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Medical malpractice cases can turn on expert testimony. What other kinds of evidence may be used to show a doctor is negligent? A doctor’s history of educational difficulties and failures are typically inadmissible to prove negligence. In a recent case, the plaintiff was referred to a doctor after she told her primary care physician about cramping, pain and bleeding. The doctor found she needed a hysterectomy and performed one. She came back to the hospital five days later complaining of pain and discomfort. Her ureter was blocked, but there was too much inflammation to perform an immediate surgery.

The plaintiff was required to wear a nephrostomy tube for three months, during which she had diarrhea, nausea and vomiting. Her ureter was repaired, but she still suffered pain at the time of trial and wet herself every night.

She sued the doctor and his employer for medical malpractice. During the trial, nobody disputed that the ureter injury was caused by the hysterectomy. The issue was whether the doctor was negligent not to check the integrity of the ureter after the operation.

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In a recent case an appellate court reviewed a high school’s liability in the death of a student and catastrophic injury of another after consuming excessive alcohol at a private home.

The case arose when students received copies of a somewhat unintelligible invitation to an end-of-the-year party at a home that was miles away from school. The invitation specified it was for students from that high school only.

The cards had nothing to do with the school, although they referenced it. The morning before the party the principal questioned the two students throwing the party. They told him their parents would at the party. The principal also read an announcement to the student body that implied it might squelch the party.

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A recent case illustrates the importance of taking a strategic approach when bringing a lawsuit for personal injuries. It is critical to retain an attorney with the objectivity and good judgment, who can evaluate both the negative aspects of your case as well as the positive and take a more circumspect approach in the event that you have serious pre-existing conditions or other factors that could impact the jury’s verdict.

The plaintiffs in this case were driving when their car was rear-ended by the defendant. The plaintiffs were taken for medical evaluation and claimed to have injuries. They sued, but the trial did not go as they had hoped it would.

The defendants admitted negligence, but disputed that they had caused the injuries or owed any damages. They claimed that one of the plaintiffs had a history of serious pre-existing injuries that had triggered the need for medical treatment. They also presented evidence that the other defendant was witnessed laughing at the hospital after being admitted.

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What happens if a rental car company rents a car to a driver who proves to drive negligent and hurts or kills someone? In a recent appellate case, a man was killed in Florida while riding in a 2008 Corvette that was rented from Hertz and driven by the defendant. A witness saw the defendant hit another vehicle after swerving through traffic at a high speed. When Hertz rented the man the car, it did not know that his driver’s license had been suspended after he received a speeding ticket in another state.

The man’s representative filed a wrongful death action against Hertz, alleging that it was negligent in not affirmatively investigating and learning of the suspended driver’s license pursuant to a statute. The trial court dismissed the complaint on the grounds that the Florida Statutes required Hertz to inspect the license to verify the signature and nothing more.

The man’s representative amended the complaint alleging general negligence rather than a statutory violation. However, the representative still wanted to use the statutory violation as evidence of proximate causation. In a general negligence action, a plaintiff must show (1) a duty, (2) breach of that duty, (3) actual causation, (4) proximate causation and (5) damages. “Proximate causation” means “legal cause.” Something may be part of a chain of events that leads to an accident, but still not be the “legal cause” or “proximate cause” of an accident.

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A Florida jury may not award greater damages than what is supported by the evidence presented at trial. Under Section 768.043(2), trial courts must consider several factors in trying to determine whether damages awarded by the jury are excessive or inadequate after a trial.

These factors include consideration of:

• whether the award is motivated by prejudice or corruption,
• whether the trier of fact obviously ignored the evidence,
• whether the trier of fact considered improper elements into account or speculated,
• whether the amount awarded is reasonably related to the injury suffered,
• whether a reasonable person would logically see the evidence supports the award.

In a recent case, a plaintiff sued an amusement park after getting shot by a third party while leaving the park. While the jury was deliberating, it asked to look at the present and future value tables for the plaintiff’s medical expenses. An economist had prepared the future medical expenses table based on a report by the plaintiff’s expert on future care. The report stated that the plaintiff would need to use a dorsal column stimulator every five years for the remainder of his life.

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Slip and fall cases can be difficult to prove, particularly if the hazard that causes the fall is somewhat “open” or “obvious.” A recent case arose when a customer at Home Depot parked her car in a designated accessible parking space and upon returning to her car tripped over a wheel stop where her car was parked. It was a clear, sunny morning and she was carrying her purchases, a purse and keys.

The woman looked at the accessibility sign, but did not see the wheel stop because it was the same color as the parking lot. Her left foot caught on the wheel stop and she fell. She was hurt and had medical expenses. She and her husband filed a personal injury lawsuit against Home Depot.

The plaintiffs argued that the wheel stop was a dangerous condition and the defendant had an obligation to maintain the premises and to warn of any dangerous conditions on the property. Home Depot moved for summary judgment, arguing that the wheel stop was an “open and obvious” danger and therefore, it had no duty to warn customers about the wheel stop. It also argued there were no disputed issues of fact regarding its maintenance of the property.

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In Florida, an Expert Medical Advisor (or “EMA”) is asked by a workers’ compensation judge to resolve certain controversies. A judge must order an EMA if either party requests one. They also must be called when there is a disagreement between two independent medical examiners.

A judge may also choose to call an EMA when doctors disagree about the medical evidence in the case, when doctors disagree about whether further treatment is necessary and when doctors disagree about an employee’s ability to come back to work. The EMA’s opinion is given a legal presumption of correctness. This presumption can be rebutted only by clear and convincing evidence to the contrary of the EMA’s opinion.

In a recent workers’ compensation case, the employer argued that a workers’ compensation judge did not give the EMA’s opinion a presumption of correctness when it awarded a workers’ compensation claimant permanent total disability. In the case, the judge had appointed the EMA to resolve a conflict in medical opinions about the claimant’s restrictions for work.

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An interesting wrongful death case regarding the validity and applicability of arbitration agreements arose recently when a nineteen-year-old enrolled at Teen Challenge’s substance abuse facility in Florida. He signed an arbitration agreement that stated he accepted the Bible as the word of God and that God wanted the parties to resolve their disputes in accord with certain Biblical principles in private meetings.

The agreement provided that if they weren’t resolved in private meetings, they would be resolved by biblically based mediation or, if not resolved there, in legally binding arbitration. He also signed a waiver that stated he understood Teen Challenge was an evangelical ministry and that he would therefore have to attend Christian religious activities.

Two months later, he broke the rules and his mother was told he would be discharged. After that, he was put in jail due to a probation violation in Tennessee where his mother lived. The Tennessee authorities permitted him to be released to try Teen Challenge again.

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In Florida there is a 104-week time limit on temporary disability benefits. The problems with the way this limit was applied were first addressed in a 1998 case in which the claimant was almost at the end of the 104-week period, but he hadn’t reached maximum medical improvement.

The appellate court in that case held that an employee who had run out of temporary benefits had to show total disability and that total disability would exist after the date of maximum medical improvement in order to get permanent disability benefits. This was based on the idea that a claimant could not receive permanent total disability benefits if it had not been determined that he had reached his maximum medical improvement.

Certain claimants who were totally disabled when the temporary disability benefits were concluded could not prove that total disability would exist after maximum medical improvement. They would not be eligible for any benefits though they were unable to work.

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Florida’s “Stand your ground” laws gained national attention in connection with the Trayvon Martin shooting. This law permits someone who is attacked in a place where he or she has a right to be and who is acting lawfully to “stand his or her ground” and “meet force with force.”

Unlike other states where there is a duty to retreat, in Florida the person may even use deadly force if he believes it necessary to do so in order to prevent injury or death or the commission of a “forcible felony” to anyone.

Recently, a Florida Senate committee approved some changes to the law, which would alter neighborhood watch programs. Of particular note to potential plaintiffs are changes in connection with personal injury lawsuits that could arise in the context of a person utilizing the law to defend him or herself.

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