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Early Bill Sweet BNCT at MIT and MGH
Group, FYI.
Regards, Jim
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Verdict against MGH voided
Court overturns $8M decision
By Shelley Murphy, Globe Staff, 8/29/2002
federal appeals court has overturned a jury verdict ordering Massachusetts
General Hospital and a neurosurgeon to pay $8 million in damages to the
families of two brain tumor patients who died during experimental nuclear
treatments in the 1960s.
The US Court of Appeals for the First Circuit ruled that there was
''insufficient evidence'' presented during the 1999 trial to support the
jury's conclusion that MGH and Dr. William Sweet hastened the deaths of two
terminally ill cancer patients by using them in a government-funded cancer
research project that they knew had no therapeutic value.
In a unanimous decision released Tuesday, Appeals Court Judge Sandra L.
Lynch wrote that specialists who testified against the hospital and the
doctor had inappropriately relied on articles and studies written after the
experiments - which revealed that they destroyed too much normal brain
tissue with tumors.
A report written by Sweet in 1962 about the unsuccessful nuclear therapy
administered to some 60 patients at MGH in the 1950s and '60s had the
benefit of ''hindsight'' and failed to show what he knew at the time of the
trials, the court concluded.
''That medical research at times produces results less than hoped for is to
be expected,'' Lynch wrote. ''This does not logically lead to the conclusion
that the research should not be undertaken.''
A lawyer for MGH and Sweet hailed the ruling as ''complete and absolute
vindication'' but added that it came too late to provide any relief for
Sweet, who died of complications of Parkinson's disease in January 2001. The
former chief of neurological service at MGH was 90 years old.
''He was really a wonderful, dedicated surgeon who clearly helped many
people and saved many lives throughout his career,'' said the lawyer, Joseph
L. Doherty Jr. He added that the experimental treatment program ''was
undertaken completely in good faith in the hope that it would provide a cure
for the most deadly form of brain cancer in humans.''
The appeals court found that the experiments did not hasten the death of
either patient.
Evelyn Heinrich, one of the plaintiffs, said she was outraged that a panel
of judges had tossed out a jury's verdict finding that MGH and Sweet were
negligent and had caused the death of her husband, George Heinrich, and the
other patient, Eileen Sienkewicz. Both died in 1961.
''I don't know what we have a jury system for,'' said Heinrich, noting that
jurors had heard three weeks of testimony and deliberated for five days.
''That was a very substantial verdict and a very conscientious one on the
part of the jurors, and it should stand.''
The lawsuit accused MGH, Sweet, and the Massachusetts Institute of
Technology of using Heinrich and Sienkewicz as ''human guinea pigs without
their consent'' in painful, unproven medical experiments that were of no
therapeutic value to them.
Heinrich, 35, the father of a 3 -year-old daughter, and Sienkewicz, a
40-year-old mother of three, were afflicted with fast-growing brain tumors
when Sweet and MGH decided to administer boron neutron capture therapy,
which was partially funded by a grant from the US Atomic Energy Commission.
They were injected with boron, a chemical that concentrates on brain tumors,
then were treated with a neutron beam at MIT. The treatment destroyed their
tumors but scorched healthy brain tissue.
The families didn't learn details of the experiments until 1995, when the
President's Advisory Committee on Human Radiation Experiments released
previously secret documents.
Jurors rejected the claim that MGH and Sweet failed to inform Sienkewicz and
Heinrich about the procedure and get their consent to participate. But the
jury members found they were negligent and wrongfully caused the deaths and
ordered them to pay $8 million in damages. The jury rejected all claims
against MIT.
In October 2000, US District Chief Judge William G. Young slashed the jury's
$8 million award to $830,000, ruling that when the deaths occurred in 1961
there was a cap on the amount of damages a party could be forced to pay for
causing a death.
In setting aside the jury's verdict and Young's decision, Lynch wrote:
''What is at stake is the medical treatment of two patients and the
professional reputations of individuals and institutions based on services
performed over four decades ago.''
Noting that the bar to be surmounted in proving medical malpractice cases is
a high one, Lynch wrote: ''That bar cannot be lowered to compensate for
absence of relevant experience, fading memory, or lack of documentary
evidence.''
Vermont lawyer Anthony Roisman, who represents the families, said lawyers
have yet to decide whether to appeal the case to the US Supreme Court or
seek a re-hearing by the appeals court.
This story ran on page B5 of the Boston Globe on 8/29/2002.
© Copyright 2002 Globe Newspaper Company.
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