Ajay Gaalla v. Citizens Medical Center, Et

460 F. App'x 469
Court of Appeals for the Fifth Circuit·Decided February 16, 2012·No. 10-41332·Unpublished·Cited by 15 cases

Opinion

ON PETITION FOR REHEARING

BENAVIDES, Circuit Judge: *

IT IS ORDERED that the petition for rehearing is granted in part and denied in *472 part. We WITHDRAW our earlier opinion, Gaalla v. Brown, — Fed.Appx. -, 2012 WL 105028 (5th Cir.2012), in its entirety, and substitute the following:

In this case, Defendants-Appellants David P. Brown, Donald Day, Joe Bland, Andrew Clemmons, M.D., Jennifer Hartman, Luis Guerra, and William Todd Campbell, M.D. appeal the district court’s denial of summary judgment against Plaintiffs-Appellees Ajay Gaalla, M.D., Harish Chandna, M.D., and Dakshesh Parikh, M.D. For the following reasons, we AFFIRM in part REVERSE in part, and REMAND with instructions.

I. Factual and PROCEDURAL Background

Defendants Day, Bland, Clemmons, M.D., Hartman and Guerra are all members of the Board of Directors (collectively, “the Board”) of Citizens Medical Center (“CMC”), a county-owned, non-profit hospital located in Victoria, Texas. Defendant David Brown (“Brown”) is the administrator or chief executive officer of CMC, and he reports to the Board. Dr. Campbell is a cardiologist under contract with CMC. The defendants were sued by three inter-ventional cardiologists of Indian origin, Plaintiffs-Appellees Ajay Gaalla, M.D., Harish Chandna, M.D., and Daksheesh Parikh, M.D. (collectively, “the Cardiologists”). The Cardiologists allege that Brown and the Board violated their due process and equal protection rights, in part by passing a resolution (“Resolution”) that stated that the hospital would only allow cardiologists with contracts with CMC to exercise clinical privileges in the cardiology department or as part of CMC’s heart program. The Cardiologists charge Dr. Campbell with state-law claims of tortious interference with existing and prospective relations and defamation.

Before 2007, the Cardiologists regularly admitted their patients at CMC and practiced at the hospital without a problem. However, they claim that misconduct by CMC and its agents against them began to occur in 2007. The Cardiologists say that Brown discriminated against them by denying them privileges for implantable car-dioverter defribillators (“ICD”) in May 2007, while granting those privileges to less qualified, non-Indian physicians. They also allege that Brown removed Dr. Chandna from the peer review committee, allegedly for missing too many meetings, though Dr. Chandna claims to have attended more meetings than anyone besides the chairman of the committee. The Cardiologists further state that, in 2009, Brown removed them from the Chest Pain Center Committee for being disruptive, while other disruptive doctors were allowed to remain on the committee. According to the Cardiologists, Brown amended the Chest Pain Center protocols to exclude them by instructing staff to notify only the cardiologist “on call” when a patient presented, even if that patient already had a pre-established relationship with one of the Cardiologists. They also claim that in at least two instances Brown initiated peer review proceedings against them when they voiced patient care concerns regarding Dr. Yusuke Yahagi, the only cardiac surgeon at CMC, rather than investigating their concerns, and that “this type of reverse-investigation was never undertaken when other physicians lodged patient care concerns.” In addition, the Cardiologists allege that Dr. Yahagi refused to provide surgical standby for their patients, and that Brown enabled Dr. Yahagi to do this *473 for nearly a month rather than enforcing the bylaws, which require that Dr. Yahagi provide standby for any cardiologist practicing at the hospital.

The Cardiologists also describe other instances of discrimination they allegedly suffered. They say that CMC offered contracts to a group of non-Indian cardiologists (“contract cardiology group”), but never legitimately offered those contracts to the Cardiologists. They call CMC and Brown’s offers of contracts to them “a farce,” and “a mere afterthought by CMC in a veiled attempt to convey an appearance of fairness.” The Cardiologists say that since 2007, various people at CMC, including Brown, have referred to them as “the Indians,” while the members of the contract cardiology group have been called “the Cowboys.” 1 The most obvious instance of a discriminatory attitude displayed by Brown is an internal memo he wrote in March 2007:

I feel a sense of disgust but am more concerned with what this means to the future of the hospital as more of our middle Eastern born physicians[ 2 ] demand leadership roles and demand influence over situations that are hospital issues.... If, however, I am forced to acquiesce to their demands at a personal level, it will change the entire complexion of the hospital and create a level of fear among our employees.

The Cardiologists also cite a comment by CMC’s operating chief about a plan to “work on getting the Indians off the reservation.” They claim that the Board member defendants and Brown never disciplined CMC employees for derogatorily referring to the Cardiologists as “the Indians.” Another physician of Indian descent at CMC testified that “[i]t was well known ... that David Brown did not want physicians of Indian origin in leadership roles at CMC,” and a former E.R. doctor at the hospital testified to racial tensions between the Cardiologists and the hospital.

The Defendants-Appellants respond that CMC entered into contracts with the contract cardiology group to ensure that those doctors’ services remained available, because they were being recruited by other health organizations. They also say that their offer of the same contracts to the Cardiologists was genuine. According to the Defendants-Appellants, CMC continued to “experienc[e] significant operational difficulties in its cardiac care program” even after signing employment contracts with the contract cardiology group, and that “Plaintiffs were a large part of the problem.” Specifically, the Cardiologists did not have a good relationship with Dr. Yahagi, the cardiovascular surgeon. The Defendants-Appellants also cite to admissions by the Cardiologists that they had “friction with doctors and staff at CMC,” especially Dr. Yahagi. CMC feared that if the Cardiologists and Dr. Yahagi continued to experience difficulties working together, Dr. Yahagi would leave Victoria and the hospital would no longer have a cardiovascular surgeon.

Free access — add to your briefcase to read the full text and ask questions with AI

Ajay Gaalla v. Citizens Medical Center, Et, 460 F. App'x 469 (5th Cir. 2012).

460 F. App'x 469 (Ajay Gaalla v. Citizens Medical Center, Et) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related