Herbert v. Travelers Indemnity Company

193 So. 2d 330
CourtLouisiana Court of Appeal
DecidedMarch 10, 1967
Docket2362
StatusPublished
Cited by20 cases

This text of 193 So. 2d 330 (Herbert v. Travelers Indemnity Company) 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
Herbert v. Travelers Indemnity Company, 193 So. 2d 330 (La. Ct. App. 1967).

Opinion

193 So.2d 330 (1966)

Howard HERBERT
v.
TRAVELERS INDEMNITY COMPANY et al.

No. 2362.

Court of Appeal of Louisiana, Fourth Circuit.

December 5, 1966.
Rehearing Denied January 9, 1967.
Writ Refused March 10, 1967.

*331 Krieger, Krieger & Tracy, I. J. Krieger and Robert K. Tracy, New Orleans, Nichols, Gaither, Beckham, Colson, Spence & Hicks, Miami, Fla., for plaintiff-appellant.

Jones, Walker, Waechter, Poitevent, Carrere & Denegre, Ernest A. Carrere, Jr., and Ashton R. Hardy, New Orleans, for The Travelers Indemnity Co., Anesthesia Associates, and Dr. Byron J. Casey, defendants-appellees.

Loeb & Livaudais, Marcel Livaudais, Jr., New Orleans, for Dr. Francis N. Vallette and Hartford Accident and Indemnity Co., defendants-appellees.

*332 Porteous & Johnson, William A. Porteous, Jr., and C. Gordon Johnson, Jr., New Orleans, for Southern Baptist Hospital, Inc., and Underwriters at Lloyd's, defendants-appellees.

Dufour, Levy, Marx & Lucas, Leonard B. Levy, New Orleans, for General Accident Fire and Life Assurance Corp., Ltd., and Dr. Warren Hebert, defendants-appellees.

Before McBRIDE, JANVIER and BARNETTE, JJ.

BARNETTE, Judge.

This is an appeal by the plaintiff from a judgment based on a jury verdict rejecting his demand for damages for alleged negligent injury in the administration of a spinal anesthetic.

The plaintiff, Howard Herbert, consulted Dr. Warren Hebert about a hemorrhoid condition, and, after two cancellations of scheduled surgical operations, a hemorrhoidectomy was scheduled at Southern Baptist Hospital in New Orleans for July 5, 1962. In preparation for the operation, plaintiff was admitted to the hospital on July 4, and that evening was visited by Dr. Nicholas Montalbano, a partner of defendant Dr. Byron Casey in Anesthesia Associates. Dr. Montalbano advised him that a spinal anesthetic would be used, as is common in hemorrhoidectomies. Plaintiff made no objection to its use in his operation.

On July 5, after preparation for the surgical procedure which included the administration of drugs for sedation, plaintiff was taken to the operating room and placed on the operating table. Dr. Hebert, who was out of the city, had arranged for his partner or associate, Dr. F. N. Vallette, to perform the hemorrhoidectomy. Dr. Vallette was preparing for the operation in another room when plaintiff was brought in and placed in charge of Dr. Casey, the anesthesiologist.

Plaintiff was placed on the table in a "buoy" position, which is accomplished by breaking the table in the middle so as to form an inverted V-shape and placing the patient with his lumbar region over the apex of the table and with his head and feet extending downward. The purpose of this procedure is to put the rectum in proper position for the hemorrhoidectomy and also to spread the vertebral interspaces to facilitate the introduction of the spinal needle. While the patient was in this position, Dr. Casey injected a local anesthetic preparatory to the insertion of the spinal needle. He then located the interspace between the third and fourth lumbar vertebrae by feeling and inserted the needle at that level. When the point of the needle punctured the dura and entered the spinal canal, plaintiff gave out a cry of intense pain and complained that his left leg felt like it had been subjected to a severe electrical shock. The medical experts are in agreement that the severe pain and sensation of electric shock resulted from the spinal needle coming into contact with a nerve root.

These nerve roots are called the cauda equina because of their similarity to a horse's tail. They were described by Dr. John Adriani as nerves which hang down and float in the spinal fluid very much like spaghetti would float in a bowl of soup. They are free to move, and it is not uncommon in giving spinal anesthetic or making a spinal tap that the needle comes into contact with them. It is more likely that the needle will push them aside than pierce them.

Because of plaintiff's intense pain and restlessness, he was given a shot of a pain relieving drug in the hand by a nurse or an assistant of Dr. Casey. Dr. Casey admitted that Nembutol was given, but after he had completed the spinal anesthesia. At any rate, plaintiff was rendered unconscious.

Dr. Vallette performed the hemorrhoidectomy without further incident, and the patient was returned to his hospital room at about 11:00 A. M. The time consumed *333 from the injection of the spinal anesthetic to the completion of the surgery was about 45 minutes. Plaintiff regained consciousness soon after returning to his room and immediately complained of intense pain in his left leg and was given Dilaudid, a very potent pain killing drug.

Plaintiff continued to complain of pain in his left leg and foot throughout his six days in the hospital. There was no complaint of the hemorrhoidectomy, which plaintiff acknowledged to have been entirely satisfactory.

During his postoperative stay in the hospital, plaintiff was seen by Dr. Hebert, who returned to the city on July 7, and also by Dr. Vallette. Dr. Casey, the anesthesiologist, left the city the day following the operation, and in his absence plaintiff was visited by Dr. Montalbano and Dr. William K. Taylor, another partner of Dr. Casey in Anesthesia Associates. Drs. Montalbano and Taylor were concerned about the persistent leg pains and arranged for an examination by Dr. Richard M. Paddison, a neurologist, at the expense of Anesthesia Associates. On August 7, 1962, Dr. Paddison wrote to Dr. Taylor giving a report of his examination.

After examination and diagnosis by Dr. Paddison, plaintiff was put under the care of Dr. Solomon Winokur who gave him a total of 150 physiotherapy treatments.

After plaintiff engaged attorneys to represent him, arrangements were made for him to be examined by Dr. Richard W. Levy, a local neurosurgeon, and later by Dr. H. Harvey Gass, a neurosurgeon in Detroit, Michigan. The findings and testimony of all these physicians will be discussed below.

Plaintiff brought suit for damages alleging a permanent injury, pain and suffering, and special damages. He based his suit on the alleged negligence of Dr. Casey, the anesthesiologist, whose alleged fault was the sticking of the spinal needle into a nerve root and injecting a highly toxic drug known as Pontocaine directly into the nerve root. His suit was directed against Dr. Casey, Anesthesia Associates and their insurer, Dr. Hebert, Dr. Vallette, and Southern Baptist Hospital and their respective insurers, charging them as joint tort-feasors. The alleged bases for the liability of the surgeons and the hospital is best summed up in plaintiff's brief in the following words:

"The record will show that the plaintiff's complaint against the Southern Baptist Hospital and its insurer is based on the fact that the anesthesiologist did all of his work at the hospital under the rules of the hospital, and that if there is negligence on the part of the anesthesiologist, Dr. Casey, then under the theory of agency and the furnishings of a service by the hospital, the hospital is responsible.
"As to Dr. F. N. Vallette and his insurer, he was the surgeon and he picked the anesthesiologist, and he was the `captain of the ship' insofar as the operation and the control of the operating room itself is concerned and consequently he is responsible for any negligent act on the part of the anesthesiologist, Dr. Casey.
"As the employer of Dr. Vallette, Dr.

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193 So. 2d 330, Counsel Stack Legal Research, https://law.counselstack.com/opinion/herbert-v-travelers-indemnity-company-lactapp-1967.