Botkin v. Univ. of Cincinnati C.O.M., Unpublished Decision (3-15-2005)

2005 Ohio 1122
CourtOhio Court of Appeals
DecidedMarch 15, 2005
DocketNo. 04AP-228.
StatusUnpublished
Cited by3 cases

This text of 2005 Ohio 1122 (Botkin v. Univ. of Cincinnati C.O.M., Unpublished Decision (3-15-2005)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law.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
Botkin v. Univ. of Cincinnati C.O.M., Unpublished Decision (3-15-2005), 2005 Ohio 1122 (Ohio Ct. App. 2005).

Opinion

OPINION
{¶ 1} This is an appeal by plaintiff-appellant, Rhonda Botkin, individually, and as administratrix of the estate of Erin Botkin, from an entry of the Ohio Court of Claims, finding that Helen W. Hsu, M.D., is entitled to immunity pursuant to R.C. 9.86 and 2743.02(F).

{¶ 2} On February 5, 1998, appellant filed a complaint in the Court of Claims against defendant-appellee, University of Cincinnati College of Medicine ("University Hospital"). The complaint alleged that Julia Erin Rayne Botkin ("decedent") was born on February 5, 1997, and at that time was admitted as a patient to the University Hospital. Decedent died on March 2, 1997, and appellant's complaint alleged that the death was a direct and proximate result of appellee's negligence.

{¶ 3} In addition to appellant's action in the Court of Claims, appellant also filed a complaint in the Hamilton County Court of Common Pleas, naming as defendants University Hospital, Dr. Helen W. Hsu, Dr. Jill M. Zurawski, and Dr. Nathan T. Wegner. On February 6, 2003, the Court of Claims conducted a status conference, at which time counsel for appellant indicated that a physician in the connected action, Dr. Hsu, had asserted the defense of immunity in the connected action.

{¶ 4} On February 19, 2003, appellant filed a motion seeking an immunity determination as to Dr. Hsu. In that motion, appellant asserted "[t]he parties in the companion common pleas case have agreed that this is not a case which will involve an act of active malpractice concerning performing the surgery." Rather, appellant maintained, "[t]his is a case involving lack of informed consent and falsifying medical records in an attempt to avoid liability."

{¶ 5} On May 15, 2003, the Court of Claims conducted an evidentiary hearing to determine whether Dr. Hsu should be entitled to civil immunity pursuant to R.C. 2743.02(F) and 9.86. No witnesses were called to testify at the hearing. Instead, at the conclusion of oral arguments, evidence was admitted by way of exhibits and deposition testimony, including the depositions of Drs. Hsu, Zurawski, and Wegner.

{¶ 6} The trial court rendered a decision on February 2, 2004, and the following background facts are taken primarily from that decision. In July of 1995, Dr. Hsu was appointed to the faculty of appellee's college of medicine for a two-year term as an assistant professor of clinical obstetrics and gynecology. Dr. Hsu received an annual starting salary of $15,000 from the university, and, in 1997, she earned $129,032.88 from the Foundation for Obstetrics and Gynecology, the departmental practice plan established to compensate faculty and instructors for their clinical efforts.

{¶ 7} Appellant was a patient at appellee's OB-GYN clinic from July 1996 until February 5, 1997, where she received prenatal care and treatment from resident physicians under the supervision of faculty members. In January of 1997, the treating physicians suspected that appellant's fetus was suffering from intrauterine growth restriction ("IGR"), a condition in which the ratio of head circumference to abdominal circumference is asymmetric. During her treatment, appellant expressed an interest in a procedure known as tubal ligation, a form of permanent sterilization. On January 7, 1997, appellant signed a consent form to have doctors perform the tubal ligation procedure following the birth of her child.

{¶ 8} On February 4, 1997, appellee's staff confirmed that appellant's fetus was suffering from IGR. Appellant was scheduled for a Caesarian section (C-section) the following day, at which time the tubal ligation procedure was also to be performed. According to the deposition testimony of Dr. Zurawski, a fourth-year resident, and Dr. Hsu, the attending physician, appellee's physicians discussed with appellant the risks and benefits of tubal ligation in the context of a patient whose fetus was suffering from IGR. The court noted that, although appellant conceded she was told the fetus suffered from IGR, she claimed she was never informed of the risk of death associated with that condition, and that she never would have consented to the tubal ligation procedure had she been provided that information.

{¶ 9} Although Dr. Hsu was the attending physician on call at the clinic on February 5, 1997, Dr. Zurawski, and Dr. Wenger, a first-year resident, performed the C-section and the tubal ligation. Dr. Hsu was present during the procedures, but she could not recall whether she had "scrubbed in" for them. Both procedures were performed successfully, but appellant's baby experienced complications at birth and was sent to the neonatal intensive care unit.

{¶ 10} Dr. Wenger dictated an operative report on the day of surgery (February 5, 1997), and the report was transcribed on February 7, 1997. Dr. Hsu subsequently signed the report as the attending physician. After the report was distributed for review, Dr. Zurawski contacted Dr. Wegner and asked him to amend the report to include a paragraph regarding appellant's desire to have a tubal ligation despite knowledge that her fetus had IGR. On March 2, 1997, appellant's baby died. On March 19, 1997, Dr. Wegner completed a second dictation, which Dr. Hsu later signed.

{¶ 11} During the immunity hearing, appellant conceded that Dr. Hsu was an employee of appellee, and appellant did not allege medical negligence with respect to the procedures that were performed. Appellant argued, however, that Dr. Hsu acted in a wanton or willful manner when she signed the second operative report because the additional paragraph concerning appellant's informed consent to the tubal ligation constituted a falsification of medical records.

{¶ 12} The Court of Claims, in its February 2, 2004 decision, found that the evidence failed to show that Dr. Hsu acted with malicious purpose, in bad faith, or in a wanton or reckless manner toward appellant, and, therefore, concluded that Dr. Hsu was entitled to statutory immunity, and that the court of common pleas lacked jurisdiction over the matter. In its decision, the court noted that Dr. Wegner, at the request of Dr. Zurawski, was responsible for drafting both operative reports, and that Dr. Hsu "signs the operative reports as they are given to her," but that her "only involvement with the reports in this case was signing her name as a part of her responsibilities as a faculty member supervising residents."

{¶ 13} On appeal, appellant sets forth the following five assignments of error for review:

Assignment of error No. 1

The trial court erred to the prejudice of plaintiffs in finding that Dr. Hsu is entitled to immunity pursuant to Ohio Revised Code 9.86 and2743.02(F).

Assignment of error No. 2

The Court of Claims erred to the prejudice of plaintiffs in not continuing immunity determination until discovery had been responded to.

Assignment of error No. 3

The court erred to the prejudice of plaintiffs in granting immunity when no "party" requested that Hsu be granted immunity.

Assignment of error No. 4

The trial court erred to the prejudice of plaintiffs in putting the burden on plaintiffs to disprove Dr. Hsu's immunity.

Assignment of error No. 5

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Bluebook (online)
2005 Ohio 1122, Counsel Stack Legal Research, https://law.counselstack.com/opinion/botkin-v-univ-of-cincinnati-com-unpublished-decision-3-15-2005-ohioctapp-2005.