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]
 

Podiatry Malpractice : What is a podiatrist ?

Before undertaking the podiatric malpractice case, it is critical to understand what a podiatrist does and how the podiatrist differs from other medical practitioners in terms of education and scope of practice.   The Doctor of Podiatric Medicine (D.P.M.) is a peculiar breed of practitioner that is uniquely situated in the medical profession. In order to properly prosecute or defend a podiatric negligence or malpractice case, the attorney needs an understanding of podiatric principles and a familiarity with the similarities and differences between the podiatrist and other allopathic or osteopathic physicians.

SCOPE OF PRACTICE

A license to practice podiatric medicine and surgery is a limited license. State law governs the scope of podiatric practice. Scope of practice differs vastly among the states and in some states it is strictly localized to the foot only, others define practice to include the ankle and some include the entire lower leg. Furthermore, statutes and regulations may authorize or prohibit certain procedures such as amputation or define a practice limited to a specific anatomical level such as soft tissue only.

TIP # 1.   It is prudent for the attorney to check the respective state's regulations when evaluating or defending a podiatric malpractice case in order to determine if the treatment rendered was within the scope of practice as defined by state law.