Client Wins

Karp & Howell Obtain Discontinuance at Trial During Plaintiff’s Case-in-Chief

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

Unanimous Defense Verdict for Vascular Surgery Team in Aortic Tear Death

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

Vascular body
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