Hott v. Mazzocco

916 F. Supp. 510, 1996 U.S. Dist. LEXIS 2613, 1996 WL 96807
CourtDistrict Court, D. Maryland
DecidedFebruary 16, 1996
DocketCivil AMD 94-2686
StatusPublished
Cited by3 cases

This text of 916 F. Supp. 510 (Hott v. Mazzocco) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hott v. Mazzocco, 916 F. Supp. 510, 1996 U.S. Dist. LEXIS 2613, 1996 WL 96807 (D. Md. 1996).

Opinion

*512 MEMORANDUM AND ORDER

DAVIS, District Judge.

G)

This action presents medical malpractice and wrongful death claims based on Maryland law. The decedent, Mary V. Hott, was a patient of the Defendant Braddock Medical Group, P.A., (“Braddock”) for several years prior to 1990. During that time, Dr. Thomas Chappell — a member of Braddock — served as Mrs. Hott’s regular physician. Mrs. Hott had a long history of medical problems, including occasional chest pains.

On Thursday, May 10, 1990, Mrs. Hott telephoned Braddock complaining of chest pain. Dr. Chappell was not working that day and Defendant Victor E. Mazzocco, M.D., was covering his calls. Mrs. Hott advised Dr. Mazzocco that she was having chest pain, dizziness and some numbness in her left ear. She had taken five nitroglycerin tablets to relieve the pain. It is unclear from the record whether the tablets provided only some relief or total relief, from her pain. In any event, Dr. Mazzocco’s assessment was that Mrs. Hott’s condition was the result of a gastroesophageal reflex (a.k.a. esophagitis or hiatal hernia) problem. This condition is caused when “acid-containing materials come from the stomach back up into the ... esophagus and causes pain.” Pl.’s Mot. To Vacate Health Claim Arb. Award, Ex. B at 147. Dr. Mazzocco advised Mrs. Hott to rest in a lazy-boy or reclining chair and to call Dr. Chap-pell the following day. According to her husband, Mrs. Hott “had severe pain ... difficulty breathing” and “was unable to eat on May 11.” 1 Nevertheless, she did not call or visit Dr. Chappell. Df.’s Mem. in Opp. to Mot. to Vacate Health Claims Arb. Award at 5.

Two days after her contact with Dr. Maz-zocco, in the early morning hours of May 12, 1990, an ambulance was called to the Hott home at the request of Ms. Hott. She was taken to Sacred Heart Hospital. There she was evaluated by an emergency room physician. She was released a few hours after she arrived when it was determined that her complaints were not cardiac in nature. Later that same morning, Mrs. Hott was transported by another ambulance to a different hospital, Memorial Hospital. Within hours of her arrival, Mrs. Hott suffered a fatal myocardial infarction.

(ii)

Mrs. Hott is survived by her spouse Ray Hott, Sr., and a disabled adult son, Michael Hott, Plaintiffs here. The complaint is set forth in two counts: negligence (count I) and wrongful death (count II). One of the Plaintiffs’ claims is that Mrs. Hott provided for the care of her son. Thus, damages are sought for the cost of providing him with continuing care.

Prior to seeking relief in this Court, the Plaintiffs brought this action before the Health Claims Arbitration panel as specified in the Health Care Malpractice Claims Act, Md.Code Ann., Cts. & Jud.Proc. §§ 3-2A-01 et seq., (1974, 1995 Repl. Vol., 1995 Supp.) (“the Act”). A claim under the Act is tried before a panel consisting of a panel chairman (an attorney), a layperson and a health care provider. An arbitration hearing was convened before the panel on August 2, 1994.

At the beginning of the hearing, the Defendants moved in limine to exclude the expert testimony of two of the Plaintiffs’ damage experts scheduled to testify with respect to Michael Hott’s medical condition, the services he required and the value of those services. The basis of the Defendants’ motion was that they had been prejudiced by the Plaintiffs’ failure to provide discovery. The panel chairman ruled in favor of the Defendants with respect to the Plaintiffs’ damage claims for future expenses. 2

*513 The hearing lasted four days. David C. Abramson, M.D., and Michael Apstein, M.D., testified as expert witnesses on behalf of the Plaintiffs. Each doctor testified that Dr. Mazzoceo’s treatment of Mrs. Hott fell below the relevant standard of care and as a result Mrs. Hott died. Moreover, each doctor stated that the appropriate course of action would have been to either admit Mrs. Hott to the hospital or (at least) to have sent her to the emergency room on May 10. Neither doctor testified with respect to Mrs. Hott’s failure to call Dr. Chappell on May 11 or what, if any, effect such failure may have had in forestalling her fatal heart attack. On cross-examination, Dr. Abramson testified that he had reached a preliminary opinion early in the case that Sacred Heart Hospital had also been responsible for Mrs. Hott’s death. See Pl.’s Mot. to Vacate Health Claims Arb. Award, Ex. B at 198. Nevertheless, he stated that he “was relieved of the responsibility of evaluating [Sacred Heart Hospital’s] care [apparently because the claim against it had been settled], and therefore no further discovery or any other materials were provided. [He] never reached a firm opinion about that.” Id. at 200.

Jay Goodman, M.D., testified as the Defendants’ expert witness. He testified that Mrs. Hott’s heart attack was inevitable. Thus, Dr. Mazzocco’s failure to send her to a hospital on May 10 was immaterial, and was not a contributing cause of her death on May 12. He stated that there was no treatment available which could have prevented her heart attack on May 12. Pl.’s Mot. to Vacate Health Claims Arb. Award, Ex. D. at 202.

At the close of the hearing, the Defendants requested that the panel chairman instruct the panel with respect to contributory negligence, which under Maryland law would bar any recovery. The Plaintiffs objected, arguing that there was no evidence whatsoever to support a theory of contributory negligence. The Defendants, on the other hand, maintained that they had met their

burden of proving, through cross-examination of Plaintiffs’ expert, Dr. Abramson’s own testimony, that the care provided at Sacred Heart on May 12th caused Mrs. Hott’s death, and cannot have caused her death unless she was capable of not dying on May 12th.
Backing it up a date, if she had followed this instruction to see Dr. Chappell on May 11th then her outcome could have been different. In other words, Dr. Abramson testified that Sacred Heart caused her death on May 12th. That meant that she could have survived, then, if she had received other treatment.
Our position is that she was contribu-torily negligent in not seeking that other treatment on May 11th, the day after her phone call to Braddoek, as she was instructed on May 10th. I think that that’s very clear. That’s exactly what contributory negligence is. The case law backs it up.
A patient who is instructed to do something, who fails to do it, is contributorily negligent.

Id. Ex. E at 60-61. The panel chairman ultimately decided to give a contributory negligence instruction over Plaintiffs’ objection. Id. At 88. He stated that since there was some evidence that Mrs. Hott was instructed to contact Dr. Chappell, that the panel “was entitled to get the instruction....” 3 Id.

*514 The panel rendered its decision on August 5, 1994. On a form labeled

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Cite This Page — Counsel Stack

Bluebook (online)
916 F. Supp. 510, 1996 U.S. Dist. LEXIS 2613, 1996 WL 96807, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hott-v-mazzocco-mdd-1996.