Dell v. Parmar CA4/2

CourtCalifornia Court of Appeal
DecidedOctober 5, 2021
DocketE073851
StatusUnpublished

This text of Dell v. Parmar CA4/2 (Dell v. Parmar CA4/2) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dell v. Parmar CA4/2, (Cal. Ct. App. 2021).

Opinion

Filed 10/5/21 Dell v. Parmar CA4/2

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FOURTH APPELLATE DISTRICT

DIVISION TWO

STEWART DELL, Individually and as Successor, etc., et al., E073851 Plaintiffs and Appellants, (Super.Ct.No. CIVDS1504642) v. OPINION VIKRAM S. PARMAR et al.,

Defendants and Respondents.

APPEAL from the Superior Court of San Bernardino County. David Cohn, Judge.

Affirmed.

WLA Legal Services and Steven Zelig for Plaintiffs and Appellants.

LaFollette Johnson DeHaas Fesler & Ames, Michael J. Doubet and Grigory

Rchtouni for Defendant and Respondent Mazin Munir.

Cole Pedroza, Kenneth R. Pedroza, Michael A. Carlin; Walker and Mann, Jeffrey

A. Walker and Jeffrey K. Keyes for Defendants and Respondents St. Mary High Desert

Medical Group and Vikram S. Parmar.

1 Plaintiffs and appellants Stewart Dell, Individually and as Successor in Interest,

etc. et al., (Plaintiffs) appeal the order entered by the superior court awarding defendants

and respondents Dr. Mazin Munir, Dr. Vikram Parmar and St. Mary High Desert Medical

Group (High Desert) (collectively, Defendants) expert witness fees after they were

successful at trial pursuant to Code of Civil Procedure section 998.1

Perry Dell (Dell) was 83 years old when he presented to High Desert complaining

that he did not feel well. Dell was diagnosed with pneumonia. He had several

preexisting conditions including COPD, diabetes and congestive heart failure. He also

complained of back pain and that he had been having trouble walking. Dr. Munir was his

treating physician at High Desert. An MRI was taken of his back, and Dr. Parmar, a

surgeon employed by High Desert, recommended that he have back surgery. After the

surgery, Dell began to deteriorate and was eventually transferred to a convalescent

facility where he died.

Plaintiffs sued Defendants and several other doctors contending that Dell should

not have had back surgery based on his medical condition at the time, his age, and on the

morning of the surgery he did not want to go through with the surgery. After two years

of exchanging discovery and several demurrers, Defendants submitted an offer of

compromise to Plaintiffs pursuant to section 998 offering to forego their costs to date and

malicious prosecution. Plaintiffs never responded to the section 998 offers. The matter

went to a jury trial and Defendants prevailed. The trial court awarded Defendants their

1 All further statutory references are to the Code of Civil Procedure unless otherwise indicated.

2 costs for expert witnesses pursuant to section 998 finding the offers to compromise were

made in good faith.

Plaintiffs contend on appeal that the trial court erred by awarding Defendants their

expert witness fees because the section 998 offer was made too early in the litigation,

making it unreasonable as a matter of law.

FACTUAL AND PROCEDURAL HISTORY

A. SUMMARY OF FACTS2

According to the allegations in the Fifth Amended Complaint (5AC) and Dell’s

medical records, Dell was 83 years old on November 1, 2013, and felt under the weather,

so he went to High Desert. He was admitted and diagnosed with shortness of breath.

Dell had several preexisting conditions, including COPD, diabetes, and congestive heart

failure. Dr. Munir became Dell’s attending doctor. Dell was diagnosed with pneumonia

and it was noted that he was mildly cognitively impaired. Dr. Munir referred Dell to an

orthopedic consultant because Dell was complaining of mild neck pain. He also was

having difficulty walking, which had worsened in the prior six months. Dell was seen by

Dr. Parmar. An MRI of Dell’s spine was performed, and abnormalities were detected.

Dr. Parmar recommended surgery, which was scheduled for November 7, 2013. Dell

gave his consent. Plaintiffs insisted that on the morning of the surgery, Dell had

2 This case went to jury trial, but Plaintiffs have not made the trial part of the record on appeal. Plaintiffs have only provided parts of the record, including the 5AC and the records relating to the memorandum of costs filed by Defendants and their response. Deposition transcripts have not been included with the record. Defendant provided over 1,500 pages of Dell’s medical records, which are mostly irrelevant to the issues on appeal.

3 withdrawn his consent but the surgery was nonetheless performed by Dr. Parmar. Dell’s

surgery lasted for three hours. After the surgery, Dell suffered a Vancomycin-Resistant

Enterocci (VRE) infection. He had vocal paralysis. He had postoperative respiratory

distress and was admitted to ICU. Dell was discharged to hospice care when he advised

doctors he did not want further aggressive measures taken. He died on December 7,

2013.

On November 6, 2013, Dell gave his written consent to the spine surgery. A nurse

noted on November 7, 2013, that Dell did not want to go to surgery because he was

hungry. Dell was taken to surgery.

B. FILIINGS PRIOR TO THE SECTION 998 MOTIONS TO

COMPROMISE

On August 15, 2014, Plaintiffs filed their original complaint for compensatory,

treble and punitive damages (complaint) against Defendants and several other persons

and entities.3 Plaintiffs alleged 15 causes of action, including against Defendants,

negligence, breach of fiduciary duty, fraud in the inducement, negligent

misrepresentation, fraud pursuant to Penal Code sections 484 and 496, and elder abuse.

Stewart Dell submitted his declaration. He was Dell’s biological son. Dell died on

December 7, 2013. His cause of death was listed as Chronic Obstructive Pulmonary

Disease (COPD).

3 Dr. Munir was not named in the original complaint.

4 A demurrer to the first complaint was granted on August 17, 2015, as to nine of

the causes of action. A second amended complaint was filed on October 2, 2015 and a

demurrer was granted on December 7, 2015 as to several of the causes of action. The

only remaining claims after the demurrer to the second amended complaint against Dr.

Parmar were for negligence, breach of relationship of trust, and elder abuse.

Included with the demurrer was evidence that had been obtained in discovery.

Dell’s daughter, Catherine Heaton, was deposed on December 18, 2015. She

acknowledged that Dell had told the nurses on the morning of his surgery that he did not

want to go to surgery.

Another family member, Victoria Lynn Modeste, was deposed on February 14,

2017. She was with Dell that morning and was aware that Dell was scheduled for spine

surgery. She was asked if Dell had any concern about going in for spine surgery. She

stated, “Yes, but . . . he seemed resigned to it. And this had been a problem he had had

for over a year. And so it seemed like the only solution that anyone—any doctor that we

saw came up with.” She never heard Dell tell anyone he did not want to go into the

surgery; he was resigned to the fact he needed it. She thought he may not have wanted

the surgery because it was delayed that day and he was hungry and thirsty. He wanted

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Dell v. Parmar CA4/2, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dell-v-parmar-ca42-calctapp-2021.