Margaret Byrd v. Kenneth Stubbs

CourtCourt of Appeals of Mississippi
DecidedSeptember 22, 2015
Docket2014-CA-00233-COA
StatusPublished

This text of Margaret Byrd v. Kenneth Stubbs (Margaret Byrd v. Kenneth Stubbs) is published on Counsel Stack Legal Research, covering Court of Appeals of Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Margaret Byrd v. Kenneth Stubbs, (Mich. Ct. App. 2015).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI

NO. 2014-CA-00233-COA

MARGARET BYRD APPELLANT

v.

KENNETH STUBBS, M.D. APPELLEE

DATE OF JUDGMENT: 11/22/2013 TRIAL JUDGE: HON. FORREST A. JOHNSON JR. COURT FROM WHICH APPEALED: ADAMS COUNTY CIRCUIT COURT ATTORNEY FOR APPELLANT: F.M. TURNER III ATTORNEYS FOR APPELLEE: STUART BRAGG HARMON ROBERT L. JOHNSON III NATURE OF THE CASE: CIVIL - MEDICAL MALPRACTICE TRIAL COURT DISPOSITION: FINAL JUDGMENT IN FAVOR OF APPELLEE ON MEDICAL MALPRACTICE CLAIM DISPOSITION: AFFIRMED - 09/22/2015 MOTION FOR REHEARING FILED: MANDATE ISSUED:

BEFORE IRVING, P.J., MAXWELL AND WILSON, JJ.

WILSON, J., FOR THE COURT:

¶1. Margaret Byrd appeals a judgment of the Adams County Circuit Court entered on a

defense verdict in a medical malpractice case. Byrd argues that the trial judge committed

reversible error by giving a superseding cause instruction that lacked a foundation in the

evidence and misstated the law. Finding no error, we affirm.

FACTS AND PROCEDURAL HISTORY

¶2. At the time of the events at issue in this lawsuit, Margaret Byrd had been a patient of

Dr. Kenneth Stubbs off and on for about fifteen years. In May 2004, at Dr. Stubbs’s recommendation, Byrd underwent a diagnostic colonoscopy. Dr. Thomas Weed performed

the procedure, diagnosed Byrd with diverticulosis, and reported his findings to Dr. Stubbs.

Diverticulosis is a condition where “pouches” form on the wall of the colon. It is common

among people over fifty and often produces no symptoms. Byrd’s next scheduled

appointment with Dr. Stubbs was in about six months, and Dr. Stubbs saw nothing in Dr.

Weed’s findings to suggest that she needed to return sooner.

¶3. Byrd claims that in early June she began experiencing nausea, diarrhea, and vomiting.

She says that her symptoms worsened over the next several weeks, and that she finally went

to Natchez Regional Medical Center’s emergency room for treatment on July 19. Dr.

Ibrahim Seki, the on-duty physician, noted that Byrd was exhibiting an elevated temperature,

rapid pulse, abdominal tenderness, abnormal bowel sounds, high white blood cell count, and

dehydration. Dr. Seki diagnosed Byrd with acute gastroenteritis—an inflammation of the

intestinal tract that can be either viral or bacterial—and he prescribed medication, including

an antibiotic, for her diarrhea, abdominal pain, dehydration, and vomiting. Dr. Seki also

admitted Byrd to the hospital for treatment under Dr. Stubbs’s care.

¶4. In contrast to Byrd’s testimony that her condition had been poor and worsening for

weeks, Dr. Stubbs testified that when he arrived at the hospital that night, Byrd told him that

she had been experiencing symptoms for only two or three days, which she blamed on some

oysters she had eaten. She reported being achy but had no severe pain. Dr. Stubbs’s

testimony was consistent with his own contemporaneous notes, as well as the notes of Dr.

Seki and other emergency room personnel. Dr. Stubbs examined Byrd, continued the course

2 of treatment Dr. Seki had prescribed, ordered additional tests, and continued to monitor her

vital signs, hydration, and overall condition.

¶5. Dr. Stubbs’s progress notes indicate that Byrd’s symptoms abated over the next two

days. Her fever, vomiting, and diarrhea ceased. Her creatine and potassium levels

normalized, and her white blood cell count also decreased significantly. She was also able

to get up and walk around. Though she remained relatively weak, Dr. Stubbs’s discharge

summary noted that Byrd was feeling much better, was in no pain, and was ready to return

home. Accordingly, after a final in-person examination, Dr. Stubbs discharged Byrd from

the hospital with instructions to continue antibiotics and fluids and—both to her personally

and in her discharge orders—to notify him if she experienced any setbacks. Byrd returned

home on July 21.1

¶6. Byrd’s symptoms returned, and on July 23 she went back to the emergency room

complaining of pain, nausea, and vomiting. Dr. Seki again treated and examined her, and he

again prescribed medication for pain and nausea. Dr. Seki discharged Byrd that same day,

without any additional testing—and, critically, without notifying Dr. Stubbs that Byrd had

returned to the hospital. There was no dispute at trial that Dr. Seki’s failure to notify Dr.

Stubbs of Byrd’s return and condition was negligent.

¶7. The next day, July 24, Byrd went to the emergency room yet again with the same

complaints of nausea, vomiting, and pain. The on-duty physician, Dr. Martin, noted an

1 Byrd disputed some of the preceding facts. However, the issue on appeal is simply whether there was “credible evidence to support the [superseding cause] instruction,” Young v. Guild, 7 So. 3d 251, 259 (¶23) (Miss. 2009), not the relative weight of that evidence or conflicts in the evidence, which were issues for the jury.

3 elevated pulse, low blood pressure, tender and distended bowels, a high white blood cell

count, and significant dehydration. An x-ray showed an ileus, i.e., an obstruction of the

bowel. Dr. Martin diagnosed Byrd with acute abdominal pain, an ileus, and sepsis, a

potentially life-threatening infection. He notified Dr. Stubbs and ordered an abdominal CT

scan, which revealed fluid in Byrd’s abdomen and generalized peritonitis.

¶8. Once Dr. Stubbs was informed of Byrd’s return to the emergency room, he consulted

Dr. Weed, who performed emergency exploratory surgery on Byrd’s abdomen that evening.

Dr. Weed discovered large amounts of fluids and abscesses and inflammation of the colon.

One abscess appeared to have ruptured, which allowed pus and fecal matter to enter her

abdominal cavity and caused an infection and peritonitis. Dr. Weed performed a successful

high-diverting colostomy to treat these issues. Byrd was hospitalized for thirteen days

following her surgery. In November 2004, Byrd’s colostomy was reversed. Byrd complains

that even after her colostomy was reversed, she has continued to experience pain, diarrhea,

and other abdominal problems, although these issues are due primarily, if not entirely, to liver

problems unrelated to the events at issue in this case.

¶9. In 2006, Byrd filed suit in the Adams County Circuit Court against Dr. Stubbs, Dr.

Seki, and Natchez Regional Medical Center. In 2007, Dr. Seki and the hospital settled the

claims against them, and the case eventually was tried on November 5-7, 2013, with Dr.

Stubbs as the only remaining defendant. At trial, in addition to the evidence discussed above,

Dr. Stubbs testified that if Dr. Seki had called him on July 23—as he had instructed—he

could have ordered tests and taken steps that would have prevented the severe condition Byrd

4 presented with the next day. In addition, Byrd’s expert, Dr. Arthur Heller, testified that Dr.

Seki’s failure to call Dr. Stubbs was negligence, and Dr. Heller admitted that if Dr. Seki had

called Dr. Stubbs on July 23, Byrd’s condition might have been treatable without resort to

a colostomy. Finally, Dr. Stubbs’s expert, Dr. Vonda Reeves-Darby, testified that Dr. Stubbs

provided appropriate and competent care but that there was nothing he could do after Dr.

Seki failed to notify him that Byrd’s symptoms had recurred. As Dr. Reeves-Darby put it,

it was too late, as Dr. Stubbs “couldn’t fix what he had no knowledge of.”

¶10.

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Margaret Byrd v. Kenneth Stubbs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/margaret-byrd-v-kenneth-stubbs-missctapp-2015.