SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-3312-98T3
CAROLYN DAVIES and JAMES D.
DAVIES, her husband,
Plaintiffs-Appellants,
v.
JOSEPH IMBESI, D.O.; DAVID
SIROTA, D.O.; MULTI-CARE HEALTH
CENTER; and ST. BARNABAS
OUTPATIENT CENTER,
Defendants-Respondents,
and
THOMAS HELBIG, M.D.,
Defendant.
Argued: February 2, 2000 Decided: February
23, 2000
Before Judges Stern, Wefing and Steinberg.
On appeal from the Superior Court of New
Jersey, Law Division, Union County.
Edwin J. McCreedy argued the cause for
appellants (McCreedy and Cox, attorneys; Mr.
McCreedy, on the brief).
John M. Deitch argued the cause for
respondents (Garrubbo, Romankow & Rinaldo,
attorneys; Mr. Deitch, on the brief).
The opinion of the court was delivered by
WEFING, J.A.D.
Plaintiffs appeal from the trial court's order dismissing
their complaint with prejudice for failure to file a timely
affidavit of merit. N.J.S.A. 2A:53A-27. After a careful review of
the record and consideration of the arguments advanced on appeal,
we affirm.
Plaintiffs filed their complaint on February 11, 1998; they
alleged negligence in the care and treatment rendered to Carolyn
Davies by Dr. Joseph Imbesi, Dr. Joseph Sirota, Dr. Thomas Helbig,
Multi-Care Health Center and St. Barnabas OutPatient Center. Ms.
Davies was experiencing pain in her lower right leg and, on
December 4, 1995, was examined by Dr. Imbesi at Multi-Care. He
noted swelling in the area of her ankle and foot, and diagnosed a
"muscle pull of calf." He told her to take Aleve for her pain. He
included a notation in his records that no x-ray was required.
Ms. Davies' pain persisted and she returned to Multi-Care on
February 18, 1996 and was examined by Dr. Sirota. He ordered that
two x-rays be taken and they were sent to Cranford Diagnostic
Imaging (Cranford Diagnostic) for interpretation. Dr. Bernard J.
Beute of Cranford Diagnostic prepared a report dated that same day
in which he noted the presence of a four centimeter lytic lesion on
the right tibia. According to Dr. Beute,
Differential diagnostic considerations should
include both neoplastic and infectious
processes. A localized focus of osteomyelitis
could appear this way. Bone neoplasms, such
as osteosarcoma, Ewing sarcoma, or
adamantinoma, could have this plain film
appearance. Often, the narrowing of the
differential diagnoses in these cases requires
a multimodality approach. Typically, bone
scan, MRI, and thin-section CT scan of the
affected area is performed.
Orthopedic consultation is recommended.
Ten days later, Ms. Davies had an orthopedic consultation with
Dr. Helbig at Multi-Care. Dr. Helbig made the following note:
There is indeed a lytic process in the right
tibia that could be consistent with neoplasia
or an infectious process. Therefore, proceed
with the MRI scan quickly. If it is positive,
appropriate referral may be necessary.
Ms. Davies had an MRI performed on March 5, 1996 at Cranford
Diagnostic. Dr. Beute reported that same day to Dr. Helbig that
the films:
suggest some form of surface osteosarcoma . .
. . Its fairly well circumscribed soft tissue
component suggests that it has been present
for some time and it may actually represent a
less aggressive neoplasm than an osteosarcoma
. . . . Clearly, a biopsy is indicated for
tissue diagnostic purposes.
A biopsy was performed at University Hospital on March 8, 1996
which revealed "malignant neoplasms, consistent with Ewing's
sarcoma." On March 27, 1996, Ms. Davies' right leg was amputated
below the knee.
Within their complaint filed on February 11, 1998, plaintiffs
alleged that Dr. Imbesi was negligent in failing to order x-rays or
schedule a follow-up visit; that Dr. Sirota was negligent in
delaying ten days in scheduling an orthopedic consultation; and
that Dr. Helbig was negligent in not scheduling the MRI earlier
than two weeks after his examination.
The Legislature passed the affidavit of merit statute in order
to identify "meritless lawsuits . . . at an early stage of the
litigation." In re Petition of Hall,
147 N.J. 379, 391 (1997).
Under N.J.S.A. 2A:53A-27, plaintiffs were required to serve an
affidavit of merit within sixty days of defendants' answers. Dr.
Sirota's answer was filed on March 30, 1998, Dr. Imbesi's on May 7,
1998.See footnote 11 Plaintiffs' affidavit of merit was thus due no later than
July 6, 1998. (The statute does not explicitly provide whether the
sixty days runs from the filing of the last answer; we do not
address the issue but simply give plaintiff the benefit of
selecting the latest possible date by which the affidavit would be
due.) Under that same statute, plaintiffs were entitled to an
additional sixty days to serve the affidavit if they were able to
establish good cause for granting such an extension.
Further, the Legislature recognized that in certain instances
a plaintiff might be unable to supply an affidavit of merit because
a recalcitrant defendant had failed to supply required records. In
such an instance, if a defendant fails to respond within forty-five
days to a written request that is served either personally or by
certified mail, for medical records or other information "having a
substantial bearing on preparation of the affidavit," and the
plaintiff provides a sworn statement to that effect, no affidavit
of merit is required. N.J.S.A. 2A:53A-28.
N.J.S.A. 2A:53A-28 does not address whether, in such an
instance, a plaintiff is entirely relieved of the obligation to
file an affidavit of merit or whether the defendant's lack of
cooperation acts to toll the running of the statutory time frame
within which the affidavit of merit would otherwise be required.
It is not necessary to resolve that question on this appeal.
The failure to supply either an affidavit of merit or a sworn
statement in accordance with N.J.S.A. 2A:53A-28 is "deemed a
failure to state a cause of action." N.J.S.A. 2A:53A-29.
Ordinarily, a dismissal for such failure is to be a dismissal with
prejudice, unless plaintiff can demonstrate the existence of
extraordinary circumstances. Alan J. Cornblatt, PA v. Barow,
153 N.J. 218, 242 (1998).
It is undisputed that plaintiffs did not file either a timely
affidavit of merit or a sworn statement in lieu thereof.
Accordingly, defendants moved on October 30, 1998 to dismiss the
complaint. On November 5, 1998, plaintiffs served an affidavit of
merit as to Dr. Imbesi and Multi-Care. The trial court nonetheless
granted the defendants' motion on November 20, 1998 and denied
plaintiffs' motion for reconsideration on January 8, 1999. This
appeal resulted.
Plaintiffs argue on appeal that they demonstrated exceptional
circumstances, such that their complaint should not have been
dismissed with prejudice. They also contend that, in light of the
fact that they have obtained and served an affidavit of merit,
dismissal of their complaint contravenes the purpose of the
statute.
Plaintiffs' allegation of exceptional circumstances revolves
around the difficulty plaintiffs' counsel experienced in obtaining
copies of the x-ray films that were taken on February 18, 1996. On
February 25, 1998, two weeks after filing the complaint,
plaintiffs' counsel wrote to University Hospital, Multi-Care and
Cranford Diagnostic; he requested copies of all of Ms. Davies'
medical records from the first two institutions and copies of all
films and reports from Cranford Diagnostic. He enclosed executed
releases and assured prompt payment of any fees for duplication.
By April 22, 1998, he had received copies of Ms. Davies medical
records, including a copy of Dr. Beute's report of the x-rays taken
on February 18, 1996. Copies of the x-ray films, however, were not
included in the records he received.
From April 1998 through October 1998, he engaged in
correspondence with Cranford Diagnostic to obtain copies of those
films. On October 23, 1998, he personally visited Cranford
Diagnostic and learned for the first time that it had not retained
the films after Dr. Beute interpreted them but had, rather,
returned them to Multi-Care. On October 26, 1998, he wrote to the
attorney for Multi-Care, requesting his assistance in obtaining
copies of the x-ray films. The motion to dismiss was filed on
October 30, 1998.
We are unable to conclude that this chronology demonstrates
"exceptional circumstances." If we were to do so, we would
entirely vitiate the significance of N.J.S.A. 2A:53A-28 which sets
forth the avenue of relief available to a plaintiff who encounters
a delay in obtaining copies of records. That the legislature
included such a provision is a clear indication that delays in
obtaining records should not be construed to constitute
"exceptional circumstances."
A further indication that the Legislature did not intend a
delay in obtaining medical records to constitute "exceptional
circumstances" can be seen in that portion of N.J.S.A. 2A:53A-27
which permits a sixty-day extension for filing an affidavit of
merit. There was no timely request for an extension in this
matter. Burns v. Belafsky,
326 N.J. Super. 462 (App. Div. 1999)
(request for an extension deemed timely if filed within 120 days of
defendant's answer being filed even if beyond 60 days); Palanque
v. Lambert-Wooley,
327 N.J. Super. 158 (App. Div. 2000).
Nor are we able to conclude that defense counsel, who filed
the motion to dismiss within five days of the request of
plaintiffs' counsel for assistance in obtaining the x-ray films,
was using this statute as a sword rather than a shield. Barreiro
v. Morais,
318 N.J. Super. 461, 470 (App. Div. 1999). That request
came after the deadline for filing the affidavit had already
passed.
A portion of plaintiffs' argument appears to contend that they
were unable to produce an affidavit of merit without the x-ray
films because it was the films that would allow them to address the
issue of proximate cause. The affidavit of merit statute does not
require, however, that the affidavit address the issue of proximate
cause; it speaks only of an affidavit
that the care, skill or knowledge exercised .
. . in the treatment . . . fell outside
acceptable professional . . . standards or
treatment practices.
[N.J.S.A. 2A:53A-27]
We can hardly close our eyes, moreover, to the fact that once the
motion to dismiss was filed, plaintiffs were able to produce an
affidavit of merit on the basis of the x-ray report alone, without
production of the films.
Finally, we are unable to agree that, because plaintiffs have
since obtained an affidavit of merit, dismissal of plaintiffs'
complaint is contrary to the purposes of the statute. We cannot
ignore the specific statutory deadlines created by the Legislature.
Adopting plaintiffs' argument would require us to turn a blind eye
to the limited time frames the Legislature saw fit to adopt. When
the statutory language is clear, there is no room for
interpretation.
In any case involving application of a
statute, we must construe the plain meaning of
the statute and apply it to the facts. The
meaning of a statute first must be sought in
the language in which it is framed and, if it
is plain, our sole function is to enforce it
according to its terms. When a statute is
clear and unambiguous on its face, it is not
open to construction or interpretation. We
may not disregard plain statutory language to
replace it with an unenacted legislative
intent, because such action would constitute
the undemocratic process of judicial
lawmaking.
[Dempsey v. Mastropasqua,
242 N.J. Super. 234,
238 (App. Div. 1990).]
The order under review is affirmed.
Footnote: 1 1 The first answer was filed on behalf of Dr. Sirota and St. Barnabas Outpatient Center, the second on behalf of Dr. Imbesi and Multi-Care Health Center.