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Hillman v. Kosnik, 07ap-942 (12-4-2008)

Citation: 2008 Ohio 6303Docket: No. 07AP-942.

Court: Ohio Court of Appeals; December 3, 2008; Ohio; State Appellate Court

Narrative Opinion Summary

The appellants, a family, pursued an appeal against a judgment from the Franklin County Court of Common Pleas, favoring a physician and his practice. The case stemmed from a medical malpractice lawsuit concerning the treatment of their son's brain tumor, alleging misrepresentation of surgical risks and outcomes by the physician, leading to the son's permanent brain damage. Initially filed in 1997 and re-filed with amended claims, the appellants' lawsuit included allegations of malpractice, lack of informed consent, and fraud. The trial court granted summary judgment in favor of the appellees on the malpractice and informed consent claims, citing the appellants' failure to provide necessary expert testimony, a requirement beyond layperson understanding. The fraud claim proceeded to trial, where a jury ruled in favor of the appellees. On appeal, the family contested the trial court’s decisions regarding the necessity of expert testimony, a mistrial motion, and the physician's designation as an expert. The appellate court upheld the initial rulings, affirming that expert testimony was crucial for the dismissed claims and that the trial court acted within its discretion concerning jury instructions and trial conduct. The judgment of the lower court was affirmed, maintaining the appellees' favorable outcome.

Legal Issues Addressed

Designation of Expert Witnesses

Application: The trial court's designation of Dr. Kosnik as an expert was challenged, but the jury was instructed to weigh his testimony like any other witness’s credibility.

Reasoning: The court mitigated this concern by instructing the jury to apply the same credibility standards to expert testimony as they would to general witness testimony.

Informed Consent in Medical Treatment

Application: Appellants needed to provide expert testimony to prove failure in disclosing material risks, an element necessary for informed consent claims.

Reasoning: For a lack of informed consent claim, plaintiffs must prove that the physician failed to disclose material risks of treatment, that those risks resulted in injury, and that a reasonable person would have rejected the treatment had the risks been disclosed.

Jury Instructions and Supplemental Instructions

Application: The trial court's discretion in responding to jury questions was affirmed, finding no prejudicial error in supplemental instructions.

Reasoning: When juries request supplemental instructions, trial courts have discretion in their response... Proper legal instructions do not result in prejudicial error simply due to a potential for misleading the jury.

Requirement of Expert Testimony in Medical Malpractice Claims

Application: The court required expert testimony to establish the standard of care and breach, as the issues exceeded common knowledge.

Reasoning: In a medical malpractice claim, the plaintiff must establish a standard of care, show a breach of that standard by the defendant, and demonstrate a causal relationship between the breach and the injuries incurred. Expert testimony is mandatory when issues exceed common knowledge.

Standard for Granting Summary Judgment

Application: The court evaluated whether the moving party demonstrated an absence of genuine material fact issues, entitling them to judgment as a matter of law.

Reasoning: Summary judgment is appropriate only if the moving party can demonstrate that no genuine issue of material fact exists, they are entitled to judgment as a matter of law, and reasonable minds can only conclude against the non-moving party when evidence is viewed in their favor.