FOR PUBLICATION
ATTORNEY FOR APPELLANT: ATTORNEYS FOR APPELLEE:
JENNIFER L. GRAHAM MILFORD M. MILLER
Indianapolis, Indiana LARRY L. BARNARD
CALVERT S. MILLER
Miller Carson Boxberger & Murphy LLP
Fort Wayne, Indiana
IN THE
COURT OF APPEALS OF INDIANA
CONNIE L. ALDRICH, )
)
Appellant-Plaintiff, )
)
vs. ) No. 57A03-9908-CV-314
)
VINCENT J. CODA, D.P.M., )
)
Appellee-Defendant. )
APPEAL FROM THE NOBLE SUPERIOR COURT
The Honorable J. Scott Vanderbeck, Special Judge
Cause No. 57D01-9811-CP-000168
July 21, 2000
OPINION FOR PUBLICATION
SULLIVAN, Judge
Appellant, Connie L. Aldrich (Aldrich), appeals the trial courts order granting summary judgment
in favor of Appellee, Vincent J. Coda, D.P.M. (Coda).
We reverse and remand.
The facts relevant to this appeal reveal that Aldrich filed a proposed complaint
with the Indiana Department of Insurance alleging negligence in Dr. Codas treatment of
her feet. The Medical Review Panel issued an opinion finding that
there was no evidence that Dr. Coda failed to meet the applicable standard
of care as charged in the proposed Complaint. Record at 19.
On November 16, 1998, Aldrich filed her complaint in the Noble Superior Court.
In response, Dr. Coda filed his answer and a motion for
summary judgment.
Aldrich filed her opposition to Dr. Codas motion for summary judgment on March
12, 1999. In support, Aldrich designated the affidavit of Dr. Michael P.
Shea (Shea), a board certified orthopedic surgeon, which stated that Dr. Coda did
not meet the applicable standard of care in caring for Aldrichs feet.
A letter of opinion written by Dr. Shea and addressed to Aldrichs attorney
was attached to and referenced in the affidavit. On March 25, 1999,
Dr. Coda filed a reply to Aldrichs response and alleged that Dr. Sheas
affidavit was insufficient to create a genuine issue of material fact to overcome
summary judgment because Dr. Sheas affidavit did not state that he was familiar
with the standard of care for podiatrists.
On March 26, 1999, Aldrich requested permission to file a supplemental affidavit prepared
by Dr. Shea attesting that he was familiar with the standard of care
for podiatrists. The trial court denied Aldrichs motion upon the basis that
it was not timely filed. The trial court also granted Dr. Codas
motion for summary judgment upon the basis that Aldrichs opposing response to the
Motion for Summary Judgment of the Defendant failed to establish the affiant was
familiar with the standard of care for podiatrists.
See footnote Record at 45.
Upon appeal, Aldrich asserts that the affidavit submitted by Dr. Shea was sufficient
to create a genuine issue of material fact and that summary judgment was
inappropriate.See footnote
Dr. Coda asserts that because Dr. Sheas affidavit did not specifically say that
he was familiar with the standard of care for podiatrists, the affidavit was
insufficient to establish a genuine issue of material fact. Dr. Coda
further argues that although it is not required that Dr. Shea be the
same type of specialist as Dr. Coda, it is necessary that Dr. Shea
be knowledgeable with respect to the standard of care required for doctors within
the same class to which Dr. Coda belongs.
Normally, summary judgment is not appropriate in medical malpractice cases based upon negligence.
Hoskins v. Sharp (1994) Ind.App., 629 N.E.2d 1271, 1277, rehg denied.
This is especially true when the question is whether a doctor exercised the
requisite standard of care under the circumstances. Id. An opposing affidavit
submitted to establish an issue of fact is sufficient if it demonstrates an
experts credentials, states that the expert has reviewed the relevant medical records, and
sets forth the experts conclusion that the defendants violated the standard of care
in their treatment, which in turn caused the complained of injury . .
. . Jones v. Minick (1998) Ind.App., 697 N.E.2d 496, 499, trans.
denied. A generalized conclusion by the affiant that he is familiar with
the applicable standard of care may be considered adequate to resist summary judgment.
Kopec v. Memorial Hospital of South Bend, Inc. (1990) Ind.App., 557 N.E.2d
1367, trans. denied.
In this case, Dr. Sheas affidavit stated that he was a licensed, board
certified orthopedic surgeon . . . [who] rendered a letter opinion on
the quality of care which Dr. Vincent Coda provided to Connie Aldrich.
A true and accurate copy of the letter opinion is attached hereto and
incorporated fully herein as if it were my testimony . . . [and]
Dr. Codas correction of Ms. Aldrichs hallus valgus deformities fell below the applicable
standard of care for Ms. Aldrichs feet. Record at 29. The
letter opinion attached and referenced in the affidavit specifically described the treatment that
Aldrich received. In his letter, Dr. Shea stated [m]y second concern
is that the correction of the hallux valgus deformities and the angulation of
the distal articular cartilage is certainly very poor. I feel that this
is below the standard of care. Record at 32.
Dr. Coda contends not only that Dr. Sheas affidavit neglected to state that
he was familiar with the applicable standard of care, but that Dr. Sheas
letter opinion actually provides evidence that he is not familiar with the applicable
standard of care. Dr. Coda directs our attention to Dr. Sheas statement,
contained in his letter opinion, that [t]his surgery is a very common podiatric
procedure to the best of my knowledge but is used very sparingly by
orthopedic surgeons, and as far as I know of, no fellowship foot and
ankle trained surgeons actually use this procedure. Record at 30.
Taken out of context, this statement might indicate Dr. Sheas lack of familiarity
with the applicable standard of care. However, taken in the context of
the entire letter, it implies that Dr. Shea is questioning the logic of
performing the procedure at all. In fact, Dr. Sheas letter further states,
[i]n reviewing the patients pre-op and post-operative x-rays, there seems to be no
significant change in my mind to the first and second intermetatarsal angle to
the hallux valgus angle which is the angle between the first metatarsal and
the proximal phalanx. There is certainly no change in the angle of
the distal metatarsal cartilage which this procedure, if performed correctly, should improve.
Record at 31.
It would have been preferable if Dr. Shea had stated in his affidavit
that he was familiar with the applicable standard of care for podiatrists.
Be that as it may, it is evident from the content of the
opinion letter that Dr. Shea, as an orthopedic surgeon, was indeed familiar with
the standard of care required of Dr. Coda, as a podiatrist.
See footnote
Therefore, the affidavit was sufficient to establish a genuine issue of
fact and preclude summary judgment.
The judgment is reversed and remanded to the trial court with instructions to
vacate the entry of summary judgment and for further proceedings.
BAILEY, J., and VAIDIK, J., concur.
Footnote:
The trial court erroneously cited Vergara by Vergara v. Doan (1992) Ind.,
593 N.E.2d 185, for this proposition. In Vergara, our Supreme Court abandoned
the modified locality rule previously applied in medical malpractice cases and adopted the
following: a physician must exercise that degree of care, skill, and proficiency exercised
by reasonably careful, skillful, and prudent practitioners in the same class to which
he belongs, acting under the same or similar circumstances. Id. at 187.
The Vergara decision established the standard of care but it did not
state that an affidavit in opposition to a motion for summary judgment must
establish that an affiant is familiar with the applicable standard of care.
Footnote:
Aldrich also asserts that it was an abuse of discretion for the
trial court to refuse to consider Dr. Sheas supplemental affidavit. Because we
find that Dr. Sheas initial affidavit was sufficient to preclude the granting of
summary judgment, we decline to address this issue.
Footnote: Dr. Coda alternatively argues that Dr. Shea, as an orthopedic surgeon, is
not qualified to evaluate the applicable standard of care for a podiatrist.
We disagree. In
Weinberg v. Geary (1997) Ind.App, 686 N.E.2d 1298, trans.
denied, a panel of this court held that an orthopedic surgeon was qualified
to render an opinion regarding the standard of care given by a plastic
surgeon because he had extensive experience in suturing techniques which was the subject
of the lawsuit in Weinberg. Similarly, here, Dr. Shea is an orthopedic
surgeon who diagnoses and corrects skeletal deformities, and as such, he is eminently
qualified to render an opinion on the standard of care required of a
podiatrist in such matters.