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How Medical Malpractice Attorneys Decide to Take on a Case

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Many people believe that if a doctor makes a mistake, they automatically have a medical malpractice lawsuit. In reality, medical malpractice cases are among the most difficult, expensive, and heavily contested types of lawsuits in New York and throughout the country.

At Salenger, Sack, Kimmel & Bavaro, LLP, our attorneys carefully evaluate every potential medical malpractice claim to determine whether negligence occurred, whether the injuries are serious enough to justify litigation, and whether the evidence is strong enough to prove the case before a jury.

Medical malpractice lawsuits require extensive medical review, expert testimony, and significant financial investment. Because of this, attorneys must be selective about the cases they pursue.

Below is a closer look at how experienced medical malpractice lawyers evaluate cases and why some claims move forward while others do not.

Step 1: Initial Consultation and Medical Malpractice Case Evaluation

The first step in evaluating a potential medical malpractice case is understanding what happened to the patient.

During the initial consultation, we review:

  • The patient’s medical history

  • Symptoms and diagnoses

  • Hospitalizations or surgeries

  • Communications with doctors or healthcare providers

  • The timeline of treatment

  • How the alleged negligence affected the patient’s life

At this stage, we are trying to determine whether there may have been a deviation from the accepted standard of medical care.

Many clients contact our firm after experiencing:

  • Delayed cancer diagnoses

  • Surgical errors

  • Birth injuries

  • Medication mistakes

  • Emergency room negligence

  • Failure to diagnose serious conditions

  • Hospital negligence

  • Misread imaging or laboratory results

However, a poor medical outcome alone does not necessarily mean malpractice occurred. Medicine is complex, and not every complication or unsuccessful treatment result is legally actionable.

Step 2: Reviewing Medical Records

Medical records are the foundation of every medical malpractice lawsuit.

After the initial consultation, attorneys and medical experts carefully review records from hospitals, physicians, specialists, imaging centers, and other healthcare providers.

This review helps determine:

  • What treatment was provided

  • Whether proper protocols were followed

  • If warning signs were missed

  • Whether there were delays in diagnosis or treatment

  • If healthcare providers deviated from accepted medical standards

Medical records often contain highly technical information. Even small details can become critical in determining whether negligence occurred.

Step 3: Consulting Medical Experts

Expert medical testimony is essential in nearly every medical malpractice case.

In New York, medical malpractice attorneys frequently work with independent medical experts to analyze whether the healthcare provider violated the accepted standard of care.

Experts help answer important questions such as:

  • Should the condition have been diagnosed sooner?

  • Was surgery performed properly?

  • Were symptoms ignored?

  • Did a delayed diagnosis worsen the outcome?

  • Could the injury have been prevented?

Without qualified medical experts supporting the claim, most medical malpractice lawsuits cannot move forward.

This is one reason medical malpractice cases are significantly more expensive and complex than many other personal injury lawsuits.

Step 4: Determining Whether the Medical Malpractice Case Is Viable

One of the most important parts of the process is determining whether the case is legally and financially viable.

To pursue a successful medical malpractice lawsuit, attorneys generally must prove four major elements:

1. A Doctor-Patient Relationship Existed

The provider must have owed the patient a duty of care.

2. The Standard of Care Was Violated

The provider must have acted in a way that another reasonably competent healthcare professional would not have under similar circumstances.

3. The Negligence Directly Caused Harm

This is often the most heavily disputed issue in medical malpractice litigation.

Attorneys must prove that the injury resulted from the provider’s negligence — not simply from an underlying illness, pre-existing condition, or unavoidable complication.

4. Significant Damages Occurred

The injury must typically involve serious, life-changing, or permanent harm.

Examples may include:

  • Brain injuries

  • Paralysis

  • Loss of organ function

  • Wrongful death

  • Severe infections

  • Permanent disability

  • Delayed cancer diagnoses

  • Birth injuries affecting a child’s future

Unfortunately, some patients experience clear medical mistakes but do not suffer permanent or catastrophic injuries. In those situations, the costs of litigation may outweigh the potential recovery.

That does not mean the patient’s experience was unimportant. It reflects the economic realities of medical malpractice litigation, which often requires years of litigation and substantial expert expenses.

Why Many Medical Malpractice Cases Are Rejected

Many people are surprised to learn that law firms reject a significant number of potential medical malpractice claims.

Common reasons include:

  • The injury was temporary rather than permanent

  • There is insufficient evidence of negligence

  • The medical records do not support the claim

  • The connection between the negligence and injury is unclear

  • The damages are not substantial enough to justify litigation costs

  • Experts disagree about whether malpractice occurred

  • The statute of limitations has expired

Medical malpractice attorneys must carefully evaluate both the strength of the case and the potential damages before moving forward.

Step 5: Filing the Lawsuit and Discovery

If the case is accepted, the lawsuit is formally filed.

The litigation process then enters discovery, where both sides exchange evidence and information.

This stage often includes:

  • Depositions of doctors and witnesses

  • Expert witness disclosures

  • Requests for medical records and documents

  • Independent medical examinations

  • Hospital policy reviews

Discovery is one of the most important phases of a medical malpractice lawsuit because it allows attorneys to uncover evidence and strengthen the case before trial.

Step 6: Settlement Negotiations

Most strong medical malpractice cases settle before trial.

Settlement negotiations typically occur after substantial evidence has been developed through discovery and expert review.

Insurance companies and hospitals often evaluate:

  • The strength of the evidence

  • Expert testimony

  • Jury appeal

  • The severity of the injuries

  • Potential financial exposure at trial

In many cases, defendants choose to settle serious claims rather than risk a large jury verdict.

Why So Few Medical Malpractice Cases Go to Trial

Only a small percentage of medical malpractice lawsuits actually reach trial.

One reason is that experienced medical malpractice law firms are often highly selective about the cases they accept.

Strong cases with catastrophic injuries and compelling evidence are more likely to settle because defendants recognize the risk of losing before a jury.

Cases that proceed to trial are often more disputed, involving closer questions about negligence, causation, or damages.

Trials are also extremely expensive and time-consuming for both sides.

Step 7: Preparing for Trial

When a fair settlement cannot be reached, attorneys prepare to present the case before a jury.

Medical malpractice trials involve:

  • Expert witness testimony

  • Cross-examinations

  • Medical evidence presentations

  • Demonstrative exhibits

  • Testimony from the injured patient and family members

The goal is to clearly explain complex medical issues in a way jurors can understand while demonstrating how the healthcare provider’s negligence caused harm.

Delivering Accountability Through a Verdict

A successful verdict can provide compensation for:

  • Medical expenses

  • Lost income

  • Future care costs

  • Pain and suffering

  • Permanent disability

  • Loss of quality of life

Medical malpractice lawsuits also serve another important purpose: accountability.

Holding healthcare providers accountable can help encourage safer medical practices and prevent similar harm to future patients.

Medical Malpractice Representation in New York

At Salenger, Sack, Kimmel & Bavaro, LLP, our attorneys have extensive experience handling complex medical malpractice lawsuits throughout New York.

Senior Partner Joseph Bavaro has dedicated his career to representing victims of medical negligence and helping families navigate some of the most difficult moments of their lives.

Our firm handles cases involving:

If you believe you or a loved one may have been harmed by medical negligence, contact our firm for a free and confidential case evaluation.

Call 800-675-8556 or contact us online to speak with an experienced New York medical malpractice attorney.

Frequently Asked Questions

How do medical malpractice attorneys decide whether to take a case?

Attorneys evaluate whether there is evidence of negligence, whether the negligence caused injury, and whether the damages are significant enough to justify litigation.

What makes a strong medical malpractice case?

Strong cases typically involve clear medical errors, catastrophic injuries, strong expert support, and evidence directly connecting the negligence to the harm suffered.

Why do lawyers reject some medical malpractice cases?

Many cases are rejected because the injuries are temporary, causation is unclear, or the cost of litigation exceeds the likely recovery.

Do most medical malpractice cases settle?

Yes. Most strong medical malpractice claims settle before trial once evidence and expert testimony establish significant risk for the defense.

How long does a medical malpractice lawsuit take?

Medical malpractice lawsuits often take several years due to the complexity of medical evidence, expert review, discovery, and court scheduling.

Do all medical mistakes qualify as malpractice?

No. A poor outcome alone is not enough. Attorneys must prove that the healthcare provider deviated from accepted medical standards and directly caused harm.

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