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Medical Malpractice Settlements
Letter of Notification

Medical malpractice settlements can be difficult to obtain. These cases should almost never be handled without a personal injury lawyer, they're often too complicated for a layperson to navigate successfully.

Having said that, if you do wish to pursue a medical malpractice settlement for a relatively straighforward case, you would start the process by writing a notification letter. Read this page for important tips on how to craft your letter of notification. At the bottom there is an example letter for you to follow.

To begin negotiations the first thing to do is contact the Physician (who engaged in the action resulting in your illness and resultant damages). It is important to appear as knowledgeable and professional as possible in your letter. This will help convince the Physician of the seriousness of your claim and of the severe and ensuing trauma he caused.

Use the correct terminology. There are some important words and phrases you can use to make your letter sound professional. Knowing and using the proper terminology will give your letter added credibility.

Here are some important tips to help your letter stand out:

  • “Presented” is a word used by Doctors. Instead of saying “The patient told me,” or "the patient was trembling,” Doctors often say “The patient presented as a 35 year old male with…” or “the patient presented symptoms of nausea and lethargy.”

  • The “day it happened” should be referred to as the “Date of Loss.”

  • The “What happened” should be referred to as the “Incident.”

  • Instead of saying “You are guilty for what you did” (or didn’t do) use the word “Culpable.” For example, “You are culpable for your negligent actions.”

  • Instead of saying things like “Because you didn’t order blood and urine tests…” you should say “As a direct and proximate result of your failure to order blood and urine tests…”

  • Instead of saying “Because you were in the wrong,” or "Because of what you did,” use the word “Negligence.” 

  • Certain injuries might require someone to sleep alone in a bed. Any nights your spouse had to sleep on the couch and was unable to sleep with you is actionable. Personal injury law in most U.S. States allows you to claim damages for that lack of intimacy. It's referred to as “Loss of Consortium.” Don’t be too sensitive to use those words.

  • Being seriously ill or injured can cause damage to your psychological well being as well as your physical health. People often feel anxious, depressed or guilty during their recovery. Psychological damage caused by an injury is the same or worse than the damage to your physical health. The collective sum of these intangibles is commonly referred to as “Mental Anguish.”

  • “Negligence by Omission” is a phrase commonly used when the culpable party didn’t actively do something to hurt you. Instead he didn’t do something he should have done to protect you. In this case "but for" the Doctor's negligent omission (by refusing to order the tests) you would not have had to suffer as you did.

  • “Medical Protocol” refers to the usual and customary method associated with the diagnosis of an illness. You might say something like, “The Doctor failed to follow medical protocol.”



You are now ready to write the Doctor notifying him that you will be seeking a medical malpractice settlement. As you do it is important to make sure the letter contains:

  1. A sentence or two confirming the day and date of your office visit.

  2. A statement confirming why you made the appointment and the reasons you were going to see the Doctor.

  3. A clear and unequivocal statement confirming the Doctor’s negligence by omission which led to your illness.

  4. An initial listing of the damages you've already suffered and may continue to suffer into the foreseeable future. These include, but are not limited to, the emergency room bill, lab tests, prescriptions, loss of wages, mental anguish, and any other costs you incurred as a result of your illness. Don't include any dollar figures here, those will be adressed in your demand letter.

  5. Conclude by instructing the Doctor to turn over your letter to his insurance company immediately, and remind him of the legal consequences if he doesn’t.

  6. Finally, send the letter by Certified Mail, this way you have proof that the Doctor received it.

Below is a SAMPLE notification letter for medical malpractice settlements. When writing your own letter, try to follow the structure as best you can while substituting the specifics of your case.  


---START Notification Letter for Medical Malpractice Settlements---



                              (Your Name and Address) MR. JONATHAN L. PIERCE 
                                                         15562 Ellington Avenue
                                                         Dallas, TX 75247
 
                                                         Email: jlp43@logo.com
                                                         Telephone: (214) 689-46X9

                           
January 14th, 2011 (Date of Letter)


James Claus, MD (Doctor's Name)
2661 Forest Ln, Ste 165
Dallas, TX 75247


        Re:    Your Patient:                Jonathan L. Pierce
                Date of Birth:                02/25/1971
                Social Security No.:        057-46-34XX  


Dear Dr. Claus:   
   
As you may know, I am one of your patients. I had an appointment with you on Friday, November 6th, 2010 at 2:00pm. I arrived on time and after waiting for about thirty (30) minutes one of your nurses escorted me into one of the patient rooms.
   
When you came in to see me I presented as feeling very lethargic and sick to my stomach for about a week preceding the visit. I also presented as experiencing nausea and sometimes vomiting. 

Additionally I informed you that my bouts of coughing were becoming more frequent, and I was increasingly awakening in a cold sweat.

You didn’t check my eyes, ears, nose or throat. Instead you prescribed Aspirin and told me to get some rest – that the symptoms would be gone in a couple of days. Your diagnosis was that I was suffering from a cold. Your prognosis was that my cold would be gone in a few days and I would feel fine.

You were negligent in refusing to order any blood or urine tests. When I questioned you about your reasons for not ordering any blood or urine tests you became arrogant and walked out of the room. In all you spent no more than five (5) minutes seeing me.
   
I followed your advice, taking Aspirin every 4 hours and stayed home from work so I could rest. As each day went by I felt weaker and weaker. I couldn’t keep any food down. When my wife took my temperature she was horrified to learn my it was 103 degrees. My throat was very soar, I was in pain and I could barely swallow.
   
My wife bundled me up and took me straight to the Emergency Room at Medical Plaza on Forest Lane in Dallas. We sat in the Emergency Waiting Room for almost two (2) hours. When we finally saw a Doctor she examined my eyes, ears, nose and throat. She remarked that I had a throat infection and sent me upstairs to the lab where they took a sample of my blood and urine. She also gave me a prescription for antibiotics.
   
When I was finished with the tests my wife drove me home and I went straight to bed, all the while feeling as if I was going to die. Because we were afraid if my wife slept with me she might get sick, she slept on the living room couch for the entire time I was recovering.
   
The next day the hospital called. They said the blood tests came back and confirmed I was suffering from Strep Throat. The nurse asked me why I had waited so long to seek medical help – that a simple blood test would have diagnosed the infection at its early stages -  that if I had been prescribed antibiotics when the infection was at its early stage the throat infection would have most likely been cured within a few days.
   
After 3 weeks of suffering chills, lethargy and extreme discomfort I finally felt well enough to return to work. Although still somewhat shaky, at least the infection was gone.

From the day I saw you until the day I returned to work was about three (3) weeks. Because I had missed so much time from work I was lucky to still have my job as a as an electrician with Sweeny’s Air Conditioning and Heating Company. At the time I first saw you I had been working for Sweenys for over ten (10) years and was making twelve ($25.00) dollars an hour.
   
I am very angry about the way you dismissed me when I first told you my symptoms and asked why you weren’t going to order blood and urine tests. If you hadn’t been negligent by omitting to prescribe the lab tests I most likely would not have had to endure three (3) weeks of diarrhea, nausea, vomiting and fever.

I also wouldn’t have had to miss work. Additionally, my wife took time off from her job to spend as much time as she could taking care of me. Your negligence by omission makes you culpable for your action and inaction, resulting in serious physical and psychological damages.
   
As a direct and proximate result of your medical malpractice I suffered the following:
  • Severe and prolonged pain and suffering
  • Emergency Room costs
  • Lab costs
  • Prescription costs
  • Anxiety
  • Loss of wages

I am seeking damages to reimburse me for all of the above. Please turn this letter over to your insurance company immediately. If for any reason I do not hear from them within thirty (30) days of your receipt of this letter I will have no choice but to avail myself of all legal remedies available under the law.
                               

 Yours truly,


_____________________
Jonathan L. Pierce


CC: Your Insurance Company



---END Notification Letter for Medical Malpractice Settlements---


With the sending of your notification letter you have officially notified your former Doctor about the malpractice he perpetrated on you. Within five minutes of receiving your Certified Letter he will probably be on the phone to his insurance company in a panic. These are not the types of letters Doctors like to receive.

Once you receive the US Postal Service Green Card confirming date and time of delivery of your letter, pull out your calendar and mark the two (2) week mark and the thirty (30) day mark from that day.
   
While waiting for a call from the Doctor's insurance company make sure you read over your Notification Letter many times. When you speak with the claims adjuster you want to be consistent with even the smallest details. 

If you haven’t heard from the Adjuster by the two (2) week mark don’t panic. Adjusters have hundreds of injury claims and you can be assured the only reason you haven’t heard from her yet is the tremendous backlog of cases she has. However, if you haven't received a call by the 30 day mark, you should call up the insurance company to get things moving.

Let's say the claims adjuster calls a week later. This is not the time to be aggressive or demanding. Keeping calm will go a long way toward settling your claim and getting a fair medical malpractice settlement. 

The insurance adjuster will want to take your recorded statement. She will ask you to state what happened on the day of the attack. This is standard operating procedure. Just tell the truth and try to stick to what you said in your notification letter.

At the conclusion of the telephone call be sure to get the Adjuster's name, address, telephone number, email, and the Claim Number.

Now is not the time to argue. Do not expect the Adjuster to admit culpability for her client. She is investigating the case and hasn’t drawn any conclusions yet. Tell her you will continue to treat and will contact her when your treatment is near completion. 

It will be quiet for a while. From this point on continue your treatment and recovery and make sure you hold on to every single receipt related to your injuries, from the ambulance bill to the receipts for parking at the emergency room.

When you finish medical treatment you will add up your damages and send a Demand Letter to the Adjuster seeking a specific monetary amount as a medical malpractice settlement. This will start formal negotiations.

Click here to learn more about writing a DEMAND letter for medical malpractice settlements.




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