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Estate Of Raymond v. Goodyear Tire & Rubber Co.8/23/2000
the entire medical chart of Mr. Gerald Raymond in November of 1997?
A: I do.
Q: Okay. My question to you is I wanted you to advise me on the cause of his ultimate death in August of 1996. Is that not right?
A: That's correct.
Q: Didn't I also, Doctor, ask you to do some independent medical research on the issues in this case with regard to alcoholism and the conditions Mr. Raymond was suffering from?
*
A: Yes, the answer is yes.
Q: And did you do so, Doctor?
A. Yes, I did.
The medical records that Dr. Trangle reviewed included Dr. McCluskey's office records and records from Akron City Hospital and Cleveland Clinic, where Mr. Raymond was treated after diagnosis of the Baker's cyst in May, 1996. Facts contained in these records not only established an adequate foundation for Dr. Trangle's testimony concerning Mr. Raymond's alcoholism, but also provided the predicate support for his opinion that alcoholism was responsible for Mr. Raymond's death.
Dr. Trangle told the jury that blood tests in Dr. McCluskey's office records indicated that Mr. Raymond had suffered from alcoholism for some years prior to the 1995 workplace accident. Dr. Trangle said the blood tests, ordered by Dr. McCluskey in 1986, 1989, and 1991, showed elevated liver function tests or hepatitis and elevated red cells. He called this pattern of high liver tests and elevated red cells "highly suspicious of alcoholism." This evidence established the foundation for further testimony regarding the effects of Mr. Raymond's alcoholism on his health.
The transcript also shows that, throughout his testimony, Dr. Trangle identified the specific facts from Mr. Raymond's medical records upon which he relied in forming his opinions. Dr. Trangle testified that blood tests ordered by Dr. McClusky after the work-related accident in December, 1995, continued to exhibit elevated liver function levels. These tests indicated that Mr. Raymond was anemic and that he had "low and abnormal" platelets. From these tests, Dr. Trangle said it was evident that Mr. Raymond was suffering from coagulopathy--an inability to clot blood. Dr. Trangle said the low platelet count and coagulopathy apparent in these tests could not have resulted from the work-related accident. Dr. Trangle testified that a number of physical conditions associated with alcoholism contributed to the bleeding disorder that prevented Mr. Raymond's body from resolving the cerebral hemorrhage, which ultimately caused his death.
Q: Prior to his death on August 20th, 1996, do you have an opinion to a reasonable degree of medical certainty as to whether or not Mr. Raymond was suffering from bone marrow suppression?
Appellant's counsel: Objection.
Court: Well, from the records you've examined, may you draw that conclusion?
Witness: Yes, I may.
Court: All right. Then he has an opinion.
Appellees' counsel: And, again, I'll ask you this based on all the records you have, Doctor. Do you have an opinion? What is it?
A: * e had bone marrow suppression and all the elements based upon a number of red cells, the number of platelets, yes, he did.
Q: Do you have an opinion whether that contributed to his death?
A: It was a contributing factor, yes.
Q: * ased on the records you reviewed, was Mr. Raymond suffering from hepatitis?
A: He's been suffering from hepatitis since 1986 up until the time of his death, yes.
Q: Did that contribute to his death?
A: Yes, it did.
Q: Prio
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