Morgan v. Sbarbaro

Decision Date11 January 1983
Citation307 Pa.Super. 308,453 A.2d 598
PartiesCharlotte G. MORGAN and Griffith Morgan, Appellants, v. John L. SBARBARO, Jr. M.D.
CourtPennsylvania Superior Court

Ronald E. Metter, Philadelphia, for appellants.

Kenneth F. DeMarco, Philadelphia, for appellee.

Before CAVANAUGH, BROSKY and MONTGOMERY, JJ.

CAVANAUGH, Judge:

Mrs. Charlotte G. Morgan has been afflicted with rheumatoid arthritis since 1952. Since then she has undergone operations for a left knee arthroplasty in 1963, a right knee synovectomy in 1966, a left knee fusion in 1968 and a total right hip replacement in 1970, all before the incident out of which this medical malpractice action came about.

Sometime in 1973 her left hip also became very painful. Her internist referred her to a Dr. Gartland who felt and recommended that before the left hip surgery her right knee should be strengthened. However, Dr. Gartland did not perform knee surgery and her internist referred her to Dr. John L. Sbarbaro.

Dr. Sbarbaro performed a right knee arthoplasty, an operation which involves placing metal wedges in the knee bones, on May 21, 1973. An infection developed in the wound. Mrs. Morgan was discharged to home care from the hospital on June 13, 1973, but when the infection got worse she was readmitted on July 3, 1973. Eventually, Dr. Sbarbaro informed Mrs. Morgan that the right knee needed fusion. The fusion was performed on July 24, 1973.

Mrs. Morgan and her husband commenced this medical malpractice action by Writ of Summons on August 1, 1975, more than two years after the fusion was performed.

At pre-trial conference the sole issue asserted by Mrs. Morgan was lack of informed consent based on the sole allegation that Dr. Sbarbaro had failed to warn her that a post-operative infection might result from the arthoplasty procedure and that such infection might require a right knee fusion.

The court below, Bullock, J., granted Dr. Sbarbaro's motion for summary judgment holding that the two year statute of limitations on personal injury actions, 12 P.S. § 34, had run, reasoning pursuant to our decision in Anthony v. Kopper's Co., Inc., 284 Pa.Super. 81, 425 A.2d 428 (1980) 1 that when the fusion was performed on July 24, 1973, Mrs. Morgan had all the necessary information to herald a possible tort, viz: (1) knowledge of the injury; (2) knowledge of the operative cause of the injury; and (3) knowledge of the causative relationship between the injury and the operative conduct.

In this appeal, Mrs. Morgan contends that because she remained under Dr. Sbarbaro's care until early 1974, having had the fusion pins removed at his office in September, 1973 and thereafter by telephone concerning draining from one of the pin canals, the statute of limitations should be tolled until she went to another physician in 1974. She asks that we adopt the doctrine of "continuing care" from other jurisdictions as a ground for tolling the statute of limitations in medical malpractice cases urging that the statute should not begin to run until such time as the physician patient relationship ends and the parties are "on a more equal footing."

The plea that we adopt the continuing care doctrine and apply it to the facts of this case is the only ground asserted on appeal for avoidance of the statute of limitations defense. Any other argument is therefore abandoned and since we find the continuing care doctrine was not asserted and argued in the court below we find that it has been waived and the entry of summary judgment must therefore be affirmed.

After appellee filed her motion for summary judgment appellant responded and thereafter submitted a "Memorandum of Law Contra Motion for Summary Judgment." No mention is made therein concerning adoption of the continuing care doctrine and the argument is couched in terms of the discovery rule. Nor is it asserted that the theory was advanced at that time. Judge Bullock in his opinion deals with the argument as made. Appellant, anticipating that there is a problem with waiver, states that her reply to new matter and the answer to defendant's motion for summary judgment both raised the issue of the applicability of the continuing and exclusive care theory. We have examined these documents and find them wholly insufficient to avoid waiver. The pleadings simply state that appellant remained under the care of appellee until a period of time less than two years prior to the institution of suit. Certainly it is not the duty of the court to search out the pleadings in order to extract and...

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