ELIZABETH ZWEIGEL v. NORTH ATLANTA OBSTETRICS & GYNECOLOGY, LLC

CourtCourt of Appeals of Georgia
DecidedMarch 4, 2025
DocketA24A1770
StatusPublished

This text of ELIZABETH ZWEIGEL v. NORTH ATLANTA OBSTETRICS & GYNECOLOGY, LLC (ELIZABETH ZWEIGEL v. NORTH ATLANTA OBSTETRICS & GYNECOLOGY, LLC) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ELIZABETH ZWEIGEL v. NORTH ATLANTA OBSTETRICS & GYNECOLOGY, LLC, (Ga. Ct. App. 2025).

Opinion

SECOND DIVISION MARKLE, J., LAND and DAVIS, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

March 4, 2025

In the Court of Appeals of Georgia A24A1770. ZWEIGEL et al. v. NORTH ATLANTA OBSTETRICS DA-075 & GYNECOLOGY, LLC et al.

DAVIS, Judge.

Following a trial in this medical malpractice case, the jury returned a verdict in

favor of the defendants. The plaintiffs now appeal from the judgment entered on the

verdict, challenging the trial court’s evidentiary rulings and jury instructions. For the

reasons set forth below, we affirm.

“When a jury returns a verdict, . . . the evidence is to be construed in a light

most favorable to the prevailing party with every presumption and inference in favor

of sustaining the verdict.” (Citation and punctuation omitted.) Med. Center of Central

Ga., Inc. v. Turner, 372 Ga. App. 644, 647 (905 SE2d 858) (2024). So viewed, the evidence at trial showed the following. On Friday, March 18,

2016, Elizabeth Zweigel was a healthy thirty-three-year-old woman with two children,

including a three-month-old whom she was breastfeeding. The next day, she felt like

she had a cold. She felt worse on Sunday morning and thought she may have the flu.

At approximately 4:00 p.m. that day, she made a phone call to Dr. Stephen Rosenberg,

who was the on-call doctor for North Atlanta Obstetrics & Gynecology, LLC. Her

sister, who had been staying with her that weekend, joined the call with Dr.

Rosenberg. Dr. Rosenberg was advised of her symptoms and told that she thought she

had the flu, and he made a “working diagnosis” of the flu and prescribed flu

medication.

Zweigel testified at trial that she did not remember what symptoms were

reported to Dr. Rosenberg during the call. Zweigel’s sister testified that she noticed

that Zweigel had blue lips that Sunday afternoon and advised Dr. Rosenberg of the

blue lips during the call. Dr. Rosenberg testified that while he had no recollection of

the call, he was certain that he was not told that Zweigel had blue lips because: (1) blue

lips would be indicative of a lack of oxygen and a medical emergency; (2) he would

remember something so significant, which had never been reported to him in his

2 career; and (3) if he had been told about blue lips, he would not have prescribed flu

medication but would have been required by the standard of care to advise Zweigel to

seek emergency medical care. Zweigel’s husband did not notice that she had blue lips

on multiple video calls with her that Sunday, and he did not notice that she had blue

lips when he arrived home late Sunday night. The defendants presented evidence at

trial that if Zweigel had blue lips on Sunday afternoon, she would not have been alive

the next morning.

Zweigel took the prescribed flu medication after her call with Dr. Rosenberg,

but her condition continued to deteriorate. When Zweigel’s husband returned home

late that Sunday night, she had pale legs, leg pain, and difficulty walking and breathing.

He drove her to the emergency room, where she was diagnosed with streptococcal

pneumonia leading to sepsis, septic shock, multi-organ failure, and limb ischemia,1 and

she was treated with antibiotics and fluids. Zweigel was subsequently placed in a

medically-induced coma and required arm and limb amputations.

Zweigel and her husband (hereinafter “the Plaintiffs”) filed this medical

malpractice action against Dr. Rosenberg and North Atlanta Obstetrics & Gynecology

1 Ischemia occurs when tissues are damaged or die as a result of not receiving sufficient oxygen via the blood. 3 (hereinafter “the Defendants”).2 The Plaintiffs alleged that given the symptoms that

Dr. Rosenberg was advised of during the call with Zweigel and her sister — including

the most significant symptom of blue lips — the standard of care required that he

advise her to seek emergency medical care. The Plaintiffs further alleged that the delay

in treatment caused by Dr. Rosenberg’s negligence led to Zweigel’s injuries. The jury

found in favor of the Defendants, the trial court entered judgment on the verdict, and

the Plaintiffs filed this appeal.

1. During his cross-examination, Dr. Rosenberg responded negatively when the

Plaintiffs’ counsel asked if his hospital privileges had ever been suspended. The trial

court sustained the Defendants’ objection to this testimony on relevance grounds,

struck the question and answer, and excused the jury. The Plaintiffs’ counsel

proffered two letters addressed to Dr. Rosenberg from the medical record committee

at his hospital. One letter was dated March 18, 1997, and said: “As a result of your

timely record completion for the past three months, your suspension from December

4, 1996 is now being considered inactive. We appreciate your continued compliance

2 The Plaintiffs initially named as defendants Atlanta Women’s Health Group, P. C., and Atlanta Women’s Health Group II, LLC, but subsequently dismissed these entities. 4 with the Medical Staff Bylaws/Rules and Regulations.” The other letter was dated

February 25, 2000, and said: “As a result of your timely record completion for the

past three months, your suspension from November 24, 1999 is now being considered

inactive. We appreciate your continued compliance with the Medical Staff

Bylaws/Rules and Regulations.” Dr. Rosenberg testified that he did not know what

the letters meant, but he was certain that his hospital privileges had never been

suspended. The trial court affirmed its prior ruling, stating “I just do not find, given

the chronology and the nature of this, that it is relevant, and even if it were, it is clearly

more prejudicial than [probative] to the facts at issue here.”

On appeal, the Plaintiffs argue that the trial court abused its discretion by

prohibiting them from cross-examining Dr. Rosenberg about prior suspensions of his

hospital privileges. We disagree.

“Control of the nature and scope of cross-examination of a witness is a matter

within the sound discretion of the trial court and will not be disturbed on appeal

absent an abuse of that discretion.” Latimore v. Dept. of Transp., 250 Ga. App. 360, 361

(1) (552 SE2d 439) (2001).

5 The Plaintiffs’ only argument regarding why the prior suspensions of

Dr. Rosenberg’s hospital privileges were relevant apart from impeachment purposes

is based on their theory that the suspensions were due to his failures in patient

documentation and therefore they related to the question of his chart documentation

and quality of care in the instant case. However, “as a general rule in all negligence

actions, evidence of similar acts or omissions is not admissible.” (Citation and

punctuation omitted.) Southwestern Emergency Physicians, P. C. v. Quinney, 347 Ga.

App. 410, 415 (1) (819 SE2d 696) (2018); see also OCGA § 24-4-404 (a) (pertinently

providing that, in general, “[e]vidence of a person’s character or a trait of character

shall not be admissible for the purpose of proving action in conformity therewith on

a particular occasion”); OCGA § 24-4-404 (b) (pertinently providing that “[e]vidence

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ELIZABETH ZWEIGEL v. NORTH ATLANTA OBSTETRICS & GYNECOLOGY, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/elizabeth-zweigel-v-north-atlanta-obstetrics-gynecology-llc-gactapp-2025.