Lisowski v. Bayhealth Medical Center, Inc.

Opinion

THE SUPERIOR COURT OF THE STATE OF DELAWARE

NICOLE LISOWSKI, ) as Next Friend of BRANDON ) RODRIGUEZ, JEREMIAH ) RODRIGUEZ, NICHOLAS ) O‟BRIEN, minors, and JUAN ) RODRIGUEZ, in his capacity as ) C.A. No. N15C-04-228 ALR Personal Representative of the ) Estate of Alexis Rodriguez, ) ) Plaintiffs, ) ) v. ) ) BAYHEALTH MEDICAL CENTER, ) INC., d/b/a KENT GENERAL ) HOSPITAL, ) ) Defendant. )

Submitted: October 20, 2016 Decided: November 30, 2016

ORDER

Upon Plaintiffs’ Motion for New Trial GRANTED

This is a medical negligence action arising from the death of Alexis

Rodriguez. Following an eight-day trial, a jury found that Defendant Bayhealth

Medical Center, Inc., d/b/a Kent General Hospital (“Bayhealth”) had committed

medical negligence in its care and treatment of Mr. Rodriguez, but that the

negligence did not proximately cause Mr. Rodriguez‟s death. Plaintiffs filed a timely Motion for New Trial. Defendant opposes Plaintiffs‟

Motion. Upon consideration of the parties‟ submissions; the Superior Court Rules

of Civil Procedure; the facts, arguments, and legal authorities set forth by the

parties; decisional law; and the entire record in this case, the Court hereby finds as

follows:

1. The parties submitted Joint Proposed Jury Instructions as part of pre-

trial proceedings. The parties agreed to include the following language in the

Proximate Cause jury instruction:

A party‟s negligence, by itself, is not enough to impose legal responsibility on that party. Something more is needed: the party‟s negligence must be shown by a preponderance of the evidence to be a proximate cause of the injury. Proximate cause is a cause that directly produces the harm, and but for which the harm would not have occurred. A proximate cause brings about, or helps to bring about, the injury, and it must have been necessary to the result.

2. Bayhealth proposed to add the following sentence to the Proximate

Cause instruction:

An action is not the proximate cause of an event or condition if that event or condition would have resulted without the negligence.

Plaintiffs objected to the inclusion of this sentence in the Proximate Cause

instruction. Bayhealth‟s proposed addition to the Proximate Cause instruction is

referred hereinafter as “Bayhealth‟s Proposed Additional Sentence.”

2 3. A Pre-trial Conference was held during which Plaintiffs renewed their

objection to Bayhealth‟s Proposed Additional Sentence on the grounds that

Bayhealth‟s Proposed Additional Sentence was not a correct statement of law

under Delaware decisional precedent. In response to Plaintiffs‟ objection,

Bayhealth represented that Bayhealth‟s Proposed Additional Sentence was

included in the Superior Court‟s Civil Pattern Jury Instructions (“Pattern Jury

Instructions”). Bayhealth also argued that the evidence presented at trial would

make the instruction appropriate. Upon consideration of the parties‟ arguments

and with heavy reliance on Bayhealth‟s representations, the Court overruled

Plaintiffs‟ objection and Bayhealth‟s Proposed Additional Sentence was included

in the charge read to the jury.

4. During deliberations the jury submitted a note expressing confusion

regarding the Proximate Cause instruction. Specifically, the jury asked whether

the Court could “specify or expand” on Bayhealth‟s Proposed Additional

Sentence.1 In response to the note, the Court reconvened the jury and explained

that it was unable to expand on the Proximate Cause instruction. The Court re-read

the Proximate Cause instruction as written, including Bayhealth‟s Proposed

Additional Sentence. Shortly thereafter, the jury returned a verdict finding that

1 Court‟s Exhibit #3, Jury‟s Note, Lisowski v. Bayhealth Med. Ctr., Inc., N15C-04- 228 ALR (Del. Super. Sept. 20, 2016). 3 Bayhealth had committed medical negligence, but that the negligence did not

proximately cause Mr. Rodriguez‟s death.

5. Plaintiffs filed a Motion for New Trial that is currently before the

Court.

6. Rule 59 provides that “[a] new trial may be granted as to all or any of

the parties and on all or part of the issues in an action in which there has been a

trial for any of the reasons for which new trials have heretofore been granted in the

Superior Court.”2

7. In reviewing a motion for new trial based on a jury instruction, the

Court must determine whether “the alleged deficiency in the jury instructions

undermined the jury‟s ability to intelligently perform its duty in returning a

verdict.”3 Jury instructions must be “reasonably informative and not misleading,

judged by common practices and standards of verbal communication.”4 The Court

must conduct its analysis by considering the instructions as a whole with no

individual statement read out of context.5

2 Super. Ct. Civ. R. 59. 3 Culver v. Bennett, 588 A.2d 1094, 1098 (Del. 1991) (citing Probst v. State, 547 A.2d 114, 119 (Del. 1988)). 4 Lowther v. State, 104 A.3d 840, 847 (Del. 2014) (quoting Dawson v. State, 581 A.2d 1078, 1105 (Del. 1990) (citing Flamer v. State, 490 A.2d 104, 129 (Del. 1984))). 5 Adkins v. State, 2016 WL 5940363, at *3 (Del. Oct. 12, 2016); Ireland v. Gemcraft Homes, Inc., 2011 WL 4553166, at *3 (Del. Oct. 3, 2011). 4 8. The Court‟s decision on a motion for new trial is reviewed under an

abuse of discretion standard.6 Accordingly, the Court‟s decision must not exceed

“the bounds of reason.”7 An act of judicial discretion must be “based upon

conscience and reason, as opposed to arbitrariness or capriciousness.”8

9. Plaintiffs contend that a new trial is warranted because Bayhealth‟s

Proposed Additional Sentence created a misleading statement that prevented the

jury from intelligently rendering a verdict. Specifically, Plaintiffs argue that the

use of the phrase “event or condition” rather than “harm” or “injury” rendered the

Proximate Cause instruction confusing.

10. Bayhealth opposes Plaintiffs‟ Motion on the grounds that (1) Plaintiffs

waived their objection to Bayhealth‟s Proposed Additional Sentence by failing to

satisfy the procedural requirements of Rule 51;9 and (2) Bayhealth‟s Proposed

Additional Sentence is not misleading or confusing when considered in context.

11. Rule 51 provides that “[n]o party may assign as error the giving or

failing to give an instruction unless a party objects thereto before or at the time set

6 Maier v. Santucci, 697 A.2d 747, 749 (Del. 1997) (citing Storey v. Camper, 401 A.2d 458, 465 (Del. 1979)). 7 Pesta v. Warren, 2005 WL 3453825, at *2 (Del. Dec. 14, 2005) (citing Chavin v. Cope, 243 A.2d 694, 695 (Del. 1968)). 8 Ams. Mining Corp. v. Theriault, 51 A.3d 1213, 1238 (Del. 2012) (citing Sammons v. Doctors for Emergency Servs., P.A., 913 A.2d 519, 528 (Del. 2006) (quoting Coleman v. PricewaterhouseCoopers, LLC, 902 A.2d 1102, 1106 (Del. 2006))). 9 Super. Ct. Civ. R. 51. 5 by the Court immediately after the jury retires to consider its verdict, stating

distinctly the matter to which the party objects and the grounds of the party‟s

objection.” Bayhealth asserts that Plaintiffs‟ pre-trial objections were solely on the

grounds that Bayhealth‟s Proposed Additional Sentence was not included in the

Pattern Jury Instructions, and that Plaintiffs could not locate the language under

Delaware case law. Bayhealth notes that Plaintiffs did not argue that the language

was confusing or misleading during trial. Furthermore, Bayhealth contends that

Plaintiffs failed to renew the objection immediately before the Court dismissed the

jury for deliberations.

12. This Court finds that Plaintiffs preserved their objection to

Bayhealth‟s Proposed Additional Sentence. Plaintiffs originally noted their

objection in the parties‟ Joint Proposed Jury Instructions, as required by the

Court‟s Trial Scheduling Order. Furthermore, Plaintiffs renewed their objection

during the Pre-trial Conference. Accordingly, both the Court and Bayhealth were

on sufficient notice that Plaintiffs challenged the propriety of the Proximate Cause

instruction to ensure that the jury was properly charged on a fundamental issue of

the case.10 The objection was preserved.

13. Upon consideration of the evidence presented at trial and the jury

instructions as a whole, this Court finds that Bayhealth‟s Proposed Additional

10 See Pa. R.R. Co. v. Goldenbaum, 269 A.2d 229, 234 (Del. 1970). 6 Sentence undermined the jury‟s ability to intelligently render a verdict. The parties

presented highly conflicting evidence regarding proximate cause at trial, including

contradicting expert testimony regarding the effect of Mr. Rodriguez‟s preexisting

condition on his post-surgical death. In consideration of the parties‟ competing

theories regarding proximate cause and the importance of the issue to this case, a

clear and accurate submission of the law was essential to ensure the trial‟s integrity

and the jury‟s ability to intelligently identify the relationship between Bayhealth‟s

medical negligence and Mr. Rodriguez‟s death.11 Instead, Bayhealth‟s Proposed

Additional Sentence invited confusion regarding the effect of Bayhealth‟s post-

surgical care. Specifically, the use of the words “event” and “condition” instead of

“injury” or “harm” may have misled the jury. The introduction of these undefined

concepts rendered the Proximate Cause instruction misleading under common

standards of verbal communication.12

14. While the Court recognizes the strong public policy of deference to

jury verdicts, it is essential that the jury be provided an intelligible and accurate

statement of the law on which to consider the evidence.13 Contrary to Defendant‟s

11 See Duphily v. Del. Elec. Coop., Inc., 662 A.2d 821, 834 (Del. 1995); Schmidt v. Hobbs, 1988 WL 116338, at *2 (Del. Oct. 14, 1988). 12 Lowther, 104 A.3d at 847 (internal citations omitted). 13 See Keener v. Isken, 58 A.3d 407, 409 (Del. 2013) (citing Tsipouras v. Tsipouras, 677 A.2d 493, 497 (Del. 1996)) (noting the public policy in favor of trials on the merits); Waterhouse v. Hollingsworth, 2013 WL 5803136, at *3 (Del. 7 representations during the Pre-trial Conference, Bayhealth‟s Proposed Additional

Sentence is not contained in the Pattern Jury Instructions. Moreover, Bayhealth

has not relied upon any decisional law as support for the inclusion of this sentence.

Furthermore, the evidence presented did not ultimately render the language

appropriate. To the contrary, Bayhealth‟s Proposed Additional Sentence impacted

the jury‟s ability to intelligently perform its duty when considered in the context of

the evidence presented at trial. A party is not entitled to a particular jury

instruction, “even if the requested format set forth is the Pattern Jury Instructions

for Civil Practice.”14 However, a jury instruction must not only provide a correct

statement of law, but must also be “not so confusing or inaccurate as to undermine

the jury‟s ability to reach a verdict.”15

15. This Court‟s conclusion is supported by the factual record of this case.

This is not a situation where “[t]he jury never gave any indication that it was

confused.”16 Rather, the jury plainly expressed uncertainty and confusion

regarding the Proximate Cause instruction during its deliberations by submitting a

Super. Oct. 10, 2013) (“Delaware has a strong public policy favoring resolution of cases on their merits.”). 14 Russell v. K-Mart Corp., 761 A.2d 1, 5 (Del. 2000) (citing Culver, 588 A.2d at 1096). 15 Pesta, 2005 WL 3453825, at *2 (quoting Cabrera v. State, 747 A.2d 543, 543 (Del. 2000)). 16 Reinco, Inc. v. Thompson, 906 A.2d 103, 112 (Del. 2006). 8 note to the Court requesting clarification on Bayhealth‟s Proposed Additional

Sentence and the legal definition of proximate cause.17

16. In Reinco, Inc. v. Thompson,18 the Delaware Supreme Court found

that a trial judge abused her discretion by granting a motion for new trial for jury

confusion where “the jury never sent a note to the judge” or “rendered an

inconsistent verdict . . . .”19 The Supreme Court noted that a decision to grant a

new trial constitutes an abuse of discretion if based upon a “speculative conclusion

that the jury was confused.”20 However, the Supreme Court also noted that “cases

where the jury sends a note to the judge expressing confusion or the jury returns an

inexplicably inconsistent verdict might be sufficient to warrant granting a motion

for new trial on the basis of jury confusion.”21 This Court‟s conclusion is not

based upon improper speculation or a “gut feeling,”22 but identifiable evidence that

17 See Atwell v. RHIS, Inc., 974 A.2d 148, 154–55 (Del. 2009) (finding that a jury‟s submission of questions during deliberation evidenced actual confusion); Reinco, Inc., 906 A.2d at 110 n.15. Cf. Nagle v. Riverview Cemetery, 1989 WL 89496, at *4 (Del. Super. June 30, 1989) (quoting Reeves v. Am. Airlines, Inc., 408 A.2d 283, 284 (Del. 1979)) (“The Delaware Supreme Court has noted that a jury may demonstrate „the elimination of prior confusion by the failure to request further instruction . . . .‟”). 18 906 A.2d 103 (Del. 2006). 19 Id. at 112. 20 Id. at 110 n.15. 21 Id. 22 Id. 9 the jury was actually confused by Bayhealth‟s Proposed Additional Sentence and

the Proximate Cause instruction.23

16. Upon consideration of Bayhealth‟s Proposed Additional Sentence in

context of the conflicting causation evidence presented at trial and the jury

instructions as a whole, the Court finds that Bayhealth‟s Proposed Additional

Sentence undermined the jury‟s ability to intelligently fulfill its duty to render a

verdict.24 This conclusion is based upon the Court‟s conscience, reason, and

firsthand evaluation of the proceedings in this case. The jury‟s confusion

regarding Bayhealth‟s Proposed Additional Sentence warrants this Court‟s exercise

of its sound discretion in the interest of preventing a miscarriage of justice.25

23 Cf. Dickens v. Costello, 2004 WL 1731136, at *5 (Del. Super. July 20, 2004) (denying plaintiff‟s motion for a new trial where plaintiff‟s claim was “unsupported conjecture,” and plaintiff “offered no proof that any juror was confused.”); Connelly v. Willey, 1990 WL 58175, at *2 (Del. Super. Mar. 20, 1990) (denying plaintiff‟s motion for a new trial where there was “nothing in the record to indicate confusion by the jury in its final award . . . .”). 24 Culver, 588 A.2d at 1098. 25 See Schmidt, 1988 WL 116338, at *2; Nelson v. Fregoso, 2014 WL 7008885, at *2 (Del. Super. Nov. 18, 2014); Cain v. Sadler, 2014 WL 2119994, at *3 (Del. Super. May 9, 2014). See also Blancha v. Raymark Indus., 972 F.2d 507, 518 (3d Cir. 1992) (Seitz, C.J., dissenting). 10 NOW, THEREFORE, this 30th day of November, 2016, Plaintiffs’

Motion for New Trial is hereby GRANTED.

IT IS SO ORDERED.

Andrea L. Rocanelli _____________________________ The Honorable Andrea L. Rocanelli