Koesterer, D. v. Thomas Jefferson University Hosp.

CourtSuperior Court of Pennsylvania
DecidedJanuary 27, 2026
Docket3221 EDA 2024
StatusUnpublished
AuthorFord Elliott

This text of Koesterer, D. v. Thomas Jefferson University Hosp. (Koesterer, D. v. Thomas Jefferson University Hosp.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koesterer, D. v. Thomas Jefferson University Hosp., (Pa. Ct. App. 2026).

Opinion

J-A25031-25

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

DANIEL KOESTERER, INDIVIDUALLY : IN THE SUPERIOR COURT OF AND AS EXECUTOR OF THE ESTATE : PENNSYLVANIA OF VIRGINIA KOESTERER, : DECEASED : : : v. : : : No. 3221 EDA 2024 THOMAS JEFFERSON UNIVERSITY : HOSPITAL, THOMAS JEFFERSON : UNIVERSITY HOSPITALS, INC., : JEFFERSON UNIVERSITY : PHYSICIANS, JEFFERSON HEALTH, : JEFFERSON HEALTH SYSTEM, : RECONSTRUCTIVE ORTHOPAEDIC : ASSOCIATES II, P.C., : RECONSTRUCTIVE ORTHOPAEDIC : ASSOCIATES, II, LLC, AND DAVID : NAZARIAN, M.D. : : : APPEAL OF: RECONSTRUCTIVE : ORTHOPAEDIC ASSOCIATES, II, LLC, : AND DAVID NAZARIAN, M.D.

Appeal from the Judgment Entered January 28, 2025 In the Court of Common Pleas of Philadelphia County Civil Division at No(s): 210201051

BEFORE: LAZARUS, P.J., BOWES, J., and FORD ELLIOTT, P.J.E.

MEMORANDUM BY FORD ELLIOTT, P.J.E.: FILED JANUARY 27, 2026

Reconstructive Orthopaedic Associates, II, LLC, and David Nazarian,

____________________________________________

 Retired Senior Judge assigned to the Superior Court. J-A25031-25

M.D. (collectively, Appellants) appeal from the judgment entered1 in favor of

Daniel Koesterer, individually and as executor of the estate of Virginia

Koesterer (Appellee), and against Appellants, in the aggregate amount of

$2,903,030.82.2 Appellants raise three issues for review, chiefly contending

that the court erred as a matter of law and/or abused its discretion in failing

to grant their request for a new trial given Appellee’s allegedly improper use

of a non-testifying expert’s report on cross-examination. We affirm.

As cogently summarized by the trial court:

This is a medical malpractice action in which [Appellee] sued[, among others, Appellants] for allegedly rendering negligent care to [Appellee’s] decedent mother, [Virginia], resulting in her death from a pulmonary embolism suffered on September 20, 2019. Specifically, [Appellee] argued that [Appellants] were negligent in failing to provide medication to [Virginia] that could have prevented deep vein thrombosis . . . and a potential pulmonary embolism following her hip surgery performed by Dr. Nazarian on September 18, 2019; they also argued that [Appellants] failed to ____________________________________________

1 Appellants filed their notice of appeal on November 25, 2024, construing the

November 5, 2024 docket entry “correction to judgment index,” an entry that followed the denial of their post-trial motion, as a final order ripe for appeal. See Appellants’ Brief at 6 n.2. Nevertheless, this Court directed Appellants to praecipe the trial court to enter judgment on the underlying jury verdict. Appellants complied, and judgment was entered on January 28, 2025. Accordingly, we treat their appeal as timely filed after judgment was entered. Cf. Landis v. Wilt, 222 A.3d 28, 33 (Pa. Super. 2019) (treating premature notice of appeal filed from denial of post-trial motions as timely filed appeal from final judgment); see also Pa.R.A.P. 905(5) (“A notice of appeal filed after the announcement of a determination but before the entry of an appealable order shall be treated as filed after such entry and on the day thereof.”).

2This figure is the sum of the jury’s $2,500,000.00 award and the court’s post-trial grant of $403,030.82 in delay damages.

-2- J-A25031-25

adequately communicate with one another regarding which medication, if any, [Virginia] should take after the surgery to avoid the complications that ensued. At trial, in addition to medical- expert testimony, the jury heard lay-witness testimony from [both Appellee] and [Virginia’s] daughter, Deirdre Koesterer Otto, briefly describing their mother’s life and sharing their recollection of events immediately before and after her surgery. On the morning after closing arguments, the jury returned a verdict of $2,500,000 in favor of [Appellee]. On June 10, 2024, [Appellants] filed a [m]otion for [p]ost-[t]rial [r]elief seeking judgment notwithstanding the verdict, a new trial, and/or remittitur, which, after [a] hearing held on October 21, 2024, the [t]rial [c]ourt denied.

Trial Court Opinion, 2/13/25, at 2.

Appellants, after filing a timely notice of appeal and concise statement

of errors complained of on appeal, see Pa.R.A.P. 1925(b), raise three issues

before this Court:

1. Whether the trial court erred and abused its discretion in failing to grant [Appellants] a new trial, when, over [Appellants’] objections, [Appellee’s] counsel improperly cross-examined . . . David Nazarian, M.D. and [Appellants’] expert, Joseph A. Bosco, M.D., with the expert report of [their] non-testifying expert, Ronald A. Sacher, M.D., causing substantial unfair prejudice to [Appellants]?

2. Whether the trial court erred and abused its discretion in failing to grant [Appellants] a new trial on weight of the evidence grounds, where the record, fairly reviewed, does not support the existence of an objective standard of care that was breached and caused [Appellee’s] decedent’s harm, particularly where [Appellee’s] theory of liability would have required [Appellants] to oppose explicit instructions from [the] decedent’s kidney doctor?

3. Whether the trial court erred and abused its discretion in denying [Appellants’] request for a new trial on damages, where the jury’s awards were against the overwhelming weight of the evidence, unsupported by the record, and/or could only have been the product of prejudice, speculation, sympathy, and/or conjecture?

-3- J-A25031-25

Appellants’ Brief at 4 (suggested answers omitted).

Appellants first claim that Appellee repeatedly violated the rules that

prohibit both the admission of hearsay and opposing party’s expert opinions.

These violations, assert Appellants, led to prejudice, and, notwithstanding the

trial court’s contrary conclusion, a new trial is therefore required.

We begin by noting that, having denied Appellants’ motion for a new

trial, such a decision “whether to grant a new trial, in whole or in part, rests

in the sound discretion of the trial court.” Mendralla v. Weaver Corp., 703

A.2d 480, 485 (Pa. Super. 1997) (en banc). As an appellate court,

[o]ur standard of review when faced with an appeal from the trial court’s denial of a motion for a new trial is whether the trial court clearly and palpably committed an error of law that controlled the outcome of the case or constituted an abuse of discretion. In examining the evidence in the light most favorable to the verdict winner, to reverse the trial court, we must conclude that the verdict would change if another trial were granted. Further, if the basis of the request for a new trial is the trial court’s rulings on evidence, then such rulings must be shown to have been not only erroneous but also harmful to the complaining parties. Evidentiary rulings which did not affect the verdict will not provide a basis for disturbing the jury’s judgment[.]

Moreover, the admission or exclusion of evidence is within the sound discretion of the trial court. In reviewing a challenge to the admissibility of evidence, we will only reverse a ruling by the trial court upon a showing that it abused its discretion or committed an error of law.

Schmidt v. Boardman, 958 A.2d 498, 516 (Pa. Super. 2008); see also

Knowles v. Levan, 15 A.3d 504, 508 n.4 (Pa. Super. 2011) (“[H]armless

error must be considered when evaluating any claim for a new trial. . . .

[H]armless error is defined as an error that does not affect the verdict.”)

-4- J-A25031-25

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Bluebook (online)
Koesterer, D. v. Thomas Jefferson University Hosp., Counsel Stack Legal Research, https://law.counselstack.com/opinion/koesterer-d-v-thomas-jefferson-university-hosp-pasuperct-2026.