Ybarra v. Lindgren CA3

CourtCalifornia Court of Appeal
DecidedNovember 17, 2014
DocketC073705
StatusUnpublished

This text of Ybarra v. Lindgren CA3 (Ybarra v. Lindgren CA3) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ybarra v. Lindgren CA3, (Cal. Ct. App. 2014).

Opinion

Filed 11/17/14 Ybarra v. Lindgren CA3 NOT TO BE PUBLISHED California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA THIRD APPELLATE DISTRICT (El Dorado) ----

HENRY B. YBARRA, C073705

Plaintiff and Respondent, (Super. Ct. No. PC20110670)

v.

DAVID LINDGREN,

Defendant and Appellant.

Following a defense verdict that defendant’s negligence in rear-ending plaintiff Henry Ybarra’s car at the bottom of a hill in San Francisco on his way home after major pancreatic surgery was not a substantial factor in causing a large hematoma and a 30- pound weight loss, the trial court granted plaintiff’s motion for a new trial based on insufficiency of the evidence. Plaintiff’s surgeon had testified that the collision caused the hematoma; the defense expert also testified it was more probable than not, or in other words, there was a 51 percent likelihood, the accident was a substantial factor in causing plaintiff’s injury. The trial court explained there was no evidence to support the jury’s finding that the collision was not a substantial factor in causing plaintiff’s hematoma.

1 Because the written tentative ruling was incorporated into the minute order granting the motion for a new trial and contained both the grounds and reasons as required by Code of Civil Procedure section 657, we reject defendant David Lindgren’s contention the judgment should be reinstated. And because there is substantial evidence to support the trial court’s ruling, we affirm the order granting a new trial. FACTS On August 19, 2010, plaintiff, a diabetic, underwent surgery on his pancreas at the San Francisco Veterans Administration Medical Center. After he developed a blockage of an artery in his lung, his surgeon, Dr. Lygia Stewart, prescribed a blood thinner. A CT scan taken before he left the hospital revealed “normal changes after surgery.” He was eating normally before he left the hospital. Eleven days after the surgery, plaintiff’s wife picked him up from the hospital with a friend. Plaintiff, who was sedated and wearing a diaper because he could not control his bowel movements, rode in the front passenger seat with his seat belt fastened over his abdominal incision. They were in the car for about 20 minutes when plaintiff’s wife came to a stop at the bottom of a hill. While stopped, they were rear-ended by defendant, who admitted negligence. Plaintiff’s wife described the impact as very sudden and very hard. She felt like she “got lifted” and the seat belt locked up on her. Plaintiff testified the jolt was severe and “the belt strap really, really tugged on me because [it] shoved me forward.” The passenger in the backseat described the impact as a “pretty big hit” and said it felt like a “great big hand” came along and threw her like a toy. There was, however, little damage to the cars and plaintiff did not seek immediate emergency treatment. Plaintiff’s symptoms, in fact, appeared gradually over time. When he spoke to someone in his surgeon’s office on September 1, he stated he was feeling “strong taking my medications,” and he had been in an automobile collision but had not suffered any

2 physical injuries. He began to suffer from nausea and a loss of appetite but did not return to the hospital. Plaintiff’s surgeon testified at her deposition that by his six-week checkup in October, plaintiff was losing weight. Plaintiff preferred not to drive from his home in El Dorado to San Francisco for doctor’s appointments given the expense and danger involved. By November his nausea had improved after taking an over-the-counter medication. But another CT scan in December confirmed a “large complex fluid collection near the operative site.” Plaintiff lost about 30 pounds. By February 2011 plaintiff felt better. Eventually the hematoma dissolved without medical intervention. He was able to return to work. In a letter dated February 1, his surgeon wrote: “Given the the [sic] fact that a CT scan obtained prior to the accident was normal, the data indicate that the accident led to an injury of the operative area leading to the fluid collection. His anti-coagulation may have contributed to this, but he would not have had a problem without the injury from the accident.” In her deposition testimony read to the jury at trial, the surgeon further explained that it was the motor vehicle accident which led to the injury that caused the fluid collection. She stated: “[W]e had a CT scan a few days before he left that showed really normal post operative changes, no big fluid collection. And the other part that was very important, he was eating normally. He was able to take in a diet and was really very good with that. When he came back after the accident, he had what we call early satiety, what it means is when you eat you fill up very fast. It seems like you eat just a little bit and you are very full. If you look at his CAT scan, you can see this fluid collection. You used that word ‘fluid collection’ kind of as a generic word, but if this fluid collection is a hematoma, you can see where it’s related to the stomach actually pushing on the stomach. Over time, if you look at the subsequent CT scan obtained later, you see it getting smaller, and then finally getting very small and the most recent one. And now he is able to eat much better. You can see the stomach is no longer compressed by this and putting

3 all of that together with the constellation of findings, its appearance, it[’]s most consistent with a hematoma, and temporarily it seemed to be related to that traffic accident.” She concluded it was more likely that the accident caused the hematoma. Defendant’s medical expert, Dr. John Jay Becchetti, had retired from his surgical practice several years before he testified, and it was the first time he had testified as an expert witness. He agreed with Dr. Stewart that the blood mass was a hematoma and it was more probable it had been caused by the collision. But he believed “[t]here are subtleties besides the fact that the seat belt could have caused it.” The only subtlety he suggested was the existence of a John Hopkins review of 260 distal pancreatectomies in which 4 percent of the cases involved spontaneous hemorrhages. He did not have the citation or a copy of the study. The 4 percent did not necessarily involve hematomas; rather, according to Dr. Becchetti, they may have involved “free blood.” Nevertheless, he conceded that if he was forced to take a position whether plaintiff suffered a spontaneous hematoma or that the hematoma was a result of the collision, “I would say the trauma was the stronger position.” Although he repeated that he hated to avoid the so-called subtleties, he testified there was a 51 percent likelihood the accident caused the hematoma. By a vote of 9 to 3, the jury found that defendant’s negligence was not a substantial factor in causing plaintiff’s hematoma. Plaintiff moved for a new trial on the grounds there was insufficient evidence to support the jury verdict and that the verdict was against the law. The court issued a written tentative ruling we describe in relevant part below. At the hearing on the motion for a new trial, the court stated: “I agree with you the right to a trial by jury is one of the most sacred rights we have in this country, but what I heard -- and I mean I -- what I feel really doesn’t amount to a hill of beans in this matter, but there has to be some evidence for the jury to consider, and in this case we had one expert who said the accident definitely was a substantial factor, and we had another expert that said

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Ybarra v. Lindgren CA3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ybarra-v-lindgren-ca3-calctapp-2014.