Andelle Teng, Md v. Thomas & Alyson Clark

380 P.3d 73, 195 Wash. App. 482
CourtCourt of Appeals of Washington
DecidedJune 27, 2016
Docket73125-4-I
StatusUnpublished
Cited by13 cases

This text of 380 P.3d 73 (Andelle Teng, Md v. Thomas & Alyson Clark) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Andelle Teng, Md v. Thomas & Alyson Clark, 380 P.3d 73, 195 Wash. App. 482 (Wash. Ct. App. 2016).

Opinion

Verellen, C. J.

¶ 1 When reviewing an order granting a new trial, we give great deference to trial court findings of *484 misconduct but also focus on the trial court’s specific reasons for the new trial. The order granting a new trial in this medical malpractice lawsuit heavily relies on inaccurate facts. The trial court also ignored its ruling expressly authorizing the defense to dispute causation by attributing a cerebrospinal fluid leak to surgeries performed by a nonparty doctor that were “not appropriate.” 1 Because core examples of misconduct identified by the trial court are fatally flawed, we conclude the trial court abused its discretion. We reverse the order granting a new trial and the judgment awarding terms. We remand for reinstatement of the jury verdict.

FACTS

¶2 In 2008, Thomas Clark began to have low back and leg pain. On February 1,2010, Dr. Andelle Teng operated on Clark’s low back. On February 18, Clark had a magnetic resonance imaging test (MRI). Dr. Teng reviewed the MRI and told Clark that he did not have a cerebrospinal fluid (CSF) leak. Clark sought a second opinion from Dr. Wohns. Dr. Wohns operated twice on Clark’s low back. An MRI after Dr. Wohns’s surgeries revealed a “large fluid collection” in his low back. 2 Clark had a fourth surgery at Harborview Medical Center by a resident physician to repair a CSF leak.

¶3 Clark sued Dr. Teng and his employer for medical malpractice. Clark’s theory was that Dr. Teng was negligent in performing the surgery and in failing to treat Clark’s CSF leak. Dr. Teng did not plead nonparty fault.

¶4 In his motion in limine, Clark argued defense counsel “should be precluded from suggesting” that “any non-parties are at fault” or “that Dr. Wohns violated the standard of care or caused any of the injuries sustained by Mr. Clark.” 3 *485 Defense counsel agreed not to argue nonparty fault but insisted on their right to challenge causation, specifically, to argue the MRI taken soon after Dr. Teng’s surgery revealed no CSF leak, but the MRI after Dr. Wohns’s surgeries did:

[T]he testimony from our experts is going to be that there was no CSF leak visible on the MRI that was taken on February 18, 2010. [4]
Our witnesses are going to say that on February 18,2010, there was no evidence of a CSF leak and there was no reason for . . . a surgery. [5]
So his second . . . Harborview surgery was necessitated only because a CSF leak occurred during Dr. Wohns’ first surgery. Now, Wohns said we caused it, and we’re going to say . . . the postoperative MRI doesn’t show any CSF leak. The MRI after Dr. Wohns’s surgery shows a big CSF leak. [6]

The court granted Clark’s motion in limine about nonparty fault but expressly allowed Dr. Teng to compare and to contrast the February 18 MRI with the one taken after Dr. Wohns’s surgeries and to argue that those surgeries were inappropriate:

I have no problem at all saying that the MRI of the 18th of February 2010 . . . [d]id not show any kind of a leak, and therefore surgery was not appropriate. That’s fine. [7]
If Mr. Fitzer [defense counsel] limits his argument and his testimony as evidence to what he has just described, I’m okay with that. And I can still grant your motion in limine No. 4, and it falls within what both of you are saying. [8]
And, Mr. Fitzer, I will accept what you just said. You can present exactly what you’ve just told me you’re going to present. That seems to be the gravamen of your case. And at the *486 same time, Mr. Wampold’s [Clark’s counsel] motion No. 4 is granted. [9]

¶5 Clark also sought to preclude evidence of his treatment for “sleep apnea, a neck surgery, a heart stent, and a corneal replacement.” 10 The court ruled defense counsel could not elicit testimony about “anything above the waist.” 11 Defense counsel asked the court to clarify its ruling:

MS. FITZER: Just so that we know and don’t cross over any line, are you saying for any prior medical record? Or are you just saying for the stent and for the neck?
COURT: I’m saying anything above the waist. Let’s put it that way.
MS. FITZER: Anything above the waist?
MS. ALLEN: Sleep apnea is above the waist.
COURT: That is, yes. I can see that to be kind of nose and sinus and all of that stuff. So, yeah. But below the waist is fair game since that’s why Dr. Teng saw him in the first place, I assume.
MS. FITZER: Does that mean we cannot refer to the headache!?]
COURT: You’ve got to show it’s relevant. And something that happened months before, or at least a month before, is not, in my mind, relevant. But if you can give me an offer of proof during the course of the trial where you think that is relevant, I’ll reconsider that. And I’ll give them an opportunity to answer. It’s all [ER] 403,404. Okay. ... [S]o I’m going to say this is granted, but in all of these motions, for both defense and *487 plaintiffs, you can move to reopen if you follow what I just indicated. [12]

Before opening statements, the parties exchanged Microsoft PowerPoint slides without objection.

¶6 Clark’s counsel in opening statement foreshadowed Dr. Peng’s “defenses” to the jury:

So what are the defenses? Dr. Teng will tell you that Dr. Wohns is mistaken with what he saw[, t]hat he didn’t see loose bone, that there wasn’t a CSF leak, and that there wasn’t a compression of the thecal sac. Either that he’s wrong or that he’s not telling the truth. But when you hear that, ask yourself whether a 30-year neurosurgeon was wrong about those things or what incentive he would have to not tell the truth. [13]

¶7 Defense counsel responded:

The case started in 2010 when Mr. Clark reported to Dr. Teng that he had some additional problems. Now remember, from 2008, we already know, and we will see documentation to establish it, that he had problems with his upper spine that were causing symptoms in his legs. So this is nothing new for him.

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Cite This Page — Counsel Stack

Bluebook (online)
380 P.3d 73, 195 Wash. App. 482, Counsel Stack Legal Research, https://law.counselstack.com/opinion/andelle-teng-md-v-thomas-alyson-clark-washctapp-2016.