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Dickison v. Howen

Citations: 220 Cal. App. 3d 1471; 270 Cal. Rptr. 188; 1990 Cal. App. LEXIS 577; 1990 WL 72259Docket: C004588

Court: California Court of Appeal; May 31, 1990; California; State Appellate Court

Narrative Opinion Summary

In the appellate case of Ola Dickison v. Walter E. Howen et al., the California Court of Appeals examined a medical malpractice claim involving an elderly paraplegic patient, Ola Dickison, who experienced severe health complications under the care of Dr. Howen at Lodi Community Hospital. The court evaluated allegations of negligence against Dr. Howen and the hospital, particularly focusing on the standard of care provided and the adequacy of the medical response to Dickison's deteriorating condition. Despite expert testimony criticizing the treatment and diagnosis, the jury found no negligence, and the trial court's denial of a motion for a new trial was upheld. Central to the appeal was the trial court's decision to allow Dr. Howen to amend his expert witness list, an action contested by Dickison as prejudicial. The court found no abuse of discretion, citing a lack of prejudice and sufficient reliance on procedural statutes. Additionally, the court examined the hospital's claimed immunity under Health and Safety Code section 1317 regarding resuscitation efforts, which was not contested at trial. The appellate court affirmed the trial court's judgment, supporting the jury's verdict in favor of the defendants, highlighting the absence of sufficient evidence to prove causation of negligence by Dr. Howen that would warrant a new trial.

Legal Issues Addressed

Amendment of Expert Witness List under Code of Civil Procedure Section 2034

Application: Dr. Howen was permitted to amend his expert witness list to include Dr. Smith, which was contested by Mrs. Dickison but upheld by the court as there was no abuse of discretion found.

Reasoning: The trial court has discretionary authority to grant relief for the failure to designate an expert witness, and its decision will not be disturbed on appeal unless there is clear evidence of abuse of discretion.

Immunity under Health and Safety Code Section 1317

Application: The hospital's actions during the resuscitation attempts were protected under Health and Safety Code section 1317, and the standard of care during the Code Blue was not contested.

Reasoning: The court also addressed the hospital's defense regarding immunity under Health and Safety Code section 1317, which protects rescue team actions during resuscitation attempts.

Medical Malpractice and Standard of Care

Application: The court evaluated whether Dr. Howen and the hospital staff met the standard of care in the treatment of Ola Dickison, ultimately finding that the evidence did not support a finding of negligence.

Reasoning: Several experts provided testimony during the trial regarding the standard of care met by Dr. Howen and the hospital's nursing staff.

Surprise and Prejudice in Expert Testimony

Application: The court found that Dr. Smith's changed testimony constituted a surprise that Dr. Howen could not have anticipated, and there was no prejudice to Mrs. Dickison as she could prepare for the new expert's testimony.

Reasoning: The court disagreed, stating that the absence of cumulative testimony does not establish a standard of prejudice.

Trial Court's Discretion in Granting New Trials

Application: The trial court's decision to deny a new trial was supported by a lack of sufficient evidence of causation regarding Dr. Howen's alleged negligence, which was affirmed on appeal.

Reasoning: Following this, Mrs. Dickison sought a new trial; the trial judge agreed with the jury's decision regarding hospital negligence but disagreed about Dr. Howen's negligence, citing insufficient evidence of causation to grant the motion.