Ward v. Kovacs

55 A.D.2d 391, 390 N.Y.S.2d 931, 1977 N.Y. App. Div. LEXIS 9987
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJanuary 17, 1977
StatusPublished
Cited by10 cases

This text of 55 A.D.2d 391 (Ward v. Kovacs) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Kovacs, 55 A.D.2d 391, 390 N.Y.S.2d 931, 1977 N.Y. App. Div. LEXIS 9987 (N.Y. Ct. App. 1977).

Opinion

Gulotta, P. J.

This is an appeal from a judgment in a medical malpractice action, against the estate of a doctor, based upon a general jury verdict in the amount of $500,000.

FACTUAL BACKGROUND

On Thursday, September 12, 1968, plaintiff, a 24-year-old waitress, sustained an almost imperceptible, nonbleeding cut on the middle finger of her right hand, an eighth of an inch in length. It was, in fact, so slight that she did not notice it until the next morning, when she became aware of an irritation caused by her ring rubbing against it while playing tennis. That same Friday afternoon her finger began to redden and to swell, and so, at about 4:00 p.m., she went to the office of Dr. Kovacs, which was located some five blocks from her Fire Island residence. She testified that the doctor saw her for a maximum of 5 or 10 minutes, and that he gave her some penicillin tablets, with instructions to take one every four hours and to keep the finger wrapped in a cold compress.

The doctor had previously testified at an examination before trial that, at this first visit, he had also given her an injection of 600,000 units of penicillin. That deposition was introduced at the trial by the plaintiff as part of her direct case, the doctor having died prior thereto. The plaintiff, in her testimony, which followed the reading of portions of Dr. Kovacs’ examination before trial, denied that the doctor had given her any injection.

The plaintiff next testified that at or about 8:00 p.m., on the evening of the same day, she telephoned the doctor and told him that the swelling had increased; that it had spread to her other fingers; that her whole hand was swollen; and that she had severe pain, was feverish, thirsty, dizzy and very frightened. She testified that the doctor told her to go to a named drugstore and that he would prescribe Darvon to alleviate her pain. He further told her that she should go to bed.

On his examination before trial, Dr. Kovacs deposed that he did not remember whether he had been at home at or about [393]*3938:00 p.m. on the evening in question; whether he had received any such phone call; and whether, in fact, he had prescribed Darvon. He averred, however, that had he received such a call, he "surely would have told her to come over”. The plaintiff testified that he did not instruct her to come to his office.

The following morning, Saturday, September 14, 1968, and at plaintiff’s request, two neighbors, Richard Sheldon and his mother, allegedly made a total of four telephone calls to the doctor’s office between the hours of 8:30 a.m. and 5:00 p.m., each time speaking to the doctor’s wife and asking that the doctor come over to see the plaintiff. The plaintiff had no telephone.

In his deposition, Dr. Kovacs stated that his office had received only one such call; that it had been taken by his wife; that it had been made during office hours; and that he had visited the plaintiff as soon as he completed his office hours, which was about 5:00 p.m. He then observed that her hand presented an extremely fast fulminating streptococcus infection and that the situation was very serious. He therefore had her evacuated, by ambulance and Coast Guard boat, from Fire Island to Southside Hospital on the mainland, and from there to the Hospital for Special Surgery.

It became necessary to amputate the plaintiff’s third finger and to partially amputate three other fingers. In addition, the thumb is ankylosed and rigid, and it is fair to say that the whole hand is functionally useless. To condense a rather gruesome story, she has had six operations and various skin grafts since the incident.

The plaintiff alleges malpractice in that the doctor failed: (a) to inject penicillin during the initial visit; (b) to respond to the alleged Friday night telephone call by seeing her personally (electing instead to prescribe for her over the telephone); and (c) to respond earlier to the calls allegedly made by the Sheldons on Saturday morning and afternoon. She claims that each of these omissions constituted a departure from generally accepted medical practice and standards.

The trial brings into focus a number of questions regarding: (I) the court’s charge in connection with the alleged injection on Friday afternoon; (2) the exclusion of testimony relating to plaintiff’s previous use of LSD; (3) the repeated references to insurance; and (4) whether it was proper to permit the plaintiff to testify to the alleged Friday night telephone conversa[394]*394tion, after she had introduced into evidence a copy of decedent’s examination before trial, as an exception to the Dead Man’s Statute (CPLR 4519). These questions will be considered seriatim.

I.

THE COURT’S CHARGE RELATING TO THE ALLEGED INJECTION OF PENICILLIN ON FRIDAY AFTERNOON

The plaintiff’s expert testified at the trial that, had the plaintiff received the massive injection on Friday afternoon which Dr. Kovacs referred to in his examination before trial, the condition would not have developed. The defendant’s expert, Dr. Inglis, agreed generally with that opinion, although he disputed whether good medical practice at the time (1968), under the observable conditions, would necessarily have dictated such action. He conceded, however, that if Dr. Kovacs said he had given her the injection, it would indicate that good medical practice had required it, although "ordinarily people with scratches on their hands do not get injections of penicillin.” He further testified "I don’t think most physicians would have even given her an injection.”

The trial court’s charge on the subject was as follows: "With respect to the claims of both parties, if you believe what the plaintiff has told you and find that Dr. Kovacs did not in fact inject her with 600,000 units of penicillin, you may find that Dr. Kovacs was negligent since this would be a departure from accepted standards of practice and treatment and you may find for the plaintiff” (emphasis supplied). The defendant’s counsel excepted to that portion of the charge, insisting that it took from the jury the question of what constituted an acceptable standard. While the trial court agreed, it pointed out that both medical experts testified that had the injection been given, the disaster would not have occurred. What the trial court failed to recognize, however, was that this was not the same as stating that it was a departure from acceptable medical standards not to have given it. Moreover, the court did nothing to correct the erroneous impression which the jury must surely have drawn from the charge, i.e., that the "standards” question was foreclosed from further consideration by it. This was error. Whether accepted standards of practice in 1968 required such an injection on the basis of the plaintiff’s observable symptoms, upon her first visit to the [395]*395doctor, presented a jury question in the light of Dr. Inglis’ testimony that most physicians would not have given such an injection under the circumstances.

Where a malpractice action is submitted to a jury on several theories of liability, and where, as here, a general verdict has been rendered, an improper charge on any of the theories upon which the verdict may have been predicated taints the entire verdict and renders a new trial necessary (see Schreiber v Cestari, 40 AD2d 1025).

II.

THE EXCLUSION OF TESTIMONY CONCERNING LSD

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Cite This Page — Counsel Stack

Bluebook (online)
55 A.D.2d 391, 390 N.Y.S.2d 931, 1977 N.Y. App. Div. LEXIS 9987, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-kovacs-nyappdiv-1977.