Fehrenbach v. O'Malley

2011 Ohio 5481
CourtOhio Court of Appeals
DecidedOctober 28, 2011
DocketC-100730
StatusPublished
Cited by7 cases

This text of 2011 Ohio 5481 (Fehrenbach v. O'Malley) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fehrenbach v. O'Malley, 2011 Ohio 5481 (Ohio Ct. App. 2011).

Opinion

[Cite as Fehrenbach v. O'Malley, 2011-Ohio-5481.] IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

TARA N. FEHRENBACH, : APPEAL NO. C-100730 TRIAL NO. A-9701756 GINA D. FEHRENBACH, : O P I N I O N. and :

THOMAS J. FEHRENBACH, :

Plaintiffs-Appellants, :

vs. :

KATHRYN O’MALLEY, M.D., :

and :

SUBURBAN PEDIATRIC : ASSOCIATES, INC.,

Defendants-Appellees. :

Civil Appeal From: Hamilton County Court of Common Pleas

Judgment Appealed From Is: Affirmed

Date of Judgment Entry on Appeal: October 28, 2011

John H. Metz, for Plaintiffs-Appellants,

Lindhorst & Dreidame, Michael F. Lyon, and Bradley D. McPeek, for Defendants- Appellees.

Please note: This case has been removed from the accelerated calendar. OHIO FIRST DISTRICT COURT OF APPEALS

D INKELACKER , Presiding Judge.

{¶1} Plaintiffs-appellants Tara, Gina, and Thomas Fehrenbach, filed a

medical malpractice action against defendants-appellees Kathryn O’Malley, M.D.,

and her employer, Suburban Pediatric Associates, Inc., (collectively, where

appropriate, “Dr. O’Malley”). A jury returned a verdict in favor of Dr. O’Malley. The

Fehrenbachs have filed a timely appeal. We find no merit in their six assignments of

error, and we affirm the trial court’s judgment.

I. Facts and Procedure

{¶2} On October 1, 1990, 14-month-old Tara woke with a temperature of

105.2 degrees. She vomited, and her mother, Gina, found her to be “lethargic.” Gina

made an appointment to take Tara to see her pediatrician, Dr. O’Malley, at Suburban

Pediatric Associates, that afternoon.

{¶3} Tara had had a history of ear infections and her parents had

scheduled surgery to correct her ear problems. Dr. O’Malley examined Tara and

concluded that she had a severe double ear infection. She prescribed an oral

antibiotic and Tylenol.

{¶4} That night, Tara was cranky and slept poorly. Gina noticed that she

would not lie on her back. Gina took Tara back to Dr. O’Malley’s office the following

morning. She told the doctor that Tara’s fever had not been lower than 104 degrees,

that she was still vomiting, and that she was “very lethargic.” Dr. O’Malley examined

her and found that Tara was still suffering from ear infections. She told Gina to

continue with the antibiotic and Tylenol, and to give Tara fluids to prevent

dehydration.

{¶5} On the morning of October 3, Tara showed some improvement. Her

temperature was lower, and she was able to sit up for a short time and eat a little.

2 OHIO FIRST DISTRICT COURT OF APPEALS

Gina felt encouraged and left Tara with her mother-in-law while she went to work for

a short time.

{¶6} Tara took a turn for the worse that afternoon. Her fever spiked and

her grandmother had difficulty arousing her from sleep. Gina came home and found

Tara to be extremely lethargic. She held Tara most of the afternoon and Tara

pressed her head into Gina’s arm.

{¶7} That night, Thomas returned from an out-of-town trip. He thought

that Tara looked worse than she had when he had left on October 1. He insisted that

they call the doctor’s office. The on-call physician at Suburban Pediatrics told them

to take Tara to the hospital immediately. They took her to the emergency room at

Children’s Hospital Medical Center.

{¶8} A lumbar puncture revealed that Tara had bacterial meningitis. Her

spinal fluid revealed over 1 million colonies of a particularly virulent, antibiotic-

resistant bacterium that was virtually unknown in Cincinnati at the time. Tara was

given intravenous antibiotics and remained hospitalized for over a month.

{¶9} While she was hospitalized, Tara suffered numerous complications.

She developed hydrocephalus, a condition in which her body’s ability to drain

cerebral fluid was compromised. The doctors placed a shunt into her head to drain

the fluid down to her abdomen. Tara will have to have a shunt for the rest of her life.

{¶10} The doctors agreed that Tara had survived the meningitis against the

odds. She did not develop any cognitive impairment, and she was a college student

with a high grade-point average at the time of the trial. Nevertheless, she has had

multiple brain surgeries to remedy complications from the shunt and other issues

that resulted from the meningitis. She also had to have surgery to remedy chronic

back pain. She will have to be monitored for the rest of her life to make sure that the

shunt does not malfunction. If it does, and she becomes lethargic and/or suffers a

3 OHIO FIRST DISTRICT COURT OF APPEALS

severe headache, she must be able to get to a medical facility capable of conducting

brain surgery within four hours or she could die.

{¶11} Seven years after Tara’s illness, Tara, through her parents, sued Dr.

O’Malley and her employer, Suburban Pediatrics, for medical malpractice. Her

parents also filed a loss-of-consortium claim. Following a trial, a jury returned a

verdict in favor of O’Malley. The trial court denied the Fehrenbachs’ motion for a

new trial or for judgment notwithstanding the verdict. The Fehrenbachs filed a

timely appeal from the trial court’s judgment.

{¶12} We reversed the trial court’s judgment on several grounds, most

notably, pervasive misconduct by Dr. O’Malley’s counsel. Fehrenbach v. O’Malley,

164 Ohio App.3d 80, 2005-Ohio-5554, 841 N.E.2d 350 (“Fehrenbach I”). We

remanded the case for a new trial on both the medical-malpractice claim and the

parental loss-of-consortium claim. Id. at ¶103.

{¶13} The case was again tried to a jury. The Fehrenbachs presented expert

testimony that Dr. O’Malley had deviated from the standard of care by failing to

diagnose and treat for meningitis, and that earlier treatment would have prevented

the bacteria in Tara’s blood from infecting her brain or would have attacked the

meningitis in time to prevent hydrocephalus and the other complications that Tara

had suffered.

{¶14} O’Malley presented expert testimony showing that Tara had a rare,

aggressive strain of bacteria that did not emerge as meningitis until the afternoon of

October 3, when she took a turn for the worse. O’Malley’s experts testified that Tara

did not have meningitis when she saw Dr. O’Malley on October 1 and 2, and that

given the non-specific symptoms that Tara had presented with on October 1 and 2, a

diagnosis of ear infections was reasonable.

4 OHIO FIRST DISTRICT COURT OF APPEALS

{¶15} After the jury returned a verdict in favor of Dr. O’Malley, the

Fehrenbachs filed motions for judgment notwithstanding the verdict (“JNOV”) and

for a new trial. The trial court denied both motions. This appeal followed.

II. Conduct of Defense Counsel

{¶16} In their first assignment of error, the Fehrenbachs contend that the

trial court erred in overruling their motions for JNOV and for a new trial. They

argue that defense counsel made numerous improper remarks in front of the jury

designed to arouse passion or prejudice and that defense counsel’s misconduct again

required a new trial. This assignment of error is not well taken.

{¶17} We review a decision to grant or deny a motion for JNOV de novo. A

JNOV is proper if, upon viewing the evidence in a light most favorable to the

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2011 Ohio 5481, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fehrenbach-v-omalley-ohioctapp-2011.