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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G & J Partners Score Recent Jury Victories
In May 2019, Mr. Jakub successfully defended a family practice physician accused of causing the wrongful death of her patient, a 72 year-old female. Mr. Jakub’s client had treated the decedent for various conditions over the course of many years and was charged with managing a complicated medical regimen to address heart disease, high blood pressure and diabetes. The patient developed an acute episode of gout for which Mr. Jakub’s client prescribed Naprosyn. One month later the patient was taken by ambulance to a local hospital in acute renal failure where she died the next day from renal failure. Plaintiff claimed that the Naprosyn caused the patient’s acute renal failure due to its interaction with other medications the patient was taking and because of her underlying renal disease.
Mr. Jakub, through his client and through expert witnesses, marshaled an alternative explanation for the onset of renal failure and the patient’s death which the jury unanimously accepted. (Miklos v. Gonzales, Supreme Court, Bronx County No.: 20739/10)
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Recent News
Summary Judgment Motions
Maria Black defended a pain management physician who was alleged to have negligently administered joint injections to the right hip of a 60-year-old nursing assistant for treatment of leg and lower back pain. Plaintiff maintained that the improperly administered injections caused irreversible damage to the sciatic nerve resulting in right foot drop and leaving the patient wheelchair bound. Defendant physician explained that the plaintiff’s contention was an anatomical impossibility since the nerves in the area of the injections, even if injured, could not result in right foot drop. The judge presiding over the case, agreed with the defense position that the proper placement of the needle during the injections was evidenced by intra-operative images captured under fluoroscopic guidance, which eliminated the possibility of any mechanical damage to the nerves outside the region of the sacroiliac joint and granted summary judgment for the defendant physician. Subsequent nerve conduction studies revealed that the plaintiff’s right foot drop was caused by the affects and progression of the neurological disease, ALS (Lou Gehrig’s disease).
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New York, March 16, 2023. Andrew Garson continued his string of jury verdicts, with a unanimous defense verdict after a four-week 2023 trial in Suffolk County Supreme Court. Plaintiff, a 42 year old nurse-midwife and Stony Brook professor, was permanently brain damaged and crippled, rendered blind, and was unable to work and perform activities of daily living after she suffered a stroke allegedly due to the Defendant’s failure to timely diagnose a bowel obstruction. This resulted in septic shock, brain hemorrhage, coma, and a massive bleeding disorder. Plaintiff’s claim arose from a gastric bypass procedure performed by Defendant, as shortly thereafter she complained of problems including excruciating pain and gastrointestinal malfunction persisting over an eighteen-month period, requiring longstanding treatment with narcotics. She claimed that Defendant continually advised her, despite her persistent and progressive complaints, that this was a normal part of recovery and she “should go live her life.” At trial, Plaintiff’s central theory was that Defendant never considered or recognized that there was an abdominal hernia present, causing a bowel obstruction. The claim was that if the Defendant had performed timely surgical intervention, the patient’s catastrophic and permanent injuries would have been avoided. Three experts were called in to support Plaintiff’s claims, asserting that imaging studies during the period at issue demonstrate injuries to her GI tract and a bowel obstruction. Plaintiff subsequently underwent multiple surgeries, removing 80% of her bowel as well as a number of other procedures, to attempt to alleviate her neurologic and abdominal deficits.