Brewer v. Dowling

• Decision Date: 31 August 1993
• Docket Number: No. 2-92-068-CV,2-92-068-CV
• Citation: 862 S.W.2d 156
• Parties: Lorie and Terry BREWER, Individually and as Next Friend for Shane Michael Brewer, a Minor, Appellants, v. Robert W. DOWLING, M.D., Womens Clinic West, P.A., and Harris Hospital-Methodist, Inc., Appellees.
• Court: Texas Court of Appeals

Page 156

862 S.W.2d 156

Lorie and Terry BREWER, Individually and as Next Friend for Shane Michael Brewer, a Minor, Appellants, v. Robert W. DOWLING, M.D., Womens Clinic West, P.A., and Harris Hospital-Methodist, Inc., Appellees.

No. 2-92-068-CV.

Court of Appeals of Texas Fort Worth.

Aug. 31, 1993.

Rehearing Overruled Oct. 26, 1993.

Darrell L. Keith, Law Firm of Darrell L. Keith P.C., Elizabeth Sturdivant Kerr, Kerr & Kerr, P.C., Fort Worth, for appellants.

Richard L. Griffith, Evelyn R. Leopold, Veronika Willard, Cantey & Hanger, L.L.P., H. Dustin Fillmore, K. Marvin Adams, The Fillmore Law Firm, Fort Worth, for appellees.

Before LATTIMORE, DAY and CLYDE R. ASHWORTH (Retired) (Sitting by Assignment), JJ.

OPINION

DAY, Justice.

This appeal is from a take-nothing judgment rendered after a jury trial in appellants' medical malpractice suit.

We affirm.

The basis for appellants' suit is brain damage suffered at birth by their son Shane Brewer. Lorie Brewer was checked into Harris Hospital by Dr. Robert W. Dowling for premature delivery of her child. About five hours after her admission an electronic fetal monitor was attached to her. Such monitor produces a written record of the mother's uterine contractions and the fetal heart beat. About five hours later Dr. Dowling attached an internal fetal scalp monitor to Shane's head. This device also records the fetal heart beat but is more accurate than the external electronic fetal monitor. Both methods produce a permanent written record of the mother's uterine contractions and the fetal heart beat, and registrations from both monitors appear on a single strip. At 4:03 a.m. on June 15, 1982, six hours after attaching the internal fetal scalp monitor, Dr. Dowling delivered Shane by cesarean section. Shane had suffered brain damage due to a lack of oxygen.

Shane was taken to the hospital nursery on the morning of June 15th, and Nurse Rochelle Jee took the fetal monitor strip to the nursery. Dr. Dowling reviewed the strip that morning with Dr. Thomas E. Howard, an obstetrician-perinatologist, and with Dr. Frederick Carrington, Dr. Dowling's partner. Dr. Dowling also asked Dr. Pelham Staples to review the strip that morning, but it could not be found. Dr. Carrington was the last one to see the strip, and he placed it in a box in the nursery.

Dr. Dowling and Dr. Carrington testified as to their recollections of what was shown on the strip. Nurse Jee testified that she made notes of what the strip showed and that it showed no decelerations to her knowledge. In summary, all appellees' witnesses testified that the missing strip showed nothing that would alert them to a problem of Shane experiencing oxygen deprivation.

In their sole point of error, appellants complain the trial court improperly refused to instruct the jury that appellees' destruction or loss of the fetal monitor strip created a rebuttable presumption that the information on the strip would have been unfavorable to appellees. ¹ Appellants contend they were entitled to an instruction on this presumption: (1) because every medical expert witness testified that the missing evidence would have been the best evidence of what happened to Lorie and Shane Brewer; and (2) because the missing evidence was critical to a determination of appellees' negligence.

A trial court has great discretion in submitting instructions and definitions to the jury. Mobil Chemical Co. v. Bell, 517 S.W.2d 245, 256 (Tex.1974). The court shall submit such instructions and definitions as shall be proper to enable the jury to render a verdict. TEX.R.CIV.P. 277. A "proper" instruction is one that assists the jury and is legally correct. Texaco, Inc. v. Pennzoil, Co., 729 S.W.2d 768, 822 (Tex.App.--Houston [1st Dist.] 1987, writ ref'd n.r.e.), cert. dism'd, 485 U.S. 994, 108 S.Ct. 1305, 99 L.Ed.2d 686 (1988).

Any error in failing to instruct is reversible only if it caused or probably caused the rendition of an improper verdict. TEX.R.APP.P. 81(b)(1); Moody v. EMC Services, Inc., 828 S.W.2d 237, 245 (Tex.App.--Houston [14th Dist.] 1992, writ denied). Thus, the question on appeal is whether the requested spoliation ² instruction was reasonably necessary to enable the jury to render a proper verdict. Id.

We conclude that the trial court did not abuse its discretion in this case. The instruction was not necessary in order for the jury to render a proper verdict because the presumption appellants assert never arose. In addition, Texas case law does not mandate use of a jury instruction like the one appellants requested.

Two general rules apply to presumptions that arise from the nonproduction of evidence.

The first rule is, failure to produce evidence within a party's control raises the presumption that if produced it would operate against him, and every intendment will be in favor of the opposite party. H.E. Butt Grocery Co. v. Bruner, 530 S.W.2d 340, 343 (Tex.Civ.App.--Waco 1975, writ dism'd). Importantly, this rule comes into play only when one party has introduced evidence harmful to its opponent. See, e.g., State v. Gray, 141 Tex. 604, 175 S.W.2d 224, 226 (1943); Edwards v. Shell Oil Co., 611 S.W.2d 904, 907 (Tex.Civ.App.--Eastland 1981, writ ref'd n.r.e.); H.E. Butt Grocery Co., 530 S.W.2d at 343; City of Galveston v. State, 518 S.W.2d 413, 417 (Tex.Civ.App.--Houston [14th Dist.] 1975, no writ); Fain v. Beaver, 478 S.W.2d 816, 820 (Tex.Civ.App.--Waco 1972, writ ref'd n.r.e.); Lindsey v. State, 194 S.W.2d 413, 417 (Tex.Civ.App.--Eastland 1946, writ ref'd n.r.e.). Under such circumstances, the failure of the opposing party to rebut the harmful evidence with evidence within its control raises a presumption that the unpresented evidence would also be unfavorable to the nonproducing party. H.E. Butt Grocery Co., 530 S.W.2d at 344.

The Texas Supreme Court has put it another way: where a party is in possession of evidence and does not testify, the trial judge is authorized to take the failure to testify into consideration "not only as strengthening the probative force of the testimony offered to establish the issue, but [also] as of itself clothed with some probative force." Gray, 175 S.W.2d at 226.

All of the cases we have examined that apply this rule involved trial situations in which the party opposing the harmful evidence presented no evidence at all to rebut it. See Gray, 175 S.W.2d at 226; Edwards, 611 S.W.2d at 907; H.E. Butt Grocery Co., 530 S.W.2d at 344; City of Galveston, 518 S.W.2d at 417; Fain, 478 S.W.2d at 820; Lindsey, 194 S.W.2d at 417. In each of these cases, the individuals with knowledge sufficient to rebut the harmful evidence did not testify at trial. Id.

Applying this rule to the case before us, we find no presumption arose that the information on the fetal monitor strip was unfavorable to appellees. Appellants' expert testified at trial that, in light of all the other indications of fetal distress that had occurred just prior to Shane Brewer's delivery, it was highly likely that the heart monitor strip would have shown fetal distress. Appellees put on evidence to the contrary, however. Although they did not produce the fetal monitor strip itself, they introduced other evidence of the information contained therein. For example, Dr. Dowling, Dr. Carrington, and Nurse Jee testified from their own personal knowledge and from notations previously made in the Brewers' hospital charts concerning the information on the strip. According to appellees' testimony, the information on the fetal monitor strip was not unfavorable to them. Additionally, this testimony was corroborated by hospital chart notations made by Nurse Jee contemporaneously with the readout of the fetal monitors. These notations were made prior to Shane's birth and thus before appellees knew of the infant's severe problems. In contrast to the cases discussed above, then, this was not a situation where no evidence was presented to rebut an opponent's harmful evidence.

The second rule is that the intentional spoliation of evidence relevant to a case raises a presumption that the evidence would have been unfavorable to the cause of the spoliator. H.E. Butt Grocery Co., 530 S.W.2d at 344. There is no evidence that appellees or any of their agents or employees intentionally destroyed the fetal monitor strip. Neither is there evidence that appellees, their agents, or employees accidentally destroyed the strip. The record shows only that the strip is missing.

Texas law recognizes the right to have a jury make certain inferences in a situation where a hospital destroys evidence, see H.E. Butt Grocery Co., 530 S.W.2d at 344, ³ but it does not recognize this right where evidence is merely lost. Appellants were entitled to show appellees destroyed the fetal monitor strip, Fuller v. Preston State Bank, 667 S.W.2d 214, 220 (Tex.App.--Dallas 1983, writ ref'd n.r.e.), but they did not do so. We will not infer spoliation or destruction of the strip--intentional or otherwise--from the mere fact that it is missing. Thus appellants are not entitled to a spoliation instruction based on the second rule.

We also note that none of the cases discussed up to this point address a party's entitlement to an instruction that failure to produce evidence raises a presumption that the unproduced evidence is unfavorable to the nonproducing party. Rather, all of these cases address the sufficiency of the evidence to support the findings of the trier of fact. See Gray, 175 S.W.2d at 226; Edwards, 611 S.W.2d at 907; H.E. Butt Grocery Co., 530 S.W.2d at 342; City of Galveston, 518 S.W.2d at 417; Fain, 478 S.W.2d at 820; Lindsey, 194 S.W.2d at 417. Appellants are not claiming the evidence is insufficient to support the jury's verdict. Instead, they claim entitlement to the requested instruction because the most reliable and best evidence ⁴ of the information on the fetal monitor strip--the strip itself--is missing. Nothing in Texas case law supports this contention.

The only ...