Hamm, R. v. Handwerk, N. ( 2016 )


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  • J-A03045-16
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    RENAE HAMM AND ALVIN HAMM                       IN THE SUPERIOR COURT OF
    PENNSYLVANIA
    Appellants
    v.
    NATHAN HANDWERK AND GLEN
    HANDWERK
    Appellees                   No. 1109 EDA 2015
    Appeal from the Judgment Entered April 14, 2015
    In the Court of Common Pleas of Lehigh County
    Civil Division at No(s): 2012-C-3314
    BEFORE: GANTMAN, P.J., MUNDY, J., and DUBOW, J.
    MEMORANDUM BY GANTMAN, P.J.:                         FILED MARCH 08, 2016
    Appellants, Renae Hamm and Alvin Hamm, appeal from the judgment
    entered in the Lehigh County Court of Common Pleas, following a jury trial
    on Appellants’ personal injury claims. We affirm.
    The relevant facts and procedural history of this case are as follows.
    At about 4:00 a.m. on August 15, 2010, Appellee Nathan Handwerk was
    driving while intoxicated when he lost control of his vehicle and struck
    Appellants’ home. Police arrived shortly after the accident and administered
    field sobriety tests before arresting Nathan Handwerk. None of the officers
    who responded to the scene reported that any person sustained injuries as a
    result of the accident. The trial court continued:
    Mrs. Hamm was fifty years old at the time of the accident.
    She was employed, as she had been for many years, as a
    J-A03045-16
    cafeteria worker in a local school.     Her job required
    repetitive standing on her feet, bending and lifting up to
    forty pounds. She earned $20,212.22 in 2010.
    Although Mrs. Hamm professed not to have any significant
    back issues before the accident, she had an MRI in 2002
    that revealed a disc bulge at the L4—L5 level and some
    age-related degenerative changes, and on May 11, 2010,
    three months before the accident, she reported to her
    employer that she had strained her back by bending and
    lifting a case of lettuce.
    Mrs. Hamm said the accident occurred at about 4:00 a.m.
    on August 15, 2010. She said she was sleeping in bed
    when [the] vehicle struck her house with such force that it
    threw her out of the bed and “next thing I know, I’m
    hitting the cedar chest and hitting the floor.” She thought
    “the gas station exploded[.]” According to Mr. Hamm, he
    was awake at the time of the accident sitting in a back
    room of the house having coffee. Although he is hard of
    hearing, he neither heard nor, more importantly, felt the
    impact of the house being struck by [the] vehicle.
    In any event, Mr. Hamm transported Mrs. Hamm to the St.
    Luke’s Hospital around 11:00 a.m. She did not complain
    of radicular symptoms. There was no history of head or
    neck injury. There was no evidence of bruising, only some
    tenderness in the muscles that run up and down her back,
    muscle spasms of the lower back and a contusion on her
    right forearm. She was discharged with medications.
    She returned to work without any restrictions after only
    two days of rest. She saw her family physician, Dr.
    Slompak, on October 23, and November 26, 2010, on
    complaint of pain in her back and thighs. X-rays of her
    [lumbosacral] spine showed degenerative disc and facet
    disease of the lumbar spine. She underwent an MRI on
    December 2, 2010, that revealed disc herniation at T11—
    T12 and L2—L3, and the previously noted pre-existing disc
    bulge at L4—L5 and/or L3—L4 and some aggravation of
    the age-related degenerative changes.
    She went to Florida when school closed for the Christmas
    holidays to visit her 81 year-old, ailing and infirm parents.
    -2-
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    Although she had intended to return to work after the
    holidays, when school resumed, she remained in Florida
    under an emergency family leave from work and continued
    to care for her parents until early March. Within two
    weeks of her return from Florida, Mrs. Hamm claimed to
    have suffered a work-related injury to her back on March
    28, 2011. When she saw a physician on April 13, 2011, to
    describe the March 28, 2011 work-related accident, she
    failed to mention the August 15, 2010 accident. She
    [later] claimed to have suffered another work-related
    injury to her back on September 21, 2011.
    Although Mrs. Hamm testified she was pain-ridden and felt
    needy and useless after the August 15, 2010 accident, she
    managed to care for her elderly parents while in Florida
    without incident or complaint. She received no treatment
    or physical therapy after the August 15, 2010 accident,
    even after the December MRI and while she was caring for
    her parents in Florida, until after the March 28, 2011 work-
    related accident. When she returned to work in March
    2011, she did so without any restrictions even though her
    work consisted of repetitive standing, bending and lifting.
    It was only after the March 28, 2011 work-related accident
    that she began treatment.
    Mrs. Hamm’s expert witness, Dr. Weiss, evaluated her on
    May 10, 2012, when she was 52 years old and weighed
    240 pounds. At that time, Mrs. Hamm reported that
    between the August 15, 2010 and March 28, 2011
    accidents she was able to perform without difficulty all 23
    of the activities of daily living listed by Dr. Weiss. She had
    no restrictions on her activities of daily living. Dr. Weiss
    concluded that following the August 15, 2010 accident,
    Mrs.     Hamm      suffered      a     “permanent    orthopedic
    impairment,” the herniated discs at T11—T12 and L2—L3,
    but that those impairments did not manifest themselves
    until after the March 28, 2011 accident.
    When [Nathan Handwerk’s] IME doctor, Dr. Williams,
    evaluated Mrs. Hamm on September 16, 2013, she
    weighed 235 pounds. He concluded, as did Dr. Weiss, Mrs.
    Hamm suffered pre-existing degenerative disc and facet
    disease of the lumbar and thoracic spines and a lumbar
    sprain/strain as a result of the August 15, 2010 accident.
    -3-
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    He     characterized    the   sprain/strain    injuries    as
    “subjective…unless the sprain or strain is sufficient to
    severely tear tissues.” Dr. Weiss also indicated it was his
    experience that “depend[ing] on the degree…most patients
    recover [from a sprain and strain] within three, perhaps
    six months at most.” He also said it was his experience
    that patients with a sprain and strain continue to treat with
    a medical provider “[u]nless they have treated for so long
    they finally give up.” As noted, Mrs. Hamm underwent no
    treatment between the August 15, 2010 and March 28,
    2011 accidents. Furthermore, Dr. Williams concluded the
    injuries Mrs. Hamm sustained from the March and
    September 2011 work-related accidents were not caused
    by the August 15, 2010 accident.
    (Trial Court Opinion, filed March 16, 2015, at 2-5) (internal citations
    omitted).
    On January 3, 2013, Mrs. Hamm and her husband Mr. Hamm sued
    Nathan Handwerk and his father Glen Handwerk, who owned the vehicle
    involved in the crash, based on claims of negligence and loss of consortium.
    Prior to trial, the parties entered into a stipulation removing Glen Handwerk
    as a party in the case. The case proceeded to a jury trial on September 15,
    2014.    Based on an agreement between the parties’ experts at trial, the
    court instructed the jury to find against Nathan Handwerk on causation, and
    to find Mrs. Hamm suffered a sprain and strain of her lower back and a
    symptomatic     aggravation    of    her    preexisting     lumbar   and   thoracic
    degenerative disc disease as a result of the accident. The jury found Nathan
    Handwerk     was   reckless,   and   it    awarded   Mrs.   Hamm     $1,000.00   in
    compensatory damages and $10,000.00 in punitive damages.                   The jury
    awarded Mr. Hamm no damages for loss of consortium. The court molded
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    J-A03045-16
    the verdict to reflect a judgment in favor of Mrs. Hamm for a total of
    $11,000.00.
    On September 25, 2014, Appellants timely filed post-trial motions
    requesting a new trial.         Nathan Handwerk also filed a post-trial motion
    requesting remittitur of the punitive damages verdict. The court denied both
    motions on March 16, 2015. Upon praecipe of Appellants, the court entered
    judgment on the verdict on April 14, 2015. Appellants timely filed a notice
    of appeal the same day. On April 22, 2015, the court ordered Appellants to
    file a concise statement of errors complained of on appeal pursuant to
    Pa.R.A.P. 1925(b), and they timely complied on April 29, 2015.1
    Appellants raise the following issues for our review:
    MUST THE ORDER DENYING APPELLANTS’ NEW TRIAL
    MOTION BE REVERSED SINCE THE VERDICT OF $1,000.00
    WAS CLEARLY INADEQUATE AND AGAINST THE WEIGHT
    OF THE EVIDENCE, CONSIDERING THAT THE VERDICT
    DOES NOT EVEN COMPENSATE FOR RECOVERABLE
    MEDICAL EXPENSES OR WAGE LOSS LET ALONE PAIN AND
    SUFFERING, AND CONSIDERING THE ADMISSIONS OF
    DEFENSE ORTHOPEDIC EXPERT JOHN WILLIAMS, M.D.,
    THAT: A) [MRS. HAMM] SUFFERED A LUMBAR SPRAIN AND
    STRAIN AND SYMPTOMATIC EXACERBATION OF LUMBAR
    ____________________________________________
    1
    To the extent Appellants challenge on appeal the inadequacy of the jury’s
    verdict regarding Mr. Hamm’s claim for loss of consortium, Appellants
    waived that argument by failing to identify it clearly in their post-verdict
    motions or include it in their Rule 1925(b) concise statement.          See
    Majorsky v. Douglas, 
    58 A.3d 1250
    (Pa.Super. 2012), appeal denied, 
    620 Pa. 732
    , 
    70 A.3d 811
    (2013) (reiterating general rule that issues not raised
    before trial court are waived and cannot be raised for first time on appeal,
    citing Pa.R.A.P. 302; likewise, issues absent from court-ordered Rule
    1925(b) statement are waived for purposes of appellate review).
    -5-
    J-A03045-16
    AND THORACIC DEGENERATIVE DISC DISEASE; B) IT
    WOULD REQUIRE AT LEAST 3-6 MONTHS TO RECOVER
    FROM THE LUMBAR SPRAIN AND STRAIN AND THERE IS A
    25-30% CHANCE THAT THE INJURY MIGHT BE
    PERMANENT; C) [MRS. HAMM] IS DISABLED FROM
    RETURNING TO HER JOB AS A CAFETERIA WORKER; D)
    [MRS. HAMM’S] COMPLAINTS HAVE AN OBJECTIVE BASIS
    FROM THE MRIS AND X-RAYS; E) ALL OF [MRS. HAMM’S]
    TREATMENT HAS BEEN REASONABLE AND NECESSARY; F)
    [MRS. HAMM’S] CONDITION IS PERMANENT; G) THE
    8/15/2010 ACCIDENT CAUSED AT LEAST SOME OF
    [MRS. HAMM’S] PERMANENT DISABILITY (AND
    THEREFORE PERMANENT INJURY); AND H) IF SHE
    EXPERIENCE[D] RADIATING PAIN AND NUMBNESS PRIOR
    TO 03/28/11, THEN THE PRESSURE ON THE NERVE HAD
    TO PRE-EXIST HER FIRST WORK ACCIDENT?
    MUST A NEW TRIAL BE GRANTED BECAUSE THE TRIAL
    COURT ERRED IN FAILING TO GIVE PENNSYLVANIA
    SUGGESTED STANDARD JURY INSTRUCTION 7.90 (OR
    EQUIVALENT CHARGE) ON OTHER CONTRIBUTING
    CAUSES?
    MUST A NEW TRIAL BE GRANTED BECAUSE THE TRIAL
    COURT ERRED IN REFUSING TO GIVE [APPELLANTS’]
    SUPPLEMENTAL POINTS FOR CHARGE 1 & 2 REGARDING
    CAUSATION OF SUBSEQUENT INJURIES ARISING FROM
    HER IMPAIRED PHYSICAL CONDITION CAUSED BY THE
    AUGUST 15, 2010 ACCIDENT?
    DID THE TRIAL COURT COMMIT PREJUDICIAL ERROR BY
    FAILING TO PRECLUDE THE [DEFENSE] IME DOCTOR,
    JOHN WILLIAMS, M.D., FROM TESTIFYING CONCERNING
    HIS REVIEW OF MRI FILMS WHICH WERE NOT CONTAINED
    IN HIS REPORT AND WHICH HE GAINED ACCESS TO BY
    VIOLATING THE DISCOVERY RULES AND HIPPA RULES
    CONCERNING ACQUIRING PATIENT INFORMATION?
    BECAUSE THE FOLLOWING ISSUES HAVE BEEN FAIRLY
    DECIDED:  A)  THAT   [NATHAN   HANDWERK]   WAS
    NEGLIGENT AND THAT HIS NEGLIGENCE CAUSED [MRS.
    HAMM] HARM; B) THAT [NATHAN HANDWERK] WAS
    RECKLESS AND THAT HIS RECKLESSNESS CAUSED [MRS.
    HAMM] HARM; AND C) THAT [NATHAN HANDWERK’S]
    -6-
    J-A03045-16
    CONDUCT WAS OUTRAGEOUS AND DESERVING OF
    PUNITIVE DAMAGES; SHOULD THE NEW TRIAL BE
    LIMITED TO DETERMINING THE FOLLOWING ISSUES: 1)
    THE AMOUNT OF COMPENSATORY DAMAGES TO BE
    AWARDED    FOR   THE  NATURE   AND  EXTENT   OF
    [APPELLANTS’]  HARM  RESULTING   FROM  [NATHAN
    HANDWERK’S] CONDUCT; AND 2) THE AMOUNT OF
    PUNITIVE DAMAGES TO BE AWARDED AS A RESULT OF
    [NATHAN HANDWERK’S] RECKLESS AND OUTRAGEOUS
    CONDUCT?
    (Appellants’ Brief at 3-4).
    Appellants essentially argue they are entitled to a new trial because
    (a) Nathan Handwerk admitted liability for the accident; (b) Mrs. Hamm is
    permanently disabled and cannot resume her job as a cafeteria worker; (c)
    Nathan Handwerk’s own defense expert conceded Mrs. Hamm suffered from
    a lumbar sprain and strain from the accident and cannot continue to work;
    (d) both parties’ experts agreed that the August 15, 2010 accident
    contributed to Mrs. Hamm’s ultimate disability; (e) Nathan Handwerk’s
    expert admitted Mrs. Hamm’s course of medical treatment was reasonable
    and necessary; (f) the trial court directed a verdict because both parties’
    experts agreed Mrs. Hamm suffered injuries from the accident; (g) the jury
    award of $1,000 in compensatory damages was inadequate and against the
    weight of the evidence; (h) given the directed verdict, the trial court should
    have instructed the jury that an intervening cause of harm such as Mrs.
    Hamm’s    subsequent     work-related   injuries   would   not   relieve   Nathan
    Handwerk of his responsibility for causing Mrs. Hamm’s disability; (i) the
    court erred in refusing to give Appellants’ proffered points for charge
    -7-
    J-A03045-16
    regarding Mrs. Hamm’s impaired physical condition caused by the accident;
    (j) the court should have precluded defense expert Dr. John Williams from
    testifying to MRI film results he allegedly obtained outside of discovery.
    Appellants contend they are entitled to a new trial on damages as a result of
    these errors. We disagree.
    After a thorough review of the record, the briefs of the parties, the
    applicable law, and the well-reasoned opinion of the Honorable Edward D.
    Reibman, we conclude Appellants’ issues merit no relief.     The trial court’s
    opinion fully discusses and properly disposes of Appellants’ issues on appeal.
    (See Trial Court Opinion, filed March 16, 2015, at 5-12) (finding: (1) & (5)
    Mrs. Hamm had history of back issues prior to 8/15/10 accident; Mrs.
    Hamm’s description of force of 8/15/10 collision was inconsistent with her
    husband’s description of that force; Mrs. Hamm’s injuries at time of hospital
    visit six hours later consisted of only muscle tenderness and spasms, and
    single contusion on her forearm; Mrs. Hamm’s job required repetitive
    standing, bending, and lifting, but she returned to work full time after only
    two days without any restrictions; Mrs. Hamm cared for her elderly parents
    in Florida from end of December 2010 until March 2011, without injury or
    complaint; Mrs. Hamm did not seek treatment after 8/15/10 collision until
    after new work-related 3/28/11 injury; at treatment for 3/28/11 injury, Mrs.
    Hamm did not mention 8/15/10 accident; court instructed jury to find Mrs.
    Hamm suffered sprain/strain of her lower back as result of 8/15/10 that
    -8-
    J-A03045-16
    aggravated pre-existing degenerative condition; Mrs. Hamm’s injuries from
    8/15/10 accident are wholly subjective and difficult to quantify; jury
    concluded $1,000.00 was appropriate amount of compensatory damages for
    Mrs. Hamm’s 8/15/10 accident-related injuries; jury was free to evaluate
    Mrs. Hamm’s credibility and compensate her for portion of injuries it
    attributed to 8/15/10 accident; Appellants rely on cases which are not
    dispositive here; jury awarded Mrs. Hamm punitive damages of $10,000.00;
    ratio between punitive damages award and compensatory damages award of
    10:1 is just over single-digit range favored in case law; nevertheless, jury’s
    verdict was reasonable and serves as both punishment and deterrent;
    rejection of jury’s award would substitute court’s judgment for that of jury;
    court declines to disturb jury’s award of compensatory or punitive damages;
    (2) & (3) jury instruction 7.90 on other contributing causes is relevant to
    past injuries that contributed to plaintiff’s injury in 8/15/10 accident; in such
    cases, tortfeasor accepts plaintiff as plaintiff existed at time of tortfeasor’s
    negligent act; here, Mrs. Hamm sought to make Nathan Handwerk
    responsible for subsequent injuries she sustained from her subsequent work-
    related accidents on 3/28/11 and 9/21/11; Mrs. Hamm offered no evidence
    to demonstrate her work-related accidents were caused by injuries she
    sustained from 8/15/10 collision; Mrs. Hamm’s subsequent injuries might
    have been exacerbated because of her compromised condition resulting from
    8/15/10 incident, but she failed to present evidence demonstrating either
    -9-
    J-A03045-16
    work-related injury was directly caused by injuries from 8/15/10 collision; it
    would have been inappropriate to instruct jury that Nathan Handwerk should
    be liable to Mrs. Hamm for her later, independent work-related injuries
    simply because her physical condition might have been weaker on dates of
    those later injuries; (4) Dr. Williams’ testimony was limited to agreement
    with reports by radiologist, and his review of Mrs. Hamm’s films was simply
    confirmation that Dr. Williams agreed with radiologist; thus, Dr. Williams’
    opinion was fully revealed to Appellants, and no new or potentially
    prejudicial conclusions were set forth or present prejudicial surprise;
    regarding Dr. Williams’ access to MRI films, Dr. Williams had access to
    review Mrs. Hamm’s records based on her consent; Dr. Williams was unable
    to read copies of records produced through discovery due to poor copying of
    records, so he reviewed same records he had consent to review through
    different medium of Lehigh Valley Hospital’s computer system; Dr. Williams
    did not exceed scope of Mrs. Hamm’s consent).       The record supports the
    court’s decision on Appellants’ properly preserved claims.   Accordingly, we
    affirm on the basis of the trial court’s opinion.
    Judgment affirmed.
    - 10 -
    J-A03045-16
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 3/8/2016
    - 11 -
    FILED 3/16/2015 9:33·"'~ AM.Clerk of Judicial Records, Civil r            'sion, Circulated 02/19/2016
    Lehigh County,     PA01:41 PM
    2012-C-3314                 /s/J W
    IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA
    CIVIL DIVISION
    Renae Hamm, Alvin Hamm,
    Plaintiffs,                            No. 2012,.C-3314
    (Hon. Edward D. Reibman)
    v.
    Nathan Handwerk, Glen Handwerk,
    Defendants.
    OPINION
    *                                             *
    APPEARANCES:
    Michael A. Snover, Esquire
    on behalf of Plaintiffs Renae Hamm and Alvin Hamm
    Jill M. Moffitt, Esquire
    FORRY ULLMAN
    on behalf of Defendants Nathan Handwerk and Olen Handwerk
    *                                             *
    EDWARD D. REIBMAN, J.
    During the early morning hours of August 15, 2010, Defendant, Nathan Handwerk,
    (''Defendant") while driving intoxicated, lost control of his vehicle> which then left the roadway
    and struck Plaintiffs' house. Plaintiff Renae Hamm ("Mrs. Hamm") claimed she received
    FILED 3/16/2015     9:33•"'1 AM.Clerk of Judicial Records, Civil r 'slon, Lehigh County, PA
    2012-C-3314          /s/J W
    serious injuries when the force of the accident caused her to be thrown from .her bed, and that but
    for those injuries she would not have suffered. subsequent work injuries that left her permanently
    disabled. Her husband, Alvin Hamm ("Mr. Hamm"), claimed damages as a result of the loss of
    her consortium.
    A trial by jury was held from September 15 through 19, 2014. The jury was instructed to
    find Defendant was negligent and, based upon statements made by the parties' expert witnesses,
    that Mrs. Hamm suffered a sprain and strain of her lower back and a symptomatic aggravation of
    her preexisting lumbar and thoracic degenerative disc disease as a result of the accident. The
    jury found Defendant was reckless, and it awarded Mrs. Hamm compensatory damages in the
    amount of$1,000.00 and punitive damages in the amount of$10,000.00. It awarded no damages
    to Mr. Hamm.
    Before the court are Plaintiffs' post-trial motions seeking (1) a new trial on the bases the
    verdict was inadequate and against the weight of the evidence, and the court erred in (a) refusing
    to give requested charges to the jury with respect to contributing causes and causation and (b)
    failing to preclude Defendant's IME doctor from testifying concerning his review of MRI films
    that were not referenced in his report and which he viewed in violation of rules of discovery and
    patient privacy, and (2) remitter of the punitive damage verdict,'
    Mrs, Hamm was fifty years old at the time of the accident. She was employed, as she had
    been for many years, as a cafeteria worker in a local school. Her job required repetitive standing
    on her feet, bending and lifting up to forty pounds. She earned $20,212.22 in 2010-.
    In their post-trial motions, Plaintiffs also claimed the court erred in denying their motion
    for a mistrial after Defendant argued in closing the jury should infer adversely to the Plaintiffs
    the fact Plaintiffs did not call Mrs. Hamm' s treating physician to testify, and Defendant claimed
    the court erred in not removing Defendant Glen Handwerk from the caption of the ease.
    However, those claims were abandoned by counsel at oral argument.
    2
    FILED 3/16/2015 9:3? -~ AM, Clerk of Judicial Records, Civil          r    sion, Lehigh County, PA
    2012-C-3314         /s/J W
    Although Mrs. Hamm professed not to have any significant back issues before the
    accident, she had an MRI in 2002 that revealed a disc bulge at the L4-L5 level and some age-
    related degenerative changes> and on May 11, 2010, three months before the accident, she
    reported to her employer that she had strained her back .by bending and lifting a case of lettuce.
    Mrs. Hamm said the accident occurred at about 4:00 a.m. on August 15, 2010. She said
    she was sleeping in bed when Defendant's vehicle struck her house with such force that.it threw
    her out of the bed and the "next thing I know, I'm hitting the cedar chest and hitting the floor,"
    She thought "the gas station exploded". N.T., Vol. II, pp. 59:14-60:1, 122:24-123:1. According
    to Mr. Hamm, he was awake at the time of the accident sitting in a back room of the house
    having coffee. Although he is hard of hearing, he neither heard nor, more importantly, felt the
    impact of the house being struck by Defendant's vehicle.
    In any event, Mr. Hamm transported Mrs. Hamm to the St. Luke's Hospital around 11 :00
    a.m. She did not complain of radicular symptoms. There was no history of head or neck injury.
    There was no evidence of bruising, only some tenderness in the muscles that run up and down
    her back, muscle spasms of the lower back and a contusion on her right forearm. She was
    discharged with medications.
    She returned to work without any restrictions after only two days of rest. She saw her
    family physician, Dr. Slompak, on October 23, and November 26, 2010, on complaint of pain in
    her back and thighs. X-rays of her lumbrosacral spine showed degenerative disc and facet
    disease of the lumbar spine. She underwent an MRI on December 2, 2010, that revealed disc
    herniation at Tl l-Tl2 and L2-L3, and the previously noted pre-existing disc bulge atL4-L5
    and/or L3·L4 and some aggravation of the age-related degenerative changes.
    3
    FILED 3/16/2015 9:3?·-'18 AM,Clerk of Judicial Records, Civil           r ·   ·iision, Lehigh County, PA
    .                         2012-C-3314              islJ W
    She went to Florida when school closed for the Christmas holidays to visit her 81 year-
    old, ailing and infirm parents. Although she had intended to return to work after the holidays,
    when school resumed, she remained in Florida under an emergency family leave from work and
    continued to care for her parents until early March. Within two weeks of her return from
    Florida, Mrs. Hamm claimed to have suffered a work-related injury to her back on March 28,
    2011. When she saw a physician on April 13, 2011, to describe the March 28, 2011, work-
    related accident, she failed to mention the August 15, 2010, accident. She claimed tohave
    suffered another work-related injury to her back on September il, 2011.
    Although Mrs. Hamm testified she was pain-ridden and felt needy and useless after the
    August 15, 2010, accident, she managed to care for her elderly parents while in Florida without
    incident or complaint. She received no treatment or physical therapy after the August 15, 2010,
    accident, even after the December MRI and while she was caring for her parents in Florida, until
    after the March 28, 2011 work-related accident. When she returned to work in March, 2011, she
    did so without any restrictions even though her work consisted of repetitive standing, bending
    and lifting. It was only after the March 28, 2011, work-related accident that she began
    treatment.
    Mrs. Hamm's expert witness. Dr. Weiss, evaluated her on May 10, 2012, when she was
    52 years old and weighed 240 pounds. At that time, Mrs. Hamm reported that between the
    August 15, 2010, and March 28, 2011, accidents she was able to perform without difficulty all 23
    of the activities of daily living listed by Dr. Weiss. She had no restrictions on her activities of
    daily living. Dr. Weiss concluded that following the August 15, 2010, accident, Mrs, Hamm
    suffered a "permanent orthopedic impairment," the herniated discs at Tl 1-Tl2 and L2-L3, but
    that those impairments did not manifest themselves until after the March 28, 2011, .accident.
    4
    FILED 3/16/2015 9:~"-18 AM, Clerk of Judicial Records, Civi'                rision, Lehigh County, PA
    .                          2012-C-3314          /s/J W
    When Defendant's IME doctor, Dr. Williams, evaluated Mrs. Hamm, on September 16,
    2013, she weighed 235 pounds. He concluded, as did Dr. Weiss, Mrs. Hamm suffered pre-
    existing degenerative disc and facet disease of the lumbar and thoracic spines and a lumbar
    sprain/strain as a resu1t of the August 15, 20 I 0, accident. He characterized the sprain/strain
    injuries as "subjective ... unless the sprain or strain is sufficient to severely tear tissues." Dr.
    Weiss also indicated it was his experience that "depend[ing] on the degree, ... ~ most patients
    recover [from a sprain and strain] within three, perhaps six months· at most." He also said it was
    his experience that patients with a sprain and strain continue to treat with a medical provider
    "[u]nless they have treated for so long they finally give up." Williams Depo., 
    id., pp .
    .38: 19-
    41:25; 43:21-44:4. As noted, Mrs. Hamm underwent no treatment between the August 15,
    2010, andMarch 28, 2011, accidents. Furthermore, Dr. WilJiams concluded the injuries Mrs.
    Hamm sustained from the March and September, 2011, work-related accidents were not caused
    by-the August 15, 2010, accident.
    The relevant principles oflaw to evaluate whether the verdict was inadequate and against
    the weight of the evidence are well-settled. "A trial court may only grant a new trial when the
    jury's verdict is so contrary to the evidence that it 'shocks ones sense of justice.   m   Burnhauser v.
    Bumberger, 
    745 A.2d 1256
    , 1260 (Pa. Super. 2000) (quotingNeison v. Hines, 
    653 A.2d 634
    , 636
    (Pa. 1995)). "A jury verdict is set aside as inadequate where it clearly appears from
    uncontradicted evidence that the amount of the verdict bears no reasonable relation to the loss
    suffered by the plaintiff." 
    Burnhauser, 745 A.2d at 1261
    (citing Kiser v. Schulte, 
    648 A.2d 1
    ~ 4
    (Pa. 1994)). "[TJhe jury is free to believe all, some or none of the testimony presented by a
    witness." Neison, 653 A.2d at637 (citing Gaita v. Pamula, 
    122 A.2d 63
    (Pa. 1956); Algeo v ..
    Pittsburgh Rys. Co, 
    198 A.2d 415
    , 416-17 (Pa. Super. 1964)). However, "the verdict must not be
    5
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    a product of passion, prejudice, partiality, or corruption, or must bear some reasonable relation to
    the loss suffered by the plaintiff as demonstrated by uncontroverted evidence presented at trial,"
    
    Neison, 653 A.2d at 637
    (citing Elza v. Chovan, 
    152 A.2d 238
    , 240 (Pa. 1959); Slaseman v.
    Myers, 
    455 A.2d 1213
    , 1215 (Pa. Super. 1983)). "The synthesis of these conflicting rules is that
    a jury is entitled to reject any and al] evidence up until the point at which the verdict is so
    disproportionate to the uncontested evidence as to defy common sense and logic." 
    Neison, 653 A.2d at 637
    . A jury is not required to award plaintiff any amount if it believed the injury suffered
    in an accident is insignificant. See Holland v .. Zelnick, 
    478 A.2d 885
    , 888 (Pa. Super. 1984).
    Further, ..jurors are not compelled to find pain where there was no objective injury .. .it is.not a
    fact of human experience that every tortproduces compensable pain." Boggavarapu v. Ponist,
    
    542 A.2d 516
    , 519 (Pa. 1988) (emphasis in original). A jury is "not required to accept everything
    or anything the plaintiff and her doctor· said, even if their testimony was uncontradicted."
    Bronchak v. Rehmann, 
    397 A.2d 438
    . 440 (Pa. Super. 1979). There is not "any particular ratio of
    pain and suffering damages to special damages or any particular dollar figure as automatically
    constituting inadequacy." Hill v. Com .• Bureau of Corrections, 
    555 A.2d 1362
    , 1368 (Pa.
    Cmwlth, 1989) ("Each case must be examined in thelight of its unique facts."). See, also,
    Ricciuti v. Estate of Pohlman,_      A.3d _     (Pa.Super. 20 l 5)(No. 706 WDA 2014, decided
    February 18, 2015).
    Mrs. Hamm had a history of back issues before the August 15, 2010, accident. Her
    description of the force of the collision of Defendant's vehicle with her house wasnot shared by
    Mr. Hamm. The injuries the jury was instructed to find- a sprain and strain of her lower back
    that allegedly aggravated. a pre-existing, degenerative condition - are difficult to quantify. Other
    than some muscle tenderness and spasms, and a contusion on her forearm, no other injuries were
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    noted at the hospital. She was discharged with medications. Although her job required
    repetitive standing, bending and lifting, she missed only two days ofwork before returning to
    work without any restrictions. She cared for her elderly parents in Florida from the end of
    Decemher until March without incident or complaint. She underwent no treatment after the
    August, 2010, accident until.after the March 28, 2011~ work-related accident and, even then, did
    not mention the August, 2010, accident.
    The jury, in its collective wisdom, concluded $1,000.00 was the appropriate amount of
    compensatory damages for those injuries Mrs. Hamm sustained as.a result of the August, ;2010,
    accident. Plaintiffs' references in their brief to cases where the jury awarded no damages are
    inapposite because here the jury did award darn.ages. The jury was free to evaluate Mrs. Hamm 's
    credibility and compensate her for only the portion of her injuries it attributed to the August 15,
    2010, accident. To reject the jury's award would be to substitute the court's judgment for that of
    the jury. Consequently, the jury's award of compensatory damages will not be disturbed.
    Plaintiffs next claim the Court erred in failing to give Pennsylvania Suggested Standard
    Jury Instruction 7.90, or an equivalent charge, on other contributing causes and their requested
    supplemental points for charge 1 and 2 regarding causation of subsequent injuries arising from
    an impaired physical condition caused by the August 15, 2010, accident.
    The subcommittee notes following Instruction 7 .90 make it clear that the instruction is
    relevant to past injuries that contributed to a plaintiff's injury in a current accident. As the
    subcommittee note following Instruction 7.90 states, citing Majors v. Broadhead Hotel, 
    205 A.2d 873
    (Pa. 1965), "The Supreme Court' s standards in such situations clearly announce that the
    defendant is liable for the plaintiff's entire present condition, even though a prior condition may
    have been a contributing cause to the plaintiff's present complaints." (Emphasis added.) In other
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    words, a tortfeasor would be responsible for all injuries the plaintiff suffered as a result of that
    tortfeasor's actions even though the plaintiffs prior condition contributed to the plaintiff's
    present complaints. To state it more casually, the tortfeasor accepts the plaintiff as the plaintiff
    existed at the time of the negligent act. Here, Mrs. Hamm sought to make Defendant responsible
    for the subsequent injuries she sustained from th.e March and September 2011, work-related
    accidents.
    Plaintiffs' authority in support of their. position is unavailing. Marshall v. City of
    Pittsburgh, 
    180 A. 733
    (Pa. Super 1935), is a workmen's compensation case, not a negligence
    action. In Nikisher v. Benninger, 
    377 Pa. 564
    , 
    105 A.2d 281
    (Pa.1954), the plaintiff was
    convalescing from a broken leg suffered as a result of an automobile accident when he placed
    weight on the injured leg which failed to support him and, as a result, he fell and injured the
    same leg as the original injury. There was no evidence of negligence as to the second injury;
    rather, the issue was whether the injured leg gave way from weakness as a result of the first
    accident. There was no independent, subsequent accident. The Supreme Court stated: "If in
    truth and in fact the second accident was caused by the weakened condition of the leg due to the
    original accident, the second injury may properly be referred back to the original 
    injury." 105 A.2d at 284
    . Here, there was no evidence or offer of proof to believe Plaintiffs second or third
    accident -- her work-related accidents in March and September, 2011 --were caused by injuries
    sustained from her first accident. In Bender v.   Welsh, 
    344 Pa. 392
    , 
    25 A.2d 182
    (Pa. 1942), the
    plaintiff contended her subsequent fall was attributable to the failure of the limb injured in the
    first accident to function properly, i.e. the result of the original injury; the defendant contended
    the plaintiff slipped from an independent cause and that therefore the original accident was not
    responsible for the subsequent injuries. As the court stated: "Evidence of a subsequent injury is
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    admissible to affect the measure of damages on the original injury only if the subsequent injury
    was proximately caused by the original 
    negligence," 25 A.2d at 185
    . See, also, Pa. Trial Guide,
    "Damages, Death Actions, Consortium," § 6.4 (Defendant not liable for subsequent accident if
    subsequent accident not caused by the impairment resulting from original injuries.)
    While Mrs. Hamm's injuries sustained in the second and third accidents may have been
    exacerbated because of a compromised condition resulting from the August, 2010, accident,
    there was no evidence to believe either of the March or September; 2011, accidents was caused
    by the injuries incurred from the August, 2010, accident. Defendant is only responsible to Mrs.
    Hamm as he found her in August 2010, and it would have been inappropriate to instruct the jury
    that Defendant should be liable to Mrs. Hamm for her independent, work-related injuries in
    March and September, 201 l, simply because he may have contributed to her physical condition
    as it existed in March and September 2011.
    Next, Plaintiffs contend the Court erred by failing to preclude Defendant's lME doctor,
    Dr. Williams, M.D., from testifying concerning his review of Mrs. Hamm's MRI films on the
    bases Dr. Williams'stestimony    concerning his review of MRI films was not contained in his
    expert report and Dr. Williams gained access to those films by violating discovery rules and
    medical rules for acquiring patient information.
    Dr. Williams' s testimony was limited to agreement with reports by the radiologist, and
    his review of Mrs. Hamm's films was simply a confirmation that he agreed with the radiologist.
    Therefore, Dr. Williams's opinion was fully revealed to Plaintiffs, and no new or potentiaJly
    prejudicial conclusions were.set forth. See Woodard v. Chatterjee, 
    827 A.2d 433
    , 441 (Pa. Super.
    2003) ("The purpose of [the fair scope rule] is '[t]o prevent incomplete 'fudging' of reports
    which would fail to reveal fully the facts andopinions of the expert or his grounds therefor,' In
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    otherwords, the fair scope rule 'favors the liberal discovery of expert witnesses and disfavors
    unfair and prejudicial surprise.:" (internal citations omitted)). The content of Dr. Williams's
    testimony did not present prejudicial surprise. On the issue of Dr. Williams's access to
    Mrs. Hamm 's MRI films, Plaintiffs contend that by accessing the films on the Lehigh Valley
    Hospital Network Computer System, Dr. Williams engaged in the ex parte acquisition of a
    patient's information in violation of discovery rule Pa.R.C.P. No. 4003.6. However,
    Dr. Williams had Mrs. Hamm' s consent to review her films. Dr. Williams apparently took it
    upon himself to access Mrs. Hamm' s films through a different medium, the Lehigh Valley
    Hospital's computer system, rather than utilize the films copied and produced through the
    litigation process that he concluded made them difficult to read. He did not exceed the scope of
    Mrs. Hamm's consent. The record does not suggest Dr. Williams' testimony prejudiced Mrs.
    Hamm or improperly affected the verdict in any way.
    Finally, as to Defendant's claim that the punitive damage award should be reduced, "[i]t
    is the rule in Pennsylvania that an award of exemplary damages must bear a reasonable
    proportion to the award of actual damages." Mitchell v. Randall, 
    137 A. 171
    , 172 (Pa. 1927).
    "The size of a punitive damages award must be reasonably related to the State's interest in
    punishing and deterring the particular behavior of the defendant and not the product of
    arbitrariness or unfettered discretion." Shiner v. Moriarty, 
    706 A.2d 1228
    , 1241 (Pa. Super.
    1998); ·
    In State Fann Mut. Auto. Ins. Co. v. Campbell. 
    538 U.S. 408
    . (2003), the UnitedStates
    Supreme Court held that a punitive damages award of $145 million, where full compensatory
    damages are $1 million, was excessive and violated the Due Process Clause of the Fourteenth
    Amendment.
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    Campbell noted that "punitive damages serve a broader function [than compensatory
    damages]; they are aimed at deterrence and retribution." 
    Id. at 416.
    "To the extent an award is
    grossly excessive, it furthers no legitimate purpose and constitutes an arbitrary deprivation of
    property." 
    Id. at 417.
    The Court in Campbell begins by stating that "the most important indicium
    of the reasonableness of a punitive damages award is the degree of reprehensibility of the
    defendant's conduct." 
    Id. at 419
    (quoting BMW ofN. America. Inc. v. Gore, 517 U.S. 5'59, 575
    (1996)). «It should be presumed a plaintiff has been made whole for his injuries by compensatory
    damages, so punitive damages should only be awarded if the defendant's culpability ... is so
    reprehensible as to warrant the imposition of further sanctions to achieve punishment or
    deterrence." 
    Id. (citing Gore,
    517 U.S. at 575). Next, when reviewing an award of punitive
    damages, Campbell instructs that a court should look to the "disparity between the actual or
    potential harm suffered by the plaintiff and the punitive damages award." 
    Id. at 418
    .. Campbell
    "declinejd] to impose a bright-line ratio which a punitive damages award cannot excess," but
    noted that awards exceeding a single-digit ratio may potentially violate due process. 
    Id. at 425.
    While "single digit multipliers are more likely to comport with due process," greater ratios "may
    comport with due process where 'a particularly egregious act has resulted in only a small amount
    of economic damages." 
    Id. Lastly, Campbell
    instructs courts to examine "the disparity between
    the punitive damages award and the 'civil penalties authorized or imposed in comparable
    cases.:"
    Considering the factors set forth in Campbell, the award of $10,000 for conduct of
    driving while intoxicated, which the jury found to be outrageous and with a reckless indifference
    to the interests of others, does not shock the conscience of the court even in relation to the
    amount of compensatory damages it awarded to Mrs. Hamm. The ratio here between the punitive
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    and compensatory damages of I 0:.1 is just beyond the single-digit range- favored in. Campbell, 
    id. at 425.
    That is not an unconscionable result.
    Finally, as the issue was raised by Defendant, although wealth has been considered as a
    factor in determining an appropriate amount of punitive damages in cases tn Pennsylvania, see
    Kirkbride v. Lisbon Contractors. Inc., 
    555 A.2d 800
    , 803 (Pa. 1989) (citing Section 908(2) of the
    Restatement (Second) of Torts), evidence of wealth is not a prerequisite as to whether punitive
    damages may be imposed. Vance v. 46 and 2, Inc., 920A.2d 202, 206-207 (Pa. Cm.with. 2007).
    In any event, Defendant testified he was employed at the time of the accident and at the time of
    trial. The punitive damages award of$10,000.00 imposed by the jury is reasonable, serves as
    both a punishment and deterrent, and will not be disturbed. by the court.
    /)f'-,,;'i~.il#l'.r'                                ~-J-.                             - ....
    12