ESTATE OF KEITH HALL V MERCY MEMORIAL HOSPITAL CORP
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STATE OF MICHIGAN
COURT OF APPEALS
Estate of KEITH HALL, by JAYNE A. HALL,
Personal Representative,
UNPUBLISHED
December 7, 2010
Plaintiff-Appellant/Cross-Appellee,
V
No. 291885
Monroe Circuit Court
LC No. 05-020901-NH
MERCY MEMORIAL HOSPITAL
CORPORATION and DR. JEFFREY W.
COUTURIER,
Defendants-Appellees/CrossAppellants,
and
DR. SUDJONO KOSIM,
Defendant-Appellee.
Before: WILDER, P.J., and SERVITTO and SHAPIRO, JJ.
PER CURIAM.
In this medical malpractice action, plaintiff, the personal representative of the estate of
the decedent, Keith Hall, appeals as of right, challenging the trial court’s separate orders granting
summary disposition in favor of defendants Dr. Sudjono Kosim, Dr. Jeffrey Couturier, and
Mercy Memorial Hospital Corporation under MCR 2.116(C)(10). Defendants Mercy Memorial
and Dr. Couturier have filed a cross appeal in which they raise alternative grounds for affirming
the trial court’s decision. We affirm.
When reviewing a motion for summary disposition under MCR 2.116(C)(10), a court
must examine the documentary evidence presented by the parties and, drawing all reasonable
inferences in favor of the nonmoving party, determine whether there is a genuine issue of
material fact. Quinto v Cross & Peters Co, 451 Mich 358, 361-362; 547 NW2d 314 (1996). The
nonmoving party has the burden of demonstrating through affidavits, depositions, admissions, or
other documentary evidence that there is a genuine issue of fact for trial. Id. The party opposing
the motion may not rest on the mere allegations or denials contained in the pleadings but must
come forward with evidence of specific facts to establish the existence of a material factual
dispute. Id. at 362, 371. A question of fact exists when reasonable minds could differ on the
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conclusions to be drawn from the evidence. West v General Motors Corp, 469 Mich 177, 183;
665 NW2d 468 (2003). A trial court’s grant of summary disposition is reviewed de novo, on the
entire record, to determine whether the prevailing party was entitled to judgment as a matter of
law. Maiden v Rozwood, 461 Mich 109, 118; 597 NW2d 817 (1999).
A trial court’s decision concerning the qualifications of an expert witness to testify in a
medical malpractice case is reviewed for an abuse of discretion. Gonzalez v St John Hosp &
Med Ctr (On Reconsideration), 275 Mich App 290, 294; 739 NW2d 392 (2007). An abuse of
discretion occurs only when the trial court’s decision falls outside the range of “reasonable and
principled outcome[s].” Maldonado v Ford Motor Co, 476 Mich 372, 388; 719 NW2d 809
(2006).1
Plaintiff argues on appeal that the trial court erred in granting summary disposition in
favor of defendants on the basis of its conclusion that her proposed expert, Dr. Michael
D’Ambrosio, was not qualified under MRE 702 and MCL 600.2169(2) to offer expert testimony
whether early detection of the decedent’s brain tumor would have improved his life expectancy
or functional status, and the required neurosurgery to remove it.2 We disagree.
The trial court relied on MRE 702 and MCL 600.2169(2). MRE 702 states:
If the court determines that scientific, technical, or other specialized
knowledge will assist the trier of fact to understand the evidence or to determine a
fact in issue, a witness qualified as an expert by knowledge, skill, experience,
training, or education may testify thereto in the form of an opinion or otherwise if
(1) the testimony is based on sufficient facts or data, (2) the testimony is the
product of reliable principles and methods, and (3) the witness has applied the
principles and methods reliably to the facts of the case.
MCL 600.2169(2) provides:
1
The relevant background facts are set forth in this Court’s prior decision in Hall v Mercy Mem
Hosp Corp, unpublished opinion per curiam of the Court of Appeals, issued November 20, 2008
(Docket No. 276814).
2
Plaintiff asserts that the trial court erred in considering defendants’ 2009 motion in limine
because the court had previously considered Dr. D’Ambrosio’s qualifications to testify as an
expert in 2007, and defendants never moved for reconsideration, rehearing, or relief from
judgment with regard to that decision. However, plaintiff never raised this issue in response to
defendants’ 2009 motion, leaving the issue unpreserved. Therefore, appellate consideration of
this issue is foreclosed absent a plain error affecting plaintiff’s substantial rights. Kern v
Blethen-Coluni, 240 Mich App 333, 336; 612 NW2d 838 (2000). Because a trial court has
discretion to reconsider a prior ruling, Kokx v Bylenga, 241 Mich App 655, 658-659; 617 NW2d
368 (2000), plaintiff cannot establish a plain error. In any event, the two motions, while clearly
overlapping, did not present precisely the same issue.
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In determining the qualifications of an expert witness in an action alleging
medical malpractice, the court shall, at a minimum, evaluate all of the following:
(a) The educational and professional training of the expert witness.
(b) The area of specialization of the expert witness.
(c) The length of time the expert witness has been engaged in the active
clinical practice or instruction of the health profession or the specialty.
(d) The relevancy of the expert witness’s testimony.
Although Dr. D’Ambrosio was certified in neurology in 1994 and in vascular neurology
in 2005 and expressed a professional interest in neuro-radiology, he exclusively practiced
emergency medicine and had never treated a patient for brain cancer outside the setting of the
emergency department.
Dr. D’Ambrosio was expected to testify that early detection of Hall’s brain tumor would
have improved his life expectancy. Dr. D’Ambrosio’s opinions on that issue were based on his
background as a neurologist, particularly his “residency training” and his “general familiarity
with the medical literature regarding those disease processes and their prognosis.” In his practice
as an emergency room physician, however, Dr. D’Ambrosio did not have any continuing
relationship with patients who were diagnosed with such tumors. Dr. D’Ambrosio also had not
performed or participated in any life-expectancy studies on brain tumor patients.
Dr. D’Ambrosio was also expected to testify that early detection of Hall’s tumor would
have improved his functional status, “specifically as it relates to seizures as a consequence of the
tumor and/or the required neurosurgery to remove it.” Plaintiff intended for Dr. D’Ambrosio to
“testify that the early diagnosis with appropriate therapy makes the probability of neurological
disorder during the person’s lifetime less likely, specifically less likely to have neurological
deficits, less likely to have cognitive impairment and less likely to have seizures that are
refractory to treatment.” Dr. D’Ambrosio agreed, however, that whenever a brain tumor is
removed surgically, neurological deficits can occur as a result of the surgery itself.
The trial court’s determination that Dr. D’Ambrosio’s education, professional training,
areas of specialization, and the length of time he has practiced his specialty all demonstrated that
he is not an expert in the treatment and prognosis of brain tumors was well within the range of
reasonable and principled outcomes. See MCL 600.2169(2). At best, Dr. D’Ambrosio
familiarized himself with the medical literature on that issue and has made preliminary findings
of possible tumors in his emergency room practice. His employment since 1992 has
undisputedly been in emergency medicine. Accordingly, plaintiff failed to show that Dr.
D’Ambrosio was qualified to provide expert testimony concerning the effects of Dr. Couturier’s
failure to diagnose Hall’s brain tumor in 2001. The trial court did not abuse its discretion in
excluding Dr. D’Ambrosio’s testimony. There is no dispute that expert testimony concerning
proximate cause was necessary to plaintiff’s case (Expert testimony is essential to establish a
causal link between the alleged negligence and the alleged injury in a medical malpractice case.
Dykes v William Beaumont Hosp, 246 Mich App 471, 478; 633 NW2d 440 (2001); Thomas v
McPherson Community Health Ctr, 155 Mich App 700, 705; 400 NW2d 629 (1986)). Therefore,
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the trial court did not err in granting summary disposition to Dr. Couturier and Mercy Memorial
Hospital after finding that Dr. D’Ambrosio was not qualified to testify. Lacking expert testimony
concerning causation, plaintiff’s claims against defendants were appropriately dismissed.
In light of our decision, it is unnecessary to consider the remaining arguments raised on
appeal or cross-appeal.
Affirmed.
/s/ Kurtis T. Wilder
/s/ Deborah A. Servitto
/s/ Douglas B. Shapiro
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