Lawsuit: Botched Diagnosis Led to 30-Year-Old New York Teacher's Brain Hemorrhage Death
Legal Events
Melissa Fudge, who taught at PS 16 in Corona, died a year ago tomorrow. She had a history of ulcerative colitis when she was admitted to Long Island Jewish/Plainview Hospital in November 2008 complaining of vomiting and gastrointestinal pain accompanied by a searing headache and shooting pain in her left eye.
Doctors treated her for colitis, but her head pain continued, said her lawyer, Gerard Lucciola.
"They kept giving her transfusions and couldn't understand where all the blood was going," said her husband, Roger Fudge Jr. "They got tunnel-visioned on the colitis."
And, he said, the tragedy had far-reaching effects.
"It wasn't only me; it was my family, her family — her students, too," he said.
The suit, filed last week in Queens Supreme Court, seeks unspecified damages from the hospital and three doctors.
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Workers’ Compensation Subrogation of Administrative Fees and Costs
When a worker covered by workers’ compensation makes a claim against a third party, the workers’ compensation insurance retains the right to subrogate against any recovery from that third party for all benefits paid to or on behalf of a claimant injured at work. When subrogating for more than basic medical and indemnity benefits, the Texas workers’ compensation subrogation statute provides that “the net amount recovered by a claimant in a third‑party action shall be used to reimburse the carrier for benefits, including medical benefits that have been paid for the compensable injury.” TX Labor Code § 417.002.
In fact, all 50 states provide for similar subrogation. However, none of them precisely outlines which payments or costs paid by a compensation carrier constitute “compensation” and can be recovered. The result is industry-wide confusion and an ongoing debate and argument with claimants’ attorneys over what can and can’t be included in a carrier’s lien for recovery purposes.
In addition to medical expenses, death benefits, funeral costs and/or indemnity benefits for lost wages and loss of earning capacity resulting from a compensable injury, workers’ compensation insurance carriers also expend considerable dollars for case management costs, medical bill audit fees, rehabilitation benefits, nurse case worker fees, and other similar fees. They also incur other expenses in conjunction with the handling and adjusting of workers’ compensation claims. Workers’ compensation carriers typically assert, of course, that, they are entitled to reimbursement for such expenditures when it recovers its workers’ compensation lien. Injured workers and their attorneys disagree.