REGINALD P. GAMBLE VS. PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS (L-4167-11, BERGEN COUNTY AND STATEWIDE)

CourtNew Jersey Superior Court Appellate Division
DecidedJuly 11, 2018
DocketA-1562-15T4
StatusUnpublished

This text of REGINALD P. GAMBLE VS. PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS (L-4167-11, BERGEN COUNTY AND STATEWIDE) (REGINALD P. GAMBLE VS. PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS (L-4167-11, BERGEN COUNTY AND STATEWIDE)) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
REGINALD P. GAMBLE VS. PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS (L-4167-11, BERGEN COUNTY AND STATEWIDE), (N.J. Ct. App. 2018).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-1562-15T4

REGINALD P. GAMBLE and DION M. HOPPER, His Wife,

Plaintiffs-Appellants,

v.

PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS, ADVANTUS MEDICAL HEADQUARTERS and DJ ORTHOPEDICS, LLC,

Defendants,

and

BRIAN VAN GROUW, D.O.,

Defendant-Respondent. ______________________________________________

Argued December 18, 2017 – Decided July 11, 2018

Before Judges Messano, Accurso and O'Connor.

On appeal from Superior Court of New Jersey, Law Division, Bergen County, Docket No. L-4167-11.

Paul M. da Costa argued the cause for appellants (Snyder Sarno D'Aniello Maceri & da Costa, LLC, attorneys; Paul M. da Costa, of counsel and on the brief; Sarah L. Davis, on the brief). Michael J. McBride argued the cause for respondent (Mattia & McBride, PC, attorneys; Phillip F. Mattia, Haley K. Grieco and Zachary G. Farnsworth, on the brief).

PER CURIAM

Following a lengthy trial in this medical malpractice

action, a jury determined defendant Brian Van Grouw, D.O.,

deviated from accepted standards of medical care when he treated

plaintiff Reginald P. Gamble, but found such treatment did not

proximately cause the damages plaintiff claimed arose from the

alleged deviations.1 Plaintiff and his spouse, Dion M. Hopper,

who asserted a per quod claim against Dr. Van Grouw, appeal from

an October 29, 2015 order denying plaintiffs' motion for

judgment notwithstanding the verdict, a mistrial, or new trial.2

After reviewing the evidence adduced at trial, the parties'

arguments, and the applicable legal principles, we affirm.

I

We summarize the salient evidence. In 2009, plaintiff

consulted with defendant, an orthopedic surgeon, about pain he

had been experiencing in both knees. On May 13, 2009, defendant

performed an arthroscopy on plaintiff's left knee to remove the

1 By the time of trial, Dr. Van Grouw was the sole defendant, plaintiff having previously settled with all other defendants. 2 For simplicity, for the remainder of this opinion the term "plaintiff" shall refer to Reginald P. Gamble only. 2 A-1562-15T4 meniscus. Following surgery, defendant prescribed a cryotherapy

device (device) for plaintiff to use at home to help control

post-surgical pain and swelling. When in use, cold water from

the device flowed across plaintiff's bandaged knee.

Defendant testified that both he and his staff instructed

plaintiff to use the device continuously during the first

seventy-two hours following surgery and, thereafter, as needed

to control any pain or swelling. In addition, in general he

advises all patients using the device to contact him if any

"issues" arise with respect to "drainage, redness, warmth."

Plaintiff testified he used the device continuously during

seventy-two hours immediately following surgery and as necessary

thereafter. Starting with the third day following surgery,

plaintiff used the machine every other hour for an hour. On May

18, 2009, the fifth day following surgery, plaintiff began to

feel numbness in his knee. Because he was also experiencing

what he believed was an abnormal amount of swelling and

bleeding, plaintiff contacted and saw defendant in his office

that day.

According to defendant's office notes, plaintiff complained

of having a lot of pain in his knee, swelling, and some

bleeding. Defendant testified fluid had accumulated in

plaintiff's knee, making it appear swollen, a common post- 3 A-1562-15T4 operative occurrence. It is not disputed defendant aspirated

the fluid from the knee and instructed plaintiff to return in a

week for another checkup.

On May 26, 2009, plaintiff returned to defendant's office

for the scheduled follow-up visit, during which defendant's

office notes reflect fluid had again accumulated in the knee.

Defendant again drained the knee, but testified the knee

"appeared to be good," and that there was nothing that made him

"overly concerned." Plaintiff testified his knee was still

painful at that second office visit and that defendant advised

him to continue using the cryotherapy device as needed for pain.

On June 4, 2009, plaintiff returned to defendant's office

for a follow-up visit. Defendant's office notes reflect

plaintiff was complaining of "a lot" of pain, tenderness, and

swelling. Plaintiff testified there was "dark black skin" and

blisters forming on his knee; defendant's office notes do not

mention changes in plaintiff's skin color or the presence of

blisters. Defendant testified he found a small amount of fluid

in the knee, which he did not consider to be abnormal. He

directed plaintiff to attend physical therapy because the

muscles around the knee had grown weak and stiff from lack of

use.

4 A-1562-15T4 On June 12, 2009, plaintiff called defendant's office

seeking renewal of a prescription for pain medication.

Defendant's office notes indicate plaintiff reported he was

"doing better" and that physical therapy was "going well."

However, on June 20, 2009, plaintiff went to an emergency room

because he was experiencing increased knee pain and nausea; he

was subsequently admitted into the hospital, where he remained

until August. Defendant did not treat plaintiff after June 20,

2009.

At the time of his admission, significant eschar was noted

to have formed over a wound on plaintiff's knee; eschar is dead,

necrotic tissue. Two days after plaintiff's admission, the

eschar was surgically debrided3 in an effort to induce new skin

to grow. However, the wound over plaintiff's knee did not heal,

and additional eschar developed and had to be removed.

Subsequent testing and additional surgical procedures

revealed the bones and joints of plaintiff's knee were

deteriorating as the result of osteomyelitis, an infection of

the bone. In fact, there was concern plaintiff would lose his

leg. When plaintiff was discharged in August, the fate of his

leg was still uncertain. Eventually, his treating physicians

3 Debridement is the removal of damaged tissue or foreign objects from a wound. Stedman's Medical Dictionary 496 (28th ed. 2006). 5 A-1562-15T4 were able to salvage the leg by fusing plaintiff's knee.

Plaintiff filed a medical malpractice complaint against

defendant, alleging he committed various deviations from

accepted standards of medical care during the period immediately

following the arthroscopy. Plaintiff further contended that as

a proximate result of such deviations, he was forced to and will

endure pain and suffering, including but not limited to the

fusion of his knee.

During trial, each party called various medical experts on

the issue of liability and damages. The most sharply contested

issue was proximate causation. We address this issue first

because not only was it the most controversial, it also puts the

alleged deviations into perspective.

One of plaintiff's liability experts, orthopedist Stephen

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REGINALD P. GAMBLE VS. PROGRESSIVE MOTION MEDICAL PRODUCT SOLUTIONS (L-4167-11, BERGEN COUNTY AND STATEWIDE), Counsel Stack Legal Research, https://law.counselstack.com/opinion/reginald-p-gamble-vs-progressive-motion-medical-product-solutions-njsuperctappdiv-2018.