As a birth injury lawyer, I am often asked what is HIE or hypoxic-ischemic encephalopathy? HIE occurs when a newborn’s brain is deprived of oxygen for a sufficient period of time during the delivery process to cause death of brain tissue. Unlike other body tissues, brain cells do not regenerate. Once they are damaged, they remain permanently damaged. The result is the loss of motor, sensory and cognitive function referred to as cerebral palsy (CP).
There are a variety of scenarios that lead to litigation when an infant has sustained brain injury at birth. These scenarios vary depending on whether the injury occurred as a result of care during the prenatal period, during the delivery process, or after delivery. Lawsuits arising out of birth injury are highly complex due to the high-stakes nature of this litigation. The cost of caring for a child with CP for the remainder of his/her life runs into tens of millions of dollars. Therefore, these cases are vigorously defended, often with bogus scientific evidence generated by medical societies solely for the purpose of defending this type of litigation.
When litigating a birth trauma case, it is imperative to hire a lawyer who is experienced in these types of claims. An experienced trial attorney will have the resources to finance a case, which can cost as much as $250,000 to prosecute. The lawyer will have adequate training to locate quality experts and unmask the bogus defenses relied upon by the insurance attorneys.
Birth injury claims are often defended on multiple fronts. First, the defense will argue that the care provided was not negligent, even though it resulted in avoidable injury. Insurance company lawyers may rely on medical literature generated by the American College of Obstetricians and Gynecologists (ACOG) and high-powered experts from prominent medical schools. To overcome these defenses, it is important to have a clear understanding of the facts of the case, including complex medical information. To understand the medicine, we have the case reviewed by a variety of trustworthy specialists who assist us in interpreting CT scans, MRI results, lab data, fetal heart tracings, pathology, and other complex medical data.
Birth injury claims are also frequently defended by experts who argue that the baby’s injury was caused by something other than negligent care. These experts frequently argue that the injury occurred in utero as a result of an infection even in the face of no evidence to support this claim. Defense experts may also argue that a genetic anomaly is to blame for the child’s deficits. In order to refute these so-called “causation defenses,” your attorney must have an understanding of these defenses and the medical literature that refutes them. As needed, we hire experts in genetics, neuroradiology, placental pathology, neonatology, pediatric neurology and pediatric infectious disease to prove how the injury occurred.
The legal representation involved in representing a child with cerebral palsy does not end with a recovery through verdict or settlement. A quality lawyer will bring forward appropriate legal and non-legal experts to address a number of important post-resolution issues. These experts include financial advisors, structured settlement brokers, private case managers, and probate attorneys who can advise on the applicability and implementation of special needs trusts that are designed to permit access to needs-based Medicaid and Medicare benefits.
As you can tell, the handling of birth injury lawsuits requires knowledge, commitment, resources and compassion. As Cleveland medical malpractice attorneys, we represent clients throughout the State of Ohio like they are our own family members. If you need assistance in locating a birth injury lawyer outside the State of Ohio, we can assist well by offering the names of experienced and reputable lawyers who practice in your State.
People interested in learning more about our firm’s legal services, including medical malpractice in Ohio, may ask questions or send us information about a particular case by phone or email. There is no charge for contacting us regarding your inquiry. A member of our medical-legal team will respond within 24 hours.
Kristen Kochendoerfer2025-07-03 I reached out to this law firm after a work-related injury and was fortunate to speak with Dave. He was incredibly kind and helpful-he took the time to walk me through what I was dealing with and explained things clearly. Although his firm doesn’t handle cases exactly like mine, he didn’t just send me away. Instead, he connected me with trusted firms and resources that could help. It genuinely felt like talking to a family member who cared and wanted to make sure I was in good hands. I’m so grateful for the guidance and support. Bram Stockbauer2025-06-18 I recently had a phone consultation with Mr. Kulwicki to cover a few questions I had related to medical malpractice cases. He provided very thoughtful and informative responses that demonstrated domain expertise, and didn't even require a fee. I would definitely recommend working with him if you ever find yourself in a position where a medical malpractice lawyer is needed. River Condict2025-06-11 I recently had a consultation with David Kulwicki about a possible medical malpractice case for a family member who was just diagnosed with stage 4 terminal prostate cancer. From the start, David was kind, calm, and very easy to understand. He didn’t use complicated legal terms or talk over my head. He explained everything clearly, answered all my questions, and made sure I understood what the process could look like. There was no pressure and I never felt dismissed. He walked me through what the standard of care SHOULD have been when it comes to prostate screening, and helped me understand how this situation might meet the criteria for a potential malpractice claim. I also appreciated that his firm has nurses on staff to review the case based on the medical records. This is such a heavy, emotional situation for my entire family, but talking to David gave me clarity and a sense of direction. I’ll be sharing everything I learned with my loved ones, and I’m really grateful for the time, care, and honesty David gave me during our consultation. Thank you, truly. Taylor Thompson2025-06-11 Mr. Kulwicki answered my questions and was very helpful. I will certainly reach out to him again if needed. Heather Kelly2025-06-11 Mr. Kulwicki answered my questions in detail and was extremely knowledgeable. I greatly appreciate his advice and help! I will definitely seek his help in the future, if needed! Winnie Ma Drayer2025-06-10 I came across Mr. Kulwicki's law practice website for some personal matters. After reviewing his website, I decided to reach out to him for some questions. I did not expect an attorney will get back with me with some good information without asking for a fee first. But Mr. Kulwicki got me to within a week with some good information. He was very friendly and sincere and took the time to explain to me about a potential medical malpractice case. Highly recommended! Zihan Chowdhury2025-06-10 I recently listened to a message from Mr. David Kulwicki and I am very impressed. He spoke clearly, confidently and came across as precessional and thoughtful. Even without a direct consultation, his explanation felt genuine and informative. It gave me a sense of trust in his expertise and the way he communicates with potential clients. Marilyn. D. Boyer-Wilder2025-05-29 I had inquired about a case and Attorney Kulwicki was referred to me. He called me right back just like they said he would. He throughly answered my questions, looked over my information and gave me a just answer. I was satisfied with his finding and I would definitely recommend Mishkind Kulwicki Law. Valerie Eve2025-05-17 Mishkind Kulwicki provided insightful direction to take with the inquiries I had! Stef Elizabeth2025-05-05 Mr. Kulwicki is a professional and courteous medical malpractice lawyer who always take the time to explain legal term to those who are new to medical malpractice. His website is well-organized and it is easy to get in contact with Mr. Kulwicki. He is easy to contact, and explains legal concepts simply. He is more than an apt lawyer and also a good man. Thanks for your counsel Mr. Kulwicki!