Kenny v. Lesser

281 A.D.2d 853, 722 N.Y.S.2d 302, 2001 N.Y. App. Div. LEXIS 3003
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMarch 22, 2001
StatusPublished
Cited by1 cases

This text of 281 A.D.2d 853 (Kenny v. Lesser) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kenny v. Lesser, 281 A.D.2d 853, 722 N.Y.S.2d 302, 2001 N.Y. App. Div. LEXIS 3003 (N.Y. Ct. App. 2001).

Opinion

Carpinello, J.

Appeals (1) from a judgment of the Supreme Court (Williams, J.), entered April 3, 2000 in Saratoga County, upon a verdict rendered in favor of plaintiff, and (2) from an order of said court, entered March 2, 2000, which denied the motion of defendants F. Richard Lesser, Mark T. Meddleton and the Equine Clinic at Oakencroffc to set aside the verdict.

On October 11, 1993, plaintiffs three-year-old thoroughbred [854]*854race horse underwent arthroscopic surgery for removal of a chip fracture in his right front fetlock at defendant Equine Clinic at Oakencroft in Albany County (hereinafter the clinic). The surgery was performed by an out-of-State surgeon, defendant Earl M. Gaughan, who was assisted by defendant F. Richard Lesser, a veterinarian and co-owner of the clinic. Anesthesia was administered and monitored by defendant Mark T. Meddleton, a staff veterinarian at the clinic. During the course of the procedure, the horse was anesthetized with a combination of drugs, the bone chip was successfully removed and the horse was transported to a recovery stall. While in recovery, the horse went into cardiac and respiratory arrest and died.

Claiming that the horse was over anesthetized and improperly monitored during the surgery, plaintiff commenced this veterinary malpractice action against the clinic, Lesser, Meddleton and Gaughan. Following a trial, the jury found that defendants had departed from reasonable standards of veterinary care regarding their treatment of plaintiff’s horse, that this departure proximately caused his death and that his fair market value in October 1993 was $100,000. Lesser, Meddleton and the clinic (hereinafter collectively referred to as defendants) appeal from this judgment, as well as from an unsuccessful motion to set aside the verdict.

There was no dispute at trial that plaintiff’s horse succumbed to the effects of the anesthesia administered during surgery. The debate was over whether this horse was among the small percentage of equine patients that simply do not survive anesthesia through no fault of the surgeon and/or anesthesiologist; as defendants contended, or whether any act or omission on the part of defendants, particularly Meddleton, caused his death, as plaintiff contended. On this disputed point, plaintiff presented the testimony of one expert, Nicholas Dodman. Defendants claim that the verdict must be reversed and the action dismissed because plaintiff failed to lay a proper foundation to establish that Dodman was familiar with the accepted standards of veterinary care for local veterinary practitioners such as Meddleton and Lesser.

It was established during Dodman’s testimony that he is a veterinarian, board certified in veterinary anesthesiology. He is also a professor at Tufts University School of Veterinary Medicine in Boston, Massachusetts. During his career — which spanned nearly 30 years as of the trial in this matter — he lectured all over the country on veterinary anesthesia and anesthetic drugs and authored hundreds of articles on the subject [855]*855of veterinary anesthesia. Dodman himself has anesthetized some 2,000 horses undergoing surgery.

Defendants contend that Dodman was unqualified to give an expert opinion on the standard of care because he practiced in a “university” setting, as opposed to this Albany County clinical setting. We disagree. Dodman’s testimony, detailing impressive credentials in the very specific area of veterinary anesthesiology, sufficiently established his qualifications as an expert in this case, as well as his familiarity with the standard of care applicable to veterinarians administering anesthesia during surgery. The fact that Dodman did not practice in a clinical setting did not render his testimony inadmissible; rather, it affected the weight of that testimony (see, Payant v Imobersteg, 256 AD2d 702, 705; Hoagland v Kamp, 155 AD2d 148, 150-151; Riley v Wieman, 137 AD2d 309; see also, Stevens v Bronx Cross County Med. Group, 256 AD2d 165). To be sure, he was cross-examined on this very point.

We also disagree with defendants’ contention that the verdict is against the weight of the evidence, that is, we are unable to conclude that the evidence so preponderated in favor of defendants that the verdict in favor of plaintiff could not have been reached upon any fair interpretation of it (see, Lolik v Big V Supermarkets, 86 NY2d 744, 746), particularly after giving due deference to the jury’s resolution of credibility issues and conflicting expert evidence (see, Rivera v Majuk, 263 AD2d 841; Fridovich v Meinhardt, 247 AD2d 791). Dodman testified that the care and treatment rendered by Meddleton and Lesser included departures from accepted standards of veterinary practice which caused the horse’s death. Specifically, he opined that the dosage of one particular drug administered to the horse (Rompum) over a short period of time, particularly in conjunction with the administration of a large dosage of another drug (Ketamine) and an inordinately high level of a gaseous volatile anesthetic (Halothane) constituted a departure from accepted standards of veterinary care. These dosages, according to Dodman, caused the horse to become respiratorily and cardiovascularly depressed, a condition which went undetected by Meddleton. When disconnected from pure oxygen after surgery, Dodman’s testimony continued, the horse could not sustain himself on room air only.

Dodman also opined that the monitoring procedures employed by Meddleton during surgery — taking a peripheral pulse and making visual observations of the horse — were substandard. According to Dodman, various devices were available to monitor the horse’s vital signs during and after surgery, includ[856]*856ing an aneroid gauge to measure blood pressure (blood pressure being the single most important determinate of the depth of anesthesia in a horse), blood gas monitoring equipment and/or an electrocardiogram monitor. He specifically opined that standard practice required that a patient be monitored by these devices when Halothane is being administered. Dodman further noted that no contemporaneous notes were recorded by Meddleton during surgery, which might have enabled him to document the developing trend in the respiratory and cardiac depression that ensued while the horse was under anesthesia. Dodman opined that where, as here, an orthopaedic patient is anesthetized with gaseous Halothane, it is a departure from standard practice not to keep such notes.

In his defense, Meddleton denied over-anesthetizing the horse and further opined that he properly monitored the horse’s vital signs during the surgery by making visual and auditory observations and by taking his pulse every five minutes. Of note, plaintiff, who was present in the operating room, contradicted Meddleton on this latter point, testifying that Meddleton sat two feet away from the horse during surgery and never touched him throughout it. The jury also learned through Meddleton’s testimony that he considered aborting the surgery because the horse was not properly responding to the anesthesia. It was further established at trial that after the horse died, Meddleton created a chart of the entire procedure. This postoperative record attempts to document, in time and dosage, the various drugs administered during surgery, as well as the horse’s vital signs at particular time intervals. The jury further learned that, after creating this chart, Meddleton then made additional changes to it.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Biello v. Albany Memorial Hospital
49 A.D.3d 1036 (Appellate Division of the Supreme Court of New York, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
281 A.D.2d 853, 722 N.Y.S.2d 302, 2001 N.Y. App. Div. LEXIS 3003, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kenny-v-lesser-nyappdiv-2001.