Kent v. BAPTIST MEMORIAL HOSPITAL NORTH MS., INC.

853 So. 2d 873, 2003 WL 22038685
CourtCourt of Appeals of Mississippi
DecidedSeptember 2, 2003
Docket2002-CA-00936-COA
StatusPublished
Cited by3 cases

This text of 853 So. 2d 873 (Kent v. BAPTIST MEMORIAL HOSPITAL NORTH MS., INC.) is published on Counsel Stack Legal Research, covering Court of Appeals of Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kent v. BAPTIST MEMORIAL HOSPITAL NORTH MS., INC., 853 So. 2d 873, 2003 WL 22038685 (Mich. Ct. App. 2003).

Opinion

853 So.2d 873 (2003)

Edna KENT, Individually and as Mother and Next Friend of Candice N. Cain, A Minor, Appellant,
v.
BAPTIST MEMORIAL HOSPITAL—NORTH MISSISSIPPI, INC. and Dr. J. Keith Mansel, Appellees.

No. 2002-CA-00936-COA.

Court of Appeals of Mississippi.

September 2, 2003.

*875 William P. Zdancewicz, David Wayne Camp, for appellant.

R. Bradley Best, Oxford, S. Duke Goza, Jack F. Dunbar, Shelby Kirk Milam, attorneys for appellee.

Before SOUTHWICK, P.J., LEE and GRIFFIS, JJ.

GRIFFIS, J., for the court.

¶ 1. Edna Kent filed a medical malpractice claim on behalf of her daughter, Candice Cain, against Baptist Memorial Hospital—North Mississippi, Inc. ("Baptist") and Dr. Keith Mansel. The trial court granted Baptist's motion for directed verdict at the close of the plaintiff's case. The jury returned a verdict in favor of Dr. Mansel. Ms. Kent now appeals asserting several assignments of error. Finding no error, we affirm.

*876 FACTS

¶ 2. On September 27, 1993, Candice Cain was sixteen years old. She was at home with her parents when she suffered a severe diabetic seizure and went into septic shock. She was transported by ambulance from her home to the emergency room at Baptist. Upon arrival at Baptist, Candice was in a non-responsive, life threatening state. She was admitted to Baptist's intensive care unit by Dr. Robert Cooper, a partner of Dr. Gerald Hopkins who was Candice's primary care physician. A number of tests were run on Candice, and two other specialists provided medical care to her that night. Dr. Windham performed a lumbar puncture. Dr. Keith Mansel, a board certified critical care pulmonologist, made a respiratory assessment of Candice. Her condition was monitored throughout the night.

¶ 3. The next morning, Dr. Hopkins took over Candice's care from Dr. Cooper. Dr. Hopkins had been Candice's primary care physician since she was two years old. Dr. Hopkins treated Candice for her diabetes. Dr. Hopkins ordered a number of tests including a chest x-ray, pulse MRI of the brain, and an electroencephalogram (EEG) which revealed that Candice was in a state of encephalopathy with no intelligent response to family or any stimuli of any kind. Candice's illness was a mystery.

¶ 4. As the day progressed, Candice began having significant trouble. At approximately 10:00 p.m., Candice's blood pressure dropped substantially. Melissa Smith, the nurse on duty, reported this to Dr. Cooper. Dr. Cooper instructed her to call Dr. Mansel. Dr. Mansel immediately began further treatment of Candice. At approximately 10:30 p.m., Candice began to slip into respiratory distress. At approximately 11:30 p.m., Candice's condition was critical. Dr. Mansel instructed the staff to prepare to intubate Candice, for respiratory support. Dr. Mansel then intubated Candice with a size 8.0 endotracheal tube, with the use of a bronchoscope, and connected her to a mechanical ventilator. Dr. Mansel's notes reflect that the endotracheal tube was placed "without difficulty," which he testified meant that the tube was placed easily without any force applied using only one attempt to place the tube.

¶ 5. Thereafter, Dr. Mansel was concerned that Candice required a higher level of care than he and the other physicians at Baptist could provide. Dr. Mansel then made arrangements for Candice to be transported via helicopter to the pediatric unit at Vanderbilt University Hospital in Nashville, Tennessee.

¶ 6. When Candice arrived at Vanderbilt, the admitting physician noticed swelling, distortion of organs and dried blood in Candice's airway. He chose not to remove the endotracheal tube. Once her condition stabilized, several days later, the physicians at Vanderbilt removed the endotracheal tube to determine if Candice could breath on her own. Unable to breath without aid, the Vanderbilt doctors intubated her again with a 6.5 millimeter tube. Five days later that tube was removed, and she was then intubated with a 6.0 millimeter tube.

¶ 7. After the endotracheal tube was finally removed, the Vanderbilt doctors determined that Candice's vocal cords were damaged. Candice underwent several surgeries to correct the injury, including laser surgeries to separate the fused vocal cords and reconstructive surgery of the vocal cords using harvested costicartilage from Candice's ribs.

¶ 8. On September 26, 1995, Candice's mother, Edna Kent, filed a lawsuit on behalf of Candice alleging that Baptist and Dr. Mansel were negligent in the care of Candice. The claim alleged that the intubation *877 tube Dr. Mansel used was too large for Candice's height and weight and that the large tube used by Dr. Mansel proximately caused Candice's injuries. At trial, the plaintiff presented three of the Vanderbilt doctors as expert witnesses. Dr. Joseph Tobias, Dr. Malcolm Packer, and Dr. Jay A. Werkhaven testified that, in their opinion, Dr. Mansel deviated from the appropriate standard of care in the intubation of Candice by using a size 8.0 endotracheal tube. Dr. Mansel testified on his own behalf and offered his expert opinion that he did not deviate from the standard of care.

¶ 9. Dr. Joseph Tobias, a board certified physician in pediatrics, anesthesiology, critical care medicine and pain management, was Candice's admitting physician at Vanderbilt. Dr. Tobias testified that he had an immediate concern about the size of the endotracheal tube and that he also observed swelling, distortion and blood in Candice's airway. Dr. Tobias opined that the damage to Candice's vocal cords resulted from the insertion of an endotracheal tube that was too large, and the trauma occurred when the tube was placed into Candice's throat. Dr. Tobias testified that a doctor should base the size of the endotracheal tube on the patient's age, with consideration given to the actual size of the patient. He testified that the smaller the patient then the smaller the tube should be. Dr. Tobias testified that for Candice's age, height and weight, the proper size endotracheal tube was between 6.0 to 7.0 millimeters.

¶ 10. Dr. Malcolm Packer, a board certified physician in anesthesia, pediatrics and pediatric critical care, also cared for Candice during her stay at Vanderbilt. Dr. Packer testified that Candice suffered severe scarring of the airway due to the placement of an endotracheal tube which was too large. Dr. Packer testified the standard of care for Candice, considering her age and size, required the use of a 6.5 to 7.0 millimeter size tube. He further testified that the use of an 8.0 millimeter tube was a deviation from the standard of care.

¶ 11. Dr. Jay A. Werkhaven, a board certified otolaryngologist[1], treated Candice after she was released from Vanderbilt. Dr. Werkhaven performed the surgeries on Candice's vocal cords. Dr. Werkhaven testified that he observed raw cartilage exposed in Candice's throat. In his opinion, Dr. Werkhaven testified that the damage was caused by the 8.0 millimeter tube placed by Dr. Mansel. Dr. Werkhaven testified the vocal cords were raw and that scar tissue was forming which caused the vocal cords to fuse together. Dr. Werkhaven testified that the standard of care in the intubation of a patient was to evaluate their size, and not determine tube size solely based on age.

¶ 12. Each of the plaintiff's expert physicians admitted that they had no training as a pulmonologist or a critical care pulmonologist, the medical specialties of Dr. Mansel. Each also admitted they had formed their opinions without reviewing Candice's medical records at Baptist.

¶ 13.

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Cite This Page — Counsel Stack

Bluebook (online)
853 So. 2d 873, 2003 WL 22038685, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kent-v-baptist-memorial-hospital-north-ms-inc-missctapp-2003.