Oxtoby v. McGowan

447 A.2d 860, 294 Md. 83, 1982 Md. LEXIS 287
Court of Appeals of Maryland·Decided July 23, 1982·No. [No. 137, September Term, 1981.]·Published·Cited by 104 cases

Opinion

Rodowsky, J.,

delivered the opinion of the Court.

This appeal involves the Health Care Malpractice Claims Act (the Act), Md. Code (1974, 1980 Repl. Vol., 1981 Cum. Supp.), §§ 3-2A-01 through 3-2A-09 of the Courts and Judicial Proceedings Article. The Act was adopted by Ch. 235 of the Acts of 1976. Section 5 of Ch. 235, the effective date clause, provides that the Act "shall take effect July 1, 1976, and shall apply only to medical injuries occurring on or after that date.” The principal issue presented here requires interpretation of "medical injuries occurring,” as used in the *86 effective date clause. An issue involving attempted juror impeachment of a jury verdict is also raised.

In general, the Act requires certain medical malpractice claims to be submitted to an arbitration panel for initial ascertainment of liability and damages before resort may be had to a court of law for final determination. There were no arbitration proceedings prior to the filing of this medical malpractice case in the Circuit Court for Montgomery County. The case consumed 21 trial days, including three days of jury deliberations, between December 8, 1980 and January 9, 1981. Verdict and judgment were for the defendant. The plaintiffs did not obtain a transcript of the testimony for their appeal, for reasons to be explained below. There is no agreed statement of facts. Consequently, our recital of the factual background is based upon the limited record extract.

Willard Oxtoby (Willard) and Layla Oxtoby (Layla), husband and wife, sued Larry McGowan, M.D. (McGowan) on November 20, 1979. McGowan is a resident of Montgomery County whose office is in the District of Columbia. Count I of the declaration alleged that Layla had contracted in February 1974 with McGowan for the latter to perform a total vaginal hysterectomy and bilateral salpingo oophorectomy on Layla. Because Layla had a family history of ovarian cancer, the operation was needed to prevent the development of this disease in Layla. The surgery was performed on February 14,1974 at George Washington University Hospital in the District of Columbia. The declaration alleged that McGowan negligently had failed to remove all of Layla’s left ovary and tube, with the result that Layla developed ovarian cancer in or about April 1977. Surgery to attempt to remove the cancer was performed on July 3,1979. The pleading states that during the course of that surgery it was discovered that portions of Layla’s left ovary and fallopian tube remained in her body. Count I of the declaration presented Layla’s claim for money damages. In Count II Willard’s claim for damages based on medical expenses incurred was set forth, while Count III presented the joint claim for damage to the marital relationship.

*87 Layla died as a result of cancer on June 17, 1980. An amended declaration, consisting of four counts, was filed August 6,1980. Count I was brought by Willard, as personal representative of Layla’s estate, asserting Layla’s surviving claim and the estate’s claim for funeral expenses. 1 Counts II through IV respectively asserted wrongful death claims by Willard and by each of Layla’s two children.

After the close of all of the trial testimony the defendant, on January 6,1981, filed a motion seeking dismissal because the trial court was without initial jurisdiction to entertain the claims which, as McGowan then asserted, were covered by the Act and were thereby required to be submitted to the Act’s arbitration procedure. As to claims covered by the Act, § 3-2A-02 (a) provides:

All claims, suits, and actions, including cross claims, third-party claims, and actions under Title 3 Subtitle 9 of this article [wrongful death], by a person against a health care provider for medical injury allegedly suffered by the person in which damages of more than $5,000 are sought are subject to and shall be governed by the provisions of this subtitle. An action or suit of that type may not be brought or pursued in any court of this State except in accordance with this subtitle. An action in which damages of $5,000 or less are sought is not subject to the provisions of this subtitle. [Emphasis added.]

"Medical injury,” the term which appears both in § 3-2A-02 (a) and in the effective date clause of the Act, is defined in § 3-2A-01 (f) to mean "injury arising or resulting from the rendering or failure to render health care.”

The transcript of the arguments of counsel on McGowan’s motion are included in the record extract for this appeal. At that stage of the case the defendant was urging that no "medical injury” had occurred until after July 1,1976 while the plaintiffs argued for an earlier date. Defense counsel *88 asserted that "there is no evidence whatever that the injury-occurred prior to July 1, 1976” and that "all of the evidence indicate[d] that the cancer developed in late 1976 and early 1977 ....” Plaintiffs’ counsel made two points in opposition:

1. "Mrs. Oxtoby had ... a complete cause of action as of the time she went back [home] from George Washington University Hospital, where she had an operation to remove all of her ovaries, which was not done. Had she known this, she could have sued Dr. McGowan then and there for the cost of a second surgery abdominally to remove all of the ovarian tissue. She had a complete cause of action within a very short period of time after she was released from the hospital.”
2. If "there was no complete cause of action until [Layla] developed cancer, then you would be saying that she must have developed her cancer after July 1,1976, and the evidence in the case, while there is not strong evidence as to when it occurred, there is certainly evidence that she had cancer before that time.”

The trial court denied the defense motion without stating any reasons. None of the parties requested the court to submit a special issue to the jury in order to have the jury resolve any questions of fact involved in determining when the medical injury occurred. 2

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Oxtoby v. McGowan, 447 A.2d 860, 294 Md. 83, 1982 Md. LEXIS 287 (Md. 1982).

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