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Submitted URL: https://newsletter.expertinstitute.com/e3t/Btc/OP+20185/cKwFQ04/VVK3CB19rx_mW9bzqPX6sPZNhW13cSCp4zL1CXN8_nRGQ5mNZcV3Zsc37CgPdLVMmc0K8g2...
Effective URL: https://www.expertinstitute.com/resources/case-studies/court-excludes-pediatric-neurologist-experts-testimony-on-neurosurgery-st...
Submission: On November 16 via manual from US — Scanned from DE

Form analysis 7 forms found in the DOM

GET https://www.expertinstitute.com/

<form method="get" action="https://www.expertinstitute.com/" id="search-form" class="search-form">
  <div class="input-wrap">
    <label for="s1">Search</label>
    <input id="s1" type="search" name="s" value="">
  </div>
  <button class="submit" type="submit" aria-label="Search">
    <span class="text">Search</span>
    <svg class="icon icon-search" aria-hidden="true" role="presentation">
      <use xlink:href="#icon-search"></use>
    </svg>
  </button>
</form>

GET https://www.expertinstitute.com/

<form method="get" id="search-form" class="search-form" action="https://www.expertinstitute.com/" role="search">
  <div class="input-wrap">
    <label class="sr-only" for="s2">Search</label>
    <input id="s2" name="s" type="search" value="">
  </div>
  <button class="submit" aria-label="search" type="submit"><span class="text">Search</span><svg class="icon icon-search" aria-hidden="true" role="presentation">
      <use xlink:href="#icon-search"></use>
    </svg></button>
</form>

/

<form id="taxonomy-algolia-form" class="50-state-form taxonomy-algolia-form" action="/" target="hiddenFrame">
  <h3 class="taxonomy-form-results">Find a <span id="expert-specialty">Neurosurgery</span> Expert Witness Near You</h3>
  <p class="margin-bottom-sm">What State is your case in?</p>
  <div class="btngroup-wrap ">
    <div class="btngroup">
      <span class="btngroup--btn">AL</span>
      <span class="btngroup--btn">AK</span>
      <span class="btngroup--btn">AZ</span>
      <span class="btngroup--btn">AR</span>
      <span class="btngroup--btn">CA</span>
      <span class="btngroup--btn">CO</span>
      <span class="btngroup--btn">CT</span>
      <span class="btngroup--btn">DE</span>
      <span class="btngroup--btn">DC</span>
      <span class="btngroup--btn">FL</span>
      <span class="btngroup--btn">GA</span>
      <span class="btngroup--btn">HI</span>
      <span class="btngroup--btn">ID</span>
      <span class="btngroup--btn">IL</span>
      <span class="btngroup--btn">IN</span>
      <span class="btngroup--btn">IA</span>
      <span class="btngroup--btn">KS</span>
      <span class="btngroup--btn">KY</span>
      <span class="btngroup--btn">LA</span>
      <span class="btngroup--btn">ME</span>
      <span class="btngroup--btn">MD</span>
      <span class="btngroup--btn">MA</span>
      <span class="btngroup--btn">MI</span>
      <span class="btngroup--btn">MN</span>
      <span class="btngroup--btn">MS</span>
      <span class="btngroup--btn">MO</span>
      <span class="btngroup--btn">MT</span>
      <span class="btngroup--btn">NE</span>
      <span class="btngroup--btn">NV</span>
      <span class="btngroup--btn">NH</span>
      <span class="btngroup--btn">NJ</span>
      <span class="btngroup--btn">NM</span>
      <span class="btngroup--btn">NY</span>
      <span class="btngroup--btn">NC</span>
      <span class="btngroup--btn">ND</span>
      <span class="btngroup--btn">OH</span>
      <span class="btngroup--btn">OK</span>
      <span class="btngroup--btn">OR</span>
      <span class="btngroup--btn">PA</span>
      <span class="btngroup--btn">RI</span>
      <span class="btngroup--btn">SC</span>
      <span class="btngroup--btn">SD</span>
      <span class="btngroup--btn">TN</span>
      <span class="btngroup--btn">TX</span>
      <span class="btngroup--btn">UT</span>
      <span class="btngroup--btn">VT</span>
      <span class="btngroup--btn">VA</span>
      <span class="btngroup--btn">WA</span>
      <span class="btngroup--btn">WV</span>
      <span class="btngroup--btn">WI</span>
      <span class="btngroup--btn">WY</span>
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  <p><label for="taxonomyCaseType">Select the party you're representing</label></p>
  <div class="taxonomy-case-type-wrapper">
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    <div class="radio-wrap">
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  <input type="text" name="taxonomyTag" class="hide" id="taxonomyTag" value="Neurosurgery" data-gaconnector-tracked="true">
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  <input type="text" name="referrer" class="hide" id="referrer" value="casestudies" data-gaconnector-tracked="true">
  <button id="nextBtn" class="button margin-top-md next-btn" type="submit">Next &gt;</button>
</form>

POST /resources/case-studies/court-excludes-pediatric-neurologist-experts-testimony-on-neurosurgery-standard-of-care/#gf_77

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  <div class="gform_footer top_label -filled"> <input type="submit" id="gform_submit_button_77" class="gform_button button" value="Request an Expert"
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POST /resources/case-studies/court-excludes-pediatric-neurologist-experts-testimony-on-neurosurgery-standard-of-care/#gf_91

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POST https://www.expertinstitute.com/wp-comments-post.php?wpe-comment-post=teiweb

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COURT EXCLUDES PEDIATRIC NEUROLOGIST EXPERT’S TESTIMONY ON NEUROSURGERY STANDARD
OF CARE

The appellant claimed the defendant neurosurgeon didn’t recommend further
treatment or testing after diagnosing her with a tethered spinal cord. As a
result, her condition worsened, and she became a paraplegic. 

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Written by Wendy Ketner, M.D.
— Updated on November 10, 2021

Court: Supreme Court of Appeals of West Virginia
Jurisdiction: Federal
Case Name: Kiser v. Caudill
Citation: 2001 W. Va. LEXIS 49

The appellant retained a pediatric neurologist expert witness. However, the
trial court held that the expert was unqualified to opine on the standard of
care for neurosurgeons. The appellant then hired a neurosurgeon expert witness,
but she missed the deadline to provide a notice of her prospective expert
witness. 


FACTS

The appellant was born with various congenital spinal abnormalities. A
neurosurgeon diagnosed her with a tethered spinal cord. However, the
neurosurgeon did not explain its importance or suggest further treatment or
research. The appellant’s condition worsened after 10 years of age, and she
developed paraplegia indefinitely.

The appellant first proposed that a pediatric neurologist be her expert witness.
However, the witness acknowledged that he could not testify about the standard
of care applicable to neurosurgeons. The court limited his testimony to
neurology.

The appellant did not provide a formal notice of her prospective neurosurgeon
expert witness until after the cut-off deadline for the submission of evidence
before the original date of the trial. The appellant sought to have the
late-disclosed witness accepted as an expert, but the court refused.


THE APPELLANT’S NEUROSURGERY EXPERT WITNESS

The trial court determined that a board-certified pediatric neurologist was
unqualified to testify regarding the standard of care required of a
neurosurgeon. Thus, the court did not allow the pediatric neurologist to testify
about how a neurosurgeon would perform surgery involving a tethered spinal cord.
Furthermore, the expert couldn’t opine on the skills required of a neurosurgeon.
The court permitted the expert to testify only about the diagnosis and
comprehensive treatment of tethered spinal cords.

The court didn’t believe that the circuit court violated its discretion by
restricting the testimony to the area of neurology. The pediatric neurologist
deposed that he was simply a specialist in recommending patients to
neurosurgeons. He was not an expert in the field of neurosurgery. The expert
witness did not know about the standard of care for the surgery of the tethered
spinal cord.


DISCUSSION

The court noted that at the pre-trial hearing, the circuit court had rejected
the appellant’s motion for a continuation of the trial. The circuit court had
also denied the appellant’s neurosurgery expert. The court noted that the
appellant had not, in due time, revealed the expert witness.

The court assumed the circuit court’s initial ruling precluding the neurosurgery
expert witness from testifying was correct. The appellant didn’t file a motion
asking the neurosurgery expert to be allowed to testify as an expert witness in
time. The appellant filed the motion after the end of the time limit in the
scheduling order. The court noted the call would’ve been prejudiced if the
neurosurgery expert witness had been allowed to testify. This was because the
trial was scheduled to begin just a few days later.

The court noted that failure to timely disclose expert witness is a serious
offense. However, in this case, the behavior was an isolated occurrence. There
was no proof of a history of misconduct in this lawsuit concerning disclosure
matters. The appellant submitted that she did not reveal the neurosurgery expert
witness in due time for a reason. She initially believed the pediatric
neurologist would be able to provide the requisite expert testimony. When his
statement was challenged, she decided the neurosurgery expert witness was also
going to testify. The court noted that the late filing, together with the
appellant’s inability to file such a motion, justified the original decision of
the circuit court. The circuit court’s decision was to exclude the testimony of
the neurosurgery expert witness.

The court also noted that this lawsuit had not been heard for another two years
after the neurosurgery expert witness was identified. For this reason, it
concluded that the circuit court erred by excluding his evidence.


RULING

The court granted and denied in part the appeal against the circuit court
decision.


KEY TAKEAWAYS FOR EXPERTS

It’s important to align your expertise with what you’re opining on. In this
case, the trial court held that the pediatric neurologist expert witness was
unqualified. The pediatric neurologist couldn’t opine on the standard of care
required of a neurosurgeon. He was not an expert in neurosurgery. The pediatric
neurologist was a specialist in recommending patients to neurosurgeons. Your
background and experience should match what you’re testifying about. Otherwise,
it becomes easier for the opposing counsel to challenge your credibility.




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