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Gouveia v. Phillips

Citations: 823 So. 2d 215; 2002 WL 1759780Docket: 4D99-3951

Court: District Court of Appeal of Florida; July 31, 2002; Florida; State Appellate Court

Narrative Opinion Summary

This case involves an artist who suffered severe hand injuries in a car accident and underwent surgery by a doctor without allegedly being informed of the possibility of amputation. The plaintiff alleged negligence and lack of informed consent, claiming he was not adequately informed about the surgery’s nature, alternatives, or risks. The trial court directed a verdict in favor of the defense on the informed consent issue, citing the lack of expert testimony. On appeal, the exclusion of expert testimony was upheld, but the directed verdict was reversed, with the appellate court determining that the issue of consent should be resolved by a jury. The court distinguished between claims of non-consent and informed consent, noting that expert testimony is not required for the former. The case underscores the importance of proper disclosure in obtaining informed consent and the necessity of expert testimony for informed consent claims, while also highlighting the legal distinction between lack of consent and inadequate disclosure. The appellate court remanded the case for further proceedings to address the consent issue and potential amputation, emphasizing the jury's role in resolving factual disputes in medical malpractice cases.

Legal Issues Addressed

Alteration of Consent Form

Application: A significant jury issue was identified concerning the authenticity of the consent form, suggesting it may have been altered after the patient signed it, which pertains to the validity of the consent.

Reasoning: Conflicting testimonies from the patient and surgeon raise questions regarding the authenticity of the consent form, suggesting it may have been altered after the patient signed it.

Directed Verdict and Jury Determination

Application: The appellate court reversed the directed verdict, indicating that the issue of whether the patient consented to the amputation should have been determined by a jury.

Reasoning: The court reversed the directed verdict, clarifying that the trial court mistakenly believed expert medical testimony was necessary for the plaintiff to prove the doctor acted without consent or against the patient's instructions.

Informed Consent under Florida Law

Application: The appellate court emphasized that expert testimony is required in informed consent cases to evaluate whether a physician provided adequate disclosure for the patient to make an informed decision.

Reasoning: Informed consent cases require expert testimony to assess whether the physician provided adequate disclosure for the patient to make an informed decision.

Lack of Consent and Battery Claims

Application: The court distinguished between claims of absence of consent and absence of informed consent, stating that expert testimony is not required for claims of non-consent.

Reasoning: The court distinguished between claims of absence of consent and absence of informed consent, stating that expert testimony is not required for claims of non-consent.

Standard of Practice for Obtaining Consent

Application: The exclusion of expert testimony regarding the standard of practice for obtaining consent from intoxicated patients was upheld due to a lack of disclosure during depositions, which could prejudice the defense.

Reasoning: The trial judge excluded the proposed testimony, citing surprise and prejudice to the defendant as it materially deviated from prior deposition statements.