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1. Medical Malpractice--denial of motion for new trial--contradictory evidence
The trial court did not abuse its discretion in a medical malpractice case by denying
plaintiff's N.C.G.S. § 1A-1, Rule 59 motion for a new trial even though plaintiff contends the
jury verdict of one dollar in nominal damages was a result of a compromise, because: (1) in light
of the fact that defendant doctor was called to testify by plaintiff and was examined at length by
defense counsel, it could not be said that the evidence was uncontradicted; (2) some of the
evidence presented by plaintiff was contradictory and in part unfavorable to her position with
regard to damages; (3) a psychiatrist who treated plaintiff and a clinician who counseled plaintiff
both acknowledged that plaintiff's alleged emotional and psychological problems could be
attributed to events in her life that predated the alleged assault by defendant; and (4) the evidence
was conflicting as to what, if any, damages plaintiff was entitled to from the negligent actions of
defendant.
2. Appeal and Error--preservation of issues--cross-assignment of error--denial of
motion for summary judgment--final judgment on merits
Although defendant employer cross-assigned error based on plaintiff's alleged failure to
submit any admissible evidence at summary judgment to prove misconduct by defendant doctor
or to establish vicarious liability by defendant employer, this cross-assignment of error is
dismissed because the denial of a motion for summary judgment is not reviewable on appeal
from a final judgment on the merits.
3. Medical Malpractice_-erroneous denial of motion for directed verdict--ratification
The trial court erred in a medical malpractice case by denying defendant employer's
motion for directed verdict on the issue of whether it ratified defendant doctor's conduct in
having sexual contact with plaintiff patient, because: (1) plaintiff waived review of this issue
since even if the doctor was acting within the scope of his employment, the trial court granted the
employer's motion for directed verdict on the issue of respondeat superior, and plaintiff did not
assign error to this ruling; (2) evidence is sufficient to submit the question of ratification to the
jury only where defendant retained the negligent actor in defendant's employ, declined to
intervene upon notification that sexual harassment had occurred, and ultimately fired the
complaining party; (3) in this case the only factor on which plaintiff presented evidence was that
the doctor was still in the employ of the employer, and this evidence standing alone was
insufficient to find ratification; (4) there was no indication that the employer had knowledge
before November 2004 of all material facts and circumstances relative to the wrongful act that
occurred in September 2002; (5) it cannot be said that employer failed to intervene when the
doctor was suspended for the remainder of the 2002 calendar year; and (6) plaintiff's expert
witness testified that if the doctor's account of the incident were true, he would not have violated
the standard of care.
Judge WYNN dissenting.
Ferguson, Stein, Gresham & Sumter, P.A., by S. Luke Largess,
for plaintiff-appellant.
Parker Poe Adams & Bernstein, LLP, by Harvey L. Cosper, Jr.,
Lori R. Keeton, and Leigh A. Kite, for defendant-appellee
Epifanio Rivera-Ortiz, M.D.
Shumaker, Loop & Kendrick, LLP, by Scott M. Stevenson and S.
Frederick Winiker, III, for defendant-appellee Callaway
Associates, LLP, d/b/a Pro-Med Mobile Services, LLC.
HUNTER, Judge.
Blondale Hughes (plaintiff) filed a medical malpractice
action on 23 January 2004, alleging that Dr. Epifanio Rivera-Ortiz
(Rivera-Ortiz) was negligent on 12 September 2002 in his care and
treatment and that such negligence was imputed to Callaway
(See footnote 1)
Associates, LLP d/b/a Promed of North Carolina PLLC (Callaway).
(See footnote 2)
The jury found Rivera-Ortiz negligent, and found that Callaway had
ratified his actions. The jury awarded one (1) dollar in nominal
damages. Plaintiff moved for a new trial under North Carolina Rule
of Civil Procedure 59 (hereafter Rule 59), and the trial court
denied that motion. Plaintiff appeals the denial of her Rule 59
motion, and Callaway appeals the denial of their motion for a
directed verdict. After careful consideration, we affirm the trial
court's denial of plaintiff's Rule 59 motion and its denial of
Callaway's summary judgment motion, but we reverse the trial
court's ruling on Callaway's motion for directed verdict. Plaintiff went to Callaway in order to receive a physical
examination. Rivera-Ortiz was plaintiff's attending physician. At
the time of her physical examination by Rivera-Ortiz, plaintiff was
seeking the examination in order to obtain employment with Federal
Express. After arriving at Callaway, plaintiff underwent a drug
screening and was taken to a room to wait for Rivera-Ortiz. She
was told to wait for the doctor's arrival, disrobe down to her
underwear, and to put on a hospital gown. After several minutes,
Rivera-Ortiz entered the room and introduced himself as the
physician who would be conducting her physical examination.
Both plaintiff and Rivera-Ortiz agree that sexual conduct
occurred during and after the examination, but the parties disagree
over who initiated the acts. Plaintiff testified that Rivera-Ortiz
instigated the sexual encounter by asking questions about her
marital status and then placing his finger in her vagina. Rivera-
Ortiz, however, denied those allegations and said that it was
plaintiff who commenced the sexual contact by grabbing his crotch,
massaging his genitals, and unzipping his pants.
Plaintiff alleged that as a result of Rivera-Ortiz and
Callaway's negligence, she suffered severe emotional distress.
Plaintiff testified that she has undergone psychotherapy and group
therapy as a result of the incident. Racquel Ward, one of
plaintiff's counselors, and Dr. Nilima Shukla, plaintiff's
psychiatrist, testified that plaintiff had experienced physical,
mental, and sexual abuse in the past, and that many of the
stressors present in plaintiff's life predated the alleged assault
by Rivera-Ortiz.
During deliberations, the jury expressed to the trial judge
confusion over the definition of negligence. The trial court re-read portions of Dr. Patrick Guiteras's testimony regarding the
appropriate standard of care for medical doctors. Specifically,
the trial court read the portions of the testimony where Dr.
Guiteras stated that if Rivera-Ortiz's account of the interactions
were true, that he did not violate the standard of care.
After the jury resumed deliberations, the trial judge assessed
where the jury was in deliberations:
The problem is they just cannot agree. The
note I've gotten says that ten of the twelve
jurors feel they are deadlocked or hung, which
is the word[s] they used. I don't think it is
[a] question that they don't understand the
law, but just that they can't agree on what
the issue is.
After the foreperson indicated that he thought the jury was
deadlocked, the trial court re-read the standard instruction on a
juror's duty not to hesitate to reexamine his or her views. Only
two jurors, by a show of hands, thought they could reach a
unanimous verdict. Eight indicated that they thought the jury was
deadlocked. The trial court asked the jury to return to
deliberations.
After deliberating for approximately one and a half hours
more, the jury found that Rivera-Ortiz was negligent and that
Callaway had ratified his conduct. The jury awarded plaintiff one
(1) dollar in damages. The trial court denied plaintiff's motion
for a new trial.
Plaintiff presents the following issue for this Court's
review: Whether the trial court abused its discretion in denying
plaintiff's motion for a new trial. Callaway presents one
additional issue for this Court's review: Whether the trial court
erred in denying their motion for directed verdict on the issue of
ratification. We address each issue in turn.
WYNN, Judge, dissenting.
I concur with that portion of the majority opinion that
reverses the trial court's denial of Callaway's motion for directed
verdict and remands with instructions to vacate the judgment
against Callaway. However, because I find that the jury's finding
of Dr. Rivera-Ortiz as negligent is inconsistent with their award
of only one dollar in nominal damages to Ms. Hughes, I would
likewise reverse the trial court's denial of Ms. Hughes's Rule 59
motion for a new trial. I therefore respectfully dissent in part.
As noted by the majority, the question of Dr. Rivera-Ortiz's
negligence is not before us on appeal; the jury returned a verdict
finding him negligent, and that verdict remains undisturbed. Our
sole question is to determine whether Ms. Hughes is entitled to a
new trial under North Carolina Rule of Civil Procedure 59(a)(6),
which allows a new trial to be granted on the grounds of
[m]anifest disregard by the jury of the instructions of the courtor [e]xcessive or inadequate damages appearing to have been given
under the influence of passion or prejudice. N.C. Gen. Stat. §
1A-1, Rule 59(a)(5), (6) (2005). Thus, the only facts relevant to
our inquiry are those that pertain to Ms. Hughes's alleged damages
as a result of Dr. Rivera-Ortiz's negligence, as found by the jury.
Our state Supreme Court has indicated that a court must set
aside [a] verdict in its entirety and award a new trial on all
issues when an award of damages to a plaintiff is grossly
inadequate, so as to indicate that the jury was actuated by bias or
prejudice, or that the verdict was a compromise[.] Robertson v.
Stanley, 285 N.C. 561, 569, 206 S.E.2d 190, 195-96 (1974)
(quotation and citation omitted). Moreover:
Under such circumstances, with the evidence of
pain and suffering clear, convincing and
uncontradicted, it is quite apparent that the
verdict is not only inconsistent but also that
it was not rendered in accordance with the
law. Such verdict indicates that the jury
arbitrarily ignored plaintiff's proof of pain
and suffering. If the . . . plaintiff was
entitled to a verdict against defendant by
reason of personal injuries suffered as a
result of defendant's negligence, then he was
entitled to all damages that the law provides
in such case.
Id. at 566, 206 S.E.2d at 193-94 (emphasis in original).
When instructing the jury in the instant case, the trial court
informed them that, if they found that Dr. Rivera-Ortiz had injured
Ms. Hughes through his negligence, Ms. Hughes was entitled to
recover nominal damages even without proof of actual damages[] and
would also be entitled to actual damages if she prove[d] by the
greater weight of the evidence the amount of actual damages
proximately caused by the negligence of Dr. Rivera-Ortiz. These
instructions were a correct statement of the law; after a carefulreview of the record and transcript before us, I conclude that the
jury's award of only one dollar in nominal damages to Ms. Hughes
was rendered contrary to the trial court's instructions and the
law.
In its judgment, the jury responded, Yes, to the question,
Was the plaintiff Blondale Hughes injured by the negligence of the
defendant Dr. Epifanio Rivera-Ortiz? This verdict indicates that
the jury believed Ms. Hughes's version of the events of 12
September 2002, rather than the story told by Dr. Rivera-Ortiz. As
recounted by Ms. Hughes at trial, Dr. Rivera-Ortiz began her
physical examination by checking her eyes, ears, mouth, and
breathing, and discussed the veins on her leg. Dr. Rivera-Ortiz
then asked Ms. Hughes where her husband was; she answered that she
was not married and that her children's father was in prison. He
responded, Well, where do you get sex from? and she answered, I
don't get sex. Dr. Rivera-Ortiz replied, Wouldn't you like for
somebody to come and give you sex and then leave? and Ms. Hughes
told him, No, why would I want that. I want somebody who is going
to be with me and take care of me. Why would I just want somebody
to give me sex.
Ms. Hughes testified that at that point, Dr. Rivera-Ortiz
asked her to bend down, and she then felt his finger inside of
[her] and he said, 'Ohhh.' She went on to state:
By then I pushed myself up. He didn't move
his finger and I vaguely moved it for him when
I pulled my body up from him. When I pulled
my body up from him, I turned around and first
I looked and his thing was just dangling right
out of his pants. He grabbed me and pushed me
back toward him and rubbed it in the middle of
my hip. And then I said, Please stop. I
said, Stop. Don't do that. I said, Stop. So, by then he finally stopped. He stopped
and then that is when he grabbed his note pad
and said, Write your number down and we can
finish this.
Ms. Hughes wrote her number on the pad because [she] didn't care
because [she] wanted him out of there. She then got dressed and
left the clinic, passing Dr. Rivera-Ortiz on her way out, when he
looked at me and smiled it was like he didn't care what [she was]
[sic] going to do about what he did. He didn't have no remorse
about what he did.
Ms. Hughes also told the jury that she had never seen a
psychologist or psychiatrist prior to the 12 September 2002
incident with Dr. Rivera-Ortiz, yet had undergone extensive
counseling since that time. Two of her counselors testified to the
treatment she received, including several medications. Evidence
was offered that Ms. Hughes was physically fit prior to the
incident and actively seeking employment; indeed, her reason for
the visit to Dr. Rivera-Ortiz was to have a physical for a job for
which she was applying. Although Ms. Hughes also discussed her
prior criminal convictions and exposure to domestic violence with
her children's father, those events took place more than five years
prior to the September 2002 incident. Ms. Hughes testified to her
inability to get a job that required a physical because of her fear
of visiting a doctor, as well as panic attacks, her inability to
care for her children, and her medical expenses.
Given that the jury found Ms. Hughes's evidence persuasive on
the question of negligence, and that Dr. Rivera-Ortiz put on no
evidence of his own at trial, I find that Ms. Hughes proved by the
greater weight of the evidence that she suffered actual damagesdue to Dr. Rivera-Ortiz's negligence, including medical expenses
related to her counseling and medication, and lost wages. As such,
the jury acted contrary to the trial court's instructions in
awarding Ms. Hughes only one dollar in nominal damages. Although
the Robinson court noted the presence of clear, convincing and
uncontradicted evidence as to pain and suffering in that case, I
do not believe that language is a controlling precedent as to the
standard to be applied in ruling on a Rule 59 motion. Thus, I
conclude that the trial court abused its discretion by denying Ms.
Hughes's Rule 59 motion for a partial new trial on damages. I
would therefore reverse.
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