Medical Review Panel Kevin Jordan (D) v. Community Care Hospital, J. Robert Barnes, M.D. and Anwar Ismail, M.D.
Medical Review Panel Kevin Jordan (D) v. Community Care Hospital, J. Robert Barnes, M.D. and Anwar Ismail, M.D., No. 2019-CA-0039 (La. Ct. App. 4th Cir. July 24, 2019).
Authorities cited
Identified automatically; this list may not be exhaustive.
- Winding v. Bryan 148 So. 3d 956
- Pfiffner v. Correa 643 So. 2d 1228
- Williams v. Memorial Medical Center 870 So. 2d 1044
- Coleman v. Deno 813 So. 2d 303
- Williams v. Metro Home Health Care Agency, Inc. 817 So. 2d 1224
- Albers v. Vina Family Medicine Clinic 116 So. 3d 940
- Perritt v. Dona 849 So. 2d 56
- Sislo v. New Orleans Center for Creative Arts 198 So. 3d 1202
- Samaha v. Rau 977 So. 2d 880
- Wilson v. Calamia Construction Co. 74 So. 3d 1198
- Bridgewater v. New Orleans Regional Transit Authority 190 So. 3d 408
- Hines v. Garrett 876 So. 2d 764
- Daigle v. Steck 138 So. 3d 1280
- Maddox v. Howard Hughes Corp. 268 So. 3d 333
- Guardia v. Lake View Regional Medical Center 13 So. 3d 625
- Snelling v. LSU HEALTH SCIENCES CENTER-MONROE 986 So. 2d 216
- Edwards v. Raines 799 So. 2d 1184
- Lee v. Wall 726 So. 2d 1044
- Henderson v. HOMER MEMORIAL HOSP. 920 So. 2d 988
- Deruise-Pierce v. Univ. Healthcare Sys., L.C. 258 So. 3d 150
- Fagot v. Dow Chem. Co. 262 So. 3d 903
- Cangelosi v. OUR LADY OF LAKE REG. MED. CTR. 564 So. 2d 654
- Gonzales v. Ochsner Clinic Foundation 170 So. 3d 1099
- Kinch v. Our Lady of Lourdes Regional Medical Center 181 So. 3d 900
- Scott v. City of Shreveport 169 So. 3d 770
- In Re Melancon 935 So. 2d 661
- Smith v. Casino New Orleans Casino 101 So. 3d 507
- Todd v. STATE, THROUGH DEPT. OF SOCIAL SERVICES 699 So. 2d 35
- Schultz v. Guoth 57 So. 3d 1002
- Milke v. Ratcliff Animal Hospital, Inc. ex rel. Ratcliff 120 So. 3d 343
- Gorbach v. Tulane University Medical Center 89 So. 3d 429
- Reinke v. Kordisch 134 So. 3d 176
- Venable v. Dr. X 671 So. 2d 1249
- Mitchell v. Kenner Regional Medical Center 951 So. 2d 1193
- Pierre-Ancar v. Browne-McHardy Clinic 807 So. 2d 344
- Rowley v. Eye Surgery Center of Louisiana, Inc. 956 So. 2d 680
- Robles v. ExxonMobile 844 So. 2d 339
- 234 So. 3d 1081 not in our corpus
- Arceneaux v. Lafayette Gen. Med. Ctr. 248 So. 3d 342
- Jackson v. Royal Insurance Co. 704 So. 2d 424
- Simoneaux v. EI Du Pont De Nemours and Co., Inc. 483 So. 2d 908
- Innocence Project New Orleans v. New Orleans Police Department 129 So. 3d 668
Opinion text
MEDICAL REVIEW PANEL * NO. 2019-CA-0039
KEVIN JORDAN (D)
*
VERSUS COURT OF APPEAL
*
COMMUNITY CARE FOURTH CIRCUIT
HOSPITAL, J. ROBERT *
BARNES, M.D. AND ANWAR STATE OF LOUISIANA
ISMAIL, M.D. *******
CONSOLIDATED WITH: CONSOLIDATED WITH:
KEVIN LAWRENCE AND DENISE NO. 2019-CA-0040
LAWRENCE, INDIVIDUALLY
AND ON BEHALF OF THEIR
DECEASED SON KEVIN JORDAN
VERSUS
COMMUNITY CARE HOSPITAL,
DR. J. ROBERT BARNES, DR.
ANWAR ISMAIL, AND
COMMUNITY CARE, L.L.C.,
EVANSTON INSURANCE
COMPANY, AND LAMMICO
APPEAL FROM
CIVIL DISTRICT COURT, ORLEANS PARISH
NO. 2013-12198, DIVISION “M”
Honorable Paulette R. Irons, Judge
******
Judge Rosemary Ledet
******
(Court composed of Judge Daniel L. Dysart, Judge Rosemary Ledet, Judge Tiffany
G. Chase)
Albert A. Thibodeaux
DAVILLIER LAW GROUP, LLC
935 Gravier Street, Suite 1702
New Orleans, LA 70112
COUNSEL FOR PLAINTIFF/APPELLANT
Raymond R. Egan, III
SCHROEDER & TRAHAN
One Galleria Boulevard, Suite 700
Metairie, LA 70001
Lorraine P. McInnis
E. John Litchfield
BERRIGAN LITCHFIELD, LLC
201 St. Charles Avenue, Suite 4204
New Orleans, LA 70170--4204
COUNSEL FOR DEFENDANT/APPELLEE
AFFIRMED
JULY 24, 2019
This is a medical malpractice case. Kevin Lawrence and Denise Jordan
Lawrence (collectively the “Lawrences”) commenced this case individually and on
behalf of their deceased son, Kevin Jordan (“Mr. Jordan”).1 Two sets of defendants
were named in this case: (i) the hospital defendants2—Community Care, LLC,
d/b/a Community Care Hospital (“CCH”); and Evanston Insurance Company,
CCH’s insurer; and (ii) the physician defendants—Dr. J. Robert Barnes; Dr. Anwar
Ismail; and LAMMICO, Dr. Barnes’ and Dr. Ismail’s insurer. Both sets of
defendants filed “no-expert” motions for summary judgment. See Winding v.
Bryan, 14-0388, p. 1, n. 1 (La. App. 4 Cir. 9/17/14), 148 So.3d 956, 957.3 From the
trial court’s judgment granting both motions, the Lawrences appeal. We affirm.
1
At the time of his death, Mr. Jordan was an unmarried, twenty-two year old.
2
The petition identifies the hospital defendants as Community Care, L.L.C., the entity that
owned the immovable property operated as a hospital, and Community Care Hospital. In their
answer, the hospital defendants state that their correct name is Community Care, LLC, d/b/a
Community Care Hospital.
3
A “no-expert” motion for summary judgment is based on the well-settled jurisprudence
requiring an expert witness to prove a medical malpractice claim in most cases. Winding, supra.
Summarizing the jurisprudence, we observed in Winding the following:
To prevail in a medical malpractice action based on the negligence of a
physician, a plaintiff must establish the standard of care applicable to the
physician, a violation by the physician of that standard of care, and a causal
1
FACTUAL AND PROCEDURAL BACKGROUND
In August 2013, the Lawrences filed a medical malpractice complaint with
the Louisiana Division of Administration (“DOA”), under the Louisiana Medical
Malpractice Act (the “MMA”),4 against three qualified health care providers—a
hospital, CCH; and two physicians, Dr. Barnes, and Dr. Ismail—seeking to invoke
a medical review panel. In their complaint, the Lawrences alleged that the
malpractice occurred in August 2012 when Mr. Jordan was receiving mental health
treatment as an in-patient at CCH. Mr. Jordan allegedly was under the direct care
and supervision of the physicians. The only drug the physicians were prescribing to
Mr. Jordan was Invega Sustenna. According to the complaint, the physicians were
negligent in administering, or allowing to be administered, the drug, which resulted
in Mr. Jordan’s death. The complaint further alleged the following:
Specifically, it is believed that on or about August 20, 2012,
Kevin Jordan was administered the drug Invega Sustenna too soon
after receiving a more recent injection of Invega Sustenna. It is
believed that this negligent administration of the drug caused Kevin
connection between the physician’s alleged negligence and the plaintiff’s injuries
resulting therefrom. Pfiffner v. Correa, [94-0992, 94-0963,] 94-0924, p. 8 (La.
10/17/94), 643 So.2d 1228, 1233; La. R.S. 9:2794(A). Although the jurisprudence
has recognized exceptions in instances of obvious negligence, these exceptions
are limited to “instances in which the medical and factual issues are such that a
lay jury can perceive negligence in the charged physician's conduct as well as any
expert can.” Williams v. Memorial Medical Center, 2003-1806, p. 16 (La. App. 4
Cir. 3/17/04), 870 So.2d 1044, 1054; Pfiffner, [94-0992, 94-0963,] 94-0924 at
p. 9, 643 So.2d at 1234; see also Coleman v. Deno, 2001-1517, p. 20
(La.1/25/02), 813 So.2d 303, 317. The jurisprudence has thus recognized that “an
expert witness is generally necessary as a matter of law to prove a medical
malpractice claim.” Williams, 2003-1806 at p. 16, 870 So.2d at 1054; Williams v.
Metro Home Health Care Agency, Inc., 2002-0534, p. 5 (La. App. 4 Cir. 5/8/02),
817 So.2d 1224, 1228.
14-0388, p. 1, n. 1, 148 So.3d at 957 (quoting Albers v. Vina Family Medicine Clinic, 12-1484,
pp. 3-4 (La. App. 4 Cir. 5/22/13), 116 So.3d 940, 942-43).
4
In 2015, the Louisiana Legislature re-designated the MMA as La. R.S. 40:1231.1 to 1231.10.
2
Jordan to experience distress and cardiac arrest. In addition to the
negligent administration of the drug, [CCH] and Doctors Barnes and
Ismail failed to properly respond and render appropriate care to Kevin
Jordan while he experience[d] distress as a result of the negligent
administration of the drug which included cardiac arrest. [CCH] failed
to ensure that it had the appropriate equipment and properly trained
personnel to respond to medical situations which are foreseeable in a
hospital that administers drugs such as Invega Sustenna. As a result of
not having the appropriate equipment and trained personnel, [CCH]
had to call for a City of New Orleans Emergency Medical Services
(EMS) unit to administer emergency care to an in-patient resident of
its facility.
For these reasons, the Lawrences alleged that the hospital and the physician
providers were liable for Mr. Jordan’s death.
While the panel proceeding was pending, CCH commenced a discovery
proceeding in the trial court.5 Thereafter, in December 2015, the Medical Review
Panel (the “MRP”), consisting of three board-certified psychiatrists, unanimously
found in favor of the hospital and the physician providers, concluding that the
evidence did not support a finding that any of them failed to meet the applicable
standard of care.
As to CCH, the MRP made the following three findings:
1. There is nothing in the record presented to the panel to indicate that the
hospital and/or its employees deviated from the standard of care.
2. Medications were administered in a timely and appropriate manner. All
physician orders were followed appropriately.
5
A discovery proceeding is “a procedural mechanism to facilitate prosecution of the ultimate
action, i.e., a medical malpractice suit.” Perritt v. Dona, 02-2601, p. 11, n. 12 (La. 7/2/03), 849
So.2d 56, 64 (internal quotations and citations omitted); see also Frank L. Maraist & Thomas C.
Galligan, Jr., LOUISIANA TORT LAW, §21-3(f) (1996) (observing that “[a] party may file a
petition in district court for assignment of a case number to facilitate discovery in the
proceedings before the panel”). The statutory authority in the MMA for a discovery proceeding
is set forth in La. R.S. 40:1231.8(D)(4), which provides that “[u]pon request of any party, or
upon request of any two panel members, the clerk of any district court shall issue subpoenas and
subpoenas duces tecum in aid of the taking of depositions and the production of documentary
evidence for inspection and/or copying.”
3
3. The patient was properly monitored throughout his hospital course. 911 was
timely called.
As to Dr. Ismail, the MRP made the following two findings:
1. The records indicate that the patient was only given one (1) dose of Invega
Sustenna, which was reasonable for the patient’s condition. The patient took
this medication previously with no history of a reaction.
2. There is nothing in the medical literature to indicate that there is any adverse
reaction between Invega Sustenna and the development of a pulmonary
embolism. There is no evidence to suggest a causative relationship between
the patient’s pulmonary embolism and Invega Sustenna.
As to Dr. Barnes, the MRP found the record devoid of any evidence he treated the
patient.6
In March 2016, the Lawrences commenced this suit against the physician
and the hospital defendants. In their petition, the Lawrences tracked the allegations
that they made in their complaint to the DOA. After answering the petition, both
sets of defendants filed a “no-expert” motion for summary judgment. The
6
The physician defendants have continually maintained that Dr. Barnes had no involvement in
Mr. Jordan’s treatment and that he should never have been added at any stage to the Lawrences’
claim. Their position is supported by Dr. Barnes’ affidavit, which was attached to the physician
defendants’ motion for summary judgment. In his affidavit, Dr. Barnes attested as follows:
That at all relevant times during which the decedent Kevin Jordan was a patient at
Community Care Hospital (August 8-20, 201[2]), including the treatment dates
mentioned in the Petition for Damages, Affiant was the medical director for the
Outpatient Facility, which is separate and distinct from the Inpatient Facility. Decedent
Kevin Jordan was a patient of the Inpatient Facility during his treatment at Community
Care Hospital.
That Affiant denies ever having provided or supervised any treatment whatsoever to the
decedent Kevin Jordan, who was admitted to the Community Care Hospital Inpatient
Facility (hereinafter “Inpatient”) of Community Care, LLC, over which Affiant has no
supervisory capacity, involvement, or ownership.
That he has not had any supervisory capacity over the Inpatient Facility or over Dr.
Anwar Ismail since July of 2010, at which time Affiant became the medical director
solely for the Outpatient Facility, and at which time Dr. Anwar Ismail became the
director for the Inpatient Facility.
4
physician defendants filed their motion on July 3, 2017;7 the hospital defendants
filed their motion on July 31, 2017.8
The trial court set the summary judgment motions for hearing five times.
First, the motions were set for September 29, 2017. Thereafter, the Lawrences filed
a motion to transfer and consolidate the malpractice case with the earlier-filed
discovery proceeding. Both sets of defendants consented to the transfer and
consolidation. In October 2017, the physician defendants re-filed their summary
judgment motion in the consolidated case to obtain a new hearing date; the hospital
defendants filed a motion to reset their summary judgment motion. Both summary
judgment motions were reset for November 30, 2017.
Thereafter, the Lawrences filed an unopposed motion to reset the hearing to
February 8, 2018, for two reasons—counsel’s failure to receive timely notice of the
reset hearing and the Lawrences’ need for additional time to respond to the
motions for summary judgment. The motion to reset was granted.
On January 24, 2018, the Lawrences filed an opposition to the defendants’
motions for summary judgment. Attached to their opposition were CCH’s
discovery responses and Mr. Lawrence’s affidavit. In his affidavit, Mr. Lawrence
attested as follows:
7
The physician defendants attached the following four items to their summary judgment motion:
(i) the Lawrences’ Complaint filed with the DOA; (ii) the MRP’s opinion; (iii) the
Interrogatories and Requests for Production of Documents propounded by the physician
defendants on the Lawrences in August 2016; and (iv) Dr. Barnes’ affidavit.
8
The hospital defendants attached the following five items to their summary judgment motion:
(i) the Lawrences’ Complaint filed with the DOA; (ii) the MRP’s opinion; (iii) the Lawrences’
petition for damages filed in the trial court; (iv) CCH’s Interrogatories and Request for
Production; and (v) the Lawrences’ Answers to Interrogatories and Responses to Request for
Production.
5
I have retained Dr. Edward Fann [a board-certified psychiatrist]
who will testify in the above consolidated action as an expert witness.
As evidence of my retaining Dr. Edward Fann, attached to this
affidavit please find . . . a letter from my attorney to Dr. Fann’s
representative [an expert broker], a copy of the contract for
representation by and between the plaintiffs and Dr. Fann and a copy
of the certified check for payment to Dr. Fann.
Two days before the scheduled February 8, 2018 hearing date, the
Lawrences filed a motion to continue and reset based on their counsel’s temporary
illness. The defendants objected to the continuance. Over the defendants’
objections, the trial court granted the motion and reset the hearing for April 5,
2018.
Counsel for all parties appeared at the April 5, 2018 hearing (the “April
Hearing”).9 At the April Hearing, the trial court judge posed the following question
to the Lawrences’ counsel: “The issue is that they ruled—the panel finding was in
2016, and it was against you and you (the plaintiffs) need an expert in order for
you to go forward, if I’m not mistaken.” In response, the Lawrences’ counsel
replied: “You’re absolutely correct and we have retained an expert.” At that
hearing, the Lawrences’ counsel conceded that he had not yet obtained an expert
report, stating: “I'm not going to sugar coat it. . . . We have not obtained a written
report from the expert.” The Lawrences’ counsel then requested that the trial court
exercise its discretion and grant the Lawrences an extension to file one.
Although the trial court at the April Hearing characterized this as a “pretty
old case,” involving alleged malpractice that occurred in 2012, the trial court
9
Although the court reporter states the April Hearing was held on April 4, 2018, the hearing was
set for April 5, 2018. The trial court, in the transcript, expressly states on the record that
“[t]oday’s date is the 5th.”
6
granted the Lawrences’ counsel an additional forty-five days to obtain an expert’s
report. The trial court orally ordered that the defendants’ motions be reset for
May 17, 2018. The trial court, however, ordered that if the Lawrences failed to
secure an expert report by that date, the defendants’ summary judgment motions
would be granted on May 17, 2018. The trial court expressly warned the
Lawrences’ counsel that if Dr. Fann was unable to provide a report, the Lawrences
were to obtain a report from another expert by the same deadline. The Lawrences’
counsel voiced no objection to the trial court’s order.
On May 17, 2018, the defendants’ counsel appeared for the hearing; the
Lawrences’ counsel did not appear. The defendants’ counsel informed the trial
court that they had not heard from the Lawrences’ counsel on that date and that
they had not received any opposition or expert’s report from the Lawrences’
counsel. Given these circumstances, the trial court, for the reasons stated at the
April Hearing, granted both motions for summary judgment and dismissed the
Lawrences’ claims with prejudice.
At some time on the day of the hearing, the Lawrences filed a motion for
extension of time to submit an expert report. In the motion, the Lawrences
represented as follows:
[The trial court] previously set a deadline o[f] Thursday, May 17th to submit
its expert’s report in opposition to Defendants’ Motion for Summary
Judgment.
The Plaintiffs[’] retained expert, Dr. Joyce Davidson, is unable to provide
her expert’s report in this matter on or before the expiration of the current
deadline, Thursday, May 17, 2018.
7
Based on those representations, the Lawrences’ counsel requested a fourteen-day
extension of the deadline to file the expert’s report. On May 30, 2018, the trial
court signed an order granting the motion for extension of time, extending the
deadline to May 31, 2018. Meanwhile, on May 23, 2018, notice of the signing of
the judgment granting both motions for summary judgment was mailed. This
appeal followed.
DISCUSSION
Although the Lawrences assign five errors on appeal,10 we organize our
analysis into three parts—summary judgment, continuance, and reasons for
judgment. We separately address each part.
Summary Judgment
Appellate courts review the granting of a summary judgment motion de
novo. Sislo v. New Orleans Ctr. for Creative Arts, 16-0178, p. 4 (La. App. 4 Cir.
8/17/16), 198 So.3d 1202, 1205 (citing Samaha v. Rau, 07-1726, pp. 3-4 (La.
2/26/08), 977 So.2d 880, 882-83). In so doing, appellate courts apply “the same
criteria governing the trial court’s consideration of whether summary judgment is
10
The Lawrences assign the following five errors:
1. The trial court erred in ruling that the Plaintiffs in this case must present expert testimony
in order to meet their burden of proof;
2. The trial court erred in granting the Defendants’ Motions for Summary Judgment when
the Plaintiffs’ affidavit presented a genuine issue of material fact;
3. The trial court erred in ruling on the Motions for Summary judgment without affording
the Plaintiffs an adequate opportunity to conduct discovery;
4. The trial court erred by granting the Plaintiffs an extension of time to submit an expert
report yet ruling in favor of Defendants during the extended period; and
5. The trial court erred in failing to issue reasons on the record or in writing when granting
Defendants’ Motions for Summary Judgment.
8
appropriate.” Wilson v. Calamia Const. Co., 11-0639, p. 3 (La. App. 4 Cir.
9/28/11), 74 So.3d 1198, 1200.
The summary judgment procedure is “designed to secure the just, speedy,
and inexpensive determination of every action,” and the procedure is favored. La.
C.C.P. art. 966(A)(2). The summary judgment procedure is used when there is no
genuine issue of material fact for all or part of the relief prayed for by a litigant.
See La. C.C.P. art. 966(A)(3). The purpose of the summary judgment procedure is
“to pierce the pleadings and to assess the proof in order to see whether there exists
a genuine need for trial.” Bridgewater v. New Orleans Reg’l Transit Auth., 15-
0922, p. 4 (La. App. 4 Cir. 3/9/16), 190 So.3d 408, 411 (citing Hines v. Garrett,
04-0806, p. 7 (La. 6/25/04), 876 So.2d 764, 769).
The rules governing the summary judgment procedure are codified in La.
C.C.P. arts. 966 and 967. Winding v. Bryan, 14-0388, p. 6 (La. App. 4 Cir.
9/17/14), 148 So.3d 956, 960. Article 966 sets forth the standard for granting a
summary judgment motion as follows: “[a]fter an opportunity for adequate
discovery, a motion for summary judgment shall be granted if the motion,
memorandum, and supporting documents show that there is no genuine issue as to
material fact and that the mover is entitled to judgment as a matter of law.” La.
C.C.P. art. 966(A)(3).
Article 966 also provides for a shifting burden of proof. La. C.C.P.
art. 966(D)(1).11 A moving party may discharge the moving party’s burden of
11
La. C.C.P. art. 966(D)(1) provides as follows:
The burden of proof rests with the mover. Nevertheless, if the mover will
not bear the burden of proof at trial on the issue that is before the court on the
motion for summary judgment, the mover's burden on the motion does not require
him to negate all essential elements of the adverse party's claim, action, or
defense, but rather to point out to the court the absence of factual support for one
9
proof by “‘pointing out to the district court that there is an absence of evidence to
support the nonmoving party’s case.’” Samaha, 07-1726, p. 9, 977 So.2d at 886
(quoting Celotex Corp. v. Catrett, 477 U.S. 317, 325, 106 S.Ct. 2548, 2554, 91
L.Ed.2d 265 (1986)).
Article 967 addresses the non-moving party’s response to a properly
supported summary judgment motion. When a properly supported summary
judgment motion is filed, the non-moving party may not rest on the mere
allegations of his pleading; rather the non-moving party’s response “must set forth
specific facts showing that there is a genuine issue for trial.” La. C.C.P.
art. 967(B). If the non-moving party fails to respond, “summary judgment, if
appropriate, shall be rendered against him.” Id.
“The decision as to the propriety of a grant of a motion for summary
judgment must be made with reference to the substantive law applicable to the
case.” Lejeune v. Steck, 13-1017, p. 5 (La. App. 5 Cir. 5/21/14), 138 So.3d 1280,
1283; see also Maddox v. Howard Hughes Corp., 19-0135, p. 5 (La. App. 4 Cir.
4/17/19), 268 So.3d 333, 337 (observing that whether a fact is an essential or a
material one is a determination that must be made based on the applicable
substantive law). The substantive law applicable to this case is La. R.S. 9:2794, the
statutory provision governing medical malpractice actions.12
or more elements essential to the adverse party's claim, action, or defense. The
burden is on the adverse party to produce factual support sufficient to establish
the existence of a genuine issue of material fact or that the mover is not entitled to
judgment as a matter of law.
12
La. R.S. 9:2794 provides, in pertinent part, as follows:
A. In a malpractice action based on the negligence of a physician licensed under
R.S. 37:1261 et seq. . . . , the plaintiff shall have the burden of proving:
(1) The degree of knowledge or skill possessed or the degree of care ordinarily
exercised by physicians, dentists, optometrists, or chiropractic physicians licensed
10
Under La. R.S. 9:2794, a plaintiff in a medical malpractice case is required
to prove, by a preponderance of the evidence, the following three elements: (i) the
standard of care applicable to the defendant; (ii) the defendant’s breach of the
standard of care; and (iii) the existence of a causal connection between the breach
and the resulting injury. Samaha, 07-1726, p. 5, 977 So.2d at 883-84. When, as
here, a plaintiff is seeking to impose liability on a hospital for the acts of its
employees, the applicable standard of care as to both the hospital and the physician
defendants is the same—the standard set forth in La. R.S. 9:2794. Williams v.
Mem’l Med. Ctr., 03-1806, p. 16, n. 7 (La. App. 4 Cir. 3/17/04), 870 So.2d 1044,
1054. Moreover, “the plaintiff must prove that the hospital caused the injury when
it breached its duty.” Guardia v. Lakeview Reg’l Med. Ctr., 08-1369, p. 4 (La. App.
1 Cir. 5/8/09), 13 So.3d 625, 628.
The Louisiana Supreme Court has observed that “by law, the report of the
expert opinion reached by the medical review panel is admissible as evidence in
any action subsequently brought by the claimant in a court of law” and that “[t]his
undoubtedly includes a summary judgment proceeding in a medical malpractice
lawsuit.” Samaha, 07-1726, pp. 17-18, 977 So.2d at 891; see La.
to practice in the state of Louisiana and actively practicing in a similar community
or locale and under similar circumstances; and where the defendant practices in a
particular specialty and where the alleged acts of medical negligence raise issues
peculiar to the particular medical specialty involved, then the plaintiff has the
burden of proving the degree of care ordinarily practiced by physicians, dentists,
optometrists, or chiropractic physicians within the involved medical specialty.
(2) That the defendant either lacked this degree of knowledge or skill or failed to
use reasonable care and diligence, along with his best judgment in the application
of that skill.
(3) That as a proximate result of this lack of knowledge or skill or the failure to
exercise this degree of care the plaintiff suffered injuries that would not otherwise
have been incurred.
11
R.S. 40:1231.8(H).13 Hence, it is well settled that a defendant-health care provider
can use the medical review panel’s favorable opinion to support a summary
judgment motion. See Snelling v. LSU Health Sciences Ctr.-Monroe, 43,332, pp. 6-
7 (La. App. 2 Cir. 6/4/08), 986 So.2d 216, 220-21 (citing Samaha, supra).14
A defendant-health care provider does not have the burden of disproving
medical malpractice; rather, a defendant-health care provider only must point out
that the plaintiff cannot support his claim. Once a defendant-health care provider
has established an absence of factual support for an essential element of the
plaintiff’s claim, the plaintiff must come forth with evidence to preclude summary
judgment. See La. C.C.P. art. 967(B).
Given the complex factual and medical issues presented in a medical
malpractice case, “a plaintiff will likely fail to sustain his burden of proving his
claim under LSA-R.S. 9:2794’s requirements without medical experts.” Pfiffner v.
13
La. R.S. 40:1231.8(H) provides as follows:
Any report of the expert opinion reached by the medical review panel shall
be admissible as evidence in any action subsequently brought by the claimant in a
court of law, but such expert opinion shall not be conclusive and either party shall
have the right to call, at his cost, any member of the medical review panel as a
witness. If called, the witness shall be required to appear and testify. A panelist
shall have absolute immunity from civil liability for all communications, findings,
opinions and conclusions made in the course and scope of duties prescribed by
this Part.
14
In Snelling, the use of the MRP by a defendant-health care provider was summarized as
follows:
In the medical malpractice jurisprudence involving summary judgments,
MRP opinions finding no malpractice have been offered by defendants in moving
for summary judgment. The defendant, who does not have the burden of proof,
has used the favorable MRP ruling “to point out to the court the absence of factual
support” for the alleged malpractice. The opinion of the MRP is based upon a
review of the medical facts and the expert opinions of the doctors. As discussed
by our Supreme Court in its recent ruling in Samaha v. Rau, supra, the
defendant's use of the MRP in support of summary judgment “does serve as
evidence that there was expert medical testimony that [the defendant] had not
failed to act within the appropriate standard of care and, thus, was evidence which
tended to negate the plaintiffs' claims.”
12
Correa, 94-0992, 94-0963, 94-0924, pp. 9-10 (La. 10/17/94), 643 So.2d 1228,
1234. Thus, the general rule is that “expert testimony is needed to establish the
elements of [i] the applicable standard of care, [ii] whether the standard of care was
breached by the defendant's conduct, and [iii] whether that breach resulted in any
injuries to the plaintiffs.” Edwards v. Raines, 35,284, p. 7 (La. App. 2 Cir.
10/31/01), 799 So.2d 1184, 1188. Although a jurisprudentially-crafted exception
for obvious negligence has been recognized, the exception is a narrow one that
applies only to “instances in which the medical and factual issues are such that a
lay jury can perceive negligence in the charged physician’s conduct as well as any
expert can.” Pfiffner, 94-0992, 94-0963, 94-0924, p. 9, 643 So.2d at 1234.15
The requirement of producing expert medical testimony is especially apt
when, as here, the defendants have filed summary judgment motions and supported
such motions with expert opinion evidence that their treatment met the applicable
standard of care. Lee v. Wall, 31,468, 31,469, p. 4 (La. App. 2 Cir. 1/20/99), 726
So.2d 1044, 1046-47; Henderson v. Homer Memorial Hosp., 40,585, p. 14 (La.
App. 2 Cir. 1/27/06), 920 So.2d 988, 996. In this context, the jurisprudence has
routinely upheld the granting of a “no-expert” motion for summary judgment. See,
e.g., Williams v. Memorial Med. Ctr., 03-1806 (La. App. 4 Cir. 3/17/04), 870
So.2d 1044.
Application of the rules governing summary judgment in the instant case is
straightforward. Both sets of defendants filed a “no-expert” motion for summary
15
Examples of obvious negligence include “fracturing a leg during examination, amputating the
wrong arm, dropping a knife, scalpel, or acid on a patient, or leaving a sponge in a patient’s
body.” Pfiffner, 94-0992, 94-0963, 94-0924, p. 9, 643 So.2d at 1233. Other examples include
failing to attend a patient when the circumstances demonstrate the serious consequences doing
so; failing of an on-call physician to respond to an emergency when he knows, or should of not
have known, his presence was necessary; and leaving a seriously injured patient to bleed to death
in an emergency room. Id., 94-0992, 94-0963, 94-0924, p. 9, 643 So.2d at 1234.
13
judgment. The defendants pointed out that the Lawrences had not identified an
expert to support their claims and provided the Lawrences’ discovery responses,
which reflected that fact.16 The defendants also provided a copy of the MRP’s
unanimous opinion in their favor. As noted, the MRP found that neither the
hospital nor the physicians breached the standard of care. By introducing the MRP
opinion, the defendants pointed out the absence of factual support for a necessary
element of the Lawrences’ claim. The defendants thus shifted the burden to the
Lawrences to present evidence to support their allegations and to establish that
they will be able to meet their evidentiary burden of proof at trial. See La. C.C.P.
art. 966D(1); Samaha, 07-1726, pp. 11-12, 977 So.2d at 887-88.
On appeal, the Lawrences raise four issues regarding the propriety of the
trial court granting the defendants’ summary judgment motions:
Whether the defendants’ statement of law, which the trial court adopted, that
expert medical testimony is required to establish a medical malpractice
claim is erroneous;
Whether the obvious-negligence exception applies here;
Whether the Deruise-Pierce case17 is factually and procedurally similar to
this case; and
Whether Mr. Lawrence’s affidavit creates a genuine issue of material fact.
We separately address each issue.
Expert Medical Testimony Requirement
The Lawrences contend that the defendants’ summary judgment motions are
premised on an incorrect statement of the applicable laws governing the type and
16
As noted elsewhere in this opinion, the Lawrences subsequently produced Mr. Lawrence’s
affidavit. In his affidavit, Mr. Lawrence attested that the Lawrences had retained an expert, Dr.
Fann.
17
Deruise-Pierce v. Univ. Healthcare Sys., L.C., 18-0160 (La. App. 4 Cir. 10/24/18), 258 So.3d
150, writ denied, 18-1886 (La. 1/28/19), 262 So.3d 903.
14
nature of evidence that plaintiffs are required to present to prevail in a medical
malpractice case. According to the Lawrences, the defendants’ incorrect statement
of law, which the trial court adopted,18 is that expert medical testimony is required
to establish a medical malpractice claim. The Lawrences emphasize that La. R.S.
9:2794 does not expressly state that expert medical testimony is required in order
for plaintiffs to meet their evidentiary burden of proof. They further emphasize that
the statute expressly states that the principle of res ipsa loquitor can be applied in
this context pursuant to La. R.S. 9:2794(C).19 Finally, they cite the Supreme
Court’s holding in Pfiffner, supra, that expert medical testimony is not required in
all medical malpractice cases.
18
The Lawrences contend that the trial court adopted this incorrect statement of law at the April
Hearing. In support, the Lawrences quote the following question the trial court posed to their
counsel at the hearing: “[t]he issue is that they ruled—the panel finding was in 2016, and it was
against you and you (the plaintiffs) need an expert in order for you to go forward, if I’m not
mistaken.” The Lawrences’ counsel’s response to the trial court’s question was as follows:
“You’re absolutely correct and we have retained an expert.” The Lawrences’ counsel thus
conceded the need for expert medical testimony in the trial court.
19
La. R.S. 9:2794(C) provides as follows:
In medical malpractice actions the jury shall be instructed that the plaintiff
has the burden of proving, by a preponderance of the evidence, the negligence of
the physician . . . . The jury shall be further instructed that injury alone does not
raise a presumption of the physician's . . . negligence. The provisions of this
Section shall not apply to situations where the doctrine of res ipsa loquitur is
found by the court to be applicable.
In Maddox v. Howard Hughes Corp., 19-0135, p. 9 (La. App. 4 Cir. 4/17/19), 268 So.3d
333, 340, this court summarized the res ipsa loquitur doctrine as follows:
Res ipsa loquitur is “a rule of circumstantial evidence whereby negligence
is inferred on the part of the defendant because the facts indicate that the
defendant's negligence is the most probable cause of the injury.” Res ipsa loquitur
is a qualification to the general rule against presuming negligence based on the
happening of an accident and, thus, must be “sparingly applied.”
Id. (internal citations omitted). “In medical malpractice actions based on res ipsa loquitur
the plaintiff generally must use expert testimony to establish that the plaintiff's injury is a
type which ordinarily would not occur in the absence of negligence.” Cangelosi v. Our
Lady of the Lake Reg’l Med. Ctr., 564 So.2d 654, 667, n. 11 (La. 1989); see also
Henderson v. Homer Mem’l Hosp., 40,585, p. 15 (La. App. 2 Cir. 1/27/06), 920 So.2d
988, 996 (citing Cangelosi, supra).
15
Although the Lawrences are correct that expert medical testimony is not
required in all medical malpractice case, the jurisprudence is well-settled that
expert medical testimony is required in most cases. Indeed, “unless the case
involves some obvious act from which a lay person can infer negligence, such as
amputating the wrong limb or leaving a sponge in a patient's body, the absence of
expert testimony as to any of the essential elements of the plaintiff’s malpractice
claim will preclude the imposition of liability.” Gonzales v. Ochsner Clinic
Found., 14-873, p. 6 (La. App. 5 Cir. 5/14/15), 170 So.3d 1099, 1103 (citing
Samaha, supra). Stated otherwise, unless the obvious-negligence exception
recognized in the Pfiffner case applies, expert medical testimony is required to
establish a medical malpractice claim.
Obvious-Negligence Exception
A key issue here is whether the obvious-negligence exception applies as to
either the hospital or the physician defendants.20 As to the physician defendants,
the alleged malpractice relates to the prescribing and administering of the drug
Invega Sustenna. As the physician defendants point out, “[t]he uses and
contraindications of the drug Invega Sustenna are not within the average lay
person’s knowledge, and the appropriateness of the administration of this drug to
this particular psychiatric patient would also not be common knowledge.”
Likewise, the element of causation as to the physician defendants would not be
common knowledge. Indeed, the MRP expressly reasoned that “one (1) dose of
Invega Sustenna . . . was reasonable for the patient’s condition,” that “[t]here is
nothing in the medical literature to indicate that there is any adverse reaction
20
The Lawrences’ argument on appeal regarding the obvious-negligence exception is directed
specifically to the hospital defendants; they make no specific argument as the physician
defendants. Nonetheless, we address this issue as to both sets of defendants.
16
between Invega Sustenna and the development of pulmonary embolism,” and that
“[t]here is no evidence to suggest a causative relationship between the patient’s
pulmonary embolism and Invega Sustenna.” Thus, as to the physician defendants,
expert medical testimony is required here.
As to the hospital defendants, the Lawrences’ argument is that negligence
can be inferred to have occurred at CCH because its staff, in response to Mr.
Jordan’s emergency situation, failed to take any action other than calling 911—
emergency medical services (“EMS”). The Lawrences contend that “[t]here is no
evidence that any staff personnel [at CCH] including Dr. Anwar Ismail and staff
nurses performed CPR or any other life sustaining procedure on Kevin Jordan.”
Continuing, the Lawrences emphasize that CCH acknowledged, in its discovery
responses, that it is “a joint commission accredited hospital.” The Lawrences
contend that a lay person may infer negligence here in that CCH’s staff had to call
911 (EMS) to respond to a medical emergency at an accredited hospital.
The Lawrences, however, offer no evidence in support of this contention;
rather, this contention is based solely on their conclusory allegations. “Mere
speculation will not defeat a motion for summary judgment, and conclusory
allegations, improbable inferences, and unsupported speculation are insufficient to
support a finding that a genuine issue of material fact exists.” Kinch v. Our Lady of
Lourdes Reg’l Med. Ctr., 15-0603, pp. 7-8 (La. App. 3 Cir. 12/9/15), 181 So.3d
900, 905 (citing Scott v. City of Shreveport, 49,944 (La. App. 2 Cir. 6/24/15), 169
So.3d 770); see also In re Melancon, 05-1702, p. 7 (La. 7/10/06), 935 So.2d 661,
666 (observing that “[a]rguments and pleadings are not evidence”); Smith v.
Casino New Orleans Casino, 12-0292, p. 10 (La. App. 4 Cir. 10/3/12), 101 So.3d
507, 514 (quoting Todd v. State Through Dep't of Social Services, Office of
17
Community Services, 96-3090, p. 16 (La. 9/9/97), 699 So.2d 35, 43) (observing
that “‘[p]roof which establishes only possibility, speculation, or unsupported
probability does not suffice to establish a claim.’”).
The same allegations that the Lawrences make regarding CCH’s negligence
are set forth in the complaint considered by the MRP. The MRP, after reviewing
the record and considering the allegations, expressly found in CCH’s favor,
reasoning as follows: “[t]he patient was properly monitored throughout his hospital
course,” and “911 was timely called.”
Contrary to the Lawrences’ contention, expert medical testimony is required
here to rebut the MRP’s findings in CCH’s favor. These allegations of malpractice
do not fall within the narrow scope of the obvious-negligence exception. A hospital
staff’s decision, in response to a medical emergency, to call 911 (EMS) is a
transfer decision—a decision that a patient needs to be moved from one facility to
another. “[N]egligence regarding transfer decisions cannot likely be established
without expert medical testimony.” Trotter v. Baton Rouge Gen. Med. Ctr., 15-
1577, p. 8 (La. App. 1 Cir. 3/21/17) (unpub.), 2017 WL 1078614, *3 (citing
Coleman v. Deno, 01-1517, p. 20 (La. 1/25/02), 813 So.2d 303, 317). Transfer
decisions cannot be divorced from overall medical care decisions. Id.
Even assuming, arguendo, that the Lawrences could establish CCH’s breach
of the applicable standard of care without expert medical testimony, they still
would be required to produce expert medical testimony to establish causation. “[A]
causal nexus between delayed treatment and a patient’s death is not obvious and
18
requires expert testimony.” Schultz v. Guoth, 10-0343, p. 12 (La. 1/19/11), 57
So.3d 1002, 1009 (citing Pfiffner, supra).21
Summarizing, the obvious-negligence exception is inapplicable here. The
Lawrences’ allegations of malpractice against both the hospital and the physician
defendants require expert medical testimony to establish the standard of care, the
breach of the standard of care, and causation.
The Deruise-Pierce Case is Distinguishable
In further support of their argument that expert medical testimony was not
required, the Lawrences cite this court’s recent decision in Deruise-Pierce. They
contend that the Deruise-Pierce case is factually and procedurally similar to this
case.
In Deruise-Pierce, this court reversed the trial court’s decision granting the
defendants’ summary judgment motion. There, the plaintiffs framed the single,
material fact in dispute as whether the defendants breached the standard of care
“‘when they transported and abandoned [the patient] Roy Pierce in the hallway
outside of the [r]adiology suite when he was in an acutely decompensated,
mentally altered hypotensive state.’” Deruise-Pierce, 18-0160, p. 5, 258 So.3d at
153. Given the plaintiffs’ failure to present any independent expert medical
testimony, the trial court granted the defendants’ summary judgment motion.
21
See also Milke v. Ratcliff Animal Hosp., Inc., 48,130, p. 17 (La. App. 2 Cir. 7/10/13), 120
So.3d 343, 353 (rejecting the argument that either the obvious-negligence exception or res ipsa
loquitur doctrine applied and reasoning that “[w]hile the plaintiff presented evidence [an Internet
article], albeit incompetent evidence, that 99.95% of healthy dogs recover from surgery and that
only 1 in 895 suffer death, that statistic alone does not imply that the .05% mortality is due to
negligence”); Henderson v. Homer Mem’l Hosp., 40,585, p. 15 (La. App. 2 Cir. 1/27/06), 920
So.2d 988, 996 (observing that “where the plaintiffs have failed to establish a causal link
between the nursing care and the harm complained of, they have also failed to show a probability
that the injury would not have occurred without negligence”).
19
Reversing, this court reasoned that there was expert medical evidence, in the
form of the deposition testimony of the treating radiologist, Dr. Benjamin Cooper,
supporting an inference that the standard of care was violated. Deruise-Pierce, 18-
0160, p. 10, 258 So.3d at 156.22 This court further reasoned that the trial court
erred in finding, as a matter of law, that expert medical testimony was necessary
because “depending upon how long Mr. Pierce was left [outside of the radiology
suite], such a failure may well be one of such obvious negligence that no expert
testimony would be necessary to demonstrate a breach of the standard of care.”
Deruise-Pierce, 18-0160, p. 9, 258 So.3d at 155-56.
Continuing, we reasoned that “the dearth of facts in the record regarding
what actually happened to Mr. Pierce after he was transported to the hallway
outside of the radiology suite” precluded a finding that a lay person could not infer
causation as well as an expert could. Deruise-Pierce, 18-0160, p. 11, 258 So.3d at
156. Thus, we observed that an unreasonable delay in treatment can be the basis
for applying the obvious-negligence exception; however, we determined that the
record on appeal was unclear if the facts were sufficiently egregious for the
exception to apply.
22
As we observed, the radiologist, Dr. Cooper, testified in his deposition to the following:
[Dr. Cooper] testified that it was unusual for someone incapable of
consenting to be sent to radiology, that the change in the patient’s condition
overnight had not been conveyed to him, and as a result the patient was “not in
the place where that patient should [have been] in that moment.” Dr. Cooper also
testified that he agreed with the statement that Mr. Pierce should not have been
transported to the radiological suite in the condition he was in, because he was
unstable, and further testified that Mr. Pierce’s blood pressure reflected a
dangerously hypotensive state. He also stated that he could not say one way or the
other whether Mr. Pierce would have had a better chance of surviving if he had
been in the ICU rather than the radiology suite. As well, he acknowledged that the
medical record doesn’t indicate that Mr. Pierce was transported or attended by
anyone other than a standard escort (transport employee).
Deruise-Pierce, 18-0160, p. 4, 258 So.3d at 153.
20
In this case, unlike in the Deruise-Pierce case, the record is devoid of any
medical evidence supporting the Lawrences’ claims. The only admissible medical
evidence in the record is the MRP opinion unanimously in favor of the hospital and
physician providers. Given the nature of the allegations of malpractice in this case,
expert medical testimony is required to establish the Lawrences’ claims as to both
sets of defendants. Again, mere conclusory allegations are insufficient to defeat a
properly supported motion for summary judgment. Kinch, supra. The Lawrences’
reliance on the Deruise-Pierce case, thus, is misplaced.
Mr. Lawrence’s Affidavit
The Lawrences contend that Mr. Lawrence’s affidavit, in which he identified
an expert (Dr. Fann), is sufficient to establish a genuine issue of material fact. They
emphasize that the defendants, in their summary judgment motions, identified as
undisputed the fact that the Lawrences had not retained an expert. They contend
that Mr. Lawrence’s statement in his affidavit that the Lawrences had retained an
expert contradicts this fact.
As the defendants point out, the dispositive issue is not whether the
Lawrences have retained an expert; rather, the issue is whether the Lawrences have
produced expert medical testimony to support of their claims. A plaintiff cannot
create an issue of fact simply by naming in an affidavit an expert that he has
retained and claiming that expert will provide a report at some time in the future.23
23
See Gorbach v. Tulane Univ. Med. Ctr., 11-1575 (La. App. 4 Cir. 4/11/12), 89 So.3d 429
(affirming grant of “no-expert” summary judgment because the plaintiffs merely indicated that
they had obtained an expert, but did not submit an affidavit or other competent summary
judgment evidence to oppose the motion); Reinke v. Kordisch, 13-1093, p. 11 (La. App. 3 Cir.
3/5/14), 134 So.3d 176, 182 (citing Venable v. Dr. X, 95-1634 (La. App. 3 Cir. 4/3/96), 671
So.2d 1249, and observing that given the “trial court's finding that medical expert testimony
would be required for Ms. Reinke to establish her burden of proof at trial, any statements made
in her affidavit would not be sufficient to defeat summary judgment”); Mitchell v. Kenner Reg’l
Med. Ctr., 06-620, p. 7 (La. App. 5 Cir. 1/30/07), 951 So.2d 1193, 1197 (observing that “merely
21
As this court has observed, “identifying the plaintiff’s expert without an affidavit
or deposition testimony in which the expert actually testifies under oath in a
manner favorable to the plaintiff's position is insufficient opposition to a properly
supported summary judgment motion.” Pierre-Ancar v. Browne-McHardy Clinic,
00-2409, 00-2410, p. 7 (La. App. 4 Cir. 1/16/02), 807 So.2d 344, 349 (citing
Edwards v. Raines, 35,284 (La. App. 2 Cir. 10/31/01), 799 So.2d 1184). Such is
the case here.
In his affidavit, Mr. Lawrence simply attests that he has retained an expert
(Dr. Fann) who would prepare a report. As the physician defendants point out, Mr.
Lawrence’s affidavit contains no confirmation or communication from the expert
agreeing to the retention. Moreover, in their request for an extension of time, the
Lawrences identified a different expert (Dr. Davidson). At no time, however, did
the Lawrences submit a medical expert’s testimony, in any form, in support of their
medical malpractice claims. Again, merely identifying a retained expert is
insufficient to create a genuine issue of material fact. The Lawrences’ reliance on
Mr. Lawrence’s affidavit as creating a genuine issue of material fact is misplaced.
Continuance
Although decisions regarding rulings on summary judgment motions are
reviewed under a de novo standard, decisions regarding a trial court’s docket, case
management, and rulings on motions to continue are reviewed under an abuse of
discretion standard. Rowley v. Eye Surgery Ctr. of Louisiana, Inc., 06-1243, p. 4
(La. App. 4 Cir. 4/4/07), 956 So.2d 680, 683; Succession of Feingerts, 17-0265,
referring to an expert, as Mr. Mitchell did in his Answers to Interrogatories, will not defeat a
properly supported motion for summary judgment”); Robles v. ExxonMobile, 02-0854, p. 5 (La.
App. 1 Cir. 3/28/03), 844 So.2d 339, 342 (observing that “merely referring to an expert will not
defeat a properly supported motion for summary judgment”).
22
pp. 3-5 (La. App. 4 Cir. 12/21/17), 234 So.3d 1081, 1085-86. “‘A trial judge has
wide discretion in the control of his docket, in case management and in
determining whether a motion for continuance should be granted.’” Arceneaux v.
Lafayette Gen. Med. Ctr., 17-516, p. 10 (La. App. 3 Cir. 7/26/17), 248 So.3d 342,
349 (quoting Jackson v. Royal Ins. Co., 97-723, p. 3 (La. App. 3 Cir. 12/17/97),
704 So.2d 424, 426).
There is no absolute right to delay action on a summary judgment motion
until discovery is completed. Simoneaux v. E.I. du Pont de Nemours & Co., 483
So.2d 908, 912 (La. 1986). Unless the non-moving party—here the plaintiffs—
shows a probable injustice, a ruling on a summary judgment motion should not be
delayed pending discovery when it appears at an early stage that there is no
genuine issue of fact. Id. at 913. A trial judge has the discretion to enter a summary
judgment after the filing of affidavits, or the judge may allow further affidavits or
discovery to take place. La. C.C.P. art. 967(C). The only requirement is that the
parties be afforded an “opportunity for adequate discovery.” La. C.C.P.
art. 966(A)(3).
Here, the Lawrences contend that the trial court erred in granting the
defendants’ summary judgment motions prematurely—before the Lawrences were
afforded an opportunity for adequate discovery. The Lawrences’ contention that
summary judgment was prematurely granted is premised on the timing of the
defendants’ filing of the motions for summary judgment. The Lawrences stress that
the physician defendants filed their motion two weeks before the Lawrences were
provided with the hospital defendants’ discovery responses. They also stress that
the hospital defendants filed their motion on the same day they provided their
discovery requests to the Lawrences. The Lawrences, thus, contend that they were
23
“not afforded a reasonable opportunity to engage in follow up discovery on the
initial discovery respon[ses] provided by [the hospital defendants].”
Although the Lawrences’ argument might have had merit if the summary
judgment motions were heard on the initial hearing date (September 29, 2017), the
motions were continued four times and were not ruled upon until eight months
later (May 17, 2018). Indeed, the procedural timeline of this case24 belies the
24
The procedural time line of this case is as follows:
August 17 to 20, 2012—The complained of treatment occurred. Given Mr. Jordan died
on August 20, 2012, there was no ongoing treatment.
August 19, 2013—The Lawrences filed a complaint with the DOA, seeking to invoke a
medical review panel. As a result, the Lawrences could have availed themselves of the
discovery proceeding procedure under La. R.S. 40:1231.8.
December 1, 2015—The MRP held in the hospital and the physician providers’ favor.
March 16, 2016—The Lawrences filed this medical malpractice case in the trial court.
July 3, 2017—The physician defendants filed their motion for summary judgment, which
was set for September 29, 2017.
July 31, 2017—The hospital defendants filed their motion for summary judgment, which
also was set for September 29, 2017.
September 13, 2017—The Lawrences filed a motion to transfer and consolidate the
malpractice case with the earlier-filed discovery proceeding. Both sets of defendants
consented to the transfer and consolidation.
October 9, 2017—The physician defendants re-filed their summary judgment motion in
the new section of court to get a hearing date, which was set for November 30, 2017. The
hospital defendants likewise filed a motion to reset their summary judgment motion.
November 13, 2017—Mr. Lawrence’s counsel filed an unopposed motion to reset the
hearing to February 8, 2018, which was granted.
February 6, 2018—Mr. Lawrence’s counsel moved to continue the hearing, which was
granted; the hearing was reset for April 5, 2018.
April 5, 2018—The Lawrences were granted until May 17, 2018 to produce an expert’s
report.
May 17, 2018—The defendants’ summary judgment motions were granted.
24
Lawrences’ contention that they were not afforded an opportunity for adequate
discovery. See La. C.C.P. art. 966A(3).
The procedural timeline here for conducting discovery was very long. The
Lawrences filed their initial petition to invoke the MRP in 2013 and their petition
for damages in March 2016. The physician and hospital defendants both filed their
summary judgment motions in July 2017. The trial court set the summary
judgment motions for hearing five times. On the fourth hearing date (the April
Hearing), the parties appeared before the trial court; and the court set a firm
deadline by which the Lawrences’ expert medical testimony was required to be
filed—May 17, 2018. At the April Hearing, the trial court commented regarding
the age of this case and expressly found that the Lawrences’ delay to secure an
expert already was unreasonable. When the Lawrences failed to comply with the
May 17, 2018 deadline, the trial court granted the defendants’ motions for
summary judgment. Given these circumstances, we cannot conclude the trial court
abused its discretion in failing to grant any further continuances for the Lawrences
to produce expert medical testimony.
The Lawrences alternatively argue that the trial court erred in granting their
motion for extension of time—until May 31, 2018—to submit an expert report, yet
granting the defendants’ summary judgment motions “during the period of time
concurrent with the extended time for [the Lawrences] to submit and file [their]
expert report.”25 The physician defendants counter that no expert report was timely
25
As noted elsewhere in this opinion, the Lawrences’ counsel failed to appear at the May 17,
2018 hearing; instead, on that same date, the Lawrences’ counsel filed a motion for extension of
time to submit an expert report. The motion for extension of time was not time-stamped. When
the trial court signed the order granting the motion for extension of time on May 30, 2018, the
trial court apparently neither realized nor was informed by the Lawrences’ counsel that the case
already had been dismissed with prejudice.
25
received from the Lawrences by the extended deadline and that any error regarding
the motion for extension of time was harmless.26 We agree.
Reasons for Judgment
The final part of our analysis is to consider the Lawrences’ argument that the
trial court erred in failing to provide oral or written reasons for its May 17, 2018
judgment, granting the defendants’ summary judgment motions. In support of this
argument, the Lawrences cite La. C.C.P. art. 966(C)(4), which requires oral or
written reasons be provided when a summary judgment motion is granted.27
Although the trial court provided neither oral nor written reasons in
rendering its May 17, 2018 judgment, the trial court detailed in the transcript of the
April Hearing its reasons for granting the defendants’ summary judgment
motions—the Lawrences’ failure to provide an expert medical testimony.
Moreover, the Lawrences’ counsel failed to make a request for written reasons for
26
The physician defendants enumerate multiple other reasons why this argument is
unpersuasive. First, they point out that it is doubtful the motion for extension for time was filed
before the hearing on the summary judgment motions. Second, even assuming the motion for
extension of time was filed before the hearing, it was filed the same day as the scheduled
hearing. Third, the Lawrences’ counsel failed to object at the April Hearing either to the
scheduled May 17, 2018 hearing date or to the requirement that the Lawrences produce an expert
report on or before that date. Fourth, the physician defendants note that a trial court is free to
disregard a motion filed on the date of a scheduled hearing that is not in accord with the uniform
or local rules. Fifth, the physician defendants note that when a motion is filed in close proximity
to a scheduled hearing, counsel should walk the motion directly to the trial court’s chambers or
bring the motion to the hearing for consideration. Finally, the physician defendants contend that
the motion for extension of time was filed with “either inaccurate or false pretenses; opposing
counsel was not contacted, nor did they waive service on that Motion.”
27
La. C.C.P. art. 966(C)(4) provides:
In all cases, the court shall state on the record or in writing the reasons for
granting or denying the motion. If an appealable judgment is rendered, a party
may request written reasons for judgment as provided in Article 1917.
La. C.C.P. art. 1917(A) provides:
In all appealable contested cases, other than those tried by a jury, the court
when requested to do so by a party shall give in writing its findings of fact and
reasons for judgment, provided the request is made not later than ten days after
the mailing of the notice of the signing of the judgment.
26
judgment, a prerequisite under the pertinent statutory provisions they cite. See La.
C.C.P. art.1917; see also Innocence Project New Orleans v. New Orleans Police
Dep’t, 13-0921, p. 12 (La. App. 4 Cir. 11/6/13), 129 So.3d 668, 675 (rejecting a
similar argument and reasoning that “written reasons for judgment are not required
unless requested by party not later than ten days after the mailing of notice of
judgment”). For these reasons, the Lawrences’ argument that the trial court erred in
failing to provide reasons for judgment is unpersuasive.
DECREE
For the foregoing reasons, the judgment of the trial court is affirmed.
AFFIRMED
27