Mazzie, W. v. Lehigh Valley Hospital ( 2021 )


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  • J-A23025-20
    
    2021 PA Super 73
    WANDA AND DAVID MAZZIE                     :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                             :
    :
    :
    LEHIGH VALLEY HOSPITAL -                   :
    MUHLENBERG, GERARDO M.                     :
    GARCIA, M.D., AND LEHIGH VALLEY            :   No. 473 EDA 2020
    PHYSICIANS GROUP                           :
    :
    Appellants              :
    Appeal from the Order Entered December 31, 2019
    In the Court of Common Pleas of Lehigh County Civil Division at No(s):
    No. 2016-C-2523
    BEFORE:      KUNSELMAN, J., NICHOLS, J., and PELLEGRINI, J.*
    OPINION BY NICHOLS, J.:                               FILED: APRIL 16, 2021
    Appellants Lehigh Valley Hospital—Muhlenberg (LVHM), Gerardo M.
    Garcia, M.D. (Dr. Garcia), and Lehigh Valley Physicians Group appeal from the
    order granting Appellees Wanda and David Mazzie (individually, Mrs. Mazzie
    and Mr. Mazzie) post-trial relief in this medical malpractice action. Appellants
    allege that the trial court erred in: (1) granting a new trial limited to damages;
    (2) substituting its judgment for the jury and usurping the jury’s verdict with
    respect to non-economic damages; (3) disregarding the jury’s role in
    assessing the testimony presented at trial; and (4) denying its request for
    judgment notwithstanding the verdict (JNOV) and its cross-motion.             We
    affirm.
    ____________________________________________
    *
    Retired Senior Judge assigned to the Superior Court.
    J-A23025-20
    On September 8, 2014, Mrs. Mazzie underwent laparoscopic surgery to
    repair an incisional hernia, related to a prior hysterectomy, and an umbilical
    hernia. Dr. Garcia performed the surgery at LVHM. Following the laparoscopic
    surgery, Mrs. Mazzie was discharged from LVHM and transported to Manor
    Care Easton on September 12, 2014. A couple of days later, however, she
    returned to LVHM with septic shock and was rushed to the operating room.
    As a result of the infection, Mrs. Mazzie was put into a medically induced coma,
    and underwent numerous additional surgical procedures necessary to save her
    life.
    On September 1, 2016, Appellees initiated the instant medical
    negligence action against Appellants by filing a writ of summons. Thereafter,
    Appellees filed their complaint on November 17, 2016. As developed following
    a series of preliminary objections and amended complaints, Appellees alleged
    that Mrs. Mazzie suffered post-operative complications because Dr. Garcia
    negligently pierced Mrs. Mazzie’s bowel during surgery.1 On August 15, 2017,
    Appellants filed an answer and new matter.
    Before trial, Appellants filed several motions in limine seeking to
    preclude evidence of Mrs. Mazzie’s wage loss claim and evidence of future
    medical expenses. On August 15, 2019, the trial court granted the motions
    in limine as unopposed. Accordingly, the relevant issues for trial were: (1)
    ____________________________________________
    1
    Appellees also claimed Mr. Mazzie suffered damages for loss of consortium;
    however, the jury rejected this claim. Appellees have not sought a new trial
    on Mr. Mazzie’s loss of consortium claim.
    -2-
    J-A23025-20
    liability based on Dr. Garcia’s negligence; (2) causation; (3) compensatory
    damages limited to Mrs. Mazzie’s medical expenses, which were stipulated to
    by her counsel as $39,000.00; and (4) Mrs. Mazzie’s pain and suffering.
    The case proceeded to a jury trial. At the close of trial, Appellants orally
    moved for compulsory non-suit, which the trial court denied.                 After
    deliberations, the jury determined Dr. Garcia acted negligently in performing
    Mrs. Mazzie’s abdominal surgery and awarded her past medical expenses of
    $39,000.00. However, the jury declined to award Mrs. Mazzie non-economic
    damages for pain and suffering.
    On September 5, 2019, Appellees filed a post-trial motion seeking a new
    trial on damages.       Appellants filed their response to Appellees’ post-trial
    motion on September 13, 2019, and also filed a cross-motion for JNOV.
    Following oral argument, the trial court granted Appellees’ motion and ordered
    a new trial limited to the issue of damages. The trial court denied Appellants’
    cross-motion for post-trial relief.
    Appellants filed a timely notice of appeal and complied with the trial
    court’s order to file a concise statement of errors complained of on appeal
    pursuant to Pa.R.A.P. 1925(b).2
    On appeal, Appellants raise the following issues:
    1. Whether the trial court erred in denying LVH’s request for
    [JNOV] where . . . Appellees’ sole medical expert, Dr. Peter
    ____________________________________________
    2
    “An order in a civil action or proceeding awarding a new trial” is an
    interlocutory order appealable as of right. Pa.R.A.P. 311(a)(6). Therefore,
    we have jurisdiction to address the merits of this appeal.
    -3-
    J-A23025-20
    Mowschenson, did not support his opinions to the requisite degree
    of medical certainty?
    2. Whether the trial court erred in granting Appellees’ motion for
    post-trial relief for a new trial limited to damages only where the
    trial record shows that the jury reached a compromise verdict?
    3. Whether the trial court erred by substituting its judgment for
    the jury, and usurping the jury’s verdict which was supported by
    the evidence, because the trial court did not agree with the
    amount of the jury’s award which declined to award damages for
    pain and suffering to Mrs. Mazzie?
    4. Whether the trial court erred by disregarding well-settled
    Pennsylvania law which holds that it is the sole province of the
    jury to assess the worth of all testimony presented?
    Appellants’ Brief at 6-7 (issues reordered).
    Appellants first argue that the trial court should have granted their
    motion for JNOV because Appellees’ medical expert, Dr. Peter Mowschenson,
    M.D., failed to render his opinion to the requisite degree of medical certainty.
    See id. at 46.    Appellants allege that the totality and substance of Dr.
    Mowschenson’s testimony was that it was “more likely than not” that Dr.
    Garcia negligently performed Mrs. Mazzie’s abdominal surgery. See id. at 48-
    50. Appellants therefore assert that Dr. Mowschenson’s testimony fell below
    the “reasonable degree of medical certainty” standard, thereby warranting
    JNOV in their favor. See id. at 50, 54-55.
    Appellees counter that Appellants failed to preserve their right to seek
    JNOV. Appellees contend that Appellants did not raise a contemporaneous
    objection to Dr. Mowschenson’s testimony at trial and therefore waived this
    claim. Appellees’ Brief at 39-40.
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    J-A23025-20
    However, even if Appellants properly preserved this issue, Appellees
    argue that it would fail nonetheless.        Appellees claim that contrary to
    Appellants’ assertion, Dr. Mowschenson did in fact testify, to a reasonable
    degree of medical certainty, that Dr. Garcia negligently performed Mrs.
    Mazzie’s surgery. Id. at 36. According to Appellees, it was clear from the
    record that Dr. Mowschenson testified to an absolute certainty that the use of
    a Veress needle in the area of prior scarring was a violation of the standard of
    care. Id. at 37. Furthermore, Appellees argue that Appellants “conflate Dr.
    Mowschenson’s opinions as to whether the use of a Veress needle in an area
    of prior surgery was a violation of the standard of care, with his opinions
    regarding whether . . . adhesions were present where the prior surgery had
    occurred.” Id. at 34. Therefore, Appellees contend that Appellants were not
    entitled to JNOV at the close of evidence.
    Our review is governed by the following well-settled principles:
    [a] JNOV can be entered upon two bases: (1) where the movant
    is entitled to judgment as a matter of law; and/or, (2) the
    evidence was such that no two reasonable minds could disagree
    that the verdict should have been rendered for the movant. When
    reviewing a trial court's denial of a motion for JNOV, we must
    consider all of the evidence admitted to decide if there was
    sufficient competent evidence to sustain the verdict. [In doing
    so], we must also view this evidence in the light most favorable
    to the verdict winner, giving the victorious party the benefit of
    every reasonable inference arising from the evidence and
    rejecting all unfavorable testimony and inference. Concerning any
    questions of law, our scope of review is plenary. [With regard to]
    questions of credibility and weight accorded the evidence at trial,
    we will not substitute our judgment for that of the finder of fact.
    If any basis exists upon which the jury could have properly made
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    J-A23025-20
    its award, then we must affirm the trial court’s denial of the motion
    for JNOV. A JNOV should be entered only in a clear case.
    Buckley v. Exodus Transit & Storage Corp., 
    744 A.2d 298
    , 304-05 (Pa.
    Super. 1999) (citations omitted).
    Initially, we must address Appellees’ argument that Appellants failed to
    preserve their right to seek JNOV.3            See Appellees’ Brief at 39-40.   “[T]o
    preserve the right to request a JNOV post-trial, a litigant must first request a
    binding charge to the jury or move for a directed verdict or a compulsory non-
    suit at trial.” Phelps v. Caperoon, 
    190 A.3d 1230
    , 1247 (Pa. Super. 2018)
    (citation omitted). Failure to do so may result in waiver. See 
    id.
    Here, Appellants moved, orally, for a compulsory non-suit at the close
    of trial.   See N.T. Trial, 8/29/19, at 39.            Therefore, we conclude that
    Appellants preserved their JNOV rights on the issue of Dr. Mowschenson’s
    expert testimony and proceed now to the merits of Appellants’ first claim. See
    Phelps, 190 A.3d at 1247.
    To establish a prima facie cause of action for medical negligence, a
    plaintiff must demonstrate:
    (1) a duty owed by the physician to the patient; (2) a breach of
    that duty; (3) that the breach of duty was the proximate cause of
    the harm suffered by the patient; and (4) that the damages
    suffered were a direct result of that harm.
    ____________________________________________
    3
    We note that Appellees cite no law to support their argument that a
    contemporaneous objection to the witness’s testimony is a precondition for
    seeking JNOV.
    -6-
    J-A23025-20
    Mitchell v. Shikora, 
    209 A.3d 307
    , 314 (Pa. 2019) (citation omitted).
    Determining whether there was a breach of duty involves a two-step process:
    first, a determination of the standard of care, and second, a determination of
    whether the defendant physician met that standard. See Toogood v. Owen
    J. Rogal, D.D.S., P.C., 
    824 A.2d 1140
    , 1149 (Pa. 2003). To show causation,
    “the plaintiff must show that the [defendant physician’s] failure to exercise
    the proper standard of care caused the plaintiff’s injury.” Freed v. Geisinger
    Medical Center, 
    910 A.2d 68
    , 72 (Pa. Super. 2006) (citation omitted).
    A plaintiff in a medical negligence case must present an expert witness
    “who will testify, to a reasonable degree of medical certainty, regarding the
    standard of care (duty); that the . . . physician deviated from the standard of
    care (breach); and that such deviation was the proximate cause of the harm
    suffered.”   Mitchell, 209 A.3d at 315 (citation omitted).      Further, “[the
    expert’s] medical opinion need only demonstrate, with a reasonable degree of
    medical certainty, that [the defendant physician’s] conduct increased the risk
    of the harm actually sustained, and the jury then must decide whether that
    conduct was a substantial factor in bringing about the harm.”        Rolon v.
    Davies, 
    232 A.3d 773
    , 777 (Pa. Super. 2020) (citation omitted).
    In determining whether the expert’s opinion is rendered to the
    requisite degree of certainty, we examine the expert’s testimony
    in its entirety. That an expert may have used less definite
    language does not render his entire opinion speculative if at some
    time during his testimony he expressed his opinion with
    reasonable certainty. Accordingly, an expert’s opinion will not be
    deemed deficient merely because he or she failed to expressly use
    the specific words, “reasonable degree of medical certainty.”
    Nevertheless, an expert fails this standard of certainty if he
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    J-A23025-20
    testifies that the alleged cause possibly, or could have led to the
    result, that it could very properly account for the result, or even
    that it was very highly probable that it caused the result.
    Vicari v. Spiegel, 
    936 A.2d 503
    , 510-11 (Pa. Super. 2007) (citations omitted
    and formatting altered).
    Having reviewed Dr. Mowschenson’s testimony in its entirety, the trial
    court concluded that Appellants were not entitled to JNOV based on the
    testimony of Appellees’ expert witness. The trial court stated that
    [Dr. Mowschenson’s] opinions regarding negligence and causation
    [were] expressed to the requisite degree of medical certainty. The
    exchange on cross-examination[,] highlighted by [Appellants,
    was] not fatal to Dr. Mowschenson’s testimony and it cannot be
    viewed in isolation. On [direct examination], Dr. Mowschenson’s
    testimony was unequivocal; he clearly opined that Mrs. Mazzie’s
    prior history of abdominal surgeries [was] an absolute
    contraindication for insertion of the Veress needle into the area of
    the umbilical hernia. Dr. Mowschenson also vehemently disagreed
    with the opinions of [Appellants’] expert, Dr. [Matthew] Finnegan
    [, M.D.] and confirmed on re-direct examination that his opinions
    had not changed.
    Trial Ct. Op., 12/31/19, at 20 (citation omitted).
    Our review of the record confirms that Dr. Mowschenson testified, to a
    reasonable degree of medical certainty, that Dr. Garcia deviated from
    acceptable medical standards when he used a Veress needle to repair Mrs.
    Mazzie’s incisional and umbilical hernias. N.T. Trial, 8/27/19, at 112. Dr.
    Mowschenson also testified that such deviation was the proximate cause of
    Mrs. Mazzie’s post-operative injuries. See id. at 103, 105.
    On direct examination, Dr. Mowschenson testified that Mrs. Mazzie had
    a history of abdominal surgeries that left her with abdominal adhesions. See
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    J-A23025-20
    id. at 83.      The presence of adhesions, according to Dr. Mowschenson,
    increased the risk of injury to the abdominal cavity. See id. at 86. Appellees’
    counsel asked Dr. Mowschenson whether “using the Veress needle through
    the umbilical hernia, was . . . a violation of the standard of care of a general
    surgeon,” and Dr. Mowschenson went on to testify:
    It was. I teach my residents, and I was taught this as well, . . .
    that the Veress needle must not be used in an area where there’s
    a prior incision or near an area of a prior incision for exactly the
    reasons that happened here. . . .
    Id. at 87-88.
    Dr. Mowschenson further explained that:
    [i]t is contraindicated to insert a Veress needle . . . near a scar
    from [a] prior surgery. And [, in this case, the] Veress needle was
    put very close to a scar from [Mrs. Mazzie’s] prior surgery. [T]he
    evidence for that is . . . when Dr. Garcia looked inside, he said
    beginning just below the umbilicus were adhesions.
    Id. at 112.     Appellees’ counsel then asked Dr. Mowschenson, once more,
    whether Dr. Garcia’s use of the Veress needle was a deviation from the
    standard of care, and Dr. Mowschenson responded, “Yes.” Id.
    Although Dr. Mowschenson did not use the exact phrase, “reasonable
    degree of medical certainty,” his opinions, as stated above, were rendered to
    that degree of certainty.    See Vicari, 
    936 A.2d at 509
    .       Throughout his
    testimony, Dr. Mowschenson was steadfast in his opinion that Dr. Garcia
    negligently performed Mrs. Mazzie’s lower abdominal surgery and that his
    negligence was a factual cause of her post-operative injuries. See N.T. Trial,
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    J-A23025-20
    8/27/19, at 103, 105, 112.           While    Appellants emphasize that Dr.
    Mowschenson used the phrase “more likely than not” on cross-examination in
    response to questions about Dr. Garcia’s alleged negligence, the totality of Dr.
    Mowschenson’s testimony revealed that his opinions were rendered to the
    requisite degree of certainty. See Carrozza v. Greenbaum, 
    866 A.2d 369
    ,
    379 (Pa. Super. 2004) (“That an expert may have used less definite language
    does not render their entire opinion speculative if at some time during his
    testimony he expressed his opinion with reasonable certainty.” (citation
    omitted)). Moreover, because the testimony, considered in its entirety, was
    sufficient to send the case to the jury, it would have been improper for the
    trial court to grant Appellants’ motion for non-suit. See Vicari, 
    936 A.2d at 512
    . Accordingly, Appellants’ first issue merits no relief.
    Appellants’ remaining issues assert that the trial court erred in granting
    Appellees a new trial on damages for pain and suffering.        See Appellants’
    Brief at 22, 34-35, 38-39. Specifically, Appellants claim that the jury’s verdict
    of zero dollars for non-economic damages was a determination that Mrs.
    Mazzie’s pain and suffering was not attributable to Dr. Garcia’s alleged
    negligence. See id. at 24-30. According to Appellants, “there was significant
    testimony demonstrating that Mrs. Mazzie’s alleged pain and suffering (1) was
    not directly related to the aftermath of the hernia surgery; and (2) was
    attributable to her pre-existing conditions.”   Id. at 31.    Appellants further
    contend that the jury’s award, limited to medical expenses, represented a
    compromise verdict, which should not be disturbed. See id. at 34.
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    J-A23025-20
    Appellees respond that the trial court did not abuse its discretion in
    ordering a new trial on the issue of damages.       See Appellees’ Brief at 4.
    Appellees argue that the jury did not render a compromise verdict, as
    evidenced by the jury resolving issues of negligence and causation in favor of
    Mrs. Mazzie and awarding the full stipulated amount of medical damages. See
    id. at 8, 20. Appellees contend that the jury’s award of zero dollars for non-
    economic damages shocked the conscience based on the evidence of Mrs.
    Mazzie’s pain and suffering, and therefore required a new trial limited to
    damages. See id. at 26-32.
    In Mader v. Duquesne Light Co., 
    241 A.3d 600
    , 607 (Pa. 2020), our
    Supreme Court set forth our standard of review from a trial court’s grant or
    denial of a new trial:
    It is a fundamental precept that a decision to order a new trial lies
    within the discretion of the trial court. Thus, it is [well-settled]
    that the proper standard of appellate review is determining
    whether the trial court abused its discretion.           [O]ur Court
    explained the process of reviewing a motion to grant or deny a
    new trial. First, the underlying matter that formed the basis for
    the trial court’s decision is to be reviewed – that is, whether a
    mistake occurred and whether that mistake was sufficient to order
    a new trial. If the appellate court agrees with the trial court that
    an error occurred, it proceeds to determine whether the trial court
    abused its discretion in ruling on the request for a new trial. An
    abuse of discretion exists when the trial court has rendered a
    judgment that is manifestly unreasonable, arbitrary, or capricious,
    has failed to apply the law, or was motivated by partiality,
    prejudice, bias, or ill will. Merely because an appellate court would
    have reached a different result than the trial court does not
    constitute a finding of an abuse of discretion. Also, where the
    record adequately supports the trial court’s reasons and factual
    basis, the court did not abuse its discretion.
    - 11 -
    J-A23025-20
    As to our scope of review, if the trial court cites to specific reasons
    for its decision on a request for a new trial, and it is clear that the
    decision of the trial court is based exclusively on those reasons,
    the appellate court may reverse the trial court’s decision only if it
    finds no basis on the record to support any of those reasons.
    Alternatively, where the trial court leaves open the possibility that
    there were reasons to grant or deny a new trial other than those
    it expressly offered, or the trial court justifies its decision on the
    interests of justice, an appellate court must apply a broad scope
    of review and affirm if it can glean any valid reason from the
    record.
    Mader, 241 A.3d at 607 (citations omitted and formatting altered).
    As we have stated previously, a trial court may grant a new trial where
    “the original trial, because of taint, unfairness or error, produces something
    other than a just and fair result.” Koziar v. Rayner, 
    200 A.3d 513
    , 518 (Pa.
    Super. 2018) (citation omitted).      The grant of a new trial is an effective
    instrumentality in cases where “the amount of the verdict bears no reasonable
    relation to the loss suffered by the plaintiff.” Kiser v. Schulte, 
    648 A.2d 1
    ,
    4 (Pa. 1994) (citations omitted).     As such, where “the jury’s verdict is so
    contrary to the evidence as to ‘shock one’s sense of justice,’” a trial court
    should not hesitate to set aside the verdict and award a new trial. See 
    id.
    (citation omitted).
    A trial court has the discretion to either grant a new trial for both
    damages and liability or for damages only. See Mader, 241 A.3d at 614;
    see also Pa.R.C.P. 227.1(a)(1). In determining whether a new trial should
    be granted solely for damages, or for damages and liability, our Supreme
    Court in Mader declared that:
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    J-A23025-20
    [a] new trial limited to the issue of damages will be granted
    where: (1) the issue of damages is not intertwined with the issue
    of liability; and (2) where the issue of liability has been fairly
    determined or is free from doubt.
    Mader, 241 A.3d at 614 (citation omitted and formatting altered). The Mader
    Court also held that “there is no per se rule with respect to the types of
    damages to be considered at a new trial, and that trial courts are not
    mandated to award a new damages trial on all damages.”            Id. at 615.
    Furthermore, when faced with the question of granting a new trial for all
    damages or for certain types of damages, a trial court should “discern whether
    the properly awarded damages in the first trial were fairly determined, and, if
    so, whether they are sufficiently independent from, and are not intertwined
    with, the erroneously determined damages.” Id. (formatting altered).
    In determining whether the trial court abused its discretion in awarding
    a new trial, we must examine the underlying mistake and whether the reasons
    offered by the trial court in ordering a new trial based on this mistake
    constituted an abuse of discretion. See Mader, 241 A.3d at 615.
    Here, as stated above, the trial court granted a new trial because of the
    jury’s failure to award Mrs. Mazzie damages for pain and suffering. In doing
    so, the trial court reasoned that:
    Human experience teaches us that Mrs. Mazzie’s injuries are of
    the type that cause pain and suffering. She underwent numerous
    surgical procedures on her abdomen, she lost a tooth and
    sustained damage to her dominant hand.            Moreover, non-
    economic damages encompass more than just pain and suffering;
    they also encompass loss of ability to enjoy the pleasures of life.
    Unquestionably, Mrs. Mazzie was unable to enjoy any of the
    pleasures of life while in a six week medically induced coma . . .
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    J-A23025-20
    Thereafter, Mrs. Mazzie spent several months in rehabilitation
    centers relearning basic skills with her left hand and strengthening
    her weakened muscles. She lost her independence and had to
    rely on the support of family members. All of this together clearly
    demonstrates that there was no reasonable basis for the jury to
    believe that Mrs. Mazzie’s injuries caused no pain and suffering.
    Trial Ct. Op., 12/31/19, at 11-12.
    The trial court further reasoned that:
    Although the issue of Dr. Garcia’s liability was contested at trial,
    that issue was presented to the jury through competing expert
    witnesses regarding the appropriate standard of care. The jury
    was free to evaluate the believability of each expert along with the
    rest of the evidence presented. This is simply not a case where
    the issues of liability and damages are intertwined. The jury’s
    affirmative resolution of negligence and causation in favor of Mrs.
    Mazzie does not suggest that their decision on liability was in
    doubt. Any other conclusions by [the court] would be based
    purely on speculation and conjecture.
    Id. at 13 (quotation marks and footnotes omitted).
    Having reviewed the record, we agree with the trial court that Mrs.
    Mazzie suffered serious post-operative injuries and underwent subsequent
    surgical procedures as a direct result of these injuries. Mrs. Mazzie developed
    abdominal pain, abdominal distension, and a fever following her September
    8, 2014 surgery. See N.T. Trial, 8/28/19, at 32-36, 117, 122. As her post-
    operative condition worsened, Mrs. Mazzie was transported to the emergency
    room and resuscitated with intravenous fluids and antibiotics. See N.T. Trial,
    8/29/19, at 112. She was eventually rushed to the operating room, where
    she underwent emergency surgery to repair her perforated bowel. See id.
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    Thereafter, Mrs. Mazzie was transferred to the hospital’s intensive care unit
    and placed in a medically induced coma. See N.T. Trial, 8/28/19, at 42-46.
    Although Mrs. Mazzie suffered from various pre-existing conditions,
    Appellants’ medical expert, Dr. Matthew Finnegan, M.D., conceded that Mrs.
    Mazzie suffered serious post-operative injuries. In particular, Dr. Finnegan
    testified that Mrs. Mazzie developed peritonitis—a severe infection in the
    abdomen—as a result of the bowel perforation. See N.T. Trial, 8/29/19, at
    148.   He also testified that Mrs. Mazzie aspirated the contents from her
    stomach into her lungs during intubation which ultimately caused serious lung
    damage. See id. at 112. Finally, when Appellees’ counsel asked Dr. Finnegan
    whether Mrs. Mazzie was on death’s door, he responded, “Yes.” Id. at 148.
    Accordingly, the record supports the jury’s finding that Dr. Garcia
    negligently performed Mrs. Mazzie’s lower abdominal surgery and that his
    negligence was a factual cause of her post-operative injuries.
    Based on the aforementioned discussion, we find that liability was fairly
    determined and that it was not intertwined with damages. See Banohashim
    v. R.S. Enters., LLC, 
    77 A.3d 14
    , 23 (Pa. Super. 2013) (“[L]iability is fairly
    determined when the court is convinced upon a review of the whole case that
    the jury [has] settled the issue as to responsibility fairly and upon sufficient
    evidence—so that . . . it ought to stand as the final adjudication of the rights
    of the parties.” (citation omitted and formatting altered)); see also Mirabel
    v. Morales, 
    57 A.3d 144
    , 152 n.8 (Pa. Super. 2012) (“[L]iability is not
    intertwined with damages when the question of damages is readily separable
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    J-A23025-20
    from the issue of liability.” (citation omitted)). We also find that a new trial
    limited to damages is appropriate because Mrs. Mazzie endured compensable
    pain and suffering.
    As to the scope of the new proceeding, we find that the damages for
    Mrs. Mazzie’s past medical expenses were fairly determined.         The parties
    stipulated to Mrs. Mazzie’s past medical expenses, and the trial court
    instructed the jury on this stipulation. Therefore, we find that damages for
    past medical expenses are sufficiently independent and discrete from
    damages for pain and suffering as to limit a new trial to those damages only.
    See Mader, 241 A.3d at 614.
    Lastly, we do not agree with Appellants’ contention that the jury reached
    a compromise verdict. This Court has explained that a “compromise verdict
    is one where the jury, in doubt as to the defendant’s negligence or [the]
    plaintiff’s contributory negligence, returns a verdict for the plaintiff but in a
    lesser amount than it would if these questions had been free from doubt.”
    Fischer v. Troiano, 
    768 A.2d 1126
    , 1131 (Pa. Super. 2001) (formatting
    altered and citation omitted).
    We agree with the trial court that the jury’s verdict here does not meet
    the definition of a compromise verdict. See Trial Ct. Op., at 13-14. The jury
    did not find that Mrs. Mazzie was contributorily negligent. Nor did the jury
    return a verdict in a lesser amount than the stipulated medical expenses.
    Rather, the jury, as stated above, assigned full liability to Dr. Garcia. See
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    J-A23025-20
    Jury Verdict Sheet, 8/30/19, at 1. As such, we find that the jury did not reach
    a compromise verdict. See Fischer, 
    768 A.2d at 1131
    .
    For these reasons, we conclude that the record supports the trial court’s
    ruling that it was unreasonable for the jury to believe that Mrs. Mazzie did not
    endure compensable pain and suffering. Because the record supports the trial
    court’s ruling, we find that the trial court did not abuse its discretion in
    granting a new trial on damages.
    Order affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 4/16/21
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