📋 Case Study · NYC Bar Association Demo

Rodriguez v. Mount Sinai Hospital

How LexiFlow's AI exposed a 14-hour treatment gap that led to a bilateral amputation — and built the cross-examination in seconds.

92/100
Merit Score
$4.2M
Trial Value (NY)
7
Contradictions
14h
Treatment Gap
🔒 HIPAA Compliant

The Narrative

What happened to Elena Rodriguez, and how the system failed her.

18:30 — Arrival

Elena Rodriguez arrives at Mount Sinai ER with 103.2°F fever, HR 115, qSOFA score 2/3 — indicating 10% in-hospital mortality risk. Surviving Sepsis Campaign guidelines require 3-Hour Bundle initiation.

19:15 — The Order

ER resident orders blood cultures and IV Vancomycin. The order is entered. The standard-of-care clock starts ticking.

20:00 → 09:30 — 14-Hour Gap

Zero antibiotics administered. No vital sign checks. No follow-up assessments. The MAR shows no documentation for 13.5 hours. The patient who met sepsis criteria becomes invisible.

10:00 — The Crash

Code Blue called. BP 70/40. Septic shock. Prolonged hypotension and high-dose vasopressors lead to irreversible tissue death in both feet.

May 15 — Outcome: Double below-knee amputation. A catastrophic outcome from a preventable delay.

Medical Timeline — The 14-Hour Gap

Each node is evidence-backed. The gap is highlighted in red.

18:30
Admission
qSOFA 2/3
ER Triage documents sepsis criteria
19:15
ABX Ordered
Vancomycin
Broad-spectrum antibiotics ordered
!
14-HOUR GAP
20:00 → 09:30
No ABX given. No vitals checked.
10:00
Code Blue
Septic Shock
BP 70/40, unresponsive
May 15
BK Amputation
Bilateral
Below-knee amputation both legs

⚡ Contradiction Detection Engine™

Side-by-side testimony vs. evidence comparison — the centerpiece of Veritas Deposition™.

CONTRADICTION

Dr. Alan Miller — ER Attending

📋 Deposition Testimony
"I personally confirmed the start of the IV antibiotic protocol at 19:45."
Deposition Page 34, Lines 12-15
📄 Evidentiary Record
Medication Administration Record (MAR) shows zero antibiotic dosage entries until 10:15 the following morning — 14 hours and 30 minutes after Dr. Miller's claimed confirmation.
Exhibit: MAR_Table_3, Nursing_Logs_P8
CONTRADICTION

Dr. Alan Miller — ER Attending

📋 Deposition Testimony
"The patient's condition was stable throughout the evening shift."
Deposition Page 47, Lines 8-11
📄 Evidentiary Record
ER Triage record documents qSOFA score of 2 at 18:30 — a clinical indicator that carries a 10% risk of in-hospital mortality. Not consistent with "stable".
Exhibit: ER_Triage_Page_1

🤖 AI-Generated Cross-Examination Questions

  1. "Doctor, you testified that you 'personally confirmed' the start of antibiotics at 19:45. Can you explain why the hospital's own electronic MAR, which timestamped in real-time, shows no such administration occurred for the next 14 hours?"
  2. "You characterize a qSOFA score of 2 — which carries a 10% risk of in-hospital mortality — as 'stable'? Is that the standard definition of stability used at Mount Sinai?"
  3. "Does the hospital's Sepsis Protocol require the '3-Hour Bundle' implementation for patients meeting 2/3 qSOFA criteria?"
  4. "If the '3-Hour Bundle' was not completed within 14 hours, would you agree that is a deviation from the hospital's internal safety guidelines?"
  5. "Who was the nurse assigned to Bed 4 between the hours of 20:00 and 08:00?"
📋 Copy All Questions 💾 Save to Case File

Settlement Intelligence

New York's uncapped damages make this a high-value case. See how it compares to capped states.

NY
Jurisdiction
No cap on damages
$4,200,000
Estimated Trial Value
$1.8M–$3.2M
Predicted Settlement Range
94% confidence

Jurisdiction Comparison

NY
No Cap
$4,200,000
CA
MICRA Cap
$353,000
TX
$250K/d
$750,000
$1.2M
Past Medical
$850K
Future Medical
$400K
Lost Earnings
$1.75M
Pain & Suffering

How LexiFlow Processed This Case

From intake to deposition — what normally takes 3-5 days takes LexiFlow 4 minutes.

🤖

AI Intake Agent

3 seconds
Lead qualified 87/100
📋

MeritScan

92/100
4 negligence markers
🎯

Veritas Deposition™

7 contradictions
AI cross-exam questions
🔗

CRM Sync

1-click
Full audit trail
"What normally takes a firm 3-5 days took LexiFlow 4 minutes."

See the Contradiction Detection Engine™ in Action

Experience the full 8-minute demo at the NYC Bar Association — Tuesday, July 7th, 10:00 AM ET.

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