Hill v. Pennsylvania Hospital

70 Pa. D. & C.2d 560, 1974 Pa. Dist. & Cnty. Dec. LEXIS 83
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedOctober 29, 1974
Docketno. 8
StatusPublished

This text of 70 Pa. D. & C.2d 560 (Hill v. Pennsylvania Hospital) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hill v. Pennsylvania Hospital, 70 Pa. D. & C.2d 560, 1974 Pa. Dist. & Cnty. Dec. LEXIS 83 (Pa. Super. Ct. 1974).

Opinion

McDEVITT, J.,

This medical malpractice case was tried before Hon. John J. McDevitt, 3rd, and a jury from January 7 to 15, 1974. At the conclusion of trial, the jury returned a verdict in favor of plaintiff, Floyd Hill, in the amount of $200,000. Defendant, Pennsylvania Hospital, thereafter filed timely motions for a judgment n.o.v. or for a new trial.

I. FACTS

On May 27, 1968, plaintiff suffered an epileptic seizure and was taken to the emergency room of [562]*562defendant hospital by his friend, Ida Hayes. Upon his arrival, Mr. Hill was examined by an intern, Dr. William Lipschutz, who ordered that he be given intra-muscular injections of dilantin and phenobarbital. A male nurse, subsequently identified as David Waldron, proceeded to administer the injection into Mr. Hill’s right arm. Immediately after insertion of the needle, Mr. Hill felt excruciating pain in the area of the injection and a sensation like “electricity” which radiated down his right arm and into his right leg.

Before Mr. Hill left the hospital on May 27, 1968, he noticed that his right wrist had begun to feel weak and started to droop. Just four days later on May 31st, Mr. Hill returned to defendant hospital, where his condition was diagnosed as a “right radial palsy,” characterized by a wrist droop and severe weakness of the right hand. Plaintiffs expert, Dr. William Erdman, concluded that Mr. Hill had sustained permanent damage to his radial nerve as a result of the injection at Pennsylvania Hospital. This condition has left him unable to use his right hand for heavy lifting and prevents him from performing such routine functions as buttoning his shirt. Due to his lack of any formal education and his inability to read or write, the injury has left him virtually unemployable, since he is no longer able to perform the heavy labor required by his previous type of employment. Now 47 years of age, Mr. Hill has been unable to obtain employment since the time of the injection, in contrast to his previous record as an eight-year employe of a chemical firm.

In support of his allegation that nurse Waldron had been negligent, plaintiff indicated that he had received the injection in the area below the middle of his upper arm. There was also uncontradicted [563]*563testimony that the safe and proper place for an injection, in order to avoid nerve injury, is in the deltoid muscle or, roughly, the upper half of the arm. Mr. Waldron testified that he had no recollection of the incident, but stated that it was always his practice to administer injections in the deltoid area, in conformity with standard medical procedure.

II. MOTION FOR JUDGMENT N.O.V.

In arguing for a judgment n.o.v., defendant maintains that plaintiff failed to meet his burden of proving that defendant’s agent, David Waldron, had been negligent in administering the injection at issue, or that any such negligence was the proximate cause of plaintiffs injuries. It is, of course, axiomatic that in disposing of a motion for a judgment n.o.v., the evidence and all reasonable inferences arising therefrom must be viewed in a light most favorable to the verdict winner: Fallon v. Penn Central Transportation Co., 444 Pa. 148 (1971); Isaac v. Continental Casualty Co., 442 Pa. 480 (1971); Wisniewski v. Great A. & P. Tea Co., 226 Pa. Superior Ct. 574 (1974). As recently stated in Eldridge v. Melcher, 226 Pa. Superior Ct. 381, 385-86 (1973):

“. . . A judgment n.o.v. is the directing of a verdict in favor of the losing party, despite a verdict to the contrary. It may only be entered in a clear case where the evidence is insufficient to sustain a verdict against him. Stewart v. Chernicky, 439 Pa. 43, 266 A. 2d 259 (1970). Judgment n.o.v. is inappropriate if the evidence on a material point presented an issue of fact for decision by the jury. This method of attacking the verdict may never be utilized so as to invade the province of the jury, especially where [564]*564that determination is based partly on questions of conflicting testimony and credibility of witnesses. Brandon v. Peoples Natural Gas Co., 417 Pa. 128, 207 A. 2d 843 (1965); Axilbund v. McAllister, 407 Pa. 46, 180 A. 2d 244 (1962). Where such questions were determined by the trier of fact, and if there is reasonable support for the verdict which was rendered, a judgment n.o.v. will not be granted.”

Applying this test, we hold that there was ample evidence from which the jury could make a finding for plaintiff. The question of defendant’s liability turned on whether the nurse who gave the injection failed to possess or employ the care and skill required of nurses for the time and place in question, or the nurse failed to exercise the care and judgment of a reasonable man in like circumstances: Incollingo v. Ewing, 444 Pa. 263, 274-75 (1971); Donaldson v. Maffucci, 397 Pa. 548 (1959). Both plaintiffs expert, Dr. William Erdman, and nurse Waldron himself agreed at trial that an intramuscular injection into the arm must be given above the midpoint of a person’s upper arm, preferably in the deltoid muscle or as close as possible to the shoulder. As stated by Dr. Erdman: “The higher one stays without getting into the joint of the shoulder is safer to do the injection.”

Defendant now makes the assertion that “[t]he only testimony regarding the site of the injection in plaintiffs case establishes that it was given no lower than the midpoint of the upper arm.” This statement is incorrect, as indicated by the following excerpt from plaintiffs testimony:

“Q. Would you show us, please, about where in your right arm you got the needle?
“A. Just about along in there.
[565]*565“Q. Do you remember the exact spot?
“A. No, not exact spot, but right along in that area here.
“Q. Let the record show he is indicating his right arm, Your Honor.

Do you know where on the right arm? You demonstrated, Mr. Hill, but do you remember whether it was the top of the shoulder or down near your elbow or about the middle or where?

“A. No, just about along in here.
“Q. Well, he is indicating somewhere in the middle of his upper arm, I would think.
“THE COURT: He has a very large hand. It’s probably down closer to the elbow, but he says he can’t say specifically.” (Emphasis added.)

Even defense counsel agreed that plaintiff had pointed to the lower half of the upper arm. In raising an objection to a question asked of plaintiff’s expert, defense counsel made the following reference to Hill’s testimony:

“MR. DuBOIS: Well, Your Honor, my objection is based on the characterization of the location of the injection, because when Mr. Hill pointed it out that’s the only evidence on the record. He had his whole hand on his arm just above the elbow, and you made note of that.
“THE COURT: I made note he had a very large hand.
“MR. DuBOIS: It was just above the elbow. Mr. Litvin characterized it just above the middle of the upper arm.
“THE COURT: The jury saw where he placed his hand. If you like, we can have him come up and demonstrate again.

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Related

Isaac v. Continental Casualty Co.
276 A.2d 299 (Supreme Court of Pennsylvania, 1971)
Axilbund v. McAllister
180 A.2d 244 (Supreme Court of Pennsylvania, 1962)
Smail v. Flock
180 A.2d 59 (Supreme Court of Pennsylvania, 1962)
Incollingo v. EWING
282 A.2d 206 (Supreme Court of Pennsylvania, 1971)
Wilson v. Nelson
258 A.2d 657 (Supreme Court of Pennsylvania, 1969)
Wisniewski v. GREAT A. & P. TEA. CO.
323 A.2d 744 (Superior Court of Pennsylvania, 1974)
Buff v. Fetterolf
215 A.2d 327 (Superior Court of Pennsylvania, 1965)
Williams v. Philadelphia Transportation Co.
203 A.2d 665 (Supreme Court of Pennsylvania, 1964)
Bentivoglio v. Ralston
288 A.2d 745 (Supreme Court of Pennsylvania, 1972)
Stewart v. Chernicky
266 A.2d 259 (Supreme Court of Pennsylvania, 1970)
Evans v. Otis Elevator Co.
168 A.2d 573 (Supreme Court of Pennsylvania, 1961)
Donaldson v. Maffucci
156 A.2d 835 (Supreme Court of Pennsylvania, 1959)
Brandon v. Peoples Natural Gas Co.
207 A.2d 843 (Supreme Court of Pennsylvania, 1965)
Auerbach v. Philadelphia Transportation Co.
221 A.2d 163 (Supreme Court of Pennsylvania, 1966)
Fallon v. Penn Central Transportation Co.
279 A.2d 164 (Supreme Court of Pennsylvania, 1971)
Eldridge v. Melcher
313 A.2d 750 (Superior Court of Pennsylvania, 1973)

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Bluebook (online)
70 Pa. D. & C.2d 560, 1974 Pa. Dist. & Cnty. Dec. LEXIS 83, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hill-v-pennsylvania-hospital-pactcomplphilad-1974.