Sullivan Nicolaides Pty Ltd v Papa

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SUPREME COURT OF QUEENSLAND

CITATION:

Papa v Sullivan Nicolaides Pty Ltd [2010] QSC 364

PARTIES:

ANTOINETTE PAPA
(plaintiff)

v

SULLIVAN NICOLAIDES PTY LTD
ACN 078 202 196
(defendant)

FILE NO/S:

BS 1588 of 2005

DIVISION:

Trial Division

PROCEEDING:

Trial

ORIGINATING COURT:

Supreme Court of Queensland

DELIVERED ON:

24 September 2010

DELIVERED AT:

Brisbane

HEARING DATE:

20 April 2009 – 24 April 2009;
Further submissions received 30 April 2010

JUDGE:

Daubney J

ORDER:

1.       There will be judgment for the plaintiff against the defendant in the sum of $2,201,982.00.

2.       I will hear the parties as to costs. 

CATCHWORDS:

PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – MEDICAL PRACTITIONERS – LIABILITY IN TORT – DUTY TO WARN OF RISKS – where the plaintiff patient had a mechanical heart valve – where as a consequence of this the plaintiff had to take anti-coagulant medication, Warfarin, for the rest of her life – where the levels of Warfarin in the blood needed to be monitored to ensure they remained within an appropriate range – where there were serious risks of blood clots and stroke when the levels of Warfarin dropped below the target range – where there were serious risks of bleeding when the levels of Warfarin were above the target range – where the defendant firm of specialist medical pathologists monitored the plaintiff  - where the plaintiff had five blood tests within 12 days showing her Warfarin level was below the target range – where the defendant advised the plaintiff and her general practitioner that they would no longer be monitoring her Warfarin levels – where the defendant did not tell the plaintiff, her general practitioner or her cardiologist that her Warfarin levels were below the target range – where the plaintiff suffered a stroke – whether the defendant breached its duty of care to the plaintiff 

CSR Limited v Eddy (2005) 226 CLR 1, cited
Nicholson v Nicholson (No 2) (1994) 35 NSWLR 308, cited
Manning v State of New South Wales [2005] NSWSC 958, cited
Rogers v Whitaker (1992) 175 CLR 479, applied
Rosenberg v Percival (2001) 205 CLR 434, applied
Tabet v Gett [2010] HCA 12, cited

Vairy v Wyong Shire Council (2005) 223 CLR 422, applied
Wynn v NSW Insurance Ministerial Corporation (1995) 184 CLR 485, cited

COUNSEL:

ME Eliadis with J McClymont for the plaintiff

SC Williams QC with KA Barlow for the defendant

SOLICITORS:

Shine Lawyers for the plaintiff

Clayton Utz Lawyers for the defendant

  1. The plaintiff, who was born on 28 May 1956, suffered from mitral incompetence, i.e. a leaking valve between the left atrium and left ventricle in her heart.  On


    11 July 2001, she underwent surgery for this condition by a procedure known as a mitral valve replacement, in which an artificial mechanical valve was inserted in her heart.

  1. A consequence of the insertion of this mechanical valve was that it became necessary for the plaintiff to take anti-coagulant medication for the rest of her…

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Details
Case
[2010] QSC 364
Decision Date

CaseChat Overview and Summary

Sullivan Nicolaides Pty Ltd, a firm of specialist medical pathologists, was sued by the plaintiff, a patient, for failing to warn her of risks associated with her medication. The case was heard in the Supreme Court of Queensland. The plaintiff had a mechanical heart valve and therefore had to take Warfarin, an anti-coagulant medication, for the rest of her life. The levels of Warfarin in the blood needed to be monitored to ensure they remained within an appropriate range. There were serious risks of blood clots and stroke when the levels of Warfarin dropped below the target range and serious risks of bleeding when the levels of Warfarin were above the target range. The defendant monitored the plaintiff’s Warfarin levels. Five blood tests within 12 days showed that the plaintiff’s Warfarin level was below the target range. The defendant advised the plaintiff and her general practitioner that they would no longer be monitoring her Warfarin levels. However, the defendant did not tell the plaintiff, her general practitioner or her cardiologist that her Warfarin levels were below the target range. The plaintiff suffered a stroke. The plaintiff argued that the defendant breached its duty of care to her by failing to warn her that her Warfarin levels were below the target range.

The court found that the defendant did breach its duty of care to the plaintiff. The court found that the defendant had a duty of care to warn the plaintiff that her Warfarin levels were below the target range because it was reasonably foreseeable that the plaintiff would suffer harm if she was not warned. The court found that the defendant breached this duty of care by failing to warn the plaintiff, her general practitioner and her cardiologist that her Warfarin levels were below the target range. The court found that the defendant’s breach of duty of care caused the plaintiff’s stroke. The court awarded the plaintiff $2,201,982.00 in damages. The court will hear the parties as to costs.

Orders

Orders of the court

1. There will be judgment for the plaintiff against the defendant in the sum of $2,201,982.00.

2. I will hear the parties as to costs.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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