Greer v. Lammico

779 So. 2d 894, 2000 WL 1867738
CourtLouisiana Court of Appeal
DecidedDecember 22, 2000
Docket34,058-CA
StatusPublished
Cited by4 cases

This text of 779 So. 2d 894 (Greer v. Lammico) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Greer v. Lammico, 779 So. 2d 894, 2000 WL 1867738 (La. Ct. App. 2000).

Opinion

779 So.2d 894 (2000)

Larry W. GREER, et al., Plaintiffs-Appellants,
v.
LAMMICO, et al., Defendants-Appellees.

No. 34,058-CA.

Court of Appeal of Louisiana, Second Circuit.

December 22, 2000.
Rehearing Denied January 18, 2001.
Writ Denied April 27, 2001.

*896 Sentell Law Firm, L.L.C., By C. Sherburne Sentell, Jr., Minden, Counsel for Appellants.

Pettiette, Armand, Dunkelman, Woodley, Byrd & Cromwell, By Lawrence W. Pettiette, Jr., Joseph S. Woodley, Shreveport, Counsel for Appellee.

Before NORRIS, C.J., and GASKINS and DREW, JJ.

GASKINS, J.

The plaintiffs, Larry W. Greer, Frances Boudreaux, David Greer and Rachel Freeman, are the family of the decedent, Gretchen Greer. They appeal a civil jury verdict finding that they are not entitled to damages in excess of the $100,000.00 malpractice settlement paid by a physician following the death of Mrs. Greer as a result of breast cancer. The defendant, Louisiana Patient Compensation Fund (PCF), answered the appeal, objecting to the jury award. For the following reasons we affirm the trial court judgment.

FACTS

This matter is before this court for review for the third time. The facts are stated in the previous opinions as follows:

Mrs. Greer noticed a mass in her left breast and consulted Dr. [Robert] Barrett for treatment. After an examination and biopsy, the tumor was diagnosed as malignant. On July 23, 1990, Dr. Barrett performed a modified mastectomy of the left breast and determined that all the cancerous tissue had been removed. Extensive tests indicated that the cancer had not spread. Dr. Barrett then informed Mrs. Greer that the cancer was localized and that she had a 75% chance of the cancer not recurring. Mrs. Greer continued to see Dr. Barrett post-operatively. Other than examining Mrs. Greer's right breast for a palpable mass, Dr. Barrett never performed a mammogram on Mrs. *897 Greer's right breast despite Mrs. Greer's repeated requests for a mammogram.
On December 26, 1990, Mrs. Greer, during a consultation with Dr. Christopher McDonald, on referral from Dr. Barrett, mentioned that a mammogram of her right breast had not been performed. The mammogram that was immediately scheduled and performed on December 26, 1990, revealed a tumor in Mrs. Greer's right breast. When the biopsy indicated that the tumor was malignant, Mrs. Greer underwent a right modified mastectomy on January 2, 1991. At that time, Mrs. Greer was informed by Dr. Barrett that her chance of survival was less than 50% and that she would need both chemotherapy and radiation treatment.
When the tumor in her left breast was discovered, extensive testing was performed to determine whether the cancer had metastasized. All tests were negative and showed that the cancer had not spread to her lymphatic system. However, following the second surgery, tests revealed that cancer had spread to Mrs. Greer's lymph nodes which reduced her chance of surviving the cancer.
Subsequent to the mastectomy of her left breast, Mrs. Greer had approximately six treatments of chemotherapy administered by Dr. McDonald. After discovery of cancer in her right breast, Mrs. Greer was treated more aggressively with chemotherapy, radiation therapy, and hormone therapy, which made her very ill and caused great suffering. Within a short period of time, doctors acknowledged that the cancer was incurable. Mrs. Greer died on January 22, 1995.

Greer v. Lammico, 29,066 (La.App.2d Cir.1/31/97), 688 So.2d 692, writ granted, judgment vacated, 97-0731 (La.11/7/97), 703 So.2d 30 (Greer I); Greer v. LAMMICO, 29,066 (La.App.2d Cir.4/13/98), 712 So.2d 598 (Greer II).

PROCEDURAL HISTORY

The plaintiffs contend that after Mrs. Greer asked Dr. Barrett whether a mammogram should be done on the right breast, Dr. Barrett failed to order it. The test was finally performed by order of Dr. McDonald about 5½ months after the cancer in the left breast was found. After discovery of the cancer in the right breast, and the determination that the cancer had spread to Mrs. Greer's bones and was incurable, she took legal action against Dr. Barrett. The procedural history is also outlined in the prior opinions:

Gretchen Greer, who suffered breast cancer, filed a claim against Dr. Barrett requesting the Patients' Compensation Fund ("PCF") to form a medical review panel. The petition for medical review panel alleged that Mrs. Greer's "chances for survival have been significantly reduced as a result of the medical negligence of defendant (Dr. Barrett) in failing to institute appropriate diagnostic procedures in a timely fashion" to determine whether Mrs. Greer had cancer in her right breast also. Further, the petition alleged that Dr. Barrett's act of malpractice "materially reduced plaintiff's (Mrs. Greer's) chances of recovering from the cancer and has likewise materially worsened the chances that the adjunctive therapy will be effective and has likewise resulted in the necessity for substantially more aggressive adjunctive therapy." Dr. Barrett settled without the matter proceeding to the medical review panel for a decision. His insurer paid the policy limits of $100,000.00 and obtained a full release. Mrs. Greer reserved all rights against PCF for damages exceeding $100,000.00. Mrs. Greer then filed a petition seeking judicial approval of the settlement with Dr. Barrett, who admitted malpractice, and asking the court to set a hearing to determine the amount of damages, if any, to be paid Mrs. Greer by the PCF. That petition alleged that Mrs. Greer was entitled to an award of $500,000.00 *898 plus all past and future medical expenses and legal interest on all amounts from the date of the original filing of the claim.
Before a jury trial on the issue of excess damages could be held, Mrs. Greer died. Her husband and children were substituted as plaintiffs, and the petition was amended to add claims for wrongful death, mental anguish, pain and suffering, loss of quality of life, lost chance of survival, and other additional damages. The supplemental and amended petition filed after Mrs. Greer's death alleged her death and the extent of the harm caused by the act of malpractice prior to her death, including a "lost chance of survival" and "shortened life expectancy."
The jury rendered a verdict finding that Dr. Barrett's malpractice was not a substantial factor which reduced Mrs. Greer's chance of survival and awarding no damages. The judge denied the Greer's motions for judgment notwithstanding the verdict and new trial.

The plaintiffs appealed that decision. On January 31, 1997, in Greer I, this court rendered a decision, based on La. R.S. 40:1299.44 C(5)[1] as interpreted in Pendleton v. Barrett, 95-2066 (La.5/31/96), 675 So.2d 720, and Graham v. Willis-Knighton Medical Center, 27,338 (La.App. 2nd Cir.9/29/95), 662 So.2d 161. Under those cases, admission of liability by payment of the $100,000.00 limit for a malpractice claim relieved the plaintiff of the burden of proving a causal connection between the malpractice and the harm. This court ruled that the trial court committed reversible error under the Medical Malpractice Act in allowing the PCF to relitigate the issue of causation. We also found that Mrs. Greer's chance of survival was reduced by one-third and awarded $400,000.00 for her lost chance of survival, with a $100,000.00 credit for the amount of the settlement with Dr. Barrett.

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