Anthony Breschi Attorney with Waranch and Branch

Anthony Breschi

When Good Comes From “Negligence”: A Tool for the Defense

The determination of recoverable damages is a key part of any medical malpractice trial. What is sometimes overlooked is the fact that the same care a plaintiff calls “negligent” may have also provided them some benefit; on occasion, even extending their life. At trial, jurors are instructed on how to calculate losses. The law may also require them to weigh proven benefits.

In one recent case we tried, for example, the plaintiff claimed that the decision to proceed with an organ transplant caused a serious infection. That same transplant, however, arguably prolonged the patient’s life. At trial, we offered:

(1) Expert testimony directly linking the transplant to a prolongation of the patient’s life;

and

(2) Evidence that prolongation of life was measurable (time in days, weeks or months).

Based upon that record, we requested the jury be instructed to consider both harm and benefit when determining damages. We proposed the following instruction, which was accepted by the Court:

“Where the same negligent act is found to have caused both harm and benefit, the law permits you to consider both in determining damages. In such cases, any damages awarded are to be offset by the benefits that resulted from the conduct.”

This is not a collateral-source argument, nor or a plea to excuse negligence entirely because “some good came from bad.” It’s a legally grounded reminder that the jury’s damages calculations must reflect both sides of the record. While the goal is always a defense verdict, if liability is found, the damages awarded should be fair and tied to evidence.

At Waranch & Brown, we’re skilled at establishing the foundation for this instruction, recognizing when it is appropriate, and persuading courts to give it — so jurors reach a fair, accurate determination of damages.

If you need assistance with a complex legal matter or want to discuss whether this instruction fits your case, our attorneys are here to help.

Anthony Breschi Attorney with Waranch and Branch

Anthony Breschi

Anthony (Tony) Breschi is an AV-rated trial attorney and partner at Waranch & Brown, LLC. His practice focuses primarily on the defense of physicians and hospitals in medical malpractice cases. He has tried numerous medical malpractice cases at the trial level of Maryland and Federal Courts. He is also a member of the Bar of the District of Columbia and has tried cases in the Superior Court and the U.S. District Court for the District of Columbia. He has argued appeals before the Maryland Court of Appeals, Maryland Court of Special Appeals and in the U.S. Court of Appeals for the Fourth Circuit. Mr. Breschi has also represented physicians before the Maryland Board of Physicians and in credentialing matters.