Estate of Cowher, Aplt. v. Kodali, S., M.D.

CourtSupreme Court of Pennsylvania
DecidedSeptember 29, 2022
Docket77 MAP 2021
StatusPublished

This text of Estate of Cowher, Aplt. v. Kodali, S., M.D. (Estate of Cowher, Aplt. v. Kodali, S., M.D.) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Cowher, Aplt. v. Kodali, S., M.D., (Pa. 2022).

Opinion

[J-22-2022] IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT

BAER, C.J., TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, BROBSON, JJ.

KAREN COWHER, ADMINISTRATRIX OF : No. 77 MAP 2021 THE ESTATE OF JAMES L. COWHER, II, : DECEASED, : Appeal from the Order of the : Superior Court at No. 1111 EDA Appellant : 2020 dated February 8, 2021, : reconsideration denied April 16, : 2021, Affirming in Part and Vacating v. : in Part the Judgment of the Lehigh : County Court of Common Pleas, : Civil Division, at No. 2018-C-0264, SOBHAN KODALI, M.D., ST. LUKE'S : entered April 7, 2020 and UNIVERSITY HEALTH NETWORK AND : Remanding for a new trial. ST. LUKE'S CARDIOLOGY ASSOCIATES, : : ARGUED: April 12, 2022 Appellees :

OPINION

JUSTICE DOUGHERTY DECIDED: September 29, 2022

The jury in this medical malpractice case awarded the plaintiff Karen Cowher a

lump sum amount of damages under the Survival Act, 42 Pa.C.S. §8302, and did not

itemize the amount of pain and suffering damages or other components of its aggregate

award. Thereafter, the Superior Court granted the defendants Dr. Sobhan Kodali, St.

Luke’s University Health Network, and St. Luke’s Cardiology Associates (defendants) a

new trial on survival damages based on their claim the admission of plaintiff’s expert

opinion testimony on pain and suffering was erroneous. The narrow question we address

in this appeal is whether defendants waived their right to a new trial under the general

verdict rule. This rule applies and mandates waiver when a general verdict rests upon both valid and invalid grounds, and the litigant challenging the verdict failed to request a

special verdict slip that would have clarified the basis for the verdict. As detailed below,

these are the circumstances here. Accordingly, we hold defendants waived a new trial

under the general verdict rule and reverse the Superior Court’s order for a new trial.

I.

In December of 2015, James L. Cowher, II (decedent), experienced chest pain that

woke him from his sleep. He sought medical attention and underwent a stress

echocardiogram test, the results of which were normal. Subsequently, on July 11, 2016,

decedent saw his primary care doctor with complaints of ongoing chest pain, as well as

shortness of breath, nausea, and sweating. The doctor performed an electrocardiogram

test and ordered decedent’s blood tested for troponin, a heart muscle enzyme released

into the bloodstream when there is heart damage. The results of both tests were normal.

Decedent’s primary care doctor referred him to St. Luke’s Cardiology Associates.

Dr. Kodali, a general cardiologist with St. Luke’s Cardiology Associates, saw

decedent on July 13, 2016. Decedent told Dr. Kodali that for the last six months he had

been experiencing chest pains radiating to both arms, which were often associated with

shortness of breath, dizziness, and tingling in his fingers. He also told the doctor he was

running three miles every other day at a nine-minutes-per-mile pace without any

symptoms. Dr. Kodali knew decedent had three risk factors for heart disease: a family

history of premature coronary artery disease, high cholesterol, and obesity. Dr. Kodali

concluded decedent’s issues were not cardiac related, further evaluation was

unnecessary, and his clinical picture was suggestive of anxiety/panic attacks.

[J-22-2022] - 2 On August 23, 2016, decedent was running in his neighborhood when he collapsed

in front of a neighbor. He was subsequently transported to the hospital, where he was

pronounced dead. He was forty-eight years old. An autopsy revealed he had severe

atherosclerotic cardiovascular disease. The coroner reported his primary cause of death

to be acute myocardial infarction.

On January 31, 2018, plaintiff, who is decedent’s widow and the administrator of

his estate, filed suit against defendants. Her complaint raised causes of action under the

Wrongful Death Act and the Survival Act,1 set to be tried before a jury. On October 28,

2019, defendants filed in the trial court a proposed verdict slip for the jury. They proposed

the following question with respect to damages:

Question 3:

State the amount of damages sustained by Plaintiff as a result of the negligence of the health-care provider(s):

Wrongful Death Action $_______________

Survival Action $_______________

1 We recently explained the distinction between wrongful death and survival actions as follows: A survival action under 42 Pa.C.S. §8302 is brought by the administrator or executor of a decedent’s estate in order to recover damages for the decedent’s pain and suffering, the loss of gross earning power from the time of injury to death, and the loss of earning power, less personal maintenance expenses, for the estimated working life span of the decedent. . . . By contrast, a wrongful death[ ] action pursuant to 42 Pa.C.S. §8301 is designed to compensate the spouse, children, and parents of the deceased for the pecuniary loss they have sustained as a result of the decedent’s death, and damages may include the present value of services that would have been rendered to the family had the decedent lived, as well as funeral and medical expenses. McMichael v. McMichael, 241 A.3d 582, 587-88 (Pa. 2020).

[J-22-2022] - 3 Proposed Verdict Slip of Defendants at 2 (filed 10/28/19).

On November 7, 2019, defendants filed a motion in limine to preclude plaintiff from

introducing any evidence at trial regarding decedent’s pain and suffering. Defendants

argued “[t]estimony from the neighbors about pain and suffering would constitute a

speculative lay opinion that is unreliable and not able to provide an appropriate basis for

a jury to find there was pain and suffering[,]” and plaintiff’s “sole expert does not offer a

sufficient opinion on the subject and cannot testify outside the four corners of his expert

report.” Memorandum of Law in Support of the Motion in Limine of Defendants, Sobhan

Kodali, M.D., St. Luke’s University Health Network, and St. Luke’s Cardiology Associates,

to Preclude Plaintiff from Offering Any Evidence or Testimony Regarding Decedent’s Pain

and Suffering at 3 (filed 11/7/19). The trial court denied the motion.

At the pretrial conference on December 2, 2019, the parties and the trial court

discussed the verdict slip. See N.T. 12/2/19 at 20-22. Defendants argued the damages

question should have two blanks, one for the jurors to supply an amount for the wrongful

death action and the other for them to provide an amount for the survival action, as

indicated on their previously submitted verdict slip. The court agreed. See id. at 22 (“Mr.

Zolfaghari: It’s the Wrongful Death Act and the Survival Act. The Court: Right. . . .The

Court: I think Mr. Zolfaghari is right, they just get the two, but that sounds right.”).

At trial, the neighbor who witnessed decedent collapse while on a run, Diana

Kanowski, testified she was walking her dogs when she saw decedent approaching her.

She recounted he was walking at a “really slow” pace, which was atypical for him, and as

she got closer to him, he went down on one knee. N.T. 12/3/19 at 74. Kanowski recalled

she jokingly asked him whether he was taking a break, and he answered “No,” and stated,

[J-22-2022] - 4 “I need help.” Id. She testified decedent went down on two knees, then on to his side,

and then finally on to his back and passed out. See id. at 74-78. She stated

approximately three minutes elapsed between when she first saw decedent and when he

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