Michelle Colleen by Her Guardian Ad Litem Ronald Dearing, Ronald Dearing and Marcia Dearing v. United States

843 F.2d 329
CourtCourt of Appeals for the Ninth Circuit
DecidedApril 1, 1988
Docket86-4232
StatusPublished
Cited by22 cases

This text of 843 F.2d 329 (Michelle Colleen by Her Guardian Ad Litem Ronald Dearing, Ronald Dearing and Marcia Dearing v. United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Michelle Colleen by Her Guardian Ad Litem Ronald Dearing, Ronald Dearing and Marcia Dearing v. United States, 843 F.2d 329 (9th Cir. 1988).

Opinion

CANBY, Circuit Judge:

Michelle Dearing and her parents sued the United States under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2674, for negligent medical treatment at the time of Michelle’s birth. The government contends that the Dearings’ claim is barred by the statute of limitations and that the award of damages is excessive. We affirm in part, vacate in part, and remand for further proceedings.

I FACTS AND PROCEEDINGS BELOW

On November 4, 1978, Michelle Dearing was born at Fairchild Air Force Base Hospital. It is undisputed that the hospital’s negligence in failing to provide an anesthesiologist promptly and in performing the delivery, deprived Michelle of oxygen during birth and caused permanent brain damage. At trial the magistrate found, and the government does not dispute, that the delivering physician and the anesthesiologist told Mr. Dearing that they had delivered Michelle in time and that she was going to be fine.

Two hours after birth, Michelle began to have seizures and was transferred to Sacred Heart Medical Center. At Sacred Heart, the Dearings were told that the seizures were the result of Michelle’s “rough birth.” The Dearings were also told that Michelle’s breathing had slowed, but that this was not a cause for alarm, and that Michelle might later be slow in reading or there might be absolutely nothing wrong. Michelle was released from Sacred Heart after sixteen days, with phenobarbital prescribed as a precaution against seizures. Michelle was seen periodically by a pediatrician thereafter. At no time were the Dearings told that Michelle had suffered brain damage or that she had been deprived of oxygen during birth. Michelle's medical records were not shown to the Dearings.

In September 1979, Michelle’s pediatrician suggested that the Dearings have Michelle tested at a school for crippled children. In late September 1979, the Dearings were told that Michelle was developmentally disabled or handicapped. On July 9, 1981, the Dearings filed an administrative claim for medical malpractice. The Air Force rejected the claim on March 2, 1982, and the Dearings then filed suit.

The case was tried to a United States magistrate, who ruled that: (1) plaintiffs had filed an administrative claim within the two year statute of limitations governing FTCA actions; (2) plaintiffs’ injuries were proximately caused by the defendant's negligent delay in summoning an anesthesiologist and in performing the caesarean delivery; and (3) plaintiffs suffered damages in the amount of approximately $4.5 million as a result of the government’s negligence.

The government contends that: (1) the magistrate erred in ruling that plaintiffs filed their claim within the statutory period because reasonable inquiry would have revealed Michelle's injury and its cause more than two years before plaintiffs filed the claim; (2) the magistrate abused his discretion by using a zero percent discount rate to calculate the present value of plaintiffs’ damages; and (3) the magistrate's award of $300,000 in nonpecuniary damages to Michelle’s parents is excessive.

II DISCUSSION

A. The statute of limitations

28 U.S.C. § 2401(b) provides that “[a] tort claim against the United States shall be forever barred unless it is present *331 ed in writing to the appropriate Federal agency within two years after such claim accrues.” A medical malpractice claim does not accrue under the FTCA until the plaintiff discovers, or reasonably should have discovered, his injury and its causes. See In re Swine Flu Prods. Liab. Litig., 764 F.2d 637, 639 (9th Cir.1985). The date the Dearings first discovered the existence and cause of Michelle’s injuries is a question of fact reviewed under the clearly erroneous standard. See United States v. McConney, 728 F.2d 1195, 1200 (9th Cir.) (en banc), cert. denied, 469 U.S. 824, 105 S.Ct. 101, 83 L.Ed.2d 46 (1984). The date the Dearings reasonably should have discovered the existence and cause of Michelle’s injuries is a mixed question of fact and law. Because, like negligence, this question requires a court “to determine, by reference to the ‘data of practical human experience,’ [citation omitted] whether an individual acted ‘reasonably’ by community standards,” McConney, 728 F.2d at 1204, we review the magistrate’s findings under the clearly erroneous standard.

The magistrate found that the Dearings actually discovered and reasonably should have discovered Michelle’s injury and its cause “no earlier than September 1979, a time well within the two year period before the administrative claim was filed on July 9,1981.” The government does not dispute the magistrate’s finding that the Dearings did not learn of Michelle’s brain injury until September 1979. The government argues instead that the Dearings reasonably should have discovered Michelle’s injury and its cause at some earlier date, and that plaintiffs’ claim is therefore barred by the statute of limitations.

We disagree. Prior to September 1979, the Dearings had only three signs that Michelle might be injured and that the government was responsible: the difficulty of the birth itself, the seizures shortly after birth, and Michelle’s crossed eyes. In light of the government doctors’ assurances after Michelle’s birth and after her treatment for seizures, we cannot say that the Dear-ings clearly should have known before Michelle was tested in September 1979 that Michelle was injured and that the government was responsible. We therefore affirm the magistrate’s ruling that plaintiffs’ claim is timely under the FTCA.

B. The magistrate’s choice of a discount rate

“[A]wards based on income streams spread over time are usually discounted to present value to account for the fact that a plaintiff, by receiving the money in a lump sum, ‘up front,’ will invest the sum and earn additional income from the investment.” Trevino v. United States, 804 F.2d 1512, 1517 (9th Cir.1986), cert. denied, — U.S. —, 108 S.Ct. 70, 98 L.Ed.2d 34 (1987). The present value of a lump sum award may be determined (1) by calculating the difference between the market rate of interest and the anticipated rate of inflation and then discounting by this real interest rate; (2) by including the effects of inflation and discounting by the market interest rate; and (3) by employing a zero discount rate (the total offset approach). Trevino, 804 F.2d at 1519; see also Jones & Laughlin Steel Corp. v. Pfeifer, 462 U.S. 523, 541-46, 103 S.Ct. 2541, 2552-55, 76 L.Ed.2d 768 (1983).

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