Armijo v. Lovelace Sandia Health

1 This memorandum opinion was not selected for publication in the New Mexico Reports. Please 2 see Rule 12-405 NMRA for restrictions on the citation of unpublished memorandum opinions. 3 Please also note that this electronic memorandum opinion may contain computer-generated 4 errors or other deviations from the official paper version filed by the Court of Appeals and does 5 not include the filing date. 6 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO 7 LORETTA CHAVEZ ARMIJO, 8 Plaintiff-Appellant, 9 v. NO. 29,482 10 LOVELACE SANDIA HEALTH SYSTEM 11 and JOHN DOES I-V, 12 Defendants-Appellees, 13 v. 14 RAPID TEMPS, INC., 15 Third Party Defendant-Appellee. 16 APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY 17 William F. Lang, District Judge 18 Tibo J. Chavez, Jr. 19 Belen, NM 20 Branch Law Firm 21 Turner W. Branch [1] 1 Albuquerque, NM 2 for Appellant 3 Rodey, Dickason, Sloan, Akin & Robb, P.A. 4 Valerie S. Reighard 5 Albuquerque, NM 6 for Appellee Lovelace Sandia Health System 7 Butt, Thornton & Baehr, P.C. 8 Emily A. Franke 9 W. Ann Maggiore 10 for Appellee Rapid Temps, Inc. 11 MEMORANDUM OPINION 12 WECHSLER, Judge. 13 Plaintiff appeals an adverse judgment entered after a jury trial. [RP 1001, 1035] 14 Plaintiff alleged that her back was injured when she went to the Lovelace Emergency 15 Room, and a nurse negligently released the lower part of the examining table, causing 16 Plaintiff to hyperextend and injure her back. [RP 2-3] Our notice proposed to affirm. 17 Plaintiff has filed a motion to amend the docketing statement and memorandum in 18 opposition. Defendant Rapid Temps, Inc., has filed a memorandum in support. We 19 deem it unnecessary to rule on the motion to amend because it simply provides [2] 1 information about the trial evidence. We have considered the arguments in Plaintiff’s 2 memorandum but are not persuaded the analysis in our notice is incorrect. 3 Accordingly, we affirm. 4 DISCUSSION 5 A. Partial Summary Judgment 6 Plaintiff first contends the district court erred in granting summary judgment 7 on her medical malpractice theory, leaving her to try only a claim of ordinary 8 negligence. [DS 6] We hold that Plaintiff has not demonstrated any error. The sole 9 factual theory in Plaintiff’s complaint was that the emergency room nurse, Ms. 10 Wester, negligently released the lower half of an examining table, causing Plaintiff’s 11 lower body to fall, which hyperextended and injured her back. [RP 2-3] One of 12 Plaintiff’s theories of liability was ordinary negligence. [RP 5, ¶ 27] The court 13 allowed that theory to be presented to the jury, and we presume Plaintiff was allowed 14 to fully make her argument to the jury that the nurse was negligent. After hearing all 15 of the evidence, the jury rejected Plaintiff’s claim. 16 A review of the record indicates that Plaintiff weighed 445 pounds, [RP 732; 17 MIO 5] and the jury may have found that it was her weight, not any negligence by the 18 nurse, that caused the lower part of the table to give way. The record also suggests [3] 1 that Plaintiff had many pre-existing health problems, and the jury may have 2 determined that Plaintiff’s attempt to blame the incident on the incident in emergency 3 room was not credible. The jury may have accepted a combination of these reasons. 4 Against this backdrop, we hold that Plaintiff has not demonstrated error. 5 Plaintiff’s theory was that the nurse was liable for causing the table to fall. Plaintiff 6 never amended her complaint and never pleaded any additional theories. In her 7 memorandum, Plaintiff suggests that another theory of liability existed—that the 8 examining table was “malfunctioning and dangerously unstable” and that it was 9 “wobbly.” [MIO 3, 4] However, that theory was not pleaded in the complaint [RP 2- 10 3], and Plaintiff has not cited anywhere in the record where this theory was pleaded. 11 [MIO 1-9] 12 By being allowed to consider ordinary negligence, the jury was able to address 13 Plaintiff’s core claim that the nurse negligently caused the lower part of the table to 14 fall. Under the facts in this case, where the sole claim involves the alleged failure to 15 properly operate a mechanical device—a table—any distinction between ordinary 16 negligence and “medical” negligence is not significant. In fact, Plaintiff’s own 17 arguments below suggested that the issue was one of ordinary negligence that required 18 no specialized knowledge or expert testimony. [RP 3-5] Plaintiff argued that the jury [4] 1 did not need to have expert testimony because “Defendants’ negligence is the sort that 2 is recognized by a layperson using their common experience or knowledge, as in any 3 negligence case.” [RP 599] Plaintiff also characterized this case as a “common 4 negligence case.” [RP 599] That argument recognizes that Plaintiff’s essential claim 5 of negligence presented a straightforward negligence theory. The jury was allowed 6 to consider that theory. 7 We fail to see, and Plaintiff has not explained, how being able to advance an 8 additional theory of medical negligence, i.e., medical malpractice, would have made 9 a difference. “On appeal, error will not be corrected if it will not change the result.” 10 In re Estate of Heeter, 113 N.M. 691, 695 , 831 P.2d 990, 994 (Ct. App. 1992). We 11 are not persuaded that overlaying an additional malpractice theory would have made 12 any difference. If anything, it would have made Plaintiff’s burden of proof greater 13 because malpractice carries with it additional evidentiary burdens and is ordinarily 14 harder to prove than ordinary negligence. For these reasons, we hold that Plaintiff 15 was adequately allowed to present her case and that she was not prejudiced by the 16 court’s decision to remove medical malpractice from the case. 17 B. Evidence 18 Plaintiff next contends that the district court erred in precluding evidence that [5] 1 she received a morphine overdose while in the hospital. [DS 7] The admission or 2 exclusion of evidence is reviewed for abuse of discretion. Coates v. Wal-Mart Stores, 3 Inc., 1999-NMSC-013, ¶ 36 , 127 N.M. 47 , 976 P.2d 999 . “An abuse of discretion 4 occurs when a ruling is clearly contrary to the logical conclusions demanded by the 5 facts and circumstances of the case.” Sims v. Sims, 1996-NMSC-078 , ¶ 65, 122 N.M. 6 618, 930 P.2d 153 . 7 We are not persuaded that this evidence was relevant. Plaintiff did not plead 8 morphine overdose as a theory of medical malpractice or negligence in her complaint. 9 Instead, she limited her theory to the fact that the table partially gave way. Since the 10 morphine overdose was not pleaded as a basis for liability, evidence about it appears 11 to be irrelevant. See Rule 11-402 NMRA (stating that irrelevant evidence is 12 inadmissible). It appears Plaintiff sought to introduce evidence of the alleged 13 morphine overdose for the sole purpose of placing other acts of alleged misconduct 14 before the jury. Plaintiff has offered no authority for the proposition that evidence of 15 other asserted malpractice, not pleaded, would be admissible to prove any fact in 16 issue. See In re Adoption of Doe, 100 N.M. 764, 765 , 676 P.2d 1329, 1330 (1984) 17 (stating that where a party cites no authority to support an argument, we may assume 18 no such authority exists). [6] 1 The evidence appears to be irrelevant for other reasons. There is a suggestion 2 in the record that the evidence of morphine overdose was to be used to support 3 Plaintiff’s claim for punitive damages. [RP 761] However, once the punitive damage 4 claim was removed from the trial, subsequent acts of the hospital were irrelevant. 5 Also, it appears that any claim regarding a morphine overdose would be a medical 6 malpractice claim, not an ordinary negligence claim. Once the court limited the trial 7 to ordinary negligence, evidence about the morphine overdose would not relate to any 8 theory in the case. We have reviewed Plaintiff’s memorandum in opposition, and it 9 does not contain any compelling theory for the admission of this evidence. It simply 10 states a conclusion that the court erred in prohibiting evidence of the morphine 11 overdose. [MIO 3] It also suggests that the evidence would have established that the 12 hospital breached the standard of care. [MIO 7] 13 If Plaintiff wanted to amend her complaint to add the alleged morphine 14 overdose as a theory, she had that option, but she never did. Consequently, we 15 conclude that the district court did not abuse its discretion in excluding evidence about 16 the alleged overdose. That evidence was not tied to any theory pleaded, is irrelevant, 17 and also appears more prejudicial than probative. See Rule 11-402; Rule 11-403 18 NMRA (excluding evidence that is more prejudicial than probative). Additionally, [7] 1 it might have confused the jury and would have introduced a false issue. See Ohlson 2 v. Kent Nowlin Constr. Co., 99 N.M. 539, 543 , 660 P.2d 1021, 1025 (Ct. App. 1983) 3 (holding that evidence that would have confused the jury was inadmissible under 4 Rules 11-401 NMRA, 11-402, and 11 403); Archibeque v. Homrich, 88 N.M. 527 , 5 531, 543 P.2d 820, 824 (1975) (stating that the interjection of a false issue is 6 improper). 7 In her docketing statement, Plaintiff argued that it was relevant under a 8 successive tortfeasor analysis. [DS 10] Our notice proposed to hold that this argument 9 was not preserved because it was not made below. In her memorandum, Plaintiff 10 makes no further mention of her argument, so we need not consider it further. See 11 State v. Johnson, 107 N.M. 356, 358 , 758 P.2d 306, 308 (Ct. App. 1988) (holding that 12 when a case is decided on the summary calendar, an issue is deemed abandoned when 13 a party fails to respond to the proposed disposition of the issue). As a result, on the 14 arguments apparently before this Court, we find no abuse of discretion in excluding 15 evidence about an alleged morphine overdose. 16 C. Exclusion of Testimony 17 Plaintiff argues that the district court erred in excluding the testimony of her 18 “treating physicians as to the causation of her injuries.” [DS 7] In her docketing [8] 1 statement Plaintiff listed these treating physicians as Dr. David Schneider and Sabrina 2 Johnson, P.A. [DS 3] In her memorandum, however, she limits this claim to Sabrina 3 Johnson [MIO 5], so we do not consider any claim related to Dr. Schneider. See 4 Johnson, 107 N.M. at 358, 758 P.2d at 308 . We review the district court’s ruling for 5 an abuse of discretion. See Coates, 1999-NMSC-013, ¶ 36 . 6 Our notice explained our concern that Plaintiff had not given us any information 7 about this claim. [CN 8] We were not told, for example, whether any witnesses 8 testified for Plaintiff on the issue of causality. In our notice, we mentioned that if one 9 or more witnesses did testify about causality, it would impact our analysis of this 10 issue. [Id.] Our notice expressed the tentative conclusion that Dr. Roland Sanchez 11 might have been allowed to testify about causation [CN 8; DS 3] but that we could not 12 tell from the docketing statement whether this was true. Additionally, our notice 13 commented that Plaintiff did not explain the reasons given by the court for its ruling. 14 Accordingly, we proposed to hold that Plaintiff did not provide sufficient information 15 to evaluate this claim and to presume the court’s ruling was correct. [CN 8] See 16 Reeves v. Wimberly, 107 N.M. 231, 236 , 755 P.2d 75, 80 (Ct. App. 1988) (stating that 17 the defendant has the burden of providing “a record sufficient for review,” and 18 “[u]pon a doubtful or deficient record, every presumption is indulged in favor of the [9] 1 correctness and regularity of the [district] court’s decision”). We specifically asked 2 Plaintiff to inform us in any memorandum in opposition of the basis for the court’s 3 ruling, and also to provide us with information about what testimony on causation she 4 did present. 5 Despite our notice’s clear indication that we needed more information, 6 Plaintiff’s memorandum failed to address these concerns, and we still are not given 7 the reasons for the district court’s ruling. [MIO 5] The court allowed Ms. Johnson 8 to testify about her diagnosis and treatment of Plaintiff, [MIO 5] which we agree 9 would be relevant. However, Plaintiff’s failure to explain the court’s reason for 10 prohibiting Ms. Johnson from giving an expert opinion about the cause does not meet 11 Plaintiff’s burden to point out error. See Hennessy v. Duryea, 1998-NMCA-036 , ¶ 12 24, 124 N.M. 754 , 955 P.2d 683 (“Our courts have repeatedly held that, in summary 13 calendar cases, the burden is on the party opposing the proposed disposition to clearly 14 point out errors in fact or law.”). Additionally, because it appears that at least one 15 witness, Dr. Sanchez, was allowed to testify as an expert on the issue of causation, it 16 appears that Ms. Johnson’s additional testimony would have been cumulative. We 17 conclude that Plaintiff has not demonstrated error, much less reversible error, and has 18 not shown an abuse of discretion. [10] 1 D. Instructions 2 Plaintiff argues that the district court erred because the special verdict form 3 allowed the jury to consider only Ms. Wester’s negligence. [DS 7] The form requested 4 by Plaintiff allowed the jury to find liability if Defendants failed to keep Plaintiff “safe 5 from injury in the emergency room.” [RP 991] In contrast, the instruction given by the 6 court allowed the jury to find liability if the nurse “failed to exercise ordinary care.” 7 [RP 877] 8 We review this claim de novo. See McNeill v. Burlington Res. Oil & Gas Co., [9] 2007-NMCA-024, ¶ 19 , 141 N.M. 212 , 153 P.3d 46 (filed 2006) (stating that a claim 10 of instruction error is reviewed de novo). Jury instructions are to be read as a whole, 11 and when they fairly present the issues and the applicable law in light of the evidence 12 presented at trial, they are sufficient. Diversey Corp. v. Chem-Source Corp., 1998- 13 NMCA-112, ¶ 16, 125 N.M. 748 , 965 P.2d 332 . “It is not error to deny requested 14 instructions when the instructions given adequately cover the law to be applied.” Kirk 15 Co. v. Ashcraft, 101 N.M. 462, 466 , 684 P.2d 1127, 1131 (1984). Instructions should 16 be based on the theories that are pleaded and supported by the evidence. See Mac 17 Tyres, Inc. v. Vigil, 92 N.M. 446, 449 , 589 P.2d 1037, 1040 (1979) (stating that “each 18 party is entitled to an instruction on his theory of the case if he has pled it and there [11] 1 is evidence” to support the theory). Instructions on theories that have not been 2 pleaded and are not supported by the evidence should not be given. See Perfetti v. 3 McGhan Med., 99 N.M. 645, 655 , 662 P.2d 646, 656 (Ct. App. 1983). 4 It appears to us, and we hold, that the instruction given was narrowly tailored 5 to address the precise theory pleaded and presented by Plaintiff. It allowed the jury 6 to do exactly what Plaintiff asked the jury to do: to find that the nurse was negligent 7 in causing the lower part of the table to fall. In contrast, Plaintiff’s instruction, 8 allowing the jury to find liability if Defendants failed to keep Plaintiff “safe from 9 injury in the emergency room,” was not narrowly tailored. Instead, it is broad and 10 appears to invite the jury to find guilt from the sole fact that an injury occurred. That 11 is not a correct statement of law. See Anaya v. Tarradie, 70 N.M. 8, 9 , 369 P.2d 41 , 12 42 (1962) (stating that the mere happening of the accident did not show negligence); 13 [RP 883 (instructing that the mere happening of an accident is not evidence of 14 negligence)]. 15 The instruction that was given adequately presented Plaintiff’s theory. 16 Plaintiff’s requested special verdict form was incorrect and not properly tailored to the 17 theory pleaded by Plaintiff. As such, Plaintiff has not demonstrated any error. 18 For all of these reasons, we affirm. [12] 1 IT IS SO ORDERED. 2 _________________________________ 3 JAMES J. WECHSLER, Judge 4 WE CONCUR: 5 __________________________________ 6 MICHAEL D. BUSTAMANTE, Judge 7 __________________________________ 8 MICHAEL E. VIGIL, Judge