Marsingill v. O'MALLEY

128 P.3d 151, 2006 Alas. LEXIS 11, 2006 WL 204982
CourtAlaska Supreme Court
DecidedJanuary 27, 2006
DocketS-11578
StatusPublished
Cited by19 cases

This text of 128 P.3d 151 (Marsingill v. O'MALLEY) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marsingill v. O'MALLEY, 128 P.3d 151, 2006 Alas. LEXIS 11, 2006 WL 204982 (Ala. 2006).

Opinion

OPINION

BRYNER, Chief Justice.

I. INTRODUCTION

Vicki Marsingill sued Dr. James O'Malley when, after failing to follow his recommendation to report to the emergency room, she suffered severe permanent injuries. At trial, she argued that had Dr. O'Malley adequately informed her of the risks of her condition, she would have heeded his advice and thereby avoided injury. A jury found in favor of Dr. O'Malley. Marsingill appeals, arguing that the jury instructions were flawed, that the court allowed inadmissible expert testimony, and that the award of attorney's fees was too high. We conclude that the jury instructions adequately stated the law. We also conclude that expert testimony concerning what a reasonable patient wants to know and what doctors think patients want to know is admissible in an informed consent case. But because the uncontroverted evidence indicates that the trial court awarded attorney's fees for non-compensable work, including political lobbying and appellate work, we vacate the fee award and remand the case so that the court can reevaluate the billing statements submitted by Dr. O'Mal-ley's attorneys.

II. FACTS AND PROCEEDINGS

The facts leading up to the present lawsuit were summarized in an earlier appeal as follows:

In October 1994 Dr. O'Malley performed surgery to remove staples that another surgeon had previously placed in Vicki Marsingill's stomach to facilitate weight loss. By January 1995 Marsingill had recovered from the surgery and was cleared to return to work.
While dining out with a friend on the evening of February 14, 1995, Marsingill "suffered a sudden onset of illness, was in pain, felt nauseous, and was unable to eat, so [went] home." Her pain worsened over the next few hours, and she eventually asked her daughter to call Dr. O'Malley. Her daughter told Dr. O'Malley that Mar-singill looked bad, that she was nauseous and in pain, that she was unable to burp or have a bowel movement, and that her stomach was "as hard as a rock." Dr. O'Malley then spoke directly with Marsin-gill, who sounded anxious and upset. She informed him that she was having abdominal pain, felt bloated, and could not burp. Dr. O'Malley advised Marsingill that he could not evaluate her over the phone but that "if she felt bad enough to call him at night" she should go the emergency room. He repeated this advice several times but did not venture any opinion about the cause of Marsingill's symptoms or tell her that her condition was potentially life-threatening or serious. He left it up to her whether to seek emergency room treatment.
When Marsingill asked what would happen at the emergency room, Dr. O'Malley informed her that the doctors there would probably take x-rays and insert a nasogas-tric tube to relieve the pressure in her stomach. Dr. O'Malley knew that Marsin- *154 gill had previously had nasogastric tubes inserted and, like most patients, strongly disliked them. Soon after hearing that she would likely need to have a nasogastric tube inserted if she went to the emergency room, Marsingill ended the call, telling Dr. O'Malley that she thought that she could burp and was feeling better.
After hanging up, Marsingill told her daughter that she was feeling better and would try to "tough it out for awhile." But later that night Marsingill's husband found her unconscious on the bathroom floor. Paramedics rushed her to the hospital, where an emergency operation later revealed that she had experienced an intestinal blockage. But by then the obstruction had caused Marsingill to go into shock; as a result, she suffered brain damage and partial paralysis. [1]
1. - Inserting a nasogastric tube involves placing a tube through the patient's nose, down the back of the throat into the esophagus, and into the stomach.

Marsingill filed suit against Dr. O'Malley alleging, in part, that Dr. O'Malley's treatment of her condition was negligent. She claimed that Dr. O'Malley "lacked skill and knowledge in general surgery and, as a result, committed malpractice by giving Mar-singill incompetent advice when she called about her symptoms." 2 Marsingill tried unsuccessfully to introduce evidence regarding the educational credentials of Dr. O'Malley 3 Marsingill and Dr. O'Malley also each presented experts on the subject of the level of care given. Marsingill's experts uniformly agreed that Dr. O'Malley's actions fell below the accepted standard of care because he failed to communicate the seriousness of Marsingill's condition and needlessly told Marsingill that she would likely be treated with the painful use of nasogastric tubes 4 Dr. O'Malley's experts uniformly stated that Dr. O'Malley had provided "very good care" and had done his duty by not speculating on possible causes of symptoms, but rather advising Marsingill to go to the emergency room. 5

Marsingill also argued that by failing to inform her that her condition could be quite serious, Dr. O'Malley breached his duty to "give Marsingill enough information to enable her to make an informed choice about going to the emergency room for treatment." 6 The experts from each side weighed in on this issue. Marsingill's experts stated that Dr. O'Malley had failed in his duty to give enough information for Mar-singill to make an intelligent choice about whether to seek emergency room treatment. 7 Dr. O'Malley's experts stated that simply advising Marsingill to go to the emergency room was the appropriate action to take, and that this advice fulfilled Dr. O'Malley's duty to provide information. 8

Marsingill proposed jury instructions covering these alternative theories of liability-malpractice and a lack of informed consent. 9 Her proposed instructions on the informed consent claim were rejected. As we noted in Marsingill I:

Marsingill's proposed instruction would have required the jury to decide the sufficiency of Dr. O'Malley's communications from the standpoint of a reasonable patient in Marsingill's position. But the trial court rejected the proposed "reasonable patient" instruction, instead directing the jury to measure Dr. O'Malley's compliance by relying exclusively on the expert testimony addressing his compliance with a general surgeon's professional standard of care." [10]

At the end of the first trial, the jury returned a verdict for Dr. O'Malley on all counts. Marsingill appealed. We vacated the judg *155 ment and remanded on the informed consent claim. 11

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Bluebook (online)
128 P.3d 151, 2006 Alas. LEXIS 11, 2006 WL 204982, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marsingill-v-omalley-alaska-2006.