Medical Negligence Lawsuit
Medical Negligence Lawsuit
Plaintiffs,
Case No.:
VS.
Defendants.
Limited Liability Company; SHEA MICHAEL ECKARDT, M.D.; BAY AREA CHEST
***ELECTRONICALLYFILED 06/30/2021 [Link] PM: KEN BURKE, CLERK OF THE CIRCUIT COURT, PINELLAS COUNTY***
ASSOCIATION, INC., a Florida Corporation a/\ila MORTON PLANT HOSPITAL;
GENERAL ALLEGATIONS
limited to, Chapter 766 Medical Negligence, Florida Statutes, and any and all conditions
precedent to the institution of this action have been performed, satisfied, or have
occurred.
has been conducted as to the matters alleged herein and it has been determined that
there are grounds for a good faith belief that there was negligence in the care and
treatment of Plaintiff, CHAD ERIC GERLAUGH, and that grounds exist for the filing of this
patient of the Defendant providers named herein and resided with his natural parents and
"SCOTT GERLAUGH") when the subject medical negligence occurred on or about April
2
5. At all material times, Defendant, CHRISTOPHER MICHAEL SHERMAN,
was a Florida Limited Liability Company, with its principal place of business in Oxford,
Sumter County, Florida, which contracted with Defendant HOSPITAL and/or associated
with the Defendant, BAYCARE HEALTH SYSTEM, INC.'s health system, hospital group
ANESTHESIOLOGISTS, LLC, was a Florida Limited Liability Company, with its principal
BAYCARE HEALTH SYSTEM, INC.'s health system, hospital group and/or network of
10. At all material times, DR. KELLY was an employee, agent or representative of
GREATER FLORIDA ANESTHESIOLOGISTS, LLC, acting with consent and within the
3
course and scope of his employment, agency or representation.
12. At all material times, Defendant, BAY AREA CHEST PHYSICIANS, P.A.,
was a Florida Profit Corporation, with its principal place of business in Clearwater,
associated with the Defendant, BAYCARE HEALTH SYSTEM, INC.'s health system,
patients.
13. At all material times, DR. ECKARDT was an owner, employee, agent or
representative of BAY AREA CHEST PHYSICIANS, P.A. acting with consent and within
15. At all material times, Defendant, BAYCARE HEALTH SYSTEM, INC., was
4
patients, including CHAD GERIAUGH, by policy, procedure or a legal relationship or
16. On or about October 2,1998, Chad Gerlaugh sustained a spinal cord injury
from a prior motor vehicle collision and had paraplegia. His bladder was managed with a
chronic suprapubic tube and he had a history of kidney stones which necessitated
multiple prior procedures for stone removal and preventive efforts with medical
management.
received treatment for stone removal. He subsequently saw DR. SHERMAN for
Iithotripsy (SWL) for kidney stones. The procedure was unable to clear his stones, so he
underwent a ureteroscopy with laser Iithotripsy (URS) and right ureteral stent exchange
on March 5,2019, with Dr. Sherman. His stent was removed a few days later. On or about
March 16, 2019, he had an emergency room visit due to a left sided stone with a URS
to have bilateral URS performed by DR. SHERMAN, for treatment and management of
bilateral renal stones. Stents were placed bilaterally and CHAD GERI-AUGH was sent to
the recovery room. While and during the procedure in the operating room, CHAD
GERI-AUGH became hypotensive. After the procedure, CHAD GERLAUGH was then
transferred to the post-anesthesia care unit (PACU), where his blood pressure rapidly and
5
addition to CHAD GERLAUGH's hypotensive state he additionally presented with
abnormal vital signs, including abnormal heart rates, abnormal respirations and fever.
19. CHAD GERI-AUGH became septic and his condition progressed into life-
threating septic shock requiring critical care management during his hospital course.
CHAD GERLAUGH's ongoing septic shock with the use of vasopressors resulted in a
cardiac arrest and bilateral lower Iimb and bilateral upper Iimb amputations.
COUNTI
(Medical Negligence against Dr. Sherman)
urologist, performed bilateral uroscopy surgery for removal of kidney stones and bilateral
stent placement on CHAD GERI-AUGH. Before the surgery DR. SHERMAN did not
perform any test, including, urinalysis, on CHAD GERLAUGH to determine if he had any
ongoing infection.
transferred from the operating room to the post anesthesia care unit (PACU). Thereafter,
DR. SHERMAN was called by the nursing staff and DR. SHERMAN went to CHAD
GERI-AUGH'S bedside in the PACU where he consulted with DR. KELLY, the
23. The actions and/or inactions by DR. SHERMAN were negligent and fell
below the prevailing professional standard of care for one or more of following:
6
a. Failing to adequately and properly manage Mr. Gerlaugh's treatment and
care, as he required four stone procedures for his right renal and ureteral stones in a 3-
4-month period of time. Given the moderate burden of stones, this is an excessive number
that should have been utilized to render Mr. Gerlaugh stone free before the April 9, 2019
surgery, thus precluding the need for the procedure that resulted in his septic shock.
C. Failing to adequately and properly treat for infection in a patient at high risk
for septic complication of kidney stone surgery, such as Mr. Gerlaugh, when strict efforts
at infection prevention are critical and were not adhered to in this case.
d. Failing to take, order and/or utilize appropriate urine samples for culture that
should have routinely been obtained from both Mr. Gerlaugh's bladder and renal pelvis
during surgery, so as to identify any bacteria that could require treatment and or
prophylaxis before a procedure and to identify bacteria that may only be isolated from
e. Failing to take, order and/or utilize appropriate urine culture which should
have been obtained from the suprapubic tube in the 7-14 days before surgery, so as to
identify any bacteria that could require treatment and or prophylaxis before a procedure.
medical care by placing him on prophylactic antibiotics for several days prior to surgery
and considering admission to the hospital for pre-operative IV antibiotics, prior to surgery.
7
g. Failing to adequately and properly treat and manage the patient under the
circumstances of obstructing ureteral stones and potentially infected urine, as was the
case on April 9, 2019, the standard of care is to place a ureteral stent, determine if the
patient has a UTI, treat the UTI and then definitively manage the stones at a later time.
That was not adhered to in this case and falls below the standard of care.
h. Generally failing to adequately and properly treat, care and manage the
patient's stone prevention with more vigorous efforts that were required under the
circumstances, so as to reduce the total burden of stones and frequency of stone related
events. Such management was not properly performed in this case and falls below the
standard of care.
24. DR. SHERMAN'S care and treatment of the patient, CHAD GERLAUGH
was negligent and represented a breach of the prevailing professional standard of care
as a health care provider or breached that level of care, skill, and treatment which, in light
by reasonably prudent similar health care providers and his negligence caused or
suffered bodily injury and resulting pain and suffering, disability, disfigurement, mental
anguish, loss of capacity for the enjoyment of life, expense of hospitalization, medical and
nursing care and treatment, loss of earnings, loss of ability to earn money, and
COUNT il
(Vicarious Superior of
Advanced Urology Institute, LLC)
26. Plaintiff, CHAD GERI-AUGH, realleges paragraphs one (1) through twenty-
27. ADVANCED UROLOGY INSTITUTE, LLC is liable for the tortious conduct
damages against Defendant, MARK EDWARD KELLY, M.D., together with costs and
COUNT Ill
(Medical Negligence against Dr. Kelly)
28. Plaintiff, CHAD GERLAUGH, realleges paragraphs one (1) through twenty-
for bilateral uroscopy surgery for removal of kidney stones from CHAD GERI-AUGH.
30. After the procedure CHAD GERLAUGH was transferred from the operating
room to the post anesthesia care unit (PACU) where DR. KELLY was the anesthesiologist
9
in charge over the care and treatment of CHAD GERLAUGH while he was in the PACU.
DR. KELLY knew or should have known about CHAD GERLAUGH'S declining and
vital signs and negligently failed to timely, properly and adequately treat and care for
31. The actions and/or inactions by DR. KELLY was negligent and fell below
hypotension;
d. Failure to see the patient after 1145 hrs. and follow up on the patient's
e. Generally, failing to properly treat and care for the patient under the
circumstances.
32. DR. KELLY'S care and treatment of the patient, CHAD GERLAUGH was
health care provider or breached that level of care, skill, and treatment which, in light of
reasonably prudent similar health care providers and his negligence caused or
suffered bodily injury and resulting pain and suffering, disability, disfigurement, mental
anguish, loss of capacity for the enjoyment of life, expense of hospitalization, medical and
nursing care and treatment, loss of earnings, loss of ability to earn money, and
damages against Defendant, MARK EDWARD KELLY, M.D., together with costs and
COUNT IV
(Vicarious Superior of
Greater Florida Anesthesiologists, LLC)
34. Plaintiff, CHAD GERLAUGH, realleges paragraphs one (1) through thirty-
together with costs and interest. Plaintiff demands a trial by jury on all issues.
COUNT V
(Medical Negligence against Dr. Eckardt)
36. Plaintiff, CHAD GERLAUGH, realleges paragraphs one (1) through thirty-
11
five (35) as set forth fully herein.
37. DR. ECKARDT, a critical care physician was consulted by DR. KELLY for
critical care evaluation and treatment of CHAD GERLAUGH and for transfer from the
PACU to the Intensive Care Unit (ICU) after the said procedure for bilateral uroscopy
38. DR. ECKARDT was made aware of declining and persistent drop in blood
pressure (hypotensive) decline with the aforementioned abnormal vital signs and
negligently failed to timely, properly and adequately treat and care for CHAD
39. At all material times, Defendant, DR. ECKARDT had a duty to Plaintiff to
treat, observe, and otherwise provide the proper medical care in accordance with the
40. Defendant, DR. ECKARDT was negligent thereby failing to use the
acceptable and appropriate level of skill, care, and treatment which is recognized by
reasonably prudent similar health care providers as necessary in light of all the relevant
a. Failing to adequately assess with timely and treatment for the Patient's
declining medical condition post operatively after the patient'sdeclining medical condition
b. Failing to provide the level of medical attention and care warranted by the
12
effective and sufficient risk assessments of the Patient once he was consulted in the
C. Failing to properly recognize, diagnose and treat the Patient with persistent
medication and fluids when the patient remained tachycardic and the hypotension
continued with mean arterial pressure as low as 36, well below a level to perfuse his vital
organs.
urgent critical care including timely request for consults with specialists or more qualified
specialists to consider the appropriate course of diagnostic, medical and therapeutic care
symptoms and condition presented with severe hypotension, septic shock, respiratory
hemodynamic and respiratory instability and possible organ failures to prevent him from
13
h. Generally failing to adequately and properly treat, care and manage CHAD
41. DR. ECKARDT'S care and treatment of the patient, CHAD GERI-AUGH
was negligent and represented a breach of the prevailing professional standard of care
as a health care provider or breached that level of care, skill, and treatment which, in light
by reasonably prudent similar health care providers and his negligence caused or
suffered bodily injury and resulting pain and suffering, disability, disfigurement, mental
anguish, loss of capacity for the enjoyment of life, expense of hospitalization,medical and
nursing care and treatment, loss of earnings, loss of ability to earn money, and
damages against Defendant, SHEA MICHAEL ECKARDT, M.D., together with costs and
COUNT VI
(Vicarious Superior of
Bay Area Chest Physicians, PA)
43. Plaintiff, CHAD GERI-AUGH, realleges paragraphs one (1) through forty-
44. BAY AREA CHEST PHYSICIANS, PA is liable for the tortious conduct
14
(medical negligence) of DR. ECKARDT as an owner, employee, agent, or representative
damages against Defendant, SHEA MICHAEL ECKARDT, M.D., together with costs and
COUNT VII
(Hospital Nursing/ -
Vicarious / Respondent Superior Liability)
45. Plaintiff, CHAD GERI_AUGH, realleges paragraphs one (1) through forty-
46. At all material times, Defendant, HOSPITAL, represented and held itself out
of the public as a healthcare provider with a fully accredited and operational hospital
facility capable of providing all aspects necessary to properly run a specialized and fully
equipped hospital in Clearwater, Pinellas County, Florida, and in doing so, Defendant
HOSPITAL, assured the public, and in particular, Plaintiff, CHAD ERIC GERI-AUGH, that
the hospital would provide, either directly or indirectly, well qualified and trained
physicians and staffing, including nurses and other medical providers to adequately and
properly run its hospital. By and through these representationsand duties that flow from
operating a hospital, it was expressed or implied that a patient undergoing necessary care
and treatment would receive proper and adequate care and treatment within the
staff, including, but not limited to, MAs, LPNs, RNs, CRNAs, ARNPs, PAs, Respiratory
15
Therapists and others to fulfill its duties and obligation as a hospital. The said nursing
rendered care or services to Plaintiff, CHAD GERLAUGH and at all material times, the
said employees, agents or representatives were working within the course and scope of
48. Defendant HOSPITAL is liable for the tortious conduct (medical negligence)
of its employees, agents, or representatives by and under vicarious liability or the doctrine
of respondent superior.
49. At all material times, Defendant HOSPITAL'S nursing staff had nursing
duties and responsibilitiesto treat and care for CHAD GERI-AUGH that met the standard
of care for nursing. While CHAD GERLAUGH was a patient of Defendant HOSPITAL on
or about April 9, 2019, and thereafter, his vital signs, became abnormal and he
persistently showed signs of lowering blood pressures which required immediate medical
attention, treatment and action. CHAD GERLAUGH'S overall health declined, and he
became septic and went into septic shock resulting in a cardiac arrest and Iimb
amputation.
50. At all material times, Defendant HOSPITAL's is vicariously liable for the
16
condition;
vital signs;
g. failing to provide adequate level of care for the PACU and ICU;
demonstrated signs and symptoms of septic shock allowing him to remain severely
..
failing to follow Advance Cardiac Life Support guidelines when Mr. Gerlaugh
orders; and
the previously mentioned acts, any, some, or all of which were a departure from the
this Count caused or contributed to the injury suffered by CHAD GERI-AUGH and was a
17
direct and proximate result of the damages suffered.
suffered bodily injury and resulting pain and suffering, disability, disfigurement, mental
anguish, loss of capacity for the enjoyment of life, expense of hospitalization, medical and
nursing care and treatment, loss of earnings, loss of ability to earn money, and
damages against Defendant HOSPITAL, together with costs and interest. Plaintiff
COUNT Vlll
(Hospital -
54. Plaintiff, CHAD GERLAUGH, realleges paragraphs one (1) through fifty-
55. Defendant HOSPITAL is liable for the tortious conduct (negligence) of any
and all named Defendants who were employees of Defendant HOSPITAL under the
damages against Defendant HOSPITAL, together with costs and interest. Plaintiff
COUNT IX
(Hospital -
Actual or ApparentAgency Liability)
56. Plaintiff, CHAD GERLAUGH, realleges paragraphs one (1) through fifty-five
18
(55) set forth fully herein.
57. At all material times Defendant, HOSPITAL, represented and held itself out
to the public as a healthcare provider with a fully accredited and operational hospital
facility capable of providing all aspects necessary to properly run a specialized and fully
equipped hospital duly capable of providing qualified and non-negligent medical specialist
and physicians.
(c) Plaintiffs did not select any physician, other than DR. SHERMAN, on his
own who rendered care and services to CHAD GERI-AUGH and all such physicians were
after his kidney stone procedure there was no true opportunity for Plaintiffs to shop around
(e) The Plaintiffs were not informed that the medical services that followed his
HOSPITAL;
relied on the fact that the medical services were provided by Defendant HOSPITAL were
19
chosen staff, physicians and specialists from the Defendant HOSPITAL; and,
59. At all times material, Defendant HOSPITAL by its conduct and silence
conferred in Plaintiff CHAD GERI-AUGH, a reasonable belief and with justifiable reliance
that the named party Defendant physicians, except for DR. SHERMAN, were acting with
Defendant HOSPITAL.
for the negligent action or inaction of the named part DEFENDANT physicians, (except
DR. SHERMAN), whose negligence was a direct and proximate cause of CHAD
GERI-AUGH'S damages.
against Defendant HOSPITAL, together with costs and interest. Plaintiff demands a trial
COUNT X
(Hospital -
Direct Institutional Liability)
61. Plaintiff, CHAD GERI-AUGH, realleges paragraphs one (1) through sixty
62. At all material times, Defendant HOSPITAL, had among other duties, a duty
to properly and adequately staff and arrange continuity of care within its hospital with the
20
necessary qualified personnel and medical staff to run a specialized critical care ICU floor
open to the public in keeping with the standards imposed upon by hospitals and their
operations, including direction of care and treatment with policy, procedure and
instruction.
63. In the furtherance of its duties named above, a duty or obligation is imposed
upon Defendant HOSPITAL under §766.110 Fla. Stat. to have an adequate and ongoing
64. At all material times, on or about the evening after CHAD GERLAUGH'S
procedure for removal of kidney stones and his persistentsepsis while in the ICU nurses
were calling E-Care physicians who in outside the United States of American and in
INDIA and other E-Care physicians outside the hospital regarding the patients current
critical care and medical needs. These remote or virtual calls occurred during the 7:00
p.m. to 7 a.m. shift, in particular, with regard to CHAD GERI-AUGH. Overnight the critical
care physician who was in charge of the patient, was not contacted about nursing
questions or concerns of the patient, CHAD GERI-AUGH, instead the nurses had multiple
choices on who and what remote service to call, with the remote providers having no
65. At all material times, Defendant HOSPITAL failed to meet its duties and
obligations and breached said duties to the public, in particular, to the patient CHAD ERIC
GERI-AUGH by having a clear and safe protocol for when remote selection of medical
physician staff is appropriate and proper for the safety of the patient.
21
66. Defendant HOSPITAL'S action or inaction rise to the level of negligence for
management plans, policies and protocols for direction and continuity of care plans and
directives to nurses should they need to call regarding a physician during the 7:00 p.m.
to 7 a.m shift, in particular, with regard to CHAD GERI-AUGH'S medical care and
treatment;
FULFILMENT protocol with a system for the proper and necessary safeguards assuring
that physician orders are being timely placed and fulfilled by its nursing staff; and
c) failure to provide proper training and support to its' nursing staff regarding
67. The negligent failure to have the aforesaid policy, procedure, or protocol in
damages against Defendant HOSPITAL, together with costs and interest. Plaintiff
22
COUNT XI
(BayCare -
Liability)
69. Plaintiff, CHAD GERI-AUGH, realleges paragraphs one (1) through sixty-
PLANT HOSPITAL ASSOCIATION, INC., is liable for the tortious conduct (medical
its legal relationship with Defendant HOSPITAL, vicarious liability, the doctrine of
respondent superior, agency, OR directly for the failure to develop proper comprehensive
plan, policy, protocol and procedure for patients with sepsis and remote management
d/b/a MORTON PLANT HOSPITAL ASSOCIATION, INC., together with costs and
COUNT XII
(Loss of Consortium of Joy Marie Gerlaugh)
71. Plaintiff, JOY GERI-AUGH, realleges paragraphs one (1) through seventy
72. As a direct and proximate result of the negligence of the Defendants, which
damages, his natural mother and caregiver, Plaintiff, JOY MARIE GERI-AUGH has
23
sustained injury and damages, including but not limited to the expenses of hospitalization,
medical, and nursing care and treatment, the loss of her child's services, earnings, or
earning capacity, the loss of her earnings, in the past and future resulting from the need
to care and/or provide for her son due to his injuries and the loss of her child's
companionship, society, love, affection, and solace in the past and in the future.
Limited Liability Company; SHEA MICHAEL ECKARDT, M.D.; BAY AREA CHEST
HOSPITAL ASSOCIATION, INC., together with costs and interest. Plaintiff demands a
COUNT XIII
(Loss of Consortium of Scott Gerald Gerlaugh)
74. As a direct and proximate result of the negligence of the Defendants, which
his naturalfather and caregiver, SCOTT GERI-AUGH, has sustained injury and damages,
24
including but not limited to the expenses of hospitalization, medical, and nursing care and
treatment, the loss of his child's services, earnings, or earning capacity, the loss of his
earnings, in the past and future resulting from the need to care and/or provide for his son
due to his injuries and the loss of his child's companionship, society, love, affection, and
Limited Liability Company; SHEA MICHAEL ECKARDT, M.D.; BAY AREA CHEST
HOSPITAL ASSOCIATION, INC., together with costs and interest. Plaintiff demands a
BY: @J@Max??
DANIEL D. MOODY, J.D., B.C.S.
Florida Bar No. 0508209
ANDREW D. MOODY, J.D.
Florida Bar No. 1011559
Post Office Box 266
575 North Broadway
Bartow, FL 33830
25
Telephone: 863/733-9090
Facsimile: 863/534-1001
Attorneys for Plaintiffs
Dan@[Link]
Drew@[Link]
Sam@[Link]
The undersigned counsel hereby certifies that pursuant to Section 766.104, Fla.
Stat., a reasonable investigation has given rise to a good faith belief that grounds exist
@[email protected]#1
Daniel D. Moody, J.D., B.
Attorney for Plaintiffs CB
26