"Level of Awareness" of Comatose Patients Determines Damages for Pain & Suffering
On October 4, 1996, Edith Schaffer suffered a seizure after admitting herself to a psychiatric hospital (Stony Lodge Hospital) in Ossining, NY. After the seizure occurred, she was transferred to a local hospital, and her seizures continued for the next two days. Ms. Schaffer lapsed into a coma, which she remained in for over four years until her death on June 6, 2001. It was determined that her coma was caused by the failure of the physician at the local hospital to diagnose hyponatremia (critically low sodium levels).
A Westchester county jury found the doctor who treated her at the community hospital, Binda Batheja, fully liable for not appreciating the significance of Mrs. Schaffer’s condition. The condition is easily treatable and reversible. The jury awarded $5 million for Mrs. Schaffer’s pain and suffering and $3 million for her husband’s loss of services.
The defense appealed the decision (Schaffer v. Batheja), claiming that it was excessive. The Defendant requested that the appellate court either completely set aside the verdict or at least drastically reduced the sums awarded.
Damages for Pain & Suffering
In order to be awarded damages for pain and suffering, the injured person must demonstrate “some level of awareness of his / her condition and pain level. Claims based upon conjecture, surmise or speculation regarding the person’s ability to appreciate pain will be dismissed by the Court. This standard was set forth by the New York Court of Appeals in McDougald v. Garber (1989).
In Schaffer, the plaintiff attorneys argued that Mrs. Schaffer definitely had some level of awareness of her pain and suffering. The attorney presented medical testimony that Mrs. Schaffers movements in response to outside stimuli demonstrated some level of awareness of her condition.
The defense for Batheja (who died before Mrs. Schaffer and was never disposed in the lawsuit), argued that there was not enough proof that Mrs. Schaffer had any level of awareness. They contended that Mrs. Schaffer’s movements were purely reflexive. In addition, the medical records showed that Mrs. Schaffer was comatose at all times with no ability to communicate or consciously express her pain.
The jury did not believe the defendant’s arguments and awarded Mrs. Schaffer’s estate $5 million dollars for the almost five years of her pain and suffering. The Appellate Division reduced the jury’s award to $2.5 million. Despite the reduction in the jury’s award, the Appellate Division determined that the medical proof submitted in support of Mrs. Schaffer’s claim was sufficient to prove that she was, at times, able to appreciate her pain.
This decision remains a small victory for the many individuals who remain or have been in an vegetative state or coma to seek recovery for their years of suffering. It is important for any person or family member who is interested in pursuing such a claim on behalf of the injured party to document instances of awareness, such as eye movements, crying or tearing, grabbing of hands or other purposeful movements.
Read more about the Schaffer v. Batheja case and outcome on the New York Case Injury Blog website.
Jeff Korek Selected to the 2011 Best Lawyers in America®
Gersowitz Libo & Korek, P.C. is proud to announce that Jeff S. Korek, a partner of the personal injury and medical malpractice firm, has been named to the 2011 edition of Best Lawyers ®, the oldest and most respected peer-review publication in the legal profession.
This is the sixth consecutive year that Korek has been recognized as a Best Lawyer.Korek is a graduate of Hofstra University School of Law, and was admitted to the State bars of New York and New Jersey in 1986. He is the Past-President of both the New York State Trial Lawyers Association and The American Board of Trial Advocates- New York City Chapter.
First published in 1983, Best Lawyers is based on an exhaustive annual peer-review survey.For the new U.S. edition, more than 50% of the lawyers listed in Best Lawyers cast more than 3.1 million votes on the legal abilities of other lawyers in the same and related specialties.
Because of the rigorous and transparent methodology used by Best lawyers, and because lawyers are not required or allowed to pay a fee to be listed, inclusion in Best lawyers in considered a singular honor. Corporate Counsel Magazine has called Best Lawyers and the most respected referral list of attorneys in practice.
Steven Naifeh, President of Best Lawyers, says, We continue to believe- as we have believed for 28 years- the recognition by one peers is the most meaningful form of recognition in the legal profession.
(Copyright 2010 by Woodward/White, Inc., of Aiken, S.C.)
How Safe are Off-Label Prescriptions?
Drug Used to Treat Post-Traumatic Stress Disorder for Soldiers May Be Deadly
Seroquel, an anti-psychotic drug approved by the Food and Drug Administration (FDA) to treat schizophrenia, bi-polar disorders, and depression, has been on the market for years. Over the past few years, AstraZeneca, the manufacturer for Seroquel, began marketing this drug to help treat post-traumatic stress disorder (PTSD), insomnia and other conditions not approved by the FDA.
Studies were recently conducted on the side effects of Seoquel. Vanderbuilt University published a study noting that sudden heart failure may be a new side effect. The FDA and AstraZeneca are both reviewing this study to determine its accuracy.
In October of 2009, AstraZeneca paid out $520 million dollars as part of settlement agreements for two federal investigations over clinical trials and off-label promotion, and two whistle-blower lawsuits over aggressive sales and marketing. Details of the federal investigations and whistle-blower lawsuits were not made public. This $520 million barely made a dent in this multi-billion dollar drug, with sales since 2004 totaling over $17 billion.
One of Seroquel’s most recent uses has been for treatment of post-traumatic stress disorder in American soldiers, claiming the drug helps alleviate symptoms of insomnia and restlessness. Thousands of soldiers have been treated for this disorder with Seroquel over the last nine years.
The Associated Press reported on one soldier, Andrew White, who was prescribed the drug after a nine month tour in Iraq after showing signs for PTSD. As his nightmares continued, his dosages of Seroquel were increased over time, and he was taking more than double the maximum dose prescribed to those using it for schizophrenia.
Not long after started this increased dosage, White died in his sleep. There have been atleast a half-dozen deaths among soldiers taking this drug to treat PTSD, but that number is likely grossly understated.
This story raises a much bigger issue. Psychiatrists are allowed to prescribe this drug off-label, which means they can prescribe this drug for unapproved indication. Off-label prescriptions tend to be common place in today’s pharmaceutical-driven society, especially since the FDA procedures to approve a drug are costly and time-consuming.
There is generally substantial literature to support off-label usage, which is what doctors will use to determine whether to prescribe these drugs. Doctors have the ability to issue any drug for an unapproved reason, as long as they use their professional judgment to deem it safe and effective for the condition they are prescribing it for.
Isn’t it time that the FDA crack down on the off-label use of drugs as the risks seem to outweigh any potential benefit?
For more information on the Seroquel case, read the Associated Press article: http://www.google.com/hostednews/ap/article/ALeqM5iPPHBQ6w28w4kTXzANGm6kCzPN1gD9HTRUQ80
For more information on Off-Label Prescriptions, read this article by the American College of Physicians: http://www.annals.org/content/145/4/305.full?etoc
If you or anyone you know has been adversely affected by using Seroquel, contact Gersowitz Libo & Korek, P.C. at 800-LAW-9997
Officer Refuses CPR to Asthmatic Girl; Girl Dies at Hospital
Carmen Ojeda was driving the wrong way down a one-way road in Brooklyn. Why? Her daughter was having a severe asthma attack, and she was taking the most direct route to get her to a hospital in time to save her life.
The end of the street was blocked and Ojeda had already hit a parked vehicle while maneuvering down the wrong way, so she stopped the car and spotted a police car close by. Ojeda begged and pleaded the officer, Alfonzo Mendez, for help for her daughter, and allegedly, the officer refused to help, claiming he did not know CPR.
Several witnesses on the scene stepped in to try and help the 11-year old girl. Finally, after about a five minute delay, Mendez escorted Ojeda and her daughter to the hospital. Her daughter was pronounced dead at the hospital.
If this officer had acted sooner and listened to the cries for help from the mother and people in the crowd, would this young girl still be alive?
To read more about the incident, check out the Wall Street Journal’s article from today: http://online.wsj.com/article/SB10001424052748703467004575464350098369936.html


