Tillson v. Lane

Decision Date09 October 2015
Docket NumberNo. 14–382.,14–382.
Parties Dow TILLSON and Susan Tillson v. Richard A. LANE, M.D., and Lane Eye Associates.
CourtVermont Supreme Court

Michael J. Gannon and Sara M. Moran of Affolter Gannon, Essex Junction, for PlaintiffsApellants.

Keith Aten of Theriault & Joslin, P.C., Montpelier, for DefendantsAppellees.

Present: REIBER, C.J., DOOLEY, SKOGLUND and ROBINSON, JJ., and BENT, Supr. J., Specially Assigned.

REIBER

, C.J.

¶ 1. Plaintiffs appeal from a decision by the Superior Court, Windsor Unit, Civil Division, granting defendants' motion for summary judgment in a medical malpractice suit. We reverse and remand.

¶ 2. The record shows that plaintiff Dow Tillson underwent an elective procedure to remove a cataract in his left eye. Defendant Dr. Richard Lane, M.D., performed the procedure at Springfield Hospital. Plaintiffs alleged in their amended complaint that within twenty-four hours of surgery, Mr. Tillson's left eye showed signs of infection. Dr. Lane made a presumptive diagnosis of endophthalmitis

, but did not refer Mr. Tillson to a retinologist for treatment. Within forty-eight hours of surgery, Mr. Tillson was permanently blind in his left eye. Plaintiffs attribute the cause of the endophthalmitis to Enterococcus faecalis, an infectious organism.

¶ 3. According to the amended complaint, Dr. Lane and his co-defendant, Lane Eye Associates, breached their duty of care by failing to "adequately and timely recognize, diagnose, and treat the infection." Plaintiffs claimed that Mr. Tillson has incurred medical bills and that his blindness has resulted in pain and suffering as well as psychological stress, while Mrs. Tillson has suffered loss of consortium. Both plaintiffs claimed economic loss.

¶ 4. During discovery, plaintiffs disclosed Dr. Jonathan Javitt, M.D., as their expert witness. Dr. Javitt earned his medical degree in 1982 from Cornell University Medical College and is a board certified ophthalmologist. Since 1987, he has been a member of the faculty of Johns Hopkins University School of Medicine and has served as an adjunct professor of ophthalmology. Dr. Javitt has authored multiple articles on endophthalmitis

as well as cases on infections caused by Enterococcus faecalis. Plaintiffs expected Dr. Javitt to testify that, given the presumptive diagnosis of endophthalmitis, Mr. Tillson should have received a more proactive and aggressive treatment than what Dr. Lane provided. Plaintiffs indicated in their answer to defendants' interrogatory that Dr. Javitt's expert opinion was that Dr. Lane should have consulted with a retinologist regarding the necessity for Mr. Tillson to undergo an immediate pars plana vitrectomy

.

¶ 5. Defendants deposed Dr. Javitt in December 2013. At the deposition, counsel for defendants questioned Dr. Javitt regarding his qualifications and his opinion regarding the likelihood that Mr. Tillson would have retained his vision. Dr. Javitt stated that he is a board certified ophthalmologist and is regarded as a national expert in that field. He admitted that he is not qualified to perform vitrectomy

surgery, but asserted that a retinal specialist would be qualified. Dr. Javitt later stated that he would not try to treat a case of endophthalmitis without consulting a specialist. Dr. Javitt said, if Mr. Tillson had undergone a vitrectomy and received antibiotics, "[h]e would have had a real chance versus no real chance of saving the sight in that eye." In response to a clarifying question from plaintiffs' counsel, Dr. Javitt later stated, "I think more likely than not [Mr. Tillson] would have wound up with a better result."

¶ 6. Defendants moved for summary judgment on April 8, 2014. The superior court issued a decision granting the motion on September 8, 2014. The court based its decision on its determination that Dr. Javitt's testimony amounted to "loss-of-chance" evidence insufficient to prove that plaintiffs' injury was caused by defendants' departure from the standard of care. See also 12 V.S.A. § 1908

(setting forth plaintiff's burden of proof in medical malpractice suit). Plaintiffs appealed.

¶ 7. We review a grant of summary judgment de novo, using the same standard as the superior court. Smith v. Parrott, 2003 VT 64, ¶ 6, 175 Vt. 375, 833 A.2d 843

. The moving party must demonstrate that there are no genuine issues of material fact and the party is entitled to judgment as a matter of law. Id. We resolve all reasonable doubts in favor of the party opposing summary judgment. Id.; see also Collins v. Thomas, 2007 VT 92, ¶ 6, 182 Vt. 250, 938 A.2d 1208 ("We review an award of summary judgment de novo, construing all doubts and inferences in favor of the nonmoving party.").

¶ 8. Plaintiffs argue that the trial court erred in concluding that Dr. Javitt's testimony was "loss-of-chance" evidence that did not meet the statutory requirement for proximate cause. " [U]nder the [loss-of-chance] doctrine, the plaintiff would be compensated for the extent to which the defendant's negligence reduced the victim's likelihood of achieving a better outcome, notwithstanding the fact that the likelihood may have been reduced by less than fifty-one percent.’ " Smith, 2003 VT 64, ¶ 7, 175 Vt. 375, 833 A.2d 843

(quoting J. King, ‘‘Reduction of Likelihood" Reformulation and Other Retrofitting of the Loss–of–a–Chance Doctrine, 28 U. Mem. L.Rev. 491, 493 (1998) ). Underpinning this doctrine is the principle that "the loss of a chance of achieving a favorable outcome or of avoiding an adverse consequence should be compensable and should be valued appropriately, rather than treated as an all-or-nothing proposition." J. King, Causation, Valuation, and Chance in Personal Injury Torts Involving Preexisting Conditions and Future Consequences, 90 Yale L.J. 1353, 1354 (1981).

¶ 9. Despite the loss-of-chance doctrine gaining support in other jurisdictions, we previously determined in Smith v. Parrott that the doctrine is unavailable in Vermont. Smith, 2003 VT 64, 175 Vt. 375, 833 A.2d 843

. The plaintiff patient in Smith consulted the defendant, a family practitioner, regarding the loss of motor control in the patient's foot. The family practitioner described the patient's condition as foot drop, a neurological condition in which the motor functions of the foot and lower leg are diminished and terminated. The family practitioner referred the patient to a neurosurgeon. When the patient consulted with the neurosurgeon eleven days later, the neurosurgeon concluded that no possibility of any functional recovery existed. The patient claimed that the family practitioner's failure to arrange for an immediate neurological examination caused the patient's condition to deteriorate to the point of permanence. The patient relied upon statements from an expert witness who testified at deposition that an earlier consultation with a neurosurgeon might have yielded a "fifty-fifty chance of some recovery." Id. ¶ 6. The expert later revised his opinion downwards, so that his estimation of the patient's chances of recovery was actually less than fifty percent. Both of the experts' opinions regarding a less-than-fifty-percent chance of recovery supported a theory of the case that relied squarely upon the loss-of-chance doctrine.

¶ 10. We recognized in Smith that the loss-of-chance doctrine is "fundamentally at odds with the settled common law standard ... for establishing a causal link between the plaintiff's injury and the defendant's tortious conduct." Id. ¶ 12 (citing 12 V.S.A. § 1908(3)

). We also discussed 12 V.S.A. § 1908, which provides that in bringing a malpractice case against a medical professional:

[T]he plaintiff shall have the burden of proving:
(1) The degree of knowledge or skill possessed or the degree of care ordinarily exercised by a reasonably skillful, careful, and prudent health care professional engaged in a similar practice under the same or similar circumstances whether or not within the state of Vermont.
(2) That the defendant either lacked this degree of knowledge or skill or failed to exercise this degree of care; and
(3) That as a proximate result of this lack of knowledge or skill or the failure to exercise this degree of care the plaintiff suffered injuries that would not otherwise have been incurred.

12 V.S.A. § 1908

(emphasis added). Section 1908"essentially codifies the common law elements of a medical malpractice action," which "have traditionally included a requirement that the plaintiff adduce evidence of a reasonable probability or reasonable degree of medical certainty that the defendant's conduct caused the injury." Smith, 2003 VT 64, ¶ 11, 175 Vt. 375, 833 A.2d 843 (quotations omitted). We declined to depart...

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  • Sanville v. Town of Albany
    • United States
    • United States State Supreme Court of Vermont
    • May 13, 2022
    ...... using the same standard as the superior court.". Tillson v. Lane, 2015 VT 121, ¶ 7, 200 Vt. 534,. 133 A.3d 832. "Summary judgment is appropriate 'if. the ......
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    ...a summary-judgment decision without deference, using the same standard as the trial court. Tillson v. Lane, 2015 VT 121, ¶ 7, 200 Vt. 534, 133 A.3d 832. Summary judgment is appropriate only when there are no genuine issues of material fact and the moving party is entitled to judgment as a m......
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    ...a summary-judgment decision without deference, using the same standard as the trial court. Tillson v. Lane, 2015 VT 121, ¶ 7, 200 Vt. 534, 133 A.3d 832. Summary judgment is appropriate only when there are no genuine issues of material fact and the moving party is entitled to judgment as a m......
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