$8 Million — Confidential Settlement
Fulginiti Law obtained a confidential $8,000,000 settlement for three dementia-diagnosed patients despite challenges in proving any long-term effects of the conduct.
By Ken Fulginiti | Founder, Fulginiti Law
The trust placed in healthcare professionals is profound, underpinned by the expectation that they will adhere to the highest standards of care. Unfortunately, this trust is sometimes breached through negligence or errors, leading to devastating outcomes for patients and their families. Medical malpractice represents a serious breach of trust and duty, warranting not only accountability but also compensation for those affected. At Fulginiti Law, our dedicated legal team specializes in navigating the intricacies of medical malpractice claims, advocating for victims who have suffered at the hands of healthcare providers.
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215-774-5162Beyond birth injuries, misdiagnosis, and emergency room errors, I take on surgical errors — wrong-site surgery, instruments left inside the patient, preventable nerve damage — plus medication errors, anesthesia mistakes, hospital and nursing negligence, and failures to obtain informed consent.
Fulginiti Law is dedicated to advocating for victims of medical malpractice, ensuring they receive the justice and compensation they deserve. We thoroughly investigate each case, consulting with medical experts and reviewing all relevant medical records to build a strong claim. If you or a loved one has suffered due to medical malpractice, contact Fulginiti Law for a free consultation. Our experienced medical malpractice attorneys are ready to listen to your story, evaluate your case, and guide you through the legal process to secure the best possible outcome.You must prove duty, breach of the accepted medical standard, causation, and real damages. Because jurors aren’t doctors, these cases turn on expert testimony — qualified physicians who explain what should have happened. I work with medical experts to build that proof.
In Pennsylvania, Pa.R.C.P. 1042.3 requires your attorney to file a certificate of merit — confirming a qualified professional believes malpractice occurred — within 60 days of filing suit. New Jersey’s N.J.S.A. 2A:53A-27 requires an affidavit of merit within 60 days of the defendant’s answer. Miss these deadlines and the case can be dismissed.

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215-774-5162Pennsylvania’s Medical Care Availability and Reduction of Error (MCARE) Act strengthened informed-consent rules, created the Patient Safety Authority, and established the MCARE Fund.
Victims may recover medical expenses, future care costs, lost income and diminished earning capacity, and pain and suffering. Pennsylvania does not cap compensatory damages in malpractice cases; New Jersey likewise has no compensatory cap, though punitive damages are limited by statute.
In Pennsylvania, you generally have two years from the date of injury to file (42 Pa.C.S. § 5524); New Jersey also generally allows two years (N.J.S.A. 2A:14-2). The discovery rule can extend the deadline when the injury wasn’t reasonably discoverable, with narrow exceptions and special rules for injured children. A missed deadline ends the case.
Fulginiti Law has recovered significant settlements for victims of medical negligence and defective medical devices across Pennsylvania and New Jersey, including:
$8 Million · $4 Million
Fulginiti Law obtained a confidential $8,000,000 settlement for three dementia-diagnosed patients despite challenges in proving any long-term effects of the conduct.
A construction worker who suffered a shoulder injury that should have returned him to work suffered a career-ending injury when a defective medical device implant caused the total destruction of his joint. Through extensive discovery, Ken established hundreds of other similarly situated individuals and obtained one of the largest settlements across the country associated with this defective product.
Prior results do not guarantee a similar outcome. Each case is different and must be evaluated on its own facts.
Excerpts from client reviews on Google.
Ken and his team took great care of me when I was in need.
— Rob Roberts · Read Rob Roberts’s full review on Google
He was always available if I had any questions, whether those questions were big, small, and sometimes irrelevant.
— Maria Mangano · Read Maria Mangano’s full review on Google
Ken worked tirelessly along with Sarah and staff as they were always available to answer my questions or concerns…
— Bob Donnelly · Read Bob Donnelly’s full review on Google
These answers provide general information about Pennsylvania claims. The law that applies depends on the facts and the claim involved.
Pennsylvania generally sets a two-year filing period for personal injury claims, but the correct deadline depends on the claim and its facts. Rules affecting when a claim accrues, injuries to minors and other exceptions require a separate review. Do not assume that an insurer’s investigation, ongoing treatment or a request for records extends the filing period.
Bring the incident and treatment dates to an early consultation, together with the treatment timeline, consent forms, test results and communications with your providers. If a public entity, another state or a child is involved, identify that at the outset. A lawyer can check the applicable deadlines before you decide whether to pursue a claim. Waiting for a final medical prognosis can leave too little time to investigate.
Sources: Pennsylvania personal injury filing period — 42 Pa.C.S. § 5524; Pennsylvania minority and incapacity rules — 42 Pa.C.S. § 5533
Keep the treatment timeline, consent forms, test results and communications with your providers, along with dated notes describing what happened and how the injury affects daily life. Preserve originals where possible and make copies rather than altering documents or electronic files. The useful evidence depends on the disputed issue; a photograph may help establish the circumstances while treatment records help explain the resulting injury.
Patients generally can request their existing medical and billing records from HIPAA-covered providers, subject to exceptions. A lawyer can identify additional evidence that must be requested from someone else through appropriate legal procedures. You do not need to collect every record before calling, and you should not put yourself at risk or interfere with treatment to obtain evidence.
Sources: HHS — health information patients can access; Pennsylvania Rule 4003.1 — discovery of relevant evidence
A supported injury claim may include medical costs, lost income and compensation for the injury’s effect on your life. The available categories depend on the legal claim and the evidence. Pennsylvania’s jury-instruction rule recognizes noneconomic losses such as pain, suffering, disfigurement and loss of enjoyment; identifying a category does not establish its value in a particular case.
For a medical malpractice claim, keep bills and work records and explain which activities you can no longer perform or can perform only with help. Medical and other qualified experts may be needed to address disputed future losses. A case assessment should connect each requested amount to evidence rather than applying a standard multiplier or treating a previous settlement as a price list.
Sources: Pennsylvania Rule 223.3 — noneconomic injury losses; Pennsylvania Rule 4003.5 — expert testimony and reports
Future care can be part of an injury assessment when the evidence supports the need and connects it to the event at issue. A current bill alone cannot show the treatment, equipment or assistance that may be needed years later. Medical recommendations and, where appropriate, qualified expert analysis help distinguish established needs from possibilities that remain uncertain.
Tell your lawyer about changes in your care plan, work restrictions and daily assistance after the event. Keep treatment and billing records so the assessment can be updated as your condition becomes clearer. Ask how the proposed valuation addresses future needs and which assumptions still require proof. No diagnosis, estimate or prior result guarantees that a court or insurer will accept the requested amount.
Sources: HHS — health information patients can access; Pennsylvania Rule 4003.5 — expert testimony and reports
No, an unexpected or poor outcome does not by itself establish medical malpractice. A professional negligence claim generally requires supported evidence of a departure from the applicable standard of care and a connection to the injury. Pennsylvania’s certificate-of-merit procedure addresses the required professional support for claims alleging that a licensed professional deviated from an acceptable standard.
A review should examine the care timeline, relevant records and what a qualified professional can conclude from them. Explain the concern without assuming that a complication proves negligence or that a consent form resolves every issue. Separate what the records show from what remains uncertain. The purpose of an initial evaluation is to identify whether there is a supported claim and what further review it requires.
Sources: Pennsylvania Rule 1042.3 — certificate of merit; HHS — health information patients can access
A certificate of merit is a filing required for certain Pennsylvania professional negligence claims under Rule 1042.3. The rule generally requires filing it with the complaint or within 60 days afterward and identifies the bases on which it may be certified. The certificate is distinct from the full expert evidence that may be needed to prove the case.
An attorney should evaluate the requirement for each professional claim and arrange appropriate review before the deadline. The rule provides a good-cause extension procedure, but an extension should never be assumed. It also addresses circumstances in which expert testimony is unnecessary. A patient’s concern, an adverse outcome or an unsigned opinion does not automatically satisfy the filing requirements.
Sources: Pennsylvania Rule 1042.3 — certificate of merit; Pennsylvania Rule 4003.5 — expert testimony and reports
Patients generally have a right to obtain existing medical and billing information from HIPAA-covered providers, subject to exceptions. HHS explains that the right includes a broad range of records, but it does not require a provider to create a new analysis explaining what happened. Some internal quality or peer-review materials may fall outside the access right.
Request the relevant dates and providers and keep a record of the request and response. A lawyer can help identify gaps or additional information that may be available through appropriate litigation procedures. Patient access and lawsuit discovery are different processes with different limitations. You can seek legal review before every record arrives, particularly if a filing deadline may be approaching.
Sources: HHS — health information patients can access; Pennsylvania Rule 4003.1 — discovery of relevant evidence
A delayed diagnosis may support a claim if the evidence establishes an actionable departure from the standard of care and injury caused by that delay. Delay alone is not enough. A professional review should address what information was available at the relevant time, what evaluation was appropriate and what difference earlier action would have made.
Prepare a timeline of symptoms reported, visits, test orders, results and follow-up communications. Keep the original records rather than relying only on a recollection of what each provider said. Expert analysis may be needed to distinguish injury attributable to an underlying condition from harm caused by the alleged delay. The assessment should explain that connection without assuming that every later diagnosis proves an earlier error.
Sources: Pennsylvania Rule 1042.3 — certificate of merit; Pennsylvania Rule 4003.5 — expert testimony and reports
Yes, a medical malpractice investigation may examine individual care and the role of an institution, depending on the facts. The supported legal theories and relationships determine which parties may be responsible. Pennsylvania’s certificate-of-merit rule also addresses certain claims based solely on the conduct of other licensed professionals for whom a defendant is responsible.
Identify the facilities, clinicians and treatment dates you know, but do not assume that every person named in a chart should be sued. Records and appropriate discovery can clarify who made a decision and which policies or relationships matter. The claim should connect each proposed defendant to a supported theory and injury. Different allegations may require different professional review and procedural steps.
Sources: Pennsylvania Rule 1042.3 — certificate of merit; Pennsylvania Rule 4003.1 — discovery of relevant evidence
Fulginiti Law offers a free consultation to discuss the circumstances of an injury and whether the firm can help. For a medical malpractice inquiry, be ready to describe the event, your treatment and any communications from an insurer or another lawyer. You can start with the records you already have; an initial call is not a requirement to complete your own investigation.
Ask what information the firm needs next, who would handle the matter and how fees and expenses would be addressed in any engagement agreement. Tell the team promptly about approaching deadlines or papers you have received. Contacting a firm does not by itself file a lawsuit or extend a legal deadline, so confirm whether representation has been accepted and what steps will follow.
Sources: Fulginiti Law — contact and free consultation; Pennsylvania personal injury filing period — 42 Pa.C.S. § 5524

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215-774-5162One Commerce Square
2005 Market Street, Suite 3710
Philadelphia, PA 19103