When you are facing a catastrophic injury in Texas, the settlement you accept today must fund the costs of your life for decades to come.
At Cowen | Rodriguez | Peacock, we understand there are no second chances; the amount agreed to or awarded must set the ceiling for every hospital stay, therapy session, and piece of adaptive equipment you will need for the next 30, 40, or 50 years.
The at-fault party's insurer knows this, which is why their first offer will arrive fast and look reasonable—until you map it against a real life-care cost projection and see the staggering gap.
Based in San Antonio, our experienced Texas catastrophic injury lawyers build cases for that long time horizon, constructing damage models that account for the full cost of the future the crash took from you.
Don't settle for less than you deserve. Call (210) 941-1301 for a free, no-obligation consultation with a Texas catastrophic injury lawyer today.

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Why Cowen | Rodriguez | Peacock For Texas Catastrophic Injury Cases
Catastrophic injury litigation is its own discipline inside personal injury law. The cases are more expensive to prepare, the experts are more costly, the medical complexity is greater, and the stakes of getting the number right are permanent. Most firms cannot afford to carry these cases to trial. We were built to.
- Severe injury is our caseload, not a sideline: Traumatic brain injury, spinal cord damage, amputation, severe burns, organ damage, and wrongful death make up the majority of our active files.
- Seven and eight-figure results on record: Outcomes including a $10.5 million judgment in a catastrophic case and a $4 million jury verdict in a commercial vehicle crash reflect what trial-readiness delivers when insurers refuse to pay fair value.
- Credentials that matter at the top end: Michael Cowen is Board Certified in Personal Injury Trial Law by the Texas Board of Legal Specialization. Malorie Peacock holds Board Certification in Truck Accident Law from the National Board of Trial Advocacy, a distinction shared by only a small group of Texas attorneys.
- Expert witness network already built: Life care planners, vocational economists, medical illustrators, biomechanical engineers, and accident reconstructionists we have worked with across years of complex trials. The right team assembled early changes what the case is worth.
- Case expenses advanced on your behalf: Catastrophic cases cost serious money to develop. We front expert fees, investigation costs, and trial preparation expenses so the case is built to the level the injury demands.
- Settlement structure strategy: Structured settlements, special needs trusts, Medicare Set-Aside arrangements, and lien negotiation are standard in these cases. We coordinate the financial structure so the settlement actually protects your future.
Bringing a catastrophic injury case to a firm without this infrastructure almost always leaves money on the table. The gap is measured in millions.
What Makes an Injury Catastrophic Under Texas Law
Texas does not use a single statutory definition for catastrophic, but the category is recognized across insurance, medical, and legal practice. An injury generally qualifies as catastrophic when it produces one or more of the following:
- Permanent disability: The survivor cannot return to pre-injury function and will live with the loss for the remainder of their life.
- Lifetime medical care needs: Ongoing treatment, rehabilitation, medication, equipment, or attendant care extending across the survivor's expected lifespan.
- Inability to work: Total loss of earning capacity, or reduction of earning capacity to a level far below what the survivor previously earned.
- Significant loss of independence: Survivors who can no longer perform activities of daily living without assistance, including bathing, dressing, eating, and moving between locations.
- Permanent cognitive or sensory impairment: Brain injuries, vision loss, hearing loss, or other neurological damage that shapes every aspect of daily life.
These markers separate catastrophic cases from ordinary injury claims in both human impact and legal value. They also shape which experts the case needs and how the damages model gets constructed.
How Catastrophic Cases Get Valued (Or Undervalued)
The most common reason catastrophic injury survivors end up with settlements that fail to cover their actual future costs is inadequate case development on the plaintiff's side. A few patterns keep popping up.
- Settling before medical stabilization: Insurers push for early resolution while the survivor is still in acute care, before the long-term prognosis crystallizes. Settling at that stage almost guarantees undercompensation. We decline premature offers and build the file as treatment progresses.
- Life care plans that stop short: A surface-level projection lists obvious costs and stops. A rigorous life care plan captures every category across every year of the survivor's remaining life, including escalation for inflation and medical cost growth. The difference between the two approaches can run seven figures.
- Missed defendants: A catastrophic case with only one defendant often hits policy limits long before the damages do. We investigate every potentially liable party, from employers and contractors to premises owners, product manufacturers, and commercial vendors, to maximize available coverage.
- Unaddressed liens: Hospital liens, Medicare, Medicaid, and private insurer subrogation claims can consume a significant portion of any settlement. We negotiate liens aggressively and structure the settlement to preserve as much recovery as possible for the client.
- Benefits eligibility blunders: A survivor receiving Medicaid, SSI, or similar needs-based benefits can lose eligibility if a settlement is handled incorrectly. Properly drafted special needs trusts protect both the settlement and the benefits.
- No structured settlement consideration: Lump-sum settlements are appropriate for some cases but devastating for others. Structured settlement payments are tax-free under federal law and can guarantee lifetime income. We walk every client through the options.
The result of doing this work correctly is a case presented and documented at its actual value, which is almost always higher than the opening offer.
Types of Catastrophic Injuries We Handle in Texas
Our firm represents survivors and families across the full range of catastrophic injury categories:
- Traumatic brain injury and post-concussion syndrome: Mild to severe TBI, diffuse axonal injury, hematomas, and long-term cognitive impairment.
- Spinal cord injury and paralysis: Complete and incomplete injuries, paraplegia, quadriplegia, and related conditions.
- Amputation and limb loss: Traumatic amputations at the scene, surgical amputations following crush injuries, and prosthetic rehabilitation cases.
- Severe burn injuries: Thermal, chemical, electrical, and friction burns resulting in permanent scarring, disfigurement, contractures, or loss of function.
- Multiple orthopedic trauma: Polytrauma cases involving fractures, joint damage, and long-term mobility limitations.
- Internal organ damage: Injuries to the lungs, heart, liver, kidneys, or reproductive system with long-term health consequences.
- Crush injuries and degloving: Severe soft tissue damage often resulting in amputation, infection risk, and chronic pain.
- Vision and hearing loss: Permanent sensory damage from crashes, explosions, or chemical exposure.
- Wrongful death cases: Fatal injuries where surviving family members bring claims under the Texas Wrongful Death Act and the Texas Survival Statute.
These injuries commonly result from commercial truck crashes, high-speed vehicle collisions, pedestrian strikes, defective products, oilfield and industrial explosions, and rideshare incidents. The mechanism matters less than the severity. What matters to the case is how the injury reshapes the survivor's life.
Building the Damages Model in a Texas Catastrophic Injury Case
A catastrophic injury damages model is assembled, not estimated. Every category of loss is documented, projected, and converted to a present-value figure that holds up under defense scrutiny at trial. The model includes three legal categories.
Economic damages capture every measurable financial loss the injury produces now and in the future:
- Past and future medical care: All acute treatment costs, rehabilitation, and projected future medical needs across the survivor's lifetime.
- Lost earnings and earning capacity: Past lost wages plus future earning capacity loss, calculated against what the survivor would have earned over a full career.
- Cost of daily assistance: Attendant care, home health aides, household services, and transportation the survivor can no longer manage independently.
- Rehabilitation and therapy: Physical, occupational, speech, cognitive, and vocational rehabilitation across all phases of recovery.
- Assistive technology and modifications: Wheelchairs, prosthetics, adaptive equipment, home accessibility improvements, and vehicle modifications.
- Education and retraining costs: Vocational retraining when survivors must shift to work within new physical limits.
Non-economic damages
Compensation for these damages captures the human toll that no dollar figure fully quantifies:
- Physical pain and suffering across the survivor's lifetime.
- Mental anguish, emotional distress, and psychological impact.
- Loss of enjoyment of life and inability to participate in activities that defined identity before the injury.
- Physical impairment and disfigurement.
- Loss of consortium for the spouse and, in some cases, parents or children.
Exemplary damages are available under Texas Civil Practice and Remedies Code Chapter 41 when the defendant's conduct rose to gross negligence. These damages carry caps under Texas law but with specific exceptions for certain categories of conduct including felony DWI.

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FAQs About Texas Catastrophic Injury Claims
How do you calculate the value of a Texas catastrophic injury case?
Case value combines proven economic losses, noneconomic damages, and any available exemplary damages. Economic losses are projected through life care planning and vocational economic analysis. Noneconomic damages are argued based on severity, impact on identity and relationships, and the conduct of the defendant. The valuation process is months of work, not a formula.
What if the at-fault party does not have enough insurance to cover my injuries?
Catastrophic damages routinely exceed available insurance. We pursue every secondary source of recovery, including underinsured motorist coverage, umbrella policies, commercial coverage when a business was involved, product manufacturers, contractors, and premises owners. When no further coverage exists, personal assets and bankruptcy exposure of the defendant come into play.
How long does a catastrophic injury case take to resolve in Texas?
Most catastrophic cases take eighteen months to three years from filing through resolution. Complex cases with multiple defendants, major injuries still stabilizing medically, or trial preparation can extend longer. Rushing a catastrophic case is almost always worse for the client than taking the time to develop it properly.
What is a life care plan and why does it matter?
A life care plan is a professional document prepared by a credentialed life care planner, usually a nurse or physician with specialized training. It projects every category of future medical and support cost across the survivor's remaining life, year by year, with documented pricing and sourcing. Without a rigorous life care plan, future damages in a catastrophic case are not provable at trial.
How do medical liens affect my settlement?
Hospitals, Medicare, Medicaid, and private health insurers often assert liens or subrogation claims against settlement proceeds. Without careful negotiation, these claims can consume a large portion of the recovery. Our firm handles lien negotiation and reduction as part of the representation, protecting the client's net recovery.
How long do I have to file a catastrophic injury claim?
The filing window in Texas is two years from the date of injury under Texas Civil Practice and Remedies Code Section 16.003. Catastrophic cases routinely require eighteen months or more of preparation before suit, so engaging counsel early preserves case quality.
Will a settlement cost me my Medicaid or SSI benefits?
It can, if handled incorrectly. Needs-based benefits have asset and income limits that a lump-sum settlement will violate. Properly drafted special needs trusts and, where appropriate, structured settlement arrangements can preserve both the recovery and eligibility for benefits. This planning happens before any settlement closes.
What does Cowen | Rodriguez | Peacock charge to handle a catastrophic injury case?
Our firm operates on contingency. No upfront fees, no hourly rates, and no fee of any kind unless money is recovered for the client. Case expenses, including expert costs, are advanced by our firm.
Move Forward With Your Texas Catastrophic Injury Case
A catastrophic injury changes the shape of a life in seconds, and the legal process that follows determines whether the years ahead are financially survivable. The insurance company knows this. The defense counsel they hire knows this. The pressure on you and your family to sign something quickly will be intense.
Cowen | Rodriguez | Peacock are prepared for that pressure. We build cases methodically, support clients through the months of medical development required to value the claim properly, and take the case to a Texas jury when insurers refuse to pay what the injury actually cost.
Our track record of multimillion-dollar outcomes signals to the defense exactly what it looks like when we do not settle.
Call (210) 941-1301 for a free consultation with a Texas catastrophic injury lawyer. No cost unless we recover for you.
Consultations are available around the clock, with Spanish-speaking support on staff.
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Cowen Law - Texas Office
Address: 6243 I-10 #801, San Antonio, TX 78201
Contact No: (210) 941-1306
