Levenson v. Souser

45 Pa. D. & C.3d 458, 1987 Pa. Dist. & Cnty. Dec. LEXIS 240
CourtPennsylvania Court of Common Pleas, Delaware County
DecidedJune 17, 1987
Docketno. 83-6008
StatusPublished

This text of 45 Pa. D. & C.3d 458 (Levenson v. Souser) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Delaware County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Levenson v. Souser, 45 Pa. D. & C.3d 458, 1987 Pa. Dist. & Cnty. Dec. LEXIS 240 (Pa. Super. Ct. 1987).

Opinion

KEELER, J.,

On June 2, 1983, plaintiff, Tan Levenson, commenced an action by filing a complaint against Dr. Roslyn Souser, a plastic surgeon. This cause of action arises out of services rendered to plaintiff in the form of a bilateral breast augmentation medical procedure performed by Dr. Souser on January 12, 1981. Specifically, plaintiff alleges that she was not adequately apprised of the risks and potential for complications which attended the surgical procedures provided. In addition, plaintiff also claimed that her doctor was negligent in the performance of such medical interventions.

A motion for summary judgment was filed on behalf of the doctor on the grounds that the case was time barred due to the applicable two-year statute of limitations. Plaintiff acknowledges that a complaint [459]*459was filed more than two years subsequent to the original surgical procedure; however, she contends that the “discovery rule” renders the statute of limitations inapplicable under the facts of this case.

In terms of liability, plaintiff, in her pretrial statement; identified the legal issue as “whether defendant fully informed and/or warned plaintiff of the risks and/or hazards related to the surgical procedure in question. ...” Therefore, it appears that plaintiff only intends to pursue a cause of action under the rubric of informed consent.

. In passing upon a motion for summary judgment the court must determine, as a matter of law, whether there exists any genuine issue of material fact giving due consideration to the pleadings, depositions, answers to interrogatories and admissions on file, together with any affidavits presented. Pa.R.Civ.P. 1035(b). In reaching its conclusion, the court must refrain from deciding issues of fact as the existence of such issues would mandate a trial. Washington Federal Savings and Loan v. Stein, 357 Pa. Super. 286, 515 A.2d 980 (1986).

At this juncture, the apparent question for disposition is whether plaintiff may proceed on her cause of action related to a lack of informed consent which allowed Dr. Souser to perform surgery on January 12, 1981. There is no'question but that the statute of limitations applicable to this action requires the initiation of proceedings within two years. 42 Pa.C.S. §5524(1) & (2) (1981). Ordinarily, this would require plaintiff to commence her action against defendant on or before January 12, 1983. Inasmuch as plaintiff has invoked the discovery rule, this court must determine, as a matter of law, whether plaintiff’s cause is time barred or whether the statute of limitations did not begin to run until some time after plaintiff’s original surgery.

[460]*460Through enactment of a statute of limitations the Legislature expresses- its public policy judgment concerning how long a plaintiff may delay suit without unfairly prejudicing a defendant! Ulakovic v. Metropolitan Life Ins. Co., 339 Pa. 571, 576, 16 A.2d 41, 43 (1940). Long ago, in an effort to ameliorate the harsh effects inherent in a rigid application of a limitation of action, the appellate courts carved out an exception to the statute and held that ignorance of an injury may delay the running of the statute of limitations. Lewey v. Fricke Coke Co., 166 Pa. 536, 31 Atl. 261 (1895). Thereafter, the courts expanded this exception to include causes of action where plaintiff is aware of injury but not the causative agent. Ayers v. Morgan, 397 Pa. 282, 154 A.2d 788 (1959). See generally, Groover v. Riddle Memorial Hosp., 357 Pa. Super. 420, 516 A.2d 53 (1986).

Defendant’s motion poses an interesting question: Does the discovery rule apply in informed consent cases? The cornerstone of the informed consent doctrine precludes a physician from administering to or operating upon a mentally competent adult patient in a nonemergency context without the patient’s consent. That is, the doctor must advise the patient of all hazards and alternatives which relate to the proposed procedure. Festa v. Greenberg, 354 Pa. Super. 346, 511 A.2d 1371 (1986); Rogers v. Lu, 335 Pa. Super. 595, 485 A.2d 54 (1984). Disclosure assures that the patient’s informational needs are fulfilled allowing the patient to knowingly and intelligently assent to a given treatment. See Sauro v. Shea, 257 Pa. Super. 87, 390 A.2d 259 (1978). In the absence of informed consent the physician risks being subject to. suit for tortious assault and battery. Gray v. Grunnagle, 423 Pa. 144, 223 A.2d 663 (1966). Pennsylvania’s concept of a cause of action for the failure of a doctor to [461]*461procure the informed consent of his patient before performing a medical procedure relies not on principles of negligence, but rather is derived from the concept of technical assault. Cooper v. Roberts, 220 Pa. Super. 260, 286 A.2d 647 (1971). In light of this quirk of Pennsylvania jurisprudence, all the elements necessary to establish an informed consent case are presented when a medical procedure is performed where the physician has ignored his or her obligation to enlighten the patient as to the perils and alternatives beforehand. As soon as the doctor lays his educated hands on the patient the tort is completed and liability attaches. Unlike negligence cases where the discovery rule clearly applies, manifestation of injury or damage is not part of the prima facie case. See Smith v. Yohe, 412 Pa. 94, 194 A.2d 167 (1963) (under certain circumstances, surgery without consent constitutes a technical assault). Thus, the basic rationale for employing the discovery rule in negligence cases is absent here. In straight-forward negligence cases, damage, a requisite element of the cause of action, may not be apparent until long after an alleged wrongdoer has violated a duty to act in a nonnegligent fashion.

The statute of limitations contains two subsections which may be applicable in this case. In pertinent part the statute requires that:

“The following actions and proceedings must be commenced within two years:
“(1) An action for assault, battery, false imprisonment, false arrest, malicious prosecution or malicious abuse of process.
“(2) An action to recover damages for injuries to the person or for the death of an individual caused by wrongful act or neglect or unlawful violence or negligence of another.” Pa.C.S. §5524.

[462]*462Certainly this proceeding originally' sought redress under both subsections. But, in' light of the abandonment of the negligence claim and the continued pursuit of damages under the informed consent doctrine, and given the court’s determination that informed consent relies on technical assault theory, only the former subsection legitimately applies.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Rogers v. Lu
485 A.2d 54 (Supreme Court of Pennsylvania, 1984)
Barletta v. Barletta
485 A.2d 752 (Supreme Court of Pennsylvania, 1984)
Ayers v. Morgan
154 A.2d 788 (Supreme Court of Pennsylvania, 1959)
Salis v. United States
522 F. Supp. 989 (M.D. Pennsylvania, 1981)
Festa v. Greenberg
511 A.2d 1371 (Supreme Court of Pennsylvania, 1986)
Reed v. PA. NAT. MUT. CAS. INS. CO.
493 A.2d 710 (Supreme Court of Pennsylvania, 1985)
Groover v. Riddle Memorial Hospital
516 A.2d 53 (Supreme Court of Pennsylvania, 1986)
Boyer v. Smith
497 A.2d 646 (Supreme Court of Pennsylvania, 1985)
Cooper v. Roberts
286 A.2d 647 (Superior Court of Pennsylvania, 1971)
Malloy v. Shanahan
421 A.2d 803 (Superior Court of Pennsylvania, 1980)
Smith v. Yohe
194 A.2d 167 (Supreme Court of Pennsylvania, 1963)
Washington Federal Savings & Loan Ass'n v. Stein
515 A.2d 980 (Supreme Court of Pennsylvania, 1986)
Rivera v. Philadelphia Theological Seminary of St. Charles Borromeo, Inc.
474 A.2d 605 (Supreme Court of Pennsylvania, 1984)
Sauro v. Shea
390 A.2d 259 (Superior Court of Pennsylvania, 1978)
Barshady v. Schlosser
313 A.2d 296 (Superior Court of Pennsylvania, 1973)
Gray v. Grunnagle
223 A.2d 663 (Supreme Court of Pennsylvania, 1966)
Bowers v. Garfield
382 F. Supp. 503 (E.D. Pennsylvania, 1974)
Ulakovic v. Metropolitan Life Insurance
16 A.2d 41 (Supreme Court of Pennsylvania, 1940)
Lewey v. H. C. Fricke Coke Co.
31 A. 261 (Supreme Court of Pennsylvania, 1895)

Cite This Page — Counsel Stack

Bluebook (online)
45 Pa. D. & C.3d 458, 1987 Pa. Dist. & Cnty. Dec. LEXIS 240, Counsel Stack Legal Research, https://law.counselstack.com/opinion/levenson-v-souser-pactcompldelawa-1987.