Anthony v. Chambless, A98A0595.

• Citation: 500 S.E.2d 402,231 Ga. App. 657
• Decision Date: 26 March 1998
• Docket Number: No. A98A0595.,A98A0595.
• Parties: ANTHONY v. CHAMBLESS.
• Court: United States Court of Appeals (Georgia)

500 S.E.2d 402

231 Ga. App. 657

ANTHONY v. CHAMBLESS.

No. A98A0595.

Court of Appeals of Georgia.

March 26, 1998.

Paul Cames, Warner Robins, for appellant.

Alston & Bird, Theodore E. G. Pound, Elizabeth Bertschi, Atlanta, for appellee.

ELDRIDGE, Judge.

This wrongful death case involves allegations of medical malpractice in the failure to diagnose and treat the decedent, Willie C. Anthony. The plaintiff, Emma Anthony, the widow of the decedent, appeals the trial court's grant of summary judgment to the defendant, Dr. Fred Chambless. Concluding that summary judgment was proper because the plaintiff failed to present evidence showing that the defendant's alleged negligence proximately caused the decedent's death, we affirm.

The facts of this case are as follows: at approximately 11:46 a.m. on December 12, 1988, the decedent fell approximately 30 to 40 feet from a bridge being constructed across Interstate 75 in Monroe County. The decedent was transported to the emergency room of Monroe County Hospital, where he was examined by the defendant at approximately 12:14 p.m. The decedent was conscious and aware of his surroundings. After ordering several tests, the defendant determined that the decedent had suffered a severely fractured pelvis and required surgical treatment beyond that available at Monroe County Hospital, which had no surgical facilities. The defendant consulted with the decedent about the need to transfer him to a hospital that had the necessary medical facilities, and the decedent asked to be transferred to Upson County Hospital because it was closer to his home and he had relatives who worked there. At 1:20 p.m. the decedent was transported to Upson County Hospital, and he arrived at approximately 2:00 p.m. However, his condition deteriorated, and he died at approximately 2:50 p.m. It was later determined that the decedent had suffered a ruptured thoracic aorta, which caused him to bleed internally until his death.

The plaintiff sued the defendant on August 5, 1993 in the Superior Court of Taylor County, alleging that the defendant committed medical malpractice when he failed to properly examine or observe the decedent and, therefore, failed to diagnose the decedent's ruptured aorta. Such failure to diagnose the condition allegedly resulted in the decision to send the decedent to Upson County Hospital, which is 40 minutes away from Monroe County Hospital, instead of either keeping the decedent for further observation or transferring him to the Medical Center of Central Georgia in Macon, which is 20 minutes away.

Attached to the complaint was an expert's affidavit, as required by OCGA § 9-11-9.1(a); the affidavit was based upon the expert's review of the decedent's medical records. However, no certified medical records were attached to the affidavit, as required by OCGA § 9-11-56(e).¹ See Paulin v. Okehi, 264 Ga. 604, 605, n. 2, 449 S.E.2d 291 (1994); Loving v. Nash, 182 Ga.App. 253, 255, 355 S.E.2d 448 (1987). Therefore, the medical records were not part of the trial court's record and were unavailable for review on the defendant's motion for summary judgment.

The defendant's answer denied any professional negligence on his part and further asserted that his acts or alleged omissions in rendering treatment did not cause or contribute to the decedent's demise. The defendant moved for summary judgment on February 7, 1996, asserting that the plaintiff had failed to present any evidence of proximate causation. See OCGA §§ 51-1-27; 51-12-8; Goggin v. Goldman, 209 Ga.App. 251, 252-253, 433 S.E.2d 85 (1993); Hawkins v. Greenberg, 166 Ga.App. 574, 575(1)(a), 304 S.E.2d 922 (1983).

On February 28, 1997, the trial court held a hearing on the motion, which was granted on June 25, 1997. In its order, the trial court found that there was "no competent evidence to a reasonable degree of medical probability that the death of plaintiff's husband was caused by the defendant or could have been prevented by him." It is from this order that the plaintiff appeals.

1. In her first enumeration of error, the plaintiff asserts that the trial court erred in granting summary judgment to the defendant after finding that there was no competent evidence that the defendant's actions proximately caused the decedent's death.

"To prevail at summary judgment under OCGA § 9-11-56, the moving party must demonstrate that there is no genuine issue of material fact and that the undisputed facts, viewed in the light most favorable to the nonmoving party, warrant judgment as a matter of law. OCGA § 9-11-56(c). A defendant may do this by showing the court that the documents, affidavits, depositions and other evidence in the record reveal that there is no evidence sufficient to create a jury issue on at least one essential element of plaintiff's case." (Emphasis supplied in part.) Lau's Corp. v. Haskins, 261 Ga. 491, 405 S.E.2d 474 (1991).

"Under the statutory definition of medical malpractice, a person professing to practice surgery or the administering of medicine for compensation must bring to the exercise of his profession a reasonable degree of care and skill. Any injury resulting from a want of such care and skill shall be a tort for which recovery may be had. OCGA § 51-1-27.... Thus, there are three essential elements imposing liability upon which recovery is bottomed: (1) the duty inherent in the doctor-patient relationship; (2) breach of that duty by failing to exercise the requisite degree of skill and care; and (3) that this failure be the proximate cause of the injury sustained. Negligence alone is insufficient to sustain recovery.² It must be proven that the injury complained of proximately resulted from such want of care or skill. A bare possibility of such result is not sufficient. Additionally, there can be no recovery for medical negligence involving an injury to the patient where there is no showing to any reasonable degree of medical certainty that the injury could have been avoided." (Citations and punctuation omitted; footnote and emphasis supplied.) Goggin v. Goldman, supra at 252-253, 433 S.E.2d 85, quoting Hawkins v. Greenberg, supra at 575, 304 S.E.2d 922; OCGA § 51-12-8; Abdul-Majeed v. Emory Univ. Hosp., 225 Ga.App. 608, 484 S.E.2d 257 (1997); Grantham v. Amin, 221 Ga.App. 458, 471 S.E.2d 525 (1996); Dowling v. Lopez, 211 Ga.App. 578, 440 S.E.2d 205 (1993); Maddox v. Houston County Hosp. Auth., 158 Ga.App. 283, 284, 279 S.E.2d 732 (1981); Parrott v. Chatham County Hosp. Auth., 145 Ga.App. 113, 115, 243 S.E.2d 269 (1978); see also Watson v. United States, 346 F.2d 52 (5th Cir.1965). Although it is not necessary for the plaintiff's experts to use the magic words "reasonable degree of medical certainty" in describing the decedent's prospect of survival with appropriate treatment, such prospect must be more than a mere chance or speculation. See Abdul-Majeed v. Emory Univ. Hosp., supra at 609, 484 S.E.2d 257. Instead, there must be "a realistic assessment of the likelihood that the alleged negligence caused the injury or death." Id. (upholding summary judgment where the expert testified that it was "more likely that there was a possibility" that death could have been prevented through proper treatment); Grantham v. Amin, supra at 458, 471 S.E.2d 525 (holding that testimony that the defendant's negligence was a "significant contributing cause" of death was insufficient to establish causation); cf. Lee v. Satilla Health Svcs., 220 Ga.App. 885, 888, 470 S.E.2d 461 (1996) (holding that "overwhelming testimony" that specific treatment would have prevented a patient from getting worse was sufficient to show causation on summary judgment, even when that testimony was based upon the extensive professional experience of the expert witness and his colleagues, since no scientific studies on the treatment had been completed).

The evidence in this...