Brew v. Ferraro

CourtDistrict Court, D. New Hampshire
DecidedJuly 28, 1998
DocketCV-95-615-JD
StatusPublished

This text of Brew v. Ferraro (Brew v. Ferraro) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brew v. Ferraro, (D.N.H. 1998).

Opinion

Brew v. Ferraro CV-95-615-JD 07/28/98 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Mary J. Brew

v. Civil No. 95-615-JD

Thomas Ferraro, M.D., et al.

O R D E R

The plaintiff, Mary Brew, brought this action asserting,

inter alia, claims for medical malpractice and intentional

infliction of emotional distress against the defendants Dr.

Thomas Ferraro, Dr. Guy Leadbetter, and Concord Urology, P.A.

("Concord Urology"). Before the court is the defendants' motion

for summary judgment (document no. 38).

Background1

The plaintiff first suffered from a urinary tract infection

("UTI") when she was eighteen months old. Although the infection

was treated successfully with medication, it was recurrent and

led to the plaintiff's admission to Concord Hospital on February

20, 1963. At the time the plaintiff was four years old and

suffered from incontinence.

1The facts related herein are alleged by the plaintiff or are not in dispute. Upon the plaintiff's admission to Concord Hospital, the

plaintiff's mother signed a general consent form authorizing

treatment or operation that was "necessary or advisable in the

diagnosis and treatment of this patient." Second Am. Compl. at

3. Defendant Ferraro was her attending physician and performed a

cystoscopy and cystogram, from which he diagnosed the plaintiff

as suffering from ureteral reflux, meatal stenosis, and bladder

neck contracture or obstruction.

At the time of Ferraro's diagnosis, a common, although not

universal, theory of pediatric urologists was that UTIs were

often caused by a congenital abnormality that constricted or

obstructed the bladder neck. This school of thought theorized

that the physical obstruction prevented normal urination which in

turn caused urine to "reflux" or flow back up into the kidney.

The result was an infection that, if left untreated, could

seriously threaten the entire urinary system. Many pediatric

urologists treated the "bladder neck contracture," as the

congenital condition was known, by surgically altering the

bladder neck.

To correct the condition several widely used surgical

methods were employed, one of which was called a "Bradford Young

Y-V plasty." This operation involved making an incision at the

bottom of the bladder at the bladder neck, removing a portion of

2 the wall of the bladder neck, and then folding and closing the

surgical opening. See Second Am. Compl. at 4. The Y-V plasty

was performed "hundreds, if not thousands, of times between 1954

and the late 1960s." See id.

Over time, however, pediatric urologists found that the

bladder neck constriction was a symptom of UTIs, as the infection

caused a swelling of bladder tissue, and not the cause. By

approximately 1970, the practice of surgical correction stopped

and a child's recurrent UTIs were treated with medication.

Recurrent UTIs eventually would come to an end as the child's

urinary system matured.

On February 23, 1963, Ferraro recommended a Y-V plasty to

the plaintiff's parents, advised them that the alternative was

long-term and fairly constant drug therapy, and indicated that he

could perform the surgery or refer the plaintiff to defendant

Leadbetter, a national expert in the procedure. He neither

informed the plaintiff's parents that the procedure could result

in total, permanent incontinence nor indicated the health

conseguences of such incontinence. The plaintiff's parents did

not sign any additional consent form other than the general

consent form signed upon the plaintiff's admission.

On February 25, 1963, the plaintiff underwent the Y-V

plasty. During the procedure, Ferraro cut so far down into the

3 plaintiff's urethra that he damaged her urinary sphincter and her

urethra and caused the plaintiff to become permanently

incontinent. As opposed to the plaintiff's prior incontinence

which was the result of the UTIs, this incontinence was

structural. Because the plaintiff was previously incontinent,

however, the cause of her continued incontinence, the Y-V plasty,

was not realized by the plaintiff or her parents. Three months

after the surgery, still incontinent, the plaintiff returned to

Ferraro. Ferraro noted in medical records that the plaintiff's

bladder neck "appeared wide open," indicating that the

incontinence could no longer be caused by the bladder neck

contracture, but he did not inform the plaintiff or her parents

of this. See Second Am. Compl. at 7. Instead, he recommended

that they seek a second opinion from Leadbetter.

On July 10, 1963, the plaintiff was admitted to

Massachusetts General Hospital ("MGH") to see Leadbetter.

Leadbetter noted her incontinence and although he was unsure of

the nature, extent, or cause of the incontinence, he determined

that her urethra was short. Leadbetter recommended treating the

infection and awaiting the results, deferring incontinence

surgery for six months.

Because the plaintiff remained incontinent she was

readmitted to MGH in May of 1964. On May 3, 1964, the

4 plaintiff's mother signed a general consent form. On May 6,

1964, Leadbetter operated on the plaintiff to correct the damage

that was done to her urethra as a result of the Y-V plasty

performed by Ferraro. He titled the procedure a "Urethral

Lengthening Procedure for Incontinence." See Second Am. Compl.

at 8. The procedure reguired removing muscle tissue from the

bladder wall to reconstruct the urethra. A catheter was

temporarily inserted into the plaintiff and the tissue was folded

over it. The catheter, which in all cases is of a narrower

diameter than a natural urethra, functioned as a splint around

which the reconstructed urethra took shape. The result of the

reconstructive procedure was a urethra that was shaped very

differently than a normal urethra - it was kinked or corkscrewed

and was narrower than a normal urethra.

After the operation the plaintiff slowly became more

continent, although she had freguent UTIs that Ferraro treated.

Treatment reguired repeated catheterizations: the manual

draining of the bladder by inserting a catheter or tube into the

plaintiff. However, neither Leadbetter nor Ferraro ever

explained to the nurses inserting the catheter, or to the

plaintiff or her parents, that the plaintiff's urethra was of an

unusual shape or size. The catheterizations were therefore

extremely and unnecessarily painful, and although the pain was

5 extraordinary, nurses performing the procedures failed to modify

the protocol or investigate possible medical causes or solutions.

Ferraro himself performed the catheterizations on numerous

occasions. The reports on these catheterizations indicate his

knowledge of the plaintiff's unusually shaped reconstructed

urethra. Neither the plaintiff nor her parents were told the

reason for the extraordinary pain.

In 1968 the plaintiff began suffering from a tightening of

her urethra which was diagnosed by Ferraro as "strictures," an

extremely rare condition in female children. Although the

strictures were a conseguence or evolution of the plaintiff's

condition after the reconstructive surgery, or alternately, of

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