Zuchowicz v. United States

1998

Venue: US Ct. App. 2nd Cir

Facts: Mrs. Zuchowicz was negligently given a very high dose of Danocrine. Then she got primary pulmonary hypertension, which is rare. Then she gets pregnant, which exacerbates the condition. Then, after giving birth, she dies.

Posture: Judgment for plaintiff at trial. Defendant appeals on the admissibility and sufficiency of expert testimony.

Issue: Did the actions for which the defendant is responsible cause the plaintiff's injury?

Holding: The court's finding was appropriate. Affirmed.

Rule: If a negligent act is wrongful because it increases the chances of some particular harmful event, and then that very thing comes to pass, it's reasonable for a trier of fact to infer causation, and it's up to the defendant to rebut the presumption that the wrongful conduct was a substantial cause.

Reasoning: This is a tough one, because there can be no epidemiological data: the disease is rare and so is overdosage on this drug. The experts made a decent case, though. Daubert identifies the following criteria:
  • Has the theory been tested scientifically?
  • Has there been peer review?
  • What's the rate of error?
  • Is the theory generally accepted?
This isn't an exclusive or dispositive list, though. With that in mind, the trial court's decisions about admissibility deserve deference: the "abuse of discretion" standard is deferential in nature.

The fact finder has to be able to conclude that the overdose was the cause of her injury: we've alreay shown there was negligence. The post hoc ergo propter hoc nature of the argument is (apparently) OK because everyone knows that drugs have side-effects and that overdoses have worse side-effects.


Dicta: