close up shot of newborn feet

The High Cost of Medical Negligence and the Lengths Defendants Will go to Avoid Payment

When medical errors occur due to negligence, the results can be devastating to those who are injured, as well as their families. We represent individuals who will suffer lifelong repercussions due to acts of negligence in the medical system, and we understand the kind of financial burden that serious injuries like this can impose on a family. We have seen first-hand the emotional toll that medical errors can take on those affected, and so we’ve made it our mission to fight on behalf of our clients for therapies, medications, treatment and care so they can live as normal a life as possible.

Unlike some other areas of law, physicians and hospitals are represented by insurers or large organizations that exist to defend their clients and pay for their liabilities. For example, doctors are represented and indemnified by the CMPA, an organization that has approx. $4.5 billion and paid out about $250 million to injured patients in 2017.  

Sometimes people hear the amount of an award for medical negligence and think it seems very large. However, they often fail to consider the costs associated with a lifetime of care for an individual who has been denied the ability to work, live on their own, or even be left unattended. Our clients regularly tell us that they would trade any money in the world to regain what they have lost because of their injuries. In many cases, there are factors such as in-home care, physical and occupational therapy and expensive medications and equipment that must be accounted for.

As a result of the high damages necessitated by cases like this, defendants have been known to go to great lengths to avoid being held accountable, even going so far as to falsify records or look for far-reaching theories to blame for the injuries. 

Using three of our own recent cases to illustrate these points, we will demonstrate why the costs associated with medical negligence injuries are necessarily significant, and also the extreme measures that some defendants will take to avoid paying for the damage they’ve caused. Of course, every case is different, and the outcomes of each case will vary depending on the facts.  

Failure to Diagnose and Treat a Condition Before Brain Injury; Depriving the Plaintiffs (and the Jury) of Their Verdict

In a 2017 trial, after the defence made several efforts to remove the Jury, the Jury unanimously found both defendant obstetricians negligent and liable for a baby’s brain injury. The defence argued that the Jury’s verdict should not be accepted by the court because of a technical issue in the way the Jury phrased their answer. The issue is now under appeal (the Plaintiffs were granted leave to appeal to Divisional Court).

In this case, Carol was pregnant with her daughter, Rhonda. At a certain point in the pregnancy, Carol’s obstetrician (OB/GYN) correctly detected that there was a problem with Rhonda’s growth, which could lead to a dangerous situation during labour and delivery. He seems to have tracked her growth over several visits during regular checkups. The problem is that, on her last visit to the doctor’s office, he failed to recognize the danger to baby Rhonda and intervene. Nevertheless, Rhonda was still healthy at that point. That week, Carol attended the hospital for another checkup and for testing because of Rhonda’s growth issue. She saw another OB/GYN at the hospital who misread the fetal heart rate testing. Instead of recognizing the danger to baby Rhonda and intervening, the OB/GYN missed the opportunity to save Rhonda and negligently sent Carol home. As a result of the doctors’ failure to recognize the danger and intervene, Rhonda had a serious brain injury.

Covering up and Deflecting Blame

Given the fact that medical negligence cases can rightfully result in significant financial responsibility, we have found that defendants will often go to great lengths to cover their tracks, or to attempt to attribute cause for the injuries to other factors. Examples of both occurred in a case we took on in 2017, in which we represented the family of another young girl, named Sarah.

Sarah’s mother Jaye was pregnant with twins and arrived at the hospital in labour. The obstetrician on call was not present, but the nurses attending to Jaye delivered her first baby, Luke, without issue. After Luke was born, the nurses ruptured the protective membrane around Sarah. Once they did, the amniotic fluid drained away, and Sarah’s body weight began to press down on the umbilical cord, depriving her brain of necessary oxygen.  As a result of this mistake, Sarah now suffers from cerebral palsy, a lifelong disorder that requires long-term care from an entire medical team, including occupational therapy, physical therapy, mental health care, and speech pathology. 

At the time of the incident, Sarah’s parents noticed that her medical chart indicated that the rupture had been spontaneous rather than deliberate. They raised this with the hospital administration, and after investigating, the administration admitted that the rupture had not been spontaneous, as the chart indicated. However, once the lawsuit began, they initially avoided any mention of the rupture at all, insisting that their staff had acted appropriately in Jaye’s care. 

Eventually the hospital did admit fault with respect to the rupture, but pivoted their defence to focus on other causes of Sarah’s medical issues. Specifically, they attributed most of Sarah’s medical problems to inherited attention-deficit and hyperactivity disorder or Genetic Low IQ, rather than the brain damage she suffered at birth. The court rejected that argument and awarded Sarah and her family an award of damages to cover Sarah’s loss of future income and the costs associated with the lifelong medical care she will require. 

Based on the Plaintiff’s cross-examination of the defence experts, the Judge actually went out of his way to heavily criticize the defence experts in his written Decision For example:

Defence Neurologist:

  • “…his justification for this neglect was baffling. [He] undermined his own credibility before the court…”
  • “His attempt to retreat …  was transparent and, frankly, embarrassing.  I find that he was clearly tailoring his opinion to conform with the Defendant’s theory of causation.”
  • “It struck me as a poorly veiled attempt to put forward an alternative cause for Sarah’s present difficulties other than the brain damage…”

Defence Psychologist:

  • “Her oral testimony lacked conviction.  In addition, I find [her] to have been rather disingenuous in discussing her treatment recommendations for Sarah.”
  • “I find this proposed concern for the Butler family’s best interest simply unworthy of belief as well as highly discrediting.”
  • “As the trier of fact, I was disturbed by this poorly veiled attempt by an independent expert to help advance the Defendant’s theory of the case.”

Defence Speech Language Pathologist:

  • “Unfortunately, [she] adopted the highly complacent Defence theory of the case on damages in suggesting that speech-language therapy services would be of little utility …”

Defence Physiotherapist:

  • “I found the evidence …. to be contrived and unreliable.  Her testimony was palpably infected with the Defendant’s theory on the futility of extraordinary therapies…” 
  • “I find her suggestion that Sarah be denied physiotherapy services … to be both manufactured and untenable.”

After the court decision, our lead counsel on the case, Hilik Y. Elmaleh spoke with the National Post about what the hospital’s actions said about medical negligence litigation in general:

 “It tells me that hospitals can and will do everything in their power to avoid paying compensation. It tells us we need to be very, very careful and vigilant when a poor outcome results from a medical treatment. We can’t rely on what was said by a health-care provider … to find out what really happened.”

The defence appealed the decision of the trial judge on several grounds. The Ontario Court of Appeal upheld the Judge’s decision on the award for Sarah.

Costs of Future Care

We were honoured to represent the family of a young girl named Niza who, at just 5 months old, had been rushed to the emergency room by her fraught parents, with a high fever and breathing difficulties. Over the course of 24 hours, her condition went from bad to worse, with doctors treating her for a variety of ailments, from bronchitis to pneumonia.

Eventually, the medical staff noticed that she appeared to have sepsis, a serious condition that was causing her organs to shut down. One nurse was assigned to monitor Niza closely, however, her vitals were only taken once over the course of five hours. Growing increasingly concerned with the lack of monitoring, her parents requested that she be transferred to Sick Kids Hospital, but their requests were brushed aside. Eventually, Niza’s heart stopped completely and was resuscitated, the first of four times that would occur in just a few hours. Niza was eventually transferred to Sick Kids Hospital.

Niza did survive, and thankfully, she is able to do the things doctors warned she may not. However, she does have severe limitations. Walking is a challenge, as she has thrombosis that causes the muscles in her leg to seize and requires Botox therapy to allow her to walk normally. She lost parts of some of her fingers due to the circulation problems she suffered that night in the hospital. She can talk and write, but she had the intellectual capacity of a six-year-old child at the age of 13. She suffers from chronic respiratory issues and is at constant risk of having a seizure. Niza will never be able to work or live on her own. She requires continuous supervision and a host of therapies and medications to deal with the injuries caused by the lack of care she received that night as a baby.

The emotional and financial pressure on Niza’s parents was extraordinary. The damages we sought on their behalf were significant, and rightly so. Niza will require care, therapy and medication for the rest of her life, and she has been dealing with her injuries since she was a small infant. These costs add up, and it’s an overwhelming financial burden to bear for any family. Eventually, more than twelve years after that terrible night, in the middle of the trial the hospital agreed to settle the case. the high figure settlement numbers make sense when you break them down by the costs required to care for people suffering from serious injuries like Niza, who would not be in the situation she is were it not for the lack of care she received at that hospital. Not only is this amount equitable, but it is also necessary for her to move forward and receive the care, therapies, treatment and medications she requires.

Helping Families Seek Justice for Devastating and Life-long Injuries

At Sommers, Roth & Elmaleh, we have spent our careers seeking justice for families who have been wronged by medical errors. Often, these injuries are serious and require a lifetime of care, treatment and equipment to manage. We know that in pursuing litigation, our clients simply want to make up for what has been lost, and what will be required of them in the future. These families have been hurt by medical mistakes and will suffer the emotional and physical fallout forever. While negligent defendants cannot fully relieve the families of those burdens, they can pay for injured patients to live as normal a life as possible. 

Our medical malpractice lawyers in Toronto have helped many families whose lives have been affected by complications caused by improper medical care, including obstetrical malpractice or hospital error. Contact Sommers Roth & Elmaleh by phone at 844-777-7372 or online to schedule a free consultation.

Disclaimer and Liability Exclusion

The information on this page is provided for general information purposes only. It should not be construed as legal advice. It does not constitute legal or other professional advice or an opinion of any kind. Readers should seek specific legal advice regarding any specific legal issues. We do not in any way guarantee or warrant the accuracy, completeness or quality of the information on this page. The posts on this page are current as of their original date of publication, but they should not be relied upon as timely, accurate or fit for any particular purpose.

Accessing or using this web site or the content herein does not create a lawyer-client relationship.

This page may contain links to third party web sites. We are unable to, and do not, monitor and guarantee the quality of the information disseminated and accessible through those links, which are provided for convenience only. We do not endorse the information contained in linked web sites nor guarantee its accuracy, timeliness or fitness for a particular purpose.

    If you have been affected by medical malpractice anywhere in Canada contact us for a free consultation.
    You pay us nothing unless we win.



    A lawyer from Sommers Roth & Elmaleh will be in touch with you as soon as possible. Please note that no lawyer-client, advisory, or fiduciary relationship is created by your inquiry. All information provided is confidential.

    The above information is not legal advice. Past results of cases and recoveries by our medical malpractice lawyers against hospitals, doctors, midwives, nurses and other healthcare professionals are not necessarily indicative of future results. The amounts recovered and other litigation outcomes will vary according to the facts in individual cases.


    See Our Lawyer's Reviews

    Hilt this Tamrate
    Hilt this Tamrate
    23 May 2023
    Trustindex verifies that the original source of the review is Google.
    Dear Mr Hilik Y. And Jeremy Syrtash. I would like to express my deepest gratitude to you and Sommers Roth and Elmaleh Professional Corporation staff for all you have done with respect to my wife case. My wife was a victim of Medical Malpractice after giving birth to our daughter. She become legally disabled both physically and mentally. The entire family devastated emotionally as my wife struggle to cope with the new reality. The case of Medical Malpractice is quite often a complex case to prove. However, due to your strong commitment, knowledge and dedication combined with strong professionalism the case was successfully won after a long arduous fight. The victory would not have been possible without your dedication and thorough research in the implementation of the standards of the Sommers Roth and Elmaleh Professional Corporation. Justice prevailed at last which in turn allowed my vulnerable wife to feel more optimistic about her future and that of our family. The positive outcome of this case has changed our lives forever. It would not have been possible without the excellent representation of Sommers Roth and Elmaleh Professional Corporation and its legal counsel. My wife and I will be deeply grateful for the successful outcome of this case for many years to come. Solomon Regassa
    Hector Cardenas
    Hector Cardenas
    4 January 2023
    Trustindex verifies that the original source of the review is Google.
    I would like to take this opportunity to express my most sincere gratitude towards Sommers Roth & Elmaleh, from the day I met with Hilik and his team, they been not only highly knowledgeable but also extremely sensitive towards me and my family, providing us with the best legal service possible. It goes without saying, that I strongly recommend them to anyone looking for a charismatic, quality and result oriented legal team.
    JERRY ZHOU
    JERRY ZHOU
    10 October 2022
    Trustindex verifies that the original source of the review is Google.
    We deeply appreciate Sommers Roth & Elmaleh for their professional skills and hard-working through the whole process of my son’s case. I still remember the first conversation we took with Mr. Hilik Y Elmaleh in his lawyer office sixteen years ago. From then on, your dedication, patience, understanding and continuous communications kept our encouragements and expectations for my son and our family. With the case settled down, my son can receive the full financial support, continuous therapies and finishing his university course. It is no doubt to say that Sommers Roth & Elmaleh not only changed our family’s life but also did contributions to the society, because my son can grow in a happy and health way in his teenage and receive university education from this autumn. Again we hereby strongly recommend the services provided by the lawyer office Sommers Roth & Elmaleh to those who needs the similar legal consultation and support. Even the door of your family was closed by some unfortunate events, there are more windows can be opened. The lawyers in Sommers Roth & Elmaleh are exactly the people who can open the windows and convert the sun-shine again to your family: Mr. Hilik Y Elmaleh,Mr.Jeremy Syrtash, Miss Fanny Peter ...etc. Finally, we express the deepest gratitude and appreciation again to Mr. Hilik Y Elmaleh and lawyer office Sommers Roth & Elmaleh. Wish a brighter future of Sommers Roth & Elmaleh !
    Meggie Zhangkrk6hdjybfjt
    Meggie Zhangkrk6hdjybfjt
    6 October 2022
    Trustindex verifies that the original source of the review is Google.
    I am so glad that my son's CP medical case was completely successful. I appreciate lawyer Hilik Elmaleh, Jeremy Syrtash, Fanny Peter and their team's hard work. They are so knowledgeable, responsible and reliable. Thanks is not enough to express my gratitude. Mr. Hilik Elmaleh deserves "The Best Lawyer in Canada" award.
    Tony Zhou
    Tony Zhou
    29 September 2022
    Trustindex verifies that the original source of the review is Google.
    I would like to extend my gratitude towards Mr. Hilik Elmaleh, Jermey Syntash, and Fanny Peter for their dedication, time, effort, and knowledge invested into my case. This is honestly the best team of lawyers in Canada. I would highly recommend them for any of your cases.
    Dianne Keckes
    Dianne Keckes
    18 July 2022
    Trustindex verifies that the original source of the review is Google.
    I would like to take this opportunity to thank our daughter's "Dream Team", Hilik Elmaleh, Jeremy Syrtash and Fanny Peter. The compassion, dedication, knowledge, experience and their recognition in the legal community have ensured us that we were on the right track working with the firm Sommers, Roth and Elmaleh. Words cannot express enough my gratitude! I will be forever grateful!
    Ivica J Sokic
    Ivica J Sokic
    6 June 2022
    Trustindex verifies that the original source of the review is Google.
    Thank you does not begin to express the depth of gratitude I have for Sommers Roth & Elmaleh Professional Corporation. From the first day I sat in Hilik's office, not once did I feel apprehensive. My concerns and worries were put at ease due to the kindness and compassion of Hilik, Jeremy and Fanny and their relentless persistence to secure my daughter's future. This has been a long but successful endeavor during some difficult times and through it all, the Team has been resilient, informative and were always available. I highly recommend this dedicated and professional law firm and I will be forever in their debt.
    Arden Melnechuk
    Arden Melnechuk
    1 December 2021
    Trustindex verifies that the original source of the review is Google.
    I was in a serious horse accident where the horse was injured and should never have been ridden. The owner of the horse was aware that the horse had chronic arthritis issues and the veterinarians at Guelph had told him the horse could decompensate at any time and could cause serious injury whether being led or ridden and could never be jumped again. The horse had been shown at the grand prix level and the owner had payed quite a bit of money for him. After consulting with several lawyers and having one that did represent me at the discoveries who later quit, Jeremy Syrtash took on the case and followed through with guelph university. That is how we found out that the vets had recommended the above. Without Jeremy's efforts and follow through the case would never have continued on. Because of these efforts the case was successful. Thank you so much Jeremy. You are a dedicated, thorough, excellent lawyer and it's been a pleasure to have you as my lawyer!!
    Megha Sharma
    Megha Sharma
    16 April 2021
    Trustindex verifies that the original source of the review is Google.
    Mr. Elmaleh and his team are very professional and experts in their field. Recommend to everyone who has suffered medical negligence.
    Nick & Whitney Maraschiello-Basnett
    Nick & Whitney Maraschiello-Basnett
    18 July 2020
    Trustindex verifies that the original source of the review is Google.
    We want to start by saying how much we highly recommend Sommers, Roth and Elmaleh for anyone who is dealing with a situation involving medical malpractice. Hilik and the entire firm have allowed us the opportunity to give our little girl the life she deserves. There is no taking back what happened, but they truly turned such a tragedy into a victory. They fought long and hard, and put forth so much time and effort into making the individuals accountable and responsible for the mistakes that were made. They always showed true compassion for our family, guided us with ease, and supported us through every step. This was such a life changing experience with the firm, and honestly we will always be forever grateful and thankful.