Gillam v. Lloyd

432 N.W.2d 356, 172 Mich. App. 563
CourtMichigan Court of Appeals
DecidedNovember 7, 1988
DocketDocket 87341
StatusPublished
Cited by14 cases

This text of 432 N.W.2d 356 (Gillam v. Lloyd) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gillam v. Lloyd, 432 N.W.2d 356, 172 Mich. App. 563 (Mich. Ct. App. 1988).

Opinion

R. L. Tahvonen, J.

Plaintiff, Mary Gillam, personal representative of the estate of Robert Gillam, deceased, appeals as of right from a directed verdict in favor of defendant Celeste Nostrand and from a jury verdict of no cause of action in favor of defendants Dennis M. Lloyd, D.O., P.C., and the Genesee County Board of Commissioners. We affirm.

Robert Gillam, plaintiff’s decedent, was an inmate at the Genesee County Jail when he died on April 11, 1982, from a perforated ulcer and resulting peritonitis. Plaintiff filed this suit in September of 1982, alleging negligence as to defendant Nostrand, Gillam’s probation officer; negligence and agency liability as to defendant Lloyd, the jail’s medical director; and maintenance of a dan *568 gerous and defective condition in a public building as to the Genesee County Board of Commissioners.

The events leading to Robert Gillam’s death began on February 15, 1982, when Gillam was convicted by a jury of assault with a dangerous weapon. Gillam was then fifty-two years old and suffered from multiple debilitating physical conditions. Judge Robert Ransom remanded Gillam to the Genesee County Jail pending preparation of a prebail investigation report. Judge Ransom requested a medical assessment to determine whether there would be problems managing Gillam in the county jail. Jerry Hall, the physician’s assistant at the jail, performed a physical examination and determined that Gillam was suffering from congestive heart failure, pulmonary emboli (blood clots in the lung), arteriosclerotic heart disease, traumatic arthritis of the pelvis, and chronic lower back syndrome with postpelvic fracture pain. Gillam had no history of ulcer disease. Joan Beck, nursing coordinator at the jail, acting under instructions from her supervisor, Dr. Lloyd, wrote a February 16 memorandum to Judge Ransom describing Gillam’s physical problems and requesting his release because he was viewed as a "high risk” person. Judge Ransom authorized Gillam’s release from jail the next day.

Defendant Nostrand, Gillam’s probation officer, prepared a presentence report. In the report, she detailed Gillam’s medical problems and reported that the psychiatrist opined that jail would be the "worse possible thing” for Gillam. She recommended that Judge Ransom sentence Gillam to probation. On March 12, Judge Ransom sentenced Gillam to five years probation and one year in the county jail, "deferred until Tuesday, March 23, 1982, at 9:00 a.m. pending devising and approval of a community service program.” Judge Ransom *569 stated that Gillam would not be jailed if he participated in the community service program, but if Gillam did not cooperate with the program, he would be sent to jail.

On March 19, 1982, Nostrand wrote a memorandum to Judge Ransom requesting that the March 23 jail term be held in abeyance because of difficulties in scheduling Gillam’s community service placement. In the memorandum, Nostrand advised the judge that "if Mr. Gillam is noncompliant with the volunteer work, he will immediately be escorted to the jail facility.” Judge Ransom approved the memorandum, agreeing to hold the jail term in abeyance.

Gillam was scheduled to report for his first community service placement meeting on March 25, 1982, at 9:00 a.m. Thirty minutes before the meeting, Gillam contacted Nostrand and told her that his car had broken down on the way to the program. Nostrand told Gillam that he had to make the appointment or he would be jailed. Mary Gillam testified that her husband tried for one and one-half hours to get a ride to the placement, but that he did not call a taxi. Later that morning, the director of the placement contacted Nostrand and informed her that Gillam had not kept his appointment. Nostrand took a copy of the court’s order to the jail and advised them to arrest Gillam for noncompliance. She contacted Gillam and told him that he was going to jail. Nostrand testified that she interpreted Gillam’s failure to report to the placement appointment as noncompliance with the terms of his probation, which, under the terms of her memorandum approved by Judge Ransom, required his incarceration.

Gillam was incarcerated in the Genesee County Jail on March 25. Once incarcerated, the medical staff at the Genesee County Jail was responsible *570 for treating Gillam’s medical problems. Dr. Lloyd, as medical director of the jail, was employed under a contract with the Board of Commissioners which required his presence at the facility 37.5 hours per month. Lloyd’s contract stated that he was to supervise all nursing activities, except scheduling and salary, and was to supervise all of the activities of the physician’s assistant, Jerry Hall. Lloyd also had a statutory duty to supervise his physician’s assistant, pursuant to MCL 333.16109; MSA 14.15(16109); MCL 333.17501; MSA 14.15(17501).

On March 26, 1982, Lloyd performed an abbreviated physical examination of Gillam. Lloyd testified that the only specific complaint made by Gillam during that examination was that he was not receiving Tylenol #4, a medication prescribed by Gillam’s private physician, which Gillam had been taking for years to relieve his pain. Lloyd had taken Gillam off Tylenol #4, a narcotic drug, and prescribed Zomax, a nonnarcotic drug, because other patients might try to steal Gillam’s narcotics. Lloyd testified that Gillam complained of pain when touched in the abdomen, but that he also complained of pain in any part of his body which Lloyd touched. Lloyd stated that there were no indications that Gillam had an ulcer and that therefore he did not order any x-rays to be taken. Following the examination, Lloyd asked nurse Joan Beck to call Judge Ransom to see if Gillam could again be taken out of the jail, as Gillam was a high risk patient.

Between March 26 and April 1, Gillam refused his medication several times and objected to taking the Zomax which Lloyd had prescribed for him. Gillam was not eating regularly.

On April 1, 1982, Gillam received a complete physical examination from the physician’s assistant, Jerry Hall. Hall determined that Gillam was *571 suffering from the same health problems which had prompted his February 16 release from jail. Hall noted on Gillam’s physical chart that during the examination Gillam rolled his eyes around and rambled. This was a new finding which Hall had not noted in his February 15 examination. Gillam complained that he could not eat solid foods because it made his "pelvis, back, and legs feel like they were set on fire.” This was also a new complaint, as was Gillam’s complaint that pain radiating from his pelvic bone to his leg caused his right knee to buckle.

Hall suspected that a preexisting nerve condition might have caused Gillam’s inability to stand, but did not order tests to confirm them. Instead, he ordered blood tests because he thought Gillam’s weakness might be caused by a potassium problem. Hall did not suspect an ulcer condition. He stated that Gillam’s vital signs were normal and that there were no indications that Gillam was suffering from acute or chronic ulcer disease, the eventual cause of his death. Hall did not recommend x-rays or gastrointestinal tests. He recommended that Lloyd review the physical.

On April 1, Lt.

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Bluebook (online)
432 N.W.2d 356, 172 Mich. App. 563, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gillam-v-lloyd-michctapp-1988.