Articles Posted in Discovery

The New York Times has a good article today on Independent Medical Examination doctors, including a doctor referred to by New York injury lawyers as “Doctor Says-No.” We have several IME doctors in Maryland that must be related to him because they have the same last name.

The New York Times would not have written this story if it did not have examples of patients possessing the great weapon of the modern age: “I’ve got it on tape.” The article has examples of doctors who told the patient one thing in the evaluation – which the patient’s taped with their phones – and put the opposite conclusion in the report.

In Maryland, our lawyers are seeing a recent wave of IME doctors replacing the old guard of discredited doctors that juries stopped believing long ago. Below are a few tools to fight for your clients to get fair defense medical exams.

My colleague John Bratt is in the middle of a battle in a Montgomery County case where the expert is refusing to meet the same conditions imposed against this same expert by a judge in another case we had with him in Montgomery County. In another accident case, my colleague Rod Gaston has with the same doctor, they ordered the doctor to produce his financial records. Bizarrely, the insurance company withdrew the doctor, but he still filed an interlocutory appeal. I’m looking forward to finding out who has been paying his legal fees for all of this. My bet: the insurance company.

(Note: I have fixed the New York Times link, as requested. Thanks to all for bringing it to my attention.) Continue reading

Last week, a well-respected defense lawyer told one of our lawyers they possessed the Maryland Trial Lawyers Association’s “Handbook,” which spells out the terms for a defense requested medical examination. This “Handbook” has made its way into a Motion to Compel a Physical Examination, specifically including this “MTLA Handbook” as an exhibit to the motion. By this inclusion, I assume this is an authoritative source of legal guidance for the court on this discovery matter.

Now back to reality. Maryland Trial Lawyers Association does not have a “Handbook” on defense medical exams. Instead, it is just a copy of the link from our website setting forth our suggested conditions for a defense medical exam. Which we don’t even use anymore!

I think it is funny that this is being represented as some guide to fighting medical exams. I am glad people are using the Maryland Personal Injury Lawyer Help Center. My partner told me last week that a defense lawyer she spoke to said they often get motions from other lawyers copying our sample motions. The lawyer said they call them “Miller & Zois” motions.

Goal number one when your client is giving a deposition is to do no harm.

The greatest harm your client can do in almost any personal injury case in his/her deposition is to get caught in a lie. Clients are most prone to “lie” about prior car accidents because they genuinely do not remember them. But a smart insurance company lawyer may turn an innocent failure to recall into a litmus test on the client’s credibility. As much as we as personal injury lawyers like to make the cases about ourselves – particularly when we get a great verdict, we all do it – the importance of our credibility/likability is a distant second to the importance to that of our client.

How can you solve the problem? Obviously, a good attorney spends time before the deposition discussing the issue with the client, explaining in very direct terms that prior medical history or claims history will be uncovered by any competent defense attorney or adjuster with access to a computer and/or the medical records. But, again, in some circumstances, the client may not remember whether they were injured on the job or made a claim for a car accident in which it involved them.

A few days ago, I wrote about a judge’s article entitled Alice in Discovery Land (A Practical Guide to Recurrent Discovery Problems) that appeared years ago in Maryland Litigator, quoting Judge Smith’s comment about the oxymoronic phrase independent medical exam.

Counsel on both sides of the aisle have their own unique problems. One of the enormous problems the insurance companies have is getting credible medical experts to testify at trial. They are in a catch-22: they need doctors who regularly testify because of the volume of cases they have, but doctors who will have spent much of their practice testifying for insurance companies have little credibility. As a result, most of their experts are deeply wedded to the insurance companies, a fact rarely lost on jurors.

When the defense lawyer asks for an IME, we send out a list of conditions before agreeing to the exam. We also subpoena the doctor’s records. In most cases, the doctor refused to respond to the subpoena because they do not want to reveal the extent to which they are wedded to litigation related work and, specifically, to the insurance companies. The defendant’s lawyer is forced to withdraw the expert.

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