George E. Hand v. South Georgia Urology Center, P. C.

CourtCourt of Appeals of Georgia
DecidedMarch 16, 2015
DocketA14A1854
StatusPublished

This text of George E. Hand v. South Georgia Urology Center, P. C. (George E. Hand v. South Georgia Urology Center, P. C.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
George E. Hand v. South Georgia Urology Center, P. C., (Ga. Ct. App. 2015).

Opinion

FOURTH DIVISION DOYLE, P. J., MILLER and DILLARD, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. http://www.gaappeals.us/rules/

March 16, 2015

In the Court of Appeals of Georgia A14A1854. HAND et al. v. SOUTH GEORGIA UROLOGY CENTER, P.C. et al.

DILLARD, Judge.

In this civil action, George and Betty Hand sued Dr. Gilbert Gonzalez and his

practice group, South Georgia Urology Center, P.C. (collectively “defendants”), for

damages they allegedly suffered as a result of Dr. Gonzalez’s medical malpractice.

Following a jury verdict and judgment in favor of defendants, the Hands appeal,

arguing that the trial court erred in (1) excluding impeachment evidence, (2) failing

to instruct the jury on the law pertaining to spoliation of evidence, (3) prohibiting

cross-examination of Dr. Gonzalez regarding the past suspension of his medical

license, and (4) finding that sufficient evidence supported the jury’s verdict. For the

reasons noted infra, we agree that the trial court erred in excluding impeachment evidence, and therefore, reverse the trial court’s ruling in that regard and remand the

case for a new trial.

Construed in favor of the jury’s verdict,1 the evidence shows that in late 2005,

Dr. Gonzalez, a urologist, diagnosed George Hand as having an enlarged prostate.

And after discussing various treatment options, Dr. Gonzalez ultimately

recommended transurethral microwave thermotherapy, using a Targis System device

manufactured by Urologix, Inc. In this procedure, the physician places the Targis

device’s catheter, housing a microwave antenna, into the patient’s urethra near the

prostate gland and inserts the device’s rectal thermometer into the patient’s rectum

directly adjacent to the prostate gland. The antenna then delivers microwave energy

into the patient’s prostate, causing cellular breakdown that leads to a reduction in the

size of the prostate. During the procedure, the rectal thermometer monitors the

temperature of the prostate gland and automatically halts the procedure if the

temperature exceeds acceptable levels.

Based on Dr. Gonzalez’s recommendation, Hand consented to the microwave

thermotherapy. Consequently, on January 19, 2006, Hand went to Dr. Gonzalez’s

offices, where one of the nurses prepped him and then inserted the Targis device’s

1 See, e.g., Horton v. Hendrix, 291 Ga. App. 416, 416 (662 SE2d 227) (2008).

2 catheter into Hand’s urethra and the rectal thermometer into his rectum. After Dr.

Gonzalez checked the placement of both insertions, he activated the device.

During the procedure, Hand informed Dr. Gonzalez’s assistants that he was

experiencing a considerable amount of pain. But the device’s rectal thermometer

never indicated that the temperature exceeded safe levels, and Hand never requested

that the assistants stop the treatment. Nearly 45 minutes later, the procedure

concluded with no apparent complications, and Dr. Gonzalez sent Hand home to

recuperate.

After resting for approximately two weeks following the procedure, Hand was

still experiencing discomfort, but he nevertheless attempted to return to his job as a

truck driver. However, on his first day back, Hand noticed that he discharged urine

from his rectum when trying to use the bathroom. Almost immediately, Hand

contacted Dr. Gonzalez, who quickly saw him on February 10, 2006, and determined

that the microwave thermotherapy procedure had burned a hole between Hand’s

rectal and urethral tissues, causing what is known as a rectal-urethra fistula. A short

time later, Hand was admitted to the hospital for surgery to repair the fistula, and over

the course of the next couple of years, he underwent numerous surgeries and

procedures to treat the damage and complications resulting from the injury.

3 In 2008, Hand and his wife filed a complaint against Dr. Gonzalez and his

practice group, alleging that Dr. Gonzalez breached the standard of medical care in

treating Hand and that this breach resulted in serious injuries. Specifically, the Hands

claim that Dr. Gonzalez failed to ensure that the Targis device’s rectal thermometer

was properly inserted near Hand’s prostate gland prior to the microwave

thermotherapy procedure and, thus, the thermometer did not indicate that Hand’s

urethral and rectal tissue were being subjected to dangerous temperature levels.

Defendants then filed an answer, and a lengthy discovery period ensued.

During discovery, the Hands’ counsel deposed Dr. Gonzalez, who testified that

he did not breach the standard of medical care in his treatment of Hand. Dr. Gonzalez

further testified that he believed the Targis device malfunctioned during Hand’s

treatment and that this malfunction resulted in the burns to Hand’s tissue. Dr.

Gonzalez added that he believed he had attempted to perform microwave

thermotherapy treatment once or twice after Hand’s procedure, but the device would

not operate properly. Then, after learning of Hand’s injury, he “lost faith” in the

Targis device and stopped using it completely by late February or early March 2006.

A jury trial commenced on April 26, 2013, during which the Hands presented

evidence that Dr. Gonzalez breached the standard of medical care. Defendants

4 presented evidence that Dr. Gonzalez adhered to the standard of medical care,

including expert testimony supporting his theory that the Targis device malfunctioned

and caused Hand’s injury. The trial concluded on May 3, 2013, with the jury

rendering a verdict in favor of the defendants. One week later, the trial court affirmed

the verdict and issued an order entering judgment. Subsequently, the Hands filed a

motion for new trial, which the trial court denied after conducting a hearing. This

appeal follows.

1. The Hands contend that the trial court erred in excluding evidence that was

relevant to the impeachment of Dr. Gonzalez. We agree.

It is well established that the admission of evidence is “within the sound

discretion of the trial court and appellate courts will not interfere absent abuse of that

discretion.”2 But it is likewise well established that evidence having a tendency to

establish facts at issue is “relevant and admissible, and no matter how slight the

probative value, our law favors admission of relevant evidence.”3 With these guiding

principles in mind, we turn now to the Hands’ specific claim of error.

2 City of Atlanta v. Bennett, 322 Ga. App. 726, 727 (1) (746 Ga. App. 198) (2013) (punctuation omitted). 3 Id. at 728 (1) (punctuation omitted).

5 Despite Dr. Gonzalez’s deposition testimony (mentioned supra), during the

course of discovery, the Hands never requested to inspect the Targis device used to

treat Hand. However, a few weeks before trial was scheduled to begin, the Hands

served Dr. Gonzalez with a subpoena duces tecum, requesting that the device be

brought to trial solely for demonstrative purposes. And at the start of trial, the Targis

device that the parties assumed to be the device used to treat Hand was indeed

brought to the courtroom. Later, during a break in the proceedings, and after the

Hands rested, the Hands’ counsel activated the power on the Targis device and

discovered reports in the form of data on the device, indicating that, contrary to his

deposition testimony, Dr.

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