Jewell Alt v. William F. Key, M.D.

CourtCourt of Appeals of Texas
DecidedMay 27, 1992
Docket10-91-00129-CV
StatusPublished

This text of Jewell Alt v. William F. Key, M.D. (Jewell Alt v. William F. Key, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jewell Alt v. William F. Key, M.D., (Tex. Ct. App. 1992).

Opinion

Alt v. Key


IN THE

TENTH COURT OF APPEALS


No. 10-91-129-CV


     JEWELL ALT, ET AL.,

                                                                                              Appellants

     v.


     WILLIAM F. KEY, M.D., ET AL.,

                                                                                              Appellees


From the 220th District Court

Bosque County, Texas

Trial Court # B-161-89

                                                                                                    


O P I N I O N

                                                                                                    


      Jewell Alt and Howard Alt, individually and on behalf of the estate of Russell Alt, sued Dr. William Key, Dr. T.W. Murphy, and Clifton Medical & Surgical Clinical Association for medical malpractice in connection with Russell Alt's death. The jury refused to find that Dr. Key and Dr. Murphy were negligent but found that Jewell and Russell Alt's negligence was the proximate cause of Russell's death. Jewell and Howard complain that, because Dr. Key was negligent as a matter of law, the court erred when it denied their motion for a new trial. They also argue that the refusal to find Dr. Key negligent was against the great weight and preponderance of the evidence. We affirm.

      On September 4, 1988, Russell Alt, accompanied by his wife, Jewell, who is a pharmacist, went to the emergency room at Goodall-Witcher Hospital. Russell was experiencing symptoms commonly associated with heart problems. Dr. Key, the attending physician, recommended hospitalization. The Alts, however, claimed they could not afford hospitalization and did not have insurance that would cover the costs. Thus, they left the hospital with prescription medications and instructions to report to a clinic in forty-eight to seventy-two hours. On September 6 Russell went to the clinic and claimed to be feeling better. However, on September 8 he died of complications resulting from a heart attack.

STANDARD AND SCOPE OF REVIEW

      The first and third points are that, because Dr. Key's negligence on September 4 and September 6 was established as a matter of law, the court erred when it denied the motion for a new trial. Findings of fact are binding on the appellate court unless either the contrary is established as a matter of law, or there is no evidence to support the finding. McGalliard v. Kuhlmann, 722 S.W.2d 694, 696 (Tex. 1986). When reviewing the evidence, this court must disregard all evidence to the contrary and uphold the finding if there is any evidence to support it. See id. at 696-97.

      Jewell and Howard complain in points two and four that the jury's refusal to find Dr. Key negligent on September 4 and September 6 was against the great weight and preponderance of the evidence. This is the standard of review when a party having the burden of proof on the question attacks the jury's refusal to find the affirmative. See Croucher v. Croucher, 660 S.W.2d 55, 58 (Tex. 1983). A complaint that the finding is against the great weight and preponderance of the evidence will be reviewed in light of the entire record to determine whether it was clearly wrong or manifestly unjust. See Traylor v. Goulding, 497 S.W.2d 944, 945 (Tex. 1973). Furthermore, the fact-finder is the judge of the credibility of the witnesses and the weight to be given their testimony. Carson v. Kee, 677 S.W.2d 283, 284 (Tex. App.—Fort Worth 1984, no writ).

FACTS

      September 4, 1988

      Dr. Key was the attending physician at the emergency room. The medical records reflect that Russell had "right quadrant pain going into both arms-also diaphoretic-stomach bloating-lots of gas-running a temperature also-short of breath." Dr. Key recognized that the symptoms suggested heart problems and ordered a cardiac-enzymes analysis and an electrocardiogram. Dr. Murphy analyzed the results of the electrocardiogram.

      Dr. Key gave the following testimony. He told the Alts that Russell had some heart damage and recommended hospitalization for further testing. Although he suspected a heart problem, Dr. Key never: (1) told the Alts that unstable angina was a potential diagnosis; (2) explained the treatments available in the hospital; or (3) informed the Alts that Russell was at risk of having a heart attack or even sudden death.

      The Alts said they could not afford hospitalization and did not have insurance that would cover the costs. They then asked for an alternative. Dr. Key, who emphasized that he felt Russell should be in the hospital, prescribed several medications and told Russell to come to his clinic in forty-eight to seventy-two hours.

      Russell Alt was feeling ill enough to cause him to seek emergency medical attention on September 4. Yet, despite the doctor's recommendation, he refused hospitalization. Jewell, a pharmacist, recognized one of the medications prescribed as a medication typically given for "heart pain." She also admitted that Russell smoked approximately two packs of cigarettes a day and that she was familiar with warnings that smoking may cause heart disease.

      Dr. Shoultz, a Waco-area physician specializing in cardiovascular diseases, reviewed Russell's medical records and testified that the records indicate that Dr. Key recommended hospitalization on September 4. He also claimed that Dr. Key provided adequate information concerning the course of the treatment suggested and noted that a doctor has to be careful what to "unload" on a patient with potential heart problems, although he did admit that "the more information you can give them, the better off they are." Dr. Shoultz testified that Dr. Key's treatment of Russell was reasonable and within the applicable standard of care.

      Dr.

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