Mielke v. United States

668 F. Supp. 1218, 1987 U.S. Dist. LEXIS 7866
CourtDistrict Court, E.D. Wisconsin
DecidedAugust 21, 1987
DocketNo. 86-C-452
StatusPublished

This text of 668 F. Supp. 1218 (Mielke v. United States) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mielke v. United States, 668 F. Supp. 1218, 1987 U.S. Dist. LEXIS 7866 (E.D. Wis. 1987).

Opinion

DECISION and ORDER

MYRON L. GORDON, Senior District Judge.

Carolyn Mielke commenced this suit for monetary relief under the Federal Tort Claims Act, 28 U.S.C. §§ 1346(b), 2671-2680. She alleges that she suffered dental complications due to the negligence of a general dentist employed by the United States public health service. A trial to the court was held on June 25-26, 1987. Post-trial briefs were submitted, and the matter is now ready for resolution.

Based on the record and on all testimony elicited at trial, I find that Dr. Michael Lewitzke, an employee of the defendant, negligently performed an extraction of the plaintiff’s second lower molar. I also conclude that such negligence resulted in extensive bone loss and that the defendant is obligated to compensate the plaintiff for resulting pain and disability in the amount of $4,000.

BACKGROUND

Beginning in July 1980, Carolyn Mielke was treated by Dr. Lewitzke at the Milwaukee Indian Health Center, a clinic operated by the defendant. Dr. Lewitzke noted in 1980 that Ms. Mielke’s general dental health included an abnormal tempromandibular joint (TMJ) and that she was a nervous patient. Also at that time, Ms. Mielke complained of pain in her second lower molar (tooth number 18). The latter complaint led to two years of fairly regular treatment and ultimate referral, in early July 1983, to an endodontist for root canal treatment. On July 8, 1983, some preliminary root canal work was performed on Ms. Mielke’s aching tooth number 18, but Ms. Mielke did not complete the process. She opted instead to have the tooth extracted and contacted Dr. Lewitzke to make the necessary appointment.

On July 13, 1983, the plaintiff was accompanied to the health clinic by her sister, Alisa Thomas. There Dr. Lewitzke performed the extraction that ultimately gave rise to this suit. The procedure itself involved two stages. First, the dentist anesthetized his patient and commenced the extraction process. The mesial root of Carolyn Mielke’s tooth number 18 broke off during this first extraction stage. In order to locate the fugitive root, Dr. Lewitzke obtained an x-ray of Ms. Mielke’s lower left mandible. Upon reviewing the x-ray, Dr. Lewitzke recommenced the extraction procedure and made further, ultimately unsuccessful, attempts to remove the remaining root.

[1220]*1220Ms. Mielke left the health clinic with a prescription for pain medication. She called the clinic later the same afternoon complaining of continued severe pain. Dr. Lewitzke increased her pain medication. Dr. Lewitzke also contacted Ms. Mielke by phone on the next day, and his patient reported that her condition was improved. One day later, however, Ms. Mielke telephoned the clinic complaining of severe pain again. Additional pain medications were prescribed. During the following two weeks, Ms. Mielke made two follow-up visits to the clinic and appeared to be healing normally.

However, Ms. Mielke failed to keep her third follow-up appointment scheduled for August 2, 1987, and she did not respond to the health clinic’s reminder post card. Suffering from trismus, a spasm of the muscle of the jaw, and infection, Ms. Mielke sought treatment from another dentist, Dr. Mark Urban, who then practiced in the office of Fred Ballerini, D.D.S.

The plaintiff was first seen by Dr. Urban on August 10, 1983. Dr. Urban prescribed antibiotics for Ms. Mielke to rid her mouth of infection. On August 13, 1983, Ms. Mielke contacted Dr. Urban’s office complaining of pain and was prescribed pain medication again. On August 15, 1983, the plaintiff made another office visit to Dr. Urban. This time he easily extracted the remaining mesial root and noted the probable existence of exfoliating bone chips in Ms. Mielke’s gum. After observing Ms. Mielke’s condition over the next week, Dr. Urban consulted with an oral surgeon, Dr. Scott Levin, about pain of which Ms. Mielke complained around the extraction site and radiating up towards her left ear.

Ms. Mielke first saw Dr. Levin on August 25, 1983. He removed an exfoliating bone chip on the lingual (tongue-side) surface of the extraction site; this procedure relieved some of Ms. Mielke’s pain. When she returned to Dr. Levin approximately one week later, Ms. Mielke reported that her condition was improved, but that she still experienced pain around her left temple. Through the use of an arthrogram, Ms. Mielke was diagnosed as having TMJ derangement and meniscus perforation. Dr. Levin consequently surgically replaced her TMJ meniscus with a synthetic material in December 1983.

ANALYSIS

Law Applicable

In malpractice actions commenced pursuant to the Federal Tort Claims Act, the controlling substantive law is the law of the state where the alleged negligence occurred. Weise v. United States, 724 F.2d 587, 589 (7th Cir.1984). It follows that the court must apply Wisconsin dental negligence law.

To establish dental negligence under Wisconsin law, a plaintiff has the burden to prove that a defendant has failed to use that degree of care, skill and judgment which is usually exercised in the same or similar circumstances by the average dentist. See Albert v. Waelti, 133 Wis.2d 142, 394 N.W.2d 752 (Ct.App.1986). Cf. Shier v. Freedman, 58 Wis.2d 269, 206 N.W.2d 166 (1973); Trogun v. Fruchtman, 58 Wis.2d 569, 207 N.W.2d 297 (1973) (same standard applied to physicians in medical malpractice cases). A bad result alone does not give rise to the presumption of negligence. Hoven v. Kelble, 79 Wis.2d 444, 256 N.W.2d 379 (1977). To prevail the plaintiff must satisfy the factfinder, by the greater weight of the credible evidence, that the defendant failed to conform to the relevant standard of care and that such failure caused injury to the plaintiff. Francois v. Mokrohisky, 67 Wis.2d 196, 202, 226 N.W.2d 470 (1975). The requisite degree of care and skill is a matter to be established through the testimony of expert witnesses. Kuehnemann v. Boyd, 193 Wis. 588, 214 N.W. 326 (1927); Froh v. Milwaukee Medical Clinic, S.C., 85 Wis.2d 308, 270 N.W.2d 83 (Ct.App.1978). The plaintiff will be barred from recovery if her own negligence is determined to be greater than that attributed to the defendant. Wis.Stat. § 895.045.

Liability

During the trial, plaintiff's counsel highlighted three areas which he contended [1221]*1221establish a failure to conform to the standard of care by Dr. Lewitzke and, therefore, liability for the consequent damages: First, the plaintiff contends that the nature of the extraction itself and its immediate results establish Dr. Lewitzke’s negligence. Second, Ms. Mielke’s subsequent TMJ problems indicate negligence by Dr. Lewitzke. Finally, Ms. Mielke asserts that her extensive lingual plate bone loss demonstrates Dr. Lewitzke’s negligence.

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Related

Reinhold Weise v. United States
724 F.2d 587 (Seventh Circuit, 1984)
Trogun v. Fruchtman
207 N.W.2d 297 (Wisconsin Supreme Court, 1973)
Hoven v. Kelble
256 N.W.2d 379 (Wisconsin Supreme Court, 1977)
Albert v. Waelti
394 N.W.2d 752 (Court of Appeals of Wisconsin, 1986)
Shier v. Freedman
208 N.W.2d 328 (Wisconsin Supreme Court, 1973)
Froh v. Milwaukee Medical Clinic, SC
270 N.W.2d 83 (Court of Appeals of Wisconsin, 1978)
Francois v. Mokrohisky
226 N.W.2d 470 (Wisconsin Supreme Court, 1975)
Kuehnemann v. Boyd
214 N.W. 326 (Wisconsin Supreme Court, 1927)

Cite This Page — Counsel Stack

Bluebook (online)
668 F. Supp. 1218, 1987 U.S. Dist. LEXIS 7866, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mielke-v-united-states-wied-1987.