McConnell v. Dunfee

18 Pa. D. & C.5th 91
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedNovember 5, 2010
Docketno. 01123
StatusPublished

This text of 18 Pa. D. & C.5th 91 (McConnell v. Dunfee) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McConnell v. Dunfee, 18 Pa. D. & C.5th 91 (Pa. Super. Ct. 2010).

Opinion

JELIN, J.,

This was a medical malpractice action brought by the Estate of James C. McConnell, who had congenital heart problems and died on February 12, 2005. The approximately four-week trial commenced before the Honorable Sheldon C. Jelin on October 2, 2009.

On October 30, 2009, the jury returned a $660,000.00 verdict in favor of plaintiffs and against defendants Dr. Dunfee (20%) and Hahnemann Univ. Hosp. (30%), with 50% comparative negligence found against decedent. With respect to the eight remaining defendants, the jury returned a defense verdict. Plaintiffs filed a motion for post-trial relief, which was denied on March 8, 2010.

Plaintiffs now appeal the trial court’s order of March 8, 2010, denying plaintiffs’ motion for post-trial relief.

[93]*93FACTS

Plaintiffs’ decedent had congenital heart problems and died at age 29. Decedent had a history of heart problems. He had had three heart surgeries by the time he was 12 years of age. He had been instructed and knew he should have constant follow-up care for his heart condition.

Yet, by his own admission, he did not have any followup care since he was 16 years old. Decedent was a smoker and suffered from asthma.

In October, 2004, decedent was playing football without any contact equipment. During this football game, decedent injured his right shoulder.

Several days after his injury he went to the emergency room at Frankford Hospital and complained of the injury to his shoulder. X-rays were taken and studies were made of his shoulder.

Decedent then saw Dr. Dunfee. From decedent’s first visit with Dr. Dunfee, he told Dr. Dunfee he had not seen a heart physician since he was a teenager, although he knew he was supposed to see one and did not.

Dr. Dunfee continuously told decedent to see a heart doctor or cardiothoracic surgeon and follow up on a yearly basis.

Thereafter, decedent had several more visits to various hospitals and doctors complaining only of pain in the area of his injury.

In February, 2005, decedent had heart surgery by Dr. Entwistle at Hahnemann Hospital. The doctor thought the [94]*94surgery went well and cleared the decedent for discharge.

Unfortunately, at home, a few days after his discharge from the hospital, he died.

Decedent’s estate then brought this lawsuit against the hospitals and doctors who treated decedent from the onset of the football injury until his death.

PLAINTIFFS’ MATTERS COMPLAINED OF ON APPEAL

Plaintiffs complain of several matters on appeal. The court will address them as follows:

1. “The trial court erred when it permitted the defendants/appellees to introduce decedent’s Death Certificate into evidence to establish cause of death. ”

Plaintiffs contend that the court erred when it denied plaintiffs’ motion in limine to preclude the introduction of decedent’s death certificate. Plaintiffs assert that the doctor who signed the death certificate had no basis for his conclusions regarding the cause of decedent’s death since there had been no autopsy and the certifying doctor had not reviewed decedent’s medical records. Plaintiffs argue further that the death certificate was inadmissible hearsay as it was signed by an unidentifiable non-treating physician, who was unfamiliar with the medical records and could only speculate as to cause of death. The court found this argument to be completely wrong. The death certificate was signed by decedent’s last treating cardiothoracic surgeon, Dr. Entwistle. Though plaintiffs made much of the fact that the signature on the death [95]*95certificate was illegible, Dr. Entwistle’s identity was confirmed by his medical license number. As decedent’s last treating physician, Dr. Entwistle was familiar with the medical records and had the requisite personal knowledge to determine the cause of death. Moreover, Dr. Entwistle was a named defendant, who was deposed and subject to cross-examination.

Questions concerning the admission and exclusion of evidence are within the sound discretion of the trial court and will not be reversed on appeal absent an abuse of discretion. Leonard v. Nichols Homeshield Inc., 557 A.2d 743, 745 (Pa. Super. 1989).

Under the Vital Statistics Law, a duly certified record filed with the Department of Health is prima facie evidence of its contents. 35 P.S. §450.810. A properly authenticated death certificate is generally admissible as proof, though not conclusive, of both the facts and cause of death. Kubacki v. Metropolitan Life Ins. Co., 164 A.2d 48, 53 (Pa. Super. 1960). Thus, while the cause of death may be shown by a death certificate, it is open to explanation and contradiction. Id.

The death certificate listed the cause of death as cardiac arrhythmia. Dr. Entwistle, who signed the death certificate, was not only decedent’s treating cardiothoracic surgeon, but the physician last in attendance on the deceased, and as such, he was well aware of decedent’s medical history and heart condition. Plaintiffs’ own expert, Dr. Grossi, opined that he agreed with Dr. Entwistle on the cause of death. N.T. 10/07/09, p. 173 lines 10-21.

[96]*962. “The trial court erred when it refused to allow cross-examination concerning topics contained in medical texts and journals that had been properly authenticated and established as authoritative in the appropriate fields of medicine. ”

Under Pa.R.C.P. 227.1(b) defendants waived this issue. Pa.R.C.P. 227.1(b) provides:

...[P]ost-trial relief may not be granted unless the grounds therefor, (1) if then available, were raised in pre-trial proceedings or by motion, objection, point for charge, request for findings of fact or conclusions of law, offer of proof or other appropriate method at trial; and (2) are specified in the motion. The motion shall state how the grounds were asserted in pre-trial proceedings or at trial. Grounds not specified are deemed waived unless leave is granted upon cause shown to specify additional grounds Pa.R.C.P. 227.1(b) (2010).

In the post-trial motion, plaintiffs made vague, unspecific claims that the court improperly precluded plaintiffs’ from cross-examining defendants and their experts throughout the trial. Defendants failed to satisfy the requirements of Pa.R.C.P. 227.1(b) because the motion for post-trial relief did not specifically state the ways in which the grounds had been asserted at trial. Thus, the issue has been waived.

“The admission or exclusion of evidence, including the admission of testimony from an expert witness, is within the sound discretion of the trial court.” McClain v. Welker, 761 A.2d 155, 156 (Pa. Super. 2000). Atrial court [97]*97will only be reversed “upon a showing that the trial court clearly abused its discretion or committed an error of law. To constitute reversible error, an evidentiary ruling must not only be erroneous, but also harmful or prejudicial to the complaining party.” Id.

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Bluebook (online)
18 Pa. D. & C.5th 91, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcconnell-v-dunfee-pactcomplphilad-2010.