Lack of Consent Form No Problem

Mr. Jakub successfully defended a NYC pain management physician during a two-week jury trial. The patient alleged that the physician administered a trigger point injection without her informed consent and that during the injection he punctured her lung, causing a pneumothorax.

During trial, Mr. Jakub conceded that the patient was not provided with an informed consent form to sign before the procedure and further acknowledged that the patient was not advised that a pneumothorax was a risk of the injection. Mr. Jakub instead argued that the pneumothorax was a known and accepted, yet rare, complication of a properly-performed trigger point injection which the physician was not required to disclose to the patient. The physician testified that he obtained a verbal consent from the patient after advising her that the injection could cause pain, bleeding and/or an infection.

Several hours after the injection was administered, the patient was diagnosed with a pneumothorax which was surgically treated through the placement of a chest tube. The jury was asked to determine whether the physician obtained an informed consent from the patient prior to the administration of the trigger point injection, despite the absence of a signed consent form and despite a concession from the physician that the possibility of a pneumothorax was not disclosed.

After several hours of deliberations, the jury concluded that Mr. Jakub’s client provided the patient with sufficient information before the procedure and that he was not liable for her injuries or claimed damages.

July 31, 2104, Supreme Court, New York County, Justice Joan B. Lobis (Index #805120/12)

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The patient had undergone a Cesarean section due to labor difficulties. She died later that day, due to a cardiopulmonary arrest caused by a blood clot which developed in her legs, then traveled to her heart and lungs, leading to her death. The patient’s attorney contended that defendants had failed to properly evaluate and recognize she was at “extremely high risk’ for fatal clotting. Counsel maintained she was in extremely poor health due to morbid obesity, nutritional deficiencies, suspected cardiovascular problems, as well as the increased risk of clotting due to pregnancy, hormonal changes, and related conditions. Additionally, it was argued that the admission evaluation for clotting problems in pregnant patients was improperly performed, and that defendants violated the hospital’s protocol in this assessment. Plaintiffs’ highly credentialed obstetrical expert testified that the simple measure of prescribing a safe, effective blood thinner medication would have prevented this disastrous outcome. Instead, the patient experienced considerable suffering, comparing her collapse and death to slowly drowning at the bottom of a swimming pool. During closing argument, Counsel asked the jurors to return a minimum of 12 million dollars for the patient’s daughter in a wrongful death claim, and at least 2 million dollars for the patient’s pain and suffering as she recognized her death was imminent.

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