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.

Court of Appeals of Texas·Decided February 9, 2011·No. 03-08-00495-CV·Published

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.

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.

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

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 the surgery results and the pathology report, Wu’s oncologist informed Wu that, all other things being equal, he would probably have a short time to live and recommended that he be evaluated at M.D. Anderson for experimental melanoma treatments. Several days later, Wu, a TxDOT engineer, committed suicide by jumping from the U.S. 183 overpass over MoPac in Austin. The Travis County Medical Examiner’s office conducted an autopsy and concluded that, contrary to the diagnosis Wu had been given, Wu’s brain following surgery showed “no residual metastatic melanoma on gross inspection.”

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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).

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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