Maryland Accident Law Blog

Expert testimony is essential in many Maryland accident cases. A Maryland appeals court recently issued a decision in part on whether a court was wrong in excluding expert testimony, despite not having reviewed the patient’s relevant medical records. In that case, the plaintiff filed a malpractice claim against a doctor and his practice, claiming that she suffered a permanent loss of feeling in her tongue after the doctor allegedly severed lingual nerves in her jaw while he was taking out her wisdom teeth. She claims the doctor failed to take proper precautions when extracting her teeth, including failing to obtain a CT scan of the plaintiff’s mouth and nerves because she had impacted teeth, by failing to administer steroids immediately after the nerve injury, and by failing to immediately refer the patient to a nerve surgeon specialist.

The judge dismissed the case, in part because he excluded the expert testimony presented by the plaintiff. The plaintiff had two expert witnesses in the case: Dr. Kramer and Dr. Kotikian. The judge found that the opinion of Dr. Kramer was inadmissible in part because he had not reviewed the notes and records from the plaintiff’s treatment. The judge also found the opinion of Dr. Kotikian was inadmissible because he found that inferences of negligence can only be drawn when the alleged injury would not have occurred in the absence of medical negligence. The judge also found the plaintiff was contributorily negligent because she failed to attend follow-up appointments. The plaintiff appealed the decision.

Admissibility of Expert Testimony in Maryland Accident Cases

Under Maryland Rule of Evidence 5-702, expert testimony may be admitted in a case if the court finds that the expert testimony will be helpful in understanding evidence or deciding a fact in the case. A court should determine: if the expert witness is qualified based on knowledge, skill, experience, training, or education; if the expert testimony is appropriate on the issue, and; if there is sufficient factual support for the testimony.

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A Maryland car accident can have significant consequences on a victim’s financial, medical, and psychological standing. Under Maryland’s “at-fault” model of recovery, the “at-fault” party is responsible for compensating the victim for property damage, medical expenses, lost wages, pain and suffering and other economic damages. However, in many cases, the at-fault party refuses to take responsibility for the accident. In those situations, the injury victim’s insurance company is responsible for any property damage. The injured party’s insurance company will attempt to collect from the at-fault party’s insurance company. However, like every aspect of a car accident, unexpected issues often arise, and collecting damages can be a challenging experience.

One of the most frustrating aspects of an accident occurs when insurance coverage does not cover the extent of a person’s losses. This tends to occur after particularly catastrophic accidents. In these cases, the injury victim or their loved ones may go after the at-fault party directly. It is imperative to retain an attorney to assist through this process. An attorney can ensure that their clients recover the damages they deserve.

This is especially important with the rising costs of healthcare in the country. The New York Times recently reported on a tragic case that highlights the impact medical bills can have on a family’s livelihood. In that case, a family with seemingly good health insurance lost their premature daughter after contracting an infection while in the neonatal intensive care unit. A few months after their daughter’s death, they received various medical bills and debt collection notices from insurance companies. The insurance company inadvertently paid the hospital for care and turned to the family to cover their losses. Experts explained that these instances speak to the unpredictability of the American healthcare billing process. In many cases, patients and their loved ones do not understand what their medical costs are until they receive a bill.

Maryland medical malpractice lawsuits have certain requirements that are not necessary for other personal injury claims. Most importantly, before filing a Maryland medical malpractice claim, a claimant must file a certificate of a qualified expert.

Under MD Cts & Jud Pro Code § 3-2A-04 (2019), a certificate of a qualified expert must be filed within 90 days from the date of the complaint, attesting to the defendant’s departure from the standard of care and that the departure is the proximate cause of the alleged injury. The certificate must be served on all other parties to the malpractice claim. The 90-day deadline may also be extended in some circumstances. The requirement to obtain a certificate of a qualified expert is meant to curb meritless medical malpractice claims. If a defendant disputes liability, the defendant is required to file a certificate of a qualified expert within 120 days from the date the claimant or plaintiff served the certificate, which must detail the defendant’s compliance with the standard of care or that the deviance from the standard of care was not the proximate cause of the alleged injury. Failing to follow the state’s requirements for medical malpractice claims can result in the dismissal of the lawsuit.

In a recent case, a defendant argued that the plaintiff failed to follow notice requirements in a medical malpractice case by failing to properly serve a defendant. In that case, an inmate at a prison was attacked by other inmates, resulting in lacerations and a fractured jaw. He was taken to a hospital and later had oral surgery done on his fractured jaw at a medical center. He later filed a medical malpractice suit against defendants, including the surgeon. Under that state’s law, before filing a medical malpractice suit, the claimant was required to notify prospective defendants of the claimant’s intent to file a medical malpractice claim. Notice also had to include a completed authorization form, if available.