Guilliams v. Wray

79 Va. Cir. 244, 2009 Va. Cir. LEXIS 86
CourtRoanoke County Circuit Court
DecidedSeptember 9, 2009
DocketCase No. CL07000791-00
StatusPublished

This text of 79 Va. Cir. 244 (Guilliams v. Wray) is published on Counsel Stack Legal Research, covering Roanoke County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Guilliams v. Wray, 79 Va. Cir. 244, 2009 Va. Cir. LEXIS 86 (Va. Super. Ct. 2009).

Opinion

BY JUDGE CHARLES N. DORSEY

[245]*245Plaintiff Donna S. Guilliams has filed suit against Defendants Dr. Carol A. Wray, Katherine D. Vaughn, and Lewis-Gale Clinic1 for injuries she allegedly suffered as a result of a foreign object being left in her body following a surgery on her breasts. In response, Defendants have filed two demurrers, a motion for partial summary judgment, and a motion to bifurcate. Plaintiff has filed a motion for leave to amend her complaint.

For the reasons that follow, the Court, after having considered the pleadings, the relevant case law, and the arguments of counsel, rules as follows:

Defendants’ demurrers to Counts n, DI, IV, and V of Plaintiffs Complaint are overruled;

Defendants’ demurrer to Plaintiffs claim for punitive damages is overruled;

Defendants’ demurrer to Plaintiffs claim for attorney’s fees is overruled;

Defendants’ motion for partial summary judgment is taken under advisement;

Defendants’ motion to bifurcate is denied; and

Plaintiffs motion for leave to amend her complaint is granted.

I. Factual Background

“A demurrer admits the truth of all material facts that are properly pleaded, facts which are impliedly alleged, and facts which may be fairly and justly inferred from alleged facts.” Didato v. Strehler, 262 Va. 617, 620, 554 S.E.2d 42, 43 (2001) (internal quotation marks and citation omitted). Accordingly, the Court states the facts as set forth in Plaintiffs Complaint.

A. The April 22 Surgery

On April 22, 2005, Dr. Wray performed a bilateral mastopexy with augmentation on Guilliams at Lewis-Gale Clinic. As part of that procedure, Guilliams received two 430 cc saline breast implants. In the days that followed, Guilliams began experiencing drainage in her left breast. When she complained to Dr. Wray about the drainage during a follow-up visit on May 11, Dr. Wray recommended closure of the draining wound.

[246]*246Sometime after the draining wound was closed, Guilliams suffered a rupture in a different area of her left breast. When she returned to Dr. Wray for another follow-up visit on May 25, Dr. Wray discovered a 1.5 cm. opening in her left breast that was draining blood and pus. At that time, Dr. Wray recommended that the left breast implant be removed.

B. The May 26 Surgery

Dr. Wray removed Guilliams’s left breast implant on May 26. During that surgery, Dr. Wray found a Ray-Tec sponge that had been used in the April 22 surgery behind the implant, in the left breast pocket. Dr. Wray removed the sponge and discarded it.

Following the May 26 surgery, Dr. Wray informed Guilliams that a sponge from the April 22 surgery had been left in her body and that, as a result, there would be no charge for the May 26 surgery or for the surgery to replace the implant. Dr. Wray also informed Guilliams that her body had rejected the implant but did not disclose that the rejection or any of the other complications with her left breast were potentially related to the sponge.

A few days after the May 26 surgery, Vaughn, a nurse employed by Lewis-Gale Clinic, called Guilliams at her home to talk about the May 26 surgery. In that call, Vaughn stated to Guilliams that she was fortunate that her body had rejected the implant because it had allowed Dr. Wray to discover the sponge. Vaughn further stated that the sponge did not cause Guilliams’s body to reject the implant and that she therefore had no legal claim against Dr. Wray or anyone else at Lewis-Gale Clinic. In response, Guilliams expressed concern about the amount of work that she had missed because of the April 22 and May 26 surgeries. At that time, Vaughn suggested that she could talk to Dr. Wray about possibly reimbursing Guilliams for the cost of the April 22 surgery.

Guilliams returned to Dr. Wray on May 31 for another follow-up visit. During that visit, Dr. Wray indicated that Guilliams should have surgery in a week to insert a new implant in her left breast. Later that day, Vaughn informed Guilliams that the surgery had been scheduled for June 9 and obtained her consent.

On June 7, Vaughn again called Guilliams at her home to talk about the upcoming surgery. In that call, Vaughn informed Guilliams that Dr. Wray and Lewis-Gale Clinic had agreed to reimburse her for the cost of the April 22 procedure.

[247]*247On June 9, just moments before Guilliams was rolled into the operating room to receive the new implant, Vaughn presented her with a reimbursement check for the cost of the April 22 surgery along with a paper to be signed. Although Guilliams was medicated at the time, Vaughn insisted that she needed to sign the paper before entering surgery but did not disclose its purpose. After Guilliams complied, Vaughn left the room without leaving a copy of the paper. Guilliams later learned that the paper purported to be a release of all claims against Dr. Wray or any other Lewis-Gale Clinic employee for the April 22 surgery.

D. The June 9 Surgery

Dr. Wray inserted a new 430 cc saline implant in Guilliams’s left breast on June 9. In the days following the surgery, Guilliams again began to experience drainage in her left breast Accordingly, on July 6, Dr. Wray, after culturing the drainage, closed the draining wound and gave her a prescription for antibiotics. The cultures taken that day later tested positive for infection.

Then, on July 10, when the draining wound reopened, Dr. Wray recommended that the implant be removed. Soon after the implant was removed on July 12, Dr. Wray inserted a tissue expander in Guilliams’s left breast. Over the next few months, Dr. Wray gradually added fluid to the expander. When the fluid level in the expander reached 63 0 cc on November 29, Dr. Wray recommended that Guilliams have surgery to receive another implant in her left breast.

On January 20,2006, Dr. Wray examined Guilliams in preparation for the upcoming surgery. During that examination, Dr. Wray discovered that the expander had partially deflated. After refilling the expander, Dr. Wray informed Guilliams that she would need to be cleared by her family physician before undergoing the surgery. Guilliams did not return to Dr. Wray after the January 20 examination.

II. Procedural History

Based on the above-stated facts, Plaintiff filed a complaint against Defendants in April 2007. Her complaint included the following claims:

Count I (Medical Malpractice) alleges that Defendants were negligent in performing the April 22 surgery;

[248]*248Count H (Informed Consent) alleges that Defendants were negligent in failing to obtain her informed consent for the June 9 surgery;

Count III (Breach of Contract) alleges that Defendants breached the parties’ special oral agreement by leaving the sponge in her left breast;

Count IV (Fraud and Deceit) alleges that Defendants committed fraud by intentionally misleading her about the complications in her left breast and her legal rights regarding the sponge in order to persuade her to sign the release;

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Bluebook (online)
79 Va. Cir. 244, 2009 Va. Cir. LEXIS 86, Counsel Stack Legal Research, https://law.counselstack.com/opinion/guilliams-v-wray-vaccroanokecty-2009.