Elderly dementia patient falls and breaks hip at imaging center. $443K. Riverside County.

Summary

Unrestrained dementia patient falls off CT exam table before it is lowered.

The Case

  • Case Name: Lewis v. California Imaging & Diagnostics Inc.
  • Court and Case Number: Riverside Superior Court / CVSW2202935
  • Date of Verdict or Judgment: Monday, November 06, 2023
  • Date Action was Filed: Monday, May 02, 2022
  • Type of Case: Medical Malpractice
  • Judge or Arbitrator(s): Hon. Angel Bermudez
  • Plaintiffs:
    Seija Lewis
  • Defendants:
    California Imaging & Diagnostics Inc
  • Type of Result: Jury Verdict

The Result

  • Gross Verdict or Award: $443,831.39
  • Contributory/Comparative Negligence: None.
  • Economic Damages:

    $78,331.39

  • Non-Economic Damages:

    $365,500 (reduced to $250,000 due to MICRA)

  • Trial or Arbitration Time: 8 days
  • Jury Deliberation Time: 1 hour, 40 minutes
  • Jury Polls: 9-3 liability; 12-0 damages

The Attorneys

  • Attorney for the Plaintiff:

    Roberts Jeandron Law by Jeff Roberts and Michael Jeandron, Newport Beach.

  • Attorney for the Defendant:

    Law Offices of Michael D. Gonzalez by Michael D. Gonzalez, Glendale.

The Experts

  • Plaintiff’s Medical Expert(s):

    Lokesh Auora, M.D., radiology.

    Kristine Quinn, CT technology.

    Milind Panse M.D., orthopedic surgery. (Treating physician.)

  • Defendant's Medical Expert(s):

    Richard Ofstein, M.D., radiology.

    Theresa Attean, CT technology.

    Geoffrey Marecek M.D., orthopedic trauma surgery.

  • Plaintiff's Technical Expert(s):

    Bradley Rutledge, biomechanical engineering.

  • Defendant's Technical Expert(s):

    None.

Facts and Background

  • Facts and Background:

    Plaintiff, an 87-year-old dementia patient, went to defendant’s outpatient imaging center for a routine CT scan of her brain. Plaintiff fell when she tried to get off the exam table before it was lowered, fracturing her upper femur (hip bone). Plaintiff was transported from the imaging facility by ambulance and thereafter underwent surgical repair with implantation of a rod and pin into her femur.

    After five days in the hospital plaintiff spent an additional 73 days in a post-acute care facility. Due to COVID-19 restrictions, plaintiff’s family was not permitted to visit her in the hospital nor for the first two weeks at the post-acute care facility.

  • Plaintiff's Contentions:

    Plaintiff’s expert radiologist, as well as a CT tech with 33 years experience, both opined that due to plaintiff’s advanced age and presentation with dementia that Velcro safety straps, readily available on all CT tables, were required to have been placed across plaintiff’s torso during the exam to prevent her from getting off the table prior to the lowering of the table.

    The treating orthopedic surgeon who repaired plaintiff’s hip testified that the nature of plaintiff’s fracture was caused by a force equal to a fall from standing height – which was about equal to the height of the CT table when raised for a scan. Plaintiff’s bio-mechanical expert cited multiple studies that supported the treater’s opinion and refuted that the fracture could be caused from plaintiff being gently lowered to the floor.

  • Defendant's Contentions:

    Defendant’s CT tech was the only witness to what occurred and claimed at deposition that the patient was struggling to get off the table and that she helped plaintiff off the table and slowly lowered her to the floor – never observing a fall.

    At trial the CT tech changed her story, claiming that she lowered the CT table, helped plaintiff stand up, and only after seeing plaintiff sway (seemingly dizzy), gently lowered her to the floor with the assistance of another employee. Defendant contended that plaintiff never fell, it was reasonable to lower plaintiff to the floor due to her dizziness, and the fracture likely occurred because she had osteoporosis and could occur from merely stepping off the table.

    Both stories provided by defendant’s CT tech were undermined by another of defendant’s employees, who testified that the CT tech initially reported that plaintiff had fallen.

Injuries and Other Damages

  • Physical Injuries claimed by Plaintiff:

    Fractured femur.

Special Damages

  • Special Damages Claimed - Past Medical: $78,331.39
  • Special Damages Claimed - Future Medical: 0
  • Special Damages Claimed - Past Lost Earnings: 0
  • Special Damages Claimed - Future Lost Earnings: 0

Demands and Offers

  • Plaintiff §998 Demand: $200,000 (August 1, 2023)

Additional Notes

Due to her advanced dementia, plaintiff was never able to provide an account of what happened to her and was never deposed. By the time of trial plaintiff’s dementia had progressed to the point where she was in hospice care and unable to attend trial. Plaintiff’s story of pain and recovery was told by her husband and daughter.