This is a medical malpractice case filed by a woman residing in Prince George's County who alleges partial blindness because the doctors failed to realize she was at risk for suffering from an ischemic injury due to low hemoglobin levels and low blood pressure. The woman is now partially blind in one eye.
This case was filed in Maryland Health Claims Arbitration on January 5, 2017. It is the sixth medical malpractice case filed in Maryland in 2017.
Summary of Plaintiff's AllegationsPlaintiff falls off a step ladder in her home and is taken by an ambulance to Prince George's Hospital Center. She has groin pain, pain in her upper left leg, and decreased sensation in her left foot. The defendant physician evaluates her and orders lab tests and CT scans of her head and hip. No question this is a serious orthopedic injury.
A CT scan of her hip shows an acute fracture of her left femur with medial displacement. Importantly, her lab results reveal a low hemoglobin level. It was not wildly low. Her hemoglobin was 12.9. A normal range of hemoglobin in red blood cells should be between 13.5 g/dl to 17.5 g/dl.
The following day, defendant orthopedist is consulted. Defendant orthopedist concludes that plaintiff needs surgery. The woman's hemoglobin level is low once again. She remains in the emergency room for the day until she is admitted to the medical-surgical unit.
Plaintiff needs to obtain cardiac clearance before surgery due to her cardiac history. She is evaluated and cleared. The next day, the defendant surgeon performs an intramedullary nailing of the left sub-trochanteric femur fracture with interlocking screws. In other words, they need to put in a rod to stabilize her leg.
During this procedure, the plaintiff loses blood. She is placed in the critical care unit to recover following the surgery. That evening, when her blood is tested, and she was found to have an even lower hemoglobin level (8.9). This level dropped again the morning following surgery (8.2). Her blood pressure was also dropping. It is understood that the combination of prolonged hypotension and anemia can cause an ischemic injury to the optic nerves. In this case, the ischemic injury ultimately causes a condition known as bilateral posterior ischemic optic neuropathy (PION) and resulted in a loss of vision.
The day after her surgery, the defendant physician noted that the woman was suffering from post-hemorrhagic anemia and that she was weak. One more day passed, and her hemoglobin level was re-checked and found to be continually decreasing. At this point, the plaintiff also has a fever and increased pain. Defendant physician notes anemia again.
A physical therapist examined plaintiff and found that her left lower extremity was extremity swollen and to be demonstrating orthostatic hypotension in addition to dizziness. The defendant physician evaluates her again but maintains his diagnosis of post-op hemorrhagic anemia. He orders labs to be done as her blood levels continue to drop and she begins to have blurry.
After evaluation by another physician assistant, a blood transfusion was recommended. Plaintiff received two transfusions. After the transfusions, plaintiff's hemoglobin level rises, but she continues to have poor vision and has lost a portion of her eyesight in her left eye. An MRI is done to rule out a neurological issue as causing this vision loss. Incredibly, she is discharged from the hospital without follow-up regarding the cause of her loss of vision.
Plaintiff follows-up with a doctor a Kaiser who diagnoses her posterior ischemic optic neuropathy.
Plaintiff files a medical malpractice lawsuit alleging that her hypotension and anemia should have led the doctors to rule out an ischemic injury. Plaintiff alleges that the doctors should have known that she was at risk for an ischemic injury to the optic nerve that can cause posterior ischemic optic neuropathy and permanent blindness. Plaintiff's expert, Dr. David M. Katz, will likely testify that prolonged hypotension and anemia was a substantial contributing cause of the ischemic injury to the optic nerves of the Plaintiff, resulting in permanent vision loss. Dr. Katz will contend that if the patient had gotten an earlier blood transfusion, the injury would have been avoided.
Additional CommentsIf you have been injured due to negligence by a doctor or a hospital, our law firm can help. You are entitled to justice and compensation, and our attorneys at Miller and Zois have a long history of getting large verdicts and settlements in medical malpractice cases. Call us today and speak to an attorney at (800) 553-8082 or get a free online consultation.
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