Sullins v. University Hosp., Cleveland, Unpublished Decision (1-28-2003)

CourtOhio Court of Appeals
DecidedJanuary 28, 2003
DocketNo. 80444.
StatusUnpublished

This text of Sullins v. University Hosp., Cleveland, Unpublished Decision (1-28-2003) (Sullins v. University Hosp., Cleveland, Unpublished Decision (1-28-2003)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law.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
Sullins v. University Hosp., Cleveland, Unpublished Decision (1-28-2003), (Ohio Ct. App. 2003).

Opinions

JOURNAL ENTRY AND OPINION
{¶ 1} Darrell Sullins as executor of the Estate of Loretta Sullins appeals from a judgment of the common pleas court granting University Hospitals of Cleveland's ("UH") motion for a directed verdict and from a judgment entered pursuant to a jury verdict in connection with his medical malpractice action filed against UH. On appeal, Sullins claims that the trial court erred in refusing to charge the jury concerning the standard of care for the treating physicians and in granting UH's motion for a directed verdict. After careful review, we have concluded that these claims are not well taken and, therefore, we affirm the judgment of the court.

{¶ 2} The record reveals that on September 3, 1999, Sullins filed a medical malpractice complaint against UH, in connection with Loretta Sullins' hospitalization for treatment of rheumatoid arthritis. Mrs. Sullins, then sixty-two years old, had been previously hospitalized at UH by her primary physician, Dr. Van Warren, for treatment of pneumonia from September 7, 1998 to September 13, 1998. On September 18, 1998, she returned to Dr. Warren's office, complaining of severe pain from chronic arthritis in her hips and knees.

{¶ 3} The admitting note and history provided by Dr. Warren contained a history that did not include the fact that Mrs. Sullins had previously come into contact with pulmonary tuberculosis as a supervisor at Harbor Light, a halfway house in Cleveland, and was prone to test positive for that disease. It is undisputed that she was not exhibiting any signs of a currently active tuberculosis infection upon admission and the nurse's Patient History taken at each admission noted only a history of arthritis, stomach problems, and ulcers, but did not note any history of seventeen other conditions/diseases, including diabetes, tuberculosis and kidney problems.

{¶ 4} Dr. Warren supervised Mrs. Sullins' care and ordered medication to treat her arthritis. On September 23, 1998, among other tests, he requested materials for a tuberculin PPD ("PPD") test used to determine whether a patient has ever been exposed to tuberculosis, and changed her pain medications because the nurses' notes and her family had indicated that she was intermittently disoriented. She also complained of a headache on one occasion that seemed to have resolved itself, and complained of radiating lower back pain.

{¶ 5} On Sunday, September 27, 1998, Nurse Betsy Sykora (nka Betsy Kirschner), noted the tests had not been performed and asked Mrs. Sullins whether she recalled having been given them. Mrs. Sullins said "no," but also indicated that she always tested positive for a PPD test, and that chest x-rays had been needed in the past to determine the activity status of the dormant tuberculosis to which she had been exposed through her employment. Nurse Sykora wrote a notation on Mrs. Sullins' medical chart that the tests had not been done and noted Mrs. Sullins' reactor-status to PPD tests.

{¶ 6} That same day, Dr. Moscowitz, covering for Dr. Warren, requested a consultation from UH's infectious disease department, known as an "ID consult," to determine what alternate antibiotics could be given to Mrs. Sullins, because the intravenous ones originally prescribed had caused a side-effect: phlebitis, or swelling of veins. He also requested an evaluation of possible drug treatment for "septic arthritis," since he suspected some sort of infection may have been causing swelling in her right knee.

{¶ 7} The infectious disease attending physician, Dr. Michael Lederman, had left for the day, so Dr. Woolley, an infectious disease fellow in training at UH, answered the call for the consultation. He charted his recommendation for the use of some broad, non-IV, non-tuberculosis-treating antibiotics. The next day, he and Dr. Lederman went to Mrs. Sullins' room but were unable to see her because she was undergoing a bone scan. While Dr. Woolley claimed that someone from the UH rheumatology department later informed him that the consultation was not necessary, Dr. Warren countered that he never terminated the request. In any event, no further ID consultation was either initiated by Dr. Warren or pursued by Dr. Woolley or Dr. Lederman.

{¶ 8} Mrs. Sullins' condition continued to deteriorate, and on October 5, 1998, a spinal tap revealed elevated protein and lymphocyte levels in her cerebrospinal fluid. This indicated tuberculous meningitis, or swelling of the tissues covering the brain caused by a tuberculosis infection which had progressed in her central nervous system. Tuberculosis therapy was then initiated. She then developed hydrocephalus, or "water on the brain." As her tuberculous meningitis increased in severity, she lapsed into a coma on October 7, 1998, and four days later, upon the advice of intensive care physicians, Darrell Sullins agreed to terminate his mother's life support and she died.

{¶ 9} An autopsy concluded that her cause of death included tuberculous meningitis, progressive hydrocephalus, rheumatoid arthritis, and a subarachnoid bleed caused by a shunt that ICU doctors had placed in Mrs. Sullins' skull in an effort to alleviate some of the pressure caused by the meningitis or hydrocephalus.

{¶ 10} Sullins filed suit against UH and various physicians including Dr. Warren. He settled with Dr. Warren, voluntarily dismissed claims against all other physicians and proceeded against UH based on the alleged negligence of Dr. Woolley and the nursing staff. At trial he argued that the nursing staff had failed to initiate internal UH protocols designed to screen for, or alert physicians to, the possibility of a tuberculosis-related illness, and that failure inhibited its discovery and diagnosis. He alleged that Dr. Woolley, as a fellow in training, was negligent in providing the ID consult, both in undertaking it on his own, and in failing to diagnose tuberculous meningitis on September 26, 1998. He alleged that the combination of the nursing care and the consult delayed detection of and, therefore, the treatment for, tuberculosis until it was too late to be effective.

{¶ 11} UH countered that Dr. Warren, as Mrs. Sullins' primary and admitting physician, controlled the care given, and bore sole responsibility for the delayed diagnosis of tuberculous meningitis. At trial, Sullins' medical expert, Dr. Hosea, testified that the nurses were not negligent and that they could not be expected to make a diagnosis of tuberculosis.

{¶ 12} At the close of evidence, the trial court directed a verdict for UH on the nursing negligence claim. The jury then returned a verdict for UH on Sullins' claim of Dr. Woolley's negligence.

{¶ 13} Sullins now appeals and presents four assignments of error. The first assignment of error states:

{¶ 14} "The trial court committed reversible error when it failed to charge the jury with the plaintiff's proposed jury instructions as found in plaintiff's proffered Exhibits 1 and 2. TR.1500-04."

{¶ 15} Sullins contends the court erred in failing to instruct the jury that UH could be found liable for the alleged violations of the standard of care by Dr. Woolley and by Dr. Woolley's supervising physician, Dr. Lederman. Sullins requested jury instructions calling for a determination that if he established by a preponderance of the evidence that if either Dr. Woolley or Dr. Lederman breached the applicable standard of care, UH would be liable.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Griffin v. Matthews
522 N.E.2d 1100 (Ohio Court of Appeals, 1987)
Petratos v. Markakis
637 N.E.2d 13 (Ohio Court of Appeals, 1993)
Glover v. Boehm Pressed Steel Co.
702 N.E.2d 929 (Ohio Court of Appeals, 1997)
Pusey v. Greif Bros. Corp.
707 N.E.2d 551 (Ohio Court of Appeals, 1997)
Nichols v. Hanzel
674 N.E.2d 1237 (Ohio Court of Appeals, 1996)
Johnson v. Grant Hospital
286 N.E.2d 308 (Ohio Court of Appeals, 1972)
Grange Mutual Casualty Co. v. Fleming
456 N.E.2d 816 (Ohio Court of Appeals, 1982)
Steppe v. Kmart Stores
737 N.E.2d 58 (Ohio Court of Appeals, 1999)
Campbell v. Pritchard
596 N.E.2d 1047 (Ohio Court of Appeals, 1991)
Feterle v. Huettner
275 N.E.2d 340 (Ohio Supreme Court, 1971)
Johnson v. Grant Hospital
291 N.E.2d 440 (Ohio Supreme Court, 1972)
Bruni v. Tatsumi
346 N.E.2d 673 (Ohio Supreme Court, 1976)
Riley v. City of Cincinnati
348 N.E.2d 135 (Ohio Supreme Court, 1976)
Strother v. Hutchinson
423 N.E.2d 467 (Ohio Supreme Court, 1981)
Ruta v. Breckenridge-Remy Co.
430 N.E.2d 935 (Ohio Supreme Court, 1982)
Grau v. Kleinschmidt
509 N.E.2d 399 (Ohio Supreme Court, 1987)
Albain v. Flower Hospital
553 N.E.2d 1038 (Ohio Supreme Court, 1990)
Murphy v. Carrollton Manufacturing Co.
575 N.E.2d 828 (Ohio Supreme Court, 1991)
Ramage v. Central Ohio Emergency Services, Inc.
592 N.E.2d 828 (Ohio Supreme Court, 1992)
Berdyck v. Shinde
613 N.E.2d 1014 (Ohio Supreme Court, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
Sullins v. University Hosp., Cleveland, Unpublished Decision (1-28-2003), Counsel Stack Legal Research, https://law.counselstack.com/opinion/sullins-v-university-hosp-cleveland-unpublished-decision-1-28-2003-ohioctapp-2003.