Janice COMSTOCK, as Personal Representative of the Estate of Reva A. Nelson, Petitioner, v. Robert COLLIER, M.D., Respondent.
No. 84SC482
Supreme Court of Colorado, En Banc.
May 26, 1987
Rehearing Denied June 15, 1987.
737 P.2d 845
Charles G. Michaels, Denver, for amicus curiae Civil Liberties Union Foundation of Colo., Inc.
Michael L. Bender, Mary J. Mullarkey, Denver, for amicus curiae Nat. Ass‘n of Criminal Defense Lawyers.
Richard A. Hostetler, Denver, for amicus curiae Colorado Criminal Defense Bar.
ERICKSON, Justice.
In this original proceeding, the defendant, Lawrence Aoki, petitions this court pursuant to
I.
This is a companion case to Miller v. District Court, 737 P.2d 834 (Colo. 1987), and the facts set forth in that opinion are relevant to the resolution of this matter.
Dr. John MacDonald, a psychiatrist, was retained by defense counsel to examine the defendant and to consult with defense counsel on trial preparation and strategy. The prosecution subpoenaed Dr. MacDonald to testify at a hearing on a motion to suppress and at the defendant‘s upcoming trial. The defendant moved to quash the subpoena, and the trial court held a hearing on February 9, 1987, to determine whether Dr. MacDonald could be compelled to testify. Dr. MacDonald claimed that his communications with the defendant were privileged, but advised the court that he will testify at the defendant‘s trial if he is compelled to do so. The district court ordered Dr. MacDonald to testify at the defendant‘s trial.
The defendant has petitioned for extraordinary relief pursuant to
The rule is discharged.
ROVIRA, J., concurs in the result only.
Long & Jaudon, P.C., Joseph C. Jaudon, Robert M. Baldwin, Denver, for respondent.
KIRSHBAUM, Justice.
In Comstock v. Collier, 694 P.2d 1282 (Colo. App. 1984), the Court of Appeals affirmed in part and reversed in part a trial court order granting a motion for summary judgment filed by the respondent-defendant, Robert Collier, and dismissing certain medical negligence claims alleged against Collier by the petitioner-plaintiff, the Estate of Reva A. Nelson. The Court of Appeals held that the medical malpractice statute of limitation,
I
Nelson was treated by Collier from 1961 to August of 1982 for a condition diagnosed by Collier as chronic phlebitis.1 From 1967 to 1982, Collier prescribed the drug “Talwin,” a morphine-based painkiller. Following Collier‘s instructions, Nelson injected the drug into her legs five times each day. On December 1, 1982, other physicians diagnosed Nelson as having cancer in those spots where the Talwin was injected.
On January 17, 1983, Collier was served with a complaint alleging, inter alia, that he had been negligent “in his treatment and diagnosis of ... Reva A. Nelson.”2 Collier subsequently filed a motion for summary judgment under
II
The statute of limitation in effect when a cause of action accrues governs the
13-80-105 Actions barred in two years. (1) No person shall be permitted to maintain an action, whether such action sounds in tort or contract, to recover damages from ... any person licensed in this state or any other state to practice medicine ... on account of the alleged negligence, breach of contract, or lack of informed consent of such person in the practice of the profession for which he is licensed or on account of his failure to possess or exercise that degree of skill which he actually or impliedly represented, promised, or agreed that he did possess and would exercise, unless such action is instituted within two years after the person bringing the action discovered, or in the exercise of reasonable diligence and concern should have discovered, the injury. In no event may such action be instituted more than three years after the act or omission which gave rise thereto, subject to the following exceptions:
(a) If the act or omission which gave rise to the cause of action was knowingly concealed by the person committing such act or omission, or, if such act or omission consisted of leaving an unauthorized foreign object in the body of the patient, then such action may be instituted within two years after the person bringing the action discovered, or in the exercise of reasonable diligence and concern should have discovered, the act or omission....
In balancing the need to permit patients to recover losses from injuries caused by negligent conduct of their physicians against the need of physicians to practice medicine without fear of becoming defendants in suits alleging conduct that occurred in the past, which allegations, because of the passage of time, could prove difficult to refute, the General Assembly also established a period of time after which very few medical malpractice actions could be filed even if the injury were later discovered. With the exception of claims based upon knowing concealment or the leaving of an unauthorized foreign object in the patient‘s body, the General Assembly required that all claims alleging negligent conduct by a physician must be filed within the period of repose—that is, within three years of the act or omission giving rise to the action.
In Austin v. Litvak, 682 P.2d 41 (Colo. 1984), this court concluded that, in view of provisions of the United States and Colorado Constitutions, a claim alleging injury caused by a physician‘s negligent misdiagnosis must also be deemed exempt from the repose provision of
The complaint in this action alleges that “because of the diagnosis of chronic phlebitis, [Nelson] was kept a semi-invalid for twenty years,” that Collier “failed to properly treat [Nelson] and continued to misprescribe Talwin” and that Collier “failed to comply with the general principles and standards of care of his profession in his treatment and diagnosis of [Nelson].”4 A complaint is sufficient to sustain an action if it affords the defendant reasonable notice of the general nature of the claims alleged.
III
The plaintiff asserts that the two-year statute of limitation begins to run against the negligent treatment claim only at the end of a continuous course of improper treatment. In reaching its conclusion in Comstock v. Collier, 694 P.2d 1282, the Court of Appeals stated that this court rejected a continuous treatment exception in Austin v. Litvak. We agree that no “exception” to the two-year statute of limitation or the three-year statute of repose exists for a continuous course of improper treatment. However, in the case of a continuous course of treatment for a particular condition, we conclude that the three-year statute of repose does not begin running until the final act constituting the treatment.
Under the provisions of
When the alleged negligence of a person licensed to practice medicine consists of a continuous course of treatment, the date of any one particular act or omission causing injury may be impossible to determine. Indeed, the negligence in many cases may consist of a series of acts or omissions,
Courts in other jurisdictions, generally interpreting statutes differing substantially from
In Colorado, the discovery rule is incorporated into the statute of limitation: the two-year statute runs only from the date the injury was or should have been discovered, not from the date of the act or omission. The statute of repose, enacted by the General Assembly to prevent assertion of stale claims and reduce the “long-tail” of liability occasioned by the discovery rule, begins to run on the date of the act or omission giving rise to the injury. A period of continuous treatment does not toll the two-year statute of limitation; the statute simply does not begin to run until the date of discovery. Therefore, an action may be barred by the statute of limitation even before the statute of repose is triggered if the injury is discovered or should have been discovered but treatment continues. However, regardless of the date of discovery, an action is barred three years after termination of treatment for a particular condition.
This view of the operation of the statute with respect to claims such as that asserted by the plaintiff furthers the purposes of both the statute of limitation and the statute of repose. Because the action must be commenced within three years after termination of the course of negligent treatment
In Austin v. Litvak, we stated as follows:
The amicus curiae has also urged that we construe the words “act or omission” found in section 13-80-105 in the context of misdiagnosis cases to be a continuing act or omission until discovered by the claimant. The amicus curiae candidly admits there is no Colorado case which supports this novel statutory interpretation. We have been unable to locate any authority elsewhere to support such a construction of the statute. Therefore, we reject the argument because there was no continuation of the physician-patient relationship between Dr. Litvak and Mr. Austin after 1963, and decline to consider the issue further in this case. See Clark v. Gulesian, 429 F.2d 405 (1st Cir. 1970); Doyle v. Planned Parenthood, 31 Wash. App. 126, 639 P.2d 240 (1982); and Tantish v. Szendey, 158 Me. 228, 182 A.2d 660 (1962), which rejected the continuing tort theory in medical malpractice cases.
Austin v. Litvak, 682 P.2d 41, 46 n. 4. Contrary to Collier‘s assertions, Austin does not govern resolution of the issue presented here. In Austin, we rejected a theory of continuing negligence in a misdiagnosis case.7 The plaintiff‘s condition in Austin was negligently misdiagnosed as parasaggital meningioma, a form of brain tumor. The plaintiff underwent treatment which included removing a part of his skull and replacing it with a metal screen. He was advised to forego surgery and received no further treatment. The plaintiff discovered that the diagnosis was erroneous approximately sixteen years later. Under the facts of the case, the court rejected the argument that the misdiagnosis was a “continuing act or omission” until discovered by the plaintiff.
The circumstances presented in this case differ substantially from those in Austin v. Litvak. Nelson received continuous treatment for the same condition from 1967 to 1982. Had Nelson discovered her injury more than two years before commencement of the action, the claim would have been barred by the statute of limitation. However, the injury was not discovered until shortly before the filing of the complaint. Because the three-year statute of repose did not begin to run until termination of treatment by Collier, the plaintiff‘s claim of negligent treatment is not barred by
For the foregoing reasons, we reverse the judgment of the Court of Appeals insofar as it holds that the complaint failed to allege a misdiagnosis claim. That part of the judgment limiting the plaintiff‘s negligent treatment claim to damages resulting from acts or omissions occurring three years prior to commencement of the action is modified to recognize that the plaintiff is entitled to seek damages for any acts of omissions by Collier during his treatment of her. The case is remanded to the Court of Appeals with directions to return the case to the trial court for further proceedings consistent with this opinion.
VOLLACK, J., specially concurs in part and dissents in part.
ROVIRA, J., joins in the special concurrence and dissent.
VOLLACK, Justice, specially concurring in part and dissenting in part:
I concur in the result reached in Part III of the majority opinion, to the extent that it finds that the three-year statute of repose under
I disagree with the majority‘s use of Austin v. Litvak, 682 P.2d 41 (Colo. 1984), as authority for the existence of a misdiagnosis exception. Austin was a plurality decision in which three justices held that the statutory scheme of
A careful reading of Austin reveals that the principles of law relied on by the plurality and the special concurrence of Justice Dubofsky differ substantially and thus the case should not be used as authority for the determination of other cases either in this court or in inferior courts. Hertz v. Woodman, 218 U.S. 205, 213-14, 30 S.Ct. 621, 622-23, 54 L.Ed. 1001 (1910); Berlin v. E.C. Publications, Inc., 329 F.2d 541 (2d Cir. 1964). See Moses H. Cone Memorial Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 16-19, 103 S.Ct. 927, 937-939, 74 L.Ed.2d 765 (1983).
I agree with Justice Rovira‘s dissent to the plurality opinion‘s equal protection analysis in Austin. There are real differences between the statute of repose and the discovery rule of
I believe that the plurality opinion in Austin does not serve as authority for Part II of the majority‘s opinion, and I cannot endorse the majority‘s attempt to bootstrap the Austin plurality opinion onto the case before us. I respectfully dissent to Part II.
I write on Part III to clarify what I believe the continuing treatment analysis adopted by the majority encompasses. In the instant case, the plaintiff asserts in her complaint that she developed cancer in the sites on her legs into which she injected the drug Talwin, pursuant to the defendant‘s instructions. This case is most clearly a negligent treatment case. It is the continuing treatment of prescribing Talwin over a fifteen-year period that is the heart of this case, and it is this treatment to which we direct our attention. The three-year statute of repose did not begin to run until the final act constituting the treatment, i.e., the last prescription of the drug Talwin. The period of time affected by the continuing treatment theory is the period from the first treatment, here the first prescription of Talwin, to the last treatment. The plaintiff cannot go back to the beginning of her relationship with the defendant, but is limited to the specific treatment which is allegedly negligent and the cause of the plaintiff‘s injury. If the allegedly negligent treatment of a plaintiff ceases and the patient-doctor relationship continues, the statute of repose starts to run when the particular treatment ends, not when the relationship ends. Here, the plaintiff‘s claim properly encompasses the period of time from 1967, when Talwin was first prescribed, until 1982, when that treatment ended.
I agree with the majority that the court of appeals erred in so far as it held that the plaintiff was limited in her claim to the last three years of the treatment. The entire period of the plaintiff‘s treatment with Talwin falls within the period of limitation. Accord Tamminen v. Aetna Casualty & Sur. Co., 109 Wis. 2d 536, 327 N.W.2d 55 (1982).1
Accordingly, I specially concur in part and dissent in part.
I am authorized to state that ROVIRA, J., joins in this special concurrence and dissent.
Steven J. HOOPER, Petitioner, v. David YODER, Respondent.
No. 85SC38
Supreme Court of Colorado, En Banc.
May 26, 1987.
