This case arises from the death of Fatricia Young, who the jury concluded died as a consequence of the failures of Dr. Fartha Shanker Nandi and Dr. Sante Bologna, of the Center for Digestive Health, an assumed name for Troy Gastroenterology, EC., to
properly diagnose and treat her intestinal ischemia. This conclusion is not challenged on appeal; rather, the issues on appeal relate to (1) the awards of noneconomic damages and attorney fees, (2) whether plaintiffs counsel’s conduct denied defendants a fair trial, and (3) whether
Apsey v Mem Hosp (On Reconsideration),
First, defendants argue on appeal that the lower noneconomic damages cap provided by MCL 600.1483(1) applies in all wrongful death actions. We disagree and reject defendants’ arguments in support of their position as untenable, unfair, and unintended by the Legislature, as did our Supreme Court in
Shinholster v Annapolis Hosp,
Whether the higher medical malpractice noneconomic damages cap, MCL 600.1483(1), can apply to cases brought under the wrongful death act, MCL 600.2922, presents an issue of statutory construction, i.e., a question of law, that is reviewed de novo.
Jenkins v Patel,
It is uncontested that MCL 600.1483, which imposes noneconomic damages caps, applies to wrongful death actions premised on medical malpractice claims. See Jenkins, supra at 173. But, there are two caps — one limiting damages to $280,000 and one limiting damages to $500,000. The higher limit cap only applies if certain injuries resulted from the negligence. Defendants claim that those injuries — permanent functional loss of at least one limb because of brain or spinal cord injury, or permanently impaired cognitive capacity — could not happen in a wrongful death case for three reasons. First, the injuries could never happen because an “estate” is the “plaintiff” and it cannot suffer “injuries.” Second, the statute uses present tense language and, thus, requires that the injured party continue to suffer those injuries, i.e., be alive, at the time of judgment. And, third, the Legislature eliminated “death” as a cap exception when it amended § 1483.
But, defendants are stretching the limits of reason with these purported justifications for prohibiting the application of the higher cap in wrongful death actions. Our Supreme Court, albeit through several opinions, rejected all of these same or similar arguments in
Shinholster, supra,
and held that the higher cap may apply in medical malpractice cases. Justice MARKMAN authored the lead opinion that held that the higher cap applied in that case and, with regard to this issue, Justice WEAVER, in a separate opinion, joined the reasoning and the result of the lead opinion. See
Shinholster, supra
at 559-568. Justices CAVANAGH and KELLY, in a separate opinion, concurred in result only with the lead opinion with regard
Plurality opinions in which no majority of the participating justices agree with respect to the reasoning for the holding are not generally considered authoritative interruptions that are binding under the doctrine
of stare decisis. See
Negri v Slotkin,
With regard to defendants’ first claim, that the “plaintiff” in a wrongful death case for purposes of MCL 600.1483(1) is the estate, not the decedent, the lead opinion in Shinholster, with Justices CAVANAGH, Weaver, and Kelly, in separate opinions, joining with regard to this issue, considered a very similar argument and rejected it. There the Court interpreted the term “plaintiff” in MCL 600.6311, a statute that provides an exception to the rule that future damages be reduced to gross present value if the “plaintiff” is at least 60 years old at the time of judgment. Shinholster, supra at 568-569. The Court compared other provisions of the Reversed Judicature Act, particularly the comparative fault provision of MCL 600.6306(3) (which provides for the reduction of a judgment “by an amount equal to the percentage of plaintiffs fault”) and MCL 600.6305(2) (which, in the event of death, provides for “the calculation of future damages .. . based on the losses during the period of time the plaintiff would have lived but for the injury”). Shinholster, supra at 570-571. Holding that the term “plaintiff” must be considered in context, and not in a vacuum, the Court concluded that the “plaintiff” for purposes of § 6311 was the decedent, not the estate, in that wrongful death case. Id.
A similar analysis applies here. MCL 600.1483(1) specifically references the application of § 6304, the statute that requires the determination of “ [t]he percentage of the total fault of all persons that contributed to the death or injury, including each plaintiff. . ..” MCL 600.6304(l)(b). As the lead opinion in
Shinholster
noted, that determination of fault results in a reduction of the total judgment under MCL 600.6306(3). Thus, the “plaintiff” to which § 6304 and § 6306(3) refer must be the decedent in the wrongful death case because neither a personal representative nor an estate would be evaluated for comparative negligence purposes in a wrongful death case. See
Shinholster, supra
at 570-571. It naturally follows then that the “plaintiff” to which § 1483 refers is also the decedent. In other words, considered in context, it is the decedent who is considered with respect to whether the “plaintiff” suffered a permanent functional loss of a limb as a result of brain or spinal cord injury or permanently impaired cognitive
Defendants also claim that the use of the present tense in the statute, i.e., “[t]he plaintiff has permanently impaired cognitive capacity,” means that the impairment must continue to exist at the time of judgment to warrant application of the higher cap. Again, the
Shinholster
lead opinion is persuasive on this issue. The lead opinion stated that the use of the present tense meant that “[a]s long as, at some point
after the defendant’s alleged negligence occurred and before the decedent’s death, it could be said that, ‘as a result of the negligence of 1 or more of the defendants’ ” the plaintiff suffered one of the qualifying injuries, the higher damages cap tier applies.
Shinholster, supra
at 562. It was also noted that this interpretation of the present tense text was consistent with the Court’s conclusion in
Michalski v Bar-Levav,
The lead opinion in Shinholster also rejected the “present tense” argument on three more grounds, including, first, that the wrongful death act, MCL 600.2922(6), provided at that time that the deceased’s estate may recover “reasonable compensation for the pain and suffering, while conscious, undergone by the deceased person during the period intervening between the time of the injury and death.. ..” Shinholster, supra at 564. Thus, the Legislature intended that the estate recover everything that the decedent would have been able to recover had he or she lived. Id. at 564-565. Second, the “reasonable compensation” referred to by § 2922(6) may sometimes be in excess of the lower cap, as the Legislature concluded by providing for a higher cap, and such “reasonable compensation” would be prevented by a decision that the higher cap could never be applied in wrongful death cases. Shinholster, supra at 565. And, third, the lead opinion in Shinholster rejected the temporal requirement that the injured party continue to suffer the injury at the time of judgment because such an interpretation is inconsistent with the statutory language and because if that is what the Legislature intended, it would have included such a requirement. Id. at 565-566. For all or any of these grounds, we conclude that the use of the present-tense text does not require that the injured party, who suffered the qualifying injury, survive until judgment is entered. Thus, this argument is rejected.
Finally, defendants argue that because the Legislature eliminated death as a cap exception when it amended MCL 600.1483 in 1993 to its current form, the higher cap can never apply in wrongful death actions. But, again, the lead opinion in
Shinholster
considered this argument and rejected it on the ground that the former version of MCL 600.1483 was a single-tiered cap system.
Shinholster, supra
at 563 n 16. Thus, if death occurred, there was
no
cap on damages.
Id.
The lead opinion noted that the Legislature’s intent with the newly formulated two-tiered system was “nothing more than that one of the statute’s two caps apply to limit
In summary, whether the lower or the higher non-economic damages cap applies in a given case depends on the facts. As in any action for damages alleging medical malpractice, to recover noneconomic damages in excess of $280,000 the injured party had to suffer a qualifying injury and, in a wrongful death case, the qualifying injury had to occur before death. The death of the injured party before judgment is entered does not defeat the claim. Therefore, defendants’ argument that MCL 600.1483(1) prevents the recovery of the higher cap in all wrongful death cases is rejected. Here, if the personal representative could establish that Young suffered a qualifying injury before her death as a result of the negligence of at least one of the defendants, recovery in excess of $280,000, but not above $500,000, could be allowed.
And, that is defendants’ next issue on appeal. Defendants claim that expert testimony is necessary to establish that the injured party, Young in this case, suffered one of the qualifying injuries before the higher cap may be applied. Defendants premise this argument on the ground that expert testimony is necessary to prove breach of the standard of care and causation in medical malpractice cases. Defendant’s are correct that expert testimony is necessary to establish those elements of a prima facie medical malpractice action. See
Francisco v Parchment Medical Clinic, PC,
Defendants have failed to cite any authority in support of the proposition that expert testimony is required to establish these elements of damage. As SJI2d 50.01 provides, “[wjhich, if any, of these elements of damage has been proved is for you to decide based upon evidence and not upon speculation, guess or conjecture.” Under Michigan law, recovery is not permitted in tort actions for remote, contingent, or speculative damages.
Theisen v Knake,
But, under MCL 600.1483(1), even if a jury trial is conducted, the trial court determines whether one of these unique elements of damage exists as a result of a defendant’s medical malpractice and, thus, entitles a plaintiff to the higher cap. So, the trial court is the finder of fact with regard to these unique elements of damage. The trial court is presumed to
Defendants also argue that, in this case, the jury was improperly asked to consider the issue whether defendants’ malpractice caused Young to suffer “permanently impaired cognitive capacity rendering her incapable of making independent, responsible life decisions and permanently making her incapable of independently performing the activities of normal daily living.” See MCL 600.1483(1). The jury was given no information regarding why it was considering this issue. Nev ertheless, MCL 600.6304(5) provides that “[t]he jury shall not be advised by the court or by counsel for either party of the limitations set forth in section 1483 or any other provision of section 1483.” Giving defendants the benefit of the doubt, the jury arguably should not have been permitted to consider and decide the specific issue whether Young suffered this particular type of injury. But, even if it was an error, the error was harmless. As plaintiff argues, the trial court considered this argument raised by defendants in a posttrial motion and held that “[t]he Court having considered the evidence presented at trial finds that the negligence as determined by the jury of defendants, at some point, rendered Ms. Young to be incapacitated and come within this [MCL 600.1483(l)(b)] exception.” Therefore, no relief on this ground is warranted.
Next, defendants argue that the evidence did not support the trial court’s imposition of the higher cap in this case. We agree. The trial court made no findings of fact with regard to this issue. After review of the record evidence, we conclude that plaintiff failed to present persuasive evidence in support of a finding that Young suffered permanently impaired cognitive capacity before she died as the result of the negligence of either or both of the defendant doctors.
MCL 600.1483 provides, in relevant part:
(1) In an action for damages alleging medical malpractice by or against a person or party, the toted amount of damages for noneconomic loss recoverable by all plaintiffs, resulting from the negligence of all defendants, shall not exceed $280,000.00 unless, as the result of the negligence of 1 or more of the defendants, 1 or more of the following exceptions apply as determined by the court pursuant to section 6304, in which case damages for noneconomic loss shall not exceed $500,000.00:
(b) The plaintiff has permanently impaired cognitive capacity rendering him or her incapable of making independent, responsible life decisions and permanently incapable of independently performing the activities of normal, daily hving.
Whether a plaintiff has “permanently impaired cognitive capacity” depends on what that phrase means — a matter of statutory interpretation. Ascertaining the Legislature’s intent is our goal.
Neal v Wilkes,
Because the statute does not provide its own glossary, we may consult dictionary definitions for guidance.
Koontz v Ameritech Services, Inc,
Considered together, then, the meaning of “permanently impaired cognitive capacity” includes damage to or diminishment of one’s mental ability to perceive, memorize, judge, or reason that is expected to last forever. Turning back to MCL 600.1483(l)(b), to establish this qualifying injury the plaintiff must suffer damage to or diminishment of his or her mental ability to perceive, memorize, judge, or reason that is permanent “rendering him or her incapable of making independent, responsible life decisions and permanently incapable of independently performing the activities of normal, daily living.” Id. And, this permanently impaired cognitive capacity must be “the result of the negligence of 1 or more of the defendants ....” MCL 600.1483(1).
In this case, plaintiff failed to set forth any evidence establishing that Young suffered permanent damage to or diminishment of her mental abilities to perceive, memorize, judge, or reason that rendered her “incapable of making independent, responsible life decisions and permanently incapable of independently performing the activities of normal, daily living” as the result of the negligence of either or both of the defendant doctors. Although Young died, death itself is not this qualifying injury.
Plaintiff argues on appeal that because Young was on a ventilator and medically sedated, she suffered the requisite impaired cognitive capacity. Plaintiff also appears to argue that, during the course of her decline, Young was not able to make medical decisions on her own behalf, which was evidence of her impaired cognitive capacity. Neither of these arguments tends to establish that Young suffered permanently impaired cognitive capacity within the contemplation of the statute. But for her clinical decline and the associated or necessary medical interventions, the evidence did not suggest that Young suffered damage to or diminishment of her mental ability to perceive, memorize, judge, or
reason that was expected to be permanent. For example, there was no evidence to suggest that, if Young had lived, she would have been incapable of making independent, responsible life decisions and that she would have been permanently incapable of performing the activities of normal, daily living. That she may have temporarily or unnaturally experienced impaired cognitive capacity at some point before her death does not establish entitlement to the higher noneconomic damages cap. Therefore, we reverse the trial court’s award that was based on this higher cap and
Next, defendants argue that their motion for a new trial should have been granted because they were denied a fair trial by plaintiffs counsel’s misconduct. We disagree. The denial of a motion for a new trial is reviewed for an abuse of discretion.
Kelly v Builders Square, Inc,
Defendants raise several claims of purported misconduct by plaintiffs counsel that allegedly tainted the proceedings to the point that reversal is required. This purported misconduct primarily involves plaintiffs counsel’s implications at various points in the trial that the defendant doctors were not worthy of belief and that their experts were not to be trusted. We have reviewed all of defendants’ claims and the extensive record in this matter and conclude that defendants were not denied a fair trial on this ground. The witnesses were not subjected to personal attacks and unsubstantiated insinuations that were designed to prejudice the jury and divert its attention from the real issues. See
Wayne Co Bd of Rd Comm’rs v GLS LeasCo,
Defendants’ reliance on
Badalamenti v William Beaumont Hospital-Troy,
Defendants’ complaint about plaintiffs counsel’s demeanor is not persuasive. That her demeanor was unfriendly or even nasty at times probably did her more harm than good. As our Supreme Court noted in
Firchau v Foster,
Defendants further claim they were denied a fair trial because plaintiffs counsel gave each juror a packet of medical records that she referred to during the trial. Defendants argue that this packet constituted an improper extraneous influence because it emphasized only certain records to the exclusion of others. Defendants’ objection at trial to the medical record packet challenged its completeness.
Next, defendants argue that health care insurance benefits paid on Young’s behalf should have been considered collateral source benefits under MCL 600.6303 because plaintiff did not comply with the statute’s notice requirements. After review de novo of this question of law, we disagree.
See Markley v Oak Health Care Investors of Coldwater, Inc,
MCL 600.6303 provides, in relevant part:
(1) In a personal injury action in which the plaintiff seeks to recover for the expense of medical care ... or other economic loss, evidence to establish that the expense or loss was paid or is payable, in whole or in part, by a collateral source shall be admissible to the court in which the action was brought after a verdict for the plaintiff and before a judgment is entered on the verdict. Subject to subsection (5), if the court determines that all or part of the plaintiffs expense or loss has been paid or is payable by a collateral source, the court shall reduce that portion of the judgment which represents damages paid or payable by a collateral source by an amount equal to the sum determined pursuant to subsection (2). This reduction shall not exceed the amount of the judgment for economic loss or that portion of the verdict which represents damages paid or payable by a collateral source.
*
(3) Within 10 days after a verdict for the plaintiff, plaintiffs attorney shall send notice of the verdict by registered mail to all persons entitled by contract to a lien against the proceeds of plaintiffs recovery. If a contractual lien holder does not exercise the lien holder’s right of subrogation within 20 days after receipt of the notice of the verdict, the lien holder shall lose the right of subrogation. This subsection shall only apply to contracts executed or renewed on or after the effective date of this section.
(4) As used in this section, “collateral source” means benefits received or receivable from an insurance policy; benefits payable pursuant to a contract with a health care corporation.... Collateral source does not include life insurance benefits or benefits paid by a person, partnership, association, corporation, or other legal entity entitled by law to a lien against the proceeds of a recovery by a plaintiff in a civil action for damages. Collateral source does not include benefits paid or payable by a person, partnership, association, corporation, or other legal entity entitled by contract to a lien against the proceeds of a recovery by a plaintiff in a civil action for damages, if the contractual lien has been exercised pursuant to subsection (3).
In this case, it is uncontested that the health care insurer asserted its contractual lien against the proceeds of the lawsuit on
Defendants’ legal position has been rejected by our Supreme Court in
Rogers v Detroit,
expressly forbids a trial judge from extending the period or recognizing “notice” occurring before the verdict. The judge did not abuse his discretion in this case. The statute also does not deprive a trial court of the authority to recognize that substantial compliance occurred in this case. The law does not require that a lienholder lose its substantive rights. It does not provide a tortfeasor with a windfall, just because lien rights were exercised at a different time than within the statutory ten-day window.
A statute is to be construed to avoid inflicting hardship or reaching an unjust or unreasonable result. Here, we conclude that the overall statutory purpose was fulfilled: to avoid giving plaintiff either a double recovery or a double liability. To that end, the spirit and purpose of the legislation must prevail over the strict letter of the law. [Rogers, supra at 156-157 (citation omitted).]
By the rule of stare decisis, we reach the same result in this case. “The rule of stare decisis generally requires courts to reach the same result when presented with the same or substantially similar issues in another case with different parties.” See
WA Foote Mem Hosp v City of Jackson,
Defendants argue that
Rogers, supra,
has no precedential value despite the fact that it was overruled on grounds wholly distinct from the collateral source issue. But, defendants fail to provide legal support for this position. Instead, they have only argued that when the Supreme Court reverses a decision on the basis of one issue and does not specifically address a second issue in the case, no rule of law remains from the decision. But, even if that is true, it does not mean that when the Supreme Court reverses on the basis of one issue in a case that
it
previously decided that no useful rationale remains with regard to any other issue addressed in that case. In fact, the Supreme Court itself cites cases that it has “overruled in part on other grounds” to support its rationale. See, e.g.,
People v Anstey,
Defendants next argue that the amount of attorney fees awarded in plaintiffs
Under MCR 2.403(O)(6)(b), “a reasonable attorney-fee based on a reasonable hourly or daily rate as determined by the trial judge for services necessitated by the rejection of the case evaluation” is considered an “actual cost” and is permitted as case evaluation sanctions. See, also, MCR 2.403(O)(l). In this case, plaintiffs counsel requested $375 an hour but was awarded $250 an hour. Defendants do not argue that this constituted an unreasonable hourly rate in violation of MCR 2.403(O)(6)(b).
It appears that defendants are challenging whether the fees were for necessary services because defendants are contesting the lack of specificity with regard to plaintiffs attorney’s requested fees. In particular, defendants claim that “[t]he trial court erred in awarding attorney fees on the basis of time records that were not itemized with sufficient particularity, including 80 hours labeled only ‘trial prep’ and 127.6 labeled only ‘trial prep and trial.’ ” As the trial court noted, defendants have failed to cite caselaw that requires any certain specificity with regard to the time records submitted in support of a request for case evaluation sanctions.
Instead, defendants cite
B & B Investment Group v Gitler,
We note that for ordinary taxation of costs, the court rules require that a prevailing party submit a bill of costs that lists costs with particularity within twenty-eight days of the entry of judgment. See MCR 2.625(F) and (G). However, MCR 2.403, by contrast, does not provide specific requirements for the “request” for sanctions. MCR 2.403(0). While MCR 2.625 deals only with costs, MCR 2.403 allows as sanctions “actual costs,” which are defined as “those costs taxable in any civil action,” as well as “a reasonable attorney fee....” MCR 2.403(O)(6). If the court rules required a party seeking case-evaluation sanctions to specify the amount of actual costs with particularity, then MCR 2.403 would specifically provide such a requirement as MCR 2.625 does. Furthermore, MCR 2.403(O)(6)(b) provides that the portion of the “actual costs” representing the “reasonable attorney fee” is to be “based on a reasonable hourly or daily rate as determined by the trial judge for services necessitated by the rejection of the case evaluation.” (Emphasis added.) By contrast, MCR 2.625 appears to require a detailed bill of costs because the court clerk is empowered to tax costs without a finding of reasonableness by the tried court. MCR 2.625(F). [Id.]
The Badiee Court concluded that the determination of a reasonable attorney fee was for the trial court and rejected the claim that a “bill of costs” was required to recover attorney fees as case evaluation sanctions. Id. at 376. Thus, defendants’ argument that a “bill of costs” is required fails.
Although plaintiffs counsel did not list exactly what she was doing with regard to her “trial” and “trial prep” submissions, which made up the bulk of her 372 requested hours, lawyers generally know what other lawyers do during “trial” and “trial prep” — review the pleadings, review discovery responses, read depositions, prepare experts, prepare lay witnesses, prepare for cross-examinations, prepare opening and closing arguments, prepare exhibits, attend the trial, and so forth. The list is quite extensive but well known, i.e., there are no surprises. Therefore, an evidentiary hearing was properly denied as unnecessary. See
Giannetti Bros Constr Co v City of Pontiac,
And, the court rule does not require it. The court rule merely requires that the attorney fee awarded be rea
sonable and “based on a reasonable hourly or daily rate as determined by the trial judge for services necessitated by the rejection of the case evaluation.” MCR 2.403(O)(6)(b). In this case, additional depositions, trial preparations (twice), and a trial were necessitated by the case evaluation rejection. It was a 12-day medical malpractice trial and 10 of the 17 witnesses were doctors. The case was difficult and required extensive preparations. Plaintiffs counsel provided those associated services. We conclude that the trial court did not abuse its discretion by awarding 372.6 hours because the decision is within the range of reasonable and principled outcomes. See
Maldonado v Ford Motor Co,
Finally, defendants argue that this Court should have given
Apsey v Mem Hosp (On Reconsideration),
Affirmed in part, reversed in part, and remanded to the trial court for proceedings consistent with this opinion. We do not retain jurisdiction.
