Monica A. Gutierrez, etc. v. Jose Luis Vargas, M.D., etc.

239 So. 3d 615
CourtSupreme Court of Florida
DecidedMarch 22, 2018
DocketSC15-1924
StatusPublished
Cited by13 cases

This text of 239 So. 3d 615 (Monica A. Gutierrez, etc. v. Jose Luis Vargas, M.D., etc.) is published on Counsel Stack Legal Research, covering Supreme Court of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Monica A. Gutierrez, etc. v. Jose Luis Vargas, M.D., etc., 239 So. 3d 615 (Fla. 2018).

Opinions

LABARGA, C.J.

*620Petitioner Monica A. Gutierrez ("Monica"), together with her parents Javier and Monica E. Gutierrez (collectively "Petitioners"), seeks review of the decision of the Third District Court of Appeal in Vargas v. Gutierrez , 176 So.3d 315 (Fla. 3d DCA 2015), on the ground that it expressly and directly conflicts with decisions of other district courts of appeal on a question of law. We have jurisdiction. See art. V, § 3(b)(3), Fla. Const. For the reasons explained herein, we hold the trial court did not abuse its discretion when it allowed Monica's treating physicians to testify during trial as to their diagnostic opinions and permitted Petitioners to present rebuttal testimony from a second pathology expert. We further hold that any prejudice attributable to comments made during Petitioners' closing argument was insufficient to warrant a new trial. We therefore quash the decision of the Third District with respect to those issues.1

BACKGROUND

This case arises out of a medical malpractice action brought by Petitioners against Respondent, Jose Luis Vargas, M.D. (Dr. Vargas).2 Dr. Vargas served as Monica's pediatrician from shortly after her birth in August 2000 until she was six years old. Petitioners claimed that, during that time, Dr. Vargas negligently failed to diagnose Monica with a chronic kidney disease known as C1q nephropathy, which severely damaged Monica's kidneys and forced her to undergo a kidney transplant in May 2007.3 Dr. Vargas contended Monica suffered not from C1q nephropathy but from membranoproliferative glomerulonephritis (MPGN),4 an acute kidney disease which could not have been diagnosed sooner. The parties relied heavily on expert testimony concerning pathology, pediatrics, and kidney disease to support their cases. During pretrial proceedings, the trial court entered a uniform order providing "[e]ach party is limited to one (1) retained expert per specialty. No other expert testimony shall be permitted at trial." The case went to trial in August 2012, and a mistrial was declared after three days. After a second, fourteen-day trial in April 2013, a jury awarded Petitioners $3,831,476 in damages. Petitioners then moved for additur, which Dr. Vargas accepted, and the trial court entered a final judgment award of $4,101,476. Dr. Vargas moved for a new trial on the issue of liability only, and the trial court denied the motion.

Dr. Vargas appealed to the Third District Court of Appeal, asserting that the trial court erred by denying his motion for directed verdict because Petitioners' evidence was insufficient to prove he proximately caused Monica's injury. Vargas , 176 So.3d at 321-22. Dr. Vargas also contended he was entitled to a new trial on liability because the trial court had erroneously *621allowed Petitioners to present testimony from multiple expert witnesses in the same area of specialty in violation of a pretrial order, and because Petitioners' counsel made improper comments during closing arguments. Id. at 322, 326. The Third District affirmed the trial court's denial of Dr. Vargas's motion for directed verdict, but reversed and remanded for a new trial "based on the plaintiffs' violation of the 'one expert per specialty' rule and for materially misrepresenting evidence in closing arguments." Id. at 318.

Petitioners sought review from this Court, arguing that the Third District's decision conflicts with Cantore v. West Boca Medical Center, Inc. , 174 So.3d 1114 (Fla. 4th DCA 2015),5 and other cases, because it improperly limits the testimony of treating physicians and rebuttal experts. In Cantore , the Fourth District held in part "that the jury should hear from a plaintiff's treating physicians-as in more than one, when there are more than one involved-regarding their care, recommendations, and medical decision-making." Id. at 1119 (citing Ryder Truck Rental, Inc. v. Perez , 715 So.2d 289, 290 (Fla. 3d DCA 1998) ). Petitioners also argue that the Third District erred in holding that Petitioners' closing arguments "mischaracterized the evidence, were highly improper, and materially prejudiced Dr. Vargas." Vargas , 176 So.3d at 327.

This review follows. A trial court's decision not to grant a new trial is reviewed for abuse of discretion. Brown v. Estate of Stuckey , 749 So.2d 490, 497-98 (Fla. 1999). The issue of whether a district court's decision on appeal "was contrary to the standards set forth by this Court ... presents a pure question of law, and our review is de novo." Van v. Schmidt , 122 So.3d 243, 252 (Fla. 2013).

THE "ONE EXPERT PER SPECIALTY" ORDER

The Third District held the trial court abused its discretion by denying Dr. Vargas's motion for a new trial after it allowed Petitioners to call "not one, but four separate pathologists at trial to testify regarding the timing and diagnosis of [Monica's] disease." Vargas, 176 So.3d at 320 (emphasis removed). As the district court notes, the trial court had limited each party to one retained expert per specialty by pretrial order. Id.

During trial, Petitioners offered the deposition testimony of Dr. Victor Pardo, a pathologist who examined a biopsy of Monica's kidneys before the transplant. Petitioners also presented Dr. Philip Ruiz, a pathologist who examined Monica's native kidneys after they were removed. Petitioners also presented two expert witnesses to testify with respect to the pathology of Monica's condition: Dr. Arthur Cohen testified during Petitioners' case-in-chief and Dr. Byron Croker testified as Petitioners' rebuttal expert.6

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239 So. 3d 615, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monica-a-gutierrez-etc-v-jose-luis-vargas-md-etc-fla-2018.