Byron D. Neely, Individually, and Byron D. Neely, M.D., P.A. v. Nanci Wilson, CBS Stations Group of Texas, L.P., D/B/A Keye-Tv and Viacom, Inc.

Texas Supreme Court·Decided June 28, 2013·No. 11-0228·Published

Opinion

IN THE SUPREME COURT OF TEXAS 444444444444

NO . 11-0228

444444444444

BYRON D. NEELY, INDIVIDUALLY AND BYRON D. NEELY, M.D., P.A., PETITIONERS,

v.

NANCI WILSON, CBS STATIONS GROUP OF TEXAS, L.P., D/B/A KEYE-TV, AND VIACOM , INC., RESPONDENTS

4444444444444444444444444444444444444444444444444444 ON PETITION FOR REVIEW FROM THE COURT OF APPEALS FOR THE THIRD DISTRICT OF TEXAS 4444444444444444444444444444444444444444444444444444

CHIEF JUSTICE JEFFERSON , joined by JUSTICE GREEN and JUSTICE LEHRMANN , dissenting.

The Court holds that the broadcast presented a false impression, an untenable “gist,” that the doctor was disciplined for operating on patients while taking dangerous drugs. But that gist is reasonably derived from the medical board’s findings, the doctor’s testimony, and witness observations. If the news report is damning, it is because it conveys substantial truth. The doctor performed brain surgeries during a time he was ingesting seven narcotics, eight other medications, and alcohol. He suffered hand tremors during the period he operated on patients’ brains. The medical board investigator concluded that the doctor was subject to discipline based on his “[i]nability to practice medicine with reasonable skill and safety because of illness or substance abuse.” The board not only suspended his medical license, but also ordered a psychiatric evaluation

focused on addictive disorders. It required the doctor to undergo a physical examination to confirm whether he was, or was not, physically capable of operating safely.

The doctor denies he was an addict or that his drug use impaired his surgical skills. That is enough, the Court says, to raise a genuine issue on the broadcast’s substantial truth. But that evidence is immaterial to the gist the Court has identified: that the Board disciplined the doctor for taking dangerous drugs during a time he performed sensitive surgeries. Because “the underlying facts as to the gist of [that] charge are undisputed, . . . we can disregard any variance with respect to items of secondary importance and determine substantial truth as a matter of law.” McIlvain v. Jacobs, 794 S.W.2d 14, 16 (Tex. 1990).

We must decide whether the broadcast was more damaging to the doctor’s reputation, in the mind of an average viewer, than a truthful statement would have been. Id. Here, the literal truth is as caustic as the gist, and the gist reasonably depicts literal truth. Whether it rejected the doctor’s gist contention, or found that the broadcast was substantially true, the trial court properly granted summary judgment. The court of appeals properly affirmed that judgment. I would also affirm. The Court’s conclusion to the contrary sanctions constitutionally protected speech. For these and other reasons, I respectfully dissent. I. The broadcast was substantially true.

“The common law of libel . . . . overlooks minor inaccuracies and concentrates upon substantial truth.” Masson v. New Yorker Magazine, Inc., 501 U.S. 496, 516 (1991) (internal citations omitted). Small discrepancies “do not amount to falsity so long as ‘the substance, the gist, the sting, of the libelous charge be justified.’” Id. at 517; see also Turner v. KTRK Television, Inc.,

38 S.W.3d 103, 115 (Tex. 2000) (holding that substantial truth doctrine “precludes liability for a publication that correctly conveys a story’s ‘gist’ or ‘sting’ although erring in the details”). “Put another way, the statement is not considered false unless it ‘would have a different effect on the mind of the reader from that which the pleaded truth would have produced.’” Masson, 501 U.S. at 517 (quoting R. SACK, LIBEL, SLANDER, AND RELATED PROBLEMS 138 (1980)).

We must view the communication as a whole in light of the surrounding circumstances based upon how a person of ordinary intelligence would perceive it. Turner, 38 S.W.3d at 114. We determine falsity based on “the meaning a reasonable person would attribute to a publication, and not to a technical analysis of each statement.” New Times, Inc. v. Isaacks, 146 S.W.3d 144, 154 (Tex. 2004) (emphasis added). Rather than consider the broadcast as a whole, the Court parses it into several different gists, and then addresses only two of them, ironically presenting a certain juxtaposition that the Court itself decries.

The Court states that the broadcast incorrectly characterized Neely’s sanction as based on the Board’s conclusion that Neely operated on patients while using dangerous drugs. ___ S.W.3d at ___. Because the Board’s action was based only on self-prescribing, the Court holds that this gist was not substantially true.

We require substantial, not perfect, truth. With respect to substantiality, Neely admits he was using every one of the fifteen drugs identified in the Board order, plus a few more1:

Q. And—and these are actually drugs that you were, I assume, taking. Correct?

A. Yes, sir.

1 Neely also admits taking Paxil, Flovent, and Singulair.

Q. I mean, you weren’t prescribing them to yourself to throw away, correct?

A. No.2 Seven of these drugs are narcotics. Paregoric, a narcotic also known as camphorated tincture of opium,3 contains morphine and is a controlled substance. The average adult dose is 5-10 milliliters one to four times per day; Neely concedes he was taking up to 70 milliliters daily. During 1999-2000 (the time of the Jetton and Wu surgeries), he took it regularly, at bedtime and again upon waking. He believes the effects wore off after two or three hours, and he believes he could perform surgery within three or four hours of taking morphine.

Neely tore his rotator cuff in 1999, and he admits during that time to taking “quite a bit” of Vicodin, also a narcotic and a controlled substance. He prescribed himself Darvocet, a pain medication, narcotic, and controlled substance; Darvon, Propoxyphene, and Norco, also narcotic pain relievers; Lomotil, another narcotic; Phenergan, an anti-nausea drug that can cause considerable drowsiness; Ventolin, a bronchodilator; Medrol and Azmacort, steroid treatments he used for asthma; Prilosec for acid indigestion; and Flonase. He was also taking Paxil, which his doctor had prescribed for acute depression.

Neely’s self-refills were not isolated occurrences. Between August and October 1999—the time he was treating Paul Jetton—Neely self-refilled his Paregoric prescription twelve times.

2 Unless otherwise indicated, all of this information comes from the Board’s investigation, the Board’s order, or Neely’s testimony. The Board’s order is attached as an Appendix to this opinion.

3 See, e.g., Henley v. State, 387 S.W .2d 877, 878 (Tex. Crim. App. 1965) (holding that paregoric “is, in fact, a narcotic drug known under the official drug name of ‘camphorated tinture [sic] of opium’ and that it contains morphine, which comes from opium”).

During the same time, Neely drank alcohol every night that he was not on call. He admits to two drinks per night during 1999-2001, although he would sometimes have four or five at a time and would occasionally “overindulge.” Neely admits that almost all of the drugs he was using, including alcohol, can cause withdrawal symptoms, although he denies any such symptoms, except with regard to Medrol. Neely also acknowledges that the drugs he was using can cause dizziness, visual disturbances, mental cloudiness, euphoria, sedation, and nervousness. Neely admits he was hypomanic, which he defines as “hyperactive,” while on steroids, as he was in 1999. When the broadcast aired, Neely had been involved in seven malpractice cases, at least two of which alleged that he was addicted to prescription drugs and that he abused alcohol.

The Court emphasizes that the Board found that most of Neely’s drugs were “legitimately and appropriately prescribed.” ___ S.W.3d at ___. In fact, the Board found that Neely’s treating physician appropriately prescribed the medications initially, but it did not conclude that Neely’s extensive (and unmonitored) refills were part of a legitimate treatment plan:

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Byron D. Neely, Individually, and Byron D. Neely, M.D., P.A. v. Nanci Wilson, CBS Stations Group of Texas, L.P., D/B/A Keye-Tv and Viacom, Inc., (Tex. 2013).

Byron D. Neely, Individually, and Byron D. Neely, M.D., P.A. v. Nanci Wilson, CBS Stations Group of Texas, L.P., D/B/A Keye-Tv and Viacom, Inc. (Byron D. Neely, Individually, and Byron D. Neely, M.D., P.A. v. Nanci Wilson, CBS Stations Group of Texas, L.P., D/B/A Keye-Tv and Viacom, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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Turner v. KTRK Television, Inc.
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McIlvain v. Jacobs
794 S.W.2d 14 (Texas Supreme Court, 1990)