Whittemore v. Classen

808 S.W.2d 447, 1991 Tenn. App. LEXIS 35
CourtCourt of Appeals of Tennessee
DecidedJanuary 16, 1991
StatusPublished
Cited by12 cases

This text of 808 S.W.2d 447 (Whittemore v. Classen) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whittemore v. Classen, 808 S.W.2d 447, 1991 Tenn. App. LEXIS 35 (Tenn. Ct. App. 1991).

Opinion

OPINION

TODD, Presiding Judge.

The defendant, Kenneth L. Classen, M.D., has appealed from a judgment against him and in favor of the plaintiff, Gladys Marie Whittemore for malpractice. A jury verdict of $650,000 was reduced by the Trial Judge to $350,000.

The Case

Gladys Marie Whittemore and her husband, Walter D. Whittemore, sued Nashville Memorial Hospital, Inc., Kenneth Clas-sen, M.D., Hill Radiology Associates, P.C. and C.Y. Ryu, M.D. Mrs. Whittemore sued for $300,000 and Mr. Whittemore sued for $50,000 upon facts briefly summarized as follows.

Mrs. Whittemore entered the hospital for surgical removal of a lesion from her breast. In order to guide the surgeon, Radiology Associates inserted into her breast a wire or needle which was misplaced. The surgery was performed, but the needle was not found and removed during the surgery. Thereafter, a second surgical procedure was performed to remove the needle from the chest cavity. The defendant Classen was the surgeon and the defendant Ryu was the employee of Radiology Associates who inserted the needle.

The hospital answered denying negligence. Dr. Classen answered denying negligence. Dr. Ryu and Hill Radiology answered denying negligence.

The hospital was dismissed by summary judgment.

The cases against the remaining defendants, Classen, Hill Radiology Associates, P.C. and Ryu went to trial before a jury; but, during the trial, Hill Radiology Associates, P.C. and Ryu were dismissed by oral announcement of counsel for plaintiffs. The record contains no order of dismissal, which is the better practice, although T.R. C.P. Rule 41.01 does not appear to require it.

Thereafter, the trial continued as to Dr. Classen and the jury reported a verdict in favor of Mrs. Whittemore and against Dr. Classen for $650,000. No verdict was reported as to Mr. Whittemore. The Trial Court entered judgment in favor of Mrs. Whittemore and against Dr. Classen for $650,000 and dismissed the suit of Mr. Whittemore.

On suggestion of the Trial Court, Mrs. Whittemore filed a remittitur reducing the judgment in her favor from $650,000 to $350,000, and judgment was entered accordingly.

The Trial Court overruled motions of Dr. Classen to alter or amend and for judgment NOV, and this appeal ensued.

The Issues

Appellant presents nine issues for review on appeal, of which the first asserts that there is no evidence that the needle was in Mrs. Whittemore’s breast prior to the first surgery.

It is undisputed that two needles were inserted in the breast by Dr. Ryu; that the first needle was found to be misplaced and the second needle was correctly placed; that both needles originally protruded through the skin of the breast and neither originally protruded into the chest cavity; that, prior to the first surgery, Dr. Classen discussed the needles with Dr. Ryu and was aware of their presence and position in the breast; that Dr. Classen intended and expected to remove both needles during the first surgery; that, upon arrival of Mrs. Whittemore in surgery, the second, correctly placed needle was in place, protruding from the breast, but the first, misplaced needle was not visible; that the puncture marking the entry of the first needle was visible, and Dr. Classen expected to find and remove it during the surgery; that he proceed with the surgery, completed the desired removal of the lesion, removed the second needle, but was unable to find the first needle and completed the surgical procedure.

[450]*450It is likewise undisputed that, after completion of the first surgery, by further diagnostic procedure (a “CAT Scan”) the first needle was found at least partially within the chest cavity; and that, by subsequent thoracic (chest) surgery, the first, errant needle was removed.

Appellant’s first issue is based upon the lack of evidence that when Dr. Classen began the first surgery, the errant needle was still in the breast where it belonged, and not in the chest cavity where it was later found and removed. The importance of this fact is that, if the needle was in the breast during the surgery, it might be reasonable to infer that Dr. Classen should have found it during the breast surgery and removed it, thereby rendering unnecessary the subsequent, more serious thoracic surgery to remove it from the chest cavity. If, however, at the time Dr. Classen started the first surgery, the needle was already within the chest cavity, then Dr. Classen could not be expected to find and remove it during breast surgery.

Appellant insists that reasonable minds would conclude that the needle was in the chest before Dr. Classen began the breast surgery, based upon uncontroverted evidence that:

1. Dr. Classen opined that the needle was in the chest before the breast surgery because Mrs. Whittemore had complained of chest pains for several hours before surgery.
2. When originally inserted in the breast, four centimeters (about ln/i6 inches) of the needle was left protruding through the skin of the breast.
3. Dr. Classen noticed the needle was no longer exposed outside the breast before he prepared for surgery.
4. Dr. Ryu testified that, when originally inserted, the point of the needle was one to two centimeters outside the chest wall.

In contradiction of the circumstances just stated, Dr. Daniel Starnes testified that the hospital record contained no evidence of complaints of chest pain by Mrs. Whitte-more, and that the absence of pain was an indication that the needle was not inside the chest.

Aside from the lack of hospital record evidence of pain, the undisputed testimony is that Mrs. Whittemore did complain of chest pain from the time she left radiology (where the needle was inserted) until she was taken to surgery (about two hours).

Conceding that the circumstances just reviewed weigh heavily in favor of Dr. Classen’s theory, this Court cannot say it is such as to merit a directed verdict.

An inference drawn from proven facts is not conclusive on the jury unless it is irrefutable, since another inference drawn from.the same facts may be the true one, and it is for the jury to say which is the true inference. Tennessee-Jellico Coal Co. v. Young, 18 Tenn.App. 537, 79 S.W.2d 815 (1935).

Appellant next insists that there is no evidence that Dr. Classen failed to exercise the standard of care due Mrs. Whittemore.

T.C.A. § 29-26-115 provides in pertinent part as follows:

(a) In a malpractice action, the claimant shall have the burden of proving by evidence as provided by subsection (b):
(1) The recognized standard of acceptable professional practice in the profession and the specialty thereof, if any, that the defendant practices in the community in which he practices or in a similar community at the time the alleged injury or wrongful action occurred;
(2) That the defendant acted with less than or failed to act with ordinary and reasonable care in accordance with such standard; and

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Bluebook (online)
808 S.W.2d 447, 1991 Tenn. App. LEXIS 35, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whittemore-v-classen-tennctapp-1991.