The family of a Miami Gardens 3-year-old who cannot move because of brain damage sustained during his birth won a $33.8 million medical malpractice award against the federal government.

U.S. District Judge Robert Scola ruled Monday that the delivering doctor, employed by a federally supported health center, did not tell the 19-year-old mother-to-be about her baby’s slowed heart rate and never offered her a cesarean section. Instead, he encouraged her to go through with a vaginal delivery, even as she yelled “Cut me! Cut me,” according to her testimony. He also left the room to deliver another baby and took an eight-minute call from his financial adviser.

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