Defense Verdict- Unecessary & Unsterile Foot Surgery (KY)

A  62 year old women  underwent a surgery  by her podiatrist on her ankle in 2004 to remove a cyst. It was performed by a podiatrist. Several weeks later at a post op visit, the defendant had removed the sutures. Plaintiff recalled that the defendant droped the instrument used to remove the sutures on the floor and then continued to use it without cleaning. At a following visit, there were signs of  infection. Shortly thereafter plaintiff was admitted to a hospital with a diagnosis of infection. Plaintiff  underwent a surgery for a skin graft.


Plaintiff alleged that  the surgery was not needed and that the defendant operated in a surgical enviornment and there was  a delay by the defendant in sending her to the hospital.
The podiatrist-defendant contended that the surgery was proper. He also argued that while there was an infection complication,  he responded to it properly and it was managed.


A defense verdict was entered and there was no recovery by the plaintiff.


Experts: David Widom, DPM,  Alan Catanzariti, DPM, Pittsburgh, PA
 

$8.1 Million Verdict for Lost Cancer Biopsy Specimen (IN)

Eric and Renee Flora felt reassured in the spring of 2004 when a local podiatrist removed a growth from her big toe and life for the New Carlisle couple returned to normal.

But when the growth resurfaced a year later, they received some frightening news. Renee Flora, a then 33-year-old nurse's aide and mother of two young girls, had malignant melanoma.

A St. Joseph Superior Court jury has found podiatrist Dr. W. Douglas Kolmodin liable for medical malpractice, concluding that Renee Flora's odds at beating the cancer were greatly reduced because he failed to have tissue from the excised growth tested for cancer.

Now in stage three of the cancer, she has just a 17 percent chance of living another 12 years, according to national cancer statistics, said her attorney, Rob Gonderman.

After a five-day trial last week, the jury awarded the Floras more than $8.1 million in damages.

The couple declined to comment on the verdict, as did Kolmodin.

Kolmodin's attorneys, W. Todd Woelfer and Georgianne Walker, did not return calls seeking comment.

During the trial and in sworn affidavits contained in court records, the Floras testified they saw Kolmodin place the lesion in a container, and he told them he would send it for testing.

That was the last day Kolmodin practiced in his office at 711 W. McKinley Ave. During the firm's move several days later to a building in the Edison Lakes area in Mishawaka, the specimen was apparently lost, Gonderman said.

Kolmodin, 37, testified in a deposition that a local boy's baseball team helped with the move, partly to show their gratitude for a donation he had made to the team.

Kolmodin denied the specimen was lost, according to court records. Rather, he said, it disintegrated upon removal, and there was nothing left to have tested. However, the three podiatrists who reviewed the case for the Indiana Department of Insurance concluded there should have been enough tissue for the test, Gonderman said.

Gonderman said he was pleased with the verdict, but noted he has a long fight ahead in trying to recover the damages.

Fortunately for the Floras, Gonderman said, it appears Kolmodin's former practice, Northern Indiana Foot & Ankle Associates, had failed to participate in the state program that caps malpractice damages at $1.25 million for all care providers involved in a case.

Kolmodin will be shielded by Indiana's $250,000 damages cap against individual doctors under the law.

Gonderman said Northern Indiana Foot & Ankle Associates' status is unclear. Kolmodin now works for South Bend Clinic, which has acquired the firm, Kolmodin testified at trial.

South Bend Tribune [2/24/08]

Podiatry Settlement: Failure To Timely Diagnose Charcot's Joints in Diabetic Patient (NJ)

The plaintiff in her late 50s, a diabetic with peripheral neuropathy, contended that clinical signs including deformations in the bone, the collapse of the arch, an increase in pain and swelling and redness, should have led to a timely diagnosis of Charcot's joints, a degenerative condition that can result in the breakdown of bones and tissues of the foot. The plaintiff also contended, that she was sent for a bone scan three to four months later and that the defendant should have realized that early stages of the condition were evident. The plaintiff maintained that if diagnosed after the bone scan, more conservative treatment modalities such as the use of a total contact cast would probably have enabled the condition to resolve in the absence of surgery and the implantation of hardware which will permanently cause increased pain and difficulties ambulating.

The defendant maintained that the clinical signs prior to the bone scan were consistent with diabetes and peripheral neuropathy and denied that the failure to diagnose the condition this time constituted a deviation.

The defendant also contended that he recognized the early stages of the condition after the bone scan was taken and acted appropriately by prescribing a walking boot and referring her to her family physician. The plaintiff underwent the surgery approximately one year later.

Result: $ 300,000 Settlement

Source: Jury Verdict Review Publications, Volume 29, Issue 2 [PM News]
 

State seeks to revoke license of California Podiatrist (CA)

State seeks to revoke license of Fresno podiatrist

A California foot doctor acquitted recently of accusations that he molested his patients is  facing  disciplinary action from california state regulators seeking to revoke his license to practice podiatry.
The California Department of Consumer Affairs alleges that  there is a "clear and present danger" to allow podiatrist Dr. Matthew Sciaroni, D.P.M.  to continue practicing podiatric medicine. 

The jury in Superior Court in Fresno County  recently found Dr. Sciaroni not guilty of child molestation and sexual battery althoug there was testimony of 7  women who said podiatrist touched them inappropriately.

A law judge is set to weigh the Department of Consumer affiars allegations against Dr. Sciaroni and then will likely recommend whether or not Sciaroni  should keep his license to practice podiatry.


Information from: The Fresno Bee, http://www.fresnobee.com

Podiatrist Defense Verdict: Diabetic Foot Ulcer (IN)

From November 1996 to February 2000  defendant podiatrist had treated Ronald Vice in connection with diabetic foot ulcers. Vice alleged that defendant’s lack of treatment, patient education and diagnostic studies  led to bilateral, below-the-knee amputations.

The plaintiffs alleged that defendant failed to recognize the seriousness of a diabetic foot ulcer, and refer the patient to a vascular surgeon, order vascular and arterial pressure studies and make proper assessments of right foot wounds while attempting to treat the left foot. Other allegations included failures to order antibiotics, blood work, x-rays, MRIs, bone scan, CBC, metabolic panel, sedimentation rate and serum protein with albumin; moreover, the plaintiffs asserted that defendant had failed to hospitalize plaintiff, and inform him of the seriousness of potential leg loss. The plaintiffs further argued defendant failed to perform incision and drainage procedures with deep debridement and order bone and soft tissue biopsies and wound cultures.

According to a medical review panel opinion dated Feb. 10, 2003, the medical review panel found evidence supported the conclusion that defendant had failed to meet the appropriate standard of care as charged in the plaintiffs' complaint. However, the panel found defendant's conduct was not a factor in the plaintiffs' resulting damages. Moreover, the panel determined evidence did not support the conclusion defendant had failed to meet the appropriate standard of care.

In their answer, the defendants generally denied the plaintiffs' allegations. By way of affirmative defense, the defendants argued Vice had been contributorily negligent and had incurred the risk of a known danger. The podiatrist, in denying negligence, asserted Vice had suffered from several other medical conditions besides foot ulcers, including uncontrolled diabetes, congestive heart failure, coronary artery disease, hypertension, renal insufficiency and peripheral vascular disease. Defendant contended her care and treatment met or exceeded the applicable standard of care in all respects.

Result: Defendant’s verdict

Plaintiff’s Experts: Stephen G. Lalka, MD; Michael A. Salcedo, DPM, South Bend, IN; Robert E. Clemency, MD, South Bend, IN.; Sheree L. Peglow, MD, South Bend, IN; Stephen F. Mitros, MD, South Bend, IN; Charles E. Petersen, MD, South Bend, IN; R. Gregory Credi, MD, South Bend, IN.

Defendant’s Experts: Maria F. Curfman, MD, Fort Wayne, IN; Bruce L. Gewertz, MD, Los Angeles, CA; Michelle Cervin, DO, South Bend, IN; Daniel E. Scherb, MD, South Bend, IN; Frank C. Toepp, DPM, South Bend, IN; Jeff Niespodziany, DPM, Mishawaka, IN; Theodore A. Vorenkamp, DPM, South Bend, IN; Brian Rolfe, DPM, South Bend, IN; William Fox, DPM, Niles, MI; Nelson Worden, DPM, Mishawaka, IN; John Grady, DPM, Oak Lawn, IL, Thomas Wicks, DPM, New Castle, IN; Richard M. Hilker, DPM, Fort Wayne, IN.; Randolph J. Ferlic, MD, South Bend, IN; Bruce J. Brincko, DPM, Knox, IN.

Source: West's Jury Verdicts - Indiana Reports

$3.5 Million Dollar Verdict- CRPS and Partial Foot Amputation (VA)

A jury in Virginia has entered a $3.5 million verdict in favor of Donita Franklin who sued her foot doctor, podiatrist, Dr. Jennifer Feeny,  over a 2003 surgery that she says caused incurable chronic pain  (crps) and led to the amputation of the front of her right foot.





The pain Franklin suffered became a permanent condition that didn't go away even after she had the front of her right foot amputated, Fennell said. Franklin, who used to be a factory worker, now lives on disability and uses a wheelchair or crutches to get around. "She used to be very active before this" and liked to ride horses, the lawyer said. "Now she can't do anything." Steven Feeny, Jennifer Feeny's husband and office manager, said Monday that he and his wife could have settled the suit but felt that "she did nothing wrong and she just had to have her day in court."

Source: Mike Alle, Roanoke Times (VA) [6/3/08]