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Buford v. Howe

Citation: Not availableDocket: 93-07073

Court: Court of Appeals for the Fifth Circuit; January 11, 1994; Federal Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

In a medical malpractice case, the plaintiff appealed the district court's judgment favoring a physician who misdiagnosed her condition, leading to an unnecessary hysterectomy. The legal controversy focused on the statute of limitations and whether it commenced when the plaintiff should have reasonably discovered her injury. The district court initially ruled against the plaintiff, citing her awareness of ongoing symptoms post-surgery. On appeal, the court reversed this decision, finding unresolved issues regarding the plaintiff's knowledge of the misdiagnosis that necessitated further proceedings. The court also addressed evidentiary matters, upholding the exclusion of evidence regarding other surgeries performed by the physician under Federal Rule of Evidence 404(b) and affirming the quashing of a subpoena for patient records due to physician-patient privilege. A dissenting opinion argued the plaintiff failed to exercise reasonable diligence in discovering her injury, which should have barred her claim. Ultimately, the appellate court mandated further proceedings to resolve when the plaintiff became aware of her injury's unnecessary nature, emphasizing the need for a jury's determination on this issue.

Legal Issues Addressed

Evidentiary Exclusion under Federal Rule of Evidence 404(b)

Application: The court upheld the exclusion of evidence related to other surgeries performed by Dr. Howe, determining it was not relevant and had potential for prejudice under Rule 404(b).

Reasoning: Regarding a motion in limine, the district court upheld Dr. Howe's request to exclude evidence of other hysterectomies he performed, which Mrs. Buford argued was necessary to demonstrate fraudulent inducement for financial gain.

Judgment as a Matter of Law

Application: The appellate court evaluated whether the district court properly granted judgment as a matter of law, concluding it was inappropriate due to unresolved issues regarding the plaintiff's awareness of the misdiagnosis.

Reasoning: The appellate court noted that judgment as a matter of law is appropriate only when the evidence overwhelmingly favors one party.

Physician-Patient Privilege and Subpoena Quashing

Application: The court affirmed the quashing of a subpoena for medical records due to physician-patient privilege, suggesting alternative methods to obtain necessary information.

Reasoning: Mrs. Buford's subpoena for medical records from the Oktibbeha County Hospital, seeking all records related to hysterectomies performed by Dr. Howe from 1979 to 1988, was quashed by the magistrate judge, citing the physician-patient privilege despite the removal of identifying information.

Statute of Limitations in Medical Malpractice

Application: The case discusses whether the statute of limitations should begin when the plaintiff becomes aware of the misdiagnosis or when the plaintiff should have recognized the injury due to persistent symptoms.

Reasoning: Under Mississippi law, the district court determined that Mrs. Buford should have recognized her actionable injury in 1983 due to ongoing pain following her surgery, which did not alleviate her condition and instead exacerbated it.