Justia Daily Opinion Summaries

Medical Malpractice
March 28, 2025

Table of Contents

Allen v. Brooks

Civil Procedure, Civil Rights, Medical Malpractice, Personal Injury

U.S. Court of Appeals for the Eighth Circuit

Ex parte Air Evac EMS, Inc.

Civil Procedure, Medical Malpractice, Personal Injury

Supreme Court of Alabama

Montoya v. Superior Court

Medical Malpractice, Personal Injury

California Courts of Appeal

Montoya v. Superior Ct.

Medical Malpractice, Personal Injury

California Courts of Appeal

Hill v. Emergency Medicine of Idaho, P.A.

Civil Procedure, Medical Malpractice, Personal Injury

Idaho Supreme Court - Civil

Kirlin v. Monaster

Civil Procedure, Medical Malpractice, Personal Injury

Iowa Supreme Court

WELCH VS. UNITED MEDICAL HEALTHWEST-NEW ORLEANS L.L.C.

Constitutional Law, Health Law, Medical Malpractice, Personal Injury

Louisiana Supreme Court

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Medical Malpractice Opinions

Allen v. Brooks

Court: U.S. Court of Appeals for the Eighth Circuit

Docket: 23-3658

Opinion Date: March 26, 2025

Judge: Ralph Erickson

Areas of Law: Civil Procedure, Civil Rights, Medical Malpractice, Personal Injury

Jeremy James Allen, while incarcerated at the Minnesota Correctional Facility in Faribault, filed a complaint against several officials alleging deliberate indifference and medical malpractice related to a hand injury from December 2017. He did not file any grievances with prison officials regarding his injury or medical treatment during his incarceration. Allen's complaint was initially filed in state court and later removed to federal court. After his release from custody, Allen amended his complaint, substituting Charles Brooks and Cheryl Piepho for previously unidentified defendants.

The United States District Court for the District of Minnesota granted Allen's unopposed motion to amend his complaint after his release. The defendants moved to dismiss the complaint for lack of subject matter jurisdiction and failure to state a claim, but did not initially raise the issue of exhaustion of administrative remedies. The district court denied the motion to dismiss on qualified immunity grounds, finding that Allen plausibly alleged a violation of his Eighth Amendment right to adequate medical care.

Brooks and Piepho later raised the failure to exhaust defense in a summary judgment motion, arguing that Allen's original complaint, filed while he was incarcerated, was subject to the Prison Litigation Reform Act (PLRA) exhaustion requirement. The district court denied their motion, ruling that the amended complaint, filed after Allen's release, was not subject to the PLRA's exhaustion requirement and did not relate back to the original complaint under Federal Rule of Civil Procedure 15(c).

The United States Court of Appeals for the Eighth Circuit affirmed the district court's decision. The court held that Allen's amended complaint, filed after his release, was the operative complaint and not subject to the PLRA's exhaustion requirement. Additionally, the court found that the amended complaint did not relate back to the original complaint because naming John and Jane Doe defendants did not qualify as a "mistake" under Rule 15(c).

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Ex parte Air Evac EMS, Inc.

Court: Supreme Court of Alabama

Docket: SC-2024-0732

Opinion Date: March 21, 2025

Judge: Greg Cook

Areas of Law: Civil Procedure, Medical Malpractice, Personal Injury

Earnest Charles Jones was severely injured by a bull on August 27, 2018, and was transported by helicopter to the University of South Alabama Hospital. During the transport, flight nurse Bryan Heath Wester allegedly removed a nasal-gastro tube from Jones's throat, causing further injuries. Nearly two years later, Ovetta Jones, on behalf of Earnest, filed a lawsuit against Wester and Air Evac EMS, Inc., alleging negligence and wantonness related to the care provided during the transport.

The Dallas Circuit Court initially reviewed the case, where the Joneses filed their complaint on August 24, 2020. The complaint focused on the removal of the nasal-gastro tube by Wester. Nearly four years later, the Joneses amended their complaint to include new allegations that Wester had stolen and replaced ketamine with saline solution the day before the transport, and that other flight nurses failed to detect this and properly treat Earnest's pain. Air Evac moved for summary judgment, arguing that the amended complaint was time-barred and did not relate back to the initial complaint. The trial court denied the motion.

The Supreme Court of Alabama reviewed the case and determined that the amended complaint did not arise from the same conduct, transaction, or occurrence as the initial complaint. The amended complaint introduced entirely new facts and allegations, including actions by different individuals on a different day. Consequently, the amended complaint could not relate back to the initial complaint and was time-barred under the applicable statutes of limitations and repose. The Supreme Court of Alabama granted Air Evac's petition for a writ of mandamus, directing the trial court to vacate its order denying the summary judgment and to enter an order granting the motion.

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Montoya v. Superior Court

Court: California Courts of Appeal

Docket: G064459M(Fourth Appellate District)

Opinion Date: March 27, 2025

Judge: Maurice Sanchez

Areas of Law: Medical Malpractice, Personal Injury

Kimberly Montoya filed a medical malpractice claim against Dr. Aaron Fowler, alleging that he failed to call a "code stroke" when she exhibited signs of a stroke while under his care. As a result, a CT scan was delayed, leading to severe disability. Montoya argued that immediate action would have mitigated her damages significantly. She requested a burden-shifting jury instruction, asserting that the absence of a timely CT scan made it impossible to prove the extent of damages caused by Dr. Fowler's negligence.

The Superior Court of Orange County denied Montoya's request for the burden-shifting instruction, reasoning that such an instruction was not appropriate in cases involving omissions and that Montoya's ability to establish damages was not seriously impaired by the ruling. Montoya then filed a writ petition challenging this decision.

The California Court of Appeal, Fourth Appellate District, reviewed the case. The court held that if Montoya could present evidence showing Dr. Fowler's negligence in failing to order a CT scan, a reasonable possibility that a timely CT scan followed by a thrombectomy would have mitigated her damages, and that the CT scan was critical to establishing causation, then public policy requires shifting the burden of proof to Dr. Fowler to show that his negligence did not cause her damages. The court emphasized that a defendant should not benefit from their own negligence when it results in the absence of critical evidence.

The Court of Appeal granted Montoya's petition, directing the lower court to vacate its ruling denying the requested jury instruction. However, the appellate court did not mandate a specific instruction, leaving it to the trial court to determine the appropriate instruction based on the evidence presented at trial.

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Montoya v. Superior Ct.

Court: California Courts of Appeal

Docket: G064459(Fourth Appellate District)

Opinion Date: March 21, 2025

Judge: Maurice Sanchez

Areas of Law: Medical Malpractice, Personal Injury

Kimberly Montoya filed a medical malpractice claim against Dr. Aaron Fowler, alleging that he failed to call a "code stroke" when she exhibited signs of a stroke while under his care. As a result, a CT scan was delayed, leading to severe disabilities. Montoya argued that immediate action would have mitigated her damages. She requested a burden-shifting jury instruction, asserting that it was impossible to prove the extent of her damages due to the absence of a timely CT scan.

The Superior Court of Orange County denied Montoya's request for the burden-shifting instruction, reasoning that such an instruction was not appropriate in cases involving omissions and that Montoya's ability to establish damages was not significantly impaired. Montoya then filed a petition for a writ of mandate to challenge this decision.

The Court of Appeal of the State of California, Fourth Appellate District, Division Three, reviewed the case. The court held that if Montoya could present evidence that Dr. Fowler was negligent in failing to order a CT scan, that a CT scan followed by a thrombectomy could have mitigated her damages, and that the CT scan was critical to establishing causation, then public policy requires shifting the burden to Dr. Fowler to prove that his negligence did not cause her damages. The court issued a writ of mandate instructing the lower court to vacate its ruling denying the requested jury instruction, allowing the trial court to reconsider the instruction based on the evidence presented at trial. Montoya was awarded her costs incurred in the proceeding.

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Hill v. Emergency Medicine of Idaho, P.A.

Court: Idaho Supreme Court - Civil

Docket: 50686

Opinion Date: March 27, 2025

Judge: Colleen Zahn

Areas of Law: Civil Procedure, Medical Malpractice, Personal Injury

Jon and Shawna Hill, along with their children, filed a medical malpractice lawsuit against Dr. Stuart Clive and his employer, Emergency Medicine of Idaho, P.A. (EMI), alleging that Clive misdiagnosed Jon Hill with vertigo when he was actually suffering from a stroke. This misdiagnosis led to severe physical and cognitive impairments for Jon Hill. The Hills claimed negligence, gross negligence, reckless misconduct, and respondeat superior liability. The district court dismissed the children's claims, ruling that Idaho does not recognize a claim for loss of parental consortium. The jury found in favor of EMI and Clive, and the district court denied the Hills' motion for a new trial based on alleged juror misconduct.

The Hills appealed the district court's dismissal of their children's claims, two evidentiary rulings, and the denial of their motion for a new trial. The Idaho Supreme Court affirmed the dismissal of the children's claims, agreeing that Idaho law does not recognize a claim for loss of parental consortium for non-fatal injuries. The court noted that creating such a cause of action involves significant policy considerations best left to the legislature.

The Idaho Supreme Court reversed the district court's decision to allow expert testimony on "hindsight bias" by EMI's expert, Dr. Opeolu M. Adeoye, finding it irrelevant and prejudicial. The court held that this error affected the Hills' substantial rights, as the testimony improperly endorsed EMI's theme of hindsight bias, potentially influencing the jury's decision. Consequently, the judgment in favor of EMI and Clive was vacated, and the case was remanded for a new trial. The court did not address the Hills' other issues on appeal due to the remand. EMI's request for attorney fees on appeal was denied, as they were not the prevailing party.

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Kirlin v. Monaster

Court: Iowa Supreme Court

Docket: 24-0205

Opinion Date: March 21, 2025

Judge: Edward Mansfield

Areas of Law: Civil Procedure, Medical Malpractice, Personal Injury

Jahn Patric Kirlin and Sara Louise Kirlin filed a medical malpractice lawsuit against Dr. Christian William Jones, Dr. Barclay A. Monaster, and Physicians Clinic Inc. d/b/a Methodist Physicians Clinic – Council Bluffs. Jahn Kirlin experienced severe neck pain and headaches, and despite seeking medical help, an MRI was delayed. Dr. Monaster, who had returned from treatment for alcohol abuse, refused to order an MRI, and Kirlin later suffered a stroke after a chiropractic adjustment. The plaintiffs allege that the defendants altered medical records and that Dr. Monaster was intoxicated during treatment.

The Pottawattamie County District Court initially dismissed the case due to a defective certificate of merit. The plaintiffs refiled with a new certificate, but the court granted summary judgment for the defendants. The Iowa Supreme Court reversed this decision, allowing the plaintiffs to proceed.

Upon remand, the district court did not set new deadlines, leading to confusion about the applicable expert certification deadline. The defendants moved for summary judgment again, arguing the plaintiffs missed the deadline. The district court agreed, finding no good cause to extend the deadline, and granted summary judgment to the defendants.

The Iowa Supreme Court reviewed the case and found that the district court abused its discretion by not finding good cause for the plaintiffs' delayed expert certification. The court noted the confusion about deadlines, lack of prejudice to the defendants, the plaintiffs' diligence, and the defendants' actions. The court reversed the summary judgment and remanded the case for further proceedings.

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WELCH VS. UNITED MEDICAL HEALTHWEST-NEW ORLEANS L.L.C.

Court: Louisiana Supreme Court

Docket: 2024-CC-00899

Opinion Date: March 21, 2025

Judge: William J. Crain

Areas of Law: Constitutional Law, Health Law, Medical Malpractice, Personal Injury

In November 2019, Kathleen Welch was admitted to Tulane Medical Center for acute pancreatitis and diabetic ketoacidosis. After her discharge, she was admitted to BridgePoint Healthcare for rehabilitation, where she developed pressure ulcers. She was later transferred to United Medical Physical Rehabilitation Hospital, where her condition persisted. Welch filed a claim for injuries related to her pressure ulcers, naming BridgePoint and United Medical as defendants. United Medical, not being a qualified healthcare provider under the relevant statute, faced a lawsuit alleging negligence.

United Medical filed an exception of no cause of action, citing La. R.S. 29:771(B)(2)(c)(i), which limits liability to gross negligence or willful misconduct during a public health emergency. The trial court granted the exception, applying the gross negligence standard but did not rule on the statute's constitutionality. Welch appealed, and the appellate court upheld the trial court's application of the statute but remanded the case for a ruling on its constitutionality. On remand, the trial court found the statute constitutional, and Welch sought supervisory review.

The Supreme Court of Louisiana reviewed the case and affirmed the lower court's decision. The court held that La. R.S. 29:771(B)(2)(c)(i) is constitutional, as it is rationally related to a legitimate government interest in ensuring access to healthcare during a public health emergency. The court found that the statute does not violate the Louisiana Constitution's due process or access to courts provisions and is not a prohibited special law. The statute's application to all healthcare providers equally and its rational basis for limiting liability during emergencies were key factors in the court's decision.

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