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Disposition: (Settlement/Arbitration/Trial) Arbitration

Date:

12/7/1995

Type of Case:

Medical Malpractice

Allegation(s):

Removal of Healthy Kidney

Result:

$125,000 award

Case Name:

Garrett v. Kaiser Foundation Hospitals, et al.

Facts:
On April 21, 1993, 53-year-old claimant Barry M. Garrett, a retired Air Force officer was seen in the Kaiser Urgent Care Clinic with a complaint of a single episode of painless gross hematuria. He was referred to Kaiser Urology, and on May 14, 1993, underwent cytology and an intravenous pyelogram, which was interpreted as showing "something" in his right kidney. A CT scan was performed the following month, which showed a low density mass, interpreted by the radiologist as consistent with a fluid-filled cyst. The urologist advised claimant's wife that the mass was a solid tumor and indicated a high probability of malignancy. He allegedly advised against a needle biopsy or other diagnostic studies and recommended removal of the kidney.

On July 15, 1993, claimant was admitted to Kaiser for a nephrectomy which was performed the same day. Claimant lost 4-6 pints of blood during surgery. The pathology report on the kidney revealed no evidence of malignancy and found only a small, benign, fluid-filled cyst. Claimant developed complications following surgery and had a prolonged recovery as a result of significant blood loss.


Injury/Injuries:
Loss of a healthy right kidney; excessive blood loss causing extended recovery period; remaining kidney is healthy and providing normal kidney function.

No special damages were claimed.


Contentions:
Claimant contended that respondents violated the applicable standard of care by failing to perform additional diagnostic studies which would have ruled out a malignancy conclusively. Claimant contended further that a fine needle biopsy done before the nephrectomy would have drained the cyst, eliminating the mass and the need for surgery. Claimant also contended that respondents failed to obtain proper informed consent by not advising him of all available diagnostic procedures.

Special Notes:

The arbitration lasted four days.

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