Dell v. French

38 Va. Cir. 91, 1995 Va. Cir. LEXIS 1276
CourtFairfax County Circuit Court
DecidedAugust 2, 1995
DocketCase No. (Law) 125320
StatusPublished
Cited by4 cases

This text of 38 Va. Cir. 91 (Dell v. French) is published on Counsel Stack Legal Research, covering Fairfax County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dell v. French, 38 Va. Cir. 91, 1995 Va. Cir. LEXIS 1276 (Va. Super. Ct. 1995).

Opinion

By Judge Jane Marum Roush

This matter came on to be heard on May 5, 1995, on the Defendants’ demurrer. The Court requested and received supplemental briefs from counsel. The Court has now had the opportunity fully to consider the pleadings, the briefs, and. the arguments of counsel. For the reasons stated below, the demurrer is sustained in part and overruled in part.

Facts

A demurrer admits the well-pleaded facts alleged in the motion for judgment, as well as those facts that may be fairly inferred from the facts alleged. See, e.g., Rosillo v. Winters, 235 Va. 268, 367 S.E.2d 717 (1988); Duggin v. Adams, 234 Va. 221, 360 S.E.2d 832 (1987).

This medical malpractice action commenced on July 22, 1993. Plaintiff is Charles Dell as guardian for the person and property of Ruth Dell. The defendants are Kathleen B. French, M.D., and her employer, Virginia Neurologic Center, Ltd. (“VNC”).1

The Motion for Judgment alleges that Mrs. Dell was involved in an automobile accident on December 21, 1991, in which she suffered a right-[92]*92sided subdural hematoma. ¶ l.2 She was taken by helicopter to Fairfax Hospital. ¶ 1. Dr. French, a neurosurgeon, was “on call” for Fairfax Hospital on the night Mrs. Dell arrived at the hospital. ¶ 2. In the early morning hours of December 22,1991, Dr. French mistakenly operated “on the left side of [Mrs. Dell’s] brain, not the injured right side, notwithstanding the absence of either clinical or radiological reasons for doing so.” ¶ 3. The procedure was “erroneous and unnecessary” and caused injury to the left side of Mrs. Dell’s brain. Mrs. Dell’s original injury, the right-sided subdural hematoma, went untreated. ¶¶ 3, 5. On December 23, 1991, a colleague of Dr. French’s at VNC performed a second surgery to correct the injury caused to the left side of Mrs. Dell’s brain by Dr. French’s surgery. The original right-sided subdural hematoma continued to go untreated. ¶ 4.

Neither Dr. French nor anyone else at VNC notified Mr. Dell or other family members of the original surgical error. ¶ 6. In fact, on December 27, 1991, Dr. French met with family members and advised them of Mrs. Dell’s “medical course to date in a manner that was incomplete and misleading and was intended to cover up the fact of the initial surgical error and the injury it caused.” ¶ 6.

On January 6, 1992, Dr. French attempted the first reduction of the right-sided subdural hematoma, “but the approach employed and the execution of that approach were inappropriate.” ¶ 8. A “new and additional injury was caused when the drainage tube employed penetrated the patient’s brain tissue.” ¶ 8. The procedure employed for the January 6,1992, surgery “was selected so as to make the procedure appear to the family relatively minor when compared to the major surgeries of December 22 and 23, 1991.” ¶ 8.

Beginning December 21, 1991, and continuing until January 6, 1992, Dr. French and VNC did not advise the family: (1) of the serious surgical error that had occurred on December 22, 1991, (2) that the December 23, 1991, surgery was to correct Dr. French’s error of December 22, 1991, or (3) that the original right-sided subdural hematoma went untreated although it needed surgical revision. Dr. French and VNC “conspired, combined, and agreed to maintain their silence about the error” and present a “united front” to the family that everything possible was being done for Mrs. Dell. ¶ 9.

[93]*93Mrs. Dell was “at risk to develop a condition known as communicating hydrocephalus.” Dr. French discharged Mrs. Dell to Mount Vernon Hospital for rehabilitation and did not take the necessary steps to rule out communicating hydrocephalus. ¶ 10. Mrs. Dell developed communicating hydrocephalus which was treated at Mount Vernon Hospital by the installation of a lumbar-peritoneal shunt. ¶¶ 11-16.

Mr. Dell eventually transferred the care of his wife’s head injury to another doctor. A different shunt was installed, and Mrs. Dell improved considerably. Nevertheless, she has residual injuries from the original unnecessary surgery, the delay in treatment of her original right-sided subdural hematoma, the inappropriate treatment of that hematoma, and inadequate management of her hydrocephalus. ¶¶ 17-20.

Causes of Action Asserted

Based on the above-stated facts, the Plaintiff filed an eleven-count Motion for Judgment against the Defendants. Count I alleges a cause of action for medical malpractice. (Counts II and III have been previously non-suited.) Count IV asserts a cause of action for actual fraud and deceit. Count V asserts a cause of action for constructive fraud. Count VI asserts a cause of action for breach of fiduciary duty. Count VII seeks recovery based on Defendants’ alleged breach of trust and confidence. Count VIII alleges a cause of action for battery based on lack of consent. Count IX alleges a cause of action for battery, based on a lack of informed consent. Count X seeks recovery of money wrongfully had and received (i.e., the fees paid to the defendants for Mrs. Dell’s care). Count XI seeks recovery based on a theory of “civil conspiracy.”

In addition, in paragraphs 65 through 69 of the Motion for Judgment, the Plaintiff “specially pleads” that the ceiling or cap on recovery in a medical malpractice case provided for by Code § 8.01-581.15 does not apply to the facts of this case “because the conduct of the defendants and the matters pleaded go beyond medical malpractice.” Alternatively, the Plaintiff claims that the cap is unconstitutional as applied to the facts of this case and/or is unconstitutional on its face. The plaintiff further argues that the cap applies separately to the acts of Dr. French on December 22, 1991, and to the subsequent acts and omissions of the Defendants. Finally, the Plaintiff argues that the Defendants are estopped from pleading the applicability of the cap.

[94]*94 The Demurrer

Dr. French and VNC demurred to Counts IV (actual fraud), V (constructive fraud), VI (breach of fiduciary duty), VII (breach of trust and confidence), and XI (civil conspiracy) of the Motion for Judgment, as well as to the matters related to the medical malpractice cap “specially pleaded” by the Plaintiff.3 The Court will consider separately the demurrer to the counts of the Motion for Judgment and to the matters specially pleaded.

A. Demurrer to Counts IV through VII

Defendants demurred to Counts IV (actual fraud), V (constructive fraud), VI (breach of fiduciary duty), and VII (breach of trust and confidence) on the basis that those counts do not state causes of action separate from the medical malpractice cause of action pleaded in Count I.

The Defendants claim that Counts IV and V do not plead sufficient facts to support fraud on the part of the Defendants. According to the Defendants, both counts are based on the Defendants’ failure fully to disclose to Mrs. Dell’s family the facts of her condition and treatment, and “[fjailure to disclose, as alleged, does not rise to the level necessary to sustain an action for fraud.” Demurrer at ¶ 1. Defendants argue that Counts VI and VII also allege breaches resulting from a failure to disclose.

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Cite This Page — Counsel Stack

Bluebook (online)
38 Va. Cir. 91, 1995 Va. Cir. LEXIS 1276, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dell-v-french-vaccfairfax-1995.