Soto v. Brinkerhoff

903 P.2d 641, 183 Ariz. 333, 198 Ariz. Adv. Rep. 12, 1995 Ariz. App. LEXIS 201
CourtCourt of Appeals of Arizona
DecidedAugust 31, 1995
Docket2 CA-CV 95-0147
StatusPublished
Cited by6 cases

This text of 903 P.2d 641 (Soto v. Brinkerhoff) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Soto v. Brinkerhoff, 903 P.2d 641, 183 Ariz. 333, 198 Ariz. Adv. Rep. 12, 1995 Ariz. App. LEXIS 201 (Ark. Ct. App. 1995).

Opinion

OPINION

DRUKE, Chief Judge.

A jury awarded appellant Edelia Soto $431,441 on her medical malpractice claim against appellees Dr. Troy Brinkerhoff and Dr. Nick Morrison, apportioning fault as follows: 20 percent to Soto, 25 percent to each appellee, 20 percent to nonparty Mesa Lutheran Hospital (MLH), and 10 percent to nonparty Dr. David Dawson. On appeal, Soto contends that the trial court erred by: (1) denying her motion to preclude appellees from identifying Dr. Dawson as a nonparty at fault, (2) submitting the issue of Dr. Dawson’s fault to the jury, and (3) denying her motion for new trial or additur as to Dr. Dawson and .MLH. We reverse only as to the issues involving Dr. Dawson.

On October 18, 1990, Soto was admitted to MLH for abdominal surgery and discharged on October 25. Three days later, she was readmitted due to complications and then discharged on November 7 with a catheter for intravenous feeding. On November 23, she was again admitted to MLH because the site of the catheter had become infected. Soto was treated initially by Dr. Brinkerhoff, who removed the catheter, ordered blood cultures, and prescribed a broad spectrum antibiotic, Ancef, a cephalosporin. When Dr. Brinkerhoff went on leave, Dr. Morrison assumed Soto’s care and discharged her on November 27, continuing her on cephalosporins. Before Soto’s discharge, however, MLH had determined that her infection was resistant to cephalosporins but had not so advised Drs. Brinkerhoff and Morrison directly—the information apparently was only entered into MLH’s computer system.

Soto testified that, because she had continuing neck and back pain following her discharge, she attempted twice to see Dr. Morrison but was unsuccessful. She then went to the emergency room of a local hospital, which took cervical x-rays and gave them to Soto to take to Dr. Brinkerhoff. When she saw Dr. Brinkerhoff on December 14, he prescribed anti-inflammatory and muscle relaxant medications, but did not look at the hospital x-rays or take any himself. On December 22, Soto sought chiropractic treatment from Dr. Dawson, who took x-rays but reported nothing unusual, except for a misalignment of the vertebrae that he treated until January 2, 1991.

The following week, Soto saw Dr. Douglas Parkin, who took x-rays and a bone scan, observed a collapsed neck vertebra at C-6, and referred her to a specialist. Soto saw the specialist in mid-February and subsequently learned that her pain was caused by *335 the unresolved infection, which had apparently traveled from the catheter site to the C-6 vertebra. While the infection was successfully treated with an antibiotic to which it was sensitive, Soto required a corpectomy (cervical fusion) because the infection had destroyed part of the C-6 vertebra.

DR. DAWSON AS NONPARTY AT FAULT

Approximately one month before trial, appellees moved to identify Dr. Dawson as a nonparty at fault pursuant to Rule 26(b)(5), Ariz.R.Civ.P., 16 A.R.S. Soto objected to the motion and separately moved to preclude appellees “from eliciting testimony to attempt to identify [Dr. Dawson] as wholly or partially at fault.” Soto argued that appellees’ motion was untimely because it was not filed within the time limits prescribed by Rule 26(b)(5), which requires a party to identify a nonparty at. fault “at the time of compliance with the requirements of Rule V(a) of the Uniform Rules of Practice of the Superi- or Court, if applicable, or within one hundred fifty (150) days after the filing of that party’s answer, whichever is earlier.” Soto further objected to appellees’ motion on the ground that she was barred from adding Dr. Dawson as a defendant by the statute of limitations.

While appellees agreed that their motion was untimely, they contended that it came within the rule’s exception of “establishing newly discovered evidence of such nonparty’s liability which could not have been discovered within the time periods for compliance____” Id. Specifically, appellees argued that they did not discover Dr. Dawson’s liability until the deposition of Soto’s causation expert, Dr. Barry Friedman, approximately two months before trial, who stated that Dr. Dawson had misread Soto’s x-rays because they showed a piece of bone missing from her C-6 vertebra that “[o]nly a blind man could miss.” Dr. Dawson conceded during his subsequent deposition that he had misread the x-rays and said that, had he not done so, he would have referred Soto to a specialist. The trial court considered the motions on the first day of trial, ruling as follows:

What I am going to [do] is deny [Soto’s] motion to preclude [appellees] from naming [Dr. Dawson] as a nonparty at fault, and we’ll find out at the end of the case whether or not I am going to instruct the jury on it.-
In other words, I am not going to foreclose that on the basis of the fact it was lately disclosed. I am not very comfortable with that ruling, but I don’t think I would be comfortable with a ruling in reverse, either.

On appeal, Soto contends that the court erred in denying her motion to preclude. We agree.

The trial court has broad discretion in ruling on discovery and disclosure matters. Plattner v. State Farm Mutual Automobile Insurance Company, 168 Ariz. 311, 812 P.2d 1129 (App.1991). The court’s ruling will not be disturbed on appeal absent an abuse of discretion. LyphoMed, Inc. v. Superior Court, 172 Ariz. 423, 837 P.2d 1158 (App.1992). That discretion is abused if the record fails to establish substantial evidence to support the ruling. Grant v. Arizona Public Service Company, 133 Ariz. 434, 652 P.2d 507 (1982). In this case, the record establishes the following.

Approximately one year before trial, appellees had received copies of Dr. Dawson’s medical records and knew that he had taken x-rays of Soto. Appellees also knew that the x-rays were not included in the records they had received, but they neither requested nor subpoenaed the x-rays, giving the following reasons in their answering brief:

Based on [Dr. Dawson’s] interpretation of only a misalignment of the vertebrae, counsel did not deem it necessary to obtain copies of the films, have them interpreted, and make sure that the films had been correctly interpreted.
H: $ $ ‡ *
One of the main allegations against Dr. Brinkerhoff is that he failed to diagnose cervical osteomyelitis in a timely maimer. Dr. Brinkerhoff defended the case by pointing out that the most sensitive and next most sensitive radiologic procedures (bone scan and plain x-ray, respectively) both were negative and both were so reported [by Drs. Dawson and Parkin] within *336 the 30-day period following Dr. Brinkerhoffs last office visit with [Soto]. Dr. Brinkerhoff therefore defended the causation allegation by alleging that, even had he pursued [Soto’s] complaints of pain, any testing would have been negative.

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Bluebook (online)
903 P.2d 641, 183 Ariz. 333, 198 Ariz. Adv. Rep. 12, 1995 Ariz. App. LEXIS 201, Counsel Stack Legal Research, https://law.counselstack.com/opinion/soto-v-brinkerhoff-arizctapp-1995.