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Definition of Damages

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The fourth element of a lawsuit is damages.

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And this is where the plaintiff must prove that he

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or she has actually suffered injury

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because of the negligence of a physician.

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And there are several categories of injuries, economic,

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non-economic, and punitive.

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And I wanna talk about each one of those.

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So economic damages are literally things like

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lost wages, out of pocket costs.

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Um, home services, if a patient has been severely injured,

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they can no longer do the normal things around the house

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that they would do and have to hire help.

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That all gets factored in, uh,

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to the patient's or the plaintiff's.

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Economic injury, lost wages, those types of things.

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The second main category of damages are

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what people usually refer to as non-economic,

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uh, damages that relate to pain and suffering.

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That's, people hear that term, pain

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and suffering, loss of consortium.

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And so that really involves is the patient suffering pain?

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So that's something that I wanna know.

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How long is the pain going on? How severe is the pain?

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What sort of mental distress

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or other types of issues is the patient suffering

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as a result of the negligence of the physician?

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And the third category of damages is punitive.

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And it seems that physicians get very worried about this

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category, uh,

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because it can substantially increase the, an award

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for a plaintiff, but it's rarely used.

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And in fact, in all my 30 plus years, um,

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even though we've asked the judge to apply

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or allow punitive damages,

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I've truly never had a single case where the judge says,

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said yes, that this rises to the level.

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And I've had some pretty egregious cases.

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So I don't think, uh,

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being concerned about punitive damages is a big concern.

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Your lawyer will obviously let you know.

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But typically what you should know is

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that we usually hire economists

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to calculate out the damages in some,

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but not all states like Colorado,

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the non-economic damages are fixed.

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So there's a, a maximum number that you can get.

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It's below, it's currently below a million.

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It's gonna remain, uh, below a million for quite some time.

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Uh, but every state is different.

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Some don't have any caps on the non-economic portion,

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but that's something that you're gonna go over

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with your lawyer in terms of understanding.

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So as you look at this whole process, what's important

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to understand is that all four elements are required.

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If I don't have all four elements, I can't bring a lawsuit.

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And the other thing that is required as we get

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to this stage when I'm filing a lawsuit is that most states

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have something that's required called a,

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a certificate of review.

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And it can be called different names in different states.

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But basically it's something that I, as an officer

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of the court have to certify to the court

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that I have had the case reviewed by a physician

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with the same or similar expertise as the physician

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or physicians that we are suing.

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And that that physician has certified

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that this case essentially has merit.

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Now, they're not saying it's that we're going to win,

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they're just saying yes, there's a, there's a valid reason

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to go into and to look at the, uh, to look at

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what happened in this case.

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The other thing that I'd, I'd like to press upon you is that

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I'm not interested,

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and I don't think most plaintiff's lawyers are interested in

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doing these little piddly cases.

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One of the factors that we truly look at is what's the risk

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benefit analysis all along the way.

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So I see cases all the time where, okay,

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we may have some an injury, but if it's gonna go away

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and it's not gonna be a permanent injury, you have

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to really look at what's the, what's the validity

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of doing a suit that's going to cost a lot of money.

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Uh, the, is there is the, uh, insurance company have

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to be subrogated or paid back for what they paid, um,

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how much pain and suffering was involved.

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And as a general rule, I'm not interested in doing a lawsuit

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unless there's significant permanent physical injury

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moving forward that we can actually calculate out a,

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a number that's gonna be reasonable to move forward knowing

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what the costs are of litigation,

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which are typically quite high.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Kelly P. Yousem, JD

Plaintiff’s Attorney

Stephen D. Brown, MD, FACR, HEC-C

Associate Professor of Radiology (Part-time)

Boston Children's Hospital and Harvard Medical School

Tags

Non-Clinical