Posted On: February 28, 2010

Parents File Lawsuit Against Sacramento Doctors For Birth Injuries, Part 5 of 5

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

B. THE JUDGE HAS REPEATEDLY ABDICATED HIS RESPONSIBILITIES AS JUDGE AND DELEGATED SOLE ARBITRARY AUTHORITY TO THE DEFENSE TO SCHEDULE THE DATES OF ALL OF PLAINTIFF'S DEPOSITIONS OF DEFENSE EXPERTS

Plaintiff hereby incorporates by reference thereto the Declaration of John J. Green in support of this objection.

On at least two occasions Plaintiff applied to the Court to required the Defendant to present himself and his medical malpractice experts for depositions in a more timely manner, instead of setting the depositions for weeks and months after the date set forth in Plaintiff's notice. On each occasion Judge Smith absolutely refused to hear much less requested an explanation from defense counsel (Betty Howe) as to why the depositions had been scheduled so for out, but simply told her to get the best dates available and confirm them with Plaintiff's counsel by 5 pm today . On each occasion defense counsel contacted Plaintiff's counsel with the same dates that she had previously offered and Plaintiff's counsel was thereby forced to accede to dates that pushed his discovery up to July 13 with a July 27 trial call.

Likewise at the July 5, 2005 hearing the Judge improperly violated Plaintiff's constitutional rights to due process by first taking up defense counsel's request that Plaintiff's noticed depositions of treating experts be limited in time and that the location be changed. No prior notice had been given that any such request would be made, only a frivolous request to quash the depositions. The Judge ignored Plaintiff's objection on due process grounds and without giving Plaintiff's counsel an opportunity to object quickly agreed with an attorney for Dr. Brown that the latter's deposition be taken at the latter's office and limited to two hours.

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Posted On: February 25, 2010

Sacramento Physicians Sued For Medical Malpractice, Part 4 of 5

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

Evidence set forth in the declaration of John J. Green filed with this objection establishes that the Judge repeatedly and knowingly:

a. violated Plaintiffs' rights due process;

b. violated controlling statute and case authority in an effort to frustrate and delay Plaintiff's trial preparation.

A. INTENTIONALLY & REPEATEDLY VIOLATED CONTROLLING LAW IN ORDER TO FAVOR THE DEFENSE AND FRUSTRATE PLAINTIFF'S TRIAL PREPARATION

On July 5, 2005, the parties appeared before Judge Smith on Defendant White's ex parte application to quash Plaintiff's duly noticed deposition of treating medical malpractice experts, Drs. Mary Bean and Dr. Stanley Brown. Both of these experts were identified in the parties CCP §2034 exchange. CCP §2025(d) gave Plaintiff the right to depose these experts up to the 15th day prior to trial.

The Judge acknowledged the law and Plaintiff's right to depose the experts, however, he then entertained a request by non-party expert, Stanley Brown's attorney, to have the deposition at Dr. Brown's office instead of at the court reporter's office in downtown Sacramento where it was duly noticed. Plaintiff explained that in light of the fact that Dr. Brown's deposition was going to be tape recorded and Dr. Jones's deposition was scheduled before Brown's and would conclude minutes before Brown's was to begin that it would be logistically impossible to take Brown's deposition at Brown's office to begin at 11:30 am as noticed.

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Posted On: February 22, 2010

Family From Sacramento Sues For Birth Injuries, Part 3 of 5

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

There cannot be a clearer display of bias than Judge Smith's refusal to grant any relief to Plaintiff from Defendant's wrongful tampering with Plaintiff's medical malpractice expert.

In addition, he has violated Plaintiff's constitutional rights to due process by issuing orders of subjects that were not properly before him by way of noticed motion. For example, at the 7-05-05 ex parte hearing even though no party had given prior notice of any intent to request that Plaintiff's noticed depositions of treating experts Brown and Jones's depositions be limited in time and at a different location, the Judge entered such an order and in doing so knowingly and deliberately deprived Plaintiff of the deposition of Dr. Brown by ordering that his deposition take place at Dr. Brown's office at Children's hospital located some 10 miles for the noticed location and which made it logistically impossible for Plaintiff's counsel to comply with the Judge's order.

During the 7/8/05 hearing the Judge again repeatedly interrupted and precluded Plaintiff's counsel from making a record that could be read by the court of appeal, but instead made his own record favorable to defense counsel. Further, the Judge's comments would support an inference that he had not even read Plaintiff's moving paper nor Plaintiff's reply papers.

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Posted On: February 20, 2010

Sacramento Birth Injury Leads To Medical Malpractice Action, Part 2 of 5

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

In addition, the Judge has made comments on the record that support the inference that he views fair rulings for the Plaintiff required by the facts and the law to have been favors for which he expects gratitude. For example the following exchange took placed during the July 8 hearing:

MR. GREEN: You repeatedly, throughout the case, you've been the advocate for the defense
THE COURT: To me this case is an example of the expression, No good deed goes unpunished. I have in this case devoted more time to this case than about any other medical malpractice case I can recall.

MR. GREEN: Most of it --
THE COURT: I've made myself available to you and the other attorneys. I've resolved numerous discovery disputes. I haven't kept track, but I know that some have gone in your favor and some have not. I feel like I performed a very high level of service for you in this personal injury case.

MR. GREEN: I disagree.
THE COURT: I know in my heart I'm trying, I always try, to do the right thing, and so I'm kind of saddened that this is coming -- you are not perceiving it in the same way I perceive it.

MR. GREEN: Could I make my arguments, your Honor?
THE COURT: Sure.

MR. GREEN: Thank you.

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Posted On: February 17, 2010

Sacramento Family Files Medical Malpractice Suit, Part 1 of 5

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

PLAINTIFFS HEREBY OBJECT to Judge Paul S. Smith presiding at the trial of this medical malpractice action or in any further proceedings concerning this action.

This objection is based upon each of the following:

A person aware of the facts concerning the Judge's conduct and handling of the matters that have been presented to her in this personal injury case might reasonably entertain a doubt that the judge would be able to be impartial.

As set forth in the declarations submitted herewith, Judge Smith has repeatedly assumed the role of advocate for the defense; repeatedly cut off Plaintiff's counsel's efforts to make a record; while making a record favorable to the defense; and repeatedly violated Plaintiff's constitutional rights to due process by ordering Plaintiff to do things without any prior notice or opportunity to prepare for and brief the issue.

In addition, the facts support an inference that Judge Smith has abdicated his duties as a Superior Court Judge to fairly resolve issues based upon a fair application of the facts to the law. Instead his comments on the record reflect his view of his role as an anti-solomon like mediator position in which he repeatedly attempts to "split the baby" so as to more often than not bestow improper favors upon defense counsel even when the latter is completely in the wrong on the law and facts before the court. The following is an excerpt from the July 5 ex parte hearing in Judge Smith's chambers:

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Posted On: February 15, 2010

Sacramento OG/GYNs Sued For Wrongful Death, Part 9 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

Plaintiffs cannot make an argument for ostensible agency in this case. Mejia states that....a patient is presumed to have looked to the hospital for care unless he or she was treated by his or her personal physician, .... (Mejia, supra, 99 Cal.App.4th at 1455, emphasis added.) Ms. White was treated by her own obstetrician - Dr. Cindy Brown - during her hospitalization at UMH in March 2005.

Further, Dr. Brown is not an employee of UMH, although she did, and still does, have staff privileges at UMH. Physicians with staff privileges are not employees or agents of the hospital. Dr. Brown does not have an office in UMH. Dr. Brown's office is located at 2601 East Main Street in Ventura, California. Dr. Brown's practice was not established by UMH and is not considered an outpatient clinic of UMH. Dr. Brown's office/practice is called the Moss Medical Clinic. Dr Brown's employees were not employees of UMH, and were not paid by UMH. UMH did not bill for Dr. Brown's services; UMH only billed for services provided by UMH at UMH.

Based on the foregoing, plaintiff's cannot establish a claim for ostensible agency, as none of the factors to make such a finding are present in this case. As such, defendant UMH's motion for summary judgment should be granted.

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Posted On: February 13, 2010

Sacramento Family Files Medical Malpractice Suit After Infant Deaths, Part 8 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

THERE WAS NO AGENCY BETWEEN UMH AND DR. BROWN

Agency may be either actual or ostensible. (Civ. Code, § 2298; Vallely Investments v. BancAmerica Commercial Corp. (2001) 88 Cal.App.4th 816, 826.) Actual agency exists when the agent is really employed by the principal. (Civ. Code, § 2299.) Ostensible agency "may be implied from the facts of a particular case, and if a principal by his acts has led others to believe that he has conferred authority upon an agent, he cannot be heard to assert, as against third parties who have relied thereon in good faith, that he did not intend to confer such power..." (Tomerlin v. Canadian Indemnity Co. (1964) 61 Cal.2d 638, 644.)

The doctrine establishing the principles of liability for the acts of an ostensible agent rests on the doctrine of estoppel [citation]. The essential elements are representations by the principal, justifiable reliance thereon by a third party, and change of position or injury resulting from such reliance [citation]. Before recovery can be had against the principal for the acts of an ostensible agent, the person dealing with an agent must do so with belief in the agent's authority and this belief must be a reasonable one. Such belief must be generated by some act or neglect by the principal sought to be charged and the person relying on the agent's apparent authority must not be guilty of neglect [citation]. (Hartong v. Partake, Inc. (1968) 266 Cal.App.2d 942, 960.)

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Posted On: February 10, 2010

Medical Malpractice By Sacramento Doctors Causes Wrongful Deaths, Part 7 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

NO ACT OR OMISSION OF UMH CAUSED PLAINTIFF'S CLAIMED INJURIES

The law is well settled in California that causation must be proved within a reasonable medical probability based on competent expert testimony. Mere possibility is insufficient to establish a prima facie case. (Jones v. Ortho Pharmaceutical Corporation (1985) 163 Cal.App.3d 396, 402.) The cause of an injury has been defined as something that is a substantial factor in bringing about an injury. (Mitchell v. Gonzales (1991) 54 Cal.App.3d 1041.) Thus, to recover from UMH for medical negligence in this action, plaintiff must prove that the purported negligence of UMH was a substantial factor in bringing about the claimed injuries.

Sandy Singer has opined that no act or omission by UMH's nursing staff caused or contributed to plaintiffs alleged injuries. It is a physician function, rather than a nursing function, to order treatment for patients. Nurse Singer has opined that the nurses properly observed and reported Ms. White's condition and progress to her treating physician. The nurses appropriately monitored Ms. White during her early labor, and followed the doctor's orders. The nurses appropriately observed and reported on the condition and progress of the fetuses's based on the fetal monitor. The nurses appropriately recorded their observations in Ms. White's chart and on the fetal monitoring strips. The nurses also followed the appropriate protocols for medication administration during early labor, as well as the protocols for early labor, and for the labor and delivery of extremely premature infants.

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Posted On: February 7, 2010

Wrongful Death Action Filed After Malpractice At Sacramento Hospital, Part 6 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

UMH DID NOT BREACH ITS DUTY OF CARE TO PLAINTIFFS DECEDENTS
A hospital such as UMH owes its patients a duty of reasonable care. In a wrongful death action that is based on medical malpractice, the evidence must be sufficient to allow the jury to infer that in the absence of defendant's negligence, there was a reasonable probability that the plaintiff would have obtained a better result. (Espinoza v. Little Company of Mary (1995) 31 Cal.App.4th 1304, 1315.) The measure of such duty is the degree of care and skill ordinarily used by hospitals generally in the community, according to what the undertaking to treat the particular patient requires in each instance. (Contreras v. St. Luke's Hospital (1978) 78 Cal.3d 919,927.)

The declaration of Sandy Singer, RN, establishes that she has sufficient credentials to qualify as an expert witnesses with regard to the care and treatment provided to plaintiff Joan White and plaintiffs decedents by UMH's nursing staff. She has opined, based upon a review of the relevant documents, that UMH did not breach its duty of care to plaintiff and plaintiffs decedents as the staff properly followed doctors' orders, properly monitored, observed and reported the condition of Joan White and the twins to the doctors and cared for Ms.. White and the twins appropriately. Nurse Singer has also stated that it is a physician function, rather than a nursing function, to order treatment for patients.


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Posted On: February 5, 2010

Wrongful Death Of Sacramento Newborns Leads To Suit Against Doctors, Part 5 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

As is evidenced by the attached declaration of Sandy Singer, UMH provided care and treatment to plaintiff Joan White, and plaintiff decedents (Owen and Tomas White), which met the standard of care. Ms. Singer has opined that the nurses the nurses properly observed and reported Ms. White's condition and progress to her treating physician. The nurses appropriately monitored Ms.. White during her early labor, and followed the doctor's orders regarding treatment. The nurses appropriately observed and reported on the condition and progress of the fetuses's based on the fetal monitor. The nurses appropriately recorded their observations in Ms.. White's chart and on the fetal monitoring strips.

The nurses followed the appropriate protocols for medication administration during early labor, as well as the protocols for early labor, and for the labor and delivery of extremely premature infants. In addition, Ms. Singer has opined that UMH did everything possible for the twins, but due to their extreme prematurity, nothing could be done to save their lives. Accordingly, plaintiffs cannot establish that UMH breached its duty of care, and UMH's motion for summary judgment should be granted.

A PARTY SUBMITTING UNCONTRADICTED EXPERT EVIDENCE MUST PREVAIL

California courts have held that where a defendant's expert testimony is uncontradicted, no triable issue of fact remains for the jury to consider, and the defendant must prevail as a matter of law. (Willard v. Hagemeister (1981) 121 Cal.App.3d 406.) The Willard opinion describes the preemptive weight of expert testimony in a malpractice action as follows:

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Posted On: February 3, 2010

Sacramento Mother Sues For Medical Malpractice After Death Of Her Two Newborns, Part 4 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

THE ISSUE OF NEGLIGENCE CAN ONLY BE RESOLVED BY EXPERT TESTIMONY IN THIS CASE

Based on the allegations of the complaint, plaintiffs contend that the twins died because of the alleged professional negligence of the hospital. Generally speaking, actions for professional negligence center on an allegation that the professional breached the applicable standard of care. Proving what the applicable standard of care is, under most circumstances, requires testimony of a properly qualified expert. In Jambazian v. Borden, (1994) 25 Cal.App.4th 836, 844, the court stated:

The standard of skill, knowledge and care prevailing in a medical community is ordinarily a matter within the knowledge of experts. Whether the standard of care in the community has been breached presents the basic issue in a malpractice action and can only be proved by opinion testimony unless the medical question is within the common knowledge of lay persons.

In Evans v. Ohanesian (1974) 39 Cal.App.3d 121, at 128, the court set forth the standards to be met when one offers the testimony of a medical expert:

To qualify a witness as a medical expert, it must be shown that the witness (1) has the required professional knowledge, learning, and skill of the subject under inquiry sufficient to qualify him to speak with authority on that subject; and (2) is familiar with the standard required...under similar circumstances...

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Posted On: February 1, 2010

Two Infants Die At Sacramento Hospital Due To Malpractice, Part 3 of 9

The following blog entry is written from a defendant’s position during pre-trial litigation. Reviewing this kind of briefing should help potential plaintiffs and clients better understand how parties in a medical malpractice case present such issues to the court.

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

ARGUMENT

SUMMARY JUDGMENT MUST BE GRANTED WHEN MOVING PARTY DEMONSTRATES THAT THE ACTION IS WITHOUT MERIT

A defendant may move for summary judgment in any action or proceeding if it contends the cause of action has no merit. (Code Civ. Proc., § 437c, subd. (a).) The cause of action has no merit if:

1. One or more of the elements of the cause of action cannot be separately established, even if that element is separately pleaded, or

2. A defendant establishes an affirmative defense to the cause of action. (Code Civ. Proc., § 437c, subd. (n).)

The motion shall be granted if all of the papers submitted show there is no triable issue as to any material fact and the defendant is entitled to summary judgment as a matter of law. (Code Civ. Proc., § 437c, subd. (c).) Any alleged disputes must concern material facts.
... [O]nce a party bears the initial burden of demonstrating an entitlement to judgment as a matter of law, the opposing party may not defeat summary judgment by attempting to generate a factual dispute as to immaterial issues ... (Romero v. American President Lines, Ltd. (1995 38 Cal.App.4th 1199, 1203.)

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