Buskirk v. Elliott

856 So. 2d 255, 2003 WL 21805278
CourtMississippi Supreme Court
DecidedAugust 7, 2003
Docket2001-CA-01509-SCT
StatusPublished
Cited by13 cases

This text of 856 So. 2d 255 (Buskirk v. Elliott) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Buskirk v. Elliott, 856 So. 2d 255, 2003 WL 21805278 (Mich. 2003).

Opinion

856 So.2d 255 (2003)

Frances BUSKIRK, Ronny Van Buskirk and Mike Van Buskirk on behalf of the wrongful death heirs of J.C. Buskirk, deceased
v.
John P. ELLIOTT, M.D.

No. 2001-CA-01509-SCT.

Supreme Court of Mississippi.

August 7, 2003.
Rehearing Denied October 23, 2003.

*257 Grady F. Tollison, Jr., Barbara Miller Dollarhide, Oxford, Leroy Davis Percy, Joseph E. Roberts, Jr., Jackson, attorneys for appellants.

S. Duke Goza, Dion Jeffery Shanley, Shelby Kirk Milam, attorneys for appellee.

EN BANC.

PITTMAN, Chief Justice, for the Court.

¶ 1. This wrongful death action was brought in the Circuit Court of Lee County against Dr. John P. Elliott, Dr. Benton Hilbun, and the North Mississippi Medical Center. Dr. Hilbun was dismissed by summary judgment. Trial commenced, and North Mississippi Medical Center was dismissed with prejudice by agreed stipulation with the wrongful death beneficiaries of J.C. Buskirk. The trial then proceeded against Dr. Elliott alone. After hearing testimony, reviewing the evidence, and deliberating, the jury returned a verdict in favor of Dr. Elliott. The trial court denied motions for a directed verdict, judgment notwithstanding the verdict, and new trial, and the beneficiaries now appeal.

FACTS

¶ 2. On June 7, 1992, J.C. Buskirk (Buskirk) was admitted to the North Mississippi Medical Center (NMMC) to undergo surgery to remove a suspected cancerous mass on one of his lungs. Dr. Benton Hilbun performed the successful surgery the next day and left orders with the hospital staff to use a catheter if Buskirk experienced problems urinating. The day following the surgery, Buskirk did have difficulty urinating. Two experienced nurses attempted to insert a catheter into Buskirk's bladder but were unsuccessful. On their attempts, the catheter would go no further than about two inches into Buskirk's urethra before halting. They contacted the surgical resident who attempted the procedure but met with the same results. The surgical resident then contacted the urologist on call that day, Dr. John P. Elliott.

¶ 3. After arriving at the hospital, Dr. Elliott found Buskirk lying on his bed with blood dripping from his penis. According to Dr. Elliott's testimony, this indicated a tear had been made in the urethra. On his first attempt, Dr. Elliott completely inserted the catheter, but was unsuccessful in reaching the bladder. His next attempt utilized a rigid instrument called a guide to keep the catheter from stopping, but this attempt was unsuccessful as the guide met with a blockage in the urethra. Dr. Elliott then used "filiformes," tiny threads used to pass through and dilate narrow urethral openings, in an attempt to widen the blockage to allow the catheter access to the bladder. Three attempts with the first filiform were unsuccessful in reaching the bladder. The fourth attempt, however, was successful, and the blockage was widened by follower filiform threads which attached to the end of the first. Once the urethra passage was wide enough to accommodate the insertion of the catheter into the bladder, Dr. Elliott removed the filiformes and unsuccessfully attempted to insert the catheter into the bladder. His *258 final attempt utilized the guide again, but this time the catheter reached the bladder and began evacuating urine. Dr. Elliott removed the guide and left instructions to leave the catheter in place for one day.

¶ 4. When the catheter was removed, Buskirk again experienced difficulty urinating. There was pain over his bladder and blood in his urine. Dr. Hilbun asked Dr. Elliott to investigate the reasons for this difficulty, and Dr. Elliott's urology partner performed that task. During a cytoscopy (a procedure where a small flexible camera was inserted into Buskirk's urethra so the doctor could see the stricture restricting the flow of urine in Buskirk's urethra), he discovered a false passage in the wall of Buskirk's urethra. A false passage is an area which can be created when a catheter reaches a stricture in the urethra and cannot go further up the urethra but must go somewhere. A false passage does not necessarily indicate a puncturing of the urethra. After examining the urine in Buskirk's bladder (which was clear), he concluded that no further action was necessary. The next day, Buskirk's abdominal region was bloated, and he was experiencing pain around his stomach and bladder. When x-rays revealed the possible presence of air in Buskirk's retroperitoneal space (the area in the lower abdomen where the urethra, prostate, bladder, rectum, and a portion of the colon are found), Dr. Hilbun, with assistance from another urologist on call, performed a cystourethrogram (a.k.a. "cystogram"; where dye is injected into the urethra and bladder to highlight possible leakage points on x-rays). This procedure uncovered no leakage in either Buskirk's bladder or urethra.

¶ 5. Dr. Hilbun next performed exploratory surgery which revealed Buskirk's retroperitoneal space was infected with bacteria. An infectious disease expert was summoned for consultation. A culture taken of the bacteria revealed its source to be the rectum or colon. After further exploratory surgery, no trauma or infection was found in the perineum (the area between Buskirk's scrotum and rectum). Nor was there any sign of damage to that side of the colon.

¶ 6. Dr. Elliott, Dr. Hilbun, and the infectious disease expert explained to Buskirk's family that the infection was life-threatening, and they suspected its cause to be a puncture of the colon created during one of the attempts to insert a catheter into Buskirk's bladder. The infectious disease expert then explained how he was going to treat the infection. Buskirk's condition eventually deteriorated to the point where a colostomy was performed by Dr. Hilbun. During the surgery, he did not observe a hole in Buskirk's colon. Tragically, the efforts to save Buskirk's life were unsuccessful, and he died just over one month after being admitted for the cancer surgery.

¶ 7. Two years later, Buskirk's wrongful death beneficiaries, Frances Buskirk, Ronny Van Buskirk, and Mike Van Buskirk, filed this wrongful death suit. They served interrogatories on Dr. Elliott, including one which asked him to identify any expert witnesses whom he expected to call at trial. Dr. Elliott would respond and later file a supplemental response to this interrogatory. The full texts of the interrogatory and supplemental response, which are critical to the analysis of some of the issues in this case, are as follows:

INTERROGATORY NUMBER 18:
Please state the name, address and telephone number of each person whom you expect to call as an expert witness at the trial of this action. In addition, please state the subject matter on which each such expert is expected to testify, the substance of the facts and opinions to *259 which each such expert is expected to testify and a summary of the grounds for each opinion.
RESPONSE:
Defendant John P. Elliott, Jr., M.D. will offer as an expert Dr. Bayard Tynes, a urologist from Birmingham, AL. Dr. Tynes' CV is attached hereto as Exhibit A. Dr. Tynes is of the opinion that the bacteria which precipitated the infection which Mr. Buskirk suffered is a bacteria which came from fecal material either on Mr. Buskirk's bed, on Mr. Buskirk's penis or in Mr. Buskirk's penis. Dr. Tynes is of the opinion that the bed or Mr. Buskirk's penis or penile area was contaminated because of the proximity and lack of motion etc.

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Cite This Page — Counsel Stack

Bluebook (online)
856 So. 2d 255, 2003 WL 21805278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/buskirk-v-elliott-miss-2003.