from the Westchester County Supreme Court on behalf of a large metropolitan hospital client in a medical malpractice action arising from the emergency department (ED) treatment of wrist fractures. The plaintiff alleged improper evaluation and treatment in the hospital’s ED, and that the codefendant orthopedic surgeon failed to timely and properly perform appropriate surgery to treat the wrist fractures, resulting in permanent disability, pain, and suffering. Notably, plaintiff was an inmate at a New York maximum-security prison where Chris deposed him on two occasions.
Chris and Alan moved for summary judgment, arguing that the clinical examination and radiographic work-up of the plaintiff’s wrist injury in the ED was entirely appropriate, the ED providers properly and timely consulted orthopedics, and reasonably deferred treatment decisions to the consulting orthopedic surgeon regarding the management and treatment of the plaintiff’s wrist fracture. The motion was further supported by Board-Certified experts in emergency medicine and orthopedic surgery. The sufficiency of the underlying motion papers prompted the plaintiff’s counsel to move to be relieved as counsel. Unable to retain new counsel to oppose the motion, Wilson Elser’s motion for summary judgment was fully submitted and granted by the court.
Christopher W. Hofmann and Alan B. Friedberg
Michael E. Gallay (Partner-White Plains, NY) and Francis A. Howell (Associate-White Plains, NY) obtained summary judgment in the Supreme Court of the State of New York, Westchester County, on behalf of a large hospital system, a pediatric ENT surgeon, and an anesthesiologist. The plaintiffs alleged the improper prescription of oxycodone for pain relief following a tonsillectomy, resulting in the overdose death of the 5-year-old patient five days after the surgery. The summary judgment motion was supported by the expert affirmations of a pediatric ENT, a toxicologist, and a pharmacologist who had done years of research on the effects of oxycodone on pediatric patients. The experts agreed that the medication was prescribed within the standard of care for ENT surgery, the dosage was appropriate, and the post-mortem oxycodone levels indicated the child must have received significantly more than prescribed. In opposition, plaintiffs’ counsel submitted only the affirmation of a retired pediatrician who never performed a tonsillectomy, never prescribed oxycodone to a pediatric post-operative patient, and lacked training in pharmacology or toxicology. The court adopted Michael and Francis’s reply argument, finding that the plaintiffs’ purported expert merely cited out-of-context medical literature, constituting inadmissible hearsay, and failed to demonstrate sufficient knowledge of the applicable standard of care for prescription of oxycodone or pertinent pharmacological factors of pediatric oxycodone use. Accordingly, the court held that Wilson Elser met the burden of demonstrating a prima facie right to summary judgment and that the plaintiff expert’s affirmation was insufficient to create an issue of fact.
Michael E. Gallay and Francis A. Howell III
Christopher W. Hofmann (Associate-White Plains, NY) and Alan Friedberg (Senior Counsel-White Plains, NY) obtained a Decision and Order from the Bronx County Supreme Court, New York, granting total summary judgment in favor of Wilson Elser’s clients, a Bronx hospital and its Chief of Orthopedic Surgery. The action arose from a left total hip replacement procedure in which the plaintiff allegedly sustained subsidence and periprosthetic fractures requiring revision surgery, hospitalization, and extensive rehabilitation. The plaintiff claimed the injury was caused by our client’s aggressive and forceful implant insertion and/or the use of an improper prosthetic. In seeking summary judgment, Chris and Alan demonstrated that the implants were properly sized, post-operative imaging showed no fractures, and the plaintiff’s complications were instead attributable to undiagnosed primary hyperparathyroidism – an endocrine condition associated with weakened bone and heightened fracture risk – subsequently diagnosed at a treatment facility. Their motion, supported by an expert Board-Certified Orthopedic Surgeon, persuaded the Court, which found that the plaintiff’s anatomy, not any improper medical practice, caused the subsidence and fractures, therefore granting judgment in the clients’ favor.
Christopher W. Hofmann and Alan B. Friedberg
Audrey Medd (Associate-White Plains) prevailed on her motion to dismiss in Westchester County Supreme Court, New York, on behalf of Wilson Elser’s large hospital system client. In this matter, the plaintiff served a summons with notice. Wilson Elser demanded a complaint and, when none was forthcoming, moved to dismiss the matter. The plaintiff objected, arguing that he should be allowed to file a late complaint. Audrey argued that even if the plaintiff could file a late complaint, he failed to demonstrate a meritorious cause of action or establish a reasonable excuse for the late filing. The court concurred, granting Wilson Elser’s motion to dismiss and denying the plaintiff's cross-motion.
Audrey D. Medd
Kammann S. Cole (Partner-San Diego) secured a jury defense verdict in favor of an insured dentist in the Los Angeles Superior Court following a two-week trial. The dental malpractice case proceeded to trial after a codefendant settled shortly beforehand for a significant sum. The matter came down to a quintessential battle of the experts, with the plaintiff’s counsel seeking high six-figures as compensation. Despite the challenging posture of the case, Kammann successfully persuaded the jury to return a defense verdict, delivering an excellent result for the firm’s institutional client.
Kammann S. Cole
Jacqueline Bertelsen (Of Counsel-Orlando) Noelle Sheehan (Partner-Orlando) and Melissa Krepps (Of Counsel-Orlando) successfully had their summary judgment victory upheld in the Florida Sixth Circuit Court of Appeal in a nursing home negligence and wrongful death lawsuit. Noelle and Melissa relied on provisions of an asset purchase agreement to prevail on their motion for summary judgment. Following the entry of summary judgment, the plaintiff moved for rehearing. Noelle and Melissa brought in Jacqueline Bertelsen from the firm’s Appellate Practice group to assist. Jacqueline opposed the motion for rehearing as untimely, and the trial court agreed. The plaintiff then appealed to Florida’s Sixth District. The Sixth District issued an Order to the plaintiff to show cause as to why the appeal should not be dismissed as untimely. The plaintiff argued that the untimely appeal was due to counsel’s excusable neglect. Jacqueline worked with Noelle to prepare a comprehensive response brief that demonstrated the legal insufficiency of the plaintiff’s brief and revealed factual inconsistencies between the plaintiff’s argument and the record. As a result, the Sixth District dismissed the appeal and upheld summary judgment for our client. This victory demonstrates how Wilson Elser’s attorneys work seamlessly across practice areas to deliver successful client outcomes.
Jacqueline M. Bertelsen, Noelle K. Sheehan and Melissa D. Krepps
Chris Peticca (Associate-White Plains, NY) defended a hospital in a case in which the plaintiff pled that the our client’s conduct was “careless” and “reckless,” and negligent. In conferences and, ultimately, by motion submitted on the court’s invitation, Chris convinced Judge Frishman (Bronx County) to strike the “careless” and “reckless” language from the pleadings. The plaintiff appealed. On the appeal handled by Julia Audibert (Associate-New York, NY) and Judy Selmeci (Partner-New York, NY), the plaintiff challenged the timeliness of the motion and argued that the possibility of punitive damages lingers, including pursuant to Pub. H. Law 2801-d. We pointed out in response that none of that is right, arguing that the motion was made when the judge invited the defendant to submit it, so it was entirely within the court’s discretion to entertain the motion. In addition, Julia and Judy argued, the defendant is not a residential health care facility, so PHL 2801-d is not applicable. In addition, the plaintiff had not pled any facts to support a punitive claim and there could be no dispute that the language was prejudicial, and an order striking prejudicial language from pleadings is not appealable and the plaintiff had not sought leave to appeal. The First Department agreed that the order was not appealable but sua sponte granted the plaintiff leave to appeal – only to then agree with all of our other points and affirm.
Christopher J. Peticca, Julia Audibert and Judy C. Selmeci
Paul Karp (Partner-New York, NY) and Francis Howell (Associate-White Plains, NY) defended a hospital, treating neurosurgeon, and treating neuro-intensivist (an internationally recognized expert in the field of Neuro Critical Care Medicine) in a case venued in Westchester County Supreme Court that involved claims of pain and suffering as well as wrongful death after the decedent suffered an intracerebral hemorrhage. The plaintiff claimed that the decedent was suffering from life-threatening intracranial pressure, which put her in danger of an imminent brain stem herniation, and that surgery should have been performed to place an extra-ventricular drain and intracranial pressure monitor. Paul was able to prove through his witnesses that the decedent had significant preexisting cerebral atrophy with enlarged Sulci, which provided the room within her brain to accommodate the edema caused by her severe stroke. Paul’s witnesses, using the evidence graphics we created, were able to definitively show that even without the placement of the intracranial pressure monitor, the pressure within her skull was stable and she was never in danger of developing the life-threatening brainstem herniation. Therefore, no surgical intervention, nor the administration of last-ditch effort pharmacological interventions (Hypertonic Saline or Mannitol) to reduce brain edema were warranted. Frank filed a motion in limine to preclude the plaintiff from offering testimony analogous to that of an expert and the motion was granted by the court. After a week of trial, the co-defendant, a skilled nursing center, settled out with the plaintiff. Rather than continue the case, the plaintiff discontinued the action as to the hospital and the two named physicians.
Paul Karp and Francis A. Howell III
Allison Graffeo (Partner-New York, NY) prevailed in a matter involving allegations of negligent bariatric surgery performed on a middle-aged woman at a major New York hospital against the hospital and multiple individual providers. The medically diagnosed obese patient, who had undergone prior unsuccessful sleeve gastrectomy, presented for a conversion of her gastric sleeve to a Roux-en-Y bypass. Post-operatively, the patient experienced a gastric leak, resulting in sepsis and additional hospitalizations and surgical procedures. The plaintiff claimed that the surgery was contraindicated, that the leak was the result of improper surgical technique, and that the defendants failed to timely diagnose the leak. Allison moved for summary judgment on both liability and causation, with the assistance of an expert bariatric surgeon affidavit. She explained the complex anatomical, medical, and surgical concepts underlying the care at issue in a manner understood by lay persons and next demonstrated the absence of any factual dispute concerning the propriety of the care. Allison also addressed the lack of causation. Upon receipt of the motion, plaintiff’s counsel (a prominent medical malpractice law firm) apparently could not oppose the motion. Counsel moved to be relieved as attorney of record. That motion was eventually granted and the plaintiff was unable to retain another attorney. The court dismissed the matter.
Allison R. Graffeo
Lori Semlies (Partner-White Plains, NY) and Kristyna Burkova (Associate-New York, NY) were successful on a motion to dismiss the complaint on behalf of our clients, a hospital and physician, based on COVID-19 immunity grounds, specifically on EDTPA and PREP Act immunities. Lori and Kristyna moved to dismiss at the close of discovery after more than three years of litigation. The 71-year-old plaintiff was transferred to our client hospital with a COVID-19 diagnosis, strep mitis bacteremia, spinal osteomyelitis at C2-C3 and L3-L4, multi-focal pneumonia, and pulmonary edema. Upon admission, he received all indicated care, and when he was stable enough, he was transferred to Mount Sinai Hospital for evaluation for an aortic valve replacement. His injuries healed completely within three months of discharge. When the plaintiff filed suit, Lori and Kristyna submitted a geriatric expert affirmation in support, as well as expert affirmation of a board-certified pulmonary and critical care physician, who was a director of the medical ICU during the pandemic and who detailed the impact of the pandemic on the care at the time of plaintiff’s admission. Before filing his opposition, plaintiff cross-moved to amend the pleadings to add a gross negligence cause of action in an obvious attempt to circumvent the immunities. The Court granted our motion pursuant to the immunities afforded by the EDTPA and PREP Act and denied plaintiff’s cross-motion for leave to amend the complaint for failure to present a meritorious cause of action. In the decision, following its prior decisions in Kalogiannis and Gerber, the court noted that plaintiff’s claims fall squarely within the immunity.
Lori Rosen Semlies and Kristyna Burkova
Anna Borea (Associate-White Plains, NY), Steven DeBraccio (Of Counsel-Albany, NY), Katherine McCrink (Partner-White Plains, NY), and Lori Semlies (Partner-White Plains/New York, NY) defeated allegations against two nursing homes and a home care agency charged with malpractice in the care of three decedents – a tour de force on behalf of Wilson Elser’s Medical Malpractice & Health Care Practice.
The first dismissal was out of Kings County. We represented the nursing home. There, the plaintiff claimed the development and deterioration of pressure ulcers. The pressure ulcers first developed at co-defendant hospital, where the decedent was admitted from June 3, 2020, through July 31, 2020. Plaintiff was then discharged to our client nursing home from July 31 through August 7, 2020. The decedent was then discharged to a non-party hospital and subsequently passed away. By the time the decedent was admitted to our nursing home, he had a necrotic stage IV sacral ulcer, was ventilator dependent, and in kidney failure. Although the hospital admission fell squarely within the immunity provided under EDTPA, the nursing home admission, in part, fell outside of the EDTPA immunity. Our summary judgment motion focused on the clinical unavoidability argument as well as Executive Order 210.10 (which alleviated facilities from the requirement to regularly document and extends beyond the EDTPA immunity period). In opposition, plaintiff focused on claims stemming from the facilities lack of documentation.
Next, in a case also out of Kings County, we represented another nursing home. The plaintiff claimed the decedent suffered from a bowel perforation on May 20, 2018, which led to death a few days later. In our motion, we argued that there was no prior indication that (1) the decedent was suffering from a bowel perforation and (2) the decedent should have been sent to the hospital any sooner than he was. In opposition, the plaintiff focused their argument on two instances of isolated rectal bleeding in 2015 and 2017 and an alleged failure to order gastrointestinal consultations following those bleeding episodes. The plaintiff also argued that constipation caused the bowel perforation. This directly contradicted our gastrointestinal expert, who opined the perforation was caused by diverticulitis. In reply and at oral argument, we focused on the fact that this was a case that came down to the days leading up to the perforation at issue, not the years. We further argued that any reference to gastrointestinal consultations was irrelevant to the claims being asserted here as it is still unclear how those consultations would have been able to predict a bowel perforation years later. We also argued that, in those days leading up to the perforation, there was no indication that the decedent was suffering from any signs or symptoms of a bowel perforation. Essentially, we argued that the cause of the perforation was immaterial to the claims asserted here given the facts then and there existing to the nursing home staff. The court agreed.
Finally, in a case out of Bronx County, we represented an agency providing nursing home care. The plaintiff claimed a failure to diagnose and treat a bump on the decedent’s groin. The bump was first identified by the assessing nurse on July 22, 2014, who documented the decedent denied any pain or discomfort to the area and that her vital signs were normal. Nevertheless, the assessing nurse immediately notified the decedent’s doctor and requested an evaluation, which was performed the next day. The on-call doctors’ office sent a PA to assess the “bump,” diagnosing the decedent with cellulitis to the area. The decedent passed away on July 27, 2014, due to the “bump” [an aneurysm] rupturing, resulting in her bleeding out.
In addition to our client, the plaintiff named the on-call doctors’ agency and home health aid agency, as well as the PA/doctors individually. At summary judgment, the plaintiff limited their claims against our client, stating the assessing nurse was negligent and departed from the standard of care by (1) failing to send the decedent to the ER on July 22, 2014, when a “bump” was first identified on the decedent’s groin and (2) failing to perform a proper assessment of the “bump” on July 22, 2014. In reply, among other things, we argued plaintiff’s expert had no experience with home care, the assessing nurse performed a complete and thorough assessment in accordance with the standard of care, and co-defendant PA’s actions/inactions superseded the nursing assessment.
Anna Borea, Steven V. DeBraccio, Katherine L. McCrink and Lori Rosen Semlies
Lauren Santucci (Associate-White Plains, NY) defended our hospital client in a case involving orthognathic surgery performed by codefendant oral-maxillofacial surgeon to address the plaintiff’s sleep apnea. During the procedure, the bit of the drill used to access the jawbone broke off and became lodged in the surrounding tissue. The surgeon was unable to locate the drill bit, and a second surgeon was called in who removed the entire drill bit, which was disposed of as a surgical sharp. Post-operatively, the plaintiff had facial swelling that required intubation for several days, and later developed facial nerve palsy attributed stemming from the exploration for the bit. Other alleged damages included left facial paralysis, facial weakness, inability to close the left eye, inability to eat and drink properly, and malocclusion. Lauren argued that the hospital provided the surgeon with an unused drill bit that was inspected prior the surgery and that the complication of loss of the drill bit was a surgical issue that did not involve the hospital or its personnel, and that the drill bit, once retrieved and confirmed to be complete, was appropriately discarded as a surgical sharp. The plaintiff argued they were entitled to the adverse inference of spoliation because the drill bit was material evidence and should have been preserved; failure to do so prevented the plaintiff from ascertaining whether the drill bit was defective. In the decision, the Bronx County Supreme Court noted plaintiff’s opposition was entirely speculative and not an affirmative opinion that there was negligence. The court granted Lauren’s motion for summary judgment and denied plaintiff’s cross motion for spoliation sanctions. The court determined the hospital was not obligated to maintain the bit and the record confirmed the drill bit was fully retrieved, that there was no evidence it was discarded with a culpable state of mind, or that the plaintiff was deprived of his ability to prosecute his claim. The court noted the record established the bit was new and inspected prior to use; thus, the plaintiff’s inability to examine the bit did not equate to prejudice sufficient to warrant spoliation sanctions.
Lauren Claire Santucci
Alan Friedberg (Senior Counsel-White Plains, NY), Christopher Peticca (Associate-White Plains, NY), and Judy Selmeci (Partner-New York, NY) obtained affirmance of a summary judgment motion on behalf of our major hospital client, from the Appellate Division, First Department. Alan argued the motion before the five-panel bench, which asked probing questions of the plaintiff’s counsel, who was appealing the dismissal of his case by Bronx Supreme Court because the expert’s affidavit submitted by the plaintiff was insufficient to refute the allegations of the two experts presented by the defense. The EMTs that transported plaintiff’s decedent, while not employees of our client, wore hospital insignias, and the ambulance had a hospital emblem, as the result of a contract with the employers of the EMTs, which subsequently went bankrupt. Accordingly, plaintiff’s counsel was arguing that the EMTs were ostensible employees of our client. Essentially, the argument was that plaintiff’s decedent was provided with oxygen as the result of her abdominal pain, and when she arrived in the emergency room, her blood oxygen level was normal at 100 percent. Accordingly, while plaintiff’s decedent went into a code within nine minutes of arriving in the emergency room, the experts pointed out that she was properly treated for the abdominal pain and even for respiratory distress as she was rapidly brought to the hospital emergency room and was in stable condition at the time she arrived at the hospital’s emergency room. Both the Supreme Court Justice in Bronx County, and the Appellate Division Bench, readily understood the defense made out by the defense team, and appropriately granted and affirmed a dismissal in this case.
Alan B. Friedberg, Christopher J. Peticca and Judy C. Selmeci
Michael Grady (Partner-White Plains, NY) and Siobhainin Funchion (Of Counsel-White Plains, NY) obtained a unanimous defense verdict for their client hospital in a two-and-a-half week trial in the Supreme Court of Putnam County. The case involved the death a 55-year-old male leaving behind a widow and four children following cardiac arrest two days after an emergency room presentation for radiating left shoulder pain. The plaintiff alleged the defendants failed to properly rule out a cardiac cause for the presenting pain with a medical history of hypertension, coronary artery disease, and hyperlipidemia and family history significant for heart attacks. At trial, Mike and Siobhan argued that the emergency room presentation was consistent with a chronic orthopedic etiology that did not warrant cardiac workup, and that postmortem pathology was consistent with a sudden acute cardiac event rather than chronic underlying cardiac condition. On physical exam, the decedent’s shoulder pain was reproduceable with movement and he responded to treatment with an anti-inflammatory and pain medication injection. The defendants’ experts opined that cardiac pain is not reproducible in nature nor would it respond to an anti-inflammatory or pain medication to completely resolve, and our experts further explained that cardiac left extremity pain typically presents with chest pain radiating to the left arm, rather than shoulder pain radiating to the elbow/hand. The trial involved 11 witnesses including 5 experts in the fields of cardiology, pathology, and emergency medicine. The plaintiff’s attorney asked the jury for $23 million in this overly contentious trial. The jury found unanimously for our client in two hours.
Michael F. Grady and Siobhainin S. Funchion
Michael E. Gallay (Partner-White Plains, NY) and Christopher W. Hofmann (Associate-White Plains, NY) successfully moved in Dutchess County Supreme Court for summary judgment on behalf of our nursing home client on the basis of immunity under the Emergency Disaster Treatment Protection Act (EDTPA). The plaintiff’s primary claim was that the facility failed to prevent multiple falls resulting in hip fractures requiring surgical reduction. However, the patient’s admission from March through July 2020, during the height of the pandemic, was significant for ongoing and worsening behavioral issues, and records clearly documented that the fractures resulted from multiple incidents during which she threw herself off her bed onto the floor despite multiple preventative measures. In addition to a strong defense to the underlying claims, Michael and Christopher successfully contended that EDTPA immunity applied given the time frame and absence of any viable claim for gross negligence. The Supreme Court agreed that the EDTPA was applicable, that our client made a sufficient showing of entitlement to immunity, and that plaintiff failed to raise a triable issue of fact as to whether immunity should attach. Notably, the Court found that plaintiff’s expert was conclusory since it failed to addressed the specific allegations of the Director of Nursing as to how the COVID-19 pandemic affected our client’s operations and the various aspects of the decedent’s care throughout her admission, including, in particular, the facility’s ability to implement enhanced observation, including 1:1 observation, and their ability to transfer the decedent to another facility for a higher level of care.
Michael E. Gallay and Christopher W. Hofmann
Alan Friedberg (Senior Counsel, White Plains, NY) and Nicole Holland (Of Counsel-White Plains, NY) obtained a defense verdict after an 11-day trial in Supreme Court, Westchester County. Our client, an orthopedic surgeon, performed a total knee replacement on the plaintiff, and eight months later, plaintiff underwent a revision at the Hospital for Special Surgery during which the prosthetic components placed by our client were replaced with smaller components. At trial, plaintiff claimed the femoral component of the knee replacement was negligently placed, causing an overhang and impingement, which caused excessive pain and required a revision due to excessive scarring that formed from the inability to do physical therapy. At trial, Alan and Nicole were able to produce a musculoskeletal radiologist who demonstrated that the soft tissues in the knee were easily visualized on a MRI before the revision procedure even with the presence of artifact from the metal implants. This expert clearly demonstrated that there was no impingement and no inflammation. Further, the plaintiff claimed permanent injury, as his left leg and knee cramp up and lock. There was also testimony that he experienced excessive atrophy in the leg after the revision due to inability to participate in PT after the first surgery. Nicole presented our independent medical examining expert, who demonstrated that there was no atrophy, the cramping was from long-standing peripheral vascular disease, and that plaintiff, in fact, had an “excellent result” from the revision surgery performed at the Hospital for Special Surgery. The jury came back with a unanimous verdict in less than 1 hour and 10 minutes of deliberation.
Alan B. Friedberg and Nicole Holland
Jamie Winokur (Partner-Charlotte, NC) and Peter Clements (Associate-Charlotte, NC) secured summary judgment on behalf of a rehabilitation facility in a medical malpractice case in North Carolina Superior Court. The plaintiff sought damages for injuries allegedly resulting from negligent post-surgical wound care, including claims of lasting harm and a resulting below-the-knee amputation. Central to the plaintiff’s case were expert witnesses intended to establish the standard of care and causation. Jamie and Peter moved to exclude these experts in a prior motion hearing, and with no admissible expert testimony to support essential elements of the plaintiff’s claims, the court granted summary judgment for our client just before trial, dismissing the case in its entirety.
Jamie Lauren Winokur
Catherine Hanrahan (Partner-Washington, DC) and Stuart Davis (Associate-Washington, DC) won an appeal before the District of Columbia Court of Appeals on behalf of a dental practice and one of its dentists after filing a motion to dismiss plaintiff’s complaint for improper service. D.C.’s highest court affirmed the trial court’s decision to dismiss the complaint due to the plaintiff’s multiple failures to prove service pursuant to Super. Ct. Civ. Rule 4. The Court’s opinion relied on substantial portions of Catherine and Stuart’s briefing, particularly the argument that actual notice of a claim is immaterial to the sufficiency of service of process. The appellate win not only saved the client needless litigation expenses but also provides a road map to effectively oppose similar deficient service of process cases in the future.
Catherine A. Hanrahan and Stuart W. Davis
Christopher J. Peticca (Associate-White Plains, NY) and Alan B. Friedberg (Senior Counsel-White Plains, NY) obtained summary judgment in Supreme Court, Bronx County, dismissing the case against our clients, two urologists in Westchester County who treated plaintiff in December 2018 and January 2019 for urinary retention. The plaintiff, a Bronx resident, claimed that the urologists, who together treated him on four separate occasions, failed to diagnose an infection that led to sepsis and a non-ischemic heart attack (Torsade de Pointes) resulting in the need for cardiac shock treatment and a two-week hospitalization. The plaintiff claimed that the urologists failed to timely diagnose and treat the infection that became severe, causing sepsis, which led to the resulting heart attack, hospitalization, and severe physical and emotional trauma. Christopher and Alan’s motion was based on the argument that the plaintiff suffered an acute septic reaction to a kidney stone, independent of his urinary retention, resulting in an acute bout of sepsis, which in fact did cause his non-ischemic heart attack. The summary judgment motion pointed out that the treatment to plaintiff’s retention was within the standard of care and met the American Urological Association guidelines for treatment of the plaintiff’s condition. The plaintiff’s expert was not able to adequately refute the claims of a lack of departure from standard of care and the lack of causation based on the diagnosis during the hospitalization for the acute kidney stone that caused plaintiff’s sepsis and resulting heart attack.
Christopher J. Peticca and Alan B. Friedberg
Christina Huston (Of Counsel-Houston, TX) and John Shepperd (Partner-Houston, TX) obtained a defense verdict after five days of trial. The plaintiff alleged her client spine surgeon performed an unnecessary 360° spinal fusion surgery when the patient presented with hip pain that was secondary to a trochanter bursitis rather than a herniated disc. The plaintiff subsequently suffered a failed fusion. The plaintiff relied on the testimony of a hip surgeon as well as an investigation by her health insurance carrier that concluded this was an unnecessary surgery. The plaintiff also claimed that our client made his decision to operate solely on provoked discography, which the plaintiff described as an antiquated “Voodoo” technology. The client countered by testifying that the insurance claim was denied because it was mistakenly characterized as a two-level fusion for herniated discs. Christina and John agreed that a two-level fusion for herniated discs is inappropriate, but that was not the patient’s diagnosis. The patient actually had internal disc disruption at two levels. The disc disruption was demonstrated on a post-discography CT scan that showed extravasation of injected dye outside the disc space. The jury returned an 11-1 verdict for the surgeon in less than an hour.
Christina C. Huston and John R. Shepperd
Noelle Sheehan (Partner-Orlando, FL) and Melissa Krepps (Of Counsel-Orlando, FL) secured summary judgment in a nursing home negligence lawsuit involving claims brought by the estate of a former patient. The plaintiff alleged negligence related to care provided at our client’s facility. However, through diligent investigation and presentation of undisputed material facts, Noelle and Melissa demonstrated that our client neither owned nor operated the facility during the patient’s residency and had no involvement in his care or treatment. The facility was acquired by our client after his discharge, and the asset purchase agreement expressly excluded any liabilities for prior residents’ claims. The Circuit Court of the Tenth Judicial Circuit in and for Polk County, Florida, agreed with our position, finding that the defendant owed no duty to the estate and could not be held liable for any alleged negligence. As a result, summary judgment was granted in favor of our client, bringing a successful resolution to a case that had been active for several years.
Noelle K. Sheehan and Melissa D. Krepps
Emily Fernandez (Partner-White Plains, NY), Christopher Peticca (Associate-White Plains, NY), and Nicole Holland (Of Counsel-White Plains, NY) obtained dismissal of a wrongful death case on behalf of nursing home client based on COVID-19 immunity pursuant to the EDTPA. The action involved claims of medical malpractice and nursing home negligence in the care and treatment rendered to the plaintiff’s decedent allegedly resulting in COVID-19 infection and death. We drafted a motion to dismiss arguing that the medical records and policies implemented by the facility in response to the COVID-19 pandemic established that the decedent’s care was impacted by the pandemic, thus triggering immunity provided by the Emergency or Disaster Treatment Protection Act (EDTPA). The motion further argued that no exception to the EDTPA applied because the plaintiff failed to properly plead allegations of gross negligence, recklessness, and willfulness, as such claims were conclusory and not sufficiently distinct from the underlying negligence claims. In opposition, the plaintiff argued that we failed to conclusively establish whether the decedent’s care was in fact impacted by the pandemic and that further discovery was needed to meet that burden. The plaintiff also argued that claims of gross negligence, recklessness, and willfulness provided an exception for the EDTPA and required the motion to be denied. However, on reply, based in part on an analysis of the same case law that plaintiff submitted in opposition, we established that plaintiff’s argument was flawed and that we had indeed met the standard for EDTPA immunity in a nursing home negligence case. Specifically, we established that the plaintiff’s conclusory claims of recklessness were insufficient to provide an exception to the EDTPA and that medical records and relevant COVID-19-related policies proved that the treatment at issue was impacted by the pandemic. After oral argument on the motion in Supreme Court, Kings County, the case was dismissed in its entirety.
Emily L. Fernandez, Christopher J. Peticca and Nicole Holland
New York City partners Robin Gregory and Ashley Humphries and associate Kristyna Burkova obtained a defense verdict in a medical malpractice case after a two-week trial in Supreme Court, New York County. This case involved then 66-year-old plaintiff with a gastrointestinal stromal tumor (GIST), who underwent a laparoscopic wedge resection. Postoperatively, he developed an obstruction and gastroparesis. The plaintiff claimed that the surgeon failed to advise him of the complications of the surgery and that a benign lesion may have been treated with an alternative open procedure, or watchful waiting. The plaintiff also claimed permanent gastrointestinal issues, including years of vomiting and disability. The defense argued that the only accepted reasonable treatment for plaintiff’s 6 cm GIST was surgical excision and that there were no alternatives. Further, the team argued that the plaintiff was fully informed, including drawings that were made at the surgeon’s office, and that he suffered well-recognized complications of gastric surgery. The plaintiff’s demand before trial was $1.5 million. The court dismissed all claims other than informed consent. The jury found that the plaintiff was appropriately informed, and the case resulted in a defense verdict within one hour after submission to the jury for deliberation.
Robin N. Gregory, Ashley V. Humphries and Kristyna Burkova
Laura Jordan (Partner-White Plains, NY) and Christopher Hofmann (Associate-White Plains, NY) obtained a Decision and Order from Bronx County Supreme Court granting partial summary judgment in favor of a large New York City hospital. The plaintiff alleged that our client failed to timely perform a caesarean section as necessitated by indications of fetal distress in utero resulting in a hypoxic event and causing infant plaintiff’s subsequent cognitive and physical developmental delays and impairments. In moving for summary judgment, Laura and Chris argued, among other things, that there was no objective evidence that the infant-plaintiff suffered a perinatal hypoxic ischemic injury, including hypoxic ischemic encephalopathy, during labor and delivery that caused any alleged neurological injuries or any of the infant-plaintiff’s impairments. The motion was supported by the affirmation of an expert Board Certified in Obstetrics and Gynecology and Clinical Genetics with a subspecialty in Maternal Fetal Medicine; the affidavit of another expert Board Certified in Pediatrics, Psychiatry, and Neurology; and the affidavit of an expert Board Certified in Radiology with a special qualification in Neuroradiology. The parties were invited to conduct oral argument before the court, with Chris appearing on behalf of our client. Following the court’s partial grant of summary judgment, the plaintiff’s counsel dramatically reduced their demand from $3 million to $150,000, which is attributed to the breadth and sufficiency of the underlying motion papers.
Laura B. Jordan and Christopher W. Hofmann
Steven DeBraccio (Of Counsel-White Plains, NY) achieved grant of a motion to dismiss in Richmond County Supreme Court in a case alleging negligence, violations of Public Health Law §§ 2801-d and 2803-c, gross negligence, and wrongful death, stemming from the decedent’s stay at our client’s nursing home. Steven moved to dismiss based on New York state immunity under the Emergency Disaster Treatment Protection Act (EDTPA) and the federal Public Readiness and Emergency Preparedness Act (PREP Act). At oral argument, Steven detailed the distinctions in our case from a similar prior case and gently discussed the proper application of the appellate cases (in particular, the Holder decision from the First Department) that were applicable to this action, and methodically discussed the statutory requirements, gross negligence, and prematurity, and comprehensively clarified why plaintiff did not plead a cause of action. As to the gross negligence argument, Steven discussed the particular differences in motions to dismiss under CPLR 3211 (a) (1) based on documentary evidence and CPLR 3211 (a) (7) for failure to plead a cause of action, and how the First Department in Hasan treated such gross negligence claims in the context of the EDTPA. Notwithstanding the court’s prior decision, the court granted our motion and dismissed plaintiff’s complaint in its entirety.
Steven V. DeBraccio
White Plains, New York, partner Michael F. Grady and of counsel Siobhainin Funchion obtained a unanimous defense verdict for their obstetrician and medical group clients in a contentious almost month-long trial in Supreme Court, Dutchess County involving claims of a failure to timely diagnose a cerebral sinus venous thrombosis (stroke) in a then 31-year-old pregnant patient resulting in alleged catastrophic physical and cognitive damages. Plaintiff alleged a failure to timely diagnose and loss of chance for a better outcome. The trial involved six experts in the fields of obstetrics, neurology, neuropsychology and a life care planner. At trial, Mike and Siobhan argued the plaintiff’s headache was an acute non-obstetrical complaint that was worked up in two emergency department visits during the time of treatment at issue, that headaches are a commonly known symptom during pregnancy, and that the short-term interval pregnancy did not increase her likelihood of clotting. On the eve of the jury charge, Siobhan was successful in defeating plaintiff’s request for a Noseworthy charge (allowing for a lower burden of proof due to plaintiff’s alleged memory issues). During closing statements, the plaintiff’s attorney painted a sympathetic picture of a young single mother and asked the jury for $25 million. The jury found unanimously for our clients on three departure questions within 40 minutes.
Michael F. Grady and Siobhainin S. Funchion
Kristyna Burkova (Associate-New York, NY) and Lori Semlies (Partner-New York, NY) were successful with a motion to dismiss the complaint against our client, New York Presbyterian Queens Hospital (NYPQ), for failure to appear for an independent medical examination (IME). The case involved a premature twin baby who sustained an IV infiltration on her left ankle in the NICU at NYPQ, which was treated in the burn unit at New York Presbyterian – Weill Cornell for one week and remained in the NICU for another month due to issues related to her respiratory function and ability to adequately feed. About two months after the infant’s discharge home, her left ankle wound was noted as a healed scar by her pediatrician and the infant did not appear to have any continued issues, nor did her parents seek additional treatment. When the plaintiff claimed scarring, open wound, deformity, bleeding, swelling, limited range of motion and conscious pain and suffering, Krystina and Lori designated a plastic surgery IME. The plaintiff did not object to the designation and was ordered to undergo the IME in two consecutive compliance conference orders. Despite plaintiff’s repeated failure to appear for the IME (as well as failure to provide other paper discovery), and despite our 11 good faith correspondences, the court gave plaintiff one last chance. Krystina and Lori filed a motion to dismiss the day after the third deadline passed. Hon. Tracy Catapano-Fox of the Queens County Supreme Court granted the motion noting that “[while] dismissal is a drastic remedy, plaintiff’s actions and inactions demonstrate willful and contumacious behavior that warrants dismissal under CPLR §3126.”
Kristyna Burkova and Lori Rosen Semlies
Laura Jordan (Partner-White Plains, NY) and Christopher Hofmann (Associate-White Plains, NY) obtained a Decision and Order from Westchester County Supreme Court granting their motion for summary judgment in favor an orthopedic surgeon and his practice group alleged to have failed to properly perform, supervise, and manage post-operative rehabilitation for a 46-year-old patient following right labrum repair. It was alleged that the premature introduction of certain exercises during physical therapy caused the plaintiff to sustain re-injury to his shoulder requiring further surgery that resulted in residual deficits in strength, range of motion, and functionality. Having performed the initial arthroscopy and labrum repair, our orthopedic surgeon ordered and oversaw the plaintiff’s course of post-operative rehabilitation, which included attending physical therapy at the practice group with co-defendant physical therapist who was employed by the practice group. In granting our motion for summary judgment, the court agreed with Laura and Chris that the plaintiff’s expert affidavit was insufficient to defeat our motion for summary judgment because it was submitted by a physical therapist who did not and could not include in his affidavit that he had personal knowledge of the standard of care in the field of orthopedic surgery. Because the claims against the orthopedic surgeon sounded in medical malpractice, arising from the patient-physician relationship, they argued that the plaintiff’s expert was unqualified to opine as to the applicable standard of care. The court also adopted our argument in reply that since plaintiff’s expert was a physical therapist rather than a medical doctor, he was unqualified to opine within a reasonable degree of medical certainty that any deviation was a proximate cause of the injuries. The court’s Decision also granted co-defendant’s motion for summary judgment, which merely adopted and incorporated by reference the expert submissions and arguments raised by Laura and Chris.
Laura B. Jordan and Christopher W. Hofmann
White Plains, New York, partners Lori Semlies and Katherine McCrink and Steven V. DeBraccio (Associate-White Plains, NY) ) received an affirmance from the First Department, granting our motion for summary judgment, seeking dismissal of claims for gross negligence and punitive damages against our client nursing home. The case involved a resident who, over a three-year time period (and a seven-year admission) sustained approximately 24 falls at our client’s nursing home. The plaintiff sued our client for negligence, the Public Health Law, and, as relevant to the appeal, gross negligence and punitive damages. Lori, Katherine, and Steven moved to dismiss the plaintiff’s claims for gross negligence and punitive damages, arguing that, in light of the myriad of progressively increasing fall protection protocols afforded to decedent, including close supervision and placement at the nursing station, there was no evidence of a willful disregard of the decedent’s rights, any conduct that rose to the level of gross negligence, or, as the First Department put it, “willful conduct that evidences a high degree of moral culpability so as to support a claim for punitive damages.” The trial court agreed, and on appeal, the First Department affirmed the dismissal.
Lori Rosen Semlies, Katherine L. McCrink and Steven V. DeBraccio
Ellen Bowman (Of Counsel-Las Vegas, NV) and James Lovett (Associate-Las Vegas, NV) obtained a dismissal of all of claims against a dental practice and its parent holding company. The plaintiff alleged that he had entered into a contract with staff of the practice for a full replacement of his teeth, but the treatment stopped after his existing teeth were removed. The plaintiff brought multiple contract claims and claims for intentional and negligent infliction of emotional distress against the practice, the holding company, and the dentist that performed the initial procedure. Ellen and James filed a motion to dismiss the plaintiff’s claims against the practice and the holding company, arguing that the claims were properly assessed under NRS 41A, Nevada’s professional negligence statutes, which would have imposed a one-year statute of limitation. After James argued the motion, the court granted the motion in its entirety, finding that the case did sound in professional negligence, and found that the plaintiff did not file the complaint within the statute of limitations, dismissing all claims against Wilson Elser’s clients.
Ellen S. Bowman
Alan B. Friedberg (Senior Counsel-White Plains, NY) and Nicole Holland (Of Counsel-White Plains, NY) represented a plastic surgeon who had performed an abdominoplasty and abdominal wall reconstruction component separation procedure on the plaintiff in 2013. The plaintiff had lost 100 pounds as the result of gastric bypass surgery resulting in a large abdominal pannus. The plaintiff claimed that the component separation portion of the procedure was contraindicated, and resulted in weakening of her abdominal wall, and excessive scarring that caused both physical deformity and mental anguish. Through cross-examination by Nicole, the plaintiff was forced to admit that the claimed mental anguish resulted in no treatment over the past decade as she was concerned psychological treatment may have jeopardized her employment as a corrections officer. Nonetheless, she testified to significant social and psychological issues due to her mental anguish. Through cross-examination of the plaintiff’s expert, Alan was able to show that while the expert claimed the abdominal wall was weakened and made more susceptible to herniation, and the resulting scarring was excessive, the expert had written a book in 1998 in which he described similar scarring as to be expected from the procedure. The plaintiff’s counsel argued that our client failed to document the basis for the component separation portion of the operation, but Alan and Nicole were able to show that the risk of 40 percent recurrence as brought out by our expert and the use of clinical judgment by our client, were an appropriate basis on which the procedure was performed. The jury rendered a unanimous verdict in an hour.
Alan B. Friedberg and Nicole Holland
Kate McCrink (Partner-White Plains, NY) and Robert J. Cristiano (Of-Counsel-Long Island) represented a physical therapist in a negligence action in which an 82-year-old allegedly suffered Stage IV pressure ulcers to the right heel and leg because of the client’s alleged misuse and mismanagement of the patient’s AFO brace and failure to check the patient’s skin. Although a fact-specific case, Kate and Robert’s summary judgment motion was supported by targeted deposition testimony elicited from the resident’s family, and support from our geriatric and physical therapy experts who established that our client properly monitored the patient’s skin and appropriately applied and managed the use of the AFO brace. Plaintiff’s counsel was unable to raise a genuine issue of fact from the record they created, and the court dismissed the case with prejudice.
Katherine L. McCrink and Robert J. Cristiano
In a New York State Supreme Court case in Schenectady County, attorneys Lori Semlies (Partner-White Plains, New York) and Kadeem Wolliaston (Associate-Albany) successfully opposed a motion to amend a complaint in a negligence lawsuit against a rehabilitation and nursing center. The plaintiff had initially filed against the center and several defendants listed by first names or as “John Does.” Despite requesting the center’s help to identify these individuals, the plaintiff was informed that no employees matched those names during the relevant period. The plaintiff later sought to amend the complaint to include the full names discovered from the center’s medical chart, which he had possessed since January 2023. The court denied the amendment, siding with our argument that the plaintiff’s delay in identifying the defendants caused prejudice, as the statute of limitations had expired.
Lori Rosen Semlies and Kadeem Wolliaston
Emily Fernandez (Partner-White Plains, NY) and Christopher Peticca (Associate-White Plains, NY) obtained complete dismissal on a motion for summary judgment in Westchester County Supreme Court on behalf of their client hospital and two treating pediatric hospitalists. The plaintiff claimed that we prematurely discharged a jaundiced infant with a direct-to-total bilirubin ratio greater than 15% in violation of the standard of care and the hospital’s policy. Plaintiff demanded $8 million, claiming the alleged departures led to a delayed Kasai procedure, multiple interventional radiology procedures, a liver transplant, developmental delay, and other sequela. Emily and Chris established that the standard of care requires a repeat bilirubin test only when the ratio is greater than 20%, and that the repeat test should not, in any event, be done immediately owing to the pathophysiology of an infant’s liver processes. They argued that the plaintiff failed to refute the standard of care for repeat testing and that plaintiff’s expert affirmation was speculative and therefore insufficient to raise a triable issue of fact. Ultimately, the court found that plaintiff’s expert did not adequately refute that discharging the infant for retesting in an outpatient setting was consistent with the standard of care. The judge also held that plaintiff’s expert failed to opine that the purported failure to perform an in-patient cholestasis work-up and the purported failure to communicate directly with the infant’s pediatrician proximately changed the outcome, so the plaintiff failed to raise a genuine issue of fact as to those claims. The codefendant pediatricians remain in the case, as their motion for summary judgment was denied.
Emily L. Fernandez and Christopher J. Peticca
Siobhainin S. Funchion (Of Counsel-White Plains, NY) obtained summary judgment in Westchester Supreme Court in a medical malpractice case against our client urologist and medical group. The plaintiff alleged he was not properly monitored during a urocuff procedure resulting in a syncopal episode where he sustained a head injury with severe lacerations. The plaintiff alleged visual disturbances, post-traumatic headaches and inability to work following the fall. In the motion for summary judgment, Siobhan established that this matter involved claims of medical malpractice rather than general negligence and that our clients appropriately evaluated and monitored the patient. Siobhan, through expert affirmation, established that the patient had a sudden, unexpected vasovagal event that occurred despite appropriate care. In opposition, the plaintiff attempted to raise a new theory of liability of lack of informed consent on the argument that a translator was not provided and therefore the patient could not have consented to the procedure. In response, Siobhan argued that such a claim was not properly pled and, even assuming it had been, the nature of the procedure was diagnostic and not invasive and therefore consent was not required by statute.
Siobhainin S. Funchion
Michael F. Grady (Partner-White Plains, NY) and Siobhainin Funchion (Of Counsel-White Plains, NY) obtained a unanimous defense verdict for their client hospital in a contentious four-week trial in the Supreme Court of Orange County. The case involved the death of a 28-year-old woman following an emergent cesarean section, during which the obstetrician cut the right uterine artery. The plaintiff alleged all defendants failed to timely diagnose postpartum hemorrhage and that our client’s nursing staff and codefendant anesthesiologist failed to properly monitor the patient, leading to her developing hypovolemic shock, cardiac arrest and ultimately anoxic injury resulting in the her death 10 days later. In addition to defending the nursing staff, Mike and Siobhan defended the anesthesiologist’s care and treatment to protect our client’s vicarious liability interests. Before jury selection, codefendant obstetrician settled with the plaintiff. At trial, Mike and Siobhan argued that the nursing staff appropriately monitored the patient and that no physician involved indicated they had sufficient information to make a diagnosis and provide treatment. Mike emphasized that while the obstetrician was no longer a defendant, her conduct was “everywhere.” At the close of evidence, Mike and Siobhan argued and were granted a directed verdict against the settling obstetrician, as plaintiff’s experts during trial acknowledged the obstetrician’s negligence was a substantial factor in the patient’s death. During closing statements, plaintiff’s attorney painted a devastating picture of the death of a 28-year-old woman and an autistic son who would never know his mother. Plaintiff’s attorney asked for $25.4 million. The jury found unanimously for our client and codefendant within 30 minutes.
Michael F. Grady and Siobhainin S. Funchion
John Shepperd (Partner-Houston, TX) and Kelsi Wade Piatkowski (Of Counsel-Houston, TX) secured a dismissal on behalf of physician clients in Harris County, Texas, 333rd Judicial District Court. The plaintiff, in her early 30s, alleged that our clients failed to timely diagnose a hip fracture that resulted in a total hip replacement and alleged disabilities. Throughout the case, John and Kelsi maintained that our clients met their respective standards of care and that the plaintiff’s injuries were not caused as a result of our their treatment. The court found that the plaintiff did not have the necessary evidence to support her allegations, and the lawsuit was ultimately dismissed.
John R. Shepperd and Kelsi Wade Piatkowski
Robert Goodson (Senior Counsel-Washington, DC), David Finucane (Of Counsel-Baltimore, MD) and Pernell “Perry” Choren (Associate-Washington, DC) obtained a defense verdict in Montgomery County Circuit Court in Maryland on behalf of a local plastic surgeon/wound care physician. Plaintiffs alleged that our client breached the standard of care when he issued a verbal order that included a STAT repeat blood draw and instructions to the in-home nurses to send the patient to her primary care physician or the hospital based on the repeat lab values after receiving notification of her low hemoglobin value. Bert and Perry successfully argued at trial that even though our client was not the ordering physician for the patient’s weekly CBCs, he did not violate the standard of care when he quickly acted to ensure that the patient received the treatment required for her condition. The patient ultimately refused the STAT blood draw and died five days later. After a six-day trial spanning a week and a half and less than an hour of deliberation, the jury of six returned a unanimous verdict finding that our client did not breach the standard of care. The verdict did not require the jury to consider whether the patient had assumed the risk or been contributorily negligent for refusing the STAT blood draw on the day in question, or whether the in-home nursing company had been a superseding cause of the patient’s death.
Robert W. Goodson, David J. Finucane and Pernell A. Choren
Martin K. Deniston (Senior Counsel-Los Angeles, CA) and Valeria Granata (Partner-Los Angeles, CA) defended a client attorney against his former client who alleged legal malpractice and fraud in connection the attorney’s representation in the underlying case involving an insurance coverage dispute. After a two-year legal battle with the plaintiff, who refused to attend his videotaped deposition, the San Francisco Superior court granted Valeria and Martin’s motion for an order terminating sanctions, dismissing the case with prejudice.
Martin K. Deniston
Jodi Terranova (Partner-Washington, DC), co-chair of Wilson Elser’s Medical Malpractice & Health Care Practice, Callyson Grove (Partner-Washington, DC) and Giovanna Bonafede (Associate-McLean, VA) obtained a unanimous defense verdict in the U.S. District Court for the Eastern District of Virginia in Alexandria on behalf of a general surgeon and his employer, a medical group practice. The plaintiff alleged that our client breached the standard of care in performing a laparoscopic cholecystectomy by failing to perform other surgical techniques when he was unable to identify anatomy, resulting in a transected common hepatic duct. Jodi, Callyson and Giovanna successfully argued that the plaintiff had distorted anatomy at the time of surgery due to inflammation and a rare genetic anomaly, causing the common hepatic duct to be in front of the infundibulum of the gallbladder, making the injury unavoidable. After a five-day trial and ten hours of deliberation, the jury of eight returned a unanimous verdict in favor of our client surgeon and his employer.
Jodi V. Terranova, Callyson T. Grove and Giovanna R. Bonafede
White Plains, New York, associates Steven V. DeBraccio and Kathryn M. Lang achieved a pre-answer dismissal for a nursing home in Bronx County Supreme Court, which was affirmed by the First Department. The plaintiff alleged that the decedent died of COVID-19 due to gross negligence, wrongful death and violation of the decedent’s rights under Public Health Law § 2801-d. Kathryn and Steven argued that the plaintiff’s complaint was subject to pre-answer dismissal due to the immunity afforded to nursing homes in the Emergency or Disaster Treatment Protection Act (EDTPA). Kathryn supported the motion with a comprehensive affidavit from the nursing home’s director of nursing, which outlined the numerous pre-COVID-19 and COVID-19-related infection control policies the facility instituted. The Bronx County Supreme Court granted our motion to dismiss. The plaintiff appealed to the First Department, and Steven argued that based on previous appellate division case law and the principles of retroactivity, the statute was only repealed prospectively not retroactively, and the affidavit from the director of nursing established in 14 paragraphs how the nursing home’s response to the COVID-19 pandemic impacted its treatment and care of the decedent. Finally, he argued that the cookie-cutter, boilerplate allegations of gross negligence did not undermine the nursing home’s showing of good faith under the EDTPA. The First Department unanimously agreed with the defense arguments, and the decision granting dismissal was affirmed.
Steven V. DeBraccio
White Plains, New York, partners Michael Grady and Patricia Lacy and of counsel Siobhainin Funchion obtained a unanimous defense verdict for the firm’s neurologist and medical group clients in a contentious 2 ½-week trial in the Supreme Court of Westchester County. Plaintiff alleged that our client neurologist failed to timely diagnose and treat a subdural hematoma in 42-year-old plaintiff who had fallen and hit his head 19 days earlier while rollerblading without a helmet. Plaintiff further alleged that our client neurologist failed to advise the patient to stop taking Advil/ibuprofen, which resulted in worsening of the subdural hematoma. Finally, plaintiff alleged that our client failed to order STAT imaging when the patient returned three weeks later with complaints that his headaches had worsened the week prior, with continued dizziness and a new complaint of difficulty gaging the floor. Our client ordered an MRI of the brain, but not STAT, which revealed a large subdural hematoma with herniation appreciated, which required a craniotomy the following day. Plaintiff alleged that the delay in diagnosis resulted in significant brain damage, including memory loss and behavioral changes. Mike and Siobhan argued that the client’s diagnosis of post-concussion syndrome was appropriate given the mild nature of the initial complaints, normal physical and neurological exams, and plaintiff’s delay in seeking medical care. They further contended that not every head injury requires imaging. As to the second appointment, Mike and Siobhan argued that STAT imaging was not warranted as physical and neurological examinations remained within normal limits. They argued that the brain injury at issue was from the concussion, not the hematoma, and through their expert neurosurgeon established that regardless of when the hematoma was diagnosed it would not have changed the ultimate outcome. Notably, plaintiff sustained a second fall four years after the initial fall during the course of litigation, resulting in a subarachnoid hemorrhage and subdural hematomas causing permanent brain damage rendering plaintiff unable to work and requiring 24-hour care. Due to procedural defects in plaintiff’s attempt to vacate the Note of Issue two years prior to trial, Siobhan successfully argued to preclude any departures or causation issues related to the second fall and sequalae on the verdict sheet and jury charge. The case involved five experts in the fields of radiology, neurosurgery and neurology and three departure questions on the verdict sheet. The plaintiff’s attorney asked the jury to award $4 million. The jury found unanimously for our clients on all three departure questions.
Michael F. Grady, Siobhainin S. Funchion and Patricia Lacy
Lori Semlies (Partner-White Plains, NY) and Anna Borea (Associate-White Plains, NY) obtained a unanimous defense verdict in Supreme Court, Westchester County on behalf of an assisted-living facility and its home care agency. The plaintiff alleged that the staff either abused an 87-year-old woman or failed to prevent her fall. A subdural hematoma and subarachnoid hemorrhage and a bruise were identified at the hospital. Lori and Anna presented evidence that the patient’s bleed was a result of anticoagulants and the bruise was one that someone, especially someone on coumadin, would receive from simply bumping into furniture. The treating neurosurgeon was called by the plaintiff to testify that he believed the bleed was more likely caused by a fall, yet conceded on cross that he could not rule out an abrupt shaking of the head without trauma, given the fact that the patient had an atrophied brain and was on coumadin. The plaintiff requested $4.4 million from the jury.
Lori Rosen Semlies and Anna Borea
Alan Friedberg (Partner-White Plains, NY) and Christopher Peticca (Associate-White Plains, NY) obtained summary judgment dismissing plaintiff’s complaint in its entirety, which included claims of medical malpractice and wrongful death. Two nonparty EMTs responded to a 911 call involving plaintiff’s decedent’s complaints of abdominal pain, nausea, vomiting, and cold sweats and determined that decedent had normal vital signs, treated her with oxygen for comfort per the standard of care for abdominal pain, and timely transported her to the insured hospital where she went into cardiac arrest. She was resuscitated, but suffered brain damage and lived in an extended care facility for approximately 2.5 years until her death. At the pretrial conference, plaintiff’s demand was $5.1 million. Alan and Christopher argued that the insured hospital was not vicariously liable for the nonparty EMTs because the hospital did not employ or dictate the actions of the EMTs, nor did the hospital bill for the services the EMTs rendered. In addition, they argued that plaintiff failed to raise a triable issue of fact with respect to whether the standard of care was followed. Justice Frishman, New York State Supreme Court, Bronx County, granted their motion for summary judgment, holding that plaintiff’s expert was not qualified to render an opinion in this case and that the treatment at issue was consistent with the standard of care.
Alan B. Friedberg and Christopher J. Peticca
Joe B. Swart (Partner-New York, NY) successfully defended an attending physician in a Brooklyn nursing and rehabilitation facility who treated the plaintiff’s 78-year-old decedent, who was admitted with a diagnosis of cancer in preparation for two rounds of adjunct chemotherapy. Our client was not present when the lab result showing a highly elevated WBC count was received via facsimile on a Friday evening and he could not be immediately contacted. There was no evidence in the chart reflecting that anyone at the facility reviewed or acted on the lab result until our client returned on Sunday morning, at which time he called an ambulance to transfer the decedent to the hospital, but she coded before arrival. Our client performed CPR, but the decedent expired. At trial, Joe showed that there was a system in place for treatment of patients when the attending physician was away. This included “boots on the ground” coverage by a Nurse Practitioner present at the facility over the weekend, and a “coverage system” whereby a doctor was on-call to the facility 24/7. Unfortunately, these resources failed to back up our client. In his summation, plaintiff’s counsel asked the jury for $900,000 in total damages. After deliberating for just over one hour, the jury returned the verdict, finding “no” to all departure questions.
Joe B. Swart
After a five-day jury trial, John Shepperd (Partner-Houston, TX) and Lina Al-Salim (Associate-Houston, TX) obtained a defense verdict in a medical malpractice lawsuit pending in state district court in El Paso, Texas. The 53-year-old plaintiff was diagnosed with life-threatening blood clots in her lungs. Our client, an interventional cardiologist, placed an inferior vena cava filter to prevent future blood clots from migrating to the patient’s lungs. Months later, an attempt by another interventional cardiologist to remove the IVC filter was unsuccessful, and the filter remains in the plaintiff today. The plaintiff sued our client, contending the pulmonary emboli could have been treated successfully with oral anticoagulants, and that she was not adequately informed of the potential risks of the IVC filter or of the alternative treatment using simple anticoagulant therapy. Plaintiff also contended our client was negligent for failing to remove the IVC filter 12 days after insertion as mandated by the package insert. John and Lina contended the only alternative to the IVC filter placement was probable death, arguing that a reasonable patient would have agreed to the IVC filter placement regardless of whether informed consent was obtained. In addition, they maintained that timely removal of an IVC filter is gauged by the doctor’s clinical judgment and not the contents of a package insert. Finally, they contended the plaintiff was negligent for failing to timely seek follow-up care. Regarding damages, John and Lina provided evidence that (1) the hospital had written off $280,000 of the $300,000 bill, (2) the plaintiff provided no evidence of the cost of future medical care, (3) the plaintiff’s extensive time away from work was due to numerous medical and personal issues unrelated to her fear that the IVC filter might kill her, and (4) that plaintiff’s ongoing fear is unfounded and irrational. The jury reached a unanimous decision that our client was not negligent. Concerning informed consent, 10 of the jurors believed our client did not provide adequate consent, but all 12 agreed a reasonable patient would have consented to the IVC filter placement.
John R. Shepperd and Lina Al-Salim
Emily L. Fernandez (Partner-White Plains, NY), Alan B. Friedberg (Senior Counsel-White Plains, NY) and Judy Selmeci (Partner-New York, NY) obtained dismissal of a complaint, alleging permanent vision loss, orbit deformity, chronic headaches, impairment in ADLS and other sequela, in the NYS Appellate Division, Second Department, reversing the Westchester Supreme Court’s denial of our motion for summary judgment in a medical malpractice case that was scheduled for trial. The plaintiff, a then 32-year-old woman with four children, sought treatment at a non-party emergency room on 3/10/16, reporting she fainted and hit her face, injuring her right eye and causing facial fracture. A CT scan raised suspicion for entrapment of the rectus muscle from the fracture, but the ER doctor documented extraocular movement intact (EMOI). Plaintiff was referred to our client, a plastic surgeon at our hospital’s plastic surgery clinic.
1. On 3/15/16, our client determined the plaintiff had EOMI and noted no surgical intervention at that time. Plaintiff was instructed to return in one week.
2. On 3/22/16, the plaintiff reported doing better with continued but improved limitation of movement on extreme right-eye lateral gaze. Plaintiff was permitted to return to work and instructed to avoid heavy lifting, and instructed to return in one week.
3. Neither our client nor the clinic has records for the plaintiff after 3/22/16.
4. On 4/20/16, plaintiff reported new symptoms to her internist, who referred her to an ophthalmologist.
5. At the 6/8/16 ophthalmology visit, plaintiff was referred to an oculoplastic surgeon, who reviewed the 3/10/16 CT and opined the right medial rectus muscle appeared caught on right medial orbital wall fracture.
6. On 9/2/16, the plaintiff underwent surgery, which documented a defect in abduction on forced duction testing. A titanium implant and microplate screws were placed. On follow-up on 10/20/16, plaintiff continued to have diplopia and right abduction deficit.
Our team’s summary judgment motion was denied by Judge Alexandra Murphy, Westchester County Supreme Court, based on an alleged issue of fact raised in the affidavit of plaintiff’s plastic surgery expert, based on the 3/10/16 CT, our client should have known plaintiff would suffer muscle entrapment and that our client abandoned plaintiff. The Second Department, in reversing Judge Murphy and granting summary judgment on all claims, agreed with our argument that plaintiff’s expert’s opinions were conclusory, speculative and unsupported by competent evidence tending to establish proximate causation.
Emily L. Fernandez, Alan B. Friedberg and Judy C. Selmeci
Larry Lum (Partner-New York, NY), Aviva Stein (Partner-White Plains, NY) and Elizabeth Scoditti (Of Counsel-New York, NY) obtained a favorable damages-only verdict in a premises liability case against a member hospital of New York's largest health care provider in Richmond County Supreme Court, 13th Judicial District, New York. An earlier summary judgment decision found the client 100 percent liable for the plaintiff’s trip-and-fall accident over an exposed and protruding bolt on the pavement at the hospital entrance. Alleged injuries included three-level disc herniations in the cervical spine requiring anterior fusion surgery at C4-5 and disc replacement at C5-6; torn labrum and arthrodesis/non-union at the acetabulum requiring hip replacement surgery. Plaintiff’s counsel asked the jury to award a total of $3M in pain and suffering damages ($1M past and $2M future); the client elected to hand a jury a blank check less than a week before Christmas and refused to authorize any more than $500,000 to settle – which was never acceptable to the plaintiff. The jury rendered a verdict totaling $300,000 for past pain and suffering and $100,000 in future pain and suffering for the next 30 years of the 50-year-old plaintiff’s life expectancy. There were no claims for medical bills or lost earnings. The jury determination hinged on whether plaintiff was seeking to recover for preexisting issues or whether the need for surgeries to the hip and neck were only prompted by the accident, with the court charging both aggravation and susceptibility to the jury.
Larry Lum, Aviva Stein and Elizabeth Scoditti
Ellen Bowman (Of Counsel-Las Vegas) and Brandon Verde (Associate-Las Vegas) obtained a dismissal of Plaintiff’s vulnerable abuse and ordinary negligence claims in the Eighth Judicial District Court, Clark County, Nevada, for Wilson Elser's client, a specialty acute care hospital. The plaintiff alleged he developed a sacral pressure wound during a stay at our client's hospital. In addition to alleging professional negligence/medical malpractice concerning the prevention and maintenance of the wound during the hospital stay, the plaintiff brought claims for vulnerable person abuse and ordinary negligence.
Ellen and Brandon filed a motion to dismiss the plaintiff's claim for ordinary negligence, asserting the allegations more reflect a professional negligence and medical malpractice cause of action requiring medical judgment. Additionally, Defendants moved to dismiss the plaintiff's claim for vulnerable person abuse, arguing the facts do not rise to the level of vulnerable person abuse. The Court granted Wilson Elser's motion to dismiss, concurring with Ellen and Brandon's arguments and dismissing both causes of action.
Ellen S. Bowman
Michael Grady (Partner-White Plains, NY), Siobhainin Funchion (Of Counsel-White Plains, NY) and Patricia Lacy (Of Counsel, Now Partner-White Plains, NY) obtained a unanimous defense verdict on behalf of their urologist and medical group clients in a two-week trial in the Supreme Court of Westchester County, New York. The plaintiff alleged failure to timely diagnose prostate cancer resulting in the need for a radical prostatectomy and radiation with resulting permanent incontinence and impotence. The cancer was clinically Stage I and pathologically Stage IIIC. Mike and Siobhainin argued that their client appropriately monitored the patient’s condition and that no physician could opine within a reasonable degree of medical certainty that an earlier diagnosis would have changed the outcome. The plaintiff, notably, used the expert testimony of a general surgery expert (with a subspecialty in plastic surgery) to establish departures from the standard of care and proximate causation, leading to an interesting and antagonistic cross examination. The plaintiff’s attempts to introduce a loss of chance claim were denied upon Siobhainin’s oral argument in opposition. The plaintiff asked the jury to award a “reasonable seven-figure” verdict. The jury returned a unanimous defense verdict in 55 minutes.
Michael F. Grady, Siobhainin S. Funchion and Patricia Lacy
Jodi V. Terranova (Partner-Washington, DC), Robert Goodson (Senior Counsel-Washington, DC), and Justin St. Louis (Associate-Washington, DC) prevailed in the D.C. Court of Appeals, with the court affirming the trial court's rulings denying the plaintiff's motion for judgment notwithstanding the verdict, following a defense verdict Bert obtained for Wilson Elser's client, a gastroenterologist, and his practice. The plaintiff's appeal sought reversal on the grounds that the verdict sheet improperly included the phrase "proximate cause," including a question regarding proximate cause on the informed consent claim, and improperly included questions about contributory negligence. Jodi successfully argued before the three-judge panel, and Justin wrote the appellee brief, assisted by Bert. The case involved allegations of medical malpractice, lack of informed consent, and wrongful death following a colonoscopy for failure ensure the decedent resumed his anticoagulation medication, leading to a deep vein thrombosis, amputation and death. Jodi is the co-chair of Wilson Elser's Medical Malpractice & Health Care Practice.
Jodi V. Terranova, Robert W. Goodson and Justin St. Louis
Mike Belisle (Partner-Portland, OR) obtained a complete defense verdict in a dental malpractice case involving the alleged failure to diagnose squamous cell carcinoma of the tongue. After seven visits to our client’s dental clinic in 2018, including three with our dentist client, the plaintiff, a 38-year-old high school track coach and math teacher with a newborn baby, was diagnosed with Stage 3 tongue cancer in 2020. He then had half his tongue removed, received radiation therapy and was given a poor future prognosis with a low survival rate. The plaintiff claimed he had reported a non-healing lesion on his tongue at every dental visit in 2018, but that his complaints were brushed off, and he was never given a referral to an oral surgeon or for a biopsy. The plaintiff and his wife asserted claims for dental negligence, loss of chance and loss of consortium. After a three-week trial, they asked the jury to award them $25 million in damages. Following roughly five hours of deliberation over two days, the jury returned a unanimous defense verdict. The jury found no negligence by our dentist client. They did find negligence by a later hygienist who saw the lesion in 2019, but found no causation, so the plaintiffs’ were awarded $0.
Michael Belisle
Karen L. Bashor (Partner-Las Vegas, NV) and Kimberly Nelson (Associate-Las Vegas, NV) obtained summary judgment on reconsideration in the District court of Clark County, Nevada on behalf of the firm’s clients – an esthetician/cosmetologist and her LLC. The plaintiff claimed her face was burned, scarred and left disfigured following a non-invasive cosmetic procedure, fibroblast. After filing an answer to plaintiff’s complaint, Karen and Kim filed their motion for summary judgement as a matter of law on the enforceability of a waiver of liability signed by the plaintiff, which waived, released and discharged defendants from all claims for liability, including personal injury arising out of negligence. The waiver included language that the plaintiff recognized side effects may occur. Our motion was denied because the waiver of liability did not include the word “burn” as a possible side effect. As Nevada case law does not require the specification of all plausible injuries for waiver of liability to be enforceable, Karen and Kim filed a motion for reconsideration. Two days prior to mediation, where the demand was near seven figures, the district court judge not only agreed the prior decision was erroneous warranting reconsideration, but granted summary judgment in favor of our clients on all causes of action, agreeing that the plain language of the waiver, warning of redness of the skin, inflammation and irritation, was sufficient to shield defendants from liability and dismiss the entire case.
Karen L. Bashor and Kimberly A. Nelson
Michael Grady (Partner-White Plains), Siobhainin Funchion (Of Counsel-White Plains) and Patti Lacy (Of Counsel-White Plains) obtained a defense verdict on behalf of obstetrician and medical group clients after a three and a half week jury trial conducted in the Supreme Court of Westchester County. The plaintiff alleged a failure to offer and timely perform a cesarean section and that our client obstetrician failed to obtain informed consent for a vacuum-assisted delivery. The plaintiff alleged that as a result of the vacuum use, the infant sustained right-sided brain injury resulting in focal epilepsy, permanent left-sided hemiparesis and significant cognitive delays. Mike and Siobhan argued that the labor was appropriately managed, and at the point where delivery became urgent, a cesarean section was not indicated, concluding that vacuum-assisted delivery was the safest way for the infant to be delivered. They further argued that the child’s damages were not related to a birth injury, but rather were idiopathic epilepsy in nature. The plaintiff’s attorney asked the jury to award $60 million at trial ($28 million in pain and suffering and $32 million in economic damages) after presenting evidence to this effect. The jury unanimously found that the client did not depart from the obstetrical standard of care and that a reasonable person in the plaintiff’s position would not have declined the vacuum-assisted delivery under the circumstances. The trial included testimony from nine expert witnesses.
Michael F. Grady, Siobhainin S. Funchion and Patricia Lacy
Heather Austin (Partner-Philadelphia, PA), Josh Bachrach (Partner-Philadelphia, PA) and Parks Stone (Partner-Atlanta, GA) obtained summary judgment in favor of our client carrier in an ERISA lawsuit pending in the U.S. District Court for the Northern District of Georgia. The plaintiff sought disability benefits shortly after she began working for the policyholder. But in the months before her coverage began, she was seen by doctors for fatigue, joint pain and swelling, muscle weakness, nausea, lung issues and stomach issues. A few months after she began working she was diagnosed with scleroderma and then stopped working. While scleroderma was responsible for all of the plaintiff’s symptoms, she argued that the policy’s preexisting conditions limitation did not apply to her claim because a diagnosis was not made until after she stopped working. Citing to an earlier Eleventh Circuit decision in which Wilson Elser represented the defendant, the court reached “the inescapable conclusion” that the client’s decision was reasonable and it was entitled to judgment in its favor.
Heather Austin, Joshua Bachrach and Parks K. Stone
Patrick Kearns (Partner-San Diego) and Sarena Kustic (Of Counsel-San Diego) successfully vacated a seven-figure default judgment, and thereafter obtained a dismissal of the complaint with prejudice. The underlying case, filed in 2017, involved a claim against a hospital, a surgeon and Wilson Elser’s client, a national medical air transportation provider. The plaintiff alleged she sustained injuries during surgery that were exacerbated by a delay in medical transport. In 2018, the hospital and surgeon were dismissed at the pleadings stage. By 2021, the plaintiff obtained a default judgment against our client, and nearly a year and a half later the plaintiff served the client with a notice of judgment. Patrick and Sarena moved to vacate the default and default judgment, and quash the false return of service, on the grounds that the plaintiff had served some entity other than the client’s registered agent for service of process in California. On the eve of the opposition’s deadline, the plaintiff stipulated to vacate the default and quash service. Thereafter, Patrick and Sarena moved to dismiss the complaint due to the plaintiff’s failure to effectuate personal service within California’s mandatory period of three years from the date the complaint was filed. The court agreed and dismissed the complaint with prejudice.
Patrick J. Kearns and Sarena Kustic
Andrew Holland (Of Counsel-Houston) obtained a unanimous defense verdict in Ulster County, New York, Supreme Court for an assisted-living facility after a five-day jury trial. The firm’s client operates an adult care facility with a memory care unit that must be secured to prevent the residents from leaving. The plaintiff’s decedent, a long-time resident, had advanced Alzheimer’s disease but was physically capable and ambulatory. The resident was seated in a chair that had caster wheels on the front feet to assist with mobility, but after he stood up, he fell, and the chair rolled backwards, according to the incident report, and he sustained a hip fracture requiring nail fixation surgery. After his hospitalization for the surgery, the resident was transferred into skilled nursing care, confined to a wheelchair and died six months later. The plaintiff called a Registered Nurse as her liability expert, who claimed that these chairs are dangerous because residents with Alzheimer’s and dementia forget that the wheels are there, creating a safety hazard. We called a mechanical engineer who performed a forensic analysis of an exemplar chair with wheels, as well as one without wheels, and found the slide characteristics and rotational balancing points to be virtually the same. We also called a physician board-certified in internal medicine and specializing in geriatric medicine, who testified that not only are these chairs acceptable under the standard of care, but the wheels are actually a safety feature insofar as they allow residents to move chairs independently while diminishing the risk of the user tipping over or sliding out from the chair. He believed it was more likely that the resident lost his balance or felt lightheaded after rising and fell backward, pushing the chair back. Lastly, we emphasized the fact that not a single witness put forth any evidence that a fall had ever occurred because a chair with mobility-assistance wheels rolled out, as the plaintiff theorized. The jury reached a unanimous defense verdict within 25 minutes of commencing deliberations.
Andrew S. Holland
Kathryn Lang (Associate-White Plains) and Katherine McCrink (Partner-White Plains) moved to dismiss a COVID-19 nursing home case pursuant to New York’s Emergency Disaster Treatment Protection Act (EDTPA). The plaintiff’s decedent was admitted to the facility from July 25, 2019 through April 13, 2020, and April 21, 2020 through May 6, 2020; however, the allegations appear to pertain only to the very end of the admission, when the decedent contracted COVID-19 leading to his death. Although the plaintiff alleged gross negligence, the court found plaintiff’s arguments to be unavailing in that they were conclusory, vague and not supported by an affidavit from any individuals with personal knowledge (in opposition) containing factsthat show that our client’s conduct rises to the level of “willful or wanton.” The court also found that the repeal of the COVID-19 immunity statute was notretroactive (based on a Fourth Department case, which is binding as no other appellate departments have issued decisions on the issue), and as such, it was a valid defense given the subject time frame.
Katherine L. McCrink
Kathryn Lang (Associate-White Plains) and Katherine McCrink (Partner-White Plains) obtained summary judgment and dismissal for a rehabilitation and nursing center, where the resident decedent was admitted for three days and came in with preexisting pressure ulcers. No new wounds developed during the admission and the preexisting wounds did not deteriorate. The plaintiff claimed that the facility failed to provide appropriate wound assessments and wound care; document turning and positioning; adequate nutrition and hydration; and a special mattress. Our expert geriatrician opined that the facility timely assessed the decedent, but he refused a wound consult; the wounds remained stable during the short admission; and turning and positioning documentation was unnecessary, as there was a turning mattress in place. The decedent also was documented as having refused staff members’ attempts to further turn and position him. Co-defendant hospital’s motion for summary judgment was denied.
Katherine L. McCrink
Michael Grady (Partner-White Plains, NY), Siobhainin Funchion (Of Counsel-White Plains) and Lauren Santucci (Associate-White Plains) obtained a unanimous verdict in Dutchess County Supreme Court on behalf of Wilson Elser’s client, a hospital. The plaintiff, 29 years old at the time, alleges our client and the co-defendant emergency room physician failed to recognize signs and symptoms of compartment syndrome of the left arm following a biceps repair procedure by the co-defendant orthopedic surgeon, leading to a delay in treatment and permanent disability of his arm. The plaintiff also alleges the orthopedic surgeon negligently caused and failed to promptly assess and diagnose the operative complication. Michael and the emergency room physician’s counsel argued that the plaintiff was appropriately examined and evaluated in the emergency department and that his signs and symptoms were consistent with post-operative pain versus compartment syndrome. The plaintiff’s demand at trial was $10 million. The three-week jury trial resulted in a unanimous verdict for our client and the emergency room physician. The jury did, however, render a verdict against the orthopedic surgeon.
Michael F. Grady, Siobhainin S. Funchion and Lauren Claire Santucci
Paul Karp (Partner-New York), assisted by Rosa Ruiz (Associate-White Plains), obtained a unanimous defense verdict on behalf of a vascular surgery team in Westchester County Court. Plaintiff’s father (a 71-year-old) was diagnosed with an abdominal aortic aneurysm (AAA) in 2013, and instructed to return in six months for a follow-up CT scan, but did not return until 2017. The AAA had grown to 5.8 cm, and open surgical intervention was indicated. The surgeons performed an elective open repair of the AAA, which was complicated by a tear in the aorta intraoperatively, and he died after a 44-day hospital course, during which he underwent nine additional surgeries. Paul cross-examined the plaintiff’s expert based on the fact that they do not perform either open AAA repairs or the experimental endovascular repairs plaintiff suggested as an alternative. Paul retained an internationally recognized expert in endovascular and open repair of aortic aneurysms. The defense expert vascular surgeon (who also does in fact perform advanced endovascular repairs of the kind that plaintiff claimed should have been considered) opined that the procedure performed in this case was appropriate and that a CT scan cannot be used as a “crystal ball” to predict the integrity of aortic tissue before an operation. He further opined that the decedent was not a candidate for the “experimental” non-FDA approved endovascular stents that plaintiff argued the deceased should have had the option to consider. The jury that presided over this three-week trial deliberated for under four hours. The team expressed appreciation to paralegal Frank Howell for his assistance in this matter.
Paul Karp
Michael Grady (Partner-White Plains, NY), ably assisted by Kierra Greenwood (Associate-White Plains, NY), obtained a unanimous defense verdict in the Supreme Court of Nassau County in 45 minutes against a demand of $2.5 million. Michael and Kierra represented an emergency medicine physician and hospital in a case in which the plaintiff claimed our physician failed to diagnose an ongoing acute stroke and improperly discharged the patient. The patient presented with complaints of right-sided weakness, headache, slurred speech and elevated blood pressure. Our ER physician found an entirely normal exam except for slurred speech, and did a full work-up by obtaining a CT scan without contrast, chest x-ray and EKG, all of which were negative. She further provided aspirin and a statin, and then re-evaluated the patient by which time all the symptoms had resolved, and diagnosed the patient with a TIA (a transient ischemic attack), which presents with stroke-like symptoms but is transient and resolves. The patient was discharged home with instructions to follow up with her primary care provider the next morning. The next day, the patient was brought to another hospital where she was diagnosed with a stroke, resulting in the patient being confined to a wheelchair, with significant speech impairment, and was unable to use her right arm for the remaining five years of her life. Michael and Kierra argued that the ER physician met the emergency medicine standard of care; performed a thorough and proper work-up; correctly diagnosed the patient with a TIA; that strokes often occur following a series of TIAs; and that one cannot prevent a stroke or affect its severity.
Michael F. Grady
Michael Grady (Partner-White Plains, NY) and Siobhainin Funchion (Of Counsel-White Plains, NY) obtained a defense verdict on behalf of their obstetrician and medical group clients after a two-week jury trial conducted in the Supreme Court of Westchester County. The plaintiff alleged failure to recognize and respond to a shoulder dystocia during labor and delivery, resulting in a right brachial plexus/Erb’s palsy injury to the infant, and that the obstetrician used excessive traction during the delivery resulting in the injury. Mike and Siobhainin argued that the labor was uneventful, that the head and shoulders delivered without issue and as such there was no shoulder dystocia that created an obstetrical emergency. The trial included a recent video of the infant-child from her mother’s Facebook page appearing less injured than alleged, and – unknown to plaintiff’s counsel – a past felony fraud conviction of plaintiff’s sole non-party witness. The demand at trial was $2.6 million. The jury returned a defense verdict within two hours.
Michael F. Grady and Siobhainin S. Funchion
Michael Grady (Partner-White Plains), with the able assistance of Lauren Santucci (Associate-White Plains), obtained a defense verdict on behalf of our client, a New York acute care hospital, in a nursing/premises liability action before a jury in Supreme Court, Putnam County. The plaintiff, a 28-year-old male, presented to the ambulatory surgery unit for a back procedure. He alleged that negligent nursing care led to an accident, which in turn led to claimed injuries to his back and right shoulder. The plaintiff claimed the shoulder was unresponsive to physical therapy and required surgical rotator cuff repair. He also claimed ongoing pain and permanent loss of shoulder function. The pretrial settlement demand was $675,000. The jury returned a unanimous defense verdict for our client on liability within 30 minutes.
Michael F. Grady and Lauren Claire Santucci
Michael Grady (Partner-White Plains, NY) obtained a defense verdict on behalf of two physician clients (Critical Care and Hospitalist) in a three-week jury trial conducted in the Supreme Court of Westchester County. The case involved a 67-year-old who presented to the Emergency Department vomiting blood, weakness and fullness in her abdomen. She was admitted to the ICU under the care of our client for an upper GI bleed. A GI consult attempted but aborted an endoscopy procedure after five minutes as the volume of blood in the esophagus and stomach obfuscated the source of the bleed. A surgery consult ruled out a surgical option given the patient’s instability and unknown location of the bleed. Interventional radiology then performed an angiogram and embolized two identified sources of bleeding. The patient coded upon return to the ICU. Life support was removed several hours later, approximately 15 hours from her presentation to the Emergency Department. There was no autopsy. At trial, plaintiffs’ counsel argued that consults were not timely obtained, that a central line should have been placed as the four peripheral lines did not provide sufficient resuscitation with fluids and blood products, causing the patient to bleed out. Expert testimony was provided for both sides during the trial. The demand before trial was $2.7 million. The jury returned a unanimous defense verdict for both of our physician clients and the hospital within two hours. Mike was ably assisted by Patricia Lacy (Of-Counsel-White Plains) and Kierra Greenwood (Associate-White Plains).
Michael F. Grady and Patricia Lacy
Michael Grady (Partner-White Plains, NY), assisted by Patricia Lacy (Of-Counsel-White Plains, NY) and Kierra Greenwood (Associate-White Plains, NY), obtained a unanimous jury defense verdict in Supreme Court, Westchester County on behalf of a neurologist. The plaintiff was a 51-year-old woman who came to the firm’s client with a sudden onset of speech difficulty and right upper extremity weakness. After several tests, a 2.5 cm lesion was revealed consistent with a brain tumor according to the consulting neurosurgeon. The second defendant neurosurgeon recommended a biopsy rather than surgery, and during the procedure, the plaintiff suffered a significant hemorrhagic bleed that left her with severe paralysis on the right side and profound neurologic, speech and cognitive impairment, an unfortunate risk that was explained to the plaintiff prior to the biopsy. The biopsy result was consistent with a TDL, a rare presentation of multiple sclerosis, which would have gone away with time. Mike, Patricia and Kierra argued that the doctors’ prioritization of what was thought to be an ominous brain tumor precluded a “wait and see” approach. The demand prior to trial was $6.5 million. After testimony from two defendant physicians and five experts, the jury returned a unanimous defense verdict for both defendants, though the codefendant paid $750,000 in a hi low agreement reached with plaintiff during deliberations.
Michael F. Grady and Patricia Lacy
Karen L. Bashor (Partner-Las Vegas, NV) and Las Vegas associates Elisa Wyatt and Taylor Buono obtained a dismissal without leave to amend in the Eighth Judicial District Court on behalf of a skilled nursing facility. The plaintiff filed a complaint alleging the nursing facility was negligent in the care of the decedent, causing him to develop a bed sore and contract COVID-19. Karen, Elisa and Taylor filed a motion to dismiss, arguing that the plaintiff did not comply with requirements to state a claim for professional negligence in Nevada, or to state a claim for injury related to exposure to COVID-19. The plaintiff argued a skilled nursing facility is not a health care provider under Nevada law. The judge had previously agreed with the plaintiff’s counsel’s argument in an unrelated but identical case, and the issue is currently on appeal. This time, the court disagreed with the plaintiff’s counsel and granted the motion, dismissing the complaint without leave to amend, finding the plaintiff did not comply with Nevada’s pleading requirements.
Karen L. Bashor and Elisa L. Wyatt
Judy Selmeci (Partner-New York, NY) successfully defended in New York Supreme Court, Appellate Division the defense verdict obtained by White Plains partners Michael Grady and Lori Semlies. In the underlying matter, the plaintiff alleged that the hospital’s radiology technician violated hospital protocols while administering intravenous contrast. Mike and Lori argued at trial that although the employee administered contrast at a different rate than the hospital’s policy suggested, the technician abided by the guidelines of the American College of Radiology which reflect the standard of care; therefore there was no malpractice. Mike and Lori consulted with the Appellate team frequently during the contentious trial and built record that proved to be a solid foundation of research and arguments for the appeal. The Appellate Division held that the hospital’s policy was merely “some evidence of negligence” and the jury could find, despite violation of the policy, as it did that the defendants did not depart from the standard of care.
Michael F. Grady, Lori Rosen Semlies and Judy C. Selmeci
Michael Grady (Partner-White Plains, NY) obtained a defense verdict in the first in-person jury trial conducted in Supreme Court, Westchester County since the outset of the COVID-19 pandemic. The case involved a woman who was found to be BRCA-2 positive and opted to undergo a prophylactic bilateral nipple-sparring mastectomy, performed by our client, a breast surgeon. The surgery reduced the plaintiff’s risk of cancer to 3-4 percent and there were no complications. The plaintiff later had a third child and suffered swollen and deformed breasts due to unilateral milk discharge. A second opinion from another breast surgeon initially indicated too much tissue had been left behind, but he later opined that the plaintiff had significant risk reduction of cancer and there was “no absolute need” to remove additional tissue. Six months later plaintiff elected surgery for larger implants and had additional breast tissue and fat excised. Mike proved to the jury that (1) our client removed as much tissue as physiologically possible, greatly reducing the plaintiff’s risk of breast cancer; (2) the excess tissue was visualized after pregnancy due to the influence of pregnancy and lactation hormones; and (3) the subsequent surgery was not medically necessary and was in whole or in part performed due to the plaintiff’s desire for larger breast implants. After a two-week trial, the jury returned a defense verdict in under 30 minutes.
Michael F. Grady