I was out of town for ten days on what I believe was a well-deserved vacation. I got back in town Saturday night. Sunday morning my wife and I got on our motorcycles and had a beautiful ride through rural Middle Tennessee. The honeysuckles are in bloom; the smell is intoxicating.

Joy and I went to Paris (France, not Tennessee) and had a wonderful time on our vacation. Warning: do not try to touch Napoleon’s desk at Fontainebleau – an alarm will sound.

Those of you who do not drink wine should stay away from Paris unless you have money to burn. Per serving, both Coke and water in restaurants are more expensive than wine. As a boy originally from rural Wisconsin, I was happy to save money and drink wine. I was amazed to learn that in France they sell wine in bottles that have corks in them. When do you think we will start that in the good ol’ USA? The screw tops on the wine bottles I usually buy here are convenient but I have to admit that cork thing is cool!

Guidant Corporation, a medical device manufacturer, did not tell doctors or patients for three years that a unit implanted in an estimated 24,000 people that is designed to shock a faltering heart contains a flaw that has caused a small number of those units to short-circuit and malfunction.

Defibrillators are put in people whose heart cannot be relied upon to operate consistently on its own. Of course, if your heart does not maintain an appropriate rhythm over a given period of time, you can die.

According to the New York Times, Dr. Joseph Smith, a corporate representative, said “We choose to extraordinarily communicate [to doctors or patients] when we have a product that does not live up to our expectations.” Apparently, then, Guidant expected that at least 26 of the units it manufactured with the expectation of helping people to live would short-circuit and malfunction and determined that that risk was not a significant one (at least for its company). Guidant knew that twenty-five of those units failed before the death of a 21-year old college student from Minnesota, who died when his device failed. His death is the only known death from the malfunction of the device.

Those of us who have lived through a couple of the so-called medical malpractice insurance crises knew it was just a matter of time before the market softened. The time has come.

The industry has declared that the insurance crisis is over. Read this fascinating article.

Of course, the facts will not stop the health care industry or its insurers from continuing to press for tort reform. Insurers want to take the risk out of the risk business, and the health care industry wants protection from patients who sit on juries.

Wrongful death cases are a unique breed, and the damages recoverable in a wrongful death case deserve special attention. Through the Tennessee Supreme Court’s holding in Jordan v. Baptist Three Rivers Hospital, 984 S.W.2d 593 (Tenn. 1999), the jury is allowed to consider the human losses suffered by the victim’s surviving family members. Unlike a personal injury case, however, the surviving family members do not hold a separate claim for loss of consortium. To the contrary, the Supreme Court made clear that it’s holding in Jordan did not create a new cause of action, but merely “refines the term ‘pecuniary value.'” The family members do not have their own claims, but the family members’ personal losses are considered part of the victim’s worth. The distinction of who owns the claim for Jordan type damages has it’s greatest practical impact in the admission of evidence, the verdict form, and the distribution of proceeds among the surviving family members.
At the pleading stage, the plaintiff should try to provide notice to the defendants of each of the family members whose losses will be asserted. This Complaint covers a wrongful death where the victim leaves behind one minor child but no spouse. Note that, under Jordan, an adult child also has a right to recover, but the trier of fact takes into consideration factors that suggest the closeness and dependency of the parent-child relationship. Download file

Investor Ron Perlman won big in his case against Morgan Stanley. Compensatory damages were $604.3 million. Punitive damages – limited under Florida law to three times the compensatory award – were pegged by the jury at $850 million.

Regular readers will recall the the trial judge eliminated liability as an issue after Morgan Stanley was caught playing games with discovery. The sole issues before the jury were reliance and damages.

The Company fired its law firm shortly before trial, and was given only a short continuance to allow new counsel to get up to speed. Morgan Stanley has less than $500 million reserved for this case; with interest running at $250,000 per day look for a settlement soon.

In some cases, a personal injury plaintiff will have medical records that merit extra protection against needless disclosure. A prime example: psychological counseling records. This simple agreed protective order can allow the defendants to discover the plaintiff’s mental health records, consult with experts in evaluating the records, and use the records in the litigation without destroying the plaintiff’s privacy.
Download file

A plaintiff must prove that all expenses, including medical expenses, are reasonable and necessary in order to recover for them. Without proof of reasonableness and necessity, the plaintiff fails to prove causation between the tort and the medical bill. A plaintiff who provides the defendant with an itemized list of medical expenses at least 90 days before trial gets a rebuttable presumption that the expenses are reasonable. Tenn. Code Ann. sec. 24-5-113(b). In addition to the presumption of reasonableness, a legible itemization of medical expenses is a much cleaner exhibit for trial than a stack of xeroxed carbon copy medical bills. The itemization can be admitted by the court as a summary under Tennessee Rule of Evidence 1006.
Here is a sample itemization. Download file

Tennessee Rules of Civil Procedure 8.02 and 8.03 set out the basic requirements for defenses asserted in an answer. One critical requirement is that a defendant wishing to assert an affirmative defense must state in short and plain terms the facts in support of that defense, “including the identity or description of any other alleged tortfeasors” that the defendant wishes to blame by comparative fault. The Tennessee Supreme Court has made clear that pleading comparative fault requires providing sufficient information in the answer to allow the plaintiff to plead and serve process on the person pursuant to Tenn. Code Ann. sec. 20-1-119. Brown v. Wal-Mart Discount Cities, 12 S.W.3d 785 (Tenn. 2000).
If a defendant attempts to plead an affirmative defense without providing the information required by Tenn. R. Civ. P. 8.02, a plaintiff should file a motion to strike those portions of the answer. The plaintiff needs to know who the defendant is going to blame before the defendant submits a proposed jury form listing those persons, and needs to know the basis for the comparative fault in order to conduct discovery and decide whether to bring the other party in by 20-1-119. Even if the defendant is blaming the plaintiff, the plaintiff should be informed of the basis for that comparative fault allegation to have the opportunity to rebut the defendant’s argument. This is a standard Memorandum of Law in Support of a Motion to Strike comparative fault defenses that lack sufficient information.
Download file

Note that the Court of Appeals for the Middle Section ruled that the State of Tennessee does not have “discretionary function immunity” in an extremely thoughtful and well-reasoned 2004 opinion, Lucas v. State. The Tennessee Supreme Court also denied the State’s requested appeal and designated the opinion for publication.

Court approval should be sought for settling any case involving a minor (or disabled person), regardless of whether a lawsuit has already been filed or a compromise reached without litigation. T.C.A. sec. 34-1-121 gives the court power to approve the settlement and to waive the usual requirements of guardianship if the court determines it is in the best interests of the minor. The court’s approval binds the minor to the terms of the settlement. Approval is available whether the minor is the injured plaintiff, a defendant promising some performance, or entitled to receive some or all of the proceeds of a wrongful death settlement.

This Order Approving Minor’s Settlement is from a medical malpractice case in which the infant suffered permanent injuries, including cerebral palsy, due to birth trauma. While you may need to incorporate the terms of a trust or other structured settlement (as we did through a separate order in this case), this Order sets forth the basics for a court to approve the terms of the settlement, order the defendants to make the payments outlined in the settlement, approve the attorneys’ fee and expenses, and approve any payments for subrogation interests.

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