Milner v. Regents of U.C. CA4/1

CourtCalifornia Court of Appeal
DecidedApril 11, 2013
DocketD060037
StatusUnpublished

This text of Milner v. Regents of U.C. CA4/1 (Milner v. Regents of U.C. CA4/1) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Milner v. Regents of U.C. CA4/1, (Cal. Ct. App. 2013).

Opinion

Filed 4/11/13 Milner v. Regents of U.C. CA4/1 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

LARRY D. MILNER, SR., D060037

Plaintiff and Appellant,

v. (Super. Ct. No. 37-2008-00078431- CU-PO-CTL) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA,

Defendant and Respondent.

APPEAL from a judgment of the Superior Court of San Diego County, Luis R.

Vargas, Judge. Reversed.

Plaintiff and appellant, Larry D. Milner, Sr. (Plaintiff) sued defendant and

respondent, The Regents of the University of California (the Regents) on medical

malpractice theories arising out of the death of his 29-year-old son, Larry Milner, Jr.

("Larry Jr."), who was hospitalized at the Regents' University of California San Diego

Medical Center and being treated for a variety of medical problems. Since Plaintiff was representing himself in the trial court and was out of the country on military deployment

after he filed his complaint, the court granted several continuances of the trial date. The

month before trial, the court denied a summary judgment motion by the Regents, after

Plaintiff supplied a declaration about causation of harm from a retained expert medical

witness.

At trial call, the Regents obtained judgment on their motion for nonsuit, following

the trial court's granting of their motion in limine that disallowed any late designation of

Plaintiff's expert medical witness. (Code Civ. Proc., § 2034.720; all further statutory

references are to the Code of Civil Procedure unless otherwise specified.) Without that

expert being designated, Plaintiff could not address at trial the element of causation of

injury from the alleged medical negligence. (Jennings v. Palomar Pomerado Health

Systems, Inc. (2003) 114 Cal.App.4th 1108, 1118 (Jennings).)

Plaintiff challenges the resulting judgment, contending it was an abuse of

discretion for the trial court to exclude his expert from testifying. He argues that his

"delay in designating that expert was, at most, an honest mistake and was not

unreasonable under controlling law," specifically, section 2034.720. Plaintiff relies on

that section to argue that "other, more appropriate alternatives existed to address the

Regents' objection to Dr. [Stephen L.] Fischer's testimony at trial," such as imposition of

terms and conditions for permitting the late designation (§ 2034.720, subd. (d)), since the

Regents had become aware of the content of Dr. Fischer's proposed testimony at trial,

through the summary judgment proceedings.

2 Plaintiff consequently argues the trial court erred in granting the Regents' nonsuit

motion, since Plaintiff could presumably have presented sufficient expert opinion and

nonexpert evidence from which a trier of fact could have found causation of the harm

from the actions or inactions of the Regents.

We agree with Plaintiff that given the Regents' advance knowledge of the identity

of Plaintiff's expert witness and his views, and in light of the difficulty evidenced in the

record about Plaintiff's problems in navigating trial procedure, the trial court abused its

discretion in excluding the expert testimony, since there was no showing of undue

prejudice to the Regents in allowing a late designation conditioned on a reasonable

process for deposition. On this record, it was inconsistent for the trial court to end the

case in this manner when it had previously exercised its discretion to allow continuances,

to attempt to settle the case, and otherwise to accommodate the needs of Plaintiff in

representing himself. The trial court did not adequately apply the statutory criteria in

section 2034.720, the nonsuit was unwarranted, and we reverse the judgment.

FACTUAL AND PROCEDURAL BACKGROUND

A. Larry Jr.'s Illness and Medical Care

Larry Jr. suffered from numerous ailments, including lupus, anemia, and

congestive heart failure. In August 2006, he had received a kidney transplant and was

required to take immunosuppressive medications to prevent rejection of the organ. This

type of medication is known by physicians to make a patient more susceptible to

opportunistic infections.

3 In January 2007, Larry Jr. was being treated for such an infection by the Regents'

staff, and he was admitted to the hospital and given broad spectrum antibiotics. After a

period of time, he was discharged to a skilled nursing facility for continued antibiotic

treatment. During treatment, he was given a chest x-ray that revealed a 4.l cm. mass in

his lung, suggesting there was a growth or neoplasm there.

During February 2007, Larry Jr. was receiving antibiotics and being monitored by

Regents' physicians. He went to the infectious disease clinic on February 20, 2007 for

further tests and evaluation and the doctors diagnosed anemia-related side effects from

the powerful antibiotics he had received. The next day, after he was readmitted to the

hospital, another chest x-ray showed there was a 10 cm. lung mass, where the smaller one

had been. A radiology report comparing the two x-rays indicated that the size of that

mass was "unchanged."

Larry Jr. soon became sicker and was moved to the hospital's critical care unit

(CCU). He was suffering from compromised breathing and limited heart function. He

had a heart attack and was later pronounced dead.

At autopsy, the pathologist determined the cause of death to be septic shock,

secondary to a "disseminated zygomycosis infection" (a large fungal infection) in the

lung and heart tissues, and a background bacterial infection. This type of large fungal

infection will normally be fatal unless aggressive treatment is quickly initiated through

the introduction of anti-fungal medications. Immunocompromised patients whose

immune systems have been further depressed through recent antibiotic use are

particularly vulnerable to such infections.

4 B. Litigation and Trial Continuances; Regents' Expert Designation

Acting in propria persona, Plaintiff filed his medical malpractice complaint against

the Regents in February 2008. In April 2009, he obtained counsel, who filed a first

amended complaint (FAC) alleging wrongful death, in that Larry Jr. suffered from a

deadly fungal lung infection, which was not properly diagnosed, monitored, or treated by

his health care providers. Plaintiff alleged that the knowledge gained by the Regents'

staff members about this patient's medical history, including the compromised nature of

his immune system, imposed upon them a heightened obligation to timely diagnose and

actively treat the presence of a rapidly growing fungal infection in his lung. The Regents

filed an answer and discovery began. At a hearing on March 23, 2010, the court set a

trial date of September 24, 2010, along with other calendar dates. The expert witness

exchanges were scheduled for July 16 and July 30, 2010.

During much of the litigation, Plaintiff was employed as an active duty naval

officer and was deployed in the South Pacific.

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