Noll v. Burns

995 P.2d 912, 26 Kan. App. 2d 895, 2000 Kan. App. LEXIS 11
CourtCourt of Appeals of Kansas
DecidedJanuary 21, 2000
DocketNo. 80,086
StatusPublished

This text of 995 P.2d 912 (Noll v. Burns) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Noll v. Burns, 995 P.2d 912, 26 Kan. App. 2d 895, 2000 Kan. App. LEXIS 11 (kanctapp 2000).

Opinion

Brazil, C.J.:

Joseph and Shirley Noll and the Estate of Anthony Noll (Plaintiffs) brought a medical malpractice action against Deborah Bums, D.O., Cynthia Taylor, R.N., and Maiy McDaniel, R.N. (Defendants), alleging Defendants caused the death of their son Anthony Noll. Defendants appeal from the trial court’s pretrial mling that required them to pay Plaintiffs $22,277.05 in costs. Plaintiffs cross-appeal, claiming the trial court erred in failing to award them an amount of $87,865.41 as was requested in their motion for sanctions.

[896]*896Finding no reversible error, we affirm.

Anthony Noll sought treatment from Dr. Weiner, an allergist practicing in Lawrence, Kansas, for his allergies and asthma. Dr. Weiner prescribed allergen injections that were to be administered to Anthony at certain intervals. While Anthony was attending Emporia State University, Dr. Weiner forwarded his medication to the university’s health clinic where Defendants administered the injections. In 1993, after receiving an injection at the health clinic, Anthony suffered an anaphylactic reaction and subsequently died.

In March 1995, Plaintiffs filed wrongful death and survival actions alleging defendants were negligent in treating Anthony’s asthma and in administering the allergin shots. The allegations implied the administration of the injections while Anthony showed apparent symptoms of asthma increased the risk of an anaphylactic reaction.

Plaintiffs alleged the following in their pretrial questionnaire: (1) Defendants failed to recognize and appreciate that Anthony’s asthma was unstable; (2) Defendants failed to treat the cause of Anthony’s unstable asthma; (3) Dr. Weiner’s instructions were not followed by Defendants since the allergin shots were administered while Anthony showed symptoms of asthma and the doses were excessive; (4) Defendants were negligent in treating Anthony after he experienced the anaphylactic reaction.

Defendants asserted the following defenses in their joint pretrial questionnaire: (1) Defendants followed Dr. Weiner’s instructions; (2) Defendants’ actions were within the standard of care for the treatment of asthma and the administration of allergen injections; (3) Anthony’s asthma was treated within the recognized standards of care for nurses and physicians; (4) Anthony’s treatment after the anaphylactic reaction was within the recognized standards of care. Defendants also asserted the following defense:

“Defendants submit that anaphylaxis is a known risk associated with allergen injections, yet extremely rare. The causes of anaphylaxis are not sufficiently known so as to predict its occurrence. If the allergist believe [sic] any additional steps or equipment should have been employed for administration of allergens, this information was not provided to the ESU clinic by Dr. Weiner, an expert in the area of allergens and their injection, and/or was not provided in a clear enough form [897]*897as to be understood and followed by the lesser trained nurses and doctors at tire ESU Student Health Clinic.”

In July 1996, the parties filed a pretrial order incorporating the factual contentions and legal theories set forth in the pretrial questionnaires. Subsequently, Plaintiffs filed a motion in limine seeking to prevent Defendants from admitting evidence that Plaintiffs or any other person contributed to cause Anthony’s injuries since Defendants had not asserted the defense of comparative negligence. The trial court denied the motion, concluding it would handle any objections to the evidence at trial.

In the course of Defendants’ opening statement to the jury, Plaintiffs objected on grounds Defendants were implying Dr. Weiner was at fault and the statement was not relevant to the issues of the case. The trial court overruled the objection. Defense counsel subsequently stated the following:

“[Anthony] goes on what they call a maintenance stage. Now at the maintenance stage, the allergist mixes the vials one vial at a time. They pull sixteen bottles out of the fridge, they fill up the vial and that’s what they sent to the clinic. [Dr. Weiner] sent it to the clinic when [Anthony] has not even come back in for his appointment at the end of one year ....
“Now [Plaintiffs’ counsel] is going to have more to say about parts of this order. Particularly Mr. Logback’s going to discuss the dose that is shown on this to be administered. What I would just like to point out it says no more mix can be sent until he has an appointment. Because he had been past a year before Dr. Weiner had ever seen him. What happened? ....
“And what’s amazing, Dr. Weiner gave [Anthony] some instructions back when he first started on the allergin. He gave him an instruction sheet. Dr. Weiner, and this isn’t a violation of the standard of care, folks, this is the way it’s done. The instruction sheet that he •— was sent to [Anthony] was never sent to Dr. Bums or to ESU clinic, his medical records were never sent, there was no plan of asthma sent to the clinic. All that was sent to the clinic was a vial of allergins to be administered.”

Plaintiffs’ counsel again objected and the trial court sustained the objection. Defense counsel subsequently stated:

“The Nolls then went to see Dr. Weiner [after Anthony’s death]. And the evidence will be that Dr. Weiner when he saw them didn’t say, hey, my instructions said that, that anaphylaxis is a risk of taking these shots that it can occur, didn’t say [898]*898diat, didn’t say, well, you know, under our policy we never saw him back for a ye. r and he was overdue for an appointment and, you know.”

Plaintiffs’ counsel again objected and the trial court ruled defense counsel was prohibited from pointing to actions of Dr. Weiner which a person of ordinary intelligence might consider to be below a reasonable standard of care.

Following opening statements, Plaintiffs renewed their motion in limine. Defendants argued the following in response: (1) They had no reason to allege or evidence to support an allegation that either Dr. Weiner or Anthony owed a duty of care or were at fault; (2) causation and fault were separate issues in the case; and (3) they should be able to argue other events possibly caused the anaphylactic reaction.

Ultimately, the trial court summarized the situation as follows:

“What we have here is a situation of where the plaintiffs suggest the total fault lies with tire three defendants. The defendants in response deny not only their liability but have suggested that there are other causes for the anaphylactic reaction suffered by the decedent that everybody agrees ultimately lead to his death. The defendants have in their pleadings and in the pretrial order . . . have steadfastly maintained that they did not believe that diere was any deviation from a standard of care by other persons who dealt with die deceased. But at the same time they believe diat there are other explanations or causes for the death which should — they should — are entitled to present to die jury. They do not believe that diey have to prove diat there was a deviation from the standard of care on die part of these phantom parties in order to be able to present evidence of the possibility diat other acts caused the death of Anthony Noll.”

The trial court then gave Defendants two options on how to proceed.

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Cite This Page — Counsel Stack

Bluebook (online)
995 P.2d 912, 26 Kan. App. 2d 895, 2000 Kan. App. LEXIS 11, Counsel Stack Legal Research, https://law.counselstack.com/opinion/noll-v-burns-kanctapp-2000.