Valley Baptist Medical Center - Brownsville v. Rosalinda Battles, Gerald Battles, as Surviving Spouse of Rosalinda Battles, Amanda Giselle Battles, as Surviving Child of Rosalinda Battles, and Jeremy Blake Battles, as Surviving Child of Rosalinda Battles

ACCEPTED 13-14-00756-CV THIRTEENTH COURT OF APPEALS CORPUS CHRISTI, TEXAS 3/2/2015 4:08:08 PM DORIAN RAMIREZ CLERK CAUSE NO. 13-14-00756-CV IN THE COURT OF APPEALS FILED IN 13th COURT OF APPEALS FOR THE THIRTEENTH JUDICIAL DISTRICT CORPUS CHRISTI/EDINBURG, TEXAS SITTING AT CORPUS CHRISTI - EDINBURG, 3/2/2015TEXAS 4:08:08 PM DORIAN E. RAMIREZ Clerk VALLEY BAPTIST MEDICAL CENTER APPELLANT VS. ROSALINDA BATTLES, GERALD BATTLES, AS SURVIVING SPOUSE OF ROSALINDA BATTLES, AMANDA GISELLE BATTLES, AS SURVIVING CHILD OF ROSALINDA BATTLES AND JEREMY BLAKE BATTLES, AS SURVIVING CHILD OF ROSALINDA BATTLES APPELLEES APPELLANT’S BRIEF ON APPEAL FROM CAUSE NO. 2013-DCL-04983 IN THE 444TH JUDICIAL DISTRICT COURT OF CAMERON COUNTY, TEXAS SCOTT T. CLARK ROGER W. HUGHES WILL HUGHES ADAMS & GRAHAM, L.L.P. P.O. Drawer 1429 Harlingen, TX 78551-1429 Phone: (956) 428-7495 ORAL ARGUMENT IS Fax: (956) 428-2954 REQUESTED Attorneys for Appellant VALLEY BAPTIST MEDICAL CENTER IDENTITY OF THE PARTIES AND COUNSEL 1. Appellant: Defendant Attorney Valley Baptist Medical Center- Scott T. Clark Brownsville sclark@adamsgraham.com Roger W. Hughes rhughes@adamsgraham.com Will Hughes willhughes@adamsgraham.com ADAMS & GRAHAM, L.L.P. P. O. Drawer 1429 Harlingen, TX 78551-1429 Phone (956) 428-7495 Fax (956) 428-3954 2. Appellees Plaintiffs Attorneys Rosalinda Battles, Gerald Battles, as Robert Garza Surviving Spouse of Rosalinda jrobert@rgarzalaw.com Battles, Amanda Giselle Battles, as Myles R. Garza Surviving Child of Rosalinda Battles myles@rgarzalaw.com and Jeremy Blake Battles, as Law Office of Robert Garza, P.C. Surviving Child of Rosalinda Battles 1200 E. Harrison St. Brownsville, TX 78520 Phone (956) 544-1111 Fax (956) 544-1108 ii TABLE OF CONTENTS Page: IDENTITY OF THE PARTIES AND COUNSEL . . . . . . . . . . . . . . . . . . . . . . . . . ii TABLE OF CONTENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii TABLE OF AUTHORITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv STATEMENT OF THE CASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v ISSUES PRESENTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v STATEMENT OF FACTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi SUMMARY OF THE ARGUMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ARGUMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 A. When the purported report is “no report,” no extension is permitted and the trial court must dismiss. . . . . . . . . . . . . . . . . . . . 1 B. Nurse O’Malley’s first report stated no opinions and was “no report.” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 C. Caselaw demonstrates the trial court was obligated to grant VBMC’s first motion to dismiss. . . . . . . . . . . . . . . . . . . . . . . 5 CONCLUSION AND PRAYER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 CERTIFICATE OF COMPLIANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 CERTIFICATE OF SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 APPENDICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 iii TABLE OF AUTHORITIES Page: Cases: Avila v. Jimenez, No. 13-13-00101-CV, 2013 WL 1500328 (Tex. App.–Corpus Christi 2013, pet. denied) . . . . . . . . . . . . . . . . . . . . . . . 3 Badiga v. Lopez, 253 S.W.3d 204 (Tex. 2008) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Fung v. Fischer, 365 S.W.3d 507 (Tex. App.–Austin 2012, no pet.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Haskell v. Seven Acres Jewish Senior Care Servs., Inc., 363 S.W.3d 754 (Tex. App.–Houston [1st Dist.] 2012, no pet.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2, 3, 5-7 Laredo Tex. Hosp. Co., L.P. v. Gonzalez, 363 S.W.3d 255 (Tex. App.–San Antonio 2012, no pet.) . . . . . . . . . . . . . . . . . . . . . . . . 2, 7, 9 Ogletree v. Matthews, 262 S.W.3d 316 (Tex. 2007) . . . . . . . . . . . . . . . . . . . . . . . . 2 Reddy v. Hebner, 435 S.W.3d 323 (Tex. App.–Austin 2014, pet. filed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 San Antonio Extended Medical Care, Inc. v. Vasquez, 358 S.W.3d 685 (Tex. App.–San Antonio 2011, pet. denied) . . . . . . . . . . . . . . . . . . . . . . . 7, 8 Scoresby v. Santillan, 346 S.W.3d 546 (Tex. 2011) . . . . . . . . . . . . . . . . . . 1, 2, 5, 9 Sinha v. Thurston, 373 S.W.3d 795 (Tex. App.–Houston [14th Dist.] 2012, no pet.) . . . . . . . . . . . . . . . . . . . . . . 3 Velandia v. Contreras, 359 S.W.3d 674 Tex. App.–Houston [14th Dist.] 2011, no pet.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 iv STATEMENT OF THE CASE This is an expert report appeal in a healthcare liability claim. Appellees asserted medical negligence claims against appellant Valley Baptist Medical Center (VBMC) and provided an expert report from a nurse, Erin K. O’Malley. C.R. 5-15, 40-48; R.R. IV, X-1. App. 1. VBMC challenged the report and moved to dismiss. C.R. 35-38. The trial court granted a thirty day extension, and Nurse O’Malley provided a revised report. C.R. 51-52, 63-66; R.R. IV, X-2. App. 2. VBMC again moved to dismiss, and that motion was denied. C.R. 53-59, 75. App. 3. ISSUES PRESENTED 1. Was the first report from plaintiffs’ expert, Nurse Erin K. O’Malley, “no report” because it: a) failed to say anything about the standard of care for VBMC; b) failed to say anything about how VBMC violated any standard of care; c) failed to say anything about how any breach of a standard of care by VBMC caused the death of Ms. Battles; and d) failed to offer any opinion opinion that appellees’ claims have merit? 2. If the first report was “no report,” did the trial court have discretion to grant an extension to cure deficiencies in the report, or was the trial court obligated to grant VBMC’s motion to dismiss? v STATEMENT OF FACTS On July 24, 2013, appellees sued Valley Baptist Medical Center (VBMC), alleging that insufficient post-surgery monitoring of Rosalinda Battles caused Battles’s death. C.R. 5. On November 21, 2013, VBMC received appellees’ purported expert report and C.V. from Nurse Erin K. O’Malley. C.R. 40. App. 1. Nurse O’Malley wrote that she had reviewed an autopsy report, lab reports, and medical records “regarding Mr. Bradford” (sic). C.R. 42; R.R. IV, X-1. The remainder of Nurse O’Malley’s report stated: Summary: On 7/25 Ms. Battles a 47yo female entered Valley Baptist Medical Center for a routine cholecystectomy and was admitted to a short stay unit. The procedure was done without incident. The patients (sic) vital signs remained stable throughout the procedure, and in post-operative care. That evening around 5:30 pm the patient started complaining of headaches, nausea, and vomiting. At 6:12 pm the patient exhibited seizure activity. The patient lost consciences (sic), and a code was called. The patient was intubated, given Lovenox, and transferred to the intensive care unit. The patient was taken to CT scan, which showed minimal edema, and no intracranial bleeding. The CT angiogram of the chest showed no pulmonary embolism. The CT scan of the abdomen showed no fluid collection. The patient developed a sub arachnoid and subdural hemorrhage. This caused cerebral edema, hemorrhage, necrosis, herniation at the brain stem area which eventually caused death. The family was aware of her condition and decided that Ms. Battles should be taken off life support. C.R. 42; R.R. IV, X-1; App. 1. Nurse O’Malley’s report made no other comment about the care provided to Ms. Battles. C.R. 42; R.R. IV, X-1; App. 1. VBMC filed objections to Nurse O’Malley’s report and a motion to dismiss. vi C.R. 35. Appellees filed no response to VBMC’s motion to dismiss. The trial court found that the report was deficient and granted a thirty day extension to cure the deficiencies. C.R. 51-52; App. 2. On February 7, 2014, appellees provided another report from Nurse O’Malley. C.R. 65; R.R. IV, X-2. This second report added a section titled “Findings,” but even this second report conceded “I cannot fully say that the standard of care concerning the care of Mrs. Battles was breached.” C.R. 65; R.R. IV, X-2. On March 12, 2014, VBMC filed objections to this second report and again urged a motion to dismiss. C.R. 53. Appellees responded by arguing that VBMC’s objections to the second report were untimely. C.R. 67. As of December 3, 2014, the trial court had not yet ruled, and a status hearing was held on the motion to dismiss. R.R. III, 5. At that hearing, the court invited further arguments on the motion to dismiss. R.R. III, 7. VBMC argued that Nurse O’Malley’s first report was “no report,” and the case should be dismissed on that basis. R.R. III, 8-11. On December 10, 2014, the trial court denied VBMC’s second objections and motion to dismiss. C.R. 75; App. 3. vii SUMMARY OF THE ARGUMENT This appeal concerns the trial court’s abuse of discretion with regard to Nurse O’Malley’s first report and VBMC’s first motion to dismiss. Because Nurse O’Malley’s first report was “no report,” the trial court had no discretion to grant an extension of time to cure the report, but rather was obligated to grant the first motion to dismiss. The court’s erroneous extension does not cure this abuse of discretion, and the timeliness of VBMC’s second motion to dismiss is a moot issue. Texas law distinguishes between deficient expert reports and purported reports that are really no report at all. A thirty day extension may be granted to cure a deficient report, but when the purported report is “no report,” then no extension is permitted and the trial court has no option but to grant a motion to dismiss. Because Nurse O’Malley’s first report never asserted VBMC did anything wrong, did not implicate the conduct of any agent of VBMC, and gave no indication that appellees’ claim had merit, it was “no report” and the trial court was required to grant the motion to dismiss rather than allow a thirty day extension. ARGUMENT A. When the purported report is “no report,” no extension is permitted and the trial court must dismiss. A document qualifies as an expert report only if it contains a statement of opinion by an individual with expertise indicating that the claim asserted by the plaintiff against the defendant has merit. Scoresby v. Santillan, 346 S.W.3d 546, 549 1 (Tex. 2011), App. 4. An extension to cure deficiencies in a report may only be granted if the report contains the opinion of an individual with expertise that the claim has merit, and if the defendant’s conduct is implicated. Id. at 557, App. 4. A document that fails to address the statutorily mandated elements set forth in Chapter 74 constitutes no expert report at all. Ogletree v. Matthews, 262 S.W.3d 316, 323 (Tex. 2007) (Willett, J., concurring). If no expert report is timely served, the denial of a motion to dismiss is appealable, even if the court grants an extension. Scoresby, 346 S.W.3d at 555; citing Badiga v. Lopez, 253 S.W.3d 204, 207-08 (Tex. 2008). The Medical Liability Act does not authorize an extension if no report is timely served. Scoresby, 346 S.W.3d at 555; Haskell v. Seven Acres Jewish Senior Care Servs., Inc., 363 S.W.3d 754, 761 (Tex. App.–Houston [1st Dist.] 2012, no pet.). Granting an extension not authorized by section 74.351 does not preclude an appeal. Scoresby, 346 S.W.3d at 555, App. 4. If the document never asserts that anyone did anything wrong, it cannot receive an extension. Laredo Tex. Hosp. Co., L.P. v. Gonzalez, 363 S.W.3d 255, 258 (Tex. App.–San Antonio 2012, no pet.) quoting Scoresby, 346 S.W.3d at 558 (Willet, J., concurring). If the trial court responds to a motion to dismiss by erroneously granting an extension, the defendant may appeal after the denial of a second motion to dismiss. See Laredo Tex. Hosp., 363 S.W.3d at 258-59 (erroneous extension was not 2 immediately appealable, but appellate court ordered dismissal on appeal after denial of second motion to dismiss because initial report was “no report”); cf. Avila v. Jimenez, No. 13-13-00101-CV, 2013 WL 1500328 at *2-3 (Tex. App.–Corpus Christi 2013, pet. denied) (extension was granted, second motion dismiss was denied and appeal then taken; court considered contention that pre-extension report was “no report”). A report that does not implicate the conduct of a defendant does not constitute an expert report as to that defendant. Reddy v. Hebner, 435 S.W.3d 323, 328 (Tex. App.–Austin 2014, pet. filed); Sinha v. Thurston, 373 S.W.3d 795, 800 (Tex. App.–Houston [14th Dist.] 2012, no pet.). When the purported report does not constitute an expert report as to a defendant, the trial court does not have any discretion to deny the defendant’s motion to dismiss. Id. The 21-day deadline for objecting to the sufficiency of an expert report is only triggered if the report implicates the defendant. Reddy, 435 S.W.3d at 328. If what the plaintiff provides is “no report,” then the defendant’s obligation to object to the report is never triggered. Haskell, 363 S.W.3d at 761. B. Nurse O’Malley’s first report stated no opinions and was “no report.” Nurse O’Malley’s first report was the kind of document that is “no report.” The report simply described events during Ms. Battles’s stay at VBMC, without comment on what should or should not have been done during the course of her care. C.R. 42; 3 R.R. IV, X-1; App. 1. The only portion of the report that addresses Ms. Battles’s care, the “Summary,” begins by noting that a cholecystectomy was performed without incident, and the patient’s vital signs remained stable throughout the procedure and in post- operative care. C.R. 42; R.R. IV, X-1; App. 1. It then notes that around 5:30 pm the patient started complaining of headaches, nausea, and vomiting. C.R. 42; R.R. IV, X-1; App. 1. The report does not say that any misconduct by VBMC was responsible for the headaches, nausea, and vomiting, nor does it say what VBMC should have done, or should not have done, in response to these symptoms. C.R. 42; R.R. IV, X-1; App. 1. Next the report says at 6:12 pm the patient exhibited seizure activity, but, again, the report does not say that any misconduct by VBMC was responsible for the seizure activity, nor does it say what VBMC should have done, or should not have done, in response to this seizure activity. C.R. 42; R.R. IV, X-1; App. 1. Next the report says the patient was taken for CT scans, but the CT scans showed no problems. C.R. 42; R.R. IV, X-1; App. 1. The report makes no comment about whether it was appropriate to conduct the CT scans, or what, if anything, should have been done in response to the results of the CT scans. The report concludes by saying the patient developed a sub arachnoid and subdural hemorrhage, which caused cerebral edema, hemorrhage, necrosis, herniation 4 at the brain stem and, eventually death. C.R. 42; R.R. IV, X-1; App. 1. Again the report does not say any acts or omissions by VBMC were responsible for any of these conditions, nor does it fault anything VBMC did or failed to do in response to these conditions. C.R. 42; R.R. IV, X-1; App. 1. At no point does the report offer any commentary or opinions about the appropriateness of the care provided by VBMC. Indeed, the report does not even identify any care that was (or should have been) provided by VBMC’s agents rather than by others whom VBMC does not control and for whom VBMC does not have vicarious liability, such as physicians. C.R. 42; R.R. IV, X-1; App. 1. Nowhere does the report state, directly or indirectly, that appellees’ claims have merit. C. Caselaw demonstrates the trial court was obligated to grant VBMC’s first motion to dismiss. The Medical Liability Act does not suggest that a document utterly devoid of substantive content will qualify as an expert report. Scoresby v. Santillan, 346 S.W.3d at 549, App. 4. Nurse O’Malley’s first report is the kind of document that is “no report” because it does not contain a statement of opinion indicating that the claim asserted by the plaintiff against the defendant has merit. Id. If the purported report is this kind of “no report,” then the trial court has no discretion to grant an extension of time to cure deficiencies in the report, but rather, the trial court is obligated to grant the initial motion to dismiss. Id. at 557; Haskell, 363 S.W.3d at 761. Several cases have held that reports like Nurse O’Malley’s first report are “no 5 report,” and the trial court cannot grant an extension but must grant a motion to dismiss such a report. In Velandia v. Contreras, 359 S.W.3d 674 Tex. App.–Houston [14th Dist.] 2011, no pet.) the purported report failed to include any opinion that the claim had merit. Id. at 678. Nor did the report offer the applicable standard of care or an explanation of how the defendant failed to meet any standard of care. Id. at 678-79. The report also failed to identify a causal relationship between any failure by the defendant and the plaintiff’s injury, harm, or damages. Id. at 679. The court concluded the purported report was not an expert report, and the trial court had abused its discretion in denying the motion to dismiss. Id. In our case, Nurse O’Malley’s report has the same problems - it does not describe the standard of care applicable to VBMC, does not identify any breach of any such standard, does not explain how any such breach caused the injuries complained of, and does not include an opinion that the claim has merit. C.R. 42; R.R. IV, X-1. Also instructive is Haskell v. Seven Acres Jewish Senior Care Services, Inc., 363 S.W.3d 754, (Tex. App.–Houston [1st Dist.] 2012, no pet.). In that case, the plaintiff provided letters from three doctors which “describe actions taken by Seven Acres that form the basis of Haskell’s suit.” 363 S.W.3d at 760. However, “none claims that those actions were malpractice that caused Haskell an injury.” Id. Furthermore, while each doctor described harm suffered by Haskell, “none of them 6 ties this alleged injury to any wrongful action by Seven Acres.” Id. The court added “[m]ost significantly, there is nothing in Haskell’s report regarding any failure by Seven Acres to meet the applicable standard of care.” Id. Similarly in our case, Nurse O’Malley’s report describes some actions taken at VBMC, but does not claim those actions were malpractice that caused Battles an injury. C.R. 42; R.R. IV, X-1. Although O’Malley’s report notes that Battles died, the report does not in any way tie this injury to any wrongful action by VBMC. C.R. 42; R.R. IV, X-1. Also, as in Haskell, O’Malley’s report says nothing about VBMC failing to meet the applicable standard of care. C.R. 42; R.R. IV, X-1. In Laredo Tex. Hospital Co., L.P. v. Gonzalez, 363 S.W.3d 255 (Tex. App.–San Antonio 2012, no pet.) the plaintiff obtained a report from a doctor stating that insertion of an intravenous catheter led to the patient’s injuries, but the report does not identify who performed this procedure. Id. at 258. Furthermore, the report “never attempts to state the applicable standard of care, how any defendant failed to meet that standard, or even if a failure in the standard of care occurred.” Id. at 258. The court held this report was “no report” and therefore extension of time to cure deficiencies was improper and dismissal was mandatory. Id. at 258-59. In San Antonio Extended Medical Care, Inc. v. Vasquez, 358 S.W.3d 685, 690 (Tex. App.–San Antonio 2011, pet. denied) the purported report identified defendant Med Mart as a party that was to deliver medical supplies but otherwise did not identify 7 the standard of care, and was silent on how Med Mart failed to meet the standard of care or how that shortcoming caused Vasquez’s death. Id. at 690. Also, the purported report did not provide an opinion regarding whether Vasquez’s claims had merit. Id. The court concluded the purported report did not meet the standard for an “expert report” and dismissal was mandatory. Id. at 691. Finally, in Fung v. Fischer, 365 S.W.3d 507, 530, 536 (Tex. App.–Austin 2012, no pet.) the court noted that the purported report does provide information about Fung’s standard of care as a primary care physician, does not allege any breach of the standard of care by Fung, nor any causal link between an alleged breach by Fung and plaintiff’s injury. Id. at 536. The court concluded the purported report “simply fails to assert that Fung did anything wrong” and was “no report” as to Fung. Id. Therefore, the report was ineligible for the statutory extension and Fung was entitled to dismissal. Id. Nurse O’Malley’s report contains the same glaring flaws - no statement of the standard of care as to VBMC, no statement of how any such standard was breached, no statement of how any such breach caused Ms. Battles’ death, and, fundamentally, no statement that VBMC did anything wrong or that appellees’ claims against VBMC have any merit. C.R. 42; R.R. IV, X-1. CONCLUSION AND PRAYER Because Nurse O’Malley’s report was “no report,” the trial court had no 8 discretion to take any action but dismissal. The trial court was not authorized to grant the thirty day extension that it did, and the timeliness of VBMC’s second motion to dismiss is irrelevant, because the trial court was obligated to grant the first motion to dismiss, and VBMC is entitled to take an appeal from the trial court’s abuse of discretion with regard to the first motion to dismiss. Scoresby, 346 S.W.3d at 555; Laredo Tex. Hosp., 363 S.W.3d at 258-259. WHEREFORE, appellant Valley Baptist Medical Center prays that this Court render judgment dismissing appellees’ claims with prejudice, and for all other relief to which it is entitled. Respectfully submitted, ADAMS & GRAHAM, L.L.P. P.O. Drawer 1429 Harlingen, Texas 78551-1429 Telephone: (956) 428-7495 Facsimile: (956) 428-2954 By: /s/ Scott T. Clark Scott T. Clark State Bar No. 00795896 sclark@adamsgraham.com Roger W. Hughes State Bar No. 10229500 rhughes@adamsgraham.com Will Hughes State Bar No. 10240100 willhughes@adamsgraham.com COUNSEL FOR APPELLANT, VALLEY BAPTIST MEDICAL CENTER 9 CERTIFICATE OF COMPLIANCE Pursuant to Tex. R. App. P. 9.4(i)(3), the undersigned certifies this Appellant’s Brief complies with the type-volume limitations of Tex. R. App. P. 9.4(i)(2)(D). Exclusive of the exempted portions in Tex. R. App. P. 9(i)(1), Appellant’s Brief contains 2,191 words. Appellant’s Brief has been prepared in proportionally spaced typeface using: Software Name and Version: WordPerfect X5 for Windows in (Typeface Name and Font Size): New Times Roman 14 point . ADAMS & GRAHAM, L.L.P. P. O. Drawer 1429 Harlingen, TX 78551-1429 956/428-7495; FAX: 956/428-2954 sclark@adamsgraham.com By: /s/ Scott T. Clark SCOTT T. CLARK State Bar No. 00795896 Attorney for Appellant 10 CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the above and foregoing instrument was forwarded to the following counsel of record on this the 2nd day of March, 2015: Attorneys of record for Appellees BATTLES, ET AL.: Mr. Robert Garza Via e-service Myles R. Garza & e-mail LAW OFFICE OF ROBERT GARZA, P.C. 1200 E. Harrison Street Brownsville, Texas 78520 /s/ Scott T. Clark SCOTT T. CLARK 11 APPENDICES 1. Erin K. O’Malley, RN, BSN, MHSA, INC-CSp.’s report dated November 11, 2013. 2. Order Granting Defendant Valley Baptist Medical Center’s Objections to Plaintiffs’ Expert Report of Erin K. O’Malley, RN, BSN, MHSA, INC-CSP and Granting Plaintiffs A CPRC§74.351(c) Extension to Furnish Compliant Report signed January 8, 2014. 3. Order on VBMC’s Objections to Plaintiff’s Second Deficient Expert Report of Erin K. O’Malley, RN, BSN, MHSA, INC-CSP and Motion to Dismiss signed December 10, 2014. 4. Scoresby v. Santillan, 346 S.W.3d 546 (Tex. 2011) 12 Cause No. 13-14-00756-CV APPENDIX 1 TO APPELLANT’S BRIEF NOV/21/2013/THU 05:36 PM Robert Garza P.C. FAX No. 956-544-1108 P.003 EKO Consulting Erin K.O'MaUeY,RN,BSN,MHSA, urc-cse. 2907 Ashwood St Houston, TX 77025 November 11Ib, .2013 Law Offices of Robert Garza. PC DEFENDANT'S EX~Jr~ Retired State District Judge 2320 Central Blvd ::::.... Brownsville, Texas 78520 Re: Battles vs, Valley BaptistMedical Center Dear Mr. Garza: You have asked me for my opinion on the standards of care, breaches of said standards, and the basis of same in the case of Batt;Ies vsValley BaptistMedica1 Ceolrr. I am a registered nurse in the state of Texas since December 1991, and have over twenty-two years of clinical experience, which include: emergency medicine. critical care, wound care, hyperbaric medicine, outpatient clinical management. and hospitaladministration. 1 have over fifteen years experience in wound care practice and clinical management. I obtained a Bachelors Degree in Nursing from Texas Woman'a University in 1991, a Masters Degree in Health Services Administration from Southwest University in 2001. and a Masters in Business Administration from Texas Women's University in 2008. I have cared for numerous patients requiring intensive care treatment. My experience includes the following; 1991-1993 Staff Nurse Emergency Room at Memorial Hermann-TlvfC. Houston TX. 1993-1996 Relief Charge Nurse Shock Trauma leU at Memorial Hermann-TM'C. Houston TIC NOV/ZI/Z013/THU 05:36 PM Robert Garza p.e. FAX No. 956-544-1108 P. 004 1996-1999 Clinical Nurse Coordinator for Department of Hyperbarics, Wound Care and Lymphedema at Memorial Hermann Hospital, Houston, TX. 1999-2000 Clinical Manager of the University of Texas Outpatient Clinic at Memorial Hermann Hospital, Houston, TX 2000-2001 Curative Healthcare Services - contract wound care management and pharmaceutical company which manages wound care operations in acute care hospitals. 2001·2003 ChiefNursing Officer III of 110 bed long term acute care facility with Kindred Healthcare, Inc. in Houston, TX. 2003-2004 Associate Administrator at Cornerstone Hospitals of Austin, a long term acute care hospital in Austin, TX. 2005-2006 Director of Education for Spring Branch Medical Center responsible for all training, educational and orientation programs of acute medical and surgical patients. 2006·2008 Clinical Operations Manager of Hyperbaric, Wound Care and Lymphedema unit at Memorial Hermann Hospital in Houston. TX. 2008-2010 Director of Outpatient Services and Neurosciences at Memorial Hermann Hospital in Houston, TX 2010-2012 Chief Clinical Officer of Kindred Hospital North. long term acute care hospital including nursing, wound care, outpatient services. 2012- Present Clinical Practice Manger and Head Research Nurse, Baylor College of Medic me. NOV/21/2013/THU 05:36 PM Robert Garza P.C. FAX No. 956-544-1108 P. 005 This report has been rendered in a professional.diligent manner, and is based on the facts obtained from the materials provided to me, as well as my education, training and clinical expertise in general nursing care. This report is intended to be a fair summary of my opinions. I have reviewed the following records provided by your office regarding Mr. Bradford: Autopsy Report Lab Reports • Medical Records from Valley Baptist Medical Center Summary: On 7/25 Ms. Battles a 47yo female entered Valley Baptist Medical Center for a routine cholecystectomy and was admitted to a shortstay unit. The procedure was done without incidence. The patients vital signs remainedstable throughout the procedure, and in post-operative care, That evening around 5:30 pm the parlent started complaining of headaches, nausea, and vomiting. At 6:12 pm the patient exhibited seizure activity. The patient lost consciences, and a code was called. The patient was intubated, given Lovenox, and transferred to the intensive care unit. The patient was taken to cr scan, which showed minimal edema, and no intracranial bleeding. The cr angiogram. of the chest showed no pulmonary embolism. The CT scan of the abdomen showed no fluid collection, The patient developed a.sub arachnoid and subdural hemorrhage. This caused cerebral edema, hemorrhage, necrosis, herniation at the brain stem area which eventually caused death. The family was aware ofher condition and decided that Ms. Battles should be taken off life support. Cause No. 13-14-00756-CV APPENDIX 2 TO APPELLANT’S BRIEF ... ' .;..... CAUSE NO. 2013-DCL-04983-H ROSALINDA BATILES. GERALD IN THE DISTRlcr COURT BATTLES, AS SURVIVING SPOUSE OF ROSALINDA BATILES, AMANDA GISELLE BATTLES, AS SURVIVING CHILD OF ROSAUNDA BATILES AND JEREMY BLAKE BATTLES.AS SURVIVING CHILD OF ROSALINDA BAITLES VS. 444 fh JUDICIAL DISTRICT VALLEY BAPTIST MEDICAL CENTER OF CAMERON COUNTY. TEXAS ORDER GRANTING DEFENDANT VALLEY BAPTIST MEDICAL CENTER- BROWNSVILLE'S OBJECTIONS TO PLAINTIFFS' EXPERT REPORT OF ERIN K. O'MALLEY, RN, BSN, MHSA, INC-CSP AND GRANTING PLAINTIFFS A CPRC§74.351(c) EXTENSION TO FURNISH COMPLIANT REPORT CAME ON FORCONSIDERATION, defendantValleyBaptistMedical Center-Brownsville's Objections to Plaintiffs'ExpertReportof Erin K. O'Malley, RN,BSN,MHSA, INC-CSpand the Court having heardtheevidencesubmitted inconnection with theObjections oftheopinionthatsaidObjections should be sustainedbecausetheCourtfindsthatelementsof the report aredeficient andthat the plaintiffs should have one 30-day extension to cure such deficiencies; and accordingly; IT ISTHEREFOREORDEREDthat defendant Valley Baptist Medical Center-Brownsville's Objections to Plaintiffs' Expert Reportof Erin K. O'Malley, RN, BSN,MHSA, INC-CSp are hereby sustained; and IT ISFURTHER ORDERED that plaintiffs aregranted a 3O-day extension tocure the deficiencies in their expert report. :, >t. ,O"\FILESW -928\orCfef,\Granting.Q01 Pag" " 51 PDF created with odfFactorv Pro trial version www.odffactorv.com SIGNED FOR ENTRY thiS,+- day of---tr.r-_~~_ Rober! Garza. LAW OFFICE OF ROBERT GARZA, P.C., 2320 Central Blvd., Brownsville, TX 78520: Fax No. 956·544·1108; email:jroberl@rgarzalaw.com Will Hughes, ADAMS & GRAHAM, LLP.. P.O. Drawer 1429, Harlingen, TX 78551.1429; Fax No. 956-428-2954; e-mail:willhughes@adaltll;grllham.com (12~ C:\FILE~W'928\orClerS\Granling'OOl Page 2 52 PDF created with odfFactorv Pro trial version www.odffactorv.com Cause No. 13-14-00756-CV APPENDIX 3 TO APPELLANT’S BRIEF CAUSE NO. 2013-DCL-4983-H ROSALINDA BATTLES, GERALD § IN THE DISTRICT COURT BATTLES, AS SURVIVING SPOUSE § OF ROSALINDA BATTLES, AMANDA § GISELLE BATTLES, AS SURVIVING § CHILD OF ROSALINDA BATILES § AND JEREMY BLAKE BATTLES, AS § SURVIVING CHILD OF ROSALINDA § BATTLES § Plaintiffs, § § V. § 444TH JUDICIAL DISTRICT § VALLEY BAPTIST MEDICAL § CENTER § Defendant. § OF CAMERON COUNTY, TEXAS ORDER ON DEFENDANT VALLEY BAPTIST MEDICAL CENTER- BROWNSVILLE'S OBJECTIONS TO PLAINTIFF'S SECOND DEFICIENT EXPERT REPORT OF ERIN K. O'MALLEY, RN. BSN, MHSA. INC-CSP AND MOTION TO DISMISS On , a hearing was held on the Defendant Valley Baptist Medical Center - Brownsville's Objections to Plaintiff's Second Deficient Expert Report of Erin K. O'Malley. RN, BSN, MHSA, lNC-CSP and Motion to Dismiss in the above-styled and nwnbered cause. After considering the arguments of the parties, the court is of the opinion that said.motion should be DENIED. IT IS THEREFORE ORDERED that Defendant Valley Baptist Medical Center - Brownsville's Objections to Plaintiffs Second Deficient Expert Report of Erin K. O'Malley, RN, BSN, MHSA, INC-CSP and Motion to Dismiss is hereby DENIED. SIGNED on thisULday of J t.Cet.~2014. FILEDJl-0'CLOCKLM AURORA DE LAGARZA, CLERK ~-) -"j ----- { JUDGE PRESIDING IL\:::0= 75 PDF created with odfFactorv Pro trial version www.odffactorv.com Cause No. 13-14-00756-CV APPENDIX 4 TO APPELLANT’S BRIEF 546 Tex. 3-16 SOUTH WESTERN REPORTER, 3d SERIES We reverse the court of appeals' judgment with expertise indicating that claim as- and render judgment for BIC. serted by plaintiff has merit; (3) 30 day extension to cure deficiencies in Justice GREEN did not participate in expert report may be granted if report the decision. is served by statutory deadline and contains opinion of individual with ex- pertise that claim has merit; (4) doctor's expert report was deficient be- cause it did not state standard of care; and Tyler SCORESBY, M.D., Petitioner, (5) doctor's expert report, although defi- v. cient, was not the legal equivalent of Catarino SANTILLAN, Individually and "no report" at all under Act. As Next Friend of Samuel Santillan, Affirmed, A Minor, Respondent. Willett, J., filed concurring opinion. No. 09-0497. Johnson, J., dissented and filed opinion in Supreme Court of Texas. which Wainwright, J., joined. Argued Nov. 9, 2010. Decided July 1, 2011. 1. Health e=>804 Rehearing Denied Sept. 30, 2011. Medical Liability Act entitles a defen- Background: Patient brought action dant to dismissal of a health care liability against physicians under Medical Liability claim if, within 120 days of the date suit Act. The 96th District Court, Tarrant was filed, he is not served with an expert County, Jeff Walker, J., denied physicians' report showing that the claim against him motions to dismiss for failure to file com- has merit. V.T.CA, Civil Practice & pliant health care expert report, and Remedies Code §§ 74.001-74.507. granted patient 30-day extension to cure 2. Appeal and Error e=>70(3) deficiencies in report. Both physicians ap- pealed. On consolidated appeal, the Fort Trial court's refusal to dismiss health Worth Court of Appeals, Bill Meier, J., 287 care liability claim when defendant is not S.W.3d 319, dismissed the appeals. Physi- served with an expert report within 120 cians appealed. days of the date suit was filed is immedi- ately appealable. V.T.C.A., Civil Practice Holdings: The Supreme Court, Hecht, J., & Remedies Code §§ 74.001-74.507. held that: (1) trial court should err on side of grant- 3. Appeal and Error e=>70(3) ing plaintiff additional 30 days in which Health e=>804 to cure deficiency in expert report, and Medical Liability Act sets specific re- defendant cannot seek review of this quirements for an adequate expert report ruling or appeal court's concomitant and mandates that objective good faith refusal to dismiss claim before 30 day effort be made to comply with them, but it period has expired; also authorizes the trial court 'to give a (2) document qualifies as "expert report" plaintiff who meets the 12O-day deadline under Medical Liability Act if it con- for serving expert report an additional tains statement of opinion by individual thirty days in which to cure a "deficiency" SCORESBY v, SAl"ITILLAN Tex. 547 Cite as 346 S.W.3d 546 (Tex. 2011) in the elements of the report, and trial care more available and less expensive by court should err on the side of granting reducing the cost of health care liability the additional time and must grant it if the claims, and eliciting an expert's opinions deficiencies are curable, and defendant early in the litigation is an obvious place to cannot seek review of this ruling or appeal start in attempting to reduce frivolous law- the court's concomitant refusal to dismiss suits and thereby reduce the costs of the claim before the thirty-day period has claims. V.T.CA, Civil Practice & Reme- expired. V.T.C.A., Civil Practice & Reme- dies Code §§ 74.001-74.507; Vernon's dies Code §§ 51.014(a)(9), 74.351(a-c, 1), Ann.Texas Civ.St. art. 4590i (Repealed). (1')(6). 4. Health lS='804 8. Health lS='804 While Medical Liability Act contem- Purpose of Medical Liability Act's ex- plates that a document can be considered pert report requirement is to deter frivo- an expert report despite its deficiencies, lous claims, not to dispose of claims re- the Act does not suggest that a document gardless of their merits. V.T.CA, Civil utterly devoid of substantive content will Practice & Remedies Code § 74.351(1')(6). qualify as an expert report. V.T.CA, Civ- il Practice & Remedies Code 9. Health lS='804 § 74.351(1')(6). Failing to timely file an expert report, 5. Health lS='804 or filing a report that does not evidence a Document qualifies as an "expert re- good-faith effort to comply with the defini- port" under Medical Liability Act if it con- tion of an expert report under Medical tains a statement of opinion by an individu- Liability Act, means that the claim is ei- al with expertise indicating that the claim ther frivolous, or at best has been brought asserted by the plaintiff against the defen- prematurely. V.T.CA, Civil Practice & dant has merit. V.T.CA, Civil Practice & Remedies Code § 74.35l(c), (1')(6). Remedies Code § 74.351(1')(6). See publication Words and Phrases for other judicial constructions and 10. Pretrial Procedure lS='46 definitions. There are constitutional limitations 6. Health lS='804 upon the power of courts to dismiss an Under Medical Liability Act, expert's action for discovery violations without af- lack of relevant qualifications and his opin- fording a party the opportunity for a hear- ion's inadequacies are deficiencies the ing on the merits of his cause, and those plaintiff should be given an opportunity to limitations constrain the legislature no less cure if it is possible to do so, and this in requiring dismissaL lenient standard avoids the expense and delay of multiple interlocutory appeals and 11. Health lS='804 assures plaintiff a fair opportunity to dem- No particular words or formality are onstrate that his claim is not frivolous. required in expert report under Medical V.T.e.A., Civil Practice & Remedies Code Liability Act, but bare conclusions will not § 74.351(1')(6). suffice, and the report must address all the 7. Health lS='603 elements set forth in Act, and omissions Goal of the Medical Liability and In- may not be supplied by inference. surance Improvement Act (MLIIA) and V.T.CA, Civil Practice & Remedies Code the Medical Liability Act is to make health § 74.351(1')(6). 548 Tex. 346 SOUTH WESTERN REPORTER, 3d SERIES 12. Health e=>804 conduct. V.T.C.A., Civil Practice & Reme- Medical Liability Act allows a claim- dies Code § 74.35l(r)(6). ant a thirty-day period to cure deficiencies 18. Health e=>804 before the trial court finally determines Doctor's expert report, although defi- that the report is inadequate and the claim cient because it did not state the standard must be dismissed. V.T.CA, Civil Prac- of care, was not the legal equivalent of "no tice & Remedies Code § 74.35l(c), (r)(6). report" at all under Medical Liability Act, 13. Health e=>603 given that there was no question that, in Medical Liability Act's principal pur- doctor's expert opinion, patient's health pose is to reduce the expense of health care liability claim against defendant phy- care liability claims. V.T.CA, Civil Prac- sicians had merit, and since the report was tice & Remedies Code §§ 74.001-74.507. served within the statutory 120 day dead- 14. Health e=>804 line, trial court had authority under Act to Goal of the Medical Liability Act's grant patient an additional 30 days to cure expert report requirement is to deter friv- deficiencies in the expert report. olous claims, and inadequate expert report V.T.C.A., Civil Practice & Remedies Code does not indicate a frivolous claim if the § 74.351(a-c). report's deficiencies are readily curable. 19. Appeal and Error e=>70(3) V.T.C.A., Civil Practice & Remedies Code Health e=>804 § 74.35l(c), (r)(6). Although doctor's expert report was 15. Health e=>804 deficient, because it did not state the stan- Medical Liability Act's thirty-day ex- dard of care, it was possible to cure defi- tension to cure deficiencies in an expert ciencies in the expert report, and thus, report may be granted if the report is trial court granted patient an additional 30 served by the statutory deadline, if it con- days to cure deficiencies in the expert tains the opinion of an individual with ex- report, and trial court's decision granting pertise that the claim has merit, and if the patient an additional 30 days to cure defi- defendant's conduct is implicated. ciencies, and denying the defendant physi- V.T.C.A., Civil Practice & Remedies Code cians' motions to dismiss patient's health § 74.35l(c), (r)(6). care liability claim, were not appealable before the 30 day period had expired. 16. Appeal and Error e=>70(3) V.T.C.A., Civil Practice & Remedies Code Under Medical Liability Act, all defi- § 74.351(a-c), (r)(6). ciencies in expert report, whether in the expert's opinions or qualifications, are sub- 20. Health e=>804 ject to being cured before an appeal may Medical Liability Act requires that ex- be taken from the trial court's refusal to pert's knowledge, training or experience, dismiss the case. V.T.C.A., Civil Practice and practice be relevant to patient's claim. & Remedies Code § 74.35l(c), (r)(6). V.T.C.A., Civil Practice & Remedies Code § 74.351(r)(6). 17. Health e=>804 Doctor's expert report was deficient, and thus did not satisfy standards for ex- pert report under Medical Liability Act, because it did not state the standard of Eric Rene Reyes, Jason C.N. Smith, Art care, but, rather, only implied that it was Brender, Fort Worth, for Catarino Santil- inconsistent with the defendant physicians' lan. SCORESBY v, SANTILLAN Tex. 549 Cite all 346 S.W.3d 546 (Tex. 2011) Michael Alan Yanof, Philipa Remington, ruling 9 or appeal the court's concomitant Dallas, for Tyler Scoresby, M.D. refusal to dismiss the claim before the Randy J. Hall, David Leon Pratt II, thirty-day period has expired." Fort Worth, for Yadranko Ducic, M.D. [4-6) While the Act thus contemplates that a document can be considered an ex- Justice HECHT delivered the opinion of pert report despite its deficiencies, the Act the Court, in which Chief Justice does not suggest that a document utterly JEFFERSON, Justice MEDINA, Justice devoid of substantive content will qualify GREEN, Justice WILLETT, Justice as an expert report. Based on the Act's GUZMAN, and Justice LEHRMANN text and stated purposes, we hold that a joined. document qualifies as an expert report if it [1-3] The Medical Liability Act 1 enti- contains a statement of opinion by an indi- tles a defendant to dismissal of a health vidual with expertise indicating that the care liability claim if, within 120 days of claim asserted by the plaintiff against the the date suit was filed, he is not served defendant has merit. An individual's lack with an expert report showing that the of relevant qualifications and an opinion's claim against him has merit," The trial inadequacies are deficiencies the plaintiff court's refusal to dismiss is immediately should be given an opportunity to cure if it appealable." The Act sets specific require- is possible to do so. This lenient standard ments for an adequate report 4 and man- avoids the expense and delay of multiple dates that "an objective good faith effort interlocutory appeals and assures a claim- [be made) to comply" with them,' but it ant a fair opportunity to demonstrate that also authorizes the trial court to give a his claim is not frivolous. The expert re- plaintiff who meets the 12O-day deadline port before us meets this test, and there- an additional thirty days in which to cure a fore the trial court's order allowing thirty "deficiency" in the elements of the report," days to cure deficiencies and denying the The trial court should err on the side of defendants' motions to dismiss were not granting the additional time 7 and must appealable. Accordingly, we affirm the grant it if the deficiencies are curable." court of appeals' judgment dismissing the The defendant cannot seek review of this appeal for want of jurisdiction." 1. TEX. CIV PRAC. & REM. CODE §§ 74.001-.507. their claims.''' (quoting id. at 416 (Guzman. All references to the Act are to these provi- J.. joined by Lehrrnann.r J.. concurring in the sions. judgrnentll). 2. /d. § 74.35I(bl. 8. Id. at 411 (plurality op. of Medina, J., joined by Jefferson. C.J .. and Hecht, J.); id. at 416 3. Id. § 51.014(a)(9); Badiga v. Lopez, 274 (Guzman. J., joined by Lehrmann. J.. concur- S. W.3d 681, 685 (Tex.2009). ring in the judgment). 4. TEX. CIV. PRAC. & REM CODE § 74.35I(r)(6). 9. TEX. CIY PRAC. & REM. CODE § 51.014(a)(9) (no interlocutory appeal); /11 re Watkil1s. 279 5. /d. § 74.351(l). S.W.3d 633, 634 (Tex.2009l (orig.proceeding) 6. /d. § 74.35I(c). (no review by mandamus). 7. Samlowski v. Wootel1. 332 S.W.3d 404. 411 10. Ogletree v. Matthews. 262 S.W.3d 316, 321 (Tex.201\) (plurality op. of Medina, J., joined (Tex.2007). by Jefferson. C.J.. and Hecht. J.) (" '[Tjrial courts should err on the side of granting II. 287 S.W.3d 319 463.1 ~ not available, the claim lacks merit, and Defendant may challenge an indict- the claim should be dismissed. ment .that, on its face, is barred by the I would reverse the judgment of the statute of timitations by way of a pretrial court of appeals and dismiss the case. See application for writ of habeas corpus. Badiga v. Lopez, 274 S.W.3d 681. .684-85 4. Habeas Corpus e=>463.1 ", (Tex.2009). If an indictment alleges that the stat- ute of limitations is tolled, the sufficiency of that tolling allegation may not be chal- lenged by a pretrial writ of habeas corpus. 5. Habeas Corpus e=>463.1, 474 Ex parte Tenika BROOKS. Facially barred indictments that can- No. 12-06--00378-CR. not be repaired have a defect that is incur- able, and the statute of limitations is an Court of Appeals of Texas, absolute bar to prosecution, but a repara- Tyler. ble indictment or tolling provision may be June 20, 2007. amended and any defect repaired; thus, Discretionary Review Granted the first is the proper subject of a pretrial Oct. 10, 2007. application for habeas corpus, the second Background: Defendant charged by in- is not. dictment with aggregate theft applied for 6. Habeas Corpus e=>814 pretrial writ of habeas corpus. The 145th Appellate court lacked jurisdiction to Judicial District Court, Nacogdoches address merits of theft defendant's inter- County, Campbell Cox II, J., denied appli- locutory appeal from denial of her pretrial cation, and defendant took interlocutory application for writ of habeas corpus, appeal. where defendant's complaint as to suffi- Holding: The Court of Appeals, Brian ciency of state's anticipated argument as to Hoyle, J., held that it lacked jurisdiction to tolling of statute of limitations was not address merits of defendant's appeal. proper subject of pretrial application for Appeal dismissed. writ of habeas corpus, and both imputed tolling allegation and indictment itself 1. Criminal Law e=>147, 157 were reparable. Prosecutions for theft as a felony 7. Habeas Corpus e=>275.1 must be initiated within five years of the Trial court's decision to dismiss first theft; however, that period of limitations is indictment against defendant charged in tolled for the time that an indictment is second indictment with aggregate theft pending. Vernon's Ann.Texas C.C.P. arts. could not be raised by pretrial application 12.0l(4)(A), 12.05(b). for writ of habeas corpus, where defendant 2. Criminal Law e=>157 had remedies at law and potential injury Prior indictment tolls the statute of resulting from delaying consideration of limitations when the subsequent indict- issue until after conviction and' appeal was ment alleges the same conduct, same act, neither proximate nor serious; defendant or same transaction. Vernon's Ann.Texas had adequate remedies on appeal, or could C.C.P. art. 12.05(b). tile motion to dismiss or quash second