The trial against Dr. John McLean alleging that the cardiologist had performed a vast number of unnecessary cardiac catheterizations and stent placement surgeries is now underway. What many do not know is that there is an ongoing associated lawsuit for negligence and civil conspiracy against Peninsula Regional Medical Center (PRMC) resulting from the same allegations of unnecessary procedures, though it is moving on a different timeline. The article in the July 14 the Daily Times entitled “Stent Doc’s trial underway” does not even make mention of the lawsuit against PRMC at all and obscures the role of the hospital. I recognize it is not often that you can find a comment critical to PRMC in the “Daily Times”.
The plaintiffs in this lawsuit (Baublitz vs. Peninsula Regional Medical Center) are thirteen patients who have joined together against the medical center. The Complaint asserts as to each patient that PRMC directly and by and through its agents and employees, was negligent in the following ways: by allowing McLean to perform the medically unnecessary procedures; by failing to revoke or suspend his privileges or stopping him from using the Catheterization Lab prior to the patient's procedures; by assisting in the performance of the unnecessary procedures; and by failing to adequately monitor and supervise McLean as part of the hospital's ongoing privileges, credentialing and oversight processes. The plaintiffs also allege that the PRMC credentialing committee did not stop McLean but rather continued to extend privileges and reward him with large blocks of favorable scheduling time.
PRMC has filed a motion to dismiss this suit. One of their legal arguments was whether a nurse or technician who allegedly assisted Dr. McLean in the performance of an unnecessary procedure on another patient (not a Plaintiff) owed a duty to future, unidentified and as yet unknown patients of Dr. McLean.
In other words does a nurse or technician who participates in unnecessary stent procedures currently have the responsibility to speak up to protect future patients? This is quite ironic because I personally believe PRMC currently has a culture where staff members are reluctant to speak up about bad medical care, poor or insensitive treatment of patients or inappropriate behavior at the hospital because of a fear of intimidation or retribution. If this case moves forward to trial and the verdict is for the plaintiffs this will be quite a costly lesson for the hospital to learn. No one should ever be fearful to speak up and do the right thing.
In addition PRMC in their motion to dismiss argued that the medical center could not be held liable for credentialing decisions because of state statute granting partial immunity from civil liability to those who participate in medical review committees. PRMC reasons that, if the individuals that serve on the credentialing committee cannot be held liable, then neither can the hospital for which those individuals made the credentialing decision. In my simple mind the motion to dismiss does not appear to be based on any fact that PRMC was not involved directly in bad things but rather they appear to be simple legal maneuvering.
On August 12, 2010 William M. Nickerson (Senior United States District Judge Court for the District of Maryland) rejected the motion to dismiss. The court also rejected PRMC’s suggestion that the claims against it be severed from the claims against McLean as “premature”. This effectively clears the path for the lawsuit against PRMC to move forward. Obviously this is a very important case for the hospital. Legal experts are following this case because there are aspects of it that may set legal precedent in Maryland. The community should follow this case closely so we can be properly informed as to the true role of our local hospital in what is alleged to be some very bad activity.
Steven Rumney
Salisbury, MD
The author disclosed to '”Salisbury News “that a family member had an unsatisfactory experience with PRMC and that the author had written a letter regarding that experience to the “Daily Times”. That letter was never published. – Ed.