Bynum v. Gregory

450 S.E.2d 840, 215 Ga. App. 431, 94 Fulton County D. Rep. 3856, 1994 Ga. App. LEXIS 1260
CourtCourt of Appeals of Georgia
DecidedNovember 21, 1994
DocketA94A1238
StatusPublished
Cited by16 cases

This text of 450 S.E.2d 840 (Bynum v. Gregory) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bynum v. Gregory, 450 S.E.2d 840, 215 Ga. App. 431, 94 Fulton County D. Rep. 3856, 1994 Ga. App. LEXIS 1260 (Ga. Ct. App. 1994).

Opinion

Blackburn, Judge.

This is an appeal by plaintiffs/appellants, Robert and Debra Bynum, individually, and as parents and next friend of their minor daughter, Shannon, from the grant of summary judgment to defendants/appellees, Dr. James R. Gregory, and Associates in Obstetrics & Gynecology, P. C. (Associates), in this medical malpractice action.

The record, construed most favorably for the Bynums, the nonmovants, shows that medical services in connection with Mrs. Bynum’s pregnancy and delivery were provided to her by Associates (operating at that time under its original name, Drs. Gregory, Wages and Eidson, P.C.), and that one of its employees and shareholders, Dr. Gregory, was the attending obstetrician at the delivery at 9:31 p.m. on February 20, 1975.

An external fetal heart monitor was employed at 5:30 p.m., February 20, 1975. Dr. Gregory was aware of the fact that for several hours prior to delivery Shannon was in distress having an irregular heartbeat, skipping one in four beats. Shannon also had fetal tachycardia (elevated heart rate of 200-300 bpm) which passed through the normal range of 120-160 bpm to a depressed heart rate level of 90 bpm at 8:45 p.m. until her birth at 9:31 p.m., February 20, 1975. Dr. Gregory acknowledged being aware that Shannon was in distress at 8:00 p.m., February 20, 1975. Shannon was meconium-stained at birth. Dr. Gregory acknowledges that the presence of meconium is consistent with Shannon’s being in distress. Dr. Gregory indicated that the nuchal cord, hypoxia, and neonatal asphyxia were possible causes of Shannon’s depressed condition.

*432 Following delivery of Shannon, who had an initial Apgar score of one, by Dr. Gregory, Dr. William R. Tipton, a pediatrician and shareholder in Pediatrics of Dalton (a professional organization), examined Shannon and took over her care.

Dr. Tipton found Shannon was flaccid, not breathing, stained with meconium, in distress, and that her mother had a fever and foul smelling amniotic fluid. Dr. Tipton’s initial impression of Shannon’s condition was that she suffered from neonatal asphyxia (lack of oxygen) and he recorded this in her medical records on February 20, 1975, following her birth.

Dr. Tipton ordered cultures of Shannon’s ear, umbilicus and stool, started antibiotics and performed two spinal taps because he suspected that Shannon had an infection. Within 36 hours of birth, tests ruled out spinal meningitis as a cause of Shannon’s condition. Dr. Farrow, a pediatrician who was also a shareholder in Pediatrics of Dalton, confirmed Dr. Tipton’s initial diagnosis and recorded Shannon’s final diagnosis on March 13, 1975, which was: full-term female infant, brain injury due to anoxia (lack of oxygen) with convulsive seizures due to brain injury. Dr. Farrow testified that there was nothing in the pediatric entries on Shannon’s medical records which would indicate a diagnosis of meningitis.

Notwithstanding the pediatric diagnosis on February 20, 1975, which did not change through Shannon’s discharge on March 13, 1975, and was contained in the medical records, Dr. Eidson, a shareholder and employee of Associates, entered the following on the medical records on February 23, 1975, as the reason why Shannon was not going home with her mother, “septic meningitis and amnionitis of unknown causes leading to septic meningitis of infant.”

At her six-week checkup, Mrs. Bynum inquired of Dr. Eidson as to the cause of Shannon’s condition. Dr. Eidson affirmatively informed Mrs. Bynum that they (after a two-month study) had concluded Shannon had spinal meningitis and that it was something that happened to one in a million women and there was not anything that they could have done. Dr. Eidson did not refer Mrs. Bynum to the pediatricians or indicate any lack of knowledge of the subject, but rather, he affirmatively provided her with an erroneous response to her direct inquiry concerning Shannon’s condition, which he knew or should have known was false. Dr. Eidson admits that he may have had a conversation with Mrs. Bynum at her six-week checkup concerning Shannon and meningitis.

Mrs. Bynum testified that she saw Dr. Gregory one time after the birth of Shannon, when he came into her room and she awoke. At that time he offered no explanation for Shannon’s condition, and did not report Dr. Tipton’s initial diagnosis. He advised Mrs. Bynum that Shannon had a nuchal umbilical cord which he removed from around *433 her throat, but that it was not tight enough to hurt her. However, after this suit was filed he deposed that it was one of the possible causes of Shannon’s condition. Dr. Gregory does not deny this discussion with Mrs. Bynum, but does not recall it. Drs. Gregory and Eidson do not deny that they were aware of Shannon’s condition and diagnosis at the time of their conversations with Mrs. Bynum.

Although Shannon was susceptible to colds and her growth and actions were abnormal, Mrs. Bynum did not inquire of the subsequent treating physicians as to the cause of her condition, as Dr. Eidson had already told her the origin of Shannon’s problems and that she should expect abnormalities as Shannon grew. It was not until February 20, 1991, when Shannon needed emergency treatment, that Mrs. Bynum was informed by Dr. Pedersen that Shannon had never had spinal meningitis. Dr. Pedersen told Mrs. Bynum that whatever happened to her happened in the last few minutes before her birth. This was the first time Mrs. Bynum had been told by a medical doctor that Shannon’s injuries did not result from spinal meningitis and that it resulted from events shortly before birth. Dr. Pedersen could not find the medical records at the hospital, and a brain scan was done.

On February 4, 1993, within two years of the discovery of the cause of Shannon’s condition, this action was filed and the defendants were subsequently granted summary judgment. Plaintiffs enumerate as error, the ruling that their claims are barred, as a matter of law, by the statute of limitation, OCGA § 9-3-73 (b), and by the statute of repose, OCGA § 9-3-73 (c).

Defendants moved for summary judgment on the ground that the statute was not tolled and, even if a jury issue was raised in regard to the tolling of the statute of limitation, the complaint would nevertheless be barred by the five-year statute of ultimate repose for medical malpractice actions.

1. The threshold issue is whether the two-year statute of limitation for medical malpractice claims was tolled as a matter of law under the facts of this case. We find that a question of fact remains as to whether the failure of Associate’s shareholder/employees to inform the plaintiffs of the etiology of Shannon’s condition, or the alleged intentional misrepresentation to Mrs. Bynum that Shannon had septic meningitis, which was the cause of her problems and nothing could have been done about it, were sufficient to toll the statute of limitation.

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Bluebook (online)
450 S.E.2d 840, 215 Ga. App. 431, 94 Fulton County D. Rep. 3856, 1994 Ga. App. LEXIS 1260, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bynum-v-gregory-gactapp-1994.