Perry v. Saint Francis Hospital & Medical Center, Inc.

District Court, D. Kansas
1995 U.S. Dist. LEXIS 7089, 886 F. Supp. 1551, 1995 WL 316339 (1995)
ELI5:

Sections

Rule of Law:

Under the Uniform Anatomical Gift Act, a hospital is not entitled to 'good faith' immunity if its agent knowingly or recklessly misleads family members about surgical procedures to obtain consent for tissue donation. Additionally, while the mutilation of a corpse can support a tort claim for intentional infliction of emotional distress (outrage), it cannot support a breach of contract claim because there is no commercial property right in a dead body.


Facts:

  • Kenneth Perry died of a heart attack at St. Francis Hospital, where his grieving family was approached by Nurse McDonald regarding tissue donation.
  • The family initially refused donation, fearing disfigurement, but Nurse McDonald assured them that corneas could be 'peeled off' and bone marrow aspirated without removing the eyes or major bones.
  • Based on these specific assurances, the family agreed to donate only corneas and bone marrow.
  • Nurse McDonald completed a consent form by marking 'yes' for 'eyes' and 'bone,' assuring the family that the surgical team would understand the limited nature of the donation.
  • Contrary to her representations, Nurse McDonald allegedly knew from prior training that the actual procedures required removing the entire eye and whole bones.
  • Relying on the signed form, the retrieval team removed Kenneth's entire eyes and major bones from his arms and legs, replacing the bones with wooden dowels.
  • The family remained unaware of the extent of the harvesting until a funeral home employee requested heavy clothing to cover the deceased's missing bones.

Procedural Posture:

  • The plaintiffs (Perry family) filed a lawsuit against St. Francis Hospital and the American Red Cross in the U.S. District Court for the District of Kansas.
  • The plaintiffs dismissed their claims against the American Red Cross.
  • The court previously issued an order limiting the scope of the plaintiffs' claims.
  • Defendant St. Francis Hospital filed a motion for summary judgment seeking to dismiss the remaining claims of outrage, breach of contract, and negligence.

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Issue:

Is a hospital entitled to summary judgment on claims of intentional infliction of emotional distress and breach of contract when its nurse allegedly misrepresented the nature of tissue harvesting procedures to a grieving family, resulting in the removal of body parts exceeding the family's specific consent?


Opinions:

Majority - District Judge Crow

No regarding the tort of outrage and negligence, but Yes regarding the breach of contract claim. The court determined that St. Francis Hospital was not entitled to summary judgment on the immunity or outrage defenses because a reasonable jury could find the nurse acted in bad faith. The court reasoned that the Uniform Anatomical Gift Act's 'good faith' immunity is intended to protect honest mistakes, not intentional or reckless deception. Since the nurse allegedly knew the actual surgical procedures involved removing whole body parts yet told the family otherwise to secure consent, she may have acted with a dishonest purpose. Regarding the tort of outrage, the court found that exploiting a grieving family's vulnerability and betraying their trust by mutilating their loved one's remains could be considered 'extreme and outrageous' conduct. However, the court granted summary judgment against the breach of contract claim, reasoning that there is no property right in a dead body for commercial purposes and public policy views organ donation as a gift, not a contract for consideration.



Analysis:

This case creates a significant boundary for statutory immunity under the Uniform Anatomical Gift Act (UAGA). While the UAGA is designed to encourage organ donation by protecting medical professionals from liability for honest mistakes, this decision establishes that 'good faith' cannot serve as a shield for intentional misrepresentation or reckless disregard for a donor's limitations. It emphasizes the necessity of informed consent in the donation process. Furthermore, the case reinforces the common law principle that human remains are 'quasi-property' for burial purposes only, rejecting the commodification of body parts through contract law while acknowledging the severe emotional harm caused by their mishandling.

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