Doe v. American Red Cross Blood Services, S.C. Region

125 F.R.D. 646, 15 Fed. R. Serv. 3d 70, 1989 U.S. Dist. LEXIS 6528, 1989 WL 60866
District Court, D. South Carolina·Decided June 1, 1989·No. Civ. A. Nos. 3:87-59-15, 3:87-60-15·Published·Cited by 25 cases

Opinion

ORDER

HAMILTON, District Judge.

In these companion cases the plaintiffs, Jane Doe and her husband John Doe, con[647]*647tend that Jane Doe contracted the human immunodeficiency virus (“HIV”), which causes the deadly acquired immune deficiency syndrome (“AIDS”), from a unit of blood collected and processed by the defendant, American Red Cross Blood Services, S.C. Region (“Red Cross”). The matter is presently before the court on plaintiffs’ motion to compel Red Cross to identify the HIV positive donor whose blood was transfused into Jane Doe during an operation on January 9, 1985. Rule 37(a) Fed.R.Civ. Proc. Plaintiffs have moved, in the alternative, for an Order compelling the Red Cross to subpoena the blood donor to a “veiled” deposition, at which the donor, whose identity would remain confidential, would be questioned by plaintiffs’ counsel regarding Red Cross’ alleged negligence in accepting his blood.

Background Facts

In early January of 1985, Jane Doe entered the Lexington County Hospital in Lexington, South Carolina for spleen and gall bladder surgery. During her operation on January 9, 1985, she received a blood transfusion contaminated with the virus known to cause AIDS. Red Cross had collected the contaminated unit of blood from a volunteer donor in Columbia, South Carolina on January 4, 1985. Although Jane Doe has not yet developed AIDS, she has contracted HIV, she currently suffers from AIDS-related complex (or pre-AIDS), and, according to her treating physicians and other experts, she will most likely develop AIDS.

On December 8, 1986, Jane Doe instituted this negligence action against Lexington County Hospital • and Red Cross in the Court of Common Pleas for Richland County, South Carolina. On the same day, her husband, John Doe, instituted an action for loss of consortium, and the two suits were consolidated. Defendants subsequently removed the cases by petition filed January 9,1987. Plaintiffs have since dismissed the Lexington County Hospital and now only seek redress from Red Cross.

In their complaints plaintiffs contend that Red Cross was negligent in two respects: (1) in failing to employ, before January of 1985, a surrogate test to identify for exclusion blood donors who were at high risk for transmitting AIDS; and (2) in not permanently disqualifying the donor in question based upon the health history he gave while attempting to give blood on July 25, 1984. The court has granted Red Cross’ motion for summary judgment on the “negligent testing issue.” See Doe v. American Red Cross Blood Services, 125 F.R.D. 637 (D.S.C.1989). The only remaining substantive issue is whether the Red Cross was negligent for not permanently disqualifying the donor based upon the health history he gave during a visit to the Red Cross on July 25, 1984.

From Red Cross documents, which have been provided to the plaintiffs, the parties and the court have a great deal of information about what happened during the donor’s July 25, 1984, visit to the Red Cross. The donor initially reported on that day to a mobile Red Cross site. At that time, he was given a pamphlet entitled “What You Should Know About Giving Blood,” Defendant’s Exh. A, Doc. Nos. 88-89 to Defendant’s Motion for Summary Judgment (“Defendant’s Exh._, Doc. No._”), and a donor health history questionnaire, Defendant’s Exh. C, Doc. No. 227. The pamphlet, which the donor confirmed by his signature that he had read and understood, described the illnesses that could be spread by blood transfusions, including AIDS and hepatitis. Defendant’s Exh. A, Doc. Nos. 88-89. The pamphlet also described the groups of individuals which, according to the Office of Biologies of the Food and Drug Administration (“FDA”), were at increased risk of developing AIDS. Id. With regard to hepatitis, the pamphlet stated that: “Persons with a past history of viral hepatitis are deferred permanently.” Id. Finally, the pamphlet instructed the donor:

If you believe that you may be one of the above-mentioned persons, or if you are an individual in one of the groups at increased risk of AIDS, we ask that you refrain from donating blood at this time. You may leave now without providing an explanation. Or, if you prefer, you may proceed to be deferred confidentially, [648]*648without further questioning, by the health history interviewer. If you would like additional information, Red Cross nurses and physicians will be pleased to answer any questions you may have.
If you donate blood today and have additional questions and concerns about whether your blood should be used for transfusion, please call the blood center as soon as possible.

Id.

After reading “What You Should Know About Giving Blood,” the donor then completed the health history questionnaire, which is a form that asks approximately twenty (20) questions concerning the donor’s past and present medical history. He answered “no” to each of the questions that could have disqualified him as a donor. Defendant’s Exh. C, Doc. No. 227. In accordance with Red Cross’ screening procedures, health history nurse Mary MacKay reviewed the donor’s health history with him. When Ms. MacKay came to Question 1.1, “Ever had yellow jaundice, liver disease, hepatitis, or a positive blood test for hepatitis,” the donor, who had answered the question “no” on the form,1 indicated that he had previously tested positive for the “Australian antibody.” Id.

Because she was uncertain about the term “Australian antibody,” Ms. MacKay required a donor evaluation and deferred the donor indefinitely pending the outcome of the evaluation.2 Ms. MacKay initiated the donor evaluation by completing the top portion of an evaluation form, wherein she wrote: “Donor states he has positive] Australian antibody test—donations given at commercial blood banks.” Defendant’s Exh. C, Doc. No. 228 (emphasis in original). She then submitted this form, along with the donor’s completed health history questionnaire, to Sara White, the head of nursing for the South Carolina Region. Id. Ms. White then had at least one discussion with the donor, during which she obtained the following additional information, also reflected on the donor evaluation card: the donor had “no clinical symptoms ever ” of hepatitis; he confirmed for Ms. White that he was antibody positive; and he informed her that he had been a “med tech [i.e. medical technician or technologist] in the past.” Id. (emphasis in original). Either before, during, or after this conversation, Ms. White consulted with Dianne Earp, the head of technical services for the South Carolina Region, concerning the acceptability of this donor. Id. Based upon the information provided by the donor and her consultation with Dianne Earp, Ms. White determined that the donor was acceptable. Id. On July 27, 1984, Ms. White telephoned the donor and informed him that the Red Cross would accept his blood. Id. Thereafter, the donor made blood donations to the Red Cross on July 29, 1984, on January 4, 1985 (the donation that infected Jane Doe with HIV) and on May 15, 1985 (the donation that tested positive for HIV under the newly discovered test for that virus).

Australian antibody, a term generally out of use since the 1970s, means antibody to hepatitis-B surface antigen (“anti-HBs”).

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Doe v. American Red Cross Blood Services, S.C. Region, 125 F.R.D. 646, 15 Fed. R. Serv. 3d 70, 1989 U.S. Dist. LEXIS 6528, 1989 WL 60866 (D.S.C. 1989).

125 F.R.D. 646 (Doe v. American Red Cross Blood Services, S.C. Region) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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