Mauro v. Yale-New Haven Hosp.

Citation627 A.2d 443,31 Conn.App. 584
Decision Date08 June 1993
Docket NumberYALE-NEW,No. 10821,10821
CourtConnecticut Court of Appeals
PartiesAlfred MAURO, Jr. v.HAVEN HOSPITAL et al.

Michele C. Lukban, Hartford, for appellant (defendant James Cianciolo).

Kathryn Calibey, Hartford, for appellee (plaintiff).


DUPONT, Chief Judge.

The defendant James Cianciolo 1 appeals from a judgment, rendered after a jury verdict, awarding $107,580 to the plaintiff for injuries resulting from the defendant's medical negligence. On appeal, the defendant claims that the trial court (1) failed to reduce the amount of the jury verdict by the amount received by the plaintiff from joint tortfeasors prior to trial, (2) improperly instructed the jury regarding the necessity of expert testimony on the issue of causation, and (3) misled the jury with its instruction regarding the apportionment of damages. We affirm the judgment of the trial court.

Many of the facts are not in dispute. On the evening of July 20, 1985, the plaintiff was injured when he fell from a second story porch. He was brought to Yale-New Haven Hospital for treatment and was discharged the following morning. Four days later, because of continuing pain in his spine, the plaintiff consulted Kandiah Sritharan, an internist. X rays were taken of the plaintiff by both the hospital and Sritharan. After receiving several physical therapy treatments from Sritharan, without any improvement in his condition, the plaintiff consulted the defendant, a chiropractor, on August 7, 1985. The defendant diagnosed the plaintiff's condition as spastic torticollis and cervical sprain, and over the next two weeks performed several chiropractic treatments on the plaintiff. Prior to treating the plaintiff, the defendant did not review the X rays that had already been taken, nor did he take any new ones. On August 29, 1985, the plaintiff consulted another physician, who diagnosed the plaintiff as having a fracture of the cervical spine. The plaintiff was immediately admitted to the Hospital of St. Raphael and underwent extensive treatment, including the use of a halo vest and a traction tong.

In October, 1986, the plaintiff brought a medical negligence action against Yale-New Haven Hospital, Sritharan and Cianciolo. The claims against the hospital and Sritharan were settled for $62,500 before trial and withdrawn. Subsequently, the plaintiff filed a substitute complaint naming only Cianciolo as the defendant. The case proceeded to trial and the jury returned a verdict in favor of the plaintiff for $107,580. The defendant filed a motion to set aside the verdict and a motion to reduce the verdict, both of which were denied. This appeal followed.

The defendant's first claim concerns the proper application of General Statutes § 52-216a. 2 The defendant contends that § 52-216a mandates that a trial court reduce a jury verdict by the amount of any pretrial settlement. Specifically, the defendant argues that under § 52-216a the amount of a settlement should be added to the verdict amount awarded by the jury, and then, to the extent that sum exceeds the verdict, the verdict would be considered to be excessive. This would be tantamount to mandating the reduction of the verdict by the amount of any prior settlement. The defendant contends that to hold otherwise would constitute more than the one full recovery to which a plaintiff is entitled and would also allow the trial court to invade the fact-finding function of the jury. The plaintiff, however, argues that § 52-216a requires that a trial court first add the jury verdict and any settlement moneys received by a plaintiff and then make a determination whether the total amount is excessive. If a court determines the total amount to be excessive, then the court is required to reduce the jury verdict by that amount.

Section 52-216a was analyzed in Peck v. Jacquemin, 196 Conn. 53, 491 A.2d 1043 (1985). The Peck court stated that "[i]n making its postverdict determination on the issue of any claimed excessiveness [under § 52-216a], the trial court was directed to consider the amount of money paid to a plaintiff as the result of either '[any] agreement with any tortfeasor not to bring legal action or a release of a tortfeasor in any cause of action.' " Id., at 71, 491 A.2d 1043. According to the statute, the determination as to whether a verdict is excessive must be made "as a matter of law." The court went on to explain that the terms used in the statute, " 'as a matter of law' are legal terms and, absent any legislative intent shown to the contrary, are to be presumed to be used in their legal sense." Id., at 70, 491 A.2d 1043. "As a matter of law," does not import unbridled discretion, but rather requires the application of relevant legal principles; id., at 71, 491 A.2d 1043; including "the time-honored rule that an injured party is entitled to full recovery only once for the harm suffered." Id., at 70 n. 19, 491 A.2d 1043; citing Dwy v. Connecticut Co., 89 Conn. 74, 95, 92 A. 883 (1915). The court concluded that because the statute requires that the determination of excessiveness be made "as a matter of law," this determination is purely a question of law and does not invade the province of the jury. Peck v. Jacquemin, supra, 196 Conn. at 72, 491 A.2d 1043. Thus, the court interpreted the statute to give the trial court the authority to make a determination of excessiveness based on legal principles and not to mandate an automatic reduction of a jury verdict by a pretrial settlement. The court construed the statute as permitting the verdict to be reduced by amounts received by a plaintiff from other joint tortfeasors only when those additional amounts plus the verdict would produce an excessive amount of damages as a matter of law.

The defendant argues that subsequent case law has changed the rule in Peck. The defendant cites Alfano v. Insurance Center of Torrington, 203 Conn. 607, 525 A.2d 1338 (1987), Ames v. Sears, Roebuck & Co., 206 Conn. 16, 536 A.2d 563 (1988), and Yuzari v. Southern Auto Sales, 688 F.Supp. 825 (D.Conn.1988), as support for that proposition. A review of these cases does not bear out the defendant's claim. Alfano is distinguishable from Peck. Peck involved a jury award for damages for personal injuries while Alfano involved a jury award for a fire loss to property. 3 The payment made by another in Alfano was not by a joint tortfeasor but by an attorney, arising out of his malpractice for failing to advise the plaintiff of the need for fire insurance. The loss in Alfano was readily ascertainable and absolute, and "represent[ed] a legally unassailable determination of fair compensation for the plaintiff's loss...." Alfano v. Insurance Center of Torrington, supra, 203 Conn. at 611, 525 A.2d 1338. Although the amount of the jury award in Peck was certain, it was not absolute because it was within a spectrum of possible sums that could be awarded as just damages. Seymour v. Carcia, 24 Conn.App. 446, 455, 589 A.2d 7 (1991) aff'd, 221 Conn. 473, 604 A.2d 1304 (1992). Because of the nature of personal injuries and the pain and suffering ancillary to the injuries, the amount awarded by a jury is not absolute. The amount of the loss in Alfano was fixed, and, therefore, any recovery beyond the jury verdict would necessarily be excessive. Thus, there was no reason for the court in Alfano to exercise the limited role given to it by § 52-216a.

The defendant's reliance on Ames and Yuzari is also misplaced. In Ames, the defendant claimed that Alfano had changed the application of § 52-216a as articulated in Peck. The court in Ames, however, refused to address whether Alfano had altered Peck, stating that the holding of Alfano was confined to its particular facts and that the question need not be decided for purposes of determining the issue in Ames. The defendant claims, nevertheless, that, because the Ames court did not deny the assertion that Alfano had changed the application of § 52-216a, it must have countenanced the supposed change. The court was not silent on this issue, but indicated that it would not further address the application of § 52-216a as articulated in Peck because it was unnecessary and because Alfano involved the rectitude of a trial court's order of remittitur "in the circumstances of that case." Ames v. Sears, Roebuck & Co., supra, 206 Conn. at 23, 536 A.2d 563.

In Yuzari, the federal District Court recognized that Ames did not determine whether Peck retained its vitality. The court determined instead that, in its opinion, Alfano contained a better interpretation of § 52-216a than did Peck, but made no effort to distinguish the two cases. Yuzari relies for its reasoning on the dissent in Peck, rather than on Alfano itself. Yuzari v. Southern Auto Sales, supra, at 829. Yuzari does not state that the present law in Connecticut has deviated from Peck, but opines only that Peck should not be the law, finding support in Alfano. 4 Peck is still valid law when a jury's award involves damages for a personal injury for which the award cannot be determined precisely. 5

Having determined that the trial court took the proper approach in applying § 52-216a, we must consider whether the trial court correctly concluded that the jury verdict, when added to the amount of the pretrial settlement, was not excessive. On appeal, the test to be applied is whether the verdict "so shocks the conscience as to compel a reviewing court's conclusion that it was due to partiality, prejudice or mistake." Martin v. Samulis, 24 Conn.App. 85, 89, 585 A.2d 1255 (1991). The verdict must fall "somewhere within the necessarily uncertain limits of fair and reasonable compensation in the particular case...." (Internal quotation marks omitted.) Seymour v. Carcia, supra, 24 Conn.App. at 455, 589 A.2d 7.

In the present case, the trial court, taking into account the pretrial settlement,...

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