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Tye v. Wilson
430 S.E.2d 129
Ga. Ct. App.
1993
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*1 253 judgment 8, state entered on March 1991.

Judgment Beasley, J., Andrews, reversed with P. direction. J., concur. — 18, Decided March 30, denied

Reconsideration March Daugherty, Daugherty, Greer, Klosik & F. Robert John J. Mc- appellant. Cune, for

England, Kytle, England, appellee. & Melvin for Weaver J. TYE

A92A2128. v. WILSON et al. Judge.

Pope, Chief plaintiff/appellee individually 1991, 9, Wilson, On October J. T. complaint wife, of his administrator the estate filed malpractice against including hospital several plaintiff’s physicians, treating treated, where decedent was her registered ing surgery appellant Kay Tye. Plaintiff’s decedent died follow- performed May 2,

which was on 1989 at the defendant hospital hysterectomy repair. complaint, for a In the and anterior plaintiff alleges began internally following his wife to bleed her sur- gery causing hypovolemic suffer her to shock. Plaintiff contends the suffering hypovolemic combination of delay wife’s his shock and the ligate hypogastric of certain defendant doctors to his ar- wife’s stop bleeding suffering teries to the internal resulted in his wife’s organ damage. alleges acute renal and other failure Plaintiff further continually because that his wife was not she sedated while was recov- ering, May accidentally dislodged 1989, 14, on she an endotracheal ultimately causing tube, her death. ‘ Tye ground filed a motion dismiss that the affidavit complaint filed OCGA insufficient meet the (a), provides: any damages “In action for al- leging professional malpractice, required file shall be complaint expert testify, with the an affidavit specifically which affidavit set forth exist shall least one act omission claimed to basis factual for each such claim.” (Emphasis supplied.) Tye’s The trial denied motion to dismiss granted Tye’s interlocutory appeal. and we complaint Plaintiff filed Dr. L. Howard affidavit College Cohn, a board certified member of American of Obstetrics Gynecology. Tye argues & that affidavit is insufficient under (a) expert, doctor, OCGA 9-11-9.1 because not com-

petent testify Tye, negligent. nurse, was plaintiff’s expert “Through disagree. In states: training experience, I education, am familiar with the standard of profession generally. Particularly, I am care to the medical apply performing care as same with such standards of familiar of a hysterectomy repair, surgical manage- vaginal and anterior *2 hemorrhaging patient, care and treatment an ment of the of patient.” (Emphasis supplied.) affidavit, Later the he intubated states Nurse closely Tye adequately restrain and monitor “failed patient place.” the the tube endotracheal expert’s profession.

Nursing a Therefore the statement is medical that with the standard of care to the medi- he is “familiar profession generally,” encompass nursing pro- cal is the sufficient consistently held members of the medical fession. This court profession that competent opinion about the of are to render standard profession long opin- members of the medical as their care of other ion expertise. common concerns a area of by Doctors is our decision in 0-1 Mem. Hold- This case controlled (378 708) (1989). App. Moore, Moore, Co. v. 190 286 SE2d Ga. stating held the medical that it his affidavit of a doctor was opinion injury by negligent was caused the surgical tourniquet during plaintiff’s operation control of a and that operating per- this failure of reasonable care was attributable to the requirements including sonnel, nurse, a was sufficient meet the of including § OCGA as to nurse. 9-11-9.1 all the (267 759), App. Avret, aff’d, v. McCormick Ga. 178 SE2d 246 154 (271 832) (1980) controlling authority Ga. SE2d also offers expert’s holding the in this case to meet re- affidavit is sufficient the quirements regard Tye. § of OCGA McCor- 9-11-9.1 to Nurse only malpractice mick a case was was a which the defendant Supreme case, medical doctor. that this court held and our Court agreed qualify it was error for the trial court not to a nurse as an expert keeping concerning witness what constitutes reasonable care patient used from sterilized a needle to draw blood a because there drawing was that blood no evidence the of is a medical treatment ex- professional clusively v. within the skills of Avret medical doctors. (271 832) (1980). McCormick, 246 Ga. 401 SE2d case Likewise presume monitoring pa- we cannot the treatment of an intubated exclusively professional tient a treatment within skills of a is the only competent give a nurse and that nurse would be opinion testimony in the area. heavily upon Hospital relies Defendant our decision in Piedmont 198) (1988). App. Milton, 189 Ga. Milton deci- The readily distinguishable

sion from this stands for the is case. That case proposition malpractice that when is made a a medical claim nurse, by requirements the affidavit doctor is insufficient to meet it simply of 9-11-9.1 states the nurse did not follow the if applicable directions and does not the doctor’s discuss standard of Milton, by and set at least one act nurse. In care forth the plaintiff the who surgeon the submitted affidavit had treated affidavit, plaintiff. In surgeon simply the the stated that he had nursing plaintiff supine instructed staff remain that the was to day fell plaintiff being while assisted to the bathroom he anticipate plaintiff not in walking did would have been assisted Id. given instructions. at 563-564. held that affidavit was in- sufficient to show the affiant “an testify” because he did not state he was familiar with the standard care the caring plaintiff they staff should have utilized in and how requisite not following deviated care treating physician’s post-operative Clearly, instructions. Id. 564. this decision should not be hold that alleging read to mal- nurse practice against only can meet of OCGA by submitting nurse, no matter what acts negligence alleged though plaintiff may are and even have the affi- of a davit doctor who familiar with the standard care for all med- personnel ical named as including defendants *3 by and can state at one act or least omission the nurse. Milligan Manno, The defendant’s reliance on v. 197 Ga. App. 171 (397 713) (1990) Milligan SE2d misplaced. also both and HCA Hampshire, (424 293) (1992), Health Svcs. App. 206 Ga. SE2d court recognized this the differences between the educational currículums and methods of taught types treatment in different might allopaths, schools of medicine make osteopaths medical doc unqualified give tors to an opinion physician that a from a dif care, ferent school applicable had deviated from the un it less was shown that diagnosis method of or treatment in question was the same practice. the two schools of As we recog Mauldin, 806) (1989), nized in Hicks v. App. 190 Ga. however, osteopath would be to testify as an in a malpractice action filed if allopath there no way difference in osteopath allopath plaintiffs would treat condition. plaintiff’s this expert is medical presumably doctor education, training experience normally possessed by There is nothing suggest

medical doctor. to that medical doctors and nurses are to patients differently. trained treat intubated Further- more, nothing there is on the face of the affidavit make it clear that plaintiff’s expert would not be familiar with the applicable standard therefore, provided plaintiff Tye; of care to be by Nurse we cannot disregard his averment that he is familiar. purpose “The OCGA be- malpractice suits of frivolous the number is to reduce § entitling prima facie case prove a filed, require not to summary motion for withstanding a capable recover and Moore, 190 Ga. need file his answer.” the defendant before

judgment and the of OCGA 9-11-9.1 288. Because the App. § at affidavit, we are fulfilled that statute purpose behind Tye’s motion to dismiss. denial of Nurse the trial court’s affirm J., J., Birdsong, Carley, P. McMurray, P. Judgment affirmed: Blackburn, J., Andrews, JJ., con- concur. J., Beasley, Cooper and P. Johnson, J., dissents. specially. curs specially. concurring Judge,

Blackburn, opinion majority fully analysis and result I concur history of cases concern for the Judge I share Johnson’s this case. certainty and and the lack of to OCGA 9-11-9.1 pursuant decided § to mal- upon parties the courts and it has visited litigation increased encouraging legislature join Judge I Johnson practice litigation. and return attempt limiting litigation failure of this accept by repealing OCGA 9-11-9.1. reasonableness us to an arena of Judge, dissenting. Johnson, be I find the affidavit this case to respectfully

I dissent. would from a member of the it did not come insufficient because profession. lawyers, trial trial proved have more vexatious to

Few issues proper applica- of this state than the appellate courts judges, prevent litigation frivolous 9-11-9.1. Intended to tion of OCGA § courts, rule litigants and inherent therein for both all the costs dealing at the sum- litigation. more Rather than has instead caused solve, legislature issues the intended mary judgment stage with the stage. layer litigation at the motion to dismiss a new we have added 1987, approximately 90 there have been Since its enactment Supreme wrestling Court from this court and the decisions predictability to this Sadly, bring effort to some order and rule. Perhaps law, appears that we have made matters worse. it area 9-11-9.1, and to legislature for the to reconsider it is time *4 that, end, more, in the than a noble effort it was little conclude goals enacted. miserably accomplish to the for which it was failed applica- example difficulty the case is a clear The instant it. We presented to all who are concerned tion of this rule exper- overlapping again question the of required are to address once and re- a nurse professional negligence against claim of is tise. The relates to care; physician and nursing the affidavit is from a lates to care, though even profession generally,” not to “the medical of of care he familiar with the standard asserts that is physician the patients. The effect of qualify intubated this statement would be to every profession my as connected to medicine. In view, his affidavit is insufficient make him to on the stan- nursing profession. previous dard of care the Consistent our decisions, go way sufficiency this could either on the of affi- the davit, and thus on of the OCGA 9-11-9.1 to the facts presented, complete and take either good view faith. That is the problem. all,” our to the struggles decide matter “once and for we assure, can, have done little more than best that justice as we is done case-by-case on a process, basis. the we have so muddied wa- the to put ters as what is and have sufficient that we ourselves position having in the of to decide even more cases on that same basis. practitioners flawed We have thus the robbed trial courts and any which, which to gauge analogy, matter save decisions, given previous any our guidance amounts to little if all. This presents perfect case us with opportunity provide a to meaningful guidance Georgia to the bench and bar of as well as to significantly litigation reduce the amount of over the rule. Su- The Court, preme Goodgame, in Gillis v. 262 Ga. 117 (1992), bright-line determining established a standard for to whom applies. overdue, long the rule That decision accomplished and significant goal measure providing certainty predictability area of practitioners this the law the benefit of trial job by courts. should use the instant case finish the establish- affidavit, bright-line another standard. We should hold that 9-11-9.1, be deemed under sufficient must come from profession against member same as the defendant whom professional negligence validity claim made. is While there is some to the notion that we should ex- recognize reality overlapping pertise as we challenges sufficiency consider to the filed affidavits pursuant rule, to the it recog- seems that the time has come for us to system nize that we do more harm than good judicial who use in these approach those it cases when we issue in the way case-by- have. requires question we It that we examine the on a taking peculiar case basis after into account facts of each case. predictability There little little guidance possible under the of analysis presently employ. method we I propose provides The rule guidance predictability clear and absolute real presenting while no hardship plaintiffs to the who must obtain the If the claim is affidavit. against physician, plaintiffs, it would be clear If physician. the trial courts that the affidavit must come from a nurse, the claim is must come and so down the line as to to whom profession each applies the rule given now Gillis has us a clear standard. *5 — 16, March

Decided 30, denied March Reconsideration S. Handley, Matthew Russell, David A. Smith, & Gambrell Coles, appellant. for Burnside, Jr., B. James Daniel, Thomas R. Burnside, &Wall Allen, Wall, E. appellees. Richard THE STATE.

A92A2227. GILBERT (430 SE2d Judge. Andrews, in- possession of cocaine with tried and convicted

Gilbert was police officer. of a and obstruction tent to distribute 2, 1989, Bryant, a Officer on November at trial was that Evidence transac- drug observed a Department Blakely Police member of observing the activity After drug in is common. in which tion an area on the roof of a police officer hid transaction, Bryant another Bry- in activity the area. observing the to continue building order and talk to a a truck up drive to a business Gilbert ant observed got Gilbert out of the business. standing was outside man who can, was located be- city trash which green behind a truck and went bag, which was paper into a brown Gilbert reached the business. hind then walked back to trash can. Gilbert ground behind the on the money handed the man man, and Gilbert man handed Gilbert Bryant heard the unidenti- vehicle. got back rock cocaine Bryant then saw an- was small. that the substance fied man comment Gilbert approached A second man pull up to the area. other vehicle truck, can over to the trash out of the walked again got Gilbert rocks of cocaine paper bag, sorted some picked up the brown again, gave the substance hand, to the second man walked back Gilbert Bryant in the truck. stated that got then back him. Gilbert vehicle The other two men men in the truck. was one of three Lester, who Robinson, of the business and John the owner were Jeff driving. Middleton, He officer, trial. also testified Another Officer Bryant. Middleton when called he came to the area stated that had can, paper Gilbert bag looked went behind the trash appeared bag to, in the and determined that the substance going been informed up walked to Gilbert and Middleton then to be cocaine. Upon hear- possession of crack cocaine. under arrest that he was this, attempted to flee. turned and Gilbert testified County Department Early Sheriff’s Suggs Officer

Case Details

Case Name: Tye v. Wilson
Court Name: Court of Appeals of Georgia
Date Published: Mar 16, 1993
Citation: 430 S.E.2d 129
Docket Number: A92A2128
Court Abbreviation: Ga. Ct. App.
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