ILNews

Court upholds damages award against doctor

Jennifer Nelson
January 1, 2008
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The Indiana Court of Appeals upheld a damages award to the parents of a stillborn child against a doctor, finding the trial court properly excluded opinion testimony from two treating doctors and a letter written to those doctors before the trial by the parents' attorney.

In Jeffrey L. Cain, M.D. v. Richard Back and Suzette Back, No. 20A03-0705-CV-225, Dr. Jeffrey L. Cain appealed the trial court judgment of $800,000 in damages to Richard and Suzette Back on their claim of medical malpractice.

The Backs' daughter was stillborn at 29 1/2 weeks after Suzette was transferred by Cain from Elkhart General Hospital to South Bend Memorial Hospital. Cain and Dr. Starla Graber at Elkhart determined the baby had a low fetal heartbeat and there was a possible abdominal wall defect. Dr. Maria Evangelista at South Bend agreed to accept Suzette. Evangelista induced labor and the child was stillborn.

The Backs filed a complaint against Cain, alleging damages as a result of their daughter's death because Cain should have performed a Caesarean section instead of transferring her to the other hospital.

Cain had Evangelista and Garber testify at trial that he followed proper procedure and his decision to transfer Suzette was reasonable given the circumstances, but the trial court excluded the opinion testimony of the doctors.

Indiana Evidence Trial Rule 701 pertains to the admissibility of lay opinion testimony, which doesn't specify pretrial disclosure requirements. Under Ind. Evid. T.R. 702, expert opinion testimony is subject to pretrial disclosure requirements.

The trial court found and the Court of Appeals agreed that testimony from Evangelista regarding the knowledge of applicable standard of care is based on the expert knowledge she has as a doctor. Evangelista was not disclosed as a Rule 702 expert witness before the trial, and therefore, her opinion testimony should have been excluded, wrote Judge Margret Robb.

The trial court was also within its discretion to exclude Graber's testimony, which also provided opinion testimony considered to be made by an expert.

Cain also appealed the trial court decision to exclude letters written to Evangelista and Graber by the Backs' attorney one month before the trial began. Cain claims the letters, which told the doctors they weren't allowed to testify adversely to Suzette's positions because of the doctor/client relationship and that they had to contact the Backs' attorney before discussing their trial testimony, were an attempt to influence the doctors' testimony.

After reviewing caselaw regarding intimidating messages before a medical malpractice trial, the appellate judges determined the letters weren't intended to improperly influence the doctors' testimony but to let them know not to discuss the case with Cain's attorneys outside the presence of the Backs' counsel, wrote Judge Robb.
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  1. A traditional parade of attorneys? Really Evansville? Y'all need to get out more. When is the traditional parade of notaries? Nurses? Sanitation workers? Pole dancers? I gotta wonder, do throngs of admiring citizens gather to laud these marching servants of the constitution? "Show us your billing records!!!" Hoping some video gets posted. Ours is not a narcissistic profession by any chance, is it? Nah .....

  2. My previous comment not an aside at court. I agree with smith. Good call. Just thought posting here a bit on the if it bleeds it leads side. Most attorneys need to think of last lines of story above.

  3. Hello everyone I'm Gina and I'm here for the exact same thing you are. I have the wonderful joy of waking up every morning to my heart being pulled out and sheer terror of what DCS is going to Throw at me and my family today.Let me start from the !bebeginning.My daughter lost all rights to her 3beautiful children due to Severe mental issues she no longer lives in our state and has cut all ties.DCS led her to belive that once she done signed over her right the babies would be with their family. We have faught screamed begged and anything else we could possibly due I hired a lawyer five grand down the drain.You know all I want is my babies home.I've done everything they have even asked me to do.Now their saying I can't see my grandchildren cause I'M on a prescription for paipain.I have a very rare blood disease it causes cellulitis a form of blood poisoning to stay dormant in my tissues and nervous system it also causes a ,blood clotting disorder.even with the two blood thinners I'm on I still Continue to develop them them also.DCS knows about my illness and still they refuse to let me see my grandchildren. I Love and miss them so much Please can anyone help Us my grandchildren and I they should be worrying about what toy there going to play with but instead there worrying about if there ever coming home again.THANK YOU DCS FOR ALL YOU'VE DONE. ( And if anyone at all has any ideals or knows who can help. Please contact (765)960~5096.only serious callers

  4. He must be a Rethuglican, for if from the other side of the aisle such acts would be merely personal and thus not something that attaches to his professional life. AND ... gotta love this ... oh, and on top of talking dirty on the phone, he also, as an aside, guess we should mention, might be important, not sure, but .... "In addition to these allegations, Keaton was accused of failing to file an appeal after he collected advance payment from a client seeking to challenge a ruling that the client repay benefits because of unreported income." rimshot

  5. I am not a fan of some of the 8.4 discipline we have seen for private conduct-- but this was so egregious and abusive and had so many points of bad conduct relates to the law and the lawyer's status as a lawyer that it is clearly a proper and just disbarment. A truly despicable account of bad acts showing unfit character to practice law. I applaud the outcome.

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