Lagassey v. StateLagassey v. State
- Reporters:
- , ,
- Before:
- Borden
Opinion
The plaintiff appeals
The plaintiff, Louisette G. Lagassey, the executrix of the estate of the decedent, Wilfred J. Lagassey, presented notices of claim, individually and on behalf of the decedent’s estate, to the claims commissioner (commissioner), pursuant to
Thereafter, pursuant to
Thereafter, the plaintiff commenced this action in the trial court. The defendant again moved to dismiss the action on the ground that Special Act 96-16 was unconstitutional as an exclusive public emolument. The trial court agreed, and dismissed the action.
The following facts and procedural history are undisputed for the purposes of this appeal.
On the evening of October 7,1992, the decedent experienced lower back pain, gastrointestinal distress, and abdominal pain. On October 8, 1992, at approximately 1 a.m., the decedent arrived at the John Dempsey Hospital at the University of Connecticut Health Center (John Dempsey Hospital), where tests were performed in order to determine the condition of the decedent’s aneurysm. These tests determined that the aneurysm had grown to 5.7 centimeters, and that a leak could not be ruled out.
At that time, Steven Ruby, a vascular surgeon employed at the John Dempsey Hospital, examined the decedent. Ruby was informed that, since August, the decedent’s aneuiysm had grown from 5.1 to 5.7 centimeters. The decedent was given Percocet to relieve his back and abdominal pain.
Shortly thereafter, at approximately 7:45 p.m. on October 8,1992, the decedent experienced extreme pain in his back and abdomen. Personnel at the John Dempsey Hospital then observed that the decedent’s abdomen was protruding. At approximately 8 p.m., a suppository was prescribed to the decedent. Almost immediately upon administering the suppository, however, the decedent had a seizure and went into cardiac arrest. The decedent was then transferred to the operating room, where he died at approximately 9:30 p.m. The cause of death was a ruptured abdominal aortic aneurysm.
In December, 1992, the plaintiffs son, Paul Lagassey, began to inquire as to whether the decedent’s death may have been caused by medical malpractice. That month, he sought the opinion of his family’s physician, Hugh Friend, an internist. Friend indicated that he had
During the spring or summer of 1994, Paul Lagassey fortuitously met a cardiovascular surgeon, who, in conversation, stated that abdominal pain, coupled with a known abdominal aneurysm, required immediate medical attention in order to rule out a rupture. Thereafter, Paul Lagassey was referred to Stephen L. Deckoff, a vascular surgeon, who reviewed the decedent’s records. On August 18,1994, Deckoff issued a report substantiating that, in view of the decedent’s symptoms and recent medical history, the appropriate standard of care required that the decedent should have received immediate medical attention in order to rule out a rupture.
On September 19, 1994, pursuant to
Thereafter, upon the plaintiffs request, and pursuant to
Thereafter, the plaintiff commenced this action, accompanied by a certificate of good faith pursuant to
The trial court concluded that the plaintiffs claim was untimely pursuant to
We conclude that, on the basis of our holdings in Taylor v. Winsted Memorial Hospital,
Although the doctrine of sovereign immunity has been modified by statute and precedent, we have declined to permit monetary awards against the state or its officials in the absence of a statute granting such authority. Krozser v. New Haven, supra,
Pursuant to
Notwithstanding a claimant’s failure to comply with the limitation period set forth in subsection (a),
In determining whether a special act serves a public purpose, a court must uphold it “unless there is no reasonable ground upon which it can be sustained. . . . Thus, if there be the least possibility that making the gift will be promotive in any degree of the public welfare ... we are bound to uphold it against a constitutional challenge predicated on article first, § 1.” (Citations omitted; internal quotation marks omitted.) Chotkowski v. State, supra,
In this regard, although a special act passed under
“By contrast, we have consistently held that legislation seeking to remedy a procedural default for which the state is not responsible does not serve a public purpose and, accordingly, runs afoul of article first, § 1, of the state constitution. See, e.g., Merly v. State, supra,
Merly provides an apt procedural analogue for the present case. In Merly, the plaintiff presented a wrongful death claim on behalf of the decedent’s estate, alleging that state hospital personnel were responsible for the decedent’s death. Id., 202. After the commissioner dismissed the plaintiffs claim as untimely under
On appeal to this court, the plaintiff in Merly argued that summary judgment was improper because there
Therefore, as the trial court correctly determined in the present case, the plaintiff will prevail if she can demonstrate that “the initial determination of the commissioner concerning noncompliance with
With those principles in mind, we turn to the standard that governs our review of the present case. In the trial court, the defendant moved to dismiss the action on the ground that Special Act 96-16 was unconstitutional and, therefore, the defendant had not effectively waived sovereign immunity. “ [T]he doctrine of sovereign immunity implicates subject matter jurisdiction and is therefore a basis for granting a motion to dismiss. . . . When a [trial] corud decides a jurisdictional question raised by a pretrial motion to dismiss, it must consider the allegations of the complaint in their most favorable light.” (Citation omitted; internal quotation marks omitted.) Antinerella v. Rioux,
In addition, the present case requires us to interpret the limitation period set forth in
We acknowledge that our cases interpreting either
Both §§ 4-184 (a) and 52-584 state that the limitation period begins to ran on the date when the plaintiff discovers or should have discovered the injury. In this context, we have repeatedly stated that “an injury occurs when a party suffers some form of actionable harm.” (Internal quotation marks omitted.) Taylor v. Winsted Memorial Hospital, supra,
In August, 1977, after the plaintiff had still not healed properly, the plaintiff went to a second physician. Id. It was determined that the plaintiff had a buildup of scar tissue that was impeding muscle development. Id. On November 1, 1978, the plaintiff brought an action against Cooke and the hospital, for failing to diagnose and treat his infected leg properly. Id. The trial court granted the defendants’ motions for summary judgment, concluding that the statute of limitations had begun to run on November 10, 1975, the date on which the plaintiff had been told that his injury was caused by contaminated intravenous tubes. Id., 454. On appeal, we affirmed the judgment of the trial court, as to the defendant hospital only,
In Catz v. Rubenstein, supra,
The trial court granted the defendant’s motion for summary judgment, concluding that the statute began to run in May, 1980, when the plaintiff found out that she had cancer. Id., 42. On appeal, we reversed, concluding that there was an issue of material fact as to the time that the plaintiff should have discovered a causal relationship between the defendant’s omission and the metastasis of her cancer. Id., 43-44. Relying primarily on Bums, we stated: “A breach of duty by the defendant and a causal connection between the defendant’s breach of duty and the resulting harm to the plaintiff are essential elements of a cause of action in negligence. . . . They are therefore necessary ingredients for ‘actionable harm.’ Consequently, the plaintiffs’ decedent did not have an ‘injury’ as contemplated by the statute until she discovered or in the exercise of reasonable care should have discovered a causal relationship between the defendant’s allegedly negligent diagnosis of August, 1979, and subsequent lack of treatment, and the metastasis of her cancer which she discovered on May 1, 1980. Only then did she sustain ‘actionable harm.’ ” (Citations omitted.) Id., 44.
In addition, the court in Catz discussed the history of
In this regard, we cited favorably other jurisdictions that have concluded that “actionable harm” does not occur until the plaintiff discovers an injury and causation. (Internal quotation marks omitted.) Id., 47-48. Thus, we stated that “a plaintiff must have discovered or in the exercise of reasonable care should have discovered the essential elements of a possible cause of action before the statute of limitations commences to run.” Id., 47. In this context, “essential elements” means that “the claimant has knowledge of facts which would put a reasonable person on notice of the nature and extent of an injury and that the injury was caused by the wrongful conduct of another. . . . The focus is on the plaintiffs knowledge of facts, rather than on discovery of applicable legal theories.” (Emphasis added; internal quotation marks omitted.) Id. Thus, after Catz, it was clear that the limitation period in
The next case shedding light on this issue was Merly v. State, supra,
On appeal to this court, the plaintiff argued that he did not become aware of the basis for the malpractice claim, nor could he have been aware of such a claim, until he received the decedent’s medical records. Id., 208. In addition, he argued that, without the medical records, he could not have received a qualified expert opinion in support of his claim. Id. Nevertheless, we held that, because the plaintiff did not start any investigation into the matter until one and one-half years after the decedent’s suicide, he did not exercise reasonable care to discover the claim as a matter of law. Id. In other words, we suggested, had the plaintiff exercised
The inconsistency between Catz and Merly became more apparent after Taylor v. Winsted Memorial Hospital, supra,
The foregoing cases make clear that the limitation periods in
With regards to Merly, however, we cannot square the result reached in that case with the principles set forth in Catz and Taylor. The dispositive fact in Merly was the plaintiffs failure to request the decedent’s medical records sooner, which on the basis of our opinion in Taylor, would not be dispositive in determining whether the plaintiff exercised “reasonable care” in
With that discussion in mind, we take this opportunity to restate the correct legal standard by which to evaluate the timeliness of causes of action in negligence. The limitation period for actions in negligence begins to run on the date when the injury is first discovered or in the exercise of reasonable care should have been discovered. See
With those principles in mind, we now return to the facts of the present case. The decedent died on October 8,1992. Sometime in late 1992 and early 1993, the family received the opinions of two physicians, both of whom indicated that the decedent had received appropriate care. In August, 1994, however, the family obtained the opinion of Deckoff indicating malpractice. The plaintiff presented her notices of claim, one on behalf of the estate and one individually, to the commissioner in September and October, 1994, respectively.
On the basis of the foregoing, we conclude that the trial court applied the incorrect legal standard to the plaintiffs claim. The trial court stated: “It is clear that the commissioner . . . reviewed the facts and determined that even if the family’s view of the facts is accepted uncritically, the conclusion is inescapable that the opinion of . . . Deckoff could have been obtained during the one year limitation period had reasonable care been exercised. . . . The issue is whether prior to August, 1994, the claimant could have known, had she exercised reasonable care, that the doctor and hospital staff might have been negligent in their care and treat
There are two misapplications of the law, as we have clarified it, in the quoted portion of trial court’s decision.
Finally, we are mindful of the defendant’s concern that our decision in the present case would effectively toll the limitation period until a plaintiff finally receives favorable expert opinion. First, our holding does not reach so broadly. Our opinion in the present case merely reflects the notion that whether a plaintiff exercised reasonable care is ordinarily a question of fact, and the trial court improperly concluded as a matter of law that the plaintiff failed to exercise such care. Second, in the absence of exceptional circumstances; see, e.g., Sherwood v. Danbury Hospital,
In this opinion the other justices concurred.
Notes
The plaintiff appealed to the Appellate Court and we transferred the appeal to this court pursuant to
“(b) The General Assembly may, by special act, authorize a person to present a claim to the Claims Commissioner after the time limitations set forth in subsection (a) of this section have expired if it deems such authorization to be just and equitable and makes an express finding that such authorization is supported by compelling equitable circumstances and would serve a public purpose. Such finding shall not be subject to review by the Superior Court.
“(c) No claim cognizable by the Claims Commissioner shall be presented against the state except under the provisions of this chapter. Except as provided in section 4-156, no claim once considered by the Claims Commissioner, by the General Assembly or in a judicial proceeding shall again be presented against the state in any manner.”
Special Acts 1996, No. 96-16, § 1, provides in relevant part: “Notwithstanding the failure to file a proper notice of a claim against the state . . . within the time limitations specified by subsection (a) of
Article first, § 1, of the constitution of Connecticut provides: “All men when they form a social compact, are equal in rights; and no man or set of men are entitled to exclusive public emoluments or privileges from the community.”
“As we must in reviewing a motion to dismiss, we take the facts to be those alleged in the complaint, including those facts necessarily implied from the allegations, construing them in a manner most favorable to the pleader.” (Intemal quotation marks omitted.) Miller v. Egan,
Also on October 5, 1994, the plaintiff commenced an action in the trial court alleging the same. That action was dismissed on the ground that the plaintiff had failed to receive authorization from the commissioner to bring an action against the defendant.
The trial court, Fineberg, J., originally heard the defendant’s motion. On December 10, 2001, that court granted the defendant’s motion citing two cases: Merly v. State,
The trial court did not address the defendant’s additional claim that Special Act 96-16 did not authorize the plaintiff to bring an action individually against the defendant. Based on the following discussion, wherein we conclude that the plaintiff’s claim was not untimely as a matter of law, the import of Special Act 96-16 becomes irrelevant. See footnote 21 of this opinion.
In affirming the trial court’s judgment, the court in Merly v. State, supra,
The origin of
The appeal as to Cooke was dismissed. Burns v. Hartford Hospital, supra,
Barnes v. Schlein, supra,
It is worth noting that we did not specify a date on which the statute actually began to run; rather we simply stated that the plaintiff did not exercise reasonable care. Merly v. State, supra,
The instruction in Taylor provided as follows: “The [hospital] claims that the plaintiffs action is barred by the statute of limitations. Now the [hospital] has a burden of proving by a preponderance of the evidence each of the elements of the special defense. The statute of limitations that is applicable to this action provides that a person must bring an action within two years from the date that he discovers or in the exercise of reasonable care should have discovered that he has suffered actionable harm.
“Actionable harm occurs when the plaintiff discovers or in the exercise of reasonable care or should have discovered the essential elements of a cause of action.
“Now, therefore, in order to establish that the plaintiff has discovered or reasonably should have discovered that he suffered actionable harm, the [hospital] must prove that the plaintiff discovered or should have discovered first, that the [hospital] was negligent and second, that the [hospital’s] negligence was a proximate cause of his injuries.
“In the present case, I instruct you that this lawsuit was filed on March 6, 1996. In order for the [hospital] to prevail on the statute of limitations it must prove by a preponderance of the evidence that [the plaintiff] discovered or should have discovered through the exercise of reasonable care prior to March 6, 1994, that the [hospital] was negligent in its treatment of him on March 10, 1993, and further that he discovered or should have discovered by March 6, 1994, that this negligence of the [hospital] was a proximate cause of the stroke that he suffered on March 12,1993.” (Internal quotation marks omitted.) Taylor v. Winsted Memorial Hospital, supra,
Interpreting the word “injury” to require some evidence of a causal connection between the harm complained of and the defendant’s alleged negligence is consistent with the state’s tort reform legislation regarding medical malpractice actions. See, e.g.,
We also note our disagreement with the trial court’s and the defendant’s reliance on Lambert v. Stovell, supra,
As the state of the law rested when the trial court rendered its decision, however, its reliance on the reasoning of Merly is certainly understandable.
We point out, however, that our conclusion would not preclude the trier of fact, whether it be the court; see
As previously discussed; see footnote 9 of this opinion; the trial court did not address the defendant’s claim that Special Act 96-16 authorized the plaintiff to bring an action only on behalf of the estate and not individually. In light of our conclusion that the commissioner improperly dismissed the plaintiffs claim initially, the import of Special Act 96-16 becomes irrelevant, and nothing in that act would prevent the plaintiff from also bringing an action individually.