Berlinger v. Mt. Sinai Medical Center

589 N.E.2d 1378, 68 Ohio App. 3d 830, 1990 Ohio App. LEXIS 4411
CourtOhio Court of Appeals
DecidedOctober 22, 1990
DocketNo. 57335.
StatusPublished
Cited by21 cases

This text of 589 N.E.2d 1378 (Berlinger v. Mt. Sinai Medical Center) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Berlinger v. Mt. Sinai Medical Center, 589 N.E.2d 1378, 68 Ohio App. 3d 830, 1990 Ohio App. LEXIS 4411 (Ohio Ct. App. 1990).

Opinion

Ford, Judge.

Rebekah Berlinger and her parents, Randel and Heidi Berlinger, complained that the defendants, Robert Schwartz, M.D., Beachwood OB/GYN, Inc., and Mt. Sinai Medical Center committed medical malpractice during the labor of Heidi and birth of Rebekah. The Berlingers maintain that, as a result of the alleged malpractice, Rebekah suffered serious, permanent, neurological damage. A jury verdict for the defendants precipitated this timely appeal in which the plaintiffs raise six assignments of error. 1 In these assignments, the Berlingers claim error in the court’s jury instructions, violation of the physician-patient privilege, and improper questions and cross-examination of witnesses by defense counsel. For the reasons which follow, we find the assigned errors are without merit and affirm.

At about 11:30 p.m. on July 9, 1984, Heidi Berlinger went to Mt. Sinai Medical Center in labor for the birth of her first child. The next day, after more than twelve hours of labor, Heidi’s obstetrician, Robert Schwartz, M.D., ordered the drug Pitocin to increase the extent and frequency of contractions. At about 2:00 p.m., when Heidi’s cervix was fully dilated, she went into the second stage of labor and began to push. An hour and one-half later, *834 Schwartz decided that the failure of the baby to descend into the birth canal, after nearly two hours of pushing, necessitated a caesarian delivery. Less than an hour later, Heidi gave birth to Rebekah by caesarian section. Though Rebekah appeared normal at birth, it later became apparent that she had physical and developmental abnormalities.

Plaintiffs’ expert, Dr. David C. Abramson, opined that the cause of Rebekah’s neurological damage was oxygen deprivation during the course of labor. Abramson maintained that, had Schwartz intervened earlier with a caesarian delivery, the child would not have incurred brain damage at birth. Abramson testified that data from the fetal monitor attached to the baby’s scalp during labor indicated that the baby was in distress after 12:30 p.m. on the day of delivery, July 10.

In defense, Dr. Schwartz told the court that data from the fetal monitor indicated that the baby was in good condition before birth. He explained that because he saw no signs of fetal distress he allowed labor to continue. Schwartz testified that his decision to perform a caesarian delivery was due to Heidi’s failure to progress in labor, rather than fetal distress.

Dr. Leon Mann, a defense expert witness, considered Schwartz’s care and treatment of Heidi to be within the acceptable standard of care for an obstetrician. He did not agree that the data on the fetal monitor strip revealed that the baby was distressed.

Defense expert Dr. Mack Scher likewise told the jury that his review of the fetal monitor strip failed to indicate that the baby suffered oxygen deprivation sufficient to cause brain damage. In his opinion, Rebekah’s physical and developmental problems were congenital.

Pediatric neurologist Samuel Horowitz, M.D., agreed that Rebekah’s physical and developmental abnormalities were not caused by asphyxia during labor and delivery.

In the first assignment of error, the Berlingers allege that the court erred when it instructed the jury that an expert witness must confine his opinion to matters within his specialty or scientific field of inquiry.

The plaintiff’s sole medical expert at trial was David Abramson, a board-certified specialist in pediatric, perinatal and emergency medicine. The defendant doctor, Schwartz, is a board-certified obstetrician and gynecologist.

The court gave the following instruction with respect to the weight of expert testimony:

“In determining the weight of such expert testimony, you may take into consideration their skill, experience, knowledge, veracity, familiarity with the facts of this case and the usual rules for testing credibility and determining *835 the weight to be given to their testimony. An expert witness must confine their opinion [sic] to matters within their [sic] specialty or scientific field of inquiry.”

The plaintiffs claim that this instruction required that the jury reject Abramson’s opinion as a matter of law because he testified outside his specialty.

Evid.R. 601(D), which restates R.C. 2743.43(A), precludes testimony by an expert on liability issues in a medical claim unless, among other qualifications, “ * * * the person testifying is licensed to practice medicine and surgery, osteopathic medicine and surgery, or podiatric medicine and surgery by the state medical board or by the licensing authority of any state * * *.”

The purpose of this statute is to prevent testimony by a physician who lacks the necessary experience in a field he seeks to evaluate. McCrory v. State (1981), 67 Ohio St.2d 99, 21 O.O.3d 63, 423 N.E.2d 156; Price v. Cleveland Clinic Found. (1986), 33 Ohio App.3d 301, 515 N.E.2d 931. Nevertheless, where “fields of medicine overlap and more than one type of specialist may perform the treatment, a witness may qualify as an expert even though he does not practice the same specialty as the defendant.” Alexander v. Mt. Carmel Medical Ctr. (1978), 56 Ohio St.2d 155, 158, 10 O.O.3d 332, 334, 383 N.E.2d 564, 566. An expert witness need only aid the trier of fact in the search for the truth and need not be the best witness on the subject. Id.; Ishler v. Miller (1978), 56 Ohio St.2d 447, 10 O.O.3d 539, 384 N.E.2d 296. See, also, King v. LaKamp (1988), 50 Ohio App.3d 84, 553 N.E.2d 701. All practitioners who perform a medical or surgical procedure are subject to the same standard of care. King, supra. That standard is not dependent upon a practitioner’s specialty. Id. Differences in areas of specialization go to the weight evidence is to be given by a fact finder. Id.

Abramson testified that he was a board-certified perinatologist. He described his specialty as follows:

“Perinatal comes or perinatology comes from, peri means around like perimeter. Natal means birth and ology means the study of, so perinatology is the study of the period around birth and that encompasses the mother and fetus, mother and baby before birth from the time the fetus could first live if it were delivered, so from the time the fetus is very small and premature up until the end of the first 28 days of the baby’s life, and that’s what is defined as the perinatal period.”

From this description it appears that the specialty of perinatology overlaps with obstetrics with respect to the care of a mother and her baby near and at birth. The doctor further explained that he taught medical students and *836

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Bluebook (online)
589 N.E.2d 1378, 68 Ohio App. 3d 830, 1990 Ohio App. LEXIS 4411, Counsel Stack Legal Research, https://law.counselstack.com/opinion/berlinger-v-mt-sinai-medical-center-ohioctapp-1990.