
Civil Trial Defense Law Firm
La Cava Jacobson handles litigation and appeals in all Florida state and federal courts.
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Fort Lauderdale
550 West Cypress Creek Rd.
Suite 150
Fort Lauderdale, FL 33309
Tel: (754) 301-5060
Fax: (754) 551-6884
Naples
9150 Galleria Court
Suite 100
Naples, Florida 34109
Tel: (239) 300-9679
Fax: (239) 734-3546
Jacksonville
1200 Riverplace Boulevard
Suite 201
Jacksonville, Florida 32207
Tel: (904) 564-1900
Fax: (904) 980-9231
Tampa
501 East Kennedy Blvd.
12th Floor
Tampa, Florida 33602
Tel: (813) 209-9611
Fax: (813) 209-9511
Miami
9200 South Dadeland Blvd.
Suite 620
Miami, FL 33156
Tel: (786) 724-2600
Fax: (305) 847-3788
West Palm Beach
701 Northpoint Parkway
Suite 330
West Palm Beach, FL 33407
Tel: (561) 282-1470
Fax: (561) 689-5013
Gregory Glasser Obtains a Summary Judgment for Jackson Memorial Hospital in Miami
/in Firm ResultsLou La Cava and Justine Adamski Obtained a Defense Verdict in a Wrongful Death Case Against a Hospitalist in Pinellas County Florida
/in Firm ResultsLou La Cava and Justine Adamski obtained a defense verdict in a two week medical malpractice wrongful death case tried in Pinellas County. The Plaintiff, who was 63 years old at the time, died within 26 hours after being discharged by the defendant hospitalist. He was survived by his wife and daughter. The patient came into the ER after having two episodes of shortness of breath and chest tightness the night before and the day of the visit. ER did an EKG which showed a left axis deviation and was called abnormal. A second EKG was normal. They worked him up as a cardiac patient. Troponins were normal. Chest x-ray was normal and D-Dimer was normal. ER physician’s assistant asked that the patient be admitted. The defendant admitted him for observation rather than as an in patient. The patient gave a history of asthma and took Advair for that. He had hypertension and diabetes. The defendant ordered an exercise and nuclear stress test to be performed the next morning. It was performed by a nuclear medicine physician. It was read as normal with the patient going about 7 minutes before needing the test stopped for fatigue and shortness of breath. The patient had two additional episodes of SOB in the hospital that appeared to be relieved by his asthma medicine. After the stress test the defendant discharged him but did not write a note and did not document a physical exam. He did not dictate his discharge summary until the next day after the patient had passed away. The patient was given a prescription for Albuterol to use as a rescue inhaler if he became SOB. The discharge diagnosis was reactive airway disease. It was recommended that he see his PCP in a week and have out patient pulmonary function tests done. He was told to do activities as tolerated. He went home and was apparently fine that day. He did not get the prescription for albuterol filled. The next day he was apparently fine in the morning but toward noon he began having either SOB or chest pain. He asked his wife to pick up the prescription. He went up to lie down and when the wife returned he had passed away. This was approximately 26 hours after he left the hospital. On autopsy he have left ventricular hypertrophy and moderate to severe COPD and emphysema. He apparently died from an arrythmia.
Plaintiff claimed he needed cardiac and pulmonary consults. Cardiologist would have ordered an echocardiogram which would have diagnosed LVH. A pulmonologist they claimed would have done pulmonary function studies which would have diagnosed his lung disease. If this was done plaintiff alleged he would have been put on alternative lung medication because the one he was on can increase the likelihood of an arrythmia. He would have also been given an oral steroid. A cardiologist would have adjusted his blood pressure meds to try to reverse his LVH. He would have been placed on bed rest and would have survived. Plaintiff had 4 expert witnesses testify. Plaintiff alleged his death was caused by another pulmonary SOB episode that led to the arrythmia.
The defense was that prospectively there was no need for the consultations. From a cardiac standpoint the work up was negative including an ejection fraction of 63. Even though he may have had LVH it was not causing left ventricular dysfunction. Therefore, the echocardiogram was not indicated. A pulmonologist was not needed because his pulmonary problem was not severe or continuous. It was episodic and responded to treatment. He did not need oral steroids for the same reason. The defense experts opined he died purely of a cardiac sudden death and there was nothing that could have been done in the hospital to prevent the death. PFTs can be done as an outpatient and even if done in the hospital would not have changed the treatment. The defense argued that when judged prospectively the care was well within the standard of care.
The jury deliberated approximately one hour and returned a verdict for the defense.
Mario Gomez Obtains Dismissal after Filing a MTD for Fraud
/in Firm ResultsDefendant also retained an accident reconstruction expert and biomechanical expert to support the Defendant’s position that the height differential in the vehicles could not have resulted in the type of damage claimed, and that the minor impact could not have caused sufficient velocity/forces to cause the injuries claimed. Additionally, Plaintiffs denied and/or downplayed their multiple prior injury claims, and the Defendant uncovered a combined fourteen (14) personal injury claims between the husband and wife, arguing that the two were serial Plaintiffs. Surveillance footage captured the two Plaintiffs engaging in multiple activities that they claimed in deposition they could not perform because of their alleged permanent injuries. The Defendant also uncovered that one of the Plaintiff’s was not taking the narcotic mediation prescribed by his pain management specialist (though pharmacy records revealed multiple purchases). In fact, the Plaintiff husband’s urinalysis revealed that he was instead abusing Fentanyl (a non-prescribed drug) which he was likely purchasing from the sale of the prescribed narcotic mediation. As a result, the extensive discovery, the Defendant filed a Motion to Dismiss for Fraud. The case was ultimately dismissed, and the Court entered an award in favor of the Defendants to recover all their costs.
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Mario Gomez obtains Dismissal of Plaintiff’s Complaint following Motion for Summary Judgment/Motion to Dismiss for Fraud
/in Firm ResultsKeith Puya and Steven Lury Were Successful in Defending a Medical Malpractice claim in Palm Beach County
/in Firm ResultsThe plaintiff requested the jury award damages in the range of approximately $19 million to around $28 million dollars give the fact that the plaintiff’s projected life expectancy was over 45 years. The defense centered around the fact that although there were numerous post operative pictures, there was no picture of any scab on the surgical knee, even though the Surgery Center nurses, pre-operatively noted in the records that the patient had ‘scabs on bilateral knees.’ The defense was successful in showing the jury that the client did not and never would perform an elective surgical procedure at or through a scab as suggested by the Plaintiff. The jury deliberated the case for 90 minutes and returned a Defense Verdict.
La Cava Jacobson Successfully Argued that the Plaintiff Was Not Entitled to Present His Case to the Jury
/in Firm ResultsIn a case involving allegations of prosecutorial misconduct, La Cava Jacobson successfully argued to both the Trial Court and the Second District Court of Appeal that the Plaintiff was not entitled to present his case to the jury because of the protections of Qualified Immunity. At the Trial Court level, they argued that the Plaintiff’s claim did not present any issues of material fact that could provide a reasonable basis to allege that the Defendant acted in a manner that was plainly incompetent or in knowing violation of the law when he performed his duties as an Assistant State’s Attorney. One of the issues argued was whether bad faith, including alleged legal malice, as an element of malicious prosecution, was sufficient to override a prosecutor’s immunity. La Cava Jacobson argued that the prosecutor’s conduct was in good faith and that based on the knowledge of the facts at the time of filing of the Information, even if some investigative activity was performed, the prosecutor’s actions did not amount to bad faith as sometimes a prosecutor could make a decision that would later be questioned, or a victim could choose not to further pursue his or her claim, and neither would be sufficient to show the prosecutor acted in knowing violation of the law. They also argued that the Plaintiff had violated the victim’s right to custody several times prior to the date on which the Information was filed. The Trial Court entered an Order granting Final Summary Judgment in favor of the Defendant. Upon Plaintiff’s appeal of this decision, La Cava Jacobson argued that the Trial Court’s decision was correct. The Second District Court of Appeal agreed and affirmed the Trial Court’s decision.
Lou La Cava Obtained a Defense Verdict in a Medical Malpractice Case Against an Ophthalmologist in Charlotte County Florida
/in Firm ResultsLou La Cava obtained a defense verdict in Charlotte County Florida in a medical malpractice case against and ophthalmologist. The Plaintiff, who was 29 years old alleged the defendant was negligent for taking a biopsy of a mass in the orbit of his left eye causing permanent ptosis and double vision by damaging the Muller Levator muscle complex. It was plaintiff’s position that a CT of the orbit should have been performed which would have demonstrated the mass was a benign dermoid cyst which should be removed in its entirety and not biopsied. Plaintiff’s expert criticized the surgical approach utilized by the defendant which he stated caused damage to both the Muller and Levator muscles. He further opined the defendant failed to read the hospital chart which showed the Plaintiff had taken an aspirin two days prior to the procedure. He testified the procedure should have been postponed. Because it was not the Plaintiff suffered a hemorrhage during the procedure which contributed to the damage to the Muller/ Levator complex. The defense demonstrated that the mass itself contributed to the ultimate complications the Plaintiff developed and damages the Plaintiff claimed. It was also the defense position that the surgical approach used while uncommon, was appropriate due to the location of the mass. Medical evidence was uncovered during the work up of the case which damaged the Plaintiff’s credibility as to when he knew the mass was present resulting in a delay in treatment which contributed to his negative outcome. It was also shown that the Plaintiff suffered from ptosis and double vision prior to the biopsy. After a 4 day trial the jury returned a verdict in favor of the defendant after deliberating for an hour and eleven minutes.
Jon Lynn and Cynthia Lynn Obtained a Directed Verdict in an Informed Consent Case in Broward County
/in Firm ResultsWilliam Carcioppolo and Brett Scroggins Obtained a Defense Verdict for an Emergency Room Physician, His Employer, and the Hospital in West Palm Beach
/in Firm ResultsPlaintiff emergency medicine expert testified the standard of care required the defendant order a CT scan on a 60 y/o female who had worsening headaches and hypertension. Plaintiffs’ neurosurgery expert testified the failure to order a CT resulted in a delay in diagnosis which allowed her to continue to bleed causing increased pressure on her brain over the 6 days which he testified was the cause of her current neurocognitive deficits.
The defense emergency medicine expert testified her only complaint consistent with a SDH was her headache which was alleviated by the treatment rendered by the defendant. The standard of care did not require a CT scan be done. The defense neurosurgery expert testified her damages were the result of her re-bleed and not from the timing of the diagnosis.
Plaintiff sought a total of 6.8 million dollars in damages. After a weeklong trial the jury returned a verdict in just over two add a half hours finding no negligence.
Jonathan Ficarrotta and Tia Jones Obtained a Defense Verdict for A Hospital in Hillsborough County in a General Liability Lawsuit
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