This mаtter comes before the Court on the motion of defendants Victor Turna, M.D. and Metuchen Pediatric Associates, P.A., for partial summary judgment dismissing the individual claims of plaintiffs Gail P. Carter and Craig A. Carter on the grounds that such claims are barred by the applicable statute of limitations. I heard oral argument in this
STATEMENT OF FACTS
Plaintiffs Gail P. Carter and Craig A. Carter, individually and on behalf of their infant son Neal A. Carter, instituted this malpractice action on August 16, 1991. Plaintiffs’ original Complaint alleged that defendants University of Medicine and Dentistry of New Jersey (“UMDNJ”), Victor Turna, M.D. (a board certified pediatrician), Lawrence Taft, M.D., and Metuchen Pediatrics Associates, P.A. (“Metuchen”), failed to diagnose and treat properly the infant plaintiff’s neurological medical condition, hydrocephalus. 1 An amended Cоmplaint was filed with leave of this Court on June 28,1993, adding Eleftherios Halivopoulos, M.D., also a board certified pediatrician, as a defendant.
Neal Carter was born on December 15, 1983, at the John F. Kennedy Hospital in Orange, New Jersey. Upon observing various abnormalities in the newborn infant, including a flattened lower lip, a large head and only two umbilical veins, the attending obstetrician, Dr. Drucker (who is not a defendant in this action) referred plaintiffs to defendants Metuchen, Dr. Turna and Dr. Halivopoulos for both in-patient newborn care as well as follow-up pediatric treatment. The infant remained under the care of these doctors until July 1, 1984. In April 1984, the child also was examined by defendant Dr. Taft at UMDNJ. Sometime in 1984, plaintiffs relocated to Maryland where Neal received pediatric and neurological care from various physicians in the Washington, D.C. area. Subsequent to this move thе named defendants rendered no further medical care to the infant.
Plaintiffs Gail and Craig Carter assert that when they left the care of defendants, they were unaware that Neal was suffering from any type of neurological impairment. See Deposition of Gail P. Carter, at 48:5-9. Although Gail Carter testified that she first observed developmental problems with Neal in the first year of his life, plaintiffs insist that, because of statements made by Drs. Turna and Taft, they had no reason to believe that Neal was suffering from any neurological abnormality. 2
In 1987, Mr. and Mrs. Carter consulted an attorney regarding the medical care provided to Neal. Deposition of Gail P. Carter, at 116:19-24. Plaintiffs assert that at the time they consulted this attorney they had no reason to know that Neal’s medical problems were related to the medical care rendered by defendants. They argue that “this determination could not have been made until 1990, after plaintiffs’ attorneys had obtained all of Neal Carter’s medical records and had them reviewed by experts.” Plaintiffs’ Brief at 3. The attorney consulted by plaintiffs did, however, forward authorizations from plaintiffs for the release of Neal’s medical records in April 1987, to Dr. Turna and Dr. Taft. Defendants’ Exhibit B. There is nothing before the Court to indicate when those materials were actually forwarded to the attorney for review, but the authorizations clearly establish that all of the medical records were available for review in April 1987. (Thereafter, in 1990 plaintiffs obtained an opinion from a medical expert that the care rendered by defendants was below acceptable standards. The present action was subsequently instituted.
DISCUSSION
According to Rule 56, summary judgment may only be granted if, from an examination
The instant summary judgment motion is directed solely at the adult plaintiffs’s claims for (1) thе extraordinary medical expenses incurred in providing their son the necessary medical care and (2) loss of consortium, companionship, society and services of their son. I will address each claim in seriatim.
A. Claim for Extraordinary Medical Expenses
Defendants contend that the adult plaintiffs’ claims are barred by the applicable two year statute of limitations, which provides:
Every action at law for an injury to the person caused by the wrongful act, neglect or default of any person within this state shall be commenced within 2 years next after the cause of any such action shall have accrued.
N.J.S.A. 2A: 14-2 (West 1987). While the statute is explicit in its mandate that a negligence action be brought within two years of its accrual, it is silent as to when the accrual of any such cause of action in fact occurs.
See Goodman v. Mead Johnson & Co.,
In its first effort to determine the moment of accrual, the New Jersey Supreme Court held that the two year limitations period did not begin to run until the plaintiff knew or had reason to know of the post-operative presence of a foreign object in her body.
See generally Fernandi v. Strully,
Plaintiffs filed the instant Complaint on August 16, 1991. Consequently, in order to avoid dismissal on the basis of the expiration of the statute of limitations, plaintiffs’ cause of action must not have accrued prior to August 16; 1989. In an effort to employ the aforementioned discovery rule, plaintiffs assert that their claim did not accrue until 1990 when they received confirmation from a medical expert that the doctors named in the Complaint were negligent in failing properly to diagnose and treat Neal’s condition. Defendants conversely contend that the cause of action accrued when the adult plaintiffs first visited an attorney in 1987 regarding the medical care rendered to Neal.
I am satisfied that the undisputed facts establish the plaintiffs’ cause of action was known or should have been known to
However, this inference, though reasonable, does not constrain me in any way since it is clear that in 1987 the adult plaintiffs at the very least strongly suspected possible negligence in the level of care defendants provided to Neal. The proofs indicate that at sometime in 1984, the Carters relocated to Maryland and Neal subsequently received treatment from physicians in the Washington, D.C. area. Neither party has informed-the Court as to what type of medical treatments and analyses were performed during this period and at what point in time plaintiffs were actually told that Neal suffered from hydrocephalus. It is undisputed that as early as April 1987, however, the parents consulted an attorney regarding the care rendered to Neal by defendants. Moreover, in that same month the adult plaintiffs autho- • rized defendants to release Neal’s medical records.
But, it was not until almost three years following the authorization of the release of the records that plaintiffs obtained an expert medical opinion that defendants were negligent in their care for Neal. Instead of proffering an explanation for this delay, plaintiffs merely assert that they did not know at that time that Neal’s medical problems were related to the care rendered by defendants and could not have known until they obtained expert medical determination in 1990. But any contention that the cause of action did not accrue until plaintiffs received confirmation from medical experts that the care rеndered to Neal- was below acceptable standards is contrary to New Jersey law.
See Brizak v. Needle,
Consequently, the only rational inference to be drawn by the undisputed facts is that upon consultation of the attorney in 1987, plaintiffs were aware that the care provided by defendants may have been faulty. The law is clear that under the discovery rule a plaintiff must exercise due diligence in identifying a potential cause of action.
See Gleason v. United States,
However, this two year limitations statute is but a momentary obstacle to the Carters’ ability to assert their cause of action, as they alternately contend that even if the Court finds that they did not seek recovery within two years of accrual of their claims, they are nevertheless entitled to an extended time period in which to file then-action pursuant to N.J.S.A. 2A:14-2.1.
Under New Jersey law, a parent’s claim for damages sustained as a result of injuries to her minor child may be asserted
Where a parent or other person has a claim for damages suffered by him because of an injury to a minor child caused by the wrongful act, neglect or default of any person within this State, an action at law upon such claim may be commenced by the said parent or other person within the same period of time as provided by law in the case of the said minor child so injured, provided that, if an action is commenced by or on behalf of the said minor child, the said claim of the parents or other person •shall be asserted and maintained in such action brought on behalf of the injured minor child either as a plaintiff or third-party plaintiff and if not so asserted shall be barred by judgment in the action brought on behalf of said injured minor child.
N.J.S.A. 2A:14-2.1 (West 1987). This statute essentially provides that the time period for the commencement of an action of a parental claim is coextensive with the limitation period applicable to the minor child’s claim, as long as both claims are asserted in the same action.
Vedutis v. Tesi,
135 N.J.Super.337, 341-42,
Defendants. assert that the adult plaintiffs’ claim for extraordinary medical damages cannot come within the protective ambit of N.J.S.A. 2A: 14-2.1 because that claim stands as an independent allegation not derived from the child’s injury. To buttress this assertion defendants have directed this Court’s attention to the New Jersey Supreme Court’s decisions in
Schroeder v. Perkel,
Consequently, defendants argue, since the adult plаintiffs in this action present essentially the same claim for extraordinary medical expenses as was proffered in
Schroeder
and
Procanik,
those cases should control and the time bar of N.J.S.A. 2A:14-2 should foreclose any consideration of their claim. In essence, defendants are requesting that I articulate a blanket rule, based upon
Schroeder
and
Procanik,
that deems
all
parental claims for medical expenses to be outside the savings provision of N.J.S.A. 2A:14-2.1. This contention, however, fails to take into account the fact that
Schroeder, Procanik,
and their principal progenitor^
Berman v. Allan,
Before proceeding to the analysis of N.J.S.A. 2A:14-2.1’s application to the adult plaintiffs’ claim in this case, a brief review of the evolution of wrongful life and wrongful birth causes of action in New Jersey’s courts is necessary. Originally, in
Gleitman v. Cos-
Prior to the court’s next encounter with the wrongful birth claim, the seminal decision of
Roe v. Wade,
Thereafter, in
Schroeder v. Perkel,
the New Jersey court permitted sucсessful wrongful-birth claimants to recover the extraordinary expenses of raising a child born with cystic fibrosis, including medical, hospital and pharmaceutical expenses.
Schroeder,
Finally, in
Procanik v. Cilio,
the court recognized that а child possesses a legally cognizable claim for wrongful life, and held that said child may recover the extraordinary lifetime medical expenses incurred as a result of a misdiagnosis that deprived its parents of making an informed choice whether to terminate the pregnancy. In
Procanik,,
the infant plaintiff asserted a claim for birth defects and impaired childhood, while his parents sought damages for emotional distress and the extraordinary medical expenses incurred as a result of their son’s medical condition.
Procanik,
The court found while that the infant plaintiff could recover special damages for extraordinary medical expenses incurred during his infancy, his parents’ claim for those expenses could not be permitted because it would in essence sanction a windfall or double recovery, and also because the parents’ claim for medical exрenses was not instituted in a timely fashion.
Id.
at 356,
Thus, as defendants note, the
Procanik
court, relying specifically on
Schroeder,
deemed the parents’ claim for extraordinary medical expenses to be independent from that of their minor child.
Id.,
However, the holdings in
Berman, Schroeder,
and
Procanik,
insofar as the independence of the parental claims is implicated, are each balanced upon the very narrow fulcrum of a parent’s right to choose to abort a child whose abnormal physical condition(s) could either be verifiеd
in útero
or safely predicted. Indeed, as the New Jersey Supreme Court recently stated, “[t]he breaches of duty in
Procanik, Berman,
and
Schroeder
all revolve, at least in part, around the defendant-doctor’s failure to diagnose a condition that might have caused the parents to terminate the pregnancy had they been informed of that condition.”
Hummel v. Reiss,
Clearly, then, the discourse of “choice” as it relates to abortion pervades each of the aforementioned decisions. The linchpin of those cases is the parents’ right, as a result of both Roe v. Wade and the breathless advance of medical knowledge, to decide whether to bring a severely handicapped child into the world or to' instead unfetter him from the realm of the physical before he draws that incipient breath. Any proper analysis of the New Jersey court’s findings of nonderivativeness regarding claims for extraordinary medicаl expenses cannot, therefore, be divorced from this context.
When viewed from the perspective of choice, the New Jersey Supreme Court’s finding of the parents’ claims to be nonderivative in nature appears fitting and proper. Indeed, what the parents in the trilogy of cases discussed herein lost, as a result of their physicians’ claimed negligence, was
As the court, in evaluating both
Schroeder
and
Berman,
stated, “[p]arents have a right of their own either to accept or reject a parental relationship, and the deprivation of that right by the negligent misconduct of another creates a cause of action in the parents.”
Schroeder, 87
N.J. at 66,
But here, this is not the case. The present action is patently distinguishable from the decisions discussed above in that the claim of the adult plaintiffs before me does not arise from a deprivation of their own abortion rights, but rather, from an injury which their child has suffered, allegedly at defendants’ hands. The extraordinary medical expenses which Gail and Craig Carter sеek are not as a result of their inability to reject a parental relationship before it commenced; indeed, notions of choice are nowhere implicated in the case at bar. Instead, the Carters merely seek contributions from defendants for an injury to their son purportedly committed by defendants. The raison d’etre underlying the Carters’ claim is their desire to receive compensation for damages deriving from an allegedly tortious act perpetrated by defendants upon their son.
The New Jersey Supreme Court has cautioned against ignoring “a critical aspect of
Procanik:
that case leaves no doubt that its rule — as indeed is the case with
Berman
and
Schroeder
— is premised on the availability of lawful eugenic abortions.”
See Hummel,
Furthermore, to argue that the New Jersey Supreme Court has conclusively spoken on the subject of N.J.S.A. 2A:14-2.1 as it-relates to derivative parental claims is simply unfounded, since of the three cases to which this discourse has been heretofore addressed, only
Procanik
even refers to the resuscitating provisions of that statute.
See Procanik,
Accordingly, for the reasons articulated above, the adult plaintiffs’ claim for extraordinary medical expenses may be asserted in
B. Loss of Services, Consortium, Companionship, and Society
The adult plaintiffs have also alleged a claim for loss of their son’s consortium, society, companionship, and services. Since this claim has likewise been tardily asserted, the Carters again attempt to invoke the extension provisions of N.J.S.A. 2A:14-2.1. Here, as in the foregoing discussion, the analytical cornerstone is the issue of the parental claims’ independent or derivative nature.
Plaintiffs have seemingly subsumed their claim fоr loss of their child’s services within their allegation of loss of his society and companionship (ie., consortium). However, for the purposes of determining the claims’ autonomous and/or derivative status, I will discuss each allegation separately.
There are numerous New Jersey cases which permit a parent to recover for the loss of a child’s services and earnings.
See Davis v. Elizabeth Gen. Med. Ctr.,
However, reliance on
Higgins
in order to buttress the contention that a parental loss of services claim is independent and consequently not within N.J.S.A. 2A:14-2.1 is misplaced for two reasons. First,
Higgins
was decided prior to the New Jersey legislature’s enactment of the statute.in 1964, and therefore its holding could not have contemplated foreclosing the applicability of a statute not yet in existence. Second, and of much greater import, is the fact that, as the Appellate Division has noted, N.J.S.A. 2A:14-2.1 in effect overruled
Higgins v. Schneider. Rost v. Bd. of Ed. of Fair Lawn,
Before next reaching the question of the independent or derivative status of plaintiffs’ loss of consortium, companionship and society claim within the context of the parent-child relationship, it is first necessary to examine the actual state of that cause of action in New Jersey. While, as noted above, the New Jersey courts have dealt with the issue of parental recovery for loss of a child’s services, there appears to be only two eases, both from the Law Division, which have specifically addressed the issue of pа
In
Brennan v. Biber,
a mother sued on behalf of her children seeking to recover both for the injuries they sustained as well as her loss of her children’s society and companionship.
Brennan v. Biber,
However, when the Law Division revisited the loss of consortium claim in the parent-child context several years ago, it recognized the more progressive jurisprudential trend permitting a parent’s
per quod
claim for loss of her child’s society or companionship in negligence actions, based on either legislative provisions or “by analogy with the right of a spouse to recover damages for the loss of consortium.”
Davis v. Elizabeth Gen. Med. Ctr.,
Given the recent propensity of some courts, in New Jersey and elsewhere, to recognize a
per quod
claim in the parent-child setting, I am satisfied that the adult plaintiffs in the instant case have a right to assert claims for loss of consortium, companionship, and society.
12
■’ Thus, I can now turn to the
At the outset it must be noted that this issue has caused the parties much consternation, both in their briefs as well as at oral argument. Apparently, however, this agitation was unnecessary, as Judge Pressler of the Appellate Division found, in
Goncalvez v. Patuto,
The court reversed the trial court’s grant of summary judgment for defendant on the
per quod
count. In so doing, the court explicitly noted that the
per quod
action of the adult plaintiffs’ was derivative of their surviving sоn’s cause of action such that the parents’ present assertion of it was well within the extended statutory period afforded by N.J.S.A. 2A:14-2.1.
Id.
at 629-30,
This view of the derivative nature of the parental consortium claim has been echoed in analogous decisions addressing the issue of derivation in the context of a loss of consortium claim asserted by one spouse due to injury to the other as a result of a third party’s negligence. The New Jersey courts have held that a spousal
per quod
claim is only maintainable by reason of a spouse’s personal tort action.
See Tichenor v. Santillo,
Defendants, without making any reference to
Goncalvez,
seek to employ a recent Law Division case,
Hauck v. Danclar,
The court, in articulating a kind of independent/derivative dichotomy, stated:
A husband’s consortium claim is distinct from a wife’s claim for personal injuries. A husband who sues for loss of consortium sues not in his wife’s right but in his own. Obviously, if the wife’s claim for personal injuries fails, the husband would have no independent claim for consortium. In that regard, the claim is clearly derivative. However, it is also independent, as the damages which may be awarded to the spouse pursuant to the per quod claim are clearly different from the damages which may be awarded to the spouse suffering the direct injury as a result of defendants’ alleged negligence.
Id.,
Thus, it appears that the independent status, to the extent it exists, of the loss of consortium action rests upon the element of damages.
See, e.g., Goodman v. Mead Johnson & Co.,
Since there is precedent
(ie.,
Goncalvez) stating that N.J.S.A. 2A:14-2.1 specifically applies to parental
per quod
claims, it is clear that defendants’ interpretation of the independent status of the parental loss of consortium claim' must be rejected.
See Goncalvez,
188 NJ.Super. at 629-30,
This conclusion is supported not only by precedent, but by logic and equity as well. Whole a consortium claim may have independent elements, there is no reason why its independent status should be accorded greater weight than its derivative aspect such that application of a legislative provision, which depends entirely upon that derivative status, is obviated. In the instant ease, but for the alleged négligence of defendants, Gail and Craig Carter would not have lost the consor
However, to so hold would be to denude entirely the aforementioned statute of any benefit for parents. Accordingly, the adult plaintiffs’ claim for loss of consortium, companionship and society may be asserted in the instant action pursuant to N.J.S.A. 2A:14-2.1.
CONCLUSION
For the reasons expressed above, the adult plaintiffs’ claim for extraordinary medical expenses and for loss of services, consortium, companionship, and society may be. asserted in the instant action pursuant to N.J.S.A. 2A: 14-2.1. Accordingly, defendants’ motion for partial summary judgment is hereby DENIED.
SO ORDERED:
Notes
. Hydrocephalus is a neurological condition marked by dilation of the cerebral ventricles, most often occurring secondarily to obstruction of the cerebrospinal fluid pathways and accompanied by an accumulation of cerebrospinal fluid within the skull. The condition is typically characterized by enlargement of the head, prominence of the forehead, brain atrophy, mental deterioration and convulsions. Dorland's Illustrated Medical Dictionary (27th ed. 1988).
. For instance, Dr. Tuma stated that he believed that Neal’s abnormally large head size was due to Neal's generally large size. See Deposition of Victor Turna, M.D., at 52:8-16. Dr. Taft commented that despite the fact that at the time of the neurological examination Neal's head circumference fell around the 98th percentile, he believed that Neal's head was within normal limits. See Deposition of Lawrence Taft, M.D., at 37:5-18.
. Under New Jersey law, the issue of the expiration of the statute of limitations is a decision for the court.
Lopez,
. New Jersey law provides:
If any person entitled to any of the actions or proceedings specified in sections 2A:14— 1 to 2A:14-8 or sections 2A:14-16 to 2A:14-20 of this title or to a right or title of entry under section 2A:14-6 of this title is or shall be, at the time of any such cause of action or right or title accruing, under the age of 21 years, or insane, such person may commence such action or make such entry, within such time as limited by said sections, after his coming to or being of full age or of sane mind.
N.J.S.A. 2A: 14-21 (West 1987). The New Jersey Supreme Court has recently determined, in reference to N.J.S.A. 2A:14-21, that the statutory reduction of the age of majority from 21 to 18 years of age reduced from 21 to 18 the age until which limitations periods were tolled, even though the state legislature did not amend N.J.S.A. 2A:14-21.
Green v. Auerbach Chevrolet Corp.,
. A claim for "wrongful life" has been distinguished from "wrongful birth” by the New Jersey court in Procanik as follows:
"[W]rongful life” refers to a cause of action brought by or on behalf of a defective child who claims that but for the defendant doctor's negligent advice to or treatment of its parents, the child would not have been bom. "Wrongful birth" applies to the cause of action of parents who claim that thе negligent advice or treatment deprived them of the choice, of avoiding conception or, as here, of terminating the pregnancy.
Procanik,
. While cystic fibrosis cannot be detected in a fetus, post-birth tests can be performed which will disclose the condition. If a child tests positive for cystic fibrosis, it indicates that both parents are carriers and that in all probability any future children of those parents will be afflicted with this fatal genetic disease.
See Schroeder,
. The plaintiffs specifically alleged that Mrs. Procanik's physician failed to inform her that she had contracted German measles during the first trimester of her pregnancy.
Procanik,
. Indeed, as the court noted in
Schroeder,
"[t]he delay in the diagnosis [of their first child’s cystic fibrosis] had precluded Mr. and Mrs. Schroeder from making an informed choice as to whether or not to assume the risk of conceiving a second child with cystic fibrosis.... [and] also prevented them from making an informed choice whether Mrs. Schroeder should have an abortion.”
Schroeder,
. Gail and Craig Carter's assertion of their own claim for extraordinary medical expenses of course precludes their son Neal from asserting the same claim.
See Procanik,
.
See, e.g., Reben v. Ely,
. At oral argument defendants' counsel did not question the existence of the parental loss of consortium, companionship and society claim in New Jersey, but rather, dealt solеly with its independent and/or derivative nature.
. This conclusion is in line with other New Jersey decisions. For instance, in
Green v. Bittner,
. Defendants also refer to
Procanik
in this consortium context. Defendants note that in
Procanik,
the court found that the parents' claims of emotional distress were independent of the claim asserted by thе infant plaintiff. . The parents’ right to recover was based on a direct injury to their own right, not upon any injury to their child.
Procanik,
[Claimant’s] emotional injury claim constitutes his own independent cause of action. Unlike all the claims made in the first action resulting from [decedent’s] injury and death, [claimant’s] emotional injury claim is not derivative therefrom in any practical or teсhnical sense---- Its subsequent maintainability would only be dependent upon its own timeliness.
Goncalvez,
. Indeed, the Appellate Division, in reconciling the derivative yet separate nature of a spousal
per quod
claim, noted that "such a claim is separate only in the sense that it is a separate element of a damage claim.”
Wolfe v. State Farm Ins. Co.,
