Kimberly and Todd Thibodeaux, Individually and on Behalf of Their Minor Child, Gabrielle Thibodeaux v. James F. Donnell, M.D. , 219 So. 3d 274 ( 2017 )


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  •                                Supreme Court of Louisiana
    FOR IMMEDIATE NEWS RELEASE                                          NEWS RELEASE #004
    FROM: CLERK OF SUPREME COURT OF LOUISIANA
    The Opinions handed down on the 20th day of January, 2017, are as follows:
    BY CRICHTON, J.:
    2016-C -0570       KIMBERLY AND TODD THIBODEAUX, INDIVIDUALLY     AND ON BEHALF OF
    THEIR MINOR CHILD, GABRIELLE THIBODEAUX v.     JAMES F. DONNELL,
    M.D. (Parish of Terrebonne)
    Knoll, J, retired, participated in this decision which was argued
    prior to her retirement.
    For the reasons set forth below, we reverse the judgment of the
    court of appeal and remand for the court of appeal to reconsider
    its awards under the principles set forth in Mart. REVERSED AND
    REMANDED.
    WEIMER, J., dissents in part and concurs in part and assigns
    reasons.
    JOHNSON, C.J., concurs in part and dissents in part and
    assigns reasons.
    GUIDRY, J., concurs and assigns reasons.
    01/20/17
    SUPREME COURT OF LOUISIANA
    NO. 2016-C-0570
    KIMBERLY AND TODD THIBODEAUX, INDIVIDUALLY AND ON
    BEHALF OF THEIR MINOR CHILD, GABRIELLE THIBODEAUX
    VERSUS
    JAMES F. DONNELL, M.D.
    ON WRIT OF CERTIORARI TO THE COURT OF APPEAL,
    FIRST CIRCUIT, PARISH OF TERREBONNE
    CRICHTON, J. 1
    We granted the writ in this medical malpractice case to determine whether
    the court of appeal properly assessed damages under the principles set forth in
    Coco v. Winston Industries Inc., 
    341 So. 2d 332
     (La. 1976). We find that, because
    the court of appeal found manifest error in the jury’s factual findings, the court
    should have instead performed a de novo review of damages under the principles
    outlined in Mart v. Hill, 
    505 So. 2d 1120
     (La. 1987). For the reasons set forth
    below, we reverse the judgment of the court of appeal and remand to the court of
    appeal for it to reconsider its decision under the principles set forth in Mart.
    BACKGROUND
    In 2003, plaintiff Kimberly Thibodeaux (then 37 years old), married to Todd
    Thibodeaux, became pregnant with her fourth child. Dr. James Donnell was her
    obstetrician-gynecologist throughout her pregnancy. During the course of the
    pregnancy, Mrs. Thibodeaux was diagnosed with complete placenta previa and, in
    1
    Knoll, J., retired, participated in this decision which was argued prior to her retirement.
    1
    mid-November, at approximately 29 weeks pregnant, she was hospitalized for four
    days at Terrebonne General Medical Center (“TGMC”) in Houma, for vaginal
    bleeding secondary to placenta previa. On November 18, upon Dr. Donnell’s
    referral, she consulted a maternal/fetal medicine specialist who handled high risk
    pregnancies; the specialist recommended rest, limited activity, and delivery of Mrs.
    Thibodeaux’s child at 36-37 weeks gestation. The next day, November 19, Mrs.
    Thibodeaux returned to TGMC with renewed vaginal bleeding and contractions.
    Dr. Donnell delivered Gabrielle Thibodeaux via cesarean section on November 20.
    After the baby’s delivery, Dr. Donnell was unable to remove the placenta
    from Mrs. Thibodeaux’s lower uterine segment and encountered vigorous
    bleeding. As a result, Dr. Donnell performed an emergency cesarean hysterectomy,
    which entailed removal of plaintiff’s uterus and cervix. After completing the
    hysterectomy, and while preparing to close the Mrs. Thibodeaux’s abdomen, Dr.
    Donnell discovered a large laceration to her bladder.2 At that point, Dr. Donnell
    considered a urologic consultation due to the size of the laceration, but he
    ultimately repaired it himself. Dr. Donnell testified that he made this decision
    because Mrs. Thibodeaux had “lost a lot of blood” and he wanted to close her
    abdominal wall to avoid additional blood loss.
    After completing the surgery, Dr. Donnell ordered a post-operative test to
    determine if the bladder repair was successful. The test revealed that the bladder
    sutures were obstructing Mrs. Thibodeaux’s ureters, the tubes that drain urine from
    the kidney into the bladder. This obstruction was then confirmed by a cystoscopy
    performed by a urologist, Dr. Robert Alexander, consulted by Dr. Donnell. The
    same day as the birth and cesarean hysterectomy, Dr. Alexander reopened Mrs.
    Thibodeaux’s abdomen, removed the bladder sutures to free the ureters, and re-
    2
    As also noted by the court of appeal, the record does not clearly establish what caused the
    bladder laceration. For purposes of clarity, the allegation of breach is not that Dr. Donnell
    created the laceration, but instead that he failed to properly repair it.
    2
    repaired the bladder laceration. Dr. Alexander also inserted a catheter in plaintiff’s
    bladder and stents into her ureters to facilitate urine drainage from the kidneys to
    the bladder. Mrs. Thibodeaux remained hospitalized for five days.
    Mrs. Thibodeaux followed up with Dr. Alexander several weeks later, and
    underwent separate procedures to remove the catheter and stents. Dr. Alexander
    testified that, at that point, her urologic system was flowing properly; the bladder
    was not leaking, and the ureters were functioning correctly. Mrs. Thibodeaux
    followed up again with Dr. Alexander in late April 2004, at which time he
    unsuccessfully attempted to distend her bladder. He determined her bladder had a
    capacity of 300-350 cubic centimeters (ccs), less than the average bladder capacity
    of 400-500 ccs for a person of her size.
    Although her bladder healed, Mrs. Thibodeaux continued to see Dr.
    Alexander for three years with irritative bladder symptoms, including urinary
    frequency every 30-60 minutes, urgency, urine leakage, painful urination, painful
    sexual intercourse, urination during sexual intercourse, excessive nighttime
    urination, and abdominal pain. Dr. Alexander diagnosed her with interstitial
    cystitis, also known as painful bladder syndrome, and prescribed medications, none
    of which relieved plaintiff’s symptoms. Mrs. Thibodeaux last saw Dr. Alexander in
    September 2007, when he again unsuccessfully attempted to distend her bladder.
    At that point, he determined her bladder had a capacity of only 250 ccs. According
    to Dr. Alexander, Mrs. Thibodeaux’s diminished bladder capacity is permanent.
    Mr. and Mrs. Thibodeaux filed a request for medical review in November
    2004, but the medical review panel expired before an opinion was issued. In
    October 2006, the Thibodeauxs filed this medical malpractice suit against Dr.
    Donnell, individually, and on behalf of their child, Gabrielle. The trial court
    dismissed the suit as prescribed, but the court of appeal reversed, finding that the
    suit was timely filed. Thibodeaux v. Donnell, 07-1845 (La. App. 1 Cir. 9/12/08),
    3
    
    994 So. 2d 612
    . This Court affirmed, holding that the case was not prescribed and
    could go forward. 08-2436 (La. 5/5/09), 
    9 So. 3d 120
    .
    The matter proceeded to a four-day jury trial in May 2014, which concluded
    with a verdict in favor of the Thibodeauxs. As the court of appeal noted, the expert
    witnesses disagreed as to whether Mrs. Thibodeaux’s symptoms were caused by
    the failed bladder repair or by interstitial cystitis unrelated to the failed bladder
    repair. Dr. Alexander testified that he had not treated Mrs. Thibodeaux before
    November 2003, but that there was no evidence she had a history of these
    symptoms before that time. He also testified, however, that interstitial cystitis has
    no known cause and that it can occur in the absence of surgery or trauma to the
    bladder. On the other hand, the Thibodeauxs’ expert, Dr. Fred Duboe, testified that
    Dr. Donnell’s failed bladder repair contributed to Mrs. Thibodeaux’s reduced
    bladder capacity and, consequently, her urinary frequency and urgency. Dr. Duboe
    admitted, however, that the interstitial cystitis symptoms were “not as clear.”
    After considering the evidence and testimony, the jury found that Dr.
    Donnell breached the applicable standard of care in the treatment of Mrs.
    Thibodeaux and that she was injured as a result of Dr. Donnell’s breach of the
    standard of care. With respect to damages, the jury award was as follows:
    Kimberly Thibodeaux
    Physical pain and suffering (past, present, future): $0
    Mental pain and suffering (past, present, future): $0
    Permanent Disability: $0
    Loss of enjoyment of life: $0
    Medical expenses: $60,000
    Todd Thibodeaux
    Loss of consortium: $0
    Gabrielle Thibodeaux
    Loss of consortium: $0
    Total Damages: $60,000
    4
    The trial court signed a judgment conforming to the jury verdict. Both parties filed
    motions for judgments notwithstanding the verdict, which were denied.
    Plaintiffs appealed, contending that the jury abused its discretion by
    awarding special damages but failing to award general damages. Dr. Donnell did
    not appeal the verdict. The court of appeal reversed in part, first holding that there
    was a “reasonable factual basis in the record” to support the jury’s finding of
    causation, specifically that (i) Dr. Donnell’s failed bladder repair caused injury to
    Mrs. Thibodeaux, but (ii) all of Mrs. Thibodeaux’s mental or physical pain and
    suffering, discomfort, inconvenience, and/or emotional trauma were not causally
    related to Dr. Donnell’s malpractice. 15-0503, p.6-7 (La. App. 1 Cir. 2/24/16), 
    189 So. 3d 469
    , 475. The court of appeal then held that, because the jury found plaintiff
    suffered “some injuries” causally related to the failed bladder repair, the jury
    abused its discretion in failing to award plaintiff “some amount of general
    damages.” 
    Id.,
     15-0503 p.7, 
    189 So. 3d at 475
    . The court then posed the inquiry:
    “The issue becomes, then, to what extent were Mrs. Thibodeaux’s injuries causally
    related to Dr. Donnell’s failed bladder repair. . .” 
    Id.
    Following this Court’s decision in Coco v. Winston Industries, Inc., 
    341 So. 2d 332
     (La. 1977), the court of appeal noted it must determine the “lowest amount
    of general damages associated with those injuries reasonably within the jury’s
    discretion.” 
    Id.
     After a review of the evidence and after analyzing the range of
    general damages awards for similar injuries, the court of appeal found that $50,000
    was the lowest amount reasonably within the jury’s discretion and consistent with
    the special damages award. 
    Id.,
     15-0503 p.11-12, 
    189 So. 3d at 478-79
    . The court
    of appeal also held that the jury manifestly erred in finding that Dr. Donnell’s
    malpractice did not cause loss of consortium damages to Mr. Thibodeaux and
    Gabrielle. The court concluded that the evidence established that both Mr.
    Thibodeaux and Gabrielle suffered from Mrs. Thibodeaux’s inability to
    5
    accompany them in recreational activities they previously enjoyed and the
    Thibodeaux’s sex life had been impacted “both quantitatively and qualitatively.”
    
    Id.,
     15-0503 p.13, 
    189 So. 3d at 479-80
    . Based on the evidence—but “mindful that
    Dr. Donnell’s failed bladder repair only caused some of their damages”—the court
    of appeal found the appropriate loss of consortium awards to be $15,000 for Mr.
    Thibodeaux and $5,000 for Gabrielle, the “lowest amount reasonably within the
    jury’s discretion.” 
    Id.,
     15-0503 p.14, 
    189 So. 3d at 480
    .
    Plaintiffs filed a writ of certiorari in this Court, which was granted. 16-0570
    (La. 6/3/16), 
    192 So. 3d 756
    .
    DISCUSSION
    As noted above, we granted the writ in this matter to determine whether the
    court of appeal properly adjusted damages under the principles set forth in Coco v.
    Winston Industries Inc., 
    341 So. 2d 332
     (La. 1976). In Coco, the plaintiff filed suit
    against his employer, seeking damages arising from the loss of several fingers that
    occurred while operating a saw. The jury returned a verdict in favor of the plaintiff
    for $350,000, and the court of appeal, on rehearing, reduced the damage award to
    $140,000. 
    Id. at 333-34
    . This Court reinstated the jury’s damage award, and
    articulated the applicable standard of review for an appellate court seeking to
    disturb a damage award:
    [B]efore a Court of Appeal can disturb an award made by a trial court
    that the record must clearly reveal that the trier of fact abused its
    discretion in making its award. Only after making the finding that the
    record supports that the lower court abused its much discretion can the
    appellate court disturb the award, and then only to the extent of
    lowering it (or raising it) to the highest (or lowest) point which is
    reasonably within the discretion afforded that court. It is never
    appropriate for a Court of Appeal, having found that the trial court has
    abused its discretion, simply to decide what it considers an
    appropriate award on the basis of the evidence.
    
    Id. at 335
     (emphasis added). The Coco Court held that the jury in that case “did not
    abuse its much discretion” in assessing $350,000 in damages.
    6
    There are several rationales for what has become known as the Coco Rule.3
    The first rationale is that the “trier of fact has more direct contact with the parties,
    the witnesses, and the evidence and thus can better evaluate the true extent of
    plaintiff’s injury, whereas the court of appeal bases its decision solely on the
    written record, briefs, and oral argument.” Clement v. Frey, 95-C-1119, 95-C-
    1163, p.5-6 (La. 1/16/96), 
    666 So. 2d 607
    , 610. This fundamental principle has
    roots in our Civil Code. See La. C.C. art. 2324.1 (“In the assessment of damages in
    cases of offenses, quasi offenses, and quasi contracts, much discretion must be left
    to the judge or jury.”). As this Court has stated, “[s]ince an award of damages for
    personal injuries is of necessity somewhat arbitrary and also must vary greatly with
    the facts and circumstances of each case, the trial court is entrusted with large
    discretion making such awards, which discretion should not be disturbed on
    appellate review.” 
    Id.
     (quoting Gaspard v. LeMaire, 
    158 So. 2d 149
    , 160 (La.
    1963)). Two other, related, considerations influence the Coco Rule. First, “the trial
    court is in the best position to weigh the claimant’s testimony.” 
    Id.
     And second,
    “repeated substitution by an appellate court of its own opinion as to quantum for
    that of the trial court, when combined with other appellate practices inherent in the
    Louisiana system of appellate review of law and fact, may have a demoralizing
    effect upon a trial judge in his assessment of his role in the judicial process.” 
    Id.
    (citing Frank L. Maraist, Procedure, 
    38 La. L. Rev. 503
    , 511 (1978)).
    As we made clear several years after Coco, in Mart v. Hill, 
    505 So. 2d 1120
    (La. 1987), the Coco Rule does not apply to every appellate review of a damages
    award. Mart, which involved an automobile accident, was tried before a
    commissioner, who found the plaintiff was 50% at fault. The commissioner
    awarded no damages for the consequences of the accident beyond a certain date,
    3
    In their brief to the Court, plaintiffs requested that the Court overrule Coco. We expressly
    decline to do so here and reiterate its ongoing vitality in the law.
    7
    finding that the plaintiff did not prove that his surgeries and disabilities beyond that
    date were causally related to the accident. The commissioner recommended a total
    damage award of $18,760.00, which was subject to the 50% reduction. 
    Id.
     at 1121-
    22. The court of appeal affirmed, but this Court reversed, finding that the lower
    courts were “clearly wrong” and that the plaintiff’s disability was “causally
    related” to the accident. 
    Id. at 1127-28
    . We expressly found the Coco analysis
    inapplicable and instead applied what was termed a “res nova”4—or de novo—
    determination of damages:
    The Coco principle of appellate review applies when an appellant
    questions the adequacy of a monetary award in a case which is
    otherwise uncomplicated by factual errors relating to the cause or
    duration of the plaintiff’s disability. . . . Simply stated, Coco applies
    when an appellate court is asked to correct a fact finder’s abuse of
    discretion in assessing the appropriate monetary award for a given
    injury. The principles are not applicable when a [de novo] review of
    quantum must be made to compensate a plaintiff for damages which
    the trial court did not believe were causally related to the accident.
    
    Id. at 1128
     (emphasis added). In other words, Coco’s highest/lowest principle does
    not apply when a reviewing court disturbs a jury’s factual finding related to
    causation. See Frank L. Maraist, 1 La. Civ. L. Treatise, Civ. Pro. § 14:14 (2d ed.)
    (Nov. 2015) (“The ‘much discretion’ rule does not apply if there was error in the
    trial court which interdicted the damage-determining process.”) (emphasis
    added) (citing Mart).
    Instead, as articulated in Mart, the proper standard where an appellate court
    disturbs the trier of fact’s causation finding is the manifest error/clearly wrong
    standard, under which the appellate court: (i) must find from the record that there is
    no reasonable factual basis for the trial court’s finding, and (ii) must further
    determine that the record establishes that the finding is clearly wrong (manifestly
    erroneous). 
    505 So. 2d at 1127
    . After the reviewing court finds manifest error in a
    4
    In Mart, Justice Calogero used the term “res nova” rather than “de novo.” Here, however, we
    will use the term “de novo,” because it is more commonly used in Louisiana. See Black’s Law
    Dictionary (10th ed. 2014), de novo (“Anew”); 
    Id.,
     res nova (“1. An undecided question of law.
    2. A case of first impression.”).
    8
    trier of fact’s finding, the court performs a de novo damages review unbound by
    the limitations of Coco. 5
    Considering these rationales, in Wainwright v. Fontenot, 00-0492 (La.
    10/17/00), 
    774 So. 2d 70
    , the Court expounded on the principles of Coco. In
    Wainwright—as in the case before us—the jury returned a verdict awarding
    medical expenses, but declining to award general damages. The court of appeal
    increased the medical expense award and awarded general damages to the plaintiff.
    This Court reversed, reinstating the jury’s medical expense award and finding that
    the jury did not abuse its discretion in declining to award general damages. The
    Court held that there is “no bright line rule at work” to define when a trier of fact’s
    damages award is an abuse of discretion. 
    Id.,
     00-0492 p.9, 774 So. 2d at 75-76.
    That is the case even where the jury awards special damages and no general
    damages. Id. (“[I]t would be inconsistent with the great deference afforded the
    factfinder by this court and our jurisprudence to state that, as a matter of law, such
    a verdict must always be erroneous.”). The Wainwright Court cautioned, however,
    that where a jury has awarded special damages but declined to award general
    damages, “as a general proposition,” the verdict may “often” be so inconsistent as
    to constitute an abuse of discretion. Id. 6
    We now turn to the court of appeal’s opinion in this case to determine the
    proper standard of review for an assessment of damages under these
    circumstances: abuse of discretion or manifest error.
    5
    This distinction between Coco and Mart was reiterated in Ryan v. Zurich American Insurance
    Co., 07-2312 (La. 7/1/08), 
    988 So. 2d 214
    . In Ryan, liability was stipulated by the defendants
    before trial—i.e., causation was not at issue. Because Ryan was not complicated by causation
    issues, the principles annunciated in Coco applied to the damages review. 07-2312, p.7-8, 
    988 So. 2d at 219
    . The Court distinguished Mart, noting that Ryan, unlike Mart, was not a case
    “where a determination of the amount of damages to be awarded for that item was foreclosed by
    a prior determination of lack of fault or causation.” Id., 07-2312, p.6, 
    988 So. 2d at 218
    .
    6
    In 2004, this Court considered the case Green v. K-Mart Corp., 03-2495 (La. 5/25/04), 
    874 So. 2d 838
    . In Green the court of appeal found no error in the jury’s finding that the accident caused
    the plaintiff’s injuries—i.e., causation was not at issue—and this Court affirmed that finding and
    proceeded to use the abuse of discretion standard to alter the damages award. For the reasons set
    forth herein, Green is therefore inapplicable to the present case.
    9
    Causation and General Damages Findings Related to Mrs. Thibodeaux
    In setting forth the jury’s finding of fact regarding Mrs. Thibodeaux’s
    injuries, the jury verdict form read as follows:
    INTERROGATORY NO. 1: Do you find by a preponderance of the
    evidence that Dr. James Donnell breached the applicable standard of
    care in the treatment of Kimberly Thibodeaux?
    Yes X               No ____
    INTERROGATORY NO. 2: Do you find by a preponderance of the
    evidence that Kimberly Thibodeaux was injured as a result of a breach
    of the applicable standard of care by the defendant?
    Yes X               No ____
    The only remaining finding from the jury related to Mrs. Thibodeaux was the
    damages allocation; there was no additional finding related to causation. The court
    of appeal initially stated that it found a “reasonable factual basis in the record” to
    support the jury’s causation findings and applied the abuse of discretion standard
    and Coco to its review of damages. However, after a review of the court of
    appeal’s reasoning, we now hold that the court of appeal disturbed those findings
    in several significant ways.
    First, the court of appeal states that the jury’s award of “only $60,000 in
    medical expenses suggests that the jury did not believe that all of Mrs.
    Thibodeaux’s mental or physical pain and suffering, [etc.] were causally related to
    Dr. Donnell’s medical malpractice.” 15-0503, p.6-7, 
    189 So. 3d at 475
     (emphasis
    added). But the words “suggests” and “all” indicate that the court of appeal is
    reading information into the verdict form that simply is not present. Second, the
    court of appeal held that, because the jury found Mrs. Thibodeaux suffered “some
    injuries” causally related to the failed bladder repair, the jury abused its discretion
    in failing to award plaintiff “some amount of general damages.” 
    Id.
     (emphasis in
    original). But again, the verdict form does not make this clear. Instead, after
    finding the breach of the standard of care in the answer to the first question, the
    10
    jury seems to have assessed causation—without making any express allocation of
    the extent of causation—to Dr. Donnell. Third, and relatedly, the court of appeal
    endeavored to determine the “extent” to which Mrs. Thibodeaux’s damages were
    “causally related” to the failed bladder repair, even though “extent” was not a
    finding made by the jury at all. 
    Id.
     (“The issue becomes, then, to what extent were
    Mrs. Thibodeaux’s injuries causally related to Dr. Donnell’s failed bladder
    repair.”).
    Our review of the court of appeal’s analysis leads to the conclusion that, by
    reading information regarding the scope or extent of causation into the verdict
    form, the court of appeal altered the jury’s causation finding where the jury was
    silent.7 Accordingly, despite stating it found a reasonable factual basis for the
    jury’s determination, the court of appeal actually found the jury’s factual
    determination to lack a reasonable factual basis and to be clearly wrong. Mart, 
    505 So. 2d at 1127
    . Though the court of appeal couched its review as abuse of
    discretion, the court of appeal’s actions in disturbing and adjusting the jury’s
    findings make clear that the court of appeal actually found manifest error—or, in
    Professor Maraist’s articulation, an error “which interdicted the damage-
    determining process.” 1 La. Civ. L. Treatise, Civ. Pro. § 14:14. 8 As explained
    above, after a reviewing court finds manifest error in a trier of fact’s finding, that
    court should perform a de novo damages review as articulated in Mart, unbound by
    the highest/lowest limitations of the Coco Rule. Mart, 
    505 So. 2d at 1128-29
    .
    7
    This error by the court of appeal is unsurprising, because the court of appeal was forced to
    interpret a verdict form that does not adequately address the complex factual issues presented in
    the case. We observe here that a verdict form with more information could have assisted the
    appellate court (and this Court) in interpreting the issues presented by this case. In any event, we
    recognize that this issue is not before us, as Dr. Donnell did not appeal the verdict, nor did he file
    a writ application here.
    8
    The dissent argues that the jury did in fact address the extent of the injury, because the jury
    awarded no general damages to Mrs. Thibodeaux. But this interpretation of the verdict form falls
    into the trap of extrapolating causation from the jury’s damages finding—exactly the mistake
    made by the court of appeal here.
    11
    The court of appeal therefore erred by limiting its award for Mrs.
    Thibodeaux to “the lowest amount reasonably within the jury’s discretion and
    consistent with the special damages award” pursuant to Coco. 15-0503, p.11, 
    189 So. 3d at 478
    .9 Because the court of appeal adjusted the jury’s causation finding,
    thereby interdicting the damage-determining process, the court of appeal should
    have reviewed damages de novo, as set forth in Mart, in order to compensate Mrs.
    Thibodeaux for “damages which the [jury] did not believe were causally related to
    the accident.” Mart, 
    505 So. 2d at 1128-29
    .
    Loss of Consortium Claim Findings
    With respect to the loss of consortium, service, and society damages claimed
    by Mr. Thibodeaux and the minor child, the court of appeal examined the jury
    verdict form, noting that, in its answers on the verdict form, the jury found that Dr.
    Donnell’s breach of the applicable standard of care did cause injury to Mrs.
    Thibodeaux, but that his breach did not cause a loss of consortium to Mr.
    Thibodeaux or the child. 15-0503, p.12-13, 
    189 So. 3d at 479
    . But after performing
    its own review of the medical and lay evidence in the case, the court of appeal
    reversed that finding, holding that the “jury manifestly erred in finding that Dr.
    Donnell’s failed bladder repair caused no damages” to the husband and child. 
    Id.
    (emphasis added). The court of appeal then determined the “appropriate award” for
    damages under these circumstances was $15,000 for Mr. Thibodeaux and $5,000
    for the minor child, by comparing the result to other cases and finding this amount
    to be “the lowest amount reasonably within the jury’s discretion.” Id., 15-0503,
    p.14, 
    189 So. 3d at 480
    .
    9
    The court of appeal also erred in stating that “[a] trier of fact abuses its discretion in failing to
    award general damages when it finds that a plaintiff has suffered injuries causally related to the
    accident that required medical attention.” 15-0503, p.6-7, 
    189 So. 3d at 475
    . As noted above—
    and as the court of appeal acknowledges yet then ignores—Wainwright expressly declined to
    draw such a bright line rule. Wainwright, 00-0492 p.9, 774 So. 2d at 75-76.
    12
    The court of appeal correctly recognized that manifest error review applied
    to the loss of consortium claims, because it adjusted the jury’s factual findings.
    Mart, 
    505 So. 2d at 1128
    . However, the court of appeal failed to recognize the
    implication of that holding. As explained above, after finding manifest error, the
    court of appeal should have performed a de novo review in accordance with Mart,
    unbound by the highest/lowest limitations of the Coco Rule. 
    Id. at 1128-29
    .
    CONCLUSION
    The Coco Rule applies when the reviewing court determines that the trier of
    fact abused its discretion when assessing damages. The Mart Rule, on the other
    hand, applies when the reviewing court determines that there was error in the
    jury’s factual findings and such error interdicted the damage-determining process.
    Here, despite saying that there was a reasonable factual basis for the findings, the
    court of appeal found error in the jury’s findings with respect to Mrs. Thibodeaux’s
    general damages. With respect to the loss of consortium claims, the court of appeal
    properly found manifest error, but then erroneously assessed damages using the
    Coco principle. In both of these scenarios, an entirely de novo review under Mart
    was required, rather than a limited damages review under Coco.
    DECREE
    Because the court of appeal adjusted the jury’s factual findings, such that it
    plainly found “error” in the jury verdict, the court should have performed a de novo
    review of damages under the principles outlined in Mart v. Hill, 
    505 So. 2d 1120
    (La. 1987), unrestricted by the limitations set forth in Coco. For the reasons set
    forth below, we reverse the judgment of the court of appeal and remand for the
    court of appeal to reconsider its awards under the principles set forth in Mart.
    REVERSED AND REMANDED.
    13
    01/20/17
    SUPREME COURT OF LOUISIANA
    NO. 2016-C-0570
    KIMBERLY AND TODD THIBODEAUX, INDIVIDUALLY AND ON
    BEHALF OF THEIR MINOR CHILD, GABRIELLE THIBODEAUX
    VERSUS
    JAMES F. DONNELL, M.D.
    ON WRIT OF CERTIORARI TO THE COURT OF APPEAL, FIRST CIRCUIT,
    PARISH OF TERREBONNE
    WEIMER, J., dissenting in part and concurring in part.
    In answering the interrogatories, the jury in this medical malpractice case
    determined that defendant breached the applicable standard of care in his treatment
    of Mrs. Thibodeaux and that the breach caused Mrs. Thibodeaux to sustain injury,
    but not her husband or minor child. When asked to determine the amount of money
    that would Afully and fairly compensate@ Mrs. Thibodeaux for the damage sustained
    as a result of defendant=s breach of the applicable standard of care, the jury awarded
    special damages for Mrs. Thibodeaux=s medical expenses, but declined to award
    general damages. On appeal, the court of appeal determined that the jury=s finding
    that Mrs. Thibodeaux was entitled to an award of special damages, but no general
    damages was, under the facts, so inconsistent as to constitute an abuse of its much
    discretion. Thibodeaux v. Donnell, 15-0503, p. 7 (La.App. 1 Cir. 2/24/16), 
    189 So.3d 469
    , 475. Given its determination that the jury=s failure to award general
    damages was an abuse of discretion, the court of appeal then proceeded to fix an
    award of general damages calculated as Athe lowest amount within the jury=s
    discretion and consistent with the special damages award,@ in accordance with this
    court=s directive in Coco v. Winston Industries, Inc., 
    341 So.2d 332
    , 335 (La. 1976)
    (AOnly after making the finding that the record supports that the lower court abused
    its much discretion can the appellate court disturb the [damage] award, and then only
    to the extent of lowering it (or raising it) to the highest (or lowest) point which is
    reasonably within the discretion afforded that court.@). Thibodeaux, 15-0503 at 11,
    
    189 So.3d at 478
    . Because this approach seemed to conflict with the result in
    Green v. K-Mart Corp., 03-2495 (La. 5/25/04), 
    874 So.2d 838
     (a case in which
    this court found an abuse of discretion in the jury=s failure to award general damages
    despite awarding a substantial amount for past and future medical expenses, and then
    affirmed the court of appeal=s de novo assessment of damages unconstrained by
    Coco=s high/low limitations), we granted 1 this writ Ato determine whether the court
    of appeal properly assessed damages under the principles set forth in Coco v.
    Winston Industries, Inc..@ Thibodeaux v. Donnell, 16-0570 (La. __/__/2016),
    slip op. at 1.
    The issue we granted the writ to resolve is relatively straightforward.
    Unfortunately, the majority=s resolution of that issue is not as straightforward.
    After describing the competing approaches to appellate review of damages set
    forth in Coco and Mart v. Hill, 
    505 So.2d 1120
     (La. 1987), the majority re-frames
    the issue this court granted the writ to address as whether Athe proper standard of
    review for an assessment of damages under [the] circumstances [of this case] is
    abuse of discretion or manifest error.@ Thibodeaux, slip op. at 9. However, this
    court previously answered that question, and it did so in cases discussed but
    ultimately dismissed by the majority as being inapplicable here.
    1
    Thibodeaux v. Donnell, 16-0570 (La. 6/3/16), 
    192 So.3d 756
    .
    2
    In Wainwright v. Fontenot, 00-0492 (La. 10/17/00), 
    774 So.2d 70
    , this court
    was Afaced with the somewhat anomalous situation in which a jury has determined
    that the defendant is both legally at fault for the plaintiff=s injuries and liable to him
    for his medical expenses incurred, yet has declined to make any award at all for
    general damages, i.e., pain and suffering,@Bthe precise situation presented in this
    case. 
    Id.,
     00-0492 at 6, 774 So.2d at 74. Therein, the court reasoned:
    [A] jury, in the exercise of its discretion as factfinder, can reasonably
    reach the conclusion that a plaintiff has proven his entitlement to
    recovery of certain medical costs, yet failed to prove that he endured
    compensable pain and suffering as a result of defendant=s fault. It may
    often be the case that such a verdict may not withstand review under
    the abuse of discretion standard. However, it would be inconsistent
    with the great deference afforded the factfinder by this court and our
    jurisprudence to state that, as a matter of law, such a verdict must
    always be erroneous. Rather, a reviewing court faced with a verdict
    such as the one before us must ask whether the jury=s
    determination that plaintiff is entitled to certain medical expenses
    but not to general damages is so inconsistent as to constitute an
    abuse of discretion. Only after the reviewing court determines
    that the factfinder has abused its much discretion can that court
    conduct a de novo review of the record.
    Wainwright, 00-0492 at 8-9, 774 So.2d at 76 (emphasis added). The Wainwright
    decision is not an outlier. Rather, it was followed by Green v. K-Mart Corp.,
    supra, which affirmed that the standard of review in a case such as this one is abuse
    of discretion. Id., 03-2495 at 7, 874 So.2d at 843-44 (AWhen, as here, the jury has
    awarded special damages but has declined to award general damages, the reviewing
    court must determine whether the jury=s finding >is so inconsistent as to constitute an
    abuse of discretion.= Wainwright, 00-0492 at 8-9, 774 So.2d at 76. If so, only
    then can the reviewing court perform a de novo review of the record. Id.@).
    Rather than adhere to the abuse of discretion standard of review dictated by
    Wainwright and Green, the majority recasts the issue as one involving the jury=s
    Acausation@ or liability determination, thereby avoiding the deference due the jury=s
    3
    assessment of damages entirely. By tying the jury=s award of damages to the
    liability determination, the majority errs both legally and factually.
    In a negligence action, the plaintiff bears the burden of proving fault,
    causation, and damages.       Wainwright, 00-0492 at 5, 774 So.2d at 74.            In
    reviewing an award of damages, the court of appeal does not necessarily disturb the
    determinations of fault and causation, as the majority here implies. Rather, as we
    have explained, the jury=s determinations of fault and causation establish liability,
    and liability implies some damage, but not specifically which damage or how much.
    See Hall v. Brookshire Bros., Ltd., 02-2404, 02-2421, p. 11-12 (La. 6/27/03), 
    848 So.2d 559
    , 567. Having proven the defendant=s fault caused damage, a plaintiff
    must further prove what damage, by kind and seriousness, was caused by defendant=s
    fault. 
    Id.
    In this case, the majority looks to the interrogatories submitted to the jury and
    essentially concludes that the jury made no finding as to this latter determinationBthe
    extent to which Mrs. Thibodeaux=s damages were causally related to the bladder
    repairBand that in order to reach that determination, the court must re-visit the
    liability determination (the fault and causation interrogatories). See Thibodeaux,
    slip op. at 10-11. In short, the majority reasons that, because there was no separate
    interrogatory expressly addressing the Ascope or extent of causation,@ any alteration
    of the jury award of damages necessarily entails alteration of the liability or
    Acausation@ determination. Id. at 11. Otherwise, the majority seems to imply that
    the verdict form, as written, allocates to defendant liability for all of the damages
    claimed by Mrs. Thibodeaux, an allocation that is belied by the failure of the jury to
    award any amounts for, by way of example, permanent disability (which Mrs.
    4
    Thibodeaux asked for, but which the jury did not award). See Thibodeaux, slip op.
    at 4.
    The problem with the majority=s analysis is that it overlooks the fact that there
    was a line (in fact there were several lines) on the verdict form in which the jury was
    asked to resolve the precise question regarding the Ascope or extent@ of the injuries
    sustained by Mrs. Thibodeaux that the majority suggests was overlooked.2 Those
    lines appear in Interrogatory No. 5, which asked: AWhat amounts of money would
    fully and fairly compensate Kimberly Thibodeaux, Todd Thibodeaux and Gabrielle
    Thibodeaux for the damages they sustained as a result of the breach of the applicable
    standard of care?@ This interrogatory, and the answers thereto, represent the jury=s
    determination as to the scope and extent of the damages sustained by Mrs.
    Thibodeaux as a consequence of defendant=s breach of the applicable standard of
    care. It is this Amixed factual-legal determination by the jury (that the tort victim is
    entitled to reasonable medical expenses for immediate medical consultation and
    treatment, but not for the further treatment or for general damages) [that] is entitled
    to great deference,@ under the abuse of discretion standard of review announced in
    Wainwright. See, Wainwright, 00-0492 at 1, 774 So.2d at 78 (Lemmon, J.,
    subscribing to the opinion and assigning additional reasons).
    Thus, I respectfully disagree with the majority=s determination that the
    standard of review in this case (insofar as the award of damages to Mrs. Thibodeaux
    is concerned) is manifest error. I believe, consistent with Wainwright and Green,
    that in this case in which the jury has awarded special damages but declined to award
    2
    While I agree with the majority=s assessment that a more detailed verdict form would have made
    the analysis in this case easier, I do not find that the absence of a more detailed version inhibits
    our review to the extent the majority suggests.
    5
    general damages, it is the task of the reviewing court to determine whether the jury=s
    finding Ais so inconsistent as to constitute an abuse of discretion.@ See Wainwright,
    00-0492 at 8, 774 So.2d at 76.
    In this regard, and as Wainwright notes, it is plaintiff=s burden to
    affirmatively establish, by a preponderance of the evidence, that plaintiff (in this
    case, Mrs. Thibodeaux) is entitled to general damages for pain and suffering. See
    Id., 00-0492 at 10, 774 So.2d at 77. On review, the proper inquiry is whether there
    was evidence in the record from which the jury could reasonably conclude that
    defendant=s bladder repair, which required treatment in the form of a second surgery
    to remove the errant sutures, resulted in no compensable pain and suffering. As the
    court of appeal notes, the evidence on this point does not support such a finding.
    That evidence establishes that after completing the surgery, successfully delivering
    Mrs. Thibodeaux=s daughter, and stanching her profuse bleeding by means of the
    emergency (and life-saving) hysterectomy, defendant ordered a post-operative
    intravenous pyelogram (IVP) to determine if the bladder repair was successful.
    During the three to four-hour period in which the test results were pending, Mrs.
    Thibodeaux, who was producing little urine, experienced severe abdominal pain.
    When the test results revealed that the bladder sutures were obstructing Mrs.
    Thibodeaux=s ureters, defendant consulted urologist Dr. Robert Alexander, who,
    after confirming the obstruction, re-opened Mrs. Thibodeaux=s bladder, removed
    defendant=s sutures, and repaired the bladder laceration, removing some dead tissue
    from the bladder in the process.        Dr. Alexander inserted stents into Mrs.
    Thibodeaux=s ureters and a suprapubic catheter into her bladder to facilitate urine
    drainage. Mrs. Thibodeaux remained hospitalized for five days. The catheter was
    6
    removed by Dr. Alexander in a follow-up visit on December 9, 2003.3 The removal
    of the stents followed shortly thereafter, on December 17, 2003.
    Mindful of Wainwright=s reluctance to adopt a bright line rule regarding
    when a jury=s award of medical expenses but no general damages will be so
    inconsistent as to constitute an abuse of discretion, 4 I nevertheless agree with the
    court of appeal=s assessment that, under the particular facts of this case, where the
    jury determined through its award of medical expenses totaling $60,000 that Mrs.
    Thibodeaux suffered injuries causally related to the bladder repair that necessitated
    medical treatment, and where the evidence establishes that medical treatment caused
    Mrs. Thibodeaux to endure some degree of pain and suffering, the failure to award
    general damages was an abuse of discretion.
    Given this conclusion, the question that presents itself is the one this court
    granted writs to resolve: whether, after finding an abuse of discretion in the jury=s
    failure to award general damages, the appellate court, in reviewing the evidence and
    rendering an appropriate award, is nevertheless constrained by the principles of
    deference announced in Coco to the lowest amount of general damages associated
    with those injuries reasonably within the jury=s discretion. I find that Coco is
    directly applicable here. This court=s decisions in Wainwright and Green firmly
    establish that, in a case such as this one, where the jury has determined that the
    defendant is both legally at fault for the plaintiff=s injuries and liable for medical
    expenses incurred, yet has declined to make any award at all for general damages,
    the standard of review is abuse of discretion. Since correction of the damage award
    3
    The surgery itself was performed on November 20, 2003.
    4
    See Wainwright, 00-0492 at 8-9, 774 So.2d at 76-77.
    7
    is based on finding an abuse of discretion, under Coco, the reviewing court is
    necessarily limited to raising the inadequate general damage award to the lowest
    amount reasonably within the jury=s discretion, because, as this court cautioned in
    Coco: AIt is never appropriate for a Court of Appeal, having found that the trial court
    has abused its discretion, simply to decide what it considers an appropriate award on
    the basis of the evidence.@ Coco, 341 So.2d at 335. 5
    As a result, and based on the foregoing, I respectfully disagree with the
    majority=s determination that the court of appeal erred in its review and award of
    general damages to Mrs. Thibodeaux. For the reasons expressed above, I believe
    the court of appeal properly assessed the award of general damages under the
    principles set forth in Coco.
    However, while disagreeing with the majority as to the general damage award,
    I agree with the majority=s conclusion regarding the court of appeal=s review of the
    claims for loss of consortium. 6            As the majority notes, in its answers to the
    5
    Admittedly, there is loose language in both Wainwright and Green that might suggest the
    opposite conclusion. However, Wainwright=s reference to a de novo review (A[o]nly after the
    reviewing court determines that the factfinder has abused its much discretion can that court conduct
    a de novo review of the record@) was clear dicta, as the court did not find an abuse of discretion on
    the jury=s part and, thus, did not find it necessary to assess damages. Wainwright, 00-0492 at 8-
    9, 774 So.2d at 76. To the extent that the court=s decision in Green to affirm the court of appeal=s
    de novo assessment of general damages unconstrained by Coco rather than remand for a new
    damage determination consistent with Coco=s limitations might suggest that Coco does not apply
    once an abuse of discretion is found, I believe that such a suggestion is unwarranted. See id., 03-
    2495 at 8, 874 So.2d at 844. There is no indication that the court of appeal=s failure to apply Coco
    in its de novo review and award of general damages in Green was assigned as error or raised as
    an issue before this court; therefore, the precedential value of this court=s decision simply affirming
    the court of appeal=s damage award is questionable. The court certainly did not address the issue
    directly.
    6
    I agree with the majority=s conclusion only insofar as it finds that once the court of appeal found
    legal error in the jury=s conclusion that defendant=s actions did not cause Mr. Thibodeaux or
    daughter Gabrielle to suffer a loss of consortium, the assessment of damages was not constrained
    by Coco. I do not necessarily agree with the majority that the jury erred in finding that no loss of
    consortium was proved in the first instance. However, the court of appeal so found, and defendant
    did not apply to this court for a writ. As a result, this court cannot alter the court of appeal=s
    liability determination to favor defendant.
    8
    interrogatories on the verdict form, the jury specifically found that defendant=s
    breach of the applicable standard of care did cause injury to Mrs. Thibodeaux, but
    that it did not cause a loss of consortium to either Mr. Thibodeaux or daughter
    Gabrielle. In other words, the jury determined that the loss of consortium claims
    were not causally related to the bladder repair. Under these circumstances, and as
    explained in Mart v. Hill, the court of appeal, upon finding manifest error in the
    jury=s failure to award damages for the loss of consortium claims, was not
    constrained by Coco in its res nova award of damages. See Mart, 505 So.2d at
    1128 (ACoco applies when an appellate court is asked to correct a fact finder=s abuse
    of discretion in assessing the appropriate monetary award for a given injury. The
    principles are not applicable when a res nova review of quantum must be made to
    compensate a plaintiff for damages which the trial court did not believe were
    causally related to the accident.@).
    While I agree with the majority=s determination that the court of appeal erred
    in assessing damages for the loss of consortium claims of Mrs. Thibodeaux=s
    husband and daughter according to the principles of Coco, I respectfully disagree
    with its decision to remand this case to the court of appeal for the purpose of having
    that court reconsider its awards. It is a long-standing precept of this court that
    A[w]here a finding of fact is interdicted because of some legal error implicit in the
    fact finding process or when a mistake of law forecloses any finding of fact, and
    where the record is otherwise complete, the appellate court should, if it can, render
    judgment on the record.@ See Ragas v. Argonaut Southwest Ins. Co., 
    388 So.2d 707
    , 708 (La. 1980); See also, Gonzales v. Xerox Corporation, 
    320 So.2d 163
    ,
    165-66 (La. 1975). The majority offers no explanation for why it is appropriate to
    deviate from this practice in the present case.
    9
    This court has before it a complete record. That record fully supports the
    jury=s determination, evidenced by its decision to award medical expenses but no
    general and no permanent disability damages to Mrs. Thibodeaux, that defendant is
    not responsible for all of the problems from which Mrs. Thibodeaux suffers.
    Dr. Alexander, Mrs. Thibodeaux=s treating urologist, testified that when he
    freed her ureters from the sutures, they were intact. He placed stents in the ureters
    to shore them up, as a kind of safety net in case there was some minimal undetected
    damage, and inserted a suprapubic catheter as an additional precaution.            The
    surgery was performed on November 20, 2003. Mrs. Thibodeaux returned to Dr.
    Alexander in December 2003, and, over two visits, he successfully removed the
    catheter and stents.     A cystoscopy performed at the time revealed that Mrs.
    Thibodeaux had a reduced bladder capacity, but the bladder and ureters were
    functioning properly.
    Unfortunately, Mrs. Thibodeaux developed irritative bladder symptoms
    (including having to urinate every 30 to 60 minutes). In April 2004, Dr. Alexander
    performed another cystoscopy in which he noted the presence of scar tissue, but
    observed that the ureters were normal and unobstructed.            At this time,    Dr.
    Alexander attempted to distend the bladder in hopes of providing relief from the
    symptoms of urinary frequency and pressure. It was on this examination that Dr.
    Alexander diagnosed Mrs. Thibodeaux with interstitial cystitis, a condition of the
    bladder lining characterized by symptoms such as excessive urinary frequency, pain
    related to bladder fullness, and painful intercourse.           While he prescribed
    medications to alleviate the symptoms, none proved to be effective. It was the
    treating physician, Dr. Alexander=s, opinion that the interstitial cystitis is unrelated
    to the bladder repair.
    10
    Plaintiffs= expert witness was ob/gyn Dr. Fred Duboe. Dr. Duboe opined that
    defendant=s error in blocking the ureters with sutures necessitated a second surgery,
    produced some devascularized tissue which had to be extracted and resulted in scar
    tissue and a reduced bladder size. While Dr. Duboe opined that Mrs. Thibodeaux=s
    reduced bladder size and symptoms of urinary frequency were related to the bladder
    repair, as to her interstitial cystitis, the connection Awas not as clear.@
    Given the foregoing, there is ample record evidence to support the
    determination that the more significant and long term problems from which Mrs.
    Thibodeaux suffers are not related to the bladder repair, but to her subsequent
    diagnosis of interstitial cystitis. Accordingly, any loss of consortium, service and
    society experienced by Mr. Thibodeaux and daughter Gabrielle is logically and
    necessarily limited to losses sustained prior to the diagnosis of that interstitial
    cystitis. After reviewing the record de novo, and being constrained by the fact that
    defendant did not apply for relief in this court and, thus, cannot obtain a more
    favorable verdict, 7 I would simply affirm the amounts awarded by the court of
    appeal for loss of consortium, as I believe those amounts more than fully compensate
    Mr. Thibodeaux and Gabrielle for the limited losses they sustained.
    Thus, I respectfully dissent from the majority=s ruling in this case.
    Finally, in doing so, I note as an aside that, if we were not constrained in our
    review by the fact that defendant did not apply for relief in this court, I would be
    hard pressed to find that defendant deviated from the appropriate standard of care in
    his treatment of Mrs. Thibodeaux. Certainly, the jury was not convinced of such,
    7
    See Granger v. Christus Health Central Louisiana, 12-1892, p. 47 (La. 6/28/13), 
    144 So.3d 736
    , 770 (AWhen a writ of certiorari or review is granted at the instance of one of the parties to a
    suit, to consider a complaint of a judgment of the court of appeal, an opposing party to the suit,
    who has not applied for writ of review, cannot have the judgment amended for his benefit.@)
    11
    as the verdict in this case well could be a classic compromise verdictBone in which
    sympathy for Mrs. Thibodeaux=s plight compelled the jury to award her medical
    expenses, but no general damages, precisely because the jury was not convinced that
    defendant was responsible for her injuries.8 Indeed, it is unlikely the jury, having
    found liability, simply overlooked the obvious lines on the verdict form relative to
    general damages. Furthermore, the evidence in this case strongly supports the
    conclusion that defendant was not negligent, but responded appropriately given the
    difficult circumstances presented. When a party does not appeal a jury verdict or
    apply for writs in this court, we are constrained from altering the jury verdict in a
    manner favorable to him. 9 However, a party may argue in defense of a claimBthat
    the amounts awarded by the court of appeal should not be increasedBany record facts
    that support such a conclusion. Roger v. Estate of Moulton, 
    513 So.2d 1126
    , 1136
    (on reh=g) (AA party who is satisfied with a judgment, and who does not file a notice
    of appeal or a petition for review, is, nevertheless, a party to the appeal or review
    whose arguments must be heard, and in support of the judgment in his favor he may
    present any argument supported by the record, whether it was ignored, or flatly
    rejected, by the court below.@).
    8
    Interestingly, at a hearing on the cross-motions for JNOV filed by the parties, the trial judge
    acknowledged having had a discussion with one juror who had indicated the jury wanted to
    exonerate defendant, but still award plaintiff=s medical expenses. However, as the trial judge
    explained, there was no formal record made on this point and there is no indication how many
    jurors felt that way.
    9
    See Granger, 12-1892 at 47, 
    144 So.3d at 770
    .
    12
    01/20/17
    SUPREME COURT OF LOUISIANA
    NO. 2016-C-0570
    KIMBERLY AND TODD THIBODEAUX, INDIVIDUALLY AND ON
    BEHALF OF THEIR MINOR CHILD, GABRIELLE THIBODEAUX
    VERSUS
    JAMES F. DONNELL, M.D.
    ON WRIT OF CERTIORARI TO THE COURT OF APPEAL,
    FIRST CIRCUIT, PARISH OF TERREBONE
    JOHNSON, C.J., concurs in part, dissents in part, and assigns reasons.
    I respectfully dissent from the majority=s finding that the court of appeal erred
    in its review and award of general damages to Mrs. Thibodeaux. I find the majority
    opinion creates confusion by failing to apply the clear principles set forth by this
    court in Wainwright v. Fontenot, 00-0492 (La. 10/17/00), 
    774 So. 2d 70
     and Green
    v. K-Mart Corp., 03-2495 (La. 5/25/04), 
    874 So. 2d 838
    , wherein this court has
    directly addressed the proper standard of review for assessment of damages in cases
    such as this one.
    In Wainwright, this court explained that when faced with a verdict in which a
    jury determined that the defendant is both legally at fault for the plaintiff=s injuries
    and liable for his medical expenses, yet has declined to award general damages, the
    reviewing court Amust ask whether the jury=s determination that plaintiff is entitled
    to certain medical expenses but not to general damages is so inconsistent as to
    constitute an abuse of discretion. Only after the reviewing court determines that the
    factfinder has abused its much discretion can that court conduct a de novo review
    of the record.@ 774 So. 2d at 76. (Emphasis added). This court again applied the same
    principle in Green (AWhen, as here, the jury has awarded special damages but has
    declined to award general damages, the reviewing court must determine whether the
    jury=s finding is so inconsistent as to constitute an abuse of discretion. If so, only
    then can the reviewing court perform a de novo review of the record.@) 874 So. 2d
    at 843-844. Thus, this court must determine whether the jury=s finding in this
    particular case Ais so inconsistent as to constitute an abuse of discretion.@
    After review of the record, I find the court of appeal correctly determined that
    the jury abused its discretion in failing to award general damages while awarding a
    substantial amount for past and future medical expenses. In this case, the jury
    determined through its award of all of Mrs. Thibodeaux=s medical expenses that
    plaintiff suffered injuries causally related to the accident which required medical
    attention, and is still suffering an injury that will require medical attention in the
    future. Further, the evidence establishes that the medical treatment caused Mrs.
    Thibodeaux pain and suffering. I find failing to make a general damage award in
    such circumstances was an abuse of discretion.
    Additionally, to the extent the failure to award general damages is an abuse
    of discretion, as opposed to an error of fact or law, review and correction of the
    damage award is limited by the principles stated by this court in Coco v. Winston
    Industries, Inc., 
    341 So. 2d 332
    , 335 (La. 1976) (i.e., the reviewing court is limited
    to raising the inadequate general damage award to the lowest amount reasonably
    within the jury=s discretion), rather than a de novo determination of damages as
    contemplated in Mart v. Hill, 
    505 So. 2d 1120
     (La. 1987). In this case, the court of
    appeal determined the jury=s finding that Mrs. Thibodeaux was entitled to an award
    of special damages, but no general damages was, under the facts, so inconsistent as
    to constitute an abuse of its much discretion. Thibodeaux v. Donnell, 15-0503 (La.
    App. 1 Cir. 2/24/16), 
    189 So. 3d 469
    , 475. Given that determination, the court of
    2
    appeal then correctly proceeded to fix an award of general damages calculated as
    Athe lowest amount within the jury=s discretion and consistent with the special
    damages award,@ in accordance with this court=s holding in Coco. Thibodeaux, 
    189 So. 3d at 478
    .
    Therefore, consistent with Wainwright and Green, I find that in this case
    where the jury awarded special damages but declined to award general damages, it
    is the task of the reviewing court to determine whether the jury=s finding Ais so
    inconsistent as to constitute an abuse of discretion.@ Because such a finding was
    made in this case, I find the court of appeal properly assessed the award of general
    damages under the principles set forth in Coco. Thus, I would affirm the court of
    appeal=s decision on this issue.
    Finally, relative to loss of consortium damages, I agree with the majority that
    because the court of appeal found the jury manifestly erred in failing to award loss
    of consortium damages, the court of appeal was not constrained by the award
    parameters set forth in Coco. However, I dissent from the majority=s holding to the
    extent the case is remanded to the court of appeal to reconsider its award on this
    issue. Considering the record before us, I find it is sufficient for this court to render
    judgment. Based on de novo review of the record relative to this issue, I would affirm
    the amounts awarded by the court of appeal for loss of consortium rather than
    remand this case to the court of appeal to reconsider that award.
    3
    01/20/17
    SUPREME COURT OF LOUISIANA
    NO. 2016-C-0570
    KIMBERLY AND TODD THIBODEAUX, INDIVIDUALLY AND ON
    BEHALF OF THEIR MINOR CHILD, GABRIELLE THIBODEAUX
    VERSUS
    JAMES F. DONNELL, M.D.
    ON WRIT OF CERTIORARI TO THE COURT OF APPEAL,
    FIRST CIRCUIT, PARISH OF TERREBONE
    GUIDRY, J., concurs in the result and assigns reasons.
    I concur in the result of the majority decision. However, I write separately to
    express my concern that the majority opinion creates a standard that could lend
    itself to inconsistent interpretations. Although the majority demurred from
    overturning Coco v. Winston Industries Inc., 
    341 So. 2d 332
     (La. 1976), I question
    the vitality of the principles set forth therein, which appear to be judicially created
    and not firmly based upon statutory law or established precedent.