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Rivera v. Albany Medical Center Hospital

Citations: 119 A.D.3d 1135; 990 N.Y.S.2d 310

Court: Appellate Division of the Supreme Court of the State of New York; July 10, 2014; New York; State Appellate Court

Narrative Opinion Summary

In this case, the defendants appealed a Supreme Court order denying their motion for summary judgment in a medical malpractice lawsuit initiated by the plaintiff, who suffers from Hirschsprung's disease and claims to have suffered permanent erectile dysfunction following a surgical procedure. The defendants' motion relied on a medical expert's affidavit with a redacted name, which was considered inadmissible due to lack of transparency about the expert's identity. The court emphasized the necessity for admissible evidence demonstrating no genuine issues of material fact, which the defendants failed to provide. They were unable to establish that the treatment conformed to accepted medical standards or that any deviations did not cause injury. Additionally, the defendants failed to prove that informed consent was adequately obtained, as the physician's testimony did not satisfactorily demonstrate that a reasonable person would have opted for the surgery if fully informed. The plaintiff's testimony suggested he would have declined the procedure had he been aware of the potential for sexual dysfunction, creating a triable issue. Consequently, the court affirmed the denial of the defendants' motion for summary judgment on both the medical malpractice and informed consent claims.

Legal Issues Addressed

Expert Testimony Disclosure Requirements

Application: Defendants' affidavit from a redacted expert was deemed incompetent evidence as the identity of the expert must be disclosed to examine qualifications and past opinions.

Reasoning: The requirement to disclose the expert's identity allows for a meaningful examination of their qualifications and past opinions.

Informed Consent in Medical Procedures

Application: Defendants did not meet the burden of proof to show that a reasonable person would have consented to the procedure if fully informed of risks, benefits, and alternatives.

Reasoning: However, the physician's testimony did not satisfy this requirement, nor did it establish that a reasonable person, if fully informed, would have chosen the surgery over other options.

Material Factual Issues in Informed Consent

Application: Plaintiff's testimony raised material factual issues regarding informed consent, indicating he would not have chosen surgery if aware of the risks.

Reasoning: The plaintiff's contradictory testimony regarding whether he received necessary warnings about potential risks was sufficient to create a triable issue.

Medical Malpractice Standard of Care

Application: Defendants failed to establish that the medical treatment conformed to accepted standards or that deviations did not cause the plaintiff's injury.

Reasoning: Their submissions, including medical records and deposition testimony, failed to establish that the treatment conformed to accepted standards or that it did not result in injury, as the physician's testimony did not adequately reference the relevant standard of care or assert a lack of causation regarding the plaintiff's injury.

Summary Judgment in Medical Malpractice Cases

Application: The court requires defendants to provide admissible evidence demonstrating no genuine issues of material fact to successfully obtain summary judgment.

Reasoning: For a successful summary judgment, defendants needed to provide competent, admissible evidence showing no genuine factual issues.