Plaisted v. Geisinger Medical Center

210 F.R.D. 527, 54 Fed. R. Serv. 3d 191, 2002 U.S. Dist. LEXIS 19842, 2002 WL 31356329
District Court, M.D. Pennsylvania·Decided October 15, 2002·No. No. 4:CV-01-1074·Published·Cited by 6 cases

Opinion

MEMORANDUM

McCLURE, District Judge.

BACKGROUND:

Plaintiffs Andrew E. Plaisted and Stephanie L. Plaisted, individually and as administrators of the estate of their son, Andrew D. Plaisted (Drew), commenced this medical malpractice action against defendants Geis-inger Medical Center and Geisinger Clinic (collectively, Geisinger). We have diversity jurisdiction. See 28 U.S.C. § 1332.

Plaintiffs allege that agents of defendants failed, inter alia, to monitor properly and correct Drew’s serum sodium levels on December 25, 2000 and December 26, 2000, while he was admitted to the Geisinger pediatric intensive care unit. This failure allegedly caused Drew’s brain to swell massively, resulting ultimately in his death.

This opinion addresses two outstanding motions by plaintiffs to compel deposition answers notwithstanding defense counsel’s instructions not to answer. The motions followed the depositions of Dr. Richard Salerno, Dr. Frederick Emge, Dr. Robert Brown, and Dr. Scott Mitchell; all four physicians are Geisinger employees, and all four were in some way involved in Drew’s care. Plaintiffs allege that during the deposition of each doctor, defense counsel engaged in improper behavior as defined by Federal Rule of Civil Procedure 30(d)(1). The alleged improprieties include making lengthy coaching objections, instructing witnesses not to answer certain questions, and leaving the deposition room on two occasions while a question was pending.

Plaintiffs ask that they be permitted to re-depose Salerno, Emge, Brown, and Mitchell in the areas not completed because of the alleged improper behavior. Plaintiffs also ask that they be permitted to question Brown as to what, if anything, defense counsel discussed with him during the two breaks she took during his deposition while a question was pending.

We will grant plaintiffs’ motions to re-depose each doctor in the areas that were not permitted by, or were obstructed by, defense counsel and to question Brown about what, if anything, defense counsel discussed with him during the two breaks she took during his deposition while a question was pending.

DISCUSSION:

I. STATEMENT OF RELEVANT FACTS

Plaintiffs allege that Geisinger physicians failed, inter alia, to monitor and correct Drew’s serum sodium while he was a patient at Geisinger. Drew’s serum sodium fell from 140 mmol/L to 121 mmol/L over the course of approximately 24 hours from December 25 to December 26, 2000. Plaintiffs allege that the decrease in serum sodium resulted in osmotic brain swelling and, a day later, Drew’s death. To that end, as part of the discovery process, plaintiffs’ counsel conducted depositions of several Geisinger physicians involved in Drew’s care, including Salerno, Emge, Brown, and Mitchell. Plaintiffs allege that defense counsel engaged in improper behavior during each of the depositions. The allegations of impropriety include instructing witnesses not to answer certain questions, making disruptive and “coaching” objections, and leaving the deposition room while a question was pending.

We have reviewed each deposition in its entirety before making our decision on the motions. When, in this opinion, we refer to a deposition, it is to the entire deposition of each witness as provided by defendants (Rec. Doc. No. 20, Exs. A, B, & C; Rec. Doc. No. 23, Ex. A), rather than to the excerpts provided by plaintiffs.

A. SALERNO DEPOSITION

Salerno was the attending physician in charge of Drew’s care during the period from December 25, 2000 to December 26, 2000, when Drew’s sodium level dropped from 140 [530] to 121. During Salerno’s deposition, plaintiffs’ counsel asked him about an order he had written to change the amount of a prescribed sedative administered to Drew. Specifically, plaintiffs’ counsel asked why Salerno changed the prescription. (Salerno Dep. at 75, lines 8-14.) After Salerno responded that he could only speculate as to the reason for the prescription change, plaintiffs’ counsel! asked him if the reason he changed the prescription was in order to keep Drew sedated. (Salerno Dep. at 75, lines 16-18.) Defense counsel instructed Salerno not to answer the question, as follows:

Q Isn’t it likely, Doctor, that the reason that you wrote that order was because [Drew] required more frequent dosages ... to remain sedated?
[Defense Counsel]: Objection. Don’t answer. The doctor just said he can only speculate. Asked an answered.
[Plaintiffs’ Counsel]: I’m going to ask that you answer the question, Doctor.
[Defense Counsel]: Don’t answer the question.
Q Can you think of any other reason why you would have upped the time for him to receive [the prescribed sedative] from two hours — every two hours as needed to every one hour as needed other than he was requiring more frequent administration to remain sedated?
[Defense Counsel]: Objection. That’s counsel’s statement and he is not a physician. He just said he can only speculate. Don’t answer the question.
Q It’s a different question. I’m going to ask you to answer the question.
[Defense Counsel]: Well—
Q I’m going to ask you to answer the question.
[Defense Counsel]: Objection. Don’t answer.
Q I want to know is there any other reason that you’re aware of that he would have required [the prescribed sedative] more frequently other than that he was beginning to wake up and needed it more frequently to remain sedated?
[Defense Counsel]: Objection. Don’t answer. Asked and answered. You can sit and stare at the witness all you want. I told him not to answer. Next question. (Salerno Dep. at 75, line 16-76, line 22.)

B. EMGE DEPOSITION

Emge was the attending physician in charge of Drew’s care when he was admitted to Geisinger on December 25, 2000. Plaintiffs’ counsel took Emge’s deposition on January 31, 2002.

In addition to his role as attending physician at Drew’s admission, Emge was the pediatric cardiologist on call during the period from December 25, 2000 to December 26, 2000, when Drew’s sodium level dropped from 140 to 121. Mitchell consulted Emge in the early morning hours of December 26, 2000 because Drew had developed a cardiac arrhythmia. Emge indicated in his consult note that Mitchell had reported no change in lab values, even though the report of blood gases for December 26, 2000 at 2:05 a.m. indicates that Drew’s serum sodium level had fallen to 128 mmol/L. (See Pls.’ Exs. 3 & 4, Rec. Doc. No. 14.)

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Plaisted v. Geisinger Medical Center, 210 F.R.D. 527, 54 Fed. R. Serv. 3d 191, 2002 U.S. Dist. LEXIS 19842, 2002 WL 31356329 (M.D. Pa. 2002).

210 F.R.D. 527 (Plaisted v. Geisinger Medical Center) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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