Lead Opinion
The appellees sued the appellant, Georgia Osteopathic Hospital, Inc. d/b/a Doctors Hospital, seeking damages for the death of their father, George O’Neal, who was killed by police after he “went berserk” and began attacking people with a knife while a patient at the hospital. The appellees also sought to recover actual and punitive damages for the pain and suffering allegedly experienced by O’Neal before he died. A jury returned a verdict in their favor in the amount of $550,000, and the case is before us on appeal from the denial of the hospital’s alternative motions for new trial and judgment notwithstanding the verdict.
The decedent was originally admitted to the hospital by Dr. Schnapp on November 22, 1983, with complaints of head and neck pain. During the course of that stay, a neurological evaluation was performed on him by Dr. Lara, who determined that he was suffering from neurovascular and muscle-contraction headaches. The decedent was discharged from this hospitalization on December 6, 1983, after a course of treatment which included physical therapy and the administration of various medications for inflammation, pain, and muscle tension. However, he continued to complain of neck and head pain and also began to report numbness in his right hand. Consequently, on December 12, 1983, he was readmitted to the hospital by Dr. Boecker, who was Dr. Schnapp’s partner or associate. Because the decedent was additionally exhibiting symptoms of hypertension at this time, there was some concern that he might be a candidate for a stroke. During the course of the following three days, numerous central nervous system depressant drugs — specifically Tigan, Nubain, Flexeril, Indocin, Halcion, Robaxin, Dalmane, Soma, and Haldol — were administered to the decedent. The appellees presented opinion testimony from a psychiatrist, Dr. James S. Cheatham, to the effect that the co-administration of these drugs precipitated an “anti-cholinergic drug reaction” in the decedent which ultimately caused him to go “berserk.”
The hospital records indicate that the nursing staff first became
The morning shift nurse, Ms. McKenzie, observed that the decedent appeared confused and disturbed; and she was sufficiently concerned about his condition that she spent several hours with him during her shift attempting to reassure and comfort him. The decedent made repeated complaints during this period to the effect that he did not think “all this medication” was helping him, and he threatened at one point to leave the hospital. Nurse McKenzie called Dr. Boecker several times to express concern about the situation, and he visited the decedent at 12:40 p.m. Observing that the decedent exhibited an “inappropriate affect and uncharacteristic confusion regarding time and events,” Dr. Boecker called in Dr. Lara, the neurologist who had examined him during his previous hospital stay, for a consultation. Dr. Lara examined the decedent at about 2:00 that afternoon and concluded that he was “suffering from a confusional state secondary to medication effect.” However, he testified at trial that he did not feel the decedent was dangerous at this time.
By 3:00 p.m., Dr. Boecker had discontinued all of the decedent’s prior medications, prescribing only Haldol, an anti-psychotic drug, on an as-needed basis. The nurse assigned to care for the decedent on the three-to-eleven shift was Ms. Daryle Branch, a licensed practical nurse who normally worked on the obstetrics ward. At 6:00 p.m., she made the following notation in his record: “Remains confused. He’s been up walking in the room.” Nurse Branch made her next entry in the decedent’s hospital record at 10:00 p.m., at which time she described him as “resting quietly” in bed with his eyes closed. Asked at trial to describe his behavior during the interim, Nurse Branch testified as follows: “[H]e was calm, he was quiet. ... He was conversing . . . probably, with his roommate . . . but nothing else was taking place; he was walkin’ around, he was watchin’ TV . . . you know, nothing out of the ordinary.”
At approximately 10:15 p.m. the decedent called the nurses’ sta
None of the physicians who examined the decedent between his admission to the hospital on December 12 and his death on December 15 was named as a defendant in this action, and none of them was employed by the hospital except for Dr. Newlon, who is not alleged to have been negligent in any way. The appellees’ claim against the hospital is predicated on allegations that (I) its pharmacy was negligent in failing to monitor the various medications being provided to the decedent for possible adverse interactions; (2) its nurses were negligent in failing to keep the decedent’s physicians as well as their own superiors at the hospital adequately informed about his deteriorating condition; and (3) the nurses were further negligent in failing to apply physical restraints to him before he went berserk. In addition, the appellees sought to prove (4) that Nurse Branch had given the decedent a discontinued drug, Dalmane, approximately a half hour before he went berserk. The appellees’ psychiatric expert, Dr. Cheatham, characterized Dalmane as a “very potent central nervous system depressant drug” and testified that if it was in fact administered on the night of December 15 it “was probably the straw that broke the camel’s back.”
During the trial, Ms. Branch testified that she had not administered Dalmane to the decedent on the night of December 15 but had administered it to him only on the previous night, before it was discontinued. However, she acknowledged having previously testified, during the course of a pre-trial deposition, that she had given him the drug on the night of December 15. It was shown that after consulting with the hospital’s attorneys during a break in this deposition, Ms. Branch had sought to correct this “mistake” by submitting an “errata sheet” stating that she had actually administered Dalmane to the decedent on December 14 rather than on December 15. Held:
1. The hospital contends that the trial court erred in allowing the appellees’ claims for the decedent’s pain and suffering and funeral expenses to be submitted to the jury because only the decedent’s estate had standing to pursue these claims, and no administrator or executor had been appointed to represent the estate. In the recent case of Walden v. John D. Archbold Mem. Hosp.,
2. Since punitive damages are not available in a wrongful death action, Truelove v. Wilson,
3. The hospital contends that under the Supreme Court’s decision in Bradley Center v. Wessner,
4. The hospital contends that there was no evidence that the decedent’s death was proximately caused by any act or omission on the part of any of its employees. We agree that the evidence would not have supported a finding of liability under the first theory of liability advanced by the appellees, i.e., that the hospital pharmacy was negligent in failing to monitor the decedent’s medications for possible adverse interactions. All of the medications being administered to the decedent had been prescribed by his attending physicians, and there is no suggestion that the pharmacy made any mistake in filling these prescriptions. Clearly, the pharmacy staff was in no position under the circumstances to override or second-guess the medical judgment of the decedent’s physicians as to what drugs were appropriate for him. Cf. Hawkins v. Richardson-Merrell, Inc.,
5. The evidence similarly did not support an award of damages against the hospital based on the failure of its nurses to communicate with the decedent’s physicians or with their own superiors regarding the decedent’s behavior. It is apparent without dispute that the admitting physician, Dr. Boecker, was notified of the nurses’ concerns regarding the decedent’s behavior on several occasions during the 24-hour period prior to his death and that he in fact arranged for a neurological consultation less than eight hours prior to the decedent’s death in an effort to determine the cause of his behavioral abnormalities. The neurologist, Dr. Lara, testified he did not consider the decedent to be dangerous at the time he examined him.
Although nurse Branch’s notes indicate that the decedent was continuing to act “confused” several hours later, there is absolutely no evidence that his condition had changed significantly from what it was at the time of Dr. Lara’s examination. More importantly, there was no evidence that the decedent ever, at any time prior to the sudden outburst which led to his death, either engaged in or threatened to engage in hostile behavior. Under these circumstances, there is simply no evidentiary basis for a conclusion that his death was proximately caused by a failure on the part of the nursing staff to commu
6. With regard to the nursing staff’s failure to place physical restraints on the decedent — i.e., to strap him to a chair or bed — we find no evidence of any conduct on his part which would have authorized the nurses to take such action. As previously indicated, there was no evidence that the decedent had engaged in any overt acts or threats of violence towards anyone, including himself, prior to the conduct which led to his death, and nurse Branch testified without dispute that he was “calm” and “quiet” during the hours immediately prior to the attack. Compare Emory Univ. v. Shadburn, supra,
7. The jury was, however, authorized to return a verdict against the hospital based on nurse Branch’s deposition testimony that she had given the decedent Dalmane, a discontinued central nervous system depressant drug, approximately a half hour before he went berserk. As previously indicated, Dr. Cheatham testified that if in fact Dalmane was administered to the decedent at that time, it was the “straw that broke the camel’s back.” There can be no question that hospital nurses are under a duty to refrain from giving patients unauthorized medications; and under Gibbons v. State,
We must reject the hospital’s rather remarkable contention that the errata sheet submitted by nurse Branch following the break in her deposition “negated any testimony regarding the. giving of the medication on December 15th.” The jury was authorized to conclude from the portions of nurse Branch’s deposition which were read to it during the trial that her original testimony in this regard had not been the product of confusion about the dates but that she had fully intended to testify that she administered Dalmane to the decedent at 9:45 p.m. on the night he died. The appellant has provided us with no authority for the proposition that substantive deposition testimony may be erased from the record through the mere submission of an errata sheet, and we certainly do not intend to create any. Cf. OCGA § 9-11-32 (d) (4).
Although the appellant further contends that the hospital records conclusively support Ms. Branch’s trial testimony that she administered Dalmane to the decedent on the night of December 14 rather than the night of December 15, there is in fact an entry for Dalmane appearing on the nurses’ notes for the 15th, albeit with a line drawn through it and the notation, “D/C” (for discontinued), written beside it. Under the circumstances, it was within the jury’s province to determine whether this entry contradicted or supported the witness’ original deposition testimony.
8. Since it was apparent even before nurse Branch began her trial testimony that she intended to disavow her original deposition testimony, the trial court did not abuse its discretion in allowing the appellees to call her as an adverse witness, so as to permit them to begin cross-examining her immediately regarding her deposition. “[A] party may use a prior inconsistent statement made by his own witness both to impeach the witness and as substantive evidence without showing surprise.” Williams v. State,
9. The hospital contends that the decedent’s death at the hands of the police must, as a matter of law, be considered the proximate result of “his own conduct in ignoring the commands of the police officers to drop his knife and continuing to advance with knife in hand upon the police officers.” We disagree.
“ ‘ “In order for a party to be liable ... for negligence, it is not necessary that he should have been able to anticipate the particular consequences which ensued. It is sufficient, if in ordinary prudence he might have foreseen that some injury would result from his act or omission, or that consequences of a generally injurious nature might result. (Cits.)” ’ Milton Bradley Co. v. Cooper,
The hospital’s reliance on Strickland v. DeKalb Hosp. Auth.,
10. The hospital contends that the trial court erred in refusing to submit to the jury the issue of whether the decedent was survived by a common-law wife. If he was, then she, rather than his children, had exclusive standing to bring the wrongful death action. See OCGA § 51-4-2 (a); Mack v. Moore,
The putative wife, Tiny Pruitt (a/k/a Tiny Pruitt O’Neal), testified that she and the decedent had lived together continuously from 1974 until his death and had held themselves out as husband and wife during that period. She stated she had used the name O’Neal “when we was gettin’ stuff together” and that “we stayed together so long dey just considered us married, so I used it then.” She conceded, however, that some people in the neighborhood still called her Pruitt and that she and the decedent had “talked some about getting married . . . [b]ut . . . never did it. . . .”
In order for a common-law marriage to come into existence, the
There clearly is evidence in this case to support a finding that the decedent and Ms. Pruitt routinely held themselves out as man and wife while cohabitating as such, and there is no suggestion that any legal impediment existed to their ability to contract a marriage. Ms. Pruitt’s statement that she and the decedent had “talked some about getting married . . . [b]ut. . . never did it . . .” does not necessarily negate the existence of a common-law marriage relationship, for a couple may enter into such a relationship yet nevertheless discuss and plan a marriage ceremony for the purpose of formalizing the arrangement. Accord Brown v. Carr,
11. The hospital contends that the trial court erred in refusing to allow the forensic pathologist who had performed the autopsy on the decedent to state whether, in his opinion, Dalmane, would have “showed up” on the drug screening test which he had commissioned in connection with the autopsy had that drug been administered to the decedent between 9:00 and 10:00 p.m. on December 15, 1983. It was shown that the pathologist had given the toxicologist a list of medications to test for but that Dalmane was not on this list. Although the pathologist was allowed to testify that the drug screening test had not revealed the presence of Dalmane in the decedent’s blood, he was not allowed to state whether he “would . . . have expected it to turn up” if it had been administered to him “about an hour before [he] went berserk.” Inasmuch as the pathologist’s answer to this question would have been both irrelevant and misleading in the absence of evidence that the decedent’s blood had actually been tested for Dalmane, we find no error.
12. The hospital complains that the trial court improperly prevented it from cross-examining the appellees’ medical expert, Dr. Cheatham, regarding his alleged failure to order physical restraints for one of his former patients who had committed suicide after being
Ethical Consideration 4-5 of the Code of Professional Responsibility specifies: “A lawyer should not use information acquired in the course of the representation of a client to the disadvantage of the client and a lawyer should not use, except with the consent of his client after full disclosure, such information, for his own purpose.” We must presume that, in defending Dr. Cheatham against the malpractice claim arising from the incident in question, the hospital’s attorneys were in a position to acquire information from him of a confidential nature which would have assisted them in cross-examining him about the incident in the present action. Thus, notwithstanding the fact that Dr. Cheatham might previously have testified about certain aspects of the incident without invoking the attorney-client privilege, we hold that the trial court acted properly in allowing him to invoke the privilege with respect to such questioning in the present action.
13. The hospital contends that because the appellees’ claim for damages for the decedent’s pain and suffering was not properly before the jury (see Division 1, supra), the trial court erred in allowing into evidence certain photographs depicting his condition after the shooting.
“ ‘The admission or exclusion of photographic exhibits is a matter within the discretion of the trial court, and unless abuse of discretion appears, no error is shown. DeKalb County v. McFarland,
The photographs at issue obviously had some relevance to the wrongful death aspect of the case in that they showed how the dece
14. The hospital’s final enumeration of error is directed to the overruling of its objections to several of the trial court’s jury instructions, as well as the court’s failure to give several of its requested charges. In all, 13 separate charges and requests to charge are addressed by this enumeration of error; however, the supporting argument provided by the appellant consists in its entirety of the following statement: “The reasons for these objections are stated clearly on T-1630 through 1636 which are, due to space limitations, incorporated herein by reference.”
We find this statement insufficient to qualify as “argument” within the contemplation of Court of Appeals Rule 15 (c) (2). Although the appellant has sought to expand on it in various supplemental briefs filed with this court, it is well settled that “a supplemental brief does not resurrect from abandonment enumerations not addressed in the initial brief. (Cits.)” McKinney v. South Boston Savings Bank,
15. The appellant has filed a total of nine separate briefs in support of this appeal, totaling over 116 pages. (The seventh was entitled, “Closing Brief,” but, alas, failed to live up to its billing in this regard.) The appellees have moved this court to assess damages against the appellant for filing a frivolous appeal, complaining that they have been “compelled to incur exorbitant fees and expenses to respond to these briefs.” While we agree with the appellees that much of the argument advanced by the appellant in its prolific outpouring of briefs has been redundant, and while we are sympathetic to their desire to discourage this type of advocacy, we are obviously in no position to declare the present appeal frivolous, inasmuch as it has resulted in a reversal of the judgment below. The appellees’ motion must, therefore, be denied.
Judgment reversed.
Concurrence Opinion
concurring specially.
I concur with the majority opinion, except that the issues addressed in Divisions 11 and 12 thereof require further explanation in view of a potential for error upon retrial.
As to Division 11: Admission of evidence rests largely within the sound discretion of the trial court. Gene Thompson Lumber Co. v.
As a general rule, however, even if evidence is of doubtful relevancy or competency, it should be admitted and its weight left to the jury. Id. Thus, “ ‘[u]nless the potential for prejudice in the admission of evidence substantially outweighs its probative value the Georgia rule favors the admission of any relevant evidence, no matter how slight its probative value. Evidence of doubtful relevancy or competency should be admitted and its weight left to the jurors. Where evidence is offered and objected to, if it is competent for any purpose, it is not erroneous to admit it.’ ” Norman v. State,
As to Division 12: Although a party is entitled to a thorough and sifting cross-examination, the scope of such examination is within the sound discretion of the trial court. Thomas v. Clark,
