Royal Caribbean Cruises v. Swedish Health Services

CourtCourt of Appeals of Washington
DecidedOctober 22, 2018
Docket76275-3
StatusUnpublished

This text of Royal Caribbean Cruises v. Swedish Health Services (Royal Caribbean Cruises v. Swedish Health Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Royal Caribbean Cruises v. Swedish Health Services, (Wash. Ct. App. 2018).

Opinion

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!N THE COUR`E' OF APPEALS OF THE STATE OF WASH|NGTON

ROYAE_ CARlBBEAN CRU|SES LTD., a Liberian Corporation,

NO. 76275»3»1

D|ViSlON ONE Appefiant,

V.

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l SWEDiSH HEALTH SERVICES, a ) Washington Corporation d/b/a ) SWEDlSH NlEDiCAL CENTER; ) SEATTE_E RAD|OLOGESTS, a ) Professional Corporation; THE ) POLYCE_|N|C, a Protessionai ) Corporation; FREDERLCK A. iV|Al\El\E, ) lVl.D.; PEGGY D. HEADSTROM, M.D.; ) and K\’UNG Hl HAN, Ni.D., ) )

UNPUBL|SHED OPENION

Respondents. FiLED: October 22, 2018

ScHlNDLER, J. -- in 2009, Jacqueline Atmonte fiied a lawsuit against Royal Caribbean Cruises Ltd. (RCCL). Almonte aileged RCCL provided inadequate medicai care and asserted claims under federal maritime an for unseaworthiness negligence under the Jones Act, 46 U.S.C. § 30104, and maintenance and cure. in 2014, RCCL settled the lawsuit for $700,000. Almonte released ali claims against RCCE_ and medical care providers in May 2015, RCCL filed an indemnity and contribution action under federal maritime an and state law against Swedisn Health Services, the

Poiyclinic, Dr. Peggy Headstrom and Dr. Kyung Han, and Seattle Radiologists and Dr.

NO. 76275-3-|/2

Frederick Niann. We affirm summary judgment dismissal of the indemnity and contribution iawsuit. BACKGROUND AND PROCEDURAL i-iiSTORY

lVledica| Care

.iacqueline Alrnonte is a Dorninican Republic citizen in 2007, Almonte worked as a crewmember aboard the Roya| Caribbean Cruises Ltd. (RCCL) cruise ship Serenade of the Seas. ln Ju|y 2907, Airnonte saw the ship doctor for “severe abdominal pain.” When the ship docked in Juneau, Alaska, the ship doctor referred Aimonte to Vailey Medicai Care. On August 16, Vai|ey |Viedica| Care diagnosed Almonte with “an acute peptic ulcer” and prescribed medication Ai‘ter Alrnonte returned to work aboard the ship, her symptoms got worse. On Septernber i, a ship doctor examined Almonte and found her “not fit for duty." RCCL case coordinator Tania Arroyo1 worked in the crew medical department in N!iarni, Fiorida. Arroyo made arrangements for Airnonte to leave the ship and go to the Sitka Cornmunity Hospital Emergency Department. The hospitai admitted Almonte on Septeniber 3. Dr. Robert Hunter examined Aimonte and ordered a CAT2 scan. According to Dr. Hunter, the CAT scan showed “Crohn's disease with an inflammatory obstruction of the terminal ilium, fistu!as and free fiuid in the pelvis.” Dr. Hunter treated Airnonte for Crohn’s disease and prescribed steroids. Dr. Hunter discharged Aimonte on Septernber 9. in the discharge instiuctions, Dr. l-iunter

refers Aimorite to gastroenteroiogist Dr. Peggy Headstrorn at the Poiyciinic in Seattie

i Tania Arroyo subsequently changed her name to Tariia Rivera. For clarity, we refer to her as Tania Arroyo throughout this opinion.

2 Computerized axial tomography.

NO. 76275-3-|/3

and directs Almonte to call the Poiyclinic on Septen'iber 10 to make an appointment RCCL paid for Almonte to fiy to Seattle and stay in a hotel.

At the request of RCCL, on September 10, 2007, AXA Assistance USA taxed the Sitka Community l-iospital discharge summary and a “ietter of Guarantee of Payment” to the “Po|y Clinic --- Dr. Peggy Headstrorn.” The September 10 AXA “l_etter of Confirmation of Benefits Nledical Services” confirmed coverage for A!monte and reimbursement for reasonable charges as “approved by AXA Assistance USA.”

Your facility will be reimbursed reasonabie and customary charges as

determined by geographic location or by prearranged contractual

assignments for emergency treatment which is medically necessary and

approved by AXA Assistance USA. Coveraqe is subject to g|i terms.

conditions, limitations and exclusions of the patient’s policy.['°‘]

Dr. l-leadstrom examined Aimonte on Septernber 10. Dr. Headstrom notes:

The report l have from that {Sitka] hospitalization is not detailed

Apparentiy she did have a CAT scan that showed some ileal

abnormalities, and she was placed on prednisone and Asacol for the last

several days. i do not know the results of any other iaboratory testing.

Almonte was admitted to Swedish Nledical Center for diagnostic testing. Dr. Headstrom ordered a “CAT scan with CT[“I enteropathy” and a coionoscopy. Dr. Frederick i\!lann of Seattie Radiologists reviewed the CT scan and found it was “[n]egative" for gastrointestinal disease On September 12, Polyclinic physician Dr. Kyi,ing Han performed the colonoscopy. The results were “noimal.”

Swedish l\/ledical Center physician Dr. lVlari< Kohrnetschei discharged Almonte

on September ‘l3. `l`he discharge states the “CAT scan with CT enteropathy [ls]

essentially negative No evidence of that described frorn films done in Sitl

3 Emphasis in original 4 Computed tomography.

NO. 76275-3-|/4

The discharge diagnosis is “possible gastroparesis, still With some pending Workup.” Dr. Kohmetscher prescribed medication and noted Almonte is “planning to emigrate back to the Dorninican Republic." Dr. Kohmetscher suggests Almonte “follow up [with] Dr. |-ieadstrom iVlonday to look at finalized biopsy results."

Almonte saw Dr. Headstrom on September 17 for a foilow-up appointment. Almonte told Dr. Headstrom she was “abie to eat” and still had “sorne lower abdominal discomfort but nothing severe." Dr. Headstrom wrote Almonte “a note saying she is okay to go back to the ship.” Dr. i-ieadstrom also gave Aimonte “some of her records from her recent hospitaiization to take with her back to the Dominican Repubiic.”

The first time Almonte spoke to RCCL case coordinator Arroyo was after Almonte saw Dr. Headstrorn on Septerriber 17. Almonte toid Arroyo she had the “same symptoms.” On September 18, Arroyo decided to send Almonte home

[C]rew wiil be sent home she still has pain and no clear diagnosis was

given apparentiy the CT[ ]scan and the coionoscopy came back negative

she stiil suffers from pain and is worried to return to the ship in this

condition so i wili send her home for a further investigations [sic].

On September 19, Arroyo requested the Polyclinic and Dr. Headstrom provide “ail med[icai] report & letter saying [patient] is fit to go back to work.” The Polyclinic refused to disclose patient information without Almonte’s consent

Almonte flew home to the Dominican Repubiic on September 20. On September 21, Aimonte was admitted to a clinic. The clinic performed surgery to drain an abscess

and remove her perforated appendix The attending physician diagnosed and treated

Almonte for Crohn’s disease

No. 76275-3-|/5

2009 Fiorida Lawsuit

On l\lovernber 16, 2009, Almonte filed a lawsuit against RCCL in l\)liami-Dade County circuit court. Almonte alleged RCCL did not provide adequate medical care Almonte alleged she did not receive adequate medical care from the ship's doctors or the “shoreside doctors." Almonte alleged RCCL “wi||fully and callously delayed, failed and refused to provide Plaintitt’s entire maintenance and cure” when it sent her home without any type ot assistance Aimonte alleged the lack of “reasonably fit medical staft” and facilities onboard made the ship unseaworthy. Almonte asserted federal maritime claims for unseaworthiness negligence under the .iones Act, 46 U.S.C. § 30i0¢i, and maintenance and cure

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Royal Caribbean Cruises v. Swedish Health Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/royal-caribbean-cruises-v-swedish-health-services-washctapp-2018.