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Lefkowitz v. Nassau County Medical Center

Citations: 94 A.D.2d 18; 462 N.Y.S.2d 903; 1983 N.Y. App. Div. LEXIS 17944

Court: Appellate Division of the Supreme Court of the State of New York; May 31, 1983; New York; State Appellate Court

Narrative Opinion Summary

In this medical malpractice case, the plaintiff alleged that treatments received from a medical center and two doctors led to pelvic inflammatory disease and subsequent loss of fertility. The defendants sought to compel the plaintiff to undergo a hysterosalpingogram (HSG), a diagnostic fertility test, to assess her ability to conceive, citing its necessity for the case. The plaintiff opposed the test, citing potential health risks, and sought to renew a protective order with new evidence from a gynecologist warning of serious complications. The lower court initially sided with the defendants, but upon appeal, it was determined that the plaintiff provided justification for her initial lack of medical evidence, warranting consideration of her renewed motion. The appellate court found that the defendants failed to demonstrate the safety of the HSG, reversing the lower court's decision and granting the plaintiff's motion for a protective order. This case underscores the judicial balancing act between necessary medical examinations in litigation and the potential health risks posed to plaintiffs, ultimately shifting the burden of proof regarding safety to the defendants. The plaintiff was awarded costs, payable by the defendants.

Legal Issues Addressed

Balancing Medical Necessity against Health Risks

Application: The court weighed the necessity of the HSG against potential health risks, ultimately siding with the plaintiff due to prima facie evidence of potential danger.

Reasoning: The case raises critical issues regarding the balance between the necessity of medical tests in establishing claims of malpractice and the potential health risks posed to the patient.

Burden of Proof in Demonstrating Medical Test Safety

Application: The court placed the burden on the defendants to prove the safety of the HSG, which they failed to meet, leading to the plaintiff's protective order being granted.

Reasoning: Thus, the burden shifted to the defendants to prove its safety, which they failed to do as they did not provide adequate evidence or expert opinions.

Compelling Medical Examination in Litigation

Application: The defendants sought a court order for the plaintiff to undergo a hysterosalpingogram (HSG) to assess fertility, arguing its necessity despite potential health risks.

Reasoning: The defendants sought to compel the plaintiff to undergo a hysterosalpingogram (HSG), a fertility test involving X-rays, to assess her ability to conceive, arguing it poses no significant health threat.

Medical Malpractice and Loss of Fertility

Application: The plaintiff alleges negligence by the defendants led to a loss of fertility, citing specific treatments as the cause of pelvic inflammatory disease.

Reasoning: In a medical malpractice case, the plaintiff alleges loss of fertility due to the defendants' negligence, specifically treatment received from Nassau County Medical Center and Drs. Romeo Perez and Richard Koeppel, which allegedly led to pelvic inflammatory disease.

Renewal of Protective Orders with New Evidence

Application: The plaintiff's motion to renew was granted based on new medical evidence demonstrating the HSG's potential health risks, reversing the prior court decision.

Reasoning: However, it was determined that the plaintiff provided a valid reason for not submitting the affidavit initially, warranting renewal consideration.