CATHERINE MCDONALD, APPELLANT/CROSS-APPELLEE,
v.
MEDICAL IMAGING CENTER OF BOCA RATON; AND BOCA RATON COMMUNITY HOSPITAL, INC., A FLORIDA CORPORATION, APPELLEES/CROSS-APPELLANTS
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In this medical malpractice case, an 85-year-old stroke victim fell off an x-ray table when the attending technologist turned away to call for assistance, fracturing her hip and pelvis. The plaintiff appealed an adverse jury verdict, arguing she was entitled to a res ipsa loquitur instruction, but the court affirmed, holding that the plaintiff had sufficient direct evidence of negligence and did not need the inference.
No. The court held that a res ipsa loquitur instruction was not warranted because plaintiff was able to adduce sufficient direct evidence of negligence. Unlike cases where plaintiffs are unconscious and have no knowledge of how their injuries occurred, plaintiff here had direct knowledge of the negligent act and did not need the inference provided by res ipsa loquitur.
[1] A plaintiff is not entitled to a res ipsa loquitur instruction when sufficient direct evidence of negligence is available.
[2] The presence of direct evidence of negligence does not preclude a res ipsa loquitur inference if the case is otherwise a proper res ipsa case.
Previewing 2 of 4 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“The existence of a medical injury shall not create any inference or presumption of negligence against a health care provider, and the claimant must maintain the burden of proving that an injury was proximately caused by a breach of the prevailing professional standard of care by the health provider.”
Florida statute limiting negligence inferences in medical malpractice cases, though the court did not need to apply it here.
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Join FLexlaw to unlock all legal intelligencePlaintiff, age 85 and partially paralyzed from a recent stroke, was referred to Medical Imaging Center for a barium swallow procedure. After the proce…
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KLEIN, Judge.
Plaintiff appeals an adverse jury verdict in her medical malpractice suit which she brought as a result of injuries she sustained after falling off an x-ray examining table. We disagree with her argument that she was entitled to a res ipsa loquitur jury instruction and affirm.
Plaintiff, who was 85 years old and had recently suffered a stroke which partially paralyzed her on one side, had been referred by her physician to the appellee/Medical Imaging Center, an outpatient radiology facility, to undergo a procedure known as a barium swallow. After the procedure had been completed, the technologist attending plaintiff turned her back on plaintiff in order to call for assistance to help her move plaintiff off the table. Plaintiff then fell off the x-ray table, fracturing her hip and pelvis.
Plaintiff brought this medical malpractice suit against the Imaging Center, and her theory of recovery was essentially that defendant’s technician, who was attending plaintiff, knew or should have known not to turn away from plaintiff and leave her unattended on the x-ray table. The jury returned a verdict for defendant, and plaintiff appeals, arguing that the court erred in not giving a res ipsa loquitur instruction.
We begin our analysis with a statute cited by defendant, section 766.102(4), Florida Statutes (1989), which provides:
The existence of a medical injury shall not create any inference or presumption of negligence against a health care provider, and the claimant must maintain the burden of proving that an injury was proximately caused by a breach of the prevailing professional standard of care by the health provider. However, the discovery of the presence of a foreign body, such as a sponge, clamp, forceps, surgical needle, or other paraphernalia commonly used in surgical, examination, or diagnostic procedures, shall be prima facie evidence of negligence on the part of the health care provider. In Borghese v. Bartley, 402 So. 2d 475 (Fla. 1st DCA1981), the first district held that this statute does not eliminate res ipsa if the injury was unrelated to, or outside the scope of, medical treatment or diagnosis. We need not decide whether the statute applies here because we have concluded that this would not be a res ipsa case in any event.
In Marrero v. Goldsmith, 486 So. 2d 530, 532 (Fla.1986), our supreme court cleared up confusion regarding res ipsa in medical malpractice cases where there is some evidence of negligence, and held:
If a case is a proper res ipsa case in other respects, the presence of some direct evidence of negligence should not deprive the plaintiff of the res ipsa inference.
Relying on Prosser and Keaton, Law of Torts, § 40 (5th ed. 1984), the court went on to state:
There comes a point, however, when a plaintiff can introduce enough direct evidence of negligence to dispel the need for the inference.
In Marrero and Borghese the plaintiffs were unconscious when they were in jured because they were anesthetized. They had no knowledge about how their injuries occurred, or which of multiple defendants may have been negligent. In contrast, plaintiff in the present case was not unconscious when her injury occurred, there was no mystery as to how the injury occurred, and there was only one possibly culpable defendant. This was not a case in which plaintiff was in need of, or entitled to, a res ipsa instruction, because she was able to adduce sufficient direct evidence of negligence.
We have examined the other issues raised by the appellant and find that they are without merit.
Affirmed.
GUNTHER, C.J., and OWEN, WILLIAM C., Jr., Senior Judge, concur. KLEIN, J., did not participate in oral argument but has reviewed the presentation made at that proceeding.
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Dockswell v. Bethesda Mem'l Hosp., Inc., 177 So. 3d 270 (Fla. 4th DCA 2015)…n her injury occurred, there was no mystery as to how the injury occurred, and there was only one possibly culpable defendant,” and thus, “she was able to adduce sufficient direct evidence of negligence.” McDonald v. Med. Imaging Ctr. of Boca Raton, 662 So. 2d 733, 735 (Fla. 4th DCA 1995). The court explained that “the presence of some direct evidence of negligence should not deprive the plaintiff of [a] res ipsa inference,” but “[tjhere comes a point, however, when a plaintiff can introduce enough direct evi…
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Morris v. Home Depot U.S.A., Inc., 673 So. 2d 520 (Fla. 5th DCA 1996)…DCA 1986), rev. denied, 508 So. 2d 15 (Fla.1987). Where evidence is conflicting on a point of causation or control, [*521] even if the evidence is direct, a res ipsa instruction may still be proper. McDonald v. Medical Imaging Center of Boca Raton, 662 So. 2d 733 (Fla. 4th DCA 1995); Metropolitan Dade County v. St. Claire, 445 So. 2d 614 (Fla. 3d DCA 1984); Coleman v. Allen, 320 So. 2d 864 (Fla. 1st DCA 1975); cert. denied 336 So. 2d 105 (Fla.1976). I submit that as in this ease, where there is conflict in…
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Barber v. Manatee Mem'l Hosp. (Fla. 2d DCA 2024)…atients who, like Barber, submit themselves to the care of medical professionals, suffer unexplained and unrelated injuries, and lack any direct evidence of causation. See Marrero, 486 So. 2d at 533; cf. McDonald v. Med. Imaging Ctr. of Boca Raton, 662 So. 2d 733, 735 (Fla. 4th DCA 1995) (rejecting the application of res ipsa loquitur where plaintiff "was not unconscious when her injury occurred, there was no mystery as to how the injury occurred, and there was only one possibly culpable [individual]"). With…
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Join FLexlaw to unlock all legal intelligenceAuthorities Cited
- Marrero v. Malcolm G. Goldsmith, M.D., 486 So. 2d 530 (Fla. 1986)
- Borghese v. Bartley, 402 So. 2d 475 (Fla. 1st DCA 1981)