March 5th, 2010

Can a sworn medical opinion that relies on unsworn MRI reports constitute competent evidence? (Is that kosher?)

Today’s issue starts out straightforward with a malpractice case. But pay attention, because the real application of this decision is in New York’s No-Fault law and litigation over “serious injuries” in car accidents.

Plaintiff brought a malpractice case against chiropractors alleging that they caused her to suffer severe spinal cord injury requiring surgical intervention. Defendants move to dismiss. In response, plaintiff puts in an affidavit from a chiropractor. Since it’s an affidavit, it’s sworn. But the chiropractor relies on unsworn MRI reports. Is that OK?

Yes, says the Appellate Division (Third Department) in a decision released yesterday, Caulkins v Vicinanzo. While it is true that “uncertified medical records and unsworn letters or reports are of no probative value” in opposing a summary judgment motion, in this case the affidavit is a sworn document. And the appellate court, in holding that the affidavit could rely on unsworn documents, plucked a footnote from the Court of Appeals decision in Pommells v. Perez, which said:

“Though the MRI reports were unsworn, the various medical opinions relying on those MRI reports are sworn and thus competent evidence.”

Now in theory, the case favors neither plaintiffs or defendants, since either can make a motion for summary judgment.

But that’s only theory. It’s real application comes not in the world of medical malpractice, where summary judgment motions are relatively rare, but in the realm of car accidents and defense allegations that the “serious injury” threshold under New York’s miserable No-Fault law was not met.

The reality is that some offices are fighting these types of summary judgment motions every day. (And the courts hate them.) And many of those cases have small insurance policies (25K) that make it essential for personal injury lawyers to litigate with great efficiency. Defense lawyers, of course, being funded by the multi-billion dollar insurance companies, don’t have that problem. If the plaintiffs need additional affidavits from radiological experts to corroborate what the initial radiologist said, it is an additional expense.

So you can bet that this case will be cited in the months and years to come for those that fight those battles. Ultimately, it’s a win for car wreck victims as it helps to streamline an already miserable part of New York’s auto accident practice.

Efficiency is a good thing when you work on contingency. And it’s good for the victims too, who often have trouble finding counsel for cases that have limited upside due to small insurance policies.

 

March 4th, 2010

Linkworthy

Lots of stuff I wanted to write about, if I only had the time…

Slackoisie has disappeared. Now what are we going to call “a generation of entitled narcissists?” And why doesn’t my spellchecker recognize the word?

The idea of “health courts” pops up in the context of the health care bill, and the folks at The Pop Tort don’t have anything good to say about them. And there’s a good reason. While the details of such experimental courts haven’t formed, it’s worth noting that New York had a form of such courts (a screening panel) for several years that was a miserable failure;

And while you’re perusing The Pop Tort site, you might as well watch Senator Richard Durbin knock the ball out of the park on the issue of medical malpractice “reform;”

Why is Allstate sometimes referred to as AllSnake? Ask Trey Mills, and he’ll tell you that the good hands people aren’t so good. “I have decided to fight Allstate regardless of the time, resources, and value on the claim;”

I’ve written before about the Graves Amendment that confers immunity to the owners of cars and trucks that are rented or leased. Roy Mura now has an update with some cases where the lessors may still be liable;

What are the damages if you get a bogus take down message for your blog? Let’s just say that legal fees are a big issue; And on the subject of blogs, who owns your content?

Trial lawyers are always cross-examining people who are smarter in certain fields. Orin Kerr shows one way not to do it;

More trial lawyering: Reptile advocacy gets admitted into court. Both Mark Bennett and Max Kennerly on the issue;

Carolyn Elefant, Queen of the legal start-up field, does a roundup of the Solo Blogosphere;

Quotable: “The Republican party is a wholly owned subsidiary of an insurance industry.” Yowza.

Batman takes on Superman. Guess who wins?

When Dick Cheney was hospitalized for his heart attack, President Obama called to wish him well. Here is the transcript. Would I steer you wrong?

And Blawg Review # 253 comes up out of South Florida Lawyers while some folks dig out from up to 7 feet of snow.

 

February 26th, 2010

Is Non-Party Witness Entitled to Attorney at Deposition? (Appellate Court Says No)

The idea that a witness testifying at a deposition would not be entitled to have an attorney is somewhat startling. But that is, in fact, what the Appellate Division, Fourth Department held earlier this month in Thompson v. Mather, when they firmly established that “counsel for a nonparty witness does not have a right to object during or otherwise to participate in a
pre-trial deposition.”

The issue arose during a medical malpractice case involving obstetrical and gynecological treatment and the prescription of oral contraceptives. Plaintiff claimed they were contraindicated. The patient suffered an acute myocardial infarction.

Plaintiff wanted to video the testimony of the treating cardiologists, who were not defendants. The doctors showed up with lawyers provided by their own medical malpractice insurers, who then proceeded to obstruct the questioning. The deposition was abandoned and motion practice ensued.

The lower court, in one of the most bizarre rulings I’ve ever heard of, suggested that these doctors who had never been sued should be released from liability before unrestricted testimony was to take place! The court suggested that plaintiff and defendants are to

“consider providing general releases to the [physicians] . . . with respect to their initial treatment of [plaintiff]” and that, if such releases are provided, plaintiff will “be entitled to have a videotaped deposition of [the physicians] during which deposition the attorneys for the [physicians] shall not be permitted to speak. . . .” 

Holy mackerel. In reversing the lower court, the Appellate Division called that “repugnant.”

But first they addressed the issue of having counsel at the deposition, and came down firmly against it. Why? Because CPLR 3113 (c) provides that the examination and cross-examination of deposition witnesses “shall proceed as permitted in the trial of actions in open court.” The parties can object later, but the witness isn’t a party. If this was a trial, the witness would not have a lawyer in the well of the courtroom to object.

And then they kicked the lower court judge but good with respect to that nonsense about providing a release to a witness before testimony could ensue:

…we note that the practice of conditioning the videotaping of depositions of witnesses to be presented at trial upon the provision of general releases is repugnant to the fundamental nonparty obligation of every citizen to participate in our civil trial courts and to provide truthful trial testimony when called to the witness stand. Contrary to nonparty respondents’ contention, the fact that the statute of limitations has not expired with respect to a nonparty treating physician witness for the care that he or she provided to a plaintiff provides no basis for such a condition. 

The unanswered question that I have, given that the lawyers for the cardiologists were provided by their medical malpractice insurance carrier. Is it the same carrier as the defendants?

And that question was answered by one of the attorneys involved: No. But certainly something to look for if the situation should arise elsewhere, as may well happen with this ruling if such non-party depositions become more common.

 

February 25th, 2010

Linkworthy (Return to personal injury law edition)


Clock is tickin’, so much I wanted to write about but didn’t have the time for…

Here’s some reasons not to make any representation as to what a case is worth when you take it in: Settle it Now, Negotiation Blog;

Sometimes the mistake gets made, but the damages aren’t there: New mom given wrong baby to nurse, wants settlement from hospital;

Baseball mascot flings hot dog. Said doggie hits fan in the eye. Did the fan assume the risk of having a mascot fling a hot dog at him during a game? And would John Hochfelder have taken the case?

Let me guess, the new client is overseas and they want you to collect an easy $400,000 or so for them, right? And you get a nice big piece? Uh huh. Law Firms Swindled Out of $500K in E-Mail Scam and a personal experience with the scammer;

How’s this for a quote regarding the Toyota scandal: “Yet for all the demonizing of trial lawyers, the reality is that product-liability litigation has become an ever more important means of keeping consumers safe.” It appeared on the WSJ OP-Ed page;

A post at Concurring Opinions on medical liability uses this graphic at left. But the image looks Photoshopped to me as the instrument seems too small to actually hold. Want to see what a retained surgical instrument really looks like?

Bob Dylan is dead. You didn’t know? Ann Althouse finds out due to a computer program that ambulance chases. When I wrote Attorney Solicitation 2.0 back in 2007, I never thought of that one;

TortsProf is still chugging along with the Personal Injury Law round-ups;

Blawg Review #252 is frightening;

My three posts on Justice Scalia’s letter to my brother regarding secession have had 40,000 page views as it roared around the web with thousands of forum comments, tweets and blog postings, finding a home at NYT, WSJ, WaPo, NBC, CBS and The Hollywood Reporter, among others. And if Eugene Volokh hadn’t put up this post, the letter would still be in a drawer as a fun, family curiosity. But no one has tackled my suggestion that Scalia flat out blew it on whether the court could ever hear such a case.

I’m going to bed, hope there aren’t too many typos and blown links.

 

February 24th, 2010

Welcome New Readers (Due to Scalia Secession Post) — Bumped & Updated


OK, that little post about a letter my brother got from Justice Antonin Scalia about states seceding from the nation seems to have set off quite a bit of activity on political blogs.

(Updated 2/24: It has now hit Hollywood and mainstream press, an item in The Hollywood Reporter being picked up by Reuters and on to Yahoo! News, and now the New York Times)

While I know that the vast majority of you folks will be here and gone in a heartbeat — and perhaps quicker — if you have a hankering to see what kind of stuff haunts my humble corner of the interwebs, you can look at these two “Best Of” posts to get a sampling:

Greatest hits 2009

Greatest hits 2006-2008

My guess is that, given the nature of the newcomers, last year’s Sonia Sotomayor posts, one of which ended out in a Washington Times editorial, will be of some interest. Though my appearance in an editorial for the Economic Times of India (regarding George Bush’s dog, go figure), might be a close second.

And Supreme Court aficionados may be interested in this news that I broke some time back, which also involved Justice Scalia: Supreme Court Grants Cert in “Fantasy Baseball” Case; Three Justices Recuse Themselves Due To Participation in High Court League

And feel free to add me to your RSS feed, or follow on Twitter (@Turkewitz). The price is double what you’re paying now, but I think I’m worth it.

(originally posted 2/16/10)