Sinha v. Dabezies

590 So. 2d 795, 1991 WL 246846
CourtLouisiana Court of Appeal
DecidedNovember 26, 1991
Docket90-CA-0473
StatusPublished
Cited by5 cases

This text of 590 So. 2d 795 (Sinha v. Dabezies) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sinha v. Dabezies, 590 So. 2d 795, 1991 WL 246846 (La. Ct. App. 1991).

Opinion

590 So.2d 795 (1991)

Sudhir K. SINHA
v.
Dr. Eugene DABEZIES, et al.

No. 90-CA-0473.

Court of Appeal of Louisiana, Fourth Circuit.

November 26, 1991.
Writ Denied February 14, 1992.

*796 Joseph R. Ward, Jr., Anthony J. Clesi, Jr., Ward & Clesi, New Orleans, for plaintiff-appellant.

Lawrence L. McNamara, Elaine W. Selle, Adams and Reese, New Orleans, for defendants-appellees.

Before BYRNES, WILLIAMS and ARMSTRONG, JJ.

BYRNES, Judge.

Dr. Sudhir Sinha appeals the dismissal of his medical malpractice action against Dr. Eugene Dabezies and L.S.U. Private Medical and Surgical Clinic. We affirm.

Dr. Sinha, a biochemist with a Ph.D. degree in chemistry, had two episodes of gastrointestinal (GI) bleeding in 1981 and 1982, which were treated with medication in Florida. Dr. Sinha remained relatively asymptomatic after 1982. On May, 20, 1985, at the L.S.U. Clinic Dr. Dabezies, an orthopedic surgeon, examined Dr. Sinha's right thumb which had been sore for several days with increased pain when he mowed his lawn. Dr. Dabezies diagnosed the patient's condition as mild tendonitis or arthritis and prescribed the drug Naprosyn. Dr. Sinha took two tablets for a couple of days and stopped when the pain subsided. When the pain reappeared, after two or three days he began taking one tablet a day.

Upon noticing blood in his stool, Dr. Sinha went to the emergency room of Meadowcrest Hospital on June 5, 1985, where he was examined by Dr. Jyoti Chakraborti. *797 After Dr. Sinha remained in intensive care for five days, Dr. Akio Kitahana performed surgery on the bleeding ulcer on June 11, 1985, undertaking a bilateral truncal vagotomy and hemigastrectomy, billroth I anastomosis with tube gastrostomy. The procedure involved severing the nerves to the stomach which aid in the production of acid and removal of the lower half of the stomach. Dr. Kitahama reattached the small intestine to the upper portion of the stomach. During surgery, Dr. Sinha underwent a blood transfusion.

In March, 1986, Dr. Sinha was hospitalized for inflamation of the stomach and intestine and was admitted for gastrointestinal bleeding in October, 1986. On November 25, 1987, Dr. Tejas Godiwala, a gastroenterologist, began treating Dr. Sinha for recurrent episodes of gastroenteritis and GI bleeding due to bile reflux, where bile backs up into the stomach from surgery. Dr. Godiwala prescribed the drug Questran and recommended Dr. Sinha have a yearly endoscopy and checkup.

On May 20, 1986, Dr. Sinha filed a medical malpractice action, claiming that Dr. Dabezies was negligent in failing to provide accurate and proper medical care; in prescribing Naprosyn; and failing to warn the plaintiff that Naprosyn should not be taken by a patient with a prior history of upper GI and ulcer problems. At the close of plaintiff's evidence, the trial judge rendered a directed verdict in favor of L.S.U. Private Medical and Surgical Clinic. Thereafter, the jury returned a verdict in favor of Dr. Dabezies.

On appeal, Dr. Sinha contends that the trial court erred in: (1) ruling that Dr. Dabezies' original answer was not a judicial confession and was not admissible as a prior inconsistent statement; (2) prohibiting the plaintiff from questioning Dr. Dabezies regarding facts stated in his original answer; (3) restricting plaintiff's redirect examination of Dr. James Butler; and (4) commenting on the evidence. Dr. Sinha argues that the jury erred in: (1) finding that Dr. Dabezies did not practice below the standard of care for orthopedic surgeons in his treatment of the plaintiff; and (2) failing to award damages.

Dr. Sinha's initial claims concern the change in Dr. Dabezies' original answer filed on August 20, 1986 and his amended answer of May 7, 1987. Paragraph 15 originally stated as follows:

On or about May 20, 1985, Mr. Sinha presented to Dr. Dabezies complaining of pain and swelling at the base of his right thumb. Mr. Sinha gave a history that he was 41 years old and a biochemist. He stated that he had previously had a duodenal ulcer and upper gastrointestinal bleeding. Mr. Sinha advised of no trauma to his thumb but stated that the onset of his thumb problems was three days before and that it was worse after yard work. On physical examination, Dr. Dabezies found the thumb to be slightly tender at its base and painful. There was also some fullness of the thenar eminence but no sign of a tumor. Dr. Dabezies prescribed appropriate medication, but, Dr. Dabezies also explained and warned of the risks involved with the medication, including possible aggravation of a pre-existing ulcer or gastrointestinal bleeding problems. Mr. Sinha, an educated man, manifested understanding and consented to take the medicine because of his pain, notwithstanding the risks. Dr. Dabezies made it clear that Mr. Sinha had a clear option of not taking the medicine. Moreover, Mr. Sinha was advised to re-contact Dr. Dabezies if there were any problems and to return to Dr. Dabezies if the thumb got no better within about a week's time. Mr. Sinha never re-contacted Dr. Dabezies for treatment either by phone or in person.

In Dr. Dabezies' amended answer, Paragraph 15 declared:

On or about May 20, 1985, Mr. Sinha presented to Dr. Dabezies complaining of pain and swelling at the base of his right thumb. Mr. Sinha gave a history that he was 41 years old and a biochemist. He stated that he had previously had some problems with upper gastrointestinal (GI) symptoms. Mr. Sinha did not advise Dr. *798 Dabezies that he had had ulcers before. Mr. Sinha advised of no trauma to his thumb but stated that the onset of his thumb problems was three days before and that it was worse after yard work. On physical examination, Dr. Dabezies found the thumb to be slightly tender at its base and painful. There was also some fullness of the thenar eminence but no sign of a tumor. Dr. Dabezies prescribed rest from working with the thumb and appropriate medication, but, Dr. Dabezies also explained and specifically warned of the risks involved with the medication, including possible gastrointestinal (GI) side effects, with the equivalent effect of aspirin. Mr. Sinha, an educated man, manifested understanding and consented to make the medicine because of his pain, notwithstanding the risks. Dr. Dabezies made it clear that Mr. Sinha had a clear option of not taking the medication because convalescence would occur in time. Moreover, Mr. Sinha was advised to discontinue the medicine and to re-contact Dr. Dabezies if there were any problems and to return to Dr. Dabezies if the thumb got no better within about a week's time. Mr. Sinha never re-contacted Dr. Dabezies for treatment either by phone or in person.

On the morning of trial, the trial court ruled that the initial statement in the defendant's answer did not constitute a judicial confession under LSA-C.C. art. 1853 and was not admissible as a prior inconsistent statement. The trial court prohibited plaintiff from questioning Dr. Dabezies concerning the statement.

Louisiana Civil Code article 1853 provides:

A judicial confession is a declaration made by a party in a judicial proceeding. That confession constitutes full proof against the party who made it.
A judicial confession is indivisible and it may be revoked only on the ground of error of fact.

Pursuant to La.C.C.P. Art. 1151, "a defendant may amend his answer once without leave of court at any time within ten days after it has been served.

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