Spade v. Taliwal

2013 Ohio 2177
CourtOhio Court of Appeals
DecidedMay 29, 2013
Docket26412
StatusPublished

This text of 2013 Ohio 2177 (Spade v. Taliwal) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spade v. Taliwal, 2013 Ohio 2177 (Ohio Ct. App. 2013).

Opinion

[Cite as Spade v. Taliwal, 2013-Ohio-2177.]

STATE OF OHIO ) IN THE COURT OF APPEALS )ss: NINTH JUDICIAL DISTRICT COUNTY OF SUMMIT )

DOUGLAS SPADE, Administrator of the C.A. No. 26412 Estate of Rhonda S. Keene, Deceased

Appellant APPEAL FROM JUDGMENT v. ENTERED IN THE COURT OF COMMON PLEAS RAJIV V. TALIWAL, M.D., et al. COUNTY OF SUMMIT, OHIO CASE No. CV 2010 11 7427 Appellees

DECISION AND JOURNAL ENTRY

Dated: May 29, 2013

BELFANCE, Presiding Judge.

{¶1} Plaintiff-Appellant Douglas Spade, as the Administrator of the Estate of Rhonda

S. Keene (“the estate”), appeals from the judgments of the Summit County Court of Common

Pleas. For the reasons set forth below, we reverse and remand the matter for a new trial on the

issue of damages.

I.

{¶2} In October 2007, Defendant-Appellee Rajiv Taliwal, M.D. performed a

microdiscectomy on Ms. Keene’s lumbar spine. A microdiscectomy is a surgery that is done to

alleviate pressure on spinal nerves caused by the herniation of a lumbar disc. The surgery is

considered to be routine. By all accounts, the surgery resulted in no complications or side

effects. In February 2008, Ms. Keene was to undergo a revision microdiscectomy to relieve pain

she was experiencing from a recurrent herniation of the disc. Dr. Taliwal performed that

operation on February 27, 2008, and it was expected that Ms. Keene would be released from the 2

hospital the next day. Unbeknownst to Dr. Taliwal, during the surgery Ms. Keene experienced a

drop in blood pressure that was corrected by the nurse anesthetist via the administration of

pressors. The surgery concluded at 1:58 p.m. Following the surgery, Ms. Keene was transported

to recovery and shortly thereafter, at 2:10 p.m., suffered an extreme drop in blood pressure and

increase in heart rate. At 2:13 p.m., Ms. Keene began to have difficulty breathing and required

medical intervention to be stabilized. Dr. Taliwal was in the recovery area during this episode

and dictated his operative report, which he finished at 2:17 p.m. Dr. Taliwal then left the area,

reported to Ms. Keene’s family, and went home around 2:30 to 2:45 p.m. At this time Ms.

Keene’s family was able to briefly visit Ms. Keene in the recovery area. Upon returning to the

waiting area, the family waited for what seemed like hours for Ms. Keene to be transferred to a

room. The family began to worry that something had gone wrong.

{¶3} Within a few hours, Ms. Keene’s condition began to decline ultimately leading to

a cardiorespiratory collapse. The nurses informed the family that there was a serious problem

and that they were trying to get the doctor back. Then, around 5:30 p.m., Dr. Taliwal was called

and informed of the situation. He returned to the hospital and he and a general surgeon

determined that Ms. Keene needed immediate surgery. They brought Ms. Keene into surgery

while they waited for a vascular surgeon to arrive. A defect in Ms. Keene’s aorta was discovered

along with active bleeding. Due to calcification in her aorta, the defect could not be sutured, and

the calcified portions were removed and a graft was put in. Ms. Keene survived the second

surgery, but was taken to intensive care following the surgery. Around 4 a.m. the following day,

Ms. Keene’s blood pressure again began dropping precipitously. The family was informed that

resuscitation efforts would not be successful. Ms. Keene passed away that morning. An autopsy

was conducted on Ms. Keene and the cause of death was determined to be “complications of 3

massive intra-abdominal hemorrhage following perforation of the distal aorta during revision

lumbar microdis[c]ectomy surgery.” In other words, Ms. Keene suffered a hemorrhage due to a

perforation in her aorta. The forensic pathologist who conducted the autopsy was able to track

an abnormal opening in the front portion of the disc, through the disc space, through the other

side and toward the incision site on Ms. Keene’s back.

{¶4} The estate initially filed suit in Medina County. However, after a settlement was

reached with all of the defendants except for Dr. Taliwal and his professional corporation,

Northcoast Spine Center, Inc., the suit was dismissed without prejudice. The case was re-filed in

Summit County on November 3, 2010, against Dr. Taliwal and Northcoast Spine Center, Inc.

The complaint asserted claims for medical malpractice, wrongful death, and asserted that Civ.R.

10 was unconstitutional.1 Prior to trial, the parties agreed that, should the estate prevail against

Dr. Taliwal and Northcoast Spine Center, Inc., Dr. Taliwal and Northcoast Spine Center, Inc.

could set-off any award by the amount of the prior settlement. The matter proceeded to a jury

trial. The jury found in favor of the estate and awarded a total of $87,933.62 in compensatory

damages. Because the jury’s award was less than the prior settlement award, the verdict resulted

in a finding that nothing was owed to the estate based on the instant suit. The estate filed a

motion for a new trial with respect to damages, which was subsequently denied by the trial court.

The estate has appealed the jury’s damages award, raising two assignments of error for our

review which will be addressed out of sequence to facilitate our review.

1 The trial court dismissed the claim concerning the constitutionality of Civ.R. 10. 4

II.

ASSIGNMENT OF ERROR II

THE TRIAL JUDGE FURTHER ABUSED HER DISCRETION BY REFUSING TO FURNISH A CONCURRENT NEGLIGENCE CHARGE THAT WAS INDISPENS[A]BLE UNDER THE CIRCUMSTANCES.

{¶5} The estate asserts in its second assignment of error that the trial court erred in

failing to give an instruction on concurrent negligence. We agree.

{¶6} Civ.R. 51(A) states that:

At the close of the evidence or at such earlier time during the trial as the court reasonably directs, any party may file written requests that the court instruct the jury on the law as set forth in the requests. Copies shall be furnished to all other parties at the time of making the requests. The court shall inform counsel of its proposed action on the requests prior to counsel’s arguments to the jury and shall give the jury complete instructions after the arguments are completed. The court also may give some or all of its instructions to the jury prior to counsel’s arguments. The court shall reduce its final instructions to writing or make an audio, electronic, or other recording of those instructions, provide at least one written copy or recording of those instructions to the jury for use during deliberations, and preserve those instructions for the record.

On appeal, a party may not assign as error the giving or the failure to give any instruction unless the party objects before the jury retires to consider its verdict, stating specifically the matter objected to and the grounds of the objection. Opportunity shall be given to make the objection out of the hearing of the jury.

{¶7} In the instant matter, the estate submitted proposed jury instructions which

included an instruction on concurrent but independent negligence. The trial court declined to

give the instruction stating that “I’m not going to instruct on that. I think the issue in this case

clearly is and should be focused on what role, if any, [D]octor Taliwal played in the operating

room and/or PACU, and I think to put in what the plaintiff is requesting is going to confuse that

issue. Again, if you want to make an objection, note your objection on the record – [.]” To

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2013 Ohio 2177, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spade-v-taliwal-ohioctapp-2013.