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Messages - ZenAgent

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61
LOL.  "She's on the living room ground right now".

http://www.youtube.com/watch?v=FHTzpXyXO-4

They needed Valium for that angst.

62
The Troubled Teen Industry / Re: AARC Expose - Feb. 13th
« on: March 04, 2009, 09:15:09 AM »
Quote from: "psy"
These programs make money off splitting families up if a member disagrees with the group (a lot like Scientology's policy of "disconnection").

Yep.  Ask my wife about that, she was denied all contact with her daughter for having the gall to ask questions about the program and photographing her daughter being restrained face down by five fat women, one on the girl's back to take the wind out of her.  The program failed to break the bond between mother and daughter, which frustrated the hell out of the treatment team.  God knows they tried every trick - telling my step daughter that her mom asked for her to be restrained, calling mom crazy, etc.  The kind of thing family courts refer to as "parental alienation" except it's okay when "pros" do it for the parent who pays.

This was at a licensed accredited program that boasts of being different from the ones you read about in the media.

63
Peninsula Village / Peninsula's Adult Program - a horror story.
« on: March 02, 2009, 02:16:53 AM »
This was a malpractice action against Peninsula's adult facility for negligent patient care.  Larry Rich was in "a special care unit, locked and monitored, where suicidal patients were constantly observed", an adult version of STU.  Kids kill themselves in programs and the negligent facility and staff walk or receive meager punishments.  

BUT - Larry Rich was an adult...read how differently his RTC death was treated than the deaths of teens in programs.  Rich's widow won her malpractice suit, and the decision was upheld by Judge Inman in the Court of Appeals when Peninsula appealed, bitching about how the facility was described by plaintiff's counsel and the award of compensatory damages of $650,000.00 was decried as "excessive".  Based on Larry Rich's projected earnings if he had lived to 65 and discounting salary increases (he was 39 when he passed), the award of $650,000.00 is less than Rich's projected earnings.  

How does Peninsula deal with investigations of their negligence?  See below.  They destroy all evidence, and defiantly.  The wife of the majority stockholder of Peninsula was the nursing director who disposed of the damning evidence, and there's no mention of Nurse Greer being charged with obstruction or destroying evidence.
 
Quote from: "COURT OF APPEALS OF TENNESSEE, EASTERN SECTION"
Rich was wearing street clothes and the nurse discovered three tablets beside him on the bed. A note was discovered on a table beside the bed asking that the taped message in the recorder on the table be delivered to Rich's attorney. Rich was transferred by ambulance to Blount Memorial Hospital emergency room at approximately 8:40 A.M. He died there that afternoon at approximately 1:50 P.M. of cardiac arrest secondary to an Amitriptyline overdose.

Peninsula did not report the incident and refused to allow the police to investigate when they arrived, following a report by Blount Memorial Hospital. Michelle Painter was in charge of the hospital at that time and advised the officers to obtain a search warrant, but later on the police were allowed to investigate under protest. At that time, the room had been "straightened up" and the suicide note and other items had been removed and locked in the nurses' station.

A room checklist would indicate the identity of the individuals who allegedly checked Rich hourly. This document was subsequently destroyed and the decision to do so was made by Nancy Greer who was Director of Nursing and was also the spouse of the defendant's (Peninsula's) majority stockholder. A nurse's worksheet is a record to which any of the hospital personnel can contribute which would show information about the patient gathered throughout a 24 hour period. This document also came to Nancy Greer and was destroyed. The tape recorded instructions from the day shift to the night shift on June 22nd were obliterated the following day after Rich had died but before Peninsula had been advised of his death.

     04/06/90 BRITTANY RICH v. PENINSULA PSYCHIATRIC

     COURT OF APPEALS OF TENNESSEE, EASTERN SECTION, AT KNOXVILLE

          
April 6, 1990

BRITTANY RICH, BNF PATRICIA LOWE, PLAINTIFF/APPELLEE
v.
PENINSULA PSYCHIATRIC HOSPITAL, INC., DEFENDANT/APPELLANT


From the Law Court, Blount County.

Rehearing Denied July 23, 1990

Earl R. Layman, John T. O'Connor, James E. Wagner, Knoxville, for the Appellee

Hogin, London and Montgomery, Knoxville, for the Appellant

William H. Inman, Special Judge, Clifford E. Sanders, P.j. (e.s.), Houston M. Goddard, J., Concur.

The opinion of the court was delivered by: Inman

WILLIAM H. INMAN, SPECIAL JUDGE

This is a hospital malpractice action wherein the appellant was onerated with substantial compensatory and punitive damages for the wrongful death of Larry M. Rich whom the jury found to have died as a result of negligent patient care.

At the time of his death in June 1985, Larry Rich was thirty-nine years old and had been employed for fifteen years in the Law Department of Southern Railroad Company as an investigator. His health history included periods of panic attacks occurring since adolescence, previous psychotherapy, and a psychiatric hospitalization several years previously. He also had a history of back problems with laminectomy surgery, two fusion surgeries, and had a 30% disability from these back problems. In May 1985, believing that he was having a heart attack he was hospitalized in the coronary care unit of University of Tennessee Hospital, where his chest pain was determined to be produced by anxiety and re flux rather than a cardiac problem. He was referred to Peninsula Psychiatric Hospital as a voluntary patient on June 4, 1985, by the psychotherapist he had been seeing for some years, Dr. Bob Wahler. His second marriage had ended in divorce in October 1984 and his emotional problems were exacerbated by his inability to accept the divorce. Because his religious ethic was strong he believed that spiritually he was still married to his second wife. His first marriage had ended in divorce in 1981 and his daughter by that marriage, aged 10, was his next of kin on whose behalf this suit was filed.

Peninsula maintained a special care unit, locked and monitored, where suicidal patients were constantly observed. It conceded its obligation to prevent a patient's suicide and to further that end obtained written permission from the patient to search his person.

Rich's condition was diagnosed as "dysthemic disorder, panic disorder versus generalized anxiety disorder, and dependent character disorder." Treatment by the hospital staff was supplemented by continued outpatient treatment by Dr. Wahler. The treatment goals for Rich while hospitalized were to decrease his panic attacks, decrease his obsessive and compulsive traits, alleviate the separation process from his second ex-wife, monitor his chemical dependency on pain medication resulting from his back problems, and decrease his manipulation of staff and therapists. Rich had at times expressed suicidal ideations, but said that his deep religious convictions precluded suicide and he had never made any attempt at suicide. While hospitalized he received various medications, including medication for a thyroid condition, for headache pain, and for depression. Neither his treating physicians nor anyone at Peninsula ever prescribed Amitriptyline for Rich.

Rich was a patient in the adult psychiatric section of the hospital, which is a "care level 2" status in which staff conduct hourly checks of the patients. During the course of his hospitalization he was twice placed in an increased level of care, the special care unit. On the first occasion, lasting from the evening of June 13 until the morning of June 17, he had become tearful and anxious and had suicidal thoughts after telephoning his ex-wife on their wedding anniversary. The second occasion, a 45-minute period on June 20, occurred when he had a panic attack. He left the hospital on four occasions, twice when he went to his outpatient therapist by hospital-provided transportation on June 18 and June 20, and twice for therapeutic assignments approved by his psychiatrist when he drove his own automobile to see his therapist on June 10 and to get a haircut, visit his mother and check his mail on June 22.

When Rich returned to Peninsula on June 22 at 2:30 P.M. he was checked in by Silvers, a mental health associate who checked the contents of the brown paper bag Rich brought in, asked him for his car keys and any "sharps", medications or other contraband. Rich was quiet, stated he felt nervous on therapeutic assignment, but that it had gone well and that his medications helped his anxiety. He asked and received permission to return to his car. Silvers testified that he did not remember where the paper bag was at that time, but no search was conducted. This proved to be a critical omission.

When called by intercom for his 6:00 P.M. medications, he replied "okay" but did not go for them, and except for this one-word response Rich was never again observed in a conscious condition.

Patricia Lowe (first ex-wife) received two calls from Rich on the afternoon of the 22nd, one shortly after his return to the hospital. She reported that he was terribly upset as a result of his encounter with Sylvia (second ex-wife) to the extent that his voice was trembly and he was hard to understand. Patricia called Peninsula and reported that she was very worried because Rich was so upset and requested that Rich be requested to call her and when he did not, she again called and was told by Peninsula personnel that, "we don't give them their messages; . . . its their responsibility to come up here and get them".

When Rich did not come for his medication at 10:00 he was checked by Imogene Woodfin. She did not observe the suicide note and tape recorder which was discovered the next morning, nor did she observe the three Amitriptyline pills on the bed beside him. She testified that she looked closely enough to see that his chest was rising and falling but she failed to observe that he was in street clothes and shoes. Nurse Woodfin attempted to arouse Rich but was unsuccessful and she reported to the Charge Nurse, Michelle Painter, that she was unable to awaken him. Ms. Painter told Nurse Woodfin that she (Ms. Painter) would check on Rich but she failed to do so.

Thereafter the night shift charge nurse came on duty, was informed that Rich had a difficult therapeutic assignment, had tried to see his ex-wife, and had been anxious and upset, had been given verbal support by the staff, had made a phone call, had gone to bed in the mid-afternoon and had not taken his 6:00 P.M. and 10:00 P.M. medications. Charting done at 6:00 A.M. the next morning showed that at hourly checks Rich appeared to be asleep. At approximately 8:00 A.M. when the charge nurse went to Rich's room to give him morning medication, his attempts to arouse Rich were unsuccessful. Rich was wearing street clothes and the nurse discovered three tablets beside him on the bed. A note was discovered on a table beside the bed asking that the taped message in the recorder on the table be delivered to Rich's attorney. Rich was transferred by ambulance to Blount Memorial Hospital emergency room at approximately 8:40 A.M. He died there that afternoon at approximately 1:50 P.M. of cardiac arrest secondary to an Amitriptyline overdose.

Peninsula did not report the incident and refused to allow the police to investigate when they arrived, following a report by Blount Memorial Hospital. Michelle Painter was in charge of the hospital at that time and advised the officers to obtain a search warrant, but later on the police were allowed to investigate under protest. At that time, the room had been "straightened up" and the suicide note and other items had been removed and locked in the nurses' station.

A room checklist would indicate the identity of the individuals who allegedly checked Rich hourly. This document was subsequently destroyed and the decision to do so was made by Nancy Greer who was Director of Nursing and was also the spouse of the defendant's majority stockholder. A nurse's worksheet is a record to which any of the hospital personnel can contribute which would show information about the patient gathered throughout a 24 hour period. This document also came to Nancy Greer and was destroyed. The tape recorded instructions from the day shift to the night shift on June 22nd were obliterated the following day after Rich had died but before Peninsula had been advised of his death.

II

At the close of all the evidence the defendant moved for a directed verdict on grounds that: 1) the plaintiff had introduced no evidence to establish that the alleged negligence of the defendant was a proximate cause of the plaintiff's damages and 2) a wrongful death action was barred under the uncontroverted evidence. These grounds were again asserted by the defendant in its motion for judgment n.o.v. or for a new trial and again overruled.

The case against the defendant is based on acts and omissions over the period from Saturday, June 22, 1985 until Sunday morning, June 23, when Rich's distressed condition was discovered. The plaintiff asserted two theories of recovery against defendant: the first for deviations from required care of deceased which failed to effect a prevention of his ingestion of the drug, and the second for deviations from the required care of deceased in failing to subsequently discover that he had overdosed in time to save him from the fatal effects of the drug. The defendant argues that its directed verdict motions should have been granted as to both of these theories, because the suicide was a deliberate act, and because no evidence of proximate cause was presented to show that any negligence of defendant affected the outcome. The defendant argues that a verdict could not be predicated on the second theory because no evidence of proximate cause was presented to show that any negligence of the defendant was a cause of Rich's death. In addition to the issue of whether a judgment N.O.V. should have been entered, the appellant presents for our review the further issues:

1. Whether the Court erred in allowing plaintiff to read into proof portions of the discovery depositions of Michelle Painter and Will Barton on a holding that they were managing agents of the defendant.

2. Whether defendant is entitled to a new trial on grounds of improper conduct of plaintiff's counsel.

3. Whether the trial court erred in submitting the issue of punitive damages to the jury.

4. Whether the trial court erred in refusing defendant's requested jury instructions on the issue of punitive damages.

5. Whether the damage verdicts were so excessive as to require a remittitur.

Ill

Our standard of review is prescribed by Rule 13(d), Rules of Appellate Procedure. Findings of fact by a jury in a civil action shall be set aside only if there is no material evidence to support the verdict. A motion for a directed verdict may be granted only if no material evidence exists from which a jury could find for the party against whom the motion is made, and courts are required to look to all the evidence in favor of the plaintiff, to discard all countervailing evidence, to take the strongest legitimate view of the evidence for the plaintiff and to allow all reasonable inferences from it in favor of the plaintiff. Walker v. Associates Com. Corp., 673 S.W.2d 517 (Ct. App. 1983); Royal v. Days Inns of America, Inc., 708 S.W.2d 411 (Ct. App. 1985).

There was evidence which the jury was at liberty to accredit that Rich ingested the drug on the afternoon of June 22, and that he thereafter lay on his bed, in street clothes and shoes, until the following morning. The jury could have concluded that the pills found in his bed on the morning of June 23, and the tape recorder with the dictated suicide note, were in place throughout the night, which might reasonably have been detected had the hospital performed its represented duty. The appellant concedes there was evidence that it deviated from an acceptable standard of care by: (1) failing to check Rich's pockets on his return from the therapeutic visitation; (2) failing to search his person and the paper sack on his return from the car; (3) and failing to keep an informed chart history.

Superimposed upon these acts is evidence from which a jury might further conclude that the defendant's employees were negligent by (4) failing to heed the significance of, and consequently of raising an alarm about, the wearing of shoes and street clothes while abed, or failing to exercise due care to observe the manner of his dress; (5) failing to assess the extent of Rich's desperation upon his return from a therapeutic assignment; (6) the failure of the charge nurse to read the chart, and her lack of information, otherwise available, concerning the renewal of Rich's anguish by contact with Sylvia; (7) failing to monitor Rich more closely after his contact with Sylvia, since his suicidal tendencies were then more pronounced, as known to the appellant, and (8) failure of the charge nurse to apprise herself that Rich had been a patient in Category 1 care as a suicide risk. While the appellant concedes that it failed to conduct an adequate search when Rich returned from his therapeutic assignment, it insists that no evidence was presented to establish that an adequate search would have discovered the drugs. This argument essentially begs the question; the defendant had the duty - the contractual duty - to search Rich and discover the very pills which destroyed him, and the point cannot be successfully rebutted by the claim that the plaintiff failed to prove that any search would have been successful. The jury was clearly entitled to infer from the failure to search that had a search been conducted under the circumstances Rich presented that the destructive pills would have been discovered.

The appellant argues, see: German v. Nichopoulas, 577 S.W.2d 197 (Ct. App. 1978) that positive proof of negligence does not constitute proof of causation, and that this record is devoid of any proof of causation, a necessary element to be proved. As we have observed, there was evidence presented from which the jury might lawfully conclude that the negligence of the appellant enabled Rich to transport the drugs; and the appellee, pursuing the causal relationship, adduced evidence that in light of his severe disturbance Rich might reasonably have been expected to ingest them. We think the inadequate search was directly and causally related to Rich's death by his own hand. Again, the argument of the appellant that no evidence was presented that a conformed and thorough search would have found the drug essentially begs the question, because this argument, if valid, takes from the jury its prerogative to make reasonable inferences from established facts.

The appellant further argues in this vein that no medical evidence was presented of the probable time of the overdose or the time at which the effects of the overdose became irreversible. We note the testimony of a medical expert, Dr. Layman, "that earlier intervention would have saved him". Another expert testified that the effects of the drug were consistent with Rich's condition as early as 10:00 P.M., and that the sooner therapy is administered the better the results. As held in Johnson v. Ely, 205 S.W.2d 759 (Ct App. 1947)

"It was for the jury to weigh the probabilities in the light of all the proof and determine the weight of the inferences to be reasonably drawn from the circumstances relied upon by plaintiff in the light of the possibilities or probabilities appearing from the proof offered by defendant. Because there were possibilities or even probabilities opposed to the circumstantial evidence in the case did not overcome as a matter of law the force of the circumstantial evidence, and in such a case a verdict based on the whole evidence would not be the product of speculation and conjecture. Law v. Louisville & H.R. Co., 179 Tenn. 687, 170 S.W.2d 360."

Causation may be established by proof of facts and circumstances which demonstrates a reasonable probability that the negligence of the appellant was the proximate cause of the death of Rich. In Crowe v. Prevost, 374 S.W.2d 645 (Ct. App. 1963) the Court stated

"The rule that a verdict in a malpractice action cannot be based on speculation or conjecture as to cause does not necessarily require that the plaintiff prove causation by direct and positive evidence, which excludes every other possible hypothesis as to the cause of the injuries, it generally being held that if a fair preponderance of the evidence discloses facts and circumstances proving a reasonable probability that the defendant's negligence or want of skill was the proximate cause of the injury, the plaintiff has supported his burden of proof sufficiently to justify a verdict in his behalf."

The case of Truan v. Smith, 578 S.W.2d 73 (Tenn. 1979), is of precedential value, because of the expert evidence that the sooner therapy is administered the better the results, and that earlier intervention would have saved Rich. In Truan, Dr. Truan failed to diagnose a breast cancer. The proof showed that if he had diagnosed and informed the patient that she might have a cancer, she could have returned for a recheck and if so the patient's chances of either remission or recovery would have been materially increased. In affirming a jury verdict for the plaintiff, the Court, said,

"Finally, there was medical testimony that metastasis had not occurred on May 6, 1974, and that, had the cancer been treated before that date, Mrs. Smith's chances of either remission or recovery would have materially increased. From these facts, we think the jury reasonably could conclude that, in failing to detect the breast mass when he had an opportunity to do so on both November 12, 1973, and March 25, 1974, and in failing to act on the patient's complaints on March 25, 1974, Dr. Truan did not exercise that degree of care and diligence required of him in providing medical care to Mrs. Smith, and that this lapse either materially increased the changes of or accelerated Mrs. Smith's death."

Appellant insists that there is no evidence in this record from which the jury could conclude that Rich's death would not have occurred save for the negligent acts ascribed to it, because no witness testified that had "the defendant been free of negligence, Rich would not have ingested the pills." This argument is bottomed squarely on a Conclusion; and even the appellant conceded that the purpose of Rich's hospitalization was to enable him to cope with losing Sylvia; i.e., prevent his suicide. The appellant failed to guard against the very acts which occasioned the contractual hospitalization in the first instance, and this failure is equatable to causation and proximate cause.

The appellant insists that the voluntary and deliberate act of suicide, when considered in the light of the asserted lack of evidence of proximate cause, or causation, bars a recovery, and refers us to Weather v. Pilkington, 754 S.W.2d 75, (Ct. App. 1988) in support of its argument. Weathers holds that if a suicidal person understands the nature of his act and has a wilful purpose to accomplish it, he has no cause of action for his own deliberate act. In that case, a general practitioner had refused to commit the deceased despite several suicide threats and attempts. The obvious argument was that the family physician should have been forewarned and thus committed him to safe-keeping. The appellee urges us that Weathers is not in point, because the facts were far different from the case at bar. Standard of care in a psychiatric hospital was not involved. On the contrary, the departure from the standard of care alleged was that Dr. Pilkinton failed to admit the decedent, Michael Weathers, to a psychiatric unit. The trial Judge directed a verdict in favor of Dr. Pilkinton on the grounds that Weathers' intentional act in shooting himself was an intervening cause and even if Dr. Pilkinton were guilty of proximate negligence, he was insulated from liability.

In the present case, the appellant assumed the responsibility to protect the deceased against suicide as testified to by Peninsula's physician, Dr. Lane Cook. The purpose of Rich's hospitalization at Peninsula was because of his inability to cope with losing Sylvia and Peninsula maintained a special care unit which was locked and monitored for the purpose of discharging its duty to suicidal patients. It obtained a written contract from its patient, giving it the right to search and confiscate.

The duty of a psychiatric hospital to guard against a suicide is discussed in the case of Stokes v. Leung, 651 S.W.2d 704 (Tenn. App. 1982). Stokes sued on behalf of his ward, Mary Hall, who had jumped from an unsecured room in the hospital. She sued the treating physician, Dr. Leung, and the hospital, but took a non-suit as to hospital on the morning of trial. The Court said with reference to the duty of a psychiatric hospital to prevent a patient from harming himself:

"We hold that when a hospital elects to accept a patient with psychiatric disorders and with orders that 'suicide precautions' be taken, the prime responsibility to afford reasonably safe facilities and reasonable attendance to the patient's needs to prevent self injury lies with the hospital and not the physician. The physician is not in constant attendance. The hospital is supposed to be. If a doctor prescribes certain medication and the hospital nurse administers another, is the doctor liable for that error? We know of no case in this state that so holds. What we have said on this point is, as we see it, nothing more than a restatement of the rule enunciated in O'Quin vs. Baptist Memorial Hospital, (1947 Tenn.) 184 Tenn. 570, 201 S.W.2d 694, and reiterated in Spivey vs. St. Thomas Hospital, (1947 M.S.) 31 Tenn. App. 12, 211 S.W.2d 450 that:

'The general rule is that a hospital is required to exercise such reasonable care toward a patient as his known condition may require and the extent and character of this care depends upon the circumstances of each case.'"

We think that when the intervening act is itself the foreseeable harm that shapes a defendant's duty, the defendant who fails to guard against the act will not be relieved from liability when the act occurs . . . W. Keeton, Prosser and Keeton on the Law of Torts, § 44, at 303 (5th ed. 1984); Restatement (Second) of Torts §§ 448, 449 (1964). This is the case even when the intervening act is committed by the plaintiff himself. 4 F. Harper, F. James & O. Gray, The Law of Torts, § 20.5, at 158 (2d ed. 1986).

We hold that the motion for a directed verdict was properly denied.

IV

The trial court allowed the plaintiff to read to the jury portions of the discovery depositions of Painter and Barton, charge nurses, upon the theory that they were managing agents within the ambit of Rules 32.01 and 43.02, Rules of Civil Procedure. The appellant objected on the ground that these witnesses did not meet the definition of managing agents. The appellee argues that the objection to the testimony of these witnesses on the ground they were not managing agents at the time of the taking of their depositions is raised for the first time on appeal since the objection at trial was offered solely on the ground they were not managing agents. We see no need to draw this issue so fine, because the jury-out testimony of Barton established that he and Painter, within the purview of Seaboard Coastline Railroad Co. v. Hughes, 521 S.W.2d 558, (Tenn. 1975), were managing agents. In Hughes, a managing agent is defined as any person who:

1. Acts with superior authority and is invested with general powers to exercise his judgment and discretion in dealing with his principal's affairs (as distinguished from a common employee, who does only what he is told to do; has no discretion about what he can or cannot do; and is responsible to an immediate superior who has control over his acts);

2. Can be depended upon to carry out his principal's directions to give testimony at the demand of a party engaged in litigation with his principal; and

3. Can be expected to identify himself with the interests of his principal rather than those of the other party.

In addition, the Court set out six factors to be used in determining whether or not an employee is a managing agent. Those factors, listed on page 563:

a. the possibility of hostile or adverse interest.

b. the loyalty of the individual concerned.

c. the extent of his authority.

d. the extent to which his actions are discretionary.

e. the precise nature of his duties.

f. the availability of any other person of higher title or rank to testify.

The Court said, "None of these factors is controlling, but each should be considered."

In the jury-out hearing, Mr. Barton acknowledged that a Charge Nurse has no direct supervisor and that he was "responsible for making any decision about whatever went on" and that there was no one present to overrule his decisions.

Michelle Painter testified that she was the Charge Nurse at the hospital on weekends, working from 8:00 A.M. to Midnight on Saturday and Sunday. When questioned concerning her authority, she said:

Question: During that period of time, were you in charge, were you the boss at the hospital over that period of time?

Answer: Yes, I was. They had a nurse who was responsible for the adult chemical dependency unit and I was a consultant person on that unit. The rest of the hospital, yes. I would expect -- my understanding was I was over all. In the issues of hospital management, I was the boss.

We agree with the trial Judge that Painter and Barton were managing agents within the Rule. This issue is without merit.

V

The appellant complains of the conduct of counsel for the appellee in repeatedly referencing it as a for-profit corporation, and stressing the relative economic positions of the parties. These remarks were not objected to, and hence the issue is not preserved on appeal. Morgan v. Duffy, 30 SW 735 (1895); Lee v. Lee, 719 S.W.2d 295 (Ct. App. 1986). Comments of counsel during closing arguments are preserved in the record, and there can be little doubt of their departure from propriety. But as held in the early case of East Tenn., Virginia and Georgia Ry. Co. v. Gurley, 80 Tenn. 46 (1883) much must be left to the good sense of the jury, and the remarks, as likely as not, might well have been counterproductive. This issue is without merit.

VI

The appellant says that the issue of punitive damages should not have been submitted to the jury. In the case of Inland Container Corp. v. March, 529 S.W.2d 43, (Tenn. 1975), our Supreme Court held

Punitive damages are allowed under Tennessee law and are given in excess of compensatory damages and in addition thereto. They are awarded in cases involving fraud, malice, gross negligence or oppression, or where a wrongful act is done with bad motive or so recklessly as to imply a disregard of social obligation, or where there is such willful misconduct or entire want of care as to raise a presumption of conscious indifference to consequences.

The appellee argues that two circumstances justify the imposition of punitive damages: (1) the failure of the hospital staff to search Rich after he was allowed to return to his automobile, and (2) failing to provide medical attention after Rich could not be awakened at 10:00 P.M.

We are of the opinion that these circumstances are wholly insufficient to justify punitive damages. While the failure to awaken Rich, standing alone and without regard to the attendant circumstances, might logically be described as a disregard of duty, see: Suzore v. Rutherford, 351 S.W.2d 129 (1952), we cannot ascribe a conscious indifference or wanton spirit to acts that cannot be elevated to a greater degree of wrongdoing than ordinary negligence. This issue has merit, and the judgment will accordingly be modified to disallow punitive damages.

VII

Appellant insists that the award of compensatory damages of $650,000.00 is excessive and should be reduced.

Rich was 39 years old, a college graduate and a professional claims agent for the Southern Railway Company. His salary in 1984 was $34,767.00. His statutory worklife expectancy was 26 years. With no allowance for salary increases he could reasonably have expected to earn mare than the amount of the award, assuming his retirement at age 65. As observed by the appellee, the award is less than projected lost wages. The damages recoverable are the pecuniary value of Rich's life, T.C.A. 20-5-113, determined b evidence of life expectancy, his age and condition of health, capacity for labor and earning money, and life style. Bellamy v. Saddler, 640 S.W.2d 22 (Ct. App. 1982). We cannot find that the evidence does not support the award, and this issue is without merit.

The judgment, as modified, is affirmed, costs are assessed two-thirds to appellant and one-third to the appellee.

64
Open Free for All / Saggin' Isn't A Crime.
« on: March 01, 2009, 12:59:37 AM »
Chad, Hermitage Manor and PV's abuses don't get any legislative consideration in TN.  The good ol' boys like places that store godless little teenage heathens, queers and junkies. Wilfull display of gluteal cleavage and/or boxer shorts is an abomination unto Bible-Belt True Christians and must be smited. Or smote.

First offense:  $200 and 40 hours community service work.

Fourth offense:  $1,000 and 160 hours of community service work.

Did Cheryl Sudweeks or Randall Hinton pull  as much in fines and community service hours?  

http://www.capitol.tn.gov/Bills/106/Bill/SB1757.pdf

Legislative Report Tennessee Commission on Children and Youth February 27, 2009

SB1757
00388005
-1-


SENATE BILL 1757
By Ford, O.

AN ACT to amend Tennessee Code Annotated, Title 39
and Title 49, relative to criminal offenses.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Title 39, Chapter 17, Part 9, is amended by
adding the following language as a new section:
§ 39-17-9__.

(a) It is an offense for any person to knowingly wear pants below the
person's waistline, in a public place, in a manner that exposes the person's
underwear or bare buttocks.


(b) As used in subsection (a):

(1) “Public place” means any location frequented by the public, or
where the public is present or likely to be present, or where a person may
reasonably be expected to be observed by members of the public. “Public
place” includes, but is not limited to, streets, sidewalks, parks, beaches,
business and commercial establishments, whether for profit or not-forprofit
and whether open to the public at large or where entrance is limited
by a cover charge or membership requirement, bottle clubs, hotels,
motels, restaurants, night clubs, country clubs, cabarets and meeting
facilities utilized by any religious, social, fraternal or similar organizations;
and
(2) "Underwear" means an article of personal wear that is worn
between the skin and an outer layer of clothing. "Underwear" includes,
but is not limited to, boxer shorts and thongs.
- 2 - 00388005

(c)
(1) A violation of subsection (a) is a Class C misdemeanor and
shall be punished as follows:

(A) A first offense is punishable only by a fine of two
hundred dollars ($200) and forty (40) hours of community service
work, which fine or penalty shall not be suspended or waived;

(B) A second offense is punishable only by a fine of five
hundred dollars ($500) and eighty (80) hours of community
service work, which fine or penalty shall not be suspended or
waived;

(C) A third offense is punishable only by a fine of seven
hundred and fifty dollars ($750) and one hundred and twenty (120)
hours of community service work, which fine or penalty shall not
be suspended or waived; and

(D) A fourth or subsequent offense is punishable only by a
fine of one thousand dollars ($1,000) and one hundred and sixty
(160) hours of community service work, which fine or penalty shall
not be suspended or waived.

(2) Any community service to which a person is sentenced for a
violation of this section shall be scheduled around the offender's work and
school schedule.

(d) There is created a special account in the state treasury to be known
as the "Extracurricular Activities Enhancement Fund", hereinafter referred to as
the "extracurricular activity fund".
(1) There shall be deposited in the extracurricular activity fund:
- 3 - 00388005
(A) All funds produced from the fines ordered pursuant to
this section; and
(B) Appropriations made by the general assembly to the
extracurricular activity fund.
(2) In addition to the funds deposited pursuant to subdivision
(d)(1), the commissioner of education may accept other funds, public or
private, by way of gift or grant to the fund.
(3) Moneys in the extracurricular activity fund may be invested by
the state treasurer in accordance with the provisions of § 9-4-603.
(4) Notwithstanding any provision of law to the contrary, interest
accruing on investments and deposits of the extracurricular activity fund
shall be credited to such fund, shall not revert to the general fund, and
shall be carried forward into the subsequent fiscal year.
(5) Any balance remaining unexpended at the end of a fiscal year
in the extracurricular activity fund shall not revert to the general fund but
shall be carried forward into the subsequent fiscal year.
(6) Money in the extracurricular activity fund shall be earmarked
for distribution to local education agencies in the proportion that each
local education agency's student population has to the overall statewide
student population of all local education agencies to be used as follows:
(A) For musical instruments for band, fifty percent (50%);
(B) For books, twenty-five percent (25%); and
(C) For sports equipment for school sponsored athletics,
twenty-five percent (25%).
- 4 - 00388005
(7) Money in the extracurricular activity fund may be expended
only in accordance with annual appropriations approved by the general
assembly.

SECTION 2. This act shall take effect July 1, 2009, the public welfare requiring it.

65
The Troubled Teen Industry / AAPP Annual Conference 2009
« on: February 23, 2009, 02:58:45 PM »
http://alien.dowling.edu/~cperring/aapp-capconf.html

ASSOCIATION FOR THE ADVANCEMENT OF PHILOSOPHY & PSYCHIATRY

 

CALL FOR ABSTRACTS

21ST ANNUAL MEETING

May 16 & 17, 2009

San Francisco, California

 

THEME: Philosophical Issues in Child and Adolescent Psychiatry

 

Conference Co-Chairs:

Christian Perring, Ph.D., Dowling College, NY

Lloyd Wells, M.D., Ph.D., Mayo Clinic, MN

 


Child and adolescent psychiatry has had relatively little philosophical attention, yet it is rich with theoretical, conceptual, ethical, and social issues.  Children and adolescents are still undergoing significant psychological development and they occupy very different social roles from adults, so their experience of emotional and cognitive problems is very different from that of adults.  A central issue is whether we should conceive of childhood mental disorder in the same way as adult mental disorder, and how we should acknowledge the differences between children and adults in our classification schemes.  It is generally acknowledged that family dynamics can play a major role in the development of a child's emotional problems, and many in the field have argued that the family should be the central unit of treatment.  Yet the trend in psychiatry is to move towards a more individualistic or atomistic understanding of mental disorder, and this places child and adolescent psychiatry potentially in tension with the rest of the field.  Philosophical discussion has the potential to illuminate and even resolve some of the theoretical disputes.  Furthermore, ethical issues have been especially prominent in the treatment of children and adolescents, from the disputes about the potential over-diagnosis and resulting needless treatment of childhood ADHD and depression, to alarming claims that some antidepressants can cause suicidal behavior in young people.  In medical ethics, there has been growing awareness of the need to recognize the rights of children, and the importance of sometimes letting them participate in treatment decisions.  The task of determining criteria for the competence of young people is especially challenging when they have mental disorders.  This AAPP conference will provide the opportunity for psychiatrists, psychologists and philosophers to address these and related issues.

 

Possible topics for presentations:

 

•          Should child and adolescent psychiatry have a different diagnostic scheme for mental disorders from adult psychiatry?

•          The role of the medical model and competing approaches in categorizing mental disorders of youth

•          The conceptual relation between family problems and child psychopathology

•          The medicalization of normal problems of childhood and adolescence

•          Epistemic and conceptual problems in diagnosing mental disorders of infants and very young children

•          The conceptual legitimacy of the diagnostic categories of conduct disorder and oppositional defiant disorder

•          Psychiatry's reaction to the relation between eating disorders and increasing social pressures on young people to conform to impossible standards of beauty

•          The ethical responsibilities of psychiatrists in prescribing medications to young people when there have been reports of potential increasing risk of suicide

•          Ethical issues in genetic testing of children for mental disorders

•          Children's capacity to consent to psychiatric treatment or research

 

Presentations will be strictly limited to 20 minutes, followed by 10 minutes for discussion.  

 

Abstracts will be blind reviewed, so the author's identifying information should be attached separately.

 

Abstracts should be 500-600 words in length and should be sent via email by November 15, 2008 to Christian Perring at [email protected]. Notices of acceptance or rejection will be distributed on January 1, 2009

66
Peninsula Village / Re: PV Staff Laugh While Restraining A Crying Baby!
« on: February 12, 2009, 02:09:02 PM »
Jesus!  That is a disturbing image - a face down restraint, too, the preferred PV method.  They do take their work home with them.

67
Psych Hospitals / Re: Peninsula Hospital in Louisville, Tennessee
« on: February 04, 2009, 04:41:36 PM »
Quote from: "Macadamia"
I never met a Filipino staff member or one who resembled a portly boy bander. The guy I'm thinking of looked more like a scruffy J. Crew model. What does one have to do to be fired from a dreadful place like PV, I wonder?

No one knows why the firings took place, that's the problem.  PV won't say because if we knew the reason it might be used again, either at PV or some other program with similarly abusive practices.  The terminations started with the head of Parkwest, then the administrator of PV, the clinical director, the psychiatrist, the Filipino guy who was toadie to the clinical director, and a long-time therapist.  Not a reassuring sign to desperate parents when the treatment team gets axed in short order.  The educational team went through changes, too.

Quote from: "Macadamia"
The admission of a rapist, clearly in violation of their guidelines, is more proof (not that more is needed!) that the Village exists for less than honorable reasons. How disgusting that there are people in power who care more about money than about the safety and health of our young people. The pregnancy bit is interesting as well. I read a glowing endorsement of PV by a brainwashed young lady who was signed in while she was pregnant (I believe it was in one of the Village newsletters). I suppose she had a rich daddy too, or at least one with excellent insurance.

PH is no doubt the lesser of two evils, but they did tell some lies to my parents. Upon my admission, Mom and Dad were told that they could expect a phone call from me later that day after I'd gotten settled, but the counselors denied me use of the phone and told me it was against the rules. It could be that the admissions folks don't know what's going on in the murky depths of PH.. The counselors also refused to let me call my mother to come and get me on the day of my release, saying that she knew I was getting out that day and would come when she wanted to. I didn't know at the time, but my mom had been informed by one of the counselors earlier that week that I hadn't progressed to the next level and the psychiatrist assigned to me probably wouldn't sign for my release on the day originally planned. One of my roommates was released the same day and left in the morning, but I had to go through another day of group therapy and utter boredom while I waited for my mother to pick me up. She was startled when she arrived at 7 or 8 PM and saw that my bags were packed. I was almost crying because the counselor made me believe that my mom didn't want to pick me up sooner. Thank God it was a visitation day, or else they probably would have kept me longer! They tacked those extra hours onto the bill, of course. It's all about the money with those people.

Yep.  PV (and I guess PH was included, too) was sued by two former Peninsula Behavioral Health employees for discrimination.  The employees were told to change the focus of some patients treatment from mental to substance abuse when insurance coverage for mental health ran out.  The two employees refused and claimed it led to them being fired.  That methodology explains why Pegler forces all the kids to admit to addictions, regardless of why they were admitted.  All about the money.

Bastards.

68
Open Free for All / Re: Who should be the next ZOMBIE
« on: February 04, 2009, 03:46:08 PM »
Quote from: "Anne Bonney"
This is the excerpt from Virgil's video deposition in the Lulu Corter trial.

http://thestraights.com/video/newton-co ... e-clip.ram
 

LOL...My wife and I love the part at the end when Phil asks "You just made that up, didn't you?"  I love the tone of voice, completely incredulous.

Fr. Cassian he calls himself, huh?  This is from Wikipedia:

http://en.wikipedia.org/wiki/Cassian_of_Imola
Quote


There are at least two references in modern literature to Cassian. In the novel A Confederacy of Dunces by John Kennedy Toole, protagonist Ignatius Reilly informs one of his professors that "St. Cassian of Imola was stabbed to death by his students with their styli."

Since they were eager for revenge for the many punishments he had inflicted on them, they bound him to a stake and tortured him to death by stabbing him with their pointed iron styli, the devices then used to mark wooden or wax writing tablets.




Keep on stabbin' away.

69
Psych Hospitals / Re: Peninsula Hospital in Louisville, Tennessee
« on: February 02, 2009, 04:21:05 PM »
Quote from: "Macadamia"
One particularly memorable Village guy liked to lean back in his chair and smirk at us as he let us know how sad and screwed up we were. The way he tried to make us see it, all our troubles were our fault and we had no cause to be upset with anyone but ourselves. I have no doubt that he really would have cracked down on us if someone in a higher position of authority had given him the green light. I was afraid of him and made it a point not to speak in group when he was there.

LOL...What you describe is the PV process - it's all your fault, whether you shot smack, were sexually abused or suffering depression following the death of a parent, PV holds everyone "accountable", they will over-medicate and physically abuse vicitmizer and  victim alike.  PV doesn't treat, they process.

A lot of parents were unaware PV went against their admission policy and took kids who were tried and sentenced as adults for violent crimes.  Imagine how the father of a young girl who had been raped would feel knowing there was a convicted rapist at PV less than 100 ft. away from his daughter.  That situation existed when Andy Klepper was "sentenced" to PV for luring a female escort to his home, where he and a few friends sexually assaulted the woman, at one point sodomizing the victim with a baseball bat.  Here's PV's exclusions, from their website:

 Exclusionary Criteria
Peninsula Village is unable to help every adolescent. Some problems that we cannot treat are:

    * Intelligence below the average range (Full Scale IQ below 90)
    * History of fire setting and pyromania

    * Sexual Offenders / Sexual Disorders
    * History of chronic/severe physical aggression including use of weapons
    * Physical or medical condition that would hinder participation in vigorous, outdoor activities (diabetes, epilepsy)
    * Homicidal intent at time of admission
    * Psychotic Disorders
    * Pregnancy (females)
    * Impairment resulting from traumatic brain injury / Neuro-psychiatric issues
    * Eating disorders that are not medically stable


Klepper certainly falls into the highlighted categories, and yet PV took him with open arms - his dad was paying cash, don't you know.  PV lost the little cash pig when Tennessee refused to allow Klepper to be in the state, making no bones about the reason - no one wanted the degenerate breathing the same air as they did.  What about this:

* Pregnancy (females)

Gee, I'm glad they clarified the pregnancy exclusion.  Does that mean PV accepts pregnant males?


The guy from the Village you describe sounds very, very familiar :roflmao: - did he look like the fat guy from N'SYNC, with a goatee and two tons of gel in his hair, or was he Filipino?  If it was either of those two...heh....what I'm going to call individuals, you did well to escape their notice.  They both got fired from PV last year.  With a satisfying quickness, too.

Macadamia, thank you for sharing your knowledge of PH.  I thought PH really had no clue about the Village's practices, and it's becoming apparent that what happens in the Village, stays in the Village.  PV doesn't interact with the hospital much.

70
Peninsula Village / Re: Raleigh PV Protest 1/24/09
« on: February 02, 2009, 10:19:49 AM »
Were those counselors or alumni?  I'm sorry, I couldn't tell the difference from their behavior - it looked like the old PV peer pressure/provocation method, trying to "break you down".  What a brave bunch of assholes the Pegler cultists are.  They disobeyed their master Pegler's instructions to ignore you, too.  Now there's a video of PV alumni success stories acting like 10 yr. olds.  Pegler, these are your show ponies to hook the marks and rubes?  I've seen the MySpace blogs of most of those alumni, you should check them out.  All they do is talk about weed and getting drunk.  You didn't "cure" them, you taught them to be lying assholes who booze and drug almost as much as PV's counselors.  (See the PV counselor photo "wall of shame")  

Act.da, you're the man.  You maintained your cool, detached status while the KoolAid Krew devolved into the sort of behavior you expected from them.  Even better, you preserved the PV'ites embarrassing display of infantile idiocy for posterity.  

Oh, yeah - Pegler, I say this out of deep concern - Get on Nutrisystem, buddy.  You're looking more like a cellulite mountain than when I last saw you in November.  Ease off the Twinkies, Cap'n Bob.

71
Psych Hospitals / Re: Peninsula Hospital in Louisville, Tennessee
« on: February 01, 2009, 12:09:28 PM »
Hi, Macadamia.  My step daughter spent a week at Peninsula Hospital two months before her dad put her in Peninsula Village.  While she was in PH she met girls from the Village who were being treated.  One girl had attempted to kill herself to escape the Village, another had jumped from a moving vehicle in an escape attempt, and there were a few Village girls with mysterious broken bones and contusions.  After talking with the girls from the Village who were recuperating, you can imagine how my step daughter reacted when her dad informed her she was going tothe Village:
____________________________  :jawdrop:  :jawdrop:  :jawdrop:  :jawdrop: _______________________________________
One odd thing sticks in my mind about PH:  My wife and I were leaving the hospital, walking the long length of the unit from the meeting room.  We noticed this grizzled old guy in a stained t-shirt and apron with the "1,000 yard stare" of a man who had seen horrors unimaginable.  He had on a nametag that said "Chef Bob".

Was Dr. Reggie Raman the psychiatrist at PH while you were there?  He's at the Village now, and I have mixed emotions about Dr. Raman.  He was very kind to my step daughter when she was at PH, going so far as to protect her from her father when it became apparent her dad was a couple fries short of a Happy Meal.  Dr. Raman called my wife early in her daughter's stay at PH and said "You are aware (your daughter) is terrified of her father, are you not?"  By that time, half the staff of PH was scared of him.  The father was demanding an RTC placement regardless of professional opinion (That's what Lon Woodbury calls "Parental Choice", and it's a fine example of why nutbag parents shouldn't be allowed to make choices for a goldfish, let alone a kid. ) but wasn't getting any support.  Even though PV was next door, Dr. Raman would not approve residential treatment - a program placement would be AMA (Against Medical Advice).

But now...Dr. Raman has been at the Village for a year.  I thought he would be shocked by the Village's practices and quit, or make a lot of noise about the over-medicating and physical abuse that are the norm at PV.  Instead, I found out kids are still being over-medicated without informing the parents of the drugs their children were receiving.   Business as usual.

72
Let It Bleed / Re: Stuff you've been listening to
« on: January 14, 2009, 02:38:01 AM »
Tom Verlaine - The Miller's Tale:  Anthology

The Replacements - Let It Be

Fugazi - Steady Diet of Nothing

Stevie Wonder - Collection

73
Let It Bleed / Re: Stuff you've been listening to
« on: January 12, 2009, 09:23:50 AM »
Quote from: "Froderik"
Quote from: "ZenAgent"
What's this then, Frod? I don't know this one and can't find the name anywhere.
Those two songs are from Hex Enduction Hour, which I found on Demonoid.


I thought it was yet another Fall album.   Mark E. Smith is cracked - one line-up of The Fall had his ex-wife and girlfriend in it.  It went the way you would expect.

74
Let It Bleed / Re: Stuff you've been listening to
« on: January 11, 2009, 09:43:20 PM »
Quote from: "Froderik"

Government Issue - Legless Bull EP

I'm glad you got a copy even if it's not the best quality.  The Government Issue  - Complete History Volume One is not complete.  This was in the booklet's small print:  "The records released in 1981 were not included because they are still in print on Dischord Records. Legless Bull EP (currently available as part of the CD 1981:  The Year in Seven Inches..."  So I don't have it either.  If you want a copy of You I can provide that.  I'm glad you were looking for Legless Bull, I opened the Complete GI case and found my missing Double Nickels On the Dime CD.  

Quote from: "Froderik"
The Fall - The Classical
............Jawbone And The Air-Rifle

What's this then, Frod?  I don't know this one and can't find the name anywhere.

75
Quote from: "act.da"
Why does progress seem to be slowing down? I see we have the "Testimonials" and "What is the Troubled Teen Industry?" pages up, but there is still a lot of work to be done.

We have lives to attend to outside of the forums.  Recently we had a survivor visit us and return to PV for the first time in eight years.  When we got to PV we photographed the area heavily and on the way out we fired off klaxon airhorns behind the YC.  Tasty timing, especially with all the parents that were milling around.

So you see, it's not all thumb twiddling.  What are you doing?

Quote from: "act.da"
Lets get the ball rolling again here. I've been holding out on releasing my copy of the PV parent handbook, in hopes it can debut on pvexposed.

The ball has been rolling - if you are referring to what I'm writing, ask me directly.  

Quote from: "act.da"
I'm also planning for a protest in March at the Knoxville marathon

Gee, so am I.

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