Koepel v. St. Joseph Hospital and Medical Center

155 N.W.2d 199, 8 Mich. App. 609
CourtMichigan Court of Appeals
DecidedMarch 6, 1968
DocketDocket 2,124
StatusPublished
Cited by2 cases

This text of 155 N.W.2d 199 (Koepel v. St. Joseph Hospital and Medical Center) 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
Koepel v. St. Joseph Hospital and Medical Center, 155 N.W.2d 199, 8 Mich. App. 609 (Mich. Ct. App. 1968).

Opinion

Burns, J.

Defendant appeals from a judgment on a jury verdict and claims as his first assignment of error that the trial court should have directed a verdict for defendant at the close of plaintiff’s proofs because of plaintiff’s failure to establish a prima facie case of negligence. We. therefore set forth the evidence in a light most favorable to plaintiff. 1

On June 22, 1961, Miss Barbara Laurie, an employee of the defendant hospital, prepared the plaintiff for an appendectomy. It was Miss Laurie’s responsibility to properly situate plaintiff on the operating table and apply any necessary restraints. In securing plaintiff’s left arm, she wrapped his wrist with a cloth and placed the wrist and the cloth in a cushioned wristlet. The wristlet was then attached to an immovable metal bar at the side of the operating able. Although it was customary hos *612 pital procedure to lodge a cloth or pad underneath the elbow of a person’s arm which was secured at the wrist, plaintiff remembered no such cloth being inserted under his left elbow.

The exact position of plaintiff’s arm in relation to his body and the table was demonstrated to the jury. Based upon the verbal description of this demonstration appearing on the record, plaintiff’s entire left arm was in an uncomfortable position, pressing against the left side of his body.

Although Miss Laurie had no independent recollection of exactly what happened in this instance, she testified that if a patient complained of discomfort, she would examine and sometimes even remove the restraint in order to discover and alleviate the cause of the discomfort. In this case, plaintiff informed Miss Laurie of the discomfort immediately after she had affixed the plaintiff to the operating-table; however, Miss Laurie did not respond. Ten to 15 minutes later the anesthetist arrived and administered sodium pentothal, and within approximately 50 minutes from the time of the strapping a successful appendectomy was completed.

"When plaintiff regained his senses in his hospital room, the first thing he noticed was that his whole left hand was all “pins and needles” and his little finger and ring finger were absolutely numb. He reported this condition to his father and 2 of his friends the-day of the operation; he also told his nurses and'doctor every day that he was in the hospital. The numbness in the 2 fingers persisted, and after an examination by Dr. J. R. Brown, a specialist in neurology at the Mayo Clinic, Rochester,-Minnesota, plaintiff learned that there was'an impairment of the conduction of nerve impulses in the left ulnar nerve which supplies sensation to half of the ring finger, the little finger and the heel of the hand. The ulnar nerve travels .through the inner *613 side of the upper arm, behind the elbow in the region that is commonly known as the “crazy bone” and near the surface at this particular point.

Prior to the appendectomy plaintiff had experienced no difficulty with the nerve or fingers.

Dr. Brown,.based upon the history given to him' by the plaintiff, was of the opinion that the ulnar nerve injury originated at the time when plaintiff was strapped to the operating table. Both plaintiff’s attending physician during the appendectomy and Miss Laurie acknowledged that care must be exercised in strapping a patient to the operating table and that the ulnar nerve may be damaged if one’s arm is improperly positioned on the table.

'The evidence outlined above sufficiently establishes a. prima facie case of negligence, i.e., that defendant owed a duty to plaintiff and that there was a breach of that duty by defendant which was the proximate cause of injury to plaintiff. See Gadde v. Michigan Consolidated Gas Company (1966), 377 Mich 117, 126. This conclusion, however, does not completely resolve the first issue because it is defendant’s further claim that negligence was not affirmatively proved in the manner alleged in the complaint. See Automobile Insurance Company of Hartford, Conn. v. Pere Marquette R. Co. (1948), 322 Mich 468.

Paragraph 9 of plaintiff’s complaint alleged:

“That the said defendant breached its duty to your plaintiff under the common law in the following particulars and that such breach of duty was_ negligence which was the proximate cause of plaintiff’s injuries more particularly described hereinafter:

“(a) That the said defendant, by its employees, failed to properly inspect the strapping of your plaintiff upon the operating room table.

“(b) That the' said defendant, through its employees, failed to properly examine the strapping *614 to ascertain whether or not the strapping was in any way interfering with the circulation in plaintiff’s body and arms and had they properly inspected the strapping they would have discovered and would have known that plaintiff was strapped too tightly to the operating room table and that his circulation was being impaired and that he would suffer from other permanent, crippling disability.

“(c) That the said defendant, through its employees, failed to heed the warnings of your plaintiff as he was strapped upon the operating room table when the plaintiff advised the defendant of the fact that he was strapped too tightly and experiencing pain and discomfort in his left arm because of the strapping being too tight.

“(d) That the said defendant was otherwise generally careless and negligent in and about the premises in the method and manner in which they handled plaintiff prior to being placed into the operating room for surgery.”

Defendant would have this court believe that the strapping process referred to above and throughout the complaint consisted of solely pulling the wristlet straps too tight around plaintiff’s wrist — an act which in itself could not cause damage to the ulnar nerve. Such a narrow interpretation is unwarranted. It is our opinion that the proofs regarding the relative position of plaintiff’s body and the tension of all the straps which were restraining plaintiff readily conform to the general language of the complaint, “strapped too tightly to the operating-room table.”

The jury had the benefit of observing the plaintiff demonstrate his position and noting whether damaging pressure could be exerted on the vulnerable ulnar nerve. The trial court was correct in denying defendant’s motion for directed verdict.

Defendant’s second issue is set forth in its brief as follows:

*615 “Whether plaintiff’s attorney’s improper references to an unserved subpoena for the production of the operating table, certain of the court’s rulings on evidence, and certain errors in instructions tp the jury were prejudicial to the defendant and Avarrant a reversal or new trial.”

During the trial of this case, counsel for plaintiff stated that he had subpoenaed the operating room table. The truth of the matter was that he had subpoenaed the wrong person (the anesthetist) to produce the table.

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Related

Koepel v. St. Joseph Hospital
163 N.W.2d 222 (Michigan Supreme Court, 1968)
Hand v. Park Community Hospital
165 N.W.2d 673 (Michigan Court of Appeals, 1968)

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Bluebook (online)
155 N.W.2d 199, 8 Mich. App. 609, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koepel-v-st-joseph-hospital-and-medical-center-michctapp-1968.