N.T., a Minor v. The Children's Hosp. of Phila.

2024 Pa. Super. 14, 308 A.3d 1284
CourtSuperior Court of Pennsylvania
DecidedJanuary 25, 2024
Docket3015 EDA 2022
StatusPublished
Cited by1 cases

This text of 2024 Pa. Super. 14 (N.T., a Minor v. The Children's Hosp. of Phila.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
N.T., a Minor v. The Children's Hosp. of Phila., 2024 Pa. Super. 14, 308 A.3d 1284 (Pa. Ct. App. 2024).

Opinion

J-A28033-23

2024 PA Super 14

N.T., A MINOR, BY AND THROUGH : IN THE SUPERIOR COURT OF MARY JANE BARRETT, ESQUIRE, : PENNSYLVANIA GUARDIAN OF THE ESTATE OF N.T. : : Appellant : : : v. : : No. 3015 EDA 2022 : THE CHILDREN'S HOSPITAL OF : PHILADELPHIA, STEPHANIE MANN, : M.D., MARK P. JOHNSON, M.D., THE : HOSPITAL OF THE UNIVERSITY OF : PENNSYLVANIA AND STEVEN C. : HORII, M.D. :

Appeal from the Order Entered November 10, 2022 In the Court of Common Pleas of Philadelphia County Civil Division at No(s): 160301791

BEFORE: OLSON, J., STABILE, J., and COLINS, J.*

OPINION BY COLINS, J.: FILED JANUARY 25, 2024

Appellant, N.T. (Minor), by and through Mary Jane Barrett, Esquire,

guardian of her estate, appeals from an order of the Philadelphia County Court

of Common Pleas dismissing her medical malpractice action against the

Children’s Hospital of Philadelphia (CHOP) and CHOP physicians Drs.

Stephanie Mann and Mark P. Johnson (collectively, the CHOP defendants) and

the Hospital of the University of Pennsylvania (HUP) and HUP radiologist Dr.

Steven C. Horii (collectively, the HUP defendants) on the ground that Minor’s

____________________________________________

* Retired Senior Judge assigned to the Superior Court. J-A28033-23

claims are barred by judicial estoppel. For the reasons set forth below, we

affirm.

This case is one of three cases filed on Minor’s behalf seeking damages

for the same injuries that she suffered in utero prior to her birth. In December

2007, when Minor’s mother (Mother) was pregnant with Minor and her twin

sister, Mother was diagnosed with twin-to-twin transfusion syndrome (TTTS)

by her treating physicians in North Carolina. Complaint ¶¶29-34. TTTS is a

condition where abnormal communicating blood vessels in the placenta allow

blood to circulate between the fetuses that a woman is carrying, jeopardizing

the survival of both fetuses. Id. ¶¶2-3. Mother’s treating physicians referred

her to CHOP for possible selective laser photocoagulation of communicating

vessels treatment (SLPCV), and Mother was seen at CHOP on January 2, 2008.

Id. ¶¶35-36. The CHOP defendants concluded that Mother was not a

candidate for SLPCV, based on ultrasounds that were interpreted by the HUP

radiologist as showing an infection, and did not perform SLPCV on Mother. Id.

¶¶36-41. Mother then went to an Ohio physician, Dr. Timothy Crombleholme,

who performed SLPCV on Mother at Cincinnati Children’s Hospital in

Cincinnati, Ohio on January 14, 2008. Id. ¶¶9, 45-47. Minor was born in

April 2008 with severe neurological deficiencies and her twin sister was born

healthy with no neurological injury. Id. ¶¶10, 49-51.

On January 26, 2011, an action docketed as Case No. 110103674 (the

2011 action) was brought on Minor’s behalf in the Philadelphia County Court

-2- J-A28033-23

of Common Pleas against CHOP, Dr. Mann, and Dr. Crombleholme. The 2011

action sought damages for severe and permanent neurological injuries

suffered by Minor, including cerebral palsy, microcephaly, optic atrophy,

immature retinas, blindness, bilateral brain hemorrhages, a seizure disorder,

and a near complete absence of a cerebellum, and alleged that Dr.

Crombleholme negligently performed the SLPCV and that his SLPCV caused

those injuries. 2011 Action Amended Complaint ¶¶8-9, 70-73, 76-77, 96-

104. The complaint in the 2011 action further alleged that CHOP was liable

for the injuries caused by Dr. Crombleholme because it allegedly inadequately

trained him when he was a physician at CHOP and that CHOP and Dr. Mann

were liable for Minor’s injuries because they allegedly misdiagnosed the

condition of the fetuses and negligently failed to treat the TTTS. 2011 Action

Amended Complaint ¶¶8-9, 52-53, 78-95.

On December 21, 2012, the court dismissed Minor’s claims against Dr.

Crombleholme for lack of personal jurisdiction. The 2011 action continued

against CHOP and Dr. Mann and in December 2014, a second amended

complaint was filed adding Dr. Johnson as a defendant and alleging that the

CHOP defendants were liable for Minor’s injuries because they misdiagnosed

the condition of the fetuses and negligently failed to treat the TTTS. 2011

Action Second Amended Complaint ¶¶46-72. This amended complaint also

alleged that Dr. Crombleholme’s SLPCV did not properly treat Minor’s TTTS.

Id. ¶41. On May 2, 2016, the trial court, over the CHOP defendants’

-3- J-A28033-23

objections, granted the plaintiff’s motion to discontinue the 2011 action

without prejudice.

In 2013, while the 2011 action was pending, an action docketed as Case

No. 1:13-cv-230 (the Ohio action) was filed on Minor’s behalf against Dr.

Crombleholme and Cincinnati Children’s Hospital (the Ohio defendants) in

federal district court in Ohio. The complaint in the Ohio action sought

damages for the same injuries to Minor as the 2011 action and alleged that

the Ohio defendants were liable for those injuries because Dr. Crombleholme

negligently performed the SLPCV and his SLPCV caused Minor’s injuries. Ohio

Action Complaint ¶¶3, 71-107. Counsel for Minor in the Ohio action was the

same counsel who represented Minor in the 2011 action.

On March 18, 2016, this action, Case No. 160301791, was filed on

Minor’s behalf against the CHOP defendants and the HUP Defendants in the

Philadelphia County Court of Common Pleas. The complaint in this action

sought damages for the same injuries to Minor as the 2011 action and the

Ohio action. Complaint ¶¶50-51. This complaint alleged that the CHOP

defendants were liable for Minor’s injuries because they misdiagnosed the

condition of the fetuses and negligently failed to treat the TTTS. Id. ¶¶52-

75. The complaint alleged that the HUP defendants were liable for Minor’s

injuries on the ground that they allegedly failed to properly interpret Mother’s

ultrasounds and that the CHOP defendants relied on the HUP defendants’

misinterpretation of the ultrasounds in their diagnoses and decision not to

-4- J-A28033-23

perform SLPCV. Id. ¶¶36-44, 76-91. Counsel for Minor in this action is the

same counsel who represented Minor in the Ohio action and the 2011 action.

The Ohio action went to trial in October 2017. Shortly before trial, Minor

successfully moved to amend the Ohio complaint to add a claim for punitive

damages based on the claims that her injuries were caused by Dr.

Crombleholme’s “blind firing” of the laser in performing the SLPCV, rather than

directing it at vessels in the placenta at which it was supposed to be directed,

and that Dr. Crombleholme took efforts to conceal the fact that her injuries

were caused by his SLPCV. Ohio Action 9/28/17 Order at 1-3, 5-10. Minor

also sought to exclude all reference to the present action from the trial of the

Ohio action and the Ohio court ruled that the Ohio defendants could not

mention this action in their opening statements. Ohio Action N.T., 10/11/17,

at 5-11. At the trial of the Ohio action, Minor’s medical expert on causation

testified that Dr. Crombleholme caused Minor’s injuries by firing the laser at

healthy placenta tissue multiple times during the SLPCV and damaging 30%

of the placenta that was nourishing Minor and testified that Minor’s injuries

were caused by hypoxic injury from the placental damage and not by TTTS.

Ohio Action N.T.

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Related

Morton, S. v. Green, F.
Superior Court of Pennsylvania, 2026
N.T., a Minor v. The Children's Hosp. of Phila.
2024 Pa. Super. 14 (Superior Court of Pennsylvania, 2024)

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