December 16, 2013
Denise Hildebrandt, Plaintiff
William H. Stephan, M.D. and WILLIAM H. STEPHAN, M.D., P.C., Defendants
DENISE HILDEBRANDT (n/k/a DENISE WRIGHT) Self-Represented Plaintiff.
GIBSON, MCASKILL & CROSBY Attorneys for Defendants Kathleen M. Sweet, Esq., of Counsel.
JOHN M. CURRAN, J.
Plaintiff has moved for an order compelling defendant to appear for a "an additional 4-hour session" of his deposition. Defendant opposes this request essentially on the grounds that plaintiff has waived any further deposition session by expressly consenting to the conclusion of the deposition.
At the initial oral argument on the motion, the Court asked for a complete copy of the defendant's deposition transcript. Following its review of that transcript, the Court interposed certain questions to the parties concerning plaintiff's complaints in her motion papers that defense counsel improperly impeded her ability to conduct the deposition. Defendant objected to the Court's inquiry claiming that the only issue presented by the motion was whether plaintiff had concluded the deposition session or was otherwise entitled to another four-hour session. The Court overruled this objection because plaintiff's motion papers contain numerous complaints that defense counsel "greatly" interfered with the deposition and "objected to virtually every question essentially preventing any meaningful deposition" (Plaintiff's Aff. ¶'s 1, 20 & 23).
Another Four-Hour Session
At the court appearance conducted on April 11, 2013, plaintiff requested that she be afforded two or more four-hour sessions on non-consecutive days to depose the defendant. Plaintiff based this request on her health issues. The Court inquired whether the defendant had any objection. Defense counsel indicated that they could not agree. The Court advised plaintiff that depositions were typically conducted from 9:30 a.m. to 4:30 p.m. on a day-to-day basis. The Court indicated to plaintiff that, if she wished to change this usual practice, she would have to seek an order.
Plaintiff proceeded with the defendant's deposition on April 25, 2013, without seeking any such order. At page 109 of the transcript provided to the Court, plaintiff indicated that she did not have any further questions and tendered the witness to defense counsel. There is no indication in the transcript that plaintiff had any further questions for the defendant. Accordingly, plaintiff consented to the conclusion of the deposition and plaintiff's request to conduct an additional four-hour session of the defendant's deposition must be denied.
The scope of disclosure is broadly defined by CPLR 3101 (a): "[t]here shall be full disclosure of all matter material and necessary in the prosecution or defense of an action, regardless of the burden of proof...."  (emphasis added). This language is "to be interpreted liberally to require disclosure, upon request, of any facts bearing on the controversy which will assist preparation for trial by sharpening the issues and reducing delay and prolixity. The test is one of usefulness and reason" (Allen v. Crowell-Collier Publ. Co., 21 N.Y.2d 403, 406-407 , quoted in Rawlins v. St. Joseph's Hosp. Health Ctr., 108 A.D.3d 1191, 1192 [4th Dept 2013]). "[I]t is important to note that New York has long favored open and far-reaching pretrial discovery. To a large extent, New York's open disclosure policy was intended to mark an end to the presentation of totally unexpected evidence and to substitute honesty and forthrightness for gamesmanship" (DiMichel v. South Buffalo Ry. Co., 80 N.Y.2d 184, 195, rearg denied Poole v. Consol. Rail Corp., 81 N.Y.2d 835 , cert denied 518 U.S. 816 ; see also Kavanagh v. Ogden Allied Maint. Corp., 92 N.Y.2d 952, 954 ; Giles v. Yi, 105 A.D.3d 1313 [4th Dept 2013]). The Court of Appeals has held that "pretrial discovery is to be encouraged" (Hoenig v. Westphal, 52 N.Y.2d 605, 608 ).
CPLR 3113 provides for the manner in which depositions are conducted while CPLR 3115 addresses objections to questions and answers at depositions. Neither section limits the broad scope of disclosure authorized by CPLR 3101 (a) (see Kavanaugh, 92 N.Y.2d at 953-954). The most pertinent parts of these statutes are that objections are to be noted by the stenographer, the deposition is to proceed, objections to the form are ordinarily waived unless raised at the deposition, and objections to admissibility are typically not waived by failing to raise them at the deposition. "The scope of an examination or deposition is broader than what may be admissible at trial" (White v. Martins, 100 A.D.2d 805 [1st Dept 1984]; see Johnson v. New York City Health & Hospitals Corp., 49 A.D.2d 234, 237 [2d Dept 1975).
Instructions not to answer questions at depositions are not addressed by the CPLR. Such instructions are conceptually contrary to CPLR 3113 (c) which directs that depositions "shall proceed as permitted in the trial of an action in open court." The courts have nevertheless recognized that there may be rare occasions when a party witness may be instructed by his or her counsel not to answer a deposition question, subject to a motion to compel and/or for a protective order. The Appellate Division has long held:
We do again, however, call to the attention of the Bench and Bar that in an examination before trial unless a question is clearly violative of the witnesses's constitutional rights or of some privilege recognized in law, or is palpably irrelevant, questions should be freely permitted and answered, since all objections other than as to form are preserved for trial and may be raised at that time.
(Freedco Prods., Inc. v. New York Tel. Co., 47 A.D.2d 654 [2d Dept 1975], see also Watson v. State, 53 A.D.2d 798 [3d Dept 1976]; White, 100 A.D.2d at 805; Humiston v. Grose, 144 A.D.2d 907 [4th Dept 1988]; Dibble v. Conrail, 181 A.D.2d 1040 [4th Dept 1992]; Roggow v. Walker, 303 A.D.2d 1003 [4th Dept 2003]).
In 2006, Part 221 of the Uniform Rules for the Conduct at Depositions was adopted. Section 221.2 requires deponents to "answer all questions at a deposition, except: (I) to preserve a privilege or right of confidentiality;  (ii) to enforce a limitation set forth in an order of a court, or (iii) when the question is plainly improper and would, if answered, cause significant prejudice to any person" (emphasis added). As this Court has previously observed, "[t]hese rules also were nothing new but rather a useful regulatory guide to effectuate application of CPLR § 3113 (c) and to otherwise reconfirm controlling case law" (Sciara v. Surgical Assoc. of W.NY, P.C., 32 Misc.3d 904 [Sup Ct, Erie County 2011], affd in part and mod in part 104 A.D.3d 1256 [4th Dept 2013]; lv granted 107 A.D.3d 1503 [4th Dept 2013]). 
Because the trial courts have broad discretion in supervising disclosure and such discretion is only disturbed upon a showing of an abuse of that discretion (Hann v. Black, 96 A.D.3d 1503, 1504 [4th Dept 2012]), there are no precise parameters for what constitutes "plainly improper" or "palpably improper" questioning causing "significant prejudice." The courts have established certain boundaries such as:
1) questions seeking "a conclusion of fact or law or an argumentative matter" are not permitted at an examination before trial (Lakeville Merrick Corp. v. Town Bd. of Islip, 23 A.D.2d 584, 585 [2d Dept 1965]; Milbeck Apts., Inc. v. Corby Assocs., Inc., 285 AD 83, 85 [1st Dept 1954]; Rausch v. Monfort, 251 AD 868 [2d Dept 1937]);
2) questions "largely related" to a party's understanding of his or her "ultimate legal contentions" are "palpably improper" (Barber v. BPS Venture, Inc., 31 A.D.3d 897 [3d Dept 2006]; Lobdell v. S. Buffalo Ry., 159 A.D.2d 958 [4th Dept 1990]; and
3) a party witness may not be compelled to answer questions seeking legal or factual conclusions or questions asking the witness to "draw inferences from the facts" (Mayer v. Hoang, 83 A.D.3d 1516, 1518 [4th Dept 2011]; Lobdell, 159 A.D.2d at 958).
Plaintiff commenced a line of questioning which she described as pertaining to "specific medical practices" (Tr. 16). She then attempted to ask defendant whether he was "familiar with" certain well-recognized medical journals (Tr. 16). Defense counsel immediately declared: "I can't let him answer it in that form" (Tr. 17). Defense counsel then suggested to plaintiff that she rephrase the question in "an appropriate way to ask a question with regard to a physician and periodicals" (Tr. 17).
Plaintiff attempted to comply with defense counsel's suggestion by targeting her next question to a specific subject matter: "Can you name any studies appearing in peer-review journals, such as these, that show..." (Tr. 17). Defense counsel interposed an objection and directed her client not to answer that question (Tr. 17-18). Defense counsel again tried to suggest to plaintiff that it would be more appropriate if the question was whether the defendant accepted or adopted a particular periodical as authoritative (Tr. 18). Defense counsel further indicated that she was instructing her client not to answer because the question was "palpably improper" (Tr. 18).
A short while later in the deposition, plaintiff asked whether defendant was "aware of" certain studies on a specific subject matter from specific journals (Tr. 26). Defense counsel again refused to allow her client to answer unless the question was related to whether the defendant found the specific journals to be authoritative (Tr. 26).
The instruction not to answer on the basis described in the transcript was improper. Plaintiff is not required during a discovery deposition to establish that the defendant physician recognized the articles as authoritative. While that foundation is required to cross-examine a defendant physician or an expert at trial before referencing the hearsay in the article, no such foundation for admissibility is required at a deposition. It is well-settled that the standard governing the appropriate scope of questioning at a deposition is not based on admissibility at trial, but on whether the questioning relates to the controversy and will assist in trial preparation (Dattmore v. Eagan Real Estate, Inc., 112 A.D.2d 800 [4th Dept 1985]; Shutt v. Pooley, 43 A.D.2d 59 [3d Dept 1973]). Whether a defendant physician is aware of certain journals in his field of expertise is pertinent to establishing at trial whether the physician considers such journals to be authoritative. Here, plaintiff was precluded from determining whether the defendant was even aware of such journals. Plaintiff was thereby stymied from asking follow up questions regarding specific articles on pertinent subject matters.
Because defense counsel's instructions not to answer improperly interfered with plaintiff pursuing this line of questioning, the defendant physician must appear at a further deposition to answer questions regarding the journals referenced in the transcript. Plaintiff also will be entitled to ask follow up questions regarding any specific articles from those journals which are pertinent to the controversy. Copies of the articles to which the plaintiff wishes to call the defendant physician's attention must be provided at the time of the questioning.
Plaintiff also attempted to inquire whether the defendant physician was familiar with her subsequent treatment. Defense counsel categorically refused to allow any such inquiry and instructed her client not to answer (Tr. 98-105). This too was improper.
Plaintiff was precluded from determining even whether the defendant physician was aware that she went for further treatment and whether the defendant physician knew what the results of that treatment were in connection with her complaints in this action. At a minimum, because the defendant physician may be asked to provide expert opinions at trial, the defendant physician may be asked facts that will be part of the record at trial even though they were not part of his specific treatment of the plaintiff.
As an expert, the defendant physician can be asked to assume certain facts provided they are otherwise in the record. While it may be inappropriate to ask the defendant physician to express an opinion as to the quality of care rendered solely by another physician (Dare v. Byram, 284 A.D.2d 990 [4th Dept 2001]), it is not improper to ask about the defendant's awareness of such treatment and whether the defendant physician is aware of the plaintiff's current condition which allegedly may be a result of the defendant's negligence (see e.g., Forgays v. Merola, 222 A.D.2d 1088 [4th Dept 1995]; Glass v. Rochester Gen. Hosp., 74 A.D.2d 732 [4th Dept 1980]; Wilson v. McCarthy, 57 A.D.2d 617 [2d Dept 1977] ["... questions such as those to be posed by plaintiffs' counsel in an examination before trial may roam far and wide, and may be posed for the purpose of eliciting information calculated to lead to relevant evidence"]. To limit a discovery deposition solely to the period of treatment by the defendant physician would deprive the plaintiff of the ability to prepare for trial to meet the testimony of the defendant physician who may at that time express opinions or otherwise testify about the plaintiff's ultimate complaints and current condition.
For these reasons, the defendant also must be re-deposed concerning the report(s) plaintiff attempted to identify and direct his attention to during the first session. While the defendant cannot be compelled to express an expert opinion as to the quality of the later treatment, the facts mentioned in those reports concerning the plaintiff's condition are an appropriate subject matter.
Defendant also refused to answer questions about an affidavit he allegedly executed on behalf of plaintiff in a prior action (Tr. 71-79). Defendant apparently takes the position that the affidavit was drafted by someone other than himself, that the version he was shown at the deposition was not the final one, and that he may have made changes to the one he was shown. While all of this was explained on the record by defense counsel, plaintiff was deprived of any opportunity to explore the explanation and the statements in the affidavit. It also appears that the affidavit may contain a significant statement by defendant that plaintiff suffered an adverse reaction to the treatments he administered, a fact which appears to be in dispute in this action. This should be explored at the deposition.
The instruction not to answer questions regarding the affidavit were improper. Plaintiff should be afforded the opportunity to depose defendant on the contents of the affidavit, including any of the defendant's claims of changes to the document.
Defendant asserts that he cannot be compelled to answer questions about the care plaintiff received from subsequent treating physicians because it would be beyond his own knowledge and would not pertain to facts known by him. Defendant relies upon Lawson v. Michalakes (Sup Ct, Erie County, Jan. 17, 1996, Mintz, J., index No. 1400/94, affd 236 A.D.2d 900 [4th Dept 1997]), to assert that "he may not be compelled to testify regarding solely the conduct of other physicians" (Sweet Aff., ¶ 11). With respect to the affidavit, defendant cites Lawson for the proposition that the instructions not to answer were proper to correct "plaintiff's misleading questions" and to avoid unexplained "significant prejudice" (Sweet Aff., ¶ 12).
The Court disagrees with the defendant's assertions for a number of reasons. First, the instructions not to answer interposed by defense counsel prohibited any questioning about plaintiff's subsequent treatment for the condition she alleges defendant caused. The categorical preclusion at such an early stage of the questioning about subsequent treatment and defendant's awareness of plaintiff's condition after his treatment concluded was improper because it precluded plaintiff from more fully exploring defendant's knowledge of relevant facts and his credibility with respect to the depth of his knowledge as to the causes of plaintiff's condition.
Second, defendant's reliance on Lawson is misplaced because defendant overstates the trial court's decision in that case. Justice Mintz's decision in Lawson related to the use of complex hypothetical questions based on facts unknown to the defendant physician. It does not authorize instructions not to answer allegedly "misleading questions." It also does not preclude deposition testimony touching upon plaintiff's condition after the defendant's negligence occurred or as to the treatment she received for the conditions allegedly caused by that purported negligence, all of which will be facts introduced at trial even if defendant is not personally familiar with them. 
Third, plaintiff's questioning, as limited as it was due to the premature instructions not to answer, does not appear to relate to the conduct of other physicians. Rather, the questions appear to relate to plaintiff's condition and to the treatment necessitated by it, subjects which are clearly relevant to the claims in this case.
Fourth, while Lawson was affirmed by the Fourth Department, there was no decision indicating whether the Appellate Division agreed with Justice Mintz's analysis. Such a summary affirmance should not be taken as approval of the trial court's expressions but merely as an indication by the Appellate Division that it declined to reverse the order made in the trial court's discretion (Griffin v. Brady, 133 AD 939 [1st Dept 1909]; Dall v. Time, Inc., 252 AD 636, 641 [1st Dept 1937], affd 278 NY 635 ; Baksi v. Wallman, 271 AD 422, 426 [1st Dept 1946]; see also S.W. Scott & Co. v. Scott, 186 AD 518 [1st Dept 1919]). Lawson also has not been cited by any court since it was decided sixteen years ago. Moreover, there are significant questions about whether Justice Mintz's analysis was proper or is currently applicable.  Accordingly, Lawson should not be applied as controlling authority for any principle of law.
Fifth, Justice Mintz's decision in Lawson, which appears to prohibit the positing of hypothetical questions to defendant physicians based on facts with which they are not personally familiar, is at odds with case law requiring a movant for summary judgment to assume the opposing party's version of the facts to be true and to otherwise view the evidence in the light most favorable to the opposing party (Haskins v. Loeb Rhoades & Co., 76 A.D.2d 751 [1st Dept 1980]), affd 52 N.Y.2d 523 ; Perez v. New York City Hous. Auth., 212 A.D.2d 379 [1st Dept 1995]; Mosheyev v. Pilevsky, 283 A.D.2d 469 [2d Dept 2001]).  Because a defendant physician, in moving for summary judgment in a medical malpractice action, must assume the plaintiff's version of the facts as true and to view the evidence most favorably to the plaintiff, motions for summary judgment by defendant physicians are frequently premised upon facts to which the defendant physician may not agree or upon facts with which the defendant physician is not personally familiar. In order to properly oppose a motion for summary judgment, a plaintiff must be allowed to pose questions to the defendant physician which assume as true record facts to which the defendant physician does not agree or record facts with which the defendant physician may not be personally familiar. To allow a defendant physician to make a motion for summary judgment or testify at trial on the basis of facts of which the defendant physician may not be personally aware or may even disagree with, but deprive the plaintiff of the opportunity to explore those views at deposition, would be unfairly one-sided in favor of the defendant physician.
Finally, Lawson was largely decided on Justice Mintz's two valid practical concerns: (1) requiring defendant physicians to answer complex hypothetical questions assuming facts which might not be received into evidence at trial "unduly hampers the defendant's attorney;" and (2) awaiting until trial to have the court rule upon the admissibility of the deposition testimony "creates a cumbersome process, " including a "burden on the trial judge." Nevertheless, the CPLR, Appellate Division authority and the Uniform Rules require that all deposition questions be answered with objections noted by the stenographer, unless the questioning transgresses the three narrowly-crafted bases for instructing a party witness not to answer. While it might be less cumbersome and more efficient to have a judge present at every deposition, that is not the process provided for by the legislature and is contrary to New York's "long favored" policy of "open and far-reaching pretrial discovery" (DiMichel, 80 N.Y.2d at 195). Thus, even when a question is perceived as "misleading", it must be answered subject to objection unless it crosses the threshold for interposing a proper instruction not to answer.
For all of these reasons, the defendant's arguments, including those based on Lawson, are rejected.
Based on the foregoing, the defendant physician must be produced for a further deposition in accordance with the terms of this decision. The defendant's further deposition must occur within ninety (90) days of the date of the order entered upon this decision, with notice of entry. The non-party depositions which the defense wishes to conduct need not await the defendant's further deposition.