DILLARD, Judge.
In this civil action, George and Betty Hand sued Dr. Gilbert Gonzalez and his practice group, South Georgia Urology Center, P.C. (collectively "defendants"), for damages they allegedly suffered as a result of Dr. Gonzalez's medical malpractice. Following a jury verdict and judgment in favor of defendants, the Hands appeal, arguing that the trial court erred in (1) excluding impeachment evidence, (2) failing to instruct the jury on the law pertaining to spoliation of evidence, (3) prohibiting cross-examination of Dr. Gonzalez regarding the past suspension of his
Construed in favor of the jury's verdict,
Based on Dr. Gonzalez's recommendation, Hand consented to the microwave thermotherapy. Consequently, on January 19, 2006, Hand went to Dr. Gonzalez's offices, where one of the nurses prepped him and then inserted the Targis device's catheter into Hand's urethra and the rectal thermometer into his rectum. After Dr. Gonzalez checked the placement of both insertions, he activated the device.
During the procedure, Hand informed Dr. Gonzalez's assistants that he was experiencing a considerable amount of pain. But the device's rectal thermometer never indicated that the temperature exceeded safe levels, and Hand never requested that the assistants stop the treatment. Nearly 45 minutes later, the procedure concluded with no apparent complications, and Dr. Gonzalez sent Hand home to recuperate.
After resting for approximately two weeks following the procedure, Hand was still experiencing discomfort, but he nevertheless attempted to return to his job as a truck driver. However, on his first day back, Hand noticed that he discharged urine from his rectum when trying to use the bathroom. Almost immediately, Hand contacted Dr. Gonzalez, who quickly saw him on February 10, 2006, and determined that the microwave thermotherapy procedure had burned a hole between Hand's rectal and urethral tissues, causing what is known as a rectal-urethra fistula. A short time later, Hand was admitted to the hospital for surgery to repair the fistula, and over the course of the next couple of years, he underwent numerous surgeries and procedures to treat the damage and complications resulting from the injury.
In 2008, Hand and his wife filed a complaint against Dr. Gonzalez and his practice group, alleging that Dr. Gonzalez breached the standard of medical care in treating Hand and that this breach resulted in serious injuries. Specifically, the Hands claim that Dr. Gonzalez failed to ensure that the Targis device's rectal thermometer was properly inserted near Hand's prostate gland prior to the microwave thermotherapy procedure and, thus, the thermometer did not indicate that Hand's urethral and rectal tissue were being subjected to dangerous temperature levels. Defendants then filed an answer, and a lengthy discovery period ensued.
During discovery, the Hands' counsel deposed Dr. Gonzalez, who testified that he did not breach the standard of medical care in his treatment of Hand. Dr. Gonzalez further testified that he believed the Targis device malfunctioned during Hand's treatment and that this malfunction resulted in the burns to Hand's tissue. Dr. Gonzalez added that he believed he had attempted to perform microwave thermotherapy treatment once or twice after Hand's procedure, but the device would not operate properly. Then, after learning of Hand's injury, he "lost faith" in the Targis device and stopped using it completely by late February or early March 2006.
A jury trial commenced on April 26, 2013, during which the Hands presented evidence
1. The Hands contend that the trial court erred in excluding evidence that was relevant to the impeachment of Dr. Gonzalez. We agree.
It is well established that the admission of evidence is "within the sound discretion of the trial court and appellate courts will not interfere absent abuse of that discretion."
Despite Dr. Gonzalez's deposition testimony (mentioned supra), during the course of discovery, the Hands never requested to inspect the Targis device used to treat Hand. However, a few weeks before trial was scheduled to begin, the Hands served Dr. Gonzalez with a subpoena duces tecum, requesting that the device be brought to trial solely for demonstrative purposes. And at the start of trial, the Targis device that the parties assumed to be the device used to treat Hand was indeed brought to the courtroom. Later, during a break in the proceedings, and after the Hands rested, the Hands' counsel activated the power on the Targis device and discovered reports in the form of data on the device, indicating that, contrary to his deposition testimony, Dr. Gonzalez used the device to treat six other patients over the course of several months after he determined that Hand suffered injuries as a result of the microwave thermotherapy procedure. The Hands' counsel immediately brought this information to the trial court's attention and requested, inter alia, that the data be printed out and admitted as impeachment evidence. But focusing on the fact that the Hands' counsel never requested to inspect the device during discovery, the trial court denied this request.
Subsequently, Dr. Gonzalez testified in his own defense. And during cross-examination, despite the Hands' counsel's questions about the additional apparent microwave thermotherapy treatments administered after he learned of Hand's injury, Dr. Gonzalez maintained that he only attempted to perform this type of treatment once or twice in the period of time between his treatment of Hand and learning of Hand's injury. In addition, Dr. Gonzalez testified that, based on documents found in his office records the previous evening, he learned that the Targis device currently in the courtroom — while the identical model — was not the same machine he used to treat Hand. Rather, that specific device had been retrieved by Urologix on March 22, 2006, and replaced with the current device.
Based on this testimony, the Hands' counsel again sought to print out and introduce the data showing that six microwave thermotherapy treatments were performed after Dr. Gonzalez learned of Hand's injury, but the trial court once again ruled that any data from the Targis device should have been the subject of a discovery request. The trial court allowed the Hands' counsel to further question Dr. Gonzalez regarding the replacement Targis device, but during that cross-examination, Dr. Gonzalez maintained that he did not think he used the device on any patients after learning of Hand's injury.
The Hands argue that the data from the Targis device discovered during trial was admissible to impeach Dr. Gonzalez, and that
Under OCGA § 24-1-1, "[t]he object of all legal investigation is the discovery of truth....."
In the case sub judice, the data from the Targis device seemingly showed that, contrary to his testimony in his deposition and at trial, Dr. Gonzalez did, in fact, use the device — or an identical one — to treat six more patients after he learned of Hand's injury and allegedly "lost faith" in the device's ability to function properly. Defendants nevertheless assert that the trial court's decision to exclude this evidence was correct because whether Dr. Gonzalez used the Targis device to treat other patients ultimately has no bearing on whether he breached the standard of medical care in treating Hand. We disagree.
While it is true that a witness may not be impeached because of a discrepancy as to a wholly immaterial matter, "a witness may be impeached on a collateral issue which is indirectly material to the issue in the case."
Furthermore, the trial court's exclusion of the data from the device based upon the Hands' failure to request an inspection of the device during discovery is equally unpersuasive in light of the Supreme Court of Georgia's decision in Ballard v. Meyers,
Although decided well before the effective date of Georgia's new Evidence Code,
Employing the logic and reasoning from Ballard, as well as that delineated in the federal case law pertaining to Rule 607, we find that the Hands' failure to request data or documents from the Targis device during discovery — while tactically questionable — does not justify the exclusion of such relevant and impeaching evidence once it was discovered. Moreover, this information, which was never in the possession of the Hands' counsel, ostensibly documented treatments performed by Dr. Gonzalez and, therefore, were arguably within his own ability to recall. Consequently, the attempted introduction of this evidence by the Hands can hardly be characterized as "trial by ambush."
2. The Hands also contend that the trial court erred in failing to instruct the jury on the law pertaining to spoliation of evidence. Because this issue will likely reoccur, we address this enumeration and hold that the trial court did not err.
It is axiomatic that a jury charge must be "adjusted to the evidence, apt, and a correct statement of the applicable law."
The Supreme Court of Georgia has held that "spoliation refers to the destruction or failure to preserve evidence that is necessary to contemplated or pending litigation."
However, notice of potential liability is "not the same as notice of potential litigation."
Urologix replaced the Targis device in question nearly three months after Dr. Gonzalez used it to treat Hand. And putting aside whether Dr. Gonzalez was being truthful when he testified to having no recollection of Urologix retrieving device, there is no evidence that Dr. Gonzalez had notice that the Hands were contemplating litigation when Urologix replaced the device. Accordingly, the trial court did not err in ruling that instructing the jury pursuant to OCGA § 24-14-22 was unwarranted.
3. The Hands also contend that the trial court erred in prohibiting cross-examination of Dr. Gonzalez regarding the past suspension of his medical license. Because this issue may also reoccur, we will address this argument as well, and hold that the trial court did not err in this respect either.
Prior to trial, the defendants filed a motion in limine, requesting the exclusion of any evidence regarding the temporary suspension of Dr. Gonzalez's medical license, which occurred years before he treated Hand. Following a pretrial hearing on the matter, the Hands' counsel indicated that he did not intend to delve into this issue, and the trial court granted the defendants' motion. Thereafter, during direct examination, defense counsel asked Dr. Gonzalez how long he had been a urologist, and he responded, "1989 to the present." Subsequently, the Hands' counsel sought a bench conference and argued that Dr. Gonzalez's above-referenced testimony "opened the door" to the admission of evidence regarding the suspension of his license. The trial court disagreed and denied the Hands' request.
On appeal, the Hands reassert that Dr. Gonzalez's testimony — that he had been a urologist from 1989 to the present — opened the door for evidence regarding the suspension of his license. We disagree. As previously noted, "[q]uestions of relevancy are generally matters within the trial court's discretion[.]"
4. Because we have determined that a new trial is necessary, we need not address the Hands' remaining enumeration of error regarding whether the evidence supported the jury's verdict.
For all of the foregoing reasons, we reverse the trial court's judgment in favor of the defendants and remand the case for a new trial.
Judgment reversed and case remanded.
DOYLE, P.J., and MILLER, J., concur.
On motion for reconsideration, the defendants request that we revisit our ruling that the trial court erred in excluding the data from the Targis device (discovered during trial) that was admissible to impeach Dr. Gonzalez's testimony that he did not use the device after learning of Hand's injury. Specifically, defendants argue that the trial court did not err in excluding this evidence because the data was never actually printed from the device during trial, and thus, the Hands never made a formal proffer of same. We disagree.
Defendants are correct that the record is somewhat confusing as to whether the data on the Targis device — showing that Dr. Gonzalez used it six more times after learning of Hand's injury — was ever printed during trial. Indeed, this confusion seemingly even extends to defendants' own appellate brief, in which their initial reference to the issue notes that "[a]ppellants turned the machine on and printed subsequent data from it at trial ..." But regardless of the form of the data, the fact remains that it constitutes evidence that contradicts both Dr. Gonzalez's deposition and trial testimony.
Motion for Reconsideration denied.