Johnson v. Berg

848 S.W.2d 345, 1993 WL 46132
CourtCourt of Appeals of Texas
DecidedMarch 25, 1993
Docket07-92-0310-CV
StatusPublished
Cited by27 cases

This text of 848 S.W.2d 345 (Johnson v. Berg) 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
Johnson v. Berg, 848 S.W.2d 345, 1993 WL 46132 (Tex. Ct. App. 1993).

Opinion

BOYD, Justice.

Appellant Dorothea Johnson (Johnson) brings this appeal from a directed verdict in favor of appellee Howard Berg, M.D. (Berg) in a medical malpractice case. In the suit, Johnson sought damages for injuries to her right hand and fingers which she maintains were caused by the negligence of Berg. The question for our decision is whether the exclusion of Johnson’s expert witness was appropriate because of an alleged failure to comply with discovery rules.

In two points, Johnson contends the trial court erred in excluding the testimony, (1) because she had adequately and timely supplemented her answers to interrogatories designating and identifying her expert witness by a letter to opposing counsel, and (2) in failing to find good cause sufficient to allow the admission of the expert testimony. For reasons hereinafter stated, we reverse the judgment of the trial court and remand the cause to that court.

Because of the nature of the question presented, it is necessary to give a rather full recitation of the procedural and factual history of the case. On September 15, 1986, Johnson visited Berg complaining of a tingling discomfort in both hands, especially in her right hand. Berg concluded that her problems were caused by nerve entrapment at the wrist. According to Berg’s affidavit, he performed a right carpal tunnel release with neurolysis of the median and ulnar nerves at the wrist with a fusion of the right thumb carpometacar-pal joint on October 16, 1986.

In her suit, Johnson’s sole allegation of negligence ' involved her post-operative treatment by Berg. Specifically, Johnson alleged that Berg was “negligent in that he placed a cast on her hand, and the cast was too tight, resulting in swelling and ische-mia to her right hand and fingers.... ”

On December 22, 1988, Berg served Johnson with interrogatories. In interrogatory no. 2, he requested the names of each expert witness Johnson planned to use and requested other detailed information about them. On January 23, 1989, Johnson answered that interrogatory as follows:

Expert witnesses have not been determined at this time. This will be supplemented at a later time.

Supplemental answers to interrogatories were served by Johnson upon Berg on June 6, 1989, but there was no supplementation to interrogatory no. 2.

On April 16, 1990, Berg filed a motion seeking summary judgment that his treatment of Johnson conformed in all respects with the appropriate standard of care. In his affidavit supporting the motion, he averred that he followed the proper standard of care by placing a splint on Johnson’s hand immediately after surgery. According to him, a cast was not placed upon Johnson’s hand until 14 days after surgery.

Johnson accompanied her response to the motion with an affidavit of Royce C. Lewis, Jr., M.D. In his affidavit, Lewis stated his opinion that Johnson’s problem resulted from a cast placed on her hand immediately after surgery which became too tight to allow proper circulation, resulting in a condition which required additional surgery. The response was also accompanied by affidavits of Freda Edmonds, Ronald Johnson, and Terry Johnson. Each of these affiants understood Berg’s claim that he did not place a cast upon Johnson’s hand immediately following surgery. However, each of them averred that he had seen Johnson on the day of her surgery with a plaster of paris cast on her hand, which remained on her hand until the middle of October, when a short arm fiberglass cast was placed upon her hand. On August 11, 1990, the motion for summary judgment was overruled.

On November 12, 1991, Johnson’s counsel notified Berg’s counsel that he wished *348 to take Lewis’ deposition because “his physical condition is disallowing him to appear in court as an expert witness.” Because of the witness’ poor health, counsel wanted to videotape the deposition. A time was agreed upon and both counsel appeared and participated in taking the deposition. Berg’s counsel extensively and thoroughly cross-examined Lewis, including questions referring to the fact that the jury would hear evidence “both ways” concerning whether Berg had actually placed the hand in a cast.

During the voir dire examination of the jury panel, Johnson’s counsel stated that a dispute existed concerning the type of apparatus, a cast or a splint, that was placed on Johnson’s hand following the surgery. Counsel attempted to advance the theory that regardless of whether a cast or a splint was placed upon Johnson’s hand, Berg’s conduct produced a circulatory disturbance which resulted in permanent injuries to her hand. However, this attempt was thwarted by Berg’s successful objection that such a theory was outside the specific pleading concerning negligent application of a cast to Johnson’s arm. It is also important to note that during his voir dire examination, Berg’s counsel made fairly extensive reference to Lewis’ expected testimony.

After Johnson’s testimony, her counsel attempted to introduce Lewis’ videotaped deposition. Berg’s initial objection was to portions of the deposition which, he argued, presented the theory of the failure to detect compartment syndrome. He asserted those portions were outside the scope of the pleadings which alleged only the negligent placement of the cast on Johnson’s arm. After an overnight recess, Berg’s counsel broadened his objection to include the allegation that Lewis had not been properly designated as an expert witness and should not be allowed to testify. Concurring that Lewis had not been properly identified as an expert witness, the trial court excluded his testimony. There being no other expert witness, the trial court directed the verdict in favor of Berg giving rise to this appeal.

It is well established in Texas in a medical malpractice cause of action that the threshold question for a complainant to prove is the applicable standard of care. Connor v. Waltrip, 791 S.W.2d 537, 539 (Tex.App.—Dallas 1990, no writ). Once the standard of care is established, the factfin-der determines whether the physician’s act or omission deviated from the standard of care to a degree constituting negligence or malpractice. Id.; Rodriguez v. Reeves, 730 S.W.2d 19, 21 (Tex.App.—Corpus Christi 1987, writ ref’d n.r.e.); Coan v. Winters, 646 S.W.2d 655, 657 (Tex.App.—Fort Worth 1983, writ ref’d n.r.e.). The requisite proof of negligence must be established through expert testimony, unless the mode or form of treatment is a matter of common knowledge or is within the experience of laymen. Hood v. Phillips, 554 S.W.2d 160, 165-66 (Tex.1977); Shook v. Herman, 759 S.W.2d 743, 747 (Tex.App.—Dallas 1988, writ denied). Clearly the mode or form of treatment in this case is not a matter of common knowledge or within the experience of laymen.

In this case, Johnson intended to use Lewis as her expert witness to establish the standard of care she alleged Berg breached in the treatment he administered.

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Bluebook (online)
848 S.W.2d 345, 1993 WL 46132, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-berg-texapp-1993.