Anderson v. Ewing

768 So. 2d 1161, 2000 Fla. App. LEXIS 11716, 2000 WL 1283810
CourtDistrict Court of Appeal of Florida
DecidedSeptember 13, 2000
DocketNos. 4D98-4046, 4D99-474
StatusPublished
Cited by7 cases

This text of 768 So. 2d 1161 (Anderson v. Ewing) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anderson v. Ewing, 768 So. 2d 1161, 2000 Fla. App. LEXIS 11716, 2000 WL 1283810 (Fla. Ct. App. 2000).

Opinion

ON MOTION FOR REHEARING

WARNER, C.J.

We withdraw our previously issued opinion and substitute the following in its place.

In this medical malpractice action, involving delivery of the appellee Cindy Ewing’s child, the trial court denied the appellant Dr. Louis Anderson’s motion for judgment in accordance with his motion for directed verdict. The doctor appeals, contending that the Ewings failed to prove the doctor’s negligence and that some evidence of damages was inadmissible hearsay. The Ewings appeal the trial court’s order setting off the infant child’s settlement with another defendant, from Mr. and Mrs. Ewing’s award of damages. They also appeal the trial court’s refusal to enter a judgment of the entire verdict amount against Dr. Anderson after the court directed a post-trial verdict in favor of another defendant doctor whom the jury had found to be comparatively at fault with Anderson. We affirm the order denying Dr. Anderson’s motion for judgment in accordance with his motion for directed verdict, concluding that there was sufficient evidence to submit the issues to the jury, and we affirm the trial court’s set-off of the settlement allocated to the child against the damages due to Mr. and Mrs. Ewing, based on Dionese v. City of West Palm Beach, 500 So.2d 1347 (Fla. [1163]*11631987). We reverse, however, the refusal to enter the entire remaining judgment against the appellant.

This case is a companion case with Ewing v. Sellinger, 758 So.2d 1196 (Fla. 4th DCA 2000), and involves Cindy Ewing’s delivery of her child. To provide for her prenatal care and delivery, Ewing contracted with Care Delivery, Inc., a nurse-midwife clinic. Drs. Anderson and Louis Sellinger, both obstetricians, contracted with the clinic to assist with its patients. Dr. Anderson’s duties were limited to attending to Care Delivery’s patients when problems arose during delivery.

When Ms. Ewing surpassed her due date, she was seen by Dr. Sellinger, who directed that she be induced into labor. Following the doctor’s advice, Ewing checked into St. Mary’s Hospital the next day for induced vaginal labor, using a pito-cin drip to start contractions. No directions were given by Dr. Sellinger that Ewing he attended by a doctor during the induction, and Ewing’s induction, labor, and delivery were handled by the midwives.

Although Dr. Anderson arrived for his routine nightly duties at 6 p.m. on the day Ewing was admitted to the hospital, the nurse-midwives attending Ewing did not report any problems in the induction that would have required Dr. Anderson to examine Ewing. Around that time, Ewing had gone into the final stage of labor. After trying to push and deliver the child for two hours, one of the nurses finally informed Dr. Anderson that they needed his help with Ewing’s delivery. The doctor entered the delivery room around 8:15 to 8:30 p.m. and observed that the baby’s head was delivered, but his shoulders had become lodged behind the pubic bone due to his large size. Dr. Anderson decided to extend the episiotomy to the fourth degree, cutting through Ewing’s rectal sphincter muscle up to her rectum in order to deliver the rest of the baby.

After delivery, Anderson repaired the episiotomy. Despite the surgery, Ewing suffered permanent fecal incontinence. Additionally, the child was born cyanotic and allegedly suffered permanent damage as a result of being deprived of oxygen. Following the incident, the Ewings filed this suit, alleging that Anderson was negligent in failing to examine Ewing when he arrived on duty and in failing to perform a caesarean section when he discovered her problems in delivery. According to the Ewings, such action would have avoided both the child’s distress and the necessity of an- episiotomy.

Ewing’s case against Dr. Anderson revolved around expert testimony that he should have examined Mrs. Ewing as soon as he came on duty. Had he done so, he would have realized that the delivery was not going well based on the fetal monitoring strips, and he would have performed a caesarean section, avoiding the episiotomy. Ewing also claims that Anderson’s repair of the episiotomy was negligent, yet no expert testified at trial that there was evidence of a negligent repair.

We conclude that the evidence was sufficient to withstand a directed verdict. While Anderson concentrates his appellate attack on the repair of the episiotomy, he neglects to challenge the evidence presented that had he examined Ewing when he arrived at the hospital, as the experts said he should have, he would have noticed fetal distress in the monitoring strips. According to the experts, given the condition of the fetus and Ewing’s prolonged labor, coupled with other indicia that the baby may be macrosomatic, Anderson should have performed a caesarean section, thereby avoiding the episiotomy. On the arguments and evidence presented, we affirm the denial of the directed verdict.

Anderson also challenges the damages award, claiming that the trial court should have granted a remittitur because the evidence of the cost of future surgery for Ewing to correct her fecal incontinence was based on inadmissible hearsay. While [1164]*1164Mrs. Ewing’s testimony was hearsay as to the cost of such surgery, the error in admitting it was harmless because Dr. Sel-linger also testified to the same maximum cost. See State Dep’t of Health & Rehabilitative Servs. v. Whaley, 531 So.2d 723, 730 (Fla. 4th DCA 1988), approved, 574 So.2d 100 (Fla.1991).

On the consolidated appeal, the Ewings challenge the trial court’s final judgment which set off a settlement allocated to the infant child against the entire damage award to Mr. and Mrs. Ewing. The jury’s verdict consisted of an award of $10,000 to the child for economic damages, $40,000 in economic and $170,000 in non-economic damages to Mrs. Ewing, and $30,000 in noneconomic damages to her husband, for a total sum of $240,000. Pri- or to trial, Care Delivery settled their claims with the Ewings for $150,000, and the entire settlement was allocated to the child.

In ordering the set-off, the trial court relied on Dionese. In Dionese, the supreme court considered the following question: “[wjhether a private, unilateral agreement among several plaintiffs to apportion funds paid by one joint tort-feasor is binding upon non-settling joint tort-fea-sors and the court in determining the set-off claim of the non-settling joint tort-feasors?” 500 So.2d at 1347-48. The court concluded that fairness to the parties, particularly the non-settling tortfea-sors, requires the court to ignore a private unilateral apportionment of settlement proceeds among the settling plaintiffs.

Private unilateral agreements by plaintiffs to divvy up the proceeds of a general settlement agreement are contrary to all concepts of fairness. Private unilateral agreements to apportion settlement proceeds would often result in a windfall recovery. In this case, the jury assessed Mr. Dionese’s damages for loss of consortium at $3,800. The settlement allocation the Dioneses advocate— $10,000 to Mrs. Dionese and $35,000 to Mr. Dionese — would result in more than a $30,000 windfall for Mr. Dionese, a recovery about 900% greater than the damages the jury determined he should receive.

Id. at 1350. Thus, the court held that the total amount of the settlement must be set off against the total sum of the verdicts rendered. See id.

The instant case is similar.

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Cite This Page — Counsel Stack

Bluebook (online)
768 So. 2d 1161, 2000 Fla. App. LEXIS 11716, 2000 WL 1283810, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-ewing-fladistctapp-2000.