Landeche v. McSwain

688 So. 2d 1303, 1997 WL 48304
CourtLouisiana Court of Appeal
DecidedFebruary 5, 1997
Docket96-CA-0959, 96-CA-0960
StatusPublished
Cited by8 cases

This text of 688 So. 2d 1303 (Landeche v. McSwain) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Landeche v. McSwain, 688 So. 2d 1303, 1997 WL 48304 (La. Ct. App. 1997).

Opinion

688 So.2d 1303 (1997)

In re the Matter of James S. LANDECHE, Jr., Individually and as Administrator of the Estate of Carol Landeche
v.
Dr. Norman E. McSWAIN, Jr., et al.
James E. LANDECHE, Jr., et al.
v.
ABC INSURANCE COMPANY, et al.

Nos. 96-CA-0959, 96-CA-0960.

Court of Appeal of Louisiana, Fourth Circuit.

February 5, 1997.
Writ Denied May 1, 1997.

*1304 Joseph W. Thomas, New Orleans, for Plaintiffs/Appellants.

Stewart E. Niles, Jr., Michelle A. Bourque, Jones, Walker, Waechter, Poitevent, Carrere & Denegre, New Orleans, for Defendants/Appellees.

Before CIACCIO, PLOTKIN and LANDRIEU, JJ.

LANDRIEU, Judge.

In this medical malpractice suit, plaintiffs, the husband and three children of Mrs. Carol Landeche, have appealed a jury verdict denying recovery for the death of Mrs. Landeche. Because plaintiffs fail to specify any reversible errors, we affirm the trial court's judgment *1305 which was in accordance with the jury verdict.

FACTS

Carol Landeche first saw Dr. Norman McSwain on August 25, 1981 at the Tulane Surgery Clinic to request weight reduction surgery. Dr. McSwain recommended a type of gastrogastrostomy, a procedure described as "stomach stapling." To explain the procedure to Mrs. Landeche, Dr. McSwain used a styrofoam model, and he gave her a handout, which was ultimately signed by Mrs. Landeche and Dr. McSwain, describing the surgery in detail, outlining the consequences of the procedure and noting the risks.

According to this handout, a main complication of the surgery can be vomiting as a result of putting more food in the small pouch (which is what the stomach is made into) than it can hold. Intake of food and drink at each sitting is limited to two ounces, otherwise the patient will vomit.

Dr. McSwain then sent Mrs. Landeche home to think about whether she wanted the surgery. Although plaintiff, James Landeche, Mrs. Landeche's husband, testified that he did not want her to have the surgery, he said that she "demanded" it. Mrs. Landeche consented to the procedure and was admitted to Tulane Medical Center (TMC) on September 1, 1981 for preoperative testing. Before her surgery the following day, Mrs. Landeche signed the standard surgical consent form for gastric bypass. The surgery was apparently performed without incident.

Post-operative, a blood culture revealed streptococcus viridans, for which Mrs. Landeche was given antibiotics. This organism was never cultured out of Mrs. Landeche again.

Her only documented complaint during her hospital stay was neck and shoulder pain, for which she was given pain medication. Dr. McSwain had an orthopedist examine Mrs. Landeche to determine the origin of her complaints. Expert testimony at trial, as well as the orthopedist's report, indicated that her pain likely resulted from a previous injury and/or intubation while she was anesthetized during surgery.

A chest x-ray revealed pleural effusion, which is not uncommon after this type of surgery, but Mrs. Landeche's overall clinical status kept improving. Hence, Mrs. Landeche was discharged on September 13, 1981.

For three days after her discharge, Mrs. Landeche walked around her home, used the bathroom and prepared her own food. Her temperature remained normal. On September 16, however, she went to the emergency room in Luling with complaints of shoulder and neck pain. On September 18 Mrs. Landeche saw her family doctor for severe vomiting. Her blood pressure was low, and she was admitted to St. Charles Hospital for shock and renal failure.

On September 20 Mrs. Landeche was transferred to Jo Ellen Smith Hospital for "initiation of hemodialysis." Examination revealed that her abdomen was tender and distended and her chest x-ray showed free air. Dr. McSwain was finally contacted, and Mrs. Landeche was transferred to TMC on September 20.

Meeting her at TMC's emergency room, Dr. McSwain, after testing, felt that Mrs. Landeche had a gastrointestinal perforation. He immediately performed an emergency exploratory laparotomy and found a loop of small bowel in the left upper quadrant of her abdomen which was causing an infection. Dr. McSwain remedied this problem and also found no evidence of breakdown of her gastrogastrostomy.

Post-operative, Mrs. Landeche's condition was initially stable, but a urine culture did reveal pneumonia. By September 23, however, her condition worsened. She had fever, and abdominal cultures taken during her surgery revealed several types of infections. On September 25 other cultures revealed heavy pseudomonas. Mrs. Landeche's condition continued to deteriorate, and by October 8, her EEG recorded severe neurologic dysfunction. She died on October 12. Her death certificate stated that she died from exsanguination secondary to intraabdominal sepsis.

ISSUES

Before filing suit, plaintiffs/appellants requested a medical review panel. The panel *1306 convened on April 9, 1990 and ultimately concluded that the evidence did not support a finding that the defendants failed to meet the applicable standard of care. In plaintiffs' subsequent lawsuit and this appeal, their main contention is not that Dr. McSwain committed malpractice in the context of either of the surgeries he did on Mrs. Landeche; rather, plaintiffs claim that TMC failed to properly assess Mrs. Landeche's health care services and that Dr. McSwain failed to adequately monitor her post-operatively for signs and symptoms of intestinal obstruction, bacteria, and/or infection, and to act accordingly.

After a jury verdict in favor of the defendants, the trial judge entered judgment in accordance with the verdict and dismissed plaintiffs' case. This appeal resulted.

In their first assignment of error, plaintiffs claim that the trial judge erred by making improper comments to their attorney, essentially ordering him, in front of the jury, not to object. The record reveals that counsel for the defendants, during his questioning of witnesses, had a habit of either repeating what the witness had just said or making a comment, such as "O.K.," before proceeding to his next question. The record further reflects that plaintiffs' counsel objected numerous times to defense counsel's habit. The trial judge told defense counsel to stop what he was doing, and defense counsel made a conscientious effort to do so but was not totally successful. Plaintiffs' counsel himself occasionally did the same thing that he complained opposing counsel did.

It was only after the trial judge had apparently satisfied himself that what defense counsel was doing was a habit and not deliberate, that he told plaintiff's counsel to stop making that particular objection. We do not find that the trial judge's instruction to plaintiffs' counsel prejudiced plaintiffs' case, influenced the jury, or contributed to the verdict. Hence, this assignment of error is without merit.

Plaintiffs next contend that the trial judge erred because he sent the jury to deliberate without giving plaintiffs the opportunity to make objections to the jury charges and jury interrogatories. La.Code Civ. Proc. art. 1793 provides in part:

. . .
B. The court shall inform the parties of its proposed action on the written requests and shall also inform the parties of the instructions it intends to give to the jury at the close of the evidence within a reasonable time prior to their arguments to the jury.
C.

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Cite This Page — Counsel Stack

Bluebook (online)
688 So. 2d 1303, 1997 WL 48304, Counsel Stack Legal Research, https://law.counselstack.com/opinion/landeche-v-mcswain-lactapp-1997.