Jeane Whitfield v. Dennis K. SchimpfJeane Whitfield v. Dennis K. Schimpf
REVERSED AND REMANDED
Jesse Sanchez, of The Law Office of Jesse Sanchez; Daniel Scott Slotchiver and Andrew Joseph McCumber, of Slotchiver & Slotchiver, LLP; Brent Souther Halversen, of Halversen & Halversen, LLC, all of Mount Pleasant, all for Petitioner.
Todd W. Smyth and Allie Aleece Maples, of Smyth Whitley, LLC, of Charleston, for Respondents.
JUSTICE FEW: Jeane Whitfield brought this medical malpractice action against Dr. Dennis Schimpf and Sweetgrass Plastic Surgery, LLC—Schimpf‘s medical practice—alleging Schimpf was negligent in performing breast augmentation-mastopexy surgery1 on Whitfield and he and other Sweetgrass employees were negligent in rendering post-operative care. The jury returned a verdict in favor of Schimpf and Sweetgrass, and the court of appeals affirmed. We granted Whitfield‘s petition for a writ of
I. Facts and Procedural History
Whitfield had breast augmentation surgery in 2009. Schimpf did not perform this original augmentation surgery. In 2013, Whitfield began experiencing discomfort under one of her breasts and scheduled a consultation with Schimpf at Sweetgrass. Schimpf recommended augmentation-mastopexy surgery to address “encapsulation,” which is heavy scar tissue surrounding a breast implant.
Schimpf operated on Whitfield on June 6, 2014. Schimpf removed Whitfield‘s breast implants and the scar tissue surrounding them, and then inserted smaller implants in their place. Schimpf also performed unrelated cosmetic procedures on her eyes, neck, and stomach at the same time as the augmentation-mastopexy procedure.
During a normal post-operative visit on June 10, Whitfield expressed concern with the way the sutured incision around the areola on her right breast was healing. She testified at trial she was told by Sweetgrass employees on June 10 that what she observed was part of the “natural progression of healing,” but the wound continued to worsen after the post-operative visit.
On June 20, Whitfield experienced severe chest pain and called an ambulance to transport her to Roper Hospital. The physician at the hospital ruled out possible cardiac issues, discharged Whitfield from the hospital, and told her to contact her plastic surgeon if the pain persisted.
Kalus saw Whitfield on July 10 and determined the wound “was open.” Kalus testified the “wound separation” was about two-and-a-half centimeters on the right breast and about one centimeter on the left breast. Kalus also testified the exposed tissue beneath the wound was undergoing “fat necrosis.”3 Kalus referred her back to Schimpf for further treatment.
On July 11, Whitfield returned to Sweetgrass and was placed in an examination room with Schimpf and Vicky Tolbert—the office manager for Sweetgrass. Whitfield testified at trial that Schimpf was very angry she had gone to see another doctor and “let someone else see” the wound. She testified Schimpf opened up her wound and then “proceed[ed] to stitch [her] up with no anesthetic, no little cat needle, no cream
or anything, no spray.” She stated that when Schimpf finished he threw his tray into the sink and told Whitfield to “get out of here.”
Whitfield testified that on July 13, 2014, while she was in the shower, her right breast “blew open all the way through” and blood poured out from the wound. Whitfield called Kalus who told her to go to the hospital immediately. Kalus testified he treated her at the hospital and the wound had worsened
In March 2015, Kalus performed a second surgery at Whitfield‘s request to remove the left implant. He also removed 490 grams of tissue from her left side. Kalus later performed a fat grafting surgery on Whitfield to address the asymmetry from the tissue removal.
On May 30, 2017, Whitfield filed this medical malpractice lawsuit against Schimpf and Sweetgrass in Charleston County. The complaint alleged Schimpf was negligent because there was “too much tension placed surgically on the incision which led to inadequate blood flow, ischemia, and dehiscence of the wound margins, fat necrosis, and ultimately infection of the right breast.” The complaint also alleged Schimpf and Sweetgrass were negligent in failing to provide adequate post-operative care to Whitfield.
After a five-day trial, the jury returned a verdict in favor of Schimpf and Sweetgrass, finding on a special verdict form that Whitfield did not “prove by a greater weight or preponderance of the evidence that the Defendants deviated from the standard of care.” Whitfield appealed, and the court of appeals affirmed in an unpublished opinion under
II. Admissibility of Evidence of Tolbert‘s Bias
Whitfield argues the trial court erred in excluding three categories of evidence she offered to show bias on the part of Vicky Tolbert: (1) Tolbert‘s sexual relationship with Schimpf and his wife, (2) her salary at Sweetgrass, and (3) the free cosmetic procedures she received from Schimpf.
Before trial, Whitfield‘s attorney took Tolbert‘s deposition. Tolbert testified she had been in an on-again, off-again sexual relationship with Schimpf and his wife for the past nine years. She stated the last time they engaged in sexual relations was one week before the deposition. As an employee of Sweetgrass, Tolbert received a salary for her work. Tolbert testified
Schimpf filed a pretrial motion seeking to exclude this evidence. Schimpf argued the evidence should be excluded under
During trial, Whitfield called Tolbert as an adverse witness in her case-in-chief. Schimpf objected to a question Whitfield asked Tolbert about the amount of her salary at Sweetgrass. The trial court excused the jury and heard arguments about that objection, evidence of her sexual relationship with Schimpf and his wife, and evidence she received free medical procedures from Sweetgrass. Whitfield argued “the evidence of their relationship, how much Dr. Schimpf is compensating her financially, and also the evidence that we adduced from the depositions,” referring to the evidence of the sexual relationship, “is directly relevant to her credibility and her bias as a witness.”
For reasons not explained, the trial court then analyzed the admissibility of the evidence under
requiring a proffer of testimony to preserve an error arising from a trial court‘s exclusion of evidence. Whitfield, Op. No. 2022-UP-417, at 1.
We first address issue preservation. We then address whether the trial court erred in excluding the testimony under the Rules actually applicable to the question:
a. Issue Preservation
Whitfield argues the court of appeals erred in determining she was required to proffer Tolbert‘s testimony. We agree.
Error may not be predicated upon a ruling which admits or excludes evidence unless a substantial right of the party is affected, and . . . [i]n case the ruling is one excluding evidence, the substance of the evidence and the specific evidentiary basis supporting admission were made known to the court by offer or were apparent from the context.
Here, the parties met with the trial court in chambers before the pretrial hearing and discussed this evidence of bias. Although that meeting was not on the record, from the arguments in the pretrial hearing and during Tolbert‘s testimony, it is clear the trial court was aware that “the substance of the evidence” Whitfield was offering included (1) the sexual relationship between Schimpf and Tolbert, (2) Tolbert‘s salary at Sweetgrass, and (3) the free medical procedures Schimpf performed on Tolbert. As made clear by the plain language of
specific proffer of testimony was required and the court of appeals erred in determining the issue was unpreserved.
b. Admissibility
The central premise of the law of evidence is, “All relevant evidence is admissible . . . .”
Tolbert‘s testimony about her sexual relationship with Schimpf, the compensation she received from him, and the complementary cosmetic procedures he performed on her made the existence of Tolbert‘s bias towards Schimpf more probable. While this evidence has no direct bearing on the medical care or treatment Whitfield received from Sweetgrass, it is relevant for the purpose of assessing Tolbert‘s credibility. Thus, the proposed testimony was relevant under
In addition,
Here, each of the three potential sources of Tolbert‘s bias in favor of Schimpf was clearly relevant under
The trial court also relied on
First,
improper basis.” State v. Gilchrist, 329 S.C. 621, 630, 496 S.E.2d 424, 429 (Ct. App. 1998) (quoting United States v. Bonds, 12 F.3d 540, 567 (6th Cir. 1993); see also State v. Gray, 408 S.C. 601, 616, 759 S.E.2d 160, 168 (Ct. App. 2014) (“All evidence is meant to be prejudicial; it is only unfair prejudice which must be scrutinized under Rule 403.” (cleaned up) (quoting Gilchrist, 329 S.C. at 630, 496 S.E.2d at 429)). Evidence poses a danger of unfair prejudice when it has a “tendency to suggest a decision on an improper basis, commonly, though not necessarily, an emotional one.” State v. Holder, 382 S.C. 278, 290, 676 S.E.2d 690, 697 (2009) (quoting State v. Jackson, 364 S.C. 329, 334, 613 S.E.2d 374, 376 (2005)). Second,
The trial court‘s failure to apply the correct legal standard in these two respects was itself an abuse of discretion. See State v. Wallace, 440 S.C. 537, 543, 892 S.E.2d 310, 313 (2023) (“[T]he trial court—when ruling on the admission or exclusion of evidence—must apply the correct law.” (first citing State v. Jones, 423 S.C. 631, 636, 817 S.E.2d 268, 270 (2018); and then citing State v. King, 422 S.C. 47, 68-69, 810 S.E.2d 18, 29 (2017))).
In addition, the trial court misunderstood its role in evaluating the admissibility of evidence. The trial court
Schimpf nevertheless argues the testimony would have been excluded even under a proper
The evidence has considerable probative value in demonstrating Tolbert‘s bias in favor of Schimpf. Tolbert‘s long-term sexual relationship with Schimpf made her more likely to provide favorable testimony on his behalf. The facts that Schimpf was giving Tolbert free cosmetic procedures and she was being compensated as an employee of Sweetgrass further increased the likelihood she would testify positively about both Schimpf and Sweetgrass. We find the probative value of this evidence is high. See Starnes, 340 S.C. at 325, 531 S.E.2d at 915.
As to Tolbert‘s sexual relationship with Schimpf, we do see some danger of unfair prejudice in the fear the information about Schimpf‘s extramarital relationship with a staff member would paint Schimpf‘s character in a negative light and distract the jury from the central issue in the case—whether Schimpf was negligent in rendering medical care. We agree with Schimpf this information had the potential to overshadow the facts relevant to the central issue—medical negligence—and unfairly influence the jury to make its decision on some basis other than whether Schimpf breached the applicable standard of medical care. Given the high probative value of a longstanding romantic relationship with the defendant as a source of potential bias, however, we find the probative value was not substantially outweighed by the danger of unfair prejudice. Thus, it was error to exclude the evidence of Tolbert‘s sexual relationship with Schimpf under
Our analysis differs, however, as to evidence of Tolbert‘s sexual relationship with Schimpf‘s wife. First, the record before us does not indicate that the evidence of Tolbert‘s relationship with Schimpf‘s wife adds any additional probative value beyond the fact Tolbert was in a sexual relationship with Schimpf himself. As far as we can tell, therefore, the probative value of this evidence in this case is zero. As to unfair prejudice, the fact Schimpf was involved in a three-way relationship with both his office manager and his wife is a bizarre circumstance that poses a substantially increased risk the jury may be distracted from the central issues in the case. The lack of any additional probative value in the evidence balanced against the significant danger the jury will judge Schimpf by his unconventional and inappropriate sexual conduct rather than by whether he breached the applicable standard of care causes us to agree with the trial court that evidence of Tolbert‘s sexual relationship with Schimpf‘s wife should have been excluded.
c. Reversible Error
Because Tolbert‘s testimony did not relate directly to the central issue in the case—medical negligence—we turn to the question of whether the trial court‘s error in excluding evidence of her bias requires that we reverse and grant Whitfield a new trial. As we recently stated, “Some errors—when considered in the context of the facts of a particular case—are so insignificant and inconsequential they do not require reversal . . . .” State v. Reyes, 432 S.C. 394, 405-06, 853 S.E.2d 334, 340 (2020). Rather, “to warrant reversal based on the admission or exclusion of evidence, the appealing party must show both the error of the ruling and prejudice.” Fields v. J. Haynes Waters Builders, Inc., 376 S.C. 545, 557, 658 S.E.2d 80, 86 (2008) (citing Fields v. Reg. Med. Ctr. Orangeburg, 363 S.C. 19, 26, 609 S.E.2d 506, 509 (2005), overruled on other grounds by Wallace, 440 S.C. at 542, 892 S.E.2d at 312). “Prejudice is a reasonable probability that the jury‘s verdict was influenced by the challenged evidence or the lack thereof.” Id.
Whitfield argues she was prejudiced by the trial court‘s error because “she had no other means by which to establish [Tolbert‘s] interest, bias, or partiality towards Dr. Schimpf at trial.” Specifically, Whitfield argues she was prejudiced by not being permitted to establish Tolbert‘s bias because Tolbert gave different testimony than Whitfield regarding Schimpf‘s hostile behavior during the July 11 post-operative procedure.
As described above, Whitfield testified that, during the July 11 visit during which Schimpf cleaned her wound and placed sutures in the wound in an attempt to close it, Schimpf was angry that Whitfield had shown her wound to another surgeon and he slammed his tray in the sink. Schimpf‘s anger gave Whitfield the impression Schimpf was embarrassed that another surgeon had seen his allegedly sloppy work. When Tolbert was asked whether Schimpf was angry during Whitfield‘s visit, however, she testified, “No. He would never be angry.” When Tolbert was asked whether Schimpf threw his tray in the sink she testified, “No. Dr. Schimpf would never do that.”
I think one deviation [from the standard of care] was failure to intervene in a timely fashion in a developing problem. So, on the 11th, that patient needed to be -- Ms. Whitfield needed to be scheduled for surgery and she wasn‘t. But another deviation is apparently rather than take her to surgery and wash out the wound, debride any dead tissue, and most likely take out the implant, he elected to put sutures in to close it. So, this is an open wound now, there‘s an implant underneath. [The wound is] two and a half by one centimeter, and it‘s open because it was too tight. So, it didn‘t heal, it pulled apart. There‘s tension there. So, to think that the solution is to then place sutures and tighten it up again, it doesn‘t make a lot of sense.
Rosenberg then testified these deviations from the standard of care during the July 11 post-operative procedure were causes of her damages.
Thus, the factual dispute about Schimpf‘s mental state—whether he was angry because Whitfield showed another doctor his allegedly shoddy work at the July 11 appointment—was important to Whitfield‘s case. If Whitfield could prove Schimpf was not in a sound state of mind when treating her, particularly if the jury found reason not to believe Tolbert‘s testimony that Schimpf would “never be angry,” it would increase the likelihood the jury would find Schimpf deviated from the standard of care in the way Rosenberg claims. In addition, if Whitfield could prove Schimpf was angry at her for showing his work to another surgeon, this may have been viewed as an acknowledgment by Schimpf that there were problems with the quality of the work he did in the original surgery.
For these reasons, whether Schimpf was angry as Whitfield testified is a significant issue. The only outside witness to this
III. Admissibility of the Experts’ Testimony based on Whitfield‘s Rule 35, SCRCP, Examinations
Whitfield argues the trial court erred in allowing Schimpf‘s previously-designated experts to offer opinion testimony based in part on their physical and mental examinations of her. During discovery, Schimpf filed a motion under
Whitfield filed a motion to “prevent the Defendants from introducing any evidence to the jury regarding the defense‘s
In her brief to this Court, Whitfield relies exclusively on Fairchild to support her argument the experts’ testimony should have been excluded. The issue in Fairchild, however, was whether the trial court erred by denying a Rule 35 request.
IV. Conclusion
The trial court erred by refusing to admit evidence regarding Tolbert‘s sexual relationship with Schimpf, her salary, and the free cosmetic procedures she received from Schimpf. We reverse the court of appeals and remand to the court of common pleas for a new trial.
REVERSED AND REMANDED.
KITTREDGE, C.J., JAMES, HILL and VERDIN, JJ., concur.