Kennedy v. St. Charles General Hosp. Auxiliary

630 So. 2d 888, 1993 La. App. LEXIS 3967, 1993 WL 539856
CourtLouisiana Court of Appeal
DecidedDecember 30, 1993
Docket92-CA-2790
StatusPublished
Cited by22 cases

This text of 630 So. 2d 888 (Kennedy v. St. Charles General Hosp. Auxiliary) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kennedy v. St. Charles General Hosp. Auxiliary, 630 So. 2d 888, 1993 La. App. LEXIS 3967, 1993 WL 539856 (La. Ct. App. 1993).

Opinion

630 So.2d 888 (1993)

Medrick KENNEDY, Jr.
v.
ST. CHARLES GENERAL HOSPITAL AUXILIARY, et al.

No. 92-CA-2790.

Court of Appeal of Louisiana, Fourth Circuit.

December 30, 1993.
Writ Denied March 18, 1994.

*889 Lawrence J. Smith, Lawrence J. Smith & Associates, New Orleans, for plaintiff/appellant.

George E. Cain, Luis A. Leitzelar, Dwight C. Paulsen, III, Lemle & Kelleher, New Orleans, for defendants/appellees.

Before KLEES, ARMSTRONG and JONES, JJ.

JONES, Judge.

Plaintiff, Medrick Kennedy, Jr. appeals a jury verdict and judgment rendered in favor of the defendant, Louisiana Patient's Compensation Fund (LPCF) dismissing his action for damages for injuries suffered as a result of suffering a stroke while undergoing a three vessel angiogram. The angiogram had been recommended by Dr. Patricia Cook and was performed by Dr. S. William Schwartz. Prior to trial, the plaintiff settled his claims against Drs. Cook and Schwartz. Thus the only remaining defendant at the trial of the case was the LPCF. On appeal plaintiff argues that he established a case for liability against the underlying health care providers, Drs. Cook and Schwartz, thus the judgment in favor of the LPCF was clearly erroneous.

FACTS

Plaintiff, Medrick Kennedy, Jr. filed a medical malpractice action against St. Charles General Hospital, Dr. Arnold M. Lupin, Dr. Cook, and Dr. Schwartz alleging the following facts:

Plaintiff was admitted into the Hospital as a patient of Dr. Lupin on May 15, 1986 complaining of headaches which he had been experiencing for several days preceding admission. Plaintiff was examined by Dr. Lupin, *890 Dr. Cook, and Dr. Schwartz and a recommendation was made that he undergo a three vessel angiogram, even though, according to plaintiff, said angiogram was not medically indicated. On May 19, 1986 defendants negligently performed the angiogram on the plaintiff causing severe medical and physical injuries, more specifically plaintiff suffered a severe stroke, paralysis and other injuries. Consequently the instant litigation ensued.

Prior to trial on the merits, St. Charles General was granted a summary judgment and dismissed with prejudice. Additionally, Drs. Lupin and Schwartz were initially voluntarily dismissed from the litigation by the plaintiff. However, plaintiff later filed a motion for leave to amend and set aside the dismissal against Dr. Schwartz. Plaintiff alleged that Dr. Schwartz had been dismissed earlier because of no expert testimony showing he was negligent. However, plaintiff alleged that he now "realized that there is also an issue of lack of informed consent." Since Dr. Schwartz was the person who obtained the plaintiff's consent to the three-vessel procedure, he would be liable for any lack of informed consent. Thus, plaintiff sought permission to file a second supplemental and amending petition raising the issue of informed consent and adding Dr. Schwartz as a defendant. The trial court granted the plaintiff's motion, allowed the plaintiff to file the second supplemental and amending petition and set aside the previous order dismissing Dr. Schwartz.

Prior to trial, the plaintiff settled his claims against the two doctors, releasing both physicians for the sum of $75,000. Thus the only remaining active defendant at the trial of the case was the LPCF.[1]

Testimony adduced at the trial of the case established that the three vessel angiogram had been recommended by Dr. Cook, ordered by Dr. Lupin, and performed by Dr. Schwartz. The consent to the procedure had been obtained by Dr. Schwartz. No testimony was adduced to indicate that the procedure was negligently performed. In fact, the parties conceded that there was no evidence that the procedure was performed negligently. Thus, the sole issues before the jury were 1) whether Dr. Cook was negligent in ordering the three vessel angiogram and 2) whether Dr. Schwartz gave the plaintiff enough information about the three vessel angiogram to enable the plaintiff to make an intelligent decision on whether to undergo the three-vessel angiogram.

Following a trial on the merits, the jury returned a verdict in favor of both Drs. Cook and Schwartz. Judgment was entered by the trial court in accordance with the jury verdict dismissing plaintiff's claim against the LPCF and plaintiff subsequently filed this appeal.

DISCUSSION AND LAW

On appeal the plaintiff argues that he established that the health care providers, Dr. Cook and Dr. Schwartz failed to obtain informed consent for the three vessel angiogram; thus, the jury verdict should be reversed. He also argues that the trial judge gave erroneous jury instructions rendering the decision of the jury and the judge in favor of the LPCF erroneous. Since the judgment rendered by the jury was based on an erroneous jury instruction, plaintiff argues that this court should examine the record, make independent findings and render a judgment awarding damages. Further, in a reply brief he argues that the record contains evidence of "jury tampering." Having reviewed the record, we affirm the judgment rendered in favor of the defendant, LPCF.

INFORMED CONSENT

Louisiana's Informed Consent Statute, La.R.S. 40:1299.40 and the jurisprudence of this state recognize the right of a patient to determine what shall be done to his or her own body. Hondroulis v. Schuhmacher, 553 So.2d 398 (La.1988); LaCaze v. Collier, 434 So.2d 1039 (La.1983). Pursuant to the doctrine of informed consent physicians are required to provide patients with sufficient information to permit the patient to make an *891 informed and intelligent decision on whether to submit to a proposed course of treatment. In Hondroulis v. Schuhmacher, supra, at 411-412, the court stated:

The doctor's duty is to disclose all risks which are "material". In broad outline, a risk is material when a reasonable person in what the doctor knows or should know to be the patient's position, would be likely to attach significance to the risk or cluster of risks in deciding whether or not to forego the proposed therapy.
The factors contributing significance to a medical risk are the incidence of injury and the degree of the harm threatened. If the harm threatened is great, the risk may be significant even though the statistical possibility of its taking effect is very small. But if the chance of harm is slight enough, and the potential benefits of the therapy or the detriments of the existing malady great enough, the risk involved may not be significant even though the harm threatened is very great.
The determination of materiality is a two-step process. The first step is to define the existence and nature of the risk and the likelihood of its occurrence. "Some" expert testimony is necessary to establish this aspect of materiality because only a physician or other qualified expert is capable of judging what risk exists and the likelihood of occurrence. The second prong of the materiality test is for the trier of fact to decide whether the probability of that type harm is a risk which a reasonable patient would consider in deciding on treatment. The focus is on whether a reasonable person in the patient's position probably would attach significance to the specific risk. This determination of materiality does not require expert testimony.
There must be a causal relationship between the doctor's failure to disclose material information and material risk of damage to the patient.

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Bluebook (online)
630 So. 2d 888, 1993 La. App. LEXIS 3967, 1993 WL 539856, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kennedy-v-st-charles-general-hosp-auxiliary-lactapp-1993.