Koon’s opioid consumption peaked when he was taking Oxycontin, Vicodin and Oxycodone, all at the same time. The most recently released CDC guidelines call for no more than 100 milligrams of morphine-equivalent per day. During the peak, Brian Koon was taking 1,555 milligrams of morphine-equivalent per day. According to the trial testimony, Dr. Walden had prescribed in excess of 37,000 opioid pills over the course of 5 years. That’s more than 20 pills per day.
Not surprisingly, Koon became addicted and eventually entered a drug rehab center. His relationship with his wife also spiraled downward, as family members described him as “a zombie.” Koon’s wife eventually filed for divorce.
As a result, Brian Koon sued Dr. Walden for medical malpractice. At trial, Koon’s attorney, Tim Cronin, elicited the testimony of expert witness Dr. Paul Genecin, director of Yale Health. He looked at the prescribing pattern and called the doses prescribed by Dr. Walden to Brian Koon “colossal and reckless.”
Tim Cronin asked the jury to find that Dr. Henry Walden had been reckless in his prescribing. He asked the jury to return a big verdict, and they did just that. The jury awarded Brian Koon $1.4 million in compensatory damages and awarded Koon’s wife $1.2 million. In addition, Tim Cronin asked the jury to send a message to Dr. Walden and St. Louis University. The jury agreed to the tune of $15 million in punitive damages. You may recall that punitive damages are designed to punish the defendant.
I have recently been in contact with Tim Cronin’s office and have learned that Dr. Walden’s attorney, Paul Venker, has filed an appeal. Looking at the Missouri Court of Appeals docket for the Eastern Appellate District, I verified that the notice of appeal has been filed. No briefs have been filed yet.
I don’t want to speculate as to what arguments Dr. Walden’s legal team will make in their opening brief, but it will be interesting to see what they argue. For example, to what extent does Brian Koon share in the responsibility with respect to his opioid addiction? Was the punitive damage verdict excessive? Should Koon’s wife have been able to recover $1.2 million when there were likely multiple causes for the divorce?
While the outcome is uncertain, one thing is clear. This case should send a strong message to prescribers that they need to be extra careful when prescribing opioids. Otherwise, a medical malpractice lawsuit could be waiting at the end of the opioid trail of tears.