Herman v. Milwaukee Children's Hospital

361 N.W.2d 297, 121 Wis. 2d 531, 1984 Wisc. App. LEXIS 4515
CourtCourt of Appeals of Wisconsin
DecidedNovember 19, 1984
Docket83-1450
StatusPublished
Cited by31 cases

This text of 361 N.W.2d 297 (Herman v. Milwaukee Children's Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Herman v. Milwaukee Children's Hospital, 361 N.W.2d 297, 121 Wis. 2d 531, 1984 Wisc. App. LEXIS 4515 (Wis. Ct. App. 1984).

Opinion

SULLIVAN, J.

The Wisconsin Patients Compensation Fund (the Fund) appeals from a judgment awarding more than $3,000,000 to Regena Herman (Regena) and her parents, Gene and Nancy Herman. Milwaukee Children’s Hospital co-appeals from that judgment. Regena, Gene and Nancy Herman and Wisconsin Employers Insurance Company (collectively, the Hermans) cross-appeal from the same judgment. We reverse on the ground of excessiveness the award to Regena of $2,609,-000 for past and future pain, suffering and disability. We also reverse the award to the Hermans of $30,000 for past and future services rendered to Regena on the ground that there was a failure of proof as to the value of such services. Finally, we hold that the trial court erred in not incorporating into the judgment the limitation of sec. 655.27 (5) (d), Stats., to the effect that when the Fund incurs liability exceeding $1,000,000 to any person under a single claim, the Fund shall not pay more than $500,000 per year on the claim. We modify the judgment to reflect the statutory mandate. On all other issues, we affirm.

Regena, then age ten, underwent surgery at Milwaukee Children’s Hospital on July 8, 1980, to correct idiopathic thrombocytopenic purpura, or a tendency to bleed. The surgical procedure, a splenectomy, was performed by Dr. Glicklich; it went routinely. Dr. Glicklich left the hospi *539 tal at 5:15 p.m.; Regena was in the recovery room. Dr. Glicklich left an order that he should be called if Regena’s blood pressure dropped below 90/60.

Regena was stable at 11:00 p.m. that evening. At midnight her pulse was recorded as being 116, abnormally high, and she complained of discomfort from a tube in her nose. In the early hours of the morning Regena became uncomfortable. Her mother, who was staying in the room with her, complained to nurse Wall some time before 2:00 a.m. that Regena was awake, sweaty, and in pain. Nurse Wall observed that Regena was restless and pale; Wall could not get Regena’s blood pressure reading with a cuff and stethoscope. Rapid pulse, perspiration, pallor, clammy skin and a drop in blood pressure are signs indicating shock. Wall considered the possibility of internal bleeding. Wall then requested that nurse Gerhardt look at the child. Gerhardt could not get a blood pressure reading either. Gerhardt requested that nurse McDermott help Wall with getting a blood pressure reading. McDermott could not get a blood pressure reading with a cuff. She then tried an instrument called a doppler, used to measure blood pressure in infants. The bottom, or diastolic, number will not be heard with a doppler. Regena’s blood pressure was 40/0, a reading which, in a ten year old, indicates shock.

Within a few minutes of her first unsuccessful attempt to get a blood pressure reading, nurse Wall called Dr. Kojima, a first year surgical resident in his first week of service and on his first night on call. Kojima had been instructed to call Dr. Glicklich, who was the chief of the Department of General Surgery, or Dr. Kappes, the senior resident, in case of an emergency. Kojima, himself, had virtually no surgical skills.

Kojima arrived shortly after 2:00 a.m. at which time Regena was still conscious and able to follow commands. Kojima ordered a blood count. While waiting for the re- *540 suits, Kojima called Dr. Kappes, who told Kojima he was doing the right thing. The blood test results showed a loss of blood. Kojima called Kappes again, and Kappes said he was coming to the hospital.

Regena had had an intravenous line in the vein in her arm since before her surgery. Kojima tried to get an additional I.V. line going to give Regena a blood transfusion. However, when a patient is in shock, it is difficult to find a vein. When a vein cannot be found, a cut-down (cutting through the skin to reach the vein) must be performed. Kojima did not know how to do a cut-down. Kojima called another resident, Dr. Fontaine, who also could not do a cutdown. No effort was made to seek the help of other physicians in the hospital at the time who could have performed a cutdown. Dr. Humphrey, a third year resident, and Dr. Witte, a second year resident, were both available and knew how to do cutdowns, but were never called.

Regena’s intra-abdominal bleeding caused her to go into hypovolemic shock and then to suffer a cardiac arrest at 3:05 a.m. Her low blood volume caused a decrease in oxygen flow to the vital organs, resulting in the production of lactic acid and damage to the brain.

Dr. Kappes arrived and performed two cutdowns. Units of blood were administered to Regena at 3:12 a.m. and 3:20 a.m. Dr. Glicklich operated on Regena at 3:40 a.m. to find the origin of the bleeding, a leak in a ligature of a splenic artery, and to stop it.

Regena’s preinjury IQ was 100 to 110; her present IQ is approximately 85, or “dull normal.” Since the injury, she is deficient in general intellectual functioning, attention span, mathematical ability, three dimensional perception, memory and reconstruction, motor coordination, and judgment skills. She has epilepsy, weakness in her left arm and leg, balance problems, and reduced bone growth in her left leg, causing it to be three-eighths of an inch shorter than the right leg. The emotional quality *541 of Regena’s speech has been reduced, and she repeats statements. Regena is aware that she is now a different person than she was before the injury.

The Hermans made a negligence claim against Children’s Hospital which was heard by a patients compensation panel. The panel found that Children’s Hospital was negligent and awarded $17,500 for medical and hospital expenses; $40,000 to the Hermans for the loss of Regena’s companionship, services and earning capacity during minority; $15,000 to the Hermans for future nursing and custodial services; $130,000 to Regena for future lost earning capacity; and $60,000 and $200,000 to Regena for past and future, respectively, pain and suffering.

Regena and the Hermans then filed the suit giving rise to this appeal. Children’s Hospital filed its answer, as did the Fund. Subsequently, the Fund filed a third-party complaint joining Drs. Glicklich and Kappes and their insurer. Children’s Hospital filed a cross-claim against the same parties. A jury trial was held from March 28,1983, through April 21,1983.

Counsel for Regena and the Hermans requested in closing argument that the jury award Regena $302,000 for loss of earning capacity, $25,000 for the first year of pain and suffering, and from $600,000 to $900,000 for future pain, suffering and disability. The jury found Children’s Hospital, alone, causally negligent and awarded to Regena $2,609,000 for past and future pain, suffering and disability and $281,917 for future loss of earning capacity. Thé jury awarded the Hermans $350,000 for loss of society, companionship and earning capacity during the child’s minority and $30,000 for services that must be rendered to Regena because of her injuries. The court found that Regena’s medical expenses amounted to $18,579.70.

On motions after verdict the Fund requested that the answers to the negligence questions be changed, requested alternatively a new trial or that all parties be *542 found causally negligent, and requested that any judgment against it be limited pursuant to sec.

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361 N.W.2d 297, 121 Wis. 2d 531, 1984 Wisc. App. LEXIS 4515, Counsel Stack Legal Research, https://law.counselstack.com/opinion/herman-v-milwaukee-childrens-hospital-wisctapp-1984.