Boudoin v. NICHOLSON, BAEHR, ETC.

698 So. 2d 469, 1997 WL 426275
CourtLouisiana Court of Appeal
DecidedJuly 30, 1997
Docket96-CA-0363
StatusPublished
Cited by3 cases

This text of 698 So. 2d 469 (Boudoin v. NICHOLSON, BAEHR, ETC.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boudoin v. NICHOLSON, BAEHR, ETC., 698 So. 2d 469, 1997 WL 426275 (La. Ct. App. 1997).

Opinion

698 So.2d 469 (1997)

Rosalie BOUDOIN, et al.
v.
NICHOLSON, BAEHR, CALHOUN & LANASA, et al.

No. 96-CA-0363.

Court of Appeal of Louisiana, Fourth Circuit.

July 30, 1997.

*470 Christopher E. Lawler, Kenneth W. Andrieu, Donovan & Lawler, Metairie, for plaintiffs/appellees Rosalie Boudoin, et al.

C. William Bradley, Jr., Richard E. Gruner, Jr., Lemle & Kelleher, L.L.P., New Orleans, for defendant/appellant Albert I. Hendler, M.D.

Before SCHOTT, C.J., and KLEES and MURRAY, JJ.

MURRAY, Judge.

Dr. Albert I. Hendler and the Louisiana Patients' Compensation Fund[1] appeal an award of $560,000 to the widow and adult children of Elton A. Boudoin, Sr., based upon a jury's finding that the doctor's improper reading of Mr. Boudoin's x-ray resulted in a loss of chance to survive a chest-wall cancer. We affirm the finding of liability and causation, but amend the judgment to reduce the damages awarded.

FACTS

On May 17, 1988, 43-year-old Elton Boudoin suffered a minor shoulder injury while lifting something at his job as a pipefitter. Because the pain did not subside after a few days, on May 19th he went to see Dr. Farrell R. Nicholson, the family practitioner who had treated him since he was eighteen. Based upon Mr. Boudoin's complaint of pain in the outer chest and a physical examination, Dr. Nicholson took a chest x-ray that, in his opinion, showed nothing remarkable. A cardiogram was also normal, so Dr. Nicholson diagnosed Mr. Boudoin's injury as a muscle strain and prescribed accordingly. Nevertheless, he sent the x-ray to be evaluated by a diagnostic radiologist, Dr. Hendler. The radiology report returned to Dr. Nicholson read as follows:

CHEST: Cardiac, hilar and mediastinal shadows do not appear unusual. Both lung fields and angles appear clear. A 3.5 cm. broad based benign osteomatous projection is noted at the level of the vertebral border of the inferior aspect of the left scapula.
IMPRESSION: 1—No evidence of active pulmonary or cardiac pathology 2—A 3.5 cm. broad based osteoma left scapula

Since the osteoma, meaning a lesion in bone tissue, was identified as benign, Dr. Nicholson took no further action based upon this x-ray. Mr. Boudoin continued to report symptoms consistent with a muscle strain, so on May 26, 1988 Dr. Nicholson referred him to an orthopedist for further treatment of the apparent injury.

Mr. Boudoin did not contact Dr. Nicholson again until January 1989, when he complained of discomfort in his neck as well as pain in his right shoulder blade and arm. Dr. Nicholson again ruled out serious injury through a cervical x-ray, resulting in a diagnosis *471 of cervical spasm, degenerative discs and bilateral spondylosis.

On April 18, 1989, Mr. Boudoin returned to Dr. Nicholson complaining of night sweats, weight loss and pain in his left chest. A chest x-ray showed a large abnormal mass, so Mr. Boudoin was given both the 1988 x-ray and the one just taken, and was immediately sent to see a pulmonologist, Dr. Eugene Rosenberg. On his way to Dr. Rosenberg's office, Mr. Boudoin went to J.C. Penney's, where his wife, Rosalie, worked. On the verge of tears, he told his wife that the doctor had "found something" on his lungs and that he had to see a lung specialist. Mrs. Boudoin clocked out and accompanied her husband to the pulmonologist's office, where he delivered the two x-rays and underwent various examinations and tests.

While Mr. Boudoin was undergoing a breathing test, Dr. Rosenberg called Mrs. Boudoin into his office and showed her the tumor as it appeared on the x-rays taken eleven months apart, and also had her read Dr. Hendler's May 1988 report. Although Dr. Rosenberg told Mrs. Boudoin that the tumor could have been removed easily when it was as small as it first appeared, she did not attach any importance to the discussion. As she testified at trial, from the moment her husband had told her about Dr. Nicholson's discovery, her attention was focused on his life and survival, rather than the past.

Although the tumor initially appeared to be on Mr. Boudoin's left lung, innumerable tests and examinations in the next few weeks established that the cancer was in the pleura, the tissue lining the chest wall; it was definitely malignant. While a bone scan of the ribs indicated those on the left had a different absorption rate than on the right, no sign of metastasis was found in the lymph nodes of the chest or other tissues. The tumor, now measuring 20 by 17.5 by 7 centimeters, was surgically removed by Dr. C. Swayze Rigby on May 10, 1989, along with a large portion of the chest wall and four ribs. Because a four or five millimeter metastatic deposit was found in Mr. Boudoin's right diaphragm, a section of that tissue also was removed, but there was no sign of cancer on the lungs. A metal plate was implanted to replace the structural support lost with the removal of the ribs.

After recovering from his surgery, Mr. Boudoin underwent concurrent radiation and chemotherapies during the months of June through August, 1989, with a final course of chemotherapy in September. X-rays and examinations done every other month through March 1990 showed no signs of recurrence. Four months later, however, abnormalities were detected, and a second surgery was performed on July 20, 1990. The surgeon now found a tumor that was so extensive that "we were never able to get entirely beyond it, and it did not allow access to the intrapleural cavity." The only tissue removed during the surgery was a biopsy sample, which confirmed a malignant recurrence. Mr. Boudoin and his family were informed that even with chemotherapy, the prognosis was very poor. Further treatment was restricted to alleviating pain until Mr. Boudoin's death on December 18, 1990.

PROCEDURAL HISTORY

In September 1991, a medical malpractice complaint was filed pursuant to statute, asserting that both Dr. Nicholson and Dr. Hendler had breached the applicable standards of care by failing to detect Mr. Boudoin's cancer in May 1988, resulting in his death. These claims were presented to a single medical review panel consisting of one family practitioner and two radiologists. The panel unanimously concluded that Dr. Nicholson's reliance on Dr. Hendler's report was in accord with accepted medical standards, but that Dr. Hendler had breached the standard of radiological care by summarily diagnosing the lesion as benign. However, it was found that this breach had not resulted in any damages, because "[t]he patient's outcome under the most ideal circumstances would likely have been the same" since life expectancy with a tumor of this type was only two years.

This timely suit for damages against Dr. Hendler, Dr. Nicholson and Dr. Nicholson's medical group followed. In addition to his denials of liability and causation, Dr. Hendler's answer included the defenses that the survival action was perempted and the *472 wrongful death claim had prescribed. However, the record does not reflect any attempt to obtain a pre-trial ruling on these issues. Instead, after normal discovery and the eventual dismissal of all claims against Dr. Nicholson and his associates, the matter was tried to a jury July 26 through 28, 1995.

As the first witness called, Dr. Hendler conceded in his testimony that "I made the wrong histological diagnosis, which I shouldn't have even attempted to make.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Hebert v. Parker
796 So. 2d 19 (Louisiana Court of Appeal, 2001)
Johnson v. Rogers & Phillips, Inc.
753 So. 2d 286 (Louisiana Court of Appeal, 1999)
In Re Medical Review Panel for Claim of Brown
715 So. 2d 1249 (Louisiana Court of Appeal, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
698 So. 2d 469, 1997 WL 426275, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boudoin-v-nicholson-baehr-etc-lactapp-1997.