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Laskowitz v. CIBA Vision Corp.

Citations: 215 A.D.2d 25; 632 N.Y.S.2d 845; 1995 N.Y. App. Div. LEXIS 10630

Court: Appellate Division of the Supreme Court of the State of New York; October 23, 1995; New York; State Appellate Court

Narrative Opinion Summary

The case addresses whether New York's Public Health Law § 2805-d, which governs medical malpractice claims related to informed consent, supersedes the common-law doctrine for health care professionals not specified in the statute. The plaintiff, suffering permanent eye damage from optometrist-prescribed contact lenses, claimed the optometrist failed to inform her of the risks. The trial court dismissed the claim, citing the statute's applicability only to physicians, dentists, and podiatrists. Common law maintains that all health care professionals have a duty to provide patients with comprehensive information about treatments, allowing them to make informed decisions. The court emphasized that exclusions in Public Health Law § 2805-d do not absolve non-specified professionals like optometrists from common-law duties. Despite statutory reforms in the 1970s to address malpractice burdens, the common-law framework persists where statutory provisions do not explicitly apply. The appellate court reversed the lower court's dismissal, reinstating the plaintiff's claim, thereby affirming the continued relevance of common-law informed consent obligations for non-statutory professions.

Legal Issues Addressed

Common-Law Doctrine of Informed Consent

Application: The common-law duty to obtain informed consent remains applicable to health care professionals not explicitly covered by the statute.

Reasoning: The analysis suggests that the specific limitations and defenses provided in Public Health Law 2805-d do not extend to other health care professions not explicitly named in the statute, despite their licensure under the Education Law.

Elements of Informed Consent in Common Law

Application: Practitioners must disclose relevant information to enable informed decision-making by patients, encompassing diagnoses, risks, and alternatives.

Reasoning: This includes a duty for practitioners to disclose relevant information about diagnoses, prognoses, risks, side effects, and available alternatives to enable informed decision-making by patients.

Exceptions to Disclosure Requirement

Application: Information can be withheld if disclosure could harm the patient's health, and patients may waive their right to information.

Reasoning: Therapists may withhold information from patients if they believe it could harm the patient's mental or physical health, supported by case law (e.g., Ferrara v Galluchio).

Informed Consent under New York Public Health Law § 2805-d

Application: The statute limits actions based on lack of informed consent to specific health care professionals, excluding optometrists.

Reasoning: The Supreme Court dismissed her claim for lack of informed consent, reasoning that the statute only applies to physicians, dentists, and podiatrists, excluding optometrists.

Malpractice and Informed Consent

Application: Liability for lack of informed consent is contingent on damages directly caused by uninformed therapy that a reasonable person would have rejected.

Reasoning: Liability for lack of informed consent is contingent on damages directly caused by therapy that a reasonable person would have rejected if adequately informed.