Krepps, F. v. Snyder, K.

112 A.3d 1246, 2015 Pa. Super. 61, 2015 Pa. Super. LEXIS 130, 2015 WL 1306816
CourtSuperior Court of Pennsylvania
DecidedMarch 24, 2015
Docket449 MDA 2014
StatusPublished
Cited by48 cases

This text of 112 A.3d 1246 (Krepps, F. v. Snyder, K.) 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
Krepps, F. v. Snyder, K., 112 A.3d 1246, 2015 Pa. Super. 61, 2015 Pa. Super. LEXIS 130, 2015 WL 1306816 (Pa. Ct. App. 2015).

Opinion

OPINION BY

SHOGAN, J.:

Frederick E. Krepps (individually, “Appellant”) and Margaret M. Krepps (collec *1249 tively, “Appellants”) appeal from the judgment entered on March 6, 2014. After careful review, we affirm.

Appellants filed a medical malpractice complaint on April 11, 2007, alleging that Khristian Snyder (“Appellee”), a podiatrist, and his medical practice, Cherry Tree Foot and Ankle Specialists, P.C., (collectively, “Appellees”) negligently failed to follow appropriate amputation prevention procedures for diabetic patients such as Appellant, eventually resulting in the below-the-knee amputation of Appellant’s leg. Lengthy and litigious discovery ensued for four years culminating, in one instance, in imposition of monetary sanctions against Appellees for failure to respond to Appellants’ Expert Witness Interrogatories. Trial Court Order, 1/13/12, at unnumbered 1. Additionally, Appellees did not respond to Appellants’ Requests for Admissions for almost a year after they were served with the discovery request, well beyond the thirty-day response time set forth in Pa.R.C.P. 4014(b).

After discovery closed, on May 14, 2012, Appellants filed a motion for summary judgment requesting the trial court to: 1) define the legal duty owed by Ap-pellee to Appellant; 2) determine the standard of care that applies in this case; and 3) adjudge Appellees liable. In the event' that the trial court decided summary judgment was not warranted, Appellants requested that certain facts be deemed admitted and others be classified as established without controversy. Although the trial court decided that, under Rule 4014(b), statements included in Appellants’ Requests for Admissions were considered true for purposes of adjudicating the motion, it ultimately denied awarding summary judgment in Appellants’ favor because material issues of fact remained outstanding. Summary Judgment Opinion, 9/14/12, at unnumbered 5-6. Prior to trial, Appellees filed a motion in limine to preclude these same admissions from being introduced at trial; the motion was denied as untimely. Trial Court Order, 4/24/2013, at unnumbered 1.

At trial, Appellants’ theory of liability was that Appellee was derelict in following appropriate amputation prevention procedures for diabetic patients, specifically, that he failed to perform necessary vascular examinations, failed to order additional vascular studies, failed to properly document Appellant’s foot pulses in his medical records, and failed to refer Appellant to a vascular surgeon in a timely manner. Appellants’ expert, Dr. Vincent Mandracchia, opined that patients presenting in Appellant’s condition — toe ulcer with no palpable foot pulses — must be referred immediately to a vascular surgeon and that podiatrists should document foot pulses each time a patient is seen. Appel-lee countered that he timely referred Appellant to a vascular surgeon when it appeared that an ulcer on Appellant’s left foot was not healing properly. Appellee’s expert, Dr. Michael Downey, disagreed that documentation of foot pulses was required each time a patient is seen when the treating podiatrist is familiar with the patient’s history and concluded that Ap-pellee met or exceeded the standard of care for a podiatrist treating patients presenting like Appellant.

When testimony concluded, the trial court denied Appellants’ request to read admissions allegedly made by Appellee to the jury. It also denied certain of Appellants’ requested jury instructions, but did instruct the jury on the “two schools of thought” charge that is relevant in a malpractice action when competent medical authority is divided on a course of treatment. The jury returned a verdict in favor of Appellees based on its finding that Dr. Snyder was not negligent. Appellants *1250 filed post-trial motions, which the trial court denied on March 4, 2014. This appeal followed the entry of judgment in Appellees’ favor.

Appellants present the following questions for appellate review:

I. Did The Trial Court Commit Reversible Error By Refusing To Allow Mr. Krepps To Admit Conclusively Established Judicial Admissions Under Pa.R.C.P. 4014(d) Into Evidence?
II. Did The Trial Court Commit Reversible Error By Instructing The Jury On The Two Schools Of Thought Doctrine?
III. Did The Trial Court Commit Reversible Error By Refusing To Grant Mr. Krepps’ Points For Charge?
IV. Did The Trial Court Abuse Its Discretion Or Commit An Error Of Law When It Denied Mr. Krepps’ Motion for Summary Judgment And Establishment Of Averments Deemed Admitted And Facts Without Controversy When It Failed To:
A. Determine If Dr. Snyder Had An Affirmative Duty To Protect Mr. Krepps From Foreseeable Risk Of Amputation?
B. Determine The Standard Of Conduct That Applied To Dr. Snyder’s Care Of Mr. Krepps?
C. Failed To Grant Judgment In Favor Of The Plaintiffs And Against The Defendants?
D. Determined That Facts Existed Without Controversy And Were Deemed Established Under Pa. R.C.P. 1035.5?

Appellants’ Brief at 6-7.

I. Exclusion of Admissions

On the last day of trial, Appellants attempted to introduce two exhibits: Appel-lees’ statements that were previously deemed admitted under Rule 4014(b) due to Appellees’ failure to timely respond to discovery and proposed admissions that Appellees failed to respond to in any manner. Plaintiffs’ Exhibits 36a and 36b, respectively. 1 After some preliminary discussion, Appellants limited their original demand and requested that Admissions numbered ten through twenty-four, excepting Admission number sixteen, included in Exhibit 36a be read to the jury. N.T., 8/8/13, at 659. The trial court agreed in principle that the statements should be deemed admitted because of Ap-pellees’ failure to timely respond to Appellants’ discovery request, but ruled against admissibility, questioning both the timing of the proffer and its evidentiary value in light of the testimony offered at trial. Making the additional observation that Appellants were not prejudiced by Appellees’ late response to the Requests for Admissions, the trial court employed the liberal construction precepts of Pa.R.C.P. 126 to negate operation of Rule 4014(b). N.T., 8/8/13, at 663-664.

Despite the trial court’s ruling, Appellants continued to advocate that certain admissions should be read to the jury because they were admitted by Appellees in their eventual response to Appellants’ Requests for Admissions. 2 The trial court *1251 again denied Appellants’ request reiterating that admission of this evidence would be repetitive of trial testimony. N.T., 8/8/13, at 665. Appellants’ final plea that Admission thirty-two, relating to the availability of non-invasive tests to assess arterial disease, was likewise rejected by the trial court. Id. at 66S-666. 3

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Cite This Page — Counsel Stack

Bluebook (online)
112 A.3d 1246, 2015 Pa. Super. 61, 2015 Pa. Super. LEXIS 130, 2015 WL 1306816, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krepps-f-v-snyder-k-pasuperct-2015.