Case here: https://expertwitness.substack.com/p/missed-posterior-circulation-stroke
tl;dr
38-year old man presents with weeks of headache, shortness of breath, dizziness, diaphoresis, wife says bulging eyes, etc…
Just got back from Russia where he had dental work done.
CT head wo was negative, EKG/labs unremarkable, got headache cocktail, felt better, discharged.
A few hours later wife finds him unresponsive, looks like seizure, frothing at mouth.
EMS arrives, gives him, takes him to the ED.
Workup shows left vert dissection with distal basilar clot.
Pt survives, not locked in but with significant disability.
They sue both ER doctors, their employer, the hospital, the radiology group (but no individual radiologists).
End up settling about 7 years later with the first ED doctor and the ED group.
Case went to the state Supreme Court bc the EM doctors were independent contractors (not hospital employees), so the hospital argued they had no liability.…