Cooper v. Dr. Hanson

2010 MT 113
Montana Supreme Court·Decided May 25, 2010·No. 09-0439·Published

Opinion

May 25 2010

DA 09-0439

IN THE SUPREME COURT OF THE STATE OF MONTANA 2010 MT 113

JOYCE COOPER, Plaintiff and Appellant,

v.

PETER D. HANSON, M.D., Defendant and Appellee.

APPEAL FROM: District Court of the First Judicial District, In and For the County of Lewis and Clark, Cause No. CDV 2007-951 Honorable Kathy Seeley, Presiding Judge

COUNSEL OF RECORD:

For Appellant:

Erik B. Thueson, Thueson Law Office, Helena, Montana James T. Towe, Towe Law Offices, Missoula, Montana For Appellee:

J. Daniel Hoven, Carlo J. Canty, Browning, Kaleczyc, Berry & Hoven, P.C., Helena, Montana

Submitted on Briefs: March 31, 2010 Decided: May 25, 2010

Filed:

Clerk

Justice Patricia O. Cotter delivered the Opinion of the Court.

¶1 Joyce Cooper (Cooper) appeals from a jury verdict in the First Judicial District Court finding that defendant Peter M. Hanson, M.D. (Dr. Hanson) was not negligent in his treatment and care of Cooper. Cooper argues that her right to a fair and impartial trial was prejudiced in the course of the proceedings below, and that her motion for a new trial was improperly denied by the District Court. For the reasons set forth below, we reverse the verdict of the jury and remand this matter to the District Court for a new trial.

FACTUAL AND PROCEDURAL BACKGROUND

¶2 Cooper had been suffering from arthritis in her left knee, and conservative treatment measures had failed to alleviate the condition. On December 1, 2005, Dr. Hanson performed a total knee arthoplasty surgery (TKA) on Cooper’s left knee. During surgery, complications arose due to damage to the popliteal artery in Cooper’s left knee. Cooper alleged that she suffered various permanent injuries to vessels and nerves in her left leg as a result of the complications.

¶3 On December 7, 2007, Cooper filed a negligence action against Dr. Hanson in the First Judicial District Court. Cooper alleged that Dr. Hanson was negligent in his use and placement of surgical tools during the operation, and that he was responsible for severing the popliteal artery in her left leg. Dr. Hanson denied he was negligent.

¶4 Prior to trial, Cooper sought a motion in limine to prohibit defense counsel from presenting improper argument to the jury on the following:

1. That the defendant could or would be financially affected by any adverse verdict;

2. That the defendant could face consequences concerning the right to practice medicine, continuing licensure, hospital privileges, or loss of limitation of business;

3. That the defendant may be forced to close or limit his services;

4. That the defendant could have his professional reputation or standing damaged;

5. That the defendant needs special protection or that there could be unspecified effects or consequences of the malpractice claims, this trial, or medical malpractice verdicts against a doctor;

6. That the jury should put itself in the shoes of the defendant or analyze the case and its potential consequences from the defendant’s perspective;

7. That the defendant feels bad or similar comments.

¶5 The District Court denied the motion, concluding that the request to exclude these arguments was “vague and overbroad.” Counsel for Dr. Hansen, Daniel Hoven (Hoven), expressed offense at the suggestion that he would violate the Rules of Evidence, and assured the court that he would not engage in improper argument. The District Court noted that counsel for both parties should be “fully aware of their ethical obligations and what is proper argument at trial,” and further noted that any issues related to the above-mentioned arguments should be dealt with by a proper objection at trial.

¶6 Jury selection began on April 20, 2009. During voir dire, Cooper elicited responses from several jurors on the topic of the plaintiff’s burden of proof in a civil medical malpractice case. For instance, in response to a question about whether any members of the panel would require proof greater than the preponderance of the evidence in a medical malpractice case, juror Chris Silvonen (Juror Silvonen) stated the following:

A. In this particular matter, I would. I think that for the very little I know about it, if we were to say he was in the wrong, it could be career damaging. I think all those things—I don’t know. I’m—I know very little about what’s going on at this point, but it’s almost like a criminal sentence

for a doctor that’s got a malpractice, you know, type of deal. So I would like to see quite a bit of proof.

Q. More than just—

A. More than just a little bit.

Q. You’re pretty strong on that?

A. Yes.

Q. Pretty hard to change? Hard for me to change your mind?

A. Seems like a life sentence to a medical doctor.

¶7 Another member of the panel, Frederick Demato, also stated that he was “against preponderance of the evidence” in this type of case. 1 Other jurors expressed similar sentiments implying that the preponderance of the evidence standard would be insufficient in a medical malpractice case. In exploring this issue with the jury, Cooper’s trial counsel Erik Thueson (Thueson) had the following exchange with Juror Wayne Waters:

A. Well, without knowing the facts, I can’t say that, but it would have to be a preponderance of the evidence.

Q. Okay. So you could go 51/49?

A. Nope.

Q. Well if this were a basketball game, how much would Joyce have to win the basketball game in your mind before you have enough doubts set aside?

A. Let’s say it would have to go a lot more than 51 percent.

¶8 Thueson also questioned Waters about his feelings on awards for pain and suffering. Waters indicated that he could not make such an award unless there was “a deliberate act or deliberate negligence on the part of the doctor.” When questioned further, however, Waters also agreed that he could award such damages if it was shown that a doctor made a mistake that was below the standard of care, but unintentional.

1 Unlike the other members of the panel discussed in this Opinion, Demato was ultimately not selected to serve on the jury.

¶9 Thueson also questioned Juror Richard Ellwein about his ability to award damages for pain and suffering if proven at trial. On this point, the following exchange occurred:

Q. Okay. Mr. Ellwein?

A. I believe I want to hear what the facts are and make a determination on the whole picture.

Q. You could award—

A. I could award damages, but I’m not going to discuss any amounts or anything like that. I will not go into detail about any amounts or anything like that. The cause of it—if we deem it necessary, we’ll—I’ll figure that out when I make a decision on that.

Q. Well—I mean, so you don’t have a problem with the concept?

A. No.

Q. If the evidence shows, you could award two or three hundred thousand?

A. I said, sir, don’t mention an amount. I won’t—I’ll just say—I’ll just say that what the—whatever the instructions are, I’ll base it on the instructions.

¶10 In response to Thueson’s examination, Juror Dave Miller indicated that there should be a greater burden of proof in a medical malpractice case. When asked by Thueson if he could be convinced of anything different in the next couple of days, he answered “No.” When questioned, Juror Michael Eby stated that he “would need a lot more proof . . . beyond a reasonable doubt to decide,” and further indicated that he “would need a lot more than, say, 75 percent to decide one way or the other.”

¶11 During this questioning, some members of the jury panel expressed uncertainty about what burden of proof is legally required since none of the potential jurors had actually been instructed by the court on this issue. Sensing the jury’s confusion on this point, the District Court interjected and reminded Thueson that there were no assigned percentages to a preponderance, and told counsel that he was confusing the court and jury pool. Shortly thereafter, Thueson then went on to explore other topics with the jury.

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