Camp v. Bernalillo County Medical Center

633 P.2d 719, 96 N.M. 611
CourtNew Mexico Court of Appeals
DecidedJune 9, 1981
Docket4766
StatusPublished
Cited by12 cases

This text of 633 P.2d 719 (Camp v. Bernalillo County Medical Center) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Camp v. Bernalillo County Medical Center, 633 P.2d 719, 96 N.M. 611 (N.M. Ct. App. 1981).

Opinions

OPINION

WALTERS, Judge.

Following or during an arteriogram performed by a third-year radiology resident, plaintiff suffered a stroke which resulted in some permanent physical disabilities. Defendants appeal from a judgment entered after a non-jury trial which awarded damages of $120,000 to plaintiff, for “medical malpractice committed by agents and employees” of defendants. They raise four issues; however, their first two points require reversal, in our opinion, so we do not reach the additional arguments presented.

Plaintiff’s complaint alleged eight different theories of negligence: (1) Defendants failed to obtain prior medical reports and follow precautions that would have been evident from reading prior medical records, including the records of Mr. Camp’s admission at St. Joseph Hospital by Dr. Parsons in 1974 for repair of an abdominal aneurysm; (2) Defendants misdiagnosed bilateral femoral aneurysms; (3) Defendants performed a test that was potentially dangerous without adequate diagnosis and indication; (4) Defendants improperly administered a dangerous diagnostic test; (5) Even when the physician encountered resistance in trying to pass the catheter, the physician continued in his efforts to pass the catheter and further traumatized the artery; (6) There was failure on the part of the hospital personnel, including the doctors, to recognize and treat a cerebrovascular accident when it occurred; (7) Defendants proceeded with the diagnostic test in the absence of informed consent; (8) Dr. J. Davenport, the physician who performed the aortogram did not possess/use the knowledge and skill ordinarily known/used by a reasonably well qualified radiologist.

During the trial and over defendants’ objections, plaintiff was allowed to amend his pleadings to include allegations of “improper supervision or lack of supervision in not having a staff physician reasonably well qualified to participate in the decision" to have an arteriogram performed.

Prior to trial, counsel was asked by the trial judge whether Dr. Dobernick would be called because, as the judge later explained if Dobernick were to be a witness the judge felt he would have to recuse himself — the doctor was the judge’s next-door neighbor. Defense counsel responded that he had not intended to call that witness. At trial, however, and during the plaintiff’s examination of his last witness, a medical doctor, some evidence was adduced regarding the resident’s lack of expertise, particularly if not supervised, in performing an arteriogram. An objection was made on the ground that there was no evidence that the resident had not been supervised. The court responded:

Well, I don’t know that there’s any evidence to that. I assume you’re going to tie that up later. And if not, I’ll strike the answer. . . . [I]f there are no facts to establish the question, I’ll, of course, ignore it.

It was after the medical doctor completed his testimony, and after defendants had moved for dismissal for lack of evidence to support the allegations of the complaint, that plaintiff’s motion to amend the complaint was granted. Defendants’ objections that this introduced a new theory of negligence for which they had not had the opportunity to prepare, and that it was supported only by the opinion of plaintiff’s final witness “based solely on the absence of written notes in the [hospital] record,” did not persuade the trial court that the amendment should not be allowed.

Defendants thereupon advised the trial court that it would be necessary to call Dr. Dobernick as a defense witness on the issue of consultation and supervision. The request was refused.

Subsequently, a doctor who performed an examination of plaintiff four or five days before trial and was added as a witness, was permitted to testify beyond the boundaries the court imposed on her testimony when defendants objected to her being allowed to testify at all.

The trial court’s findings clearly reveal that plaintiff’s case was ultimately decided on the issue of lack of supervision and control — which was the negligence claim allowed by amendment after plaintiff had presented his evidence — and that the arteriogram would not have been ordered or performed if proper supervision and consultation had been obtained before the arteriogram was attempted. This state of facts presents the two issues determinative of this appeal, i. e., (1) Was it error to permit the trial amendment without also permitting defendants to call the judge’s neighbor as a necessary defense witness in refutation of the basis for the new claim of negligence? and (2) was defendant denied a fair trial when a last-minute medical witness was permitted to testify beyond a pre-trial limitation imposed by the court?

1. The trial amendment; the exclusion of essential testimony.

Amendments to pleadings are favored and should be liberally permitted in the furtherance of justice. Rule 15(b), N.M. R.Civ.P., N.M.S.A.1978; Martinez v. Research Park, Inc., 75 N.M. 672, 410 P.2d 200 (1965). However, when amendments to conform to the proof are asked, and there is no express or implied consent (as here), the test is whether prejudice would result to the opposing party if the amendment were allowed, i. e.,

whether [the defendant] had a fair opportunity to defend and whether he could offer any additional evidence if the case were to be retried on a different theory.

3 Moore’s Federal Practice 15-172, -173, ¶ 15.13[2]; see also Wynne v. Pino, 78 N.M. 520, 433 P.2d 499 (1967).

When the court refused to allow defendants to call Dr. Dobernick to meet the substance of the permitted amendment, it offered to accept a tender of proof. Plaintiff suggests that because defendants did not make a tender, any erroneous exclusion of evidence was cured or waived. N.M.R.Evid. 103, N.M.S.A.1978, requires a tender of evidence if a ruling excludes it, unless the substance of the evidence is clear to the judge by offer or is apparent from the context of the questioning. The necessity for Dr. Dobernick’s testimony was apparent from the moment defendants asked that he be allowed to testify on the supervision/consultation issue. Dobernick was the supervising physician from the Department of Surgery at the time the arteriogram was ordered. His testimony was crucial because plaintiff’s expert testified that lack of supervision or consultation in approving the arteriogram procedure would be negligence. The expert agreed, however, that merely because such a consultation was not written into the hospital records, the absence of a record was not conclusive that a consultation had not occurred: “That [documentation] isn’t [made] one hundred percent of the time.”

Nonetheless, the trial court permitted the trial amendment to allege negligence inherent in a lack of consultation or supervision, based on the expert’s assumption that failure to record a consultation indicated there had been none. The amendment added a new theory of negligence between the beginning and completion of plaintiff’s case.

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Camp v. Bernalillo County Medical Center
633 P.2d 719 (New Mexico Court of Appeals, 1981)

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633 P.2d 719, 96 N.M. 611, Counsel Stack Legal Research, https://law.counselstack.com/opinion/camp-v-bernalillo-county-medical-center-nmctapp-1981.