Opinion
Decided May 3, 1994
Appeal from the Appellate Division of the Supreme Court in the First Judicial Department, Ira Gammerman, J.
Heidell, Pittoni, Murphy Bach, P.C., New York City (Donna A. Macaluso of counsel), for appellant.
Esterman Esterman, New York City (Gideon J. Karlick of counsel), for respondent.
MEMORANDUM.
The order of the Appellate Division should be reversed, with costs, defendant's cross motion for partial summary judgment dismissing the personal injury causes of action sounding in medical malpractice granted and the certified question answered in the negative.
In January and February of 1987, defendant physician examined plaintiff's decedent at the request of decedent's dermatologist. The purpose of the consultations was to determine whether decedent's liver would be harmed by continuing drug treatments for psoriasis. Though defendant detected a nodule during the examination and testing, he concluded that the proposed drug treatment would have no ill effects on decedent's liver. No further examinations or follow-up consultations with defendant were proposed or contemplated. Decedent was treated for psoriasis and released from the hospital. Nine months later, in November 1987, decedent consulted her internist after complaining of abdominal swelling. The internist referred her to defendant, who detected cancer. Decedent died of liver cancer a short time later.
More than two years after the November examination, plaintiff commenced this action alleging, among other things, that defendant negligently failed to diagnose the cancer during the initial consultations in January and February. To avoid dismissal of the medical malpractice claims under the 2 1/2-year Statute of Limitations (CPLR 214-a), plaintiff contends that decedent's visits to defendant constituted a single course of treatment, thereby invoking the continuous treatment doctrine to toll the Statute of Limitations.
We conclude that the continuous treatment doctrine is inapplicable under these circumstances. The consultations here were not part of "continuing efforts by a doctor to treat a particular condition" (Massie v Crawford, 78 N.Y.2d 516, 519). The first consultation was undertaken for a purpose wholly independent of the second and involved neither ongoing provision of services by defendant nor the expectation of any future contact between the patient and physician after discharge from the hospital (see, Davis v City of New York, 38 N.Y.2d 257, 259; compare, McDermott v Torre, 56 N.Y.2d 399, 406). The fact that the condition allegedly overlooked in the first consultations was the condition ultimately diagnosed in the later consultation does not bring this case within the continuous treatment doctrine even if a correct diagnosis would have led to an ongoing course of treatment (see, Nykorchuck v Henriques, 78 N.Y.2d 255, 259).
Chief Judge KAYE and Judges SIMONS, TITONE, BELLACOSA, SMITH, LEVINE and CIPARICK concur in memorandum.
On review of submissions pursuant to section 500.4 of the Rules of the Court of Appeals (22 N.Y.CRR 500.4), order reversed, etc.