Whitley v. Piedmont Hospital, Inc.

644 S.E.2d 514, 284 Ga. App. 649
CourtCourt of Appeals of Georgia
DecidedMarch 29, 2007
DocketA06A1775, A06A1776
StatusPublished
Cited by21 cases

This text of 644 S.E.2d 514 (Whitley v. Piedmont Hospital, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whitley v. Piedmont Hospital, Inc., 644 S.E.2d 514, 284 Ga. App. 649 (Ga. Ct. App. 2007).

Opinion

Barnes, Chief Judge.

These appeals arise from a medical malpractice action filed by Leon Whitley and his wife Mary Whitley for damages resulting from complications from Leon Whitley’s coronary bypass surgery which resulted in the loss of his right leg below the knee. Mary Whitley sues for loss of consortium.

In Case No. A06A1775 the Whitleys appeal the grant of summary judgment to all the defendants in the medical malpractice action, and Case No. A06A1776 is an appeal by Dr. Larry Williams, an expert witness on behalf of the Whitleys, from the trial court’s order enjoining Dr. Williams from testifying in Division YY of the State Court of Fulton County. Because both appeals arise from the same medical malpractice action and were decided in the same order, we have consolidated them for disposition on appeal.

On March 12, 1996, coronary bypass surgery was performed on Mr. Whitley at Piedmont Hospital by Dr. Alexander Justicz of Peach-tree Cardiovascular & Thoracic Surgeons, P.A. During the surgery an *650 intra-aortic balloon pump (“IABP”) was inserted through Mr. Whitley’s right femoral artery. After the surgery, Mr. Whitley was admitted to the hospital’s intensive care unit (“ICU”), and nurses employed by Piedmont Hospital monitored Mr. Whitley’s leg for signs of ischemia, i.e., reduction in blood flow. While he was in the ICU, Mr. Whitley also was examined by his own doctors and nurses employed by those doctors.

After the IABP was removed on March 14, 1996, Mr. Whitley experienced pain and signs of ischemia began to appear. His physicians were notified and they determined that he was developing “compartment syndrome.” Even though several surgeries were performed, Mr. Whitley’s lower right leg was ultimately amputated.

The Whitleys filed suit against Piedmont Hospital, Inc.; Peach-tree Cardiovascular & Thoracic Surgeons, P.A.; Cardiac Disease Specialists, P.C.; Alexander Justicz, M.D.; and William Carlisle Jacobs, M.D. Dr. Justicz was the surgeon who performed the bypass surgery on behalf of his medical group, Peachtree Cardiovascular & Thoracic Surgeons, P.A., and Dr. Jacobs was Mr. Whitley’s cardiologist from the medical group, Cardiac Disease Specialists, PC. 1

The Whitleys alleged that all the defendants and their employees “had a duty to properly monitor, observe, diagnose, and treat Leon Whitley after his coronary surgery by monitoring and assessing the function of the intra-aortic balloon pump and ensuring that the pump did not impair circulation in Leon Whitley’s right leg so as to pose a threat to the health of his right leg.” The complaint further alleges that the defendants breached that duty of care and as a result, the circulation of Mr. Whitley’s leg became compromised, his leg deteriorated, the viability of his leg was threatened, and the compromised condition of his leg was ignored. By taking these actions, the defendants breached the standard of care, and their professional negligence was the direct and proximate cause of the amputation of Mr. Whitley’s right lower leg.

The defendants answered denying liability, and after discovery, particularly the deposition of Dr. Williams, Piedmont Hospital, Dr. Jacobs, and Cardiac Disease Specialists moved for summary judgment. Piedmont Hospital contends the Whitleys did not establish a causal connection between any negligence of its nurses and Mr. Whitley’s injuries. Dr. Jacobs and Cardiac Disease Specialists contend that Dr. Williams’ deposition testimony established that they had no duty to monitor Mr. Whitley’s condition until the morning of March 13 and that any care they gave on that morning did not proximately cause Mr. Whitley’s injuries.

*651 The hospital maintains that regardless of any communications failure between its nurses and Mr. Whitley’s physicians, the physicians were fully aware of Mr. Whitley’s condition during the critical time, and independently decided not to intervene medically. Thus, the hospital contends, any communication would not have altered Mr. Whitley’s course of treatment or the ultimate outcome.

Piedmont Hospital also contends that the physicians’ awareness of Mr. Whitley’s medical condition and their decision not to order additional medical intervention was an intervening cause of Mr. Whitley’s injuries. Therefore, the nurses’ actions were not the proximate cause of Mr. Whitley’s injuries. McQuaig v. McLaughlin, 211 Ga. App. 723, 726 (1) (b) (440 SE2d 499) (1994) (no proximate cause where an independent act or omission of someone other than the defendant has intervened between the act of the defendant and the injury to the plaintiff).

The Whitleys, however, assert that nurses employed by Piedmont Hospital negligently failed to notify Mr. Whitley’s attending physicians of the changes in his condition and that someone at the hospital altered Mr. Whitley’s medical records. They contend that if the nurses had timely informed Mr. Whitley’s physicians of the changes in his condition between March 12, 1996, at 7:00 p.m. and March 13, 1996, at 7:00 a.m., the physicians would have ordered the medical procedures necessary to prevent the amputation of Mr. Whitley’s leg.

According to Dr. Williams’ OCGA § 9-11-9.1 affidavit, 2 Dr. Justicz, Dr. Jacobs, and the Piedmont Hospital nurses had a duty to monitor the condition of Mr. Whitley’s right leg during his hospitalization. Based upon Dr. Williams’ personal knowledge of the standard of care, he stated that Dr. Justicz, Dr. Jacobs, and the Piedmont Hospital nurses all “were negligent and deviated from the standard of care applicable to such professionals under like and similar circumstances in failing to appropriately monitor, diagnose, and intervene regarding the compromised circulation of Mr. Whitley’s right leg. . . .” He further stated that if these defendants had not violated the standard of care, there would have been no need to amputate Mr. Whitley’s lower right leg.

When first deposed, Dr. Williams conceded that notwithstanding the alleged lack of communication between Piedmont Hospital’s nurses and Mr. Whitley’s physicians, those physicians were fully aware of Mr. Whitley’s condition and independently decided that no *652 additional medical interventions were necessary. Therefore, he said, the alleged negligence of the nurses did not cause any injury to Mr. Whitley.

Specifically, Dr. Williams testified that Mr. Whitley’s charts reflected that the physicians’ nurse was aware at 8:45 a.m. of a change in his pulses that occurred at 7:00 p.m. the night before. As the nurse who took that morning pulse worked for the doctor, he testified that it would be fair to make the “small logic jump that this physician’s representative” is not the Piedmont Hospital’s nursing staff. He further testified that, as Mr. Whitley’s charts showed that his physicians did not respond after the 8:45 a.m. reading of Mr. Whitley’s pulses, it was “probably reasonable” to conclude that no intervention would have been taken earlier if they had been notified earlier. Thus, Dr. Williams agreed that the failure to notify the physicians earlier “did not have any effect on Mr.

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Bluebook (online)
644 S.E.2d 514, 284 Ga. App. 649, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whitley-v-piedmont-hospital-inc-gactapp-2007.