Sunday, January 6, 2013

The Statute of Limitations in Iowa Medical Malpractice Cases



When does my lawsuit need to be filed?

One of the first things we do for a potential medical malpractice client at Hayes Lorenzen Lawyers is  attempt to determine our potential client's Statute of Limitations.  In laymen’s terms, this is the amount of time a plaintiff has in a personal injury case, such as a medical practice case, to file a lawsuit. This determination is crucial. If you don’t file the lawsuit in time Iowa law bars you from filing it later.  
Determining the Statute of Limitations date can sometimes be a complicated and fact-intensive determination. As with many legal issues, it is best to seek the advice of an experienced attorney as soon as possible on Statute of Limitations questions as numerous considerations come into play. 

                A. THE MEDICAL MALPRACTICE STATUTE OF LIMITATIONS IN IOWA:  GENERAL RULE

In Iowa, medical malpractice cases must be filed “within two years after the date on which the claimant knew, or through the use of reasonable diligence should have known, or received notice in writing of the existence of the injury or death for which damages are sought.”   With many cases it is easy to determine the Statute of Limitations under this rule as the healthcare provider’s negligent act is readily apparent and noticeable.  Acts such as operating on the wrong limb or administering the wrong medication are often immediately noticeable. In cases such as these, it is relatively simple to find a date two years from these readily apparent events. 

The Statute of Limitations gets tricky in cases where the malpractice is not immediately apparent.  For instance, a radiologist may have negligently interpreted an x-ray that results in the patient not receiving an operation they need.  This mistake may not be discovered for months until the patient becomes more symptomatic and sees another physician who discovers and points out the misread x- ray in a subsequent office visit.  In “discovery rule” cases such as this hypothetical, the Statute of Limitations does not start until the patient knew, or should have known through reasonable diligence both the physical/mental harm and its cause in fact. This rule was established in part though the litigation of Hayes Lorenzen Lawyers in the Rathje v. Mercy Hospital case, which liberalized the discovery rule in Iowa. 

                B. STATUTE OF REPOSE: WHEN NEGLIGENCE CONTINUES TO GO UNDISCOVERED 

Occasionally it will take many years for a patient, acting reasonably, to discover medical malpractice negligence.  In these cases, Iowa law sets a six year limit from the date of the negligent act or omission. So in the case of our hypothetical patient whose radiologist negligently interpreted an x ray, if this is not discovered within six years the patient cannot bring a claim. The only exception on this six year limit is when a foreign object is unintentionally left in the body, which eventually causes injury or death.

C. MINORS UNDER EIGHT:  A DIFFERENT RULE

If malpractice is committed against a minor who is under 8 when the act or omission occurs the minor has two years or until their 10th birthday, whichever is later in which to file suit.  This more liberal rule takes into account the fact that it sometimes takes years to get an informed understanding of the extent of a minor’s damages.  However, if the minors parents want to become plaintiffs as well they only have two years to file suit to protect their claims.  

                D. OTHER PERSONAL INJURY CASES

At Hayes Lorenzen Lawyers, we don’t just represent medical malpractice clients, but also represent clients in other personal injury cases such as industrial accidents, motor vehicle accidents, fires and explosions, etc. In these cases the statute of limitations is two years from the date of the accident/injury.

Expert Witnesses in Iowa Medical Malpractice Cases



Expert Witnesses in Iowa Medical Malpractice Cases

The proper selection and use of expert witnesses is vital to any successful medical malpractice case in Iowa.  In fact, the use of expert witnesses in medical malpractice cases in Iowa is almost a necessity given the complexity of these types of cases.  Only rarely is a medical malpractice case is so simple and obvious that it can be successfully resolved without even the informal assistance from an expert as the law requires the use of an expert except in very limited cases. 

The assistance of an expert witness is not the same in every medical malpractice case. Expert witnesses serve many crucial functions at various stages for plaintiffs in medical malpractice cases in Iowa:

  •  Experts can help a plaintiff’s attorney, such as the attorneys at Hayes Lorenzen Lawyers, evaluate a medical malpractice case in order to determine if the case has the potential for a satisfactory recovery.

  •  Expert reports and depositions can be used by a plaintiff’s attorney to negotiate a settlement from the defendant healthcare providers prior to trial.

  • Experts can also be used at trial to testify on behalf of a client.


The subject matter of an expert’s opinion can also vary. Some experts focus on whether or not the healthcare provider violated the standard of care, i.e. whether they were negligent. Other experts focus on predicting or quantifying the damages a plaintiff has suffered.  In addition, other experts focus on whether the healthcare provider’s negligence caused the plaintiff’s damages. 

At Hayes Lorenzen Lawyers we routinely work with experts that are some of the nation’s leading medical minds who practice medicine at institutions such as Harvard Medical School, Stanford Medical School, Columbia Medical School, Johns Hopkins, and Northwestern University.  Every medical malpractice case in Iowa is different, and at Hayes Lorenzen Lawyers our experience in the field of medical malpractice allows us to make intelligent and informed decisions on expert witnesses for our clients. 

The Importance of Medical Records in Iowa Medical Malpractice Cases



The Importance of Medical Records in Iowa Medical Malpractice Cases

In any medical malpractice case in Iowa, a patient’s medical records are crucial to prove their claims.  In some instances these records contain actual documented proof of negligence on the part of the patient’s health care providers. Even if the medical records do not contain this “smoking gun” evidence, they may provide vital information that expert witnesses need in their reports and testimony at trial. 

Given the vital importance of medical records, at HayesLorenzen Lawyers we have found it helpful if a client can request their medical records on their own and forward these records to us at the outset of their case.  We have had clients either mail or email the records to our office or provide us with the records at the client’s initial meeting at Hayes Lorenzen Lawyers. This usually leads to a quicker, more thorough, evaluation of a client’s potential case. It also allows the attorneys at Hayes Lorenzen Lawyers to ask more informed and productive questions during a client’s initial attorney-client conversations.  

Healthcare providers sometimes fail to provide our clients with a complete set of their medical records. As medical malpractice cases are won and lost based on the small details found throughout the medical records, our office’s next step is to obtain a complete set of medical records.  We will have our client sign a patient authorization form authorizing Hayes Lorenzen Lawyers to collect medical records and/or communicate with health care providers on their behalf.  

Once our office obtains a complete set of medical records they are indexed by a former licensed nurse and then further reviewed by the attorneys at Hayes Lorenzen Lawyers.  These records are then frequently sent to expert witnesses for their review and are used for various tasks at trial such as to point out inconsistencies in the testimony of defendant healthcare providers or to support a plaintiff or expert’s testimony.

Saturday, January 5, 2013

Introduction and Purpose



Introduction and Purpose

At Hayes Lorenzen Lawyers, we started this blog in the hope that we will be able to provide both our clients and the general public with useful information related to personal injury cases. Given the breadth of our medical malpractice practice, many of the posts will focus on medical malpractice litigation in Iowa. That said, at Hayes Lorenzen Lawyers we also represent clients in other personal injury cases such as motor vehicle accidents, products liability, industrial accidents, and nursing home abuse, which we will post commentary on as well. 

We also hope to add to the discussion and debate on news and developments related to the practice of personal injury law in Iowa.  Changes in the Iowa court rules, pending legislation before the Iowa Legislature, and developments in the insurance industry impact the public at large and the clients of Hayes Lorenzen Lawyers specifically.   As such, we hope to comment on these issues as they arise and hopefully provide some clarity and insight.

If you have any questions about any of the content in this blog, or if you would like to discuss a potential case with our firm, do not hesitate to contact us. One of the attorneys at Hayes Lorenzen Lawyers would be glad to discuss your issue with you. We are located in the Pedestrian Mall in downtown Iowa City at Plaza Centre One, 125 S. Dubuque St. Ste. 580, Iowa City, IA 52240 and we can be reached by phone at 319.887.3688.

While we hope that the information in this blog will be informative and helpful, it is NOT intended to substitute for legal advice. If you have a question about a legal issue you should seek legal counsel immediately.