Refusal or Delay of Hospitalization
The patient was sent home although their condition required observation, examination or treatment in a hospital.
MEDICAL DISPUTES
We handle disputes over the quality and timeliness of medical care: refusal or delay of hospitalization, defects in diagnosis and treatment, harm to health, death of a patient and compensation for moral harm. We first study the medical records and evidence, then assess the prospects of court proceedings.
Not every unfavorable treatment outcome means a violation. In medical disputes, it is first necessary to reconstruct the factual picture: what happened to the patient, what care was required, what the doctors actually did and which consequences could be linked to the identified violations.
The patient was sent home although their condition required observation, examination or treatment in a hospital.
The necessary examinations were not carried out in time, the disease was detected late or the existing symptoms did not receive proper assessment.
There are grounds to believe that medical care was provided late, not in full scope or with violations.
After treatment, surgery or another medical procedure, the patient’s condition deteriorated and the causes of what happened need to be established.
Relatives want to understand the quality of the care provided, establish the presence of violations and determine the grounds for compensation for moral harm.
The medical organization denies the violations, or the parties disagree on the grounds or amount of the compensation sought.
Nikolay NemkovManaging Partner, Konsultant Law Firm
NIKOLAY NEMKOV ON MEDICAL DISPUTES
We handle disputes over the quality and timeliness of medical care: refusal or delay of hospitalization, defects in diagnosis and treatment, harm to health, death of a patient and compensation for moral harm. We first study the medical records and evidence, then assess the prospects of court proceedings.
We understand the medical and procedural history of the situation.
We do not replace analysis with an assumption of a “medical error”.
We check what is already confirmed by documents and what still needs to be proved.
We understand which medical questions require special knowledge.
We determine the legal structure and the amount of the claims in light of the particular case.
We prove the violations, work with expert findings and the objections of the other side.
We review the patient’s visits, hospitalizations, examinations, treatment and the sequence of events.
We study the available medical records, test results, conclusions, correspondence, responses of medical organizations and other materials.
We separate the unfavorable treatment outcome from the specific violations that may have legal significance.
We determine which additional documents need to be obtained or requested and which circumstances should be examined by experts.
We formulate legally significant questions, analyze the experts’ conclusion and compare its findings with the other evidence in the case.
We prepare the procedural position, claim, objections and motions and participate in the court proceedings.
After the court decision, we separately monitor the question of actual enforcement if it falls within the agreed scope of work.
The set of claims depends on the circumstances of the particular case. After analyzing the documents, we determine which methods of protection have factual and legal grounds.
From Our Practice
In one of our cases, a court-ordered expert examination identified defects in the provision of medical care: underestimation of the severity of the patient’s condition and untimely hospitalization.
At the same time, the experts did not establish a direct causal link between the identified deficiencies and the patient’s death.
The court concluded that this does not exclude the medical organization’s liability for an independent violation of the patient’s rights and the moral suffering caused to his wife.
Our client was awarded RUB 500,000 in compensation for moral harm. The decision became final and was enforced — the client received the awarded money.
The patient was twice refused hospitalization despite a serious condition. A court-ordered expert examination identified defects in the medical care. The court awarded the patient’s wife RUB 500,000 in compensation for moral harm. The decision became final and was enforced — the client received the awarded money.
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The firm has been practicing since 2007. We handle litigation and complex legal matters for businesses in Krasnoyarsk, Moscow and other regions of Russia.
The court must establish not only the unfavorable outcome itself but also the actual circumstances of the provision of medical care.
The medical records, the sequence of the patient’s visits, the test results, the actions of medical professionals, the clinical picture and the findings of a court-ordered expert examination may all be of key importance.
Different claims require different structures of proof. For example, the question of harm to health and the question of compensation for moral harm due to a violation of the patient’s rights are not always resolved in the same way.
Before filing a claim, it is therefore important to determine what exactly was violated, which circumstances need to be proved and which evidence will be required for that purpose.
HOW TO START
What happened to the patient, which medical care was provided and which documents are available.
We reconstruct the chronology and identify the legally significant circumstances.
We determine which violations can be proved and which claims make sense to bring.
We prepare documents, work with the expert examination and conduct the court proceedings.
MANAGING PARTNER

Managing Partner, Konsultant Law Firm
More than 20 years of practice in complex property and corporate disputes. Practicing insolvency practitioner.
No. This depends on the nature of the claim. For some claims, the causal link is of key importance. In other situations, a proven violation of the patient’s rights in the provision of medical care may be an independent ground for compensation. The legal structure must be determined in light of the particular case.
Not always. In many court disputes, the expert examination is ordered directly by the court. Before filing a claim, it is important to collect the medical records and determine which circumstances require special medical knowledge.
The denial itself does not determine the outcome of the case. The court assesses the medical records, the experts’ conclusions and the other evidence. It is necessary to establish the specific actions or omissions and their legal significance.
The amount is determined by the court in light of the specific circumstances of the case, the nature of the moral and physical suffering, the nature of the violation, the degree of fault and other circumstances. There is no fixed tariff for such disputes.
In certain circumstances — yes. It is necessary to establish which rights of the relative were violated, what moral suffering was caused and whether the grounds for the medical organization’s liability provided by law exist.
No. The court decision and the actual receipt of the money are different stages. After the decision becomes final, separate work on its enforcement may be required.
Tell us what happened and provide the available medical records. We will assess the facts, the evidence and the prospects of court proceedings. If we see grounds for protection, we will propose a further strategy.