Cesar Gonzales, MD v. Palmetto Addiction Recovery Center, Inc.

Louisiana Court of Appeal·Decided December 18, 2024·No. 56,026-CA·Published

Opinion

Judgment rendered December 18, 2024.

Application for rehearing may be filed within the delay allowed by Art. 2166, La. C.C.P.

No. 56,026-CA

COURT OF APPEAL

SECOND CIRCUIT

STATE OF LOUISIANA

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CESAR GONZALES, MD Plaintiff-Appellant versus

PALMETTO ADDICTION Defendant-Appellee RECOVERY CENTER, INC.

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Appealed from the

Fifth Judicial District Court for the Parish of Richland, Louisiana Trial Court No. 47,946

Honorable Stephen Gayle Dean, Judge

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KARL BERNARD LAW Counsel for Appellant By: G. Karl Bernard Eric Louis Register Jonathan Aperwhite

JACKSON LEWIS P.C. Counsel for Appellee By: Michael B. Taylor

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Before STEPHENS, ROBINSON, and ELLENDER, JJ.

ROBINSON, J.

Dr. Cesar Gonzales (“Gonzales”) appeals a judgment granting a summary judgment and dismissing his defamation lawsuit. For the following reasons, we affirm the judgment.

FACTS

Palmetto Addiction Recovery Center (“Palmetto”), an inpatient residential treatment center for substance abuse disorders, is located in Rayville, Louisiana. Gonzales was treated at Palmetto in 2006 for alcohol and drug addictions. After he was discharged, he underwent outpatient treatment for two years. He was hired by Palmetto to be a staff physician in November of 2010.

KS, a nurse seeking treatment for addiction, was admitted to Palmetto on May 8, 2012. Gonzales renewed one of her medication prescriptions later that month. KS was discharged on August 14, 2012, but was still considered a client of Palmetto for two years following discharge.

On October 17, 2012, Gonzales participated in a group therapy session with KS. On November 15, 2012, Gonzales wrote a letter to the Louisiana State Board of Nursing reporting on KS’s progress. He determined that she was in early full remission from chemical dependency.

On or about January 25, 2013, Palmetto received a copy of a letter that was sent by KS’s husband to the Louisiana State Board of Medical Examiners. In the January 24th letter, he accused Gonzales of having an affair with his wife while she was a patient. He specifically accused Gonzales of purchasing plane tickets on December 24, 2012, and taking his wife to his hometown of El Paso, Texas in the beginning of January. A copy

of the flight itinerary was attached. KS’s husband wrote that his wife was seeking a divorce and he knew the affair had continued because his wife’s car had been seen at Gonzales’s house.

Barbara McGill is the Director of the Monitoring Program of the Louisiana State Board of Nurses Recovering Nurse Program. McGill, who was a major referral source for nurses needing addiction treatment, called Palmetto on January 25, 2013, and threatened to no longer refer nurses to Palmetto because one of its doctors was having sex with one of her nurses.

Palmetto fired Gonzales on January 25, 2013. His termination report stated that he was fired for violating policies and procedures. His separation notice stated he was fired for violating core ethics and policies.

Darren Davis, Palmetto’s chief operating officer at the time, reported to the counselors and doctors that Gonzales was no longer employed there because he had been in a sexual relationship with a patient. Following his termination, Gonzales underwent a three-week professional boundary violation evaluation program at the Acumen Institute in Kansas.

Gonzales and KS became engaged on December 21, 2013, and were married on May 10, 2014. Gonzales continued his medical career in the area. He became medical director at Broken Wings, an addiction treatment facility, in March of 2020.

On April 24, 2020, Broken Wings sent a “hospital affiliation questionnaire” regarding Gonzales to Palmetto. The questionnaire was accompanied by a release executed by Gonzales, which stated:

I release and discharge Broken Wings Recovery Center . . . and all other persons or entities supplying information to them from liability or claims of any kind or character in any way arising

out of inquiries concerning me or disclosures made in good faith without malice in connection with my application.

Hollye Rogers, Palmetto’s chief operating officer since 2016, completed the questionnaire. Rogers had been a counselor at Palmetto when Gonzales was fired. She marked that Gonzales was no longer on staff, and gave “relationship [with] patient” as the reason. She checked “YES” when asked if Gonzales had been under investigation or subject to disciplinary proceedings by Palmetto or if he had any signs of behavior, drug, or alcohol problems. She rated him as “poor” for patient management, ethical conduct, and compliance with bylaws, rules and regulations, policies and procedures. Nevertheless, she recommended him as qualified and competent.

Rogers also submitted a handwritten note to Broken Wings. It stated that Gonzales had engaged in a sexual relationship with a patient leading to his termination. It also stated that Gonzales underwent treatment for chemical dependency and seemed to currently be active in recovery.

On November 23, 2020, Gonzales filed a defamation lawsuit against Palmetto. He alleged that upon receiving the questionnaire and additional handwritten note from Palmetto, Broken Wings rescinded an earlier offer and presented him with a new offer with much less favorable terms. He further alleged that despite offering him a position in March of 2020, LSUHSC-Shreveport informed him in July of 2020 that he was no longer being considered for the position, which he attributed to the disclosure made by Rogers.

Gonzales alleged that Rogers’s written responses contained false statements that at the time of their publication were known to include false allegations, including that he engaged in a sexual relationship with a patient while employed at Palmetto. He maintained that Palmetto was not acting with any legitimate purpose or under a privilege when publishing the false allegation.

Palmetto filed an answer and raised various affirmative defenses, including that the alleged defamatory statements were subject to the privilege found in La. R.S. 23:291(A).

On February 22, 2023, Palmetto filed a motion for summary judgment. Submitted in support of the motion were: (1) excerpts from Gonzales’s deposition; (2) Palmetto’s administrative policies; (3) the prescription for KS renewed by Gonzales; (4) the note verifying that KS had participated in therapy on October 17, 2012; (5) the November 15, 2012, letter from Gonzales to the Louisiana State Board of Nursing documenting KS’s progress; (6) the airline itinerary for the trip to El Paso; (7) Gonzales’s discharge summary and recommendations from the Acumen Institute; (8) his follow-up reports from Acumen; (9) the release signed by Gonzales; (10) excerpts from Hollye Rogers’s deposition; (11) Broken Wings’ questionnaire that was completed by Rogers along with the handwritten statement; (12) Gonzales’s responses to Palmetto’s first set of admissions; (13) an affidavit from Dr. Jay Weiss; and (14) an affidavit from Rogers.

Dr. Weiss is a staff psychiatrist at Palmetto. He testified in his affidavit that McGill called Palmetto in January of 2013 to say that she received the letter from KS’s husband and was very upset that one of

Palmetto’s doctors was having sex with one of her nurses. According to Dr. Weiss, Gonzales did not deny it when confronted by him and Darren Davis about the affair. Dr. Weiss further testified that Gonzales was terminated for violating Palmetto’s core ethics policies by having a romantic relationship with a patient.

Rogers testified in her affidavit regarding KS’s treatment dates at Palmetto. She further testified that Palmetto terminated Gonzales on January 25, 2013, for violating its core ethics policies by having a romantic relationship with a Palmetto patient. To the best of Rogers’s knowledge, Palmetto never released any information about Gonzales to LSUHSC- Shreveport. She maintained that she completed the questionnaire in good faith and answered its questions truthfully.

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Cesar Gonzales, MD v. Palmetto Addiction Recovery Center, Inc., (La. Ct. App. 2024).

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