Harris-Lewis v. Mudge

10 Mass. L. Rptr. 51
Procedural entryThis page is a short order in Harris-Lewis v. Mudge. Read the opinion of the Court — 9 Mass. L. Rptr. 572
Massachusetts Superior Court·Decided April 15, 1999·No. No. 962349F·Published

Opinion

Fremont-Smith, J.

Each of the above defendants has filed a motion for summary judgment on the ground that the undisputed “core” facts fail to provide an evidentiary basis upon which a reasonable jury could find against said defendants.

In deciding the motions, the Court may not weigh the evidence, but must deny the motions unless, on the undisputed facts, there is no reasonable probability that the plaintiffs can prevail at trial. Cassesso v. Comm'r of Correction, 390 Mass. 419, 422 (1983); Kelley v. Rossi, 395 Mass. 659, 663 (1985).

While it is true that the evidence against at least some of these defendants is far from overwhelming, the Court concludes that there are sufficient verified facts (i.e. facts asserted under oath) to raise a genuine issue of material fact as to facts which, if found by the [52]*52jury to be proven, could form the basis for a verdict against each of the defendants.

Peter L. Friedman, M.D.

Reduced to the bare essentials, it is not disputed that Dr. Friedman is a cardiologist who, at the request of Dr. Gilbert H. Mudge, did an electro physiological (“E.P.”) study of Mr. Lewis’s heart, which indicated that there was a possibility that Lewis was suffering from ventricular arrhythmia (a life-threatening condition), that he advised Lewis of the test results, and that he informed him that he might need to have a defribrill-ator implanted. In spite of these findings, however, there is evidence upon which a jury could conclude that, upon being told about further tests done by Dr. Creager on a “tilt table,” which indicated that Lewis’s symptoms recurred without arrhythmia, he then advised Lewis (on May 9,1993) that a defribrillator would not be needed, but that he could be treated with medication (as Dr. Mudge had concluded on the basis of Dr. Freidman’s test report, and consultation). There is also evidence upon which a jury could conclude that Dr. Friedman further indicated his concurrence with Dr. Mudge’s diagnosis and treatment plan by attending and participating without disclaimer, in a press conference where it was announced by Dr. Mudge, in Dr. Friedman’s presence, that Mr. Lewis was not suffering from ventricular arrhythmia and would not need a defribrillator. Plaintiffs cardiologist expert opines that, in view of the contrary findings which Dr. Friedman had made as a result of his own earlier tests, Dr. Friedman departed from the standard of care of the average qualified cardiologist when he retracted his earlier advice to Lewis, and when he acquiesced in Dr. Mudge’s diagnosis and course of treatment by participating, without disclaimer, in the press conference, where Dr. Mudge specifically asserted that his diagnosis and treatment plan was concurred-in by his entire “team” (i.e. by the defendants).

Defendant’s counsel does not strongly contest, for purposes of this motion, the proposition that Dr. Friedman might be found to have been a “treating doctor” of Mr. Lewis. (See Lambley v. Kameny, 43 Mass.App.Ct. 277 (1997), and other cases collected in plaintiffs briefs, regarding the factors which may be considered in determining whether a doctor-patient relationship exists). Here, it is not disputed that Dr. Friedman did examine and advise Lewis. Defendant urges, however, that while there might have been a “duty of care” owed by Dr. Friedman to Mr. Lewis, the scope of that duty was narrower than that of a primary attending physician, inasmuch as Dr. Friedman was only employed by Dr. Mudge as a consultant for a specific purpose (performing and reporting on the E.P. test), and did not have primaiy responsibility for the care and treatment of Mr. Lewis.

In support of this contention, defendant’s counsel has cited Santos v. Kim, 429 Mass. 130 (1999). In that case, the director of a medical laboratory, which had been dilatory in sending the results of blood tests to the plaintiffs treating physician, was held by the SJC to be potentially liable for negligence in the provision of medical care, even though the defendant had never examined, treated or met the plaintiff. Id. at 138. The Court held that the head of such a laboratory’s negligent failure to create protocols for the prompt delivery of medical tests, might comprise the basis for a medical malpractice suit, regardless of whether he “stood in a doctor-patient relationship to the plaintiffs.” Id. The Court characterized “the real question” as “whether the defendant owed a duty personally to the patient. The radiologist who reads an X-ray and reports his conclusion clearly does; the chief of medicine of the hospital, simply by virtue of his position, does not." Id. at 136. The Court rejected defendant’s contention that the fact that defendant “personally did not treat her, perform the analysis of her blood, or undertake personally to report the results, automatically absolved him of liability. It depends on the particular facts,” id. at 137, and concluded that the proffers of proof to the Medical Malpractice Tribunal were sufficient to raise a legitimate question of liability appropriate for judicial inquiry under G.L.c. 231, §60B. The Court further concluded that “there was sufficient evidence to suggest that [defendant’s] involvement with the care and routines of the laboratory was sufficiently personal that the case may not as a matter of law be classed with cases such as Doherty,1 supra; Campbell,2 supra; or Lyon v. Morphew, 424 Mass. 828, 833 (1997) . . .” Id. at 138.

It seems apparent that, if a radiologist who reads an X-ray and reports his conclusions may be liable for malpractice, even though he or she does not personally treat the patient, so may a cardiologist who is called upon to do an EP study or other test, and does so in a negligent manner.

It is true that here, Dr. Friedman ‘s testing and reporting of results (indicating possible arrhythmia and the possible need of a defribrilator) is not contended to have been negligent, but, on the contrary, to have been correct. Accordingly, if Dr. Friedman’s role was undisputedly only that of a consultant, and not that of a “hands-on” treating physician, he would not, under Santos, have owed a duty to Lewis to go beyond the scope of his specific role, or been under a duty to advise Lewis of any questions he had, or should have had, as to Dr. Mudge’s diagnosis and treatment plan. See also Shannon v. Ramsey, 288 Mass. 543 (1934) (temporary treatment given by consulting physician for a specific purpose gave rise to no duty to provide treatment or advice to patient beyond the specific scope of his consultation); Cross v. Albee, 250 Mass. 170 (1924) (physician specifically engaged for a specific purpose by the attending physician is liable only for his own negligence within the scope of his employment); Markley v. Albany Medical Center Hosp., 558 N.Y.S.2d 688 (A.D.3d 1990) (physicians who did not treat patient with respect to chemotherapy not [53]*53liable for negligent chemotherapy treatment unless defendants “actually undertook that function as part of the infant’s pediatric care or . . . exercised general authority or control over the actual chemotherapy treatment”); Martin v. Niagara Frontier Hockey Corp., 578 N.Y.S.2d 25 (A.D.4th.

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Harris-Lewis v. Mudge, 10 Mass. L. Rptr. 51 (Mass. Ct. App. 1999).

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Related

Kelley v. Rossi
481 N.E.2d 1340 (Massachusetts Supreme Judicial Court, 1985)
Cassesso v. Commissioner of Correction
456 N.E.2d 1123 (Massachusetts Supreme Judicial Court, 1983)
Doherty v. Hellman
547 N.E.2d 931 (Massachusetts Supreme Judicial Court, 1989)
Campbell v. Thornton
333 N.E.2d 442 (Massachusetts Supreme Judicial Court, 1975)
Markley v. Albany Medical Center Hospital
163 A.D.2d 639 (Appellate Division of the Supreme Court of New York, 1990)
Martin v. Niagara Frontier Hockey Corp.
177 A.D.2d 1006 (Appellate Division of the Supreme Court of New York, 1991)
Cross v. Albee
145 N.E. 45 (Massachusetts Supreme Judicial Court, 1924)
Shannon v. Ramsey
193 N.E. 235 (Massachusetts Supreme Judicial Court, 1934)
Lyon v. Morphew
424 Mass. 828 (Massachusetts Supreme Judicial Court, 1997)
Santos v. Kim
429 Mass. 130 (Massachusetts Supreme Judicial Court, 1999)
Lambley v. Kameny
682 N.E.2d 907 (Massachusetts Appeals Court, 1997)