Deasy v. Hill

Decision Date09 November 1987
Docket NumberNos. 86-2648,s. 86-2648
Citation833 F.2d 38
PartiesCharles R. DEASY, Personal Representative of the Estate of Ginger Deasy, Deceased, Plaintiff-Appellant, v. Elizabeth H. HILL, Defendant-Appellee. Charles R. DEASY, Personal Representative of the Estate of Ginger Deasy, Deceased, Plaintiff-Appellee, v. Elizabeth H. HILL, Defendant-Appellant. (L), 86-2662.
CourtU.S. Court of Appeals — Fourth Circuit

Robert J. Stanford, Washington, D.C., for plaintiff-appellant.

Jacqueline Kathleen O'Shea Poux (R. Harrison Pledger, Jr., McLean, Va., on brief), for defendant-appellee.

Before PHILLIPS, ERVIN, and WILKINSON, Circuit Judges.

WILKINSON, Circuit Judge:

Charles Deasy and his wife Ginger brought a malpractice action against Dr. Elizabeth Hill, alleging that the latter's negligence diminished Ginger's chances of surviving cancer of the cervix. They alleged that Hill had failed to notify Ginger of the abnormal results of a pap smear or of the need for reexamination. After Ginger died and immediately before trial, Charles Deasy moved to amend his complaint to add a claim that Hill had performed the pap smear negligently. The district court refused to allow the amendment, and the case proceeded to trial solely on the issue of Hill's alleged failures of notification. The jury returned a verdict for Hill, and Charles Deasy appeals the district court's refusal to allow amendment of the complaint.

We affirm.

I.

On January 13, 1984, complaining of weight loss and abdominal pain, Ginger Deasy saw the defendant at her office in Falls Church, Virginia. Hill performed a physical examination on Deasy, which included a Papanicolau ("pap") smear, a procedure commonly used to detect cancer of the uterus and cervix. Hill submitted the pap smear to a pathology laboratory for examination and analysis.

Several days later, the laboratory forwarded to Hill the results of its examination, which indicated the presence of atypical cells. The laboratory recommended that Deasy be reexamined. Hill claims that she informed Deasy of the test results and the need to repeat the test. Charles Deasy contends that Hill failed to notify his wife of either the test results or the need for a reexamination.

In the year following her visit to Hill's office, Deasy and her husband moved to Annapolis, Maryland. When, in early 1985, Deasy began to experience abnormal vaginal bleeding, she saw physicians in the Annapolis area, who examined her and discovered cancer of the cervix.

Ginger Deasy filed suit in January, 1986, claiming malpractice in Hill's failure to notify her of the pap smear results and the need for reexamination. That suit was dismissed without prejudice by the district court because Deasy had failed to comply with Virginia's Medical Malpractice Act, which forbids the bringing of a malpractice action against a health care provider before the provider is given notice of the impending claim and an opportunity to seek review by a medical malpractice review panel. Va. Code Sec. 8.01-581.2 (1987 Cum.Supp.). Deasy refiled her suit in April, 1986. Defendant moved for summary judgment, claiming that suit was barred by the statute of limitations, but that motion was denied. 1

Ginger Deasy died before the suit came to trial. Her husband Charles moved immediately before the trial to amend the complaint to convert the personal injury action into a wrongful death action, and to substitute himself, as personal representative of Ginger Deasy's estate, as plaintiff in the case. The amended complaint also sought to add to the allegation that Hill had failed to inform Ginger of the pap smear results a claim that Hill had performed the pap smear negligently. Plaintiff asserted that the amended complaint added no new claim, because defendant had been made aware of the negligent performance claim through discovery. Defendant responded that the negligent performance claim was new, and should not be allowed.

The district court refused to allow the addition of the negligent performance claim. The case proceeded to trial solely on the issue of defendant's failure to notify Deasy of the pap smear results, and the jury rendered a verdict in defendant's favor.

II.

Rule 15(a) of the Federal Rules of Civil Procedure allows amendment of pleadings by leave of the court. While this rule states that "leave shall be freely given when justice so requires," Fed.R.Civ.P. 15(a) (1987), leave to amend is not to be granted automatically. Disposition of a motion to amend is within the sound discretion of the district court. Foman v. Davis, 371 U.S. 178, 182, 83 S.Ct. 227, 230, 9 L.Ed.2d 222 (1962); Gladhill v. General Motors Corp., 743 F.2d 1049 (4th Cir.1984). A motion to amend under Rule 15(a) may be denied where the motion has been unduly delayed and where allowing the amendment would unduly prejudice the non-movant. Davis v. Piper Aircraft Corp., 615 F.2d 606, 613 (4th Cir.1980); Woodson v. Fulton, 614 F.2d 940, 943 (4th Cir.1980). Undue delay and prejudice are both present in this case.

The original complaint alleged malpractice in Hill's failure to inform Deasy of the results of the pap smear and in her failure to reexamine Deasy. The complaint made no mention of Hill's allegedly negligent performance of the pap smear itself. In July, 1986, plaintiff filed two expert witness statements pursuant to Fed.R.Civ.P. 26(b)(4)(A), both of which stated that defendant had been negligent in her performance of the pap smear. Yet, despite his awareness of this alleged negligence, plaintiff did not act to amend his complaint until nearly three months later, just before trial, in October, 1986.

In the circumstances of this case, plaintiff's delay was undue. Plaintiff failed to offer to the trial court, and does not offer here, any reason for his delay. In fact, plaintiff's argument, that defendant was not surprised by the new claim because she had been made aware of it through the expert witness statements, shows the absence of any such reason. The burden rests primarily upon the plaintiff to amend his complaint, not upon the defendant to anticipate a new claim.

Moreover, "a motion to amend should be made as soon as the necessity for altering the pleading becomes apparent. A party who delays in seeking an amendment is acting contrary to the spirit of the rule." 6 Wright & Miller, Federal Practice and Procedure Sec. 1488 (1971). Amendments near the time of trial may be particularly disruptive, and may therefore be subject to special scrutiny. See First National Bank of Louisville v. Master Auto Service Corp., 693 F.2d 308, 314 (4th Cir.1982) (motion to amend properly denied when made nineteen days before trial and where amendment was not the result of movant's discovery of new facts); Woodson, 614 F.2d at 942-43 (denial of leave to amend upheld where plaintiff, who had been aware for some time of the new claim, moved to amend immediately prior to trial). Here the delay was significant, and the motion to amend came right before trial and after discovery was complete. In these circumstances, the district judge was entitled to regard the delay as unwarranted.

Delay alone, without prejudice, does not support the denial of a motion for leave to amend. Sweetheart Plastics, Inc. v. Detroit Forming, Inc., 743 F.2d 1039, 1044 (4th Cir.1984); Davis, 615 F.2d at 613. Plaintiff asserts that there would be no prejudice in this case. He contends that Hill was adequately prepared to litigate the new claim because plaintiff's expert witness statement alerted her to the claim, and led her to depose plaintiff's experts on the issue of negligent performance of the pap smear.

We do not believe, however, that Hill had the opportunity to which she was entitled for discovery on the issue. A complaint is meant to state the issues of a case so that the parties can conduct discovery and present their cases intelligently. Hinting at a claim in an expert witness statement leaves the opposing party guessing at one's real intentions. The original complaint led defendant to believe that plaintiff did not claim negligent performance, and defendant could quite sensibly have decided not to commit her resources to a shadowy claim that plaintiff may or may not have been serious about raising. Defendant may have deposed plaintiff's experts on the issue; that was a natural precaution since the issue was raised in their statements. But defendant did not make any affirmative effort to disprove negligent performance. She did not, for example, hire her own experts to testify that her performance of the pap smear was not negligent, and it is doubtful that she would have had time to do so before trial. It would be manifestly unfair to require defendant to go to trial without a fair opportunity to prepare her case or to take anything more than the most minimal precautionary measures.

Even had trial been continued upon allowance of the amendment, defendant would nonetheless have been prejudiced. The original complaint alleged negligence only in Hill's failure to inform Ginger Deasy of the pap smear results or of the need for reexamination. Thus cast, the complaint raised a...

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