The West Virginia Supreme Court recently released a decision in the case of Stephens v. Rakes, choosing to deny a medical malpractice defendant’s request that a jury verdict against her be set aside. The defendant argued to the Court that the verdict against her could not be supported by the evidence that was introduced at trial and also argued that the award of punitive damages against her was inappropriate. The Court disagreed, ruling that the jury could have reasonably found the defendant to have been negligent in several ways and that the decision to issue punitive damages was properly presented to the jury.
What Happened to the Patient?
The plaintiff in the lawsuit is the personal representative of a patient
who died after being treated by the defendant in 2010. The decedent arrived
at the hospital suffering from breathing problems and abnormal behavior.
He eventually became combative and agitated, and he was given moderate
to high doses of two tranquilizer drugs (Haldol and Seroquel) to calm
his agitation, although no breathing assistance devices were used to address
his pulmonary problems.
After nearly a full day in a sedated state from the drugs, the patient’s
lung conditions had not improved, and the levels of carbon dioxide in
his blood (a measure of lung function) were not being measured. At the
end of the patient’s second day in the hospital, the defendant ordered
the patient to be placed on a breathing assistance device, but it never
happened. The patient died at the hospital approximately 50 hours after
being admitted, apparently from the improper administration of the drug Seroquel.
The Decedent’s Estate Sues the Medical Providers Involved
After the patient died, his estate filed a medical malpractice lawsuit
against the doctors and hospital that treated him leading up to his death.
All of the defendants except for one settled the case without going to
trial. At trial, the jury found that the remaining defendant, who had
treated the patient successfully for a similar problem in 2008, did not
provide the decedent with treatment that was up to the medical standard
of care that the patient was entitled to for the symptoms he was suffering,
and she was therefore liable under a theory of medical malpractice.
The defendant argued that, since she didn’t personally prescribe the Seroquel that was listed as the cause of death, she could not be held responsible for the death. The jury disagreed and awarded the plaintiff $500,000 in economic damages for the patient’s death, as well as $500,000 in punitive damages to be paid to the plaintiff based on the especially reckless conduct that resulted in the patient’s death. The award was reduced to $860,000 pursuant to a state statute limiting non-economic damages.
The Defendant Appeals
After losing at trial, the defendant appealed the case to the West Virginia
Supreme Court, making two main arguments. First, she argued that, since
she did not prescribe the Seroquel, she could not be held responsible
for the death. The Court disagreed, ruling that there were several other
instances of her negligence, other than allowing the patient to take Seroquel,
that were alleged to have contributed to the death, and the jury could
have returned a liability finding from any of those theories.
The defendant’s second argument was that the jury should not have been permitted to award punitive damages because her behavior was, at most, only a small departure from the standard of care, and not the type of recklessness that justifies punitive damages. The Court again disagreed, noting the several allegations of recklessness throughout the defendant’s treatment of the patient that should permit the jury to award punitive damages.
Are you a Victim of Medical Malpractice?
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Offutt can help you make a strong case for damages. Our dedicated medical
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