Rebecca Turisk v. Dennis K. Schimpf

CourtCourt of Appeals of South Carolina
DecidedOctober 15, 2025
Docket2023-000029
StatusUnpublished

This text of Rebecca Turisk v. Dennis K. Schimpf (Rebecca Turisk v. Dennis K. Schimpf) is published on Counsel Stack Legal Research, covering Court of Appeals of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rebecca Turisk v. Dennis K. Schimpf, (S.C. Ct. App. 2025).

Opinion

THIS OPINION HAS NO PRECEDENTIAL VALUE. IT SHOULD NOT BE CITED OR RELIED ON AS PRECEDENT IN ANY PROCEEDING EXCEPT AS PROVIDED BY RULE 268(D)(2), SCACR.

THE STATE OF SOUTH CAROLINA In The Court of Appeals

Rebecca Turisk, Appellant,

v.

Dennis K. Schimpf, M.D. and Sweetgrass Plastic Surgery, LLC, Respondents.

Appellate Case No. 2023-000029

Appeal from Charleston County Maite Murphy, Circuit Court Judge

Unpublished Opinion No. 2025-UP-349 Heard April 10, 2025 – Filed October 15, 2025

AFFIRMED

Mark C. Tanenbaum and Whitney Allison Smith Rogers, both of Mark C. Tanenbaum, PA, of Mt. Pleasant; Elizabeth Middleton Burke, Misty Black O'Neal, and Theodore Augustus Constantine Hargrove, II, all of Rogers, Patrick, Westbrook & Brickman, LLC, of Mount Pleasant; Jesse Sanchez, of The Law Office of Jesse Sanchez, LLC, of Mount Pleasant; and William Tyler Robinson, of Ty Robinson Law Firm, LLC, of Charleston, all for Appellant. Todd W. Smyth and Allie Aleece Maples, both of Smyth Whitley, LLC, of Charleston, for Respondents.

PER CURIAM: In this medical malpractice action, Appellant Rebecca Turisk assigns error to the trial court charging the jury on assumption of risk. Turisk also appeals the trial court's denial of her motion for a new trial or in the alternative, a judgment notwithstanding the verdict (JNOV) because (1) the verdict as to proximate cause was contrary to the weight of the evidence, (2) Turisk's criticism of Respondent Dr. Dennis K. Schimpf's postoperative care did not amount to a second distinct theory of liability, and (3) the jury's verdict was inconsistent and demonstrates the jury was confused. We affirm.

FACTS/PROCEDURAL HISTORY

Turisk commenced the underlying medical malpractice action against Respondents, 1 alleging Dr. Schimpf selected a contraindicated surgical technique for her breast reduction and implant removal surgery, which resulted in necrosis, infection, and ultimately a double mastectomy and reconstructive surgeries. Specifically, Turisk alleged the technique Dr. Schimpf used was contraindicated for her surgery because it failed to account for existing scar tissue below each nipple, which limited blood flow to the nipple-areolar complex (NAC).

On November 1, 2016, Dr. Schimpf performed an implant removal, breast reduction, and breast lift on Turisk using the "inferior pedicle" technique. 2 In the first three weeks following surgery, Turisk testified she experienced fevers, noticed drainage and odor from her breasts, and that her incision opened. The patient notes from those weeks provided that Turisk's right NAC was very bruised and that an eschar (hardened dead tissue over a deep wound) had formed, but there was no discharge, warmth, or redness. Eventually, Turisk went to the emergency room when the incision opened on her right breast. Turisk received IV antibiotics and was sent home to follow-up at Sweetgrass. The patient note from the following day

1 Sweetgrass Plastic Surgery, LLC, and Dennis K. Schimpf, MD are Respondents. Dr. Schimpf owns Sweetgrass Plastic Surgery, and Turisk was seen and treated by Dr. Schimpf and other Sweetgrass Plastic Surgery employees. 2 During the breast reduction surgery, most of the tissue surrounding the NAC is removed. The surgeon leaves a strip of tissue, the "pedicle", to maintain blood supply to the NAC. An inferior pedicle goes downward from the NAC to the bottom of the breast. indicated that the right incision had closed, and Dr. Schimpf "prophylactically" prescribed a round of antibiotics. Dr. Schimpf debrided 3 the tissue on the right NAC and noted an odor coming from the surrounding underlying tissue, "which was open and draining," but he did not notice any internal spread of infection. Dr. Schimpf prescribed a solution to control odor and "clean up" the region.

On December 3, Turisk entered inpatient care at the Medical University of South Carolina (MUSC) and remained there for five days. Turisk had developed an infection, fat necrosis, 4 and an open wound on her right NAC. Unfortunately, the breast tissue could not be saved, resulting in Turisk having to undergo a double mastectomy and five reconstructive surgeries.

Turisk brought the underlying action against Respondents. Turisk's expert witness, Dr. Charles Hultman, testified he believed Dr. Schimpf breached the standard of care by using a contraindicated surgical technique. In his opinion, the inferior pedicle technique compromised blood supply to the NAC and part of the breast because the tissue preserved to maintain blood flow—the pedicle—directed blood through Turisk's existing scars and blood could not pass through scar tissue. Dr. Hultman opined the inferior pedicle technique would be "extremely rare" in cases involving scar tissue like Turisk's because it would be "a dangerous operation . . . that would have a high chance of failure." Dr. Hultman described other techniques that could have "greatly improve[d] the safety of the operation and [ensured] success." However, Dr. Hultman acknowledged on cross-examination that "a patient can experience fat necrosis and nipple loss even when the surgeon has done everything according to the standard of care" and that necrosis can occur regardless of where the incisions were made. Finally, Dr. Hultman testified that he did not believe any of Turisk's actions caused or accelerated the infection.

Dr. Schimpf then offered Dr. Todd Lefkowitz as an expert in plastic surgery. Dr. Lefkowitz testified that, in his opinion, Turisk's scars did not render the inferior pedicle technique a contraindicated choice because blood could flow through the scars. Dr. Lefkowitz further testified that Dr. Schimpf cut a larger pedicle than is standard to accommodate for the scar tissue and to ensure sufficient blood flow to the NAC. Dr. Lefkowitz conceded there was some disruption to the blood flow during surgery because fat necrosis would not have occurred absent some disruption;

3 Debridement cleans the area of nonviable tissue to allow a wound to heal. 4 Fat necrosis occurs when inadequate blood flow into or return from fatty tissue causes the tissue to die and release oil that metabolizes into a caustic alcohol, which can damage surrounding tissue. however, he did not believe the use of the inferior pedicle technique as opposed to another technique caused the disruption. Dr. Lefkowitz further testified that known risks and complications of this surgery include loss of the NAC, infection, and the need for further, more complex surgery. Lastly, Dr. Lefkowitz agreed with other witnesses that Turisk did nothing to cause the infection or necrosis. All the experts testified to a reasonable degree of medical certainty.

The jury returned a verdict in favor of Respondents, finding that Turisk proved by the preponderance of the evidence that Respondents deviated from the standard of care but failed to prove this deviation from the standard of care proximately caused Turisk's injuries. Turisk filed a post-trial motion for a new trial as to proximate cause and damages, or in the alternative, either a JNOV or a new trial absolute. The trial court denied the motion. This appeal followed.

LAW/ANALYSIS

I. Assumption of Risk Jury Instructions

Turisk argues the trial court erred in charging the jury on assumption of risk because a patient cannot assume the risk that a physician will deviate from the standard of care, and because assumption of risk goes to duty and there was no question a duty existed as a matter of law. Turisk further argues the charge was prejudicial because it confused the jury. We hold the charge was erroneous but not prejudicial.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Curcio Ex Rel. Estate of Turner v. Caterpillar, Inc.
585 S.E.2d 272 (Supreme Court of South Carolina, 2003)
Reiland v. Southland Equipment Service, Inc.
500 S.E.2d 145 (Court of Appeals of South Carolina, 1998)
Cole v. Raut
663 S.E.2d 30 (Supreme Court of South Carolina, 2008)
Vinson v. Hartley
477 S.E.2d 715 (Court of Appeals of South Carolina, 1996)
Cole Ex Rel. Estate of Cole v. South Carolina Electric & Gas, Inc.
608 S.E.2d 859 (Supreme Court of South Carolina, 2005)
Gastineau v. Murphy
503 S.E.2d 712 (Supreme Court of South Carolina, 1998)
Davenport v. Cotton Hope Plantation Horizontal Property Regime
508 S.E.2d 565 (Supreme Court of South Carolina, 1998)
Nelson v. Concrete Supply Company
399 S.E.2d 783 (Supreme Court of South Carolina, 1991)
Hoeffner Ex Rel. Estate of Hoeffner v. Citadel
429 S.E.2d 190 (Supreme Court of South Carolina, 1993)
Prego v. Hobart
336 S.E.2d 725 (Court of Appeals of South Carolina, 1985)
Austin v. Stokes-Craven Holding Corp.
691 S.E.2d 135 (Supreme Court of South Carolina, 2010)
Hurd v. Williamsburg County
579 S.E.2d 136 (Court of Appeals of South Carolina, 2003)
Faile v. Bycura
346 S.E.2d 528 (Supreme Court of South Carolina, 1986)
Geiger v. CHECKER CAB CO.
91 S.E.2d 552 (Supreme Court of South Carolina, 1956)
Hurd v. Williamsburg County
611 S.E.2d 488 (Supreme Court of South Carolina, 2005)
Daves v. Cleary
584 S.E.2d 423 (Court of Appeals of South Carolina, 2003)
Rhodes v. Winn-Dixie Greenville, Inc.
155 S.E.2d 308 (Supreme Court of South Carolina, 1967)
Hurst v. East Coast Hockey League, Inc.
637 S.E.2d 560 (Supreme Court of South Carolina, 2006)
Perez v. McConkey
872 S.W.2d 897 (Tennessee Supreme Court, 1994)
Cole v. Boy Scouts of America
725 S.E.2d 476 (Supreme Court of South Carolina, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
Rebecca Turisk v. Dennis K. Schimpf, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rebecca-turisk-v-dennis-k-schimpf-scctapp-2025.