Alberts v. All About Women, P.A.

CourtSuperior Court of Delaware
DecidedNovember 10, 2020
DocketN18C-07-212 JRJ
StatusPublished

This text of Alberts v. All About Women, P.A. (Alberts v. All About Women, P.A.) is published on Counsel Stack Legal Research, covering Superior Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alberts v. All About Women, P.A., (Del. Ct. App. 2020).

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

JETTA ALBERTS, ) ) Plaintiff, ) )

V. ) C.A. No. N18C-07-212 JRJ ) ALL ABOUT WOMEN, P.A. a Delaware ) corporation, REGINA SMITH, D.O., ) and CHRISTIANA CARE HEALTH ) SERVICES, INC, ) ) Defendants. )

MEMORANDUM OPINION

Date Submitted: July 21, 2020 Date Decided: November 10, 2020

Upon Plaintiff's Motion to Strike Errata Corrections: GRANTED Randall E. Robbins, Esquire, Randall J. Teti, Esquire, Ashby & Geddes, Wilmington, Delaware, Attorneys for Plaintiff.

Gregory S. McKee, Esquire, Lauren C. McConnell, Esquire, Wharton, Levin, Ehrmantraut & Klein, P.A., Wilmington, Delaware, John D. Balaguer, Esquire,

Lindsay E. Imbrogno, Esquire, White and Williams LLP, Wilmington, Delaware, Attorneys for Defendants.

Jurden, P.J. I. INTRODUCTION

This is a medical negligence action arising from a myomectomy performed on Plaintiff Jetta Alberts (“Plaintiff”) at Christiana Hospital on September 6, 2017 that ultimately resulted in the loss of her uterus at the age of twenty-five.! On June 3, 2020, Plaintiff deposed Diane McCracken, M.D., an owner of Defendant All About Women, P.A., (collectively, with Dr. Regina Smith, D.O., “Defendants”) and the supervising attending physician who was responsible for Plaintiff's post- operative care.? Following that deposition, and as a result of Dr. McCracken’s testimony, the Plaintiffs OB/GYN expert supplemented his expert opinions, opining, among other things, that Dr. McCracken breached the standard of care with respect to the clinical assessment of the Plaintiff. Almost a month later, Dr. McCracken submitted an errata sheet setting forth multiple “desired corrections” (“corrections”) to her deposition testimony (collectively, the “Errata sheet”). Plaintiff moves to strike a number of these corrections, arguing they significantly

“manipulate, supplement, or change” Dr. McCracken’s deposition answers.*

For the following reasons, Plaintiff's Motion to Strike Errata Corrections is

GRANTED.

' DI. 107 § 1. A myomectomy is a surgical procedure to remove uterine fibroids. D.I. 1 13.

2 1a.9 3.

7 DI. 107, Ex. B at 3.

* D.I. 107 § 4. Dr. McCracken reserved the right to review and read her deposition transcript. D.L 120 4 1. II. FACTS AND PROCEDURAL HISTORY

A. Plaintiff?s Medical Negligence Claims

Plaintiff alleges Defendants breached the standard of care by failing to timely recognize Plaintiff experienced post-operative internal bleeding in the two days following her myomectomy.’ By the time Defendants discovered the bleeding, Plaintiff had lost almost two-thirds of her blood volume and had to undergo an emergency hysterectomy.° According to Plaintiff, the standard of care required Defendants to be cognizant of her full clinical picture and immediately recognize the signs and symptoms of internal bleeding throughout post-operation day one (“POD1”) and the morning of post-operation day two (“POD2”).’ Plaintiff claims that had the Defendants met the standard of care, Plaintiff would not have experienced such significant blood loss and would not have had to

undergo the hysterectomy.®

3D. 10791 6 Id.2. 7 Id.

8 Id. According to Plaintiff, a significant issue in this case is whether Defendants failed to recognize the signs and symptoms of internal bleeding throughout POD1 (9/7/17) and the morning of POD2 (9/8/17). The signs and symptoms included POD1 bloodwork showing a 6- point hemoglobin drop to 7.1 from Plaintiffs pre-op hemoglobin of 13.2, representing a loss of nearly 50% of her blood volume, together with persistent pain, persistent nausea and vomiting, fluid imbalance, and elevated heartrate, all consistent with internal bleeding. Plaintiff contends Defendants never checked the POD1 bloodwork results on POD1 that were posted to Plaintiff's chart at 9:07 a.m. according to CCHS’s audit trail. It was not until POD2, when Plaintiffs hemoglobin level dropped to 4.7, that Defendants recognized Plaintiff was bleeding internally and had lost nearly 2/3 of her blood volume. She underwent the hysterectomy shortly thereafter. Plaintiff maintains that the standard of care required Defendants to, among other things, check

3 B. Plaintiff’s Motion to Strike the McCracken Errata Sheet Corrections

On June 3, 2020, Plaintiff took Dr. McCracken’s deposition.’ After receiving a copy of Dr. McCracken’s deposition transcript, Plaintiffs OB/GYN expert, Dr. Daniel Small, M.D., supplemented his expert disclosure (“Supplemental Disclosure”) to add that, in his expert opinion, (1) Dr. McCracken breached the standard of care owed to Plaintiff when she failed to recognize the “obvious signs, symptoms and labs consistent with internal bleeding” until POD2,'° (2) Dr. McCracken’s testimony that “potentially any of us or potentially none of us” responsible for Plaintiff's care would know the elements of the clinical information necessary to diagnose Plaintiffs condition, falls below the standard of care,'! and (3) Dr. McCracken’s testimony regarding what a “clinical picture” means is a “grossly inaccurate representation of the meaning of clinical picture,

and falls far below the knowledge and skill ordinarily employed by an attending

the bloodwork results they ordered and to be aware of Plaintiff's total clinical picture. D.I. 107 § Ds

* Id. 43. Plaintiff originally sought to take Dr. McCracken’s deposition in November 2019, but the parties were unable to agree to a common date until April, when COVID-19 struck. The parties agreed to a date in June in order to safely conduct the deposition. Hr’ g: 3:23-6:4.

0 D.1. 107, Ex. B at 3. In his first expert disclosure, Dr. Small opined that the hospital’s doctors, residents, and nurses, including Dr. Regina Smith, breached the standard of care by failing to timely respond to Plaintiffs internal bleeding until her risk level was dangerously high and failing to investigate and be aware of Plaintiffs whole clinical picture. /d. at 3, 5.

‘I Td. at 6, citing McCracken Dep. at 127-28 (internal quotations omitted).

4 OB/GYN and the use of reasonable care and diligence in the postoperative care of

a myomectomy patient[.]

Two weeks after Plaintiff produced Dr. Small’s Supplemental Disclosure,

and almost one month after her deposition, Dr. McCracken submitted an Errata

sheet substantively supplementing and changing her deposition testimony.'? In

response, Plaintiff filed the instant motion.

The corrections on the Errata sheet Plaintiff moves to strike are as follows:'4

Testimony

Desired Corrections

A: She typically would — if we have the list in front of us I would say are there any issues? And she would say yes, you know, this person’s blood pressure is elevated and this person wants to go home early or something like that.

So we wouldn’t necessarily go through details of every single patient if the patients are stable.

A: She typically would — if we have the list in front of us I would say are there any issues? And she would say yes, you know, this person’s blood pressure is elevated and this person wants to go home early or something like that.

So we wouldn’t necessarily go through all the details of every single patient if the patients are stable.

Dep. | Question Asked Tr. 38:12- | Q: Does [Ashley 19 August, P.A.| communicate to you about all patients or just ones where she 1. | perceives there’s an issue? 12 Td.

3 D.I. 10794. Defense counsel received the transcript of Dr. McCracken’s deposition on June

5, 2020. D.I. 120 9 3. Plaintiff produced Dr. Small’s Supplemental Disclosure on June 17, 2020. DL. 99. 14 Desired corrections are in bold and underlined.

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Alberts v. All About Women, P.A., Counsel Stack Legal Research, https://law.counselstack.com/opinion/alberts-v-all-about-women-pa-delsuperct-2020.