Fiedler v. Spoelhof

483 N.W.2d 486, 1992 Minn. App. LEXIS 310, 1992 WL 61640
CourtCourt of Appeals of Minnesota
DecidedMarch 31, 1992
DocketC2-91-1422
StatusPublished
Cited by2 cases

This text of 483 N.W.2d 486 (Fiedler v. Spoelhof) is published on Counsel Stack Legal Research, covering Court of Appeals of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fiedler v. Spoelhof, 483 N.W.2d 486, 1992 Minn. App. LEXIS 310, 1992 WL 61640 (Mich. Ct. App. 1992).

Opinion

OPINION

KALITOWSKI, Judge.

Respondent Richard Fiedler brought a medical malpractice action in state court against appellant Dr. Gerard Spoelhof. Respondent also brought a negligence action against the U.S. government in federal court. Both actions were based on allegedly negligent care respondent received while an inmate in a federal prison camp. Respondent filed a motion to remove the state action to federal court and appellant, in a stipulation submitted to the court, agreed to removal of the state action. The federal court denied the removal motion and subsequently dismissed the action against the government. The state court action resulted in a verdict for respondent. Appellant contends that the trial court erred in admitting the testimony of respondent’s expert witness and in refusing to limit his liability to the portion of the verdict attributable to his negligence.

FACTS

In 1986, respondent was an inmate of the Federal Prison Camp in Duluth. Appellant was a family practitioner and clinical director of the health clinic at the prison. As clinical director, appellant was responsible for making decisions regarding inmate health care and treatment.

During his intake screening in March of 1986, respondent stated that he had previously experienced intermittent chest pains. The results of an EKG performed on respondent were normal. On June 25, 1986, respondent went to the prison clinic complaining of chest pains. Appellant examined respondent the next day, instructed him to quit smoking, prescribed nitroglycerin and ordered an exercise stress test. Respondent later underwent the stress test but the results of the test neither confirmed nor ruled out heart disease because respondent failed to reach his target heart rate.

*488 On July 28, respondent again went to the clinic complaining of chest pains. His EKG results were normal. Appellant ordered a chest x-ray, prescribed Procardia and put respondent on “idle” for 24 hours. At a follow-up visit the next day, respondent reported slight chest tightening and a headache. Respondent again returned to the clinic on the following day complaining of chest pains. After an examination, appellant told respondent to come back on August 1.

Appellant’s written treatment plan for respondent on August 1 stated that respondent needed a cardiology evaluation, a possible angiogram, and an ears, nose and throat evaluation. Appellant recommended that respondent be transferred to a medical facility “as soon as possible” and ordered convalescence until the transfer. Appellant did not specify a timetable for the proposed transfer in his records. He chose to use the routine transfer procedure for respondent’s transfer rather than an emergency transfer to a hospital or a direct transfer to a prison medical facility arranged through the director of the facility. Appellant had used the routine transfer procedure in the past and had experienced varying time delays with the transfers. He testified, however, that he spoke with a prison official about respondent’s transfer and expressed a desire that the transfer occur within a week or two.

Respondent suffered a myocardial infarction in prison on August 14. He was taken by ambulance to a local hospital and then transferred to another hospital where an angiogram and angioplasty were performed. Respondent brought a medical malpractice action against appellant in state court in July of 1988. He subsequently initiated an action against the U.S. government under the Federal Tort Claims Act alleging negligence on the part of a prison official. Respondent’s actions essentially were based on the failure of appellant and the prison officials to promptly transfer him to a medical facility. The federal court denied respondent’s motion to remove the state action to federal court and join it with the federal action. The state court continued the state action until resolution of the federal action. In March of 1991, the federal court dismissed the action against the U.S. government, finding that the prison official was not negligent as a matter of law.

A jury trial was held in the state action in April of 1991. Respondent offered the videotaped deposition of Dr. David Benditt, a cardiologist. Dr. Benditt testified about his cardiology training and his medical qualifications and experience. He indicated that he had not studied family practice or treated inmates in a prison setting but was familiar with the standard of care exercised by family practitioners because family practitioners refer patients to him and he often discusses patient treatment with family practice physicians. Dr. Ben-ditt stated that in his opinion, a family physician faced with a patient who had several chest pain episodes during a short time period would have promptly sent the patient to a cardiologist. Dr. Benditt indicated that a family physician likely would refer a patient with a cardiac problem to a cardiologist within a day or two. .

Appellant testified at trial about his training and experience as a family practitioner and prison physician. He stated that there are special considerations involved when treating prison inmates including the need for security and the possibility that the prisoner is seeking a transfer to another facility for reasons unrelated to health care. Appellant also presented the testimony of two other physicians who gave their opinion that appellant had not departed from the generally recognized standard of care in treating respondent.

Appellant’s primary defense at trial was that the U.S. government was the most culpable tortfeasor. He requested that the government be included in the apportionment of fault on the jury’s special verdict form. The trial court granted this request. The jury returned a special verdict awarding respondent damages totalling $105,000. The jury apportioned negligence as follows: appellant 50%, the U.S. government 45%, and respondent 5%. The trial court issued an order for judgment against appellant in the sum of $99,750. Appellant subsequently moved for judgment notwithstanding the verdict or a new trial. He also moved to *489 amend the judgment to reflect the absence of joint liability between himself and the government. The court denied appellant’s motions and this appeal followed.

ISSUES

I. Did the trial court err in admitting the testimony of respondent’s expert witness?

II. Did the trial court err in refusing to limit appellant’s liability to the portion of the verdict attributable to his negligence?

ANALYSIS

I.

Appellant argues that Dr. Ben-ditt, respondent’s expert witness, was incompetent to testify on the appropriate standard of care. The determination of witness competency is a fact question within the discretionary province of the trial court. Ouellette v. Subak, 391 N.W.2d 810, 816 (Minn.1986). On appeal, a reviewing court will not reverse the trial court’s ruling unless it is based on an erroneous view of the law or clearly is not justified by the evidence. Id.; Cornfeldt v. Tongen, 262 N.W.2d 684, 692 (Minn.1977).

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Cite This Page — Counsel Stack

Bluebook (online)
483 N.W.2d 486, 1992 Minn. App. LEXIS 310, 1992 WL 61640, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fiedler-v-spoelhof-minnctapp-1992.