LAW.coLAW.co

Tim BEVERLY, Appellant, v. Michael C. HUDAK, D.C., et al., Respondents.

Missouri Court of Appeals, Western District2018-02-06No. WD 80092
545 S.W.3d 864

Summary

Holding. The trial court's judgment in favor of the defendants was affirmed. The appellate court rejected Beverly's challenges to the denial of his motion for a new trial regarding both the empty chair evidence issue and the weight of the evidence claim.

Beverly sued Dr. Hudak, a chiropractor, for negligence, alleging that Dr. Hudak failed to diagnose or warn about a vertebral artery dissection before performing a cervical spine adjustment. Beverly argued that Dr. Hudak should have obtained medical records from prior emergency room visits, completed a more thorough history and physical examination, and recognized symptoms indicative of the dissection. The trial resulted in a verdict in favor of Dr. Hudak and the other defendants.

On appeal, Beverly challenged the trial court's denial of his motion for a new trial on two main grounds. First, he contended that the defendants improperly introduced "empty chair" evidence by praising the care provided by other medical facilities to deflect blame. The appellate court found that the defendants referenced other providers' care not to blame them but to support the argument that vertebral artery dissection is inherently difficult to diagnose. Second, Beverly argued the jury verdict was against the weight of the evidence. The appellate court held that because Beverly bore the burden of proof, the jury had the right to reject his evidence and find for the defendants, and that the trial court's discretionary denial of a new trial on this ground cannot be overturned on appeal.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Whether defendants improperly introduced evidence of care by other medical facilities to shift blame (empty chair evidence)
  • Whether the jury verdict was against the weight of the evidence when plaintiff bore burden of proof
  • Standard of care for chiropractors in diagnosing vertebral artery dissection
  • Appellate review standard for trial court's discretionary denial of new trial motions

Procedural posture

Beverly appealed a judgment entered following a jury verdict in favor of Dr. Hudak and other defendants in a negligence action, challenging the trial court's denial of his motion for a new trial.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

majority opinion

Well, you know, vertebral artery dissection is a difficult diagnosis to make. This is-because its so infrequent, we dont have a lot of experience with it. Its not something that every medical student or every physician even sees during his or her career. Its just a very small group of people have knowledge of this. And so it-its a very difficult diagnosis to make because it is so unusual.

And so, when he went to the emergency room, the ER doctor, I think, handled things appropriately ... and actually went above and beyond in terms of the work-up because he had a CT scan and then a lumbar puncture. And all of that was because of Mr. Beverlys symptoms and family history.

And I think they did a great job. It would have been nice-and knowing what we know now, it would have been nice if they had picked up on the vertebral artery dissection then. But its a very difficult diagnosis to make.

Dr. Pikus testified that he similarly believed St. Lukes North did a very good job in its care of Beverly. The trial court again overruled Beverlys objection that this testimony blamed an empty chair.

Contrary to Beverlys argument, the Defendants did not address the care provided by Truman Medical Center and St. Lukes North in an effort to blame an empty chair. Rather, the Defendants referenced the care provided by Truman Medical Center and St. Lukes North to support the argument that Dr. Hudaks failure to recognize Beverlys vertebral artery dissection was not outside the standard of care because such dissections are difficult to diagnose.

The trial court did not abuse its discretion in denying Beverlys motion for new trial based on the alleged admission of empty chair evidence. Point Four is denied.

Point Five: Whether the Verdict Was Against the Weight of the Evidence

In his fifth point on appeal, Beverly argues that the trial court erred in denying his motion for a new trial because the jurys verdict for [the Defendants] was clearly against the weight of the evidence, as the undisputed evidence presented at trial conclusively showed [Dr. Hudaks] culpability. [Appellants Brief, p. 58] In particular, Beverly argues that the evidence at trial fully supported a finding that Dr. Hudak was negligent in his failure to warn Beverly of the potential consequences of cervical spine adjustments; a finding that Dr. Hudak performed a cervical spine adjustment on Beverly despite the presence of symptoms indicating a vertebral artery dissection, thereby breaching the chiropractic standard of care; a finding that Dr. Hudak failed either to contact Truman Medical Center or St. Lukes North or to obtain Beverlys medical records from Truman Medical Center or St. Lukes North prior to performing a cervical spine adjustment on Beverly, thereby breaching the chiropractic standard of care; and a finding that Dr. Hudak failed to complete an adequate history or an adequate physical examination of Beverly prior to performing a cervical spine adjustment on Beverly, thereby breaching the chiropractic standard of care. Beverly argues that the undisputed facts establish that the weight of the evidence should have resulted in a verdict for Beverly on all claims and issues.

Beverly, as the plaintiff, bore the burden of proof at trial. Rouse v. Cuvelier , 363 S.W.3d 406, 415 (Mo. App. W.D. 2012). Because [Beverly] bore the burden of proof, a verdict in [the Defendants] favor need not be supported by any evidence. Id. Where a party bears the burden of proof, it is within the jurys prerogative to find against that party, even if that partys evidence is uncontradicted and unimpeached. Id. The jury has that prerogative because the jury determines credibility. Warren v. Thompson , 862 S.W.2d 513, 514 (Mo. App. W.D. 1993). Following the jurys verdict, [t]he trial court alone has discretion to grant or deny a motion for new trial on the ground that the verdict [in favor of the defendant] was against the weight of the evidence. Id. The trial courts overruling a motion for new trial on that ground constitutes a conclusive determination that cannot be overturned on appeal. Id. ; see also Wilson v. Union Pac. R.R. Co. , 509 S.W.3d 862, 878 (Mo. App. E.D. 2017) (In a negligence case, when the jury enters a verdict in favor of the defendant, the appellate court will not overturn the verdict and remand for a new trial on the ground the verdict was against the weight of the evidence.).

Even presuming, arguendo , that Beverlys evidence was undisputed, the jury was entitled to disbelieve Beverlys evidence that Dr. Hudak breached the chiropractic standard of care, causing Beverlys injuries. The trial court overruled Beverlys motion for new trial on the ground that the jurys verdict in favor of the Defendants was against the weight of the evidence. We will not disturb that ruling on appeal.

Point Five is denied.

Conclusion

The trial courts Judgment is affirmed.

All concur