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2/18/2013 Glass Case Against Orange County Apartment Complex Settled
Last month the lawsuit against an Orange County apartment complex for an allegedly dangerous window was settled for $185,000.00. The firm had filed suit on behalf of a female resident after a window shattered near her bed cutting her leg severely, resulting in surgery and residual scarring.
9/3/2012 Case Resolved In Anaheim Bar Assault
Firm resolves assault victim's third-party case against bar owner in Anaheim. In spite of the fact the attackers were never identified by the police, the claim against the bar owner was a success.
4/18/2012 Firm Files Suit In Death of Lap Band Patient
The firm has filed suit after a 38-year-old woman died last April as a result of a lap band procedure in August of 2010. According to the Orange County Coroner's office, the patient's stomach had been perforated by the band.
4/4/2012 Victim Retains Firm in Third Party Assault Case Against OC Bar Owner
A violent assault on February 25, 2012, at an Anaheim bar resulted in severe eye and facial injuries to a 38-year-old victim who has now retained the firm to represent him.
3/4/2012 Three Victims in Rollover Accident Retain Law Offices of Paul W. Ralph
In January, all three victims of an Anaheim roll-over accident retained the Law Offices of Paul W. Ralph. One of the three victims was hospitalized at Western Medical Center for emergency surgery, and all three are continuing to receive treatment for their injuries.

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Orange County Hospital Settles Fraud Case

Posted by: Paul Ralph Posted Date: 03/27/2013
An Orange County hospital has agreed to pay $1.2 million to settle claims that it violated federal laws by allowing residents to administer anesthesia without supervision by a physician. According to the article in the Orange County Register, UCI Medical Center settled the claims of Dr. Dennis O'Connor, a former UCI professor and anesthesiologist at the hospital, to avoid further litigation prompted by the whistleblower lawsuit.

Nursing Home Attack in Orange County

Posted by: Paul Ralph Posted Date: 01/04/2013
KABC News is reporting that a 69-year old woman living in a nursing home in Yorba Linda was sexually attacked by a male suspect working in maintenance at the facility. The 28-year-old suspect, David Moreno, is alleged to have committed the attack some time between June 1st and July 24th of 2012. The victim was a resident of the Emeritus Senior Living home located on Imperial Highway

California's Medical Malpractice System

Posted by: Paul Ralph Posted Date: 08/05/2012

If you believe you or a family member have been a victim of medical malpractice you should be aware of some of the most important provisions of the Medical Injury Compensation Reform Act of 1975 (MICRA).  This enactment more than 35 years ago imposes certain restrictions and limitations on civil actions that most malpractice victims would likely consider unfair, or at least outdated.  If you believe a doctor or other health care professional has committed malpractice, below are some of the California rules you should keep in mind before filing such a case.

First, unlike other types of personal injury lawsuits (in which the statute of limitations is two years), an action against a health care provider must generally be filed within one year from the date of the alleged malpractice.  The timing for cases involving small children is, however, considerably longer.  Additionally unlike other defendants in injury cases, a health care provider is entitled to a 90-day warning that a lawsuit is going to be filed.  In theory, the Notice of Intent was intended to allow the health care provider the opportunity to resolve meritorious claims before a lawsuit is filed and the reputation of the doctor further tarnished.  In practice, this almost never works as medical negligence cases are rarely settled before a lawsuit is filed with the court.

Perhaps the next most important difference between medical malpractice lawsuits and those involving other types of personal injury claims is what is commonly referred to as the "MICRA cap".  Under the rules enacted more than 3 decades ago, the limitation on recovery for pain and suffering (so-called "non-economic" damages) is $250,000.00.  There is generally no limitation whatsoever in other types of personal injury cases.  The absurdity of this rule is perhaps best demonstrated by the following: If a physician were to carelessly run you over in his car on his way to the hospital one day (causing injuries requiring amputation of both legs), you would be able to recover the full amount of your injuries and damages against the doctor, in the millions of dollars.  However, if that same physician on the same day committed medical malpractice during your care, causing you to lose both legs, your compensation for exactly the same injuries would be only $250,000.00.  Maybe this limit was fair and justified back in 1975.  However, more than 35 years later (with not so much as a penny increase for the inflation/cost of living rate) it often works a substantial injustice in today's world.

Finally, in California courtrooms and particularly those in Orange County, juries very often favor the physician and his or her side of any malpractice case.  Generally speaking, physicians prevail in roughly 90% of the medical malpractice cases going to a verdict in Orange County courtrooms.  That juror bias is often difficult to offset, even in the strongest of cases.  This, and the MICRA cap referenced above, generally translate to lower settlement values, even for very strong cases.

Fair compensation for victims of medical malpractice should be an important concern for all Californians.  When a physician carelessly harms a patient, they should be held accountable.  An Orange County medical malpractice lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has over 21 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of medical malpractice?

Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

 

 

 

Weight Loss Surgery - Is It Worth The Risk?

Posted by: Paul Ralph Posted Date: 06/21/2012

A new study at Stanford University has revealed that "minimally-invasive" weight loss surgery is "safer" than an open procedure.  The minimally invasive surgery is performed via a scope with only small incisions being made in the abdomen, the laparoscopic technique.  The open procedure involves a more traditional, larger abdominal incision.  According to the study, fewer patients undergoing the minimally-invasive weight loss surgery suffer complications, and they tend to leave the hospital sooner.  

See the Fox News report and article summary HERE.  

While there are a number of different approaches to weight loss surgery, all of the techniques generally involve reducing the size of the stomach to lessen food intake and calorie absorption.  No matter how performed, these surgeries carry with them substantial complication rates.  For example, the researchers in this new study found about 1 in 5 patients undergoing open surgery had at least one complication -- such as developing pneumonia or needing a blood transfusion -- compared to just over 1 in 8 patients who had less-invasive surgery.  There is also a death rate among open procedure patients of 1 in 500 and a rate of about 1 in 1,000 among those who had laparoscopic surgery.  If all of this were not enough, the failure rate among all weight loss surgeries is reportedly as high as 30%.  This is apparently to say nothing of the rate of malpractice committed by weight loss surgeons, which does not appear to have been the subject of any study.  With all of this to be taken into account, is weight loss surgery really safe?

Compensation for victims of medical malpractice committed by weight loss surgeons should be an important concern for all Californians.  When a physician carelessly harms a patient, they should be held accountable.  An Orange County medical malpractice lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has over 21 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of a botched weight loss procedure?

Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

 

 

Poor Nursing Care Leads to Death and Hospital Fine

Posted by: Paul Ralph Posted Date: 06/02/2012

On Friday, it was announced that Southwest Healthcare System has been fined $100,000 by the California Department of Public Health for failures in procedures that led to the death of a baby during delivery.  According to an article in the Press Enterprise, this latest fine was imposed as a result of substandard nursing care that occurred at Rancho Springs Medical Center in Murrieta.  A delivery nurse failed to timely alert a physician when the nurse could not find a steady fetal heartbeat.  The baby was thereafter delivered by cesarean section but had no heartbeat and was not breathing.  After 30 minutes of resuscitation efforts, the baby was pronounced dead.

Read the full Press Enterprise article HERE.

Unfortunately, the scenario described above is not an unfamiliar one.  In a busy hospital setting, nursing neglect occurs, and it often happens during labor and delivery.  The failure to closely monitor a baby's heart rate (especially decelerations) sometimes occurs and leads to tragic results.  When a baby is in distress, and conservative measures have failed (such as repositioning the mother, etc.), then an emergent c-section becomes necessary to ensure the baby does not sustain significant oxygen deprivation (anoxia) and related brain or other injury. Oxygen deprivation during delivery can lead to brain injury, blindness, cognitive and learning disabilities, physical disabilities, and even death.  As in the case above, when the emergent delivery is necessary to prevent prolonged oxygen deprivation, and that delivery is delayed because of malpractice, the injured child and their family may be entitled to compensation for the resulting injuries and damages.

Compensation for victims of medical and nursing malpractice should be an important concern for all Californians. When a physician or nurse carelessly harms or kills a patient, they should be held accountable. An Orange County medical malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has over 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of nursing or medical error during labor and delivery?

Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above.This posting should not be construed as legal advice or an opinion on the merit of any particular matter. A consultation is the best way to obtain an assessment of your potential case.


 

Plastic Surgeon Sued For Large Implants

Posted by: Paul Ralph Posted Date: 01/19/2012

An Orange County plastic surgeon, Mark Anthony Knight, is being sued by a woman who claims he gave her enormous breast implants, even though she had consulted with him about a breast lift surgery.  Knight, who surrendered his medical license amid allegations of sexual misconduct, reportedly performed the breast augmentation surgery just days before losing his license.  The patient, Elisa Geraci, alleges she wanted a breast lift after losing a large amount of weight, but Knight recommended a $3,500.00 augmentation procedure instead.  After the surgery two weeks later, Geraci claims she awoke to find enormous implants and a body that made her feel like a "monster."   She eventually went to another plastic surgeon who removed the implants and performed a breast lift.

See the KTLA story and photograph HERE.

Patients looking for plastic surgery should keep in mind that cosmetic surgeons are not always looking out for their best interests.  Unscrupulous doctors will sometimes make promises that cannot be kept and will lead a patient to believe unrealistic results or changes in their appearance can actually be achieved.  They sometimes do this in order to keep the patient happy and ensure the doctor will make money from the surgery performed.  When confronted with unrealistic patient expectations, the standard of care requires a plastic surgeon to so inform the patient and make clear what can be done via a particular surgery, even though the patient may then opt to see another surgeon.   In the case above, while it is possible to give the appearance of "lifted" breasts by way of an augmentation, the implants themselves can contribute to drooping because of their weight.  The augmentation procedure itself is simpler than a breast lift and perhaps Knight recommended a procedure he found easier.  It is also interesting to note the cost of the augmentation appears to be well below the community norm for such a surgery, perhaps an indicator of the quality of service.

Compensation for victims of medical malpractice committed by plastic and cosmetic surgeons should be an important concern for all Californians.   When a physician carelessly harms a patient, they should be held accountable. An Orange County medical malpractice lawyer with experience at handling such cases can make a fair assessment of these claims.   Mr. Ralph has over 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of a botched cosmetic procedure?

Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above.This posting should not be construed as legal advice or an opinion on the merit of any particular matter. A consultation is the best way to obtain an assessment of your potential case.

Orange County Doctor Finally Loses License to Practice

Posted by: Paul Ralph Posted Date: 01/04/2012

On December 30th, an Orange County doctor, Dariush Javanshir, M.D., finally lost his license to practice medicine in California after the Medical Board found the doctor had overprescribed pain and anxiety medication to a depressed patient who died of an overdose.  Javanshir, who has a long history of Board discipline and malpractice lawsuits, was last practicing medicine in Irvine.   According to an article in the Orange County Register, the doctor did not contest the Medical Board's revocation of his license, and his office number is disconnected.  Javanshir's history of discipline by the Board goes all the way back to 1995, when he had been in practice here in California for 10 years.   In that first case, Javanshir was accused of prescribing controlled substances and dangerous drugs in such a manner so as to cause the patient to become addicted.  That alleged misconduct actually began just one year after the doctor received his license to practice in this State.  After roughly 25 years of practice from the date of his first breach of community standards, Javanshir has just now lost his license to treat patients.

See the Orange County Register article HERE.  Also, see the Orange County Superior Court index of civil lawsuits HERE.

What this case demonstrates is that even with multiple actions filed by the Attorney General's Office and discipline by the Medical Board, as well as a number of civil lawsuits having been filed, a doctor's license and his ability to harm patients is not significantly compromised.  From his track record, it looks as though Javanshir was either not competent to practice medicine within community standards or consciously disregarded those standards for his own personal reasons or gain.  In spite of this, he apparently continued to operate a lucrative medical practice in Orange County, and it appears he has only been stopped now because of his connection to a patient's death.  With the information now available online to potential patients, it is always a good idea to review the background of any doctor with whom you are considering treatment.  A search of the court records and Medical Board website will often, but certainly not always, provide information useful in determining whether a particular doctor possesses the level of skill, knowledge, and care that other reasonably careful doctors in the same area of practice possess.

Compensation for the victims of medical malpractice committed by unqualified, careless or even reckless doctors should be an important concern for all Californians.   When a physician without the necessary training and experience harms a patient, they should be held accountable.  An Orange County medical malpractice lawyer with experience at handling such cases can make a fair assessment of these claims.   Mr. Ralph has over 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of a negligent physician?

Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above.This posting should not be construed as legal advice or an opinion on the merit of any particular matter. A consultation is the best way to obtain an assessment of your potential case.

Orange County Hospital Fined For Mistakenly Performed Surgery

Posted by: Paul Ralph Posted Date: 07/10/2011

Anaheim Regional Medical Center has been fined $50,000 for performing kidney surgery on the wrong side of a patient in July 2009.  The Orange County Register reported the fine resulted from a patient undergoing a kidney stenting procedure (to treat a kidney stone) on the left side when the procedure should have been done on the right.  Reportedly, the patient’s doctor inadvertently identified the left side as problematic when in fact a prior CT scan showed the stone was actually on the right.  Three days after the first surgery, the error was discovered, and the stenting was performed on the correct kidney.

See the full Register story HERE.

In spite of checks and balances in place, hospital errors still occur with alarming frequency.  In the case above, apparently all it took was one error by the attending physician, and the patient ended up undergoing one entirely unnecessary surgical procedure.  Because the nursing staff failed to perform all of the necessary pre-operative work, the mistake was not discovered prior to the wrong surgery being done.  As a consequence, the patient suffered from the effects of an unnecessary, invasive procedure, prolonged pain and additional scarring.

Compensation for victims of medical malpractice, resulting in serious personal injury or death, should be an important concern for all Californians.  When a physician or nurse fails to comply with the standard of care required, they should be held accountable.  An Orange County medical malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling medical negligence and other personal injury cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical malpractice?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Mia Amber Davis Passes Away After Knee Surgery

Posted by: Paul Ralph Posted Date: 07/09/2011

A number of media outlets are reporting that actress Mia Amber Davis passed away Wednesday, after apparently having had knee surgery on Monday.  According to at least one report quoting surviving family members, Davis died because of a blood clot following that procedure, an arthroscopy.  An arthroscopy is a minimally invasive procedure that generally carries fewer risks than an open surgery.  However, a clot may form (typically in the leg) and then travel to the lungs, resulting in a fatal blockage known as an embolism.

See the tragic story HERE.

In general, an arthroscopy is a common surgical procedure in which the joint is viewed via a small camera. The arthroscopy gives doctors a clear view of the inside of the knee, which allows them to make diagnoses and treat certain problems in the knee joint.   The time for recovery after an arthroscopy is generally shorter when compared to the time required to recover following a traditional, open procedure.  While blood clot formation is a known risk of the arthroscopy, there are certain patients who are generally at a heightened risk of clot formation.  Those at such an increased risk include patients who are older, obese, have a history of clot formation or are taking contraceptive pills.

Read more about arthroscopy at the American Academy of Orthopaedic Surgeons’ website.

While it remains to be seen what, if anything, caused or contributed to the clot formation in Davis, doctors do have the option of prescribing drugs (including aspirin) to reduce the risk of clot formation after surgery.  Additionally, it is unknown whether Davis reported any signs or symptoms of clot formation to her doctor prior to the fatal event.

Post-surgical complications occur even in the absence of medical negligence.  However, when a doctor practices below the standard of care and causes harm or even death, they should be held accountable, and their victims should be compensated.  An Orange County personal injury attorney with experience at handling malpractice cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and medical negligence cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of  malpractice by a doctor?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Woman Dies After Undergoing Lap Band Procedure

Posted by: Paul Ralph Posted Date: 06/03/2011

According to a KTLA news story, the autopsy of a woman who died after undergoing lap band surgery revealed that she died as a result of "suboptimal care".  Citing official sources, KTLA reported that the victim, Tamara Walter, 52, underwent the lap band surgery on December 22, 2010, at the Wilshire Beverly Hills Surgery Center.   During the procedure, Walters coded and was rushed to Cedars-Sinai Medical Center where she was eventually removed from life support the day after Christmas.  The coroner's report placed the blame on the anesthesiologist, identified by the Walter's family as Marina Del Rey physician Dr. Daniel Shin.  According to state medical records, Shin's medical license was under review at the time of the surgery for assaulting a process server with a meat cleaver.

See the full KTLA story HERE.

In general, during surgery it is the responsibility of the anesthesiologist to ensure the patient's vital signs remain stable and to make the surgeon aware of any significant downturn in the patient's condition.  What breach of the standard of care Dr. Shin committed, if any, will have to proven in court, assuming a civil lawsuit for wrongful death is filed.  In a civil case, the plaintiff (in this case Walter's family) must prove the defendant breached the standard of care for a specialist under the same or similar circumstances and that such negligence was the cause of Walter's death.  In order to prove that negligence was the legal cause of a patient's death in a medical malpractice action, it must be shown by competent expert testimony that the neglect was the cause of death to a reasonable medical probability.  Essentially, this standard is met if the expert testifies the malpractice was more likely than not the cause of death.

Compensation for victims of medical malpractice, resulting in serious personal injury or death, should be an important concern for all Californians.  When a physician fails to comply with the standard of care required, they should be held accountable.  An Orange County malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling wrongful death and other personal injury cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical malpractice?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

     

Trial of Michael Jackson's Doctor Begins

Posted by: Paul Ralph Posted Date: 06/03/2011

According to KTLA news, jury selection began this morning in the manslaughter trial of Michael Jackson's physician, Dr. Conrad Murray.  Hundreds of potential jurors will be screened in Los Angeles Superior Court. Each will be given an extended questionnaire about their knowledge in the case.  Dr. Murray has been charged with involuntary manslaughter in the June 2009 death of Jackson.  According to the article, the prosecution is contending Dr. Murray was on the phone and distracted after administering a powerful anesthetic to Jackson.  Additionally, Dr. Murray is accused of giving Jackson a lethal dose of Propofol mixed with other sedatives.

See the full story HERE.

What is perhaps most interesting about this case is the fact that in addition to Medical Board action being taken against Dr. Murray, there is a very serious criminal case pending as well.  Adminstrative actions have already been taken by the Medical Boards in California, Texas and Nevada, primarily having to do with placing limitations on the doctor's adminstration of anesthetic agents typically administered by anesthesiologists.  Dr. Murray's primary area of practice is in cardiology. 

Aside from his criminal culpability, Dr. Murray faces the very real prospect of civil responsibility in the death of Michaeal Jackson.  Jackson's father, Joe Jackson, has brought such an action, and it is currently pending in the Los Angeles County Superior Court.  In that case, it must be proven Dr. Murray failed to use the level of skill, knowledge, and care in diagnosis and treatment that other reasonably careful physcians would use in similar circumstances.  In this case, since the critical issue surrounds the adminstration of a powerful anesthetic, Dr. Murray's conduct will likely be measured against that required of a board certified anesthesiologist. This is known as the "standard of care."

Compensation for victims of medical malpractice, resulting in serious personal injury or death, should be an important concern for all Californians.  When a physician fails to comply with the standard of care required, they should be held accountable.  An Orange County malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical malpractice?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Hemet Physician Loses License For Molesting Patients

Posted by: Paul Ralph Posted Date: 06/03/2011
 
 
Effective today, the Medical Board of California revoked the license of Hemet physician David Joseph Mata, who is awaiting trial on charges he molested his massage therapy patients.  Since his arrest nearly three years ago, Mata, 54, has worked under restrictions that included a chaperone imposed by the medical review board.   The Medical Board has now revoked his license completely, effectively closing his practice.  The Board concluded that Mata committed gross negligence and acted inappropriately.  Mata, a family practice doctor, was charged in May of 2008 with 141 counts that he inappropriately touched and kissed 12 women and girls.  A judge found insufficient evidence for 93 of those charges, but he awaits trial set for June on 48 felony counts, including sexual battery involving restraints and three counts of lewd acts with a child under 14.
 
 
See the full story HERE.
 
 
Aside from the criminal violations Mata may have committed, it is unethical for any physician in California to sexually exploit a patient.  California Business & Professions Code § 726 (Commission of act of sexual abuse or misconduct with patient or client) provides in relevant part:
The commission of any act of sexual abuse, misconduct, or relations with a patient, client, or customer constitutes unprofessional conduct and grounds for disciplinary action for any person licensed under this division...
Cases interpreting the statute above have held that where there is substantial evidence to support a finding a physician or other licensed health care professional has used their status and authority to win their patient's trust, take advantage of their insecurities, and induce them to participate in a sexual relationship, the law has been violated.  If a physician misuses treatment to create an emotional environment to foster dependency and an illusion of trust in order to have sex with a patient, the doctor is subject to discipline and may even be liable to the patient harmed.  In the case above, Mata's misconduct (if proven in court) would likely expose him not only to criminal convictions but also substantial civil liability to the victims.
 
 
Compensation for victims of physician misconduct, particularly that involving sexual exploitation of a patient, should be an important concern for all Californians.  When a physician uses their position of trust to develop a sexual relationship with a patient, they should be held accountable.  An Orange County medical malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.
Have you or a loved one been the victim of physician misconduct?
  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Buttock Augmentation Procedure Results in Death

Posted by: Paul Ralph Posted Date: 06/03/2011

The Orange County Register recently reported another fatality related to buttocks-boosting shots, which have become one of the most conspicuously dangerous of cosmetic procedures.  The most recent fatality was a British woman who traveled from London to get buttocks-enhancement injections of silicone in a hotel room at a Hampton Inn near the Philadelphia airport.  Police said Claudia Aderotimi, 20, apparently arranged for the procedure over the Internet.   Autopsy results have apparently not yet been released, but if the incident followed the pattern of similar butt-injection deaths, the silicone entered her bloodstream and caused a fatal pulmonary embolism, a blockage in the main artery in the lungs.

See the full story HERE.

Unfortunately, cosmetic procedures are often performed by poorly trained and unqualified health care professionals.  It is not uncommon to find physicians performing cosmetic procedures, either by open surgery or injection, who are not board certified in plastic surgery.  Instead, these doctors (who undergo little to no relevant training) are board certified in unrelated specialties such as internal medicine or obstetrics/gynecology, if they are board certified at all.  While not all physicians lacking a plastic surgery certification practice medicine in that field below the applicable standard of care, it is not uncommon to find such doctors committing some of the most egregious errors in medicine.  In a recent case, a doctor who claims board certification by the International Board of Cosmetic Surgery (not the American Board of Plastic Surgery) performed a buttock augmentation on a young, female patient that lead to an infection, multiple follow up procedures and finally removal of the implants.  Once contacted by the patient's attorney, the doctor claimed the patient's chart had been stolen.  This same physician has a history of substantial discipline by the California Medical Board for, among other reasons, allowing unqualified personnel to perform cosmetic procedures. Compensation for victims of medical neglect committed by unqualified cosmetic surgeons, should be an important concern for all Californians.  When a physician without the necessary credentials and training commits malpractice, they should be held accountable.  An Orange County medical malpractice attorney with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and medical malpractice cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been the victim of a cosmetic surgery nightmare?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

 

Plastic Surgery - Do Your Homework Before You Go Under the Knife

Posted by: Paul Ralph Posted Date: 06/03/2011

It is not at all uncomon for someone seeking plastic surgery to rely on advertisements and word of mouth in deciding which plastic surgeon to select.  In today's world of internet access to almost everything, it makes little sense not to do more.  With just a basic understanding of the resources available to the average consumer, anyone planning to go under the knife for plastic surgery should do their homework.

First, the Medical Board of California decided some time ago to make certain information regarding licensed physicians available online.  For example, the Board's website allows consumers to see information regarding a physician's education, board certification (if any) and primary area of practice.  In addition to this, consumers may find out whether a doctor has been disciplined by the Board or if they have had a civil judgment or arbitration award rendered against them, with certain limitations relative to the monetary amount and the number of awards/verdicts.  The Board's website sets out additional limitations on the information and documentation available online.

Beyond the Medical Board's website, there is the superior court website for the county in which the doctor practices.  For example, in Orange County anyone may inspect online court information related to lawsuits against a physician.  This is particularly easy to find if the doctor or his practice ha an unusual name.  While there is rarely a detailed description of the case against the doctor, the number of malpractice suits and the timing of their filing might help to assess whether the physician has a recent history of practicing medicine in a negligent manner.  The Orange County Superior Court website can be found by following this link.

If your or a loved one is considering plastic surgery, there are easily available resources to best ensure the physician selected is qualified.  While even the best of doctors sometimes make mistakes, it is important to do the best job you can of investigating the doctor before allowing them to perform surgery.  When a plastic/cosmetic surgeon practices below the standard of care and injury or death occurs, they should be held accountable.  An Orange County trial lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and wrongful death cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical neglect?

  • This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

 

Doctor Found Guilty in Death of Gallbladder Patient

Posted by: Paul Ralph Posted Date: 06/03/2011

On June 4, 2008, a 30-year-old man died on the operating table at an Inglewood home turned into a makeshift neighborhood clinic.  Earlier today, nearly three years later, a Los Angeles County Superior Court jury Friday convicted the surgeon of involuntary manslaughter.  Dr. Roberto Bonilla, 64, was found guilty in a Torrance courthouse in the death of Osvaldo Hernandez, a restaurant dishwasher from Mexico who had paid the surgeon several thousand dollars in cash to relieve a sharp pain in his belly.  On the day of the gallbladder, surgery Bonilla used lidocaine, a local anesthetic, to perform the open surgery.  According to the California Medical Board's allegations, filed well before commencement of the criminal trial, the amount of Lidocaine used exceeded the safe limit to be administered at one time, and Hernandez died of Lidocaine intoxication.

Read the story of the criminal trial HERE and the Medical Board Accusation HERE.

What the Hernandez case demonstrates is that there are licensed physicians in this State who are willing to risk their patients' lives by performing surgery under inherently dangerous circumstances.  In general, an open gallbladder procedure is a major surgery requiring administration of general anesthesia, and the full resources of an operating room, not an ill-equipped home.  Dr. Bonilla knew, or should have known, he was taking a poorly calculated risk that care beyond his immediately available resources would be needed.  When Hernandez began to seize (apparently because of the Lidocaine), Dr. Bonilla and his staff failed to react meaningfully, and when the patient required advanced cardiac life support, it was not available.  Instead, Dr. Bonilla and his staff reportedly performed CPR on Hernandez for two and a half hours, and no one called 9-1-1.

Compensation for victims of medical neglect, should be an important concern for all Californians.  When a physician takes an unjustifiable risk with their patient's life and death results, they should be held accountable.  An Orange County trial lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has 20 years of experience handling personal injury and wrongful death cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical neglect?

  • Nothing in this post is intended to suggest the Law Offices of Paul W. Ralph currently represents anyone involved in the news story above. This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

USC Kidney Transplant Mistake

Posted by: Paul Ralph Posted Date: 06/03/2011

According to a news report, the kidney transplant program at USC University Hospital was voluntarily shut down last month after it was discovered a patient had received the wrong kidney.  Fortunately, the donor kidney was from a patient who was at least a suitable match for the recipient, and there does not appear to have been any adverse consequences to the patient.   The hospital described the mistake as the result of a processing error.  The mix-up apparently occurred after two kidneys, from separate donors, arrived at the transplant center around the same time on January 29th.  The hospital has been conducting a review of clinical procedures and safeguards since shutting down, and the review is expected to be complete shortly. The hospital will consider resuming transplants at that time.

Read more HERE.

What the case above demonstrates is the type of problem commonly scene in hospitals throughout Southern California.  Here in Orange County for example, there have been reported incidents of patients having the wrong procedure and others who have had surgical implements left inside them.  For example, in one instance, a kidney transplant patient in Orange County was scheduled to have a 19 cm plastic stent removed from his abdomen during a post-operative visit to his surgeon's office.  However, in spite of documentation that the stent was indeed removed, it was found in the patient roughly 6 years later when it had become encrusted, causing a serious infection and related cardiac event. In yet another recent case, a young girl was scheduled to have a surgical procedure performed on her top lip (gum line), but the surgeon inadvertently performed the surgery on her tongue.  The young girl thereafter underwent the correct procedure approximately one month later.

Compensation for victims of medical neglect, should be an important concern for all Californians.  When a physician is not qualified to perform a procedure or for some owther reason performs surgery negligently, they should be held accountable.  An Orange County trial lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has more than 19 years of experience handling personal injury cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of medical neglect?

  • This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Medical Malpractice Cases - Plastic Surgery

Posted by: Paul Ralph Posted Date: 06/03/2011

Medical malpractice cases are typically among the most difficult to prove at the time of the trial.  Physicians are nearly always put on a pedestal by the jury panel who tend to see the doctor as an altruist, who saves lives for a living.  Even the most sympathetic of victims up against the least compelling of physicians will have a hard time overcoming this inherent juror bias.

In general, the law demands that a physician or surgeon have the degree of learning and skill ordinarily possessed by practitioners of the medical profession in the same locality and that he or she exercise ordinary care in applying such learning and skill to the treatment of the patient.    To prevail in a medical malpractice case, the plaintiff must prove the defendant physician was negligent in his care and treatment and that such neglect was, to a reasonable medical probability, a substantial factor in causing the harm alleged.  Sometimes, this is proven when a plaintiff produces sufficient evidence to allow the jury to infer that in the absence of the defendant's negligence, there was a reasonable medical probability the plaintiff would have obtained a better result.  Most often, educating the jury to the law and the medicine necessary to understand the case is an uphill battle, resulting in a large number of confused jurors whose predisposition for the doctor carries the day.

While most medical malpractice cases are difficult to pursue from the patient's perspective becasue of the existing juror bias and the complexity of the medicine at issue, these factors are not as prevalent in cases involving cosmetic, plastic surgery.  It is not uncommon to find physicians praticing in this lucrative field who are not as well qualified as in other medical specialties.  For example, in one case handled by Mr. Ralph, the "plastic surgeon" was actually a board certified OB/GYN with little to no formal training in plastic surgery.  In spite of this, the doctor held herself out as being a specialist in "scarless breast surgery."   The end result was a bad outcome for the patient and a substantial judgment against the doctor.

In yet another case, a fairly well-qualified physician performed a breast augmentation in such a fashion that he caused the patient's lung to partially collapse.  Instead of transferring the patient immediately to an appropriate hospital, the doctor kept the victim in his office overnight, under the watch of a member of his staff.  The next day the patient had to be transferred to an Orange County hospital for more treatment and monitoring.

It is important for patients considering cosmetic, plastic surgery to investigate the qualifications of their doctor.  Not all "cosmetic" surgeons are board certified in plastic and reconstructive surgery, the certification actually recognized by the American Board of Medical Specialties.  Would you want a physician with inadequate training and experience operating on your body or face?

Compensation for victims of medical neglect, should be an important concern for all Californians.  When a physician is not qualified to perform a procedure or for some owther reason performs surgery negligently, they should be held accountable.  An Orange County trial lawyer with experience at handling such cases can make a fair assessment of these claims.  Mr. Ralph has more than 19 years of experience handling personal injury cases, including just this type.  He can be reached at 714-919-4415 for a FREE CONSULTATION.

Have you or a loved one been a victim of a cosmetic surgeon's neglect?

  • This posting should not be construed as legal advice or an opinion on the merit of any particular matter.  A consultation is the best way to obtain an assessment of your potential case.

Welcome to the OC Injury Attorney Blog Site!

Posted by: Paul Ralph Posted Date: 06/03/2011

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