Villano v. Long Island Jewish Medical Center

195 Misc. 2d 799, 762 N.Y.S.2d 479, 2003 N.Y. Misc. LEXIS 375
CourtNew York Supreme Court
DecidedMarch 18, 2003
StatusPublished

This text of 195 Misc. 2d 799 (Villano v. Long Island Jewish Medical Center) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Villano v. Long Island Jewish Medical Center, 195 Misc. 2d 799, 762 N.Y.S.2d 479, 2003 N.Y. Misc. LEXIS 375 (N.Y. Super. Ct. 2003).

Opinion

[800]*800OPINION OF THE COURT

F. Dana Winslow, J.

Procedural Statement

This action for oral surgical malpractice was tried before the Supreme Court, Nassau County (Honorable F. Dana Winslow), without a jury, between May 8 and May 24, 2002. Defendant Gilbert L. Ross, M.D. settled with plaintiffs prior to trial for an undisclosed sum, and the action was voluntarily discontinued against defendant Long Island Jewish Medical Center. Both sides submitted proposed findings of fact and conclusions of law, together with a proposed verdict sheet, limited to the issues of liability and proximate cause only. After due consideration of the trial testimony and documentary evidence admitted at trial, the court hereby makes the following findings of fact and conclusions of law.

Factual Background

1. Treatment History.

Defendants Dr. Stephen A. Sachs and Dr. Michael H. Schwartz are board certified oral and maxillofacial surgeons practicing together at 2001 Marcus Avenue, Lake Success, New York, under the name of The New York Center for Orthognathic and Maxillofacial Surgery.

On December 20, 1990, plaintiff Susan Villano, then 37 years of age, presented to Dr. Schwartz with a six-year history of temporomandibular (TMJ) complaints, including chronic jaw pain, headaches and a progressive anterior open bite. She had been treated by a series of doctors and medical professionals— dentists, internists, nurses, residents, oral surgeons, orthodontists, otolaryngologists, obstetrician-gynecologists, head/neck surgeons, pain specialists and acupuncturists — and received treatment in the form of bite plates or splints, trigger injections and physical therapy, none of which provided relief from the pain and discomfort in her jaw and face. Her otolaryngologist ultimately referred her to Drs. Schwartz and Sachs.

At Susan Villano’s first office visit, Dr. Schwartz evaluated her, took X rays, and arrived at the impression that Mrs. Villano was suffering from TMJ disease. The X-ray studies also demonstrated atrophy in the temporomandibular joints. Dr. Schwartz’ impression was “that I was first going to find out if she had an internal derangement or problem within the joint itself, and, after that evaluation, send her for additional evaluations of the muscles of the area, and then consider closing her bite by surgery.” (Transcript at 1559-1563.)

[801]*801Dr. Schwartz referred Susan Villano for an MRI and evaluated her again on January 21, 1991. The radiographic studies and MRI demonstrated a “flattening of the [right] condylar head and anterior medial osteophyte consistent with degenerative changes,” which was thought to- be the primary cause of her progressive open bite (transcript at 630, 1559-1560, 1571). Susan Villano was then referred to Dr. Donald Tanenbaum, a specialist in nonsurgical temporomandibular joint problems and facial pain. When Mrs. Villano did not respond to various pain management techniques, Dr. Tanenbaum recommended corrective orthognathic surgery.

On June 19, 1991, Susan Villano was examined and evaluated by Dr. Sachs, who diagnosed a “functional skeletal deformity,” skeletal apertognathia (open bite) and “maxillary vertical excess” (transcript at 111-125, 1573). Drs. Schwartz and Sachs concurred that Susan Villano would benefit from corrective orthognathic surgery.

Dr. Schwartz directed Susan Villano to continue treatment for pain management with Dr. Tanenbaum pending the surgery. Mrs. Villano was also referred to an orthodontist, Dr. Stewart Grauer, to align Mrs. Villano’s teeth in preparation for surgery. Dr. Grauer attached corrective orthodontic braces to Susan Villano’s teeth, which remained in place over the period from 1991 through the time of surgery in 1993. During this period, Susan Villano saw Dr. Grauer every two weeks. The braces were effective in obtaining the proper presurgical alignment. In addition, Susan Villano was referred to a psychiatrist, Dr. Oliver, to prepare her for the mental rigors of recuperating from such a procedure, and to clear her for the procedure.

In total, Drs. Sachs and Schwartz met with Susan Villano on six occasions prior to surgery during the period from December 1990 through October 11, 1993. Drs. Schwartz and Sachs also took numerous X rays, made models of Susan Villano’s jaw and teeth, and performed mock “model” surgery. On September 8, 1993, at the offices of Drs. Sachs and Schwartz, Susan Villano submitted to a complete presurgical workup, which included bilateral osteotomies with advancement of the mandible (lower jaw), and a “LeForte I” with the repositioning of the maxilla (upper jaw), to correct her skeletal malocclusion and anterior open bite. Final workup and review were performed at the surgeons’ office on October 11,1993. The surgery was scheduled for October 19, 1993.

2. Preadmission Assessment and Surgical Clearance.

On October 13, 1993, Susan Villano went to the hospital, [802]*802Long Island Jewish Medical Center, for routine preadmission testing which included, inter alia, blood studies and a full chemistry profile, urinalysis, a chest X ray, EKG and a physical examination. According to plaintiffs, during the testing, an unidentified nurse informed them that there were antibodies in Susan Villano’s blood, which had been drawn several days earlier for autologous donation. The nurse informed plaintiffs that a second antibody test on a new blood sample was required for medical clearance. The nurse also apparently suggested that they request a “human blood growth hormone (HGH) test” from their primary care physician, because she noticed that Susan Villano’s “hands had looked large” (transcript at 916-923, 1401-1408, 1754-1757).

Plaintiffs met with Dr. Gilbert L. Ross, Mrs. Villano’s primary care physician, on the following day, October 14, 1993. A report of the previous day’s lab results was faxed to Dr. Ross, and plaintiffs informed Dr. Ross of the nurse’s instructions. Dr. Ross took a blood sample and had it delivered to the hospital for antibody retesting, as part of the medical clearance process. The results of this additional blood test were reported on October 14, 1993 and incorporated into the hospital chart. At the same time, Dr. Ross drew a second blood sample to test for human growth hormone. Dr. Ross sent this sample to a private laboratory in California, and told plaintiffs that it would take approximately five days to get the results, which would coincide with the scheduled surgery. Based upon his belief that the HGH test would have no bearing on the surgery, Dr. Ross cleared Susan Villano for surgery without first ascertaining the HGH test results or documenting the existence of the HGH test on the clearance form provided to Drs. Sachs and Schwartz. Further, although he allegedly promised to do so, Dr. Ross never orally informed Drs. Sachs and Schwartz about the HGH test prior to surgery.

3. The LeForte Surgery and Subsequent Complications.

The complex six-hour reconstructive jaw surgery proceeded as planned on October 19, 1993. While significant bleeding, facial swelling and ecchymosis was noted during and immediately following the surgery, Susan Villano apparently underwent general anesthesia without any reported complications. However, due to an inordinate amount of facial swelling and bleeding, her endotracheal intubation was maintained overnight after the surgery.

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Bluebook (online)
195 Misc. 2d 799, 762 N.Y.S.2d 479, 2003 N.Y. Misc. LEXIS 375, Counsel Stack Legal Research, https://law.counselstack.com/opinion/villano-v-long-island-jewish-medical-center-nysupct-2003.