Justia Nevada Supreme Court Opinion Summaries

David Bourne was diagnosed with chronic anxiety, major depressive disorder, and chronic low back pain by Dr. Zidrieck Valdes in 2015. Valdes prescribed Klonopin and an opioid. In 2019, Valdes informed Bourne of new CDC guidelines against concurrent use of these medications and switched Bourne to Buspar. Bourne experienced withdrawal symptoms and refused a referral to an in-patient drug treatment facility. Despite reporting stress and receiving a half-dose emergency prescription of Klonopin, Bourne showed no signs of withdrawal or suicidal ideation in subsequent visits. In November 2019, Bourne died by suicide, leaving a note blaming the medication changes.Bourne's wife and child sued Valdes for medical malpractice, alleging negligence in not tapering off Klonopin. Their expert, Dr. Donald A. Misch, supported this claim. Valdes moved for summary judgment, arguing that suicide is a superseding cause that precludes liability. The district court agreed, citing the "suicide rule" and granted summary judgment, stating Valdes had no control over Bourne.The Supreme Court of Nevada reviewed the case. It held that a patient's suicide does not automatically preclude liability for medical malpractice. The court emphasized that established medical malpractice principles should apply, and whether a medical provider's negligence led to a patient's suicide is a factual question for the jury. The court found that the district court erred in granting summary judgment based on the "suicide rule" and reversed and remanded the case for further proceedings. View "Bourne v. Valdes" on Justia Law

In 2009, a surgeon performed a shoulder replacement surgery on a patient, during which the patient suffered a fracture and subsequent nerve injury, resulting in permanent radial nerve palsy. The patient sued the surgeon and associated medical entities for professional negligence, claiming vicarious liability. The case went to trial twice; the first trial resulted in a verdict for the defendants, but the court granted a new trial due to juror misconduct. The second trial resulted in a verdict for the patient, awarding significant damages, which the court reduced according to statutory caps.The Eighth Judicial District Court of Clark County oversaw the trials. After the second trial, the court reduced the pain and suffering damages to $350,000 pursuant to NRS 41A.035, awarded attorney fees, and capped expert witness costs. The defendants moved for a new trial based on alleged juror misconduct, which the court denied. Both parties appealed various aspects of the court's decisions, including the application of the damages cap, the res ipsa loquitur instruction, and the award of attorney fees and costs.The Supreme Court of Nevada reviewed the case. It held that the district court did not abuse its discretion in giving a res ipsa loquitur instruction despite expert testimony, as the relevant statutory amendments did not apply retroactively. The court affirmed the reduction of pain and suffering damages to $350,000, applying the statutory cap to both the surgeon and the medical entities. The court also upheld the denial of a new trial based on juror misconduct, finding no intentional concealment or prejudice.Regarding attorney fees, the Supreme Court affirmed the district court's award but modified it to comply with NRS 7.095, capping the total recoverable amount. The court found no conflict between NRCP 68 and NRS 18.005 but remanded the case for further proceedings on expert witness fees, requiring a more detailed application of the Frazier factors. The judgment and order denying a new trial were affirmed, the attorney fees award was affirmed as modified, and the order retaxing costs was reversed in part. View "NEVINS VS. MARTYN" on Justia Law

Aletha Porcaro was admitted to The Heights of Summerlin, a skilled nursing facility, for rehabilitation after surgery. Upon her discharge, she contracted COVID-19 and died eight days later. Her daughter, Rachelle Crupi, filed a lawsuit against The Heights and its parent companies, alleging that they failed to implement effective COVID-19 safety protocols. The claims included negligence, wrongful death, and other related causes of action.The Heights removed the case to federal court, which remanded it back to state court. In state court, The Heights moved to dismiss the case, arguing that the federal Public Readiness and Emergency Preparedness Act (PREP Act) and Nevada’s Emergency Directive 011 granted them immunity from Crupi’s claims. The district court dismissed the professional negligence claim but allowed the other claims to proceed.The Heights then petitioned the Supreme Court of Nevada for a writ of mandamus, seeking to dismiss the remaining claims based on the same immunity arguments. The Supreme Court of Nevada reviewed the petition and concluded that the PREP Act does not apply to a lack of action or failure to implement COVID-19 policies. The court also determined that Directive 011 does not grant immunity to health care facilities, as it applies to individual medical professionals, not facilities.The Supreme Court of Nevada denied the petition for a writ of mandamus, holding that neither the PREP Act nor Directive 011 provided immunity to The Heights for the claims brought by Crupi. The court affirmed the district court’s decision to allow the remaining claims to proceed. View "The Heights of Summerlin, LLC v. District Court" on Justia Law

In 2021, Hal de Becker contracted COVID-19 and was treated with ivermectin by his personal physician. Hal was later admitted to Desert Springs Hospital Medical Center, where his ivermectin treatment was stopped without consent, and he was administered remdesivir. Hal's condition deteriorated, and he died shortly after being discharged. Hal's family sued the attending doctors and the hospital, alleging negligence, professional negligence, and wrongful death, claiming the doctors and hospital failed to obtain informed consent and made treatment decisions based on media narratives.The Eighth Judicial District Court dismissed the claims against the doctors and the hospital. The court found that the claims against the doctors were barred by the Public Readiness and Emergency Preparedness Act (PREP Act) and that the expert affidavit provided by the plaintiffs did not meet the requirements of NRS 41A.071. The court also dismissed the claims against the hospital, finding them similarly barred by the PREP Act and that the claims were for professional negligence rather than ordinary negligence.The Supreme Court of Nevada reviewed the case and affirmed the lower court's decision. The court held that the plaintiffs' claims were for professional negligence and required an expert affidavit under NRS 41A.071. The court found the expert affidavit insufficient as to the doctors because it did not specify acts of negligence separately for each doctor. However, the affidavit was sufficient as to the hospital. Despite this, the court concluded that the PREP Act barred the claim against the hospital because it related to the administration of remdesivir, a covered countermeasure. Therefore, the dismissal of the complaint was affirmed. View "De Becker v. UHS of Delaware, Inc." on Justia Law

The case involves Somsak Limprasert, a patient diagnosed with COVID-19 and acute hypoxic respiratory failure, who was transferred to PAM Specialty Hospital of Las Vegas, LLC, for rehabilitation and treatment. While at PAM, Limprasert, who was bedridden and unable to stand without support, was assisted by PAM's workers to rise from his bed. However, they unexpectedly let go of him while he was in a standing position, causing him to fall and suffer injuries. Limprasert filed a complaint against PAM, asserting claims for negligence and abuse of the vulnerable, and alternatively, under Nevada’s medical malpractice statutes. However, he failed to attach a supporting declaration from a medical expert to his complaint.The district court found that Limprasert’s claims were of professional negligence, requiring a supporting declaration from a medical expert. As Limprasert filed his complaint without the supporting declaration and the erratum was not filed at the same time as the complaint, the district court granted PAM’s motion to dismiss. Limprasert appealed, and the court of appeals reversed the decision, finding that the district court erred by dismissing Limprasert’s complaint. PAM petitioned the Supreme Court of Nevada for judicial review.The Supreme Court of Nevada determined that Limprasert’s claims were of professional negligence, requiring an affidavit under Nevada law. However, the court concluded that Limprasert’s expert declaration complied with the law, and the district court therefore erred by dismissing his complaint for noncompliance. The court reversed the dismissal of Limprasert’s professional negligence claims and remanded the case for further proceedings. View "Limprasert v. PAM Specialty Hospital of Las Vegas, LLC" on Justia Law

The case revolves around a medical malpractice claim filed by Saeed Gohari, acting as the guardian ad litem for Nammi Gohari, a minor. Nammi was born prematurely in 2012 and developed irreversible brain damage, which the family attributed to professional negligence by the medical staff at facilities operated by Dignity Health. The malpractice claims were filed against Dignity Health and several individuals who provided medical care to Nammi's mother, Afsaneh Amin-Akbari, over a decade after Nammi's birth, on November 30, 2022.The case was initially brought before the Eighth Judicial District Court of the State of Nevada. Dignity Health moved to dismiss the complaint as untimely under NRS 41A.097, which sets a limitation period for filing medical malpractice claims. However, Gohari argued that the complaint was still timely under NRS 41A.097(5) due to a pair of emergency directives issued by Governor Steve Sisolak during the COVID-19 pandemic, which tolled the limitations period. The district court agreed with Gohari, concluding that the directives tolled the limitations period for 122 days, making Gohari's complaint timely.The case was then brought before the Supreme Court of the State of Nevada. Dignity Health filed a petition for a writ of mandamus, asking the court to vacate the district court order and direct the district court to dismiss the case because Gohari's complaint was untimely under NRS 41A.097(5) and its timeliness was not preserved by the directives. However, the Supreme Court denied the petition, concluding that the district court correctly applied the directives and that the law does not require dismissal of Gohari's complaint as untimely. The court found no support for Dignity Health's argument in the directives’ plain language and held that the directives tolled Gohari's limitations period for 122 days. View "Dignity Health v. District Court" on Justia Law

In a medical malpractice case before the Supreme Court of the State of Nevada, the plaintiff, Kimberly D. Taylor, sued Dr. Keith Brill and Women’s Health Associates of Southern Nevada-Martin PLLC for professional negligence. Taylor alleged that Dr. Brill breached the standard of care by perforating her uterus and bowel during a surgical procedure and failed to inform her of these complications. The jury ruled in favor of Dr. Brill and denied all of Taylor’s claims.The Supreme Court of Nevada held that in a professional negligence action, evidence of informed consent and assumption of the risk are irrelevant and inadmissible when the plaintiff does not challenge consent. The court stated that even if a plaintiff gave informed consent, it would not vitiate the medical provider’s duty to provide treatment according to the ordinary standard of care. Furthermore, evidence of a procedure’s risks must still fall within Nevada's professional negligence statute, and a case-by-case analysis is required to determine whether the evidence should be excluded due to its potential to confuse the jury.The court also held that expert or physician testimony is not required to demonstrate the reasonableness of the billing amount of special damages. The court found that the district court had abused its discretion by prohibiting non-expert evidence demonstrating the reasonableness of the charges for medical treatment received by Taylor.Finally, the court ruled that evidence of insurance write-downs is not admissible under NRS 42.021(1), as it only contemplates evidence of actual benefits paid to the plaintiff by collateral sources.Based on these errors, the Supreme Court of Nevada reversed the judgment and remanded the case for further proceedings, including a new trial. View "Taylor v. Brill" on Justia Law

The Supreme Court of Nevada ruled on a motion for disqualification of a supreme court justice in a medical malpractice action appeal. The appellant argued that Nevada Code of Judicial Conduct 2.11(A)(6)(d) required disqualification of Justice Douglas Herndon, who had been assigned the case when he was a district judge, but had not heard or decided any matters in the case before it was reassigned. The appellant argued that the rule required disqualification whenever a judge previously presided over a matter, regardless of the level of involvement.Justice Herndon and the respondents countered that he had seen no documents and performed no work on the case at the district court level, and therefore his impartiality could not be questioned. They argued that the Code of Judicial Conduct does not require disqualification in such circumstances, and that a judge has a general duty to hear and decide cases where disqualification is not required.After considering the language and context of the Code of Judicial Conduct, along with similar cases from other jurisdictions, the Supreme Court of Nevada held that to "preside" over a matter within the meaning of the disqualification rule, a judge must have exercised some control or authority over the matter in the lower court. Given that Justice Herndon had simply been administratively assigned the case and took no action during his assignment, he did not "preside" over the case in a way that mandated disqualification. The court therefore denied the motion for disqualification. View "Taylor v. Brill" on Justia Law

This case revolves around a lawsuit filed by Tiffiny Grace, legal guardian of E.G., against Sunrise Hospital and Nurse Cord Olsen for professional negligence. E.G. was born prematurely at Sunrise Hospital and suffered permanent developmental damage following a cardiac arrest in the Neonatal Intensive Care Unit. The hospital's Patient Safety Committee investigated the incident, which Grace sought to examine during discovery. However, Sunrise Hospital objected, asserting that the information was privileged under the Patient Safety and Quality Improvement Act of 2005 (PSQIA) and Nevada law. The district court compelled the testimony, ruling that Sunrise Hospital had waived any privilege by allowing testimony on certain privileged topics.The Supreme Court of the State of Nevada, however, disagreed with the lower court's interpretation. It ruled that the PSQIA provides an absolute privilege for patient safety work products that is not subject to waiver. The court explained that this privilege aims to encourage healthcare providers to identify and learn from errors without fear of legal repercussions. The court concluded that the district court erred by interpreting the PSQIA to allow for waiver of privilege and by failing to determine whether the testimony sought constituted identifiable or non-identifiable patient safety work product. Therefore, the court granted a writ of prohibition, vacated the district court's order, and directed the lower court to reconsider Grace's motion to compel in light of its interpretation of the PSQIA. View "Sunrise Hospital v. Eighth Judicial District Court" on Justia Law

This case arose from a wrongful death and professional negligence action brought by Linda F. Smith, the mother of Kamario Mantrell Smith, an inmate who died after unsuccessful heart surgery and subsequent complications. The defendants were Christopher L. Igtiben, M.D., Dignity Health, and related entities. Smith filed her complaint on November 22, 2022, alleging that the defendants' failure to recognize her son's sickle cell anemia before ordering a CT scan with contrast ultimately led to his death. Dr. Igtiben filed a motion to dismiss the complaint, arguing that the applicable statute of limitations under NRS 41A.097(2) had expired. The district court denied the dismissal motion.The Court of Appeals of Nevada found that Smith had been placed on inquiry notice of potential professional negligence and wrongful death claims when she received her son's medical records in January 2020. Accordingly, NRS 41A.097(2) required her to file any professional negligence or wrongful death action within one year from that date. Because Smith did not file her complaint until November 2022, the statute of limitations had expired, and the district court should have dismissed the complaint as untimely. As a result, the court granted the writ of mandamus and directed the clerk to issue a writ instructing the district court to dismiss the complaint. View "Igtiben v. Eighth Jud. Dist. Ct." on Justia Law