In this malpractice action, the only issues are quantum and legal interest. Both parties contest the $425,000.00 general damages awarded for a minor decedent's conscious pain and suffering, and for the mother's grief, loss of love, affection and consortium. Finally, defendant complains of the assessment of pre-judgment legal interest on the $100,000.00 previously tendered by the tortfeasor. We reverse the contested legal interest award and otherwise affirm.
The facts leading to this controversy are largely undisputed. This malpractice suit against Dr. Charles R. Attwood and American Legion Hospital was initially filed by appellee, Wanda Futch, seeking damages for the wrongful death and survival action arising from allegedly negligent medical care rendered the decedent, plaintiff's minor daughter, Lauren Futch. Dr. Attwood, a Crowley pediatrician, had treated Lauren for her diabetes from the time that he first diagnosed it in February 1988, when Lauren was two and a half years old, to when on or about February 29, 1990, some two years later, Lauren died from complications arising from her diabetic condition..
Following trial on the merits on April 16, 1996, the trial court allocated general damages as follows:
(1) Conscious pain and suffering of Lauren Futch $ 98,000.00 (2) Loss of love, affection and consortium suffered by Wanda Futch $163,500.00 (3) Past, present and future grief and mental anguish suffered by Wanda Futch $163,500.00
Additionally, the trial court granted legal interest on the entire award, including $100,000.00 that had been tendered previously by Dr. Attwood's insurer, Insurance Corporation of America, in exchange for which plaintiff dismissed all claims against the hospital in pursuit of her remaining claims for damages only against the Louisiana Patient's Compensation Fund.
Liability having been conceded, quantum is the only viable issue before us. While Lauren's survivors argue that more relief is required to make them whole for their and Lauren's suffering, defendants contend that the trial court's awards constituted an abuse of discretion. Additionally, defendants suggest that the trial court erroneously charged legal interest on sums tendered in settlement prior to trial.
APPELLATE REVIEW OF DAMAGE AWARDS
In Reck v. Stevens, 373 So.2d 498 (La. 1979), the supreme court commented upon the appellate review of general damage awards and on the much discretion allotted trial courts. The rule of Reck was perpetuated in Youn v. Maritime Overseas Corp., 623 So.2d 1257 (La.1993), cert. denied, 510 U.S. 1114, 114 S.Ct. 1059, 127 L.Ed.2d 379 (1994):
Youn, 623 So.2d at 1260-61.
Initially, defendant complains that the award of $98,000.00 for young Lauren's conscious pain and suffering is excessive, given that she had been consciously ill for only thirty-six hours or so before lapsing into a coma and during that time apparently did not suffer from any extraordinary degree of pain or discomfort, particularly during the period for which the Phenergan offered her some relief.
Plaintiff opposes this suggestion and notes that young Lauren had endured complications, suffering all the while, worsening over a sixty-two hour period and ultimately resulting in her death. In support of her position, plaintiff highlights certain entries contained in the American Legion Hospital's charts which clearly evidence a continuous decline in the young girl's condition, much of which could have led the trial court to have determined that the young girl was aware of her discomforts.
Given the evidence presented, we are not in a position to second guess the findings of the trial court who may well have determined, contrary to defendant's assertions, that Lauren had in fact endured extraordinary pain, discomfort and emotional trauma.
Likewise, we find no abuse of discretion on the part of the trial court's magnitude of relief. Defendant, in brief, concededly did not contend that the mother did not have a close and loving relationship with her daughter, but nonetheless would have us reduce
We conclude that none of these factors, with the possible exception of the last, could be construed to justify a reduction in the trial court's award and that some and additional others, including the mother's tender age, personal background, and marital status would seem to suggest to us (as they did to the trial court) that plaintiff, Wanda Futch, was particularly close to her daughter and vulnerable.
The record simply denies us the means to conclude that the trial court abused its much discretion either as to the child's or the mother's suffering.
What the record shows is that the baby was born and lived for two years in Monroe, where Wanda's father assisted in caring for it, until Wanda moved to Crowley soon before the child's diabetes became known. Soon after the February 1988 diagnosis, Lauren received medical treatment in New Orleans, where her mother Wanda simultaneously received training for the care and management of her diabetic child. According to plaintiff, Wanda was taught that even simple symptoms, such as a cold or nausea, could cause or lead to grave consequences due to diabetes.
On the morning of February 28, 1990, a nauseated Lauren awoke her mother. She had vomited two or three times before 7:00 a.m. and her glucose/blood sugar reading was high. Wanda administered her daughter's morning insulin injection and intended to feed her child a light breakfast before bringing Lauren to see Dr. Attwood at about 9:45 a.m. According to plaintiff, Dr. Attwood, having initially diagnosed Lauren as diabetic two years prior, did not check Lauren's blood sugar or her urine to determine whether or not ketones were present, but had he done so, young Lauren's condition could have been quickly corrected by the simple administration of insulin. Instead of administering insulin, however, Dr. Attwood prescribed the use of Phenergan suppositories to address Lauren's symptoms.
As instructed, Wanda administered the medication at approximately 11:00 a.m. before returning to school. (Mother Wanda was only fifteen years old when daughter Lauren was born and sought to improve through education her and her child's lot in life.) Lauren left the child with her grandmother, but when she called home to learn of her baby's condition, was informed that Lauren had vomited once since 11:00 a.m. and was presently sleeping. When Wanda returned home from school at approximately 4:00 p.m., she woke up her daughter and found her weak and tired, just wanting to be permitted to sleep. When her daughter vomited again, Wanda unsuccessfully attempted to reach Dr. Attwood by telephone and eventually brought Lauren to the American Legion Hospital emergency room at approximately 6:50 p.m. on February 28, 1990, when Lauren's temperature was 94.6 degrees. Hospital personnel eventually contacted Dr. Attwood at approximately 7:40 p.m. When Dr. Attwood returned the call, he again prescribed a Phenergan injection. Plaintiff observes that Dr. Attwood did not go to the hospital and had not been given Lauren's vital signs when he suggested such an injection, and further failed to order any blood or urine tests.
Wanda returned home at approximately 8:00 p.m. that evening with Lauren and went to bed, waking around midnight to administer the prescribed medication, whereupon she found Lauren sleeping but breathing through her mouth rather than her nose. The child woke, but went right back to sleep.
Early on the morning of February 29, 1990, Wanda awoke and found Lauren with labored breathing. Attempting to wake up the four year old, her only responses, according to plaintiff's brief, were "Huh" followed by moaning. Wanda telephoned Dr. Attwood and informed him of her daughter's far-worsened
Although Wanda was fortunate in having her family's assistance with caring for her baby—by her father and sister in Monroe and by her mother in Crowley while Wanda attended school in Lafayette—she was unquestionably the child's principal care giver, checking Lauren's blood sugar and administering Lauren's insulin injections. Wanda was more than her baby's care giver. She was Lauren's devoted loving mother and friend. The record shows that during Lauren's short life, she and her mother were virtually inseparable literally twenty-four hours a day, except when Wanda was at school. The two arose to have breakfast together, played together and watched movies together. They even slept in the same bed.
All of this changed in Lauren's last few days when, Lauren's condition worsening, the child was rushed to New Orleans by helicopter without her mother, and her mother was compelled to make the journey to New Orleans apart from her ebbing daughter. During Lauren's two and a half days of illness, every moment seemed worse than its predecessor. First, the mother had to witness her daughter's decline in health in Crowley. Next, she had to drive to New Orleans, where her protracted wait was punctuated only by various traumatic episodes, including Lauren's respiratory intubation, then by her respiratory failure and consequent "code blue," complete with the scurrying in and out of numerous medical staff to see Lauren behind doors closed to Wanda and, finally, Wanda's being asked to consider whether she would prefer to "pull the plug" on her daughter or to watch her linger indefinitely.
Confronted with this dilemma, the young mother opted not to punish her daughter with more torment. She decided to let her go, and did.
At this juncture, regrettably only baby Lauren was released from her anguish. Not so for Wanda, whose lot in many ways has only worsened. For Wanda, the period following Lauren's death has been marked by the inevitable sense of loss of one who had since her coming to this world been virtually joined at her mother's hip, and by the guilt of one whose unrelenting loss always compels her to ask what she might have done differently to have saved her budding child's life.
In view of these facts, we cannot say that the trial court erred in concluding what sum was fair to both parties, and finding no such abuse of discretion, we affirm the substantive monetary judgments rendered by the trial court compensating Lauren and Wanda for their respective losses.
Finally, we turn to the last question presented by this controversy, whether the trial court erroneously assessed the patients compensation fund with interest on the entire quantum award, including interest on the $100,000.00 sums tendered prior to trial by the qualified health care providers.
The question of whether the patient's compensation fund is to be assessed with interest on the entire sum as opposed to being charged with interest on only its own share of the principal has been addressed in two reported cases to date. Both concluded that the Fund owed interest on the greater amount. The first case, Castillo v. Montelepre, 999 F.2d 931 (5th Cir.1993), before reaching its conclusion, noted that the Louisiana statutes most likely to resolve the dispute were susceptible of either interpretation:
Castillo, 999 F.2d at 940.
Ultimately, the panel sitting in diversity concluded that, under the circumstances presented by that case, legal interest was due on the entire damages award ($500,000.00), but only because the health providers in Castillo, 999 F.2d 931, had tendered the sums they owed on March 27, 1991, that is, before the April 1, 1991, date by which interest would have begun to accrue. See La.R.S. 40:1299.42(B)(2), supra. Significantly, the court declined to reach the question of which interpretation more accurately reflected Louisiana law, concluding that due to the date of the tender, the larger figure would have been due regardless of which approach had been contemplated by the legislature. As the Court observed:
Castillo, 999 F.2d, at 940.
The only other reported case that addresses this issue is Harden v. Southern Baptist Hosp., 94-2228, 94-2229 (La.App. 4 Cir. 10/12/95), 663 So.2d 443, writ denied, 95-2751 (La.1/26/96), 666 So.2d 676, which also awarded interest on the larger figure, relying on the authority of the U.S. Fifth Circuit's Castillo opinion:
Harden, at 14-15, 663 So.2d at 452.
Although like Castillo, the court in Harden did not express its view as to which of the two alternate means of construction suggested by Castillo was preferable, it may be inferred that it chose the former, as at least one of the medical providers was dismissed
We read the law differently than both Castillo and Harden. While if forced to choose between the two alternatives presented in Castillo, unlike the Fourth Circuit in Harden, we would have to say that the second Castillo alternative better reflects the intent of the legislature than the first, we believe that neither Castillo alternative accurately depicts the laws of this state.
At this juncture, closer scrutiny of La.R.S. 40:1299.42's pertinent provisions might prove useful:
(Emphasis added; note omitted).
As noted elsewhere, the language quoted above was found to have been controlling in Castillo. The emphasized language in La. R.S. 40:1299.42(B)(2) providing for legal interest accruing after April 1, 1991, was inserted by the 1990 amendment, and the emphasized language affording the credit contained in (D)(5) was inserted by amendment in 1986.
Contrary to both Castillo and Harden, we conclude that neither (B)(2) nor (D)(5) is dispositive. The 1990 amendment affecting (B)(2) did only what it had purported to do, provide for the accrual of legal interest after July 1, 1991. We do not find that the amending language in (B)(2) was intended to have legal interest continue to accrue on sums that have already been paid.
Likewise, we do not agree that the language contained in La.R.S. 40:1299.42(D)(5) providing a credit for sums tendered was somehow intended to entitle a malpractice plaintiff to interest on sums already tendered; to the contrary, we find it more likely that by inserting the language in 1986, the legislature merely sought to clarify that following such partial settlements, the plaintiff may proceed against the fund, but subject to a credit equal to any amounts already tendered for the same delict.
In other words, by inserting the statutory language, we believe that the legislature intended in medical malpractice cases no departure from the usual rule that legal interest does not continue to accrue beyond the date of unconditioned tender.
We believe that such a view not only does not run afoul of this State's medical malpractice act but makes more sense than the contrary view, which not only would remove any
Accordingly, for the reasons stated, we conclude that the Louisiana Patient's Compensation Fund is not liable for interest accruing on liquidated damages that are the responsibility of licensed providers beyond the date of their unconditional tender.
For the foregoing reasons, the judgment of the trial court is affirmed in part, reversed in part, and rendered, at defendant's costs.