Earlier this month, a federal appellate court issued a written opinion in a personal injury case involving a missed cancer diagnosis filed against the Veterans Administration (VA). Ultimately, the court concluded that, while the VA was negligent in failing to diagnose and treat the cancer, that failure was not the cause of the patient’s death. This case is important for Washington, D.C. medical malpractice plaintiffs because it illustrates the strict requirement of causation and the level of certainty an expert witness must possess when testifying.
The Facts of the Case
The plaintiff was the surviving spouse of a patient who was treated by the VA for various medical issues. Pertinent to this case was the patient’s diagnosis of cirrhosis of the liver. In 2011, a routine test showed the patient presented increased liver function. The attending nurse ordered a CT scan, and the VA doctor interpreting the scan noted that the patient’s cirrhosis was stable but did not note anything else.
In 2013, the plaintiff was admitted to the emergency room with various symptoms, including painful urination, incontinence, confusion, and slurred speech. Another CT scan was ordered and found a cancerous mass in the patient’s liver. The CT scan results were then compared to the earlier CT scan, and it was clear that the mass was present in the earlier scan as well. Since then, the size of the mass had doubled.
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