Boudreaux v. Panger

481 So. 2d 1382
CourtLouisiana Court of Appeal
DecidedMarch 14, 1986
Docket85-CA-518
StatusPublished
Cited by5 cases

This text of 481 So. 2d 1382 (Boudreaux v. Panger) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boudreaux v. Panger, 481 So. 2d 1382 (La. Ct. App. 1986).

Opinion

481 So.2d 1382 (1986)

Yvonne Lois Boudreaux, Wife of/and Gilford J. BOUDREAUX
v.
Dr. Marilyn J. PANGER, D.C. d/b/a Panger Chiropractic Clinic.

No. 85-CA-518.

Court of Appeal of Louisiana, Fifth Circuit.

January 13, 1986.
Writ Granted March 14, 1986.

*1383 Stephen J. Caire, Metairie, for plaintiffs-appellees.

Kenneth C. Hughes, New Orleans, for defendant-appellant.

Before KLIEBERT, CURRAULT and GRISBAUM, JJ.

CURRAULT, Judge.

This appeal arises from a judgment rendered adversely to defendant, Dr. Marilyn Panger, a licensed chiropractor and in favor of plaintiff, Mrs. Yvonne Boudreaux.

The facts show that plaintiff had a history of back pain radiating into the left leg which had been diagnosed by Dr. George Byram, an orthopedic surgeon, in August, 1980, as degenerative disc disease and a bulging disc with nerve root impingement. At that time, plaintiff's condition was not severe enough to warrant further treatment.

Plaintiff, on her own initiative, sought relief for this discomfort from Dr. Panger on March 25, 1981. She then attended treatment sessions between that date and April 10, 1981, a total of eight visits. Following the initial visit, Dr. Panger diagnosed plaintiff's condition based on plaintiff's history, the physical findings and X-rays, as a bulging disc at L-5-S-1 with suspected sciatic nerve inflamation. Dr. Panger then instituted treatment in the form of massage, ultrasound, spinal manipulation and adjustment.

While these treatments offered temporary and short-lived improvement, plaintiff, on April 10, 1981, experienced extreme and increased pain; and, after two separate treatments of a limited nature on that day, became actually symptomatic. At that time, Dr. Panger placed plaintiff in a corset. Dr. Panger then scheduled plaintiff for another series of chiropractic treatment; however, plaintiff refused to submit to further chiropractic treatment. On April 13, 1985, she sought the intervention of an orthopedic surgeon, Dr. John R. Montz, who was associated with Dr. Byram. Dr. Montz diagnosed her condition as a ruptured disc of L-5, S-1 level, which resulted in a lumbar lamenectomy on April 29, 1985.

On March 17, 1982, plaintiff filed suit against Dr. Panger for malpractice and/or negligence. The case was tried on two days, November 29, 1984 and January 3, 1985. On January 9, 1985, judgment was rendered finding Dr. Panger negligent under the general negligence concepts. The malpractice portion of plaintiff's suit was *1384 dismissed for failure to produce evidence of a standard of care within the profession. Plaintiff was awarded Twenty Thousand Dollars ($20,000) with interest from judicial demand and costs, including expert fees of One Hundred Dollars ($100) each to the testifying physicians.

Subsequently, both defendant and plaintiff perfected appeals of the judgment.

Appellant-defendant, Dr. Marilyn Panger, asserts that the trial court erred in finding a general negligence standard applicable to chiropractors engaged in a professional capacity and in relying on an outdated precedent as controlling in this case, ie., Edkins v. Edwards, 235 So.2d 200 (La. App. 4th Cir.1970).

Cross-appellant-plaintiff alleges that (1) the trial judge erred in dismissing the malpractice portion of petitioner's suit; that

(2) the trial judge erred in finding that petitioner failed to establish by a preponderance of the evidence that the negligent actions of the defendant ruptured plaintiff's disc; that

(3) the trial judge erred in the amount of damages awarded in the judgment to petitioner, Yvonne Lois Boudreaux, and the amount awarded by him to said petitioner was inadequate; that

(4) the trial judge erred in failing to award damages to petitioner, Gilford J. Boudreaux, for the loss of the society with his wife; and that

(5) the trial judge erred in fixing the amount of expert witness fees, which amount was inadequate.

The issue presented by appellant, Dr. Panger, raises the question of whether the general law of negligence can be applied to a licensed chiropractor in the performance of professional duties, where the malpractice of the chiropractor has not been established. We find that the licensed chiropractor, like other professionals practicing in the state of Louisiana, cannot be subjected to a dual risk of liability and must be judged solely within the standards of that profession.

Initially, we note that Black's Law Dictionary, Fifth Edition, 1979, defines malpractice as:

"Malpractice. Professional misconduct or unreasonable lack of skill. This term is usually applied to such conduct by doctors, lawyers and accountants. Failure of one rendering professional services to exercise that degree of skill and learning commonly applied under all the circumstances in the community by the average prudent reputable member of the profession with the result of injury, loss or damage to the recipient of those services or to those entitled to rely upon them. It is any professional misconduct, unreasonable lack of skill or fidelity in professional or fiduciary duties, evil practice, or illegal or immoral conduct. Matthews v. Walker, 34 Ohio App.2d 128, 296 N.E.2d 569, 571, 63 O.O.2d 208. See also Discovery rule; Standard of care."

Another source, The Medical Malpractice Act in LSA-R.S. 49:1299.41, provides the following definitions:

"(7) `Tort' means any breach of duty or any negligent act or omission proximately causing injury or damage to another. The standard of care required of every health care provider, except a hospital, in rendering professional services or health care to a patient, shall be to exercise that degree of skill ordinarily employed, under similar circumstances, by the members of his profession in good standing in the same community or locality, and to use reasonable care and diligence, along with his best judgment, in the application of his skill.
"(8) `Malpractice' means any unintentional tort or any breach of contract based on health care or professional services rendered, or which should have been rendered, by a health care provider, to a patient, and also includes all legal responsibility of a health care provider arising from defects in blood, tissue, transplants, drugs and medicines, or from defects in or failures of prosthetic devices, implanted in or used on or in the person of a patient.
*1385 (9) `Health care' means any act, or treatment performed or furnished, or which should have been performed or furnished, by any health care provider for, to, or on behalf of a patient during the patient's medical care, treatment or confinement."

Under general negligence, the standard of care required is that of a reasonable person under like circumstances. Trapani v. State Farm Fire & Cas. Co., 424 So.2d 449 (La.App. 5th Cir.1982), writ den. 430 So.2d 76 (La.App. 5th Cir.1982). In cases involving the malpractice of professionals, however, the standard is generally that of exercising the degree of professional care and skill ordinarily employed by others of the same profession in the same general area. Calandro Development, Inc. v. Butler Contr., Inc., 249 So.2d 254 (La.App. 1st Cir.1971).

Aside from physicians and dentists, the standard has been applied to engineers in Bowman v. Coursey, 433 So.2d 251 (La. App. 1st Cir.1983), writ den. 440 So.2d 151 (La.1983); Calandro, supra; to architects in A.F. Blair, Inc. v. Mason,

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481 So. 2d 1382, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boudreaux-v-panger-lactapp-1986.