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Sunday, November 13, 2011

Evidence—Physician-Patient Privilege—Imputation of Knowledge of Corporate Agent



Phoenix Children’s Hospital, Inc. v. Grant, 620 Ariz. Adv. Rep. 26 (App. Div. I, November 1, 2011) (J. Irvine)
DUQUETTE BAR ON COMMUNICATIONS BETWEEN MED MAL DEFENSE COUNSEL AND TREATING DOCTOR DOES NOT APPLY TO DEFENDANT HOSPITAL AND ITS EMPLOYEES

Plaintiffs’ sued defendant hospital and its employees alleging the negligent placement of a feeding tube into their minor daughter’s trachea instead of her stomach caused food to go into her lung and resulted in permanent and catastrophic injury.  Following the incident, plaintiffs’ daughter continued to be treated by the hospital and its staff even up to the time of this appeal.  The trial court granted plaintiffs’ motion to preclude the defendant or its counsel from ex parte communications with employees of the hospital involved in plaintiffs’ daughter’s care excepting the employees being sued.  See Duquette v. Superior Court, 161 Ariz. 269, 778 P. 2d 634 (App. 1989).  The Arizona Court of Appeals accepted defendants’ Petition for Special Action and reversed.

ARS sec. 12-2235 prohibits a physician from communicating to anyone other than her patient regarding medical care of that patient without that patient’s consent.  The purpose of the privilege is to assure “full and frank disclosure of medical history and symptoms by a patient to his doctor.”   However, when a patient puts her medical condition at issue, as when she files a medical malpractice action, there is an implied waiver of the privilege.  While the holding in Duquette prohibits ex parte communications between a treating doctor and a med mal defense attorney despite the implied waiver,  it has no application here. 

“The knowledge of a corporate agent is imputed to the corporation if it is acquired by the agent within the scope of his or her employment and related to a matter within his or her authority . . . . this rule is based upon a conclusive presumption that the agent will communicate to the corporation whatever knowledge or notice he receives in relation to his agency which is necessary for the protection of the interests of the corporation.”  Thus the right of the defendant and its attorney to communicate ex parte with its employees exists because of the employment relationship and does not depend upon the implied waiver of the privilege.

In dicta the court indicated that there could very well be situations where the Duquette rule would apply to employees of a defendant hospital, such as where the employees are involved in treatment of a medical condition totally unrelated medical condition at issue in the lawsuit.  That, however was not the case here.