Justia Colorado Supreme Court Opinion Summaries

Articles Posted in Medical Malpractice
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In 2005, Alexander Rudnicki suffered serious injuries when OB-GYN Peter Bianco, D.O., negligently performed an operative vaginal delivery using a vacuum extractor to assist in the delivery. Alexander suffered injuries to his brain as a result of the trauma to his scalp and skull caused by the vacuum extraction. Alexander required ongoing physical, occupational, and speech therapy; he was intellectually disabled and enrolled in special education at school; and he was not likely to be able to live independently in the future. In 2014, Alexander’s parents, Francis and Pamela Rudnicki, in both their individual capacities and as parents, filed a complaint against Dr. Bianco and the hospital where Alexander was born, alleging, among other things, professional negligence by Dr. Bianco. Dr. Bianco moved to dismiss, asserting that Alexander’s parents did not bring their individual claims against him within the applicable statute of limitations. The district court agreed and dismissed the parents' individual claims, and the case proceeded to trial with Alexander as the sole plaintiff. A jury ultimately found Dr. Bianco had acted negligently and awarded Alexander damages, including, among other things, sums for past and future medical expenses until Alexander reached the age of twenty-two. Dr. Bianco filed a post-trial motion to reduce this verdict, arguing that under Colorado common law, only Alexander’s parents could recover Alexander’s pre-majority medical expenses and, therefore, the court was required to deduct from the verdict the medical expenses incurred prior to Alexander’s eighteenth birthday. The district court ultimately agreed with Dr. Bianco and vacated the entirety of the jury’s award for past medical expenses, as well as sixty percent of the award for future medical expenses, concluding that the claim for pre-majority medical expenses belonged solely to Alexander’s parents, but their claim for such expenses had been dismissed as time-barred. The Colorado Supreme Court granted certiorari in this case to decide whether to adhere to a common law rule under which only a minor plaintiff’s parents may recover tort damages for medical expenses incurred by their unemancipated minor child. The Supreme Court concluded the traditional rationales for the common law rule no longer applied, and that "the realities of today’s health care economy compel us to abandon that rule. Accordingly, we conclude that in cases involving an unemancipated minor child, either the child or their parents may recover the child’s pre-majority medical expenses, but double recovery is not permitted." View "Rudnicki v. Bianco" on Justia Law

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The issue this case presented for the Colorado Supreme Court's review was whether the “McHaffie Rule” applied even where the plaintiff chooses not to assert vicarious liability for an employee’s negligence and, instead, asserts only direct negligence claims against the employer. Here, Erica Murphy Brown and Steven Brown (collectively, “Brown”) sued Denver Center for Birth and Wellness (“DCBW”) for negligence and negligent hiring. Brown also sued Shari Long Romero, a DCBW employee and certified nurse-midwife, for wrongful death. The suit arose from the death of Brown’s child during labor at DCBW. After acknowledging vicarious liability for Long Romero’s negligence - by admitting, in its Answer, that Long Romero’s alleged acts and omissions occurred within the course and scope of her employment - DCBW moved for partial judgment on the pleadings under C.R.C.P. 12(c) on Brown’s negligent hiring claim. The trial court, citing the McHaffie Rule, granted DCBW’s motion and dismissed Brown’s negligent hiring claim—even though Brown had chosen not to assert vicarious liability for Long Romero’s negligence. The Supreme Court held that a plaintiff’s direct negligence claims against an employer are not barred where the plaintiff does not assert vicarious liability for an employee’s negligence. Thus, the trial court erred in granting DCBW’s motion for partial judgment on the pleadings and dismissing Brown’s negligent hiring claim. The Court vacated the trial court's grant of partial judgment on the pleadings, and remanded with directions to reinstate Brown's negligent hiring claim. View "Brown v. Long Romero" on Justia Law

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In 2009, Della Gallegos had to undergo three cranial surgeries after her radiologist, Dr. Steven Hughes, failed to detect an obvious brain tumor on an MRI scan three years earlier. Had Dr. Hughes discovered the tumor in 2006, Gallegos could have treated it with cheaper, and less invasive, radiosurgery. The highly invasive cranial surgeries damaged Gallegos’s vision, hearing, and memory. Gallegos retained attorney Patric LeHouillier to sue Dr. Hughes for medical malpractice. But LeHouillier later decided not to proceed with the suit, concluding it did not make economic sense. He and Gallegos disagreed over whether he actually informed her of this decision, and the statute of limitations lapsed on the claims Gallegos could have brought against Dr. Hughes. Gallegos thereafter brought this attorney malpractice case against LeHouillier and his firm, claiming that LeHouillier’s negligence prevented her from successfully suing Dr. Hughes for medical malpractice. The question before the Colorado Supreme Court involved who bore the burden to prove that any judgment that could have been obtained against Dr. Hughes would have been collectible. The Supreme Court concluded that because the collectibility of the underlying judgment was essential to the causation and damages elements of a client’s negligence claim against an attorney, it held the client-plaintiff bore the burden of proving that the lost judgment in the underlying case was collectible. Here, the record reflected Gallegos failed to present sufficient evidence of collectibility. However, given the absence of a clear statement from the Supreme Court regarding plaintiff's burden to prove collectibility at the time of trial, and because the issue was not raised in this case until after Gallegos had presented her case-in-chief, the Court reversed the court of appeals and remanded for a new trial. View "LeHouillier v. Gallegos" on Justia Law

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Alexander Clark brought a medical malpractice lawsuit against the estate of his late pain management specialist, Dr. Daniel Brookoff. Clark claimed Dr. Brookoff negligently prescribed a prolonged course of drugs to alleviate Clark’s chronic pain and that Dr. Brookoff did not adequately inform his patient (then a minor) of the risks associated with the drug. Clark claimed that his consumption of the drug caused neurological and urological damage. Prior to trial, Clark indicated that he intended to present testimony about conversations he and his mother had with Dr. Brookoff prior to and during treatment. The Estate responded by filing a motion to exclude such evidence in accordance with Colorado’s Dead Man’s Statute. The trial court agreed that the anticipated testimony was inadmissible. Unable to introduce that testimony, Clark abandoned his informed consent claim, and the case proceeded to trial on his negligence claim. After judgment was entered in favor of the Estate, Clark appealed the order prohibiting him or his mother from testifying about their conversations with Dr. Brookoff. The court of appeals reversed the trial court’s decision to bar this testimony and remanded the case for a new trial on Clark’s informed consent claim. In so doing, the appellate division relied on case law predating the 2002 and 2013 amendments to the Dead Man’s Statute to conclude that, despite its current language, the statute was not applicable “in any civil action” but only when the outcome of a proceeding will increase or diminish an estate. Because Dr. Brookoff had an insurance policy, the court of appeals reasoned that any liability would be covered by insurance and thus would not diminish his estate. The court therefore declined to apply the Dead Man’s Statute. Following denial of its petition for rehearing, the Estate petitioned for certiorari. The Colorado Supreme Court held the Dead Man’s Statute was applicable “in all civil actions.” Because the statute applied irrespective of the potential impact of a judgment on an estate, the Court also held the existence of insurance coverage was not a factor militating for or against the applicability of the Dead Man’s Statute. View "Estate of Daniel Brookoff, M.D., v. Clark" on Justia Law

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Defendants sought ex parte interviews with a number of non-party medical providers in this medical malpractice action. Because of this, an issue arose regarding the scope of the physician–patient privilege in medical-malpractice actions. Section 13-90-107(1)(d), C.R.S. (2017), prohibited certain medical providers from revealing, in testimony or otherwise, information about a patient gathered in the course of treating that patient. That prohibition, however, was not unlimited. The dispute, as presented to the Colorado Supreme Court, did not implicate the physician–patient relationship between Kelley Bailey (“Bailey”) and Defendants, meaning section 107(1)(d)(I) was inapplicable. Instead, the issue here was whether the non-party medical providers were “in consultation with” Defendants such that section 107(1)(d)(II) removed that typically privileged information from the protection of the physician–patient privilege. The Supreme Court held the non-party medical providers were not in consultation with Defendants for the purposes of section 107(1)(d)(II). However, the Court remanded this case to the trial court for consideration of whether the Baileys impliedly waived the physician–patient privilege for the non-party medical providers. On remand, if the trial court concluded that the Baileys did waive that privilege, it should reconsider whether there is any risk that: (1) ex parte interviews with the non-party medical providers would inadvertently reveal residually privileged information; or (2) Defendants would exert undue influence on the non-party medical providers in the course of any ex parte interviews. View "In re Bailey v. Hermacinski" on Justia Law

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Hours after receiving an angiogram from defendant-petitioner Dr. James Chapman, Dr. Lynn Harner died. Dr. Harner's wife, plaintiff-respondent Carolyn Harner subsequently sued petitioner for medical malpractice. The issue this case presented for the Supreme Court's review centered on whether the doctrine of res ipsa loquitur shifted the burden of proof to the defendant in accordance with Colorado case law, or whether it shifted only the burden of production in accordance with more recently adopted Colorado Rule of Evidence (CRE) 301. The Court of Appeals followed case law and disregarded CRE 301 n the absence of any clear statements by the Supreme Court overruling its precedent. After considering the various conflicting authorities on the subject, the Supreme Court concluded that CRE 301 represented the better approach to burden-shifting under res ipsa loquitur. Therefore, the court reversed the court of appeals' judgment and remanded the case for further consideration of respondent's remaining arguments. View "Chapman v. Harner" on Justia Law

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Respondent-plaintiff Scott Simpson sought to obtain meeting minutes from two Cedar Springs Hospital quality management committees in his medical malpractice case. Cedar Springs refused to produce these documents, arguing they were protected by the quality management privilege in 25-3-109, C.R.S. (2014). Simpson argued at trial that Cedar Springs failed to show that the quality management program was "approved by" the Colorado Department of Public Health and Environment (CDHPE), and because Cedar Springs failed to adhere to the requirements of the CDHPE with regard to the program, the meeting minutes should have been produced. The trial court agreed with Simpson that simple licensure was insufficient to demonstrate that facilities "complied with what they are required to comply with" and no "authoritative" documentation was provided confirming the quality management plan was properly implemented. The Supreme Court reversed: "because a quality management program is required in order to be licensed by CDHPE, and because Cedar Springs was licensed by CDHPE during all relevant periods, its quality management program was necessarily "approved." Therefore the documents Simpson sought from Cedar Springs were privileged, and the trial court erred in ordering them produced. View "Simpson v. Cedar Springs Hosp., Inc." on Justia Law

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Respondent Vasilios Haralampopoulos visited the emergency room with severe abdominal pain. After a CT scan revealed a large cystic mass in his liver, Petitioner Dr. Mauricio Waintrub examined Respondent, gave a differential diagnosis identifying four possible causes for his condition, and approved a fine-needle biopsy to determine the nature of the cyst. Petitioner Dr. Jason Kelly performed the procedure, during which Respondent suffered respiratory and cardiac arrest. Normal resuscitation efforts were unsuccessful, and it took over 30 minutes to revive Respondent's heart. Lack of oxygen to his brain left Respondent in a vegetative state. Ten days later, Respondent's family and friends met with doctors to determine why Respondent went into arrest and had such a poor reaction to resuscitation efforts. After the meeting, Respondent's then-roommate and ex-girlfriend Gulsans Akyol Hurd approached Dr. Kelly and asked him whether Respondent's prior cocaine use could have contributed to his injuries. Dr. Kelly responded that cocaine could have contributed to Respondent's resistance to normal resuscitation efforts, but he was not a cardiologist so he did not know. Respondent brought a medical malpractice suit against seven individuals, including Petitioners Dr. Kelly and Dr. Waintrub. Respondent filed a motion in limine seeking to exclude Hurd's statements to Dr. Kelly as inadmissible hearsay not covered by any hearsay exception. The trial court denied the motion in limine, finding that Hurd's statements were made for purposes of diagnosis and treatment under Rule 803(4), and that their probative value was not substantially outweighed by the danger of unfair prejudice under Colorado Rule of Evidence 403. The court of appeals reversed, finding that the trial court abused its discretion by admitting evidence of Respondent's cocaine use. The court held that Hurd's statements to Dr. Kelly were not admissible under Rule 803(4) because the statements were made after Respondent was in a vegetative state and treatment was no longer possible, they were not made for the purpose of diagnosis or treatment. Upon review, the Supreme Court reversed, holding that the court of appeals erred in limiting the scope of Rule 803(4) to statements made for the purpose of prospective treatment. The Rule's plain language applies to "diagnosis or treatment," and while the term "treatment" has a prospective focus, the term "diagnosis" does not. "Here, Hurd's statements were made for the purpose of discovering the cause of Respondent's resistance to normal resuscitation efforts, and were thus admissible under Rule 803(4)." The case was remanded back to the trial court for further proceedings. View "Kelly v. Haralampopoulos" on Justia Law

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The issue before the Supreme Court in this case was a trial court's order striking the testimony of plaintiff's rebuttal expert witness, and portions of two of plaintiff's previously disclosed expert witnesses. The underlying case centered on a medical malpractice claim brought by the parents of a minor child against a hospital, its management and the doctor that delivered the child. The minor was allegedly injured at birth after his umbilical cord wrapped around his neck, depriving his brain of oxygen. The parties disputed the cause of the child's injuries: Plaintiffs argued the child was injured by preventable intrapartum events (namely Defendants' alleged negligence); defendants argued the injuries occurred days, or possibly weeks prior to birth. Upon review of the matter, the Supreme Court held that the trial court abused its discretion when it excluded plaintiff's expert's rebuttal testimony because her testimony properly refuted a central theory of the defendants' case. The trial court also abused its discretion when it excluded the disclosed experts' testimony because the late disclosure of their testimony did not harm the defendants, as required for sanctions under Rule 37. Accordingly, the Court made the rule absolute and remanded the case for further proceedings. View "In re Warden v. Exempla" on Justia Law

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This case arose from a pending medical malpractice case from the Denver district court. Plaintiff Ernest Ortega sued Defendants Dr. David Lieuwen and Kaiser Foundation Health Plan of Colorado (Kaiser) alleging negligent medical treatment given to him in 2007. Plaintiff appealed the district court's denial of his request for a protective order to cover his electronic medical records encompassing a ten-year period preceding the incident underlying this case. The trial court determined that Plaintiff's electronic medical records were not protected by the physician-patient privilege and that the records were relevant to prepare a defense. Upon review, the Supreme Court held that the trial court did not abuse its discretion when it ruled that Plaintiff's medical records were not protected as privileged and that Defendants could use unredacted copies of all of Plaintiff's medical records. View "Ortega v. Kaiser Foundation Health Plan of Colorado" on Justia Law