Bonness v. Armitage

305 Neb. 747, 942 N.W.2d 238
CourtNebraska Supreme Court
DecidedMay 8, 2020
DocketS-19-393
StatusPublished
Cited by7 cases

This text of 305 Neb. 747 (Bonness v. Armitage) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bonness v. Armitage, 305 Neb. 747, 942 N.W.2d 238 (Neb. 2020).

Opinion

Nebraska Supreme Court Online Library www.nebraska.gov/apps-courts-epub/ 07/31/2020 08:12 AM CDT

- 747 - Nebraska Supreme Court Advance Sheets 305 Nebraska Reports BONNESS v. ARMITAGE Cite as 305 Neb. 747

Richard K. Bonness, appellant, v. Joel D. Armitage, M.D., appellee. ___ N.W.2d ___

Filed May 8, 2020. No. S-19-393.

1. Rules of the Supreme Court: Pleadings: Waiver: Appeal and Error. When a question concerning the waiver of an affirmative defense involves the interpretation of rules of pleading, it is a question of law reviewed de novo. 2. Limitations of Actions: Pleadings. A challenge that a pleading is barred by the statute of limitations is a challenge that the pleading fails to allege sufficient facts to constitute a claim upon which relief can be granted. 3. Motions to Dismiss: Appeal and Error. A district court’s grant of a motion to dismiss on the pleadings is reviewed de novo, accepting the allegations in the complaint as true and drawing all reasonable infer- ences in favor of the nonmoving party. 4. Appeal and Error. As a general rule, a Nebraska appellate court does not consider an argument or theory raised for the first time on appeal. 5. Waiver: Estoppel. Ordinarily, to establish a waiver of a legal right, there must be a clear, unequivocal, and decisive act of a party showing such a purpose, or acts amounting to an estoppel on his or her part. 6. Limitations of Actions: Words and Phrases. “Discovery,” in the con- text of statutes of limitations, refers to the fact that one knows of the existence of an injury and not that one has a legal right to seek redress. It is not necessary that a plaintiff have knowledge of the exact nature or source of the problem, but only that a problem existed. 7. Limitations of Actions: Malpractice: Words and Phrases. In a profes- sional negligence case, “discovery of the act or omission” occurs when the party knows of facts sufficient to put a person of ordinary intel- ligence and prudence on inquiry which, if pursued, would lead to the knowledge of facts constituting the basis of the cause of action. - 748 - Nebraska Supreme Court Advance Sheets 305 Nebraska Reports BONNESS v. ARMITAGE Cite as 305 Neb. 747

8. Malpractice: Damages: Words and Phrases. In a cause of action for professional negligence, legal injury is the wrongful act or omission which causes the loss. Legal injury is not damage; damage is the loss resulting from the misconduct.

Appeal from the District Court for Douglas County: James T. Gleason, Judge. Affirmed.

Patrick J. Cullan and Joseph P. Cullan, of Cullan & Cullan, L.L.C., for appellant.

David A. Blagg, Brien M. Welch, and Kathryn J. Cheatle, of Cassem, Tierney, Adams, Gotch & Douglas, for appellee.

Heavican, C.J., Cassel, Stacy, Funke, Papik, and Freudenberg, JJ.

Papik, J. Richard K. Bonness appeals the district court’s dismissal of his medical malpractice action against Joel D. Armitage, M.D., on statute of limitations grounds. Bonness contends that Armitage waived the statute of limitations defense and that even if he did not, his complaint should not have been dismissed. We disagree and affirm the decision of the dis- trict court.

BACKGROUND Commencement of Action and Initial Procedural History. This case began on June 20, 2017, when Bonness filed his initial complaint against Armitage. The initial complaint generally alleged that Armitage had failed to timely diagnose Bonness with prostate cancer. The attorney who filed the initial complaint on behalf of Bonness later moved to withdraw, and new counsel entered an appearance. The district court subsequently granted Bonness leave to file an amended complaint. Bonness did so in January 2018. The amended complaint contained additional factual - 749 - Nebraska Supreme Court Advance Sheets 305 Nebraska Reports BONNESS v. ARMITAGE Cite as 305 Neb. 747

allegations, but also generally alleged that Armitage had failed to timely diagnose Bonness with prostate cancer. Armitage filed an answer later that month in which he denied negligence and also asserted that the claims alleged were barred by the professional negligence statute of limitations. After the filing of the first amended complaint, the par- ties engaged in discovery for some time. In November 2018, Bonness filed a motion for leave to file a second amended complaint. In the motion, he asserted that the proposed second amended complaint would reflect new information learned dur- ing discovery. Armitage did not object to the motion for leave to file a second amended complaint. The district court granted the motion, and Bonness filed the second amended complaint. Because the second amended complaint is the operative com- plaint for purposes of this appeal, we summarize its allegations in greater detail below. Second Amended Complaint. In the second amended complaint, Bonness alleged that he had a family history of prostate cancer and that his father had died of prostate cancer at the age of 68. Following his father’s death in 1995 until 2010, Bonness underwent “Prostate‑Specific Antigen” (PSA) tests several times while he was seen by physi- cians other than Armitage. According to the second amended complaint, a PSA test measures the level of PSA in the blood- stream and can serve as an early indicator of prostate cancer, because the level of PSA in the blood is often elevated in men with prostate cancer. In 2007, one of those other physicians referred Bonness to a urologist because of an elevated PSA test and a hardened area on his prostate. The urologist determined that there was no cancer. In late 2010, Armitage became Bonness’ physician. The sec- ond amended complaint alleged that “based on . . . Bonness’ desire to do everything necessary to screen for prostate can- cer,” Bonness and Armitage “agreed to a health plan that entailed utilizing the most effective preventative cancer care for the early detection of prostate cancer.” Armitage allegedly - 750 - Nebraska Supreme Court Advance Sheets 305 Nebraska Reports BONNESS v. ARMITAGE Cite as 305 Neb. 747

told Bonness that he would implement the plan in accordance with protocols in place at a university medical center. Bonness alleged that during his initial visit with Armitage, Bonness informed Armitage that Bonness had a family his- tory of prostate cancer, that he had been taking the medica- tion commonly known as Avodart for many years, that he had undergone PSA testing earlier in the year, and that his PSA at that time was 3.0 ng/mL. Armitage noted in his records that he would perform PSA testing on Bonness on a yearly basis, but would not perform the testing that day, because Bonness had already been tested that year. Armitage also continued to pre- scribe Avodart for Bonness. Bonness alleged that at the time of his first appointment with Armitage, the federal Food and Drug Administration was warning physicians that if taken for more than 6 months, Avodart decreases an individual’s PSA level by about 50 per- cent. According to the second amended complaint, Avodart’s effect on PSA levels requires physicians to double the value of PSA levels for purposes of testing for the presence of prostate cancer. Accordingly, Bonness alleged that his PSA test of 3.0 ng/mL in 2010 should have been interpreted as 6.0 ng/mL. Bonness also alleged that a patient with an adjusted PSA value of 6.0 ng/mL should be referred to a urologist, presumably for further testing. Bonness alleged that he relied on Armitage’s representation that there was no need to perform additional PSA testing in 2010. Bonness further alleged that Armitage affirmatively rep- resented to him in 2011 that PSA testing was not immediately necessary and that he relied on that representation.

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Cite This Page — Counsel Stack

Bluebook (online)
305 Neb. 747, 942 N.W.2d 238, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bonness-v-armitage-neb-2020.