King v. Reed

751 N.W.2d 525, 278 Mich. App. 504
CourtMichigan Court of Appeals
DecidedApril 8, 2008
DocketDocket 269760
StatusPublished
Cited by24 cases

This text of 751 N.W.2d 525 (King v. Reed) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
King v. Reed, 751 N.W.2d 525, 278 Mich. App. 504 (Mich. Ct. App. 2008).

Opinions

BORRELLO, J.

Flaintiff appeals as of right the trial court’s order granting a directed verdict in favor of [506]*506defendants Donald N. Reed, Jr., M.D., and Donald N. Reed, Jr., M.D., P.C., as well as the trial court’s order granting defendants’ motion in limine to preclude plaintiff from presenting evidence in support of theories of negligence that were not contained in plaintiffs affidavit of merit. For the reasons more fully set forth in this opinion, we reverse the rulings of the trial court and remand the matter for further proceedings consistent with this opinion.

I. PERTINENT FACTS AND PROCEDURAL HISTORY

For some time before his death, Kenneth King suffered from a severe case of gastroesophageal reflux disease (GERD), or what is commonly known as heartburn. After medication and other conservative treatment efforts failed, King was referred to defendant Reed, a general surgeon. In June 1998, defendant Reed performed a surgical procedure known as a Nissen fundoplication1 on King. Five months later, King reported a return of his epigastric and chest pain. In June 2000, Reed performed a second fundoplication procedure on King.

King’s symptoms began to return again, and Reed suspected that King was suffering from Barrett’s esophagus, a condition in which acid destroys the lining of the esophagus and the stomach replaces some of the lost esophageal lining with stomach lining. Testimony at trial indicated that Barrett’s esophagus itself is not a form of cancer, but approximately one percent of people with Barrett’s esophagus may develop esophageal cancer. According to plaintiffs expert, doctors classify Barrett’s esophagus into three stages: low-grade, [507]*507moderate-grade, and high-grade dysplasia. A person with low- or moderate-grade dysplasia has a very small chance of developing esophageal cancer and must be monitored and have an annual endoscopy.2 High-grade dysplasia will either turn into cancer or is cancer already, and most surgeons recommend treatment in the form of an esophagectomy, which involves removal of the esophagus.

In August 2000, Reed performed an endoscopy on King, taking biopsy samples of the esophageal lining to determine whether Ring had Barrett’s esophagus. The results came back negative for Barrett’s esophagus. Reed performed a second endoscopy, and this time a pathologist indicated that the biopsy samples were “suggestive” of Barrett’s esophagus, but negative for high-grade dysplasia. Reed testified that although he suspected that King had Barrett’s esophagus, he had not yet diagnosed that condition. He stated that “at the very least, it looked like Barrett’s to me,” although he admitted that Barrett’s esophagus had never been confirmed by a pathologist. Reed told King that he had Barrett’s esophagus some time between January 24, 2001, and February 9, 2001.

Reed referred King to defendant John Dykes, II, a cardiothoracic surgeon, with the intention of having King undergo an esophagectomy. Dykes testified that he received a letter from Reed, along with a February 9, 2001, note written by Reed that stated, in pertinent part: “[a] biopsy is [sic] distal esophagus the end of January and it now shows Barrett’s esophagus. I would now recommend distal esophagectomy ....”

[508]*508Reed explained that he referred King to Dykes because, although Reed had performed eight esophagectomies and been involved in about 20 Ivor-Lewis esophagectomies, he had been denied privileges to perform an esophagectomy when he applied at defendant Genesys Regional Medical Center. According to Reed, he had never performed the Ivor-Lewis procedure alone, and, even with privileges at the hospital, he would not have done it alone or as the lead surgeon. Reed indicated in a letter to Dykes that he was “referring [King] for evaluation of distal esophagectomy because he has Health Plus only at Genesys, and apparently [Reed] can’t get around the privilege issue for distal esophagectomy.” Dykes had privileges at Genesys.

Reed testified that he sent Dykes copies of King’s pathology reports before King’s surgery was performed. Dykes testified, however, that he did not recall whether he received pathology reports from defendant Reed. Dykes testified that he “[c]ertainly” relied on communications from defendant Reed that he had performed biopsies on King and that such biopsies revealed that King had Barrett’s esophagus.” In choosing the proper surgical technique under the circumstances, Dykes testified that, “I make my own decisions, so [Reed] could send [a referral] to me with that recommendation [to do an Ivor-Lewis distal esophagectomy] and that doesn’t necessarily mean that I agree with it. . . .” On the basis of the information conveyed to him, Dykes concluded that the appropriate surgical procedure for King was an Ivor-Lewis distal esophagectomy, wherein a portion of the stomach and esophagus are removed and the remaining portion of the stomach is moved higher into the chest and reconnected to the remaining portion of the esophagus. The surgery requires two incisions and two operating fields: one in the chest to remove the esophagus and one in the abdomen to move the stom[509]*509ach. Dykes also testified that the planned surgical procedure was extremely dangerous and that Kang had a 20 percent chance of dying from the surgery. Thus, a critical issue in the case was whether King actually needed the surgery given his actual diagnosis.

On March 19, 2001, Reed and Dykes operated on King, performing an Ivor-Lewis distal esophagectomy. Reed testified that during surgery, he “mobilized the stomach” and “took down the adhesions,” a procedure that is normally not part of an Ivor-Lewis surgery, but was necessary because of King’s previous surgeries. According to Reed, the operation took 10 hours, and King’s stomach had to be entered twice during surgery because it could not be moved. Dykes testified that he sent the entire distal esophagus to a pathologist and was surprised to learn that the pathologist found no evidence of Barrett’s esophagus.

Within 24 hours of surgery, King developed signs of an infection. King asked Dykes whether the sutures might have separated. Dykes took King back to surgery and discovered that an anastomosis, one of the surgical connections made during surgery, had broken down and “leaked things into the chest cavity, gastric juice, et cetera.” Dykes testified that “[t]he part of the stomach that had been used to perform the anastomosis, the very end of it was necrotic, dead basically,” due to lack of adequate blood supply. King developed sepsis and suffered multiple organ failures. He died on April 29, 2001. An autopsy revealed that King had no evidence of Barrett’s esophagus.

John King, as personal representative of Kenneth King’s estate, filed a complaint for wrongful death on February 14, 2003, alleging that defendants Reed, Dykes (and their corresponding professional corporations), and Genesys Regional Medical Center breached [510]*510their applicable duties of reasonable care. Two affidavits of merit were filed with the complaint, one of which alleged that Reed had been negligent in failing to confirm the diagnosis of Barrett’s esophagus before the procedure and in failing to perform an arteriogram to ensure that there was an adequate blood supply to the organs involved in the surgery.3 No specific allegations were made against Reed for his role in the surgery itself or in King’s postsurgical care.

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Bluebook (online)
751 N.W.2d 525, 278 Mich. App. 504, Counsel Stack Legal Research, https://law.counselstack.com/opinion/king-v-reed-michctapp-2008.