SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-5137-95T5
A-5192-95T5
REVEREND JULIUS BROWN,
General Administrator and
Administrator ad
Prosequendum of the Estate
of JEANNETTE CLEMONS,
Deceased,
Plaintiff-Respondent/
Cross-Appellant,
v.
KENNEDY MEMORIAL HOSPITAL-
UNIVERSITY MEDICAL CENTER
(CHERRY HILL DIVISION),
DR. DEVLIN, and DR. SHINDER,
Defendants,
and
LARRY COHEN, D.O.,
MICHAEL ABRAHAM, D.O.,
and ABRAHAM & COHEN, a
legal entity,
Defendants-Appellants/
Cross-Respondents.
Argued January 21, 1998 - Decided June 25,
1998
Before Judges Long, Kleiner and Kimmelman.
On appeal from Superior Court of New Jersey,
Law Division, Camden County.
Stanley P. Stahl argued the cause for
for defendant-appellant/cross-respondent
Larry Cohen in A-5137-95T5 (Mr. Stahl and
Sharon K. Galpern, on the brief).
Robert E. Paarz argued the cause for
defendant-appellant/cross-respondent Michael
Abraham in A-5192-95T5 (Paarz, Master,
Koernig, Crammer, O'Brien & Bishop,
attorneys; Mary Ann C. O'Brien, on the
brief).
Thomas F. McGuire, Sr. argued the cause for
plaintiff-respondent/cross-appellant Julius
Brown in both appeals.
The opinion of the court was delivered by
KLEINER, J.A.D.
This medical malpractice wrongful death action has had a
torturous history. A complaint was initially filed on December
4, 1989, by the Reverend Julius Brown (plaintiff) following the
death of his daughter, Jeannette Clemons,See footnote 1 (Jeannette), on
October 18, 1988, after her appendix ruptured causing
peritonitis. Plaintiff, as general administrator and
administrator ad prosequendum, contended that defendants Dr.
Michael Abraham (Abraham), Dr. Larry Cohen (Cohen) and other
named defendantsSee footnote 2 who treated Jeannette deviated from the
expected standard of care, focusing upon an alleged improper
diagnosis, thus exposing each to a charge of medical malpractice.
Thereafter, plaintiff, with leave of court, filed a fourth
amended complaint focusing upon a deviation in the standard of
care, post-surgery, resulting in Jeannette's death.
Prior to her death, Jeannette, age forty-nine, who was
married but separated from her husband, and who was a licensed
practical nurse, moved into her parent's home to care for her
mother, Bertha Brown. Her mother died in August 1987.
Plaintiff, then age eighty-six, who served as an unpaid part-time
Baptist pastor, became despondent following his wife's death.
Thus, Jeannette continued to reside with plaintiff and resided
with him immediately before her final illness. At trial, it was
established that Jeannette assisted her father in his clerical
work, provided him with transportation, prepared meals, did
laundry, shopped, and cleaned the house.See footnote 3
Early in the morning of September 14, 1988, Jeannette
suffered excruciating pain in her right abdomen, and plaintiff
took her to the emergency room at JFK. Devlin diagnosed viral
gastroenteritis and prescribed medication but did not admit her.
According to Devlin, the reported pain was epigastric, not in the
lower gastrointestinal tract. However, her pain continued and
she returned to JFK on September 15, 1988, at 5:30 a.m., when she
was admitted by a resident. Jeannette came under the care of
Abraham at 10:00 a.m. on that date.
Plaintiff visited Jeannette every day. On September 18, he
was summoned by doctors to give permission for surgery because
Jeannette refused to sign. Plaintiff found Jeannette "like in a
state of ecstasy," and not "of herself."
After the surgery, Jeannette was very sick, but plaintiff
could not tell if she was in pain because she never communicated.
However, as part of plaintiff's case, a church deacon, Solomon
Bradley, testified that he visited Jeannette at JFK, saw her
grimace as if in pain and heard her say, "Deacon, I'm very
hurting." Additionally, plaintiff's adopted son, Robert
Carswell, described Jeannette after her first operation as
swollen "like a frog." He opined that she appeared to be in
pain, although she could not communicate.
On September 25, Jeannette was transferred to Cooper
Hospital, where dialysis was available. At Cooper, too, Jeanette
did not respond, but looked back strangely. Her stomach was
distended. Despite further surgery, she did not improve and died
on October 18, 1988.
The matter was tried before Judge Parrillo and a jury. A
verdict of no cause for action was returned on January 11, 1993.
On that same date, the judge granted plaintiff's motion to vacate
the verdict based on jury irregularities, discussed infra.
The matter was tried a second time before Judge Little and a
jury.See footnote 4 On February 16, 1995, the jury returned a verdict of no
cause for action as to defendant Devlin, but returned a five-to-one verdict of liability against defendants Abraham and Cohen,
attributing liability thirty-five percent and sixty-five percent
respectively.See footnote 5 The jury awarded damages totalling $1,125,000,
divided as follows: $325,000 for decedent's pain, suffering and
medical expenses; $400,000 for plaintiff's loss of his daughter's
services; and $425,000 for plaintiff's loss of Jeannette's
guidance, counselling, advice and companionship. On March 17,
1995, the judge vacated the verdict on damages only and granted a
new trial on damages.See footnote 6
On September 7, 1995, the parties orally agreed on the
record upon the terms of a consent judgment on damages in the
amount of $550,000 while preserving their rights to appeal. When
plaintiff refused to sign the documents prepared to memorialize
the oral agreement, defendant successfully moved to compel the
execution of those documents.See footnote 7
name utilized in the first amended complaint filed on June 18,
1990.
During the first trial, at the close of plaintiff's case,
Abraham again raised this issue. Judge Parrillo also refused to
dismiss Abraham on the statute of limitations ground. He
explained that he was not convinced that Abraham's name or his
individual culpability was easily ascertainable within two years
of treatment because the name was not legible within the
handwritten hospital records.
Use of a fictitious name is permitted by R. 4:26-4, which
provides in part: "[I]f the defendant's true name is unknown to
the plaintiff, process may issue against the defendant under a
fictitious name, stating it to be fictitious and adding an
appropriate description sufficient for identification." When
diligent discovery discloses the party's name, amendment of the
complaint may relate back and allow an action otherwise time-barred. Stegmeier v. St. Elizabeth Hosp.,
239 N.J. Super. 475,
484 (App. Div. 1990). A plaintiff who includes a fictitious
defendant "is required to proceed diligently to amend the
complaint without prejudice to the defendant to be joined."
Ibid.
Here, two judges separately reviewed the handwritten
hospital records. Each judge concluded that the records were
illegible, and that plaintiff had been unable to identify Abraham
earlier. It is clear that plaintiff properly utilized a
fictitious name in his first amended complaint, R. 4:26-4, and
then proceeded diligently to seek leave to file a second amended
complaint to substitute Abraham for that fictitious name.
Plaintiff fully adhered to the rules and the dictates enunciated
in Stegmeier.
Although Abraham has pointed to one instance in the hospital
record where his name was fairly clear, and although his name
appeared along with Cohen's name in a typewritten discharge
summary, the conclusion reached by both Judge Fratto prior to the
first trial, and by Judge Parrillo at the close of plaintiff's
case at the first trial, finds support in the record. This is
particularly so when we consider that relaxation of the
fictitious-party rule is permitted in the interest of justice as
when a named defendant has misled and deceived a plaintiff. See
Viviano v. CBS, Inc.,
101 N.J. 538, 544 (1986). Here, named
defendants failed to specifically answer interrogatories when
asked the names of all treating physicians but referred plaintiff
to hospital records. Additionally, Abraham, who practiced
medicine with Cohen, a named defendant, could point to no
prejudice arising from late service of process. Clearly, Abraham
knew that plaintiff had instituted suit against his medical
associate Cohen. The doctrine of relation back is applicable
particularly where there is no prejudice to the late identified
defendant. Id. at 556.
In count four of plaintiff's fourth amended complaint he
alleged that defendants failed to obtain a gynecological consult
or order a CAT scan after Jeannette was hospitalized. Abraham
sought to dismiss this count, both prior to the first trial and
at the close of plaintiff's case at the first trial,See footnote 9 on the
ground that the fourth count encompassed a new theory of
liability asserted after the statute of limitations period.
Again, Judge Fratto and then Judge Parrillo denied Abraham's
motions. Both judges concluded that the amendments to the
complaint related back to the original complaint filing date
under Rule 4:9-3. We agree.
An amendment to a pleading relates back to the date of the
original pleading "[w]henever 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." R. 4:9-3. The rule accomplishes "substantial justice
on the merits by permitting a technical and otherwise fatal flaw
to be corrected where such correction will not materially
prejudice another party." Pressler, Current N.J. Court Rules,
comment 2 on R. 4:9-3 (1998). When a period of limitation has
expired, only distinctly new or different claims are barred, not
those pertaining to the same subject matter. Harr v. Allstate
Ins. Co.,
54 N.J. 287, 299-300 (1969). A germane claim is
entitled to relation back, and it is within the discretion of the
court to decide whether a new and different claim relates back.
See Wimmer v. Coombs,
198 N.J. Super. 184, 188 (App. Div. 1985).
Here, both Judge Fratto and Judge Parrillo found that relation
back was justified and fair. We conclude that neither judge
abused his discretion in so doing.
possible influence of the "C exhibits." Five of the six jurors
reported having read the "C exhibits," though all denied having
considered them in deliberations. Judge Parrillo did not
disbelieve the jurors' testimony, but determined that the
irregularity must be presumed to be prejudicial, and found that
the record failed to overcome that presumption.
The judge found that portions of the proposed charges which
stated the law in terms favorable to defendants had the clear
capacity to undermine the court's instructions or, at least, to
confuse the jurors. Moreover, the "C exhibits" were misleadingly
designated as evidence. Judge Parrillo granted plaintiff's new
trial motion on the ground that the "C exhibits" in the jury room
had the capacity to influence the verdict.
The test for determining whether irregular influences on
jurors merit a new trial is whether they "could have a tendency
to influence the jury in arriving at its verdict in a manner
inconsistent with the legal proofs and the court's charge."
Panko v. Flintkote Co.,
7 N.J. 55, 61 (1951). The capacity to
influence is sufficient, and evidence of actual influence is not
needed. Ibid. The stringency of this longstanding rule is
required by the critical role of the jury. State v. Grant,
254 N.J. Super. 571, 583 (App. Div. 1992). A jury verdict must be
"entirely free from the taint of extraneous considerations and
influences." Panko v. Flintkote Co., supra, 7 N.J. at 61.
"A motion to set aside a verdict for alleged interference
with jurors is addressed to the sound legal discretion of the
court and in the absence of a showing of prejudice should not be
granted." Jardine Estates, Inc. v. Donna Brook Corp.,
42 N.J.
Super. 332, 340 (App. Div. 1956). However, reversal is required
by either an affirmative showing of prejudice or the failure to
overcome the presumption of prejudice introduced by an improper
jury communication. Ibid.
In Tirrell v. Navistar Int'l, Inc.,
248 N.J. Super. 390,
(App. Div.), certif. denied,
126 N.J. 390 (1991), a product
liability case, we rejected a claim of jury taint based on the
presence in the jury room of a Newsweek magazine containing an
article concerning product liability. Id. at 404-06. We noted
that there was no showing of actual taint. Id. at 405. However,
as Judge Parrillo pointed out, in Tirrell there was no indication
that any juror had read or even noticed the magazine. Here, five
of the six jurors did at least glance at the "C exhibits." In
effect, in Tirrell, we found no impropriety, and therefore no
presumption of prejudice. Here, in contrast, the judge did not
abuse his discretion by concluding that the voir dire of the jury
failed to affirmatively show that the jurors' reading of the "C
exhibits" could have had no influence on the verdict. We
therefore find no error in Judge Parrillo's decision to grant a
new trial, and reject defendants' contention that the verdict at
the first trial must be reinstated.
6. What amount of money, if any, would
fairly and reasonably compensate
plaintiff Reverend Julius Brown for
the loss of services (cleaning,
shopping, cooking, typing,
answering phone, etc.) as a result
of his daughter, Jeannette Clemons'
death which would have been
provided to him had she lived,
after deducting the benefits she
received such as car expenses, car
insurance, housing, etc. (wrongful
death claims)?
7. What amount of money, if any, would fairly and reasonably compensate plaintiff, Reverend Julius Brown, for the loss of services, guidance, counseling and for funeral expenses (wrongful death claims) as a result
of his daughter, Jeannette Clemon's
[sic] death.
As noted supra, the jury awarded plaintiff $325,000 for pain
and suffering and medical expenses (survival action), $400,000
for loss of housekeeping and clerical services, and $425,000 for
loss of counseling services and funeral expenses (wrongful death
action). On the same day, Judge Little granted defendants'
motion to strike the $400,000 verdict. He explained, "There was
no evidence from which a jury could conclude the value of
cleaning, shopping, cooking, typing, answering phones, et cetera
. . . ." A month later, in response to the plaintiff's motion
for reconsideration, the judge questioned whether he should ever
have allowed the question concerning such damages to be placed on
the verdict sheet, when there was no evidence to support it.
Judge Little denied plaintiff's motion to reinstate the
$400,000 award, and granted defendants' motions to vacate the
entire damage award because the size of the award indicated that
it was a "runaway verdict." He found that the two verdict
questions concerning loss of services (six and seven) were
duplicative, and that each verdict on the wrongful death claim
tainted the survival claim for pain, suffering, and medical
expenses, and concluded the entire verdict was a result of
sympathy, prejudice and passion.
Although we disagree with some aspects of the judge's
assessment of the evidence (discussed infra), nonetheless, we
find that the judge properly concluded that the entire verdict
was tainted thus necessitating a new trial as to damages.
We begin our analysis by recognizing that "[t]he principle
goal of damages in personal-injury actions is to compensate
fairly the injured party." Caldwell v. Haynes,
136 N.J. 422, 433
(1994). More precisely, the purpose of personal injury
compensation is simply to replace actual loss. Ruff v.
Weintraub,
105 N.J. 233, 238 (1987). "A trial court should not
disturb the amount of a verdict unless it constitutes a manifest
injustice that shocks the judicial conscience." Carey v. Lovett,
132 N.J. 44, 66 (1993). However, an excessive verdict, one
unsubstantiated by evidence, but attributable to prejudice,
partiality, or passion, must be vacated. Id. at 66-68.
2A:31-5. This injury consists of deprivation of a reasonable
expectation of pecuniary advantage. Green v. Bittner,
85 N.J. 1,
11 (1980). Expert testimony is not necessary to place a value on
prospective services, but it is helpful to avoid leaving the jury
to conjecture on those values. Id. at 15-17. Plaintiff
presented no evidence of either the value of the housekeeping and
clerical services, or the counterbalancing value of the
decedent's living expenses. Here, it would have been feasible to
present evidence of present economic value, id. at 17, of the
kinds of services Jeannette provided. Damages replace services
that could otherwise be bought, and that the decedent would have
likely provided had she lived. Hudgins v. Serrano,
186 N.J.
Super. 465, 478 (App. Div. 1982).
The jury was futilely without guidance concerning both the
value of the household services the decedent had been providing
and the value of the services plaintiff was providing to her. A
jury is not authorized to base a decision on conjecture or
speculation. See Germann v. Matriss,
55 N.J. 193, 208 (1970).
Jurors were required to estimate the time period in which
plaintiff would continue to require such clerical and household
services; but that estimate could not have been long, as
plaintiff was age 86 as of the date of trial.See footnote 10
The judge expressly based his denial of plaintiff's motion
to reconsider the vacation of the $400,000 damage award for loss
of services on the failure to establish a reasonable value of
those services. We agree with that determination.
quantification of a loss or diminution of future earnings is not
required, as such evidence is inevitably limited or non-existent). Here, we are valuing the services of an adult.
Quantification was feasible through expert testimony. The jury
should not have been left to conjecture on this matter.
It is also clear from Green v. Bitner, supra, that the loss
of a child's companionship and guidance, whether the child be an
infant or an adult child, is not a separate claim from the loss
of a child's services. 85 N.J. at 7-8. It was error to separate
the claim into two separate jury interrogatories.
Lastly, the judge concluded the verdict was governed by
sympathy, passion and prejudice. Although the judge did not
fully and explicitly articulate his reasons, he characterized the
verdict as a "runaway verdict." It is clear from the colloquy
with counsel at the post-trial motions that the judge concluded
the verdict on question seven was so disproportionate to the loss
sustained so as to shock his conscience. See Taweel v. Starn's
Shoprite Supermarket,
58 N.J. 227, 236 (1971). We conclude that
the judge properly vacated the wrongful death award.
The trial judge noted, "[M]y first inclination was not to
touch the pain and suffering, was to let it stay because it's
there. But when you go back to the other two verdicts of 400,000
and 425,000 [sic], they're definitely runaway verdicts." The
judge concluded that the excessiveness of the wrongful death
awards rendered suspect the entire damage verdict. We agree.
See Caldwell v. Haynes, supra, 136 N.J. at 441-42 (holding that
the excessiveness of lost wage awards undermined the reliability
of a separate award for pain and suffering).
liability as per the jury verdict: sixty-five percent
attributable to Cohen; and thirty-five percent attributable to
Abraham. When memorialized, the consent judgment provided that
judgment be entered in the two actions against Cohen for $32,500
and $325,000, and against Abraham for $17,500 and $175,000.
Since the form of judgment accurately reflected the
stipulations of counsel, which had been placed on the record
before Judge Drozdowski, the judge compelled plaintiff's counsel
to execute the judgment as prepared, which omitted any reference
to the Comparative Negligence Act. We agree with Judge
Drozdowski's determination. Plaintiff's counsel failed to
mention the Comparative Negligence Act when the proposed judgment
terms were placed on the record. The parties simply agreed to
maintain the proportional responsibility determined by the jury
in the second trial under N.J.S.A. 2A:15-5.2. Thus, there was no
basis to modify the settlement terms and plaintiff's contentions
in his cross-appeal are rejected. The oral agreement was
reflected in the form of judgment and was properly enforced.
Affirmed.
Footnote: 1 The record on appeal offers an alternative spelling of
the decedent's name - Jeanette.
Footnote: 2 Plaintiff's complaint, as twice amended pursuant to court
orders, ultimately named as defendants the Kennedy Memorial
Hospital-University Medical Center (Cherry Hill Division) (JFK),
Dr. Thomas Devlin (Devlin), and Dr. Arnold Shinder (Shinder).
Some of these defendants were initially named as fictitious
defendants, thus necessitating the amended complaints to reflect
the actual names of the defendants once those names were learned
during pre-trial discovery.
On May 22, 1992, defendant Abraham named for the first time
in plaintiff's first amended complaint, filed a motion for
summary judgment based on the statute of limitations. That
motion was denied predicated upon the theory of relation back.
See R. 4:9-3. Plaintiff's complaint as to JFK was dismissed
prior to the first trial.
Footnote: 3 Jeannette's brother, John Brown, and his wife also
resided in the parsonage. Testimony at trial indicated that John
Brown also assisted in caring for plaintiff.
Footnote: 4 The complaint against defendant Shinder was dismissed on
the first day of this trial.
Footnote: 5 "Abraham & Cohen" was not treated as a separate entity.
Footnote: 6 We need not review the precise medical testimony offered
at the second trial. Suffice to say, plaintiff presented an
expert witness, Dr. Richard Bassin, who opined that within a
reasonable degree of medical probability, Abraham and Cohen
deviated from accepted medical care in their treatment of
Jeannette prior to her surgery on September 18, 1988, and post-surgery in failing to order additional tests which would have
revealed the need for further surgery to remove pus from the
abdominal cavity resulting from a perforated appendix which was
discovered on September 18, 1988, during the initial surgery.
Each defendant offered expert testimony and each defendant testified. Both experts opined that neither defendant deviated from the accepted standards of medical practice. Footnote: 7 Thereafter, each defendant filed a separate notice of appeal, and plaintiff filed a cross-appeal in each appeal. Both appeals were ultimately consolidated by this court. Footnote: 8 The stenographic notes of the June 26, 1992, motion proceedings were lost. On February 27, 1997, Judge Fratto filed a statement of facts, reconstructing the record of the 1992 hearing. As noted by Judge Fratto, prior to Shinder's deposition, all other defendants' answers to interrogatories, when asked to identify the names of all treating physicians, referred plaintiff to the hospital records. Footnote: 9 Cohen joined Abraham's motion to dismiss at the close of plaintiff's direct case in the first trial. Footnote: 10 The trial judge instructed the jury that the actuarial tables approved by the court end at age eighty-five, when a person's life expectancy is 6.7 years. Additionally, there was testimony that plaintiff had had a sextuple heart bypass and gallbladder surgery subsequent to Jeannette's death.