.

Christopher N. Santoro

Portrait of Christopher N. Santoro

Chris has over 30 years of litigation experience handling major casualty, toxic tort, and product liability matters. He has significant experience in handling toxic tort matters involving exposure to alleged hazardous substances and has successfully defended major corporations in hundreds of cases at the trial level. Since joining Marshall Dennehey in 2002, Chris has expanded his practice to handling matters involving asbestos, silica, vinyl chloride, benzene, lead, cadmium, legionella, various dusts, lubricants, and other allegedly hazardous materials. He continues to be an active trial lawyer and has tried over 150 jury trials to verdict.

Chris began his career as an associate at Krusen Evans & Byrne and settled upon a defense practice focusing on product liability, personal injury, property damage, and toxic tort matters. He gained experience handling a wide variety of matters and tried numerous jury trials to verdict.

In 1989, Chris was instrumental in forming a firm that concentrated in toxic tort matters, and the firm quickly established itself as one of the leading firms in asbestos litigation. He served as the managing partner for eleven years.  The firm rapidly grew under his leadership. It was during this time that Chris concentrated his practice in the field of toxic torts and quickly became one of the most active and successful toxic tort trial lawyers. Representing Owens Corning, he served as lead trial counsel in the Philadelphia area asbestos litigation. In addition, he participated in the development of strategies and techniques for the handling of complex, multi-party toxic tort litigation.

While at Marshall Dennehey, Chris has tried numerous cases to verdict with all but two (2) resulting in defense verdicts.  One plaintiff's verdict was overturned by the Pennsylvania Superior Court and the grant of a new trial affirmed by an En Banc Panel of the  Pennsylvania Superior Court.

At the request of various clients, Chris has organized and/or given presentations at various seminars. In addition, he has lectured on a variety of topics involving trial techniques and has participated in numerous CLE seminars.

    • Temple University Beasley School of Law (J.D., 1984)
    • La Salle University (B.A., cum laude, 1981)
    • Pennsylvania, 1984
    • U.S. District Court Eastern District of Pennsylvania
    • U.S. District Court Western District of Pennsylvania
    • American Board of Trial Advocates
    • AV® Preeminent™ by Martindale-Hubbell®
    • The Best Lawyers in America®, Product Liability Litigation - Defendants (2023-2026)
    • The Best Lawyers in America©, Personal Injury Litigation - Defendants (2026)
    • Pennsylvania Super Lawyers (2006-2007, 2018-2019)
    • American Bar Association
    • American Board of Trial Advocates, Diplomat
    • Disciplinary Board of the Supreme Court of Pennsylvania, Hearing Committee Member
    • Pennsylvania Bar Association
    • Pennsylvania Defense Institute
    • Philadelphia Bar Association
    • Defending Household Exposure Cases, Mealey's National Asbestos SuperConference, Phoenix, AZ, September 2008 
    • Defending Toxic Tort Cases, AIG Environmental Unit, New York, NY, November 2007 
    • Silca Litigation and Assembly Line Diagnosing, AIG Domestic Claims Toxic Tort Unit, May 2006 
    • Opening Statements, Marshall Dennehey Trial Advocacy Class, May 2006 
    • Trying The Automobile Brake Case, Goodyear Tire & Rubber National Counsel Meeting, San Diego, CA, October 2005 
    • Cross Examination, Marshall Dennehey Trial Advocacy Class, October 2005 and October 2006 
    • "Tooey Is Not Just a Bunch of “Hooey”— Practical Tactics for Defending an Employer in the Realm of Toxic Tort Litigation,"Defense Digest, Vol. 20, No. 3, September 2014, co-author
    • "The Dose Is the Poison --The Pennsylvania Supreme Court Questions the 'Each and Every Breath' or 'Any Exposure' Theory," Defense Digest, Vol. 14, No. 2, June 2008
    • "Assumption of Risk in Product Liability," Counterpoint, April 1989 
    • Obtained a unanimous defense verdict after a nine week trial in Suffolk County, New York, where the plaintiff’s counsel requested that the jury award $40 million in damages.  The plaintiff was 51 years old when she was diagnosed with peritoneal mesothelioma allegedly as a result of being exposed to asbestos containing joint compound manufactured and sold by our client. Plaintiff who was 56 at the time of trial, testified that she had little or no knowledge of ever being exposed to asbestos. However, her older sister, who served as the only product identification witness at trial, testified that she recalled that their father used asbestos containing joint compound on two occasions, approximately fifty years ago when he repaired their home after a fire in 1970 and when he built a home in Florida around 1975. Plaintiff was five and ten years old respectively during the alleged exposures and plaintiff’s sister was seven years older. Plaintiff’s sister testified that she had a vivid memory of her father using six different joint compounds during the two projects, including our client’s product. She also testified that the plaintiff was present hundreds of times when their father mixed, applied and sanded the joint compound. At trial, we called an industrial hygienist, a toxicologist and an epidemiologist who testified that the type of asbestos fiber used in our client’s joint compound did not cause or contribute to her mesothelioma, because the fibers are too short and do not cause disease. Our epidemiologist testified that plaintiff’s mesothelioma developed spontaneously and was not the result of asbestos exposure. We also called a construction expert, who testified that the sister’s testimony regarding the amount of joint compound used and the time the sister was exposed were excessive. The jury deliberated an hour before returning the verdict. Post-trial comments from jurors indicated they did not find the sister to be credible.
    • Obtained a voluntary dismissal on behalf of an aircraft parts supplier in an asbestos mesothelioma case. The plaintiff alleged he was diagnosed with mesothelioma as a result of exposure to numerous asbestos products while doing home renovation work with his father in the 1940s, while in the U.S. Air Force working as an aircraft mechanic between 1953 to 1957, as a self-employed painter between 1958 and 1960, as a civilian aircraft maintenance crew chief at the Willow Grove Air Force Base between 1959 to 1968, and non-occupationally doing automotive and home repair work. The plaintiff contended our client was the exclusive supplier of asbestos-containing fire sleeves for military aircraft hose assemblies that he worked with almost on a daily basis while at Willow Grove. Based upon the plaintiff's description of the product during his trial video and discovery depositions, our client took the position that the product could not have been supplied by them. All other defendants either settled or were dismissed, and our client took a no-pay position. As the case neared trial, plaintiff's counsel presented his evidence as to why the product identified by the plaintiff was accurate and, therefore, why we should settle the case. Through a combination of the plaintiff's testimony, our witness's prior testimony, select portions of catalog pages and drawings from the aircraft the plaintiff worked on, and catalog pages from our client's catalogs, plaintiff's counsel was persuaded to voluntarily dismiss our client shortly before trial was to begin in the United States District Court for the Eastern District of Pennsylvania.
    • Obtained a unanimous 12-0 defense verdict after a two week trial in Santa Fe County, New Mexico, where the plaintiff was seeking approximately $40 million in damages. In this asbestos litigation case, it was alleged that the decedent contracted and died at the age of 76 from mesothelioma as a result of being exposed to asbestos-containing joint compound manufactured and sold by our client. The decedent worked as an electrician for 40 years and contended he worked in the vicinity of drywall workers at various commercial worksites throughout Albuquerque and New Mexico. The plaintiff contended that our client’s joint compound was defective because it was sold without a warning of the well-established dangers of asbestos. Further, the plaintiff argued that our client was negligent, because it knew or should have known of the dangers of asbestos that were readily available from as early as the 1930s. The defense argued that the asbestos fiber used in our client’s joint compound was safe, because the fibers were short fibers and not known to increase the risk of disease. It was further argued that our client acted reasonably and in a timely manner, when it placed a government-mandated warning on their product in the early 1970s. Lastly, it was argued that the only product identification witness called by the plaintiff was not credible, because he gave three depositions in 2017 and did not identify our client’s product. He first identified our client’s product during his fourth deposition in late 2019, when our client was the only remaining defendant. The jury found our client’s product was not defective, but that they were negligent. However, the jury found the negligence was not a cause of the decedent’s mesothelioma.
    • Defense verdicts for welding rod manufacturers in cases involving alleged exposure to asbestos, including:
    • Defense verdict for a welding rod manufacturer following a two week trial in Philadelphia County before Judge Ramy I. Djerassi.   The plaintiff alleged her decedent husband, who died at the age of 77, contracted lung cancer as a result of being exposed to asbestos from welding rods manufactured by our clients. The decedent was a former smoker, quitting 50 years ago but he was diagnosed with emphysema.  The jury returned a defense verdict after deliberating for 50 minutes.  (The Estate of Stephen Matkowsky v. Airco).
    • Defense verdict for a manufacturer of welding supplies following a trial before Judge Ramy I. Djerassi in the Philadelphia County Court of Common Pleas.  The plaintiff alleged her decedent husband, who died at the age of 59, contracted colon cancer as a result of being exposed to asbestos from welding blankets manufactured by our client.  The defense argued that there is no medical or scientific causation between asbestos exposure and colon cancer and that it was the decedent's family history of colon cancer and lack of screening which caused his condition.  The jury of 12 returned a unanimous defense verdict.  (The Estate of Louis Goll v. Airco).
    • Defense verdict in a jury trial before Judge Esther Sylvester in the Philadelphia County Court of Common Pleas.  The 72 year old living plaintiff claimed he developed lung cancer as a result of working with welding rods manufactured by Lincoln Electric Company, Hobart Brothers and Airco.  As a result of his cancer, the plaintiff had his left lung removed and had multiple post operative complications.  The defendants claimed that their welding rods did not release asbestos fibers and their products did not contribute to the plaintiff's lung cancer.  The jury was charged that if they found that the defendants' products contained asbestos that, as a matter of law, they must find that the product was defective.  After two hours of deliberations, the jury in a 10 to 2 decision, found that all three of the defendants' products contained asbestos, but that they were not defective. (Donald Dimmick v. Airco).
    • Defense verdict in a case tried before Judge John Herron, Administrative Judge of the Complex Litigation Center in the Philadelphia County Court of Common Pleas.  Plaintiff alleged her decedent husband contracted lung cancer as a result of being exposed to asbestos from welding rods manufactured by Lincoln Electric Company and Hobart Brothers, while welding when he worked as a maintenance mechanic.  Plaintiff was 70 years old when he died.  The defense was that welding rods to not release free asbestos fibers and that the decedent's lung cancer was caused by his heavy history of smoking cigarettes.  The jury returned a defense verdict in 22 minutes.  (The Estate of Stephen Fitzpatrick v. Lincoln Electric Company).
    • Defense verdict in a case tried before Judge Norman Ackerman in the Philadelphia County Court of Common Pleas.  Plaintiff contended he was symptomatic with shortness of breath and had pulmonary function abnormalities as a result of pleural plaques he developed while working with asbestos containing welding rods.  The case was tried reverse bifurcated and during the first phase the defense argued that pleural plaques are a benign condition that do not cause symptoms.  The jury found in favor of the plaintiff and awarded him $150,000 and $0 on the spouse's loss of consortium claim.  During the second phase the defense argued that welding rods do not release respirable fibers and any asbestos related condition the plaintiff developed was caused by exposure to other asbestos containing products.  At the conclusion of phase II, the jury returned a unanimous verdict in favor of the defense. (David Myers v. Lincoln Electric Company).
    • Defense verdict in a case tried before Judge George Overton in the Philadelphia County Court of Common Pleas, involving a 71 year old gentleman who worked as a plumber and auto mechanic and did welding several hours a week over a 25 year period.  He contended that he developed mesothelioma and died as result of his work with welding rods which contained asbestos. The case was tried reverse bifurcated and the defense did not dispute that the mesothelioma was caused by asbestos in the first phase of the case.  The jury returned a damage verdict of $365,000.  In the liability phase of the trial, the welding rod defendants were the only defendants that chose to defend their product and contended that welding rods do not release asbestos fibers that are respirable and the mesothelioma was caused by extensive exposure to asbestos insulation products and not welding rods.  Both phases of the case took two weeks to try and at the conclusion of the second phase of the case, the jury returned a defense verdict after deliberating just 30 minutes. (Estate of Rollin Bankes v. Hobart Brothers).
    • Defense verdict in a case tried before Judge Eugene Maier in the Philadelphia County Court of Common Pleas involving a 63 year old Septa mechanic who contended that he developed lung cancer and died as a result of working with welding rods which contained asbestos.  The defense contended that the lung cancer was caused by the decedents long history of smoking, including continuing to smoke after he was diagnosed with the lung cancer.  The case was tried reverse bifurcated and after 40 minutes the jury returned a verdict for the defense after the first phase of the case.  (Orlando Williams v. Airco).
    • Defense verdict after a three week jury trial in front of Judge Stephen Baratta in the Northampton County Court of Common Pleas.  Plaintiff alleged that he had developed mesothelioma, a cancer of the lining of the lung that is almost exclusively caused by asbestos, as a result of working with welding rods manufactured by our client The Lincoln Electric Company.  Plaintiff was 80 years old at the time of trial.  The theory was that the flux coating on welding rods when manipulated released respirable asbestos fibers into the air which the plaintiff inhaled over many years while working as a steamfitter from 1950's until the 1970's.  On the eve of trial, plaintiff produced two cans of Lincoln asbestos containing welding rods that he contended were removed from a jobsite over thirty years ago and stored in his garage.  Lincoln's defense was that because the asbestos in the flux coating is encapsulated in a sodium silicate binder that it was not possible that fibers of the proper size and shape could be released and inhaled by the plaintiff.  In support of the defense an expert witness in fracture mechanics from MIT was called, as well as a certified industrial hygienist and a pulmonology expert.  After deliberating for about seven hours, the jury returned an unanimous verdict in favor of Lincoln.  (Michael Messinger v. Lincoln Electric Company).
    • Other representative matters:
    • Dooley v. BondexReverse bifurcated trial before Judge Victor DiNubile in the Philadelphia County Court of Common Pleas.  Plaintiff/Decedent died at the age of 84 as a result of pleural mesothelioma he alleged was caused by his work with asbestos containing products, including Bondex joint compound, primarily while performing home repairs and renovations.  The decedent was a high ranking union official with the United Brotherhood of Carpenters and Joiners of America Local 454.  Plaintiff's counsel made a mid six figure demand prior to trial.  A favorable settlement was reached while the jury was deliberating after phase I when plaintiff's counsel accepted what had been offered prior to trial.
    • Davis v. Goodyear.  Obtained a defense verdict for Goodyear Tire and Rubber, after a three week jury trial in the Philadelphia Court of Common Pleas before Judge Stephen Levin.  Plaintiff contended that he developed lung cancer and asbestosis as a result of working with asbestos containing brakes that he allegedly purchased at Goodyear service centers over a period of many years.  Plaintiff had surgery in 2003 where half of his lung was removed.  He was 72 years old at the time of trial and plaintiff's expert pulmonologist opined that the plaintiff's prognosis was poor and most likely would not survive five years after the surgery.  Goodyear contended that plaintiff could not have purchased brakes from them, because they were not a retailer of automotive parts and do not sell to the general public.  Rather, they operate service centers where they install all parts that they sell.  During the first phase of the reverse bifurcated trial, the defense contended that plaintiff did not have asbestosis and his lung cancer was caused by a long cigarette smoking history, although the plaintiff had stopped smoking 10 years before his diagnosis.  After deliberating for two days, the jury returned a defense verdict.  It was the first asbestos case in the country where Goodyear had gone to verdict.
    • Roth v. Kaiser Gypsum.  Plaintiff contended that he developed and died as a result developing pleural mesothelioma from working with various asbestos containing product including wall board manufactured by Kaiser Gypsum.  The case was tried reverse bifurcated before Judge Alex Bonivitacola in the Philadelphia County Court of Common Pleas.  Plaintiff's counsel settlement demand was in the low six figures with approximately ten shares in the case.  After phase I the jury returned a verdict in favor of the plaintiff for $200,000.  A favorable settlement was reached after phase I.
    • Bednar v. DAP.  Defense verdict obtained in a trial before Judge Ricardo Jackson in the Philadelphia County Court of Common Pleas .  Plaintiff alleged that he developed and died at the age of 43 as a result of peritoneal mesothelioma. It was contended that the decedent was exposed to various asbestos containing products, including asbestos containing caulk manufactured by DAP, which were a substantial factor in the cause of the decedent's disease.  The defense contended that the chrysotile asbestos to which plaintiff was exposed was not a cause of the peritoneal  mesothelioma.    The case was tried reverse bifurcated and after phase I the jury returned a verdict in favor of the defense, finding that the decedent's mesothelioma was not caused by his asbestos exposure.
    • Engro v. Pep Boys.  In a reverse bifurcated trial, tried before Judge Richard Glazer in the Philadelphia County Court of Common Pleas it was contended that the decedent contracted pleural mesothelioma as a result of his exposure to asbestos while performing brake changes on his personal vehicles.   It was alleged that the brakes were purchased at various Pep Boys' stores.  Prior to trial plaintiff's counsel issued a mid-six figure settlement demand.  After phase I the jury returned a verdict in favor of the plaintiff for $400,000.  A favorable settlement was reached after phase I.
    • O'Kane v. Safeway Steel Products, Inc., 1988 WL 54024 (Fed Dist Low ATL PA 3 1988) 
    • Golden v. Williard Co., 521 Pa. 528, 557 A.2d (1989)  
    • Bittinger v. Owens-Corning Fiberglass Corp., 1986 WL 14195 (E.D.Pa 1986) 

Results

After Nine-Week Trial, Unanimous Defense Verdict in Asbestos Case Where $40 Million in Damages Had Been Sought

We obtained a unanimous defense verdict after a nine-week trial in Suffolk County, New York, where the plaintiff’s counsel requested that the jury award $40 million in damages. The plaintiff was 51 years old when she was diagnosed with peritoneal mesothelioma, allegedly as a result of being exposed to asbestos-containing joint compound manufactured and sold by our client. The plaintiff, who was 56 at the time of trial, testified that she had little or no knowledge of ever being exposed to asbestos. However, her older sister, who served as the only product identification witness at trial, testified that she recalled that their father used asbestos-containing joint compound on two occasions, approximately 50 years ago, when he repaired their home after a fire in 1970 and when he built a home in Florida around 1975. The plaintiff was five years old during the alleged exposures, and her sister was seven years older. The plaintiff’s sister testified that she had a vivid memory of her father using six different joint compounds during the two projects, including our client’s product. She also testified that the plaintiff was present hundreds of times when their father mixed, applied and sanded the joint compound. At trial, we called an industrial hygienist, a toxicologist and an epidemiologist, who testified that the type of asbestos fiber used in our client’s joint compound did not cause or contribute to her mesothelioma because the fibers are too short and do not cause disease. Our epidemiologist testified that the plaintiff’s mesothelioma developed spontaneously and was not the result of asbestos exposure. We also called a construction expert, who testified that the sister’s testimony regarding the amount of joint compound used and the time the sister was exposed were excessive. The jury deliberated an hour before returning the verdict. Post-trial comments from jurors indicated they did not find the sister to be credible.

Voluntary Dismissal of Client in Asbestos Mesothelioma Case

Our attorneys secured a voluntary dismissal on behalf of an aircraft parts supplier in an asbestos mesothelioma case. The plaintiff alleged he was diagnosed with mesothelioma as a result of exposure to numerous asbestos products while doing home renovation work with his father in the 1940s; while in the U.S. Air Force working as an aircraft mechanic between 1953 to 1957; as a self-employed painter between 1958 and 1960; and as a civilian aircraft maintenance crew chief at the Willow Grove Air Force Base between 1959 to 1968. The plaintiff contended our client was the exclusive supplier of asbestos-containing fire sleeves for military aircraft hose assemblies that he worked with almost on a daily basis while at Willow Grove. Based upon the plaintiff’s description of the product during his trial video and discovery depositions, our client took the position that the product could not have been supplied by them. All other defendants either settled or were dismissed, and our client took a no-pay position. As the case neared trial, plaintiff’s counsel presented evidence as to why the product identified by the plaintiff was accurate and, therefore, why the case should be settled. Through a combination of the plaintiff’s testimony, our witness’s prior testimony, select portions of catalog pages and drawings from the aircraft the plaintiff worked on, and catalog pages from our client’s catalogs, plaintiff’s counsel was persuaded to voluntarily dismiss our client shortly before trial was to begin. 

Firm Highlights

News

Marshall Dennehey’s John J. Hare Brings Home Attorney of the Year Honors; Firm Named Litigation Department of the Year in Two Categories

Marshall Dennehey took home top honors in three categories at the The Legal Intelligencer’s 2026 Pennsylvania Legal Awards, held June 11 in Philadelphia. The first place awards include: Attorney of the Year: John J. Hare, Chair of the firm’s Appellate Advocacy & Post-Trial Practice Group and Executive Committee member, together with Charles “Chip” Becker of Kline & Specter Litigation Department of the Year, Appellate – Third Win in a Row! Litigation Department of the Year, Product Liability/Mass Torts “There is no one more deserving of Attorney of the Year honors than John. This award is a testament to his exceptional skill, dedication, and leadership—qualities that truly exemplify the very best of our firm,” said G. Mark Thompson, Marshall Dennehey’s President & CEO. “These honors also reflect the strength and depth of our product liability, mass torts, and appellate practices across Pennsylvania and beyond, underscoring our ongoing commitment to delivering outstanding results for our clients.” Attorney of the Year – John J. Hare, Marshall Dennehey, together with Charles “Chip” Becker, Kline & Specter Over the past year, John and Charles were opposing counsel in many of the highest-profile civil appeals in Pennsylvania. John is renowned as a preeminent appellate lawyer on the defense side, and Chip on the plaintiff's side. They have opposed each other repeatedly, exhibiting peerless professionalism and exceptional civility, while zealously litigating under the unremitting pressure of high-profile litigation and record-setting verdicts totaling more than $3.5 billion. They have also collaborated, outside of litigation, on many commissions, committees, and projects of importance to the Pennsylvania judiciary and legal community. Litigation Department of the Year – Appellate Law, Winner (previous winner, 2025 and 2024) 2025 was another standout year for the firm’s Appellate Advocacy & Post‑Trial Practice Group, led by John J. Hare, which was retained to challenge many of Pennsylvania’s “nuclear” verdicts—awards exceeding $10 million. Notably, the department persuaded the Pennsylvania Superior Court to reverse a Philadelphia judgment of $1.09 billion, the largest judgment ever overturned by a Pennsylvania appellate court. The group’s 11 full‑time Pennsylvania‑based appellate lawyers are at the center of Pennsylvania’s most high-profile matters, bringing more than 150 years of combined appellate experience. They routinely handle post‑trial and appellate matters and are frequently engaged to participate in and monitor trials in high‑exposure cases to ensure that critical legal issues are properly raised and preserved for appeal. Litigation Department of the Year – Product Liability/Mass Torts, Winner This marks the first win for the firm’s Pennsylvania Product Liability and Mass Torts practices, which operate within our Casualty Department, managed by Matthew Schorr and Jeff Rapattoni. For almost five decades, Fortune 500 product manufacturers/distributors and their insurers have turned to these groups to defend their litigation. Led by Bradley D. Remick and Vlada Tasich, our Product Liability group’s success can be attributed to its commitment to keeping abreast of ever-changing legal theories, judicial viewpoints, and evolving technology impacting the product liability landscape. Our attorneys have successfully handled thousands of product liability matters in all jurisdictions across the state. Likewise, our mass tort litigation practice – divided into Asbestos & Mass Tort, and Environmental & Toxic Tort Litigation –  has defended manufacturers, distributors, contractors, and premises owners in thousands of personal injury and other claims. Led by Kevin E. Hexstall and Patrick T. Reilly, most attorneys in these groups have more than 20 years of experience, and our seasoned trial team has tried hundreds of cases to verdict, consistently achieving strong results through both trials and settlements. In addition to these awards, Marshall Dennehey was a Litigation Department of the Year finalist for Professional Liability.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

SIDEBAR: News and Happenings

We are pleased to share that attorneys from our health care team have been selected to the 2026  New Jersey and Pennsylvania Super Lawyers and Rising Stars lists. Their dedication to clients and commitment to high-quality work continues to strengthen our firm! Please join us in congratulating: NJ Super Lawyers: Robert T. Evers and Justin F. Johnson NJ Super Lawyer Rising Stars: Nataliana A. Guida  2026 Pennsylvania Super Lawyers: Alyson J. Kirleis and Gary M. Samms 2026 Pennsylvania Rising Stars: Holli K. Archer and Daniel Dolente Victoria Scanlon (Scranton) was a faculty presenter at the 2026 American Roentgen Ray Society (ARRS) Annual Meeting in Pittsburgh. She participated in the “Resident Symposium: Producing Quality Reports,” focusing her presentation on “How to Write a Great Report: Malpractice Lawyer’s Perspective.” Vicky, the only attorney presenter for this two-hour segment, was joined by several health care professionals including diagnostic radiologists, an interventional radiologist, an internal medicine physician, and a radiologist turned AI entrepreneur expert.  Matthew Keris (Scranton), President of the Pennsylvania Association for Health Care Risk Management (PAHCRM) and shareholder in our Scranton Health Care Department, presented an important and timely session titled “Keynote Address: A Conversation with RaDonda Vaught on Criminalizing Errors” at PAHCRM’s Annual Meeting in April. RaDonda is a former Tennessee nurse widely known for being criminally convicted in 2022 of negligent homicide and gross neglect after a 2017 fatal medication error at Vanderbilt University Medical Center. Her case gained national attention because she was criminally prosecuted rather than just facing licensing board action, sparking debate over blaming individual nurses for systemic healthcare failures. Matt and RaDonda’s conversation explored one of the most consequential issues in health care risk management today—how systems respond to human error, and what it means for patient safety, accountability, and the professionals who serve on the front lines. Gary Samms was a panelist for a podcast hosted by the Medical Liability Monitor, “From Outliers to Pattern: The Increasing Predictability of Megaverdicts in the Med-Mal Industry – and How to Reduce the Likelihood of Getting Hit with One.” Gary discussed the changing megaverdict landscape and why “outlier” verdicts are becoming structural, in addition to how plaintiffs turn weaknesses into megaverdicts (including building emotional narrative and jury psychology). Thank you to our clients who joined us for our Trends in Health Care & Health Law seminar on May 14. Led by our Health Care Department Director and Assistant Director, Robin Snyder and Donna Modestine, the session explored key issues that are currently shaping outcomes in health care litigation. We owe a debt of gratitude to our esteemed guest speaker, Mary Ellen Nepps, Esq., Senior Counsel, University of Pennsylvania, who presented “Medical Malpractice Litigation: Driving Another Health Care Crisis in Pennsylvania.” And special thanks to our attorneys who presented and shared their insights, including John J. Hare and Holli Archer who discussed “Highlights in PA Medical Malpractice Law;” David Drake for his presentation, “From Claims to Courtroom: Key Trends in NJ Medical Malpractice Litigation;” and Matthew Keris with an “Update on Health Care Tech Discovery.” Thank you to all of our clients for entrusting us with your health care litigation. We are proud to partner with you as we defend your interests and navigate legal landscapes together.

Thought Leadership

Casual Care, Serious Consequences: How Informal Prescribing Can Trigger Medical Board Scrutiny

The lesson for health care practitioners is that regular review of the regulatory requirements can ensure compliance and that casual prescribing may be in violation of state regulations if the necessary components are not met. Consider the following scenario: in December 2025, a medical provider renewed a prescription for a long-standing telemedicine patient receiving a Schedule II controlled dangerous substance. This was not a violation of the New Jersey Administrative Code. Another provider doing the same action for an equally situated patient in March 2026 would be in violation. The casual prescriber who is not aware of newer regulatory requirements may have a more difficult time responding to a medical board complaint. Medicine is a highly-regulated helping profession. Without addressing the merits of this regulatory burden, the practice of medicine continues to see drastic changes impacting the everyday life of patient and provider. Telemedicine, COVID-19, and other advances and roadblocks, present a challenge to those saving lives while attempting to comply with the rules of practice. Physicians often discover—through real cases and the lens of regulatory expectations—that even well-intentioned informal help can be reinterpreted as stepping outside mandated professional boundaries, and seemingly harmless actions can be construed as deviations from required practice standards specifically outlined in Title 13, Chapter 35, Subchapters 7.1A of the New Jersey Administrative Code. Title 45, "Professions and Occupations," of the New Jersey code governs the practice of medicine, nursing, optometry, pharmacy, and many other professional occupations. Section 9 specifically addresses the state board of medical examiners and allows for the creation of rules and regulations in Section 45:9-5.3. These regulations can be found in the New Jersey Administrative Code Title 13, Chapter 35. While broad in scope, Chapter 35 contains a subchapter dedicated to the administration and dispensing of prescription drugs. Such knowledge will arm physicians with the tools they need to prevent a negative outcome if a medical board complaint is filed. Likewise, attorneys must be familiar with these regulatory requirements when advising and defending providers. In New Jersey, N.J.A.C. Section 13:35-7.1A(a) requires that a practitioner conduct an examination and appropriately document the same within the medical record before dispensing drugs or issuing prescriptions. The examination must include an "appropriate history and physical examination," a diagnosis based upon the examination and any testing consistent with good medical care, the formulation of a therapeutic plan discussed with the patient, and the availability of appropriate follow-up care. There are only six exceptions to this requirement: In admission orders for a newly hospitalized patient For a patient of another physician for whom the practitioner is taking calls For continuation medications on a short-term basis for a new patient prior to the patient's first appointment For an established patient who, based on sound medical practice, the physician believes does not require a new examination before issuing a new prescription For a patient examined by a healthcare professional who is in collaborative practice with the practitioner When treatment is provided by a practitioner for an emergency medical condition Emergencies are also limited to situations where someone's health is in serious jeopardy, there is serious impairment to bodily functions, or serious dysfunction of any bodily organ or part. During the COVID-19 pandemic, then New Jersey Governor Phil Murphy issued an executive order declaring a public health emergency and a state of emergency that allowed authorized prescribers to prescribe Schedule II controlled dangerous substances via telemedicine. The order was terminated when he left office earlier this year and the state reverted to the requirement of an initial in-person examination and quarterly in-person visits. With this return to prior regulatory requirements, practitioners subject to the jurisdiction of the board of medical examiners may benefit from a refresher on the regulatory limitations on their practice now that the pandemic-era flexibilities have ended. This new requirement may create confusion for prescribers and lead to casual prescribing of medication in violation of the regulations, even in the setting of recurrent telemedicine appointments as noted in the example above. Casual prescribing can take many forms: filling a prescription request from a friend or family member without an examination or contemporary medical record; using telemedicine to expand your practice without proper in-person appointments or documentation in the medical record; failing to ensure appropriate follow-up care for a "one time" prescription; etc. Although not all board complaints end in a publicly available opinion, serious deviations from regulatory requirements can shine a light on practices that will require action by the board if a complaint is received. Consider the following cases: In October 2025, the board issued a final consent order in an administrative action where a doctor provided opioids without examination and his license was permanently revoked. In re Robert Dela Gente, D.O., N.J. State Bd. of Med. Exam'rs Oct. 21, 2025. Criminal charges were filed (though that is not always the case). In a September 2025 consent order, a physician was reprimanded for "prescribing opioids several months in advance without the proper patient follow-up..." and explained that they did so for "patients who can not pay for multiple visits to refill medications." In re A/an E. Schultz, M.D., N.J. State Bd. of Med. Exam'rs Sept. 25, 2025. Another physician was suspended and placed on probation in a consent order for prescribing three patients the weight-loss medication "Ozempic" via text messages through a website called "Push Health" and without any further communication with the patients or taking a medical history. In re Laura E. Purdy, M.D., N.J. State Bd. of Med. Exam'rs Aug. 29, 2025. A June 2025 interim consent order required a "full evaluation and assessment of [a physician's] general knowledge and skill, with specific emphasis on his knowledge of and ability to safely prescribe [controlled dangerous substances]" due to his failure to review a patient's prior medical history and medical record, assess and review the prescription monitoring program before prescribing CDS, and conduct random urine screens on a patient that tested positive for CDS upon admission to his practice because "he trusted the patient." In re Donald Oh, M.D., N.J. State Bd. of Med. Exam'rs June 2, 2025. Each of these examples demonstrate a failure to follow strict procedure regardless of the intention. Failing to follow procedure secondary to good intentions, such as considering a patient's financial constraints, trust in the patient, or utilizing a new telemedicine service platform, will not be a defense to a board complaint. Especially when practicing via telemedicine, practitioners must ensure they are adhering to the appropriate regulatory standard. A provider who calls in a prescription for a traveling friend or family member or agrees to prescribe medication for individuals using the newest phone app will have a hard time meeting the requirements of N.J.A.C. Section 13:35-7.1A. Even if a history was taken, a "therapeutic plan" was created, and "follow up care" was provided, the prescriber would still not be in compliance with the regulation without an in-person examination. In our opening hypothetical, the prescriber's behavior did not change between December and March; however, the legal shift in the regulatory landscape made once acceptable behavior a violation as a required examination did not occur. When complaints are made with regard to informal prescribing, the board has discretion to employ measures to encourage compliance in lieu of formal proceedings such as a private, written warning; suspending fines subject to continuing compliance; medical or professional treatment as may be necessary; medical or diagnostic testing and monitoring; skills assessment; corrective training; participation in outreach programming; or contribution to the consumer fraud protection fund. The lesson for health care practitioners is that regular review of the regulatory requirements can ensure compliance and that casual prescribing may be in violation of state regulations if the necessary components are not met. Even compliant providers who had not conducted an in-person examination for telemedicine patients during the COVID-19 emergency would be in violation of the regulations as of January 2026 for the same practice. Practitioners should be diligent in adhering to the prescribing rules to avoid sanctions related to casual care. Likewise, attorneys advising or defending practitioners before the board must be aware of the in-person examination requirements for prescribing in New Jersey whether the care in question took place in-person or in a telemedicine setting. Reprinted with permission from the April 22, 2026 issue of the New Jersey Law Journal. ©2026 ALM Media Properties, LLC. Further duplication without permission is prohibited. All rights reserved.