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Rojas v. McDonald

Appellate Division of the Supreme Court of New York, First Department
Dec 21, 1999
267 A.D.2d 130 (N.Y. App. Div. 1999)

Opinion

December 21, 1999

Order, Supreme Court, New York County (Stanley Sklar, J.), entered on or about April 8, 1999, which, in an action for podiatric malpractice arising out of plaintiff's visit to defendant pursuant to plaintiff's health insurer's second opinion program, insofar as appealed from, denied defendant's motion for summary judgment dismissing the complaint, unanimously affirmed, without costs.

Robert M. Marino for Plaintiffs-Respondents.

Peter R. Taglia for Defendant-Appellant.

SULLIVAN, J.P., ROSENBERGER, LERNER, RUBIN, ANDRIAS, JJ.


An issue of fact exists as to whether defendant affirmatively advised plaintiff to undergo the allegedly injurious surgery and whether plaintiff reasonably relied on such advice, such that an implied physician/patient relationship resulted between the parties (see, Heller v. Peekskill Community Hosp., 198 A.D.2d 265; Lee v. City of New York, 162 A.D.2d 34; Hickey v. Travelers Ins. Co., 158 A.D.2d 112, 116). Such factual issue is raised by, in particular, the depositions of the infant plaintiff's mother, and, curiously, a representative of the health insurer for whose sole benefit defendant claims he gave his opinion that the surgery was indicated, who testified that the requirement of a second opinion was primarily for the benefit of the insured, who was "free to accept or reject the second opinion's advice" and who would have been reimbursed for the surgery even if the second opinion provider had recommended against it; that the second opinion provider, without limitation or any guidelines from the insurer, is supposed to discuss with the insured the risks and benefits of proposed surgery, just as he would with any other patient; and that the insurer does not convey to the insured the second opinion provider's findings which are considered by the insurer to be a matter between the second opinion provider and the insured. An issue of fact also exists, raised by the conflicting opinions of the parties' medical experts, as to whether the alleged advice to undergo the surgery was malpractice. In the latter regard, the motion court properly entertained the affidavit of plaintiff's expert that, in the form presented to defendant, was redacted so as to conceal the expert's name (see, Carrasquillo v. Rosencrans, 208 A.D.2d 488). While the redacted affidavit also concealed the expert's qualifications, information to which defendant is entitled prior to trial underCPLR 3101(d)(1)(i), nevertheless, this omission did not render the affidavit insufficient to defeat the motion, where defendant had not requested expert disclosure pursuant to CPLR 3101(d)(1)(i) and the court examined the unredacted affidavit in camera. Nor is there merit to defendant's argument that there should be a framed-issue hearing under CPLR 3212(c) on whether the parties were in a physician/patient relationship and whether defendant "rendered an appropriate consultation" (see, Farkas v. Saary, 191 A.D.2d 178).

THIS CONSTITUTES THE DECISION AND ORDER OF SUPREME COURT, APPELLATE DIVISION, FIRST DEPARTMENT.


Summaries of

Rojas v. McDonald

Appellate Division of the Supreme Court of New York, First Department
Dec 21, 1999
267 A.D.2d 130 (N.Y. App. Div. 1999)
Case details for

Rojas v. McDonald

Case Details

Full title:RHINA ROJAS, etc., et al., Plaintiffs-Respondents, v. ROBERT J. McDONALD…

Court:Appellate Division of the Supreme Court of New York, First Department

Date published: Dec 21, 1999

Citations

267 A.D.2d 130 (N.Y. App. Div. 1999)
701 N.Y.S.2d 21

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