Estate of Poles Poles v. Ascension MacOmb-oakland Hospital

CourtMichigan Court of Appeals
DecidedAugust 11, 2025
Docket365623
StatusUnpublished

This text of Estate of Poles Poles v. Ascension MacOmb-oakland Hospital (Estate of Poles Poles v. Ascension MacOmb-oakland Hospital) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Poles Poles v. Ascension MacOmb-oakland Hospital, (Mich. Ct. App. 2025).

Opinion

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to revision until final publication in the Michigan Appeals Reports.

STATE OF MICHIGAN

COURT OF APPEALS

RANDY POLES, Personal Representative of the UNPUBLISHED ESTATE OF POLES POLES, August 11, 2025 12:15 PM Plaintiff-Appellant/Cross-Appellee,

v No. 365623 Oakland Circuit Court ASCENSION MACOMB-OAKLAND HOSPITAL LC No. 2020-183719-NH and WAHED ISHAQSEI, M.D.,

Defendants-Appellees/Cross- Appellants.

Before: YOUNG, P.J., and LETICA and KOROBKIN, JJ.

PER CURIAM.

Plaintiff, Randy Poles, acting as personal representative of the Estate of Poles Poles, sued defendants, Ascension Macomb-Oakland Hospital (Ascension) and Dr. Wahed Ishaqsei, for medical malpractice related to the October 2015 death of Poles Poles (Poles). Poles was treated at Ascension, and Dr. Ishaqsei was his attending physician. Following a jury trial, the jury returned a verdict of no cause of action. Plaintiff appeals by right from the final judgment. Defendants have also filed a cross-appeal addressing substantively the same issues. Because the trial court did not abuse its discretion by denying plaintiff’s motion to impose discovery sanctions, we affirm.

I. BACKGROUND AND FACTS

In 2015, 76-year-old Poles lived in an assisted living facility because his mobility was limited as a result of Parkinson’s disease and other conditions. Dr. Ishaqsei was his attending physician at the facility. On October 5, 2015, a nonverbal and disoriented Poles was taken to Ascension for emergency care because he was having trouble breathing. Poles was admitted to the hospital, and Dr. Ishaqsei continued to serve as his attending physician. Plaintiff alleged that on October 13, 2015, Poles went into respiratory failure that required immediate intervention to save his life, but that Poles was not promptly treated for respiratory failure or with appropriate procedures. Plaintiff alleged that Dr. Ishaqsei breached the standard of care by not providing

-1- immediate intubation and other actions to restore Poles’s breathing and that as a result Poles went into cardiac arrest and died on October 13, 2015.

A central disputed issue in the case was whether Dr. Ishaqsei was personally involved in Poles’s care at the time of his death. Plaintiff argued that Dr. Ishaqsei was involved because in the hospital discharge summary that Dr. Ishaqsei prepared about a month after Poles’s death, he stated that he was with Poles and his family for about 30 minutes before Poles was discharged to inpatient hospice. Yet the parties agreed that the discharge summary contained inaccurate information, as Poles’s family refused to place him in hospice and he died at the hospital. In addition, plaintiff relied on records indicating that Dr. Ishaqsei was the responsible provider or ordering physician on several orders for treatment in Poles’s medical chart on the night of his death.

Plaintiff first learned of the defense theory that Dr. Ishaqsei was uninvolved in Poles’s care at his deposition in June 2021, when Dr. Ishaqsei testified that he was not on duty at the time that Poles began experiencing respiratory problems in the evening about two hours before his death. Dr. Ishaqsei also testified that he likely confused another patient’s records with Poles’s records when he later prepared the discharge summary for Poles. Other staff who cared for Poles in the hours preceding his passing could not recall Dr. Ishaqsei being present in the hospital when Poles began to show signs of respiratory distress. Sierra Elberson, a respiratory therapist, testified in her deposition that at about 8:00 p.m., in line with hospital protocol, she modified a standing order for nebulizer treatments without consulting Dr. Ishaqsei, although it was placed under his name as attending physician. The medical chart indicated that after Poles passed away, a nurse called Dr. Ishaqsei to notify him.

In early 2022, after the close of discovery, defendants moved for summary disposition on the basis that there was no genuine dispute of material fact that Dr. Ishaqsei was not at the hospital at the time of the alleged negligence. The trial court denied the motion, reasoning that there were genuine issues of material fact because Dr. Ishaqsei’s discharge summary contained bizarre discrepancies and his name was on orders given for Poles’s care.

Over six months later in November 2022, defendants sent plaintiff copies of records they intended to use at trial that they had not previously produced. The records included documentation from PerfectServe, a communication company whose services Ascension used for its staff to contact physicians about patients, as well as a chart access log, or audit trail, showing who had accessed Poles’s electronic medical record and when. Dr. Ishaqsei testified at trial that he was prompted to call PerfectServe shortly before the records were produced after brainstorming with his attorney about other ways to prove his lack of involvement because he realized that PerfectServe was the method by which other providers could have contacted him. Defendants therefore obtained the records from PerfectServe to show that Dr. Ishaqsei was not in communication with providers at the hospital when Poles began experiencing respiratory problems at about 8:00 p.m. on October 13, 2015. The records showed that Dr. Ishaqsei was contacted at about 4:00 p.m. to renew an order for restraints but not contacted again until after Poles had died. Defendants also added new witnesses to their witness list to support the admission of these records at trial, scheduled for early February 2023.

Two months later in late January 2023, plaintiff moved to impose discovery sanctions against defendants for what he alleged was a pattern of defendants’ discovery violations and

-2- misrepresentations. Plaintiff alleged that he was blindsided by the late addition of the new witnesses and the late production of the records from PerfectServe as well as the audit trail, which had not been previously produced by defendants during discovery. Plaintiff believed that defendants were required to provide this information to plaintiff much earlier, when plaintiff obtained Poles’s medical records from Ascension before he filed his complaint, as part of defendants’ initial disclosures, in the answers and affirmative defenses, or in response to several duces tecum deposition notices. He further alleged that defendants falsely led him to believe that all relevant documents had been turned over to him. Plaintiff also complained that defendants had not turned over all of the PerfectServe and audit trail records, including outgoing communications from Dr. Ishaqsei or communications from other providers involved in Poles’s care, although he did not request an order for those records or to reopen discovery. Plaintiff asked that the trial court sanction defendants by entering a default judgment against them on the basis of their alleged intentional discovery abuses.

The trial court declined to impose a default judgment. Because defendants’ additions to the witness list were untimely, it barred defendants from calling the newly added witnesses at trial. The court, however, allowed defendants to offer the records into evidence. Without the additional witnesses, defendants were unable to admit the audit trail records, but the jury heard about the PerfectServe records. At the close of plaintiff’s case, defendants moved for directed verdict on several grounds, including on the same basis that it had previously moved for summary disposition—that no evidence supported that Dr. Ishaqsei was present or contacted by hospital staff at the time of the alleged malpractice.

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Estate of Poles Poles v. Ascension MacOmb-oakland Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-poles-poles-v-ascension-macomb-oakland-hospital-michctapp-2025.