Ultimate Client Vindication

On April 18, 2014, a Supreme Court jury in New York’s Orange County returned a unanimous verdict in favor of the firms’ client, a Nurse previously convicted of felony endangerment of a disabled child, at trial of the civil lawsuit alleging negligence against this long time licensed nurse practitioner and her employer. This case arose from a shower-bath at home administered to a ten year old special needs child in November 2011, after which the child was found to have blisters, redness and peeling on her legs and abdomen. The child was transported to the hospital and found to have second and third degree burns over twenty-five percent of her body, which treating physicians attributed to a hot water scald burn injury. The Nurse was investigated by Child Protective Services, signed a written confession and letter of apology to the parents, indicted, and pled guilty several months thereafter. She admitted in writing and in her plea allocution that she recklessly burnt the child by using excessively hot water to bathe her, and served a lengthy prison term as well as losing her nursing license and livelihood.

The family’s attorneys, a well-known local law firm, filed a civil lawsuit in which they obtained an evidentiary ruling that the defendants were precluded from contesting negligence due to the Nurse’s guilty plea. The Trial Court ruled that collateral estoppel applied, and defendants could not present direct evidence to contest these claims but were limited to cross-examining plaintiff’s experts, precluded from calling any witnesses, and barred from introducing any testimony concerning the manner in which the Nurse administered the shower bath, her training and experience, as well as any explanation of the circumstances of her guilty plea.

Several days before jury selection was scheduled, defendants’ representatives retained Andrew Garson and the firm as trial counsel. Plaintiffs’ attorneys had rejected a million dollar settlement offer, insisting on a four million dollar demand with a daily escalation of one hundred thousand dollars for each day defendants failed to settle the case. Three weeks of trial followed, with the Trial Court permitting defendants to contest causation. Despite the seemingly insurmountable evidence, and without the ability to call medical witnesses or introduce any affirmative evidence, Mr. Garson and his defense team successfully convinced jurors that plaintiffs’ four medical witnesses were unworthy of belief, and that this child had experienced a severe allergic reaction to a recently started antibiotic rather than a hot water scald burn injury. The jury returned a unanimous verdict of “no liability” within hours of commencing deliberations.

Latest Blogs

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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Defense Triumphs In Hip Dysplasia Claim Despite Compelling Damages

Andrew Garson successfully defended a local teaching hospital and its former employee, a pediatric resident, in the most compelling emotional circumstances. These claims were brought on behalf of a 4 year old child with hip dysplasia, a malformation of the hip joint, who had undergone multiple surgeries, extended rehabilitation and has a permanent limp and activity limitations. It was argued she would develop disabling arthritis in the joint, requiring multiple hip replacements beginning in early adulthood. Her attorney, one of the most prominent litigators in the nation with numerous multimillion dollar verdicts, argued that this condition should have been diagnosed at the time of the child’s birth. Plaintiff’s theory was that this abnormality developed in the womb, was present but unrecognized at birth, and if timely diagnosed, the child’s extensive injuries, future pain and ambulatory problems would have been averted. At trial, counsel aggressively attacked the credibility and knowledge of Garson’s client, attempting to demonstrate the resident was not adequately trained or competent to recognize this condition and failed to properly examine the infant assigned to her care. It was the defendants’ position that this condition was not in fact present at birth, but developed later as the infant matured. Therefore, there was no negligence attributable to his clients. As the trial progressed, these claims were dismissed. A rewarding outcome in light of the potential damages exposure and sympathetic nature of the case.

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Defense Verdict re Allegations of Bowel Obstruction Causing Stroke

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.

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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

Mr. Jakub Presents Lecture to Annual ACOOG Conference

On March 27, 2017 Mr. Jakub presented “The Defendant Doctor and the Deposition: Pitfalls, Opportunities and Practical Advice” at The American College of Osteopathic Obstetricians & Gynecologists Annual Conference held in Palm Springs, California.

The lecture exposed physicians in a high risk medical specialty to the realities of litigation, the questioning of their decision making processes and provided real world insight into the methods in which claims against physicians are built and defended. Mr. Jakub delivered this presentation to several hundred obstetrician-gynecologists from all over the country an then presided over a lively question and answer session which allowed the physicians to gain a further understanding of the true nature of a malpractice deposition and the opportunities such a deposition presents to enhance the doctor’s defense.

Plastic Surgeon Exonerated In Complex Complications Trial

On April 18, 2016, a Manhattan jury returned a unanimous defense verdict in favor of a New York City physician defended by Louis E. Jakub. Mr. Jakub’s client, a renowned plastic surgeon, performed a mastopexy (breast lift) procedure and inserted implants in a 47-year-old female actress and television producer. Post operative breast asymmetry was identified and required two corrective surgeries. The patient then developed multiple infections and a wound breakdown which necessitated surgical removal of the infected implants during a lengthy hospitalization. The patient went on to develop significant pain and motion limitations in her arms due to the build up of scar tissue. Further surgery was performed by another plastic surgeon to relieve the pain and reduce the scarring. At trial, the plaintiff claimed the initial surgery was negligently performed and that a revision procedure was undertaken prematurely which resulted in an infection and wound breakdown. Plaintiff also argued at trial that the surgeon failed to properly advise her of the risks associated with the surgeries and failed to obtain an informed consent

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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