Worth v. Kolbeck

728 N.W.2d 282, 273 Neb. 163, 2007 Neb. LEXIS 36
CourtNebraska Supreme Court
DecidedMarch 9, 2007
DocketS-05-269
StatusPublished
Cited by127 cases

This text of 728 N.W.2d 282 (Worth v. Kolbeck) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Worth v. Kolbeck, 728 N.W.2d 282, 273 Neb. 163, 2007 Neb. LEXIS 36 (Neb. 2007).

Opinion

Heavican, C.J.

NATURE OF CASE

This is a medical malpractice action brought by Sonja Worth on behalf of her son, Austin Worth, against Terrence J. Kolbeck, *165 M.D. Sonja alleged that Kolbeck’s negligence caused severe brain injuries to Austin shortly before his birth. The case was tried to a jury, which returned a verdict in favor of Kolbeck. Sonja assigns errors related to the jury instructions and the court’s admission of deposition testimony from Sonja’s designated expert taken for discovery. We conclude that Sonja’s assigned errors do not require reversal.

BACKGROUND

The bill of exceptions does not include most of the trial. It is limited to the arguments regarding the admissibility and the reading into evidence of deposition testimony from Sonja’s medical expert, Dr. Stephen Glass; two jury instruction conferences; and the testimony of an expert document examiner, Marlin Rauscher.

The transcript shows that in April 1999, Sonja filed this action on behalf of Austin. Although the original action included a claim by the parents, Sonja and Mark Worth, that claim was dismissed at some point. Sonja alleged the following facts in her complaint. Sonja “has had controlled, Type I diabetes mellitus since 1992.” On April 9, 1997, Sonja was 33 weeks pregnant with Austin and was admitted to an Omaha, Nebraska, hospital emergency room at 5:44 p.m., suffering from diabetic ketoacidosis. Ketoacidosis is the “presence of an excessive amount of ketone bodies [acids] in the tissues and body fluids.” 1 Austin was diagnosed with hypoxic-ischemic encephalopathy, directly related to Sonja’s ketoacidosis. This diagnosis refers to a perinatal brain injury due to lack of oxygen. 2

Sonja alleged that from 6:15 to 6:30 p.m. on April 9, 1997, Austin’s heartbeats were undetectable. The hospital placed Sonja on fetal monitoring and at 6:40 p.m., consulted Kolbeck. Austin’s assessment did not change appreciably throughout the night, and at 7:40 the next morning, Kolbeck ordered an ultrasound, which Sonja alleged suggested “severe placental dysfunction and fetal compromise.” At 9:44 a.m., an emergency cesarean section was performed. Sonja alleged that Austin suffered brain injuries as *166 a proximate result of Kolbeck’s negligence and that Austin is severely and permanently mentally retarded. Specifically, Sonja alleged that Kolbeck was negligent in failing to (1) order an immediate ultrasound on April 9, (2) recognize Austin’s fetal distress and arrange for an emergency cesarean section on April 9, and (3) promptly respond to the ultrasound on April 10.

In his answer, Kolbeck denied that he was negligent or had caused Austin’s injuries. Kolbeck affirmatively alleged that he had met the standard of care for physicians in his specialty in Omaha or similar communities. He also affirmatively alleged that Sonja and Mark had been negligent in caring for Sonja’s illness, which had proximately caused Austin’s condition and damages.

Sometime in early 2000, Sonja’s counsel contacted Glass, a pediatric neurologist, to review Austin’s case. In December 2000, Kolbeck’s counsel conducted a discovery deposition of Glass.

A jury trial was conducted from October 4 through 20, 2004. At trial, Sonja was represented by attorneys other than the attorney who represented her at Glass’ deposition. On October 19, Kolbeck moved to have Glass’ deposition read into evidence. Sonja’s counsel objected that he was not representing Sonja when Glass’ deposition was taken and would not waive Sonja’s right to cross-examination. Kolbeck’s counsel stated that he had been unable to obtain Glass’ presence for trial and offered the affidavit of a paralegal, averring that she had attempted to contact Glass on 2 different days, a week earlier.

Sonja’s counsel argued that because defense counsel had not made a reasonable effort to obtain Glass’ attendance, his deposition testimony was inadmissible under Neb. Rev. Stat. § 27-804(l)(e) (Reissue 1995). Sonja’s counsel also argued that Sonja had not been afforded an opportunity to develop Glass’ testimony because Kolbeck had taken the deposition strictly for discovery purposes. 3 The court overruled the objections.

The portion of Glass’ deposition that was read into the record included Glass’ opinion that (1) Austin’s condition was directly related to Sonja’s ketoacidosis; (2) damage leading to irreversible loss of function started in the late evening on April 9, 1997; (3) as Sonja’s metabolism was restored to a normal range, the *167 impact of her condition on the fetus was lessened, which is why Austin’s “Apgar scores” were not profoundly low when he was delivered the next morning; and (4) a delivery 2 hours earlier on the morning of April 10 would not have made any difference because by then, Sonja’s condition had been restored to a more normal range.

On October 19, 2004, the same day Glass’ deposition was read into the record, the court allowed Sonja to present rebuttal testimony from Rauscher, over Kolbeck’s continuing objection. Rauscher, a document expert, testified that someone had altered two listed times on a document from another exhibit. The original exhibit is not part of this record, and Rauscher did not identify the document he had examined. Kolbeck contended that he was unfairly surprised by this expert and that Rauscher should therefore not be allowed to testify. The objection was overruled.

Also on October 19, 2004, the first jury conference was conducted. Instruction No. 6 advised the jury that it could not consider Sonja’s acts or omissions in deciding whether Austin was entitled to damages. Kolbeck asked that the instruction “be modified to indicate to the jury that this in no way indicates that the acts or omissions of a parent cannot be a proximate cause of the injury to Austin.” The court denied this request.

The next day, before closing arguments, Kolbeck requested that a supplemental jury instruction be given to the jury. Kolbeck argued that without the supplemental instruction, he could not argue that Sonja’s actions were a proximate cause of Austin’s injuries under instruction No. 6. The court agreed that while instruction No. 6 was correct, it needed modification. The court therefore allowed the supplemental instruction.

Supplemental instruction No. 6 advised the jury of Kolbeck’s claim that Sonja’s conduct was the only proximate cause of Austin’s injuries. The court did not alter the original instruction No. 6, but renumbered it to supplemental instruction No. 7. The jury returned a unanimous verdict for Kolbeck.

ASSIGNMENTS OF ERROR

Although Sonja assigns four errors in her brief, we restate them in accordance with those actually argued in her brief. To be considered by an appellate court, an alleged error must be both specifically assigned and specifically argued in the brief of the *168 party asserting the error. 4

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Cite This Page — Counsel Stack

Bluebook (online)
728 N.W.2d 282, 273 Neb. 163, 2007 Neb. LEXIS 36, Counsel Stack Legal Research, https://law.counselstack.com/opinion/worth-v-kolbeck-neb-2007.