Laibow v. Menashe

Decision Date21 November 2019
Docket NumberCiv. No. 19-4549 (KM) (SCM)
PartiesRIMA E. LAIBOW, spouse of ALBERT N. STUBBLEBINE, III, deceased, Plaintiff, v. RICHARD MENASHE, WILLIAM OSER, LISA CASALE, THE COMMUNITY HOSPITAL GROUP d/b/a JFK MEDICAL CENTER, KINDRED HOSPITAL, ABC COMPANIES (1-10), DEFENDANT PARTNERSHIPS (1-10), JOHN DOE PHYSICIANS (1-10), JANE DOE NURSES (1-10), JANE MOE TECHNICIANS, and PARAMEDICAL EMPLOYEES (1-20), Defendants.
CourtU.S. District Court — District of New Jersey
OPINION

KEVIN MCNULTY, U.S.D.J.

:

Pro se Plaintiff Rima Laibow brings this case on behalf of the estate of her husband, Major General Albert N. Stubblebine, III. Ms. Laibow's complaint alleges negligence and statutory violations by several institutions and professionals involved in the medical treatment of Gen. Stubblebine in the weeks preceding his death in 2017. Before the Court are two motions: Defendant Kindred Hospital's Motion to Dismiss Plaintiff's Complaint with Prejudice and Compel Alternative Dispute Resolution in Lieu of an Answer (DE 10); and Defendant Lisa Casale's Motion to Dismiss Plaintiff's Complaint Pursuant to Fed. R. Civ. P. 12(b)(6) (DE 11). For the following reasons, both motions to dismiss are GRANTED.

I. BACKGROUND1
A. The Parties

Ms. Laibow and Gen. Stubblebine were married for twenty-three years before he died on February 6, 2017. (DE 1 ¶¶ 1 & 3). Ms. Laibow is the executor and administrator of his estate and a citizen of Arizona. (DE 1 ¶¶ 1 & 2). At the time of his death, Gen. Stubblebine was without known children, and he had a life expectancy (actuarially speaking, presumably) of 4.6 years. (DE 1 ¶ 3). He was a citizen of Arizona. (DE 1 ¶ 3). The amount in controversy in this dispute exceeds $75,000.00, exclusive of interest and costs. (DE 1 ¶ 4).

Defendant Richard Menashe is an osteopathic doctor with thirty-four years of experience. (DE 1 ¶ 5). He specializes in family medicine. (DE 1 ¶ 5). Dr. Menashe is affiliated with Defendant JFK Medical Center. (DE 1 ¶ 5).

Defendant William Oser is a medical doctor with thirty-four years of experience. (DE 1 ¶ 7). He practices internal medicine. (DE 1 ¶ 7). Dr. Oser is affiliated with Defendant JFK Medical Center.2 (DE 1 ¶ 7).

Defendant Lisa Casale is a medical doctor who specializes in pulmonology. (DE 1 ¶ 9).

Defendant Community Hospital Group, Inc. ("Community") is a New Jersey non-profit corporation that owns, operates, and does business as JFK Medical Center ("JFK"). (DE 1 ¶ 11; DE 1 ¶ 12)3

Defendant Kindred Hospital is a thirty-four-bed "transitional hospital" in Rahway, New Jersey. (DE 1 ¶ 13). Kindred advertises that as a "transitional care hospital" it offers "the same in[-]depth care [a patient] would receive in a traditional hospital but for an extended recovery period." (DE 1 ¶ 13). It partners with physicians to offer twenty-four-hour clinical care, seven days a week. (DE 1 ¶ 13).

B. Gen. Stubblebine's Final Weeks

From September 1, 2016, to January 4, 2017, Gen. Stubblebine was a patient at JFK. (DE 1 ¶ 16). On January 4, 2017, he was transferred from JFK to Kindred at the behest of JFK personnel. (DE 1 ¶ 17). At the time, Ms. Laibow was Gen. Stubblebine's attorney-in-fact and health-care representative, but she was not given sufficient notice and did not consent to the transfer. (DE 1 ¶ 17).

Between January 4, 2017 and February 5, 2017, Gen. Stubblebine was a patient at Kindred. (DE 1 ¶ 18). On February 5, 2017, he was moved to Robert Wood Johnson University Hospital, where he died the next day, February 6, 2017. (DE 1 ¶ 18).

During this time, Defendants provided negligent services and deviated from the standard of care with respect to Gen. Stubblebine, which led to his death. (DE 1 ¶ 19-22).

C. Ms. Laibow's Allegations

Ms. Laibow's complaint alleges eight counts of tort- and statute-based wrongdoing. She alleges the following:

1. Counts 1 and 2: Negligence and Wrongful Death (Against Kindred and JFK)

Defendants had a nondelegable duty to exercise reasonable care towards Gen. Stubblebine. (DE 1 ¶¶ 26 & 35). Defendants failed to allocate sufficient resources to adequately care for Gen. Stubblebine and otherwise failed to exercise reasonable care, including by abandoning Gen. Stubblebine at JFK while he needed a ventilator to breathe. (DE 1 ¶¶ 27 & 36). Defendants violated the New Jersey Patient Bill of Rights, N.J.S.A 30:4-24.2, by:

• failing to properly evaluate, assess, and document Gen. Stubblebine's nutritional status and needs;
• failing to develop, document, and communicate a coherent, consistent, and medically appropriate treatment plan for Gen. Stubblebine;
• failing to regularly adopt, update, and implement a medically appropriate treatment plan for Gen. Stubblebine;
• failing to adopt, incorporate, and implement a medically appropriate nutritional plan in Gen. Stubblebine's treatment plan;
• failing to update and make necessary changes to the nutritional plan in the treatment plan as Gen. Stubblebine's medical condition evolved;
• allowing non-medical staff to interfere with and block the provision of critically needed parenteral feeding to Gen. Stubblebine after the same was ordered by the attending physician, namely when the Director of Nutrition noted that "nutrition has no place in this patient's care";
• failing to adequately supervise Gen. Stubblebine's care and treatment by failing to take necessary action to reverse medically disastrous decisions outside the scope of practice of non-medical staff, which contradicted the order to provide parenteral nutrition to Gen. Stubblebine;
• repeatedly delaying—for non-medical reasons—for over three weeks the installation of a PEG tube ordered for Gen. Stubblebine as medically necessary for his nutrition;
• failing to develop, document, communicate, and implement a coherent, consistent, and medically appropriate treatment plan for Gen. Stubblebine to ensure his adequate hydration;
• failing to take necessary action to ensure that Gen. Stubblebine was sufficiently hydrated, which resulted in numerous instances ofdehydration-induced tachycardia, which in turn caused long-term damage to his heart and kidneys;
• prescribing beta blockers, a medically inappropriate medication, to address Gen. Stubblebine's dehydration-induced tachycardia and other cardiac arrythmias, which significantly worsened Gen. Stubblebine's physical condition and caused his death;
• violating the Patient Bill of Rights when a physician attempted to circumvent Ms. Laibow's refusal to allow the administration of beta blockers by surreptitiously attempting to force their administration medications while Ms. Laibow was not present;
• failing to develop, document, and communicate a coherent, consistent, and medically appropriate treatment plan to ensure that muscle deconditioning, muscle wasting, pressure sores or decubitus ulcers would not develop in a comatose and otherwise immobilized and incapacitated Gen. Stubblebine;
• failing to implement or execute a coherent, consistent, and medically appropriate treatment plan to ensure that muscle deconditioning, muscle wasting, pressure sores or decubitus ulcers would not develop in a comatose and otherwise immobilized and incapacitated Gen. Stubblebine;
• wrongfully hiding and actively concealing Gen. Stubblebine's rapidly deteriorating skin and muscle condition, which quickly developed massive decubitus ulcers and pressure sores;
• failing to implement a regular schedule for turning Gen. Stubblebine's body to prevent or slow the development of massive decubitus ulcers and pressure sores on Gen. Stubblebine's body;
• using an ill-fitting, inappropriately designed intubation harness, which caused Gen. Stubblebine to suffer a facial decubitus ulcer, causing his upper lip to become severely damaged;• providing inadequate nursing care by restricting movement and lacking proper decompression boots and pressure stocking, which caused Gen. Stubblebine to develop deep vein thrombosis,
• inappropriately administering medications and drugs that were not indented for Gen. Stubblebine, including insulin, while his records and charts demonstrated Decedent's low blood sugar; and
• failing to identify, incorporate and implement into Gen. Stubblebine's treatment plan cardiac resuscitation procedures, the failure of which exacerbated and compounded the negative impact of his February 5, 2017 cardiac arrest and further caused or contributed to his death on February 6, 2017.

(DE 1 ¶¶ 28 & 37).

Gen. Stubblebine was admitted to JFK with aspirational pneumonia and sepsis, which improved, but the sepsis returned more virulently as a result of a nosocomial infection caused by poor sanitary conditions. (DE 1 ¶¶ 28 &37). These infections included MRSA, C. diff., and pseudomonas. (DE 1 ¶¶ 28 & 37). They required the administration of stronger medications, which in turn were more toxic and caused more kidney and other organ damage. (DE 1 ¶¶ 28 & 37). Defendants' documentation of Gen. Stubblebine's care and treatment was lax, inaccurate, and inadequate. (DE 1 ¶¶ 28 8s 37).

2. Counts 3 and 4: Negligence Per Se Under the New Jersey Patient Bill of Rights (Against Kindred and JFK)

Defendants failed to ensure, preserve and otherwise provide for Gen. Stubblebine's rights under N.J. Stat. Ann. § 30:4-24.2 and New Jersey common law. (DE 1 ¶ 48-49 & 56-57). Gen. Stubblebine suffered severe injuries and damages, including dehydration, malnutrition, weight loss, improper treatments, pressure ulcers, infections, extreme pain and discomfort, increased expenses associated with further surgical pain and expensive surgical procedures, mental and emotional anguish, a significantly decreased quality of life, deprivation of dignity, general and specific neglect and lack of care, and substantial costs and expenses for medical care and treatment andultimately suffered a prolonged, agonizing, untimely, and likely preventable death. (DE 1 ¶ 48-49 & 56-57).

3. Counts 5 and 6: Negligent Supervision (Against JFK and Kindred)

Defendants knew or should have known that their...

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