Lewis C. Colley, Et Ux. v. Peacehealth

CourtCourt of Appeals of Washington
DecidedSeptember 3, 2013
Docket68267-9
StatusUnpublished

This text of Lewis C. Colley, Et Ux. v. Peacehealth (Lewis C. Colley, Et Ux. v. Peacehealth) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lewis C. Colley, Et Ux. v. Peacehealth, (Wash. Ct. App. 2013).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

LEWIS C. COLLEY and TALENA COLLEY, husband and wife, and the No. 68267-9-I marital community thereof, DIVISION ONE Appellants, CO

v.

ro PEACEHEALTH, a not for profit CD

Washington State corporation d/b/a ST. JOSEPH HOSPITAL and ST. JOSEPH MEDICAL GROUP,

Respondent, UNPUBLISHED OPINION

JIAN Y. SUN, M.D. and JOHN DOE FILED: September 3, 2013 SUN, husband and wife and the marital community thereof; JANICE LUND and JOHN DOE LUND, husband and wife and the marital community therefor; K. HANBURYand JOHN DOE HANBURY, husband and wife and the marital community therefor; MELISSA DYKSTRA and JOHN DOE DYKSTRA, husband and wife, and the marital community thereof; NORTHWEST EMERGENCY PHYSICIANS, INC., a Washington State for profit corporation; RALPH WEICHE and JANE DOE WEICHE, husband and wife, and the marital community thereof; and JANE and JOHN DOES 1-10,

Defendants. No. 68267-9-1/2

Becker, J. — This appeal arises from a jury's defense verdict in a medical

negligence action against PeaceHealth St. Joseph Hospital in Bellingham. The

hospital patient and his wife contend the trial court admitted evidence that was

speculative, irrelevant, and unfairly prejudicial. Finding no basis for granting a

new trial, we affirm.

FACTS

The hospital patient is appellant Lewis Colley. In the spring of 2006, when

he was around 45 years old, Colley began complaining of recurrent abdominal

pain. On May 4, 2006, Colley's pain was severe. At around 7:45 p.m., he and

his wife, Talena, went to the emergency room at the hospital. The emergency

room physician suspected pancreatitis and prescribed morphine for pain relief.

Colley's pain did not abate despite repeated doses of morphine and one

dose of dilaudid. Around 2:00 a.m. on May 5, he was admitted to the observation

unit.

Several months earlier, in January 2006, Colley had been diagnosed with

severe sleep apnea. Sleep apnea is a condition in which a patient stops

breathing for periods of time while asleep. It was uncontested at trial that

morphine tends to suppress respiration and that when patients with sleep apnea

are given morphine, they need to be carefully monitored to ensure they are

getting enough oxygen.

While Colley was at the hospital on May 4 and 5, Talena observed that he

was having difficulty breathing. She testified that she told several different No. 68267-9-1/3

hospital employees that Colley suffered from sleep apnea. The sleep apnea

condition was noted in Colley's chart by attending nurse Dawn Hooker at 3:35

a.m. At some point thereafter, Talena made a quick trip home to pick up the

breathing device Colley used while sleeping, called a CPAP (continuous positive

airway pressure) machine.

Talena testified that she returned to the hospital around 5:40 a.m., found

Colley not breathing, and alerted the nursing staff. A respiratory therapist and a

physician, Dr. Jian Sun, were called. A breathing tube was fed into Colley's

throat, and he was taken to the intensive care unit and hooked up to an oxygen

supply.

One of Colley's witnesses testified at trial that blood oxygen saturation

becomes "critical" when the percentage falls below 60 percent, while at 80

percent, it generally causes only shortness of breath. A defense expert testified

that 80 percent could be "right on the precipice of a severe deprivation of

oxygen, depending on how frequently the apnea episodes were occurring.

Colley's oxygen saturation level was documented in his medical chart as 97

percent at intake at 2:13 a.m. and 92 percent at 4:11 a.m. There was no further

record of it until 5:45 a.m., soon after he was hooked up to an oxygen supply. At

that point his blood oxygen saturation was noted to be "in the 80s." At 6:04 a.m.,

his oxygen level was 89.5 percent. At 7:10, his oxygen level had risen to 98.5

percent. There was no way to know what his saturation level had been between

4:11 a.m. and 5:45 a.m. No. 68267-9-1/4

Five days later, Colley was discharged from the hospital. His abdominal

pain had abated, but Talena observed changes in his personality and mental

state that she attributed to the episode of respiratory failure. Talena testified that

while Colley had been a jolly, happy, sociable, and capable man before the

hospitalization, afterwards he became reclusive, fearful, and angry, he suffered

from severe memory deficits, and he was generally unable to function normally

without close supervision. She testified, "It's like I took my husband to the

hospital and they sent me home with a stranger."

The Colleys sued the hospital in July 2008, alleging that Colley suffered

permanent brain injury due to the hospital's negligence in dealing with the

episode of respiratory failure. The case came to trial before a jury in November

2011. Trial lasted nine court days, spanned four weeks, and included testimony

by 30 witnesses, most of whom were medical professionals.

In the plaintiffs case, Dr. Ted Judd, a neuropsychologist, testified that

Colley had a severe short-term memory deficit of a kind routinely associated with

deprivation of oxygen. Dr. Arthur Ginsberg, a neurologist, testified that Colley's

short-term memory deficit was caused, more probably than not, by brain damage

resulting from the loss of oxygen associated with his respiratory failure. He

explained that an injury to the brain that causes a memory deficit is not visible by

imaging such as a computed tomography (CT) scan or a magnetic resonance

imaging (MRI). Dr. Steven Pantilat testified that the standard of care required

continuous pulse oximetry for a patient such as Colley, where a sensor that clips No. 68267-9-1/5

onto the finger sets off an alarm if the patient's oxygen level falls below a certain

point. Dr. Ralph Weiche, the emergency room physician who discharged Colley

to the observation unit and wrote the morphine order, testified that Nurse Hooker,

Colley's attendant in the observation unit, misinterpreted the order and as a

result gave Colley more morphine than he had intended.

The hospital responded with testimony that the doses of morphine Colley

received were not excessive, that continuous pulse oximetry was not required to

meet the standard of care, that nurses had monitored Colley adequately by

making regular visits to his room throughout the night, and that the evidence did

not show Colley's blood oxygen levels ever fell to dangerous levels capable of

causing brain damage. The hospital brought out evidence that he had memory

problems predating the incident in the hospital. The January 2006 report

completed by Dr. Francisco Vega in connection with the diagnosis of sleep

apnea stated that Colley "feels that his daytime fatigue has resulted in memory

difficulties."

Colley suffered from several pre-existing conditions, including not only

obstructive sleep apnea, but also shortness of breath, diabetes, high cholesterol,

hyperglycemia, recurrent toe infections, chronic headaches, post traumatic stress

disorder, obsessive compulsive disorder, anxiety, and depression. Expert

witnesses for the hospital testified that memory loss was consistent with some of

these other conditions. Colley took a number of prescription medications. Earlier

in his life, he had been a heavy drinker. Ten years earlier, he had suffered a No.

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