As a change of pace from health policy, here's an excerpt from a recent Medscape article by Michael J. Sacopulos, JD, "
5 Unexpected Ways You Could Get Sued":
Patient Not Warned to Avoid Physical Exertion; Dies During Threesome
A Lawrenceville, Georgia, jury awarded $3 
million to the estate of William Martinez. Mr. Martinez was 31 years old
 in 2009, when he entered his cardiologist's office. There he complained
 of chest pain that radiated into his arm.
His cardiologist found that Mr. Martinez was at "high risk" of having
 coronary disease and ordered a nuclear test to be performed. The test 
was scheduled to take place 8 days after Mr. Martinez' initial 
appointment with his cardiologist. The cardiologist alleges that Mr. 
Martinez was instructed to avoid exertional activity until after the 
nuclear stress test was completed. The family of Mr. Martinez argues 
that no such instruction was given.
The day before his nuclear stress test, Mr. 
Martinez apparently engaged in some "exertional activity." In fact, Mr. 
Martinez engaged in a threesome with a woman who was not his wife as 
well as a male friend. During this encounter, Mr. Martinez died.
His family members then proceeded to bring a medical malpractice 
claim against his cardiologist and the cardiologist's practice. 
Presumably the family's thought was if William Martinez had been 
properly instructed to avoid high-risk activities, he certainly would 
have complied.
The family initially brought a claim for $5 
million dollars, but this claim was reduced by a finding that Martinez 
was 40% liable for his own death. Note the mathematics: One would assume
 that engaging in a 3-way activity would make him one-third liable for 
his own damages, but apparently there were facts not known to me that 
increased his liability to 40%.
In August 2011, the New England Journal of Medicine
 reported that cardiologists are the physicians most frequently named in
 medical malpractice actions. In fact, cardiologists in the United 
States have a roughly 1 in 5 chance of being sued in any given year. 
Based on the Martinez case, you can see how these statistics can 
actually be true. The cardiologist's attorney indicates that an appeal 
will be taken. For now, we will all have to wait to see how the 
appellant court system of Georgia reacts to this case.
Lesson learned: Document every instruction.