Bullard v. Patel, M.D., Inc. CA5

CourtCalifornia Court of Appeal
DecidedJune 1, 2016
DocketF069673
StatusUnpublished

This text of Bullard v. Patel, M.D., Inc. CA5 (Bullard v. Patel, M.D., Inc. CA5) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bullard v. Patel, M.D., Inc. CA5, (Cal. Ct. App. 2016).

Opinion

Filed 6/1/16 Bullard v. Patel, M.D., Inc. CA5

NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIFTH APPELLATE DISTRICT

VICKIE BULLARD et al., F069673 Plaintiffs and Appellants, (Super. Ct. No. S-1500-CV-270024) v.

RAVI PATEL, M.D., INC., et al., OPINION Defendants and Respondents.

APPEAL from an order of the Superior Court of Kern County. J. Eric Bradshaw, Judge. Hoyt E. Hart II and Kyle W. Jones for Plaintiffs and Appellants. Cole Pedroza, Curtis A. Cole, Cassidy C. Davenport; Law Offices of LeBeau and Dennis R. Thelen for Defendants and Respondents. -ooOoo- In this medical malpractice action, the jury rendered a verdict in favor of defendant on some claims and awarded damages to one of the plaintiffs on the remaining claim. Plaintiffs appeal, asserting the trial court erred in denying their motion for new trial based on juror misconduct. We find no error and affirm. FACTUAL AND PROCEDURAL BACKGROUND Plaintiff, Vickie Bullard, was diagnosed with Valley Fever (coccidioidomycosis) in April 2002. She took oral fluconazole pills for it for four or five months and was released from treatment. In December 2002, she underwent gastric bypass surgery. She was in good health until 2006, when a chest X-ray and CT scan revealed a spot on her lung. At that time, Vickie1 worked for defendant, Comprehensive Blood and Cancer Center (CBCC); she consulted Dr. Ravi Patel at CBCC and he recommended a biopsy. She underwent two needle biopsies in an attempt to determine the nature of the nodule on her lung. She was sent to a doctor at the University of California, Los Angeles, who removed the nodule by wedge resection. It was determined to contain active coccidioidomycosis, a return of her Valley Fever. She was treated with fluconazole. In mid-2008, Vickie began feeling unwell. She consulted Dr. Ramon Vera, a specialist in infectious diseases who worked for CBCC. Dr. Vera ran tests; he had Vickie admitted to the hospital in January 2009, where she was treated for Valley Fever with intravenous (IV) infusions of amphotericin b. After discharge, she was to have infusions of Abelcet, a related medication less strong than amphotericin b, every other day for 12 weeks. The infusions were to take place at CBCC. Vickie went on Friday, February 6, 2009, for her third infusion of Abelcet at CBCC. Abelcet was unavailable that day; nurses who were present that day testified they understood nurse Elizabeth Eastwood had communicated with Dr. Vera, who was not at CBCC at the time, and he had approved use of amphotericin b instead.2 There was a computer entry reflecting Dr. Vera ordered the substitution by telephone and Eastwood entered the order in the computer. Vickie reacted to the infusion with severe nausea and vomiting. The nurses discontinued the infusion before it was finished.

1 For convenience and clarity, plaintiffs will be referred to by their first names because they share a last name. No disrespect is intended. 2 Nurse Eastwood did not testify.

2. The following Monday, when Vickie returned for hydration, Dr. Vera discovered she had been given an excessive dose of amphotericin b on Friday. He admitted her to the hospital. At that time, Vickie had elevated creatinine, a measure of kidney function. She was seen by a cardiologist and a nephrologist. Her creatinine gradually declined and she was discharged on February 13, 2009. In April 2009, she returned to the hospital and was treated with IV infusions of amphotericin b. When she was discharged, the doctor then treating her Valley Fever attempted to use oral medications, but due to her prior gastric bypass surgery, she was not able to absorb the oral medication. As a result, she underwent daily IV infusions of fluconazole for over three years. Vickie experienced a series of infections at the IV line, which required several hospitalizations. Her treatment with infusions of fluconazole ended in June 2013. Vickie sued CBCC for medical malpractice and medical battery, alleging she was given an overdose of amphotericin b, without disclosure to her of the risks of that medication and without a physician’s order for the substitution of that medication for Abelcet. She additionally alleged the needle biopsies and wedge resection should not have been performed, because they caused the dissemination of her Valley Fever. As a result, she alleged, she suffered injury to her internal organs, including her kidneys, and exacerbation of her Valley Fever, rendering her disabled and unable to work. Vickie’s husband, John, sued for loss of consortium. The matter was tried to a jury. At the outset of trial, defendant admitted negligence and causation in connection with the administration of amphotericin b to Vickie on February 6, 2009; it disputed the nature and extent of any claimed injury or damages, however. During the trial, there was conflicting expert evidence regarding whether plaintiff suffered any permanent injury to her kidneys as a result of the amphotericin b overdose, and whether, as a result of the overdose, her medication options for treatment of Valley Fever were limited. There was also conflicting expert evidence

3. regarding whether a needle biopsy or wedge resection would disturb a granuloma and cause a recurrence or dissemination of Valley Fever. On the admitted medication error claim, the jury awarded Vickie $43,000. It found in favor of defendant on Vickie’s other claims of negligence and medical battery. It awarded no damages on John’s claim for loss of consortium. Plaintiffs moved for a new trial, alleging jury misconduct. They presented the declaration of the jury foreperson, Juanita Sullivan, who described various statements made by other jurors during deliberations. Plaintiffs argued some jurors were hostile and refused to deliberate, brought up and discussed matters that were not in evidence, and failed to follow the law as explained by the trial court. Defendant opposed the motion and presented the declaration of a juror that contradicted most of Sullivan’s statements. With their reply, plaintiffs submitted a supplemental declaration of Sullivan and the declaration of another juror, essentially agreeing with Sullivan. The trial court sustained defendant’s objection to the reply declarations on the ground they were untimely and struck both declarations. It sustained some objections to Sullivan’s original declaration and defendant’s opposing declaration. The trial court denied the motion for a new trial. Plaintiffs appeal, challenging the denial of the motion. DISCUSSION I. Standard of Review The verdict may be vacated and a new trial ordered on any of several specified grounds, including misconduct of the jury. (Code Civ. Proc., § 657, subd. (2).) “[A] trial judge is accorded a wide discretion in ruling on a motion for new trial and … the exercise of this discretion is given great deference on appeal.” (Los Angeles v. Decker (1977) 18 Cal.3d 860, 871–872.) On appeal, the judgment or order is presumed correct and the burden is on the appellant to affirmatively demonstrate error. (Rayii v. Gatica (2013) 218 Cal.App.4th 1402, 1408.)

4. “The trial court must undertake a three-step process to evaluate a motion for new trial based on juror misconduct. The trial court must first ‘determine whether the affidavits supporting the motion are admissible.’” (Barboni v. Tuomi (2012) 210 Cal.App.4th 340, 345 (Barboni).) Admissibility of evidence is reviewed for abuse of discretion. (Ibid.) “Second, ‘If the evidence is admissible, the trial court must determine whether the facts establish misconduct.

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