On Jan. 15, 2000, plaintiff Darian Brown was born with severe brain damage to mother Denise Brown. The mother had been at a routine checkup five days earlier on Jan. 10 when her physician noticed that the fetus had an unusually fast heart rate. The fetal monitoring strips were showing fetal tachycardia (a heart rate greater than 60). She was admitted to Broward General Medical Center for close monitoring and observation. She was noted to be at risk for pre-term labor. She was administered Celestone for fetal lung maturity in the event that delivery became necessary.
The mother experienced pre-term labor issues for the next three days, but the baby’s heart rate and the contractions were stable. On Jan. 13, the monitor demonstrated sustained fetal tachycardia. On Jan. 14, at 10 p.m., Darian’s condition was noted to change, with fetal tachycardia, late decelerations and loss of variability. Darian’s heart rate had accelerated to 175 to 185 beats per minute. Despite the change in heart rate, hospital nurses didn’t contact Dr. Vasanti Puranik until approximately 5:15 a.m. on Jan. 15. Puranik delayed performance of a C-section until 7:29 a.m. Darian’s Apgars were 5 and 8 at birth.
Mrs. Brown and her husband, David Brown, sued Broward General Medical Center and its nurses and doctors, including Drs. Puranik and Amy Sonnenblick, for medical malpractice. The couple alleged that they failed to deliver the baby in a timely manner. The Browns alleged that the hospital’s nurses were negligent for failing to inform the doctors of significant changes in fetal monitoring. The family also sued Perinatal Research and Consulting P.A. and its perinatologist, L. Laurie Scott. The Browns reached a confidential settlement with those parties prior to trial.
The Browns had two other children prior to Darian, both of whom were born prematurely. According to medical records, Mrs. Brown’s pregnancy with Darian was considered high risk. These doctors were allegedly fully aware of Mrs. Brown’s history of pre-term labor.
Plaintiff’s counsel maintained that delivery ideally occurs 48 hours after Celestone is administered.
The plaintiffs alleged that the failure to make a timely delivery caused Darian to sustain partial prolonged hypoxia, resulting in severe, profound hypoxic ischemic brain damage. The plaintiffs’ expert neuroradiologist timed the injury to the brain between 24 and 48 hours prior to delivery, based on ultrasounds and MRIs. The expert deferred to clinicians to correlate the events with Darian’s clinical condition. Based on the fetal monitoring strips, the placental pathology, the imaging and the post-birth lab studies, experts opined that Darian’s injury occurred more likely than not during the last 24 hours of his gestation. The plaintiffs’ experts opined that had Darian been delivered on Jan. 13, his injury could have been avoided.
Defense counsel denied the allegations. According to the defense, no cord blood gas showed acidosis (an arterial blood pH of 7.0 or less), and the Apgars were 5 and 8 and there was no multi-system injury.
The defense argued Darian did not meet the ACOG 163 criteria for intrapartum brain injury. Additionally, the defense experts opined that Darian may have had an unidentified genetic defect, some intrauterine viral or bacterial infection of unknown etiology or a short umbilical cord which could have caused a brain injury due to decreased fetal movement.
Darian sustained partial prolonged hypoxia, resulting in severe, profound hypoxic ischemic brain damage. He suffers from quadriparesis. His parents sought damages for medical expenses, pain and suffering and lost of parental consortium. Darian will require a lifetime of care. The Browns’ experts estimated that it will take $15 million to care for Darian for the rest of his life.
The jury found in favor of the Brown family and awarded them $35,206,000.
Darian Lavar Brown
$206,000 Personal Injury: Past Medical Cost
$15,000,000 Personal Injury: Future Medical Cost
$4,000,000 Personal Injury: Past Pain And Suffering
$8,000,000 Personal Injury: Future Pain And Suffering
David A. Brown
$2,500,000 Personal Injury: Past Loss Of Consortium
$1,500,000 Personal Injury: Future Loss Of Consortium
Denise G. Brown
$2,500,000 Personal Injury: Past Loss Of Consortium
$1,500,000 Personal Injury: Future Loss Of Consortium
The defendant’s motions for new trial and renewed directed verdict were denied. The hospital’s motions for a collateral source setoff, a collateral source set off based on a settlement and a motion to limit the judgment and/or execution on the judgment are set for hearing in September.