Shinholster v. Annapolis Hospital

660 N.W.2d 361, 255 Mich. App. 339
CourtMichigan Court of Appeals
DecidedMay 6, 2003
DocketDocket 225710, 225736
StatusPublished
Cited by11 cases

This text of 660 N.W.2d 361 (Shinholster v. Annapolis Hospital) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shinholster v. Annapolis Hospital, 660 N.W.2d 361, 255 Mich. App. 339 (Mich. Ct. App. 2003).

Opinion

Meter, J.

In these consolidated appeals arising from a medical malpractice case, defendants appeal as of right from a judgment for plaintiff entered after a jury trial. We affirm and remand for entry of a judgment in a sum certain consistent with this opinion.

Plaintiff’s decedent, Betty Jean Shinholster, made four visits to defendant hospital in April 1995, com *342 plaining of dizziness, among other things. She was seen by Dr. Dennis Adams 1 on April 7 and April 10 and by Dr. Mary Ellen Flaherty on April 14. Her fourth visit, on April 16, was precipitated by a massive stroke; she lapsed into a coma lasting for several months and subsequently died. She was sixty-one years old at the time of her death. Plaintiff, Shinholster’s husband, alleged that Adams and Flaherty treated Shinholster negligently on April 10 and 14 2 and failed to recognize that Shinholster had been experiencing transient ischemic attacks, or “mini-strokes” that often precede a full-blown, serious stroke.

The jury found for plaintiff and awarded the following in damages: (1) $220,000 for past economic damages, (2) $564,600 for past noneconomic damages, (3) $9,700 each year in future economic damages for the years 1999 through 2003, and (4) $62,500 each year in future noneconomic damages for the years 1999 through 2003. The jury further concluded that Shinholster had been twenty percent comparatively negligent in her actions after April 7, 1995.

i

On appeal, defendants first argue that the trial court erred in allowing the jury to consider Shinholster’s potential comparative negligence only for the period following her April 7, 1995, hospital visit. Defendants point to the evidence that Shinholster had *343 not been regularly taking her blood pressure medication for at least a year before April 7, 1995, and argue that this contributed to her fatal stroke. Defendants argue that because Michigan requires that liability be apportioned directly in accordance with each party’s fault, the jury should have been allowed to consider whether Shinholster’s failure to take regularly her blood pressure medication in the year before her death proximately caused, at least in part, her fatal stroke.

In allowing defendants to present evidence of Shinholster’s noncompliance with her doctor’s orders, the trial court limited the use of the testimony as follows:

[T]hey are only going to consider it in the context of whether or not she would be in compliance with the instruction of the doctors when she received the prescription of April 7th.
So it comes in for right now. The jury can consider it in terms of whether or not the deceased was consistent in not taking her medicine before and not taking her medicine after she was prescribed it by Dr. Adams and told to followup [sic] with her treating physician.
This is a tough issue, and I’m going to make the call as I initially indicated.
The witness will be allowed to give his opinion as to whether or not the non-compliance after April 7th formed the basis of comparative negligence.

The court instructed the jury as follows:

Members of the jury, the total amount of damages that the Plaintiff would ever be entitled to recover will be reduced by the percentage of Plaintiff’s [sic] negligence *344 after April 7th, 1995, that contributed as a proximate cause to her injury.
Members of the jury, there was evidence in this case regarding the medical habits of the deceased as to whether she followed Dr. Vicenzio’s orders and took her medications properly prior to her treatment with Defendant doctors. This evidence may not be the basis for any findings that the deceased was comparatively negligent before April 7, 1995[,] the date she sought treatment from the Defendants.
You may consider this as evidence only in determining whether she filed [sic] the orders of Defendants Adams and Flaherty and other staff members of the hospital.

Whether a patient’s negligence in contributing to the condition that led her to seek medical help in the first instance may be considered by the jury in a medical malpractice lawsuit involves a question of law. We review questions of law de novo. Detroit Free Press, Inc, v City of Warren, 250 Mich App 164, 166; 645 NW2d 71 (2002). Upon review de novo, we find that the trial court properly limited the jury’s consideration of comparative negligence to the period after Shinholster’s treatment on April 7, 1995.

Plaintiff primarily relies on Podvin v Eickhorst, 373 Mich 175; 128 NW2d 523 (1964), in support of his position. In Podvin, supra at 177-178, the plaintiff was injured in an automobile accident and later alleged that the defendants treated his injuries negligently. In opening and closing arguments, defendants suggested that the plaintiff himself was negligent by causing the automobile accident. Id. at 181. Then,

[apparently in an effort to counter the effect of such comment, plaintiff’s counsel requested the trial judge to instruct the jury that it should not consider whether or not plaintiff *345 was at fault in causing the automobile accident, that plaintiff’s negligence was not an issue in this case for its consideration and that the only question it should consider was whether or not plaintiff had been given proper medical care according to the standard of practice in the community of Flint. [Id,.]

The trial court did not give the requested instruction but instead stated that the jury could “consider the evidence relating to the accident as bearing upon the nature and extent of plaintiffs injuries but that such evidence ‘would in no degree modify or lessen the treatment and care he was entitled to receive at the hands of the defendants.’ ” Id. at 181-182.

The Supreme Court ruled:

Whatever the quoted portion of the instruction means, it was less than that to which plaintiff was entitled. The issue of contributory negligence was not involved in the case. Plaintiff requested, properly and timely, that the jury be so instructed. The trial court should have granted plaintiff’s request. [Id. at 182.]

Podvin provides support for the proposition that a plaintiffs negligence in incurring an injury in the first place should not be considered in determining whether she was damaged by the negligence of the physician treating the injury. Defendants contend, however, that the relevant language from Podvin is essentially obiter dictum because the Court merely noted that “contributory negligence was not involved in the case,” id., and provided no other rationale for its ruling. Defendants point out the possibility that contributory negligence was simply not pleaded as an affirmative defense in Podvin.

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Cite This Page — Counsel Stack

Bluebook (online)
660 N.W.2d 361, 255 Mich. App. 339, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shinholster-v-annapolis-hospital-michctapp-2003.