JODEE VIERA ET AL. v. IAN COHEN ET AL.
(SC 17478)
Supreme Court of Connecticut
Argued November 21, 2006—officially released August 7, 2007
283 Conn. 412
Borden, Norcott, Katz, Palmer and Zarella, Js.
Carey B. Reilly, with whom were Joshua D. Koskoff and, on the brief, Neil DeYoung and Lillian Gustilo, for the appellee (plaintiff).
Cesar A. Noble filed a brief for the Connecticut Defense Lawyers Association as amicus curiae.
Opinion
KATZ, J. In this medical malpractice action, the defendant Thomas McNamee appeals from the judgment of the trial court, rendered after a jury trial, in favor of the plaintiff, Fred Baker, guardian of the estate of the injured minor, Jodee Viera (Jodee).1 Although the defen-
The record reveals the following undisputed facts and procedural history. The defendant is an obstetrician working with the practice group of Associated Women‘s Health Specialists, P.C. (Associated Health). The defendant attended to Jodee‘s mother, Leslie Aponte, during Aponte‘s pregnancy beginning in November, 1994, and through May, 1995, and during the early stages of her labor on May 25, 1995, at Waterbury Hospital. The defendant left during the second stage of Aponte‘s labor and thereafter was unavailable. Ian Cohen, another obstetrician affiliated with Associated Health, attended to Aponte during the final stages of labor and delivery. During that delivery, an obstetrical emergency occurred, known as shoulder dystocia, wherein the infant‘s head delivers, but partly retracts because the baby‘s shoulders become lodged, requiring delivery of the child within minutes to avoid risk of neurological injury or death. See generally T. Stedman, Medical Dictionary (28th Ed. 2006) p. 602. As a result of the shoulder dystocia during her birth, Jodee sustained an injury to her brachial plexis, a network of nerves in the neck, leaving her with a permanent injury affecting her upper left extremities.
On August 22, 1997, Aponte and Joseph Viera, Jodee‘s father, commenced this medical malpractice action against the defendant, Cohen, Associated Health and Waterbury Hospital. In November, 2003, they withdrew the claim against Waterbury Hospital. In December, 2003, Baker was substituted as the plaintiff to represent Jodee‘s interests.3
Thereafter, the plaintiff filed an amended complaint alleging, in essence, that the defendant had breached the standard of care by failing: to assess properly Aponte‘s risk factors for shoulder dystocia; to diagnose timely the problems during Aponte‘s labor that indicated a risk of shoulder dystocia; and, finally, to perform a cesarean section to prevent the injuries ensuing from shoulder dystocia. The jury rendered a verdict in favor of the plaintiff, and awarded $948,692 in economic damages and $1.5 million in noneconomic damages. The court denied the defendant‘s motion to set aside the verdict and thereafter rendered judgment in accordance with the verdict. This appeal followed.3
The defendant claims that the trial court improperly: (1) prevented him from pursuing an apportionment complaint against Cohen; (2) prevented the jury from considering an alternative theory as to the cause of the shoulder dystocia; (3) submitted to the jury misleading and improper interrogatories; and (4) concluded that it had personal jurisdiction over the defendant. The defendant also claims that certain evidentiary rulings
I
The defendant claims that he was entitled to seek apportionment pursuant to
At the outset, we note that, “[b]ecause statutory interpretation is a question of law, our review is de novo.” Andover Ltd. Partnership I v. Board of Tax Review, 232 Conn. 392, 396, 655 A.2d 759 (1995). Well settled
We begin our analysis with a brief review of the evolution of tort law in this state regarding the apportionment of damages among multiple tortfeasors. “Prior to October 1, 1986, this state followed the rules of joint and several liability with no contribution among joint tortfeasors. Stated briefly: If the illegal conduct of each of the defendants was a proximate cause of the collision, they would be liable jointly and severally, the plaintiff would have a right to recover the entire amount of damages awarded from either, and, if he did so, the defendant paying them would have no right of contribution against the other; or the plaintiff might have sued either alone, and of course in the event of a recovery, that one would have been compelled to pay the entire
“Under the common law of joint and several liability, therefore, even a defendant whose degree of fault was comparatively small could be held responsible for the entire amount of damages, so long as his negligence was a proximate cause оf the plaintiff‘s injuries. Thus, the plaintiff could collect the entire amount of his judgment from the richest defendant, or from the defendant with the deepest pocket. . . . Id., 667.
“In response largely to these concerns, the legislature undertook to reform the tort recovery provisions of our civil system, by enacting No. 86-338 of the 1986 Public Acts (Tort Reform I), which took effect October 1, 1986. Tort Reform I replaced the common-law rule of joint and several liability with a system of apportioned liability, holding each defendant liable for only his or her proportionate share of damages. Specifically, § 3 (f) of Tort Reform I provided that each defendant initially would be liable for only that percentage of his negligence that proximately caused the injury, in relation to [100] per cent, that is attributable to each person whose negligent actions were a proximate cause of the damages . . . . Therefore, under Tort Reform I, the jury, in determining the percentage of negligence attributable to any defendant, could take into account the negligence of any other person, regardless of whether that person was a party to the action. Tort Reform I, however, did not provide the plaintiff with a means of securing payment of damages unless that person was also a party. Donner v. Kearse, supra, 234 Conn. 667.
“Under Tort Reform I, to avoid the possibility that a jury would find that the negligence of a nonparty was a proximate cause of [the plaintiff‘s] injuries, [the] plaintiff was required to name as defendants all persons whose actions suggested even the slightest hint of negli-
“The legislature amended these tort recovery provisions just one year later when it enacted No. 87-227 of the 1987 Public Acts (Tort Reform II), the pertinent provisions of which now are codified in part under
In sum, in substantially revising and rewriting
Nonetheless, “Tort Reform II overlooked [certain] significant details required to implement effectively the newly created fault apportionment system. . . . Among other things, Tort Reform II did not specify the procedure to be used in asserting an apportionment claim. . . . To remedy this and other problems, the legislature, in 1995, enacted [General Statutes]
Against this legislative landscape, we must now examine what constitutes “[a] release, settlement or
In addressing the defendant‘s claims, we are mindful that
A
To address the defendant‘s first contention, we begin with the terms “settlement” and “release.” Both of these terms have well established meanings. “A settlement is a legally enforceable agreement in which a claimant agrees not to seek recovery outside the agreement for specified injuries or claims from some or all of the persons who might be liable for those injuries or claims.” Restatement (Third), Torts, Apportionment of Liability § 24 (a) (2000). It is well established that, to be a legally enforceable agreement, a settlement must be supported by consideration. See, e.g., Warner v. Warner, 124 Conn. 625, 630-32, 1 A.2d 911 (1938); Church v. Spicer, 85 Conn. 579, 582-83, 83 A. 1115 (1912). Its goal is to further finality and to avoid the costs and uncertainties of protracted litigation.
A release is an agreement to give up or discharge a claim. Gionfriddo v. Gartenhaus Cafe, 211 Conn. 67, 73-74 n.8, 557 A.2d 540 (1989); Ramsay v. Camrac, Inc., 96 Conn. App. 190, 200, 899 A.2d 727, cert. denied, 280 Conn. 910, 908 A.2d 538 (2006). It “terminates litigation or a dispute and [is] meant to be a final expression
Accordingly, “[r]eleases and settlements . . . represent a surrender of a cause of action, perhaps for a consideration less than the injury received“; Gion-
By contrast, a withdrawal shares few of the essential characteristics of a settlement and a release. Although the legislature has not defined the term withdrawal, its rules governing the manner in which a party may withdraw a cause of action inform the term‘s meaning. A plaintiff may withdraw an action unilaterally and unconditionally before a hearing on the merits.7 Thus, the withdrawn party is not required to give any consideration to provide legal effect to the withdrawal. Signifi-
The defendant contends, however, that the withdrawal in this case did operate as a surrender of a cause of action, and hence did constitute a release or settlement because the statute of limitations had expired by the time the plaintiff withdrew her action against Cohen. Thus, once the withdrawal occurred, the plaintiff could not reinstitute an action against Cohen. We are not persuaded.
At the outset, we note that the defendant never made this argument until after trial in his motion to set aside the verdict. Even if we were to assume that he is entitled to its review, thе fact that, in a given case, the plaintiff may exercise the option of releasing a defendant at a point in time when the statute of limitations will bar her right to pursue a cause of action against that party by operation of law does not reflect the relinquishment of a right pursuant to an agreement, an essential element of a release or settlement, which, as we explain herein, must be supported by consideration to be legally enforceable. Moreover, we must construe these terms in accordance with a universal meaning, not one that is dependent on happenstance on a case-by-case basis. Accordingly, there is no linguistic or jurisprudential support for the defendant‘s contention that a withdrawal falls within the meaning of a release or settlement. See Toll Gate Farms, Inc. v. Milk Regulation Board, 148 Conn. 341, 349, 170 A.2d 883 (1961) (“courts cannot import an intent into legislation devoid of language fit to express it“).
B
We turn next to the defendant‘s alternate claim that the plaintiff‘s withdrawal of the action against Cohen constituted a “similar agreement” under
At the outset, we underscore that the legislature frequently has used the term withdrawal. See, e.g.,
Nonetheless, we consider whether the legislature may have used “similar agreement” to encompass withdrawals. We note that the term “similar agreement” is used only in subsection (n) of
Although we need not determine precisely what the legislature intended by the use of the phrase “similar agreement” in
Another possibility that the plaintiff suggests is a covenant not to sue, which also is a bilateral agreement that requires consideration in exchange for the relinquishment of a claim. See, e.g., Tomczuk v. Alvarez, 184 Conn. 182, 192-93, 439 A.2d 935 (1981); Fritz v. Madow, 179 Conn. 269, 273, 426 A.2d 268 (1979); Kosko v. Kohler, 176 Conn. 383, 387, 407 A.2d 1009 (1978). We have recognized that a covenant not to sue resembles, but is not the same as, a release. See Alvarez v. New Haven Register, Inc., supra, 249 Conn. 725 n.10 (“Although at common law a release of one joint tortfeasor released the other tortfeasors, a covenant not to
Therefore, we conclude that the legislature did not intend the term “similar agreement” to encompass a withdrawal of a defendant. This conclusion is consistent with the intent of Tort Reform II, as expressed in Public Acts 1987, No. 87-227, which “was to limit the universe of negligent persons that a finder of fact may consider in apportioning damages to only those entities that are either parties to the suit or parties who have reached a settlement agreement with the plaintiff—a clear indication that the legislature intended that
Finally, we note that our interpretation of the statute is consistent with the legislative policies that
C
The defendant claims that the withdrawal in the present case was unique because of the circumstances under which it was given. Specifically, the defendant claims that the withdrawal in the present case constituted a settlement because it was conditioned upon Cohen‘s acceptance of a list of terms that Cohen otherwise was not obligated to perform.11 Even if we were to conclude that the legislature, when it expressly used the limiting terms “release, settlement or similar agreement” in
The record reveals the following additional facts. At the hearing on the motion to set aside the verdict, the defendant claimed that the withdrawal of the action against Cohen acted as a release, settlement or similar agreement so as to bring it within
what is said to be some confidentiality issues in that. I‘m sure that neither defense counsel for [Cohen], I‘m sure he doesn‘t want it to be perceived as an agreement, nor was it an agreement, and I think that he recognizes that. But if there is some allegation that has some type of effect of a release, we should certainly hear from that witness. To the contrary, all that occurred was just some understanding that it would be clear that there was no release to go about discussing these affairs with anybody. That [Cohen] had no authorization to do that, and so it was really the antithesis of a release. And certainly I think even counsel, who may have been thinking more about his relationship with the insurance company than with [Cohen], who he seems to be arguing should be held as part of an apportionment. There should be the argument that seems to be there should be allowed to be an apportionment of fault against [Cohen]. That seems to be a conflicting argument for—that a lawyer would make on behalf of his client that hey, in fact my client should be allowed to be held responsible. So I‘m sure that if [Cohen‘s] attorney were here, he would concede that it should have no such effect, and I won‘t go any further into that because I think it is entirely unfair for defense counsel in this case to make representations to the court on something that she could have no knowledge of and was not present to. And by the letter, by what is actually scratched down in an unsigned whatever you call it, piece of paper, spеaks to the contrary of everything that was stated just now.
Moments later, Koskoff again protested the defendant‘s characterization of the document at issue: “Put me on the witness stand and we can talk about it. But I‘m not—it was never raised at trial. It‘s not what it‘s purported to be. It‘s as desperate as I‘ve seen in any motion, and I will not address anything about it unless we have a hearing. Unless I‘m sitting in that stand, I‘m not answering [the defendant‘s attorney‘s] questions at this time. That‘s not what we‘re here for.”
The defendant‘s attorney did not follow up any further other than to confirm that the handwriting belonged to Koskoff, stating only: “So I assume,
“In interpreting the contract, however, not only the whole language of the instrument, but the situation of the parties and the subject-matter of their transactions as well, are to be considered. . . . In arriving at the intent of the parties to a contract as expressed or implied in the language used by them, it is always admissible to consider the situation of the parties and the circumstances connected with the transaction, and every part of the writing should be considered with the help of that evidence.” (Citation omitted; internal quotation marks omitted.) Id., 296.
“The construction of a contract is usually a question of fact because the interpretation of its language is a Your Honor, that by his answer, he is not denying that it‘s his handwriting. Let the record reflect that.”
We cannot conclude that the record in the present case demonstrates as a matter of law that the parties intended a quid pro quo in exchange for the withdrawal, in other words, consideration. This is particularly true when the handwritten note is entirely consistent with Koskoff‘s claim to the trial court that the note merely memorialized the plaintiff‘s reminder to Cohen of the rules of confidentiality to which he otherwise was obligated once the case against him had been withdrawn. See
Indeed, Koskoff, as the drafter, disputed the defendant‘s characterization of the document as an “agreement” between Cohen and the plaintiff contending that it did not reflect such an intent by the participants. See footnote 13 of this opinion. Moreover, the defendant did not avail himself of Koskoff‘s offer to testify to what the document was intended to accomplish. Certainly Cooney‘s statement in his affidavit that the terms “were to accompany” the withdrawal does not indicate unambiguously that that withdrawal was conditioned on the terms. Consequently, given the ambiguity as to the meaning of this document, the trial court properly could have considered such extrinsic evidence as to the conduct of the parties.15 Electric Cable Com-
D
Accordingly, we conclude that the trial court properly precluded the defendant from pursuing an apportionment complaint against Cohen on the basis of its determination that, because the plaintiff had withdrawn the action against Cohen, there was no “release, settlement or similar agreement” that brought Cohen within the scope of
“The legislature [however] has repeatedly manifested its concern for the overall fairness of our tort law. See, e.g.,
II
We next turn to the defendant‘s claim that the trial court improperly precluded him from presenting an alternative theory as to the cause of the shoulder dystocia, which in turn was the cause of Jodee‘s injury. Specifically, the defendant contends that, based on Cohen‘s testimony as to the circumstances of the delivery, the defendant should have been permitted to offer his expert opinion that the shoulder dystocia was caused by Jodee‘s unusual, and thus unforeseeable,
Under the rules of evidence, “[a]n expert may testify in the form of an opinion and give reasons therefor, provided sufficiеnt facts are shown as the foundation for the expert‘s opinion.” Conn. Code Evid. § 7-4 (a). “An expert may have personal knowledge of the underlying facts or may obtain the requisite information by attending the trial and hearing the factual testimony. C. Tait, Connecticut Evidence (3d Ed. 2001) § 7.9.1, p. 532; see also Conn. Code Evid. § 7-4 (b). If an expert has heard all of the relevant testimony, it is also within the court‘s discretion to permit a question predicated on that testimony. C. Tait, supra, § 7.9.1, p. 532. Finally, an expert may obtain information at trial by having factual testimony summarized in the form of a hypothetical question at trial. Id.; Conn. Code Evid. § 7-4 (c).” State v. Carpenter, 275 Conn. 785, 812 n.13, 882 A.2d 604 (2005), cert. denied, 547 U.S. 1025, 126 S. Ct. 1578, 164 L. Ed. 2d 309 (2006). “[T]he trial court has wide discretion in ruling on the admissibility of expert testimony and, unless that discretion has been abused or the ruling involves a clear misconception of the law, the trial court‘s decision will not be disturbed.” (Internal quotation marks omitted.) Id., 805.
The record reveals the following additional facts. At trial, the plaintiff offered expert testimony to establish that the defendant had breached the standard of care by failing to ascertain and recognize various risk factors for shoulder dystocia before and during Aponte‘s early
Cohen testified as a fact witness as to the circumstances of the delivery. Specifically, he testified about various maneuvers that he had undertaken when attempting to deliver Jodee after he ascertained that shoulder dystocia had occurred. First, he “reach[ed] into the birth canal to try to find the baby‘s back arm and/or hand” to pull that part of the baby‘s body out first to reduce the diameter of the shoulders. When he could not find the baby‘s arm on this first attempt, he inserted his hands inside the mother‘s vagina to try to prod the baby‘s shoulders to rotate from their top to bottom position into a sideways position. After that effort did not work, he attempted unsuccessfully to fracture the baby‘s collarbone to reduce the shoulder diameter. Next, Cohen applied a maneuver whereby the mother‘s legs were held into the air and pressure was exerted above her pelvis in another unsuccessful attempt to rotate the baby‘s shoulders.
Cohen then stated: “And so I went back to my original attempt reaching into the birth canal looking for the back arm and to my surprise I found the baby‘s fist right adjacent [to] the shoulder, the back shoulder, of thе baby as it was coming out. It was in a position that I didn‘t expect to find it because I expected the arm and fist to be somewhat in front of the baby but in this case [it] was right along the side of the shoulder and somewhat behind. And I grasped that fist and gently applied traction to it and the baby‘s arm basically reached out toward me and the baby basically fell out into my arms.”
Subsequently, the defendant testified that the reason for the lack of progress in Aponte‘s labor when he
Accordingly, the defendant‘s counsel asked the defendant to base his expert opinion as to the cause of the shoulder dystocia on the following hypothetical situation: “Assume that at the time of delivery after several attempts were made to dislodge the shoulders, it was found that one of the baby‘s fists was found to be located somewhat behind one of the shoulders, and once that fist was released, that Jodee was delivered easily after that.” The plaintiff again objected, asserting that the hypothetical scenario had failed to represent fully the facts at the time of Jodee‘s delivery. The court sustained the objection, agreeing that the record contained additional facts necessary to present a more complete and accurate picture in the hypothetical situation, such as the specific maneuvers that Cohen had performed and which shoulder and arm he first had pulled out. Before the defendant proceeded, the plaintiff asked the court to require that the defendant make an offer of proof as to what he intended to establish with this testimony. The plaintiff raised several concerns, including the relevance of the testimony, given that the defendant had agreed that shoulder dystocia had been the cause of Jodee‘s injuries and, thеrefore, any counter
Although the trial court agreed with the plaintiff‘s disclosure claim, it sustained the objection based on the speculative nature of the defendant‘s hypothetical and the absence of support in the record for its factual predicate. Specifically, the defendant had made it clear that he intended to predicate his opinion on the factual assumption that, during the entire time Jodee had been lodged in her mother‘s pelvis, her hand always had been where Cohen found it in his final attempt to extricate the baby, adjacent to her back shoulder. The court repeatedly stated that it was too great an inferential leap to conclude, based on Cohen‘s testimony, that Jodee‘s hand had been in that position the entire time. The court noted that, according to his testimony, in his last attempt to dislodge Jodee‘s shoulders, Cohen had
Turning to the defendant‘s claim, it is clear from the record that the defendant has misconstrued the trial court‘s statements regarding the inferential “leap” at issue as a determination of the credibility of Cohen‘s testimony. The court concluded that the defendant‘s opinion would have been based on speculation, and not on reasonable inferences from the facts established by Cohen‘s testimony. The defendant similarly misconstrues the court‘s comments on the discharge summary Cohen had prepared after Aponte‘s delivery. The court deemed it “curious” that Cohen‘s discharge summary did not reflect anything about Jodee‘s hand position affecting the delivery. In response to defense counsel‘s argument that the discharge summary was not inconsistent with Cohen‘s testimony, the court stated, “I‘m not saying it‘s inconsistent, I‘m just saying . . . it seems to be an important fact that was left out of the discharge summary.” The court thereafter related this point to its ruling that the evidence did not support the hypothetical. In other words, the court‘s point was that, if Cohen thought that the baby‘s hand position had been the cause of the problem, one would have expected Cohen to note it, rather than limit his comments to the position of the shoulders. Indeed, later, at the charging conference, the court stated: “I don‘t know if shoulder dystocia includes a hand that may be up there, and if so, why didn‘t Cohen write in his summary that he found the hand and pulled it out and it wasn‘t the shoulder
“The established rule is that, on direct examination, the stated assumptions on which a hypothetical question is based must be the essential facts established by the evidence.” Keeney v. L & S Construction, 226 Conn. 205, 213, 626 A.2d 1299 (1993); accord Conn. Code Evid. § 7-4 (a) (“[a]n expert may testify in the form of an opinion and give reasons therefor, provided sufficient facts are shown as the foundation for the expert‘s opinion“). In the present case, we cannot conclude that the trial court abused its discretion in concluding that the factual predicate of the hypothetical on which the defendant intended to base his expert opinion was not supрorted by the evidence and, hence, was speculative. See State v. Carpenter, supra, 275 Conn. 805.
III
The defendant next claims that the trial court submitted to the jury improper and misleading interrogatories. Specifically, the defendant claims that the interrogatories impermissibly guided the jury to reach a particular result in favor of the plaintiff, rather than explained or limited a general verdict, as is intended under the rules of practice. We disagree.
“In Freedman v. New York, N.H. & H. R. Co., 81 Conn. 601, [612] 71 A. 901 (1909), this court observed . . . that the purpose of interrogatories was to elicit ‘a determination of material facts, [and] to furnish the
In the present case, the plaintiff‘s amended complaint asserted nine allegations to support his claim that the defendant had breached the standard of care, in that he had: (1) failed to obtain an adequate history of Aponte‘s 1988 labor and delivery; (2) failed to manage properly Aponte‘s second stage of labor; (3) failed to assess properly Aponte‘s risk factors for shoulder dystocia; (4) failed to diagnose timely risk factors of shoulder dystocia; (5) failed to monitor the progress of labor; (6) permitted a prolonged second stage of labor; (7) failed to diagnose properly arrest of descent; (8) failed to listen to Aponte;18 and (9) failed to perform a cesarean
section. At the end of trial, over the defendant‘s objection, the trial court submitted interrogatories to the jury that listed each of the aforementioned nine allegations as a basis for establishing that the defendant had breached the standard of care. The jury responded affirmatively to eight of the nine questions, answering in the negative only to the fifth question regarding monitoring Aponte‘s labor.
In our view, the court‘s interrogatories to the jury are consistent with the purpose of this device, to elicit “a determination of material facts, [and] to furnish the means of testing the correctness of the verdict rendered, and of ascertaining its extent.” Freedman v. New York, N.H. & H. R. Co., supra, 81 Conn. 612. Moreover, we see no undue prejudice to the defendant simply by restating in the interrogatories the factual allegations forming the basis of the complaint as to the breach of the standard of care. Cf. Hammond v. Waterbury, 219 Conn. 569, 581, 594 A.2d 939 (1991) (concluding trial court had not abused its discretion by refusing to submit defendant‘s proposed interrogatories in light of court‘s determination that they were “confusing and [did] not track the . . . issues [submitted] . . . for the jury” and agreeing that they asked jury “to consider legal principles not applicable to the facts in issue” [internal quotation marks omitted]). Finally, although the rules of practice specifically address interrogatories as they relate to a general verdict; see Practice Book § 16-18 (“[t]he judicial authority may submit to the jury written interrogatories for the purpose of explaining or limiting a general verdict“); this court never has limited the trial court‘s discretion in providing interrogations to such cases. See, e.g., Bovat v. Waterbury, 258 Conn. 574, 584-85, 783 A.2d 1001 (2001) (interrogatories in single cause of action for highway defect properly stated both
IV
The defendant also claims that the cumulative effect of three aspects of the trial resulted in undue prejudice. Specifically, the defendant claims that: (1) the trial court improperly allowed the plaintiff‘s experts to testify as to Aponte‘s lack of informed consent when there was no informed consent claim in the case; (2) the court improperly ruled on the admission of expert testimony regarding the effect of Jodee‘s juvenile diabetes on her earning capacity for purposes of damage calculations; and (3) the “general trial atmosphere rendered impossible a dispassionate evaluation of the relative role of [the defendant] in its proper context.” We disagree.
We note at the outset that the defendant‘s evidentiary claims are reviewed under our well established standard. “The trial court‘s ruling on the admissibility of evidence is entitled to great deference. . . . [T]he trial court has broad discretion in ruling on the admissibility of evidence . . . [and its] ruling on evidentiary matters will be overturned only upon a showing of a clear abuse of the court‘s discrеtion. . . . We will make every reasonable presumption in favor of upholding the trial court‘s ruling, and only upset it for a manifest abuse of discretion. . . . Moreover, evidentiary rulings will be overturned on appeal only where there was an abuse of discretion and a showing by the defendant of substantial prejudice or injustice.” (Internal quotation marks omitted.) Jacobs v. General Electric Co., 275 Conn. 395, 406, 880 A.2d 151 (2005).
A
Turning to the challenged testimony as to the issue of informed consent, the defendant points to testimony
We recognize that, although this testimony undoubtedly would bear on informed consent if that were an issue in the case; see generally Logan v. Greenwich Hospital Assn., 191 Conn. 282, 290-93, 465 A.2d 294 (1983) (discussing development and elements of informed consent as basis for medical malpractice liability); the plaintiff did not assert a lack of informed consent claim. This testimony, however, also was directly relevant to a claim that the plaintiff did assert, namely, that the defendant had failed to recognize that Aponte‘s delivery presented a risk of shoulder dystocia. If, as the plaintiff‘s experts had testified, the standard of care would have obligated the defendant to discuss the risks of vaginal delivery with Aponte, his failure to do so would provide evidence that he had not in fact recognized that those risks were present. Therefore, the trial court did not abuse its discretion in concluding that this evidence was relevant. See State v. Cortes, 276 Conn. 241, 254, 885 A.2d 153 (2005) (“Relevant evidence, that is, ‘evidence having any tendency to make the existence of any fact that is material to the determination of the proceeding more probable or less probable than
Moreover, the trial court expressly instructed the jury that informed consent was not at issue in the case. It is well established that, “[i]n the absence of any indication to the contrary, we presume that the jury followed the court‘s instruction[s].”19 (Internal quotation marks omitted.) State v. Alston, 272 Conn. 432, 446, 862 A.2d 817 (2005). Accordingly, the trial court did not abuse its discretion with respect to its rulings and instruction on informed consent.
B
The defendant also challenges the trial court‘s rulings relating to evidence of Jodee‘s juvenile diabetes as it pertained to the calculation of economic damages. The defendant claims that the trial court improperly permitted Lawrence Forman, the plaintiff‘s vocational expert, to offer unscientific testimony because Forman had
Turning first to Forman‘s testimony, we note that the defendant does not claim that the methodology by which Forman reached his conclusion was unreliable. Rather, he claims that Forman‘s application of that methodology to the facts of the case was unreliable because Forman had failed to consider Jodee‘s juvenile diabetes. We disagree with his claim on two fronts. First, our review of Forman‘s testimony reflects that he clearly stated that he had considered Jodee‘s juvenile diabetes, but concluded that it was not relevant to her vocational capacity because that condition can be controlled through medication and diet. Second, it is well settled that, “[o]nce the validity of a scientific principle has been satisfactorily established, any remaining questions regarding the manner in which that technique was applied in a particular case . . . generally [present] an issue of fact that goes to weight, and not admissibility.” (Emphasis in original.) State v. Porter, 241 Conn. 57, 88 n.31, 698 A.2d 739 (1997), cert. denied, 523 U.S. 1058, 118 S. Ct. 1384, 140 L. Ed. 2d 645 (1998); accord State v. Reid, 254 Conn. 540, 551-52, 757 A.2d 482 (2000) (rejecting defendant‘s claim that trial court improperly admitted testimony from state‘s expert concerning microscopic hair analysis because expert did not evaluate all of hair characteristics discussed in forensiс literature, and because he did not take measurements, or quantify certain characteristics, of hair sample). Accordingly, the trial court properly determined that
The defendant further claims that, once Forman was permitted to offer an opinion as to Jodee‘s vocational capacity, the trial court improperly precluded him from offering expert testimony in two forms to establish that juvenile diabetes would affect her vocational capacity and life expectancy. First, the trial court precluded, on the ground that the defendant‘s disclosure was untimely, expert testimony from Joseph Rosenblatt, an endocrinologist, and James Cohen,20 a vocational rehabilitation specialist, whom the defendant claimed would testify that juvenile diabetes would affect Jodee‘s life and should have been considered by Forman. The defendant claims that his disclosure of these witnesses was not untimely; rather, he disclosed them within two weeks after it first became apparent to him that the plaintiff‘s experts, Forman and Gary Crakes, an economist, had not taken into account Jodee‘s medical condition. Specifically, the defendant points to Crakes’ deposition on November 30, 2004, as the point in time when this fact first became known to him. We disagree.
The record reveals the following additional undisputed facts. In January, 1999, the plaintiff disclosed Forman and Crakes as his experts regarding damages. In January, 2002, and August, 2004, respectively, Forman and Crakes submitted their reports; neither report reflected any indication that they considered
The trial court granted the plaintiff‘s motion to preclude these witnesses on the grounds of undue prejudice, undue interference with the orderly progress of the trial and bad faith delay in the disclosures. Specifically, the court noted the facts that: the scheduling order long had expired; jury selection was in progress; the trial was scheduled to commence on February 1, 2005; the defendant‘s experts would be introducing a new element into the trial—shortened life expectancy due to juvenile diabetes; and the defendant had known of Jodee‘s condition and of the plaintiff‘s experts several years earlier.
Given these facts, “[t]he court was well within its discretion to prevent this kind of ambush.” Gaudio v. Griffin Health Services Corp., 249 Conn. 523, 548, 733 A.2d 197 (1999) (no abuse of discretion when disclosure made thirty days before trial and defendant could have raised issue years ago); see Pool v. Bell, 209 Conn. 536, 540-41, 551 A.2d 1254 (1989) (no abuse of discretion when disclosure made three weeks before scheduled trial date and defendant disclosed witness six months after deadline under scheduling order), superseded by statute on other grounds as stated in Wood v. Bridgeport, 216 Conn. 604, 609, 583 A.2d 124 (1990). Indeed, at the latest, on June 3, 2004, after completing Forman‘s
Finally, we briefly address the second form in which the defendant sought to establish that Forman‘s exclusion of juvenile diabetes as a factor in Jodee‘s vocational capacity was incorrect. Specifically, the defendant claims that the trial court improperly excluded as irrelevant evidence that would have contradicted Forman‘s assumption that Jodee‘s diabetes could be controlled. The defendant contends that testimony from Sevket Yigit, the physician who had treated Jodee at the Connecticut Children‘s Medical Center Diabetes Clinic, and
Briefly stated, Yigit never opined that Jodee‘s condition could not be controlled. Yigit expressly rejected the defendant‘s suggestion that Jodee was at risk of complications from her condition because her father had died of complications from the same disease. Indeed, Yigit never even stated that Jodee‘s condition was not being controlled regularly; he noted that the records reflected an entry from one visit in which he had noted a concern about inadequate control due to, inter alia, multiple caregivers, but also that his examination reflected that “evеrything looked fine.” Accordingly, the trial court did not abuse its discretion by excluding this evidence on grounds of relevancy.
C
The defendant also makes a broad claim that he was prejudiced by certain conduct by the plaintiff‘s counsel during the proceedings, such as facial grimaces, body language and interruptions to his closing argument. The defendant concedes that the trial court addressed most of the contested conduct, but contends that the trial court‘s action was ineffective as evidenced by the fact that the conduct continued.
To the extent that the trial court‘s actions and the admissions by the plaintiff‘s counsel to this court reflect that the plaintiff‘s counsel engaged in such conduct, we note that we do not sanction any conduct that may divert the jury‘s attention from the issues properly before it. Nonetheless, in the absence of a request by the defendant for further instruction or a mistrial, we presume that the trial court took appropriate remedial measures to preserve the defendant‘s right to a fair trial.
V
Finally, we address the defendant‘s claim that the trial court lacked personal jurisdiction over him. Specif
The record reveals the following additional facts. The plaintiff commenced this action on August 22, 1997. The defendant filed his motion to dismiss for lack of personal jurisdiction on October 17, 1997. The plaintiff filed a memorandum in opposition to that motion on December 3, 1997, claiming that: (1) the defendant had actual notice, which was consistent with the purpose of the service of process statutes; and (2) unnecessary delay and confusion would result if the motion were granted because the plaintiff would be able to file a new action against the defendant under the accidental failure of suit statute,
It is well settled under our rules of practice and case law that, “[i]t is incumbent upon the appellant to take
In the present case, we have no record from which to determine the basis of the trial court‘s ruling. The trial court may have relied on one of the grounds asserted in the plaintiff‘s opposition, or on the ground of waiver, as the plaintiff now claims before this court, because of the defendant‘s actions in proceeding with his defense in the intervening years between the defendant‘s filing of the motion and the court‘s decision on the motion, or on some other ground. “Conclusions of the trial court cannot be reviewed where the appellant fails to establish through an adequate record that the trial court incorrectly applied the law or could not reasonably have concluded as it did . . . .” (Internal quotation marks omitted.) Daigle v. Metropolitan Property & Casualty Ins. Co., 257 Conn. 359, 364, 777 A.2d 681 (2001). Accordingly, we decline to review this claim.
The judgment is affirmed.
In this opinion BORDEN and NORCOTT, Js., concurred.
BORDEN, J., concurring. I agree with and join the majority opinion. I write separately solely to register my conclusion that the withdrawal of a negligence claim
PALMER, J., with whom ZARELLA, J., joins, dissenting. I disagree with the majority‘s conclusion that the trial court properly construed
The majority‘s conclusion is based on its construction of the term “release, settlement or similar agreement” as encompassing only bilateral agreements between the parties.7 When that language is viewed in isolation from our statutory apportionment scheme as a whole, I agree
Under
Under the majority‘s construction of
This result is patently illogical because the persons whom the plaintiff named in the action are the very persons against whom McNamee most likely would wish to exercise his right of apportionment. Under the majority‘s interpretation of the statutory scheme, however, a plaintiff, in his sole discretion, may deprive a defendant of the right of apportionment against any and all such persons simply by filing an action against them, waiting 120 days, and then withdrawing his claims against them. It is obvious that, in engaging in such a strategy, the plaintiff can deprive the defendant altogether of his apportionment rights. I do not believe that the legislature would have taken the steps that it had to abolish joint and several liability in favor of proportional liability, on the one hand, and then create a loophole that empowers any plaintiff to return to the former by depriving the defendant of any opportunity to invoke the latter, on the other.
In attempting to construct a rationale for its holding, the majority asserts that its statutory interpretation “is consistent with the legislative policies that
The majority also asserts that the interpretation that McNamee advances would revive “[t]he unwanted prac
Furthermore, the “unwanted practical effect [under Tort Reform I]” to which the majority refers in its quote from Collins relates to a problem “under Tort Reform I . . . [whereby] the jury, in determining the percentage of negligence attributable to any defendant, could take into account the negligence of any other person, regardless of whether that person was a party to the action. Tort Reform I, however, did not provide the
If, however, as the majority asserts, Tort Reform II did reflect a desire on the part of the legislature to avoid protracted litigation of weak claims, the majority fails to explain how permitting a plaintiff to withdraw an action against some but not all of the defendants,10 many years into the proceedings, appreciably furthers a legislative policy of avoiding “marginal and costly litigation . . . .” (Internal quotation marks omitted.) More importantly, however, whatever marginal benefit arguably might flow from the majority‘s interpretation of our apportionment scheme cannot possibly justify the loss of the right of apportionment that those
Finally, the majority asserts that its interpretation “is consistent with the intent of Tort Reform II, as expressed in Public Acts 1987, No. 87-227, which was to limit the universe of negligent persons that a finder of fact may consider in apportioning damages to only those entities that are either parties to the suit or parties who have reached a settlement agreement with the plaintiff—a clear indication that the legislature intended that
The issue in Babes was whether the state, when it is sued for negligence upon its waiver of sovereign immunity under
In reaching our conclusion, we briefly summarized the history of Tort Reform, explaining that, “under Tort Reform I, [the trier of fact] in determining the percentage of damages attributable to a particular defendant . . . was able to take into account the percentage of damages attributable to any other person, even if that person was not a party to the suit. A plaintiff was unable, however, to recover complete compensation for his injuries unless every person whose negligence proximately caused the injuries was a party to the suit. The share of damages attributable to nonparties was not recoverable.
“The legislature amended
It is apparent, therefore, that the passage from Babes on which the majority relies simply refers to the same problem that was addressed in the passage from Collins on which the majority also relies, namely, that, under Tort Reform I, a plaintiff often was unable to obtain complete compensation because of language in Tort Reform I that permitted the fact finder, in determining the percentage of negligence attributable to the defendant, to consider the negligence of a nonparty. Thus, we explained in Babes that, by limiting the universe of negligent persons whom the jury could consider in apportioning damages to persons against whom the plaintiff actually could recover, namely, parties and “settled or released persons“;
There is nothing in Babes, however, or in any other case, to suggest that the legislature, in enacting Tort Reform II, sought any result other than to strike an equitable balance between the interests of plaintiffs and of defendants. Under the majority‘s interpretation of the statutory scheme, the balance that the legislature sought to achieve has been shifted dramatically in favor of the plaintiff, who now has the ability to erect an absolute bar to apportionment. Because that cannot be what the legislature sought to accomplish, I respectfully dissent.
Notes
“(c) In a negligence action to recover damages resulting from personal injury, wrongful death or damage to property occurring on or after October 1, 1987, if the damages are determined to be proximately caused by the negligence of more than one party, each party against whom recovery is allowed shall be liable to the claimant only for such party‘s proportionate share of the recoverable economic damages and the recoverable noneconomic damages except as provided in subsection (g) of this section.
“(d) The proportionate share of damages for which each party is liable is calculated by multiplying the recoverable economic damages and the recoverable noneconomic damages by a fraction in which the numerator is the party‘s percentage of negligence, which percentage shall be determined pursuant to subsection (f) of this section, and the denominator is the total of the percentages of negligence, which percentages shall be determined pursuant to subsection (f) of this section, to be attributable to all parties whose negligent actions were a proximate cause of the injury, death or damage to property including settled or released persons under subsection (n) of this section. Any percentage of negligence attributable to the claimant shall not be included in the denominator of the fraction.
“(e) In any action to which this section is applicable, the instructions to the jury given by the court shall include an explanation of the effect on awards and liabilities of the percentage of negligence found by the jury to be attributable to each party.
“(f) The jury or, if there is no jury, the court shall specify: (1) The amount of economic dаmages; (2) the amount of noneconomic damages; (3) any
findings of fact necessary for the court to specify recoverable economic damages and recoverable noneconomic damages; (4) the percentage of negligence that proximately caused the injury, death or damage to property in relation to one hundred per cent, that is attributable to each party whose negligent actions were a proximate cause of the injury, death or damage to property including settled or released persons under subsection (n) of this section; and (5) the percentage of such negligence attributable to the claimant.“(g) (1) Upon motion by the claimant to open the judgment filed, after good faith efforts by the claimant to collect from a liable defendant, not later than one year after judgment becomes final through lapse of time or through exhaustion of appeal, whichever occurs later, the court shall determine whether all or part of a defendant‘s proportionate share of the recoverable economic damages and recoverable noneconomic damages is uncollectible from that party, and shall reallocate such uncollectible amount among the other defendants in accordance with the provisions of this subsection. (2) The court shall order that the portion of such uncollectible amount which represents recoverable noneconomic damages be reallocated among the other defendants according to their percentages of negligence, provided that the court shall not reallocate to any such defendant an amount greater than that defendant‘s percentage of negligence multiplied by such uncollectible amount. (3) The court shall order that the portion of such uncollectible amount which represents recoverable economic damages be reallocated among the other defendants. The court shall reallocate to any such other defendant an amount equal to such uncollectible amount of recoverable economic damages multiplied by a fraction in which the numerator is such defendant‘s percentage of negligence and the denominator is the total of the percentages of negligence of all defendants, excluding any defendant whose liability is being reallocated. (4) The defendant whоse liability is reallocated is nonetheless subject to contribution pursuant to subsection (h) of this section and to any continuing liability to the claimant on the judgment.
“(h) (1) A right of contribution exists in parties who, pursuant to subsection (g) of this section are required to pay more than their proportionate share of such judgment. The total recovery by a party seeking contribution shall be limited to the amount paid by such party in excess of such party‘s proportionate share of such judgment.
“(2) An action for contribution shall be brought within two years after the party seeking contribution has made the final payment in excess of such party‘s proportionate share of the claim. . . .
“(n) A release, settlement or similar agreement entered into by a claimant and a person discharges that person from all liability for contribution, but it does not discharge any other persons liable upon the same claim unless it so provides. However, the total award of damages is reduced by the amount of the released person‘s percentage of negligence determined in accordance with subsection (f) of this section. . . .”
In their original complaint, the original plaintiffs, Leslie Aponte and Joseph Viera; see footnote 1 of the majority opinion (describing posture of parties); alleged, inter alia, that, “[b]eginning in or about November 1994 and continuously thereafter to in or about May 1995 and thereafter, the defendant, IAN COHEN, undertook the care, treatment, monitoring and supervision of the infant plaintiff‘s mother . . . and the infant JODEE VIERA, then in utero, for pregnancy, labor and delivery. . . . While under the care, treatment, monitoring and supervision of the defendant, IAN COHEN, the infant plaintiff . . . suffered serious, painful and permanent injuries . . . . The injuries . . . were caused by the failure of the defendant, IAN COHEN, to exercise that degree of care and skill ordinarily and customarily used by physicians specializing in the field of obstetrics under all of the circumstances . . . in that he . . . failed to adequately and properly care for and treat the mother of the infant plaintiff during labor and delivery . . . failed to adequately and properly observe and monitor the mother of the infant plaintiff during labor and delivery . . . failed to recognize and properly treat the infant plaintiff and her mother for arrested descent . . . failed to properly recognize, treat and diagnose a cephalo-pelvic disproportionment . . . used excessive traction and/or force during the delivery of the infant plaintiff . . . failed to deliver the infant plaintiff by cesarean section . . . delayed delivery of the infant plaintiff by cesarean section beyond the point of ability to do so safely . . . failed to adequately consider all intrapartum and labor factors concerning the probability of shoulder dystocia . . . failed to anticipate or plan for a shoulder dystocia . . . failed to timely consult with other specialists in the field of obstetrics; and . . . failed to adequately and properly read and interpret fetal monitoring tapes.”“(b) The apportionment complaint shall be equivalent in all respects to an original writ, summons and complaint, except that it shall include the docket number assigned to the original action and no new entry fee shall be imposed. The apportionment defendant shall have available to him all remedies available to an original defendant including the right to assert defenses, set-offs or counterclaims against any party. If the apportionment complaint is served within the time period specified in subsection (a) of this section, no statute of limitation or repose shall be a defense or bar to such claim for apportionment, except that, if the action against the defendant who instituted the apportionment complaint pursuant to subsection (a) of this section is subject to such a defense or bar, the apportionment defendant may plead such a defense or bar to any claim brought by the plaintiff directly against the apportionment defendant pursuant to subsection (d) of this section.
“(c) No person who is immune from liability shall be made an apportion-ment defendant nor shall such person‘s liability be considered for apportion-
ment purposes pursuant to section 52-572h. If a defendant claims that the negligence of any person, who was not made a party to the action, was a proximate cause of the plaintiff‘s injuries or damage and the plaintiff has previously settled or released the plaintiff‘s claims against such person, then a defendant may cause such person‘s liability to be apportioned by filing a notice specifically identifying such person by name and last known address and the fact that the plaintiff‘s claims against such person have been settled or released. Such notice shall also set forth the factual basis of the defendant‘s claim that the negligence of such person was a proximate cause of the plaintiff‘s injuries or damages. No such notice shall be required if such person with whom the plaintiff settled or whom the plaintiff released was previously a party to the action.“(d) Notwithstanding any applicable statute of limitation or repose, the plaintiff may, within sixty days of the return date of the apportionment complaint served pursuant to subsection (a) of this section, assert any claim against the apportionment defendant arising out of the transaction or occurrence that is the subject matter of the original complaint.
“(e) When a counterclaim is asserted against a plaintiff, he may cause a person not a party to the action to be brought in as an apportionment defendant under circumstances which under this section would entitle a defendant to do so.
“(f) This section shall be the exclusive means by which a defendant may add a person who is or may be liable pursuant to section 52-572h for a proportionate share of the plaintiff‘s damages as a party to the action.
“(g) In no event shall any proportionate share of negligence determined pursuant to subsection (f) of section 52-572h attributable to an apportion-ment defendant against whom the plaintiff did not assert a claim be reallo-cated under subsection (g) of said section. Such proportionate share of negligence shall, however, be included in or added to the combined negli-gence of the person or persons against whom the plaintiff seeks recovery, including persons with whom the plaintiff settled or whom the plaintiff released under subsection (n) of section 52-572h, when comparing any
negligence of the plaintiff to other parties and persons under subsection (b) of said section.” Public Acts 1987, No. 87-227.“(b) A release by the injured person, or his legal representative, of one joint tortfeasor does not discharge the other tortfeasors unless, and only to the extent, the release so provides.”
We concluded “that the employer and employee are not joint tortfeasors pursuant to the statute and that, accordingly, the employer is released from any derivative liability.” Alvarez v. New Haven Register, Inc., supra, 249 Conn. 711. We noted the significant differences between vicarious and joint liability, and determined that “[i]n the absence of a compelling reason to depart radically from established policy, we are reluctant to modify the common-law rule that a principal and agent are not joint tortfeasors in order to fall within § 52-572e.” Id., 722. Of course, this court has recognized that, “[as] finally enacted, [Tort Reform I] represents a complex web of interdependent concessions and bargains struck by hostile interest groups and individuals of opposing philosophical positions.” Sanzone v. Board of Police Commissioners, 219 Conn. 179, 185, 592 A.2d 912 (1991). Thus, although our apportionment scheme contains provisions, like those singled out by the majority, that favor plaintiffs, there are other provisions that favor defendants. See, e.g.,
“(b) Consent of the patient or his authorized representative shall not be required for the disclosure of such communication or information (1) pursuant to any statute or regulation of any state agency or the rules of court, (2) by a physician, surgeon or other licensed health care provider against whom a claim has been made, or there is a reasonable belief will be made, in such action or proceeding, to his attorney or professional liability insurer or such insurer‘s agent for use in the defense of such action or proceeding. . . .”
