Hogan v. Sacred Heart Medical Center

2 P.3d 968
Court of Appeals of Washington·Decided June 6, 2000·No. 17822-6-III·Published·Cited by 2 cases

Opinion

2 P.3d 968 (2000)
101 Wash.App. 43

Nancy HOGAN, a single person, Respondent and Cross-Appellant,
v.
SACRED HEART MEDICAL CENTER, a Washington Corporation, and John and Jane Does A-F, Appellants.

No. 17822-6-III.

Court of Appeals of Washington, Division 3, Panel Five.

February 15, 2000.
As Amended on Grant of Reconsideration June 6, 2000.

*969 Mary H. Spillane, Williams, Kastner & Gibbs, Seattle, and Richard E. Hayes, Paine, Hamblen, Coffin, Brooke & Miller, Spokane, for Appellants.

Mark D. Kamitomo, Spokane, Charles K. Wiggins, Bainbridge Island, for Respondent.

KURTZ, C.J.

Nancy Hogan underwent surgery for a torn rotator cuff at Sacred Heart Medical Center. Her anesthesiologist mistakenly administered an interscalene block directly into her spinal cord and, as a result, she suffers from severe and disabling injuries. Ms. Hogan settled with her anesthesiologist, Dr. Stuart Fealk, and Physicians Anesthesia Group, P.S., for his insurance policy limits of $2 million. Later, she sued Sacred Heart alleging negligence and lack of informed consent. Prior to trial, Ms. Hogan expanded the scope of her lawsuit against the hospital to include vicarious liability for Dr. Fealk's acts. After a trial, the jury awarded Ms. Hogan $7,328,190.99, found that Dr. Fealk was an agent of Sacred Heart, and apportioned liability between the doctor and the hospital at 60 percent and 40 percent respectively.

Ms. Hogan and the hospital presented judgments in different amounts to the trial court. Sacred Heart argued that it was liable for a judgment in an amount equal to 40 percent of the total jury verdict. The hospital reasoned that Ms. Hogan released the hospital for its vicarious liability for the acts of Dr. Fealk when it released him as a result of the settlement. After a reasonableness hearing regarding Ms. Hogan's settlement with Dr. Fealk and the anesthesia group, the trial court awarded Ms. Hogan a judgment against the hospital in the amount of the jury award, less an offset for the $2 million settlement. We conclude that if Dr. Fealk and the anesthesia group were solvent at the time of the settlement, Sacred Heart was released from its vicarious liability for the acts of Dr. Fealk. We remand the matter to the trial court for an evidentiary hearing to determine whether Dr. Fealk and Physicians Anesthesia Group, P.S., were solvent at the time of the settlement.

FACTS

Nancy Hogan underwent surgery at Sacred Heart Medical Center in Spokane, Washington, to repair a torn rotator cuff. Because general anesthesia sometimes produces nausea, Ms. Hogan was scheduled to receive an interscalene block, which minimizes postoperative pain and nausea.

Beth Naser, a certified registered nurse anesthetist employed by Sacred Heart, administered the general anesthesia. Dr. Fealk, an anesthesiologist employed by Physicians Anesthesia Group, P.S., administered the interscalene block. The Physician's Group had an agreement with Sacred Heart under which the group's anesthesiologists provided services to the hospital as independent contractors.

The interscalene block was administered postoperatively while Ms. Hogan was still under the effects of the general anesthesia. The block was to be injected between the scalene muscles. However, Dr. Fealk mistakenly placed the needle into Ms. Hogan's spinal cord. Ms. Hogan immediately experienced pain, weakness and sensory deficits in her upper body. Shortly thereafter, she was diagnosed as suffering from degeneration of her spinal cord. Ms. Hogan was not able to keep her job as a registered nurse, suffered memory loss and lost the use of her right arm and hand. Eventually, Ms. Hogan's right arm had to be amputated.

*970 In 1995, Ms. Hogan settled with Dr. Fealk for his insurance policy limits of $2 million, releasing him and his group from further liability. At that time, Ms. Hogan had not considered the potential liability of the hospital. She believed the settlement would adequately compensate her. However, Ms. Hogan's condition worsened. The atrophy of her spinal cord did not repair itself, but instead it grew so extensive that it threatened to consume the entire thickness of the spinal column, which would render her a quadriplegic, dependent upon a ventilator. Ms. Hogan's expert, Dr. John D. White, examined her in 1997 and predicted it was likely she would become a quadriplegic and dependent on ventilator care by the year 2000.

Ms. Hogan filed suit against Sacred Heart. The alleged liability of the hospital was based upon the acts of its employee, Ms. Naser, its failure to prevent the injury to Ms. Hogan, and lack of informed consent. The complaint did not allege that the hospital was vicariously liable as principal for the acts of Dr. Fealk as its agent. However, shortly before trial, it became evident that Ms. Hogan intended to pursue a claim based upon the hospital's vicarious liability for the acts of the anesthesiologist. It also became apparent that the hospital would defend this claim by arguing that it was released from its liability as principal from Ms. Hogan's settlement with Dr. Fealk. Before trial, Ms. Hogan asked the court to rule that the release of Dr. Fealk did not release Sacred Heart from vicarious liability for his conduct because the settlement was for policy limits and the damages exceeded that amount. Additionally, she asked the court to rule that Sacred Heart had waived any issue of release by failing to plead it.

Sacred Heart objected that Ms. Hogan had not pleaded the issue of Dr. Fealk's agency. Therefore, the hospital argued that it had no reason to plead release as an affirmative defense. The hospital also noted that in her answer to interrogatories, Ms. Hogan had not identified the hospital's vicarious liability for the acts of Dr. Fealk as one of its claims against Sacred Heart. Finally, the hospital stated that Ms. Hogan's motion was premature because it had not yet been established that Dr. Fealk was an agent of Sacred Heart.

Over Sacred Heart's objections, the trial court concluded that, based on the fact that Dr. Fealk had settled for policy limits which Ms. Hogan's alleged damages far exceeded, Ms. Hogan would be allowed to address the issue of Dr. Fealk's agency in her opening statement. The court further stated that the remaining issues would be a matter for "legal argument at the appropriate point in time."

The jury returned a special verdict form, in which it found that (1) Dr. Fealk was the apparent agent of Sacred Heart; (2) Both Dr. Fealk and Sacred Heart through Beth Naser were negligent; (3) Both Dr. Fealk's and Sacred Heart's negligence were a proximate cause of injury to Ms. Hogan; (4) Ms. Hogan's total damages were $7,328,190.99; and (5) Dr. Fealk was 60 percent at fault and Sacred Heart was 40 percent at fault for the injuries.

PRESENTATION OF PROPOSED JUDGMENTS.

After trial, both parties presented their proposed judgments. Ms. Hogan sought entry of a judgment for the total amount of the jury award, or $7,328,190.99. Sacred Heart sought entry of judgment in the amount of $2,931,276.40, which represented its 40 percent liability attributable to Ms. Naser.

By letter ruling dated June 25, 1998, the court concluded that (1) it had ruled on vicarious liability before trial and would not address that issue again; (2) offset could not be addressed because no reasonableness hearing had been held on the Dr. Fealk settlement; (3) because the jury found Dr.

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