SUMMY OF THE DEPOSITION
OF
DENNIS A DOLGAN, MD

RE: Adeline Whipple vs  Lake County Hospital Systems, Inc, et al
Taken on April 8, 1991



Page Line Description

4 6 Co-director of Lake Emergency Services since 1986

4 13 Lake Emergency Services provides ER care at Lake County
Hospitals East and West

5 8 Attended Northeastern Ohio University, College of Medicine,
1979 through 1983

5 13 Akron City Hospital Emergency Medicine Residency Program,
1983 to 1986

6 5 Board certified in 1987

7 1 He does no teaching and has written one article on third
trimester bleeding

12 21 All doctors have independent contractors and there are 10
doctors

14 5 Unt i 1 7: 00 p m , Dr Dolgan was the only ER doctor- -Dr  Cua
came on at 7:00 pm,

14 16 Dr Dolgan's shift ended at 7:00 pm and it had been a 12
hour shift

15 22 Dr Dolgan claims that he absolutely remembers going to
work on January 30th, he remembers going to work at
7:00 am on that particular day

16 22 The ER was busy at 6:30 pm

17 6 There are two trauma rooms--trauma rooms are used for more
serious patients

17 25 Trauma rooms have monitors, medication, IV lines and
specialized equipment for acute emergencies

18 12 Dr Dolgan remembers both trauma rooms being used before
6:30 at 3:00 pm

19 2 Dr Dolgan also claims to remember moving one of the
patients out of the trauma room to make the room available
for Mr Whipple

19 17 Dr Dolgan claims that he remembers asking someone to
remove a patient from a trauma room to make room for Mr
Whipple but he does not remember who the patient was or
what the patient's condition was

20 20 Mr Whipple was put into Trauma Room T-1

21 4 The general bed area has six beds in it

21 10 He does not remember the name of the patient or the
condition of that patient that he was treating before Mr
Whipple arrived

21 21 Dr  Dolgan claims that Mr Whipple had not even gotten into
a bed Yet and was being wheeled from the front desk to the
general area and a nurse asked him to see him

22 2 He claims that Mrs Whipple was with Mr Whipple as they
were wheeling him back to a bed and as the nurse asked him
to see Mr Whipple

22 21 He knows Dr Frank Sailors but doesn't have  any
recollection of seeing any of his patients on that day  and
does not remember talking to him on the phone in the ER
concerning a patient of his on that date

25 18 Dr Dolgan talked to Dr Attasi on the phone after the
attempted nasal intubation

26 2 He admits that there is nothing in the record to reflect
when the first attempt at nasal intubation occurred and he
claims that he never records a time of an attempted
intubation

27 1 He claims that the nasal intubation was unsuccessful due to
Mr Whipple vomiting

27 17 Mr Whipple was given some morphine before the attempted
intubation into his left nare

28 16 After Mr Whipple vomited, he subsequently arrested

28 25 The record reflects that Mr Whipple arrested at 7:12 pm

29 12 Mr Whipple suffered a full cardiopulmonary arrest and in
Dr Dolgan's opinion, secondary to a MI

31 21 Dr Dolgan acknowledges that seconds and minutes can become
extremely critical in terms of whether a patient survives
or dies when dealing with someone in pulmonary edema

32 4 Dr Dolgan indicates that with the arrest at 7:12 pm, if
he had attempted intubation it would have been 2 to 3
minutes before that time

33 18 Dr Dolgan does not remember the attempted intubation
taking more than 15 to 20 seconds before Mr Whipple
arrested

34 8 He does not recall seeing any other family members with Mr
Whipple when he was brought back to the ER

35 16 Dr Dolgan remembers that it was difficult to get Mrs
Whipple to leave the room before the arrest as she did not
want to leave her husband's side

35 18 He indicates that they did not have to physically remove
Mrs Whipple from the ER

36 14 According to the record, Dr Dolgan saw Mr Whipple at 6:38
pm

37 8 Dr Dolgan claims that it was within minutes after the
nurse wheeled Mr Whipple back to the examining room and
took his vital signs that he saw him for the first time

38 3 Dr Dolgan claims that he told the nurse as she was wheeling
back to the general area to put him on oxygen and to have
laboratory draw some blood tests

38 14 Dr Dolgan wanted blood gases taken based upon what he saw
as the patient was being wheeled back to the general area
because he appeared to be short of breath

40 1 The blood gases were drawn at 7:00, so the doctor admits
that it was a minimum of 22 minutes after his verbal order

43 8 Dr Dolgan did take into account when he ordered the blood
gases and the supplemental oxygen that the patient might be
suffering from a silent MI

43 19 When he saw him at 6:38 pm , he was in respiratory arrest

44 7 Between 6:38 and 6:40, the patient became more dyspneic,
diaphoretic and was becoming more restless and anxious

44 20 Dr Dolgan claims that after e