MYRON EX REL. BROCK v. South Broward Hosp. Dist.

703 So. 2d 527, 1997 WL 794482
CourtDistrict Court of Appeal of Florida
DecidedDecember 31, 1997
Docket94-2287
StatusPublished
Cited by7 cases

This text of 703 So. 2d 527 (MYRON EX REL. BROCK v. South Broward Hosp. Dist.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MYRON EX REL. BROCK v. South Broward Hosp. Dist., 703 So. 2d 527, 1997 WL 794482 (Fla. Ct. App. 1997).

Opinion

703 So.2d 527 (1997)

Rayna MYRON, a minor, By and Through her parents and natural guardians, Sharon BROCK, Herbert B. Myron, and Sharon Brock and Herbert B. Myron, individually, Appellants/Cross-Appellees,
v.
SOUTH BROWARD HOSPITAL DISTRICT, d/b/a Memorial Hospital, etc., et al., Appellees/Cross-Appellants.

No. 94-2287.

District Court of Appeal of Florida, Fourth District.

December 31, 1997.

*528 Scott M. Newmark of Sheldon J. Schlesinger, P.A., Fort Lauderdale, for appellants/cross-appellees.

Gary M. Farmer, Jr. and Nancy W. Gregoire of Bunnell, Woulfe, Keller & Gillespie, P.A., Fort Lauderdale, for appellee/cross-appellant.

WARNER, Judge.

This medical malpractice action began in 1988 and, as to appellee, South Broward Hospital District, d/b/a Memorial Hospital, ended with a directed verdict in its favor at trial in 1994. The appellants claim that the trial court erred in refusing to admit the testimony of their expert as to the negligence of a physician employed by appellee in the treatment of the injured minor appellant. Without that testimony, there was no other opinion as to the medical negligence of the appellee or its employees. The trial court granted a motion to exclude the testimony based on a "stipulation" of the parties at the deposition of the expert. As we do not agree that the deposition statements were a "stipulation," we hold that the court erred in refusing to admit the testimony of the expert. We therefore reverse.

In September of 1987, Sharon Brock, the mother of six-month old Rayna, brought the baby to the emergency room of Doctor's Hospital because she had a fever. The doctors there diagnosed the baby as having otitis media (ear infection), prescribed some medication, and sent them home. The next day, the baby was seen by her regular pediatric group, and the doctor determined that the baby did not have an ear infection and discontinued the medication. As a precaution, another pediatrician in the group saw the baby the next day to confirm her condition, which appeared to be improving at the time. Three days later, the screaming mother rushed into the emergency room of Humana Hospital Bennett with the baby in her arms crying that her baby couldn't breathe. A code blue was called, resuscitation efforts commenced, and a pediatrician was called. Suspecting meningitis, the pediatrician ordered an I.V. of antibiotics, which was considered the standard treatment for meningitis. After about three hours of resuscitation and treatment efforts at the hospital, Dr. Yvonne Rutherford, a pediatric intensivist who was called to treat the baby, ordered her transfer to Plantation Hospital where the intensivist was on staff.

At Plantation Hospital, CT scans of the baby were taken, and, according to the testimony of the physicians involved, they revealed an acute subdural hematoma in the brain. There is significant controversy as to whether this was a hematoma or a subdural effusion, but in any event the scans showed damage to the brain. Dr. Rutherford also observed a retinal hemorrhage upon an ophthalmoscopic examination. Because Dr. Rutherford felt a neurological opinion as to the baby's condition was necessary, she transferred her to Memorial Hospital later that same evening.

When the baby and her CT scans arrived at Memorial Hospital, Dr. Rutherford conferred with the hospital's neurosurgeon, Dr. Giulianti, regarding the mass in the brain. At that time, they diagnosed the cause of these injuries as shaken baby syndrome.

According to a CT scan taken the next day, the brain had swollen much more. Mannitol was administered to reduce the swelling, but Rayna had suffered significant and irreversible brain damage, causing severe impairments to the child and resulting in spastic quadriplegia.

There were diametrically opposed explanations for the cause of the injuries to Rayna. The appellants contended that the baby suffered from a missed diagnosis of meningitis, which was treated by the antibiotics prescribed at Doctor's Hospital. This resulted *529 in partially treated meningitis which finally erupted into fulminating meningitis and caused respiratory arrest in the baby. When doctors at Bennett attempted resuscitation, they failed, through their negligence, to resuscitate the baby properly, causing the subsequent brain injury.

The eight doctors and three hospitals that were sued all maintained that the baby did not have meningitis and was injured through child abuse — shaken baby syndrome. They claimed that all of her injuries were a direct result of the abuse, and their experts testified that all of the care rendered to the baby was within the relevant standards of care.

Although there were several allegations of negligence against Dr. Guilianti and Memorial Hospital in the 293 page complaint, at trial, the appellants offered only the testimony of Dr. Philip Calcagno, a pediatrician, as to Dr. Guilianti's negligence. Dr. Calcagno was prepared to testify that Dr. Giulianti was negligent in failing to perform a spinal tap on the baby when she was admitted to Memorial Hospital and that that contributed to her injuries. Memorial's attorney objected to the admission of such testimony, citing to the court the deposition of Dr. Calcagno in August of 1993, some ten months earlier.

At the deposition, after an off-the-record discussion, the appellants' attorney announced on the record that he would not offer Dr. Calcagno as a witness against Memorial and several of the other hospitals and defendants. However, when Memorial's lawyer persisted in questioning Dr. Calcagno regarding his opinions, appellants' lawyer told her on the record that he would now offer Dr. Calcagno as a witness against the Memorial doctors, to which Memorial's attorney responded "[t]hank you." At the end of the deposition, appellants' attorney asked Dr. Calcagno whether Memorial deviated from the standard of care in failing to perform a spinal tap, and he opined that they had so deviated.

Appellants' Notice of Compliance to a court order requiring appellant to list all of its experts and their specialties was also presented to the trial court on motion for directed verdict. The Notice of Compliance listed Dr. Calcagno as a pediatrics expert and two other doctors as experts in neurosurgery. However, this list was filed prior to Dr. Calcagno's deposition and the appellants subsequently withdrew the experts in neurosurgery. Therefore, the only expert who the appellants had to testify as to any deviation from the standard of care by Memorial was Dr. Calcagno.

The trial court reviewed the deposition and notice and determined that the parties entered into a stipulation entered into at the deposition, which prevented Dr. Calcagno from offering opinions as to Dr. Guilianti. Thus, the court excluded the only expert testimony the appellants had to support the case against Memorial.

In Binger v. King Pest Control, 401 So.2d 1310 (Fla.1981), the supreme court determined that a trial court could properly exclude testimony of a witness who was not disclosed pursuant to a pretrial order but that the primary consideration should be whether the use of the witness would prejudice the objecting party.

Prejudice in this sense refers to the surprise in fact of the objecting party, and it is not dependent on the adverse nature of the testimony.

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Bluebook (online)
703 So. 2d 527, 1997 WL 794482, Counsel Stack Legal Research, https://law.counselstack.com/opinion/myron-ex-rel-brock-v-south-broward-hosp-dist-fladistctapp-1997.