Deposition of Doctor (Expert) in $10 Million Malpractice Case

This is the deposition of a gastroenterologist who served as an expert witness for the defense in a wrongful death medical malpractice case. The patient in this case was admitted to the hospital because of kidney problems. While at the hospital he developed very high potassium levels and was given Kayexalate, a drug that rapidly removes potassium from the body. After taking the drug, the patient developed colonic necrosis, a rare but easily avoidable side effect of Kayexalate in some patients.
Case Facts
A man presents to the University of Maryland Medical Center complaining of general weakness. He is admitted to the hospital and diagnosed with rhabdomyolysis. His medical history includes Hepatitis C, liver disease, stage IV renal failure, and hypertension.
He receives 6 days of dialysis to treat his renal failure and rhabdomyolysis. On the 7th day, he becomes increasingly lightheaded with a decreased heart rate (bradycardia). An EKG show a prolonged PR interval with markedly peaked T waves that was not present upon his initial admission to the hospital.
The internist correctly diagnoses the patient with hyperkalemia (elevated potassium levels) and immediately orders 30 mg of Kayexalate to reduce the potassium levels even though dialysis is readily available in the hospital. In fact, dialysis is ordered approximately 3 hours after Kayexalate is administered.
The patient has complaints of severe abdominal pain and numerous bloody bowel movements. That same day, an operation reveals he has severe ischemic bowel as a result of the Kayexalate. Tragically, the patient dies.
Malpractice Lawsuit
A medical malpractice lawsuit was brought in Baltimore City against the ER doctor and hospital.
Specifically, our lawsuit alleged that the doctor failed to render appropriate medical care to Mr. Allen. This breach included:
1) failing to appreciate that the drug Kayexalate should only be given as a last resort when dialysis is not readily available;
2) failing to appreciate that Kayexalate would take many hours before it would have lowered his potassium levels;
3) failing to order dialysis rather than Kayexalate when dialysis was readily available; and
4) ordering Kayexalate to treat the elevated potassium levels when dialysis was readily available.
Trial
The case went to trial and the jury awarded $10,000,000 to the patient's family.
More Information on This Malpractice Lawsuit
You can find the deposition of the defendant's emergency room doctor claimed this doctor's care was within the standard of care here:
• Deposition of Defendan...
The deposition of another ER nurse (who was not named as a defendant) can be seen here:
• Deposition of Emergenc...
How malpractice cases work in Maryland:
www.millerandzois.com/marylan...
And the defendant physician's assistant here:
• Defendant Physician's ...

Пікірлер: 72

  • @randomchannel7483
    @randomchannel74832 жыл бұрын

    Internist and Gastroenterologist here. Kayexalate is a standard drug given to treat hyperkalemia. The physician taking care of the patient did everything right and gave the appropriate drugs (including kay-exlate). There was no need for informed consent (given how small the risk of bowel necrosis associated with this drug). There was no negligence or malpractice here. The patient suffered an unfortunate complication. Hemodialysis is is NOT a safer alternative to kayaexalate and is only considered when all else fails. This lawsuit is a prime example of what is wrong with the practice of medecine. I am 100% certain that if the physician decided to proceed with hemodialsysis (instead of giving kayexlate ) and the patient had an air embolism and died, Miller and Zois would be suing because kayexlate wasn't given first. Shame on you.

  • @KatJ3st

    @KatJ3st

    Жыл бұрын

    Thank you for telling the direct and sad truth of the situation. People tend to look for blame when they experience trauma/shock.

  • @mrclevelandfan23

    @mrclevelandfan23

    Жыл бұрын

    Completely agree

  • @Matthew-lm6yc

    @Matthew-lm6yc

    Жыл бұрын

    I'm not a doctor, but there's always a need for informed consent. I'd imagine that any doctor would want to build trust with their patients, especially because we're in the age of online reviews and, more obviously, doctors can be sued for malpractice. To add, regardless of the rarity of side effects, they should be discussed because, no matter what, those side effects are still possible. If a patient starts experiencing symptoms without knowing it could be related to their treatment, they might dismiss it as being a result of something else instead of contacting their doctor. Plus, it's literally illegal not to obtain informed consent unless the circumstances don't allow the patient to provide it.

  • @bernardcarollo8962

    @bernardcarollo8962

    Жыл бұрын

    Does he have a lawyer?!?

  • @ThinkingNow
    @ThinkingNow2 жыл бұрын

    Court reporters are the true heroes in medical cases.

  • @41357500

    @41357500

    2 жыл бұрын

    hahahahahahah

  • @NBS1015
    @NBS1015 Жыл бұрын

    Appreciate the content

  • @mrclevelandfan23
    @mrclevelandfan23 Жыл бұрын

    Lokelma is very commonly given, in addition to Kayexelate, for hyperkalemia almost everyday in the hospital. Scheduling doses of both or either of these drugs helps reduces effects of hyperkalemia abnormalities. Ischemic colitis is EXTREMELY rare side of this medication. If he was already hypotensive, intermittent hemodialysis would have likely only worsened ischemic injury or made him tenuous. I do not believe you can chalk the ischemic bowel to just the Kayexelate. Very poor outcome for this trial - rather shocked. Please come walk around any medical ward and you will see why this is a ridiculous law suit.

  • @jojowisa1270
    @jojowisa12702 жыл бұрын

    I have watched more than 100 hours of depositions in the last many weeks, and I have yet to come up with an explanation for why

  • @beakt

    @beakt

    2 жыл бұрын

    No need to explain, my friend. No need.

  • @41357500

    @41357500

    2 жыл бұрын

    seek mental healthcare

  • @Millerandzois

    @Millerandzois

    2 жыл бұрын

    You are NOT alone James. You wouldn't believe how popular these deposition videos are on this channel.

  • @victorvickqtoure9620

    @victorvickqtoure9620

    2 жыл бұрын

    @@Millerandzois Theyre very interesting

  • @leannabedore

    @leannabedore

    2 жыл бұрын

    🤣🤣 I just started a few days ago and can't stop. It's becuase they are so darn interesting!

  • @sophocles1198
    @sophocles11982 жыл бұрын

    Impressive preparation and control by the attorney. This expert seems very much the advocate. Answers questions he wasn't asked, always to pump up the defense. Apparently the jury did not find him convincing.

  • @SkinnyCow.

    @SkinnyCow.

    2 жыл бұрын

    Experts are nonsense. As the saying goes, "he who pays the piper calls the tune". An expert isn't go to say anything that goes against the one who pays their checks.

  • @Millerandzois

    @Millerandzois

    Жыл бұрын

    @@SkinnyCow. That is not always true but true more often than it should be

  • @9929kingfish
    @9929kingfish2 жыл бұрын

    It’s amazing these lawyers who are not doctors can have an understanding of what’s going on medically.

  • @chrisalugbuo467

    @chrisalugbuo467

    Жыл бұрын

    Simple, they review the questionnaire the night before.

  • @Gun1ld

    @Gun1ld

    Жыл бұрын

    They don't

  • @zebra3962

    @zebra3962

    Жыл бұрын

    You don't have to be a doctor to be a lawyer, just as you don't have to be a mechanic to sue a car shop who performed a tire change and place only one nut on the wheel.. causing the car to later crash and kill it's occupant's.. boom !!!!

  • @user-uw6rr5mv9h

    @user-uw6rr5mv9h

    Жыл бұрын

    they don't

  • @Dear0705

    @Dear0705

    4 ай бұрын

    thus the title 'LEARNED FRIENDS'

  • @ajlavanetwork5755
    @ajlavanetwork5755 Жыл бұрын

    Any guideline/ template resources known to exist that aid in preparing an outline of facts story for these cases execution? Please share with me if so

  • @bobbywoods684
    @bobbywoods6842 жыл бұрын

    Just looking at this doctor's tie knot would make me seek another doctor for care.

  • @jeniferpeace9600

    @jeniferpeace9600

    2 жыл бұрын

    Take it easy, geeze 🚭

  • @susanherrin1217

    @susanherrin1217

    2 жыл бұрын

    The doctor being deposed is not the defendant....

  • @bobbywoods684

    @bobbywoods684

    2 жыл бұрын

    @@jeniferpeace9600 My friends and I thought that was funny,

  • @vbrown7530
    @vbrown75302 жыл бұрын

    From a healthcare prospective, it seems he acted in a prudent manner given the facts of this case - 1/2 way through. I’ll keep watching

  • @danny1682
    @danny168210 ай бұрын

    Does Miller & Zois take cases in North Jersey, 5 miles from NYC ?

  • @Millerandzois

    @Millerandzois

    10 ай бұрын

    It depends on the type of case.

  • @danny1682

    @danny1682

    10 ай бұрын

    I am going to write to your office. May I get your address? The Hospital, the Rehab facility, and the Doctor who gave treatment after Rehab have all refused to give the essential Documents but do provide some useless documents. I am now going to ask the National Institute of Justice. to help me. As you know NIJ has a law that they must provide all the documents. Some documents have been altered etc. I think it's a simpler case than this one.@@Millerandzois

  • @KatJ3st
    @KatJ3st Жыл бұрын

    This was one hideously sick patient. He was doomed from the start.

  • @Millerandzois

    @Millerandzois

    Жыл бұрын

    Certainly, that was their best argument at trial. Sometimes that works and sometimes it does not. Sometimes a jury says who knows what will happen so if you negligently kill someone who may be dying, we are going to give him the benefit of the doubt and assume he could have survived.

  • @marciegutierrez5298
    @marciegutierrez52982 жыл бұрын

    Geez they forgot to mention that pt refused dialysis that morning and refused for his lab that were ordered to be done on him. refusing dialysis resulted in his potassium going up which lead to his heart arrhythmia which required the administration of kayexalate. If he had allowed his lab to be done early that morning- it might be possible that drs would have caught condition (High postassium level) sooner. in my opinion the provider did nothing wrong.

  • @Millerandzois

    @Millerandzois

    2 жыл бұрын

    We welcome all opinions so thanks for offering yours.

  • @KatJ3st

    @KatJ3st

    Жыл бұрын

    well said

  • @Gun1ld

    @Gun1ld

    Жыл бұрын

    @@SS-xm7di and it was handed properly since dialysis would have taken too long to treat his very severe heart arrhythmia and irregular heart frequency.. It's something that has to be treated with medications and iv fluids right then and there.

  • @hi-literyellow4483

    @hi-literyellow4483

    7 ай бұрын

    @@Millerandzoisthat”s a fact not an opinion

  • @Millerandzois

    @Millerandzois

    6 ай бұрын

    @@hi-literyellow4483 Sorry. It said, "It is my opinion," and then the person gave an opinion. So we thought it was an opinion.

  • @LydiaMeyers317
    @LydiaMeyers317 Жыл бұрын

    The jury did not see his expertise because of his ability to get attention. In addition, his speech is monotone and does not sound very except related to his extra words like uh, um, etc.

  • @djdedeo0
    @djdedeo02 жыл бұрын

    Why the hell are we still using court reporters in 2021?

  • @Ailenna

    @Ailenna

    2 жыл бұрын

    Money 💰

  • @othername1000

    @othername1000

    2 жыл бұрын

    To produce a report known as a transcript. So that everybody doesn't have to do what we're doing and watch countless hours of video disposition. Paper or computer transcripts can be cross referenced and one can flip back and forth to compare things instead of trying to skip around a video, or most likely multiple videos, repeatedly. Voice recognition still comes up with crazy stuff. A court reporter would still have to watch the video and the computer generated transcript to correct the mistakes the computer will make.

  • @djdedeo0

    @djdedeo0

    2 жыл бұрын

    @@othername1000 so we don't have voice to text technogy?

  • @othername1000

    @othername1000

    2 жыл бұрын

    @@djdedeo0 We do, it still comes up with weird stuff. It's not 100% reliable. Google can't seem to decide between "and" and 'in'. And all sorts of other mistakes and comes up with. Actually, that last sentence, I said, "mistakes *it* comes up with". Wasn't intending to do a live demonstration of speech to text screw ups but, there you go. True story, that's actually what I said. While doing voice to text, to respond. Like I said we could do voice to text but somebody would have to go and check it against the video anyway. And if something went wrong or it stopped capturing data all of a sudden, you might not know it.

  • @Jesus_H._Christ6598
    @Jesus_H._Christ65982 жыл бұрын

    I don’t think his hair is real…

  • @vearryhale8257
    @vearryhale82572 жыл бұрын

    Do you have to point fingers when people are not doing their job right in the negligence should not be tolerated because it was a regulations protocols procedures policies things must be examined Patients and families have every right to be concerned there must be accountability at the end of the day people deserve and patients deserve to get the services or should I say quality services they’re entitled to it is a disgrace when you guys get caught with negligence and then they got the patient suffering the malpractice should not be tolerated and it is painful when they try to keep family members from knowing what is been going on for far too long and I would love ones matter the quality of life the quality of services is very important

  • @zebra3962

    @zebra3962

    Жыл бұрын

    Agree with you one hundred percent 💯

  • @jeanfish7
    @jeanfish72 жыл бұрын

    K exalate is torture...massive diarrhea.

  • @user-ef4tu5zs4q
    @user-ef4tu5zs4q Жыл бұрын

    federal😊

  • @thanksforbeingausefulidiot9016
    @thanksforbeingausefulidiot9016 Жыл бұрын

    What's a major reason why our healthcare costs are out of control? Miller & Zois, Attorneys at Law. That's why.

  • @pv8340

    @pv8340

    Жыл бұрын

    Keep peddling the lies....Healthcare is expensive because we have big pharma acting like a drug dealer on the street having you come back for more instead of using our tax dollars to research for CURES! Meanwhile, Big pharma also has a hand in the food that we eat by putting certian chemicals that make us sick...its big business, at least these guys are catching them at their own game.

  • @thanksforbeingausefulidiot9016

    @thanksforbeingausefulidiot9016

    Жыл бұрын

    @@pv8340 If you think this two bit law firm is "catching them (Big Pharma) at their own game", you're delusional. But don't worry, Big Pharma has Risperdal, Clorazil, and Seroquel waiting to treat your delusions.

  • @deaharrington7894

    @deaharrington7894

    Жыл бұрын

    Don’t understand this comment. My sister was in the hospital stated she wanted to kill herself. The doctor never came in to evaluate her only a nurse. She was discharged and killed herself 5 hours later. Dude I don’t care about insurance cost. I am in the middle of a lawsuit because they killed my loved one so I guess insurance more expensive for you lol! Maybe you would understand when your loved one was pushed out the door. We all pay a lot for insurance get over it! Your comment is rude as fuck!

  • @vegas9440
    @vegas94408 ай бұрын

    Doctor talking wayyyyy too much

  • @shannakelly490
    @shannakelly4902 жыл бұрын

    Wow 3 minutes in and he's doing so much nervous talking.

  • @markyoung7954
    @markyoung79542 жыл бұрын

    Super gay

  • @zebra3962

    @zebra3962

    Жыл бұрын

    So no necrosis on his bowels?

  • @JoelRamirez-os1ec
    @JoelRamirez-os1ec Жыл бұрын

    1:15