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“We all want to believe that when people get
cancer, they will receive medical care of the
highest quality. Even as new scientific
breakthroughs are announced, though, many cancer
patients may be getting the wrong care, too little
care, or too much care, in the form of unnecessary
procedures.”
Ensuring Quality Cancer Care, Maria Hewitt
and Joseph V. Simone, Editors; National Cancer
Policy Board, Institute of Medicine and National
Research Council, 1999
Cancer Misdiagnosis
The majority of cancer medical negligence cases
involve the failure by a healthcare provider to
identify or properly diagnose malignant cancer or
treatment has been delayed. Four main issues need to
be evaluated in every case wherein a health care
provider fails to diagnose or properly treat a case
of malignant cancer.
The first issue is whether the Statute of
Limitations prevents the injured party from pursuing
a cause of action against the health care provider.
Generally, a claim must be filed within two years
from the date of the mistake or the date of the
misdiagnosis for a patient over 12 years of age. In
most cases the patient doesn’t find out about the
misdiagnosis or mistreatment for many months or
possibly even more than a year. Therefore, many
injured patients are prevented from pursuing a cause
of action because more than two years have elapsed
from the date of the “mistake” or “error” even
though the injured person did not know of the
negligence for a year or more. In very limited
circumstances it may be possible to pursue a cause
of action if two years or more have elapsed from the
date of the mistreatment. Minors under the age of 12
get until their 14th birthday to bring a cause of
action. It is very important to consult with an
attorney as soon as you are made aware that a
mistake was made in your treatment or diagnosis to
avoid having your claim barred because of the
statute of limitations.
The second issue is whether a proper diagnosis or
proper treatment would have changed the outcome or
course of treatment. In many cases the outcome, to
the patient, would have been the same. The patient
would have had to go through exhausting treatments
or the patient would have succumbed to the cancer
even if there were no malpractice. This is difficult
for many people to accept. In many cases the
misdiagnosis or mistreatment lessened or decreased
the patient’s chance for survival. However, the
Texas Supreme Court, has ruled that there is no
cause of action for “lost chance of survival”;
therefore, it is necessary to prove that the patient
would have survived if the mistreatment or
misdiagnoses had not occurred. Another way to look
at this second issue is whether some act of the
treatment provider caused an injury because of a
delay in treatment. Usually, this is determined by
the concept of: the length of delay. Did the length
of the delay in treatment cause an injury? In some
cases the delay did not alter the outcome; however,
the delay may have significantly altered the type of
treatment. Then the issue is not that the ultimate
outcome would have been different, but that the
delay or misdiagnosis necessitated the use of
surgery, chemotherapy, and/or radiation that was
more invasive or radical than had the delay not
occurred.
The third issue is determining whether the patient
suffered a compensable injury. In order to establish
that the patient has a claim against the health-care
provider it needs to be established that: the
health-care provider owed a duty to the patient, the
health care provider breached that duty, the patient
suffered an injury, and the health-care provider’s
breach was the proximate cause of the patient’s
injury. The injury has to be significant enough to
justify spending the time and money required
pursuing a cause of action against a health care
provider.
The fourth issue is whether the medical
professional(s) erred, or failed to act in such a
manner that the conduct failed to meet the
appropriate standard of care under the
circumstances. Furthermore, the health-care
provider’s breach must have caused the injuries. Top
medical professionals specializing in pertinent
fields are hired to make this determination. In
cases that involve cancer treatment we may retain
the services of: oncologists; radiologists; forensic
pathologists; or any other specialists needed to
evaluate the patient’s treatment.
Frequent types of oncology malpractice cases by
anatomical site: breast, cervical and ovarian,
colon/rectal, hemopoietic (primarily lymphomas),
lung and thoracic, melanoma/skin cancer, and
prostate.
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