Muckova v. State

33 Misc. 3d 427, 929 N.Y.S.2d 660
CourtNew York Court of Claims
DecidedMay 27, 2011
DocketClaim No. 97318
StatusPublished
Cited by2 cases

This text of 33 Misc. 3d 427 (Muckova v. State) is published on Counsel Stack Legal Research, covering New York Court of Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Muckova v. State, 33 Misc. 3d 427, 929 N.Y.S.2d 660 (N.Y. Super. Ct. 2011).

Opinion

OPINION OF THE COURT

Philip J. Patti, J.

On July 22, 1995, Dr. Natasha Muckova was in the midst of the first month of her residency in anatomical and clinical pathology at Strong Memorial Hospital (hereinafter referred to as TJRMC) and was one of the pathologists on call on that date. She had graduated from the University of Rochester Medical School in May 1995 and had just begun to embark on her desired career path.

Prior to starting in the residency program, Dr. Muckova was required to take a PPD1 test as part of her pre-employment physical. The results of this May 30, 1995 test were negative for tuberculosis (TB). Dr. Muckova started the residency program at URMC on July 1, 2005. The first days of the program were devoted to orientation conducted by the heads of the various [429]*429departments that make up the Pathology Department. Over the course of her five-year residency, Dr. Muckova would be required to rotate through various subspecialties in the field of pathology. Her first assignment was a three-month rotation through the autopsy program. Dr. Muckova testified that she did not participate in any autopsies; rather, in the second week she observed two autopsies on adults and either one or two pediatric autopsies. None of these autopsies involved any infectious diseases.

In another part of New York State, and prior to Dr. Muckova beginning her residency at URMC, Jesus Cardenas was in the custody of the Department of Correctional Services (DOCS). Upon his entry into DOCS custody in 1993, Cardenas had a PPD test administered on him by health services to determine if he had TB. The result came back positive. Further testing revealed that Cardenas was negative for acid fast bacilli and mycobacterium (MTB) (exhibit 1 at 155). Subsequent tests also showed that Cardenas was positive for TB.

In May 1995, doctors at Groveland Correctional Facility (Groveland) suspected that Cardenas’ TB had become active and thus, on May 13, 1995, Cardenas was placed in isolation (exhibit 1 at 31). The lab results came back showing that his TB was not active and so he was released from isolation. Cardenas was later hospitalized at Erie County Medical Center (ECMC) for health problems other than TB. On the day following his admission to ECMC, sputum specimens were collected from him and sent to the lab for analysis to determine if his TB had become active (exhibit 1 at 100). Cardenas was returned to Groveland on July 16, 1995 to continue his incarceration (exhibit 1 at 6), where he was placed in the infirmary in isolation while lab tests were performed on his specimens. On July 17, 1995, the lab tests performed at ECMC confirmed that the test for mycobacterium was positive (exhibit 1 at 22). Groveland’s infirmary was notified of this finding on July 20, 1995. The following day, lab studies confirmed that Cardenas was positive for mycobacterium tuberculosis (MTB) and that he was infected with active, highly contagious TB. As required by law, ECMC contacted James Buckel, who was the infection control nurse at Groveland, as well as point person for both Livingston County and the State at that time (T 7, 113, 171, 174).2 Buckel testified that he in turn notified Groveland’s nurse administrator, [430]*430inpatient nurse and the facility service director (T 197). Buckel, however, was an employee of the Department of Health (DOH), not DOCS, and could not make an entry on Cardenas’ health chart (T 194). Since Groveland did not have a fax machine, the report was to be mailed by ECMC and would not be received until the following Monday or Tuesday, July 24th or 25th. Consequently, Cardenas’ chart does not have a notation from July 21, 1995 concerning the information that Buckel received from ECMC and communicated to the State, County and Groveland’s infirmary.

Cardenas passed away at 2:15 a.m. on the morning of July 22, 1995. The infirmary doctor was notified; he reported to the infirmary and pronounced Cardenas dead. The County Coroner followed and declared Cardenas dead at 2:40 a.m. on July 22, 1995. Buckel stated that, in his review of the decedent’s chart, it did not reveal that the Coroner was informed that Cardenas had tested positive for active, highly contagious TB.

It is at this point that fate intervened in a way that intertwined the end of Cardenas’ life with the beginning of Dr. Muckova’s career, and altered and forever changed Dr. Muckova’s life then, now, and in the future.

Pursuant to standard procedure, an autopsy must be performed on an inmate who dies in prison. Thus, the coroner contacted the Monroe County Medical Examiner’s Office on July 22, 1995 at 4:10 a.m. advising of the need for an autopsy on Cardenas and further advising that, when he entered Groveland, he was diagnosed as HIV positive and additionally that he may have been suffering from TB. Cardenas’ remains were transported to the Monroe County Medical Examiner’s Office where they were received at 5:45 a.m. (exhibit 2 at 22). The records that accompanied the body, including the report of the Livingston County Coroner, indicated, among other things, that Cardenas possibly had TB (exhibit 3 at 5). The Medical Examiner then released the body to URMC where, by agreement, the autopsy was to be performed. Permission for the procedure had been given by the Livingston County Coroner as well as the Monroe County Medical Examiner’s Office (exhibit 2 at 16-17). Cardenas’ chart contains an entry from some time on July 22nd by Nurse Sanford at Groveland, which sets forth that Buckel, the infection control nurse at Groveland, was notified along with the Monroe County Medical Examiner’s Office that Cardenas possibly had MTB at the time of his death. This is consistent with the information set forth in the Medical [431]*431Examiner’s records as well as the coroner’s records (exhibit 1 at 7A; exhibit 2 at 23; exhibit 3 at 4).

The difficulty with these records is that they are incomplete and inaccurate, in that the records expressed merely the “possibility” that Cardenas had active MTB when, in fact, as early as the afternoon of July 21 it had been confirmed that Cardenas was diagnosed with, and suffering from, active contagious MTB.

After the body was delivered to URMC, Dr. Muckova recalled being contacted on her pager around noon. The call did not originate from a telephone number that she recognized. She returned that page and, after speaking with a person whose name she could not recall, she contacted her supervisor, Dr. Bernard Pánner, to inform him of the arrival of the body from Groveland and the Medical Examiner’s facility. She also told Dr. Fanner that the decedent was known to have HIV or AIDS and was being ruled out for TB at the time of his death. He referred Dr. Muckova to an upper level resident in pathology who was also on call at the time. She contacted this more experienced resident and asked for her assistance and supervision over the autopsy but that resident refused {see also exhibit 6 at 1). Dr. Muckova then contacted another upper level resident, Dr. Xiao Yang, to assist and supervise the autopsy. Dr. Yang agreed to do so.

Prior to commencing the autopsy, Drs. Muckova and Yang called Dr. Fanner and asked for recommendations relating to precautions they needed to follow in performing an autopsy on someone who is being ruled out for TB. Dr. Muckova testified that both she and Dr. Yang followed Dr. Fanner’s recommendations in performing the autopsy. Dr.

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Related

Muckova v. State
103 A.D.3d 1187 (Appellate Division of the Supreme Court of New York, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
33 Misc. 3d 427, 929 N.Y.S.2d 660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/muckova-v-state-nyclaimsct-2011.