243 So. 3d 1237
La. Ct. App.2017Background
- On June 13, 2011, Robert Johnson presented to Richland Parish Hospital ED with chest pain, shortness of breath, and right leg pain; initial workup (CBC, EKG, chest X‑ray, cardiac enzymes, BNP, TSH) was largely normal and a second set of cardiac enzymes was negative. Dr. Tucker diagnosed costochondritis/polyarthritis, administered symptomatic treatment, and discharged him the same day.
- About an hour after discharge, Mr. Johnson collapsed at home; he was resuscitated briefly but pronounced dead at the hospital. Autopsy showed multiple peripheral pulmonary emboli and a large saddle embolus.
- Plaintiff (Mrs. Johnson) sought a medical review panel; a panel unanimously found no breach by Dr. Tucker. Plaintiff later sued and at trial called Dr. Thoma and other experts who testified PE/DVT should have been suspected and that a D‑dimer and/or ultrasound should have been ordered.
- Defendants presented testimony from the three medical panelists and another expert who concluded Dr. Tucker acted within the standard of care because PE was low probability and further testing was not required.
- The jury unanimously found Dr. Tucker breached the applicable standard of care and that breach proximately caused Mr. Johnson’s death, awarding $500,000. Defendants appealed, raising (1) exclusion of credibility evidence about Dr. Thoma’s medical‑panel oath and (2) that the jury was manifestly erroneous in crediting Dr. Thoma over other experts.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether trial court erred by excluding cross‑examination about Dr. Thoma’s medical‑panel oath | Exclusion was proper because probative value was outweighed by prejudice and risk of confusion | Excluding the oath prevented impeachment of Dr. Thoma’s credibility regarding bias | Any error was harmless; exclusion did not affect a substantial right given the full record and conflicting expert testimony |
| Whether the jury was manifestly erroneous in crediting Dr. Thoma and finding breach/causation | Dr. Thoma and other testifying experts (e.g., Dr. Happle) showed PE/DVT should have been investigated (D‑dimer/ultrasound) and that failure caused death | Panelists and other defense experts testified PE was low probability and further testing was not required; trial testimony supported reasonableness | Not manifestly erroneous; jury permissibly credited plaintiff’s experts over defendants’ and reasonably found breach and proximate cause |
Key Cases Cited
- Simmons v. Christus Schumpert, 71 So.3d 407 (La. App. 2 Cir. 2011) (evidentiary rulings reviewed for effect on substantial rights under La. C.E. art. 103)
- Buckbee v. United Gas, 561 So.2d 76 (La. 1990) (harmless error and definition of prejudicial error)
- Rosell v. ESCO, 549 So.2d 840 (La. 1989) (appellate standard: manifest error/clearly wrong and deference to factfinder credibility choices)
