Fulton v. William Beaumont Hospital
Fulton v. William Beaumont Hospital
Opinion of the Court
In this medical malpractice action, defendants
I. FACTS
On February 15, 1995, Julie Fulton went to see Dr. Deborah Eldridge, a specialist in obstetrics and gynecology, for a prenatal examination. Dr. Eldridge performed an examination and noted that Fulton’s cervix was long, closed, thick, and friable, meaning that it bled easily. Dr. Eldridge believed that these conditions were not abnormal for a pregnant woman such as Fulton. Dr. Eldridge also performed a routine pap smear and sent the sample to a Beaumont Hospital laboratory for examination. The cytopathology report from Beaumont stated that the pap smear specimen was “Less Than Optimal,” but was within normal limits and contained no cellular abnormalities. Dr. Eldridge did not know what “Less Than Optimal” meant, but she felt that the result of the pap smear was “satisfactory enough to give an overall diagnosis of within normal limits and no abnormal cells.” As a result, Dr. Eldridge did not give Fulton another pap smear during her pregnancy.
Fulton delivered her child by cesarean section on July 14, 1995. On July 21, 1995, and July 28, 1995, Fulton visited Dr. Eldridge to ensure that she was healing properly after the childbirth. On both visits,
On June 11, 1997, Julie Fulton and Paul Fulton (plaintiff) filed a medical malpractice action against defendants, alleging that defendants’ failure to properly diagnose and treat Fulton resulted in a loss of Fulton’s opportunity to survive. On April 5, 1998, Fulton died of complications related to cancer. On November 4, 1999, plaintiff, the personal representative of Fulton’s estate, filed an amended complaint accounting for Fulton’s death. Blue Cross Blue Shield of Michigan joined the action as an intervening plaintiff to enforce its rights. The Michigan Attorney General and Michigan Department of Community Health also joined the action as intervening plaintiffs.
Plaintiff’s expert oncologist, Dr. Robert R. Taylor, testified in his deposition that Dr. Eldridge’s observations on February 15, 1995, should have led her to suspect that Fulton may have been in the early stages of cervical cancer. Dr. Taylor interpreted Fulton’s “Less Than Optimal” pap smear result to mean either that technical errors existed with the sample or that
Defendants moved for summary disposition under MCR 2.116(C)(10), arguing that plaintiff could not show that their negligence was the cause of Fulton’s death. In response, plaintiff submitted an affidavit from Dr. Taylor, opining that if Fulton’s cancer had been diagnosed while she was pregnant and if she had been treated after her child was delivered, she would have had an eighty-five percent chance to survive. Dr. Taylor opined that when Fulton was actually diagnosed with cancer, her opportunity to survive had
In denying defendants’ motion for summary disposition, the trial court concluded that there were three elements that a plaintiff had to show in a loss of opportunity to survive medical malpractice case: (1) the defendant breached the medical standard of care, (2) the plaintiff’s injury, the loss of opportunity to survive, was more probably than not caused by the defendant’s negligence, and (3) the plaintiff’s initial opportunity to survive was greater than fifty percent. The trial court determined that there was no dispute that defendants breached the medical standard of care in failing to timely diagnose and treat Fulton. The trial court also noted that plaintiff had presented evidence that defendants’ malpractice more probably than not caused Fulton’s injury, her loss of opportunity to survive. Finally, the trial court concluded that MCL 600.2912a(2) only required plaintiff to show that the initial opportunity to survive was greater than fifty percent. Therefore, the trial court ruled that because plaintiff had presented evidence that Fulton’s initial opportunity to survive before the alleged malpractice was eighty-five percent, plaintiff had shown a question of fact under MCL 600.2912a(2). The trial court then entered an order denying defendants’
II. STANDARD OF REVIEW
On appeal, defendants argue that the trial court misapplied MCL 600.2912a in denying their motion for summary disposition. This Court reviews de novo a trial court’s decision on a motion for summary disposition. Roberts v Mecosta Co Gen Hosp, 466 Mich 57, 62; 642 NW2d 663 (2002).
A motion under MCR 2.116(C)(10) tests the factual sufficiency of the complaint. In evaluating a motion for summary disposition brought under this subsection, a trial court considers affidavits, pleadings, depositions, admissions, and other evidence submitted by the parties, MCR 2.116(G)(5), in the light most favorable to the party opposing the motion. Where the proffered evidence fails to establish a genuine issue regarding any material fact, the moving party is entitled to judgment as a matter of law. MCR 2.116(C)(10), (G)(4). Quinto v Cross & Peters Co, 451 Mich 358; 547 NW2d 314 (1996). [Maiden v Rozwood, 461 Mich 109, 120; 597 NW2d 817 (1999).]
Similarly, questions of statutory interpretation are reviewed de novo. Roberts, supra at 62.
An anchoring rule of jurisprudence, and the foremost rule of statutory construction, is that courts are to effect the intent of the Legislature. People v Wager, 460 Mich 118, 123 n 7; 594 NW2d 487 (1999). To do so, we begin with an examination of the language of the statute. Wickens v Oakwood Healthcare System, 465 Mich 53, 60; 631 NW2d 686 (2001). If the statute’s language is clear and unambiguous, then we assume that the Legislature intended its plain meaning and the statute is enforced as written. People v Stone, 463 Mich 558, 562; 621 NW2d 702 (2001). A necessary corollary of these principles is that a court may read noth*77 ing into an unambiguous statute that is not within the manifest intent of the Legislature as derived from the words of the statute itself. Omne Financial, Inc v Shacks, Inc, 460 Mich 305, 311; 596 NW2d 591 (1999). [Roberts, supra at 63.]
“Only where the statutory language is ambiguous may a court properly go beyond the words of the statute to ascertain legislative intent.” Sun Valley Foods Co v Ward, 460 Mich 230, 236; 596 NW2d 119 (1999). Judicial construction is appropriate where reasonable minds can differ regarding the meaning of the statute. Adrian School Dist v Michigan Public School Employees’ Retirement System, 458 Mich 326, 332; 582 NW2d 767 (1998).
m. ANALYSIS
MCL 600.2912a(2) governs the burden of proof requirements for actions alleging medical malpractice, and provides:
In an action alleging medical malpractice, the plaintiff has the burden of proving that he or she suffered an injury that more probably than not was proximately caused by the negligence of the defendant or defendants. In an action alleging medical malpractice, the plaintiff cannot recover for loss of an opportunity to survive or an opportunity to achieve a better result unless the opportunity was greater than 50%.
The issue before this Court is whether the second sentence of the statute requires a plaintiff in order to recover for loss of an opportunity to survive to show only that the initial opportunity to survive before the alleged malpractice was greater than fifty percent, as argued by plaintiff, or, instead, that the opportunity to survive was reduced by greater than fifty percent
This Court previously addressed this issue in Wickens v Oakwood Healthcare System, 242 Mich App 385; 619 NW2d 7 (2000), rev’d in part and vacated in part 465 Mich 53; 631 NW2d 686 (2001). In Wickens, the plaintiffs’ expert witness testified that before the defendants’ alleged malpractice, Sandra Wickens’ opportunity to survive was fifty-five to seventy percent. Id. at 387. When she was diagnosed with cancer, her opportunity to survive was fifteen percent. Id. Therefore, her opportunity to survive decreased by forty to fifty-five percent as a result of the malpractice. Id. This Court agreed with the plaintiffs’ argument that MCL 600.2912a(2) allows for recovery when the initial opportunity to survive before the alleged malpractice is greater than fifty percent. Wickens, supra at 390. In doing so, this Court stated that MCL 600.2912a(2) only “requires plaintiffs in medical malpractice actions seeking recovery for loss of an opportunity to survive or an opportunity to achieve a better result to show that, had the defendant not been negligent, there was a greater than fifty percent chance of survival or a better result.” Wickens, supra at 392.
Our Supreme Court subsequently reversed in part and vacated in part this Court’s decision. Wickens v Oakwood Healthcare System, 465 Mich 53; 631 NW2d 686 (2001). The Supreme Court held that a living person cannot recover for a loss of an opportunity to survive. Id. at 54, 60-62.
The same issue is now before us. We decline to follow this Court’s reasoning in Wickens for two reasons. First, we are not required to do so under principles of stare decisis because a majority of the Supreme Court vacated that portion of this Court’s opinion regarding the interpretation of the second sentence of MCL 600.2912a(2) and did not express approval or disapproval of this Court’s reasoning on the issue. Therefore, the Wickens panel’s holding is not precedentially binding. See Straman v Lewis, 220 Mich App 448, 451; 559 NW2d 405 (1996). Second, this Court in Wickens did not acknowledge the ambiguity of MCL 600.2912a(2) or address the legislative intent behind the statute in reaching the conclusion that it did.
In examining the second sentence of MCL 600.2912a(2), it is not clear to what the Legislature
In attempting to determine the legislative intent regarding MCL 600.2912a(2), we first examine the history behind the statute. Our Supreme Court recognized a cause of action to recover for the loss of an opportunity to survive in wrongful death cases in Falcon v Memorial Hosp, 436 Mich 443, 469-470 (Levin, J., lead opinion), 472-473 (Boyle, J., concurring); 462 NW2d 44 (1990), superseded by statute as stated in Weymers v Khera, 454 Mich 639; 563 NW2d 647 (1997). In Falcon, the plaintiff’s decedent died from complications shortly after the birth of her child. Falcon, supra at 453-454. The plaintiff’s expert
We are persuaded that loss of a 37.5 percent opportunity of living constitutes a loss of a substantial opportunity of avoiding physical harm. We need not now decide what lesser percentage would constitute a substantial loss of opportunity. [Falcon, supra at 470 (emphasis added).]
The Court determined that the 37.5 percent decrease in the opportunity to survive was substantial enough to allow the plaintiff a cause of action.
Yet “[o]ur Legislature immediately rejected Falcon” by enacting MCL 600.2912a(2). Weymers, supra at 649.
The rational interpretation is that the Legislature amended the statute as a rejection of the Falcon Court’s holding that a 37.5 percent loss of an opportunity was substantial, and therefore actionable. The focus in Falcon was the 37.5 percent opportunity as it represented the lost opportunity, not as it represented the initial opportunity to survive.
If we were to adopt plaintiff’s interpretation of MCL 600.2912a(2), that a plaintiff is only required to show that the initial opportunity to survive exceeded fifty percent, irrespective of the magnitude of the lost opportunity, a plaintiff would conceivably be able to recover for a loss of an opportunity to survive or achieve a better result when the decedent’s initial survival opportunity of eighty-five percent merely decreased to eighty-four percent as a result of a defendant’s negligence.
In this case, plaintiffs expert stated that Fulton’s initial opportunity to survive was eighty-five percent and that her opportunity to survive after the alleged malpractice was sixty to sixty-five percent. Therefore, because her loss of opportunity due to defendants’ alleged malpractice was not greater than fifty percent, we hold that the trial court erred in denying defendants’ motion for summary disposition.
Given our resolution of this issue, we need not address defendants’ remaining issues on appeal.
Reversed.
Defendants Pontiac General Hospital, doing business as North Oakland Medical Centers, and Dr. Deborah Margules Eldridge did not appeal the trial court’s order. However, for ease of reference, this opinion will refer to defendants-appellants William Beaumont Hospital, Dr. T. Kuntzman, Dr. J. Watts, and Stephen Peters as “defendants.”
Although Fulton was alive when the original complaint was filed, she died during the pendency of the action and plaintiff subsequently amended the complaint, proceeding as Fulton’s personal representative.
The dissent disagrees on this point and states that the Wickens panel “did examine the legislative intent regarding the enactment of MCL 600.2912a(2).” Post at 89. As we have done here, the Wickens panel identified the issue by acknowledging the two contrasting statutory interpretations argued by the respective parties. However, the Wickens panel gives no further treatment to the defendants’ position, and we cannot discern from the panel’s analysis any basis for rejecting one interpretation in favor of the other. Although the panel engaged in some analysis of case law preceding the enactment of the statute, the analysis fails to clarify why the panel concluded that the plaintiffs’ interpretation was the better one. Wickens, supra, 242 Mich App 391-392. For these reasons we do not find Wickens to be persuasive in resolving the issue before us.
Because the cause of action in Weymers arose before MCL 600.2912a(2) became effective on October 1, 1993, the Court did not analyze the statute. See 1993 PA 78, subsection 4(1); Weymers, supra at 649. In Weymers the Supreme Court discussed Falcon and other possible approaches to lost opportunity cases. It concluded that all approaches were identical to each other to the extent that each allows a plaintiff to recover for injury even though it was more likely than not that the plaintiff would have suffered the injury if the defendant had not been negligent. Id. at 651. See also Theisen v Knake, 236 Mich App 249; 599 NW2d 777 (1999), and Dykes v William Beaumont Hosp, 246 Mich App 471; 633 NW2d 440 (2001), in which this Court applied the statute.
Like the dissent, we recognize that the 37.5 percent lost opportunity in Falcon was also the decedent’s initial opportunity to survive. However, the Falcon Court stated its holding in terms of what was lost: “We are persuaded that loss of a 37.5 percent opportunity of living constitutes a loss of a substantial opportunity of avoiding physical harm. We need not now decide what lesser percentage would constitute a substantial loss of opportunity.” Falcon, supra at 470. We interpret the Legislature’s response as addressing that question.
We note that by implication, our interpretation of the statute necessarily requires that a plaintiff’s initial opportunity to survive exceed fifty percent.
In Theisen, supra at 259, n 2, this Court noted: “Falcon, supra, found that a loss of opportunity to survive was actionable where the loss of opportunity to survive was 37.5 percent. That holding however was superseded by the ‘greater than 50%’ language of MCL 600.2912a(2)[.]”
As another example of the application of plaintiffs interpretation of MCL 600.2912a(2), one plaintiff could recover for a loss of an opportunity to survive or achieve a better result when the decedent’s initial opportunity to survive was fifty-one percent and decreased to fifty percent as a result of the defendant’s malpractice, where another plaintiff could not recover when the decedent’s initial opportunity was fifty percent and decreased to zero percent as a result of the defendant’s malpractice. We do not believe that the Legislature intended such anomalous results.
Dissenting Opinion
(dissenting). I respectfully dissent because I disagree with the majority’s interpretation of MCL 600.2912a(2). I would affirm the trial court’s order denying defendants’ motion for summary disposition.
This case requires us to interpret the language of MCL 600.2912a(2) and determine what proofs a plaintiff must present in order to state a medical malpractice claim for loss of an opportunity to survive. Plaintiff argues that the statute requires a plaintiff to show (1) the decedent had an initial opportunity to survive, before the alleged malpractice, of at least fifty per
The majority adopts defendants’ argument, concluding that the statute requires a plaintiff to show a reduction of at least fifty percent in the decedent’s opportunity to survive. I disagree. I would conclude that MCL 600.2912a(2) only requires a plaintiff to show that the decedent’s initial opportunity to survive was greater than fifty percent and that the alleged malpractice more probably than not reduced that opportunity to survive.
I. MCL 600.2912a(2)
MCL 600.2912a(2) governs the burden of proof requirements with respect to medical malpractice actions. The statute provides:
In an action alleging medical malpractice, the plaintiff has the burden of proving that he or she suffered an injury that more probably than not was proximately caused by the negligence of the defendant or defendants. In an action alleging medical malpractice, the plaintiff cannot recover for loss of an opportunity to survive or an opportunity to achieve a better result unless the opportunity was greater than 50%. [Emphasis added.]
The paramount rule of statutory interpretation is that we are to effect the intent of the Legislature. Tryc v Michigan Veterans’ Facility, 451 Mich 129, 135; 545 NW2d 642 (1996). To do so, we begin with the statute’s language. If the statute’s language is clear and unambiguous, we assume that the Legislature intended its plain meaning, and we enforce the statute as written. People v Stone, 463 Mich 558, 562; 621 NW2d 702 (2001). In reviewing the statute’s language, every word should be given meaning, and we should avoid a construction that would render any part of the statute surplusage or nugatory. Altman v Meridian Twp, 439 Mich 623, 635; 487 NW2d 155 (1992), mod 440 Mich 1204 (1992).
The majority concludes that MCL 600.2912a(2) is ambiguous because a reasonable person could read the phrase “the opportunity,” contained in the second sentence of the statute, to mean either “the plaintiff’s initial opportunity to survive or achieve a better result before the alleged malpractice” or “the plaintiff’s loss of opportunity to survive or achieve a better result.” Ante at 80. I agree that the statutory language is ambiguous and that judicial construction is therefore appropriate. However, I disagree with the majority’s ultimate construction of the statute.
n. WICKENS v OAKWOOD HEALTHCARE SYSTEM
In Wickens v Oakwood Healthcare System, 242 Mich App 385; 619 NW2d 7 (2000), rev’d in part and vacated in part 465 Mich 53; 631 NW2d 686 (2001), this Court addressed the identical legal question
The question before this Court is whether the statute allows for recovery when the initial opportunity to survive before the alleged malpractice is greater than fifty percent, as argued by plaintiffs, or, rather, if the statute only allows for recovery when the difference between the opportunity to survive before and after the alleged malpractice is greater than fifty percent, as defendants contend. [242 Mich App 390.]
After extensively analyzing the statutory language and the relevant case law, the Wickens panel agreed with the plaintiffs’ argument, holding that MCL 600.2912a(2) “requires plaintiffs in medical malpractice actions seeking recovery for loss of an opportunity to survive or an opportunity to achieve a better result to show that, had the defendant not been negligent, there was a greater than fifty percent chance of survival or a better result.” 242 Mich App 392.
On appeal from that decision, in Wickens, supra, 465 Mich 54, our Supreme Court held that “a living person may not recover for loss of an opportunity to survive.”
Because the Wickens plaintiff was still living, the Court held that her claim was barred, to the extent that it was based on a loss of an opportunity to survive. Id. at 61. Further, concluding that “it was unnecessary for the lower courts to have addressed whether plaintiff had a cause of action” based solely on her loss of an opportunity to survive, the Court vacated the portion of this Court’s opinion addressing that matter. Id. at 62. Given this language in our Supreme Court’s opinion, I agree with the majority that this Court’s opinion in Wickens is not precedentially binding with regard to its construction of the second sentence contained in MCL 600.2912a(2). However, our Supreme Court neither approved nor disapproved of this Court’s reasoning on that point. Because I would conclude that this Court’s opinion in Wickens properly analyzed the language of MCL 600.2912a(2), I would adopt that analysis here.
The majority does not find the Wickens panel’s reasoning persuasive because that panel “did not acknowledge the ambiguity of MCL 600.2912a(2) or address the legislative intent behind the statute in reaching the conclusion that it did.” Ante at 79. It is true that the Wickens panel did not specifically state
The majority focuses on the “magnitude of the lost opportunity,” ante at 83, as the touchstone for understanding the language of MCL 600.2912a(2) as a legislative response to our Supreme Court’s decision in Falcon. This approach is driven by the majority’s view that the “focus in Falcon was the 37.5 percent opportunity as it represented the lost opportunity, not as it represented the initial opportunity to survive.” Ante at 82. However, the 37.5 percent opportunity in Falcon represented both the initial opportunity to survive and the reduction in the opportunity to survive. See Falcon, supra at 447-449.
I believe that Falcon's true focus was whether a plaintiff with less than a fifty percent initial opportunity to survive could prove that the defendants caused the plaintiff physical harm, under the traditional “more probable than not” standard of causa
The Legislature adopted MCL 600.2912a(2) in response to Falcon. However, the statute does not prohibit medical malpractice plaintiffs from bringing claims for loss of an opportunity to survive. Rather, the statute expressly recognizes such claims, with an important restriction: a plaintiff cannot recover for loss of an opportunity to survive unless the plaintiff proves, under a more probable than not standard, that the plaintiff would not have suffered the injury in the absence of the defendant’s negligence. MCL 600.2912a(2). As explained by the Wickens panel:
By requiring plaintiffs in a malpractice claim to prove that “the opportunity was greater than 50%” before recovering for loss of an opportunity to survive, MCL 600.2912a(2); MSA 27A.2912(1)(2), the Legislature rejected the lost opportunity doctrine that allowed a plaintiff to recover even though it was more probable than not that the plaintiff*91 would not have survived even if there had been no negligence. See Weymers, supra at 649, 651. Therefore, we agree with plaintiffs that MCL 600.2912a(2); MSA 27A.2912(1)(2), requires plaintiffs in medical malpractice actions seeking recovery for loss of an opportunity to survive or an opportunity to achieve a better result to show that, had the defendant not been negligent, there was a greater than fifty percent chance of survival or a better result. [Wickens, supra, 242 Mich App 391-392.]
I find the construction of the statute articulated by this Court in Wickens superior to the construction advanced by the majority here.
m. application
As an initial matter, I would reject defendants’ argument that plaintiff was required to show that defendants’ alleged malpractice more probably than not caused Fulton’s death.
Defendants also argue that plaintiff’s expert witness testimony failed to raise a genuine issue of material fact regarding causation, sufficient to satisfy MCL 600.2912a(2). I disagree. At his deposition, Dr. Taylor opined that, in February 1995, Fulton was suffering from early invasive cervical cancer. Dr. Taylor testified that the survival rate for early invasive cervical cancer patients in February 1995 was eighty-five percent. Dr. Taylor further testified that Fulton’s survival rate would not have changed significantly between February and June 1995, the earliest date when Fulton could have undergone surgery. Given Fulton’s December 1995 diagnosis of stage nB cervical cancer, Dr. Taylor testified that her survival rate had dropped to sixty or sixty-five percent because of the ten-month delay in diagnosis and the seven-month delay in treatment.
Dr. Taylor conceded that he could not state, within a reasonable degree of medical certainty, the exact date on which Fulton’s cancer progressed to stage nB. Further, he could not definitively rule out the possibility that Fulton’s cancer had already progressed to that stage in February or June 1995. However, he did testify that it was impossible to know the exact progression of Fulton’s disease only because of defendants’ failure to diagnose it and their resultant failure to perform the appropriate tests. Dr. Taylor did opine, on the basis of Dr. Eldridge’s clinical observations, that Fulton’s cancer was probably in its early stages
Therefore, plaintiff presented expert testimony that Fulton’s opportunity to survive, before defendants’ alleged malpractice, exceeded fifty percent. Plaintiff also presented expert testimony that defendants’ alleged malpractice decreased Fulton’s opportunity to survive by approximately twenty to twenty-five percent. Given this testimony, I would conclude that plaintiff provided sufficient evidence to state a claim for loss of an opportunity to survive, under MCL 600.2912a(2).
I find no merit in defendants’ argument that Dr. Taylor’s affidavit contradicts his deposition testimony and that the trial court therefore erroneously denied their motion for summary disposition. Defendants contend that Dr. Taylor’s opinion that Fulton had an eighty-five percent chance of survival before defendants’ alleged malpractice appears only in his affidavit and that Dr. Taylor never testified at his deposition that Fulton would have had a better than fifty percent opportunity to survive if her cervical cancer had been timely and properly diagnosed. Contending that Dr. Taylor’s affidavit squarely contradicts his deposition testimony, defendants argue that the trial court was required to grant defendants’ motion for summary disposition under Dykes v William Beaumont Hosp, 246 Mich App 471; 633 NW2d 440 (2001). I disagree.
In Dykes, the plaintiff’s medical malpractice claim was premised on the theory that the decedent more probably than not would have survived absent the defendant’s alleged malpractice. Id. at 477. The plaintiff’s sole expert witness stated in an affidavit that the decedent would have enjoyed more than a fifty per
On appeal, this Court concluded that a party could not create a genuine issue of material fact “ ‘by relying on an affidavit when unfavorable deposition testimony shows that the assertion in the affidavit is unfounded.’ ” Id. at 481, quoting Kaufman & Payton, PC v Nikkila, 200 Mich App 250, 257; 503 NW2d 728 (1993). Because the deposition testimony of the plaintiff’s expert witness directly contradicted his affidavit regarding the issue of causation, this Court concluded that the requisite causal link between the defendant’s conduct and the decedent’s life expectancy had not been established and that the trial court properly granted summary disposition. Dkyes, supra at 478-479.
In the present case, the trial court expressly found that Dr. Taylor’s affidavit did not contradict his deposition testimony. My reading of the record convinces me that the trial court was correct on this point. In both his deposition testimony and his affidavit, Dr. Taylor opined that (1) Fulton’s opportunity to survive the cancer, before defendants’ alleged malpractice, was approximately eighty-five percent, (2) Fulton’s opportunity to survive the cancer, when it
Finally, defendants argue that Dr. Taylor’s testimony regarding survival rates in cervical cancer cases did not apply to Fulton’s individual chances of survival. As defendants argue: “these statistics do not apply to Mrs. Fulton, whose cancer proved to be incurable.” Again, defendants’ argument is without merit. The fact that Fulton failed to survive the cervical cancer does not mean that the survival statistics set forth by Dr. Taylor did not apply to her. Rather, Fulton’s death is consistent with a finding that she fell within that group of thirty-five to forty percent of cervical cancer patients who will not survive after a diagnosis of stage iib cancer. Fulton’s death does not change the expert witness testimony submitted by plaintiff that defendants’ alleged malpractice reduced Fulton’s chance of surviving the cervical cancer from eighty-five percent to sixty or sixty-five percent.
The trial court in the present case decided both motions for summary disposition before either appellate court issued an opinion in Wickens.
In the present case, plaintiff’s claim for loss of an opportunity to survive does not run afoul of our Supreme Court’s holding in Wickens. Although Fulton was alive when the original complaint was filed, she died during the pendency of the action. Plaintiff amended the complaint after Fulton’s death, proceeding with the action as her personal representative. An amended pleading supersedes the former pleading. MCR 2.118(A)(4); Grzesick v Cepela, 237 Mich App 554, 562; 603 NW2d 809 (1999). Therefore, plaintiff may properly maintain a claim for loss of an opportunity to survive under MCL 600.2912a(2).
See Wickens, supra, 242 Mich App 390-394.
Because the Wickens panel looked beyond the statutory language itself, the decision implies a finding that the second sentence of MCL 600.2912a(2) is ambiguous.
See Falcon, supra at 449-451.
The majority opinion does not address this portion of defendants’ argument.
As further explained by our Supreme Court in Weymers, supra at 653, a cause of action does not exist for the loss of an opportunity to avoid
Furthermore, defendants’ arguments are internally inconsistent. On the one hand, defendants argue that, in order to bring a claim for loss of an opportunity to survive, a plaintiff must demonstrate that the defendants’ alleged malpractice more probably than not caused the patient’s death. On the other hand, defendants argue that general statistics regarding survival rates cannot apply to patients who die. Our Supreme Court has clearly held that a patient must have died before a valid claim for loss of an opportunity to survive can be stated. Defendants’ argument, if
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