Brandner v. Pease

CourtAlaska Supreme Court
DecidedNovember 25, 2015
Docket7066 S-15633
StatusPublished

This text of Brandner v. Pease (Brandner v. Pease) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brandner v. Pease, (Ala. 2015).

Opinion

Notice: This opinion is subject to correction before publication in the PACIFIC REPORTER . Readers are requested to bring errors to the attention of the Clerk of the Appellate Courts, 303 K Street, Anchorage, Alaska 99501, phone (907) 264-0608, fax (907) 264-0878, email corrections@akcourts.us.

THE SUPREME COURT OF THE STATE OF ALASKA

MICHAEL D. BRANDNER, ) ) Supreme Court No. S-15633 Appellant, ) ) Superior Court No. 3AN-11-10914 CI v. ) ) O PIN IO N ROBERT J. PEASE, M.D., ) PROVIDENCE ALASKA ) No. 7066 – November 25, 2015 ANESTHESIA GROUP, and ) PROVIDENCE ALASKA MEDICAL ) CENTER, ) ) Appellees. ) )

Appeal from the Superior Court of the State of Alaska, Third Judicial District, Anchorage, Patrick J. McKay, Judge.

Appearances: Charles W. Coe, Law Office of Charles W. Coe, Anchorage, for Appellant. Roger F. Holmes, Biss & Holmes, Anchorage, for Appellees Robert J. Pease, M.D. and Providence Alaska Anesthesia Group. Robert J. Dickson and Christopher J. Slottee, Atkinson, Conway & Gagnon, Anchorage, for Appellee Providence Alaska Medical Center.

Before: Fabe, Winfree, and Bolger, Justices. [Stowers, Chief Justice, and Maassen, Justice, not participating.]

BOLGER, Justice. I. INTRODUCTION A cardiac patient who underwent open heart surgery sued the anesthesiologist and medical providers involved in the surgery. The superior court dismissed the patient’s claims on summary judgment, concluding that the patient had offered no admissible evidence that the defendants breached the standard of care or caused the patient any injury. On appeal the patient relies on his expert witness’s testimony that certain surgical procedures were suboptimal and that patients generally tend to have better outcomes when other procedures are followed. But we agree with the court’s conclusion that this testimony was insufficient to raise any issue of material fact regarding whether the defendants had violated the standard of care in a way that caused injury to the patient. We also affirm the court’s orders involving attorney’s fees and costs. II. FACTS AND PROCEEDINGS A. Heart Surgery Dr. Michael Brandner suffered a heart attack in September 2009 and was admitted to Providence Alaska Medical Center (the Medical Center) for emergency bypass surgery. Dr. Kenton Stephens was the cardiac surgeon who performed the operation; Dr. Robert J. Pease administered anesthesia. Dr. Brandner is also a medical doctor, licensed to practice plastic and reconstructive surgery. The surgery lasted six hours. At the outset Dr. Pease intubated Dr. Brandner on his second attempt and used the drug propofol to induce anesthesia. Shortly thereafter Dr. Brandner’s blood pressure precipitously dropped, but according to Dr. Stephens, Dr. Brandner did not suffer complete cardiac arrest. Dr. Stephens performed CPR while additional drugs were administered to counteract the drop in blood pressure. Dr. Brandner’s blood pressure ultimately stabilized, and the operation continued.

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Dr. Pease then placed a transesophageal echo (TEE) probe in Dr. Brandner’s esophagus to take ultrasonographic pictures of his heart and obtain diagnostic information about its condition. The TEE probe soon failed, and Dr. Pease then notified Dr. Stephens of this failure. According to Dr. Stephens’s deposition testimony, he responded by saying, “Okay, well, I’m pressing on with the operation, do what you can.” The TEE probe was not replaced. Dr. Stephens performed a six-vessel bypass. Dr. Brandner survived the operation and was discharged 12 days later. In his notes from a follow-up appointment about a week after discharge, Dr. Stephens indicated that “[Dr. Brandner] has been progressing quite well.” Dr. Stephens also indicated that Dr. Brandner could return to full activity within six weeks of surgery and authorized him to return to his plastic surgery practice. In March 2011 Dr. Stephens wrote a letter on Dr. Brandner’s behalf indicating that “[h]is recovery has been quite exemplary” and that “he had steadily returned to practice.” B. Proceedings In September 2011 Dr. Brandner filed a complaint against Dr. Pease, Providence Anchorage Anesthesia Group (the Anesthesia Group), and the Medical Center.1 Dr. Brandner alleged that “[t]he administration of anesthesia performed by Dr. Robert J. Pease was below the standard of care, . . . was negligently and recklessly performed[,]” and “cause[ed] [Dr. Brandner] to sustain permanent injuries.” He also alleged that the Anesthesia Group and the Medical Center were vicariously liable for Dr. Pease’s actions. Dr. Brandner alleged that he “suffered severe and permanent

1 Dr. Pease and the Anesthesia Group are jointly represented by the same firm; the Medical Center has separate representation and has filed independent briefing. But because these three parties’ interests, arguments, and evidence are generally aligned, we usually refer to them together as “the providers” throughout.

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injuries, loss of past and future wages, . . . [and] loss of enjoyment of life[,]” and that he “incurred past and future medical expenses[.]” In response to interrogatories, Dr. Brandner specifically alleged “[i]njury to and loss of myocardium with severely compromised cardiac function and reserve”; “[i]njury to brain with noticeable loss of short term memory function as demonstrated on testing”; and “[s]evere de-conditioning, loss of calcium, with associated muscoloskeletal problems, displaced sternal incision/wound with prolonged healing and continued pain, as well as hemorrhoids requiring surgery and with ongoing problems.” In February 2012 the providers jointly moved for summary judgment, arguing that the “lawsuit must be dismissed with prejudice unless [Dr. Brandner] can produce an affidavit from a qualified expert claiming Dr. Pease failed to meet the standard of care, [and] this failure caused or contributed to his injuries.” The motion was supported by the affidavit of a board-certified anesthesiologist specializing in cardiovascular anesthesia who attested that “[t]he medical care provided by Dr. Pease to [Dr. Brandner] was appropriate in all respects and met the [s]tandard of [c]are.” In July 2012 Dr. Brandner submitted the affidavit of Dr. Steven Yun, a board-certified anesthesiologist, in connection with his opposition to the providers’ motion for summary judgment. Dr. Yun attested that the “treatment, care[,] and services provided by . . . Dr. Robert Pease[] were suboptimal and contributed to [Dr. Brandner’s] prolonged and delayed recovery.” Specifically, Dr. Yun stated that “in all medical probability,” (1) “[p]ropofol was not the optimal choice” of induction agent and its use “led directly to . . . [Dr.] Brandner’s cardiac arrest,”2 (2) the “difficulty in securing [Dr.] Brandner’s airway . . . directly contributed to [his] cardiac arrest,” and (3) the

2 As noted above, Dr. Stephens denied that Dr. Brandner suffered complete cardiac arrest.

-4- 7066 “amount of damage to [Dr. Brandner’s] heart, [the] time to hook up the by-pass machine, [and] the extent of surgery performed would have been reduced by the use of a TEE [probe] throughout his surgery.” Following the submission of this affidavit, the providers withdrew their summary judgment motions. In September 2013 Dr. Brandner was indicted in federal court on seven counts of wire fraud.3 The grand jury charged him with attempting to conceal millions of dollars in assets from his wife during divorce proceedings. In January 2014 the parties deposed Dr. Yun. During the deposition Dr. Yun admitted that although he was a practicing anesthesiologist, he had not practiced cardiovascular anesthesia or used a TEE probe since about 2001. He also stated that he was not qualified under the current standard of care to practice cardiovascular anesthesia because he lacked certification in the use of TEE probes. With regard to Dr. Brandner’s surgery, Dr.

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Brandner v. Pease, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brandner-v-pease-alaska-2015.