New York Personal Injury Law Blog: Deconstructing the Trial of Flea - Part 1

Eric Turkewitz, The Turkewitz Law Firm, New York, NY  

Monday, June 4, 2007

 

Deconstructing the Trial of Flea - Part 1


(This is a follow-up to Doctor "Flea" Settles Malpractice Suit After Blog Exposed In Court. regarding a pediatrician that was live-blogging his own trial. I first discussed the legal ramifications of doing so on May 8, in Medical Malpractice Trial Starting For Med-Blogger)

Were you wondering how Flea was exposed in court and how his blog would be used? So was I. Curiosity got the better of me, since the details weren't in the Boston Globe story from last week.

So I called plaintiff's counsel, Elizabeth Mulvey, of Crowe & Mulvey to find out. She told me she was tipped off to his blog by another attorney. How did the other attorney know? Because Flea had blogged about a subject that Mulvey had spoken on some time back and the other attorney realized that she had the case. Flea had unwittingly given out the identifying information when he discussed her talk. On this cached version of Flea's site, you can see his comments discussing Mulvey on April 28th.

With that information in hand Mulvey scoured his blog for helpful information, much the way any attorney would review writings produced by a witness for the other side. She found a post where Flea referred to Nelson's Pediatrics as the bible of pediatrics. (I have the 11th ed. from 1979 on my own bookshelf.) So she asked him on the witness stand if he considered Nelson's the bible for pediatrics. He said no. Lawyers call that a "prior inconsistent statement" that allows us to confront the witness with the other statement. That meant asking him if he was Flea and confronting him with the blog posting.

This testimony came out during the direct exam of Flea by Mulvey (she called him as her own witness making it "direct" even though he was adverse and it more realistically resembles cross-examination). She did not use the comments about the meetings with jury consultants that I discussed back on May 8th, but then, she still had another opportunity to examine him when his own attorneys were done. The tips he received on how to conduct himself on the witness stand could still have come up.

She never got to that second part of her exam, however, because the case settled. The details are confidential.

Mulvey considered this just another type of prior inconsistent statement. The most frequent use is when deposition testimony deviates from trial testimony. It could also come out if a witness has published an article where the contents of the article differ from the testimony. That it came out on a blog was novel, but the concept was not. (William Childs at TortsProf hit this point on May 31st.)

Tomorrow, more details concerning the trial...

Addendum 6/5/07 - Part 2 now available at this link.

Addendum 6/6/07 -- Flea, The Boston Globe and Morality in Journalism and Blogging

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Comments:
Since Flea didn't lie on the stand about being Flea, it's possible that he wasn't lying when he said "No" about what he thought of Nelson's Pediatrics.

Misdirection in the service of anonymity on his blog. That's what I'd have argued, anyway. He could post one thing and mean another. The same way people and cases are misrepresented on medical blogs to maintain anonymity for the patient. Why not the provider also?

It could also be read tongue-in-cheek.

This just doesn't seem particularly damning, to me. And I'm not trying especially hard to defend the guy, since it's not my job.
 
This is a great example of why it's important to tell your lawyer about things like this. If Flea's lawyers had gone through all the posts on his blog, they would undoubtedly have prepared him for this question. These kinds of prior statements are neither unusual nor damning - you just have to know how to handle them. (For example, he could explain that he referred to it that way because many doctors, particularly non-pediatricians, think that the book is an excellent reference, but that no textbook can substitute for clinical judgment in a live situation.)
 
I have no legal background, but what stood out for me in his blog writing was his opinion that North American children are over tested, over diagnosed, and over hospitalized.

Did this belief prevent him from taking the simple and necessary action to diagnose a child with diabetes? Could his blog writings related to this topic of over medicalization have contributed more to his legal downfall than his comments about the trial?
 
"Did this belief prevent him from taking the simple and necessary action to diagnose a child with diabetes? Could his blog writings related to this topic of over medicalization have contributed more to his legal downfall than his comments about the trial?"

Only if you're a complete idiot. Which I suspect Flea is not. We all have our own views of the world. I think Medicaid paying for fertility drugs is wrong. But I still fill the damn scripts, and rant about it elsewhere.

It's the same idea.
 
Telling the truth only keeps you from being charged with perjury (well maybe not according to Libby). What wins trials is being "truthy". Libby and Flea should have been more truthier.
 
I'm glad I found these posts. I used to read Flea's blog regularly but missed it for a while then all of a sudden it was gone.

I did want to say though that no-one should ever blog believing they are anonymous. The smallest thing can give you away. I figured out who Flea was because in one post he quoted from something he wrote on ear infections. I simply searched Google for the quote and found his practice website.
 
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