Fast v. Kennewick Pub. Hosp. Dist.

Procedural entryThis page is a short order in Fast v. Kennewick Pub. Hosp. Dist.. Read the opinion of the Court — 185 Wash. 2d 1001
Washington Supreme Court·Decided November 17, 2016·No. 92216-1·Published

Opinion

This opinion was filed for reeord

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6WJrdXC~ SUSAN L. CARLSON SUPREME COURT CLERK

IN THE SUPREME COURT OF THE STATE OF WASHINGTON

SHANE FAST, JAMIE FAST, the marital ) community comprised thereof, ROBERT ) DALTON FAST, and the estate thereof, ) No. 92216-1 ) Petitioners, ) En Bane v. ) ) KENNEWICK PUBLIC HOSPITAL ) Filed _N_o_v_1_?_2_.0_16_ __ DISTRICT d/b/a KENNEWICK GENERAL ) HOSPITAL and d/b/a MID-COLUMBIA ) WOMEN'S HEALTH CENTER, a ) Washington public hospital district ) organized as a government entity, ) municipal, or quasi-municipal corporation; ) ADAM T. SMITH, D.O., individually and for ) the marital community with spouse or ) registered domestic partner Jane Doe ) Smith; GREGORY SCHROFF, M.D., ) individually and for the marital community ) with spouse or registered domestic partner ) Jane Doe Smith; and DOES 1 through 50, ) ) Respondents. ) )

WIGGINS, J.-The medical negligence statute of limitations (MNSOL) requires

filing a claim for medical negligence within three years of the allegedly negligent act

or omission or within one year of when the negligence is or should have been

discovered, whichever is later. RCW 4.16.350(3). The MNSOL may be tolled for one

year upon the making of a good-faith request for mediation. RCW 7. 70.110. Fast et a/. v: Kennewick Pub. Hasp. Dist. eta/. No. 92216-1

The general torts catchall statute of limitations is also three years. RCW

4.16.080(2). However, there is no tolling provision associated with the general torts

catchall statute of limitations. We hold that in cases of wrongful death resulting from

negligent health care, the MNSOL (RCW 4.16.350(3)) applies.

FACTS

Jamie Fast entered into a doctor/patient relationship with Dr. Adam Smith and

Kennewick Public Hospital District on January 25, 2008. Jamie 1 sought care because

of difficulty conceiving and menstrual bleeding, which had been heavier and more

prolonged than normal. At her first appointment, she completed medical history forms

including questions regarding her health and the health of her relatives. Jamie noted

that her grandmother had diabetes and both her parents had high cholesterol.

In late March 2008, Dr. Smith confirmed Jamie was pregnant. Jamie bled for

the first few months of pregnancy-visiting the emergency room at least once for

bleeding. Jamie phoned Dr. Smith's office multiple times to inquire about her bleeding.

Each time, Jamie went to Dr. Smith for an examination or she had an ultrasound at

the hospital. After each checkup or ultrasound, Dr. Smith assured Jamie that

everything was fine or normal.

Several times during the pregnancy, Jamie mentioned excessive thirst and

frequent urination to Dr. Smith and/or his nursing staff. She was assured that this was

normal. During an August 8, 2008 visit, Jamie raised concerns about a 10 pound

1We refer to Jamie Fast by her first name to avoid confusion in this opinion. We intend no disrespect.

2 Fast eta/. v. Kennewick Pub. Hasp. Dist. et a/. No. 92216-1

weight loss; again, she was reassured that her pregnancy was progressing normally.

Also during this visit, a glucose challenge test was postponed. A glucose challenge

test is designed to measure blood sugar and determine whether the mother is at risk

for gestational diabetes. Neither Dr. Smith nor his nursing staff ever raised concerns

about blood sugar, diabetes, high blood pressure, or weight loss during Jamie's

pregnancy.

At Jamie's August 25, 2008 appointment, Dr. Gregory Schroff covered for Dr.

Smith. Dr. Schroff scheduled a glucose challenge test four days later, on August 29,

2008, Jamie's first blood sugar test since establishing care with Dr. Smith. Jamie's

blood glucose concentration was over six times the upper limit of normal-so high that

Dr. Schroff did not believe the accuracy of the results. Dr. Schroff scheduled another

blood sugar test the following day, August 30, 2008-these results indicated a glucose

concentration over four times normal levels. Dr. Schroff admitted Jamie to the hospital

for management of diabetes and pregnancy that same day. Jamie was 29 weeks

pregnant. 2

At the hospital, Dr. Schroff ordered intermittent fetal monitoring. The monitor

detected fetal distress several times, indicating decelerations of the fetal heart rate.

The nursing staff's response was to turn off the monitor, rather than to substitute a

2 The Fasts presented evidence that the standard of care mandates blood glucose screening of all nondiabetic patients at 24 to 28 weeks of gestation. Clerk's Papers (CP) at 402.

3 Fast et a/. v. Kennewick Pub. Hasp. Dist. et a/. No. 92216-1

different monitor or to expedite delivery of the unborn child. 3 No further action was

taken. Dr. Schroff failed to review fetal monitor strips; Jamie and her husband, Shane

Fast, presented evidence that the slips indicated that intervention was necessary. 4

Around 4 a.m. on August 31, 2008, nurses were unable to detect a fetal heartbeat-

Jamie's unborn child had died. Later that day, Jamie delivered her stillborn baby. She

has been an insulin-dependent type 2 diabetic since this stillbirth.

On August 26, 2011 the Fasts served requests for mediation on Drs. Smith and

Schroff and the hospital that employed them, Kennewick Public Hospital District

(collectively defendants). Under the MNSOL (RCW 4.16.350(3)), a good-faith

mediation request tolls the statute of limitations for one additional year. RCW

7.70.11 0. 5 Defendants expressed no interest in mediating. On July 18, 2012, the Fasts

3 We recognize that the loss of an unborn child is emotionally charged. Whether we use the term "unborn child" or "fetus," the loss is the same. Here, the cause of action at issue, RCW 4.24.01 0, addresses injury or death of a child, and accordingly we use the term "unborn child." 4 Dr. Schroff has an independent duty to review the EFM [electronic fetal monitoring] tracing to ensure fetal well being. His failure to do so allowed this fetus, who was showing evidence of uteroplacental insufficiency, to remain in-utero in a hostile environment. This failure to provide acceptable EFM surveillance culminated in the in-utero death of this fetus. Dr. Schroff's failure to diagnose EFM evidence of fetal compromise and appropriately intervene with a cesarean delivery represents a deviation in an acceptable standard of care.

CP at 404 (declaration of the Fasts' medical expert). 5 RCW 7. 70.110 states, "The making of a written, good faith request for mediation of a dispute related to damages for injury occurring as a result of health care prior to filing a cause of action under this chapter shall toll the statute of limitations provided in RCW 4.16.350 for one year."

4 Fast eta/. v. Kennewick Pub. Hosp. Oist. et a/. No. 92216-1

filed a complaint against defendants "for injuries resulting from healthcare" and "injury

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