Brady v. Urbas

Appellee Maria Brady had a lengthy history of foot problems. By 2007, both of her feet were in pain due to toe deformities. Appellee’s podiatrist, William Urbas, D.P.M., successfully treated toes on her left foot with surgery; he then turned his attention to her right foot. One of Appellee’s primary complaints on her right foot pertained to a hammer-toe condition of her second toe: this deformity caused the middle of Appellee’s second toe to rise above the plane of the foot, which in turn caused rubbing and pain when Appellee wore shoes. Dr. Urbas performed a total of four operations between March 2008 and January 2010. Before each surgery, he explained the risks and complications that could occur, and Appellee signed a consent form acknowledging her awareness of these possible outcomes. The first operation did not finally alleviate Appellee’s condition, and Dr. Urbas eventually performed three more surgeries, each involving, among other things, the removal of additional bone material with the expectation that the foot would, over time, generate soft tissue to fill the gap and provide flexibility. Nevertheless, Appellee’s pain persisted and, in the end, her toe was less stable and significantly shorter than it had been initially. In August 2010, Appellee consulted a different podiatrist, Dr. Harold Schoenhaus, who performed a bone-graft operation which returned the toe to approximately ninety percent of its original length. This procedure also had the effect of restoring some of the toe’s stability and substantially reducing the pain. Appellee testified that she was pleased with the outcome of Dr. Schoenhaus’ surgery and that she returned to all levels of activity. In December 2010, Appellee filed a complaint against Dr. Urbas, alleging that he negligently treated her toe in the three follow-up surgeries performed after March 2008. In this appeal by allowance involving alleged medical negligence, the issue before the Supreme Court centered on whether a doctor may introduce evidence that the patient was informed of and acknowledged various risks of surgery, although the complaint does not assert a cause of action based on a lack of informed consent. After unsuccessfully moving for a new trial on the basis that the trial court erred in admitting the consent evidence, Appellee appealed. The Superior Court vacated and remanded for a new trial. In concluding that the trial court had abused its discretion, the Superior Court court adopted the reasoning of the Supreme Court of Virginia regarding the relevancy of consent evidence in a medical malpractice case: assent to treatment does not amount to consent to negligence, regardless of the enumerated risks and complications of which the patient was made aware. In a trial on a malpractice complaint that only asserts negligence, and not lack of informed consent, evidence that a patient agreed to go forward with the operation in spite of the risks of which she was informed is irrelevant and should be excluded. The Supreme Court affirmed, holding that evidence that a patient affirmatively consented to treatment after being informed of the risks of that treatment is generally irrelevant to a cause of action sounding in medical negligence. View "Brady v. Urbas" on Justia Law