Kerby v. Moab Valley Healthcare, Inc.

2015 UT App 280, 362 P.3d 944, 800 Utah Adv. Rep. 11, 2015 Utah App. LEXIS 298, 2015 WL 7352670
CourtCourt of Appeals of Utah
DecidedNovember 19, 2015
Docket20131172-CA
StatusPublished
Cited by3 cases

This text of 2015 UT App 280 (Kerby v. Moab Valley Healthcare, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kerby v. Moab Valley Healthcare, Inc., 2015 UT App 280, 362 P.3d 944, 800 Utah Adv. Rep. 11, 2015 Utah App. LEXIS 298, 2015 WL 7352670 (Utah Ct. App. 2015).

Opinion

Opinion

ORME, Judge:

1 A patient died following a medical procedure performed at Allen Memorial Hospital in Moab. Her daughter and her mother (Plaintiffs) filed suit against Moab Valley *946 Healthcare, Inc.: (Allen Memomal), which operated Allen Memorial Hospital, for medical malpractice. Plaintiffs filed a motion for partial summary judgment and what they characterized as a renewed motion for partial summary judgment on the issue of causation, both of which the trial court denied. Following trial, the jury found that nurses employed by Allen Memorial breached the standard of care by discharging the patient while she was still under the influence of drugs that she had received during her hospitalization but that the breach did not cause her death. Plaintiffs appeal

T2 Plaintiffs contend that the trial court erroneously 'denied their motions for partial summary judgment and that the court erroneously permitted prejudicial evidence regarding the incarceration of the patient's son. We affiem.'

BACKGROUND

T8 In 2007, the patient underwent an eso-phagoscopy and a bronchoscopy at Allen Memorial Hospital in Moab, Utah, During the . procedure, p doctor removed a "fair amount" of mucus from her lungs. Afterward, during her three-hour stay at Allen Memorial Hospital, the patient received 80 mg of morphine, 25 mg of Valium, 4 mg of Zofran, 2 mg of Dilaudid, 5 mg of Versed, 50 mg of fentanyl, and, just before she was wheeled out to her car, 12.5 mg of promethazine. When the patient was discharged, several nurses observed that she was drowsy, unable to understand instructions, and acting drunk and incoherent. One of the nurses later testified that she had to remind the patient several times to take deep breaths.

4 The patient's ex-husband drove her to her home from the hospital and helped her to bed. The last time anyone saw the patient alive was when her daughter went into the patient's bedroom around 11:00 p.m. that night. Around 4:00 a.m., the patient's ex-husband found her dead. The medical examiner determined her cause of death to be the "combined effects of asthma, chronic bronchitis, drug toxicity (morphine and prometha-zine) and obesity."

T5 In 2009, Plaintiffs filed a complaint against Allen Memorial alleging medical malpractice for the wrongful. death of the patient. Thereafter, Plaintiffs filed a motion for partial summary judgment on the issue of causation. - Plaintiffs contended that the nurses at Allen Memorial Hospital "breached the standard of care by discharging a phar-maceutically inebriated patient from same day surgery prematurely and that she should have been admitted for overnight observation." They further contended that "if [the patient] had not been discharged from Allen Memorial and had been fully recovered from her anesthesia before she was discharged, she would not 'have died." In support of their motion, Plaintiffs relied on the deposition testimony of Allen Memorial's causation expert, a toxicologist, who testified at one point during his deposition that although it was outside the scope of his expertise, "being a physician, [he] would generally have to answer that it's moré 'likely that [the patient] would have survived in the hospital."

16 The trial court denied Plaintiffs' first motion for partial summary judgment. During a hearing on the.-motion, there was some discussion by Plaintiffs' counsel regarding the "astronomical" level of promethazine recorded on the autopsy report, which "eould not be accounted for by the one dose charted in [the patient]'s record." Allen Memorial's counsel observed that Plaintiffs' motion was "a hundred percent focused" on whether the patient received too much promethazine and that the issue was not whether the prometha-zine caused her death but, as the trial court put it, "whether, if she hadn't been discharged, she would have survived." The trial court considered whether Plaintiffs were confusing but-for causation with proximate cause and observed that the issue was "whether the hospltal should have foreseen that their disqhargmg [the patient] would have caused this result." The court ultimately denied Plaintiffs motion, the Judge stating, "I don't think someone overdosing by medication they get by extra-legal means is something that the hospital can foresee. There may be some other reasons, but I should deny the motion on that ground alone. So, *947 I'm denying that motion for pamal summary judgment." 1

1 7 Subsequently, the parties took an additional deposition to help them understand the discrepancy between the amounts of prome-thazine recorded, in the patient's medical ree-ord and in her autopsy report,. Based on that deposition, Plaintiffs filed their renewed motion for summary judgment on the issue of causation, At a hearing on that motion, the following colloquy ensued:

[Trial court]: Even the stuff you cited, the guy said, I don't know. Obviously, she would have been more likely to have lived, but more likely doesn't mean it makes a difference between living and not living. So, where do you have evidence that I must determine, as a matter of law, that had she stayed in the hospital, she wouldn't have died?
[Plaintiffs' counsel: Because she would have been able to be monitored. She would have been kept alive and the evi-denee is-I mean, even though he says she may have, more likely than not, that’s the standard.
[Trial court]: He didn't say that." He said she was more likely to live being in the hospital than not being in the hospital. So, maybe, the chances go up from five to ten, from ten to twenty, maybe they go from forty-five to fifty-five. I don't know and he didn't know.

The court then denied Plaintiffs' renewed motion for partial summary judgment on the ground that material facts were in dispute.

8 Additionally, before trial, the patient's son, who had been incarcerated during the last years of her life, disclaimed any interest in the case and any right to claim proceeds from the case. As a result, on the first day. of trial, Plaintiffs asked the trial court to disallow any mentlon of the son because “any discussion about [him] would be prejudicial, a waste of time, a waste of judicial resources and his relationship with [the patient] is not at issue in this case." The trial court denied Plaintiffs' request, stating that the son 'was

one of the heirs and the difference between heirs, under the Probate Code, and heirs under the personal injury code is something I learned about early in my career.... I don't think you can carve one person out of a family, as a matter of law, just because he doesn't want anything and determine that anything about his relationship is completely irrelevant to the evaluation of all of the other relationships that exist in the family.

Thereafter, during the trial, one of the patient's daughters testified that the patient never visited the son while he was in prison.

T9 The Jury determined that Allen Memorial breached the standard of care but that the breach did not cause the patient's death. As a result, the jury awarded nothing to Plaintiffs,“ and they now appeal.

ISSUES AND STANDARDS OF REVIEW

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

Related

State v. Garcia
2023 UT App 143 (Court of Appeals of Utah, 2023)
Terry v. Anderson
2016 UT App 179 (Court of Appeals of Utah, 2016)
In re Estate of Anderson
2016 UT App 179 (Court of Appeals of Utah, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
2015 UT App 280, 362 P.3d 944, 800 Utah Adv. Rep. 11, 2015 Utah App. LEXIS 298, 2015 WL 7352670, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kerby-v-moab-valley-healthcare-inc-utahctapp-2015.