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Swink v. Weintraub

Citations: 672 S.E.2d 53; 195 N.C. App. 133; 2009 N.C. App. LEXIS 111Docket: COA07-960, COA07-1088

Court: Court of Appeals of North Carolina; February 3, 2009; North Carolina; State Appellate Court

Narrative Opinion Summary

In a wrongful death lawsuit, Paul Swink, representing his deceased wife's estate, sued Dr. Richard A. Weintraub and Southeastern Heart and Vascular Center for medical malpractice. The North Carolina Court of Appeals handled appeals challenging the trial court's affirmation of a jury verdict favoring Mr. Swink and an order taxing costs against the defendants. The court upheld the negligence finding, emphasizing the importance of both statutory and common law standards in medical malpractice, including the physician's duties to adhere to community standards while exercising reasonable care and best judgment. However, it vacated the order taxing costs due to jurisdictional errors post-appeal. The trial court's admission of expert testimony on standard care was scrutinized but upheld, as the defendants failed to adequately contest the specifics. Issues surrounding informed consent and expert witness qualifications were also addressed, with the court affirming most trial court decisions, except on costs. The jury awarded $1,047,732.20 to Mr. Swink, and while the verdict was upheld, procedural missteps regarding costs required remand for a new order. This case underscores the necessity for precise adherence to procedural rules and comprehensive jury instructions in medical negligence litigation.

Legal Issues Addressed

Admissibility of Expert Testimony

Application: The defendants' contention regarding improper admission of expert testimony on standard of care was rejected due to lack of specificity in their appeals.

Reasoning: The defendants did not adequately identify or reproduce the contested testimony in their brief as required by appellate rules, complicating the court's ability to review their claims.

Hearsay and Relevancy in Testimony

Application: Certain testimony was admitted under exceptions to hearsay rules, and the court found no prejudice from these admissions.

Reasoning: Mr. Swink's testimony about a conversation with Dr. Gerhardt regarding an autopsy was initially allowed but later sustained as hearsay when the defendants objected.

Informed Consent in Medical Procedures

Application: The court found issues with jury instructions related to informed consent, emphasizing the need for proper presentation of evidence and instruction requests.

Reasoning: The defendant requested a jury instruction that obtaining a signed consent form creates a presumption of informed consent, referencing relevant statutory law.

Jurisdiction Over Costs Post-Appeal

Application: The trial court lacked jurisdiction to tax costs against the defendants after the notice of appeal was filed, requiring vacating of the costs order.

Reasoning: A trial court lacks jurisdiction to award costs under N.C. Gen. Stat. 6-1 after a notice of appeal has been filed regarding the underlying judgment.

Medical Negligence Standard of Care

Application: The court reaffirmed that a physician's duty includes adherence to community standards, reasonable care, and best judgment, which was not superseded by the statutory standard.

Reasoning: The Court confirmed that G.S. 90-21.12 does not eliminate common law standards of care, necessitating jury instructions that encompass both statutory and common law elements.