Department of Human Resources v. PhillipsDepartment of Human Resources v. Phillips
Lead Opinion
In this appeal from a plaintiffs’ verdict in a wrongful death action, we determine that the
When Lisa Phillips was nine months old, she suffered a severe case of colitis accompanied by a persistent high fever that resulted in organic brain damage, and left her severely mentally impaired. Her family cared for Lisa until she was ten years old, when she was institutionalized at Central State Hospital (“the Hospital”). Lisa lived at the Hospital for more than 20 years. In 1992, she was discovered lying on a bathroom floor at the Hospital, in a state of cardiopulmonary arrest. She later was pronounced dead. A subsequent autopsy revealed that she had died of acute aspiration and subsequent cardiac arrest caused by a lethal combination of two anti-psychotic drugs, Serentil and Mellaril. According to the toxicologist who analyzed blood samples taken from Lisa, those two drugs cannot safely be administered together at the dosage levels found in Lisa’s body. The evidence at trial showed that, at the time of Lisa’s death, Mellaril was not prescribed for her by her physicians, and had not been for at least three years.
Appellee Virginia Phillips, acting both as Lisa’s personal representative and as administratrix of Lisa’s estate, filed suit against the Georgia Department of Human Resources (“DHR”), claiming that the Hospital’s employees’ negligence in caring for Lisa proximately caused her death. Following a ten-day trial, the jury returned a plaintiff’s verdict, and awarded $2 million for the full value of Lisa’s life, and $1.5 million for her pain and suffering. Relying upon the damages cap set forth in the Georgia Tort Claims Act (“the Act”),
DHR appealed to the Court of Appeals, which certified to this Court the question raised by Phillips of whether application of the Act’s cap on damages to this case would abridge the constitutional prohibition against the retroactive application of laws to the detriment of any vested right.
1. DHR contends that the trial court erred by entering judgment in the amount of $3.5 million because the pretrial order, agreed upon by the parties and executed by the trial court, stated that “[u]nder the State Tort Claims Act,
The Civil Practice Act provides that once entered, the pretrial order “controls the subsequent course of the action unless modified at the trial to prevent manifest injustice.”
The Code imposes a duty on each party to assist the trial court in formulating the pretrial order by defining the issues for trial, and deciding “such other matters as may aid in the disposition of the action.”
If a party desires modification of a pretrial order, application should be made to the trial judge either before or during the trial.
As noted by Phillips, there may be situations in which a trial judge is authorized to modify a pretrial order acting sua sponte in order to “prevent manifest injustice.”
Relying on the principle that a pretrial order shall be deemed modified to conform to evidence that is admitted at trial without objection,
In conclusion, because the pretrial order stated that the damages cap in the State Tort Claims Act applied to this case, the trial court abused its discretion by implicitly modifying the pretrial order to support the $3.5 million judgment. The Act permits damages of no more than $1 million per person for a loss arising from a single occurrence, and the State’s aggregate liability for a single occurrence cannot exceed $3 million.
2. Phillips contends that her claims against DHR accrued before the Act’s effective date, and that application of the Act’s damages cap to the judgment in this case will violate the constitutional prohibition against applying laws retroactively in derogation of a vested substantive right.
Moreover, we note that Phillips actively participated in preparation of the pretrial order, and consented to its entry. It is well established that one cannot complain of a judgment, order, or ruling that her own procedure or conduct procured or aided in
3. DHR complains that the trial court erred by permitting Phillips’ counsel to argue to the jury that punitive damages should be awarded, and by entering judgment awarding punitive damages, because the pretrial order states that such damages are not recoverable. In support of this argument, DHR points to instances where, during closing argument, Phillips’ counsel urged the jury to (1) reject DHR’s attempt to “prevent justice” from prevailing; and (2) reject the theory that, because Lisa’s severe mental impairment adversely affected her behavior, the value of her life should be discounted.
Contrary to DHR’s argument, we find that Phillips’ statements to the jury were highly relevant to the issues before the jury, and did not advocate the imposition of punitive damages. Phillips’ statements directly refuted closing arguments made by DHR that detailed difficult aspects of Lisa’s behavior, and some of the more extreme methods used to restrain such behavior. In her closing argument, Phillips directly referred to DHR’s statements as an attempt to discount the value of Lisa’s life, and sought to rebut that attempt with the statements complained of here. Furthermore, in her closing argument, Phillips did not encourage the jury to award damages to punish DHR or to deter DHR’s future conduct. As such, Phillips’ arguments did not “amount to a plea for punitive damages,”
4. DHR contends that the trial court erred by refusing to give its requested jury charge that, under the terms of the pretrial order and the Act, punitive damages were unavailable. The record shows that DHR requested such a charge, and that the trial court declined to give it because no punitive damages had been asked for by Phillips, and thus the charge was not adjusted to this case.
Our review of the record shows that early in its charge, the trial court properly instructed the jury that Phillips was seeking compensatory damages. Later in its charge, the court explained that damages were available as compensation for any injuries that the jury determined had been inflicted, and that in awarding such damages, the jury should consider the full value of Lisa’s life as a gauge. The trial court also charged the jury that it could award damages for any pain and suffering that it found Lisa had experienced. Nowhere in its charge did the trial court intimate that punitive damages were available.
Because the charge, when read as a whole, was a correct statement of the law, we reject DHR’s claim that the trial court erred by not issuing an instruction negating the possibility of punitive damages.
5. DHR complains that the trial court incorrectly denied its directed verdict motion as to the issue of a treating physician’s negligence. Lisa’s treating physician, Dr. Grant, had prescribed for her a very high dosage of Serentil, one of the two drugs that, in combination, proximately caused Lisa’s death. As stated above, the other drug that caused Lisa’s death, Mellaril, was not prescribed for her. DHR contends that because Phillips introduced no expert testimony to show that the prescribing of an unusually high dosage of Serentil for Lisa constituted malpractice, the trial court erred in not granting a directed verdict motion as to the issue of Dr. Grant’s professional negligence.
In determining whether the evidence warrants denial of a directed verdict motion, the evidence must be construed most favorably to the party opposing the motion, and the standard used to review the grant or denial of a directed verdict is the “ ‘any evidence’ test.”
6. Similarly, DHR contends that the trial court erred in charging the jury on physician malpractice, because Phillips did not introduce the medical expert testimony required to make out such a claim. We disagree. As stated above, Phillips introduced expert testimony that special monitoring procedures should have been instituted when Lisa was prescribed the extremely high dosage of Serentil, and the evidence is undisputed that such monitoring was not put in place. Moreover, Dr. Grant’s own testimony, discussed above, shows that he was the doctor responsible for overseeing the drugs that Lisa ingested, and that she should not have taken the unprescribed Mellaril together with the prescribed Serentil. Thus, there was sufficient evidence to warrant the charge.
7. Finally, we reject DHR’s contention that the trial court erred by admitting into evidence package inserts for the drugs Mellaril and Serentil, because they are written hearsay not falling within any of the recognized exceptions to rule against hearsay. The inserts were published to the jury without objection from DHR, and thus it has
Judgment affirmed in part and reversed in part.
Notes
Dept. of Human Resources v. Phillips,
We note that, consistent with the statement in the pretrial order that the Act’s damages cap applies to Phillips’ claim, Phillips’ trial memorandum, filed the same day as the pretrial order, states:
This case is brought under the provisions ofOCGA § 50-21-20 , et seq., “The Georgia Tort Claims Act.” Pursuant to applicable provisions of the State Tort Claims Act, the State has waived sovereign immunity for the torts of State officers and employees while acting in the scope of their official duties or employment.
'The original complaint also makes reference to the Act, and asserts, among other things, that service was effected thereunder.
Gregory, Georgia Civil Practice, p. 325, § 3-10 (1990); see Berger v. Plantation Pipeline Co.,
Gregory, supra at 326; Ruskell & McIntosh, Georgia Practice & Procedure, pp. 350-351, § 16-3 (1986).
In re Control Data Corp. Sec. Litigation, 933 F2d 616, 621 (8th Cir. 1991) (quoting
See
See Gaul v. Kennedy,
Roland M., supra.
Gregory, supra at p. 327; Echols v. Bridges,
See Dumas v. Beasley,
See generally 3 Moore’s Federal Practice, § 16.78 [4][b] (1997) (among the factors to be considered in determining whether “manifest injustice” warrants the modification of a pretrial order is whether granting the motion will unfairly impair the opposing party’s ability to litigate the merits of the matter). See also Walker v. Anderson Elec. Connectors, 944 F2d 841, 844 (11th Cir. 1991) (legal relief theory not stated in the final pretrial order cannot support an award).
See Cooper v. Rosser,
See Richardson v. State,
See Stenger v. Grimes,
See Ga. Const. 1983, Art. I, Sec. I, Par. V.
Brown v. Cronic,
Myrick v. Stephanos,
Green v. Gaydon,
See Sheppard v. Broome,
See Southern R. Co. v. Lawson,
In this regard, we note that Phillips put forth expert testimony to establish a deviation from the requisite standard of care. See Wagner v. Timms,
See Lawrence v. Gardner,
See, e.g., Wood v. Food Giant,
We also note that no objection was raised to the giving of this charge.
See Black v. Johnson,
Porter Coatings v. Stein Steel &c. Co.,
Dissenting Opinion
dissenting.
I respectfully disagree with the majority’s conclusion, formulated in Divisions 1 and 2, that the trial court was without power or authority to amend the pretrial order and was required to enter a judgment which conformed to the unmodified pretrial order.
Some additional facts, documented by the record and previously reported in the Court of Appeals’ certification of the case to this Court (
A trial court has inherent power to sua sponte modify a pretrial order to prevent manifest injustice. Dumas v. Beasley,
I believe that the trial court did not abuse its discretion in determining that manifest injustice would result if the trial court failed to examine the constitutional issue before entering judgment. After all, the jury had concluded that DHR was responsible for Ms. Phillips’ death, and that Ms. Phillips’ estate and her mother had proven suffering and damage which justified compensation in the amount of $3.5 million.
The appellate courts are unlikely to find an abuse of discretion where a trial court fails to modify a pretrial order without a motion. Gilbert v. Meason, supra,
I am authorized to state Justice Thompson joins in this dissent.
The pretrial order stated:
Under the State Tort Claims ActOCGA § 50-12-29 , the maximum amount of damages is $1,000,000.00, and if the jury awards an amount in excess of $1,000,000.00, said amount shall be written down by the Court. Plaintiff may not seek or recover punitive damages under the Act.
The majority opinion is internally inconsistent: it holds that the trial court was without power to modify the pretrial order and that the parties were bound thereby, yet it then modifies the pretrial order by awarding Mrs. Phillips $2,000,000 instead of the $1,000,000 maximum amount of damages set forth in the pretrial order. I would suggest that if the pretrial order can be modified by the appellate'court twenty-one months after the judgment was entered, surely the trial court had the power to modify the pretrial order nine days after the verdict and prior to entry of judgment.
In Echols v. Bridges,
Had Mrs. Phillips’ counsel suggested before the return of the verdict that application of the statute requiring that a verdict in excess of $1,000,000 be written down to $1,000,000 was unconstitutional, he would have been silenced with a ruling that his argument was premature since Mrs. Phillips was not hurt and her rights were not affected by the statute until a verdict in excess of $1,000,000 was returned. See Bo Fancy Productions v. Rabun County Bd. of Commrs.,