Additionally, the Supreme Court noted that when making a competency determination, itis important to make such a determination only after delineation of precisely what is the specificcare at issue. The sole issue in Vicari with regard to plaintiff’s expert testimony concernedreferrals to an oncologist, not breach of standard of care during surgery or the administration ofradiation therapy (for which, presumably, plaintiff’s expert would not be qualified to offeropinion). Thus, plaintiff’s expert was permitted to offer his opinions regarding this “related”subspecialty of the defendant physician. Vicari, 989 A.2d at 1284.In Lasko v. Watts, 373 F. App’x 196 (3d Cir. 2010), a Federal inmate brought a pro secivil rights action against correctional facility officials asserting claims under the First andEighth Amendments, Federal Tort Claims Act (FTCA), and Americans with Disabilities Act(ADA). The U.S. District Court for the Middle District of Pennsylvania granted summaryjudgment for the officials and held that 1) the district court did not abuse its discretion in denyingthe inmate’s appointment for counsel, and 2) that a physician’s decision not to begin the inmate’sinterferon regimen until after he underwent laboratory testing was not deliberate indifference.The District Court denied the inmate’s deliberate indifference claim because it found thatthe prisoner failed to present evidence from which a reasonable jury could conclude that anydefendant possessed the “culpable mental state” required for such a claim. Id. at 203. The factsshowed that there were compelling penological interests supporting defendants’ actions and thatthe officials “would have made the same decisions…for reasons reasonably related to alegitimate penological interest.” Id. at 203 (citing Rauser v. Horn, 241 F.3d 330, 334 (3d Cir.2001)).It should be noted, that the Court also upheld the district court’s denial of counsel to theinmate as the record indicated that the inmate was able to obtain his medical records and otherdocuments, present the necessary factual information and legal arguments to the court, andrespond to the issues raised by the defendants’ summary judgment motion. Id. at 202 (citingParham v. Johnson, 126 F.3d 454, 457 (3d Cir. 1997) (stating the factors a district court shouldconsider when determining whether to appoint counsel to an indigent civil litigant)).In Novitski v. Rusak, 941 A.2d 43 (Pa. Super. Ct. 2008), the Superior Court held that avocational rehabilitation expert’s testimony is admissible regarding the medical condition of aplaintiff even with the lack of supporting medical testimony. In Novitski, Plaintiff was injured ina motor vehicle accident. As a result of the accident Plaintiff sustained several injuries,including two disc herniations in his neck. Plaintiff brought suit and at trial he presented theexpert testimony of Mark Lukas, Ph.D., an expert in vocational rehabilitation and AndrewVerzilli, an expert in economic loss. Dr. Lukas testified that the herniated discs in Plaintiff’sneck would cause a twenty-five percent work reduction, despite the fact that no medical recordsconfirmed his estimate. Defendant also pointed out that after the accident Plaintiff continued towork a full time schedule. Mr. Verzilli then provided testimony of estimated wage losses basedon Dr. Lukas’ estimated twenty-five percent work reduction. At the end of trial the jury returneda verdict in favor of Plaintiff in the amount of $443,040.14.Defendant appealed the matter to the Superior Court arguing thatthe admission of Dr. Lukas’ testimony was in error. Defendantstated that Dr. Lukas, as a vocational rehabilitation expert, was30
unable to testify about an estimated work reduction without anysupporting medical evidence. Defendant also argued that, in turn,Mr. Verzilli’s testimony was admitted in error because hisestimates were based on Dr. Lukas’ work reduction estimate. TheSuperior Court stated that: Dr. Lukas was qualified as a vocationalexpert and certainly was qualified to render an opinion about thedegree to which Mr. Novitski’s herniated discs and pinched nerveaffected his ability to work. Furthermore, we conclude there wasclear and concise medical testimony linking all of Mr. Novitski’sinjuries to the motor vehicle accident and that such medicaltestimony unquestionably indicates that his injuries will impact onhis ability to work.Id. at 49. Therefore, the Superior Court affirmed the trial court’s decision.In Cimino v. Valley Family Medicine, 912 A.2d 851 (Pa. Super. Ct. 2006), appealdenied, Cimino v. Valley Family Medicine, 591 Pa. 731 (Pa. 2007), Plaintiff’s only standard ofcare expert was a physician whose California medical license was subject to revocation, but thisrevocation had been stayed and he was placed on probation for five years. He was allowed topractice medicine during this time, but he had to comply with several terms and constraints,including completing specific courses in medical record keeping and ethics, having a billingmonitor and notifying the state if he left to live or practice medicine in another state. Theexpert’s agreement with California also stated that if he complied with certain requirementsduring the probationary period, his license would be fully restored in three years.Defendants challenged this expert’s qualifications under MCARE to testify as an expert.Specifically, Defendants argued that he did not possess an “unrestricted physician’s license” asrequired under § 1303.512(b)(1) of the Act. Plaintiff, on the other hand, argued that the purposeof this section was to ensure that any doctor giving expert testimony was a practicing physicianwho had met the necessary requirements through education and testing to have sufficientknowledge to provide competent testimony, and that this expert’s license to practice was notlimited.The Superior Court agreed with Defendants. The court noted that MCARE did notprovide a definition of “unrestricted” but that in common usage the meaning of this word denotesno limitations or constraints. The Court concluded that this expert’s license, therefore, was notunrestricted and he was not qualified to testify as an expert. Consequently, the Superior Courtaffirmed the trial court’s order precluding this expert’s testimony, as well as the order dismissingPlaintiff’s case for lack of the required expert testimony.In George v. Ellis, et al., 911 A.2d 121, (Pa. Super. Ct. 2006), the Superior Courtevaluated Plaintiff’s standard of care expert under the MCARE Act’s requirements regardingexpert qualifications and reached a conclusion contrary to that previously reached by the samecourt when the same expert was evaluated under the common law standard in George v. Ellis,820 A.2d 815 (Pa. Super. Ct. 2003), appeal denied, 834 A.2d 114 (Pa. 2003). Plaintiff in thiscase alleged that Defendant performed three surgical procedures on her knee, that three surgeries31
- Page 3 and 4: EMTALA CASES ......................
- Page 5: Filing an Affidavit of Non-Involvem
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- Page 10 and 11: The Superior Court reversed the tri
- Page 12 and 13: to a third party pursuant to the st
- Page 14 and 15: After approximately five months, De
- Page 16 and 17: learned the day after the surgery t
- Page 18 and 19: conduct to the delay in colon cance
- Page 20 and 21: court admitted the expert’s testi
- Page 22 and 23: (b)(c)other reasonable causes, incl
- Page 24 and 25: corroborated his testimony. The cou
- Page 26 and 27: husband’s estate. Plaintiff alleg
- Page 28 and 29: Other notable federal cases arising
- Page 30 and 31: The Superior Court found that in re
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- Page 34 and 35: In Neidig v. United States, No. 07-
- Page 38 and 39: were not indicated for her conditio
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- Page 42 and 43: It should be noted that the Superio
- Page 44 and 45: Finally, the court held that the tr
- Page 46 and 47: The Supreme Court of Pennsylvania r
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- Page 52 and 53: Under Pennsylvania law, the Court n
- Page 54 and 55: testimony, Defendant presented his
- Page 56 and 57: Following Cooper v. Roberts, 286 A.
- Page 58 and 59: Plaintiff developed chronic diarrhe
- Page 60 and 61: where payment is made by Medicaid w
- Page 62 and 63: accomplished. In Valles v. Albert E
- Page 64 and 65: In 1980, the Pennsylvania Superior
- Page 66 and 67: Plaintiff had a routine monitoring
- Page 68 and 69: Plaintiff’s Contract ClaimsThe Co
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- Page 72 and 73: unit to assure post-surgical patien
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- Page 80 and 81: Even more recently, our Superior Co
- Page 82 and 83: (a)HMO IssuesIn McClellan v. Health
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treatments while at VA’s faciliti
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[s]ubstantively, we believe that a
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The party claiming the benefit of t
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deprive (him) of civil rights guara
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found that the District Court was w
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With respect to fraudulent concealm
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would be applied in situations wher
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they had not raised them in the cou
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(a)Informed ConsentUnder MCARE, a p
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civil enforcement provisions and ma
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MCARE also changes the manner in wh
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whose death, in 2005, was allegedly
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vicariously liable if the plaintiff
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health center or its equivalent or
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In Pennsylvania Medical Society, th
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to any professional who is alleged
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Since the 2005 amendments, there ha
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ule, but who intentionally ignores
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the original Complaint was delivere
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foreclose all challenges against th
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number of boxes), which was support
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questions of professional judgment
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deviated from any professional stan
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The Third Circuit affirmed the Dist
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claims and cross-claims remain agai
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By an Amendatory Order dated March
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The court acknowledged that there i
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apply and that the trial court misa
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Barbados had enough litigation-spec
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E. Preemption of Vaccine Design Def
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2. Pa. R. Civ. Pro. 1036.1 - Reinst
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Barrick, at *34-35.Furthermore, the
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(b) the utility of the defendant’
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2006). In this case, Plaintiffs bro
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B. Elements of a Cause of Action fo
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decision in Muhammad precluded Mr.
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considered speculative “only if t
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underlying cause of action involved
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In Capital Care Corp., the Superior
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The court found, however, to state
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of reasonable diligence. The standa
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not be set aside. On July 7, 2005,
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complete bar to recovery. Since a l
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On appeal, Plaintiffs claimed that
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In Liggon-Redding, 659 F.3d at 265,
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elieved of those minimum standards
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elevant to the proceedings, the com
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establish professional misconduct b
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Upholding the Superior Court’s Or
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Id.Rejecting revocation and suspens
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order as a sanction under Rule 4019
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