ProAssurance Indemnity Co. v. Metheny

2012 Ark. 461, 425 S.W.3d 689, 2012 WL 6204231, 2012 Ark. LEXIS 499
CourtSupreme Court of Arkansas
DecidedDecember 13, 2012
DocketNo. 11-823
StatusPublished
Cited by21 cases

This text of 2012 Ark. 461 (ProAssurance Indemnity Co. v. Metheny) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ProAssurance Indemnity Co. v. Metheny, 2012 Ark. 461, 425 S.W.3d 689, 2012 WL 6204231, 2012 Ark. LEXIS 499 (Ark. 2012).

Opinions

DONALD L. CORBIN, Justice.

11 This is an appeal from a jury verdict in favor of Appellees Pamela and Kenny Metheny, individually and as co-eonserva-tors of Cody Ryan Metheny, in a medical-negligence case. Appellant ProAssurance Indemnity Company, Inc., f/k/a The Medical Assurance Company, Inc., is the liability-insurance company for Arkansas Children’s Hospital (ACH), a not-for-profit corporation. On appeal, ProAssurance argues that the circuit court erred (1) in failing to instruct the jury in a manner that would allow it to apportion liability among it and certain physicians who were sued in a prior case but ultimately settled; (2) in refusing to allow ProAssurance to present evidence of fault attributable to the settling physicians; and (8) in denying ProAssurance’s motion for judgment notwithstanding the verdict (JNOV) where the ^evidence supporting Cody’s future damages was based on improperly bundled calculations. The Methenys cross-appeal the circuit court’s order reducing the jury’s verdict from $20 million to $11 million. Our jurisdiction of this case is pursuant to Ark. Sup.Ct. R. 1 — 2(b)(4) (2012), as the appeal involves issues of substantial public interest. We find no error . and affirm on both direct appeal and cross-appeal.

The facts are these. Cody Metheny, who was then fifteen years old, was' scheduled to undergo elective brain surgery on the right side of his brain at ACH on August 2, 2004. The surgery, to excise a right-temporal-lobe lesion, was aimed at eliminating epileptic seizures occurring on the right side of Cody’s brain. This procedure, formally known as a selective amyg-dala hippocampectomy (SAH), was scheduled to last approximately four hours and was to be performed by Dr. Badih Adada, a physician employed by the University of Arkansas for Medical Sciences (UAMS), who also practiced at ACH.1

Prior to the surgery, ACH invited a reporter for the Arkansas Democrat-Gazette, Nell Smith, to observe the surgery and take photographs of the surgical procedure. Pam Metheny was approached by a member of ACH’s public-relations department and asked to a sign a medical-authorization form on Cody’s behalf for the release of photographs taken during his surgery. The surgery began with Dr. Adada making an incision on the left side of Cody’s brain. According to the Methe-nys’ complaint, Dr. Adada then penetrated and opened the dura, and the surgical team removed and damaged significant portions of the left amygdala, 1-¡parts of the hippocampus, and other left-hemisphere brain tissue. Once Dr. Adada realized that he had operated on the wrong side of Cody’s brain, he asked the media representatives to leave the operating room. Cody was then repositioned, and Dr. Ada-da began operating on the right hemisphere of Cody’s brain, without letting his family know that he had just operated on the left side of his brain.

Following the surgery, Dr. Adada spoke with the family and told them that he had started the surgery on the wrong side, that no harm had been done to the left side of the brain, and that he was able to successfully remove the right-side lesion. It is undisputed that hospital administrators were made aware of the fact that Dr. Adada began the procedure on the wrong side of the brain. But, according to Dr. Jonathan Bates, CEO of ACH, he was not informed by Dr. Adada or anyone else that the surgery went beyond the dura or that any harm had been done beyond that.

After the surgery, Cody spent approximately six days in the hospital before he was discharged home. He returned to school in September, where he served as manager of the football team and the fire-monitor captain. Cody graduated from Parkview High in 2007. But, according to his father, Kenny Metheny, Cody was not the same after the surgery. Mr. Metheny stated that Cody was unable to express emotion, even after the death of his grandmother. He also stated that Cody no longer gets excited and that he has a blank and void look in his eyes. Cody was ultimately referred to a residential facility known as the NeuroRehab Living Center in Virginia Beach, Virginia, where he was residing at the time of trial.

|4It was not until some fifteen months after the surgery that the Methenys learned that tissue had been removed from the left hemisphere of Cody’s brain. Thereafter, on January 6, 2009, the Methe-nys, individually and as co-conservators of Cody, filed a direct-action suit, alleging medical negligence on the part of ACH, against the hospital’s liability-insurance carrier, ProAssurance.2 In their complaint, the Methenys asserted that ACH, by and through its administration, employees, department heads, and agents committed multiple acts of administrative and medical negligence, both before, during, and after the two brain surgeries performed on August 2, 2004. The Methenys alleged that administration officials failed to take any action to stop the surgery on the right side of the brain after learning of the mistaken surgery on the left side of the brain. More specifically, the Methe-nys alleged that ACH’s surgical team removed and destroyed critical brain tissue from both sides of Cody’s brain and, despite having knowledge of the two surgeries, never disclosed this information to the Methenys.3 According to the complaint, the fact that ACH’s administration failed to notify the family of the wrong-sided surgery deprived their son of critical rehabilitation time. The |fiMethenys sought both compensatory and punitive damages based on two counts of medical negligence, as well as one count of outrage.

In its answer to the complaint, ProAssu-rance admitted that Dr. Adada removed tissue from both sides of Cody’s brain during the surgery, but denied any wrongdoing on the part of ACH employees. ProAssurance, pleading affirmatively, stated that the complaint failed to state facts upon which relief could be granted for punitive damages and asked that such claims be dismissed. ProAssurance further asserted the affirmative defense that there was an intervening proximate cause that was the sole proximate cause of the injury to Cody. Finally, pleading affirmatively, ProAssurance asserted an entitlement to a setoff for the total amount paid in consideration of claims against other tortfeasorers in accordance with Ark.Code Ann. § 16-61-204 and an entitlement to request that the jury assign percentages of fault among all tortfeasors, whether parties or nonparties, pursuant to Ark.Code Ann. § 16-55-202.

The Methenys filed an amended complaint on March 6, 2009. Therein, the Methenys restated many of the allegations raised in the first complaint. They added, however, a cause of action for direct and vicarious general administrative negligence by ACH, as well as a claim of outrage against ProAssurance, separate and apart from the outrage claim related to ACH, alleging that ProAssurance advised ACH to not report this as a sentinel event and, thus, acted in concert with ACH to commit outrageous acts and omissions, including and/or directing the manner in which medical decisions were made for Cody in order to avoid or limit an insurance claim and/or in anticipation of litigation. The Methenys repeated their requests for both compensatory and punitive damages.

|ñOn June 18, 2009, ProAssurance filed a motion to dismiss the outrage claim raised against it in the amended complaint.

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Bluebook (online)
2012 Ark. 461, 425 S.W.3d 689, 2012 WL 6204231, 2012 Ark. LEXIS 499, Counsel Stack Legal Research, https://law.counselstack.com/opinion/proassurance-indemnity-co-v-metheny-ark-2012.