Passalacqua & Associates, LLC provides legal representation for individuals facing personal injuries and criminal charges. Our attorneys offer compassionate guidance and aggressive strategies, and we’re committed to achieving the best possible outcomes. We’ll protect your rights and navigate legal complexities on your behalf.
It’s a normal human response to be upset after a medical scare, but you do have options. A departure from the accepted standard of care that causes injury is the key difference between a bad outcome and medical malpractice. This distinction is what every medical malpractice case in New York turns on. A bad outcome is not medical malpractice.
The Syracuse medical malpractice lawyers at Passalacqua & Associates, LLC evaluate potential claims against Onondaga County hospitals, physicians, and long-term care providers with the medical record review and expert consultation these cases require from day one.
Call (315) 500-6425 for a free, confidential consultation. We answer 24/7.
What Actually Counts as Medical Malpractice in New York

New York recognizes a medical malpractice claim when a healthcare provider’s departure from the accepted standard of care in the medical community causes injury to a patient. Four elements have to be established:
- A doctor-patient relationship creating a duty of care.
- A departure from the accepted standard of care for that provider in that specialty at that time. The standard is what a reasonably prudent provider in the same field would have done under similar circumstances, not what a perfect provider would have done in hindsight.
- Causation. The departure was a substantial factor in causing the injury. This is where most cases are won or lost, and proving causation is the element the defense fights hardest.
- Damages. Actual, documented harm resulting from the departure: medical costs, lost income, pain and suffering, and loss of enjoyment of life. When a medical error causes death, the family can bring a wrongful death claim.
A poor outcome alone is not enough. Surgery can go wrong without malpractice, diagnoses can be missed without malpractice, and treatment can fail without malpractice. The case exists only when the record shows a departure and that departure caused the harm. The first consultation is diagnostic. We tell you honestly whether the case looks like malpractice or a bad outcome the law does not remedy.
New York’s Deadlines: The 2.5-Year Statute of Limitations and Its Exceptions
The general statute of limitations for medical malpractice in New York is 2.5 years from the date of the malpractice, under CPLR § 214-a. That is shorter than the three-year window for ordinary negligence, and it starts running the day the negligent act or omission occurred, not the day the patient discovered it. Several important exceptions can extend it.
- Continuous treatment doctrine. If the patient continued treatment with the same provider for the same condition, the SOL clock is tolled until the treatment relationship ends. This is one of the most litigated defenses in NY malpractice.
- Lavern’s Law (cancer misdiagnosis). For failure to diagnose cancer or a malignant tumor, the SOL runs 2.5 years from the date the patient knew or should have known of the misdiagnosis, capped at seven years from the underlying act.
- Foreign object left in the body. One year from the date of discovery, or the date the object reasonably could have been discovered.
- Infancy toll. For a minor, the SOL is tolled until the child turns 18, capped at a maximum of 10 years from the act (or until the age of majority, whichever provides more time).
- Public hospitals and county providers. A Notice of Claim generally must be served within 90 days, and the lawsuit filed within one year and 90 days. If the potential defendant is Upstate Medical University or another public entity, the shorter deadlines control.
Do not assume you have the general window. Call now, so the case can be evaluated against the correct deadline.
The Certificate of Merit: Why We Need an Expert Before We Can File
New York does not allow medical malpractice cases to proceed on the plaintiff’s belief that malpractice occurred. Under CPLR § 3012-a, the plaintiff’s attorney must file a Certificate of Merit stating that they have consulted with a qualified physician who reviewed the case and concluded there is a reasonable basis for the claim.
What that means in practice:
- A qualified medical expert reviews the records before the case is filed. In many practice areas that expert has to be in the same specialty as the defendant.
- The expert’s identity is not disclosed in the certificate itself, but the review has to be real.
- A defective or missing certificate exposes the case to dismissal, so this is not a step to shortcut.
- The consultation happens on our end, not yours. Case evaluation costs are advanced by the firm.
If the expert review does not support the claim, we tell you that. A case without expert support cannot survive in NY medical malpractice practice.
New York Has No Cap on Non-Economic Damages
Many states cap what a jury can award for pain and suffering in a medical malpractice case. New York does not. There is no statutory ceiling on non-economic damages for a medical malpractice verdict in New York State.
- Pain and suffering is compensable in whatever amount the jury finds appropriate, subject to appellate review under a “materially deviates” standard.
- Loss of enjoyment of life and disfigurement damages are similarly uncapped.
- Loss of consortium for a spouse is separately compensable.
- Economic damages (medical costs and lost earnings, past and future) are always fully recoverable on top of non-economic damages.
The absence of a cap changes the negotiation posture on serious injury cases. It is one of the reasons New York malpractice verdicts on catastrophic cases can be substantial.
Call (315) 500-6425 for a free case review before your deadline runs.
Types of Medical Malpractice Claims We Handle

Different malpractice categories require different experts, different discovery strategies, and different theories of the case. We handle the full range.
Surgical error
Wrong-site surgery, retained foreign objects, injury to adjacent structures, and post-operative infection from breaches of sterile technique. Expert review typically requires a surgeon in the same specialty as the defendant.
Misdiagnosis and delayed diagnosis
Missed cancer diagnoses (subject to Lavern’s Law), missed heart attacks in the ER, delayed sepsis recognition, and delayed stroke workup. These cases turn on the differential diagnosis the provider should have considered.
Medication error
Wrong drug, wrong dose, contraindicated prescription, and pharmacy errors. Liability may extend to the prescriber, the pharmacy, and the facility.
Birth injury
Failure to monitor fetal distress, delayed emergency C-section, shoulder dystocia mismanagement, and neonatal resuscitation errors. Injuries in this category (cerebral palsy, brachial plexus injuries, HIE) require lifetime care planning and specialized experts.
Emergency room error
Missed diagnoses, premature discharge, failure to consult, and triage failures. ER cases often involve multiple providers and hospital protocols simultaneously.
Anesthesia error
Airway management failures, dosing errors, and monitoring failures during and after surgery. These cases turn on anesthesia records that require careful reconstruction.
Malpractice in long-term care
Clinical care failures in nursing home settings, including medication errors, wound care failures, and misdiagnosis. Where the negligence is substandard nursing home care, a Public Health Law § 2801-d claim may run alongside the malpractice case.
Onondaga County Venue and Regional Hospital Systems as Defendants

Most Syracuse medical malpractice cases are filed in Onondaga County Supreme Court. The defendant pool is a small number of large regional systems, and knowing how each one defends cases matters.
- Typical institutional defendants include Upstate Medical University Hospital, St. Joseph’s Health, Crouse Hospital, and physician groups affiliated with each system. Upstate is a state entity, which triggers Court of Claims practice and its own deadlines.
- Onondaga County Supreme Court has a specialized calendar for complex civil cases, and malpractice cases can take 24 to 48 months from filing to trial.
- Discovery is document-heavy. Complete medical records from every relevant provider, including imaging and pathology slides, form the evidentiary backbone.
- The defense bar is specialized. Hospital insurers use a small pool of defense firms with deep familiarity with these cases. Your counsel needs the same depth.
We work these courts and these defendants. That local trial experience is not a luxury in a malpractice file.
Why Choose Passalacqua & Associates for Your Medical Malpractice Case

Medical malpractice cases are expert-intensive, records-intensive, and long. The firm you choose has to have the resources to develop the case fully.
- A trial firm. We prepare every case for trial, which shifts what the hospital’s insurer offers on settlement.
- Two or more attorneys on every case. Real second-set-of-eyes review of every expert consultation, motion, and settlement recommendation.
- Backed by our broader Syracuse injury practice and over 50 years of combined trial experience in Central New York.
- 230+ five-star client reviews and recognition from Avvo, Justia, and FindLaw.
Prior results do not guarantee a similar outcome.
Frequently Asked Questions
Talk to a Syracuse Medical Malpractice Lawyer Today

Medical malpractice deadlines run against you every day, and the shorter deadlines against public hospitals and county providers can close a case in as little as 90 days. The sooner counsel gets the records, the more of the case we can preserve.
When you call, we’ll ask about:
- The provider or hospital involved and the approximate dates of treatment
- The specific injury or outcome you’re concerned about
- Whether the provider is a public or private entity (Upstate is public; Crouse and St. Joseph’s are private)
- What medical records you already have
- Whether any deadlines may already be running
Call Passalacqua & Associates, LLC at (315) 500-6425 any time, day or night, or visit our Syracuse office at 499 S. Warren St, Suite 220, Syracuse, NY 13202. Consultations are free and confidential.
