DARLENE DUDEK V ST JOHN'S HOSPITAL
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STATE OF MICHIGAN
COURT OF APPEALS
DARLENE DUDEK,
UNPUBLISHED
June 11, 2002
Plaintiff-Appellant-Cross-Appellee,
v
No. 230352
Macomb Circuit Court
LC No. 00-002117-NH
ST. JOHN’S HOSPITAL,
Defendant-Appellee-Cross-
Appellant.
Before: Murphy, P.J., and Jansen and Kelly, JJ.
PER CURIAM.
Plaintiff appeals as of right from a judgment granting defendant’s motion for summary
disposition pursuant to MCR 2.116(C)(7) based on the trial court’s finding that the action was
time-barred under the applicable statutes of limitations. We affirm.
I. Basic Facts and Procedural History
On January 8, 1998, a medical instrument called a trocar1 was discovered inside
plaintiff’s abdomen by Dr. Lenna Dines during an exploratory laparotomy,2 which was a surgery
undertaken to identify the cause of abdominal pain suffered by plaintiff. The operative report
concerning the surgery provided, in relevant part:
On reaching the fascia there was noted to be a plastic foreign body in the midline
which is protruding through the fascia. Dissection is undertaken about this to
remove this foreign body. This foreign body is plastic and appears to be a tube.
It protrudes through the fascia in what appears to be an area of a previous trocar
placement from laparoscopic surgery. This area is excised as is the scar tissue
and fibrous tissue that had surrounded the foreign body. After excision of this,
the fascia is incised transversely.
1
A trocar is a sharp-pointed surgical instrument enclosed in a cannula [tube] used for
withdrawing fluid from a cavity, such as the abdominal cavity.
2
A laparotomy is a surgical incision through the abdominal wall.
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***
The patient was transferred to the Post-Anesthesia Care Unit in stable and
satisfactory condition. Specimens were sent to Pathology. These specimens
included the area of staples that had been removed. The foreign body that was
removed from the fascia was also sent.
Plaintiff testified at her deposition that Dr. Dines had indicated to her shortly after the
January 8, 1998 surgery that the foreign object had probably been left behind during a previous
gallbladder surgery, which surgery was performed by Dr. Donn Schroder on February 27, 1996.
An operative report concerning the gallbladder surgery was never produced for plaintiff, her
counsel, or her expert to observe and evaluate. According to plaintiff, she has undergone seven
laparoscopic procedures since 1991.
Plaintiff filed a medical malpractice action against defendant and Dr. Schroder3 on
December 8, 1998, in the Wayne Circuit Court. The complaint alleged that a foreign object was
left in plaintiff’s abdomen during the 1996 surgery in which plaintiff’s gallbladder was removed.
The complaint further alleged that Dr. Schroder breached the standard of medical care by failing
to remove the foreign object and by failing to inform plaintiff that a foreign object had remained
in her body. Plaintiff additionally alleged a count of fraud based on the assertion that Dr.
Schroder fraudulently represented to plaintiff that the surgery was “uneventful,” and based on the
assertion that Dr. Schroder knew a foreign object remained in plaintiff’s body.
On September 22, 1999, Dr. Schroder was deposed, and he indicated that although there
was no operative report, he recalled the 1996 gallbladder surgery and that it went very smoothly
without any problems. Dr. Schroder described the surgery, and a transcript of Dr. Schroder’s
deposition was provided to plaintiff’s medical expert. Based on Dr. Schroder’s description of
the surgery and the location of the incisions, plaintiff’s expert determined that the foreign object
could not have been left behind during the gallbladder surgery.
Plaintiff’s expert then opined that the foreign object was most likely left behind during a
laparoscopic procedure performed by Dr. Thomas Hartzell on November 8, 1995, which
procedure was undertaken after plaintiff had complained of severe lower abdominal pain.4 On
January 12, 2000, plaintiff filed a motion for leave to amend the complaint, arguing that based on
additional information obtained through discovery, it was possible that the foreign object was left
behind during Dr. Hartzell’s surgery in 1995. The proposed first amended complaint alleged that
the foreign object was left in plaintiff’s abdomen either during the 1996 gallbladder surgery or
the 1995 laparotomy. The proposed amended complaint still named Dr. Schroder as a defendant
but not Dr. Hartzell, and the complaint still contained the fraud claim. Defendants challenged
the motion to amend on the basis that any amendment would be futile because the statute of
limitations would bar any claim arising out of the 1995 laparoscopic procedure.
3
Dr. Shroder was a named defendant in plaintiff’s original complaint.
4
The operative report, referencing the nature of the surgery, provided: “This is a 39-year-old
white female, status post laparoscopic assisted vaginal hysterectomy and bilateral salpingooophorectomy, who presented with severe lower abdominal pain in the left lower quadrant.”
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On February 14, 2000, Wayne Circuit Judge Louis F. Simmons, Jr., granted leave to
amend, and plaintiff filed the first amended complaint, which, as opposed to the original
proposed amended complaint, removed Dr. Schroder as a defendant, leaving only defendant
hospital and retaining the fraud claim, referencing fraud simply on the part of defendant’s
employees and agents.5 Additionally, the first amended complaint, as actually filed, definitively
asserted that the foreign object was left in plaintiff’s abdomen during the 1995 laparoscopic
procedure.
Defendant then filed a motion for change of venue on the basis that the 1995 laparoscopic
procedure was performed at St. John Surgical Center located in Macomb County, and not in
Wayne County.6 Pursuant to an order entered on May 10, 2000, the Wayne Circuit Court
transferred the case to the Macomb Circuit Court where the case was assigned to Judge John B.
Bruff.
Defendant then filed a motion for summary disposition pursuant to MCR 2.116(C)(7),
arguing that the motion for leave to amend was not filed until more than two years after the act
of malpractice, and more than six months after plaintiff’s discovery of a possible claim, which
occurred during Dr. Dines’ surgery on January 8, 1998; therefore, plaintiff’s action was timebarred under the applicable statutes of limitations. Defendant further argued that plaintiff’s
claim did not relate back to the filing of the original complaint because the allegations in the first
amended complaint did not arise out of the same transaction or occurrence as alleged in the
original complaint. Defendant next argued that the fraud claim also failed because it was filed
more than two years after the discovery of plaintiff’s cause of action on January 8, 1998.
Finally, and in the alternative, defendant argued that plaintiff failed to file a new affidavit of
merit in support of the allegations in the first amended complaint, thereby requiring dismissal.
The trial court issued a written opinion and order granting defendant’s motion for
summary disposition. The trial court first ruled that the first amended complaint did not relate
back to the filing of the original complaint because a different transaction was involved, i.e., the
1995 laparoscopic procedure in the amended complaint, and the 1996 gallbladder surgery in the
original complaint. The trial court then found that “plaintiff has clearly established that her
causes of action were fraudulently concealed from her.”7 Therefore, pursuant to MCL 600.5855,
plaintiff “had two years from the date she discovered the existence of her claim to file an
amended complaint.” However, plaintiff discovered the existence of a foreign object on January
8, 1998, but she did not move to file an amended complaint until January 12, 2000; therefore,
plaintiff did not timely move to file an amended complaint, and her claims were time-barred
according to the trial court.
5
The lower court record also contains a March 9, 2000 stipulated order dismissing Dr. Schroder
as a defendant.
6
The 1996 gallbladder surgery was performed at St. John Hospital in Detroit, and the 1995
laparoscopic procedure was performed at St. John Surgical Center in Macomb County.
7
Defendant filed a cross-appeal challenging the trial court’s finding that plaintiff established that
her causes of action were fraudulently concealed.
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I. Applicable Law
A. MCR 2.116(C) (7) and Standard of Review
MCR 2.116(C)(7) provides, in part, for summary disposition where a claim is barred by a
statute of limitations. This Court reviews de novo a trial court’s decision on a motion for
summary disposition under MCR 2.116(C)(7). DiPonio Construction Co, Inc v Rosati Masonry
Co, Inc, 246 Mich App 43, 46; 631 NW2d 59 (2001). In determining whether a party is entitled
to judgment as a matter of law pursuant to MCR 2.116(C)(7), a court must accept as true a
plaintiff’s well-pleaded factual allegations, affidavits, or other documentary evidence, and
construe them in the plaintiff’s favor. Brennan v Edward D Jones & Co, 245 Mich App 156,
157; 626 NW2d 917 (2001). Where there are no factual disputes and reasonable minds cannot
differ on the legal effect of the facts, the decision as to whether a plaintiff’s claim is barred by
the statute of limitations is a question of law that this Court reviews de novo. Id.
B. Statutes of Limitations and Exceptions
MCL 600.5805(5) provides that “[e]xcept as otherwise provided in this chapter, the
period of limitations is 2 years for an action charging malpractice.” Because plaintiff also raised
a fraud claim that resulted in personal injury, MCL 600.5805(9) is applicable, and that provision
provides that “[t]he period of limitations is 3 years after the time of the death or injury for all
other actions to recover damages for the death of a person, or for injury to a person or property.”
See Coats v Uhlmann, 87 Mich App 385, 391-392; 274 NW2d 792 (1978); Case v Goren, 43
Mich App 673, 680-682; 204 NW2d 767 (1972).
MCL 600.5838a(1) provides that a medical malpractice claim “accrues at the time of the
act or omission that is the basis for the claim of medical malpractice, regardless of the time the
plaintiff discovers or otherwise has knowledge of the claim.” MCL 600.5838a further provides,
in relevant part:
(2) Except as otherwise provided in this subsection, an action involving a
claim based on medical malpractice may be commenced at any time within the
applicable period prescribed in section 5805 . . ., or within 6 months after the
plaintiff discovers or should have discovered the existence of the claim,
whichever is later. . . . The burden of proving that the plaintiff, as a result of
physical discomfort, appearance, condition, or otherwise, neither discovered nor
should have discovered the existence of the claim at least 6 months before the
expiration of the period otherwise applicable to the claim is on the plaintiff. A
medical malpractice action that is not commenced within the time prescribed by
this subsection is barred. This subsection does not apply, and the plaintiff is
subject to the period of limitations set forth in subsection (3), under 1 of the
following circumstances:
(a) If discovery of the existence of the claim was prevented by the
fraudulent conduct of . . . the health facility against whom the claim is made . . . .
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***
(3) An action involving a claim based on medical malpractice under
circumstances described in subsection (2)(a) or (b) may be commenced at any
time within the applicable period described in section 5805 or sections 5851 to
5856, or within 6 months after the plaintiff discovers or should have discovered
the existence of the claim, whichever is later.
MCL 600.5855 provides that “[i]f a person who is or may be liable for any claim
fraudulently conceals the existence of the claim or the identity of any person who is liable for the
claim from the knowledge of the person entitled to sue on the claim, the action may be
commenced at any time within 2 years after the person who is entitled to bring the action
discovers, or should have discovered, the existence of the claim or the identity of the person who
is liable for the claim, although the action would otherwise be barred by the period of
limitations.”
C. Relation Back of Amendments
MCR 2.118(D) provides that “[a]n amendment that adds a claim or a defense relates back
to the date of the original pleading if the claim or defense asserted in the amended pleading arose
out of the conduct, transaction, or occurrence set forth, or attempted to be set forth, in the
original pleading.” The doctrine of relation back was invented to allow courts to associate the
amended matter with the original pleading so that the amended complaint would not be barred by
a statute of limitations. Smith v Henry Ford Hospital, 219 Mich App 555, 558-559; 557 NW2d
154 (1996). The reason for the doctrine as a means of defeating a statute of limitations is the
desire of the courts not to have valid claims avoided by legal technicalities. Id.
III. Parties’ Arguments on Appeal
Plaintiff first argues that a question of fact existed regarding when she should have
discovered her cause of action under six-month discovery provision of MCL 600.5838a, thus
summary disposition was improper. Plaintiff next argues that pursuant to the fraudulent
concealment statute, MCL 600.5855, plaintiff had two years to bring her cause of action from the
time she discovered the actual act of negligence and the identity of the negligent doctor, which
date was September 22, 1999; the date of Dr. Schroder’s deposition. Finally, plaintiff argues that
the claim presented in the first amended complaint related back to the date of filing the original
complaint.
Defendant first argues that the six-month discovery provision of MCL 600.5838a was
never raised below; therefore, it is not preserved for appeal. Defendant further argues that even
if MCL 600.5838a can be argued on appeal, it does not save plaintiff’s amended complaint
because plaintiff discovered or should have discovered her claims on January 8, 1998, when Dr.
Dines found the foreign object during surgery, and the motion to amend was not filed until
January 12, 2000. Defendant next argues that the date of Dr. Schroder’s deposition, September
22, 1999, should not be considered because it does not reflect the discovery of plaintiff’s
possible cause of action, and because it evidenced a lack of due diligence, coming nearly ten
months after the original complaint was filed. Defendant concludes that there is simply no
factual dispute for a jury to decide regarding the date of discovery of a possible cause of action.
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Defendant next argues that plaintiff cannot establish fraudulent concealment under MCL
600.5855, and that the allegations in the amended complaint do not rise to the level of fraudulent
concealment. In the alternative, defendant argues that even if plaintiff had a legitimate claim of
fraudulent concealment, MCL 600.5855 does not save plaintiff’s amended complaint because it
was not filed within two years of discovery of the fraudulent concealment, which, again, would
have been January 8, 1998. Next, defendant asserts that the relation-back doctrine does not
apply because the amended complaint was based on an entirely different surgical procedure.
Finally, defendant argues that the amended complaint should also have been dismissed because
plaintiff failed to file a new affidavit of merit along with the amended complaint.
IV. Analysis
We initially reject plaintiff’s claim that the first amended complaint relates back to the
filing of the original complaint. In Doyle v Hutzel Hospital, 241 Mich App 206, 215; 615 NW2d
759 (2000), this Court, quoting LaBar v Cooper, 376 Mich 401, 406; 137 NW2d 136 (1965),
stated:
“The amendment relates back to the date of the original pleading and,
therefore, is not barred by limitations, whenever the claim or defense asserted in
the amendment arose out of the conduct, transaction, or occurrence set forth or
attempted to be set forth in the original pleading. It is thus beside the point that
the amendment introduces new facts, a new theory, or even a different cause of
action, so long as it springs from the same transactional setting as that pleaded
originally. The new test satisfies the basic policy of the statute of limitations,
because the transactional base of the claim must still be pleaded before the statute
runs, thereby giving defendant notice within the statutory period that he must be
prepared to defend against all claims for relief arising out of the transaction.”
[Emphasis in original.]
Here, the transactional setting giving rise to the claim in the original complaint was the
1996 gallbladder surgery performed by Dr. Schroder, and not the 1995 laparotomy performed by
Dr. Hartzell. The first amended complaint did not introduce new facts, a new theory, or a
different cause of action arising out of the gallbladder surgery, but instead alleged a new
transactional setting. Therefore, the first amended complaint did not relate back, and the trial
court’s analysis was correct regarding that issue.
Next, it is clear that plaintiff’s medical malpractice and fraud claims were filed outside
the general statute of limitations if the causes of action were deemed to have accrued at the time
of the 1995 laparotomy. Thus, we must determine on which date the six-mouth discovery
provision of MCL 600.5838a began to run. The trial court, although citing MCL 600.5838a, did
not address this issue, nor did plaintiff raise the issue in her response to defendant’s motion for
summary disposition. Generally, an issue is not preserved for appeal if it is not raised before the
trial court, unless resolution of the issue is necessary for a proper determination of the case, the
claim presents a question of law for which all facts have been presented, or manifest injustice
would result. Ramirez v Bureau of State Lottery, 186 Mich App 275, 283; 463 NW2d 245
(1990). We find it necessary to consider this issue for purposes of making a proper
determination as to the applicability of the statute of limitations.
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Plaintiff maintains that it was the September 22, 1999 deposition of Dr. Schroder that
triggered her knowledge of a possible cause of action based on the 1995 surgery performed by
Dr. Hartzell. Plaintiff’s motion for leave to file a first amended complaint was filed on January
12, 2000; therefore, it was clearly filed within six months of the deposition. Contrary to
plaintiff’s assertion that Dr. Schroder’s deposition triggered the date plaintiff became aware of a
cause of action based on the 1995 surgery, defendant asserts that the proper date to focus on is
January 8, 1998; the date Dr. Dines discovered the foreign object.
We agree with the trial court that the operative date to apply the statute of limitations
analysis is January 8, 1998. In Solowy v Oakland Hospital Corp, 454 Mich 214, 221-222; 561
NW2d 843 (1997), our Supreme Court, citing Moll v Abbott Laboratories, 444 Mich 1, 23-24;
506 NW2d 816 (1993), stated that a plaintiff becomes aware of a possible cause of action, for
purposes of commencing the time period under the discovery rule, when the plaintiff is aware of
an injury and its possible cause. The Moll Court stated that the “possible cause of action”
standard “advances the Court’s concern regarding preservation of a plaintiff’s claim when the
plaintiff is unaware of an injury or its cause . . . .” Moll, supra at 24.
Obviously, plaintiff became aware of a potential injury on January 8, 1998, upon the
discovery of the foreign object and resulting scar tissue. She also was aware of the cause – one
of her prior laparoscopic surgeries. Once a plaintiff is aware of the injury and its possible cause,
the plaintiff had the necessary knowledge to preserve and pursue her claim. Distilled to its
essence, plaintiff’s argument is simply that she didn’t discover the identity of the defendant until
September 22, 1999. This is similar to the proposition rejected by this court in Poffenbarger v
Kaplan, 224 Mich App 1; 568 NW2d 131 (1997). The Poffenbarger panel, addressing an
attempt by the plaintiff to add party defendants through an amended complaint, stated “[t]he
discovery period applies to discovery of a possible claim, not the discovery of the defendant’s
identity.” (Emphasis added). Id. at 12, citing Weisburg v Lee, 161 Mich App 443, 448; 411
NW2d 728 (1987).
Because plaintiff knew of her cause of action on January 8, 1998 and did not move to
amend the complaint until January 12, 2000, her medical malpractice and fraud claims were time
barred. The trial court did not err in granting summary disposition pursuant to MCR
2.116(C)(7).
Although unnecessary to our resolution of this matter, we note our disagreement with the
trial court’s finding of fraudulent concealment. The sole claim alleged in the complaint as
constituting an affirmative misrepresentation is that defendant asserted that the surgery was
“uneventful.” Plaintiff fails to identify in any manner the person who allegedly made the
statement, and the statement is vague at best. Plaintiff made this exact same allegation in the
original complaint, attributing the comment to Dr. Schroder, who did not perform the 1995
laparscopic procedure, leaving us to question the validity of the allegation. Plaintiff fails to
allege any affirmative act designed to prevent subsequent discovery. We believe plaintiff did not
sufficiently allege that defendant’s employees or agents committed fraudulent concealment in
connection with the 1995 surgery.
Finally, because of our resolution on the statute of limitations issue, we do not address
defendant’s argument that plaintiff failed to file a new affidavit of merit with the first amended
complaint.
-7-
Affirmed.
/s/ Kathleen Jansen
/s/ Kirsten Frank Kelly
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