Fink v. Bleyaert

42 Pa. D. & C.4th 97, 1999 Pa. Dist. & Cnty. Dec. LEXIS 127
CourtPennsylvania Court of Common Pleas, Clearfield County
DecidedAugust 3, 1999
Docketno. 95-1082-CD
StatusPublished

This text of 42 Pa. D. & C.4th 97 (Fink v. Bleyaert) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Clearfield County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fink v. Bleyaert, 42 Pa. D. & C.4th 97, 1999 Pa. Dist. & Cnty. Dec. LEXIS 127 (Pa. Super. Ct. 1999).

Opinion

REILLY, P.J.,

On August 3, 1987, Brendon M. “Butch” Flanagan allegedly suffered a work-related injury that caused him to seek medical treatment from an array of health care providers. On July 6,1993, Mr. Flanagan was referred to the Clearfield Hospital pain clinic for further evaluation. At that time, Archiel L. Bleyaert M.D. administered epidural steroid injections, as had other physicians since 1989. The course of injections was repeated on July 14, 1993, July 23, 1993 and August 24, 1993. On August 24, 1993, Mr. Flanagan suffered cardio-respiratory arrest and died on September 12, 1993.

Plaintiff, Linda Fink, as administratrix of the estate of Brendon M. Flanagan a/k/a/ Butch Flanagan, deceased, and on behalf of the next of kin filed a complaint and alleged, in part, that the epidural steroid injections were improperly administered and resulted in the cardio-res-piratory arrest and the untimely death of Mr. Flanagan. A demand for recovery is also premised upon the failure of defendant Bleyaert and Richard C. Bedger M.D. to obtain a sufficient informed consent from Mr. Flanagan [99]*99in regards to the injections. Defendants Bleyaert and Bedger filed motions for partial summary judgment in this matter.

The issue before this court is whether defendants Bleyaert and Bedger are entitled to partial summary judgment with respect to plaintiff’s informed consent claim, as informed consent is not required for nonsurgical procedures.

Motions for summary judgment are covered by Pa.R.C.P. 1035.2, which states:

“After relevant pleadings are closed, but within such time so as not to unreasonably delay trial, any party may move for summary judgment in whole or in part as a matter of law
“(1) whenever there is no genuine issue of any material fact as to a necessary element of the cause of action or defense which could be established by additional discovery or expert report, or
“(2) if, after the completion of discovery relevant to the motion, including the production of expert reports, an adverse party who will bear the burden of proof at trial has failed to produce evidence of facts essential to the cause of action or defense which in a jury trial would require the issues to be submitted to a jury.” Pa.R.C.P. 1035.2

Summary judgment should be granted if a review of the record demonstrates that there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Perry v. Middle Atlantic Lumbermens Association, 373 Pa. Super. 554, 542 A.2d 81 [100]*100(1988). When the defendant is the moving party, he may make the showing necessary to support the entry of summary judgment by pointing to materials which indicate that plaintiff is unable to satisfy an element of their cause of action. Godlewski v. Pars Manufacturing Co., 408 Pa. Super. 425, 431, 597 A.2d 106, 109 (1991).

The appellate courts of this Commonwealth have historically interpreted the doctrine of informed consent as applying only to surgeons who perform operations without first securing the informed consent of the patient. Friter v. Iolab Corp., 414 Pa. Super. 622, 626, 607 A.2d 1111, 1113 (1992). In determining whether the patient’s consent to a surgical operation was “informed,” one must consider whether the physician disclosed to the patient all of the facts, risks, and alternatives, which a reasonable person would deem significant in making a decision to undergo the recommended procedure. Moure v. Raeuchle, 529 Pa. 394, 404-405, 604 A.2d 1003, 1008 (1992); Doe v. Dyer-Goode, 389 Pa. Super. 151, 156, 566 A.2d 889, 891 (1989), appeal denied, 527 Pa. 587, 588 A.2d 509 (1990); Rogers v. Lu, 335 Pa. Super. 595, 485 A.2d 54 (1984). An operation performed without the patient’s informed consent constitutes a battery, thus making the physician or physicians liable for any injuries regardless of whether the surgery was negligently performed. Moure v. Raeuchle, supra, 529 Pa. at 405, 604 A.2d at 1008; Doe v. Dyer-Goode, supra, 389 Pa. Super, at 155-56, 566 A.2d at 891; Levenson v. Souser, 384 Pa. Super. 132, 557 A.2d 1081 (1989), appeal denied, 524 Pa. 621, 571 A.2d 383 (1989); Sagala v. Tavares, 367 Pa. Super. 573, 533 A.2d 165 (1987), appeal denied, 518 Pa. 626, 541 A.2d 1138 (1988); see [101]*101also, Gray v. Grunnagle, 423 Pa. 144, 223 A.2d 663 (1966); Smith v. Yohe, 412 Pa. 94, 194 A.2d 167 (1963).

A claim of lack of informed consent has been characterized by the Pennsylvania Supreme Court as an action for assault and battery. Gray, supra, 423 Pa. at 144, 223 A.2d at 664. As a result, such a claim must be proven as a technical assault, rather than under a theory of negligence. Gallegor v. Felder, 329 Pa. Super. 204, 478 A.2d 34 (1984). Likewise, the Pennsylvania Superior Court has “consistently limited informed consent to a battery theory,” and has refused to expand it. Wu v. Spence, 413 Pa. Super. 352, 356, 605 A.2d 395, 397 (1992).

Pursuant to the Superior Court’s decision in Shaw v. Kirschbaum, 439 Pa. Super. 24, 653 A.2d 12 (1994), the Superior Court mled that the informed consent doctrine applies only to surgical procedures. Later, in Wu, supra the Superior Court refused to extend the doctrine of informed consent to the injection of therapeutic drugs outside the realm of surgery. However, in Morgan v. McPhail, 449 Pa. Super. 71, 672 A.2d 1359 (1996), the Superior Court expressed extreme reservations about the battery theory of informed consent, as well as the distinction between surgical and nonsurgical procedures and implored the Supreme Court to reconsider the issue. Morgan, 449 Pa. Super. at 79, 672 A.2d at 1363. The Supreme Court in Morgan, 550 Pa. 202, 704 A.2d 617 (1997), granted allo-catur on the sole issue of whether the informed consent doctrine should be extended to the administration of therapeutic drugs or whether it should be limited to surgical procedures. Id. The court refused to broaden the scope of the informed consent doctrine to include nonsurgical ad[102]*102ministration of medication. Furthermore, the court held unequivocally that Pennsylvania does not recognize a cause of action for lack of informed consent in the administration of steroidal injections.

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Related

Rogers v. Lu
485 A.2d 54 (Supreme Court of Pennsylvania, 1984)
Moure v. Raeuchle
604 A.2d 1003 (Supreme Court of Pennsylvania, 1992)
Godlewski v. Pars Manufacturing Co.
597 A.2d 106 (Superior Court of Pennsylvania, 1991)
Morgan v. MacPhail
704 A.2d 617 (Supreme Court of Pennsylvania, 1997)
Mitzelfelt v. Kamrin
584 A.2d 888 (Supreme Court of Pennsylvania, 1990)
Sagala v. Tavares
533 A.2d 165 (Supreme Court of Pennsylvania, 1987)
Friter v. Iolab Corp.
607 A.2d 1111 (Superior Court of Pennsylvania, 1992)
Doe v. Dyer-Goode
566 A.2d 889 (Supreme Court of Pennsylvania, 1989)
Shaw v. Kirschbaum
653 A.2d 12 (Superior Court of Pennsylvania, 1994)
Hamil v. Bashline
392 A.2d 1280 (Supreme Court of Pennsylvania, 1978)
Wu v. Spence
605 A.2d 395 (Superior Court of Pennsylvania, 1992)
Riddle Memorial Hospital v. Dohan
475 A.2d 1314 (Supreme Court of Pennsylvania, 1984)
Gradel v. Inouye
421 A.2d 674 (Supreme Court of Pennsylvania, 1980)
Gallegor by Gallegor v. Felder
478 A.2d 34 (Supreme Court of Pennsylvania, 1984)
Smith v. Yohe
194 A.2d 167 (Supreme Court of Pennsylvania, 1963)
Morgan v. McPhail
672 A.2d 1359 (Superior Court of Pennsylvania, 1996)
Morena v. South Hills Health System
462 A.2d 680 (Supreme Court of Pennsylvania, 1983)
Levenson v. Souser
557 A.2d 1081 (Supreme Court of Pennsylvania, 1989)
Gray v. Grunnagle
223 A.2d 663 (Supreme Court of Pennsylvania, 1966)

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Bluebook (online)
42 Pa. D. & C.4th 97, 1999 Pa. Dist. & Cnty. Dec. LEXIS 127, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fink-v-bleyaert-pactcomplclearf-1999.