Oliveira v. Jacobson, 99-675 (2002)

CourtSuperior Court of Rhode Island
DecidedMay 22, 2002
DocketC.A. No. PC 99-675
StatusPublished

This text of Oliveira v. Jacobson, 99-675 (2002) (Oliveira v. Jacobson, 99-675 (2002)) is published on Counsel Stack Legal Research, covering Superior Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oliveira v. Jacobson, 99-675 (2002), (R.I. Ct. App. 2002).

Opinion

DECISION ON RENEWED MOTIONS FOR JUDGMENT AS A MATTER OF LAW, MOTION FOR A NEW TRIAL, AND MOTION TO ALTER OR AMEND JUDGMENT
Following a jury verdict in favor of the Plaintiffs, Defendants Lisa J. Jacobson, M.D. and the Women Infants Hospital renewed their motions for judgment as a matter of law and alternatively moved for a new trial pursuant to Super. R. Civ. P. Rule 50. Defendants Jacobson and Women Infants also filed a motion to alter or amend the judgment, as ordered by this Court, for prejudgment interest. Plaintiffs Jose Oliveira and Carrie Oliveira, the latter individually and in her capacity as administratrix, object to both motions.

Facts and Travel
Djonen Oliveira, son of Carrie and Jose Oliveira, died 28 minutes after his birth on January 24, 1997. On February 10, 1999, the Oliveiras filed a malpractice action against the attending physician, Lisa Jacobson, M.D., and the resident on duty, Sareeta H. Bjerke, M.D. The Oliveiras also filed suit against Woman Infants Hospital, where Djonen was delivered, based on an alleged agency relationship between the Hospital and the two doctors.

A jury trial occurred over several weeks in January 2002. The Plaintiffs' alleged that the Defendant doctors failed to order and perform a cesarean section in a sufficiently timely fashion, as required by the circumstances, causing asphyxia and, subsequently, death. An autopsy report conducted three days after Djonen's death listed the cause as asphyxia, thus supporting the Plaintiffs' theory. A supplemental autopsy report, issued several weeks later, listed sepsis as the cause of death and supported the Defendants' theory. At trial, there was extensive, exhaustive expert witness testimony on behalf of all parties.

Calvin Oyer, M.D., staff pathologist at Women Infants, testified pursuant to a subpoena for the Plaintiffs. He completed the "Final Autopsy" report listing asphyxia as the cause of death. After consulting with his supervisor, Don Singer, M.D., Oyer took another look at samples taken during the autopsy. After reviewing the samples, Oyer issued an addendum to the Final Autopsy report listing sepsis as the cause of death. Oyer testified that the addendum did not change the diagnosis that asphyxia was the "mechanism" of death. However, Oyer testified that the presence of sepsis raised doubts as to the cause of the asphyxia. A second report later issued by Oyer listed only sepsis as the cause of death and made no mention of asphyxia. When asked to explain, Oyer stated that in his initial report, he meant that the patient died with asphyxia, not of asphyxia. Oyer also stated that his failure to discover the sepsis at the outset was a mistake on his part.

Harlan Giles, M.D. OB-GYN, testified for the Plaintiffs. On direct examination, Giles testified that factors existed that should have alerted the Defendant doctors that a vaginal delivery was not viable. These factors were (1) an abnormally long first stage of labor; (2) positioning of the baby during the second stage ("sunny-side up"); and (3) multiple warning signs of fetal distress on the monitor. However, on cross-examination, Giles was eviscerated. The Defendants exposed omissions and misrepresentations on the witness' curriculum vitae and "misstatements" in past depositions in other cases. The witness' credibility was shredded.

Ted Steven Rosencrantz, M.D., testified on behalf of the Plaintiffs. Rosencrantz is board certified in pediatrics, neonatology, and perinatology. He testified that Djonen died of asphyxia due to lack of oxygen prior to delivery. Further, Rosencrantz testified that Djonen did not die of anemia or as a result of anything that transpired in the days, weeks, or months prior to the delivery. Rosencrantz also testified that he saw no evidence of sepsis. On cross examination, the Defendants produced a deposition from another case in which Rosencrantz stated that he was not qualified to testify in obstetrics. That aside, the witness was firm and articulate. Rosencrantz's testimony was powerful and compelling.

Alan Kessler, M.D. OB-GYN, testified for the Plaintiffs. Kessler specializes in high risk obstetrics. He testified that Djonen died of asphyxia. Moreover, based on the monitor strips, which were not "reassuring," Kessler testified that Djonen would be alive and neurologically normal if not for the delay in performing a cesarean section.

Susan Shen-Schwarz, M.D., testified for the Plaintiffs. Shen-Schwarz is board certified in pediatrics and perinatal pathology. She testified that Djonen died of acute asphyxia and had no infection. Although on cross-examination, Shen-Schwarz became less responsive and somewhat confusing, she was most compelling in noting that had sepsis been present, samples taken at the autopsy would have all but screamed out that fact. Both firm and convincing, Shen Schwarz was an excellent witness.

The jury also heard non-medical testimony. Professor Arthur Wright, an economist, provided expert testimony on damages. Jose and Carrie Oliveira testified about events in the delivery room and their observations of their son. Their testimony included descriptions of the sounds that Djonen made, including attempts at breathing and crying and his gasping and choking.

Don Singer, M.D., the Chief Pathologist at Women Infants in 1997, opened the Defendants' case-in-chief with his testimony. Singer is a specialist in pediatric pathology and placentas, in particular. He testified that after personally reviewing Dr. Oyer's autopsy work, he found significant evidence of infection. Further, he found evidence of infection in Carrie Oliveira, as well. This evidence formed the basis of his opinion that Djonen suffered an episode of asphyxia or hypoxia between six and twenty-four hours before birth.

Singer's testimony was corroborated by Rebecca Dunn Folkerth, M.D. Folkerth is a neuropathologist with subspecialties in perinatal and pediatric neurology. She is board certified in, among other areas, anatomic pathology. She testified that her review revealed evidence of the presence of gliosis in the brain stem several days prior to delivery. According to Folkerth's testimony, gliosis is caused by the shock of infection. In her opinion, the damage to Djonen's brain was present at least one day before his birth. Therefore, according to Folkerth, Djonen's health could not have been assured even if he had been born a full day earlier.

James Allen McGregor, M.D. OB-GYN, testified for the Defendants. McGregor is a specialist in maternal fetal medicine with a special focus in inflammation and infection. He testified that because the fetal monitoring strips were "reassuring" overall, there was no indication of an asphyxiation problem. In his opinion, Djonen died of septic shock due to the presence of an infection prior to birth. The strength of McGregor's testimony was diminished when, on cross examination, he became evasive, unresponsive, and displayed rather odd communication quirks.

Henry Michael Lerner, M.D. testified for the Defendants. Lerner is an obstetrician who testified that the Defendants each met their respective standards of care. He based his opinion on overall "reassuring" fetal monitoring strips and on positive scalp stimuli. Cross-examination of Lerner revealed that he was employed by a medical malpractice insurance company and received $45,000 a year for his advocacy role.

Leonard Eisenfeld, M.D. testified for the Defendants. Eisenfeld is board certified in neonatology and perinatology. He testified that, in his opinion, the baby was infected and severely anemic. Moreover, Eisenfeld testified that Carrie Oliveira was colonized with group B strep. On cross-examination, Eisenfeld was incapable of answering a question. It was tortuous and diminished his value as a witness.

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Bluebook (online)
Oliveira v. Jacobson, 99-675 (2002), Counsel Stack Legal Research, https://law.counselstack.com/opinion/oliveira-v-jacobson-99-675-2002-risuperct-2002.