Grab Ex Rel. Grab v. Dillon

103 S.W.3d 228, 2003 Mo. App. LEXIS 206, 2003 WL 346864
CourtMissouri Court of Appeals
DecidedFebruary 18, 2003
DocketED 81073
StatusPublished
Cited by18 cases

This text of 103 S.W.3d 228 (Grab Ex Rel. Grab v. Dillon) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grab Ex Rel. Grab v. Dillon, 103 S.W.3d 228, 2003 Mo. App. LEXIS 206, 2003 WL 346864 (Mo. Ct. App. 2003).

Opinion

MARY R. RUSSELL, Presiding Judge.

Andrew and Michelle Grab (“Parents”), individually and as next friends for Nicholas Grab, appeal from a judgment entered on a jury verdict rendered in favor of Patrick A. Dillon, M.D., Cardinal Glennon Children’s Hospital, and Saint Louis University (collectively “Defendants”). 1 On appeal, Parents assert the trial court erred in (1) failing to invoke “the rule” excluding witnesses from the courtroom, (2) refusing to admit into evidence a letter from one of Parents’ experts, and (3) failing to grant a new trial for juror misconduct dining voir dire. We find no error and affirm.

Seven weeks after the birth of their son, Nicholas, Parents noticed swelling in his scrotal area. They took him to see Dr. Dillon, a pediatric surgeon at Cardinal Glennon Children’s Hospital. Upon examining Nicholas, Dr. Dillon noted that he had swelling in his scrotum caused by a hydrocele, which is an accumulation of fluid in a sac around the testicle. Nicholas had swelling on both sides of his scrotum, and Dr. Dillon recommended that a bilateral hydrocele operation be performed.

A brief discussion of anatomy is important for a full understanding of this case. During development in a male fetus, the *233 testicles travel from the abdominal area through the processus vaginalis into the scrotum. The processus vaginalis is a lining that runs from the abdominal cavity into the scrotum. Once the testicles have moved into the scrotum, the processus va-ginalis seals. If the processus vaginalis fails to seal, fluid from the abdominal cavity can travel and accumulate in the scrotum. During a hydrocele operation, the connection between the abdominal cavity and the scrotum is sealed and the fluid is drained from the sac around the testicles.

After surgery, specimens removed from Nicholas were sent to pathology. Dr. Dillon was informed that the slides appeared to contain epididymis, indicating that the epididymis had been transected during surgery. The head of the epididymis contains numerous channels that eventually become the single channel known as the vas deferens. The vas deferens is the channel that sperm travel through after being created in the testicle.

Depending on the location of the tran-section of the epididymis, sterility could result. Transection at the head of the epididymis might not cause sterility because the head has numerous channels to support sperm travel to the vas deferens. A cut that occurs lower on the epididymis, where the channels form one duct, is more likely to result in sterility. The epididymis must be transected on both sides, however, for sterility to occur.

Parents filed this medical malpractice suit individually, and on behalf of their minor son, Nicholas, in the circuit court of the City of St. Louis. Parents alleged that Defendants negligently transected the left and right sides of Nicholas’ epididymis thereby rendering him sterile.

At trial, Parents introduced evidence from numerous pathologists and surgeons that the slides from Nicholas’ surgery contained epididymis and that Dr. Dillon deviated from the standard of care. Defendants presented evidence from other pathologists and surgeons that Dr. Dillon did not deviate from the standard of care because the slides did not show epididym-is, but rather embryonal remnants, which are small, non-functioning portions of tissue from gestation. Experts from both sides testified that it is difficult to distinguish true epididymis from embryonal remnants and that there would be no way to definitively know whether Nicholas was rendered sterile until he reached puberty. The jury returned a verdict for Defendants, and Parents now appeal from that verdict.

I. Court Denied Invoking “The Rule”

In their first point on appeal, Parents allege the trial court erred in failing to invoke “the rule” excluding witnesses from the courtroom. Parents argue that the denial of their request resulted in Defendants’ expert, Dr. Baird Smith (“Expert”), being in the courtroom while defendant Dr. Dillon was testifying. Parents argue that the court’s ruling allowed Expert to change his trial testimony from that given in his deposition based on hearing Dr. Dillon’s testimony.

Prior to trial, neither party requested that witnesses be excluded from the courtroom while other witnesses were testifying. After Parents had presented their case to the jury and Defendants had put on their first witness, Parents moved to exclude Expert from the courtroom during Dr. Dillon’s testimony. The trial court overruled Parents’ motion, finding in part that no one had requested invoking “the rule” before commencement of the case.

A. Evolution of “The Rule”

Parents’ attorney’s request that “the rule” be invoked to exclude witnesses from *234 the courtroom is an established practice by trial attorneys. Most attorneys, when seeking to invoke “the rule,” however, do not cite to any statutory or common law authority. Although “the rule” has long been a part of Missouri law, no cases contain a discussion of the inception of “the rule” or of its integration into the laws of this state.

The practice of separating witnesses in both criminal and civil trials for the purpose of “the discovery of truth and the detection and exposure of falsehood” is thought to be of the same antiquity as judicature itself, having long been administered in the British Parliament and the courts of both England and Scotland. 1 S.D. Thompson, Thompson on Trials, sections 275-76, at 283-84 (1912). Its ancient roots he in the Germanic common law. 6 John H. Wigmore, Wigmore on Evidenoe section 1837, at 456 (1976).

As trial by jury gained popularity as a mode of trial in England after the 1400s and reliance by jurors on the testimony of witnesses became paramount, it was quite natural that the practice of excluding witnesses under certain conditions would be continually applied in English courts. 2 Commenting on the evolution of this ancestor to “the rule,” Wigmore remarked: “There is perhaps no testimonial expedient which, with as long a history, has persisted in this manner without essential change.” Id.

With the spread of printing and the popularity of the Bible in the early 17th century, litigants frequently based their arguments for the exclusion of witnesses from the courtroom by citing the story of Daniel’s judgment of Susanna from the Book of Susanna contained in the Book of the Apocrypha. 3 In this book, two elders coveted Susanna. Susanna 1:8. They blackmailed her by stating that if she did not sleep with them, they would bear false witness against her and charge her with adultery. Id. at 1:21. When she resisted, the two elders plotted against her and testified about her adulterous behavior. Id. at 1:27-40. The assembly believed the elders and condemned Susanna to death. Id. at 1:41. As she was being led to her death, Daniel came to her rescue. Id. at 1:45-46. He exclaimed to the assembly:

Put these two aside one far from another, and I will examine them.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lynch v. State
551 S.W.3d 70 (Missouri Court of Appeals, 2018)
Bradley v. State
554 S.W.3d 440 (Missouri Court of Appeals, 2018)
J.J.'s Bar & Grill, Inc. v. Time Warner Cable Midwest, LLC
539 S.W.3d 849 (Missouri Court of Appeals, 2017)
State v. Rios
314 S.W.3d 414 (Missouri Court of Appeals, 2010)
State v. McGee
284 S.W.3d 690 (Missouri Court of Appeals, 2009)
State v. Allen
274 S.W.3d 514 (Missouri Court of Appeals, 2008)
UMB BANK, NA. v. City of Kansas City
238 S.W.3d 228 (Missouri Court of Appeals, 2007)
Campise v. Borcherding
224 S.W.3d 91 (Missouri Court of Appeals, 2007)
Hensley v. Shelter Mutual Insurance Co.
210 S.W.3d 455 (Missouri Court of Appeals, 2007)
in Matter of Care v. State
199 S.W.3d 223 (Missouri Court of Appeals, 2006)
Bradford v. BJC CORPORATE HEALTH SERVICES
200 S.W.3d 173 (Missouri Court of Appeals, 2006)
Payne v. Cornhusker Motor Lines, Inc.
177 S.W.3d 820 (Missouri Court of Appeals, 2005)
In Re the Care & Treatment of Burgess
147 S.W.3d 822 (Missouri Court of Appeals, 2004)
Roth Contracting, Inc. v. Gilded Age Renovation, LLC
143 S.W.3d 708 (Missouri Court of Appeals, 2004)
Steele v. Evenflo Co., Inc.
147 S.W.3d 781 (Missouri Court of Appeals, 2004)
Goede v. Aerojet General Corp.
143 S.W.3d 14 (Missouri Court of Appeals, 2004)
Whitnell v. State
129 S.W.3d 409 (Missouri Court of Appeals, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
103 S.W.3d 228, 2003 Mo. App. LEXIS 206, 2003 WL 346864, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grab-ex-rel-grab-v-dillon-moctapp-2003.