In August 4, 2004, plaintiff visited with defendant, a psychiatric nurse who prescribed Lamictal for post-partum anxiety. Plaintiff was a 28-year-old woman who had recently delivered her second child. Defendant gave no instructions or warnings to plaintiff of potential side-effects or complications of Lamictal. The manufacturer's label and the "Physician's Desk Reference" contain a "black box" warning concerning the development of rash associated with Lamictal. The warning states that the drug must be stopped immediately at the first sign of rash. Plaintiff claimed that the defendant psychiatric nurse gave plaintiff no warnings or instructions about discontinuing the medication at the first sign of rash. Plaintiff's social worker was present at the prescribing meeting with defendant and also testified that defendant provided no warnings or instructions. Approximately eight days after starting Lamictal, plaintiff developed a rash on her legs. Plaintiff called defendant at the clinic to inquire whether the rash might be related to the Lamictal. Defendant failed to return any of plaintiff's telephone messages. The clinic receptionist was prepared to testify that she handed defendant three written phone calls from the plaintiff, and that on at least one occasion, defendant stated "Oh, her again." Plaintiff visited the emergency department on two occasions, a dermatologist, and her gynecologist within the first week after the rash developed. None of those doctors associated the rash with the Lamictal. Plaintiff stopped the Lamictal four days after the rash started. Approximately one week later, plaintiff was admitted to the Massachusetts General Hospital Burn Intensive Care Unit with severe burns over 60% of her body as a result of the Stevens-Johnson Syndrome. She also had blistering and burns to her oral, vaginal and rectal mucosa. Plaintiff remained an in-patient at the ICU Burn Unit for 21 day Plaintiff survived the episode, but was left with mild scarring on her extremities, chest and neck. Plaintiff was also left with no fingernails or toenails. Plaintiff was prepared to present testimony from the Chief of Psychiatry at Massachusetts General Hospital that defendant deviated from the standard of care by failing to warn plaintiff regarding the necessity to stop Lamictal at the first sign of any rash, as sever rashes leading to Stevens-Johnson Syndrome have been associated with this drug. Plaintiff's expert was prepared to testify that as a result of taking the drug for four days after the rash developed, plaintiff unwittingly exposed herself to the risk of a far greater reaction. |