Vigil v. Miners Colfax Medical Center

875 P.2d 1096, 117 N.M. 664
CourtNew Mexico Court of Appeals
DecidedApril 8, 1994
Docket14032
StatusPublished

This text of 875 P.2d 1096 (Vigil v. Miners Colfax Medical Center) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vigil v. Miners Colfax Medical Center, 875 P.2d 1096, 117 N.M. 664 (N.M. Ct. App. 1994).

Opinion

875 P.2d 1096 (1994)
117 N.M. 664

Pete R. VIGIL, Personal Representative of the Estate of Joe E. Vigil, Deceased, Plaintiff-Appellant,
v.
MINERS COLFAX MEDICAL CENTER, Defendant, and
Omkar Tiku, M.D., Defendant-Appellee.

No. 14032.

Court of Appeals of New Mexico.

April 8, 1994.
Certiorari Denied May 24, 1994.

Stephen Durkovich, Albuquerque, Anthony Lopez, Taos, for plaintiff-appellant.

Alice Tomlinson Lorenz, Robert C. Gutierrez, Miller, Stratvert, Torgerson & Schlenker, P.A., Albuquerque, for defendant-appellee.

*1097 OPINION

MINZNER, Chief Judge.

This appeal arises out of a medical malpractice action brought by Pete R. Vigil (Plaintiff), as personal representative of the estate of Joe E. Vigil (Vigil). In 1989 Plaintiff filed a complaint against Miners Colfax Medical Center (Miners). About a year later, Plaintiff filed an amended complaint naming Dr. Omkar Tiku as an additional defendant. Following trial, the jury entered a verdict in the amount of $547,000 in favor of Plaintiff on Plaintiff's claims against Miners. The jury also entered a verdict against Plaintiff on Plaintiff's claims against Dr. Tiku (Defendant). The single issue on appeal is whether the trial court committed reversible error by giving the jury the medical specialist instruction, SCRA 1986, 13-1102 (Repl. 1991), rather than the general practitioner instruction, SCRA 1986, 13-1101, under the facts of this case. We affirm.

FACTS

On May 26, 1989, Vigil told his wife that he had been experiencing chest pains all week and that morning he awoke feeling as if his sternum was broken, but he said when he belched he felt better. Mrs. Vigil, a medical technician, thought her husband might have a hiatal hernia. She suggested that he see Defendant, with whom she worked in surgery as a scrub technician. Vigil went to work and when he told his undersheriff, Jim Maldonado, of his chest pain, Maldonado encouraged him to get an appointment with Defendant.

At about 9:30 a.m., Vigil went to Defendant's office. Vigil told Defendant that he had been having chest pain for about two weeks and that it had become worse in the last week; however, he did not indicate that he was in pain at the time of the visit. Defendant had previously treated Vigil for other problems so he knew that Vigil had a history of heart, gastrointestinal (GI), lung, and back problems, any of which could cause chest pains. He also knew that Vigil possessed heightened risk factors for heart problems.

Defendant examined Vigil and asked him a series of questions in order to determine the cause of the pain. Based on his observation of Vigil, the examination, and Vigil's answers to the questions, Defendant diagnosed Vigil as having reflux esophagitis, or hiatal hernia. Defendant ordered an upper GI study, a barium study of the upper part of the GI tract, which confirmed the diagnosis.

Defendant also ordered a baseline EKG because Vigil had high blood pressure. A baseline EKG documents abnormal wave forms or changes in the heart caused by high blood pressure and so aids the internist in evaluating future changes. Defendant wrote on the test orders a request that he be called with the results of the upper GI series and the EKG. He received a call later that morning informing him that the upper GI series did confirm the diagnosis of hiatal hernia. Defendant expected the EKG to be read in approximately two hours, and he expected the technician to call him if Vigil's EKG showed something alarming or abnormal.

In this case, however, the technician failed to make such a call, even though Vigil's EKG strip had a computer-generated report printed in plain English at the top of the strip alerting the reader that the test was markedly abnormal. Hospital policy simply required the technician to place the EKG strip in the internists' basket to be read after 5:00 p.m. that day instead of having the technician read the strip and notifying someone if there was an alert. At 6:10 that evening, Dr. Naylor called Defendant to tell him that the EKG showed that Vigil was undergoing a myocardial infarction. However, Defendant had already received a call at about 4:00 p.m. from an emergency medical technician informing him that Vigil had been found dead at his home by his wife, who returned home from work early because Vigil did not answer the telephone.

Defendant is a specialist in general surgery who obtained his undergraduate degree in Kashmir, India, and then joined the medical college in Calcutta, where he received a Bachelor of Medicine in Surgery in 1962. Next he received his Master of Surgery degree from the University of Delhi. Defendant passed fellowship examinations at the Royal College of Surgeons in London, England *1098 in 1967 and the Royal College of Surgeons in Edinburgh, Scotland in 1968. After passing these examinations, he received additional post-graduate training and became a consultant for the National Health Service in England. Defendant arrived in the United States in 1973 and passed a federal licensing examination in October of that year. He moved to Raton, New Mexico to practice general surgery in 1976.

During deliberations over jury instructions, Plaintiff stated, "I think that [SCRA 13-]1101[1] is the correct instruction, what [SCRA 13-]1102[2] is used for is the duty of a specialist, is a higher duty." The trial court said, "I agree with [Plaintiff], it is a higher duty. The testimony is that he was a specialist in general surgery." Referring to SCRA 13-1102, Plaintiff later objected to the language "in the same field of medicine" being left in the instruction because he thought that the jury might become confused and think that phrase meant they could consider only the testimony of other general surgeons. Defendant then stated that the words in question modify "specialist" in the first paragraph, and they have no effect on the second paragraph. The trial court said the testimony was that Defendant was a general surgeon, so he was going to give SCRA 13-1102 and let the attorneys argue the standard in closing.

DISCUSSION

On appeal, it is the appellant's burden to show that the instruction given was erroneous and prejudicial. See Jewell v. Seidenberg, 82 N.M. 120, 124, 477 P.2d 296, 300 (1970). Plaintiff argues that the duty of the proffered specialist instruction misled the jury in two ways: (1) that Defendant should be held to a lower standard than a general practitioner, and (2) that the jury could only consider the testimony of general surgeons on the issue of malpractice. Plaintiff therefore contends that the instruction given misstated the law. See Porter v. Ferguson-Steere Motor Co., 63 N.M. 466, 470, 321 P.2d 1112, 1115 (1958) (any error in statement of law that is prejudicial is reversible error).

A. Standard for Duty of Care Under SCRA 13-1102

Plaintiff contends that the instruction given limited the relevant scope of knowledge and skill against which the jury was required to evaluate Defendant's performance to that of other general surgeons, and therefore states a standard on these facts that is lower than the standard against which a general practitioner would have been evaluated. Plaintiff argues that Defendant was engaged in a diagnostic process common to the general practitioner, so "he was subject to the same standard of care as all other doctors who progressed from a background of general medicine up to their field of specialty, not a lesser one."

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875 P.2d 1096, 117 N.M. 664, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vigil-v-miners-colfax-medical-center-nmctapp-1994.