Christine Smith v. Oon Leedhanachoke, M.D.

• Court: Court of Appeals of Kentucky
• Decided: April 11, 2024
• Docket: 2022 CA 001453
• Status: Unknown

Opinion

RENDERED: APRIL 12, 2024; 10:00 A.M. NOT TO BE PUBLISHED

Commonwealth of Kentucky Court of Appeals NO. 2022-CA-1453-MR

CHRISTINE SMITH AND TERRY SMITH APPELLANTS

APPEAL FROM PIKE CIRCUIT COURT v. HONORABLE HOWARD KEITH HALL, JUDGE ACTION NO. 16-CI-00198

OON LEEDHANACHOKE, M.D. APPELLEE

OPINION AFFIRMING

** ** ** ** **

BEFORE: CALDWELL, CETRULO, AND JONES, JUDGES.

JONES, JUDGE: Following the denial of their motion for a new trial, the

Appellants, Christine and Terry Smith, filed this appeal seeking review of the Pike

Circuit Court’s October 5, 2022 trial order and judgment in favor of the Appellee,

Dr. Oon Leedhanachoke. On appeal, the Smiths complain that the trial court erred

in refusing to strike for cause certain venirepersons from the jury pool, and in not

allowing various witnesses to testify regarding statements Dr. Leedhanachoke allegedly made to Christine’s family after her surgery. Having reviewed the record

and being otherwise sufficiently advised in the law, we affirm.

I. BACKGROUND

In 2015, Christine Smith was diagnosed with breast cancer. Shortly

thereafter, Dr. Leedhanachoke performed a successful lumpectomy on Christine at

Pikeville Medical Center (PMC). Dr. Leedhanachoke also twice attempted to

surgically place a chemotherapy port into Christine’s superior vena cava; however,

during surgery, Christine’s blood pressure became undetectable, and her oxygen

levels declined, alerting Dr. Leedhanachoke to a problem. Apparently, the wire

used for the port placement pierced Christine’s vein and caused her to lose a high

volume of blood. Dr. Leedhanachoke consulted a cardiologist, and they were able

to stabilize Christine.

Christine awoke post-operation with no apparent cognitive defects.

Afterward, she underwent chemotherapy treatments for her breast cancer.

Approximately four months later, Christine began to experience neurological

deficits. Thereafter, the Smiths sued Dr. Leedhanachoke, alleging that his

negligence during the port placement surgery was the cause of Christine’s later

neurological problems.

Christine’s husband Terry, son Josh, daughter Kerri, and friend

Debbie Addair, were at the hospital during her surgery and recovery. They were

-2- also present when Dr. Leedhanachoke visited and apologized for the complications

and results of the port placement surgery. As part of this litigation, they testified

by deposition and at trial. Terry testified at his deposition that Dr. Leedhanachoke

told him to “kick my ass, I deserve it.” The Smith children and Addair testified

similarly.

Dr. Leedhanachoke filed multiple motions in limine prior to trial,

including ones to prevent evidence concerning the alleged statement from Dr.

Leedhanachoke from being introduced to the jury, due to its prejudicial nature.

The trial court excluded mention of Dr. Leedhanachoke’s “alleged comment about

kicking his ‘rear end[.]’”

The matter was called for trial in September of 2022. During voir

dire, the Smiths moved the trial court to strike two potential jurors for cause

because they worked at PMC, but their requests were denied. The Smiths used

five peremptory strikes but failed to strike the two jurors they requested be

removed for cause. The Smiths did not indicate there was any other juror they

would have removed with an additional strike.

The trial lasted nine days, and multiple witnesses testified. During

opening statements, counsel for the Smiths told the jurors they would hear witness

testimony that Dr. Leedhanachoke was very upset after the operation, admitted he

made a mistake, and said “hit me, hit me, hit me.” Counsel for Dr. Leedhanachoke

-3- objected, and a bench conference was held. The court clarified its previous ruling

and admonished the jury that Dr. Leedhanachoke’s statements about punishing

himself were inadmissible as they were more prejudicial than probative. Further

objection was made when Kerri testified that it seemed as if Dr. Leedhanachoke

was trying to get her dad, Terry, to fight him after the surgery. A bench conference

followed, along with the court’s admonition of both the witness and jury. Dr.

Leedhanachoke moved for a mistrial based on the impermissible testimony

concerning his out-of-court statements, but his request was denied.

Addair testified that Dr. Leedhanachoke was “frantic” after the

surgery, apologized repeatedly, and stated that “something went wrong” during the

surgery and Christine lost a lot of blood. Josh testified that Dr. Leedhanachoke

was “extremely frantic” post-operation, advised them of the complication, and

seemed like he wanted to apologize, but the family asked him to leave. Terry

testified that Dr. Leedhanachoke was very excited and frantic, as if apologizing for

what happened.

Dr. Leedhanachoke testified that he was “devastated” and “very, very

upset” about the outcome of the surgery and that he apologized to the family for

the outcome. He further testified that the complication was unintentional and

outside his control, that he did what he was supposed to do, and that the placement

x-ray looked normal.

-4- The jury ultimately found in favor of Dr. Leedhanachoke. The trial

court entered its final judgment on October 5, 2022, and the Smiths moved for a

new trial. The motion was denied, and this appeal followed.

II. ANALYSIS

A. The Trial Court’s Failure to Strike Certain Jurors for Cause

A “determination as to whether to exclude a juror for cause lies within

the sound discretion of the trial court, and unless the action of the trial court is an

abuse of discretion or is clearly erroneous, an appellate court will not reverse the

trial court’s determination.” Pendleton v. Commonwealth, 83 S.W.3d 522, 527

(Ky. 2002). “The test for abuse of discretion is whether the trial judge’s decision

was arbitrary, unreasonable, unfair, or unsupported by sound legal principles.”

Commonwealth v. English, 993 S.W.2d 941, 945 (Ky. 1999).

According to the Smiths, numerous members of the jury pool and/or

their spouses were either former or current employees of PMC and/or current or

former patients of Dr. Leedhanachoke. The Smiths assert that they requested the

trial court to strike or remove all such venirepersons from the jury pool, but the

trial court refused to do so.1 As such, the Smiths claim that they were forced to use

1 The Smiths also argue “there were at least 15 or 20 potential jurors in the pool who should have been stricken for cause by the trial court before jury selection began.” However, the Smiths have failed to identify these potential jurors. We will not search the record to construct the Smiths’ argument for them, nor will we go on a fishing expedition to find support for their underdeveloped arguments. “Even when briefs have been filed, a reviewing court will generally confine itself to errors pointed out in the briefs and will not search the record for errors.” Milby

-5- their limited peremptory strikes to remove potential jurors who should have been

removed for cause by the court. For this reason, the Smiths assert that they did not

have enough strikes to remove all the jurors who should have been removed for

cause and thus were denied the right to select an unbiased jury panel.

However, at no point did the Smiths file any pretrial motion in limine

or ask the court during jury selection to exclude all employees of PMC and/or all

patients of Dr. Leedhanachoke. During jury selection, the Smiths only moved the

trial court to strike two jurors for cause due to their relationships with PMC and/or

Dr. Leedhanackoke. One of those jurors worked for PMC as a secretary and dealt

with Dr. Leedhanachoke’s records on some occasions; the other was a laboratory

technician at PMC. Both stated that their employment would have no effect upon

their ability to render a fair decision in this case, and the trial court denied the

Smiths’ motion to strike them for cause.

Following the completion of voir dire, the parties were each granted

five peremptory challenges. The Smiths’ strike sheet wholly failed to preserve any

arguments regarding the trial court’s failure to strike venirepersons for cause.

Specifically, the Smiths did not indicate which individuals among the remaining

twenty-four members of the panel should have been stricken for cause, which of

v. Mears, 580 S.W.2d 724, 727 (Ky. App. 1979). Consequently, we decline to address this issue as it is an underdeveloped and vague alleged point of error.

-6- their peremptory strikes were being used to strike jurors that should have been

stricken for cause or indicate which jurors they would have used a peremptory

strike on had they not been forced to use peremptory strikes on the jurors not

stricken for cause.

In Gabbard v. Commonwealth, 297 S.W.3d 844, 854 (Ky. 2009), the

Kentucky Supreme Court held that “[i]n order to complain on appeal that he was

denied a peremptory challenge by a trial judge’s erroneous failure to grant a for-

cause strike, the defendant must identify on his strike sheet any additional jurors he

would have struck.” A decade later, in Floyd v. Neal, 590 S.W.3d 245 252, (Ky.

2019), the Court explicitly laid out the procedures trial counsel must follow to

preserve alleged errors related to failure to strike jurors for cause as follows:

[W]e hold that to preserve the error that a trial court failed to strike a juror for cause a litigant must: (1) move to strike the juror for cause and be denied; (2) exercise a peremptory strike on said juror, and show the use of that peremptory strike on the strike sheet, and exhaust all other peremptory strikes; (3) clearly indicate by writing on her strike sheet the juror she would have used a peremptory strike on, had she not been forced to use a peremptory on the juror complained of for cause; (4) designate the same number of would-be peremptory strikes as the number of jurors complained of for cause; (5) the would-be peremptory strikes must be made known to the court prior to the jury being empaneled; and (6) the juror identified on the litigant’s strike sheet must ultimately sit on the jury.

-7- Id. The Court demands strict compliance with the preservation requirements. Id.

at 248-52.

The Smiths should have brought their issues to the trial court’s

attention by recording their objections in writing on their strike sheet in the manner

described in Floyd. However, they failed to do so, which prevents our review of

their arguments.

B. Exclusion of Testimony About Dr. Leedhanachoke’s Statements & Behavior

The Smiths also argue that additional evidence of Dr.

Leedhanachoke’s out-of-court statements made to Christine’s family and friends

should have been permitted. When reviewing a trial court’s evidentiary rulings,

our review is limited to a determination of whether the trial court abused its

discretion. Kentucky Guardianship Administrators, LLC v. Baptist Healthcare

System, Inc., 635 S.W.3d 14, 20 (Ky. 2021). “Rulings upon admissibility of

evidence are within the discretion of the trial judge,” and we will not reverse

absent a “clear abuse of discretion.” Simpson v. Commonwealth, 889 S.W.2d 781,

783 (Ky. 1994).

A party’s own out of court statement is admissible notwithstanding

the hearsay rules if the statement is being offered against the party. KRE2

801A(b)(1). Thus, Dr. Leedhanachoke’s statements to Christine’s family and

2 Kentucky Rules of Evidence.

-8- friends were admissible notwithstanding the general prohibition against the

introduction of hearsay evidence. However, this does not mean that the trial court

was required to allow them into the record. Even though relevant and otherwise

admissible, evidence may be excluded if “its probative value is substantially

outweighed by the danger of undue prejudice, confusion of the issues, or

misleading the jury, or by considerations of undue delay, or needless presentation

of cumulative evidence.” KRE 403.

Ultimately, the trial court allowed a significant amount of testimony

into the record concerning Dr. Leedhanachoke’s statements and demeanor after the

surgery. At the end of the day, the only major statement that the trial court

disallowed was that Dr. Leedhanachoke indicated that Terry should “kick his ass”

for how the surgery turned out and some of his exact mannerisms. Even without

this statement, the jury heard how upset Dr. Leedhanachoke appeared to be after

the surgery, and that the family believed that he was trying to apologize to them

about its outcome.

Even if we did believe the trial court should have allowed all of Dr.

Leedhanachoke’s comments and behaviors to be broadcast to the jury, we cannot

conclude that that omitted portion resulted in harmful error. The jury heard

testimony that Dr. Leedhanachoke was very upset after the surgery and that he

appeared to be trying to apologize to Christine’s family. This was sufficient for the

-9- jury to conclude that Dr. Leedhanachoke blamed himself for how the surgery

turned out, and to create an inference that Dr. Leedhanachoke may have done

something wrong to cause that outcome. Dr. Leedhanachoke’s exact statement that

someone should “kick his ass,” while colorful, would not have appreciably

strengthened this inference. Moreover, this was a lengthy trial replete with expert

opinions regarding Dr. Leedhanachoke’s actions during surgery. Such testimony is

far more probative regarding whether Dr. Leedhanachoke complied with the

standard of care than this ambiguous statement after the surgery. See Hashmi v.

Kelly, 379 S.W.3d 108, 114 (Ky. 2012) (“Ultimately, this was an eight-day trial,

about which the Appellee complains only of a single five-word sentence. Such an

isolated remark, especially when balanced against more fully developed testimony

from other experts, can have little if any prejudicial effect.”).

III. CONCLUSION

For the foregoing reasons, the orders of the Pike Circuit Court are

affirmed.

ALL CONCUR.

-10- BRIEFS FOR APPELLANTS: BRIEF FOR APPELLEE:

H. Truman Chafin David F. Latherow Letitia Neese Chafin Dustin C. Haley Stacey Kohari Ashland, Kentucky Williamson, West Virginia

Marvin W. Masters Charleston, West Virginia

-11-