Darryl Cruz

The plaintiffs brought a medical malpractice action against two pediatric neurologists for their treatment of an infant's intractable seizures in 2003.

The infant suffered from a rare condition, pyridoxine-dependent epilepsy (PDE).

The court found that the defendants breached the standard of care by setting an insufficient observation period during a pyridoxine empirical trial, improperly concluding the treatment was ineffective, and failing to reconsider pyridoxine when seizures returned.

The court also found the defendants breached their duty to obtain informed consent by failing to advise the parents of the trial and alternative treatment options.

The court concluded these breaches caused or contributed to the infant's severe intellectual and developmental delay.

The respondents brought a medical malpractice action after the plaintiff suffered a severe brain injury from a cardiac arrest during a caesarean section.

The trial judge found the primary obstetrician (Dr. Padmore), the anesthesiologist (Dr. Jamensky), and the hospital liable for negligence.

On appeal, the Court of Appeal allowed the appeals of Dr. Padmore and the hospital, finding the trial judge erred in his legal causation analysis regarding their respective pre-delivery acts and omissions.

The Court dismissed Dr. Jamensky's appeal, upholding the trial judge's findings that he breached the standard of care by prematurely converting the patient to a general anesthetic and that this negligence caused the cardiac arrest.

Dr. Jamensky was held solely liable for the agreed $12 million in damages.

The appellants appealed the dismissal of their medical malpractice action.

The trial judge found that the respondent breached the standard of care by discharging the appellant without reviewing an MRA, but concluded that this negligence did not cause the appellant's second, severe stroke.

The Court of Appeal upheld the trial judge's decision, finding no error in the admission of expert evidence and agreeing that the appellants failed to establish a prima facie case on causation, as the evidence did not show that treatment with Heparin would have been more effective than Aspirin in preventing the second stroke.

The plaintiff suffered a life-altering stroke and sued the defendant physician for medical malpractice.

The defendant admitted to breaching the standard of care by failing to review a critical imaging report before discharging the plaintiff, which delayed the diagnosis of a vertebral artery dissection.

The sole issue at trial was causation: whether the delayed administration of anticoagulant therapy (Heparin) caused the plaintiff's second stroke.

After weighing competing expert medical evidence, the court found that while the defendant's negligence delayed the administration of Heparin, the plaintiffs failed to prove on a balance of probabilities that earlier treatment would have prevented the second stroke.

The action was dismissed.

Following a 42-day medical negligence trial where damages were agreed at $12 million, the plaintiffs sought costs of over $4.5 million.

The court considered the complexity of the case, the high hourly rates of senior counsel, and the defendants' stout denial of liability.

The court awarded the plaintiffs $4,218,052.00 in partial indemnity costs and disbursements, payable two-thirds by the unsuccessful physicians and one-third by the hospital.

The court declined to make a Sanderson Order, instead ordering the plaintiffs to pay $250,000 in costs to the two successful defendant physicians.

The plaintiff suffered a cardiac arrest and anoxic brain injury during an urgent caesarean section.

The plaintiffs sued the treating obstetricians, anesthesiologist, and the hospital for medical negligence.

The court found the initial obstetrician negligent for failing to diagnose the pregnancy early, failing to discuss termination, and failing to document severe risk factors associated with the plaintiff's morbid obesity.

The anesthesiologist was found negligent for prematurely converting to a general anesthetic and failing to adequately manage the airway, directly causing the cardiac arrest.

The hospital was found vicariously liable for a triage nurse's failure to follow protocols during a telephone call.

Liability was apportioned equally among the three negligent defendants.

Following a five-week common issues trial in a medical malpractice class action, the plaintiff was entirely successful against the main defendant doctor.

The doctor had crossclaimed against several nurse defendants, but those claims were entirely unsuccessful.

The court ordered the doctor to pay the plaintiff's agreed-upon costs within 30 days, rejecting his argument to defer payment until individual trials were completed.

The court also made a Sanderson/Bullock order, requiring the doctor to pay the costs of the successful nurse defendants on a partial indemnity scale up to the date of their offers to settle, and on a substantial indemnity scale thereafter.

The plaintiff brought a class action against an anesthesiologist, a pain clinic, and its nursing staff following an outbreak of bacterial meningitis and epidural abscesses among patients who received epidural injections.

The court found that the anesthesiologist breached the standard of care and his fiduciary duties by failing to use proper aseptic techniques, failing to report and investigate infections, and misinforming patients about the risks.

The court drew an inference of causation linking the anesthesiologist's substandard infection prevention and control practices to the patients' infections.

The claims against the nursing staff were dismissed as there was no evidence they breached the standard of care.

The court also found the anesthesiologist's conduct warranted punitive damages.

Following an obstetrical malpractice trial where the jury found the defendant obstetrician 32% liable for the infant plaintiff's severe cerebral palsy, the defendant brought a motion under Rule 52.08 to dismiss the action or order a retrial.

The defendant argued the jury gave conflicting answers on causation and that there was no evidence to support their findings on the standard of care and delay in delivery.

The court dismissed the motion, finding the jury's use of the word 'contributed' did not conflict with the 'but for' causation test, and that there was ample expert evidence supporting the jury's conclusion that the defendant's failure to promptly prepare for an emergency c-section caused the infant's brain damage.

Judgment was ordered to be entered in accordance with the jury's verdict.

A case conference was held to set a schedule for the plaintiff's upcoming motion to amend pleadings and common issues in a certified class action.

The court established a timetable for the exchange of motion materials, expert reports, cross-examinations, and factums, and scheduled the motion to be heard on July 11 and 12, 2019.

The moving parties, former solicitors for the plaintiff, sought leave to intervene in three medical negligence actions.

The plaintiff had commenced a solicitor's negligence action against them for allegedly missing a limitation period.

The moving parties argued they had an interest in the medical actions because the outcome would affect their liability.

The court refused leave to intervene in the main medical actions, finding the solicitors had no involvement in the medical care and their participation could prejudice the existing parties.

However, the court granted them leave to intervene in the pending motion for judgment regarding the limitation issues.

The plaintiff sought certification of a class action and partial summary judgment against an anesthesiologist and a pain clinic following an outbreak of staphylococcus aureus infections among patients who received epidural injections.

The court certified the action as a class proceeding, finding the criteria under the Class Proceedings Act were met.

The court also granted partial summary judgment, finding that the physician breached his duty of care regarding infection prevention and control practices, which established general causation for the class and specific causation for patients whose infections were genetically linked to the physician.

The plaintiffs brought a medical malpractice action alleging that the defendant family physician's negligence during the mother's pregnancy and delivery caused the infant plaintiff to be born with cerebral palsy.

The plaintiffs argued the doctor failed to properly monitor the mother's hypertension, failed to refer her to an obstetrician, and negligently prescribed enalapril, an ACE inhibitor, shortly before birth.

The Superior Court of Justice dismissed the action, finding that the doctor met the standard of care of a family physician in the circumstances and that his clinical judgments were reasonable.

Furthermore, the court concluded that the plaintiffs failed to prove on a balance of probabilities that the enalapril or the mother's hypertension caused the infant's injuries, which were likely the result of an acute intrauterine event such as cord compression.