Attorney Julia Arfaa
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In most medical malpractice cases filed in Maryland it is critical for the plaintiff to present expert testimony to establish that the defendant care provider is liable for the plaintiff’s harm. In many cases, the defendant will try to argue that the plaintiff’s expert is not qualified to offer an opinion on the disputed issues, or that the expert failed to establish that the defendant deviated from the standard of care, in an effort to preclude the expert from testifying at trial. If a defendant does not properly preserve its objection to a plaintiff’s expert’s testimony, however, the defendant may waive the right to object. This was demonstrated in a recent case in which the Court of Special Appeals of Maryland overturned a trial court ruling a plaintiff’s expert could not testify at trial. If you were harmed by inadequate medical care, it is critical to retain a skilled Maryland medical malpractice attorney to fight to protect your interests.

Procedural History of the Case 

Allegedly, the plaintiff filed a medical malpractice lawsuit against the defendant due to the defendant’s failure to diagnose the plaintiff with oral candidiasis in a timely manner. Prior to trial, the defendant moved to preclude the plaintiff’s expert from testifying on the grounds that the expert did not define the applicable standard of care during his deposition. The court granted the defendant’s motion and dismissed the plaintiff’s case, as the doctor that was prohibited from testifying was the plaintiff’s only expert witness. The plaintiff appealed, arguing that the trial court erred in excluding her expert’s testimony.

Expert Qualifications in a Medical Malpractice Case

Pursuant to Maryland Rule 2-415(h), certain objections are waived if they are not made during a deposition. For example, objections to the competency of a witness, or the relevance or materiality of testimony are waived if they are not made during a deposition, and an objection would enable the opposing party to remove or eliminate the grounds for the objection. In the subject case, the plaintiff argued that the defendant failed to object to the plaintiff’s expert’s testimony during his deposition and therefore waived the right to object. Continue Reading

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If a person who has been harmed by medical malpractice wishes to pursue a claim against the provider that caused his or her harm, the person must pursue the claim promptly. In other words, if a person delays, the applicable statute of limitations may bar the person from recovering damages. In some cases, however, it may not be immediately clear which statute of limitations applies or when the statute began to run. Recently, the United States District Court for the Western District of Virginia discussed which statute of limitations applies in medical malpractice cases against the federal government in a case arising out of a failure to diagnose. If you or a loved one suffered injuries because of a doctor’s failure to provide a prompt and accurate diagnosis, you should meet with a skillful Baltimore misdiagnosis attorney to discuss which claims you may be able to pursue. At Arfaa Law Group, our attorneys regularly represent people in Virginia and Maryland malpractice cases, as well as cases in other states.

Facts Regarding the Decedent’s Care

Allegedly, the plaintiff’s loved one was diagnosed with terminal liver cancer on December 23, 2011. He ultimately succumbed to the disease. In January 2014, the plaintiff filed a medical malpractice lawsuit against the Veterans Administration (VA) and an independent contractor who worked there, alleging their failure to diagnose the decedent’s cancer in a timely manner. The defendants filed a motion to dismiss the plaintiff’s claims on the ground that they were barred by the statute of limitations. The court granted the motion, and the plaintiff appealed.

Statute of Limitations Under the Federal Tort Claims Act (FTCA)

Medical malpractice claims against an entity of the federal government are governed by the statute of limitations set forth in the FTCA. As a result, a plaintiff alleging harm due to medical negligence in an FTCA case must file an administrative claim within two years of when the cause of action accrues. A cause of action in a medical malpractice case accrues when the plaintiff has uncovered both his or her injury and the cause of the injury. In other words, it accrues when the facts reveal that negligence may have been involved in the plaintiff’s harm.

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In any case in which an injured party wishes to pursue damages, it is essential for the party to comply with the procedural rules set forth under Maryland law. Medical malpractice cases differ from other civil lawsuits, however, in that they have their own separate set of rules with regard to what a plaintiff must do to be permitted to pursue a claim. In a recent medical malpractice case arising out of the Court of Special Appeals of Maryland, the court affirmed the dismissal of the plaintiff’s claim for failing to file certificates in a timely manner, emphasizing the gravity of the failure to comply with the procedural rules. If you or a loved one were injured due to inadequate medical care, you should speak with a trusted medical malpractice attorney to discuss what you must do to recover damages.

Facts and Procedures of the Case

Allegedly, the decedent visited the defendant hospital in March 2014, with complaints of lower back pain and numbness and tingling in his legs. The attending physicians assessed the decedent as having a pinched nerve and discharged him. A couple of days later, the decedent had severe back pain and began vomiting. He returned to the defendant hospital but died on the following day, due to septic shock. The plaintiff then filed a medical malpractice claim in the Health Care Alternative Dispute Resolution Office (HCADRO) against the defendant hospital and the medical providers who treated the decedent.

Pursuant to the Health Care Malpractice Act, after the plaintiff filed her statement of claim, she had 90 days to file a certificate of a qualified expert. Reportedly, the plaintiff sought and obtained two extensions of time to file the certificate. She failed to meet the third deadline, however, after which the defendants filed a motion to dismiss. On the day on which the defendants filed their motion, the plaintiff filed her certificate and a motion to extend the time to file the certificate. On the following day, she filed an election to waive arbitration with HCADRO. The case was then transferred to the circuit court, where it was dismissed, due to the plaintiff’s failure to file a certificate within the time limitations. The plaintiff appealed.

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When people hear the phrase “medical malpractice,” they often think of harm caused by a surgeon or primary care physician, but medical malpractice also encompasses harm by practitioners in other fields, such as dentists. Recently, the Court of Special Appeals of Maryland analyzed what constitutes sufficient proof of dental negligence in a case in which the plaintiff could not identify the specific mechanism of harm. If you suffered harm due to dental negligence, it is sensible to meet with a knowledgeable Baltimore dental malpractice attorney regarding your options for seeking compensation.

Factual Background of the Case and Trial

It is alleged that the plaintiff visited the defendant dentist for the surgical extraction of her wisdom teeth. She had never treated with the defendant before. Prior to the extraction, she was given a consent form for the extraction, which she signed. The defendant did not discuss the procedure with the plaintiff before giving her the consent form. The plaintiff was conscious during the procedure and recalled that the defendant had difficulty extracting one tooth, and when it was successfully removed, the defendant and his assistants were yelling and cheering.

Reportedly, following the surgery, the plaintiff never regained sensation or the ability to taste in the left side of her mouth. She ultimately visited a dental surgeon, who diagnosed her with a severe injury of the left lingual nerve. Subsequently, the plaintiff filed a malpractice lawsuit against the defendant. During the trial, the plaintiff’s expert testified regarding the standard of care for dental extractions and stated that there were two possible ways in which he thought that the injury might have occurred. The defendant moved for judgment in his favor at the close of evidence, which the court granted. The plaintiff then appealed.

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Under Maryland law, filing a certificate from a health care provider is a prerequisite to any plaintiff wishing to pursue a medical malpractice lawsuit against a board-certified health care provider. Not only must the plaintiff file a certificate, but also the certificate must be from a provider in the same specialty as the defendant or a related specialty. In a recent malpractice case against a transplant surgeon, the Court of Special Appeals of Maryland evaluated the specifics of the certificate requirement, including who is qualified to issue the certificate. If you sustained damages due to a negligently performed surgery, it is critical to retain an experienced Maryland medical malpractice attorney to assist you in pursuing damages from the provider that caused your harm.

Facts Regarding the Plaintiff’s Treatment

It is alleged that the plaintiff suffered from end-stage kidney disease. As a result, she obtained a kidney transplant at the defendant hospital. The surgery was performed by the defendant doctor, who was a board-certified surgeon specializing in kidney transplantation. The plaintiff ultimately filed a medical malpractice lawsuit against the defendants, asserting that the defendant doctor departed from the applicable standard of care by transplanting an incompatible kidney in the plaintiff.

Reportedly, prior to filing her lawsuit, the plaintiff filed a certificate and report from a licensed nurse practitioner who was certified in coordinating clinical transplants. The defendants filed a motion for summary judgment, arguing that the plaintiff failed to meet the Maryland requirement that a plaintiff must file a certificate from a health care provider in the same field as the defendant prior to filing a medical malpractice lawsuit.

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In Maryland, the essential elements of a medical malpractice claim are a breach of the applicable standard of care and harm caused by the breach. Thus, even if a physician commits an egregious act, it may not be considered malpractice if the plaintiff cannot establish the elements required to impose liability on the physician. This was demonstrated in a recent case in which the U.S. District Court of Maryland ruled that although a doctor who engages in a sexual relationship with a patient commits an ethical violation, the violation in and of itself is not sufficient to sustain a malpractice claim. If you were harmed by inappropriate medical care, it is important to speak with a skillful Maryland medical malpractice attorney to discuss your potential claims.

Facts Surrounding the Plaintiff’s Treatment

The plaintiff worked as an office manager for the defendant physician at the defendant medical practice. The plaintiff became ill, after which the defendant began treating the plaintiff. Throughout her illness, the defendant physician treated the plaintiff, including attempting a surgical repair of a hernia and repairing a surgical incision. On several occasions, the defendant physician demanded sexual intercourse as payment for his medical services. The plaintiff was ultimately terminated, after which she filed a lawsuit against the defendants, asserting medical malpractice, negligent supervision, and sexual harassment claims. The defendants filed motions to dismiss the plaintiff’s claims.

Ethical Violations May Not Constitute Medical Malpractice

With regard to the plaintiff’s medical malpractice claims, the court stated that under Maryland law, it is axiomatic that a plaintiff alleging malpractice must prove the applicable standard of care, a departure from the standard, and harm caused by the departure. The court noted that the plaintiff’s medical malpractice claims arose out of the defendant physician’s demands that she exchange sexual favors as a payment for medical services, on occasions when sexual intercourse was prohibited due to her diminished health.

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There are specific requirements set forth by the Maryland Health Care Malpractice Claims Act (“the Act”) that must be complied with by anyone wishing to pursue a medical malpractice claim. In part, the Act sets forth deadlines for when a plaintiff must file a claim with the Health Care Alternative Dispute Resolution Office (“the HCADRO”), and for when a plaintiff must file required documents pertaining to his or her expert. Recently, the Court of Special Appeals of Maryland analyzed whether the trial court wrongfully dismissed a plaintiff’s complaint due to the late filing of the expert certificate and report. If you have sustained injuries due to inadequate medical care, it is crucial to retain a knowledgeable Maryland malpractice attorney who will comply with the statutory requirements to assist you in your pursuit of damages.

Facts of the Case

Reportedly, the plaintiff filed a claim with the HCADRO arising out of harm allegedly caused by the defendants. The HCADRO provided the plaintiff with two extensions to file the required certificate of qualified expert and report, but the plaintiff missed both deadlines. Thus, the defendants filed a motion to dismiss. Within five days of when the motion was filed, the plaintiff filed the certificate of qualified expert and expert report along with a waiver of arbitration. The case was then transferred to the circuit court, where the plaintiff filed a complaint. The defendants again filed a motion to dismiss due to the untimely filing of the certificate of qualified expert and report. The plaintiff argued that though the report and certificate were untimely, they were sufficient. The court granted the defendants’ motion, after which the plaintiff appealed.

Penalties for the Untimely Filing of an Expert Certificate and Report

On appeal, the plaintiff argued that the trial court committed an error in dismissing her claim when she filed a valid and sufficient certificate of qualified expert and report prior to opting to waive arbitration. In other words, the plaintiff essentially argued that because she met the substantive requirements of the Act, it did not matter if she met the temporal requirements. In turn, the defendants argued that the plaintiff failed to meet a condition precedent to filing a medical malpractice claim by failing to file the report and certificate in a timely manner, and therefore, the plaintiff’s claim was barred. Continue Reading

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It is not uncommon for people to travel to another city or state to seek medical treatment. Under normal circumstances, traveling for medical care does not present any concerns, but when the care provided causes the patient harm, an issue can arise as to what state’s laws apply in determining whether the patient’s care providers should be held liable. Recently the United States District Court for the District Court of Maryland discussed which state’s law should apply when there is a conflict in a case in which the defendant was treated in Maryland but lived in Pennsylvania. If you were harmed by out of state medical care, it is prudent to consult a proficient Maryland malpractice attorney regarding your options for seeking recourse for your injuries.

Facts Regarding the Plaintiff’s Decedent’s Treatment

It is alleged that the plaintiff’s decedent, who lived in Pennsylvania, traveled to Maryland to visit the defendant physicians who specialized in ear, nose, and throat surgery due to chronic nasal obstructions and difficulty swallowing. She underwent various tests, after which she was scheduled for a tonsillectomy, septoplasty, and reduction of turbinates. The decedent was noted to be potentially difficult to intubate, but she was intubated without issue and successfully extubated after surgery.

Reportedly the decedent was discharged home with directions to sleep with her head at a greater than 45-degree angle above her body, which she did. In the middle of the night, however, her husband found her unconscious and not breathing, and she was unable to be revived. An autopsy indicated cardiovascular disease, lung disease, and obesity were the causes of death and that no gross changes that indicated post-surgical complications were present. The plaintiff filed a medical malpractice lawsuit against the defendants in federal court in Pennsylvania that was transferred to the District Court of Maryland. Defendants then filed a motion for summary judgment. Continue Reading

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Medical malpractice cases arising out of a doctor’s failure to diagnose a patient often involve complicated issues and conflicting positions regarding what harm the patient sustained due to the delay in receiving a proper diagnosis. Thus, in cases in which the patient alleges a doctor committed malpractice by failing to diagnose the patient, expert testimony is needed to establish the doctor’s liability and the patient’s harm. In a recent case in which the plaintiff alleged she suffered harm due to her doctor’s failure to diagnose breast cancer, the Court of Special Appeals of Maryland discussed the scope of expert testimony permitted. If you sustained damages due to a delayed or inaccurate diagnosis, you should meet with a skillful Maryland malpractice attorney to discuss what evidence you must produce to hold your care provider liable for your harm.

Facts Regarding the Plaintiff’s Treatment and the Underlying Trial

Allegedly, the plaintiff noticed a lump in her right breast, which she reported to the defendant, her gynecologist. She underwent diagnostic testing, which reportedly revealed no evidence of malignancy. The plaintiff continued to treat with the defendant, who repeatedly advised her that the lump was nothing to worry about. In 2012, the plaintiff underwent a biopsy, which revealed that she had cancer in her right breast. She subsequently underwent a bilateral mastectomy. She then sued the defendant for medical malpractice, arguing that the defendant breached the standard of care by failing to diagnose her cancer in a timely manner.

Following a trial, the jury found in favor of the plaintiff. The defendant appealed, and the court issued an opinion reversing the verdict and remanding the case for further proceedings. Following the second trial, the plaintiff appealed, arguing, in part, that the trial court erred in precluding testimony from the plaintiff’s expert witness. Continue Reading

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Generally, many states allow for the tolling of the statutes of limitations in medical malpractice cases under certain circumstances, such as when the patient’s harm is not discovered until a later date. Many states also have a statute of repose, which limits an injured patient’s right to recover under a medical malpractice claim, regardless of when the harm was discovered. In a case in which the plaintiff did not discover her harm until eleven years after her surgery, the Supreme Court of Pennsylvania recently deemed the Pennsylvania statute of repose applying to medical malpractice claims to be unconstitutional. If you suffered harm due to a doctor’s negligence, you should speak to an attorney to discuss your rights. The Maryland medical malpractice attorneys of the Arfaa Law Group regularly assist injured parties in cases in Maryland and Pennsylvania, as well as other states.

Facts of the Case

It is alleged that the plaintiff suffered from a genetic condition that caused a diminished ability of her liver to develop a protein that is necessary to protect the lungs. To treat the condition, she underwent a liver transplant in 2003. The transplant was intended to cure the plaintiff of the condition. In 2015, however, testing indicated the plaintiff still suffered from the genetic condition. As such, the plaintiff filed a medical malpractice lawsuit against her treating providers and the hospital where the transplant was performed. The defendants filed a motion for judgment on the pleadings, arguing that the seven-year statute of repose under the MCARE Act (the Act) barred the plaintiff’s claim. The trial court granted the motion, and the plaintiff appealed. On appeal, the Superior Court of Pennsylvania affirmed the trial court ruling. The plaintiff then appealed to the Supreme Court of Pennsylvania.

Constitutionality of the Pennsylvania Statute of Repose

The Pennsylvania Constitution states, in part, that when a person sustains a legal injury, he or she shall have access to the courts and the right to a remedy. The Supreme Court of Pennsylvania noted that case law had established that the remedies clause did not establish a fundamental right to a remedy, but that the right to a remedy was nonetheless a significant right.

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