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Auto Accidents and Car Wrecks
Hard Fought Case Shows Value of Contingent Fee
A decision we received Friday from the Court of Appeal in a motor vehicle accident case illustrates the enormous value to consumers of the contingency fee agreement - at least the way it works with our personal injury firm.The lead lawyer in this case was Pamela Taylor. Our client's injury was a leg broken by a careless driver. He was riding a bicycle. He was a high achieving graduate student who was delayed in obtaining a university teaching job as a result of his injuries. An important issue in settling the case was, how to value the loss represented by delayed entry into the workforce?
The defendant offered about half what we thought the claim was worth, so we went to trial. Sometimes you go to trial the sake of justice. Our client received a trial judgment for twice the amount of the defendant's formal offer, the total judgment being $118,098. The Court of Appeal thought the judge should have deducted money earned as a graduate student from the $60,000 award for loss of future economic opportunity, and reduced this by $22,719, an amount the Court of Appeal called "a relatively minor change to the total damages award": Jarvis v. Treberg, 2009 NLCA 51.
The point of significance to the issue of consumers and contingency fees, is that as Mr. Treberg's lawyers we were willing to expend about twice the amount of the money judgment, measured by the reasonable value of our time, to recover this money judgment for our client. Twice what the judgment was worth - but the client got twice the money the insurance company was willing to pay.
Rarely does an accident and injury client have to go to trial to get justice. But if you do go to trial, as this example shows, your contingent fee lawyer "subsidizes" the trial in all but the very largest cases. We do it because we believe in justice.
At Ches Crosbie Barristers, contingent fee agreements protect the consumer and provide access to justice. Which is the way it ought to be.
Accidents and Injuries
Difficult Choices For Copter Crash Victims Include US Lawsuit
The known evidence is pointing more and more strongly to potential negligence on the part of Sikorsky Helicopter Corporation, based in Connecticut, United States of America. Today the Globe and Mail published a story that it had obtained documents showing that the Sikorsky S-92 “failed a critical test of whether the aircraft can keep flying if the oil in its main gearbox leaks out…. Certification documents show that the S-92 couldn’t meet a specification that calls for the main gearbox to run for half an hour without oil – a requirement known as “dry run”.” I wrote about the 30 minute dry run requirement in “Families Review Legal Options”. The story quoted an experienced test pilot who said that until three weeks ago, he would have assumed the S-92 would fly without oil pressure for 30 minutes – which probably is exactly what the pilot of Cougar Flight 491 assumed as he was making for safety at Cape Spear. “Now I know different.”
The laws of Newfoundland and Labrador are not generous in wrongful death cases, in fact they are downright backward. I have to deal with this in the Breast Cancer Testing Class Action. How about some attention to law reform here, Danny Williams, Q.C.?
A very important question is whether the victims of a product defect which causes death and injury in Newfoundland and Labrador, Canada, can sue a product manufacturer which is based in the United States of America. I know from experience in other cases that the money damages in a US court can be ten times the damages available here.
So last week I contacted a leading US aviation liability lawyer in the United States for advice. Bottom line: there is no black and white answer, but the chances of bringing suit in the US are greatly improved if the Cougar/Sikorsky family members are guided from the start by sound Canadian and US legal advice on how to achieve the fullest measure of justice.
The decision to accept Workers Compensation or not is a complicated decision to be based on many individual factors. The decision must be made within 6 months in death cases, 3 months in a case of injury, so there is time to sort through the options. Families should obtain a package of information from the Commission, and obtain the best advice they can, from the Commission, union representatives, and other trusted advisors.
One of these advisors should be a personal injury lawyer with experience in product defect cases and the ability to access top legal expertise in the complicated world of aviation disaster law.
There are strong reasons for all the families and their legal advisors to stick together in these early months and develop a common strategy. The potential benefits of acting together are great. Loved ones lost in the tragedy would expect it.
If this sounds expensive, lawyers who do this kind of work usually work on a “no cure no pay” or contingent fee basis, meaning the fee will be a percentage of the settlement or court award. Anyone looking for a lawyer should interview more than one lawyer, taking care to discuss qualifications, case strategy, and fees. You don’t just want a good lawyer, you want the best lawyer for your case!
How to Get More Money for your Injury Claim: Giving Evidence at Discovery
There is one reason to take an accidental injury claim. You want the greatest amount of money to which you may be entitled for your injury.
Rarely, making a personal injury claim may involve giving testimony at trial. More frequently, and almost always in serious injury claims, a claimant must give personal testimony as part of a process called discovery, also called a "deposition".
You and your injury lawyer are in a partnership, and your lawyer can't do it all. Your lawyer can't testify for you. The preparation you do for your oral discovery will pay big dividends. It will have a big effect on the money you get.
Oral discovery happens when evidence is taken under oath (or solemn affirmation) with the opposing lawyer asking questions, usually in a law office boardroom. The evidence is recorded and a transcript is typed up.
In a personal injury case, the objective of the other side at oral discovery (broadly speaking) is to meet the claimant and form a personal impression of him or her, to explore inconsistencies between the claimant's medical history and the claimed injuries, and to establish the claimant's version of the story in a way that can be used later if the story changes at trial.
There are two styles of conducting discovery. First, discovery can proceed as a learning exercise, by which the defence attempts literally to learn or "discover" the plaintiff's story through a series of who, what, where, why, when, and how questions. Second, discovery can be conducted as a cross-examination discovery, in which the lawyer asking the questions thoroughly prepares beforehand to establish areas of examination, in which she believes she can by use of leading questions, one fact at a time, establish points that will hurt the claimant's case. The cross-examination method requires a level of skill and preparation from the examining lawyer. Fortunately for plaintiffs, few defence discoveries are conducted according to the cross-examination method, and most discoveries proceed on the basis of who, what, where, why, when, and how questions.
The client can do many things to maximize the chances of giving good discovery evidence. At Ches Crosbie Barristers, we meet with the client to properly prepare for their oral discovery under oath, and we find that clients who prepare for discovery have a much better experience. Here are some quick tips clients can use for giving a good oral discovery:
1. You can't win an unwinnable case at discovery, but you can sure lose a winnable case.
2. You will be under oath. Tell the truth--the insurance companies have access to huge databases, and if you have a prior claim, or a bankruptcy, or if you have posted information about yourself on the internet, they will find it. Never exaggerate.
3. Be "on guard" the whole time. They may act friendly and professional but they are not your friends.
4. Be pleasant, polite, and don't show any "attitude" or get in personal conflict with the examining lawyer.
5. Listen to the whole question. Resist the human urge to interrupt.
6. Resist the urge to tell them "well, what you really want to know is..." or "the question you didn't ask but should have is..." In other words, don't volunteer answers to questions they don't ask.
7. Don't answer a question you don't fully understand. Say you don't understand.
8. Don't try to guess "where they are going with that question." Just concentrate on giving good, truthful answers.
9. If they don't ask the "right" question, tough for them.
10. Don't guess. If you don't know, you don't know. You are not required to have an answer to every question. If you are estimating, please tell them you are estimating.
11. Trust us to protect you from questions not allowed under the rules. We can also clarify unclear answers at the end.
12. Before the discovery, tell us what questions you are afraid of.
You are not alone in this. A good injury lawyer will help you to prepare for discovery, but it is you who has to testify, not your lawyer. Clients who do a good level of preparation and who are able and willing to follow their lawyer's advice will get the best results from their discovery, leading to more money for their injury claim.
http://en.wikipedia.org/wiki/Cross-examination; http://www.howardnations.com/crossexamination/cross_ex.html
http://www.oba.org/en/pdf_newsletter/DTFGeneralDiscoverybest.pdf
What is cross-examination and why should I care anyway? A Primer for Injury Victims
In my article How to Get More Money for Your Injury Claim: Giving Evidence at Discovery, I briefly touched on the importance of cross-examination. This article explains more about the role of cross-examination in getting you the money you may be entitled to for your injury.
A famous legal authority once described cross-examination as the most powerful engine for the discovery of truth ever devised by man. This statement of the critical importance of cross-examination to court process is accepted and even venerated by virtually all experienced lawyers and judges. So what is cross-examination, and why should you care?
If you or someone you care about has a significant personal injury claim, then cross-examination and what you can do about it could be very important. Read on.
To most lawyers, cross-examination is a method of asking questions of the other side's witnesses, and it means they can ask "leading" questions. A leading question is one that suggests the answer ("You stopped beating your wife in 2005?"). But leading questions are only part of the story of cross-examination, and lawyers who think it is the full story often engage in table thumping or nitpicking sessions that give the impression of making a point (which nobody can remember afterwards) or peter out without leaving any impression at all.
Yes, cross-examination involves leading questions. That is Rule #1 of cross-examination: (1) leading questions only. But most lawyers do not understand the other two cardinal rules of cross-examination: (2) establish one fact per question, and (3) move toward an achievable goal. This goal should be one which harms your adversary's case.
That's it - the only three cardinal rules of cross-examination. But leave out any one of them and the lawyer is trusting to luck not skill.
One other thing. Preparation is required to apply the above three rules to maximum effect. Lots of preparation.
Should you care? Any accident and injury client with a case important enough to have a lawyer should know that cross-examination can make or break a winnable case. And there is something important that you yourself can do to stack the odds in favor of winning, other than choosing a lawyer who will effectively cross-examine the other side.
Most personal injury claims don't go to trial. Over 95% of accident and injury claims settle. But the majority of significant injury claims (significant enough to have a lawyer) will go to "oral discovery". This involves going to a law firm boardroom and being examined under oath or solemn declaration to tell the truth.
So what can the personal injury client do to influence the odds of winning in their favor? Prepare! The two or three hours spent in oral discovery will strongly influence the amount of your settlement and may be the most profitable few hours in your life.
A good, experienced personal injury lawyer will help you prepare for this important initial event of oral discovery. How well your claim fares will depend on how good the defence lawyer is at cross-examination, and how well prepared you are to answer it. The good news for injury clients is that most defence lawyers are not good at cross-examination, and that you can enormously improve your bottom line results if you prepare for your testimony.
In the next instalment in this series, I will discuss winning cross-examination at the oral discovery and winning the cross-examination at trial.
Medical Malpractice
Surgery: Making a List, Checking it Twice...
Performing surgery on the wrong site is, in my view, per se negligent and something that just should not happen. Wrong site surgery is easily avoided by following simple checklists: identify the patient; ask the patient to identify the intended site of surgery; mark the site; correlate the patient's anatomy with the imaging studies; correlate the site of surgery which what is planned as documented in the medical chart. But believe it or not, there are still times when these simple precautions are not followed and a surgical blunder occurs.
You would think that the victim of wrong site surgery could settle the case without a lawyer (assuming he or she knew the law on quantifying the money damages arising, which might be a stretch...). Well think again! Noted Virginia malpractice lawyer Ben Glass is representing a patient who tried to do just that - settle her own case - by making a very reasonable offer. Ben's client was met with a blunt denial.
Ben will give this client access to justice though the device of the contingent fee, and I don't doubt that after taking fees and expenses into account, the client will do much better in her settlement or award than as a "do it yourselfer", but the same unreasonable medical malpractice insurers are busy lobbying in the U.S. Senate to pass a law limiting fees that injured patients pay to their lawyers. (Luckily, a fee cap proposal was defeated in the Senate last week.) No mention is ever made of limiting fees paid to defence lawyers. With enough one-sided changes to the rules, insurance companies may eventually get away with denying recovery even for wrong site surgery - negligence per se!
Malpractice Damages Clear $1 Million
A damages assessment released in July by the Supreme Court of Newfoundland and Labrador, Trial Division, enjoys the rare distinction of exceeding the $1 million level. The plaintiff in Courtney v. Cleary sued his family doctor for unreasonably delaying a diagnosis of throat cancer. The injuries suffered by the plaintiff, involving “commando” surgery and long-term disability, were far more significant than they needed to be with timely diagnosis and treatment.
A recent edition of Brown’s Economic Damages Newsletter has calculated the damages awarded, with pre-judgment interest but excluding the general non-pecuniary damages award, as $920,939. The non-pecuniary damages award for pain and suffering and loss of amenities was $165,000, and this would attract interest also. The total would be in the area of $1.1 million.
The newsletter contains a careful analysis of the economic part of the decision and those interested can find out more by clicking the link above. The only other decision in a personal injury case awarding more than $1 million in damages was the one I achieved in the Williams case, overturned by our Court of Appeal. The Court of Appeal overturned us unfairly on an issue which was neither pleaded nor argued on appeal. I was unable to obtain leave to appeal to the Supreme Court of Canada, which is given in only about 1 in 10 civil cases.
Should the Courtney decision be appealed I wish Mr. Courtney and his lawyer the best of luck, because in this province no matter how good the plaintiff’s case and no matter how well reasoned the trial judge’s decision, an appealed plaintiff should never refuse luck or prayer.
Why Most Medical Malpractice Victims Never Recover a Dime - Part 8
The Reasons Most Malpractice Victims Receive NothingThe number of suits has not increased since the mid 90's, and in most cases, plaintiffs receive nothing. There are a variety of reasons why patients do not recover any compensation for injuries suffered while receiving medical care. Most of these issues stem from general misconceptions about medical malpractice. It is important for potential malpractice plaintiffs to understand these issues while seeking counsel to represent their case.
1. Patients don't know they are victims of medical malpractice. Studies show that roughly 7% of admitted hospital patients suffer some sort of preventable injury as a result of medical management (i.e., not from the original medical condition). Many patients are killed each year as a result of preventable medical error. Medical malpractice is the eighth leading cause of death, yet only 1400 cases are filed each year, and most do not involve wrongful death. In the vast majority of cases the fact that malpractice occurred is hidden from the patient and the patient's family. The whole country received an insight into this in 2008 as the scandal of Eastern Health's botched breast cancer testing and cover up attempts was revealed in the media day after day.
2. No autopsy was ever performed. In a situation where we claim that the malpractice caused death, we must prove that the carelessness of the health care provider directly resulted in the patient's death. In a medical malpractice case that results in death, it is difficult to prove that the death occurred because of the malpractice without an autopsy. This is because there are many reasons why a person might have died, but we must prove that the one substantial reason why they died is because of the negligence of the health care provider.
3. Even though the doctor committed malpractice, the disease or illness likely would have resulted in death anyway. Sometimes cancer or other deadly illnesses may go undiagnosed for months or even years. A late diagnosis of cancer does not always mean, however, that the doctor is responsible for the patient's death. An experienced malpractice lawyer can help determine whether the cancer or other serious illness should have been detected "in time" to save the patient.
4. A physician's poor bedside manner does not constitute negligence. In the vast majority of cases, even terribly poor bedside manner cannot be considered in determining whether a physician committed malpractice in providing treatment. We have reviewed many cases where arrogant physicians provided care and the patient was injured. It just doesn't matter that the doctor was a jerk. We must prove, from a scientific and legal standpoint, that it was carelessness, not bad bedside manner, that caused the injury.
5. The patient suffered no significant damages. While we understand that every case is an important case to the patient, the legal system is not set up to handle "small" medical malpractice cases. We decline many cases each year where it appears that the doctor was careless, but the resulting injury is not significant. A pharmacist may incorrectly fill the prescription, for example. That error may make you violently ill for a week. If you have a good recovery, however, you probably don't have a case to pursue. This is because the costs of pursuing the case will be greater than the expected recovery. Our court system may not be perfect, but it does act as a filter to keep out all but the most serious cases of medical malpractice.
6. The injury suffered was not necessarily caused by the physician's or hospital's mismanagement. As discussed earlier, it is often very difficult to prove that medical mismanagement was the reason the patient suffered the injury that he or she did suffer. The insurance companies have many standard defenses including, for example, that (1) the injury was an unpreventable result of the initial condition/injury (e.g. "If the tumor had been diagnosed six months earlier, it would not have made a difference."); (2) the injury was due to the patient's noncompliance with medical advice (e.g. "I told him to return to the office if his symptoms did not clear up, but he didn't."); (3) the risk of the patient's particular injury was an acceptable one (e.g. "He got infected in surgery but 2% of all patients undergoing that surgery get an infection."); (4) some other party was responsible for causing the injury, or (5) the injury was caused by a previous illness or disease. Many, many cases have good proof of negligence but are unwinnable because they have no good proof of causation. Medical malpractice plaintiffs must show a very clear connection between the defendant's misconduct and the claimed injury.
7. The plaintiff has not retained an experienced lawyer. Medical malpractice litigation is a world unto its own. It has its own special rules and laws. There are very few lawyers in Newfoundland and Labrador who specialize in medical malpractice claims. We believe that it is imperative that you be represented by an experienced medical malpractice lawyer or a lawyer who is "teaming up with" or co-counsel with an experienced malpractice lawyer. The malpractice insurance company and the doctors' lawyers know who the "real" plaintiffs' (patients') malpractice lawyers are. They know who has the experience, skill and resources to battle them in court and who doesn't. The insurance lawyers billing by the hour will string out the inexperienced, poorly prepared lawyers for as long as they can before beating their brains out in court. In malpractice cases, perhaps more than in any other type of case, experience and prior results do matter.
Do not be afraid to check out the experience and the results of your medical malpractice lawyer. It's your responsibility to ask. If you end up in inexperienced hands, it's your fault!
8. The statute of limitations has expired. Each province has its own statute of limitations for filing a medical malpractice suit. These are strict time limits! If the statute of limitations has expired, you can't file a case. The Newfoundland and Labrador Statute of Limitations is two years. The important question is "Two years from when?" Newfoundland and Labrador has something called the "continuing treatment rule," so your actual time to sue may be longer than two years from the specific date of the negligence, if the defendant continues to treat you. The "continuing treatment rule" can be tricky and should not be left to novices or other inexperienced lawyers. Even more tricky is the "discoverability" rule, which says that time does not begin to run until the plaintiff knew or ought to have known that they were the victim of malpractice. One reason that you should consult an experienced medical malpractice lawyer early is to determine when the statute of limitations expires in your case. You may not need to hire a lawyer now, but you should get a lawyer's advice now as to when your statute of limitations expires!
9. The Plaintiff is Unable to Hire Good, Qualified Experts. You cannot win most medical malpractice cases without one or more very qualified medical experts. They can be hard to find. It is difficult to find doctors who are willing to stand up for what is right. It takes time and money to find the best experts for your case. This is one area where the insurance companies have a tremendous advantage. If they have a case that is particularly bad for their doctor, they may show the case to many experts before they find one to support (or simply concoct) the defense. They can afford to hire that many experts. Most patients cannot afford to have 10 experts look at their case in order to determine which expert will work "best" for them.
10. The Patient Contributed to the Injury. Any carelessness on the part of the patient is weighed together with the carelessness of the doctor and damages are apportioned accordingly. This defence seldom works with a trial judge but is vigorously pursued nonetheless, contributing to the many good claims that plaintiffs are demoralized into dropping before they complete the obstacle course to success.
why Most Medical Malpractice Victims Never Recover a Dime - Part 7
Limit on Recovery for Pain and Suffering
The law imposes a limit to recovery of pain and suffering damages. No matter how seriously injured you are, the maximum recovery you can obtain is currently $330,000. This amount for pain and suffering might be awarded in such cases as catastrophic complete paralysis or severe brain damage. This limit or cap has been set by the Supreme Court of Canada and is constantly adjusted for the effects of inflation. The vast majority of awards for pain and suffering are well below this cap.
The types of cases which have large enough settlement value to justify investigation for merit and with which we have been successful include:
• birth injuries causing cerebral palsy
• delay in treating bacterial meningitis
• spinal cord or brain damage resulting in quadriplegia, paraplegia or other paralysis
• surgery resulting in serious damage to nearby structures or organs
• undiagnosed heart attacks
• other failures to diagnose serious conditions where timely intervention would have avoided a bad outcome
• pathology negligence, including cancer misdiagnosis
• wrongful death, where there is significant financial loss to surviving dependents (remember, the wrongful death laws in this province are backward and allow no damages for pain and suffering)
Why Most Medical Malpractice Victims Never Recover a Dime - Part 6
How Do I Decide What Cases to Take?The answer is that I have some rules. They're not perfect. I get many more medical malpractice inquiries from injured patients and their families than I accept as cases. Here's how I decide which cases to accept.
First, I have rules about what I don't do. I don't:
• talk to potential clients calling for the first time
• take unplanned inbound calls (unless in active negotiations on a case)
• give free consultation; we either reject the case or the client signs up.
I have to make decisions about where my time is invested and I think my time is best invested at certain critical points over the life of a case. These are the high value points that are the reason people call me.
Our office assistants do a complete "who, what, when, why and how" report. I review this and ask: does this sound like a case that I could tell you about in a social setting and expect you to say "that's awful, it shouldn't have happened"? The point here is that the more complicated the case, the more likely the defendant is to win.
The most common reason I will reject a case is that it doesn't have enough value. Case value on settlement must be at least $100,000, and permanent injury and disability is required to achieve this value.
Some of the other reasons I may reject a case are:
• a multi-specialty, multi-expert case
• a wrongful death case with no autopsy
• a wrongful death case with no significant financial dependents left behind
• the presenting injury before the doctor got involved is a complex and large injury itself.
If the medical malpractice inquiry passes this screen, then I will either have the client obtain the medical records or send in a deposit and signed consents to enable my office to obtain them. When I have the records, I will meet with the client.
Some cases fall away when I compare the client's story with what the records say. If not, the next step is to submit the records to an expert.
There are several options here. The initial reviewer could be a screening expert who is not in the same specialty as the questioned doctor or could be an expert in the same specialty (a "peer"), who may also be asked be asked to testify. It depends. Sometimes a nurse consultant is the right screening expert.
I will usually ask the expert reviewer for a telephone consultation before their opinion is committed to writing. If the case is robust on negligence, causation of the injuries, and the dollar value potential of the injuries (damages), then I will agree in writing on fee and case expense arrangements with the client, and issue a Statement of Claim in court. I often will not obtain a written report from an expert whom we intend will testify before doing this. The known facts of the case will change with the examination for discovery of the defendant, and the expert report is more useful when our testifying expert knows the defendant's version of the story.
As to discovery examinations, my own experience is that we win the case on discovery. Medical malpractice defendants don't want to go to trial if they are likely to lose, and discovery is where the savvy lawyer for an injured patient shows the defence lawyer and the defence experts that they are likely to lose. You can't expect them to figure this out for themselves. Your lawyer must be able to establish, on the typewritten record of the discovery examinations, through skillful cross-examination, enough admissions inculpating the defendant doctor that the very tough and knowledgeable lawyers and defence organizations massed against the plaintiff will decide the defendant doctor is likely to lose.
So I have rules about what cases I take and sure, I may pass over some good cases. But rules simplify life and there are more people out there who want my help than I have time to help. I'm not the right lawyer for everyone, but when the right client finds me, it usually results in a satisfied client and a lawyer proud to have helped.
Why Most Medical Malpractice Victims Never Recover a Dime - Part 5
How Do You Know You Really Have a Case?In order to determine whether you have a case, we must first gather all of the pertinent medical records involved in your care. We also must have a complete, honest statement of facts from you - please don't hide anything from your lawyer.
Once all of the records are received and reviewed and you have been interviewed, we will tell you if it looks as though there is a provable case of medical malpractice. If the case looks meritorious, experts in the appropriate specialty must be consulted and retained by us. Again, these experts must be of the opinion that the medical care received was substandard and that the substandard care caused major injury or death. We all want optimal care, but an opinion that care was suboptimal is not enough. The care must be substandard. There must be a clear causal connection between the substandard care and the injury. And the opinion on substandard care, as with the opinion on causation of the injury, must be robust, not wishy-washy.
Once we have retained experts who are prepared to testify on your behalf, other records, including employment records and tax returns, must be obtained. These will aid us in proving the damages which have been suffered due to the malpractice. Your financial and unemployment records must be full, complete and credible in order for us to include in your claim that you have suffered financial damages as a result of malpractice.
At this point, you may want to know in more detail how I personally decide what medical malpractice cases to take.
Why Most Medical Malpractice Victims Never Recover a Dime - Part 4
In 2008, Medicare funded by the United States stopped paying hospitals for several conditions and infections acquired after a patient is admitted. Under this policy, the costs can’t be passed on to the patient.
The idea is to make doctors and hospitals more responsible. It is felt that many problems are preventable and shouldn’t be occurring in the first place if proper procedures are being followed. The list of what isn’t covered includes:
• pressure ulcers,
• objects left in the patient following surgery,
• air embolism,
• catheter-associated infections,
• surgical site infections, and
• falls and trauma.
This has caused quite a stir among hospitals and doctors in the United States. U.S. Medicare expects to save millions of dollars and force changes that could save thousands of lives. Canada should find ways to follow suit.
Why Most Medical Malpractice Victims Never Recover a Dime - Part 3
What is a Medical Malpractice Case?You may have a medical malpractice case if you are injured as a result of negligent care while receiving medical treatment. The landmark Harvard Medical Practice Study done in 1999 revealed that over half of all injuries caused by medical management (i.e., those not caused by the patient’s initial illness or injury) were preventable, and a quarter of those injuries were caused by negligence. One-fifth of medical management errors occur outside of the hospital and inside a doctor’s office.
What Must be Proven to Win a Case?
Medical malpractice cases are among the most difficult a lawyer will ever handle. A medical malpractice case requires the patient, the “plaintiff,” to prove that his or her doctor or hospital, the “defendant,” deviated so far from what is accepted as “standard” diagnosis and treatment that the law considers the defendant to have been “negligent.” The plaintiff is also required to prove that the doctor's negligence was a substantial cause of the injury that the plaintiff has. “Negligence” and “breach of standard of care” mean the same thing: conduct which is not reasonable in all the circumstances.
Because of the tremendous hurdles to obtaining a recovery in a medical malpractice case, experienced malpractice lawyers agree that the injury suffered by the plaintiff must be significant. The court system is simply not set up to handle “small” medical malpractice cases. We believe that the settlement value must exceed $100,000, meaning you must have suffered a significant and permanent injury to warrant the expense and risk of prosecuting a malpractice case.
Your case must be proven by expert testimony. That is, other doctors in the same specialty as the negligent doctor must be willing to say that the conduct of the defendant fell below accepted standards. Simply making a mistake or getting a bad result is not enough – we must prove that it was a really major error which directly led to your injury. Yes, it’s true. Doctors often “get away with” malpractice because the injury they have caused is not severe. I can’t do anything about that.
Remember, too, that just because serious injury or even death resulted from a doctor’s care, this does not mean that malpractice occurred. People get sick and die each day from reasons other than malpractice.
Because the stakes are so high, I believe some statistics about Canadian medical malpractice lawsuits are worth considering. 95% of plaintiff successes are settlements, not judgments. Many of those settlements occur on the courtroom steps. Disbursements for effective prosecution of a medical malpractice action are measured in tens of thousands of dollars, with an average of $100,000 per trial.
New Canadian medical malpractice claim filings run at about 1400 per year. This represents one per fifty doctors. Settlements occur at 30% as a proportion of new actions. By contrast, the probability of success at trial is only 20%.
According to the landmark Harvard study, only about 2% of medically negligent occurrences are litigated. Canadian studies agree that less than 10% of those suffering avoidable injury in the healthcare system are compensated. In many cases, the patient does not know of the malpractice! By contrast, more than 19 out of 20 medical malpractice enquires are ill-founded or have a fatal flaw.
The chances of successful judgment after trial are very low, and the costs very high. Therefore, the first focus must be on establishing whether the action has sufficient promise to persuade the defence organization to make an offer of settlement. For promising cases, the value of that offer can be maximized by robust expert written opinion.
Why Most Medical Malpractice Victims Never Recover a Dime - Part 2
Why Did I Write This Book?Simple.
I am sick and tired of healthcare industry stonewalling, spin doctoring, and cover up. If you or a loved one have been the victim of medical malpractice, what you need is useful information that you can trust. Try to deal with the doctor, hospital or insurance company yourself and they will just stonewall you.
I wrote this one-of-a-kind book so that you could have good, honest, useful information to review and study in the comfort of your own home.
No Hype.
No pressure.
Frankly, this book also saves me time. My office gets calls each day from people asking me to represent them in their medical malpractice claims. I’ve packed a ton of information into this book and it saves me much time each day by not having to talk to all of the potential clients who call me. I can’t accept every case. If I gave a “free consultation” for each new potential case, there simply would not be enough time to get any work done. Look again in the yellow pages at all of the lawyers who offer a “free” initial consultation for all new malpractice cases. Folks, a good initial meeting takes hours. How busy can these other lawyers really be with their actual cases if they are offering “free consultations” to everyone who calls? Writing this book gives me a chance to “talk to you” about what you need to know about malpractice claims so that you can make an informed decision about what steps to take with your case. Even if I cannot accept your case, I would like you to be educated about the process so that you don’t fall victim to healthcare stonewalling and the insurance organizations which specialize in denial and in wearing down the victims of medical malpractice.
This Book is Not Legal Advice
I know the arguments the insurance company will make—and so should you—even before you start your claim. When you were injured, you entered a war zone. The insurance industry spends many millions of dollars to wear down, stave off, and defeat victims of malpractice. If I accept your case, we will be in this together. I am not allowed, however, to give legal advice in this book; I can offer suggestions and identify traps, but please do not construe anything in this book to be legal advice about your case until you have agreed to hire me AND I have agreed, in writing, to accept your case.
Why Most Medical Malpractice Victims Never Recover a Dime
My new book is off to the printer. While we wait to get the printed copies in about two months’ time, I’ll post it up in serial form. Enjoy!
Who is Behind This Book - and – “Why Should I Listen to You?”
You have done yourself a giant favor by obtaining this book. The information I give you here will help you if you believe you or a loved one has been injured or killed by medical malpractice. I personally guarantee it.
There’s a lot of misleading information out there about medical malpractice claims. This book will set the record straight, and it’s not a pretty record.
I wrote this book so that you could have good, solid information about malpractice lawsuits, hiring a lawyer or dealing with an insurance company. Forget the hype. This book is not about hype. It’s about the tough, hard fought world of medical malpractice and what you can do to improve your odds of winning if you have a legitimate case. Even if the doctor committed malpractice, I can’t help you if your case is too small. The way the malpractice laws are written, there simply is no room for small cases.
If the doctor or hospital did commit malpractice involving a negligent breach of the standard of care, and you have been seriously or permanently injured by that malpractice - I can help.
My name is Ches Crosbie and for 20 years I have been representing individuals against doctors and hospitals. Today I only handle large malpractice and injury cases. You may know me from my involvement in the Breast Cancer Testing Class Action against Eastern Health, and the Cameron Inquiry.
If you want a divorce or a will, or have a traffic ticket, I can’t help you. I am one of the few plaintiff lawyers in Atlantic Canada recommended by peer review publications as having a recognized competence in medical negligence. I am frequently invited to speak to other lawyers on a variety of topics at continuing legal education programs around the country. I have written numerous articles for lawyers and consumers. My firm’s popular website has a lot of useful consumer articles and links on a variety of subjects. Visit www.ChesCrosbie.com if you want to continue your research on malpractice, class actions, and accident claims.
We are different. We turn down way more malpractice cases than we accept. But if we agree to investigate your case for merit, and it passes our demanding test and we accept it for litigation, you know you have a high probability of success.
Class Action Lawsuits
Not Giving Up on VLT Class Action
On Saturday December 19, 2009 the Telegram ran a front-page story on the Piercey family's renewed effort to obtain class action certification. The story was called "Crosbie not giving up on VLT class action", and the reporter was Barb Sweet.
The earlier attempt to obtain certification was based on the Trade Practices Act. Justice Dymond ruled that as a crown corporation, the Trade Practices Act did not apply to Atlantic Lottery Corporation. So, now we are back, this time with allegations based on breach of the Criminal Code, and breach of s. 52 and s. 36 of the Competition Act prohibiting misleading advertising. Also, unjust enrichment, breach of contract, and breach of duty to warn in tort.
We hope to have a date for the certification hearing set in a case management meeting with Justice Dymond, on January 18, 2010. Certification is what determines whether a class action can go forward or not.
You can read the Telegram story at the above link.
General
Government Decides to Modernize Compensation for Wrongful Death
In my blog and letter to The Telegram in October 2009 "The Shocking Truth About Wrongful Death", I sought to bring the attention of the legislators to the backward state of the law of Newfoundland and Labrador. Our law makes no provision for compensation of estates for pain and suffering, and no provision for compensation of close family members of victims of wrongful death. Now in a move which has received less press than it deserves, the legislature has seen the introduction of a private members resolution aimed at much needed reform of this primitive area of our law, and yesterday December 16, the government adopted the initiative and will strike a select committee to make recommendations for amendment of the laws. My name even got a mention in debates.
Anyone who takes a look at our law of wrongful death will agree that it is not in step with modern conceptions of justice and fairness. In the interests of needed law reform, I propose Compensation Modernization Act.
The amendments to the Survival of Actions Act are necessary in order to permit estates to claim for pain and suffering experienced by a deceased prior to the death. This is done in Ontario and elsewhere.
The amendments to the Fatal Accidents Act are necessary in order to permit persons in a close family relationship with a deceased to claim for loss of care, guidance and companionship on a non-pecuniary basis.
When the Supreme Court of Canada reformed the law in 1998 in the Ordon Estate case, it did so on behalf of persons in a close family relationship with deceased persons and with injured persons, in other words persons who had not died of their injuries. Therefore the inclusion of provisions seeking to extend the right of compensation to close family members in relation to injured persons.
I have for the most part followed the language of the Marine Liability Act, 2001, c. 6, sections 4, 5 and 6, which was Parliament's response to Ordon Estate, inserting a legislative right to compensation in the relevant legislation. Here are links to the Ordon Estate case and the Marine Liability Act.
I wish our legislators good luck and God speed with this much needed piece of modern law reform.
A death that still leaves questions - seven years later (Part II)
Imagine our reaction when we were told that our sister’s/daughter’s life was essentially worthless in the eyes of the law; a pretty tough pill to swallow. Of course had the outcome been different, had she been left in a coma for life or otherwise permanently incapacitated, the potential result would be different. As Mr. Crosbie pointed out, “…the shocking truth: it is cheaper to kill than to maim.”
So where has this left our family? We have tried, with the help of some friends, to pursue the matter directly with Eastern Health. We naively filed a Freedom of Information request seeking a variety of information surrounding the death.
Guess what? We are being totally stonewalled by Eastern Health.
Of course, they can see we don’t have a lawyer so they figure we don’t have the resources to pursue this and will ultimately just go away.
Notwithstanding the Cameron inquiry, nothing has changed with regard to accountability and transparency at Eastern Health. They’ve got one thing wrong though: we aren’t going way.
Trudy Meaney (sister)The Browne family
St. John's
A death that still leaves questions - seven years later (Part I)
The following letter to the editor appeared in The Telegram October 17, 2009 as a response to my piece “The Shocking Truth About Wrongful Death”. It’s time for Premier Williams to do some needed law reform. My condolences to the Browne family.
I am writing in response to the letter to the editor from Ches Crosbie, published in your Sept. 29 edition, which you headlined “The shocking truth about wrongful death claims.”
Our family is living with the horrible truth of Mr. Crosbie’s assertions. Our sister/daughter passed away suddenly in the Emergency Department of the Health Sciences Centre on Jan. 13, 2002. She was 36. During 2008, we were provided with very credible information (the source of which would not be appropriate to disclose in this letter) to the effect that our sister had died as a result of medical mistreatment that evening.
After the initial shock of receiving this type of information six years after her death subsided, we felt we had no alternative but to try to seek out the truth.
Suit useless
As our family did not and does not have the resources to pay for a costly discovery and legal proceeding against Eastern Health, we approached a number of local lawyers that deal with these types of cases on a contingency basis – i.e. they would only be paid from a portion of any settlement or judgment ultimately received.
It was then that we found out what Mr. Crosbie was referring to in his letter. Our sister/daughter had a relatively low-paying job but had no dependents. She was a source of constant love, assistance and support for our parents, with whom she lived, but they were not her dependents.
We were essentially advised that, even if we were successful in proving wrongful death, the courts would likely only award a relatively small amount of damages and that such an amount would not justify the time and expense (and risk) that a lawyer would incur in pursuing a matter of this nature.
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Date: 09/03/2010California Injury Blog 
Motorcycle Accident Causes Major Injuries
Date: 09/04/2010
A motorcyclist sustained serious personal injuries after an accident on the 5 Freeway in Mission Viejo caused by a pallet dropped on the roadway. According to a news report in The Orange County Register, the motorcyclist was northbound on the freeway near Oso Parkway on August 27, 2010, when he struck the debris and crashed. He has been hospitalized with major injuries. California Highway Patrol officials are investigating this incident.
I sympathize with this motorcyclist, who has apparently suffered severe injuries because of someone else's negligence. I pray he recovers quickly and completely from his injuries.
This is a post from BestAttorney.com - BISNAR | CHASE California Personal Injury LawyersVirginia Wrongful Death Blog 
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Date: 09/03/2010Pasadena Hit-and-Run Crash Injures Elderly Pedestrian is a post from: BestAttorney.com - BISNAR | CHASE California Personal Injury Lawyers
Halifax Personal Injury Blog 
Traumatic Brain Injury a "Disease" not an "Event"
Date: 09/02/2010Traumatic Brain Injury Claims
New research published in this months issue of the Journal of Neurotrauma advocates treating traumatic brain injury as a chronic disease process, rather than an isolated event.
As a brain injury lawyer, I wholeheartedly agree with the conclusions reached in the article.
Brain Injury the Beginning of a Process
The authors of the study, Brent E. Masel and Douglas S. DeWitt from the Univesity of Texas Department of Neurology state that:
The purpose of this article is to encourage the classification of traumatic brain injury (TBI) as the beginning of a chronic disease process, rather than an event or final outcome. Head trauma is the beginning of an ongoing, perhaps lifelong, process that impacts multiple organ systems and may be disease causative and accelerative.
The authors review how a brain injury is often the start of a degenerative process that may cause further injury, even death, months or years after the initial trauma. The conclusions reached by the authors no doubt will be supported by brain injury survivors, their family's and those that advocate for survivors.
Chronic traumatic brain injury disease should be reimbursed and managed on a par with all other chronic diseases. Only then will the individuals with this condition get the medical surveillance, support, and treatment they so richly deserve. Only then will brain-injury research receive the funding it requires. Only then will we be able to truly talk about a cure.
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video answers most frequently asked question
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Halifax Sexual Abuse Claims Blog 
Priest Sexual Abuse Class Action Filed in Montreal
Date: 09/02/2010A new class action has been filed in Quebec alleging sexual abuse by priests.
The class action names the Community of the Clerics of St. Viateur in Montreal and the Raymond-Dewar Institute (also known as the Institute for the Deaf and Dumb) as defendants.
The representative plaintiff, Serge D’arcy says he was a victim of sexual abuse by priests while attending the institute between 1967 and 1972. D'arcy states that he was subjected to physical and sexual abuse by priests who were members of the religious group who taught and worked at the Dewar Institute.
I applaud Mr. D'arcy's courage in coming forward on behalf of himself and other victims.
I am pleased to see that class action legislation is being used as a tool to help more victims of childhood abuse. I had the pleasure of being invited to present on this issue at The Canadian Institute's 9th Annual summit on Institutional Liability for Sexual Assault & Abuse.
Ron Martin's sexual abuse class action against the Roman Catholic Diocese of Antigonish was a groundbreaking claim. The landmark settlement achieved in that class action will provide accountability, closure, and fair compensation to victims who would never be able to speak publicly about what happened to them.
Halifax Medical Malpractice Blog 
Doctor Sues to Silence Patient
Date: 07/28/2010I read blog post today by my colleague Catherine Bertram, a medical malpractice lawyer in Washington D.C. that I thought was interesting.
Dr. Sues Her Patient
She has posted about a California physician, Dr. Kimberley Henry, who has sued one of her own patients who posted a negative review about Dr. Henry online. I wonder if Dr. Henry is opposed to online rating websites generally or just the ones that say bad things about her? Keep in mind that Dr. Henry has signed up for some of these webites and posted her profile.
Gag Orders
Last year I posted about a similar issue Doctors Forcing Patients to Sign Gag Orders .
Catherine's post indicates that some doctors are becoming more aggressive about trying to prevent patients from exercising their right to freedom of expression.
Coming to Canada?
I'm not aware of any similar suits here in Canada, but the online doctor rating sites like Rate MD are a great resource for Canadians. Is it only a matter of time before we start to see doctors suing their own patients?
What do you think? Let me know by posting a comment.
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Video Library
Auto Accidents and Car Wrecks:
- Why and When To Bring In the Experts
- The seven deadly sins that can wreck your Newfoundland and Labrador injury claim.
Accidents and Injuries:
Medical Malpractice:
Class Action Lawsuits:
- Class Action Cases Need Experienced Attorneys
- Imperial Tobacco Appeal Decision
- Ches Crosbie comments on March 24, 2010 Update of Cameron Report
- Remembering Donna Howell - NTV Early Edition
- Remembering Donna Howell
General:
- Our Fee Structure is Designed to Benefit the Client
- Learn About the Book “The Seven Deadly Sins” by Ches Crosbie
- Things To Consider When Choosing A Lawyer
- Learn How to Get Your Free Book “The Seven Deadly Sins”
- Providing Useful Information to Consumers is What Makes Us Different
FAQs
Auto Accidents and Car Wrecks
- I was injured in a car accident and my insurance company is telling me I have to use my personal insurance (e.g. Desjardins, Blue Cross, Manulife) to pay for my massage therapy, physiotherapy and prescription drugs before I can use either the accident benefit coverage (Section B) on my automobile policy, or the insurance of the guy who hit me. Is this right?
- What if an insurance adjuster offers me a settlement?
- Should I talk with the insurance company representative? Should I give a statement to the other insurance company?
Accidents and Injuries
- I was injured in a car accident and the insurance company of the person who hit me is telling me I have to use my own accident benefit coverage (Section B) to pay for my physiotherapy treatments before I use his coverage. Why is this?
- With an accident claim, if you go to court and lose is it the practice of the judge to make the plaintiff pay the cost?
Is my personal injury claim award subject to division, as a "matrimonial asset" in accordance with the Family Law Act?
Medical Malpractice
- What is cerebral palsy? Can I claim for compensation?
- Are physician expert witnesses easy to find and are they usually willing to testify against another physician?
- Do most medical malpractice cases result in a judgment in favor of the patient?
Class Action Lawsuits
Newfoundland and Labrador Personal Injury Lawyer
- Do injury lawyers advertise too much?
- Who is the "best" lawyer for an injury case?
- Why did you write a free book?
General
- If you go to court and lose, is it always the practice of the judge to make the plaintiff pay the costs?
- What is the difference between a judgment and a settlement?
- I slipped at a department store about 4½ hours ago. I didn't fall, but I definitely pulled muscles. I don't know if I should wait until tomorrow to see if that is all it is or if I should seek medical attention tonight. Should I go to the emergency room or should I contact the department store and ask them if they have a physician I should go to?


