Stephen Noel, V Franciscan Health Systems

Court of Appeals of Washington·Decided October 19, 2015·No. 73633-7·Unpublished

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION ONE

STEPHEN NOEL, Individually and No. 73633-7-I as Personal Representative of the Estate of Nathaniel Noel,

Appellant,

v. en

FRANCISCAN HEALTH SYSTEM d/b/a ST. CLARE HOSPITAL; IAN D. COWAN, M.D. and JANE DOE COWAN and the marital community comprised thereof,

Respondents,

DAN STEEN, M.D. and his spouse and the marital community comprised UNPUBLISHED OPINION thereof; STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND FILED: October 19, 2015 HEALTH SERVICES and JOHN AND JANE DOES 1-20,

Defendants.

Verellen, A.C.J. — Four-month-old Nathaniel Noel died two days after

Dr. Ian Cowan determined that a bruise on Nathaniel's left eye was the result of

accidental trauma, not abuse. Nathaniel's mother later pleaded guilty to second degree

murder. Nathaniel's father, individually and as personal representative, filed a lawsuit

for damages against Dr. Cowan, the hospital, and others. The father appeals the partial No. 73633-7-1/2

summary judgment order dismissing his claims for wrongful death of a child and failure

to report child abuse. He and the estate appeal the order granting the directed verdict

for their remaining medical malpractice cause of action. The directed verdict was the

result of an order limiting the testimony of their expert witness, Dr. Kenneth Coleman.

They argue the superior court abused its discretion when it limited Dr. Coleman's

testimony on the postmortem pathology findings, predicted actions of Children's

Protective Services (CPS) and the police, and the timing of Nathaniel's fatal blow. But it

was within the discretion of the superior court to conclude that there was an inadequate

foundation to allow Dr. Coleman to testify to those three specific topics. Because the

father and the estate acknowledged that they did not have adequate evidence to

establish causation in view of these limitations, it was not error to grant the directed

verdict. The superior court did not err in dismissing the father's claims for wrongful

death of a child and failure to report child abuse because he did not establish any

genuine issue of material fact regarding proximate cause for either claim. Accordingly,

we affirm.

FACTS

Nathaniel Noel and his twin brother were born 13 weeks premature on

October 14, 2007. On December 11, 2007, Nathaniel returned home from the hospital

to his mother, Domenique Conway, and his father, Stephen Noel.1 His twin remained hospitalized until February 2008, when he was placed into voluntary medical foster

care.

1 To avoid confusion, Nathaniel and his parents are referred to by their first names. No. 73633-7-1/3

On March 7, 2008, Domenique took Nathaniel to the St. Clare Hospital

emergency department. Dr. Ian Cowan evaluated Nathaniel for a "swollen and

blackened" left eye.2 According to Domenique, she "woke up and saw his eye

swelling."3 She told Dr. Cowan she thought "one of [her] older kids threw a toy in his

crib and hurt his eye."4

Nathaniel's emergency room care record indicated he was sleeping during his

evaluation, but that he woke "to touch."5 It also noted his injury was "mild" and that he

"appealed] well."6 Dr. Cowan determined that Domenique was appropriately

concerned for Nathaniel's health and that her explanation relating to the cause of the

injury matched Nathaniel's bruising. He expressly noted in Nathaniel's care record:

"History is consistent w[ith] observed injury. Mom appropriate. I do not suspect [non-

accidental trauma]."7 Dr. Cowan discharged Nathaniel with instructions for caring for his

eye contusion. Having examined him on Friday evening, Dr. Cowan also provided

instructions to follow up with Nathaniel's doctor the following Monday.

On March 9, 2008, two days after Nathaniel's emergency room visit, paramedics

responded within minutes to a 911 call that Nathaniel had stopped breathing. Nathaniel

was reported dead at the scene. Detective Sergeant Teresa Berg from the Pierce

County Sheriff's Department also responded to the scene. She determined that the

2 Clerk's Papers (CP) at 1377. 3ldL

4]d at 1094. 5 Id at 1047.

6id, at 1045. 7 Id. at 1046. No. 73633-7-1/4

bruise on Nathaniel's left eye was "on the eyelid rather than around his eye as would

typically be seen in a black eye inflicted by a punch."8

A postmortem examination report identified Nathaniel's cause of death as the

result of "blunt force trauma of [the] head."9 The pathologist who performed the

examination testified that the trauma occurred less than 24 hours before death:

Q. Just so I understand, what, in your opinion, was the cause of death of this child?

A. In this case it would be blunt force trauma to the head.

Q. And that was, in your opinion, what, less than three days from the date of the death?

A. Definitely, yes.

Q. You say, "Definitely, yes." What do you mean by that?

A. Well, I think it's more likely that it was much less than that. I think it was more recent than that. With the subdural—the hemorrhage from the subdural, you're looking at less than 24 hours.[10]

Domenique pleaded guilty to murder in the second degree and was sentenced to

23 years in prison. The statement on plea of guilty and statement to the prosecutor

recited that "[o]n about March 5, 2008[,]" Domenique "struck Nathaniel twice in the side

of his head."11

On February 4, 2011, Stephen and the estate sued Franciscan Health System,

doing business as St. Clare Hospital (FHS), Dr. Cowan, the State of Washington

8]dat1383. 9 IdL at 527. 10 Id at 2175. 11 Id. at 1069. No. 73633-7-1/5

Department of Social and Health Services, and others for damages in Pierce County

Superior Court. The amended complaint alleged (1) medical malpractice, (2) wrongful

death of a child pursuant to RCW 4.24.010, (3) negligent investigation pursuant to

RCW 26.44.050, (4) negligent infliction of emotional distress, (5) outrage, and (6) failure

to report child abuse pursuant to RCW 26.44.030. FHS filed a motion for summary

judgment to dismiss Stephen's and the estate's claims; Dr. Cowan joined in the motion.

The superior court granted summary judgment in part, dismissing the claims of outrage

and negligent infliction of emotional distress against FHS and Dr. Cowan.

FHS and Dr. Cowan filed motions for summary judgment seeking, in part, to

dismiss Stephen's claims for wrongful death of a child under RCW 4.24.010 and failure

to report child abuse under RCW 26.44.030. The superior court granted partial

summary judgment and ordered that

Plaintiffs' claims of medical negligence (Plaintiffs' First Cause of Action) are limited to include provable damages under RCW 4.20.046

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