Romine v. Medicenters of America, Inc.

Citation476 So.2d 51
PartiesDorise ROMINE, as Administratrix of the Estate of Edith O. Brooks, Deceased v. MEDICENTERS OF AMERICA, INC., and Jerry Lewis, M.D. 83-1389.
Decision Date30 August 1985
CourtSupreme Court of Alabama

P. Russell Tarver of Tarver & Veigas, Birmingham, for appellant.

Mark W. Lee of McDaniel, Hall, Parsons, Conerly & Lusk, Birmingham, for appellee Medicenters of America, Inc.

Roy W. Scholl, Jr. and William T. Mills, II of Porterfield, Scholl, Bainbridge, Mims & Harper, Birmingham, for appellee Jerry Lewis, M.D.

SHORES, Justice.

This is a medical malpractice case. The plaintiff, Dorise Romine, as administratrix of the estate of her mother, Edith Brooks, filed suit against defendants Medicenters of America, Inc., and Jerry Lewis, M.D., alleging negligence in the treatment and care of her mother. The case was tried before a jury, which returned a verdict in favor of both defendants. From a judgment entered on that verdict, the plaintiff appeals. We affirm.

In February of 1977, Edith Brooks was admitted as a patient to Lloyd Noland Hospital in Birmingham, where she was diagnosed and treated for pneumonia. In May of that year, following her release from the hospital, she fell at home and sustained a fracture to her hip. She was treated for this injury at Lloyd Noland. Following her discharge from the hospital, she suffered a stroke and, on July 5, 1977, was admitted to the University of Alabama Medical Center in Birmingham (UAB), where she remained until July 27, 1977. Her treating physician at UAB was Dr. Frank Bonikowski, who diagnosed her as suffering from, inter alia, a subarchnoid hemorrhage, thrombophlebitis of the right leg, anemia, dementia, and organic heart disease.

A subarchnoid hemorrhage involves bleeding into or around the brain. In Dr. Bonikowski's opinion, the most probable cause of Edith Brooks's hemorrhage was the rupture of a Berry aneurysm. Such an aneurysm is a weakening of the wall of a blood vessel. With elevated blood pressure, the vessel is subject to rupture. Dr. Bonikowski became concerned that a "rebleed" of the aneurysm might occur. The statistical rate of a "rebleed" is high and carries with it a significant mortality rate. To prevent a "rebleed," surgery was indicated, during which the weakened portion of the blood vessel would be clipped. Because of her overall condition, Edith Brooks was determined ineligible for this surgical procedure. Consequently, she was discharged from UAB to Medicenter, an extended care facility in Birmingham. Her treating physician at Medicenter was Dr. Jerry Lewis, who testified as to her condition upon admittance as follows:

"I had a rather thin, elderly little lady with frail skin who already had a bedsore. She had a history of pneumonia. Confusion. She was combative, couldn't control her. She was bedridden. She couldn't get up on her own. She could only get up with help into a wheelchair. She had had an awful stroke from the Berry aneurysm that ruptured. And this Berry aneurysm when it ruptures, it just kind of--blood just pumps out into the brain. And you can imagine there's nothing to stop it and it puts pressure on the brain. It fills the skull up with blood. And it causes an awful insult.

"....

"Mrs. Brooks had had a big stroke. It had damaged part of the mid brain. The brain is divided into several sections. The part of the brain that was damaged had to do with her swallowing, the ability to swallow. She could not swallow. She would try, but she could not. She had to be fed with a tube through her nose.

"She couldn't control her bowel movements. The NG feedings caused her to have trouble with episodes of severe diarrhea.

"She had a Foley catheter because she couldn't control her bladder. And it's a problem that we have to deal with in nursing homes that we hate to deal with. It's a problem that even if you put a catheter in and keep them dry, or you leave the catheter out, and their urinary retention and they wet all over themselves intermittently. And it's just an awful problem.

"If you leave that catheter in which we have to, I mean, in a man or woman, they end up getting chronic recurrent kidney infections, bladder infections. And they keep them in constantly.

"....

"She had one all the time. Anyone with a Foley catheter in place by definition is going to have a chronic, is going to have a chronic kidney infection or bladder infection. There's just no way you can prevent it. And you only treat it when it gets severely symptomatic because the blood's--in an infection, if you keep giving a person who has a chronic infection, if you give them antibiotics, those bugs get resistant to it. It's kind of like the rats you read about now that you can't kill with rat poison. It's the same way. The bugs--the germs and bacteria that infect us, cause--get resistant to these antibiotics."

Subsequent to her discharge from Medicenter, Edith Brooks was cared for by nurses in the home of a member of her family. She remained there approximately nine days before, once again, being admitted to Lloyd Noland Hospital, where she died on November 5, 1977. No autopsy was performed.

At trial, the plaintiff presented evidence tending to show that Edith Brooks died as a result of a blood infection 1 and malnutrition caused by the negligent treatment and care of the defendants. The defendants presented evidence to the contrary tending to show that Edith Brooks was properly cared for and that her death resulted from other causes. One of the defendants' witnesses was Dr. Bonikowski, whose testimony was taken by deposition and read to the jury. During cross examination by plaintiff's counsel, the following transpired pertaining to Dr. Bonikowski's previous contacts with Roy Scholl, attorney for Dr. Lewis:

"Q. Dr. Bonikowski, my name is Russell Tarver. I represent Dorise Romine, who is the plaintiff in this case. I would like to ask you when you had your first contact with Mr. Scholl, please?

"A. It was sometime in 1982.

"Q. And how were you contacted by Mr. Scholl?

"A. He informed me that he was defending Dr. Lewis concerning the case of Mrs. Brooks and concerning the occurrence of decubitus ulcerations.

"Q. Did you know Dr. Lewis at the time?

"A. I don't know Dr. Lewis.

"Q. How many times have you talked with Mr. Scholl all together regarding this case?

"A. Approximately three times."

"Q. When were the other two times, please?

"A. I would have to ask Mr. Scholl. Sometime around November?

MR. SCHOLL: Fall, November.

"A. And approximately one or two months before.

"....

"Q. And of course, you talked with Mr. Scholl today before we started this deposition?

"A. That's correct.

"....

"Q. Would you please show the jury your authorization to--which--authorizes you to consult with and to discuss this case with Mr. Scholl.

"A. I don't have those specific--

"Q. Well, you're testifying in regard to Edith O. Brooks, the deceased in this case. Now, she was your patient; is that correct?

"A. That's right.

"Q. And the doctor-patient relationship existed between the two of you.

"A. That's correct.

"Q. And you're aware, of course, that under your ethics you are not supposed to consult with anyone concerning her treatment without an authorization from her or her family; is that not right?

"MR. SCHOLL: That's a misstatement of the law, and we object to it. There is no such thing as a patient-physician relationship.... If you look into the matter, you will see that's the truth of the matter.

"BY MR. TARVER:

"Q. Well, answer the question, doctor, please.

"A. I do not know the answer.

"Q. You do not know the answer. Did you feel obliged to discuss the matter with anyone in the family before you talked to the attorney representing Dr. Lewis?

"A. No."

The plaintiff contends that Dr. Bonikowski's deposition testimony was rendered inadmissible as a result of the contacts which he had with counsel for Dr. Lewis prior to the taking of his deposition. She does not argue that his testimony was inadmissible absent these contacts, 2 only that she, as the representative of her mother's estate, did not authorize them, and, consequently, that the trial court erred to reversal in denying her pre-trial motion to exclude his testimony. We disagree.

In Doe v. Eli Lilly & Co., 99 F.R.D. 126 (D.D.C.1983), the court, construing the Federal Rules of Civil Procedure, stated:

"As a general proposition, however, no party to litigation has anything resembling a proprietary right to any witness's evidence. Absent a privilege no party is entitled to restrict an opponent's access to a witness, however partial or important to him, by insisting upon some notion of allegiance. See International Business Machines Corp. v. Edelstein, 526 F.2d 37, 41-44 (2d Cir.1975); Gregory v. United States, 369 F.2d 185, 187-88 (D.C.Cir.1966); Edmund J. Flynn Co. v. LaVay, 431 A.2d 543, 551 (D.C.1981); 8 J. Wigmore, Evidence § 2192 (McNaughton rev. ed. 1961). Even an expert whose knowledge has been purchased cannot be silenced by the party who is paying him on that ground alone. Unless impeded by privilege an adversary may inquire, in advance of trial, by any lawful manner to learn what any witness knows if other appropriate conditions the witness alone may impose are satisfied, e.g., compensation for his time and expertise or payment of reasonable expenses involved, and while the Federal Rules of Civil Procedure have provided certain specific formal methods of acquiring evidence from recalcitrant sources by compulsion, they have never been thought to preclude the use of such venerable, if informal, discovery techniques as the ex parte interview of a witness who is willing to speak. Hickman v. Taylor, 329 U.S. 495, 67 S.Ct. 385, 91 L.Ed. 451 (1947); see International Business Machines Corp. v. Edelstein, 526 F.2d at 43-44; cf. Gregory v. United States, 369 F.2d at 187-88; Trans-World Investments v. Drobny, 554 P.2d 1148, 1151-52 (Alaska 1976).

"The potential for influencing trial testimony...

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