Nash v. Yap

726 A.2d 92, 247 Conn. 638, 1999 Conn. LEXIS 23
CourtSupreme Court of Connecticut
DecidedFebruary 16, 1999
DocketSC 15742
StatusPublished
Cited by19 cases

This text of 726 A.2d 92 (Nash v. Yap) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nash v. Yap, 726 A.2d 92, 247 Conn. 638, 1999 Conn. LEXIS 23 (Colo. 1999).

Opinions

Opinion

PETERS, J.

In the late 1980s, the General Assembly enacted two tort reform statutes. Public Acts 1986, No. 86-338 (P.A. 86-338), known as Tort Reform I,1 effective October 1, 1986, made fundamental changes in the extent of damages that a tortfeasor must pay. Public Acts 1987, No. 87-227 (P.A. 87-227), known as Tort [640]*640Reform II,2 effective October 1, 1987, amended Tort Reform I to respond to criticisms about some provisions of the earlier legislation. The principal issue in this case is whether the liability apportionment provisions of either of those acts applies to tortious conduct that occurred between October 1,1986, and October 1,1987, but was not discovered until after October 1, 1987. Identification of the applicable statutory or common-law principles is crucial to a determination of the parties’ arguments about the apportionment of tort liability and about the reduction of liability because of a third party settlement.

The plaintiff Steven A. Ayres, as guardian of the named plaintiff, Alissa Nash (child),3 initiated this medical malpractice action against two cardiologists, the defendants, Jesus Yap, Jr., M.D., and Karl Alcan, M.D., alleging that each of them negligently had caused the child to suffer irreversible pulmonary disease. St. Joseph’s Medical Center (hospital), also named as a defendant initially, settled with the plaintiff prior to the trial.

A jury returned a verdict in favor of the plaintiff, including an award of $2,315,000 in damages, and allocated responsibility among Yap, Alcan and the hospital. After accepting the jury’s verdict, the trial court apportioned liability for the plaintiffs damages in accordance with Tort Reform II. The trial court denied the defendants’ separate motions to set aside the verdict and the defendant Yap’s motion for remittitur.

[641]*641The parties appealed from the judgment of the trial court to the Appellate Court, and we transferred the appeals to this court pursuant to Practice Book § 65-1, formerly § 4023, and General Statutes § 51-199 (c).4 *4 We affirm the judgment of the trial court in part and reverse in part.

I

The jury reasonably could have found the following facts. The child, who has Down’s syndrome, was bom with an atrioventricular septal defect, which is a large hole between the ventricle and the atrium of the heart. With proper diagnosis in the first few years of life, that defect usually can be corrected surgically. Uncorrected, the condition leads to pulmonary vascular disease, which becomes progressively more severe and causes a painful death at an early age. Because the child’s heart defect was allowed to go untreated for three years, she now suffers from pulmonaiy vascular- disease. The child’s lungs will continue to degenerate, and she will be particularly vulnerable to other health disorders, including pneumonia, stroke and skin ulcers. Needing continuing assistance with basic functions, the child eventually will be confined to her bed.

The child’s primary care physicians at the hospital arranged, on two occasions, for an echocardiogram, a diagnostic test for heart disease, to assess her heart condition. In March, 1986, and April, 1987, they arranged for Yap to perform an echocardiogram, and for Alcan to review and interpret the echocardiogram record. Yap, who was head of the cardiology unit and performed the echocardiograms, did not ensure that the abnormalities that he had observed were fully communicated in the [642]*6421986 and 1987 test reports. He failed to communicate his findings orally either to his fellow cardiologist, Alcan, or, in 1987, to the primary care physicians. Alcan’s reports, in March, 1986, and in April, 1987, did not state all the anatomical abnormalities of the child’s heart, and did not fully reflect the seriousness of her condition. Alcan did not communicate orally with the child’s primary care physicians in either 1986 or 1987 to alert them to her heart condition.

The child’s primary care physician relied on Alcan’s written reports in concluding that the child did not require immediate surgery either in 1986 or in 1987. He relied on the absence of a critical warning in Alcan’s initial written report in 1986, and concluded that Alcan’s 1987 report indicated no significant change.

The child’s condition was not diagnosed properly until June, 1988, when she was examined by a pediatric cardiologist at Yale-New Haven Hospital. He determined that the child had a complete atrioventricular septal defect. Because she was then almost three years old, her heart defect had become inoperable and her pulmonary vascular disease had become irreversible.

As part of its verdict in favor of the plaintiff, the jury, in response to written interrogatories, determined that neither defendant had exercised the degree of care, skill and diligence toward the child that the standard of care required, and that their malpractice proximately had caused harm to her. The jury allocated 17.5 percent of the responsibility for the child’s injury to Yap, 17.5 percent to Alcan, and 65 percent to the hospital, which was not a defendant because of its earlier settlement.

In response to additional interrogatories, the jury found that the child’s injury had occurred between October 1, 1986, and October 1, 1987, but that her caretakers did not discover and reasonably were not required to have discovered the connection between [643]*643her injuries and the defendants’ malpractice until after October 1,1987. The jury also found that the defendants did not violate the standard of care before October 1, 1986.

II

On appeal, the plaintiff maintains that, in apportioning liability for damages among the two defendant physicians and the nondefendant hospital, the trial court improperly applied the provision of Tort Reform II codified in General Statutes § 52-572h (c).5 The plaintiff claims that, under the circumstances of this case, the trial court should have followed the common-law principle of joint and several liability.In their cross appeals, both defendants claim that the trial court should have followed the provisions of Tort Reform I6 rather than those of Tort Reform II.7 Although both tort reform statutes provide for apportionment of tort damages, Tort Reform I, if applicable, would require the damages award to be reduced by the amount that the plaintiff received in settlement from the hospital.

In his cross appeal, the defendant Alcan further challenges the propriety of the trial court’s: (1) jury charge with respect to the caretaker standard; (2) failure to charge the jury to consider the liability of nonparties who provided medical care to the child; and (3) denial of his motion to set aside the verdict on the ground of insufficient evidence of proximate cause.

[644]*644We are unpersuaded by the plaintiffs appeal. We agree with the defendants about the applicability of Tort Reform I. We disagree with Alcan’s claims on his separate cross appeal. Accordingly, we affirm in part and reverse in part the judgment of the trial court.

Ill

We turn first to the plaintiffs claim that each defendant is fully liable to pay the entire damages award because the common-law rule of joint and several liability applies in this case.

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Bluebook (online)
726 A.2d 92, 247 Conn. 638, 1999 Conn. LEXIS 23, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nash-v-yap-conn-1999.