Misty M. Whitley v. C.R. Pharmacy Service, Inc. D/B/A Fifth Avenue Pharmacy, and Fifth Avenue Compounding

816 N.W.2d 378, 2012 WL 2479588, 2012 Iowa Sup. LEXIS 71
CourtSupreme Court of Iowa
DecidedJune 29, 2012
Docket10–0843
StatusPublished
Cited by39 cases

This text of 816 N.W.2d 378 (Misty M. Whitley v. C.R. Pharmacy Service, Inc. D/B/A Fifth Avenue Pharmacy, and Fifth Avenue Compounding) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Misty M. Whitley v. C.R. Pharmacy Service, Inc. D/B/A Fifth Avenue Pharmacy, and Fifth Avenue Compounding, 816 N.W.2d 378, 2012 WL 2479588, 2012 Iowa Sup. LEXIS 71 (iowa 2012).

Opinion

CADY, Chief Justice.

In this case, we must decide whether the district court erred in admitting exhibits directed to the issue of fault in a pharmacy malpractice action that were not disclosed during the pretrial discovery. The court of appeals found the district court abused its discretion by not excluding the evidence as a sanction for violating both the pretrial order of the district court to disclose all exhibits prior to trial and the spirit and purpose of our discovery rules. On our review, we vacate the decision of the court of appeals and affirm the district court.

I. Background Facts and Proceedings.

Like many people, Misty Whitley had nearsighted vision. She sought the services of Dr. Lee Birchansky, an ophthalmologist at the Fox Eye Clinic in Cedar Rapids, to correct her vision. After consulting with Dr. Birchansky, she decided to undergo Epithelial Laser Assisted In Situ Keratomileusis (Epi-LASIK) eye surgery, a procedure commonly used to correct nearsightedness, farsightedness, or to reduce astigmatism. The surgery requires the skin of the cornea to be removed to enable a laser to sculpt the underlying surface of the cornea. A thin contact lens is placed on the cornea while a new layer of skin grows over the cornea. The new corneal skin typically takes three to five days to regenerate.

On November 3, 2005, Whitley underwent Epi-LASIK surgery. Dr. Birchan-sky performed the procedure. Immediately following the surgery, Whitley’s vision improved to 20/20. By March 2006, however, Whitley’s vision had deteriorated. She returned to Fox Eye Clinic on March 7. Dr. Birchansky diagnosed her with postoperative corneal scarring in both eyes, a common risk associated with Epi-LASIK surgery. He recommended Whitley undergo a corneal scraping procedure followed by application of a drug known as mitomycin-C (MMC) to help treat her blurry vision and prevent scarring. Whitley’s surgery was scheduled for March 9. Dr. Birchansky notified staff to order MMC at 0.02% concentration from C.R. Pharmacy in Cedar Rapids to use for the surgery.

C.R. Pharmacy received and processed the prescription order on March 7. Pharmacist Jodie Smith entered the medication into the computer system at the pharmacy. She compounded the MMC at a separate facility across the street. Smith took the product label, containers, and the supplies necessary to complete the product to the facility. The pharmacy’s records show the compounding was performed the morning of March 9, and the medication was placed in a bottle.

*382 The surgery took place in Dr. Birchan-sky’s office on March 9. The records from Dr. Birchansky’s office indicated the surgery began around noon and was completed within an hour. Dr. Birchansky applied a substance from a bottle he believed to be MMC ordered from the pharmacy. Dr. Birchansky did not apply the entire amount of the substance in the bottle and placed the bottle containing the remaining amount in a refrigerator in his office.

On March 13, Whitley returned to the clinic because her eyesight had deteriorated and she had severe headaches. Dr. Birchansky found the skin over her cornea was not healing. Ultimately, Whitley’s eyes began to show signs of cataracts and glaucoma. Dr. Birchansky referred Whitley to the University of Iowa Hospitals and Clinics for further testing and treatment. The physician who examined Whitley concluded her condition was likely caused by the application of MMC in excess of 0.02% concentration. Dr. Birchansky then sent what purportedly was the remainder of the substance in the bottle for testing. The results of the testing revealed no trace of MMC in the bottle.

Whitley subsequently underwent corneal transplant surgery on both eyes. Soon after, an accident caused Whitley to have her left eye surgically removed. She now wears a prosthetic eye.

On November 16, 2007, Whitley filed a lawsuit against Dr. Birchansky and Fox Eye Clinic alleging negligence and res ipsa loquitur. On February 14, 2008, the petition was amended to add a claim against C.R. Pharmacy alleging it supplied a defective product for her surgery.

Whitley dismissed Dr. Birchansky and his office from the lawsuit on January 12, 2009, and continued to pursue the claims against C.R. Pharmacy. A discovery deadline was set for July 10, 2009, and the trial date was later continued to March 1, 2010, to allow both parties additional time for investigation and discovery.

On September 17, 2009, Whitley filed a motion to amend her petition to assert an additional claim of negligence. She alleged the prescription delivered to Dr. Bir-chansky was not the MMC ordered, but was another substance that C.R. Pharmacy improperly represented as MMC. In particular, the amended petition alleged:

That the Defendant C.R. Pharmacy Service, Inc. ... was negligent in the compounding of the solution delivered to Dr. Birchansky ... in one or more of the following ways:
A. In failing to deliver mitomycin-C to Dr. Birchansky;
B. In delivering a solution to Dr. Birchansky in a bottle with a label indicating the content was mitomycin-C when the bottle did not contain mitomy-cin-C;
C. In delivering to Dr. Birchansky a solution of an unknown chemical and strength in a bottle labeled mitomyein-C;
D. In failing to warn Dr. Birchansky that the prescription did not contain a solution of mitomycin-C;
E. In failing to warn Dr. Birchansky that the prescription contained a solution other than the requested mitomy-cin-C;
F. In failing to properly compound the requested solution of mitomycin-C.

The amended pleadings were filed after the July deadline established in the pretrial order for amending pleadings and completing discovery. Consequently, C.R. Pharmacy claimed the pleadings were untimely. Before the district court ruled on Whitley’s motion to amend, Whitley served nine supplemental interrogatories on C.R. Pharmacy. C.R. Pharmacy responded to the additional interrogatories in October *383 2009. Interrogatory Nos. 7 and 8 requested the pharmacy provide the name of individuals other than its employees or agents it alleged were responsible for Whitley’s injuries. C.R. Pharmacy responded:

Defendant objects to this Request as calling for attorney work product. Without waiving this objection Defendant states it contends Dr. Birchansky’s office applied a substance other than the original MMC prescription to Plaintiffs eyes and later substituted another substance for the original prescription before sending the bottle for testing.

On November 16, 2009, the district court granted Whitley’s motion .to amend her petition to add the specific claims of negligence by C.R. Pharmacy. The court directed the defendant to file a motion for a continuance if it needed more time to prepare for trial in light of the amended petition. The discovery deadline from the court’s initial scheduling order was not altered to extend discovery. 1

On November 23, 2009, C.R.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State of Iowa v. Tyjuan Levell Tucker
Supreme Court of Iowa, 2022
State of Iowa v. Ezekiel Cortez Phillips
Court of Appeals of Iowa, 2021
State of Iowa v. Carlos Roig Gonzalez
Court of Appeals of Iowa, 2021
Stanley Higdon v. Shawn Rana
Court of Appeals of Iowa, 2021
Rausch v. City of Marion
Court of Appeals of Iowa, 2021
In re the Marriage of Hunold and Boon
Court of Appeals of Iowa, 2021
In re the Marriage of Dugan
Court of Appeals of Iowa, 2019
In re the Marriage of Mack
Court of Appeals of Iowa, 2018
City of Des Moines, Iowa v. Mark Ogden
909 N.W.2d 417 (Supreme Court of Iowa, 2018)
State of Iowa v. Christopher Clay McNeal
897 N.W.2d 697 (Supreme Court of Iowa, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
816 N.W.2d 378, 2012 WL 2479588, 2012 Iowa Sup. LEXIS 71, Counsel Stack Legal Research, https://law.counselstack.com/opinion/misty-m-whitley-v-cr-pharmacy-service-inc-dba-fifth-avenue-iowa-2012.