Howard R. Dewitt v. Byron L. Brown, M.D.

669 F.2d 516
CourtCourt of Appeals for the Eighth Circuit
DecidedJanuary 27, 1982
Docket80-1950
StatusPublished
Cited by40 cases

This text of 669 F.2d 516 (Howard R. Dewitt v. Byron L. Brown, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howard R. Dewitt v. Byron L. Brown, M.D., 669 F.2d 516 (8th Cir. 1982).

Opinion

WILLIAM H. BECKER, District Judge.

This is an appeal by appellant Dr. Byron L. Brown (Dr. Brown) from a judgment against him for $330,000.00 in favor of ap-pellee Howard R. DeWitt (DeWitt) entered upon a jury verdict in the United States District Court for the Western District of *518 Arkansas. [Designated Record, (R.), 118, 119].

The jury verdict was rendered in a civil action filed by DeWitt and Carole DeWitt (Mrs. DeWitt), husband and wife, in the District Court against Dr. Brown and the insurer of St. Edwards Mercy Medical Center (St. Edwards), to recover damages for injury to DeWitt and loss of consortium by Mrs. DeWitt alleged to have been caused by the negligent medical treatment of DeWitt by Dr. Brown and St. Edwards. (R. 1-5, 17-21).

The Facts

Because the jury verdict was in favor of appellee DeWitt, the facts will be stated in the light of the evidence, and the reasonable inferences therefrom, most favorable to the appellee. Zoll v. Eastern Allamakee Community School District, 588 F.2d 246, at 250 (C.A. 8 1978); Raney v. Honeywell, Inc., 540 F.2d 932, at 934-935 (C.A. 8 1976); Garoogian v. Medlock, 592 F.2d 997, at 999-1000 (C.A. 8 1979).

On June 23,1976, DeWitt, an employee of the Bedford Brothers cattle ranch, was preparing to confine to a pen and spray cattle. While so engaged, DeWitt attempted to rope a cow; the horse DeWitt was riding fell, and DeWitt’s left leg was injured. At about 8:00 p. m. on June 23, DeWitt was taken to the emergency room at St. Edwards in Fort Smith, Arkansas where De-Witt was examined by Dr. Brown. Dr. Brown is an orthopedic surgeon practicing in Fort Smith, Arkansas who has not been board certified or board qualified in orthopedic surgery.

Dr. Brown diagnosed the injury as a “comminuted” (broken in several pieces) fracture of the fibula and the tibia bones of the lower left leg, and surgically attempted to reduce the fractures. Two transverse metal Steinmann pins were placed through the left leg, inserted in the tibia bone and incorporated in a “short” plaster cast which encased the lower left leg below the knee except for the toes.

An X-ray taken after the cast was applied showed an improper alignment of the bones, so Dr. Brown “circularized” the cast (cut the cast open around the leg), “wedged” the cast (spread the cast open at the front of the left leg at the point of “circularization”), corrected the alignment and repaired the cast.

At about 10:30 p. m. on June 23, DeWitt was moved from the operating room to a recovery room. DeWitt began complaining of substantial pain in his left leg at about 11:25 p. m. on June 23, and repeatedly complained of pain in his left leg during that night and the following morning of June 24. On June 24, Dr. Brown examined DeWitt at about 12:15 a. m. and at sometime between 8:00 a. m. and 9:30 a. m. and concluded that DeWitt’s condition was satisfactory.

At about 8:00 a. m. on June 24, the toes of DeWitt’s left foot had poor “toe wiggle”, loss of sensation and were cool, puffy and blue. At about noon on June 24, the toes had poor movement and were cold, blue and very puffy.

Sometime between 10:00 and 11:00 a. m. on June 24, the visitors of DeWitt in his hospital room became worried about the condition of DeWitt’s left leg and from about 10:00 a. m. or 11:00 a. m. to 2:00 p. m. on June 24 repeatedly requested that Dr. Brown be located by the staff of St. Edwards and that Dr. Brown examine De-Witt’s left leg.

As a result, from about noon to 2:00 p. m. on June 24, Dr. Brown received two or three telephone calls in the emergency room at St. Edwards where he was attending another patient. By the telephone calls, Dr. Brown was informed that DeWitt was in pain; that a visitor of DeWitt was asking for Dr. Brown; that a visitor of DeWitt had attempted to alleviate the pain of DeWitt at about 2:00 p. m. by removing a 2 or 3 inch piece of cast from above the toes; and that the toes on DeWitt’s left foot had become dark blue.

At about 2:00 p. m. or 2:30 p. m. on June 24, Dr. Brown returned to the hospital room of DeWitt, examined DeWitt’s leg, saw that DeWitt’s left foot and toes were swollen, *519 concluded that DeWitt had severe “cyano-sis” (a dark blue color) of the toes caused by decreased circulation of oxygenated blood in and to the lower left leg, and attempted to alleviate this condition by splitting and spreading the cast open halfway up the front. Dr. Brown thought that the swelling and the color of the toes had then improved. Dr. Brown left DeWitt’s hospital room, returned in about 30 minutes, concluded that the condition of the left leg was worse, split the cast completely open up the front and spread the cast as far as he could. Dr. Brown again thought that the color of the toes had improved. Dr. Brown left De-Witt’s hospital room, returned in about 30 minutes, concluded that the condition was still unsatisfactory and removed a piece of the cast from each side of the leg. Thereafter on June 24 at examinations of the left leg at about 5:00 p. m., 9:00 p. m. and 11:30 p. m. Dr. Brown concluded that the condition of the left leg was “stable”.

On the following morning, June 25, De-Witt was still in substantial pain. Thinking that the condition of his left leg was worse and following the advice of his employer, DeWitt decided to change doctors. His case was transferred to Dr. Alfred Hathcock (Dr. Hathcock), a specialist in orthopedic surgery from the Holt-Krock Clinic in Fort Smith, Arkansas.

Dr. Brown was notified of the intent of DeWitt to change doctors at about 8:00 a. m. on June 25, and attempted several times from about 9:00 a. m. to about 11:00 a. m. to discuss the condition of DeWitt’s left leg with a doctor from the Holt-Krock Clinic. Dr. Brown discussed the matter with Dr. Hathcock by telephone at about 11:00 a. m. on June 25.

Dr. Hathcock first examined DeWitt at about 2:00 p. m. on June 25. Dr. Hathcock concluded that DeWitt might have some “circulatory embarrassment” (poor circulation of blood) to his left foot, transferred DeWitt to an operating room, removed the cast and Steinmann pins and ordered an “arteriogram” which showed that the circulation to the lower left leg was obstructed. Dr. Hathcock diagnosed the condition as a “compartment syndrome” and performed a “fasciotomy” which immediately restored the circulation.

DeWitt was released from St. Edwards on July 31, 1976. His left leg was in a cast until December 1976, and thereafter in a leg brace for about six months. DeWitt returned to his former position of employment at Bedford Brothers at about a year after his release from St. Edwards.

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Bluebook (online)
669 F.2d 516, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howard-r-dewitt-v-byron-l-brown-md-ca8-1982.