*2 McKAY, Before BARRETT and Circuit Judges, WINDER,* Judge. District BARRETT, Judge. Circuit malpractice This against case the United States was by commenced Jose and Tina Arvayo under the Federal Tort Claims Act (FTCA) on son, behalf of Jose, Jr. Following court, trial to the damages in $1,950,000 amount of were awarded in the Arvayos’ F.Supp. favor. 580 753. The dis- positive on appeal issue is whether the ad- ministrative claim filed was timely.1
The relevant facts are
dispute.
not in
On
January
Arvayo
Tina
brought
Jose, Jr.,
old,
then five months
to Dr. De-
Poe at the McConnell Air Force Base Hos-
pital because he
cranky
and had been
suffering from a
days.
fever for nine
Af-
Jose,
ter briefly examining
diag-
Dr. DePoe
nosed
upper
his condition as an
respiratory
(URI)
infection
virus—for
pre-
which he
—a
Concentrate,
scribed Triaminic
and directed
Arvayo
Tina
to return with Jose in a week
if his
improved.
condition had not
By 11:00 a.m.
morning,
the next
31,1979, Jose’s
sig-
condition had worsened
nificantly.
eyes
crossed,
His
and he
from convulsions. Tina Ar-
vayo returned with him to the McConnell
Winder,
*The Honorable
K.
years
David
United States
after such claim accrues or unless ac-
Utah,
Judge
sitting by
District
for the District of
begun
tion is
within six months after the date
designation.
mail,
mailing, by
registered
certified or
notice of final denial of the claim
2401(b) (1982) provides:
1. 28
§
U.S.C.
agency
presented.
(Emphasis
to which it was
against
A tort
the United States shall be forev-
added.)
presented
er
writing
barred unless it is
appropriate
agency
Federal
within two
that Dr.
fail-
physi-
alleging
district court
emergency room
where an
hospital,
timely
and treat the men-
ure to
Pascua, immediately recognized
cian, Dr.
ingitis
of Jose’s retardation.
Prelimi-
was critical.
condition
that Jose’s
Rejecting
testimony
as biased the
as bac-
diagnosing
condition
Jose’s
narily
diag-
that Dr. DePoe’s
Government doctors
transferred
Pascua
meningitis,
terial
fallen
nosis and treatment
below
Hospital, a civilian
Joseph’s
St.
Jose to
*3
standards,
prevailing community
the dis-
At St.
specialized care.
for more
hospital,
found that Jose was
trict court
examined Jose
doctors
Joseph’s several
30, 1979,
meningitis
January
that
Their
of the afternoon.
during the course
community
would have
the standard
the
meningitis
of
“working diagnosis”
condition,
and that
been to
the
p.m.
approximately 6:00
confirmed at
diagnosed
and
had
condition
treat-
been
Butler,
his-
had taken
Dr.
who
Jose’s
after
before,
day
probably
would not
ed
Jose
Arvayo earlier that after-
tory from Tina
severely disabling inju-
have suffered the
spinal tap.
noon,
performed
lives
and
ries he now
with. Memorandum
and
by Dr. Butler
history taken
The
Order,
District Court for the
United States
Abbas, neurologist
Dr.
by him and
signed
23, 1984),
(February
at
District of Kansas
at St.
charge
of Jose’s care
primarily
Opinion”].
“Memorandum
19 [hereinafter
doctors were
that both
Joseph’s, reveals
Further,
that “the
the district court found
to McConnell
had been taken
aware Jose
[Arvayos]
timely apprised
were
of
never
given Triamin-
had
day before and
significance
of
any
suspicion
reason
also were aware
They
ic
treatment.
30,
DePoe
the event with Dr.
weeks, though not
prior two
that within the
1979,
Arvayo]
an
until
visited
attor-
[Tina
before,
had
at McConnell
day
doctors
ney
the summer of 1981.” Id. at 36.
(R.Vol.
as an URL
diagnosed his condition
upon
This
the court’s
based
7;
370.)
1
Vol. 15 at
at
Arvayos
of the
and conclusion
observation
1979,
August,
Arvayos were
By
wholly
“quite young,
were
trust-
significant
aware
Jose
suffered
authority,
per-
ing
particularly
of
medical
Be-
meningitis.
damage from the
brain
sons,”
suggested
one has
and
“[n]o
1981,
1979,
August,
January,
and
tween
any relationship
plight
the child’s
between
however,
Arvayos
inquiries
no
made
if
delay
diagnosis.
It is doubtful
and
propriety,
impropriety,
of
to the
any
treating physicians
had even
and treatment on Janu-
DePoe,
of his
heard of Dr.
the estent
care
Furthermore,
30,
no
fa-
doctor
ary
treatment;
assuredly,
and most
no one
infor-
the case volunteered such
miliar with
relationship.” Id. The
had volunteered a
1981,
Arvayo
Tina
con-
August,
mation.
district
ruled that the cause
court thus
present case
attorney
her
in the
sulted
August,
when the
action accrued
dissat-
she
her husband were
significance
Arvayos were
of the
informed
cov-
government insurance
isfied with the
delay
in the
at-
expenses.
medical
The
erage of Jose’s
cases.
at 38.
Id.
malpractice firm
torney was
a medical
involving
previously handled cases
that had
Discussion
in-
diagnosis meningitis.
After
delayed
The
28 U.S.C.
purpose behind
Arvayo
possible con-
forming
of the
Tina
2401(b)
provision of the
limitations
§
—the
delayed diagnosis of men-
nection between
reasonably dili
require
FTCA—“is to
retardation,
attorney
ingitis and mental
against the
gent presentation
claims
of tort
firm
retained
handle
and his
Kubrick,
v.
Government.” United States
Thereafter,
on December
case.
352, 360,
111, 123,
444 U.S. at
S.Ct.
Arvayos filed
administrative
2401(b),
(1979).
real
that the doctor did not do some-
tavson,
plaintiff’s personal representa-
thing
that he or
had a
she
to do.
sought
application
tive
“to avoid
matter,
Although,
aas
theoretical
a doc-
grounds
statute on the
plaintiff]
that [the
an
tor’s failure
detect
illness does not
reasonably failed to draw a causal link
necessarily
community
mean
standards of
negli-
between
and some of the
breached,
due care
have
we conclude gent diagnoses by military doctors until
determining
in the
context of
when a
years
filing____”
within two
of the date of
any attempt
cause of action accrues
As even the
dissenters
Ku-
pened
the attorney they
that
consulted had
plaintiff
ignorant
brick: “A
who remains
experience
malpractice
medical
through
diligence
lack of
cannot be charac-
involving
cases
delayed
diagnosis of
”
terized as
‘blameless.’
U.S. at
meningitis. He
plaintiffs
informed
par-
v. City
City,
Bessemmer
text, the trial on the merits should be
-,
1504, 1511,
105 S.Ct.
L.Ed.2d
‘the main event’
‘tryout
... rather than a
(1985):
road.’____
reasons,
on the
For these
re-
plainly
This standard
does not entitle a
findings
view of factual
clearly
under the
reviewing
court to reverse the
erroneous standard —with its deference
simply
the trier of fact
it
because
rule,
to the trier of fact—is the
not the
convinced that it would have decided the
exception.
differently.
reviewing
case
(citation omitted).*
Id.
oversteps
the bounds of its
under
I cannot conclude that the district court’s
duplicate
Rule 52 if it undertakes to
findings
plaintiff’s
parent’s
reason-
role
applying
of the lower court.
‘In
implausible
ableness were so
as to merit
clearly erroneous
find-
standard
Certainly,
reversal.
the view that Dr. De-
ings
sitting
aof
district court
without
Poe’s
contributing
was not
jury, appellate
constantly
courts must
suffering
was not
have in mind that their function is not to
from
decide
de
If
at the time of Dr.
factual issues
novo.’
...
was not so
district court’s account
the evi-
unreasonable
plausible
prevent
government
as to
light
arguing
dence
from
of the record
it at
Even
entirety,
ap-
parents
viewed
its
the court of
trial.
peals may
though
not reverse it
that their
even
believed
child was
convinced
sitting
diagnosis,
that had it been
as the
the disease at the time of the
it
fact,
trier
it
weighed
would have
is far from
clear that would have been
*
addition,
J., dissenting)
(“By
promoting
Supreme
we should not further burden our
conducting
High Magistrate
every
overburdened dockets
exhaustive
Court as the
warrant-
seizure,
practice
review
such fact-bound determinations.
less search and
has bur-
Cf.
—
-,
-,
Carney,
argument
present-
10
dened the
docket with cases
California
(1985) (Stevens,
ing
significance.’’).
unreasonable son suffered injuries consequence
the inevitable day’s delay that mere affect on the extent
diagnosis had no circumstances, these injuries. Under
those plaintiff would finding that a reasonable into the inquired further effect of
not have implausible. is not delayed diagnosis affirm.
I would America,
UNITED STATES
Plaintiff-Appellee, KENDALL, Lee
Graham
Defendant-Appellant.
No. 83-1908. Appeals,
United States Court Circuit.
Tenth
July
