Bolt v. Hickok

887 F. Supp. 709, 1995 U.S. Dist. LEXIS 6882, 1995 WL 307597
CourtDistrict Court, D. Delaware
DecidedMay 5, 1995
DocketCiv. A. 93-327 MMS
StatusPublished
Cited by4 cases

This text of 887 F. Supp. 709 (Bolt v. Hickok) is published on Counsel Stack Legal Research, covering District Court, D. Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bolt v. Hickok, 887 F. Supp. 709, 1995 U.S. Dist. LEXIS 6882, 1995 WL 307597 (D. Del. 1995).

Opinion

OPINION

SCHWARTZ, Senior District Judge.

I. INTRODUCTION

Plaintiff Mary Bolt filed this diversity action against Robert L. Hickok, Jr., M.D., and his professional corporation, Robert L. Hickok, M.D., P.A., alleging medical malpractice in connection with his obstetrical care in the delivery of Mrs. Bolt’s baby. After an emotionally charged five day trial, a nine-membered jury rendered a verdict in favor of defendants. Plaintiff Mary Bolt has now moved for a new trial, grounded on any or all of four possible bases: 1) a member of the jury was prejudiced from the outset, 2) the verdict was not the unanimous verdict of the entire jury, 3) the jury was unfairly influenced by misconduct of defense counsel, and 4) the verdict was against the great weight of the evidence.

After carefully reviewing the trial record, for the reasons that follow, the Court will deny plaintiffs motion for a new trial.

II. FACTUAL BACKGROUND

Evidence adduced at trial showed that in 1963, at age thirteen months, plaintiff Mrs. Mary Bolt was diagnosed with a rare, often fatal form of cancer known as rhabdomyosarcoma. Docket Item (“D.I.”) 107 at 115. The cancer manifested itself as a tumor located on her external genitalia, specifically on her left vulva. The tumor was surgically excised from the infant Bolt, and radiation anti-cancer therapy was ordered as follow-up. Her physicians then implanted radium needles approximately one inch in length into her left vulva to irradiate any cancerous tissue possibly remaining; the evidence showed it was likely no measures were taken to shield the infant Bolt’s surrounding pelvic anatomy from the effects of the radiation.

Fortunately, the treatment of plaintiffs rhabdomyosarcoma proved successful in eradicating the cancer. Mrs. Bolt matured into adulthood, married, and became pregnant at 28 years of age. Her first prenatal medical appointment was on November 29, 1990, during which she met the defendant obstetrician, Robert L. Hickok, M.D. Plaintiffs Exhibit (“Pltfs Exh.”) 1. As Mrs. Bolt had not been a patient of Dr. Hickok’s prior to her pregnancy, he elicited plaintiffs medical history, including her radiation treatment for cancer during infancy.

Over the course of her pregnancy, Mrs. Bolt reported to Dr. Hickok for eleven more prenatal examinations. D.I. 109 at 451. Hickok recommended a vaginal delivery, as opposed to a Caesarean section, for delivery of Mrs. Bolt’s baby. Plaintiff, a nursing instructor, expressed concern regarding her history of vulvar cancer and its effect on her reproductive anatomy; Dr. Hickok assured her that he would “just keep an eye on things.” D.I. 108 at 301-02.

On July 15, 1991, at the Medical Center of Delaware, Hickok supervised the labor and vaginal delivery of plaintiffs baby. Plaintiffs husband, Dan Bolt, also attended the delivery, providing moral support while positioned at plaintiffs head. In the final stage of plaintiffs labor, Dr. Hickok deemed it prudent to perform an episiotomy, a surgical incision to widen the mouth of the birth *712 canal. This local procedure, routinely performed, was done to prevent an uncontrolled, more traumatic tearing of plaintiffs vaginal membranes by the passage of the baby during delivery. D.I. 110 at 636. Mindful of plaintiffs childhood irradiation of her left vulva, Hickok cut only into the tissue on the right side of plaintiffs vaginal opening. Hickok also used forceps to aid the baby’s delivery; plaintiff testified that her newborn son sustained bruises and cuts on his head from the delivery. D.I. 109 at 327. From plaintiffs and her husband’s perspectives as first-time parents, the delivery was difficult and exhausting. In Dr. Hickok’s view, the level of difficulty endured by plaintiff in labor and delivery was not unusual.

Mrs. Bolt was discharged home three days later with instructions to apply ice packs to her vaginal area to reheve soreness. On July 21, six days after delivery, Bolt observed that her episiotomy area had turned yellow, gray, and black. Id. at 329-30. Upon further self-examination, Bolt realized she was running a higher than normal temperature. Id. As a nurse, Bolt recognized these as symptoms of a fulminating infection. She immediately called Hickok’s office, where the physician covering emergencies ordered Bolt to meet him at the hospital immediately. Id. at 330.

Hickok’s associate, Dr. James Bradfield, examined plaintiff and confirmed the presence of infection at her episiotomy site. His chief concerns were whether the infection had spread to Bolt’s surrounding structures, such as her anus and rectum, and how he should approach cleaning and debridement 1 of the wound. In his experience as a gynecologist, Dr. Bradfield had witnessed the rapid deterioration and death of two obstetrical patients due to infection spreading deeper into their surrounding soft tissue. D.I. 110 at 583. Additionally, if plaintiffs episiotomy infection encroached into non-gynecologic anatomy, Bradfield would not have been surgically competent to handle it alone. He consulted with a general surgeon, who examined plaintiff and found the infection to be local, involving primarily the tissues surrounding the episiotomy wound.

Bradfield operated on plaintiff to debride and drain her purulent episiotomy wound. As he probed among the infected tissue, he confirmed the general surgeon’s assessment that the infection did not involve the rectum or anal sphincter. Id. at 593-94. After a four day hospital stay, plaintiff was discharged home, where she recuperated with daily visits by a home health care nurse. She suffered no further infectious type complications.

As she convalesced, Bolt noticed some abnormal bulging of tissue from her vaginal orifice. D.I. 109 at 335-36. During subsequent post-partum visits with Hickok, she inquired what this condition was and what could be done about it. Hickok diagnosed plaintiff as having a cystocele and rectocele, which meant that her internal organs were prolapsed (protruding) out of her vaginal opening. D.I. 107 at 136-39. Plaintiff testified that Hickok recommended she just “live with it,” at least until she was finished having children, an appraisal plaintiff found unacceptable. D.I. 109 at 337, 493. She sought out other physicians’ advice and discontinued seeing Hickok as her obstetrician-gynecologist. Id. at 339. During the trial, plaintiff admitted into evidence several 5x7 inch color photographs of her vaginal and rectal anatomy, displaying in graphic detail the extent of her disfigurement. Pltf s Exh. 11-15, 18-22.

In November, 1991, Bolt started experiencing profound manifestations of her reetocele and cystocele: urinary, flatus (gas) and stool incontinence, which persist even up to now. D.I. 109 at 342. Needless to say, plaintiff has altered her lifestyle in an attempt to cope with her incontinence, which was and remains completely unpredictable and at times physically painful. Both plaintiff and her husband presented riveting testimony of the physical and emotional toll her debilitation has exacted on their marriage and plaintiff’s self-image. Bolt also produced experts who testified about the prognosis for restoration of her anatomy.

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Bluebook (online)
887 F. Supp. 709, 1995 U.S. Dist. LEXIS 6882, 1995 WL 307597, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bolt-v-hickok-ded-1995.