Halse v. Murphy

CourtMontana Supreme Court
DecidedJune 8, 1989
Docket88-351
StatusPublished

This text of Halse v. Murphy (Halse v. Murphy) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Halse v. Murphy, (Mo. 1989).

Opinion

No. 88-351

IN THE SUPREME COURT OF THE STATE OF MONTANA 1989

KRISTIE ANN HALSE,

p l a i n t i f f and A p p e l l a n t , -vs-

J A M E S P . MURPHY,

Defendant and Respondent.

APPEAL FROM: ~ i s t r i c t o u r t o f t h e S e c o n d ~ u d i c i a l~ i s t r i c t , C I n a n d f o r t h e C o u n t y o f s i l v e r Bow, The H o n o r a b l e Mark P . S u l l i v a n , ,Tudge p r e s i d i n g .

COUNSEL OF RECORD:

For Appellant:

M i c h a e l E . Wheat; Cok & W h e a t , Rozeman, Montana

For Respondent:

D o u g l a s Buxbaum; P o o r e , R o t h & ~ o b i n s o n ,B u t t e , Montana

Submitted on R r i e f s : Feb. 3 , 1989 Decided: J u n e 8 , 1989

Filed: Mr. Justice John C. Sheehy delivered the Opinion of the Court.

Appellant Kristie Ann Halse appeals to this Court from a summary judgment of the Second Judicial ~istrict,Silver Bow County, in favor of respondent, Dr. James Murphy on a medical malpractice action which Halse had instituted on May 3, 1984. Halse alleged that Dr. James Murphy was negligent when he failed to externally immobilize Halse's fractured arm after he had removed a rod which he had inserted into the ulna bone of her right arm. The fracture was a result of a car accident. The initial medical records, entered when she was admitted to the hospital following the accident, indicate that Halse was 19 years old and well-nourished, appeared to be hypovolemic and had resultant hypovolemic shock; had a ' comminuted compound ~onteggias fracture of the ulna; had a ruptured bladder and gross hematuria; had multiple face contusions with closed head injury; was comatose; and had multiple pelvic fractures. Dr. James Murphy repaired her right arm fracture. Two other physicians attended to the bladder repair and repair of inter-abdominal organs that were hemorrhaging. The fractures to the ulna could not be repaired by casting and surgery was necessary to repair the ulna and to insert a rod. Halse was transferred to St. Peter's ~ospitalin Helena on December 23, 1980 because she showed persistent renal failure. She underwent multiple renal dialysis procedures there. Her urinary function returned and she was transferred back to St. James Hospital in Butte where "she was begun on physical therapy." Because of some persistent problems relating to nursing staff orders, the family transferred Kristie to the Sheridan Hospital in Sheridan, Montana, eight days later, on January 25, 1981. Her private physician accepted continuing care of the appellant. In March, 1981, two and a half months after her fracture was repaired, Halse began experiencing palsy in her right hand. Dr. Murphy referred her to Dr. Charles Jennings, an orthopedic surgeon practicing in Great Falls, who specializes in hand problems, for a second opinion. Dr. Jennings ' medical records indicate that he removed the cast put on by Dr. Murphy in order to completely evaluate Halse's injuries and to get good X-rays. The X-rays indicated that there was some displacement of the proximal fracture fragment which resulted in some relative shortening of the ulna; and that there was some callus at that site and that the distal fracture site showed "healing." The medical records also stated that Halse was having considerable difficulty with elbow pain due to protrusion of the pin; and that Halse could not flex her elbow more than 30 degrees due to the pain. Dr. ~ennings wrote to Dr. Murphy stating his opinion that Halse would probably recover from the nerve palsy and that Halse had "not developed significant deformity" from this palsy. Dr. Jennings recommended that the pin be removed from the forearm because it was such an irritation to her. He also recommended that if the fracture were not stable enough without immobilization, Halse should be placed in an arm cast again; and that if the proximal fracture fragment appeared to be significantly unstable, he would open it, realign it and fix it with a plate and screws. Dr. Jennings had his occupational therapist fabricate a resting splint to be worn at night which would hold Halse's wrist in slight extension and support the joints at 45 degree flexion. Dr. Jennings encouraged active motion of the wrist and fingers to regain range of movement. Two weeks after consulting Dr. Jennings, Halse again saw Dr. Murphy. One week after that, on March 31, 1981, Halse was taken to the operating room at St. James where Dr. Murphy removed the pin under regional anesthetic. The hospital medical records indicate that a stab wound was made over the tip of the rod; an extractor was then screwed into the rod; and it was removed by means of a mallet. The wound was irrigated and the skin was closed with two sutures of stainless steel wire. A sterile dressing was applied and Halse left the operating room awake and in good condition to go to the ward. No bleeding occurred. Dr. Murphy did not recast the arm but gave Halse a removable splint to use as she deemed necessary. Dr. Murphy continued to see Halse after the removal of the pin. It is at this stage that Halse, and subsequently Dr. Humberger, allege that Dr. Murphy was negligent. Halse asserts that Dr. Murphy did not X-ray the arm after removal of the rod, nor did he palpate the arm. Halse asserts that had he done so the unhealed fracture in the arm would have been detected. Dr. Humberger, in his late affidavit, states that if these facts are true, Dr. Murphy was negligent. Halse moved to Great Falls in the summer of 1981. while there, she consulted Dr. ~ennings'associate, Dr. Bloemendaal and a Great Falls surgeon, Dr. Mungas. On September 9, 1981, she was seen by Dr. Murphy in Bozeman and again on October 23, 1981. Murphy's records show no complaint about her arm. One year later, on October 29, 1982, Halse consulted physicians at the orthopedic department of the university of Washington. She was seen there by Dr. Theodore Greenlee. Dr. Greenlee X-rayed her arm and found that there was a non-union of the proximal ulnar fracture and possibly of the middle one-third of the distal ulnar fracture. He recommended a bone graft and plating of her fracture. On November 9, 1982, Halse underwent surgery at the University of Washington. The two ulnar non-union sites were debrided and plates were attached to the bone. On April 29, 1983, Halse was seen by Dr. Humberger in his office. Dr. Humberger's records indicate that Halse's wound was well healed. However, Dr. Humberger indicated that Halse had contracted osteomyelitis and that there "is a potential for the infection to flare up at any time." Dr. Humberger discontinued Halsers antibiotic treatment for the osteomyelitis on June 10, 1983. On July 22, 1983, Halse returned to Dr. Humberger with complaints of an aching sensation and tenderness in the ulna. The X-rays showed the wound to be well healed but there was a small lytic area beneath the plate which had been attached in Seattle. For this reason, Humberger put Halse back on Tegopen, a penicillin drug. Humberger suggested removal of the plates and curretage of the bones. This was done on August 10, 1983. On August 22, 1983, the surgical staples were removed. The wound appeared well healed. Halse was advised, "warm soaks, active range of motion exercises, proper wound care, minimal resistance activity." Two weeks later, on September 6, Dr. Humbergerrs records indicate that the wound was healing well. He did not feel X-rays were necessary. He advised the same care of the arm as before and asked Halse to come back in one month. One month later, October 6, Dr. Humberger's records indicate that Halse bumped her arm while driving. She now had a transverse crack across the ulna and a small fracture through one of the screw holes. Dr. FIumberger advised her to continue wearing her present splint, to perform range of motion exercises to the elbow and to remove the splint while bathing.

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Halse v. Murphy, Counsel Stack Legal Research, https://law.counselstack.com/opinion/halse-v-murphy-mont-1989.