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Lawsuit says Calif. ambulance firm dissected man's brain

EMS1.com News

February 22, 2012

Lawsuit says Calif. ambulance firm dissected man's brain

Lawyers say the coroner was simply complying with a subpoena to release brain tissue for analysis

By Nanette Asimov
The San Francisco Chronicle

SAN MATEO COUNTY, Calif. — The San Mateo County coroner is being sued for a second time over the handling of body parts, this time defending its right to let an ambulance company dissect a man's brain.

In 2010, a state appeals court dismissed a case against the coroner after the mother of a Daly City man accused the office of improperly withholding her son's heart for testing after he had died of heart failure.

Lawyers for San Mateo County have asked that the new case also be tossed out, and a Superior Court judge is expected to issue a tentative ruling today.

That case involves a New York couple accusing Coroner Robert Foucrault and his office of negligence for letting an ambulance company take and dissect the brain of their 30-year-old son after he was killed in a 2008 auto accident.

Lawyers representing the county say the coroner was simply complying with a subpoena to release brain tissue for analysis by the American Medical Response ambulance company, which wanted to gather forensic information to defend itself in a separate, wrongful-death lawsuit filed by the man's parents. That suit has since been settled.

Complying with such subpoenas by allowing a third party to dissect tissue is "very routine," said David Levy, the deputy county counsel representing Foucrault and the coroner's office.

Jerald and Sandy Wolkoff allege that the coroner was negligent in allowing the ambulance company to take their son's brain and cut it apart. They say they have suffered emotional distress and will have to reopen their son's grave. They are asking for unspecified monetary damages to pay the cost of travel, religious services and reburying their son.

Observant Jews, the Wolkoffs say in their lawsuit that unless dissection is done for urgent, medical reasons, it is "considered a matter of shame and gross dishonor" in their faith.

Steven Wolkoff was killed on June 21, 2008, as he drove north on Highway 1 in San Mateo County. A southbound car had slammed into a vehicle waiting to turn left onto Green Oaks Way, pushing it into oncoming traffic where it hit Steven Wolkoff's car.

American Medical Response paramedics treated him at the scene but were unable to save his life. The Wolkoffs sued the ambulance company, alleging that a procedure paramedics conducted with a needle to help their son breathe caused brain damage and contributed to his death, said the family's attorney, Jayme Burns.

The subpoena from American Medical Response requested "pathology slides" and "tissue blocks" from Steven Wolkoff's brain.

What happened next is the crux of the dispute.

Burns said the family believed American Medical Response would examine Steven Wolkoff's remains at the coroner's office, where his brain had remained intact after an authorized autopsy.

Once the coroner gave the material to the ambulance company, however, "the brain stem was sliced and cut into approximately 20 pieces," according to the lawsuit.

Judge V. Raymond Swope is expected to issue a tentative ruling by 3 p.m. today on whether the case can proceed. 

Copyright 2012 San Francisco Chronicle

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Comments
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff.
Andrew Tucker Andrew Tucker Wednesday, February 22, 2012 9:53:24 AM These people just sound like money grubbing thieves. If it werent for the article title making it sound like the paramedics were dissecting the brain in their ambulance I wouldn't have even read this.
Andrew Tucker Andrew Tucker Wednesday, February 22, 2012 10:01:37 AM I'm curious why AMR settled the first lawsuit. The family was suing because a "needle procedure intended to help their son breathe caused brain damage." The only procedure with a needle that helps people breath better is either a needle decompression of tension pneumothorax or needle crichothyrotomy. Neither procedure has been known to cause brain damage, in fact it is NOT performing them that can cause brain damage. Be careful folks, if you even happened to take a slight glimpse in the direction of their son during the 90 days before he died I'm sure they'll try to hunt you down and sue you as well.
Greg Montgomery Greg Montgomery Wednesday, February 22, 2012 10:04:02 AM Pretty soon we will be back to the days of throwing the pt in back and both sitting up front so we can't get sued.
Michael Hatfield Michael Hatfield Wednesday, February 22, 2012 10:04:53 AM Waaaaayyyyyy misleading title. I concur with others. The title seems a little (well, a LOT) inflammatory to AMR. I understand that the Jewish faith requires that every body part be buried together, but the coroner was complying with a subpoena.
Kevin Conley Kevin Conley Wednesday, February 22, 2012 10:21:25 AM I agree with Andrew, misleading headline.
Sandy Schweighardt Sandy Schweighardt Wednesday, February 22, 2012 10:31:12 AM Our Nations lawsuits are another cause of high Insurance rates! Any patient during transport could accuse the crew for just about anything to create a lawsuit. My company is the first EMS provider in NJ to protect both patients & staff by installing live stream cameras both in the front & rear of the ambulance. ALL recordings are stored monthly in a locked protected room for privacy purposes. None of our staff feels violated since they have been installed. It's a terrible feeling to be on guard when all you want to do is help people!
Andy Monce Andy Monce Wednesday, February 22, 2012 10:31:45 AM I gotta agree with andrew on this one... sounds like these people are just after the money.. they didn't get what they wanted out of the amr lawsuit which by the way sometimes companies settle in order to prevent any future lawsuits and it also prevents the people from talking about the lawsuit. it also and this is the big reason sometimes cheaper to settle than pay the legal fees to either defend the suit or go through getting it dismissed.. settlements are quite common in lawsuits..
Andrew Tucker Andrew Tucker Thu Feb 23 17:33:39 PST 2012 While I agree that it's cheaper to pay the settlement than the legal fees, that crap aint goin to fly here in Texas. Im not sure if it's been passed or not yet, but we've got a law in the works that simply declares, "loser pays." Companies will no longer be afraid to bring their full defense of the case to trial in court, because in situations like this, the plaintiff could just as easily be on the hook for the entire cost if they lose. That includes the defendant's legal fees (after all, the defendant wouldn't need to be defended in court if not for the plaintiff's lawsuit).
Andy Monce Andy Monce Thu Feb 23 17:37:57 PST 2012 i hope they get it passed. they need a law like that here in va.. the screwd up crap here makes me miss texas
Wes Teague Wes Teague Wednesday, February 22, 2012 11:08:41 AM The headline was misleading and I thought with the author's last name that maybe their was more to it.
Krista Gregory Krista Gregory Wednesday, February 22, 2012 11:28:42 AM Very misleading title! Sounds like the pt family is sue crazy!!
Tiffany Hancock Tiffany Hancock Wednesday, February 22, 2012 12:02:07 PM They are clearly looking for someone to blame for their sons death and trying to find a way to profit from it. Mourn like everyone else, if you hadnt tried to sue in the first place your sons body would be rotting away in the ground like you want. You people only have yourselves to blame for what happened. Medics do their best to save lives, in EMS we work in an all grey zone with little support or appreciation from the public. When they can't save someone they get slammed how about you look at how many lives that medic has saved in the past.
Jody Blaski Jody Blaski Wednesday, February 22, 2012 1:10:27 PM I'm no legal expert by an means, but I'm kinda confused how a company can itself procure any tissue for analysis, the reports of which analysis are to be used by that same company's attorneys for the purpose of defending said company against criminal charges, without raising any questions with regard to legal chain of custody, and whether the opportunity was available to either corrupt the sample or to influence the results to the benefit of that company.
Brian Schlener Brian Schlener Thursday, February 23, 2012 11:22:17 AM procedure with a needle to help their son breathe caused brain damage? pretty sure if they needed to resort to a cricothyroidtomy (or chest needle decompression).. he wasn't worse off. you can get sued for anything these days, it's pathetic.
Marty Munro Marty Munro Friday, February 24, 2012 5:12:22 AM I know a medic that was sued by a family when he wasn't even with the patient at the time. He was at home, and about 8 hours later at the hospital, the patient died. The patient died because the hospital left the patient on the medic's stretcher for about 8 hours while he was infarcting. The medic that was sued had already been at home for 4 or 5 hours at the time the patient crashed. Yet, as per the lawyer, this paramedic was totally at fault and he was incompetent. And he was the only one sued. The medics that were actually caring for him at the time the patient crashed were not listed in the lawsuit. So this goes to show you, that you can get sued even if you are at home. I think that basically, if someone dies, the family looks to see if they ever took an ambulance ride in their lifetime. Because somehow, even if it was 10 years ago for a sprained ankle, thier current myocardial infarction causing death must be the fault of the paramedics 10 years prior.
Marty Munro Marty Munro Friday, February 24, 2012 5:15:22 AM And why do people believe that their religious beliefs supersedes the law?

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