Archive for 2008

The confused world of child psychiatry

There’s been a lot of news lately involving child psychiatry. As noted by others, the Supreme Court may grant cert in the case of Pittman v. South Carolina which has the interesting twist that the defendant, age 12 at the time of the crime, was taking antidepressants when he killed his grandparents. Yet, as I mentioned the link between antidepressants and violence is tenuous at best.

On the heels of the Pittman case, comes this weeks Frontline program which explored the explosive growth of children being diagnosed with bipolar disorder. Unlike ADHD, bipolar disorder is generally treated with antipsychotic medications which can have profound and lasting side-effects. Yet, the desire to place the blame at the foot of the pharmaceutical industry is misplaced; the psychiatric community has a long tradition of capturing behaviors within their diagnostic net and transforming them into pathologies. All of the pharmaceuticals in the world do nothing to our children without a mental health culture which favors medicine as the first line of treatment for troubled children. And that mental health culture is not just a product of myopic physicians or Big Pharma, but very much one of our own creation.

Maternity leave during high school

Jeremy Meyer has this article in the The Denver Post about a proposed plan to offer pregnant teenage mothers 4 weeks of maternity leave as official school policy. It surely is commendable when schools allow new mothers time to be with their newborns and adjust to parenthood; yet to make such accommodations official policy essentially means that it becomes a right — and all rights are ripe for litigation.

The mother of all ad damnum clauses

I’ve joked about plaintiffs asking for a “squillion gazillion” dollars instead of other effectively fictional numbers, but one plaintiff has actually done it. One Baker, Louisiana, Katrina plaintiff (earlier on Overlawyered and Point of Law) suing the Army Corps of Engineers is asking for 3 quadrillion dollars—though he would presumably settle for one third that amount, which, at $3,000,000,000,000,000.00 would be over 200 times the annual $13 trillion gross domestic product of the United States. 246 other plaintiffs (including the City of New Orleans, which asked for “only” $77 billion, notwithstanding a taxpayer-funded bailout of tens of billions for a city built beneath sea level) are asking for over a billion each. [AP; TortsProf]

Stories that shouldn’t get away, part II

Three cases of catastrophic injury to children, three defendants asked to pay:

  • Freak accident in school parking lot “foreseeable”. According to a Los Angeles jury, it was reasonably foreseeable that an ailing parent driving a disability-converted van with hand-controlled accelerator and brakes would lose control of her vehicle and jump the curb at full speed, killing first-grader Jordan Sandels in the company of her father at Encino’s Lanai Road Elementary School in 2005. Aside from the many and baffling supposed lessons of the resulting $10 million verdict for school grounds planners (always build lots big enough that parents won’t have to park off-site?), a highlight was the jury’s finding that the parent behind the wheel was only 20 percent to blame and shouldn’t have to pay anything [LA Times via Handel on the Law]
  • Destroy evidence, then win $41 million from second defendant. Joseph Provenza, 13, was catastrophically burned in 2001 when he “jumped a 15-year-old Yamaha motorcycle resulting in a crash and post-crash fire” [Bowman & Brooke summary] The plaintiff’s father, himself a plaintiff in the suit, later admitted that he willfully removed and discarded a bypass wire from the motorcycle before Yamaha’s investigators could see it because he thought the evidence of modification might interfere with his son’s lawsuit, and either he or members of the legal team removed or modified other relevant equipment on the vehicle. A judge dismissed the claims against Yamaha, citing willful and pervasive spoliation of evidence as well as lack of candor in discovery responses on the issue. The family then proceeded to trial against a Wisconsin clothing manufacturer which it argued should have made its garments flame-retardant because they were promoted for use with motorcycles, although federal law did not and does not require flame retardance in such garments. The jury awarded $41 million; a defense lawyer says the jurors were never allowed to learn about the hot-wire modification, though it was the cause of the accident, or the subsequent spoliation. [Las Vegas Review-Journal, Janesville (Wis.) Gazette; Carcione law firm (also of Romo v. Ford Motor fame)]. More: BrooklynWolf.
  • Schools sometimes responsible for injuries after school hours.The South Main Street Elementary School in Pleasantville, N.J. had long preannounced a 1:30 p.m. early dismissal on a certain day in 2001. Third-grader Joseph Jerkins was allowed to leave, in accord with school policy for youngsters whose families had not requested that they be released only into adult custody. Two hours and twenty minutes later, while playing with a friend, Joseph ran into the street and was struck by a car and horribly injured. The family said it had not been adequately informed of the early dismissal. A trial court dismissed the suit, but the New Jersey Supreme Court, announcing a new duty of care for school districts, ruled that the family could sue on the grounds that the school’s policies should have restrained the boy from leaving. The district settled for $6 million. [AP/Philly.com; NJ Principals and Supervisors Association]
Our first installment of stories from 2007 that merited coverage but slipped away is here.

New Jersey: from one bad extreme to the other

New Jersey’s wrongful death law had capped non-economic damages at zero, by not permitting any non-pecuniary recovery. This has been rectified by The New Jersey legislature has passed a new law (per Scheuerman) that ends this problem, but non-pecuniary damages in wrongful death cases would have absolutely no statutory limits. Governor Corzine has until January 15 to decide whether to sign or veto the bill.

(Updated to reflect fact bill has not been signed yet.)

Web accessibility: Sylvan’s surrender

The Department of Justice regards online tutoring services as “public accommodations” subject to the Americans with Disabilities Act, and in September entered into a consent decree with Sylvan Learning Centers, which agreed to provide aids such as written materials and “videotext displays” (as well as free sign-language interpreters) for the assistance of deaf persons who might wish to use its services. As TechLaw Journal notes (Sept. 26-30), and as we have often noted before in our ongoing coverage, there is reason to expect the legal pressure for web accessibility to extend to online businesses more generally.

Cometh the Regulation

Ed Silverman reports that pharmaceutical reps will now have to be licensed in D.C. From the story in the Washington Business Journal:

The measure makes D.C. the first in the country to license pharmaceutical company sales representatives, able to revoke that license if a salesperson’s activities were deemed fraudulent… The bill, dubbed SafeRx, also mandates that drug reps have a bachelor’s degree, adhere to a code of ethics and refrain from giving doctors gifts.”

As the Journal alludes to later in the story, the lawsuits have begun.

Lawyer liable to both client and opponent

As one of our reader/informants sums up this litigation against a Kentucky surgeon filed by (and backfiring against) a Tennessee attorney: “Plaintiff lawyer (who is a JD/MD) gets sued by both his plaintiff client and the defendant doctor and he loses to both.” (Andrew Wolfson, “Attorney is loser in malpractice lawsuit”, Louisville Courier-Journal, Nov. 28; Childs, Dec. 27). More on countersuits by doctors: Point of Law, Dec. 20.

Thimerosal Disappears but Autism Remains

That’s the title of this commentary in the latest issue of Archives of General Psychiatry. The author, Dr. Eric Fombonne of Montreal Children’s Hospital, provides his two cents regarding a new study in the same issue: Continuing Increases in Autism Reported to California’s Developmental Services System: Mercury in Retrograde. In sum, as Dr. Frombonne concludes:

The study by Schechter and Grether in this issue of the Archives provides additional evidence of the lack of association between thimerosal exposure and the risk of autism in the US population. Using an ecologic design and data from the California Department of Developmental Services, the authors showed that the prevalence rate of autism increased continuously during the study period even after the discontinuation of the use of thimerosal in US vaccines in 2001. Had there been any risk association between thimerosal-containing vaccines and autism, the rate of autism should have decreased in young children between 2004 and 2007. Instead, the rate increase did not attenuate, indicating that thimerosal exposure bears no relationship to the risk of autism.

Whatever the science says, there’s at least three reasons why people continue to believe in a vaccine-autism link. Yet like the Vioxx litigation, science only gets you so far once litigation is introduced to the mix.