Johnson v. Dobrosky

902 A.2d 238, 187 N.J. 594, 2006 N.J. LEXIS 1144
CourtSupreme Court of New Jersey
DecidedJuly 25, 2006
StatusPublished
Cited by11 cases

This text of 902 A.2d 238 (Johnson v. Dobrosky) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnson v. Dobrosky, 902 A.2d 238, 187 N.J. 594, 2006 N.J. LEXIS 1144 (N.J. 2006).

Opinions

Justice LONG

delivered the opinion of the Court.

In 2002, plaintiff, Edward Johnson, individually and in his capacity as the general administrator ad prosequendum of the estate of his wife, Ann Johnson, filed a medical malpractice action against defendants Drs. Joseph Dobrosky and Howard Winter, among others. A jury concluded that neither Dr. Dobrosky nor Dr. Winter deviated from the standard of care in their treatment of Mrs. Johnson and returned a judgment of no cause for action.

Plaintiff appealed, challenging, among other things, the introduction into evidence of Mrs. Johnson’s prior conviction for welfare fraud. The Appellate Division affirmed and we granted certification limited to that issue. 185 N.J. 268, 883 A.2d 1064 (2005).

We hold that the trial judge erred in determining that a decedent’s “character” is generally in issue in a wrongful death case. As in any personal injury action, a decedent’s “character” is not in issue in a wrongful death action except insofar as it is an element of a particular claim or defense. See N.J.R.E. 404(e). Where damages for the loss of advice, guidance and counsel described in Green v. Bittner, 85 N.J. 1, 424 A.2d 210 (1980), are alleged, the physical, mental, and moral characteristics of the decedent are admissible only as they bear on the likelihood and extent of such contributions. Here, Mrs. Johnson’s conviction for welfare fraud was offered to prove her bad character and was not related to the likelihood of her rendering future advice, guidance [599]*599and counsel to her family or the extent of those contributions. Accordingly, its admission was error.

I

On the evening of December 11, 1997, Mrs. Johnson began experiencing stomach pains. Unimproved by the next morning, she summoned an ambulance and traveled to West Jersey Hospital at approximately 10:00 a.m., accompanied by her son Kevin.1

Mrs. Johnson arrived at the hospital emergency room at 10:07 a.m. and was first examined by Dr. Joseph Dobrosky, the emergency room physician on duty, at 10:40 a.m. Mrs. Johnson presented with diffuse abdominal tenderness and had a pulse of 56 and a blood pressure reading of 101/44. Dr. Dobrosky ordered blood tests, x-rays and the administration of anti-inflammatory medication. He also requested Mrs. Johnson’s chart from a previous admission to the emergency room.

At approximately 1:10 p.m., the test results that were ordered at 10:40 a.m. (morning test results) were available to Dr. Dobro-sky. The morning test results indicated that Mrs. Johnson’s hemoglobin level was 9.52 and her hematocrit level was 27.8 3-both indicating a low blood count. By 1:30 p.m., Mrs. Johnson’s blood pressure had fallen 40 systolic points to a level of 61/44 and she had become hypotensive, that is, suffering from abnormally low blood pressure. In response, Dr. Dobrosky ordered the administration of intravenous fluids “open wide” in an effort to “get her [600]*600blood pressure back up.” Mrs. Johnson’s blood pressure then rose to a normal level.

At 2:00 p.m., Dr. Dobrosky obtained Mrs. Johnson’s charts from a previous emergency room visit where her blood pressure had been taken twice and measured 141/78 and 153/84. Dr. Dobrosky then consulted with Mrs. Johnson’s family doctor regarding her admission to the hospital and, at approximately 3:00 p.m., called an internist, Dr. Ross, who was to be Mrs. Johnson’s admitting physician. Dr. Ross and Dr. Dobrosky decided to contact Dr. Winter, a general surgeon, to request a surgical consult.

By around 3:30 p.m., Mrs. Johnson’s abdomen had become distended, indicating increased fluid accumulation, and she continued to complain of abdominal pain. Her blood pressure at that time was 112/47. At 3:45 p.m., her blood pressure fell to 80/52 and she complained of severe abdominal pain. Dr. Dobrosky then ordered additional tests and received the results sometime before 4:30 p.m. Those test results (afternoon test results) showed that Mrs. Johnson’s hemoglobin level had dropped to 6.4 and her hematocrit level to 18.7. During that same time period, Dr. Dobrosky ordered one unit of type “O” blood be infused into Mrs. Johnson over four hours. Although his records were to the contrary, Dr. Dobrosky testified at trial that he had ordered that action based on the morning tests results, and admitted that that transfusion rate would have been too slow if ordered based on the afternoon test results. His expert testified, however, that the four-hour transfusion rate did not deviate from the required standard of care regardless of the circumstances.

At 4:45 p.m., Dr. Ross arrived and evaluated Mrs. Johnson. Her blood pressure was then 129/76. At 5:00 p.m., she began sweating and became agitated. Her heart rate increased to 110, nearly double her rate upon admission. By 5:15 p.m. she had become short of breath and was breathing rapidly.

Dr. Winter arrived at the unit some time between 5:00 p.m. and 5:20 p.m. He made a note in Mrs. Johnson’s chart stating that he was “called 45 min. ago.” At trial, Dr. Winter maintained that [601]*601despite Dr. Dobrosky’s testimony to the contrary, Dr. Dobrosky did not make the initial call to him at 3:30 p.m. nor did he make subsequent follow-up calls. Dr. Winter examined Mrs. Johnson and discovered that she had an abnormally low blood pressure of 70/50. Her pulse was rapid, she was disoriented, and her abdomen was tender all over. Dr. Winter’s initial impression was that Mrs. Johnson was in shock, “almost certainly” due to bleeding in her abdomen. Dr. Winter planned to resuscitate Mrs. Johnson by first administering fluids and blood and then performing surgery.

At 5:30 p.m., Mrs. Johnson coded, or completely lost her vital signs, and Dr. Dobrosky resuscitated her. She was then intubated. At 6:30 p.m., she was taken to the operating room where emergency surgery was performed to stop the internal bleeding. Dr. Winter’s pre-operative diagnosis was interabdominal bleeding with an acute surgical abdomen and hypotension. During the surgery, Dr. Winter discovered bleeding from a ruptured spleen and a tear in Mrs. Johnson’s mesenteric vein. He repaired both and stopped the bleeding. During the surgery, however, Mrs. Johnson lapsed into a coma from which she never awoke. She died on April 30,1998.

Plaintiff, individually and as general administrator ad prosequendum, instituted a malpractice action against Dr. Dobrosky on behalf of himself and his children. Dr. Dobrosky, in turn, claimed that Dr. Winter was negligent for not promptly responding to his request for a surgical consult. Plaintiff subsequently amended the complaint to add Dr. Winter as a defendant.

At trial, plaintiff sought to preclude mention of Mrs. Johnson’s 1994 conviction for welfare fraud on the ground that that evidence was irrelevant and unduly prejudicial. The trial judge determined that the conviction was marginally relevant under N.J.B.E. 401 because it had an impact on damages, but excluded it under N.J.B.E. 403 because its slight probative value was substantially outweighed by its strong tendency to prejudice the jury against Mrs. Johnson.

[602]*602Near the end of trial, however, at an informal charge conference, the trial judge changed his mind. On reviewing the model jury instruction on damages in a wrongful death case,

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Cite This Page — Counsel Stack

Bluebook (online)
902 A.2d 238, 187 N.J. 594, 2006 N.J. LEXIS 1144, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-dobrosky-nj-2006.