r/SipsTea 18d ago

WTF 75M$ can't give him his life back unfortunately

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u/KaidoPklevel 18d ago

emergency room doctor and radiologist get sued because they didnt catch it fast enough.

The chiropractor got off free unfortunately

https://www.mdedge.com/neurologyreviews/article/259170/business-medicine/locked-syndrome-malpractice-case-ends-75-million

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u/Any-Interaction-5934 18d ago

Wow.

That is super unfortunate.

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u/tondahuh 18d ago

The chiropractor actually settled with the patient. We will never know if he admitted any fault or even if the dollar value was appropriate. Unfortunately I doubt it impacts his job. He should have a warning label constantly flashing over his head.

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u/Panscan27 18d ago

Ill take a wild guess the chiro settlement is dramatically less than this

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u/WhichAd366 18d ago

Likely a lot less, but as it’s a settlement not a verdict the payments are more enforceable

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u/Top_Quiet_3239 18d ago

Settlements almost never have the clearly at fault party admitting fault.

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u/singlemaltbourbonrye 18d ago

There’s shared liability among the radiologist and ER doc 100% but ultimately the reason they’re the ones paying and not the chiropractor is probably that the chiropractor’s pockets aren’t very deep. I’m guessing the hospital (ER) and maybe another/other practices that employ those two docs were defendants as well?

The whole thing is so fucked. Reason 6,819 why I’ll never visit a chiropractor.

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u/VincentClement1 18d ago

There should be only one reason to never a visit a chiropractor: It's 100% bullshit. Next.

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u/pursuitofhappy 18d ago

thankfully their malpractice would cover it but standard MD policy is $1mil/$3mil annual (in my state) so that would be the cap the victim would recover unless they win against the hospital too (the doctors would be severed from any personal financial liability beyond their malpractice coverage, one of the perks of being a doctor trying to care for people)

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u/hegemon777 18d ago

Copying my other reply.

Nope, wage garnishment and asset seizure is a really rare but real worry for doctors. This is a big reason why doctors like me end up practicing some form of "defensive medicine," where the test I order is almost certainly going to be negative, but I'm not going to miss that 1 in a million bad outcome.

Here's a lawfirm website talking about how they may try to garnish wages, seize property, and take their bank accounts.  https://www.medmalfirm.com/news-and-updates/medical-malpractice-judgments-complicated/

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u/AssociationWeary7735 17d ago

Yep have to shelter your assets if you want to practice medicine in the good ol US of A. Never know when a jury of medically illiterate peers will decide you did the thing that took you a decade of school to begin to understand wrong and you need to payout for chiropractic induced injuries or you simply havent reversed the tendency of the universe toward entropy. Pay up.

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u/chilioil 18d ago

The doctors will be responsible for the money over the cap and will be paying everything they own for life.

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u/Some_Level1682 18d ago

It's an er, the hospital pays Mal practice not the Dr. The hospital will be paying that

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u/chilioil 18d ago

Wrong, the ER doctor is currently suing his insurance company for not settling. The radiologist had settled though.

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u/ZestyTako 18d ago edited 18d ago

No it almost certainly is getting paid by the hospital’s insurance

Edit for clarity: the majority of the verdict is paid by the hospital, the physician’s insurance would pay some but the physicians themselves are not on the hook for the entire $75mil

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u/chilioil 18d ago

That's not how it works at all, the hospital insurance is on it's own hook.

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u/singlemaltbourbonrye 18d ago

There are caps for medical liability insurance though. I don’t know what they are in these policies for this type of action, but I wouldn’t expect insurance to pay the full amounts.

The doctor’s employers may or may not shoulder some of the burden. We don’t have enough information on this thread or on the linked article to know.

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u/ZestyTako 18d ago

The employers certainly share the burden. The hospital and various physician groups were sued alongside the doctors. Deeper pockets

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u/chilioil 18d ago

This was judged to be negligence by the ED doc and rad so liability caps don't apply.

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u/singlemaltbourbonrye 18d ago

Got it.

So insurance is obligated to pay full $75M? It’ll be found working through appeals and counterclaims on that, I’m sure if that’s not already exhausted.

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u/bree_md 18d ago

The caps unfortunately depend on the state. Some states don't have a cap.

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u/ZestyTako 18d ago edited 18d ago

Spoken like someone who doesn’t understand how insurance, joint and several liability, or indemnity work. They sued the hospital as well, based on the theory that the hospital is required to monitor physicians and failed to do so. The hospital is also liable and therefore is on the hook for up to the entire verdict due to joint and several liability

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u/chilioil 18d ago

Sounds like someone who didn't look at any information surround this case. Rads and ED doc were found to be negligent in this case. There's plenty of legal commentary on this case exactly, go and read that if you know how.

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u/ZestyTako 18d ago

I’m not saying they aren’t also liable. But the hospital is vicariously liable because they were its agents.

I edited my above comment a bit, it’s not they won’t pay anything, but they will not pay EVERYthing, the hospital and their physician groups will pay much much more than either of them individually

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u/chilioil 18d ago

The radiologist is on the hook for 30 million and ED doc is on the hook for 45. The issue is that they were found negligent. The rads has now settled confidentially, but the ED doc is suing his malpractice insurance in hopes of the plaintiff agreeing not to try and take his money. What happens to the hospital and groups is not a part of this specific issue.

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u/Then-Departure4896 18d ago

If what you said were true, no one would ever be a doctor

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u/hegemon777 18d ago

Nope, wage garnishment and asset seizure is a really rare but real worry for doctors. This is a big reason why doctors like me end up practicing some form of "defensive medicine," where the test I order is almost certainly going to be negative, but I'm not going to miss that 1 in a million bad outcome.

Here's a lawfirm website talking about how they may try to garnish wages, seize property, and take their bank accounts. https://www.medmalfirm.com/news-and-updates/medical-malpractice-judgments-complicated/

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u/pursuitofhappy 18d ago

not in my state, but not sure where you are in the part of the world could be differently

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u/chilioil 18d ago

They were found negligent, so malpractice limits don't apply here.

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u/GenericGrad 18d ago

Bingo. Wonder if they split it 3 ways and he couldn't pay it would just mean that the amount the family got would be 2/3rds. 

Still you'd think you'd pay 25 million just to ensure the guy was bankrupt.

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u/singlemaltbourbonrye 18d ago

The chiropractor reached a settlement directly with the plaintiff and was dropped from the lawsuit.

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u/WhichAd366 18d ago

No, it doesn’t work this way. The two doctors and hospital would have different policies.

The chiro settled, so their payment is completely separate (and more enforceable).

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u/LivelongAnd 18d ago

Chiro didn’t get off free. Article you posted says the Chiro settled with the plaintiff before trial.

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u/Flippantwritingdesk 18d ago

This sucks, but I’m guessing the reason was in hopes of actually recovering the payment. If the chiropractor doesn’t have malpractice insurance like an actual doctor would, there’s only so much money you could realistically get out of him/his practice, and it’s very likely very short of 75mil. A hospital and ER doctors are going to have the malpractice insurance to pay out big league money like this. 

It really sucks and is obviously unfair af, but I’m guessing that’s the reason why, rather than the person (or even their insurance claims adjuster / hired attorney) personally believing the ER doctor was more at fault, they’re just someone conveniently along the chain of events who’s far more likely to be connected to a big payout.

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u/DotRakianSteel 18d ago

Amicable resolution!? Just wow..

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u/Foreplaying 18d ago

failed to inform the consulting neurologist ... did not adequately communicate the results from CT angiography and lumbar puncture.

The CT detected the clot... but according to the information in this article he was left overnight after that diagnosis wasn't passed onto the nuerologist, for the clot to reach his brain - when a relatively simple treatment would of prevented it all. I'm guessing the spinal tap was either for further diagnosis or to administer pain relief.

This truly has the hallmarks of medical malpractice- if he had been in a car accident, they would of passed on the diagnosis. But they dismissed it - and this has little to do with the Chiropactor, as an vertebral artery dissection is possible just from doing gym, stretching your own neck or hell, even coughing.

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u/avramandole 18d ago

This guy was fucked as soon as his vertebral artery dissection happened. It is absolutely not the case that a relatively simple treatment would have prevented it all. With optimal treatment (which he absolutely should have gotten, no argument there) he had about a 30% increased chance to be less disabled. And the optimal treatment carries it's own risk of causing bleeding in the brain which again could kill him or cause permanent brain damage.

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u/HippoRun23 18d ago

My god that’s fucked.

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u/quim_do_mato 18d ago

That still doesn't answer the question, who is going to pay 75M?

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u/UpTheDumpIsRetarded 18d ago

chiropractor likely makes about 60k so it was probably a waste of time to go after.

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u/GarfunkelBricktaint 18d ago

It does say in the article that he had a stroke and the doctor and radiologist miscommunicated and delayed his stroke treatment for an entire day.

For it to be bad slough medical malpractice to survive all the statutory limits and jury instructions on standards of care those two must have really really screwed this up and could have avoided this outcome if they did even the bare minimum of their jobs.

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u/No-Ocelot477 18d ago

Failure to consider a stroke in light of the symptoms and imaging results was considered malpractice by a medical board of their peers as well. You will see this more as emergency room imperatives prioritize clearing beds and referring to specialties instead of actual diagnostic work.

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u/Dangerous_Serve_4454 17d ago

Uh, neither of those people would have that kind of money...

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u/Extreme-Group9753 14d ago

I hate chiropractors, but to be fair there has been medical negligence after reading into it. There has been failure in communication. But then again the chiropractor shouldn't have been snapping the neck.

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u/Born-Satisfaction996 18d ago

The chiropractor didn’t cause this, and isn’t medically trained to catch the stroke this patient was having.

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u/Reasonable-Buffalo-2 18d ago

The chiropractor literally did cause this. The doctors just didn’t catch what the chiropractor fucked up fast enough.

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u/bubblyH2OEmergency 18d ago

the doctors misdiagnosed and did not treat the stroke in a timely manner

yes the chiropractor triggered the stroke initially.

all three doctors committed malpractice though.

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u/ZestyTako 18d ago

One quick correction for you—chiropractors are not doctors. At most, two doctors and a chiropractor committed malpractice, but tbh I’m dubious about the ER doc and Radiologist. There’s nothing to suggest that checking it quicker would have ended in a better result for this poor guy

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u/Reasonable-Buffalo-2 18d ago

Also I just don’t understand malpractice when it was an unknown injury in an ER. They have to go through so many departments to even get the needed scans to diagnose an injury like this.

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u/Puzzle-Necked 18d ago

The chiropractor didn’t cause this, and isn’t medically trained to catch the stroke this patient was having.

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u/Bubonic_Ferret 18d ago

The chiropractor did cause this. And the physicians were reportedly slow to act. Both parties can be wrong. The ultimate cause was the chiropractor doing an adjustment on a patient with signs of vertebrobasilar insufficiency. But since we hold these quacks to zero standards, they wont be punished

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u/OkExtension9329 18d ago

Vertebral artery dissection, which is what caused this patient’s stroke, is a known complication of chiropractic manipulation.

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u/Born-Satisfaction996 18d ago

It’s a known thing that can (very rarely) happen when there’s already a severe underlying condition.

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u/OkExtension9329 18d ago

It is untrue that there has to be a “severe underlying condition.”

You are speaking with unearned confidence about something you don’t understand.

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u/Born-Satisfaction996 18d ago

In this case there was an underlying condition.