Adams v. Louisiana Medical Mut. Ins. Co.

756 So. 2d 708, 2000 La. App. LEXIS 764, 2000 WL 369113
CourtLouisiana Court of Appeal
DecidedApril 7, 2000
Docket33,030-CA
StatusPublished
Cited by2 cases

This text of 756 So. 2d 708 (Adams v. Louisiana Medical Mut. Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adams v. Louisiana Medical Mut. Ins. Co., 756 So. 2d 708, 2000 La. App. LEXIS 764, 2000 WL 369113 (La. Ct. App. 2000).

Opinion

756 So.2d 708 (2000)

Woodrow W. ADAMS, III, et al., Plaintiffs-Appellants,
v.
LOUISIANA MEDICAL MUTUAL INSURANCE CO., et al., Defendants-Appellees.

No. 33,030-CA.

Court of Appeal of Louisiana, Second Circuit.

April 7, 2000.
Writs Denied June 30, 2000.

*709 Hunter & Morton by John E. Morton, Alexandria, Counsel for Plaintiffs-Appellants Woodrow Adams & Alesha Adams.

Onebane, Bernard, Torian, Diaz, McNamara & Abell by William E. Bourgeois, Lafayette, Counsel for Defendant-Appellee Morehouse General Hospital.

Hudson, Potts & Bernstein by Gordon L. James & C. Bryan Racer, Monroe, Counsel for Defendants-Appellees Dr. Terry Tugwell, Jr. & Louisiana Medical Mutual Ins. Co.

Before BROWN, CARAWAY and DREW, JJ.

*710 DREW, J.

At issue is whether parents who knew a mistake was made at the birth of their child (seven weeks premature instead of three weeks premature as the doctor advised immediately prior to delivery) had sufficient knowledge for reasonable persons to suspect that malpractice caused the premature birth and resulting health problems of their daughter. Because the plaintiffs knew that their child was born prematurely with serious health problems, the defendants contend the parents had sufficient information to suspect that malpractice was involved. While acknowledging they knew the child's prematurity resulted in significant health problems, the parents maintained they had no way to know that the premature birth and ensuing problems were the result of malpractice until the different procedures at the birth of their second child and a diagnosis of cerebral palsy led them to suspect negligence at the first child's birth.

From the judgment dismissing their August 1995 medical malpractice action as prescribed, Woodrow Wilson Adams, III and Alesha Adams Keith appealed and contended that the trial court erred in finding that they had sufficient actual and constructive knowledge to commence the running of prescription after Courtney Adams' birth on October 3, 1992. Although recognizing that malpractice occurred, the trial court rejected the action as untimely. For the following reasons, the judgment sustaining the exceptions of prescription is reversed.

FACTUAL AND PROCEDURAL BACKGROUND

Born seven weeks early with numerous medical complications, Courtney Adams was delivered by Dr. Terrance Tugwell on October 3, 1992, at Morehouse General Hospital. Her mother, 16-year-old Alesha Adams, went to the hospital on October 2 because she was leaking fluid. A nitrazine test was performed to determine if the fluid was urine or amniotic fluid. The first test was negative for amniotic fluid. The second test was allegedly performed on fluid pooled where the mother had been seated. That leakage was stated to be amniotic fluid. Thereafter, Dr. Tugwell miscalculated the gestation age of the fetus and told the family the baby would be two to three weeks premature. The doctor attempted to induce labor with medication. By the next day the induction had failed and the child was delivered by cesarian section. Courtney had respiratory distress and other problems and was transferred soon after her birth to the Pediatric Intensive Care Unit (PICU) at St. Francis Medical Center in Monroe. Doctors at St. Francis informed the parents that the child was actually seven weeks premature. The parents were also told that the infant's problems resulted from the prematurity which had resulted in her low oxygen level.

The mother was discharged from Morehouse General on October 5, 1992. The infant Courtney remained hospitalized for some seven weeks. The final diagnosis on the St. Francis discharge summary was a premature (33 weeks gestational age) infant with severe hyaline membranes disease (lung); sepsis (infection); anemia; transient heart murmur; jaundice; seizures, unknown cause; transient neutropenia, increased alkaline phosphatase with decreased phosphorous; and umbilical hernia. The infant was discharged on phenobarbital and with instructions to see numerous doctors within the next month.

Approximately eight months after the child's birth, the mother sought to obtain social security disability benefits based upon her prematurity, seizures and slowed development. She attributed the child's problems to her premature birth. In connection with the social security claim, Alesha took Courtney at age 11 months to a Minden pediatrician, Dr. Quinones, whose report noted that

Mother thinks she is disabled because she had to take Physical Therapy because the left side of the baby is weaker. *711 CT Scan was normal but neurologist said it might show up on MRI. I still think she is weaker on left side. Also she had some seizures and I do not know if it will damage her brain because they still do not know the cause of the seizure.

Dr. Quinones's diagnosis was a premature infant with neonatal complications, heart murmur and apparently normal development for corrected age. The doctor recommended the MRI and follow-up by a neurologist.

According to the plaintiffs, they learned of the possibility of medical malpractice in two ways. At her deposition, the mother stated when her second child was born in December 1994, she again leaked fluid and the nitrazine test was again administered. The different nurses and doctor at the second birth explained that false positives could result from faulty testing and the mother became suspicious that the first test had been done wrong. (This testing information from the mother's second delivery was apparently not considered by the trial court who viewed it to be hearsay.) In July 1995, a doctor at LSUMC diagnosed Courtney with brain damage and cerebral palsy. The mother then suspected that Courtney's problems arose from an unnecessary labor induction. She consulted a lawyer and filed her claim on August 14, 1995.

In an amended petition filed in January 1999, the parents named Dr. Tugwell, his insurer and Morehouse General Hospital as defendants. Alleging that Courtney was born with numerous, serious disabling injuries, none of which were known to the plaintiffs at the time, the plaintiffs asserted a variety of negligent acts during labor and delivery including improper due date calculation, negligent induction of labor, and precipitation of a premature delivery. Among the injuries Courtney allegedly suffered were seizures, encephalopathy, permanent loss of motor and sensory function, permanent brain damage, respiratory distress syndrome and hyaline membrane disease. Plaintiffs asserted that they filed their action less than three years from the acts of medical malpractice and less than one year from when they obtained actual or constructive knowledge of the relationship between the tortious conduct and the damages sustained.

The defendants filed exceptions of prescription and asserted that plaintiffs filed their action more than one year from the date of the discovery of the alleged malpractice. La. R.S. 9:5628. The trial court sustained the exceptions and plaintiffs appealed.

PRESCRIPTION HEARING

Married April 18, 1992, when pregnant with Courtney, her first child, Alesha stated she had dropped out of the 10th grade in March 1992, obtained her GED in 1995, and thereafter completed courses at the Career Training Specialist to be a phlebotomist and a nurses assistant. Alesha testified that at the time of Courtney's birth she did not suspect negligence by Dr. Tugwell or any other health care provider. In December 1994, she gave birth to her second child, Mallory.

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Bluebook (online)
756 So. 2d 708, 2000 La. App. LEXIS 764, 2000 WL 369113, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adams-v-louisiana-medical-mut-ins-co-lactapp-2000.