Doreika v. Blotner

666 S.E.2d 21, 292 Ga. App. 850, 2008 Ga. App. LEXIS 701
Court of Appeals of Georgia·Decided June 18, 2008·No. A08A0585·Published·Cited by 7 cases

Opinions

JOHNSON, Presiding Judge.

This is a professional negligence case in which Paul Doreika alleged that he sustained serious injuries as a result of chiropractor [851] Gregg Blotner’s treatment. Doreika specifically asserted that Blot-ner failed to inform him about the risks of neck adjustments or treatment alternatives for his neck before performing a neck adjustment which either caused a herniated disc or aggravated a preexisting disc condition. The jury returned a verdict in favor of Blotner. Doreika appeals, alleging the trial court erred in refusing to give requested jury charges regarding the law on informed consent. Our duty in this case is to first determine whether the doctrine of informed consent applies to chiropractors in Georgia. If it does, we must then decide whether the trial court erred in not instructing the jury on informed consent in light of the evidence introduced at trial.

1. Georgia’s Informed Consent Law.

We find that Georgia law required Dr. Blotner to obtain Dorei-ka’s informed consent prior to rendering chiropractic treatment. In Ketchup v. Howard,1 this Court corrected dicta in old cases that had been carried forward for years. In doing so, we brought Georgia in line with that of the other 49 states by recognizing the common law doctrine of informed consent and expressly indicating that a medical professional must inform a patient of the material risks of a proposed treatment or procedure which are or should be known and must inform the patient of available alternatives to the proposed treatment or procedure.2

The source of this duty is three-fold. First, we need look no further than the Georgia and United States Constitutions. As the Supreme Court noted in Cruzan v. Director, Mo. Dept. of Health,3 no right is more carefully guarded by the common law than an individual’s right to possession and control of his own person free from restraint. The Due Process Clause of the Fourteenth Amendment to the federal constitution gives patients’a constitutionally protected liberty interest which includes the right to refuse unwanted medical treatment.4 The Supreme Court recognized that the common law duty of informed consent is a corollary to this constitutionally protected liberty interest and is firmly reflected in these constitutionally protected rights. Likewise, the Supreme Court of Georgia held that all persons have a liberty interest, protected by the Georgia Constitution, to make all decisions regarding their medical care, so long as they are legally competent.5 This constitutionally protected liberty interest includes the right to refuse all medical treatment, [852] even where the treatment is necessary to save the patient’s life.6 Clearly, “in the absence of the common law doctrine of informed consent, the constitutionally protected liberty interests that individuals enjoy to make all decisions regarding their medical treatment is rendered meaningless.”7

The duty to obtain informed consent is also recognized in the ethical standards adopted by the various medical professional fields. While we discussed the ethical standards associated with the American Medical Association and American Dental Association in Ketchup, the same analysis applies to the ethical standards and policies adopted by the American Chiropractic Association. Section V of the American Chiropractic Association Code of Ethics provides as follows: “Doctors of chiropractic should employ their best good faith efforts to provide information and facilitate understanding to enable the patient to make an informed choice in regard to proposed chiropractic treatment. The patient should make his or her own determination on such treatment.” And, the American Chiropractic Association Policies, one of which is entitled “Informed Consent,” note:

Informed consent is generally applied, from a legal standpoint, when measuring the degree of responsibility and/or liability of a doctor in malpractice cases. In other words, the fact that a patient submits to treatment and does so voluntarily does not in itself lessen the liability of the doctor.
Today, the stand [sic] by which the doctor is judged is that of “informed consent”. By that is meant, to what degree has the patient been informed of all of the potential consequences, dangers, and other factors, so that his consent is given with full knowledge of the inherent dangers to which he is exposed. Full knowledge in this sense could be construed as “informed consent” and would relieve the doctor of much liability, as there would be an assumption of the risk on the part of the patient.
The concept of “informed consent” can also be applied to other contractual relationships such as [853] those for examination and treatment, which are every day occurrences in the doctor’s office.

As with the American Medical Association and the American Dental Association, the American Chiropractic Association’s ethical standards and policies embrace the doctrine of informed consent. And it is a well-settled principle that the standard of care is determined by the medical profession, not the courts.8

The duty to obtain informed consent is also rooted in the legislative enactment of OCGA § 31-9-6.1, which requires medical professionals to provide information to their patients concerning the risks of some, but not all, medical procedures. Although OCGA § 31-9-6.1 is a limited codification of the common law doctrine of informed consent, it expresses a clear adoption by the legislature to require disclosure of material risks generally recognized and accepted by reasonably prudent physicians which, if disclosed to a reasonably prudent person in the patient’s position, could reasonably be expected to decline the proposed treatment or procedure because of the risk of injury that could result. This legislation has no effect on the recognition of the common law doctrine of informed consent.

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Doreika v. Blotner, 666 S.E.2d 21, 292 Ga. App. 850, 2008 Ga. App. LEXIS 701 (Ga. Ct. App. 2008).

666 S.E.2d 21 (Doreika v. Blotner) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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