Lead Opinion
This appeal stems from the negligence of a Wal-Mart pharmacist in misfilling a prescription for John Tucker that purportedly resulted in his death. A jury awarded $150,000 to Mr. Tucker’s estate, $1,000,000 to his wife, and $125,000 to his daughter. Wal-Mart Stores, Inc., and its pharmacist, Russell White, argue on appeal that there was insufficient evidence to support a finding on the element of proximate cause, that the verdict in favor of Mrs. Tucker was a result of passion or prejudice, and that the award to the daughter was not supported by substantial evidence. We affirm.
After working for thirty years in Dallas, Texas, John Tucker and his wife Vivian Tucker retired to DeQueen, Arkansas. While in Dallas, John had undergone cardiac bypass surgery. As of his last check-up in 1996, his cardiologist indicated that John had a life expectancy of five to ten years. When the Tuckers moved to Arkansas,
Because John was overweight, Dr. Mitchell prescribed Zaroxolyn to help reduce fluid retention. Zaroxolyn is a diuretic designed to prevent fluid build up in patients with congestive heart failure. On May 15, 1997, John went to a Wal-Mart pharmacy to have the Zaroxolyn prescription filled. Russell White, the pharmacist on duty, misfilled the prescription; instead of Zaroxolyn, John’s prescription was filled with Ziac, a beta-blocker.
Shortly after May 15, 1997, John suffered from substantial weight gain due to water retention. He was eventually hospitalized in DeQueen on July 15, 1997, under the care of Dr. Mitchell. Over the course of several days, John’s doctors were able to reduce his fluid retention and hence his excess weight. He was discharged from the hospital on July 20, 1997. At that time, Dr. Mitchell was unaware of the pharmacist’s mistake in filling the earlier prescription for Zaroxolyn, so he directed John to return home and double his intake of Zaroxolyn.
John complied with his doctor’s instructions; however, because of the misfilled prescription, he proceeded to double his intake of Ziac instead of Zaroxolyn. Once again, John experienced a significant gain in weight due to fluid retention. This time, he was hospitalized in Texarkana on July 28, 1997, under the care of Dr. James Hurley. Upon admission to St. Michael Hospital, John was diagnosed with a kidney illness. During this hospitalization, doctors treated him for the kidney condition, and his weight gain due to fluid retention was reduced. John was subsequently released from the hospital on August 9, 1997, and directed to increase his Zaroxolyn intake.
On August 28, 1997, only two capsules remained from the prescription filled on May 15, so John returned to Wal-Mart for a refill. When the pharmacist, Russell White, examined the two remaining capsules, he discovered that he had mistakenly filled the May 15 prescription for Zaroxolyn with Ziac. Upon discovering his error, Mr. White advised the Tuckers that he would contact John’s doctors. In fact, Mr. White never did talk with any of John’s doctors, although he did make a call to a doctor’s office.
John returned home with the properly filled prescription of Zaroxolyn, but without a diminishing supply of Ziac. One week later, on September 4, 1997, he died from a myocardial infarction.
Vivian Tucker, individually and as Administratrix of the Estate of John Tucker, deceased, filed suit against Wal-Mart Stores, Inc., and Russell White. In her capacity as the administratrix of her husband’s estate, Vivian brought the action on behalf of the estate, John’s daughter, Johnny Faye Hoffman, and his two granddaughters.
Wal-Mart and Mr. White (hereinafter referred to collectively as “Wal-Mart”) bring this appeal contending that the trial court erred in refusing to grant a new trial or a remittitur of the total award. First, Wal-Mart contends that Vivian Tucker failed to show that her husband’s death was proximately caused by the misfilled prescription. Second, Wal-Mart contends that the award of $1,000,000 to Vivian Tucker individually was the result of passion and prejudice. Lastly, Wal-Mart maintains there was no rehable evidence introduced to support the award of $125,000 to Johnny Faye Hoffman for mental anguish.
I. Motion for New Trial
In any action for medical injury, the plaintiff must prove the applicable standard of care; that the medical provider failed to act in accordance with that standard; and that such failure was a proximate cause of the plaintiffs injuries. See Williamson v. Elrod,
Rule 59 of the Arkansas Rules of Civil Procedure provides eight grounds for a new trial. Rule 59 states in pertinent part:
(a) Grounds. A new trial may be granted to all or any of the parties and on all or part of the claim on the application of the party aggrieved, for any of the following grounds materially affecting the substantial rights of such party: ... (6) the verdict or decision is clearly contrary to the preponderance of the evidence or is contrary to the law.
Ark. R. Civ P. 59(a) (2003). However, a motion for new trial is not a challenge to the sufficiency of the evidence. Yeager v. Roberts,
Rule 50(e) states that “[w]hen there has been a trial by jury, the failure of a party to move for a directed verdict at the conclusion of all the evidence, because of insufficiency of the evidence will constitute a waiver of any question pertaining to the sufficiency of the evidence to support the jury verdict.” Ark. R. Civ. P. 50(e) (2003) (emphasis added). The purpose of a motion for directed verdict is to provide a procedure for determining whether the plaintiff has met the burden of establishing a prima facie case. Wilson Safety Products v. Eschenbrenner,
The distinction between a motion for new trial and a directed-verdict motion is a fine one. When a defendant makes an argument that the verdict is clearly against the preponderance of the evidence because the evidence is insufficient to establish one element of a prima facie case to support the cause of action, that argument is in substance a challenge to the sufficiency of the evidence.
In 1983, Rule 50 was amended and we stated: “Rule 50 will no longer allow the sufficiency of the evidence to be challenged by a motion for a new trial, only by a motion for a directed verdict and motion for judgment notwithstanding the verdict.” In re Amendments to the Rules of Civil Procedure,
In order to clear up any possible confusion that may exist with regard to our appellate standard of review, we take this opportunity to explain that, while a trial court evaluates a motion for directed verdict and a motion for judgment notwithstanding the verdict differently than a motion for new trial, an appellate court reviews a denial of any of those motions under the same standard. A trial court is to evaluate a motion for directed verdict or a motion for judgment notwithstanding the verdict by deciding whether the evidence is sufficient for the case to be submitted to the jury; that is, whether the case constitutes a prima fade case for relief. First United Bank v. Phase II, supra; Swink v. Giffin,
A. THE TRIAL COURT ERRED IN REFUSING TO GRANT WAL-MART’S MOTION FOR NEW TRIAL WHEN THE PLAINTIFF FAILED TO INTRODUCE EVIDENCE THAT THE DECEASED’S DAMAGES, IF ANY, WERE PROXIMATELY CAUSED BY WAL-MART.
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Before a party may prevail and obtain a verdict, the party seeking recovery must offer sufficient evidence to prove each and every necessary element of the cause of action for which that party has the burden of proof. To recover for negligence, the plaintiff is required to offer sufficient evidence to prove each and all of the following elements: . . . The failure of any one of these elements is sufficient to deny any recovery to the deceased.
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The evidence presented at trial clearly failed to prove that WalMart’s negligence was the proximate cause of Mr. Tucker’s death. In fact, not one expert testified within one reasonable degree of medical certainty that the mis-fill was the proximate cause of Mr. Tucker’s death. To the contrary, the expert testimony established that Mr. Tucker’s death was not caused by the mis-fill or that, at least, the cause of Mr. Tucker’s death could not be definitively stated under the circumstances.
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Not one expert, however, testified to a reasonable degree of medical certainty that the mis-fill proximately caused Mr. Tucker’s death. In fact, if the expert' testimony established anything, it established that the mis-fill was not the proximate cause of his death. Only one expert stated a conclusion based on a reasonable degree of medical probability as to the proximate cause of Mr. Tucker’s death and his conclusion was that the misfill did not cause Mr. Tucker’s death.
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Not only does the testimony of every expert fail to eliminate other potential causes of death, but all the experts agree that there were other factors that contributed to or caused Mr. Tucker’s death.
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[T]his is a case questioning whether Appellees can establish proximate cause when they have offered no evidence regarding proximate cause. That makes it a question regarding whether the evidence was substantial in that it did not exist and not whether it was sufficient.3
We conclude that Wal-Mart’s point on appeal is a challenge to the sufficiency of the
The appropriate time to challenge the sufficiency of the evidence to support each element of a cause of action is by a directed-verdict motion. See Williamson v. Elrod,
II. Damages — Excessive as a Result of Passion and Prejudice
For its second point, Wal-Mart argues that the $1,000,000 verdict in favor of Vivian Tucker was the result of passion and prejudice on the part of the jury. We recognize that a new trial may be granted if a verdict awards excessive damages appearing to have been given under the influence of passion or prejudice. Ark. R. Civ. P. 59(a)(4) (2003). Additionally, remittitur is appropriate when the compensatory damages awarded cannot be sustained by the evidence. Johnson v. Gilliland,
The verdict in favor of Vivian Tucker was for mental anguish and loss of consortium. Generally, the amount of damages growing out of mental anguish is left to the determination of the jury. Houston v. Knoedl,
Next, Wal-Mart complains that Vivian Tucker’s counsel inflamed passion in the jury by giving the members a directive in closing argument to punish Wal-Mart by “sending a message” to the “corporate wrongdoer.” In Stecker v. First Commercial Trust Co.,
Nine of the twelve empaneled jurors signed the verdict in this case. Based on a colloquy between the court and the jury’s foreperson, Wal-Mart suggests that the nine jurors who voted in favor of the plaintiff’s verdict did not want to hear from the remaining three jurors on the amount of damages. Article 2, section 7, of the Arkansas Constitution states:
[I]n all jury trials in civil cases, where as many as nine of the jurors agree upon a verdict, the verdict so agreed upon shall be returned as the verdict of such jury, provided, however, that where a verdict is returned by less than twelve jurors all the jurors consenting to such verdict shall sign the same.
Ark. Const, art. 2, § 7.
At the outset, we decline to infer that merely because the verdict was signed by nine of twelve jurors, it was given under the influence of passion or prejudice. When an award is alleged to be excessive as a result of passion or prejudice, this court views the proof and all reasonable inferences most favorably to the appellees and determines whether the verdict is so great as to demonstrate passion or prejudice on the part of the trier of fact. Houston v. Knoedl,
(1) The duration and intimacy of their relationship and the ties of affection between decedent and survivor.
(2) Frequency of association and communication between an adult decedent and an adult survivor.
(3) The attitude of the decedent toward the survivor, and of the survivor toward the decedent.
(4) The duration and intensity of the sorrow and grief.
(5) Maturity or immaturity of survivor.
(6) The violence and suddenness of the death.
(7) Sleeplessness or troubled sleep over an extended period.
(8) Obvious extreme or unusual nervous reaction to the death.
(9) Crying spells over an extended period of time.
(10) Adverse effect on survivor’s work or school.
(11) Change of personality of the survivor.
(12) Loss of weight by survivor and other physical symptoms.
(13) Age and life expectancy of the decedent.
Kelley v. Wiggins,
The testimony elicited at trial revealed that John and Vivian Tucker had a very close relationship, and that Vivian suffered greatly from the loss of her husband. They had met in high school, and were married for 41 years. According to Vivian, the only time they were ever apart was for a short period when John moved to Arkansas in order to clear their land. Vivian described the loss of her husband as the most horrible period in her life. She testified that John was her best friend and fishing buddy. During the period that John was taking the misfEled prescription, Vivian took care of him. John was terrified throughout the experience, and she became upset upon learning about the pharmacist’s mistake. Moreover, since her husband’s death, Vivian has been forced to learn how to Eve by herself, but she has not been able to make the adjustment. Now, she must depend on somebody other than her husband.
Other testimony confirmed the couple’s close friendship, as well as Vivian’s deeply-felt loss after her husband’s death. One grandchild testified that John and Vivian seemed very happy together and loved to do things together. One of their good friends, Marty Brown, testified that Vivian was extremely upset and not ready for her loss. Marty described the loss as horrible. Another friend, Rusty Williams, testified that the Tuckers had a close relationship, and that he did not think Vivian had ever completely gotten over the loss. Vivian’s sister, Glenda Gschnell, described the two as a classic married couple.
Viewing this evidence in the light most favorable to Vivian Tucker, it is evident that she and John had a very close relationship, and that she has been severely affected by her husband’s death. Accordingly, we are unable to say that the $1,000,000 jury verdict was given under the influence of passion or prejudice.
III. Damages — Proof of Mental Anguish
The final point on appeal is Wal-Mart’s claim that an award of $125,000 to the decedent’s daughter, Johnny Faye Hoffman, for mental anguish is not supported by substantial evidence. WalMart failed to move for a directed verdict at the conclusion of all the evidence. Thus, to the extent that the argument under this point is a claim that the plaintiff presented no evidence of damages, it is really a challenge to the sufficiency of the evidence that has not been properly preserved for the reasons already stated under section I of this opinion. See Benton v. Barnett,
Wal-Mart further contends that Peugh v. Oliger, supra, stands for the proposition that an award of mental anguish based on testimony other than that of the aggrieved party is insufficient. We disagree. In that case, the court reversed an award in favor of two of the decedent’s sons where they did not attend their father’s funeral, did not appear at the trial, and did not testify. Peugh v. Oliger, supra. Moreover, the court qualified its conclusion based on the definition of “mental anguish” that has since been superseded. Compare Ark. Code Ann. § 16-62-102(f)(2) (Supp. 2001) with Peugh v. Oliger, supra.
Wal-Mart’s argument under this point hinges entirely on cases that have been legislatively superseded. Consequendy, we find the argument to be without merit.
Affirmed.
Notes
The granddaughters’ claims were dismissed by the circuit court.
The concurrence cites Chevrolet C. v. Collins,
The concurrence seeks to preserve Wal-Mart’s point on appeal by stating that “[t]he phrase ‘was contrary to the preponderance of the evidence’ was quoted verbatim in Wal-Mart’s motion for a new trial.” However, Wal-Mart’s brief on appeal is devoid of any reference to the evidence being “contrary to the preponderance of the evidence.” Instead, Wal-Mart bases its entire appeal on the sufficiency of the evidence.
Concurrence Opinion
concurring. It does not appear that we have done anything to clarify this court’s cases dealing with motions for directed verdict, judgment NOV, and new trial. What seems apparent to me is the courts have mixed what standards a trial judge employs when considering these procedural motions and the standards this court uses when it reviews these matters on appeal. Because I agree with the result reached in this case, I simply concur and ask our Civil Practice Committee to address this area of procedural confusion and offer its insight as to a solution.
Concurrence Opinion
concurring. I concur in the outcome in this case; however, I believe this court is in error in failing to reach the issues in the new trial motion, including whether there was substantial evidence to support the jury’s verdict, and more particularly whether the jury’s decision that Wal-Mart’s conduct proximately caused the deceased’s damages is contrary to the preponderance of the evidence. Additionally, I disagree that the issue of whether there is substantial evidence in support of the jury’s verdict awarding damages to Tucker’s daughter Johnny Faye Hoffman for mental anguish is procedurally barred. I would hold that the new trial motion was properly denied because the jury’s verdict is not clearly contrary to the preponderance of the evidence. I write further to clarify the distinctions between a motion for a directed verdict and a motion for a new trial. The
Whether There Was a Motion for a New Trial
The majority concludes that while the motion may be captioned a motion for new trial, it is actually a motion for a directed verdict challenging the sufficiency of the evidence that was submitted to the jury. I agree that the discussion in the brief includes argument that is couched in terms of a challenge to the sufficiency of the evidence submitted to the jury. There is no doubt that Wal-Mart’s brief mixes arguments, as the majority shows by quoting portions of the brief. However, even if some portions of WalMart’s brief may be interpreted to impermissibly challenge the sufficiency of the evidence submitted to the jury, that does not mean that the court may simply dismiss other portions of the brief that argue the trial court erred in denying the new-trial motion.
I first note that Wal-Mart cites Gibson Appliance Co. v. Nationwide Insurance Co.,
The standard of review for a motion for new trial or, in the alternative, a motion for judgment notwithstanding the verdict, is the same for each, i.e., whether there is substantial evidence to support the jury verdict.
Gibson,
The majority is correct in stating that a failure to make a motion for a directed
“[t]he experts’ testimony is not of sufficient force to compel a conclusion that Mr. Tucker’s death was a proximate cause of the mis-fill. As a result, the jury’s verdict is not supported by substantial evidence and the trial court’s denial of the Wal-Mart’s motion for new trial must be reversed.”
The standard of review on a directed verdict motion is whether the jury’s verdict is supported by substantial evidence.
A directed-verdict motion is a challenge to the sufficiency of the evidence, and when reviewing a denial of a motion for a directed verdict, this court determines whether the jury’s verdict is supported by substantial evidence.
D.B. Griffin,
Substantial evidence in the case of a directed verdict motion is “evidence that goes beyond suspicion or conjecture and is sufficient to compel a conclusion one way or the other.” Southern Farm Bureau,
When acting upon a motion for new trial challenging a jury’s verdict, the trial court is required by Ark. R. Civ. P. 59(a)(6) to set aside the verdict if it is clearly against the preponderance of the evidence or contrary to law. Dedman v. Porch,293 Ark. 571 ,739 S.W.2d 685 (1987). The test on review, where the motion is denied, is whether the verdict is supported by substantial evidence. Schaeffer v. McGhee,286 Ark. 113 ,689 S.W.2d 537 (1985). It is only where there is no reasonable probability that the incident occurred according to the version of the prevailing party or where fair-minded men can only draw a contrary conclusion that a jury verdict should be disturbed. Blissett v. Frisby,249 Ark. 235 ,458 S.W.2d 735 (1970).
Pineview,
The phrase “was contrary to the preponderance of the evidence” was quoted verbatim in Wal-Mart’s motion for a new trial. The motion for new trial was presented and denied by the trial court. The issue is presented and laid out sufficiently that this court should hear the denial of the motion for a new trial.
Motion for New Trial
The new-trial motion tests the jury verdict after it is rendered. The directed
A motion for a new trial asks the trial court to rule on whether the jury returned a verdict clearly contrary to the preponderance of the evidence. Ark. R. Civ. P. 59(a)(6). On appellate review of the denial of a motion for a new trial, this court determines whether the verdict reached by the jury was supported by substantial evidence. Pearson, supra. A motion for a new trial is brought after the jury has returned a verdict. Ark. R. Civ. P. 59(b).
A motion for a directed verdict is brought before the jury is charged and retires to render a decision. Willson Safety Prods. v. Eschenbrenner,
A party does not have to make a motion testing the sufficiency of the evidence to go to the jury as a prerequisite to making a motion for a new trial. Motions for directed verdict and judgment notwithstanding the verdict are made to preserve a later argument on the sufficiency of the evidence to go to the jury. ARCP 59 specifically states a motion for a new trial may be granted for eight reasons, one of which is where the verdict is clearly contrary to the preponderance of the evidence. Such a motion does not test the sufficiency of the evidence and is not precluded by Rule 50(e).
Yeager,
Still, some confusion has arisen in the law by the use of the term “sufficiency of the evidence,” with respect to both a motion for a directed verdict and a motion for a new trial. As the majority notes, Ark. R. Civ. P. 50(e) was amended in 1983 to remove any implication that a motion for a new trial could be used after a jury returned its verdict to test whether the evidence was sufficient to submit the issue to the jury. There has been confusion in the past about just what is challenged by a motion for new trial. In McFall Chevrolet Co. v. Collins,
in order for an appellant to challenge the sufficiency of the evidence in a jury trial, he must either move for a directed verdict at the conclusion of all the evidence, move for a judgment notwithstanding the verdict, or move for a new trial because of insufficiency of the evidence. The failure to do one of these three requirements precludes raising the issue on appeal. Rule 50(e) (ARCP).
McFall,
We note appellant’s additional reference to a motion for new trial when discussing the sufficiency of evidence, and take this opportunity to mention our amendment of ARCP Rule 50(e) that omitted any reference to the motion for new trial. That amendment makes it clear that a party must test the sufficiency of the evidence by motions for directed verdict and judgment notwithstanding the verdict, not by a motion for new trial. See In Re: Amendments to the Rules of Civil Procedure,279 Ark. 470 ,651 S.W.2d 63 (1983).
Majewski,
A motion for new trial based on Rule 59(a)(4) or (a)(5) challenges the sufficiency of the evidence to support a jury’s factual determination of damages. Kempner v. Schulte,318 Ark. 433 ,885 S.W.2d 892 (1994); National Bank of Commerce v. McNeill Trucking Co.,309 Ark. 80 ,828 S.W.2d 584 (1992).
Coca-Cola,
The standard of review of a motion for a directed verdict and a motion for a new trial is stated in precisely the same words. The standard of review for both the denial of a directed-verdict motion and the denial of a motion for new trial is whether there was substantial evidence to support the jury’s verdict. However, in the case of a directed-verdict motion, this court must determine whether there was substantial evidence to submit to the jury; in the case of a new trial motion, this trial court must determine whether the jury’s verdict is supported by substantial evidence, or in other words, whether the verdict is clearly contrary to the preponderance of the evidence. The cases are not as clear on this point as they might be. See Coca-Cola Bottling Co. v. Gill,
I would decide the issue of whether the jury’s verdict was clearly against the preponderance of the evidence, and I would hold that the jury’s verdict is supported by substantial evidence.
The majority asserts that the cite to McFall Chevrolet Co. v. Collins,
