Williams v. Thomas Jefferson University

54 F.R.D. 615, 15 Fed. R. Serv. 2d 1265, 1972 U.S. Dist. LEXIS 14981
CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 23, 1972
DocketCiv. A. No. 70-2902
StatusPublished
Cited by6 cases

This text of 54 F.R.D. 615 (Williams v. Thomas Jefferson University) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Williams v. Thomas Jefferson University, 54 F.R.D. 615, 15 Fed. R. Serv. 2d 1265, 1972 U.S. Dist. LEXIS 14981 (E.D. Pa. 1972).

Opinion

MEMORANDUM AND ORDER

DITTER, District Judge.

In this malpractice case, both plaintiff and defendant have filed motions to compel answers to questions posed during discovery depositions.

Plaintiff alleges that on July 9, 1969, she underwent a therapeutic abortion in Jefferson Hospital, performed by David M. Goodner, M.D., a resident physician. She was discharged the next day with instructions from Dr. Goodner to call him if she experienced heavy bleeding and to return for examination in six weeks. On July 14 she called Dr. Goodner because she was having cramps. He told her to take codeine for the pain. On Sunday, July 20 she visited the hospital because she was having cramps and bleeding that she considered to be excessive. She was seen by Dr. Carl J. DePaula, an intern in the emergency room. He told her to return on Tuesday for further examination, but she stated that she intended to go to West Virginia. He then gave her medicine to relieve the cramps and stop the bleeding.

Plaintiff went to West Virginia and on July 22 was taken to a local hospital where an emergency hysterectomy was performed. She maintains that Dr. Goodner was negligent in his methods and treatment, there was further negligence on the part of Dr. DePaula in failing to diagnose her condition properly and in allowing her to travel to West Virginia, and as a result, she has been rendered sterile and has sustained severe mental depression.

Plaintiff deposed Dr. DePaula, Roy G. Holly, M.D., Francis J. Sweeney, M.D., and Dr. Goodner. Dr. Holly is the chairman of Jefferson’s Department of Obstetrics and Gynecology and Dr. Sweeney is the hospital’s director.

Acting upon the instructions of counsel, the doctors refused to provide certain information. Appended to this memorandum is a page by page reference to the questions. For identification, I have numbered them. Thus, numbers 1 through 5 refer to questions posed to Dr. DePaula, numbers 6 through 22 to those to which Dr. Holly gave no reply, number 23 to a question not answered by Dr. Sweeney, and numbers 24 through 43 to questions to which Dr. Goodner did not respond.

Unquestionably the plaintiff has a right to depose these doctors, both as to facts they know and the opinions they hold. Nevertheless, an inquiry concerning the opinions of a physician is subject to certain limitations.

[617]*6171. The information sought must pertain to matters within the doctor’s area of expertise;

2. Hypothetical questions must be based upon facts of record, for example, the testimony of a witness who has been subjected to cross examination; and

3. A physician cannot be asked to give an opinion unless it is based upon a complete statement of all relevant facts: Coxe v. Putney, 26 F.R.D. 562 (E.D.Pa.1961); Beirne v. Fitch Sanitarium Inc., 20 F.R.D. 93 (S.D.N.Y.1957); Macrina v. Smith, 18 F.R.D. 254 (E.D.Pa.1955).

So far as the questions to Dr. DePaula are concerned, I consider all of them to have been improper. Some were hypothetical in nature, but based upon facts not established or an incomplete statement of facts. Others plainly went beyond the training and competence of an intern.

Questions 11, 14, 15, 18, and 20 posed to Dr. Holly were proper and should have been answered. Although No. 11 refers to “informed consent,” a term that has legal connotations, the doctor had used the expression himself and was merely being asked to describe what he meant by it. He was not asked to define its legal meaning.

Questions 6 and 9 were too broad: Number 6 should have been related to the plaintiff in this case and not women in general, and number 9 was objectionable because it called for an answer that could amount to a medical treatise. If number 7 had been phrased to ask Dr. Holly to explain his relationship with patients being treated by interns or residents, it would have been proper. However, as propounded, the question is ambiguous and involves legal concepts beyond the training of a doctor. Question 8 is also improper because of its use of the legal term, “negligence.”

Questions 10, 12, 13, 21, and 22 all called for answers that would be irrelevant. In each instance, the doctor was asked to describe what he would do in a factual setting which in some questions was not clearly defined. Even if the situation had been completely described, the standard of care to be applied in this case is that of the ordinary hospital and resident practitioner. Dr. Holly, a professor and departmental chairman, may well be a specialist whose skills exceed those of the usual physician.

Numbers 16 and 17 are hypothetical in nature, but are not founded upon a definite statement of facts. They ask what might be observed during the course of surgery. At best the answers would have to be speculative and might differ according to a variety of unstated background circumstances. The 19th question was based upon hospital reports from another institution, all of which had not been made available to Dr. Holly. It, therefore, asks him for an opinion based upon partial information.

The 23rd question in issue was posed to Dr. Francis J. Sweeney, the administrator of the hospital. It is improper because it asks him to render a medical opinion on the basis of Dr. DePaula’s notes rather than upon Dr. DePaula’s actual testimony or that of the plaintiff. Obviously, it is possible that Dr. DePaula did not record all he saw, all that the plaintiff told him, or the full extent of any examination which he made.

Questions 24 through 43 were propounded to Dr. Goodner. I can see no reason why he should not be required to answer numbers 33, 38, 39, 40, 41, and 42. Although there was objection to 35 and 36, I consider these questions to be appropriate. However, they were subsequently answered and therefore need not be answered again.

Questions 24 and 25 are hypothetical questions not based on facts of record. Numbers 26, 27, 28, 29, 31, and 32 ask for an opinion but are all based on an incomplete statement of the facts. All of these questions are therefore improper. In number 30, Dr. Goodner is asked a hypothetical question which is [618]*618founded upon Dr. DePaula’s notes. A doctor should not be required to base a complex medical judgment on an intern’s emergency room notes. Moreover, the obvious purpose is not to obtain information but to impeach Dr. DePaula. I consider numbers 34, 37, and 43 to be irrelevant since the effect of each is to ask Dr. Goodner whether he believes certain hospital records.

Defendants have also filed a motion to compel plaintiff to answer questions to which no reply was given during the taking of her deposition. This motion will be granted. Plaintiff’s complaint alleges that she sustained severe mental depression as the result of the defendants’ negligence. Plaintiff was unmarried at the time of the abortion and defendants’ counsel sought information as to the name of the putative father and plaintiff’s discussions with him about their unborn child, her social relationships, and other facts which might give insight to her emotional status. In view of the nature of the damages claimed, this is permissible inquiry and the plaintiff should answer questions of the type which were propounded to her by defense counsel.

APPENDIX

QUESTIONS NOT ANSWERED BY CARL J. DePAULA, M.D.

1. Page 22—Q. “I’ll hand you a pad, and I’ll ask you you will please sketch for me the cervix and indicate”—

2. Page 56—Q. “All right.

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Cite This Page — Counsel Stack

Bluebook (online)
54 F.R.D. 615, 15 Fed. R. Serv. 2d 1265, 1972 U.S. Dist. LEXIS 14981, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-thomas-jefferson-university-paed-1972.