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Brown v. Capanna

Citations: 782 P.2d 1299; 105 Nev. 665; 1989 Nev. LEXIS 284Docket: 19047

Court: Nevada Supreme Court; November 27, 1989; Nevada; State Supreme Court

Narrative Opinion Summary

In this Nevada Supreme Court case, the heirs of a deceased patient appealed against a doctor for alleged medical negligence and lack of informed consent following a surgical procedure that resulted in complications leading to the patient's death. The district court dismissed the negligence claims based on res judicata, ruling that these issues had been previously adjudicated. The appellants were denied the opportunity to amend their complaint to include new negligence claims. The court granted a directed verdict in favor of the doctor on the informed consent issue, as the appellants failed to provide sufficient expert testimony to challenge the adequacy of the consent obtained. The exclusion of a key expert's testimony was found to be an abuse of discretion, warranting a reversal and remand for a new trial. The court affirmed the necessity of expert testimony in informed consent cases and declined to adopt a new standard focusing on the patient's perspective. The decision highlighted the procedural intricacies surrounding negligence and informed consent claims, leading to a remand for further proceedings.

Legal Issues Addressed

Admissibility of Expert Testimony

Application: The exclusion of Dr. Fox's deposition testimony on informed consent issues was found to be an abuse of discretion, as his expertise would have been beneficial for the jury.

Reasoning: The court's exclusion of his testimony on informed consent issues was deemed an abuse of discretion, as his expertise would have been beneficial for the jury.

Directed Verdict under NRCP 50(a)

Application: The court granted a directed verdict in favor of Capanna after determining that no material fact remained for jury consideration regarding the informed consent issue.

Reasoning: Additionally, after the jury trial on informed consent, Capanna's motion for a directed verdict was granted by the court, resulting in no recovery for Brown and Johnson.

Informed Consent and Expert Testimony Requirement

Application: The appellants failed to establish a lack of informed consent, as they did not provide sufficient expert testimony to demonstrate that Capanna failed to meet customary disclosure practices.

Reasoning: Nevada law requires plaintiffs to demonstrate lack of informed consent through expert testimony, per Beattie v. Thomas.

Res Judicata in Negligence Claims

Application: The appellants' negligence claims were barred by res judicata as the issues had already been adjudicated, preventing them from amending their complaint to include these claims.

Reasoning: Brown and Johnson's negligence claims were dismissed, and their attempt to amend the complaint to include these claims was denied, which the court upheld due to res judicata.

Standard for Informed Consent Claims

Application: The court declined to adopt a new standard focusing on the patient's perspective for informed consent claims, maintaining the requirement for expert testimony on customary disclosure practices.

Reasoning: Additionally, Brown and Johnson, along with the Nevada Trial Lawyers Association, proposed adopting a new standard for informed consent claims, shifting focus to the patient's perspective. However, the court declined to overturn the existing standard established in Beattie.