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.

CourtCourt of Appeals of Texas
DecidedFebruary 9, 2011
Docket03-08-00495-CV
StatusPublished

This text of 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.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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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. Ct. App. 2011).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-08-00495-CV

Byron D. Neely, Individually and Byron D. Neely, M.D., P.A., Appellants

v.

Nanci Wilson; CBS Stations Group of Texas, L.P., d/b/a KEYE-TV; and Viacom, Inc., Appellees

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 200TH JUDICIAL DISTRICT NO. D-1-GN-04-001858, HONORABLE STEPHEN YELENOSKY, JUDGE PRESIDING

OPINION

Following an Austin television station’s broadcast of an “investigative” news report

that negatively portrayed his work as a neurosurgeon, Dr. Byron Neely and the professional

association through which he practiced, Byron D. Neely, P.A. (collectively “Neely,” except when

the distinction is relevant), asserted causes of action for libel against the reporter who had written

and presented the story, Nanci Wilson; the television station, CBS Stations Group of Texas, L.P.

d/b/a KEYE-TV (“KEYE”); and KEYE’s owner, Viacom, Inc. The defendants moved for and

obtained summary judgment as to each of Neely’s claims. Neely appeals. For the reasons explained

herein, we will affirm the district court’s judgment. FACTUAL AND PROCEDURAL BACKGROUND

The facts summarized below are taken from the summary-judgment evidence,

presented in the light most favorable to Neely, the non-movant.

As of the time of the broadcast in question, Neely was a board-certified neurosurgeon

who had maintained a private practice in Austin for more than twenty-five years. At relevant times,

Neely had privileges at Austin’s St. David’s Hospital. By the time the broadcast aired, Neely had

performed over four thousand surgeries. Of these, seven had given rise to medical-malpractice suits

in which Neely was named as a defendant. All of the suits had been predicated on alleged acts

occurring in 1994 or after, and at least four had arisen in 1999 or later. In four of the suits, the

claims against Dr. Neely had been settled. In one suit, the claims against Dr. Neely had been non-

suited “with prejudice.” In the remaining two cases, both of which had been filed by pro se

plaintiffs, the claims against Dr. Neely had been involuntarily dismissed.

As we will detail below, the broadcast stated that Neely had been sued four times but

explored the subject matter of only two of these actions. The first, brought by former patient

Paul Jetton and his then-wife, Sheila, on behalf of themselves and their three children, alleged that

Neely, another neurosurgeon, and St. David’s Hospital had been negligent in providing medical care

to Paul in September 1999.1 Paul had been referred to Neely by another physician after an MRI

had detected a small mass in his midbrain. Neely diagnosed Paul as having a lesion in his brain and

secondary hydrocephalus (a build-up of fluid on the brain). Neely performed surgery to insert a

1 Because Paul Jetton and Sheila Jetton had the same last name, for clarity we will refer to them by their first names.

2 shunt to draw fluid from Paul’s brain, utilizing a “Torkildsen shunt” procedure, which entailed

inserting the shunt near the base of Paul’s brain. The surgical team encountered difficulties that

included challenges in positioning Paul—a former University of Texas and NFL lineman who stood

6’ 4” and still weighed almost 300 pounds—and the procedure ultimately lasted almost eight hours.

While Paul was hospitalized after surgery, he developed an enterobacterial infection. Neely

recommended removing the shunt, but Paul, at Sheila’s insistence, chose to follow the advice of an

infectious disease doctor who recommended discharging Paul and treating the infection at home

with antibiotics. Reluctantly, Neely approved Paul’s discharge from the hospital, although he did

not indicate “AMA” (against medical advice) in Paul’s medical records. After discharge, Paul

developed serious complications from the infection, including a brain abscess, meningitis, and syrinx

(accumulation of fluid in the spinal cord). Paul returned to the hospital where Neely removed the

shunt. As of the time of the broadcast, Paul had undergone as many as twelve additional brain

surgeries and was physically disabled, requiring aid of a walker to walk.

In their suit, the Jettons alleged that Neely had been negligent in performing surgery

to insert a shunt to drain fluid without proper indications for such surgery, in opting to utilize the

Torkildsen shunt procedure, in performing the procedure improperly, in allowing the surgical site

to get infected, in positioning Paul in a way that caused permanent damage to his ulnar nerve, and

in failing to remove Paul’s infected shunt before discharging him. Additionally, the Jettons alleged

that when providing medical care to Paul, Neely had been impaired by dependency on steroids and

opiates and had hand tremors attributable to the medications he was allegedly taking.

3 Over the years, Neely had suffered from a variety of ailments and injuries—including

severe asthma and allergies, spastic colon, and a torn rotator cuff—for which other physicians had

prescribed him pain-killers, muscle relaxants, and other medications. These medications included

steroids, narcotics, and opiates. By 1999, it is undisputed that Neely had begun self-prescribing

refills of many of these medications. Neely asserted that this was a common practice among

physicians and one that at the time was not explicitly prohibited by any law. While Neely

acknowledged that some of these medications were capable of impairing his medical competence,

he steadfastly maintained that he never used them at times or in amounts that actually did impair

him. After discovery uncovered information regarding Neely’s use of these medications, the Jettons

alleged otherwise.

Relatedly, Neely acknowledged that he suffered from hand tremors beginning in 1999

that several other individuals, including Sheila Jetton, had witnessed. He attributed the tremors to

his “tapering” of his dosage of a steroid allergy medication that he had taken for decades. Neely

claimed that he could predict when the tremors would occur and that he could “control” them by

“holding [his] hands down on the patient.”

In June 2003, the Jettons’ claims against Neely were settled for $500,000—the limits

of Neely’s professional liability insurance policy. Neely did not admit liability, but settled the claims

because of Paul Jetton’s “high profile status” as a former Texas Longhorn and NFL player and the

“sympathetic nature of his injuries.”

Along with their suit, the Jettons filed a complaint against Neely with the

Texas Board of Medical Examiners (now the Texas Medical Board) (“the Board”) regarding his

4 medical care of Paul. The Board dismissed the complaint in June 2003 after finding no violations

of the medical practice act. Although the district court excluded from evidence a letter from the

Board informing Neely of its disposition of the complaint, the broadcast, which was in evidence,

noted that the Board had found “no wrong doing” in Neely’s care of Paul.

The second suit discussed in the broadcast had been brought by Li Yu, the ex-wife

of a former Neely patient, Wei Wu. In November 1999, Neely had performed surgery on Wu to

remove a brain tumor. A biopsy of the tumor revealed it to be a malignant metastatic melanoma

(skin cancer that had spread to his brain). Neely also determined, upon visual inspection

during surgery, that the cancer had spread to numerous other sites throughout Wu’s brain. Based on

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