Doctors Negligent in Woman’s Cancer Death, Jury Finds : Health: Family is awarded $700,000. Their lawyer calls the verdict an indictment of managed care system.

The husband and son of cancer victim Joyce Ching were awarded more than $700,000 Wednesday when a Ventura County jury ruled that her Simi Valley doctors’ negligence led to her death last year at age 35.

The jury decided that Dave Ching, 37, and his son Justin, 5, should receive nearly $3 million because doctors Elvin Gaines and Dan Engeberg did not detect Joyce Ching’s cancer in time to save her life. But a state law passed 20 years ago limits damages that can be collected in medical malpractice cases.

The jurors were unanimous in deciding that Gaines was negligent and that his poor treatment of Ching led to her death. The eight-man, four-woman panel was split 9 to 3 on the culpability of Engeberg, who did not treat Ching as often as Gaines did.

“The message the jury sent is in the [$3-million] number,” said Mark Hiepler, the Chings’ lawyer.

This case had originally challenged the MetLife health maintenance organization’s system of paying member physicians and alleged that the two doctors’ negligence was motivated in part by greed. But Superior Court Judge Ken W. Riley ruled that Hiepler did not prove that point and tossed out the accusation two days before the jury began its deliberations.

Still, Hiepler contended Wednesday that the verdict was an indictment of the health care management industry.

“This sends a clear message that when you mix incentives and money with medicine it equals death,” Hiepler said. His clients argued that Gaines and Engeberg delayed sending the ailing Joyce Ching to a stomach specialist until it was too late because they feared it would cut into the profits of their medical practice.

The Chings, who lived in Simi Valley at the time, belonged to MetLife, which required its doctors to spend $5,000 of their own money on outside referrals for each patient before the insurance giant will begin reimbursements.

But defense attorney Michael Gonzalez consistently has denied that greed played a part in Joyce Ching’s treatment.

“This sends no message to the medical community,” Gonzalez said after the verdict was read. He said he did not believe that the managed care system was rife with the financial abuses Hiepler claimed.

He also said his clients, who were not in court Wednesday, were disappointed with the verdict and still maintain that they did everything professionally possible to treat Ching.

Further, he said Hiepler’s argument unduly influenced the jury in reaching its decision and probably led to some confusion during deliberations. Though the doctors’ contract with MetLife was discussed, Riley never told the jury that the greed allegation had been dismissed.

Bailiffs ushered jurors down a private stairwell to leave the courthouse, and none were available for comment.

But Hiepler said he believes the accusation that greed leads to medical negligence is a viable legal argument and that he expects to see similar suits filed in the future. “Joyce Ching did not die in vain,” he said.

Dave Ching said he was pleased with the verdict and said it sends a message to patients. “Don’t take your family doctor for granted, do some research, ask questions and be diligent in your own medical research,” he advised.

For three months in 1992, Joyce Ching visited Gaines and Engeberg complaining of stomach pain and other discomfort. And for three months, the two doctors did not check for cancer and instead pursued other diagnoses, testimony showed.

Only after Dave Ching confronted Gaines and refused to leave his office until he received a referral to a gastroenterologist, a specialist in treating stomach disorders, was Joyce Ching’s colon cancer found.

Both attorneys declined to say if they would appeal any part of the verdict or any of Riley’s ruling.

“Whether I was right or I was wrong will be decided by the Court of Appeal or even the Supreme Court,” Riley told the jury after it had delivered its verdict.