Justia Delaware Supreme Court Opinion Summaries

In 2011, Dr. Natwarlal Ramani, M.D. performed a colonoscopy on William King. At a follow up visit on April 26, 2011, Dr. Ramani recommended that King return for his next colonoscopy in three to five years. King followed that advice and returned to Dr. Ramani for another colonoscopy five years later, in 2016. The March 2016 colonoscopy could not be completed because a cancerous growth had formed in King’s colon. He died a few months later. In April 2018, the Plaintiffs, Monica King Anderson, the Estate of William King, Stephanie King, Heather Guerke, and Amber Withrow, filed this wrongful death action, claiming that Dr. Ramani was negligent in advising King that he did not need a follow-up colonoscopy until as long as five years after the one done in April 2011. Given King’s medical history, they alleged, the standard of care required Dr. Ramani to advise King to return for his next colonoscopy in three years. The negligent advice, they further alleged, resulted in a delay in the diagnosis and treatment of colon cancer which ultimately led to King’s death. Defendants-appellants, Dr. Ramani, GI Associates of Delaware, P.A., and Advance Endoscopy Center, LLC, moved for summary judgment, arguing Plaintiffs' action was barred by the statute of limitations. The Superior Court found that the continuous negligent medical treatment doctrine applied to the facts of this case, and held that under that doctrine the statute did not begin to run until March 26, 2016, thus making Plaintiffs' suit timely filed. The Delaware Supreme Court granted certiorari review of the Superior Court's ruling. After review, the Supreme Court the continuous negligent medical treatment doctrine did not apply. The Court rejected Plaintiffs' contention the Court should have adopted a limited time-of-discovery rule in cancer cases. Plaintiffs' constitutional arguments were not ripe unless and until it was determined this case was, in fact, barred by the statute of limitations. "On remand, the Defendants are free to pursue their statute of limitations defense. If they do, the Superior Court should make a factual determination as to when the date of injury occurred and apply § 6856 to that finding accordingly. If the Superior Court determines that the action is barred by [18 Del. C. section 6856], the Plaintiffs may present their constitutional arguments there." View "GI Associates of Delaware v. Anderson" on Justia Law

Appellant Christiana Care Health Services, Inc. (“CCHS”) brought an interlocutory appeal of a Superior Court decision to deny its motion for partial summary judgment. The alleged medical negligence at issue in the underlying case occurred during surgery performed on Margaret Rackerby Flint at Christiana Care Hospital, which is operated by CCHS. The surgery allegedly caused her death two days later. The complaint was filed by Meeghan Carter, Ms. Flint’s daughter, individually and as administratrix of Ms. Flint’s estate. It named as defendants Dr. Michael Principe, who performed the surgery, Dr. Eric Johnson, who assisted him, and CCHS. Later, the medical practices of the two doctors were added as defendants. The sole claim against CCHS was that the two doctors were its agents and it is vicariously liable for their alleged negligence. Mediation resolved claims against Dr. Principe and his medical practice. As part of that settlement, plaintiff signed a release which released all such claims. CCHS was not a party to the settlement or the release. Following that settlement, CCHS filed its motion for partial summary judgment against plaintiff on the theory that the release of Dr. Principe released it from any vicarious liability for Dr. Principe’s alleged negligence. The Superior Court denied the motion. CCHS argued: (1) the release of an agent released a vicarious liability claim against the principal as a matter of law; and (2) the terms of the release which plaintiff signed when she settled with Dr. Principe and his medical practice also released it from liability for Dr. Principe’s conduct. The Delaware Supreme Court agreed with CCHS’s second contention, finding that the written release operated as a complete satisfaction of plaintiff’s vicarious liability claim against CCHS arising from Dr. Principe’s alleged conduct, and the motion for partial summary judgment should have been granted. View "Christiana Care Health Services Inc. v. Carter, et al." on Justia Law

The issue this medical negligence case presented for the Delaware Supreme Court’s review centered on the dismissal of claims against two physicians on statute-of-limitations grounds, and whether that dismissal barred the prosecution of a timely filed claim based on the same underlying facts against the physicians’ employer under the doctrine of respondeat superior. The Superior Court, relying on the Supreme Court’s decision in Greco v. University of Delaware, 619 A.2d 900 (Del. 1993), ruled that the dismissal of the physicians effectively extinguished the claims against the physicians’ employer and therefore entered summary judgment in the employer’s favor. The Supreme Court found the Superior Court correctly read Greco, and under Greco’s teaching, the Superior Court’s dismissal was proper. In this en banc decision, however, the Supreme Court concluded Greco had to be overruled to the extent that it held that, if a plaintiff failed to sue the employee whose malpractice allegedly injured her within the statute of limitations, she was for that reason alone barred from suing the employer under principles of respondeat superior. Because in this case plaintiff sued the employer in a timely manner, settled principles of law authorized the plaintiff to proceed against that employer. “Although the plaintiff must of course prove her claim against the employer, including that the employee was negligent, the fact that she failed to sue the employee in a timely manner does not act to immunize the employer. Accordingly, we reverse the judgment of the Superior Court.” View "Verrastro v. Bayhospitalists, LLC" on Justia Law

A jury returned a verdict in favor of plaintiff Monica Broughton, in a medical negligence suit she brought in the amount of $3 million. The case was brought by Ms. Broughton individually and as parent and natural guardian of her nine-year-old son, Amari Broughton-Fleming. The injury involved was a permanent injury to Amari’s right brachial plexus that occurred during birth. Defendants are Dr. Peter J. Wong and his medical practice, Dedicated To Women, OB-GYN, P.A. argued on appeal the superior court erred: (1) when it denied their motion in limine to exclude the opinion of plaintiff’s standard of care expert, which allowed an impermissible res ipsa loquitur opinion that resulting in the jury improperly presuming negligence from the fact that an injury occurred; (2) when it denied their motion in limine to exclude plaintiff’s causation expert, which they contended lacked a proper factual foundation, and constituted an impermissible res ipsa loquitur opinion; (3) when it permitted plaintiff to elicit statistical evidence from Dr. Wong and his experts to establish the rarity of brachial plexus injuries; and (4) when it refused to instruct the jury on “Actions Taken in Emergency.” The Delaware Supreme Court concluded the first and third contentions were directly addressed by the superior court in a ruling on post-trial motions; the second and fourth contentions, which were initially raised and denied before trial, were not reargued in the post-trial motions. Therefore, the Supreme Court affirmed as to defendants' four arguments on appeal. View "Wong v. Broughton" on Justia Law

Plaintiff Amanda Norman appealed after a superior court granted summary judgment in favor of defendants All About Women, P.A. and Christine W. Maynard, M.D. in a medical negligence case. The grant of summary judgment followed an earlier ruling that the testimony of plaintiff's medical expert was inadmissible under the rules of evidence. In that ruling, the court excluded the expert’s testimony because the plaintiff failed to show that his opinions were “‘based on information reasonably relied upon by experts’ in his field.” Taking plaintiff's expert's deposition testimony as a whole, the Delaware Supreme Court found it sufficient to establish the applicable standards of care, Dr. Maynard's deviations from those standards, and injury to plaintiff caused by those deviations. As such, the Court ruled the expert's testimony admissible, reversed the superior court ruling, and remanded the case for further proceedings. View "Norman v. All About Women, P.A., et al." on Justia Law

The patient in this case alleged that his physician negligently performed a surgical procedure and breached his duty to obtain informed consent. The patient also sued the supervising health services corporation based on vicarious liability and independent negligence. The jury found both the physician and the corporation negligent and apportioned liability between them. On appeal, the physician and corporation argued the trial court erred in several evidentiary rulings, incorrectly instructed the jury on proximate cause, and wrongly awarded pre- and post-judgment interest. In cross appeals, the physician and corporation sought review of the trial court’s decision to submit a supplemental question to the jury, as well as its failure to alter the damages award based on the jury’s response to that supplemental question. The Supreme Court affirmed the judgment in favor of the patient. The trial court should not have requested supplemental information from the jury after the verdict. Although the trial court decided not to modify the verdict, the jury’s response to the supplemental question arguably could have affected other proceedings between the physician and corporation. The case was remanded with instructions to the Superior Court to vacate the supplemental verdict. View "Shapria, M.D. et al. v. Christiana Care Health Services, Inc., et al." on Justia Law

Plaintiff-appellant Thomas Baird appealed on a number of grounds after a jury found in favor of defendants-appellees, Frank R. Owczarek, M.D., Eye Care of Delaware, LLC, and Cataract and Laser Center, LLC. The litigation stemmed from a LASIK procedure plaintiff received, in which he alleged that as a result of the surgery, he developed ectasia, a vision-threatening corneal disease through the medical negligence of the doctor and centers. Upon review of the issues plaintiff raised on appeal, the Supreme Court concluded that the Superior Court’s failure to conduct any investigation into alleged egregious juror misconduct (internet research), which violated the Superior Court’s direct instruction to refrain from consulting outside sources of information, constituted reversible error. In addition, the Superior Court’s failure to exclude evidence of informed consent in this medical negligence action also constituted reversible error. Accordingly, the judgments of the Superior Court were reversed and the matter remanded for a new trial. View "Baird v. Owczarek, M.D., et al." on Justia Law

Barbara Mammarella sued her radiologist, Alan Evantash, M.D., her OB/GYN, Christine Maynard, M.D., and All About Women of Christiana Care, Inc. for medical malpractice. To establish her claim, Mammarella needed to present expert testimony that could support a jury verdict that the alleged negligence, which was a six-month delay in her breast cancer diagnosis, was the proximate cause of her injury, which was an alleged change in treatment that required Mammarella to undergo chemotherapy. Upon review of this case, the Supreme Court concluded that the testimony of Mammarella's sole medical expert on causation could not support a jury verdict because the expert did not testify to a reasonable degree of medical probability that Mammarella's treatment options had changed as a result of the alleged negligence. Therefore, the Supreme Court affirmed the Superior Court's grant of judgment as a matter of law in favor of the health care providers. View "Mammarella v. Evantash, M.D., et al." on Justia Law

In a medical malpractice action, the issue before the Supreme Court centered on whether the Superior Court erred by denying appellants' motion for judgment as a matter of law, and by excluding certain evidence. Dr. Jennifer Barlow performed a Caesarean section on Laura Cooney-Koss to deliver her baby. There were no apparent complications from the delivery, and Laura was discharged from the hospital three days later. A month later, Laura experienced heavy vaginal bleeding, and she returned to the hospital. In an attempt to slow or stop her bleeding, a hospital physician determined that Laura would need a dilation and evacuation (D&E) procedure. Dr. A. Diane McCracken performed the D&E; further attempts to stop the bleeding were unsuccessful. McCracken decided to perform a hysterectomy, believing that Laura would die otherwise. The doctor removed Laura's uterus, and Laura eventually stopped bleeding. Laura and her husband, Jerome Koss, filed a complaint against McCracken, Barlow, their employer, All About Women of Christiana Care, Inc., and Christiana Care Health Services, Inc., alleging that McCracken negligently failed to undertake an appropriate number of conservative treatment options to stop Laura's bleeding before performing the hysterectomy, which was unnecessary. After trial, the jury returned a verdict in favor of the Kosses. The Superior Court denied McCracken's motions for judgment as a matter of law or for a new trial. Upon review of the Koss' arguments on appeal, the Supreme Court concluded that the trial court correctly determined that appellees' medical expert evidence supported a verdict in their favor. Thus, its denial of the motion for judgment as a matter of law is affirmed. The trial court's evidentiary rulings, however, constituted an abuse of discretion requiring a new trial. View "Cooney-Koss v. Barlow" on Justia Law

Plaintiff-Appellant Heather Turner appealed a superior court judgment that ruled in favor of Defendants-Appellees Michael Conway, M.D., Eric Kalish, M.D. and their practice, Delaware Surgical Group. Plaintiff sued defendants over what was initially an appendectomy, but ended with a "mass" on her liver from "something that had spilled out from prior surgeries" performed by the two doctor defendants. Plaintiff argued that the trial court abused its discretion in improperly admitting defendants' expert evidence . Upon review, the Supreme Court agreed and remanded the case for a new trial. View "Turner v. Delaware Surgical Group, P.A., et al." on Justia Law