HomeMy WebLinkAbout96-1705 CivilROBERT E. DELL and
GWEN E. DELL, his wife,
Plaintiffs
Ve
GORDON MYERS, M.D.,
NAGIB KHALIFA, M.D.,
UROLOGY ASSOCIATES OF
CHAMBERSBURG, P.C.,
WILLIAM HAREN, M.D., and
WILLIAM MILROTH, M.D.,
Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 96-1705 CIVIL TERM
IN RE: MOTION FOR SUMMARY JUDGMENT
OF DEFENDANT GORDON MYERS, M.D.
BEFORE BAYLEY and OLER, JJ.
ORDER OF COURT
AND NOW, this ~day of February, 1998, after careful
consideration of the motion for summary judgment filed on behalf of
Defendant Gordon Myers, M.D., and for the reasons stated in the
accompanying opinion, Defendant's motion for summary judgment is
granted and Plaintiffs' complaint is dismissed as to Defendant
Gordon Myers, M.D.
Robin J. Marzella, Esq.
3513 North Front Street
Harrisburg, PA 17110
Attorney for Plaintiffs
BY THE COURT,
G. Thomas Miller, Esq.
105 Locust Street
P.O. Box 709
Harrisburg, PA 17108-0709
Attorney for Defendant
Gordon Myers, M.D.
James W. Saxton, Esq.
Katherine B. Kravitz, Esq.
126 East King Street
Lancaster, PA 17602-2893
Attorneys for Defendant Nagib
Khalifa, M.D., Urology Associates
of Chambersburg, P.C., and
William Haren, M.D.
Joseph P. Hafer, Esq.
Gary T. Lathrop, Esq.
305 North Front Street
P.O. Box 999
Harrisburg, PA 17108-0999
Attorneys for Defendant
William Milroth, M.D.
:rc
ROBERT E. DELL and
GWEN E. DELL, his wife,
Plaintiffs
Ve
GORDON MYERS, M.D.,
NAGIB KHALIFA, M.D.,
UROLOGY ASSOCIATES OF
CHAMBERSBURG, P.C.,
WILLIAM HAREN, M.D., and
WILLIAM MILROTH, M.D.,
Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 96-1705 CIVIL TERM
IN RE: MOTION FOR SUMMARY JUDGMENT
OF DEFENDANT GORDON MYERS, M.D.
BEFORE BAYLEY and OLER, JJ.
OPINION and ORDER OF COURT
Oler, J., February 24, 1998.
This medical malpractice case arises out of alleged negligence
in the diagnosis and treatment of prostate cancer in Plaintiff
Robert E. Dell. For disposition at this time is a motion for
summary judgment filed on behalf of Defendant Gordon Myers, M.D.
For the reasons stated in this opinion, Defendant's motion for
summary judgment will be granted.
STATEMENT OF FACTS
The facts alleged in Plaintiffs' complaint pertinent to the
present motion may be summarized as follows. A biopsy performed in
September of 1994 revealed that Plaintiff Robert E. Dell was
suffering from prostate cancer. On November 30, 1994, he underwent
a radical prostatectomy. As a result of the surgery, he has
experienced incontinence and impotence.
Prior to the diagnosis of cancer in 1994, Plaintiff had been
medically examined by Defendant Myers on three occasions: July 26,
NO. 96-1705 CIVIL TERM
1989; July 10, 1991; and June 30, 1993. On the first occasion,
Defendant Myers "advised Mr. Dell that he was healthy and need not
return for [a] repeat physical examination for [a] two-year
period"; on each occasion, Defendant Myers "discharged Mr. Dell
with a clean bill of health."
According to the complaint, Defendant Myers was negligent with
respect to these examinations. Defendant's negligence was said to
include a failure to properly conduct the examinations, a failure
to properly diagnose Plaintiff's condition, a failure to order or
recommend certain tests, a failure to refer Plaintiff to a
urologist, etc.
The answer of Defendant Myers to the complaint denied that he
had "advised Plaintiff he was 'healthy' or that he advised
Plaintiff of any diagnosis." It denied that he had told Plaintiff
he had a "clean bill of health." It denied that he had "directed
or 'advised' Plaintiff that he need not return for two years." It
denied that he had been negligent or that there was any appearance
of prostate disease during the examinations. And, most
significantly for present purposes, it averred in new matter as
follows:
At all times relevant to this cause of
action, Plaintiff Robert E. Dell was examined
by Defendant Gordon Myers, M.D. at the request
and direction of Plaintiff's employer, Roadway
Express, Inc., to determine if Plaintiff was
physically qualified to operate Roadway's
three-axle trucks, as required by 49 C.F.R.
NO. 96-1705 CIVIL TERM
~391.41-391.49 and Roadway's physical
examination standards.
Plaintiff's reply did not refute this allegation.~
Defendant Myers has filed a motion for summary judgment based
upon the proposition that, in his capacity as a physician acting on
behalf of an employer in examining an employee or potential
employee for purposes of determining fitness for employment or
continued employment, he did not assume the duty asserted to the
person being examined. The pre-trial evidentiary record with
respect to the relationship between Defendant, Plaintiff's employer
and Plaintiff consists of a deposition of Plaintiff and answers to
requests propounded by Defendant for admissions.
The deposition of Plaintiff confirmed that the examinations
conducted by Defendant Myers were at the instance and expense of
Plaintiff's employer, and were for the purpose of determining his
fitness for employment or continued employment. Nowhere in the
deposition does Plaintiff suggest that Defendant Myers told him
that he was healthy, that he did not need another physical
Plaintiff's reply stated as follows:
Admitted in part. It is admitted that
Robert Dell was examined by Defendant Gordon
Myers, M.D. at the request of Roadway Express,
Inc. It is denied that Plaintiff has any
specific knowledge as to why the requests were
made. Moreover, the allegations herein
contain conclusions of law to which no
response is necessary.
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NO. 96-1705 CIVIL TERM
examination for two years, or that he was being given a clean bill
of health.
The admissions of the Plaintiffs present the following factual
background with respect to the case against Defendant Myers:
Plaintiff Robert E. Dell completed an
application for employment with Roadway
Express, Inc. on July 8, 1995 .... As
consideration for being considered for
employment and/or being employed, Plaintiff
Robert E. Dell agreed to submit to physical
examinations and tests as required by the
company, and Plaintiff released and assigned
to his employer Roadway Express, Inc. all
right, title and interest that he might
subsequently acquire in all records and
reports arising out of or in connection with
the examinations and tests and further,
Plaintiff Robert E. Dell, waived all rights to
be advised of the content of the records and
reports or to receive copies thereof, absent
prior written consent of Roadway Express,
Inc ....
Prior to the physical examinations and
tests performed by Defendant Gordon Myers,
M.D., Plaintiff Robert E. Dell did not obtain
written consent from Roadway Express, Inc. to
be advised of the content of said records and
reports or to receive copies thereof.
Plaintiff Robert E. Dell was subsequently
hired as a road driver for full time, regular
employment by Roadway Express, Inc., on
September 23, 1985.
As a road driver, Plaintiff is required
by Federal motor carrier safety regulations to
submit himself for periodic or "recurrent"
physical examination every two years. As a
road driver Plaintiff is required by his
employer, Roadway Express, Inc. to submit
himself for periodic or "recurrent" physical
examination every two years. All recurrent
physical examination scheduling ... was
performed by Roadway Express, Inc. All
NO. 96-1705 CIVIL TERM
recurrent physical examination fees ... were
paid by Plaintiff Dell's employer, Roadway
Express, Inc.
Plaintiff Robert E. Dell was never
examined, treated, or diagnosed regarding any
physical ailment or condition by Gordon Myers,
M.D., prior to July 26, 1985. The only
contact Plaintiff Robert E. Dell has ever had
with Defendant Gordon Myers, M.D., was during
the three physical examinations Defendant
Myers performed at the direction of
Plaintiff's employer, Roadway Express, Inc.,
on July 26, 1989, July 10, 1991, and June 30,
1993.
Plaintiff Robert E. Dell never sought or
received medical advice or treatment from
Defendant Gordon Myers, M.D. prior or
subsequent to the three above-referenced
physical examinations. Each of the three
physical examinations referenced ... above...
were scheduled and paid for by Roadway
Express, Inc. Plaintiff Robert E. Dell never
paid for any portion' of these three above-
referenced physical examinations.
Pursuant to the scheduling of the above-
referenced recurrent physical examinations,
Plaintiff was provided with a medical
authorization/consent and release form by his
employer Roadway Express, Inc. Pursuant to
the scheduling of the above-referenced
recurrent physical examination, Plaintiff was
required, as a condition of his employment to
sign a consent and release form regarding the
provision and testing of a urine specimen ....
Pursuant to [the] said authorization/con-
sent, Robert E. Dell consented, prior to each
examination, to provide a urine specimen for
testing at a laboratory selected by Roadway
Express, Inc. Pursuant to the above-
referenced medical authorization, Plaintiff
Robert E. Dell was required to take with him
to the examinations performed by Gordon Myers,
M.D., a driver's license or other photo
identification.
NO. 96-1705 CIVIL TERM
At the time of or shortly following each
such examination, Gordon Myers, M.D., prepared
a physical examination report, which contained
the results of the examination performed by
Gordon Myers, M.D. and which was provided to
Roadway Express, Inc .... Plaintiff was not
provided with a copy of the physical
examination report directly by Gordon Myers,
M.D., subsequent to the examinations.
Gordon Myers, M.D. did not [diagnose any
condition of prostate cancer during his
examinations.] .... Plaintiff Robert E. Dell
had no contact or communication with Defendant
Myers except upon the occasions of his
physical examinations on July 26, 1989, July
10, 1991, and June 30, 1993.
DISCUSSION
A motion for summary judgment is governed by the following
rule of civil procedure in Pennsylvania:
RULE 1035.2 MOTION
After the relevant pleadings are closed,
but within such time as not to unreasonably
delay trial, any party may move for summary
judgment in whole or in part as a matter of
law
(1) whenever there is no genuine issue
of any material fact as to a necessary element
of the cause of action or defense which could
be established by additional discovery or
expert report, or
(2) if, after the completion of
discovery relevant to the motion, including
the production of expert reports, an adverse
party who will bear the burden of proof at
trial has failed to produce evidence of facts
essential to the cause of action or defense
which in a jury trial would require the issues
to be submitted to a jury.
NO. 96-1705 CIVIL TERM
"Under subparagraph (2) [of the rule], the record contains
insufficient evidence of facts to make out a prima facie cause of
action or defense and, therefore, there is no issue to be submitted
to a jury .... To defeat this motion, the adverse party must come
forth with evidence showing the existence of the facts essential to
the cause of action or defense." Committee Note, Pa. R.C.P. 1035.2
(emphasis added). The purpose of this portion of the rule is
obviously to protect a party against whom an essential allegation
cannot be supported with evidence from the burden of going to trial
in order to secure a resolution of the matter. See Eaddy v.
Hamaty, Pa. Super. , , 694 A.2d 639, 643 (1997).
With respect to professional negligence in the form of medical
malpractice, it has been said that "'[t]he term "malpractice"
denotes a breach of the duty owed by one in rendering professional
services to a person who has contracted for such services; in
physician-malpractice cases, the duty owed by the physician arises
from the physician-patient relationship.'" Ervin v. American
Guardian Life Assurance Co., 376 Pa. Super. 132, 135, 545 A.2d 354,
356, (1988), appeal denied, 522 Pa. 604, 562 A.2d 826 (1989),
quoting Rogers v. Horvath, 65 Mich. App. 644, 646-47, 237 N.W.2d
595, 596-97 (1975).
The general rule as to medical malpractice in the present
context has been stated by the Pennsylvania Superior Court as
follows:
NO. 96-1705 CIVIL TERM
"The general rule is that a physician who
is retained by a third party to conduct an
examination of another person and report the
results to the third party does not enter into
a physician-patient relationship with the
examinee and is not liable to the examinee for
any losses he suffers as a result of the
conclusions the physician reaches or reports."
Ervin v. American Guardian Life Assurance Co., 376 Pa. Super. 132,
136, 545 A.2d 354, 357 (1988), quoting Richard J. Kohlman,
Existence of Physician and Patient Relationship, 46 Am. Jur. Proof
of Facts 2d 373, 384 (1986), appeal denied, 522 Pa. 604, 562 A.2d
826 (1989),
Thus, in Tomko v. Marks, 412 Pa. Super. 54, 602 A.2d 890
(1992), the Pennsylvania Superior Court affirmed the grant of
summary judgment in favor of a radiologist who allegedly misread
chest x-rays of a plaintiff who had been subjected to a pre-
employment physical examination at the instance of a potential
employer. In Tomko, Judge Olszewski made the following
observation:
This Court has faced the question at bar
in the past. Elia v. Erie Insurance Exchange,
398 Pa. Super. 433, 581 A.2d 209 (1990)
(insurer requested medical examination); Ervin
v. American Guardian Life Assurance Co., 376
Pa. Super. 132, 545 A.2d 354 (1988), appeal
denied, 522 Pa. 604, 562 A.2d 826 (1989)
(insurer requested medical exam); Craddock v.
Gross, 350 Pa. Super. 575, 504 A.2d 1300 (1986)
(employer's worker's compensation carrier
requested exam). In these cases, like the one
at bar, a third party sponsored a medical
examination of a person, and the patient later
alleged negligence for some omission on the
part of the physician. This Court found in
NO. 96-1705 CIVIL TERM
the past, as we do today, that the plaintiffs
in these cases could not succeed on a cause of
action in negligence ....
In cases like the one at bar, this Court
has not found a relationship sufficient to
support the existence of a duty owed the
patient.
Tomko v. Marks, 412 Pa. Super. 54, 57-58, 602 A.2d 890, 892 (1992)
(per Olszewski, J., with Cavanaugh and McEwen, JJ., concurring in
result).
Although Plaintiffs' counsel suggests in her brief in
opposition to the present motion for summary judgment that the
traditional view requiring privity between physician and patient
for a duty to arise in such cases "is being gradually eroded,"2
appellate authority in Pennsylvania would not warrant this court's
deviation from the traditional view. See generally, Spector Motor
Service v. Walsh, 139 F.2d 809, 823 (2d Cir. 1944) (Hand, J.,
dissenting) (noting the inadvisability of lower court's assumption
of opportunity of anticipating new doctrine), rev'd, 323 U.S. 101,
2 Plaintiffs' Brief in Opposition to Defendant Myers' Motion
for Summary Judgment, at 3.
NO. 96-1705 CIVIL TERM
65 S. Ct. 152, 89 L. Ed. 101 (1944).3
Based upon the foregoing authority, the evidence does not show
a relationship between the Plaintiff and the moving Defendant
sufficient to support the existence of a duty to Plaintiff as
asserted, and the motion for summary judgment of Defendant Gordon
3 Plaintiffs suggest that the present case can be encompassed
by the rule set forth in Section 324A of the Restatement (Second)
of Torts (1965), which provides as follows:
One who undertakes, gratuitously or for
consideration, to render services to another
which he should recognize as necessary for the
protection of a third person or his things, is
subject to liability to the third person for
physical harm resulting from his failure to
exercise reasonable care to protect his
undertaking, if
(a) his failure to exercise reasonable
care increases the risk of such harm, or
(b) he has undertaken to perform a duty
owed by the other to the third person, or
(c) the harm is suffered because of
reliance of the other or the third person upon
the undertaking.
Although Plaintiffs' counsel states in her brief on
Defendant's motion that "Defendant Myers verbally advised Mr. Dell
that he was in good health, requiring no additional medical tests
or treatment," the court, as noted in the text of this opinion, has
been unable to find corroboration for this assertion in the
evidentiary record. See Plaintiffs Brief in Opposition to
Defendant Myers' Motion for Summary Judgment, at 5. Even had Mr.
Dell been provided with copies of Defendant's reports to his
employer, appellate authority in Pennsylvania does not support the
proposition that a cause of action would exist against the
examining physician. See Tomko v. Marks, 412 Pa. Super. 54, 57,
602 A.2d 890, 891 (1992) (per Olszewski, J., with Cavanaugh and
McEwen, JJ., concurring in result).
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NO. 96-1705 CIVIL TERM
Myers must be sustained.
entered:
The following order will therefore be
ORDER OF COURT
AND NOW, this 24th day of February, 1998, after careful
consideration of the motion for summary judgment filed on behalf of
Defendant Gordon Myers, M.D., and for the reasons stated in the
accompanying opinion, Defendant's motion for summary judgment is
granted and Plaintiffs' complaint is dismissed as to Defendant
Gordon Myers, M.D.
BY THE COURT,
s/ J. Wesley Oler, Jr.
J. Wesley Oler, Jr., J.
Robin J. Marzella, Esq.
3513 North Front Street
Harrisburg, PA 17110
Attorney for Plaintiffs
G. Thomas Miller, Esq.
105 Locust Street
P.O. Box 709
Harrisburg, PA 17108-0709
Attorney for Defendant
Gordon Myers, M.D.
James W. Saxton, Esq.
Katherine B. Kravitz, Esq.
126 East King Street
Lancaster, PA 17602-2893
Attorneys for Defendant Nagib
Khalifa, M.D., Urology Associates
of Chambersburg, P.C., and
William Haren, M.D.
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NO. 96-1705 CIVIL TERM
Joseph P. Hafer, Esq.
Gary T. Lathrop, Esq.
305 North Front Street
P.O. Box 999
Harrisburg, PA 17108-0999
Attorneys for Defendant
William Milroth, M.D.
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