iNews April 2014 - In This Issue:
Trial Tips
Anatomy & Physiology Knowledge Can Win Your Case
by Frank Scahill

 

What sets successful lawyers apart from their peers? Is it their style, their intuition, knowledge, experience, "moxy"? Why do some lawyers rise to the top? What makes Bob Sullivan, David Dean, Ben Rubinowitz so effective in the courtroom? 

 

If your answer is they take great cases, that may be true now, but what about when they were starting out? They can afford to take great cases now, and from what I see they don't always take the slam dunk, 7 figure, can't lose cases. They take the challenges as well.

 

Phil Beck of Barrlit Beck stopped the recount for the 2000 Presidential election and may have changed the course of history. What makes a great trial lawyer? "The ability to think like the jury and to make complex matters understandable...without being condescending".

 

If I can give one piece of advice to young lawyers interested in trial work, for either plaintiffs or defendants, on liability claims, I would urge you to take Anatomy and Physiology courses at your local community college. Anatomy and Physiology I and II can be completed one or two nights a week, are inexpensive and the pay-off is knowledge that can win your case.

 

Trial Lawyers usually learn their medicine case by case, the anatomy of a joint, the effects of a traumatic brain injury, how RSD can develop from a relatively minor accident. 

 

Physicians learn medicine in a completely different setting. 

 

A doctor studies the body from a cellular level to the whole person. How disease or trauma is looked at in medicine is completely different from how a lawyer looks at medicine in the courtroom.

 

Here is one example-the Pain Scale

 

Pain perception in the context of a personal injury case can be used quite effectively by defense counsel in discrediting a plaintiff. 

 

Ask a plaintiff to rate his pain on a scale of 1-10 immediately after an accident and he will tell you "10 out of 10". 

 

Next inquiry:  How did you feel after you received the months of physical therapy, acupuncture, aqua-therapy, medications, trigger point injections, psychotherapy, all paid for in full?  

 

Invariably the answer is, "Still at least 8 or 9 out of 10". 

 

When confronted with a recognized Medical Pain Scale, which you can have the plaintiff's doctor authenticate, the plaintiff will lose credibility or perhaps lose the case.

 

For a physician, a "10" on a pain scale is rare, described as "Unimaginable, Unspeakable",  "Pain so intense you will go unconscious shortly". 

 

An "8" on a pain scale is "Pain so intense you can no longer think clearly at all, and have often undergone severe personality change if the pain has been present for a long time". 

 

Contrast the plaintiff's complaints against what is accepted in the medical community at large as a national standard and you have yourself a ballgame. 

 

See attached Pain Scale for reference.

 


Results that Matter


 

Congratulations to Peter Caso for an excellent result on a hotly contested SUM claim. The Arbitrator dismissed the action and found a $0 award appropriate on the issue of liability.

 

Read the decision here.

 

 

 

Congratulations to Keri Wehrheim for a successful appeal in Sciafla v Our Lady of Hope, decided by the Appellate Division, Second Department on April 2, 2014. (2014 NY Slip Op 02282).  

 

Read the decision here.

 

 


Q&A Regarding Claim Settlement and Bankruptcy


A recent inquiry from a claim representative faced with a novel fact pattern would make for a good bar exam question.

 

Q. Attorney A settled a claim for his two plaintiffs, husband and wife, on March 30, 2014 for an agreed amount. The plaintiffs filed for bankruptcy the next day, April 1, 2014. Releases are signed and sent to the carrier on April 10, 2014 and payment was made on April 20, 2014. On April 25, 2014, the bankruptcy trustee sent the checks back to the carrier, indicating he did not consent to the settlement, that the amount is insufficient and the plaintiffs have SUM coverage that requires the payment of the full policy. Are the plaintiffs bound by the releases they signed?

 

 

 

A. Short answer-if the plaintiff filed for bankruptcy before the stipulation and release were signed, the agreement to settle is null and void.

 

Once a debtor files for bankruptcy, the trustee in bankruptcy stands in the shoes of the debtor and becomes the legal representative of the estate with powers to assert rights involving estate property, including the power to commence and prosecute an action or proceeding on behalf of the estate. (Vreugdenhil v Hoekstra, 8th Cir., 773 F.2d 213; Re McCorhill Pub., Inc., Bkrtcy.S.D.N.Y., 86 B.R. 783;11 USC Section 323).

 

All legal and equitable interests in the debtor's property vest in the trustee from the time bankruptcy is filed. 

 

Only the trustee can act to recover assets of the debtor, and it is the trustee, not the debtor, who has legal capacity to sue upon a cause of action for damages arising prior to filing a petition in bankruptcy.

(Jones v Chrysler Credit Corp., La.App., 417 So.2d 425, cert. den. La., 420 So.2d 456, cert. den. 459 U.S. 1114, 103 S.Ct. 747, 74 L.Ed.2d 966).

 

Since petitioner was divested of any authority to act on behalf of the estate in bankruptcy once petitioner has filed a petition for protection under Chapter 11 of the Bankruptcy Code, any action taken by petitioner without a trustee in this proceeding, including the entry of the stipulation of settlement on April 10, 2014, became null and void. 

 

It is the trustee, who is vested with the authority to either permit the suit to continue, start a new lawsuit or cause the suit to be abated. (Meyer v. Fleming, supra ). 

 

The trustee of the bankruptcy estate in this case is the only party who can sign the settlement agreement.

 

If you have a question, send us an email


Appellate Decisions of Note


What is the Sustainable Number for Damages?

 

We often feature Appellate Division cases with the heading, " How much is that worth?"

 

This month's question is:   


What is the sustainable number for damages in the Second Department for injuries which include laminectomy and fusion on the lumbar spine, as well as surgeries to repair the right shoulder and elbow for a 27 year old plaintiff?

 

If your answer is less than $3 Million, you are wrong. See  Halsey v. New York City Transit Authority 114 A.D.3d 726 N.Y.A.D. 2 Dept.,2014

 

"Here, the plaintiff, 27 years old at the time of trial, suffered from severe lower back pain that radiated into her legs and restricted her range of motion. She suffered from disc protrusion, foraminal stenosis, and radiculopathy

 

After physical therapy, pain medications and epidural injections failed to alleviate her pain, the plaintiff underwent a laminectomy and fusion surgery, in which a piece of the disc was removed and a bone graft was fused to replace the removed disc. 

 

Following the surgery, the pain in the plaintiff's lower back did not improve and she had significant restrictions in her range of motion. 

 

She continued physical therapy, pain medications and epidural injections

 

The plaintiff's expert concluded that the injuries to her lower back were permanent. 

 

He continued to observe restrictions in her range of motion and lumbar atrophy. 

 

He concluded that the plaintiff's back pain will worsen, and that she will need to continue to take pain, anti-inflammatory and muscle relaxer medications. 

 

Further, the injuries hindered the previously active plaintiff's ability to participate in athletic activities and activities with her children and made daily tasks, such as cooking and cleaning, very difficult. 

 

As a result of the fusion, other parts of the plaintiff's spine were subject to degeneration. 

 

Considering the nature and the extent of the injuries sustained by the plaintiff, and the fact that the award of damages for future pain and suffering represented compensation for a period of 54 years based on the plaintiff's life expectancy, the award did not deviate materially from what would be reasonable compensation (see CPLR 5501[c]; Kayes v. Liberati, 104 A.D.3d 739, 960 N.Y.S.2d 499; Guallpa v Key Fat Corp., 98 A.D.3d 650, 950 N.Y.S.2d 165).

  

Read the case here.

 


Interplay between Workers' Compensation Law §29 (6) 
and Vehicle and Traffic Law §388

Isabella v Koubek (2014 NY Slip Op 02100) was decided by the Court of Appeals on March 27,

2014. 

 

On a question certified by the Second Circuit Court of Appeals, Judge Graffeo framed the issue as the interplay between Workers' Compensation Law §29 (6), which makes workers' compensation benefits the exclusive remedy of an employee injured by the negligence of a co-employee, and Vehicle and Traffic Law §388, which renders a vehicle owner vicariously liable for injuries resulting from the negligent permissive use of a vehicle. 

 

Here, the defendant was driving her co-employee back from a business meeting in a personal vehicle owned by her husband. The injured employee filed a personal injury suit against the owner and operator of the offending vehicle. The defendant then filed a third party claim against the owner of the host car. The Second Circuit asked:  

 

"Whether a defendant may pursue a third-party contribution claim under New York Vehicle and Traffic Law §388 against the owner of a vehicle, where the vehicle driver's negligence was a substantial factor in causing the plaintiff's injuries, but the driver is protected from suit by the exclusive remedy provisions of New York Workers' Compensation Law § 29 (6)?"

 

The defendant argued the rule in Raquet v Braun (90 NY2d 177 [1997]) that:

 

"A defendant may seek contribution from a third party even if the injured plaintiff has no direct right of recovery against that party, either because of a procedural bar or because of a substantive legal rule." 

 

Judge Graffeo noted, 

 

"At its root, the Hallocks' (Defended/Third Party Plaintiff) burden is a consequence of joint and several liability, which has long been a feature of New York law. It is perhaps debatable whether it would be any fairer to require a vehicle owner with no personal fault to pay 90% of the sum where that owner is unable to seek redress from the principal tortfeasor (and in some cases there may be no familial relationship) absent a grave injury. In sum, we hold that a defendant may not pursue a third-party contribution claim under Vehicle and Traffic Law §388 against a vehicle owner where the driver's negligence was a cause of the plaintiff's injuries, but the driver is insulated from a lawsuit under Workers' Compensation Law §29 (6)."

 

 

Read the case here.

 


Recent Decision in Favor of Allowing Biomechanical Expert

 

 

On March 13, 2014, the First Department issued another decision in favor of allowing a biomechanical expert to testify in the course of a personal injury claim that the injuries alleged were not causally related to a particular accident. 

 

Vargas v Sabri, 2014 NY Slip Op 01666, decided on March 13, 2014, Appellate Division, First Department, upheld the lower court decision (Judge Douglas of Bronx Co.), which denied the plaintiff's application for a "Frye" hearing. 

 

A unanimous First Department panel stated:

 

"The court did not improvidently exercise its discretion in denying plaintiffs' request for a Frye hearing (Frye v. United States, 293 F. 1013 [D.C.Cir.1923]) to determine the admissibility of the anticipated testimony of Dr. McRae, a biomechanical engineer. 

 

The fact that Dr. McRae lacked medical training did not render him unqualified to render an opinion as an expert that the force of the subject motor vehicle accident could not have caused the injuries allegedly sustained (see Melo v Morm Mgt. Co., 93 A.D.3d 499, 499-500, 940 N.Y.S.2d 83 [1st Dept.2012] ). 

 

McRae's stated education, background, experience, and areas of specialty, rendered him able him to testify as to the mechanics of injury (see Colarossi v C.R. Bard, Inc., 113 A.D.3d 407, 978 N.Y.S.2d 148 [1st Dept.2014] ). 

 

Plaintiffs' challenge to Dr. McRae's qualifications and the fact that his opinion conflicted with that of defendant's orthopedic expert go to the weight and not the admissibility of his testimony (see Williams v Halpern, 25 A.D.3d 467, 468, 808 N.Y.S.2d 68 [1st Dept.2006] )."

 

 

 

Read case here.

 


Decisions of Note 

 

 

Plaintiff's Counsel Sanctioned for Frivolous Lawsuit in "SLAPP" Case

 

Judge Daniel Palmieri of Nassau County Supreme Court is known for his thoughtful and well-reasoned opinions, which frequently are found on the front page of the New York Law Journal. 

 

On March 13, 2004 Judge Palmieri issued a decision in Mary Wendell Bennett et. al. v Towers (600049/14) on the propriety of a "SLAPP" lawsuit (Strategic Lawsuit Against Public Participation) and sanctioned plaintiff's counsel $10,000 for a frivolous suit. 

 

Here the trustees of a 2001 revocable trust owned a plot of land in Munsey Park, NY, which they sought to subdivide and sell for $1,215,000, provided the subdivision was approved by the local municipality. The defendants in this SLAPP lawsuit were residents of the Village of Munsey Park, who opposed the application. 

 

The SLAPP suit claimed tortuous interference with a contract and damages for defamation of character. 

 

Judge Palmieri noted, 

 

"In order for the plaintiff to recover, the Civil Rights Law requires not only that all necessary elements of the claims made can be established; there also must be a factual showing, by clear and convincing evidence, that any communications giving rise to the suit were made with knowledge of falsity or with reckless disregard of whether it was false, where truth or falsity is material to the cause of action....CPLR 3212(h) provides that it is the plaintiff, not the moving defendant seeking dismissal of the SLAPP suit, who bears the burden on the summary judgment motion. The plaintiff can avoid dismissal of the action only if it can be shown that the suit has a substantial basis in fact and law, or is supported by a substantial argument for an extension, modification or reversal of existing law.

 

Here, plaintiff's counsel published a letter in a local newspaper in January 2014 announcing the filing of the lawsuit in an attempt to silence the defendants in their opposition to the subdivision. 

 

The court found counsel's intention, pronounced in print for all to see, was clear and in violation of the express statutory mandate, warranting the maximum sanction. 

 

For devotees of the "SLAPP" suits also see Judge Colabella's 1992 decision in Gordon v Marrone 155 Misc.2d 726. Here the plaintiff argued against the award of attorneys fees and costs to the defendants as a violation of the First Amendment of the US Constitution, which guarantees the "right to petition the Government for a redress of grievances".

 

Judge Colabella ruled:

 

"The Court rejects the argument that the right of access is infringed upon merely because an award of attorney's fees and expenses may chill its exercise. Although the so-called American rule that "attorneys' fees and disbursements are incidents of litigation and the prevailing party may not collect them ... is based upon the high priority accorded free access to the courts and a desire to avoid placing barriers in the way of those desiring judicial redress of wrongs....the Supreme Court has also recognized the inherent authority of the Federal Courts to assess attorney's fees when a party has 'acted in bad faith, vexatiously, wantonly, or for oppressive reasons'."  

 

  

Read the case here.

  

No-Fault Decision Regarding IMEs
 

American Transit Insurance v Samuel Denis, was decided by Judge Lucy Billings on February 10 2014. 

  

This case involved the right of an Insurance Carrier to seek an Independent Medical Examination of a "covered person" when presented with a claim for No Fault Benefits.

 

Under the applicable regulation, upon receipt of a prescribed verification form to establish a claim, the insurance carrier is required to request "any additional verification" needed to establish the claim within 15 days. 11 N.Y.C.R.R. §65-3.5(b). 

 

"If the additional verification required by the insurer is a medical examination, the insurer shall schedule the examination to be held within 30 calendar days from the date of receipt of the prescribed verification forms. 11 N.Y.C.R.R. §65-3.5(d). When a carrier requests additional verification, the 30 days within which the carrier was to pay or deny the claim after receipt of the original verification is tolled until the carrier receives the information requested. 11 N.Y.C.R.R. §65-3.8(a)(1). The policy also provides the eligible injured person shall submit to medical examination by physicians selected by, or acceptable to, the Company, when, and as often as, the Company may reasonably require. The failure to attend the scheduled medical exams voids the policy ab initio, and a claim under the policy may be denied retroactively to when it was submitted without the insurer being precluded by the 30 days for denial of claims. American Tr. Ins. Co. v. Lucas, 111 A.D.3d 423, 424 (1st Dep't 2013). 11 N.Y.C.R.R. §65-3.8(a)(1)."

 

Here, American Transit sought a determination that they were not obligated to pay the provider's

medical bills based on the failure of the EIP (Eligible Insured Person) to submit to the examinations requested. 

 

Judge Billings found against the carrier, however, based on the failure of ATIC to issue the denial timely after the EIP failed to appear for the IMEs stating:

 

"11 N.Y.C.R.R. §65-3.8 recognizes this distinction. Once an insurer has determined that benefits are not payable, failure by an insurer to notify the applicant of its denial of the claim within the prescribed 10 business days after the determination shall not preclude the insurer from asserting a defense to the claim when based on narrowly specified reasons. 11 N.Y.C.R.R. §65-3.8(e). They are limited to when no coverage was in place on the date of the collision, 11 N.Y.C.R.R. §65-3.8(e)(1), and when the circumstances of the collision are outside Insurance Law Article 51's scope. N.Y. Ins. Law §5103(b); 11 N.Y.C.R.R. §65-3.8(e)(2) and (3). Once plaintiff knew that Denis, after two opportunities August 10 and 24, 2009, had not complied with the condition precedent, that basis for denying SP's claim was readily apparent to plaintiff and did not entitle it to withhold a denial indefinitely and to wait over two years to raise the basis for denial only in litigation."

 

 



Disclaimer:
This newsletter is for education and information purposes only, and is not intended to provide legal advice. No attorney-client relationship exists or is created by the use of this newsletter or the information provided herein. This newsletter should not be used as a substitute for competent legal advice from a professional attorney in your state.

 

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