Medina v. Pillemer

29 Mass. L. Rptr. 326
CourtMassachusetts Superior Court
DecidedJuly 29, 2011
DocketNo. 200400290H
StatusPublished

This text of 29 Mass. L. Rptr. 326 (Medina v. Pillemer) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medina v. Pillemer, 29 Mass. L. Rptr. 326 (Mass. Ct. App. 2011).

Opinion

Hogan, Maureen B., J.

After sustaining injuries as a result of being struck by a vehicle that Robert D. Riskind, M.D. (“Riskind”) was driving in December 2001, the plaintiff, Richard Medina (“Medina”) commenced this negligence action against Riskind’s estate. In December 2005, after obtaining leave from the court, Medina filed an Amended Complaint, adding a claim of negligence against Riskind’s neurologist, Fred H. Hochberg, M.D. (“Dr. Hochberg”). This case is before the court on defendant Dr. Hochberg’s motion for summary judgment. For the following reasons, Dr. Hochberg’s motion is ALLOWED.

BACKGROUND

The undisputed facts, as set forth in the summary judgment record and as viewed in the light most favorable to the non-moving parly are as follows. Humphrey v. Byron, 447 Mass. 322, 325 (2006).

On December 10, 2001, while driving on his way home from work, Riskind struck Medina who had just gotten out of his own car (“accident”). As a result of the accident, Medina sustained serious injuries, including a broken right arm that required multiple [327]*327surgeries. He remained out of work until October 2002. The accident occurred because Riskind suffered a seizure, which was brought on by an inoperable brain tumor. Riskind was diagnosed with an inoperable brain tumor in September 2000, after he suffered a grand mal seizure while rowing on the Charles River on September 10, 2000. Beginning in November 2000 and continuing through the date of the accident and thereafter, Dr. Hochberg, a physician practicing at Massachusetts General Hospital, was Riskind’s treating neurologist.

Riskind was a practicing psychiatrist, who was board certified by the American Board of Psychiatry and Neurology. He was a 1968 graduate of Amherst College, cum laude, and a 1975 graduate of Northwestern Medical School. Since 1980, Riskind had maintained his own private practice in child, adolescent, and adult psychiatry. In 2000 and 2001, he also worked as the Assistant Medical Director for Inpatient Mental Health Services for the Tufts Associated Health Plan in Waltham, a job in which he reviewed medical cases to assess inpatient/outpatient treatment issues.

While under the care of Dr. Hochberg, Riskind saw Dr. Hochberg at least once a month between November 2000 and April 2002.3 More often than not, Riskind’s wife, Francine Pillemer, was present during these visits. Riskind reported to Dr. Hochberg his day-to-day condition, his sensory seizure activiiy and control, his functionality, his reaction to various treatment options, and his preferences for and against various options. Riskind was aware of what a seizure was and discussed seizures with Dr. Hochberg on most every visit. During these visits (sometimes lasting up to 45 minutes to an hour), Riskind and his wife had extensive discussions with Dr. Hochberg regarding Riskind’s condition, his sensory seizure activity and control, his treatment options, and his progress. Not only did Dr. Hochberg meet with Riskind and discuss his medical condition at length with him, he also sent directly to Riskind detailed summaries of many of these office visits.

Dr. Hochberg’s treatment plan for Riskind included a change in the seizure medication he had been initially prescribed. Dr. Hochberg prescribed Depakote to control Riskind’s seizures. Riskind was also prescribed Ativan with instructions to take it if he felt a seizure coming on in order to halt the seizure. Pursuant to Dr. Hochberg’s instruction, Riskind did not drive for six months after the September 2000 seizure.4 In his January 17, 2001, letter to Riskind and his wife in which he summarized that day’s appointment, Dr. Hochberg wrote, “You are able to drive and perform your usual activity including rowing.” Dr. Hochberg began driving again in March 2001 after the 6-month period required by law ended. At his deposition, Dr. Hochberg could not recall having further discussions with Riskind about his driving, and he testified that, up until December 10, 2001, he felt it was appropriate for Riskind to operate a motor vehicle. After Riskind began driving again in March 2001, Dr. Hochberg did not warn him not to drive or warn him of any dangerous risk of driving due to his health condition. According to Francine Pillemer, if Dr. Hochberg had instructed Riskind not to drive, he would not have driven.

Riskind had multiple “sensory seizures” after his diagnosis, during which he would feel a localized numbness or tingling, but they were not incapacitating and were not visible to an observer.5 The areas where he experienced these sensory seizures included his right leg and right hand. Other than the seizure on September 10, 2000, Riskind did not have any grand mal seizures between September 2000 and December 2001.

Riskind developed a second tumor in summer 2001, which increased his sensory seizures to “2-3 times a day, and [caused] infacility as well as speech difficulty.” By his October 17, 2001, visit with Dr. Hochberg, Riskind’s “seizures [were] under much better control and . . . [he] [was] having less than 1 episode a day and then only involving [his] right hand . . . [and] [his] speech [was] also better. [He] [was] now able to converse with individuals, drive a car, speak to patients over the telephone but [had] not returned to active work.” As of his November 14, 2001, appointment with Dr. Hochberg, according to Dr. Hochberg’s letter to Riskind summarizing the visit, Riskind’s

seizure activity [was] under good control without any evidence of generalization. Right hand episodes [did] not generalize and last[ed] less than a minute usually and [did] not seem to affect the quality of [his] function . . . The hand cramping and speech difficulty . . . improved so much that although [he] [had] single word errors from time to time [he] actually [was] able to provide a coherent history, recall [his] medications and attend meetings . . . [He] still remain[ed] disabled for usual and customary activities6 however.

(Footnote added.)

By the time of his November 26, 2001, visit with Dr. Hochberg, Riskind was experiencing “slight shoulder stiffness, arm stiffness and shortness of breath but no other intercurrent problems; no seizures, no headaches, no nausea, no vomiting, and no fevers. He . . . still continued to work part time at Tufts mainly doing case analyses but his speech has become encumbered.” On December 3, 2001, at his last visit with Riskind before the accident, Dr. Hochberg spent 45 minutes with Riskind discussing his treatment options. In Dr. Hochberg’s December 3, 2001, notes in which he mentioned Riskind’s hospitalization for shortness of breath, he wrote that “[f]rom a neurological standpoint, [Riskind] [had] been seizure free” while on his current regime of medications. In his deposition, Dr. Hochberg clarified that by “seizure [328]*328free” he was referring to sensory seizures as well as grand mal seizures.

According to Dr. Hochberg’s notes, dated December 17, 2001, Riskind informed him that he could not recall the Accident.

He “lost control and could not get the limbs to do what was needed .. . and didn’t know someone was hit. Heard a noise but did not realize there was an accident. Thereafter there was no speech for minutes.” . . . After the accident he was frightened and recalls people yelling and thought he was confused. No one saw an immediate seizure but he had trouble leaving his own car, was not responding to the police and was dazed.

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29 Mass. L. Rptr. 326, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medina-v-pillemer-masssuperct-2011.