Parker v. Tomera

89 P.3d 761, 2004 Alas. LEXIS 53, 2004 WL 870194
CourtAlaska Supreme Court
DecidedApril 23, 2004
DocketS-10780
StatusPublished
Cited by35 cases

This text of 89 P.3d 761 (Parker v. Tomera) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Parker v. Tomera, 89 P.3d 761, 2004 Alas. LEXIS 53, 2004 WL 870194 (Ala. 2004).

Opinion

OPINION

CARPENETI, Justice.

I. INTRODUCTION

Harold F. Parker sued Dr. Kevin M. Torn-era, Alaska Urological Associates, and unnamed others for medical malpractice and for *763 failing to obtain his informed consent prior to conducting an invasive diagnostic procedure. He claims that the procedure caused him permanent sexual dysfunction. The defendants moved for summary judgment and supported their motion with expert testimony that Parker’s alleged injuries could not have resulted from the diagnostic procedure they performed. The superior court granted the defendants’ motion for summary judgment because Parker failed to provide rebuttal expert testimony proving the existence of contested materia! facts requiring trial. Parker appeals, claiming that expert testimony was not required to prove his medical malpractice claim, that the superior court erred by not appointing an expert advisory panel, and that the defendants’ expert witness did not address his informed consent claim. He also contests the superior court’s award of costs and attorney’s fees to the defendants. Because Parker did not introduce expert testimony to support his medical malpractice case, we affirm the grant of summary judgment on this issue. But because the superior court did not separately address Parker’s informed consent claim, we reverse summary judgment on this issue. We remand the issue of fees and costs in light of this decision.

II. FACTS AND PROCEEDINGS

This ‘suit arises from treatment that Harold F. Parker received from Dr. Kevin M. Tornera and Mary Carol Miller, R.N. 1 during a visit to Alaska Urological Associates (AUA) on June 30,1999 for a routine prostate examination. During this exam, Parker told Dr. Tornera that he experienced a constant need to urinate and that he was unhappy with his urinary condition. He had voiced this complaint during a previous visit to AUA in 1998, when he was treated for bladder outlet obstructive symptoms and possible prostatitis. 2 Based upon the symptoms reported by Parker and his responses to a medical questionnaire, Dr. Tornera concluded that the cause of Parker’s complaints could be Interstitial Cystitis, a chronic inflammatory condition of the bladder. 3 To confirm this diagnosis, Dr. Tornera ordered a test that required the insertion of a catheter through Parker’s urethra into his bladder and the injection of a potassium-based solution to determine changes in Parker’s sensations of pain and urgency. This procedure, sometimes known as a Parsons Test, was performed by Mary Carol Miller, R.N. A prostate specific antigen (PSA) test, which is conducted to detect prostate cancer, showed a PSA level of 1.6, which is within the normal range. 4 Parker claims that he was never informed of any risks associated with this procedure and that he did not sign any consent forms or waivers.

Parker alleges that his current problems began when Nurse Miller removed the catheter so quickly that it flew over her shoulder. According to Parker, he immediately complained to Miller of an intense burning sensation inside his penis and he fell ill the following day with fever, chills, weakness, and nausea. The next month, Parker visited another urologist, Dr. J. Wesley Turner of Alaska Southcentral Urology Specialists, to follow up on a different medical condition. During this visit, he again complained of problems with urinary frequency, and he told Dr. Turner that he was experiencing burning inside his urethra and pain during intercourse. Dr. Turner diagnosed possible urethritis. A PSA test conducted during this visit showed an elevated level of 6.1, which prompted Dr. Turner to send Parker a letter *764 recommending follow-up evaluation. 5 In this letter, Dr. Turner indicated that possible reasons for an elevated PSA include prostate cancer, prostatitis, or an enlarged prostate gland. A PSA test conducted on August 16, 1999 showed a PSA level of 3.9. During a follow-up examination with Dr. Turner on August 23, 1999 Parker discussed the Parsons Test ordered by Dr. Tornera in June and indicated that he had experienced fever and chills within twenty-four hours of this procedure and that he did not recall obtaining any antibiotics from Dr. Tornera. Dr. Turner indicated that Parker’s elevated PSA in July could have been caused by the insertion of the catheter or by prostatitis, and he recommended a course of antibiotic treatment followed by a repeat PSA test in six months. Between October 1999 and October 2001, Parker had additional routine visits with Dr. Turner. He complained of sexual dysfunction during several of these visits.

Parker filed a complaint against Dr. Torn-era, Alaska Urological Associates, and several Jane Does on June 29, 2001, alleging that the catheterization was performed negligently and left him permanently sexually dysfunctional, and that the defendants failed to obtain his informed consent for the procedure. He sought compensatory damages of $1,500,000 plus prejudgment interest, punitive damages, and costs and fees for bodily injury, pain and suffering, mental anguish, and loss of capacity to enjoy his sex life.

The defendants moved for summary judgment on January 31, 2002 and supported their motion with an affidavit from a board certified urologist indicating that Tomera’s decision to test for interstitial cystitis was reasonable given the symptoms Parker complained of, that Tomera’s treatment met the standard of care for a general practice urologist, and that it is physiologically and neu-rologieally impossible to render someone impotent as a result of the catheterization involved in the diagnostic examination performed on Parker. The defendants claimed that, since Parker bore the burden of proving his medical malpractice claim, his complaint must be dismissed if he did not rebut the defendants’ expert testimony with admissible expert testimony supporting his claim that Dr. Tomera’s treatment fell below the applicable standard of care. The defendants’ motion did not address the issue of informed consent. Parker’s request for additional time to respond to this motion was granted. In his opposition to this motion, Parker claimed that summary judgment was inappropriate because expert testimony was not required to evaluate his claim and because the defendants’ expert affidavit did not address the issue of informed consent. On April 17, 2002 the superior court entered an order providing that summary judgment would be granted in thirty days unless Parker provided expert testimony to support his malpractice claim. This order did not address Parker’s informed consent claim.

On April 22, 2002 Parker moved for an additional thirty days in which to obtain counsel and an expert affidavit, and he asked the court to apply the doctrine of res ipsa loquitur to this case since he claimed that his impotence would not have occurred but for the negligence of Dr. Tornera and his staff. In May Parker moved for the appointment of an expert advisory panel pursuant to AS 09.55.536 because he was unable to obtain expert testimony to support his case.

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Bluebook (online)
89 P.3d 761, 2004 Alas. LEXIS 53, 2004 WL 870194, Counsel Stack Legal Research, https://law.counselstack.com/opinion/parker-v-tomera-alaska-2004.