Clark v. Philadelphia College of Osteopathic Medicine

693 A.2d 202, 1997 Pa. Super. LEXIS 568, 1997 WL 116913
CourtSuperior Court of Pennsylvania
DecidedMarch 12, 1997
DocketNo. 01850
StatusPublished
Cited by32 cases

This text of 693 A.2d 202 (Clark v. Philadelphia College of Osteopathic Medicine) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Clark v. Philadelphia College of Osteopathic Medicine, 693 A.2d 202, 1997 Pa. Super. LEXIS 568, 1997 WL 116913 (Pa. Ct. App. 1997).

Opinions

MONTEMURO, J.

This is an appeal from a judgment for $1,582,789.38 plus interest entered in favor of Appellee in a medical malpractice case.

In June of 1990, Appellee instituted the instant negligence action against, inter alia, Drs. Christine Viola, John Simelaro, and Eugene Wyszynski, and the Pennsylvania College of Osteopathic Medicine (PCOM),1 [204]*204claiming that as a result of unnecessarily protracted treatments with the corticosteroid prednisone administered for idiopathic thrombocytopenia purpura (ITP) and sarcoi-dosis,2 Appellee developed avascular necrosis, a deterioration of the skeletal structure, particularly affecting the hips, shoulders, and knees.3 After a three week trial, Dr. Viola, Appellee’s family practitionex1, was found not to have been negligent, and by agreement, the hospital accepted vicarious responsibility for Dr. Simelaro, Appellee’s pulmonary specialist, and did not appear on the verdict sheet. Shoxtly before the verdict was rendered, a settlement was reached between Appellee and Dr. Wyszynski, the ti-eating hematologist. The jury award, $4,100,000 equally apportioned between the two remaining defendants, was molded by the court to $1,582,789.38, including delay damages, plus interest. Appellants, Dr. Simelaro and PCOM, unsuccessfully moved for a new trial, disputing not Appellee’s medical condition, but alleged errors committed by the court during the course of the trial. This appeal followed, raising five issues.

We note preliminarily the well-settled rule that the decision whether to grant a new trial is within the sound discretion of the trial court whose ruling will not be overturned on l’eview absent a clear abuse of discretion or an error of law. Chiaverini v. Sewickley Valley Hospital, 409 Pa.Super. 630, 598 A.2d 1021 (1991), allocatur denied, 530 Pa. 659, 609 A.2d 167 (1992).

Appellants first argue that the court’s adverse infei'ence instruction to the jury concerning the absence of certain office notes from Appellee’s file should not have been given and warrants retrial. Appellants contend that Dr. Simelaro’s explanation for the missing documents was adequate to obviate the necessity for such an instruction, and, given the explanation, not only did the trial court abuse its discretion by failing to make the proper decision, but abdicated its responsibility altogether by allowing the jury to determine the propriety of the charge once given.

The decision whether to tell the jury an unfavorable inference may be drawn from the failure of a party to produce some circumstance, witness, or document is also one which lies within the sound discretion of the trial court and which will not be reversed absent manifest abuse. O’Rourke on Behalf of O’Rourke v. Rao, 411 Pa.Super. 609, 614, 602 A.2d 362, 364 (1992); see also Wigmore, Evidence § 285, at 162 (1940 ed.). Appellant relies upon this court’s decision in Farley v. SEPTA 279 Pa.Super. 570, 421 A.2d 346 (1980), to support his assertion that the trial court in this case erroneously treated the jury’s consideration of Appellant’s justification for the missing documents as permissive rather than conclusive.

The general rule is that:

[wjhei'e evidence which would properly be part of a case is within the control of the party in whose interest it would naturally be to produce it, and, without satisfactory explanation he fails to do so, the jury may draw an inference that it would be unfavorable to him.

Haas v. Kasnot, 371 Pa. 580, 584-85, 92 A.2d 171, 173 (1952) (citation omitted). See also Piwoz v. Iannacone, 406 Pa. 588, 178 A.2d 707 (1962); Davidson v. Davidson, 191 Pa.Super. 305, 156 A.2d 549 (1959).

Farley, however, is distinguishable on its facts and of no assistance to Appellants here. There the missing evidence was testimony by the driver of a bus which had struck the rear [205]*205of the plaintiffs automobile at an intersection causing injuries. Farley, 279 Pa.Super. at 574, 577, 421 A.2d at 348, 350. The defendant bus company failed to produce the driver, explaining through witnesses that he had suffered a massive stroke, and was unable to speak intelligibly or to respond appropriately to simple questions. Id. at 578-80, 421 A.2d at 350-51. The trial court instructed the jury that if they found that the explanation given for his absence to be unsatisfactory, an adverse inference could be drawn. Id. at 577, 421 A.2d at 350. On review, this court ruled that because the reason given for the absence of the driver was both satisfactory and obviously so, treatment of the inference as permissive rather than conclusive was reversible error. Id, at 580, 421 A.2d at 351. This set of circumstances is not analogous to Appellants’ situation.

Here, Dr. Simelaro offered two explanations for the absence of the notes. The first was provided during depositions when Dr. Simelaro testified that his office files were “thinned” every five years, that is, unimportant materials were removed, and such a procedure had been carried out in 1988. However, when Appellee received the file in its entirety during discovery in 1990 after suit had been initiated, no notes were to be found there. Appellant now concedes that the thinning process is irrelevant to the absence of the notes.

At trial, Appellant Simelaro repudiated his deposition testimony, effectively, as the trial court found, denying that he had taken any notes. He described having only scribbled “notations” (the distinction between this and notes is left unplumbed) from which he dictated a consultation letter in the presence of the patient. Along with this procedure, he currently asserts that the file was “tailored to and consistent with his role as a consultant” on Appellee’s case rather than as her primary or treating physician. (Appellants’ Brief at 14) (This distinction too is left unexplored).

Thus, of the theories offered by Appellant to account for the absence of the notes, the first is by his own admission inoperative, and the second neither satisfactory nor at all obvious. The trial court properly instructed the jury using the precise language of Standard Jury Instruction 5.06, and no error can be assigned to the decision to do so.

Appellants next contend that the trial court criticized Dr. Viola for testifying in a manner favorable to Appellant Simelaro, and in so doing abused its discretion.

Both Dr. Simelaro, Appellee’s pulmonary specialist, and Dr. Viola, Appellee’s primary care physician, were represented by the same attorney. During his appearance, Dr. Simelaro testified that Dr. Viola had breached her duty of care toward Appellee. Dr. Viola, who testified later in the proceedings, however, made no corresponding accusation of negligence toward Dr. Simelaro, but rather defended him. During Dr.

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Bluebook (online)
693 A.2d 202, 1997 Pa. Super. LEXIS 568, 1997 WL 116913, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clark-v-philadelphia-college-of-osteopathic-medicine-pasuperct-1997.