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Love v. Park Lane Medical Center
737 S.W.2d 720
Mo.
1987
Check Treatment

*1 presumption proba- cient to establish a stopping

ble cause for Aron. finding inadequate trial court’s is, therefore,

probable cause erroneous on

the evidence before it. trial court’s

granting of Aron’s directed verdict motion opportunity present

foreclosed Aron’s

his defense. Aron’s may evidence reveal street,

that Ninth Street is a three-lane middle,

with lane Aron committing

was not a traffic violation suffi-

cient to probable establish to stop. opportunity

We do not foreclose Aron’s is,

present A such evidence. remand there-

fore, necessary. is reversed and the cause

remanded.

All concur. LOVE,

Danny al., Respondents, L. et

PARK LANE MEDICAL

CENTER, Appellant.

No. 69203. Supreme Missouri, Court of McMillin, Ronald R. City, Jefferson Rob- En Banc. Ford, Jr., ert Harrop, William F. Kansas Oct. 1987. City, for appellant. Manners, Hugh

Michael W. H. In- Ryan, dependence, ‍​​​‌‌​​​‌​‌‌‌​‌​​​‌‌‌‌​‌‌​‌​‌​​‌‌‌‌​​​​‌​‌‌​​​​‌‍respondents. WELLIVER, Judge.

Respondents1 filed this malprac- medical against tice appellant action Park Lane Medical negligently Center adminis- injection given tered Linda Basse employee nurse appel- Appellant lant. raised answer L., Respondents Danny husband, Danny Love and Linda D. former L. Love. The trial (now Basse) petition Love alleged filed a for medical court dismissed Count III which a tor- negligence on three respondent’s counts. The trial court dis- tious interference with contract II, plead missed respondent’s physician by appellant. Count which a cause of action Here- damages allegedly "respondent" suffered Mrs. Basse’s inafter refers to Linda Basse. *2 pain. the Nurse Semadeni in order to ease failing to seеk dent’s completed injection. the continued and timely and treatment appropriate hospital. On No- discharge from the her the that after shot Respondent testified 21, 1985, jury in a trial resulted vember from prevented and her pain the continued $69,500.00with a respondent verdict for for it. stated the area lying sitting on She against re- percentage оf fault assessed felt a knot blue and like turned black and judg- The court spondent of entered 49%. given. had been where the shot for respondent thereon ment for 21,1985, respondent’s fami- February On $35,445.00 appropri- computing after Whitley, noti- ly Dr. William was physician, jury respondent’s ate dollar reduction for difficulty. The fol- respondent’s fied about 10, 1985 fault. On December re- assessed day, doctor examined lowing judg- spondent filed a motion to amend the area, a hip very noted reddened dent’s ground insuffi- on the that there was ment diameter, approximately centimeter in one support submission re- cient evidence surrounding area swelling and for spondent’s fault the further reason hematoma or sub- which is indicative a that failure to obtain medical treatment electromyogram An surface bruise. was contributory negligence as matter of not performed damage no nerve was de- prior law under the law it existed Whitley prescribe any Dr. did not tected. hip. Respondent testi- medication for the on December Whitley fied did not tell her to come Dr. 20, 1985, the judgment amended for check-up. back stating Motion Amend “Plaintiff’s respondent’s Approximately a week after shown_” Judgment being Rule discharge hospital, from the the area on and entered for the full amount respondent’s hip turned black and covered $69,500.00. damages of assessed Respon- approximately a four inch area. Upоn appellant’s judg- denial of motion for sign dent to be a that it was believed this notwithstanding ment the verdict or new husband, former healing; respondent’s trial, appealed. defendant Love, he Danny continually testified District, Appeals, The Court of Western it but advised her to see doctor about pre-Gustafson on the basis of affirmed law stating respondent denied this her husband amending the trial court’s action in agreed process the hematoma was Manford, J., judgment. dissenting, certi- “just healing. Danny suggested Love she pursuant fied this the cause to Court Whitley it.” further confront Dr. about He Const, V, 10, being Mo. art. in conflict I that “if it was me have stated would with myself taken care of it and went to the We reverse remand. Whitley Respоndent doctor.” visited Dr. weekly allergy for her children’s shots but mention, Whitley she did not nor did Dr. substantially about, adopt inquire hip. We the statement of of her the condition area, time, majority opinion During facts forth in the filed now set blackened form, III, by Berrey Appeals, began chipping in a off. the Court of scab like Respondent applied District. that she hеat Western testified days up and ice on the area until a few 10, 1985, respondent February On was Whitley again. Dr. prior visiting Lane admitted to Park Medical Center for 12, 1985, approximately During April Finally, the treatment of ear infection. discharge from the stay injections her she received Nubaine seven weeks after her Whitley pain. February hospital, resрondent Dr. On asked Vistaril prompt- hip; request examine her her was Nurse James Semadeni administered the pain drainage of the pain injection hip. into left On ed increased needle, examination, Dr. Upon insertion testified infected area. excruciating pain Whitley she found the area had deteriorated felt screamed stop speed up injection which was surrounded the nurse to into a necrotic ulcer aby gap very skin and was red and Instruction No. 6 swollen. Treatment of this condition in- your In per- must assess a whirlpool cluded baths release the core centage of fault to Park Lane lesion, subsequent surgeries and two Center, Medical whether or not for debridement оf the dead tissue and to partly if you at fault believe: close the ulcer. First, injected nurse James Semadeni *3 the medication of Vistaril and Nubaine

Respondent experts testify. called two to tissue, into subcutaneous Connors, Helen professor assistant of nurs- Second, ing at University thereby James Semadeni of Kansas School of was negligent, Nursing, improperly testified that an ad- injection damage ministered can result in Third, negligence such directly caused gluteal the tissue and or directly abscess. She stated damage contributed to cause pain injected plaintiff. killer Vistaril should be into the muscle and subcutaneously. never “negligent” “negligence”, term or opined Connors that Nurse Semandeni instruction, used means the acceptable failed to meet prac- standards of degree failure to use the of skill and in administering pain learning tice injection. ordinarily used under the same Respondent also called similar Berry, Barbara as- circumstances the members of nursing profession. sistant director of nurse James University Semadeni’s Center, Kansas Medical 21.01, modified, who testified that MAI modified just patient complains pain because Benda, v. 661 S.W.2d 11 Gustafson upon injection and a develops hematoma (Mo. 1983). en banc. does not necessarily injection mean the was (1965 New) MAI 21.01 improper. Berry Ms. did state that if a Modified in Accordance with patient pain screamed in during injec- an Louis, Hosp. Yoos v. Jewish St. tion, prior mеdication, release she S.W.2d 177 (Mo.App.1982) stop injection. would Respondent’s by plaintiff Submitted and defendant expert, VanBiber, other Dr. James also tes- plaintiff's tified was caused Instruction No. 8 an “improperly given injection.” He stated percentage You must assess injection of Vistaril in the subcutaneous plaintiff if you believe: tissue likely would causе irritation and First, plaintiff did not consult a doctor pain, and would result breakdown hip the condition of her approxi- until subcutaneous tissue. He also stated that mately ‍​​​‌‌​​​‌​‌‌‌​‌​​​‌‌‌‌​‌‌​‌​‌​​‌‌‌‌​​​​‌​‌‌​​​​‌‍(7) seven weeks after her dis- hematoma could cause a necrotic ulcer and charge hospital, from the not all negli- hematomas are the result Second, plaintiff thеreby negli- gent conduct, but respon- believed that gent, and dent’s injury negligent was the result Third, such di- conduct. rectly caused or directly contributed to Dr. Whitley testified behalf of the any damage plaintiff cause may have appellant. He stated he advised sustained. discharge dent on hospital from the con- “negligent” The term or “negligence” any prоblems tact him if opined arose. He as used in this instruction means the that had he been made of plaintiff’s aware degree failure to use that of care that an difficulties, on-going respondent’s subse- ordinarily prudent person careful and quent surgeries could have been avoided. would use under the same similar

circumstances. 32.01(1) (1978 New) II MAI Modified in Accordance with theory of submission of the case is 661 S.W.2d 11 reflected in ap- instructions pearing legal (Mo. file. banc also Rust (1986). See 35-2 and Practice MAI 11.02 Weidemeyer, 673 S.W.2d 762 ici v. by defendant Submitted sponte sua 1984) (trial court can par of a grant favor a directed Instruction No. 9 power ty). The court retains inherent fault to If assess a limited amend defendant, thеn, disregarding any fault finding good cause. plaintiff, you deter- part on the must amount of dam- mine the total IY fairly ages to such sum as will be by the remaining sole issue raised compensate plaintiff any dam- justly appeal us the court certified to ages you believe she sustained appeals judge in this whether the trial in the fu- reasonably certain sustain amеnding instance had result of the conduct of ture a direct *4 or, put, more judgment, precisely whether defendant as submitted Instruction apply rely pre- judge the trial could on 6. You must such total No. state contributory negligence law Gustafson damages plaintiff’s your amount of making basis for the amendment.2 a verdict. negli Under the doctrine of determining In the total amount of gence, prior in Missouri to the as used damages you must not reduce plaintiff’s fault, comparative adoption evidence damages by any percentage of fault such plaintiff’s failure seek medical treatment you may plaintiff. assess to The court mitigation damages went to but was plaintiff’s by compute recovery will re- unаvailable to be used a defense be ducing you plaintiff’s amount find ‍​​​‌‌​​​‌​‌‌‌​‌​​​‌‌‌‌​‌‌​‌​‌​​‌‌‌‌​​​​‌​‌‌​​​​‌‍as plaintiff’s negligence did not concur by any total alleged negligence with defendant’s plaintiff. assess to of the and failure to seek medi time 4.01, MAI modified cal a recov treatment did not bar v. 661 11 S.W.2d Holland, Mo.App. v. ery. Sanderson 39 en banc. (Mo. 1983). Baptist Me 233, (1889); Steinmeyer v. 239 by Submitted Plaintiff 471, (Mo. Hospital, morial 701 473 S.W.2d appears It that the instructions sub- App.1985). recognize did This Court that by appellant mitted both plaintiff duty to reasonable had a exercise contemplated trial comparative fault as and miti care to seek medical treatment mandated Metropolitan gate damages. Boggess v. Gustafson. Co., 328, Ry. St. Louis 118 Mo. 23 S.W. 159 519, Fordyce, 144 (1893); Fullerton v. Mo.

Ill v. (1897); Liddle Collins 44 S.W. 1053 Rule 75.01 stаtes trial court “[t]he Co., (Mo. Construction 283 474 S.W.2d during judgments retains control over Co., Kroger Brown v. 1955); 358 S.W.2d thirty-day period, entry judg after 429 (Mo.App.1962). parties may, giving after ment Gustafson, opportunity adopted system to be heard and for In we cause, vacate, correct, amend, comparative reopen, pure fault reflected the Uni- (UCFA) Comparative modify form Fault Act its within that time.” inso- trial has over trial of tort actions. We stated that inherent control its See rel. v. judgments. possible we the U.C. State ex far as would follow Stoffer Moore, (Mo. 637, excepted mat- 628 S.W.2d 644 F.A. and 10 banc footnote 1982); Devine, handling which was Pleading J. Missouri Civil ter of settlements Mirbaha, (Mo. mitigation damages is 2. Lee 80 In v. 722 S.W.2d banc the issue of whether fault, 1986), subject comparative the issue raised was that in- fault thus to a submitting compara- struction, the trial court erred in general ver- because the found tive fault instruction failure to required to dict for the and was not fingers surgery, exercise his after which contrib- apportion fault. damages. uted his court did not reach 724 1978,

dealt then ... failure to avoid an injury unrеasonable Missouri recently adopted following mitigate damages.” Commissioner’s Pacif- Kales, ic R.R. Whitehead & (c), Gustafson, 566 S.W.2d Comment UCFA 661 466 In sen- S.W.2d at 20. tence, exempted joint also and several we In Gustafson, recognized we that there liability as it then tort existed Missouri.3 “comparative existed both fault” “com- clearly supplant[ed] We stated that “wе parative negligence” recognized contributory negligence, doctrines of last Kales, years five earlier in Whitehead & chance, negligence clear and humanitarian this Court had committed us “in the di- comprehensive system compara- with a comparative rection of Gustafson, ‍​​​‌‌​​​‌​‌‌‌​‌​​​‌‌‌‌​‌‌​‌​‌​​‌‌‌‌​​​​‌​‌‌​​​​‌‍fault.” ...” Gustafson, 661 S.W.2d at tive fault recognized at 14. Wе also 16. years of experience five with a limit- “[o]ur Gustafson, application

In ed fully we said that we were fault adopting comprehensive demonstrates system justice “a of com- that fairness can parative through best tort cases applica- fault for the be achieved broader Gustafson, Gustafson, tion of that ...” doctrine.” S.W.2d at Thаt S.W.2d at 15. which we did could not have been more dramatically by Billings, described than Fault not to be confused with concurring: prior as it existed to pure comparative Because believe fault; Negligence type is but one *5 equitable just fault is more and than the also consequences, includes avoidable in harsh, nothing, ancient all or rule of cluding mitigation Wade, damages. of Uni contributory negligence, and the mathe- Act, Comparative form Fault 14 The Fo gymnastics matical in employed last rum, 379, 381, (1979). 389 cases, clear chance and I humanitarian act; The Act is a fault it is concur. not to confined actions. Historically, contributory negligence, standpoint From the it chance, neg- clear and humanitarian last measure,” negligence, any includes “in ligence, by judicial were bom decisions. se, encompassing negligence per thus judicial By bury decision we them. by whether established statute or court Gustafson, J., (Billings, 661 at 28 S.W.2d decision, by recklessness whatever name concurring). given state, particular it is in a strict (for liability abnormally danger- tort

Fault is defined in the UCFA to include: products liability) ous activities or for acts or any omissions that are in mea- warranty.... of From the breach negligent sure or reckless toward the standpoint part of fault the the others, person or property of the actor or plaintiff, it of course includes contrib- subject person that tort to strict utory negligence. assumption It covers liability. The term also includes breach of risk the extent that it bars an of warranty, assumption of unreasonable ground action on otherwise valid the constituting risk not an enforceable ex- plaintiffs product fault. Misuse of a is consent, press product of a for misuse also included if there would have been a which the defendаnt would be otherwise valid cause of action absence liable, and unreasonable failure the misuse. consequences Avoidable injury mitigate avoid an or to dam- specifically also included. ages. Legal requirements of causal rela- apply tion both the to fault as basis Id. liability contributory and to fault. provides The Act that “fault” includes 1(b), Gustafson, 661 S.W.2d at UCFA 18 “unreasonable failure avoid § (emphasis added). 1(b)). mitigate (§ damages” “The term also includes This handling joint (Vernon) (to liability 3. The and several has No. 1 be renumbered 4Í, by been modified H.R. 700 84th Gen. (1987); Assembly, Mo.Legis.Serv. 1st Sess. 1987 HIGGINS, Judge, concurring. together read with another should be plaintiff’s con- providing that sentence agree order of reversal and with the dimin- tributоry proportionately judg- re-entry original the remand damages awarded ishes the amount appears it the I do so because ment. claim- injury attributable the “for an submit this medical mal- parties chose to (§ 1(a)). The fault” ant’s comparative fault instruc- practice case on concept of Act the therefore covers jury thе to assess the which directed tions consequences provides avoidable fault, plain- if any, between percentages particular injury that could that for a performed The its jury tiff and defendant. by plaintiff or for have avoided been submis- with that function accordance damages he could the diminution sion, perfected original judgment by exercise of reason- have effected process. care, will be diminished able the amount by the exercised discretion according compa- proportionately to the rulings sup- in this is limited to case parties. rative fault good showing cause. Rule ported Wade, Liability and Plaintiff’s Products of this In the circumstances case 75.01. Comparative Fault Fault —The Uniform trial court’s unspecified reason for the Act, (1978). 29 Mercer L.Rev. 385-86 not, opinion, ruling my rise does includ- Mitigation damages expressly rule. as envisioned cause Expressing mitigation ed in the UCFA. damages reducing as a Justice, BILLINGS, dissenting. Chief proper is the method accounting miti- fairly for the failure to expand opinion principal seeks gate done in as was the instructions. Ben held what Court having properly 1983), been instruct- da, being ed and the submitted and the quoting adopting “comments” evidence, fully supported the trial As writings of Professor Wade. our *6 judge was without cause for amend- Brother Welliver well knows it ing original judgment. The cause is possible” was added to after “insofar as reversed and remanded to the trial court limiting ‍​​​‌‌​​​‌​‌‌‌​‌​​​‌‌‌‌​‌‌​‌​‌​​‌‌‌‌​​​​‌​‌‌​​​​‌‍scope opinion, thereby judgment for vacation of the amended to a leaving it case original re-entry in accord- basis, joined this by case writer opinion.4 ance this opinion.

Reversed and remanded with directions. principal opinion uses plaintiffs’ recovery. reduce DONNELLY, J. concurs. is not authorized Undеr nothing “bootstrap- less more or than ROBERTSON, J., in concurs result. by opinion comment and ping” adopt HIGGINS, J., separate concurs utterings of others. opinion filed. and vote to overrule dissent BLACKMAR, J., concurs and concurs separate concurring opinion HIGGINS, J. C.J.,

BILLINGS, in separate dissents

opinion filed.

RENDLEN, J., dissents and concurs separate dissenting opinion

BILLINGS, C.J. product liability damages" holding gation cases. It be noted herein should (Vernon) (to 36, totally compatible Mo.Legis.Serv. be No. 1 with H.B. 84th See 1987 (1987) Assembly, relating Gen. 1st Sess. to “miti- renumbered

Case Details

Case Name: Love v. Park Lane Medical Center
Court Name: Supreme Court of Missouri
Date Published: Oct 13, 1987
Citation: 737 S.W.2d 720
Docket Number: 69203
Court Abbreviation: Mo.
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