Legate: Personal Injury Lawyers

Questions about Suing a Health Professional

1.   What should I expect at my first meeting?

You will meet with a lawyer at the first interview. Before we can discuss the medical issues and legal procedure, we need to have a general understanding of what occurred.  Apart from background information (birth date, marital status, employment, medical history), we will need to know the following:

                                 a. chronology of what occurred
                                 b. who you saw and where
                                 c. what was done
                                 d. when 

At this point, we will explain the legal issues involved (standard of care, causation, damages and limitation period) and how we investigate your case. Additionally, we will provide you with information dealing with legal fees, and expenses.


2.     Will you tell me if I have a case?

Depending on the amount of information you provide, we will be able to recommend whether your case is worth further investigation. Our recommendation is based upon several factors including:

                                a.  when the medical events occurred
                                b.  potential amount of damages
                                c.  the financial costs involved
                                d.  type of injury


3.    What are the alternative options?

If the medical issue involves a doctor; then, a complaint can be directed to the College of Physicians and Surgeons. Similarly, if it is nursing care- the College of Nursing is the appropriate association.  There are governing associations for all medical/health practitioners.


4.    Would I receive compensation from the association?

No. The College or association investigates the complaint and determines if disciplinary action should be taken. The doctor or nurse or other health practitioner would have an opportunity to respond to the complaint. This response is also sent to you for any additional comments.

In some circumstances, the investigating body will retain an expert who would review the medical events and provide an opinion. An expert is someone with similar professional experience as the individual in the complaint. The purpose of the expert is to assist the association in their investigation of the complaint.  You will be advised of the investigating body’s decision.


5.     If I want to sue and my case is worthwhile; then, what happens?

We would review the financial aspects of the investigation again. It is very important that you have sufficient financial information in order to make this decision. Effectively you are investing money in order to determine if you have a case. This money (retainer) is not refundable in the event the investigation does not support the case.

Retainers create the lawyer-client relationship. These monies are used to finance the investigation which includes:

                  a.  obtaining copies of clinical and hospital records
                  b.  in some instances, pay for court fees
                       e.g. the statement of claim
                  c.  obtaining medical opinions from experts


6.   Is the retainer the only money I pay?
      No.


7.    Does the retainer cover legal fees?
       No.


8.     What initial steps should I take?

Very often, the conditions that existed at the moment of your or your child's injury will be lost if not preserved either by video, photography or retention of involved equipment.  Do whatever you can to preserve the evidence.  As well, take photos of your or your child's injuries, bruises and cuts.  They may provide valuable information for your lawyer later on about just how you were injured.


9.   What opinions do you expect from an expert?

In a medical malpractice case against a doctor, we must prove the doctor did not provide the appropriate care and treatment (standard of care). For example, if it is standard for a doctor to order blood tests when a patient has specific symptoms and the doctor does not do this; then, our expert may say the doctor did not meet the appropriate standard of care.

The other primary question that must be established is- did the lack of appropriate care or treatment cause and/or contribute to the patient’s condition. For example, if the same patient develops a severe infection leading to a brain injury and the blood tests would have detected the infection and allowed early treatment; then, our expert may say the doctor’s inaction or failure caused and/or contributed to the ultimate brain injury.

These are simplified definitions of Standard of Care and Causation. More often than not, the medical investigation with respect to “causation” is very complex and time consuming.


10.    How long does it take to get opinions?

Generally, once we order the clinical and hospital records, we don’t receive them for about 3-5 weeks. We review these records in order to determine the following:
                   a.      is the information the same or different from the client’s
                            chronology?
                   b.      Are we able to identify the primary targets in the lawsuit?
                   c.     Are the medical issues the same or different from the ones
                           initially discussed?
                   d.     What experts do we need?

The above review takes about 1 week depending on the size of the records.

Next, we contact potential experts and determine if he or she can assist us. Once an expert has agreed to assist, the records are sent. Depending upon the type of specialist, this process of retaining an expert can take several weeks.

Once the records are in the hands of the “expert”, we likely do not receive an opinion or comments for at least 4-8 weeks.

In complex cases, this entire process can last as long as 6 months or more.


11.   Do I have sufficient time for this investigation?

There are deadlines for starting law suits against doctors, nurses, hospitals and other health practitioners. These are called: “limitation periods”.

For example- the limitation period for hospitals and nurses is 2 years from the date of occurrence. With doctors, if the medical event occurred after Jan 1st 2004; then, it is 2 years from when you knew or ought to have known there was a failure to provide appropriate care. Otherwise, for events prior to Jan 1st 2004, the limitation period is 1 year.

There are exceptions to the above (children or persons with mental disabilities) and in some instances, the Courts have interpreted the time frame differently.


12.   Do these “experts” know who I am suing? Don’t doctors help each other?

When we contact the potential “expert”, we give the names of the potential targets. An “expert” will not give us an opinion in cases where the “target” is a friend, social contact, fellow worker or there is the perception of a conflict.

Many doctors are prepared to assist in these types of cases. It is important that we retain someone who has experience, knowledgeable, and unbiased.


13.  Will I have trouble getting medical care after I sue?

If one of your treating doctors is the target of a law suit; then, we expect the doctor will suggest you obtain treatment elsewhere. The doctor will perceive the law suit as your lack of confidence in him or her.

Treatment at a hospital should continue unless the treating doctor is involved in the law suit.


14.   If the experts support my case; then, what happens?

The expert opinions must be supportive on both issues of standard of care and causation. When this occurs, we would arrange a meeting and provide our recommendations to either start the law suit or continue it.

The doctor or hospital/nurse would be informed of the law suit and a defence lawyer becomes involved. This starts the litigation process and continues until either a settlement, judgment or release is obtained.

There are various legal steps that occur during the litigation process which will be reviewed with you at specific points in time.


15.   How long will the entire process take?

Again depending upon the complexity of the case, the various legal steps leading up to a trial may take several months or years. On average, this process takes 2-4 years.

It is extremely important that we take time to ensure that we have all of the necessary information, and opinions prior to proceeding to trial.


16.   What happens if I die or change my mind?

Firstly, the action can continue on behalf of your estate or other family members who were affected by the medical injury. Whether it is financially realistic to continue would be discussed with the family or estate representative.

You have the option of changing your mind through out the process. The legal expenses incurred, the time spent and other factors would be discussed.

Similarly, we may advise you not to proceed further or discontinue the law suit against a particular party. We continue to evaluate the case during the litigation process. A new report, condition or opinion may affect the outcome of the law suit.


17.  Why is it taking so long for my case to resolve?

A question all lawyers have to deal with from the first client meeting until the end        of the case is how long will this take? There is no easy answer, but you can evaluate whether it is taking too long but considering these factors:

 
Do you have a prognosis?

This is the most important factor of all in determining how long it will take your case to get to trial. Your prognosis determines everything from the amount of your pain and suffering damages, to your long term care needs and future wage losses. Until the lawyer knows from the doctor what the medical future holds for you, it is difficult if not impossible to settle your case or take it to trial. In many cases, that can take years. Once the prognosis is known, then you can expect a number of assessments to take place to properly evaluate your claim. That will be the subject of a future column.

 
How busy is your lawyer?

Good lawyers are busy.  Insurance companies appoint good lawyers to defend cases started by good lawyers. That means scheduling of the steps in the action are often delayed because of the lawyers’ time constraints. Believe me, no-one, not your lawyer, nor the defence lawyer likes it that way. We all want to move ahead but sometimes it just can’t happen as quickly as we would like.

 
Does your lawyer have a plan

Business is not, however, an excuse for drifting. Your lawyer should have a plan for your case. If you have questions, ask. Firmly and politely enquire about what the plan for resolution of the case is. You will likely be reassured by asking those questions. If you are not, you may wish to get a second opinion. How to do that will be the subject of a future column.

 
Administrative or Court delays

Don’t let anyone tell you that the courts are too busy to take your case, if it is a relatively short case. The problem arises with scheduling cases due to lawyer time constraints is bound to come up  [many busy lawyers double book and even triple book to take into account the possibility of settlements]. If your case is considered long – over two weeks- the courts have less flexibility in giving you a date, especially outside major settings where there is only one judge or limited court space. Your case in those jurisdictions can get bumped by murder and rape trials, for example. Just like in hospitals, not every case is treated with the same urgency. My rule of thumb for London is the trial will be held about one year from the point I appear before the court to set  the trial date.

 
Legitimate defence requests

Unfortunately, things change in personal injury cases. New problems develop, surgeries take place, jobs are taken on or lost, and training succeeds or fails. All of this changes the face of the case and the damage assessment. It may lead your lawyer to another set of assessments. Every time that happens, the defence may wish to have the change evaluated by its own expert. It is disheartening, but a carefully prepared case must take into account change. The law changes too. A case that looked like it may be lost on a legal point could take a 180’ turn on a court ruling. That may lead to new areas of enquiry.

 

There are many factors that go into delays in getting your case resolved. These are just a few. If you have questions, speak to your lawyer. Please send your questions to Barbara Legate, Legate & Associates blegate@legate.ca or call us at 672-1953.

Information for Injured Persons

Information for Professionals

The Latest

[TOP] [login] © 2004 Legate & Associates