June 8th, 2009

What It’s Like To Lose

There is no way to get around it: If you try cases for a living you will lose some. That’s just the way it is. But it’s not exactly the stuff you would read on someone’s website or firm brochure. Writing about your losses is the biggest taboo there is.

So I guess that’s what blogs are for. While someone at some point must have written on what it is like to lose a trial, I surely can’t find it. So, taboos be damned, here goes.

First off, there are different ways to lose a case. It could be the failure to present a bit of evidence. It could be a judge looking to torpedo your case or an unethical opponent. A pure question of fact (who had the green light?) could do it. Or just a case improvidently brought.

But there are times when, even after losing, you look back and say you would take the same case again. Because you still believe in it. Those are the gut-wrenching ones. The clients you felt for. The righteous battles. The ones that left you up every night with a pad and pen by the bedside and your heart ultimately on the courtroom floor when the jury came back.

One such trial still haunts me, a breast cancer case from 17 years ago that I was asked to try for another firm. The facts were simple: A woman in her late 20s felt a lump and her doc said not to worry about it. A year later it was still there, and by then it was too late. She had a mastectomy a month before she was married. She was young and vivacious and the picture of the girl next door. Except that she was dying. The cancer had spread and we all knew she would be dead within a year of the trial. And she was.

There was no problem with the evidence. No problem with the experts. A cross-exam of the defendant that, if I were doing it again, I wouldn’t change at all. And if I wanted to somehow stop my voice from catching and cracking during summation, I wouldn’t be able to if I tried. It was that kind of trial. It was, when all was said and done, a pure issue of fact as to what happened in a doctor’s office on a particular day.

I wanted to ask the jury what piece of evidence had influenced them. I wanted to learn for the next time so I would not leave another client heartbroken. But after several anxiety-filled days of deliberations, and a jury forewoman in tears when the verdict came back at the end of a long day of waiting, it was not to be. They refused to talk to us. In fact, they sent word through the court officer that they wouldn’t even come out of the jury room that they had returned to until everyone involved had left the courthouse.

If I had the choice of trying any case again, it would be that one. It’s the one I want back more than any other, and it has nothing to do with the time and money that went into it. Even 17 years later I can still feel that loss.

And no, you won’t find it on my website. Over there you will find the good stuff, and the legalese required by New York ethics rules that past results don’t guarantee success for future cases. Nobody puts a loss on their website. Nobody jokes about “coming in second.”

The only way to avoid losses, of course, is not to try cases. And such a “trial lawyer” would then join the ranks of those known to be afraid of the courtroom, and thus, people who will settle cheap. Alternatively, one can also have such a high volume of business, or be so unable to handle the stress, that clients no longer exist. One old-timer I know said he had no clients, only files.

Criminal defense lawyers, I imagine, face some similar issues. Unlike the personal injury lawyer, though, the criminal defense lawyer will (usually) get paid, and hopefully not with chickens or other barter. Their clients naturally face substantially different risks of losing. Some of them deserve it, and the lawyers know it. Others may have been over-charged by prosecutors, or had rights violated, or have desperate families at home, any one of which may provide that emotional motivation needed to push counsel forward even harder than they otherwise might, and which can also crush you in the end.

If a criminal defense lawyer has all of his clients plea out, then, like their counterparts in the civil world who would rather settle for 40 cents on the dollar than try a case, they will sleep at night and not have to worry about ever losing. Some lawyers, it seems, simply do not care enough about the human that is their client, and therefore may not try as hard as they should.

And then there are the heroes of the legal world: The defenders in death penalty cases where there is no doubt about the guilt of the accused. And the defense lawyer accepts the scorn and contempt of the community for defending a monster in exchange for the honor of standing up for a principle: whether governments should mete out death. Losing has an altogether different meaning in that context.

I’d like to think there is some moral or happy end to this post, but I can’t find it. A gut-wrenching loss — where you were unable to help your client despite all of your best efforts — comes with the territory when you step into the well of the courtroom. And it hurts like hell, sometimes for years. Such is the nature of law practice for anyone that cares about the client. Walking the high wire without a net, and that is often what trying a case is, is an environment that isn’t for everyone, and the level of burnout (and, perhaps, alcohol consumption) is high.

Of course, having such experiences would be a good thing to see in a potential judge, as I discussed in the The SCOTUS Nominee and The Tissue Box Test. It would bring a depth of diversity and understanding that those who made it to the bench straight from the ivory tower don’t generally have. So in the judicial sense, at least there would be lessons of some type that might be applied elsewhere. But that is just philosophy. It doesn’t help me in the trenches.

I don’t know where these ruminations will lead, if anywhere. But I’ve spent a bit of time looking at other web sites as I wrestled with my unhappiness over my own, and I know that losing is the great elephant in the room when it comes to legal marketing. For every one of those victories that lawyers talk about, someone else went down to defeat. Of course, it’s never discussed, and understandably so.

I will leave it to others — if they care to write about a loss, and I don’t blame anyone for staying silent on it — to follow-on with this thread if they so choose.
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Updated:

It has not been a good year for me. I had a run of guilty verdicts unlike any I have ever had before. I lay in bed at night wondering whether I’m washed up, or whether I’ve become too arrogant to be trusted by jurors. In each case I tried this past year, I was able to accomplish what I wanted to do with the evidence. But the evidence, well, it kept on coming against client after client, a tsunami of grief that buried my clients and my ego.

Links to this post:

POSTS WILL RESUME SHORTLY
It seems like I’ve been saying that alot. I’ve been busy. For some reason these past few months have been full of assignments, projects, and two line emails that require two hours of work. Court has been especially busy as well.
posted by . @ June 13, 2009 5:01 PM

 

June 5th, 2009

New York Medical Malpractice Insurer Is Insolvent (Bumped and Updated)


Crain’s New York Business reports that Physicians’ Reciprocal Insurers, New York’s second largest medical malpractice insurer with 25% of the state’s doctors, is currently insolvent. The company is in the hole to the tune of $43M.

According to the article, while some insurers get taken over by the State Liquidation Bureau when they go bust, this isn’t the case for the medical malpractice insurers.

New York has been having troubles in recent years with rising malpractice rates. Was it because of an increase in claims? Nope. You can read the reason here: Why New York Medical Malpractice Insurance Jumped 14%, and match that with a freeze in further increases by former Gov. Eliot Spitzer during his brief time in office.

Likely contributors to the shorfall:

  • Artificially low malpractice rates while the market was soaring;
  • NY previously “appropriating” $691M of medical malpractice insurance reserves to balance the state budget ;
  • Sptizer caving in to the medical lobby to prevent rate increases.

OK, that was the past. Filled with lousy public policy. Now to the present. Does this mean that the company is in imminent danger of demise? Not according to the company. From the article:

PRI President Anthony Bonomo says that while his company has a “negative surplus” of $43 million, making it insolvent under the state Department of Insurance’s accounting rules, it is far from going out of business.

“This is no Ponzi scheme,” Mr. Bonomo said. “DOI actuaries will always say the sky is falling.” Mr. Bonomo is lobbying for a Senate bill that would allow insurers to switch to a cash-flow basis of accounting.

Also, previously, Eliot’s Mess: The Ramifications for Medical Malpractice “Reform” in New York (3/12/08)

Originally published 5/21/09 – Bumped and updated on 6/5/09
—————————————————-
Update – 6/5/09: From the PopTortReport Shows No Link Between Medical Malpractice Suits and Insurance Rates for NY Docs:

A new report released today and endorsed by a coalition of consumer organizations (including CJ&D!) shows that “despite rising malpractice insurance premiums over the past several years there has actually been a drop in medical malpractice payouts made by New York doctors.”

 

June 5th, 2009

Linkworthy (Jamie Spotzz, Old Jews Telling Jokes, and more)

White Coat Rants, posting about his experience as a medical malpractice defendant, puts up his 2nd post on the subject, this one dealing with the retention of experts. A snippet to get you interested:

[My defense lawyer’s] firm and the insurance company contacted me with the name of an expert that they had chosen to review the case. Everyone seemed impressed with his credentials. He was from a teaching program and his curriculum vitae was reportedly quite large. Hey, great, so if his testimony isn’t that good he can roll up his “CV” and smack the plaintiff’s expert around with it. Or we can use the CV for a doorstop during trial. Go for it.

Scott Greenfield suggests, strongly, that the generation of lawyers now appearing have some unreasonable expectations, and urges them to step away from the duckie. And don’t miss the all-star video that goes with the post.

Cracked has The Six Most Terrifyiing Malpractice Cases Ever (h/t Ed.)

A Staten Island ferry crash victim gets an $18.3M award after his lawyer, Evan Torgan, turns down $10M. Then judge Jack Weinstein hacks the 33.3% legal fee down to 20%. Now the full fee is back, and even the plaintiff is happy about it.

A sinful Blawg Review #214 is up at Charon QC;

The Personal Injury Law Round-Up is up at TortsProf;

What do baseball players do when they retire with decades of work life ahead of them? Did you guess “Become a spammer for yet another search engine optimizing company?” Ken @ Popehat has the details in Search Engine Optimizers: One Step Up From the c1@li$ marketers. But don’t miss the comments where former ballplayer Jamie Spotzz –unless it is an imposter — ups the ante with a legal threat.

I learned of OldJewsTellingJokes.com from Orin Kerr at Volokh, and immediately found the story of the chicken dispute. How does the dispute get resolved? Ar their lawyers involved? Yeah, well, you gotta watch…

 

June 4th, 2009

Did Sotomayor Violate NY Ethics Rules in Private Solo Practice with "& Associates" Name?

I was skimming the questionnaire of SCOTUS nominee Sandra Sotomayor to look back at her life in private practice. And I found this starting on page 143 of the Committee Questionnaire:

ii. whether you practiced alone, and if so, the addresses and dates;

Yes, with Sotomayor & Associates, 10 3rd Street, Brooklyn, New York 11231, from 1983 to 1986, but this work was as a consultant to family and friends in their real estate, business, and estate planning decisions. If their circumstances required more substantial legal representation, I referred the
matter to my firm, Pavia & Harcourt, or to others with appropriate expertise.

Now Sotomayor was a prosecutor up until 1984 and started in April of that year with Pavia & Hartcourt, according to the questionnaire. That means she had her private law firm, likely a home office based on her modest description of the practice, that overlapped both her prosecutor’s position and her associate’s position at Pavia & Hartcourte. So the question here is not whether she had permission to have that private firm, as I suspect she must have, but rather, why she called it “Sotomayor & Associates“?

Did she have any associates when she was advertising herself in that manner? My guess is no, given that this was a side business that she says was devoted to consulting for family and friends. And if she had no associates, then it is a no-no to tell the world that you do. That’s misleading.

From the American Bar Association comes this all-inclusive statement that such conduct is prohibited in every state:

Are there any Associates (or “Law Groups”) in the House?

There are several state bar opinions that address a lawyer’s use of terms in a firm name that carry with them the implication that there is more than one lawyer in the firm. Examples of such terms include “X and associates” or “The X law group”. Citations to these opinions, along with digests of them as they appear in the ABA/BNA Lawyers’ Manual on Professional Conduct follow.

All State bar opinions are in agreement that a lawyer may not use the term, “and Associates” if there are in fact no associates in the firm. See, South Carolina Opinion 05-19 (2005) (A lawyer seeking to open a governmental affairs and lobbying firm consisting of the lawyer and two nonlawyer employees may not name the firm “John Doe and Associates, P.A.” The name violates Rules 7.1 and 7.5(a) because it misleadingly implies that the firm has more than one lawyer.), Ohio Opinion 95-1 (1995) (A lawyer who is in solo practice may not use the phrase “and Associates” in the firm name to indicate that the lawyer shares space with other lawyers, acts as co-counsel with other lawyers, or has non-lawyer employees. A lawyer who is the sole shareholder in a professional corporation may not use the phrase “and Associates” in the firm name when the lawyer in fact has no employees.)

In New York, the conduct would fall under DR 2-102, which bars misleading advertising on a letterhead. [See Comment 2] If in fact Sotomayor had no associates at her firm, it would appear she overstepped the bounds of self-promotion by making her firm seem bigger than it was.

Now I am well aware that there are a whole lot more serious ethical violations that take place. But I do my fair share of writing on the subject of advertising and self-promotion when it comes to practicing lawyers, and it wouldn’t be fair to others to give Sotomayor a free pass on the subject.

Previous Sotomayor posts here:

Update: I Googled the law firm name with this query: “Sotomayor & Associates” Sonia. I did not find any discussion of Judge Sotomayor’s private practice under that firm name.

Update 2:

Links to this post:

busting judge sotomayor
judge sotomayor has the enviable advantage of being the nominee of a democratic president, and an overwhelmingly democrat congress. as such, her success has been a foregone conclusion. but simply arguendo, let me outline reasons why

posted by PoliticalChic @ July 16, 2009 10:49 AM

blawg review #220
welcome to blawg review #220, rounding up some highlights of the past week from around the legal blogosphere. it’s my second time hosting it here at overlawyered, a blog that as its name implies maintains a certain critical distance

posted by Walter Olson @ July 13, 2009 3:40 AM

the lessons of sotomayor and associates
fittingly, it was a solo – eric turkewitz – who broke the story of supreme court nominee, sonya_sotomayor’s foray into solo practice under the firm name, sotomayor and associates -impermissible name under new york ethics rules given

posted by [email protected] (Carolyn Elefant) @ July 13, 2009 12:59 AM

why eric turkewitz still matters
with regard to the issue of giving credit for discovering the “sotomeyor & associates” issue, eric turkewitz comments: something might be in the public domain, but it if is buried in a box of other documents, someone still has to go

posted by Mark Draughn @ July 09, 2009 11:48 AM

on the ethics of sourcing for bloggers and journalists
radley balko used to piss me off. back in my early days in the blogosphere, i sent him a few links to stories i thought might interest him. he then mentioned those stories in his agitator blog, but didn’t credit me for sending him the

posted by Mark Draughn @ July 08, 2009 11:24 AM

sotomayor “and associates”
when practicing a bit of law on the side during her time with the manhattan da’s office and at a larger law firm, the nominee called her very small practice “sotomayor & associates” even though it had no lawyers but herself.

posted by Walter Olson @ July 08, 2009 7:20 AM

sotomayor & associates
[guest post by drj]. the new york times addresses sonia sotomayor’s legal practice in the 1980’s: “in her questionnaire, judge sotomayor says she was the “owner” of sotomayor & associates, which she described as a consulting business

posted by DRJ @ July 08, 2009 12:08 AM

post-hiatus supreme court stuff…
it’s been a long time, i shouldn’t have left you… (anyone who can finish that sentence wins a prize!) i have been on a bit of a hiatus while i concentrated on completing my fellowship at the drum major institute for public policy.

posted by Kia Franklin @ June 12, 2009 6:08 PM

blawg review #215
it’s 2:30 am on the morning of world oceans day, as i sit here drowning in a sea of submissions for blawg review #215. buoy, i’m in trouble, with a sinking feeling about all i have yet to do. but before i sail into the heart of this
posted by [email protected] (Carolyn Elefant) @ June 08, 2009 3:25 AM

 

June 1st, 2009

Another Doctor Live-Blogs A Malpractice Trial (Updated)


It’s happening again. A doctor is live-blogging his/her medical malpractice trial.

Regular readers will remember that Dr.”Flea” had live-blogged his under his pseudonym two years ago, only to have the plaintiff’s lawyer find out and confront him on the witness stand with some writing that contradicted his trial testimony. The world found out when his blog disappeared, and two weeks later his name and picture were blasted across the front page of the Boston Globe, above the fold.

But since the content is so compelling — a physician under the gun during a trial — it was inevitable that it would happen again. And so it has.

From this first installment at Emergency Physicians Monthly comes The Trial Of A White Coat – Part 1. In it we learn of the doctor’s surprise after being served with the suit:

The rest of my shift that day sucked. I looked at patients as adversaries rather than as people needing help. I ordered more tests than I probably needed to. Wasn’t for defensive medicine purposes or anything like that. Everyone knows that defensive medicine doesn’t exist. Maybe it helped me feel better about “not missing anything.” Maybe I didn’t want to get named in another lawsuit a few years from now. My head wasn’t in the game at that point. My brain was full and I wanted to go home. The shift couldn’t end quick enough.

There is much more at the link, and I won’t kill the story by letting it all out here. Suffice it to say that it is compelling reading.

But does it come with risks? You bet, unless the trial is already over and this is being published on delay. If plaintiff’s counsel discovers the blog, every word becomes potential fodder for cross-exam if there are contradictions with trial testimony.

And here is an interesting thought/risk: The doctor writes that some of the details have been obscured for the purposes of publication:

This is the first in a series of posts I’m going to do about my malpractice trial.
Names and minor facts about the patient and his family have been changed.
Everything else is the real deal

But could that act of obfuscation also be a source of cross-exam?

If you ask me, this is another doctor playing with fire if this case has not already been resolved. But I will also say this, the style of writing seems to be much more deliberate then the fiery passion with which Flea wrote. So it could be that we are looking at a significantly more cautious person this time around.

Hat tip Shadowfax @ Movin’ Meat
===========================================
Update: In a new post, Whitecoat confirms what many had wondered: The trial is over. The live-blog is not a contemporaneous view of events.

There were some interesting notes in the comments of the blog, by the way, about fears of violating HIPAA by publishing information about the case. But that is not a real worry. The physician-patient privilege was waived when suit was filed in the public courthouse. And certainly anything that took place at any trial (if it got that far) would have been in the public domain.

Links to this post:

The Changing Face of Health 2.0
As a new generation of users come on the scene and popularity continues to spike, can we coax the healthcare industry into diving deeper with social media practices and leading the conversation? By Dana. Last week, DiagnosisPR attended

posted by @ June 09, 2009 10:37 AM

a doctor is sued, and blogs his malpractice trial
an emergency physician recently concluded his malpractice trial, and is blogging about it. sound familiar? well, this isn’t the first time it happened. in 2007, pediatrician flea live-blogged his malpractice trial, which wasn’ta good

posted by Kevin @ June 03, 2009 11:00 AM

blogging his own malpractice trial
white coat’s trial is in fact concluded, so he’s not liveblogging it, but recounting it after the fact; posting while the trial was in progress was what got boston pediatrician “flea” into so much trouble a couple of years ago after the

posted by Walter Olson @ June 03, 2009 12:24 AM

blogging a malpractice trial
you may remember the case of dr. flea. it is described on the webicina how to write a quality medical blog e-course: dr. flea was a famous and anonymous medical blogger who was a pediatrician in real life and got sued by a patient.
posted by Bertalan Meskó @ June 02, 2009 4:40 PM