Ex Parte Johnson

485 So. 2d 1098
CourtSupreme Court of Alabama
DecidedFebruary 14, 1986
Docket84-1119
StatusPublished
Cited by20 cases

This text of 485 So. 2d 1098 (Ex Parte Johnson) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ex Parte Johnson, 485 So. 2d 1098 (Ala. 1986).

Opinion

This is a petition for writ of mandamus to compel the respondent trial judge to issue an order compelling defendant E.M. Toler, M.D., to produce the original of a certain medical record so that it may be delivered or transferred to plaintiff's documents expert in Landrum, South Carolina, for laboratory testing, inspection, and photographing. The writ is granted.

The petition alleges the following facts: *Page 1099

On January 14, 1985, petitioner, Larry M. Johnson, as administrator of the estate of Janice C. Johnson, deceased, filed a complaint in Mobile Circuit Court against Dr. E.M. Toler, Dr. P.J. Dempsey, and some other fictitiously named defendants. In his complaint, petitioner alleges that the defendants were negligent in their course of diagnosis and treatment of a lump discovered in Janice Johnson's left breast on July 22, 1981, which lump was in fact a malignant tumor that spread to other vital organs, ultimately causing her death on November 21, 1983.

(Because the course of treatment received by Janice Johnson from the defendant Toler is germane to the relevance of the discovery request at issue, it is summarized herein based on the facts as stated in the petition.)

Janice Johnson first consulted Dr. Toler about the lump in her left breast on July 22, 1981. On that day, Dr. Toler observed a small swollen and thickened mass in the left breast, which was painful to Ms. Johnson. Dr. Toler gave Ms. Johnson a drug to enhance a later breast examination and instructed her to return in two weeks. When she returned on August 5, 1981, Dr. Toler was still unable to determine the composition of the lump; therefore, he sent her to Dr. P.J. Dempsey, also a defendant herein, for a screening sonogram. That test revealed what Dr. Dempsey thought to be a cyst. The test results were communicated to Dr. Toler, whereupon he scheduled Ms. Johnson for a third examination on August 20, 1981. That examination was the last visit Ms. Johnson had with Dr. Toler until January 11, 1982. During the five-month interim, the lump in her left breast doubled or tripled in size and metastasized to other organs of her body, transforming into a full scale malignant tumor. When Ms. Johnson returned to Dr. Toler's office on January 11, 1982, Dr. Toler examined her left breast and diagnosed the lump as a tumor suspected of carcinoma and sent her to a surgeon, Dr. Lyden. Dr. Lyden thereafter diagnosed the lump as a malignant tumor. Consequently, Ms. Johnson underwent a radical mastectomy, chemotherapy, and radiation treatments until her death.

The critical point in controversy in this case, giving rise to the particular discovery request at issue, concerns the alleged treatment and/or instructions (or lack thereof) given Ms. Johnson by Dr. Toler during the August 20, 1981, examination. Prior to her death, Janice Johnson deposed that during the August 20th examination, Dr. Toler instructed her to watch the breast closely and to return if she noticed anychanges. The relevant portions of her deposition are contained in the record prepared for this petition and are set out in pertinent part below:

"A. . . . His nurse called me the next day and said Jan, it's good news. It's just a cyst. You come back and Doctor Toler will drain it.

"Q. All right. That would have been the day after you had the ultrasound?

"A. That she called me, yes.

". . . .

"Q. Did you subsequently go see Doctor Toler?

"A. Yes, I did.

"Q. And did he examine your breast again?

"A. Yes, he did.

"Q. Did he have any discussion with you relative to the results of the ultrasound?

"A. He said watch it closely. If you notice any changes, come back.

"Q. Did he tell you he wanted to see you again in about six weeks?

"A. No, sir. He just said that if I notice any changes to come back.

"Q. Did he say anything to you about what the results of the test had shown?

"A. No, sir.

"Q. And Doctor Toler did nothing physically to you or any type of treatment other than, as you recall, perhaps examined your breast again? Did he do that by palpation or manipulation, feeling your breast?

*Page 1100

"A. Yes, sir.

"Q. And he said to watch it closely. Did he say come back if you have any trouble?

"A. If I notice any change.

"Q. And it's your recollection that he didn't say anything about coming back in six weeks or so and let me look at it?

"Q. Why did you go back to see him [in January 1982]?

"A. My nipple became drastically inverted.

"Q. Had you noticed any change in the size of the lump in your breast?

"Q. You testified that you went back to see Doctor Toler following the ultrasound treatment, is that correct?

"Q. Uh-huh. What, if anything, did he tell you on that occasion?

"A. Nothing.

"Q. Did he tell you to watch it closely?

"A. Yes, sir. He said —

"Q. And he did take —

"A. If I noticed any change to come back.

"Q. And he said to watch it closely?

"Q. And did you watch it closely over the ensuing some four to five months?

"Q. Yes, sir.

"Q. And you noticed absolutely no change until this nipple inverted and became completely inverted over a period of about a week?

"A. It stayed full.

"Q. Okay. And when you noticed that did you immediately make an appointment to go back and see Doctor Toler?

"A. The inverted nipple?

"Q. Yes, ma'am.

"A. Yes, sir, I did.

"Q. I want to ask you this. Did Doctor Toler ever express any dissatisfaction with you or make any statement to you in any way related to your not following his instructions or not doing what you were supposed to?

"A. No, sir, he didn't.

"Q. He never did say, Jan, you didn't do what I told you. You should have come back sooner or anything like that?

"Q. Never has to this day, to you?

"Q. And he did that in January when you first went back to him with the inverted nipple?

"Q. Did you follow the instructions that he gave you in August of '81?

"Q. As soon as you noticed the change you went back?

"Q. Did he, in August of '81 or anytime before that, give you any film or talk or explanation on how to keep checking this lump or what to look for?

"Q. He just said if there was a change?

"Q. Did he tell you what kind of change?

"A. No, sir." (Emphasis added.)

Dr. Toler, on the other hand, deposed that during his August 20th visit with Ms. Johnson he instructed her to follow the cyst closely and to return in six weeks.

"Q. What did you tell Janice Johnson about her condition on August 20, or anybody in your office, from the time that sonogram was done until August 20th? When she walked out of the door, what was she told about her condition as to what it was or [was] thought to be?

"A. That she had a cyst in her breast and it should be followed closely and to please return in six weeks or after her next period. I only have six weeks, so I can only testify to that, okay.

*Page 1101
"Q. Okay. The best you know, that's what she was told?

"A.

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Bluebook (online)
485 So. 2d 1098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ex-parte-johnson-ala-1986.