Bush v. National Health Care of Leesville

923 So. 2d 150, 2005 WL 2864537
CourtLouisiana Court of Appeal
DecidedNovember 2, 2005
Docket2005-337
StatusPublished
Cited by3 cases

This text of 923 So. 2d 150 (Bush v. National Health Care of Leesville) 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
Bush v. National Health Care of Leesville, 923 So. 2d 150, 2005 WL 2864537 (La. Ct. App. 2005).

Opinion

923 So.2d 150 (2005)

Delbert W. BUSH, et al.
v.
NATIONAL HEALTH CARE OF LEESVILLE, et al.

No. 2005-337.

Court of Appeal of Louisiana, Third Circuit.

November 2, 2005.

*151 Edwin Dunahoe, Dunahoe Law Firm, Natchitoches, Louisiana, for Plaintiffs/Appellees, Delbert W. Bush, et al.

Kurt S. Blankenship, Robert I. Baudouin, Blue Williams, L.L.P., Metairie, Louisiana, for Defendant/Appellant, Dr. Celeste Aida Lujan-Baez.

Court composed of SYLVIA R. COOKS, OSWALD A. DECUIR, and MARC T. AMY, Judges.

COOKS, J.

STATEMENT OF THE CASE

This is a medical malpractice action. Delbert and Della Bush, individually and on behalf of their then minor child, Daniel Wayne Bush, sued Dr. Celeste Lujan-Baez and Byrd Regional Hospital in Leesville, Louisiana, alleging Dr. Lujan-Baez and Byrd Regional Hospital failed to timely diagnose and treat their son's torsioned testicle and as a result he lost a testicle. On July 25, 2000, prior to trial, Byrd Regional Hospital was dismissed on a motion for summary judgment. Dr. Lujan-Baez also filed a motion for summary judgment on the issue of liability. The trial court denied Dr. Lujan-Baez's motion. This court and the supreme court denied writs. Following a bench trial, the trial judge found Dr. Lujan-Baez failed to provide the appropriate standard of care to Daniel and awarded damages in the amount of $50,000.00. Dr. Lujan-Baez filed this appeal asserting the claim against Dr. Lujan-Baez has prescribed and the trial court erred in finding liability on the part of the doctor. For the reasons assigned below, we affirm the decision of the trial court.

STATEMENT OF THE FACTS

On July 8, 1996, Daniel Bush was working with his brother on a painting job. At about 3:30 in the afternoon, he began experiencing abdominal pain. At 5:00 p.m., he was taken by his father to the emergency room at Byrd Regional Hospital in Leesville. Dr. Celeste Lujan-Baez was the emergency room physician on duty at the time. Following an examination, Dr. Lujan-Baez diagnosed a possible testicular torsion. Nikki Anderson, the admitting nurse, testified it was also her initial impression that Daniel had a testicular torsion. Dr. Lujan-Baez ordered an ultrasound, a CBC and a urinalysis. Byrd Regional had no ultrasound technician on duty and the testimony indicated it took about thirty minutes to locate one. The ultrasound initially indicated some blood flow to the testicle, but the evidence indicated Daniel was in so much pain, the ultrasound results were not necessarily conclusive. Dr. Lujan-Baez called in Dr. Ghanta, a general surgeon, for a consult. Dr. Ghanta stated, although the ultrasound appeared normal, due to the severe abdominal pain, it was his impression Daniel may have a testicular torsion. He also testified reliance on the ultrasound results was misplaced because the ultrasound report indicated Daniel was unable to remain *152 still during the testing. The decision was finally made at 7:30 p.m. to transfer Daniel to St. Francis Cabrini in Alexandria. He arrived at St. Francis Cabrini at 8:20 p.m. and surgery was initiated at 9:35 p.m., but it was too late to save Daniel's testicle.

LAW AND DISCUSSION

Liability

We find there is substantial medical evidence to support the trial court's decision finding Dr. Lujan-Baez failed to provide the appropriate standard of care to young Daniel and as a result he lost a testicle. The acts of malpractice took place in Byrd Regional Hospital in Leesville. This parochial facility, as are many in rural Louisiana, is typically underfunded and understaffed. Byrd Regional had no ultrasound technician on duty and no urologist on staff. Dr. Lujan-Baez, the ER physician on duty, was trained as an OB-GYN, but failed to pass the OB-GYN boards. She was hired by Coastal Emergency Services, which company contracted with Byrd Regional to provide personnel for its emergency room. Dr. Lujan-Baez testified Coastal Emergency did not require its physicians to have any experience in emergency room medicine. Additionally, the only surgical experience she had was in the field of OB-GYN. Dr. Lujan-Baez attempted to justify her decision to delay the transfer of young Daniel by arguing a transferee hospital, such as St. Francis Cabrini in Alexandria, is under stricter mandates and will not accept a patient unless certain diagnostic tests are performed at the local hospital prior to transfer. She was well aware of the fact that she had only a window of three to four hours from the onset of pain to save the testicle. However, Byrd Regional lacked the facility or personnel to provide these diagnostic tests in a timely manner. Moreover, Dr. Lujan-Baez was acutely aware of the limitations of the Leesville facility when she made the decision to delay transferring to the Alexandria hospital, admittedly equipped and staffed to test and provide emergency care during the short window of medical opportunity which Dr. Lujan-Baez candidly acknowledged was fast expiring. Although she ordered an ultrasound, because Byrd Regional did not have a technician on duty, the testimony indicates it took thirty minutes to locate one. She also called in Dr. Ghanta, a general surgeon, for a consult, knowing Dr. Ghanta could not operate on Daniel even if he concurred in her diagnosis. Dr. Lujan-Baez testified her initial impression was of a testicular torsion, and from that point to her release of Daniel for transfer to Alexandria, her opinion never changed. The medical testimony supports the conclusion that Dr. Lujan-Baez did not act quickly enough to get Daniel the help he needed to save his testicle. We affirm the decision of the trial court on liability and damages.

Prescription

Prior to trial, Dr. Lujan-Baez filed an exception of prescription which was denied by the trial court. The trial court found "the filing of the suit against Dr. Baez and the hospital within one year of the injury interrupted prescription. Since plaintiff timely filed his petition against Dr. Baez after the Medical Review Panel's decision, the claim is not prescribed." Dr. Lujan-Baez re-urges the exception of prescription on appeal. The sequence of events giving rise to the prescription issue is as follows:

(1) July 8, 1996 was the date of the treatment.
(2) On July 8, 1997 suit was filed in district court against Dr. Lujan-Baez and Byrd Regional.
*153 (3) On September 23, 1997, more than one year after the date of treatment, plaintiff requested a medical review panel.
(4) On April 21, 1999, the plaintiff voluntarily dismissed suit against Dr. Lujan-Baez. Byrd Hospital remained a defendant.
(5) On January 10, 2000, the medical review panel found Dr. Lujan-Baez met the applicable standard of care in her treatment of plaintiff.
(6) On February 24, 2000, plaintiff re-filed against Dr. Lujan-Baez in district court.
(7) On August 7, 2000, Dr. Lujan-Baez filed an exception of prescription. The trial court denied the exception.
(8) On May 22, 2001, Byrd Regional filed a motion for summary judgment on the issue of liability.
(9) On July 25, 2001, a judgment was signed dismissing Byrd Regional from the suit. The plaintiff did not appeal this judgment.
(10) On August 17, 2004, a bench trial was held against Dr. Lujan-Baez. The trial court found in favor of plaintiff and awarded $50,000.00 in damages.

Dr.

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Related

Mitchell v. Rehabilitation Institute of New Orleans, Inc.
953 So. 2d 75 (Louisiana Court of Appeal, 2007)
Borel v. Young
947 So. 2d 824 (Louisiana Court of Appeal, 2006)
Bush v. National Health Care of Leesville
939 So. 2d 1216 (Supreme Court of Louisiana, 2006)

Cite This Page — Counsel Stack

Bluebook (online)
923 So. 2d 150, 2005 WL 2864537, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bush-v-national-health-care-of-leesville-lactapp-2005.