Jeane Whitfield v. Dennis K. Schimpf

CourtSupreme Court of South Carolina
DecidedJanuary 8, 2025
Docket2023-000245
StatusPublished

This text of Jeane Whitfield v. Dennis K. Schimpf (Jeane Whitfield v. Dennis K. Schimpf) is published on Counsel Stack Legal Research, covering Supreme Court of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jeane Whitfield v. Dennis K. Schimpf, (S.C. 2025).

Opinion

THE STATE OF SOUTH CAROLINA In The Supreme Court

Jeane Whitfield, Appellant,

v.

Dennis K. Schimpf, and Sweetgrass Plastic Surgery, LLC, Respondents.

Appellate Case No. 2023-000245

ON WRIT OF CERTIORARI TO THE COURT OF APPEALS

Appeal from Charleston County Bentley Price, Circuit Court Judge

Opinion No. 28250 Heard October 2, 2024 – Filed January 8, 2025

REVERSED AND REMANDED

Jesse Sanchez, of The Law Office of Jesse Sanchez; Daniel Scott Slotchiver and Andrew Joseph McCumber, of Slotchiver & Slotchiver, LLP; Brent Souther Halversen, of Halversen & Halversen, LLC, all of Mount Pleasant, all for Petitioner.

Todd W. Smyth and Allie Aleece Maples, of Smyth Whitley, LLC, of Charleston, for Respondents. JUSTICE FEW: Jeane Whitfield brought this medical malpractice action against Dr. Dennis Schimpf and Sweetgrass Plastic Surgery, LLC—Schimpf's medical practice—alleging Schimpf was negligent in performing breast augmentation- mastopexy surgery1 on Whitfield and he and other Sweetgrass employees were negligent in rendering post-operative care. The jury returned a verdict in favor of Schimpf and Sweetgrass, and the court of appeals affirmed. We granted Whitfield's petition for a writ of certiorari to review the court of appeals' decision affirming the trial court on two evidentiary rulings: (1) excluding evidence of bias Whitfield offered to impeach the testimony of Sweetgrass' office manager—Vicky Tolbert— about her sexual relationship with Schimpf and his wife, the salary she was paid by Sweetgrass, and free cosmetic surgical procedures she received from Schimpf; and (2) admitting testimony from Schimpf's expert witnesses based in part on their Rule 35, SCRCP, examinations of Whitfield. We find the court of appeals was correct to affirm on the second issue but erred in affirming the exclusion of the evidence of bias. We reverse and remand for a new trial.

I. Facts and Procedural History

Whitfield had breast augmentation surgery in 2009. Schimpf did not perform this original augmentation surgery. In 2013, Whitfield began experiencing discomfort under one of her breasts and scheduled a consultation with Schimpf at Sweetgrass. Schimpf recommended augmentation-mastopexy surgery to address "encapsulation," which is heavy scar tissue surrounding a breast implant.

Schimpf operated on Whitfield on June 6, 2014. Schimpf removed Whitfield's breast implants and the scar tissue surrounding them, and then inserted smaller implants in their place. Schimpf also performed unrelated cosmetic procedures on her eyes, neck, and stomach at the same time as the augmentation-mastopexy procedure.

During a normal post-operative visit on June 10, Whitfield expressed concern with the way the sutured incision around the areola on her right breast was healing. She

1 An "augmentation" is "plastic surgery to enlarge the breast, often by insertion of an implant." Augmentation m., STEDMAN'S MEDICAL DICTIONARY 1149 (28th ed. 2006). A "mastopexy" is "[p]lastic surgery to elevate and reshape a ptotic breast; may or may not involve prosthetic augmentation." Mastopexy, STEDMAN'S MEDICAL DICTIONARY, supra, at 1162. Whitfield had both an augmentation and mastopexy, where Schimpf performed a breast lift and removed Whitfield's existing implants and replaced them. testified at trial she was told by Sweetgrass employees on June 10 that what she observed was part of the "natural progression of healing," but the wound continued to worsen after the post-operative visit.

On June 20, Whitfield experienced severe chest pain and called an ambulance to transport her to Roper Hospital. The physician at the hospital ruled out possible cardiac issues, discharged Whitfield from the hospital, and told her to contact her plastic surgeon if the pain persisted.

On June 30, Whitfield requested an appointment to address her continuing pain. Schimpf saw her on July 1. During that appointment, Schimpf gave Whitfield two stitches to repair "wound dehiscence"2 on her right breast and prescribed her antibiotics. Whitfield testified she called Schimpf's office multiple times after that appointment to complain of pain, but she was not given any further follow-up care. Whitfield then did an internet search for plastic surgeons to find another doctor to help her with her pain. She found Dr. Ram Kalus, who would later testify as one of her expert witnesses.

Kalus saw Whitfield on July 10 and determined the wound "was open." Kalus testified the "wound separation" was about two-and-a-half centimeters on the right breast and about one centimeter on the left breast. Kalus also testified the exposed tissue beneath the wound was undergoing "fat necrosis."3 Kalus referred her back to Schimpf for further treatment.

On July 11, Whitfield returned to Sweetgrass and was placed in an examination room with Schimpf and Vicky Tolbert—the office manager for Sweetgrass. Whitfield testified at trial that Schimpf was very angry she had gone to see another doctor and "let someone else see" the wound. She testified Schimpf opened up her wound and then "proceed[ed] to stitch [her] up with no anesthetic, no little cat needle, no cream

2 "Dehiscence" is defined as "[a] bursting open, splitting, or gaping along natural or sutured lines." Dehiscence, STEDMAN'S MEDICAL DICTIONARY, supra note 1, at 505. "Wound dehiscence" is the "disruption of apposed surfaces of a wound." Wound d., STEDMAN'S MEDICAL DICTIONARY, supra note 1, at 505. 3 "Fat necrosis" is "the death of adipose tissue, characterized by the formation of small (1-4 mm), dull, chalky, gray or white foci; these represent small quantities of calcium soaps formed in the affected tissue when fat is hydrolyzed into glycerol and fatty acids." Fat n., STEDMAN'S MEDICAL DICTIONARY, supra note 1, at 1285. or anything, no spray." She stated that when Schimpf finished he threw his tray into the sink and told Whitfield to "get out of here."

Whitfield testified that on July 13, 2014, while she was in the shower, her right breast "blew open all the way through" and blood poured out from the wound. Whitfield called Kalus who told her to go to the hospital immediately. Kalus testified he treated her at the hospital and the wound had worsened since he had seen her last. Kalus performed surgery on her the next day and removed her right implant to allow him to close the wound.

In March 2015, Kalus performed a second surgery at Whitfield's request to remove the left implant. He also removed 490 grams of tissue from her left side. Kalus later performed a fat grafting surgery on Whitfield to address the asymmetry from the tissue removal.

On May 30, 2017, Whitfield filed this medical malpractice lawsuit against Schimpf and Sweetgrass in Charleston County. The complaint alleged Schimpf was negligent because there was "too much tension placed surgically on the incision which led to inadequate blood flow, ischemia, and dehiscence of the wound margins, fat necrosis, and ultimately infection of the right breast." The complaint also alleged Schimpf and Sweetgrass were negligent in failing to provide adequate post-operative care to Whitfield.

After a five-day trial, the jury returned a verdict in favor of Schimpf and Sweetgrass, finding on a special verdict form that Whitfield did not "prove by a greater weight or preponderance of the evidence that the Defendants deviated from the standard of care." Whitfield appealed, and the court of appeals affirmed in an unpublished opinion under Rule 220(b) of the South Carolina Appellate Court Rules. Whitfield v. Schimpf, Op. No. 2022-UP-417 (S.C. Ct. App. filed Nov. 23, 2022). We granted Whitfield's petition for a writ of certiorari to review the court of appeals' decision.

II.

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Jeane Whitfield v. Dennis K. Schimpf, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jeane-whitfield-v-dennis-k-schimpf-sc-2025.