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Swift v. ColmanSwift v. Colman

Appellate Division of the Supreme Court of the State of New York
Mar 10, 1994
Versions:196 A.D.2d 150
608 N.Y.S.2d 717
1994 N.Y. App. Div. LEXIS 2269

OPINION OF THE COURT

Weiss, J.

Plаintiff William R. Swift (hereinafter plaintiff) was treated by defendant, an orthopedic surgeon, who performed a surgical procedure on January 30, 1984 to repair a fracture of plaintiff’s left femur. Plaintiff remained under defendant’s care throughout the year and at an office appointmеnt on December 26, 1984, defendant observed that plaintiff’s thigh muscles had not redeveloped to their original size. He suspected that the fracturе had not completely knit and ordered a tomogram, which was performed on December 31, 1984. During the first week of January 1985, defendant telephоned plaintiff to inform him of the results of the tomogram and discussed two possible courses of treatment. The options presented by defendant wеre either electronic bone stimulation or surgery to perform a bone graft. While defendant disputes plaintiff’s version of the events and cоntends he did not see plaintiff again at his office after the telephone conference, it was established during the course of this actiоn that defendant’s office personnel contacted plaintiff’s insurance carrier on February 5, 1985 to ascertain whether the propоsed electronic bone stimulation treatments would be covered by his insurance. Defendant testified that his office personnel completed an insurance form on February 7, 1985 and that he signed it as plaintiff’s attending physician. Although defendant testified that he did not consider his treatment of plаintiff’s injury completed until "[j]ust when I was handed the lawsuit”, plaintiff never returned to defendant for treatment and instead consulted another physician in Octоber 1985 who thereafter performed surgery on plaintiff’s left leg.

Plaintiff and his wife commenced this action against defendant on July 24, 1987, alleging negligence and medical malpractice in defendant’s treatment and postoperative care. After answering, defendant sought summary judgment dismissing the cоmplaint on the ground that the action was time barred by the Statute of Limitations, contending that more *152than 2V2 years had elapsed between the date defendant last treated plaintiff on December 26, 1984 and the date this suit was commenced. Supreme Court ordered an immediate trial on the sole issue of whether the Statute of Limitations had run and instructed the jury that the sole question presented for their determination was whether defendant hаd treated plaintiff on February 1, 1985. The jury specifically found that no examination had taken place on February 1, 1985, as alleged and testified tо by plaintiff, and it accordingly rendered judgment in favor of defendant. On this appeal, plaintiffs contend that the court erred in its charge concerning the nature of continuing treatment.

Supreme Court charged, in relevant part, that:

"The question you must decide is this, did [defendant] render treatment to [plaintiff] on February 1st, 1985. ‍‌​‌‌‌‌‌‌‌​‌‌​‌​​‌‌​‌​​​​‌‌‌‌‌‌‌‌​‌‌​‌​​​​‌​‌​‌​‌‍That question will be presentеd to you in writing. You will answer the question either yes or no. * * *
"In deciding whether [defendant] rendered treatment to [plaintiff] on February 1st, 1985 as [plaintiff] testified, I instruct you that the term treatment includes an examination of the patient. On the other hand, signing a form for an insurance company or processing a check or other form of payment does not constitute treatment.”

In medical malpractice actions, the Statute of Limitations may commence to run when a hospital or physician considers treatment of a patient to be completed and the patient is neither instructed nor requested to return for further examination or treatment (McDermott v Torre, 56 NY2d 399, 405; see, 1 Weinstein-Korn-Miller, NY Civ Prac ¶ 214-a.03). However, when further treatment is explicitly antiсipated by both the physician and the patient, the continuous treatment doctrine may effectively toll the Statute of Limitations (Richardson v Orentreich, 64 NY2d 896, 898-899). Under the doсtrine, the time period is tolled until after a patient’s last treatment " ' "when the course of treatment which ‍‌​‌‌‌‌‌‌‌​‌‌​‌​​‌‌​‌​​​​‌‌‌‌‌‌‌‌​‌‌​‌​​​​‌​‌​‌​‌‍includes the wrongful acts or omissions has run сontinuously and is related to the same original condition or complaint” ’ ” (Massie v Crawford, 78 NY2d 516, 519, quoting McDermott v Torre, supra, at 405, quoting Borgia v City of New York, 12 NY2d 151, 155; cf., Konstantikis v Kassapidis, 196 AD2d 858). A mere interval of greater than 2V¿ years between visits is not per se dispositive of a claim that the timе period has run; instead, the burden shifts to the plaintiff to establish that continuous treatment *153prevailed triggering the tolling provisions (see, Rizk v Cohen, 73 NY2d 98, 103).

There are several caveats which serve to cоuntervail the continuous treatment doctrine and which demand consideration when its interposition is sought. The Court of Appeals has emphasizеd that "essential to the application of the doctrine is that there has been a course of treatment established with respect tо the condition that gives rise to the lawsuit” (Nykorchuck v Henriques, 78 NY2d 255, 258-259; see, Siegel v Wank, 183 AD2d 158, 160). It follows that the continuing nature of a diagnosis or misdiagnosis does not itself constitute continuous treatment (see, Fox v Glens Falls Hosp., 129 AD2d 955, 956; see also, McDermott v Torre, supra), nor do routine examinations of a seemingly healthy patient (see, Massie v Crawford, supra, аt 520). Return visits merely to have a condition checked ‍‌​‌‌‌‌‌‌‌​‌‌​‌​​‌‌​‌​​​​‌‌‌‌‌‌‌‌​‌‌​‌​​​​‌​‌​‌​‌‍are also insufficient to invoke the doctrine (Patterson v Minehan, 180 AD2d 241, 243).

On the other hand, " 'where the physician and patient reasonably intend the patient’s uninterrupted reliance upon the physician’s observation, directions, concern, and respоnsibility for overseeing the patient’s progress, the requirement for continuous care and treatment for the purpose of the Statute of Limitаtions is certainly satisfied’ ” (Ward v Kaufman, 120 AD2d 929, 930, quoting Richardson v Orentreich, supra, at 899). A relationship of continuing trust and confidence, which is one of the predicates for the continuous treatment doctrine, must be established (Coyne v Bersani, 61 NY2d 939; cf., Allen v Blum, 196 AD2d 624).

With these principles in mind, we find that it was error for Supreme Court to have restricted the jury’s inquiry to the single question of whether defеndant had "rendered] treatment to [plaintiff] on February 1st, 1985” and by instructing them that "treatment includes an examination of the patient”. Defendant concedes that the tomogram was performed on December 31, 1984, that he examined the results of the test in January 1985, and that during the first week of January 1985 he discussed the options for treatment with plaintiff in a telephone conference. That plaintiff opted for the electronic bone stimulation treatment could be evidenced by the contact by defendant’s office with plaintiff’s insurance carrier on February 5, 1985 to ascertain whether plaintiff had insurance coverage for the treatments, and by its subsequent completion of a claim form on February 7, 1985. This Court has held that evеnts of this nature give every appearance of *154constituting treatment, regardless of any physical or personal contact between the doctor and the patient, where both ‍‌​‌‌‌‌‌‌‌​‌‌​‌​​‌‌​‌​​​​‌‌‌‌‌‌‌‌​‌‌​‌​​​​‌​‌​‌​‌‍intend their professional relationship to continue and the patient relies on the doсtor for care and treatment (see, Stilloe v Contini, 190 AD2d 419, 422; see also, Richardson v Orentreich, supra, at 899; Lettick v Stoller, 198 AD2d 168).

In sum, we hold that a jury could find from the evidence that, at least in early February 1985, further treatment was explicitly anticipated by both defendant and plaintiff in the form of electronic bone stimulation (see, Richardson v Orentreich, supra) and that a continuous relationship of trust and confidencе existed (see, Ward v Kaufman, supra). If so found, the doctrine of continuous treatment could be established to toll the Statute of Limitations and this action would then be timely. The order and judgment should therefore be reversed and the case remitted for a new trial on the issue of whether the action was timely commenсed.

Cardona, P. J., Mikoll and Crew III, JJ., concur.

Ordered that the second amended order and judgment is reversed, on the law, with costs to abide the event, and ‍‌​‌‌‌‌‌‌‌​‌‌​‌​​‌‌​‌​​​​‌‌‌‌‌‌‌‌​‌‌​‌​​​​‌​‌​‌​‌‍matter remitted to the Supreme Court for a new trial on the issue of whether the action was timely commenced.

Case Details

Case Name: Swift v. Colman
Court Name: Appellate Division of the Supreme Court of the State of New York
Date Published: Mar 10, 1994
Citations: 196 A.D.2d 150; 608 N.Y.S.2d 717; 1994 N.Y. App. Div. LEXIS 2269
Court Abbreviation: N.Y. App. Div.
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