SPOUSES FREDELICTO FLORES and FELICISIMA FLORES V SPOUSES DOMINADOR PINEDA

G.R. No. 158996             November 14, 2008

FACTS
Teresita Pineda, 51 and unmarried from Nueva Ecija consulted her townmate, Dr. Fredelicto Flores, regarding her medical condition. She complained of general body weakness, loss of appetite, frequent urination and thirst, and on-and-off vaginal bleeding. Dr. Fredelicto initially interviewed the patient and advised her to return the following week or to go to the United Doctors Medical Center (UDMC) in Quezon City for a general check-up. He suspected that Teresita might be suffering from diabetes and told her to continue her medications. Teresita did not return the next week as advised. However, when her condition persisted, she went to further consult Dr. Flores at his UDMC clinic. Upon arrival, she felt weak that she had to lie down on the couch of the clinic while they waited for the doctor. When Dr. Fredelicto arrived, he did a routine check-up and ordered Teresita's admission to the hospital directing the staff to prepare the patient for an "on call" D&C operation to be performed by his wife, Dr. Felicisima Flores. The hospital staff took her blood and urine samples for the laboratory tests which Dr. Fredelicto ordered.

That same day, Teresita was taken to the operating room. She met Dr. Felicisima, an obstetrician and gynecologist, and Dr. Fredelicto. Dr. Felicisima thereafter called up the laboratory for the results of the tests which at that time, the only the results are the blood sugar, uric acid determination, cholesterol determination, and complete blood coun.  Dr. Felicisima proceeded with the D&C operation with Dr. Fredelicto administering the general anesthesia. The D&C operation lasted for about 10 to 15 minutes. A day after the operation, Teresita was subjected to an ultrasound examination as a confirmatory procedure. The results showed that she had an enlarged uterus and myoma uteri. Dr. Felicisima, however, advised Teresita that she could spend her recovery period at home but since she still feels weak, she opted for hospital confinement. Teresita's complete laboratory examination results came only on that day. Her urinalysis indicated that the sugar in her urine was very high. She was then placed under the care of Dr. Amado Jorge, an internist. Teresita's condition had worsened and was rushed to the intensive care unit. Further tests confirmed that she was suffering from Diabetes Mellitus Type II. Insulin was administered on her but due to complications induced by diabetes, Teresita died.

Believing that Teresita's death resulted from the negligent handling of her medical needs, her family instituted an action for damages against Dr. Fredelicto Flores and Dr. Felicisima Flores before the RTC.

ISSUE
Whether or not there is medical negligence on the part of the petitioner spouses.

RULING
A medical negligence case is a type of claim to redress a wrong committed by a medical professional, that has caused bodily harm to or the death of a patient. There are four elements involved in a medical negligence case, namely: duty, breach, injury, and proximate causation.  To successfully pursue a claim, the plaintiff must prove by preponderance of evidence that, one, the physician either failed to do something which a reasonably prudent health care provider would have done, or that he did something that a reasonably prudent provider would not have done; and two, the failure or action caused injury to the patient. Expert testimony is therefore essential since the factual issue of whether a physician or surgeon has exercised the requisite degree of skill and care in the treatment of his patient is generally a matter of expert opinion.

The petitioner spouses' contentions, in our view, miss several points:
First, Teresita was already suspected to be suffering from diabetes. This suspicion again arose right before the D&C operation when the laboratory result revealed Teresita's increased blood sugar level. The petitioner spouses did not wait for the full medical laboratory results before proceeding with the D&C.
Second, the petitioner spouses were duly advised that the patient was experiencing general body weakness, loss of appetite, frequent urination, and thirst - all of which are classic symptoms of diabetes. These symptoms should, at the very least, alert the physician of the possibility that the patient may be afflicted with the suspected disease
Third, the petitioner spouses cannot claim that their principal concern was the vaginal bleeding and should not therefore be held accountable for complications coming from other sources. This is a very narrow and self-serving view that even reflects on their competence.
Taken together, we find that reasonable prudence would have shown that diabetes and its complications were foreseeable harm that should have been taken into consideration by the petitioner spouses. If a patient suffers from some disability that increases the magnitude of risk to him, that disability must be taken into account so long as it is or should have been known to the physician. And when the patient is exposed to an increased risk, it is incumbent upon the physician to take commensurate and adequate precautions. Although Teresita experienced vaginal bleeding, it was not sufficiently profuse to necessitate an immediate emergency D&C operation.
That the D&C operation was conducted principally to diagnose the cause of the vaginal bleeding further leads us to conclude that it was merely an elective procedure, not an emergency case. In an elective procedure, the physician must conduct a thorough pre-operative evaluation of the patient in order to adequately prepare her for the operation and minimize possible risks and complications.  Significantly, the evidence strongly suggests that the pre-operative evaluation was less than complete as the laboratory results were fully reported only on the day following the D&C operation. Dr. Felicisima only secured a telephone report which did not include the 3+ status of sugar in the patient's urine - a result highly confirmatory of diabetes.

The prudent move is to address the patient's hyperglycemic state immediately and promptly before any other procedure is undertaken. In this case, there was no evidence that the patient’s state was immediately addressed. The petitioner spouses, therefore, failed, as medical professionals, to comply with their duty to observe the standard of care to be given to hyperglycemic/diabetic patients undergoing surgery.

This breach of duty was the proximate cause of Teresita's death. The critical and clinching factor in a medical negligence case is proof of the causal connection between the negligence which the evidence established and the plaintiff's injuries. Medical literature explains that if the blood sugar has become very high, the patient becomes comatose (diabetic coma) which apparently what happened in Teresita's case. Laboratory test showed that her blood sugar level shot up way above the normal blood sugar range. Thus, between the D&C and death was the diabetic complication that could have been prevented with the observance of standard medical precautions. The D&C operation and Teresita's death due to aggravated diabetic condition is therefore sufficiently established.

However, we clarify that Dr. Fredelicto's negligence is not solely the act of ordering an "on call" D&C operation when he was mainly an anaesthesiologist who had made a very cursory examination of the patient's vaginal bleeding complaint. Rather, it was his failure from the very start to identify and confirm, despite the patient's complaints and his own suspicions, that diabetes was a risk factor that should be guarded against, and his participation in the imprudent decision to proceed with the D&C operation despite his early suspicion and the confirmatory early laboratory results. 
If Dr. Fredelicto believed himself to be incompetent to treat the diabetes, not being an internist or a diabetologist, he should have likewise refrained from making a decision to proceed with the D&C operation since he was neither an obstetrician nor a gynecologist.
These findings lead us to the conclusion that the decision to proceed with the D&C operation, notwithstanding Teresita's hyperglycemia and without adequately preparing her for the procedure, was contrary to the standards observed by the medical profession. Deviation from this standard amounted to a breach of duty which resulted in the patient's death. Due to this negligent conduct, liability must attach to the petitioner spouses.


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