ILNews

Judges disagree if testimony is hypothetical

Back to TopE-mailPrintBookmark and Share

Indiana Court of Appeals judges disagreed over whether two doctors' expert witness testimony in a medical malpractice case used hypothetical language that couldn't raise a genuine issue of fact.

The majority in Myers Blaker vs. Ronald Young II M.D. and Indianapolis Neurosurgical Group, No. 49A02-0811-CV-1038, determined the opinions of plaintiff Myers Blaker's expert witnesses - Drs. Mitesh Shah and Joel Boaz - were based on speculation and conjecture, not facts established by designated evidence in the case.

Both doctors used the words "if" and "assume" in their testimony, leading Chief Judge John Baker and Judge Ezra Friedlander to find their testimony insufficient to raise a genuine issue of material fact.

The doctors testified on behalf of Blaker in his suit against Dr. Ronald Young, following a surgery to treat Blaker's subocciptal headaches and neck pain. In his operative report, Young noted the left tonsillar branch of the posterior inferior cerebellar artery, or PICA, but never mentioned the right one. Immediately after surgery, Blaker appeared to be fine, but later went into respiratory arrest, had to be intubated, and couldn't move his extremities. An MRI three years later showed he suffered a stroke in the area of the brain supplied by the PICA.

A medical review board found Young complied with the appropriate standard of care. The trial court granted the doctor summary judgment in Blaker's malpractice action. The trial court also denied Blaker's request to supplement his designated evidence.

The majority ruled the affidavits of Shah and Boaz confirm the finding of the panel that there isn't any evidence Young didn't meet the standard of applicable care.

"Both doctors agreed that, hypothetically, if Dr. Young did not identify the right PICA, then he deviated from the standard of care," wrote Judge Friedlander. "Moreover, there is no evidence in the record to provide a factual basis for the hypothetical situation on which their opinions are based."

Judge Patricia Riley dissented, noting both doctors' affidavits satisfy the requirements under Jordan v. Deery, 609 N.E.2d 1104, 1110 (Ind. 1993), which ruled an expert opinion in the context of summary judgment proceedings should recite the expert's credentials and the records reviewed and relied upon by the expert.

Judge Riley also noted Indiana Rule of Evidence 702(a) doesn't establish any threshold of certainty for expert opinion, and that the appellate court found a statement using "if" in Bunch v. Tiwari, 711 N.E.2d 844, 850 (Ind. Ct. App. 1999), to be admissible and sufficient to refute the medical review panel's opinion.

"Likewise here, the statement contained in Dr. Shah's and Dr. Boaz's affidavits do not rise to the level of a hypothetical situation and should have been admitted. Specifically, both experts testified it would be substandard care if Dr. Young failed to identify the right PICA," she wrote.

ADVERTISEMENT

Sponsored by
ADVERTISEMENT
Subscribe to Indiana Lawyer
  1. State Farm is sad and filled with woe Edward Rust is no longer CEO He had knowledge, but wasn’t in the know The Board said it was time for him to go All American Girl starred Margaret Cho The Miami Heat coach is nicknamed Spo I hate to paddle but don’t like to row Edward Rust is no longer CEO The Board said it was time for him to go The word souffler is French for blow I love the rain but dislike the snow Ten tosses for a nickel or a penny a throw State Farm is sad and filled with woe Edward Rust is no longer CEO Bambi’s mom was a fawn who became a doe You can’t line up if you don’t get in a row My car isn’t running, “Give me a tow” He had knowledge but wasn’t in the know The Board said it was time for him to go Plant a seed and water it to make it grow Phases of the tide are ebb and flow If you head isn’t hairy you don’t have a fro You can buff your bald head to make it glow State Farm is sad and filled with woe Edward Rust is no longer CEO I like Mike Tyson more than Riddick Bowe A mug of coffee is a cup of joe Call me brother, don’t call me bro When I sing scat I sound like Al Jarreau State Farm is sad and filled with woe The Board said it was time for him to go A former Tigers pitcher was Lerrin LaGrow Ursula Andress was a Bond girl in Dr. No Brian Benben is married to Madeline Stowe Betsy Ross couldn’t knit but she sure could sew He had knowledge but wasn’t in the know Edward Rust is no longer CEO Grand Funk toured with David Allan Coe I said to Shoeless Joe, “Say it ain’t so” Brandon Lee died during the filming of The Crow In 1992 I didn’t vote for Ross Perot State Farm is sad and filled with woe The Board said it was time for him to go A hare is fast and a tortoise is slow The overhead compartment is for luggage to stow Beware from above but look out below I’m gaining momentum, I’ve got big mo He had knowledge but wasn’t in the know Edward Rust is no longer CEO I’ve travelled far but have miles to go My insurance company thinks I’m their ho I’m not their friend but I am their foe Robin Hood had arrows, a quiver and a bow State Farm has a lame duck CEO He had knowledge, but wasn’t in the know The Board said it was time for him to go State Farm is sad and filled with woe

  2. The ADA acts as a tax upon all for the benefit of a few. And, most importantly, the many have no individual say in whether they pay the tax. Those with handicaps suffered in military service should get a pass, but those who are handicapped by accident or birth do NOT deserve that pass. The drivel about "equal access" is spurious because the handicapped HAVE equal access, they just can't effectively use it. That is their problem, not society's. The burden to remediate should be that of those who seek the benefit of some social, constructional, or dimensional change, NOT society generally. Everybody wants to socialize the costs and concentrate the benefits of government intrusion so that they benefit and largely avoid the costs. This simply maintains the constant push to the slop trough, and explains, in part, why the nation is 20 trillion dollars in the hole.

  3. Hey 2 psychs is never enough, since it is statistically unlikely that three will ever agree on anything! New study admits this pseudo science is about as scientifically valid as astrology ... done by via fortune cookie ....John Ioannidis, professor of health research and policy at Stanford University, said the study was impressive and that its results had been eagerly awaited by the scientific community. “Sadly, the picture it paints - a 64% failure rate even among papers published in the best journals in the field - is not very nice about the current status of psychological science in general, and for fields like social psychology it is just devastating,” he said. http://www.theguardian.com/science/2015/aug/27/study-delivers-bleak-verdict-on-validity-of-psychology-experiment-results

  4. Indianapolis Bar Association President John Trimble and I are on the same page, but it is a very large page with plenty of room for others to join us. As my final Res Gestae article will express in more detail in a few days, the Great Recession hastened a fundamental and permanent sea change for the global legal service profession. Every state bar is facing the same existential questions that thrust the medical profession into national healthcare reform debates. The bench, bar, and law schools must comprehensively reconsider how we define the practice of law and what it means to access justice. If the three principals of the legal service profession do not recast the vision of their roles and responsibilities soon, the marketplace will dictate those roles and responsibilities without regard for the public interests that the legal profession professes to serve.

  5. I have met some highly placed bureaucrats who vehemently disagree, Mr. Smith. This is not your father's time in America. Some ideas are just too politically incorrect too allow spoken, says those who watch over us for the good of their concept of order.

ADVERTISEMENT