Summary
requiring plaintiff to show that "there was a substantial possibility that the patient was denied a chance of the better outcome as a result of the defendant's deviation from the standard of care"
Summary of this case from Viera v. United StatesOpinion
09-30-2016
Maura CLUNE, Individually and as Administratrix of the Estate of James Campbell, Deceased, Plaintiff–Appellant, v. Michael C. MOORE, M.D., Defendant, Mercy Hospital of Buffalo and Catholic Health System, Inc., Doing Business as Mercy Hospital of Buffalo, Defendants–Respondents. (Appeal No. 1.).
Hogan Willig, PLLC, AMHERST (Linda Lalli Stark of Counsel), for Plaintiff–Appellant. Anspach Meeks Ellenberger LLP, Buffalo (David M. Stillwell of Counsel), for Defendants–Respondents.
Hogan Willig, PLLC, AMHERST (Linda Lalli Stark of Counsel), for Plaintiff–Appellant.
Anspach Meeks Ellenberger LLP, Buffalo (David M. Stillwell of Counsel), for Defendants–Respondents.
PRESENT: WHALEN, P.J., CARNI, LINDLEY, DeJOSEPH, AND NEMOYER, JJ.
MEMORANDUM: In appeal Nos. 1 and 2, plaintiff appeals from judgments dismissing the complaints in these consolidated medical malpractice/wrongful death actions against, respectively, defendants Mercy Hospital of Buffalo and Catholic Health System, Inc., doing business as Mercy Hospital of Buffalo (collectively, Mercy defendants) and defendant Michael C. Moore, M.D. (Moore). We agree with plaintiff that Supreme Court erred in granting defendants' motion at the close of plaintiff's case for judgment as a matter of law on the issue of causation (see CPLR 4401 ).
“A directed verdict pursuant to CPLR 4401 is appropriate when, viewing the evidence in [the] light most favorable to the nonmoving party and affording such party the benefit of every inference, there is no rational process by which a jury could find in favor of the nonmovant” (Hytko v. Hennessey, 62 A.D.3d 1081, 1083, 879 N.Y.S.2d 595 ; see Szczerbiak v. Pilat, 90 N.Y.2d 553, 556, 664 N.Y.S.2d 252, 686 N.E.2d 1346 ; Wolf v. Persaud, 130 A.D.3d 1523, 1524, 14 N.Y.S.3d 601 ). Stated differently, the test for evidentiary insufficiency is whether there is “ ‘simply no valid line of reasoning and permissible inferences which could possibly lead rational [persons] to the conclusion [advocated by the nonmovant] on the basis of the evidence presented at trial’ ” (Szczerbiak, 90 N.Y.2d at 556, 664 N.Y.S.2d 252, 686 N.E.2d 1346, quoting Cohen v. Hallmark Cards, 45 N.Y.2d 493, 499, 410 N.Y.S.2d 282, 382 N.E.2d 1145 ; see Mazella v. Beals, 27 N.Y.3d 694, 705, 37 N.Y.S.3d 46, 57 N.E.3d 1083 ).
In order to make out a prima facie case of medical malpractice, a plaintiff must show that the defendant “deviated from acceptable medical practice, and that such deviation was a proximate cause of the [patient's] injury” (James v. Wormuth, 21 N.Y.3d 540, 545, 974 N.Y.S.2d 308, 997 N.E.2d 133 ; see Mazella, 27 N.Y.3d at 705, 37 N.Y.S.3d 46, 57 N.E.3d 1083 ). In order to establish proximate causation, the plaintiff must demonstrate that the defendant's deviation from the standard of care “was a substantial factor in bringing about the injury” (PJI 2:70 ; see Wild v. Catholic Health Sys., 21 N.Y.3d 951, 954–955, 969 N.Y.S.2d 846, 991 N.E.2d 704 ; see also Mazella, 27 N.Y.3d at 706, 37 N.Y.S.3d 46, 57 N.E.3d 1083 ). Where, as here, the plaintiff alleges that the defendant negligently failed or delayed in diagnosing and treating a condition, a finding that the negligence was a proximate cause of an injury to the patient may be predicated on the theory that the defendant thereby “diminished [the patient's] chance of a better outcome,” in this case, survival (Wolf, 130 A.D.3d at 1525, 14 N.Y.S.3d 601 ; see Goldberg v. Horowitz, 73 A.D.3d 691, 694, 901 N.Y.S.2d 95 ). In that instance, the plaintiff must present evidence from which a rational jury could infer that there was a “substantial possibility” that the patient was denied a chance of the better outcome as a result of the defendant's deviation from the standard of care (Gregory v. Cortland Mem. Hosp., 21 A.D.3d 1305, 1306, 802 N.Y.S.2d 579 ; see Candia v. Estepan, 289 A.D.2d 38, 39–40, 734 N.Y.S.2d 37 ; Stewart v. New York City Health & Hosps. Corp., 207 A.D.2d 703, 704, 616 N.Y.S.2d 499, lv. denied 85 N.Y.2d 809, 628 N.Y.S.2d 52, 651 N.E.2d 920 ). However, “[a] plaintiff's evidence of proximate cause may be found legally sufficient even if his or her expert is unable to quantify the extent to which the defendant's act or omission decreased the [patient's] chance of a better outcome ..., ‘as long as evidence is presented from which the jury may infer that the defendant's conduct diminished the [patient's] chance of a better outcome’ ” (Goldberg, 73 A.D.3d at 694, 901 N.Y.S.2d 95 ; see Flaherty v. Fromberg, 46 A.D.3d 743, 745, 849 N.Y.S.2d 278 ; see generally Brown v. State of New York, 192 A.D.2d 936, 937–938, 596 N.Y.S.2d 882, lv. denied 82 N.Y.2d 654, 602 N.Y.S.2d 803, 622 N.E.2d 304 ).
Here, in appeal No. 1, we conclude that plaintiff, through the testimony of her expert, presented legally sufficient evidence from which a jury could have concluded that the alleged negligence of the Mercy defendants' nursing staff deprived decedent of the substantial possibility of surviving the bowel perforation and resultant peritonitis that led to the death (see Wolf, 130 A.D.3d at 1525, 14 N.Y.S.3d 601 ; see Goldberg, 73 A.D.3d at 694, 901 N.Y.S.2d 95 ). We likewise conclude in appeal No. 2 that the evidence adduced by plaintiff at trial provided a rational basis upon which a jury could have found that Moore's alleged departures from the standard of care substantially diminished decedent's chance of surviving the bowel perforation and infection (see Wolf, 130 A.D.3d at 1525, 14 N.Y.S.3d 601 ; Goldberg, 73 A.D.3d at 694, 901 N.Y.S.2d 95 ).
It is hereby ORDERED that the judgment so appealed from is unanimously reversed on the law without costs, the motion is denied, the complaint is reinstated and a new trial is granted.