Pratt v. St. Christopher's Hospital

53 Pa. D. & C.4th 526, 2001 Pa. Dist. & Cnty. Dec. LEXIS 268
Pennsylvania Court of Common Pleas, Philadelphia County·Decided May 11, 2001·No. no. 1576; no. 3446; no. 3126·Published

Opinion

DiNUBILE JR., J.,

This opinion arises from the denial of plaintiffs’ post-trial motions nunc pro tunc; resulting in entry of a judgment in favor of the defendants. The issue involves impeachment of the jury’s verdict. The case was a medical malpractice in which parents had brought suit on behalf of their minor son for failure to timely diagnose a subdural empyema (a pernicious infection of the brain) which ultimately led to brain damage. The defendants were Ronald L. Souder M.D., the treating pediatrician, Margaret Fisher M.D., the pediatric infectious disease specialist, and St. Christopher’s Hospital, where treatment occurred. The jury’s deliberation was called into question by one of the jurors, who found in favor of the defendants, by virtue of a letter she sent to this court. After review of the case law, it is concluded that the contents of the letter would be insufficient to impeach the jury’s verdict. Consequently, judgment has been entered on this verdict.

The facts and procedural history leading to the filing of post-trial motions, are as follows. The child, Michael Nesmith Jr., (the parents and child will hereinafter be referred to as plaintiffs) then 6 months old, was hospitalized at defendant St. Christopher’s Hospital on August 10,1989 due to a high fever and a full fontanelle (a bulging of the anterior of his forehead). A spinal tap, ordered and performed almost immediately after admission, ruled out meningitis. After treating the child for about eight days, a CAT scan was performed which revealed the subdural empyema. Plaintiffs maintain that it was negligent on the part of the defendant physicians (and the hospital as their ostensible agent) not to have diagnosed this condition sooner. As a result of this failure of diagnosis, plain[529] tiffs asserted that the child suffered severe brain damage. The issues of negligence and causation were hotly contested by the defense. The defendants maintained that since the spinal tap showed clear spinal fluid, there was no reason to believe that the child suffered from this rare and vicious disease. Defense also asserted that since there was no vomiting, the fontanelle had been flat during the majority of the child’s stay at the hospital and he was alert up until shortly before the CAT scan was performed, that there was no reason to believe that he suffered from this disease. The defendants’ experts maintained that the subdural empyema, which emanated from an e-coli bacteria, is extremely rare. Thus, only after the child became extremely ill and lethargic, on or about the eighth day of hospitalization, it was reasonable and within the standard of care to order a CAT scan of the brain. As stated, on August 18, 1989, the test was performed and the disease was detected.

This was the second trial of the case. It had been tried before the Honorable Paul Ribner, resulting in a defense verdict. Judge Ribner had granted a new trial, after an appeal to the Superior Court affirming his decision, the case came before this court on January 29,2001 for trial. On February 7,2001, after the jury had deliberated about eight hours over a two-day period, a verdict was rendered in favor of the defendants. After the verdict was announced, the jury was polled indicating that 10 jurors had found in favor of the defendants and two for the plaintiffs. Then the verdict was recorded. No post-trial motions were filed within the required time period pursuant to Pa.R.C.P. 227.1(c). On February 22, 2001, this court received a letter from Pamela Toller, one of the jurors, [530] dated February 14, 2001, which was made part of the record. She originally had been an alternate but became a jury member when one of the original jurors was excused. She was one of the 10 jurors who found in favor of the defendants. In her letter, she stated that she believed her fellow jurors worked hard to reach what they perceived was a proper verdict. She felt, however, that some of the jurors might have been influenced by their relatives and friends who worked in the medical profession, or by their own personal physicians, as a result of discussing the case with them during the course of the trial and jury deliberations.

By letter dated February 28, 2001, the court sent copies of this letter to counsel. Plaintiffs’ counsel then filed two sets of post-trial motions, nunc pro tunc, dated March 5,2001 and March 7,2001. By order of March 13,2001, the court permitted the filing of these post-trial motions; limited solely to the issue involving jury deliberation. In these motions, the plaintiffs requested either a new trial, or in the alternative, a hearing on this issue. On May 1 and 4, 2001, plaintiffs’ counsel reiterated their request for this relief by way of hearing by filing a motion for an emergency hearing and responding to defendants’ objection to hold it. After review of the case law, in particular the cases of Carter by Carter v. U.S. Steel Corp., 529 Pa. 409, 604 A.2d 1010 (1992) and Orndoff v. Wilson, 760 A.2d 1 (Pa. Super. 2000), this court has denied the post-trial motions; refusing to hold a hearing, and entering judgment on the verdict.

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Pratt v. St. Christopher's Hospital, 53 Pa. D. & C.4th 526, 2001 Pa. Dist. & Cnty. Dec. LEXIS 268 (Pa. Super. Ct. 2001).

53 Pa. D. & C.4th 526 (Pratt v. St. Christopher's Hospital) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Carter v. United States Steel Corp.
604 A.2d 1010 (Supreme Court of Pennsylvania, 1992)
Orndoff v. Wilson
760 A.2d 1 (Superior Court of Pennsylvania, 2000)