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Jury clears Bloom doctor.
By MICHAEL REICH - Press Enterprise Writer

BLOOMSBURG — Urologist Raj P. Chopra hugged his lawyer and wiped away tears Thursday after a jury found he was not negligent in his care of Jesse Carr.

"I'm glad it's over. The jury did the right thing. I expected the decision," said the 66-year-old doctor, a Bloomsburg urologist who practices in Shamokin and formerly saw patients in Berwick.

Jurors deliberated an hour before delivering a verdict. Carr, a 72-year-old from the Danville area, declined to comment after the verdict was read. Carr and wife Mary Ruth sought unspecified monetary damages in their civil suit against the doctor.

Carr's attorneys, Alice Corba and Frank Kepner of Berwick, argued during the three-day trial that Chopra performed an invasive surgery on Carr in September 1998 that left Carr in pain. The operation was done about one week after Chopra removed a kidney stone from Carr's urinary tract.

Carr's medical expert testified Wednesday that Chopra did not need to cut Carr open. Instead, Chopra only needed a needle to place a protective stent inside Carr's ureter. The ureter channels urine from the kidneys to the bladder. That's where Carr's stone was lodged. Carr claimed the effects from his second surgery have ruined his sex life and limited his ability to care for his handicapped son and tend to his cattle farm.

Defense expert
Chopra's lawyer, Mark Perry of Scranton, called his own medical expert to testify yesterday. Dr. Keith N. Van Arsdalen, director of a urology clinic at the University of Pennsylvania, told jurors Chopra acted properly. "I think that Dr. Chopra should really be commended for how attentive he was. I think he did a very good job in taking care of Mr. Carr," Van Arsdalen testified.

He said Chopra had no choice but to cut open Carr because so much fluid had leaked into Carr's body. Carr's expert said the urine could've been extracted with a needle or been reabsorbed into the body.

Van Arsdalen, countered that a needle wouldn't have taken out all the fluid. He added that the fluid couldn't be left inside Carr to reabsorb because there was too much and there was a significant chance for scarring damage and infection. Van Arsdalen said an infection could've led to the removal of Carr's kidney. He called Chopra's decision to cut into Carr the "most efficient and most effective" way to remedy his post-operative problems.

Perry told jurors in his closing statement that his expert reviewed a CAT scan that showed an extensive amount of fluid leaked outside Carr's kidney. Perry argued that since the plaintiff's expert did not see that test, he could not adequately determine what Chopra should have done.

"An expert is only as good as the information provided," Perry told jurors.

To test or not
Carr's lawyers contended that Chopra violated proper standards of care a second time by not ordering tests to see what was wrong with Carr when he complained of pain five days after the first surgery. But Dr. Van Arsdalen said Chopra didn't have the indications he needed to request the testing. Van Arsdalen said the doctor could have thought Carr's pain was related to the stone removal.

Instead of the testing, Chopra prescribed Vicodin for Carr's pain. When he returned to see Chopra two days later, Carr's pain was gone even though he wasn't taking the medication, the defense argued.

Van Arsdalen also testified that Chopra's work on Carr couldn't have led to any sexual dysfunction. Throughout the trial, the defense tried to link Carr's impotence to prostate medication.

Juror: Decision clear
Juror Derek Carl of Catawissa said the jury argued little in reaching a verdict, and the decision was fairly clear to everyone. "All felt (Chopra) showed he wasn't negligent," said Carl. The jury consisted of five men and seven women and included a registered nurse from Bloomsburg. Carr's case was initially tried in January but ended in a mistrial after less than a day.

President Judge Scott W. Naus ended that proceeding when Carr testified he was still seeking pain treatment — something neither the defense nor the plaintiff's attorneys knew then.

 

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