Carey v. Rao

828 So. 2d 53, 2001 La.App. 4 Cir. 1235, 2002 La. App. LEXIS 2773, 2002 WL 31085903
CourtLouisiana Court of Appeal
DecidedSeptember 11, 2002
DocketNo. 2001-CA-1235
StatusPublished
Cited by3 cases

This text of 828 So. 2d 53 (Carey v. Rao) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carey v. Rao, 828 So. 2d 53, 2001 La.App. 4 Cir. 1235, 2002 La. App. LEXIS 2773, 2002 WL 31085903 (La. Ct. App. 2002).

Opinion

JACHARLES R. JONES, Judge.

Appellants, Jayashree Rao, M.D., and the State of Louisiana, LSU Board of Supervisors, appeal the judgment of the district court finding them liable for medical negligence in the death of Joseph Carey, the minor child of the Appellees, Raymond and Ruth Carey. Following a review of the record, we affirm the judgment of the district court.

Facts and Procedural History

Joseph Carey, born on May 13, 1988, was diagnosed with childhood diabetes at ten months. Joseph’s mother, Ruth Carey, received special training for treating Joseph’s diabetes and was told to bring Joseph to the ER at Children’s Hospital whenever he became ill.

On November 28, 1993, Joseph presented to Children’s Hospital at 12:17 p.m. with a one-day history of abdominal pain with vomiting and lethargy. In the emergency room, Joseph was diagnosed with having mild Diabetic Ketoacidosis (hereinafter “DBA.”) and dehydration. DKA is a serious condition which often ^requires the infusion of IV fluids to treat dehydration in patients with childhood diabetes.

In the emergency room, Joseph was treated with a bolus IV dose of normal saline solution. The emergency room physician, Dr. Druby Hebert, called the on-call pediatric endocrinologist, Dr. Jayashree Rao, at 1:45 p.m. on November 28, 1993, and she agreed to admit and treat Joseph. Dr. Rao ordered Joseph to be administered an IV solution of five percent dextrose and quarter normal saline (hereinafter “D5 quarter normal”) to be infused at the rate of 135 ccs an hour. At 3:30 p.m., after having received the D5 quarter normal solution for about two hours, Joseph developed frontal headaches, and was scheduled to be admitted to the hospital pediatric intensive care unit. At 7:00 p.m., a spinal tap was performed to determine whether Joseph had meningitis, which produced negative results.

At approximately midnight, Joseph was taken off of D5 quarter normal and put on D5 half normal saline. At 12:10 a.m. on November 29, 1993, Joseph was reported to have a neurological deficit after a nurse observed that one of Joseph’s eyes was dilated. At about 1:30 a.m., Joseph had a respiratory arrest. A CT scan taken at 2:30 a.m., revealed that Joseph had Cerebral Edema (hereinafter “CE”). Joseph began to receive Mannitol and Decadron for treatment of the CE at approximately 3:00 a.m. Also an MRI and EEG were scheduled. At 3:45 a.m., Dr. Rao arrived at the hospital and examined Joseph for the first time. Joseph died of CE on December 1,1993.

| a A medical review panel was convened to determine whether Dr. Rao breached the standard of medical care in treating Joseph. The medical review panel found that the State of Louisiana, LSU Board of Supervisors and Dr. Rao failed to comply with the appropriate standard of care as charged in the complaint and the conduct complained of was a factor in the resultant damages.

Subsequently, Raymond and Ruth Carey filed a wrongful death and survival action suit against Dr. Rao. After all evidence had been presented at trial, the jury found that Dr. Rao violated the applicable standard of care and awarded damages of $1,450,000, which the district court reduced to a judgment in favor of Mr. and Mrs. Carey in the amount of $500,000. It is from this judgment the State of Louisiana, LSU Board of Supervisors and Dr. Rao appeal.

Discussion

Before we commence a discussion of the issues, we are compelled to observe that it took us great pains to resolve the issues in [57]*57this appeal, as the Appellants’ brief was convoluted and redundant. The Appellants’ brief was not easy to follow as the arguments in support of each assignment of error were found throughout the brief and not in any succinct and organized manner.

The first assignment of error raised by the State and Dr. Rao is that the district court erred in failing to grant their Motion to Strike the testimony of Dr. Richard Sandler. The State and Dr. Rao argue that the Careys did not identify Dr. Sandler as an expert witness who would-be called to testify until August 7, 2000, after the court imposed a deadline for identification of witnesses. The Appellants argue that Dr. Sandler’s testimony should have been stricken from the record at trial when the Careys had subverted the discovery process in failing to identify Dr. 1 ¿Sandler as a witness for over six years, despite discovery requests for the identification of expert witnesses from the Careys. The Appellants argue that the district court abused its discretion by allowing them to be ambushed when the Careys intentionally subverted the lawful process of pretrial discovery.

The Careys argue that they contacted Dr. Sandler years earlier in the case, lost contact with him when he moved from New Orleans, and identified Dr. Sandler as an expert witness on August 7, 2000, once the Careys were able to relocate him. The Careys contend that they made Dr. San-dler available for deposition, but the Appellants sought a Motion to Strike for lack of opportunity to depose Dr. Sandler. The district court required Dr. Sandler be deposed on a date convenient for the Appellants; however, the Appellants selected October 13th as the deposition date, but cancelled due to administrative problems in their office. The Appellants then filed another Motion to Strike Dr. Sandler’s testimony; however, the district court ordered the Careys to select a date convenient to the parties. The date selected was November 4th in Springdale, Arkansas. The Appellants failed to appear, and the district court awarded cost and expenses to the Appellees for traveling to Arkansas for the deposition.

Any bias a trial court has regarding accepting or refusing testimony should be in favor of accepting the testimony. Palomo v. LeBlanc Hyundai Partnership, 95-278 (La.App. 5 Cir. 10/31/95), 665 So.2d 414. However, in the matter sub judice, the Appellants were granted more than a fair opportunity to take Dr. Sandler’s deposition. The district court did not abuse its much discretion by allowing Dr. San-dler to testify.

The second assignment of error raised by the State and Dr. Rao is that the district court erred in qualifying Dr. San-dler as an expert in pediatric | .¡endocrinology. They argue that Dr. San-dler is not a board certified ■ endocrinologist, and that he only treated a few patients under five years old. They further argue that Dr. Sandler lacked expertise in pediatric endocrinology, which rendered him unqhalified to testify as an expert. The Appellants also contend that adult endocrinology is a different specialty in medicine, and that DKA is rarely addressed in adult endocrinology patients. Therefore, the State and Dr. Rao contend that only a certified pediatric endocrinologist should have been qualified as an expert, or in the alternative, the testimony of a certified pediatric endocrinologist be given greater weight than that of Dr. Sandler.

The Careys argue that Dr. Sandler was board certified in endocrinology in 1972, at which time there was no sub-specialty in pediatric endocrinology. He practices both adult and pediatric endocrinology and [58]*58has done so since he entered private practice. The Careys argue that Dr. Sandler has treated many children for DKA and other pediatric illnesses. The Careys also contend that the district court was not manifestly erroneous in qualifying Dr. Sandler as an expert witness. We agree.

The trial judge has wide discretion in deciding which expert testimony to admit and his judgment will not be disturbed unless it is clearly erroneous. Mistich v. Volkswagen of Germany, Inc.,

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Post v. State ex rel. Department of Health & Hospitals
926 So. 2d 48 (Louisiana Court of Appeal, 2006)
Benjamin ex rel. Benjamin v. Housing Authority
871 So. 2d 1208 (Louisiana Court of Appeal, 2004)
Landry v. Leonard J. Chabert Med. Ctr.
858 So. 2d 454 (Louisiana Court of Appeal, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
828 So. 2d 53, 2001 La.App. 4 Cir. 1235, 2002 La. App. LEXIS 2773, 2002 WL 31085903, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carey-v-rao-lactapp-2002.