Hedgepeth v. Whitman Walker Clinic
Hedgepeth v. Whitman Walker Clinic
Concurring Opinion
concurring:
This is a case in which no one disputes that appellant was owed a duty by appel-lees, and he has presented evidence that as a result of their breach of the standard of care, he suffered severe and verifiable emotional distress. Thus, but for the rule set out in Williams, as it has been applied in subsequent cases, appellant would be entitled to present his case to the jury. I write separately because I believe that this case warrants reconsideration by the full court of the applicability of the Williams “zone of physical danger” requirement to cases where foreseeable and severe emotional distress is inflicted on a patient as a result of breach of the standard of care. When dealing with common law, as we do here, courts should revisit and reconsider rules when subsequent legal or other developments so warrant.
In abandoning the “impact rule” and adopting the “zone of danger” doctrine in Williams, we meant to expand the reach of tort law, recognizing that “[t]he tortfea-sor owes a duty of care to all persons who are physically endangered by the tortfea-sor’s negligent act, regardless of whether actual impact occurs.” Williams, 572 A.2d at 1067 (citations omitted).
Appellant presents compelling arguments as to why, just as we held in Williams that the requirement of physical impact should not be interposed to defeat otherwise meritorious claims, it is similarly unnecessary to require that a plaintiff be in the “zone of physical danger” as a condition of recovery in certain extreme situations. He points, specifically, to the circumstances of this case, where there was a direct doctor-patient relationship and the emotional harm caused by the negligent misdiagnosis of a potentially life-threatening condition is so severe, and so foreseeable, that it provides assurance that a claim to recover for negligent infliction of emotional distress is genuine, and is unlikely to subject doctors and other healthcare providers to spurious claims.
Other jurisdictions have noted that there should be an exception to the “zone of physical” danger requirement for cases where there exists “an especial likelihood of genuine and serious mental distress, arising from the special circumstances, which serves as a guarantee that the claim is not spurious.” Johnson v. State, 37 N.Y.2d 378, 372 N.Y.S.2d 638, 334 N.E.2d 590, 592 (1975) (citation omitted).
This issue can present difficult choices and imprecise line-drawing. But it is an important one. I write separately because I believe that, if asked to do so, this may be an opportune case for the full court to revisit the question.
. Under the “impact rule” then extant in the District of Columbia, in order to state a claim for negligent infliction of emotional distress, the plaintiff needed to prove not only that there had been a physical impact, but that the emotional injury "flow[ed] directly from direct physical injury.” Williams, 572 A.2d at 1064.
. In Johnson, the hospital negligently misinformed kin that a patient, who was very much alive, had died. See Johnson, 372 N.Y.S.2d 638, 334 N.E.2d at 590-92.
Opinion of the Court
This appeal presents the court with a question we have addressed before, although not in the context of facts as stark as in this case, namely, whether a patient may recover damages for acute emotional distress resulting from a negligent misdiagnosis of Human Immunodeficiency Virus (“HIV”), where the misdiagnosis did not directly place the patient in physical danger.
There is no dispute that appellant, Terry Hedgepeth, never was HIV-positive, and,
I. Facts and Procedural Background
In reviewing the trial court’s grant of summary judgment, we must construe the facts in the light most favorable to appellant. See Burt v. First Am. Bank, 490 A.2d 182, 185 (D.C. 1985). The facts, so viewed, that were presented to the court are that after learning that his girlfriend was being treated for HIV, appellant went to WWC and requested an HIV test on December 13, 2000. At WWC, appellant told an intake worker that he “thought [he] had HIV” because he “found out that [his] girlfriend was HIV-positive.”
After telling appellant that he was HIV-positive, WWC filed medical forms that made appellant’s treatment at WWC eligible for funding under the Ryan White program. WWC personnel also signed off on an AIDS Drug Assistance Program form to apply for public assistance to pay for HIV medication for appellant. This form indicated that appellant’s drug regimen required Combivir and Crixivan. This too was in error, as appellant was never prescribed either one of these drugs by WWC doctors and he never took any HIV medications.
Appellant continued to believe he was HIV-positive for five years, when another blood test revealed he is not positive for HIV. During that time, appellant suffered severe emotional distress. Appellant became depressed, which in turn affected all
In mid-2005, appellant visited a different medical clinic, the Abundant Life Clinic, which ran an ELISA test to confirm his HIV status. The test revealed instead that he was not HIV-positive, and appellant was informed that he was HIV-negative.
II. Analysis
Summary judgment is appropriate “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits ... show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Nader v. de Toledano, 408 A.2d 31, 41 (D.C. 1979) (quoting Super. Ct. Civ. R. 56(c)), cert. denied, 444 U.S. 1078, 100 S.Ct. 1028, 62 L.Ed.2d 761 (1980). This court’s review is de novo, and we apply the same standard as the trial court in considering whether a motion for summary judgment should be granted. See Kuder v. United Nat’l Bank, 497 A.2d 1105, 1106-07 (D.C. 1985) (citing Wyman v. Roesner, 439 A.2d 516, 519 (D.C. 1981)).
In Williams v. Baker, 572 A.2d 1062, 1067 (D.C. 1990) (en banc), we abandoned our longstanding rule that negligently inflicted mental distress was compensable only where it resulted from a direct physical impact. We maintained, however, a requirement that there be evidence that the plaintiff was in physical danger before she could recover damages for mental or emotional distress. Id. We held that “if the plaintiff was in the zone of physical danger and was caused by defendant’s negligence to fear for his or her own safety, the plaintiff may recover for negligent infliction of serious emotional distress....” Id.
Although appellant presented evidence that supports that he suffered genuine and severe emotional distress during the years he believed he was infected with HIV, he was never within a “zone of physi
Accordingly, the order of the Superior Court granting summary judgment is hereby
Affirmed.
Concurring opinion by Associate Judge RUIZ, at p. 9.
. According to appellant, he had been tested two months earlier, in October, and had tested negative for HIV.
. The “Client Lab Results” form prepared at WWC erroneously reported that appellant underwent a Western Blot test, which was reactive for the presence of HIV. This lab results sheet, which was prepared in December 2000, became part of appellant’s printed and computerized file at WWC.
.The "viral load,” according to Dr. Fanning, “refers to the blood concentration of the virus.”
. Appellant testified that he suffered from depression before he was misdiagnosed as HIV-positive. Because this appeal is from the grant of summary judgment, however, we view the evidence in the light most favorable to appellant, allowing for the possibility that appellant's preexisting depression was exacerbated or prolonged by the HIV misdiagnosis. Dr. Donald B. Vogel, appellant's treating psychiatrist, testified that appellant became “more depressed, had a fairly miserable four years” after the misdiagnosis. According to Dr. Vogel, as of the time of the deposition, when he no longer believed he was HIV-positive, appellant was "doing just fine.”
. Appellant testified that he has struggled with drug use for some time, even prior to the misdiagnosis, but that in December 2000 (when he received the misdiagnosis) he "tried to commit suicide” and "used the cocaine heavily.”
. Appellant testified that he had "protected sex” when having sexual intercourse with this person.
. In Williams, the plaintiff brought a medical malpractice suit against a doctor and a hospital to recover damages on her own behalf and on behalf of her son for emotional injuries resulting from the doctor’s alleged negligent
. Cf. Morgan v. Psychiatric Inst. of Washington, 692 A.2d 417, 421 (D.C. 1997) (noting there was no need to apply the "zone of danger” test, because plaintiff was able to "satisffy] the required showing of physical injury,” in that case, an unconsented sexual touching).
. The notification letter stated in relevant part:
We are writing you because our records show that you recently underwent an inter-ventional [sic] radiology procedure at Georgetown University Medical Center.
We have recently been informed of unauthorized and inappropriate use of medical equipment that raises the unlikely possibility that some interventional [sic] radiology patients, including yourself, could have been exposed to infectious diseases while receiving medication.
Although we have no evidence that any patient has been exposed, it is possible that during the procedure certain medical equipment may have been used that had previously come into contact with blood or other bodily fluids, thereby raising the possibility of infection. I want to reassure you that the chance of infection in this situation is extremely low.
Even so, we want to take appropriate precautions for our patients. We urge you to call us as soon as possible (ideally within two weeks) to arrange for testing, at no cost to you.... Jane W., 863 A.2d at 824 (alteration in original).
Reference
- Full Case Name
- Terry HEDGEPETH, Appellant, v. WHITMAN WALKER CLINIC and Mary Fanning, M.D., Appellees
- Cited By
- 3 cases
- Status
- Published