Charles L. Daniels II, Individually; Charles L. Daniels II, on Behalf of Payton Daniels, a Minor; And Charles L. Daniels II, as Special Administrator of the Estate of Harmony Lynn Daniels v. C. Wayne Lyle, M.D.; C. Wayne Lyle, M.D., P.A.; Medical Services Group, Ltd.; Baptist Health; And Diamond Risk Insurance LLC

2025 Ark. App. 197
Court of Appeals of Arkansas·Decided April 2, 2025·Published·Cited by 1 cases

Opinion

Cite as 2025 Ark. App. 197 ARKANSAS COURT OF APPEALS DIVISION I

No. CV-22-336

CHARLES L. DANIELS II, Opinion Delivered April 2, 2025

INDIVIDUALLY; CHARLES L.

APPEAL FROM THE PULASKI

DANIELS II, ON BEHALF OF PAYTON COUNTY CIRCUIT COURT, FOURTH DANIELS, A MINOR; AND CHARLES L.

DIVISION

DANIELS II, AS SPECIAL [NO. 60CV-18-5871]

ADMINISTRATOR OF THE ESTATE OF HARMONY LYNN DANIELS APPELLANTS

V. HONORABLE HERBERT T. WRIGHT, JUDGE

C. WAYNE LYLE, M.D.; C. WAYNE LYLE, M.D., P.A.; MEDICAL SERVICES GROUP, LTD.; BAPTIST HEALTH; AND DIAMOND RISK INSURANCE LLC APPELLEES

AFFIRMED

KENNETH S. HIXSON, Judge

This is an appeal from an order granting summary judgment in a medical-malpractice case related to medical services provided to Harmony Daniels hours before her death. Appellant Charles L. Daniels II, individually and on behalf of his minor daughter and Harmony’s estate (hereinafter referred to as “Daniels”), appeals a Pulaski County Circuit Court order granting summary judgment in favor of appellees C. Wayne Lyle, M.D.; C.

Wayne Lyle, M.D., P.A.; Medical Services Group, Ltd.; Baptist Health; and Diamond Risk Insurance LLC.

In this appeal, Daniels argues that he was not required to obtain the services of a medical expert witness because the appellees’ alleged negligence “lies within the jury’s comprehension as a matter of common knowledge.” Appellees respond that expert testimony was required because a jury could not comprehend the appellees’ alleged negligence as a matter of common knowledge. Thus, appellees argue that summary judgment was appropriate. Appellees contend, as an alternative ground for affirmance, that summary judgment was also appropriate because Daniels’s only claim rests on factual assertions that are defeated by evidence of discharge paperwork provided to and read by Harmony. We affirm the circuit court’s grant of summary judgment.

I. Factual Background

Forty-two-year-old Harmony Daniels died of a pulmonary embolism on August 5, 2017. On August 1, 2017—four days before she died—she had been prescribed diclofenac sodium, a medication that can cause blood clots, for ankle pain. On August 4, Harmony and her husband, Daniels, spent the night at a hotel in downtown Little Rock to celebrate their wedding anniversary. Harmony woke up early in the morning on Saturday, August 5, with severe pain and swelling in her right calf. Around 10:00 a.m., Daniels took Harmony to the emergency department at Baptist Health Little Rock. Dr. Wayne Lyle, M.D., was her treating physician. Dr. Lyle ordered an ultrasound, which revealed a large blood clot known as deep vein thrombosis (“DVT”) extending from her proximal right femoral vein through her calf.

Dr. Lyle informed Harmony and Daniels of the diagnosis; prescribed her an anticoagulant, Xarelto; and told her to continue walking. Harmony was discharged from the hospital and given discharge instructions. Around 5:00 that afternoon, Harmony collapsed and lost consciousness while walking in downtown Little Rock. She was taken to the University of Arkansas for Medical Sciences (“UAMS”) emergency room, but she never regained consciousness. She was pronounced dead just after 7:00 p.m. Dr. Frank Peretti performed an autopsy and determined that Harmony’s cause of death was pulmonary embolism due to DVT of the right leg.

On August 27, 2018, Daniels, on behalf of himself, his minor daughter, and Harmony’s estate, filed a medical-malpractice lawsuit pursuant to Arkansas Code Annotated section 16-114-206 (Repl. 2016) against C. Wayne Lyle, M.D., P.A. Daniels pleaded that his “cause of action is brought exclusively under the ‘common knowledge’ exception” of section 16-114-206(a), and he affirmatively disclaimed any causes of action that would require expert medical testimony under section 16-114-206. Daniels asserted that Dr. Lyle breached his duty of “ordinary care” because he “did not tell Harmony Daniels that her ‘[e]xtensive deep vein thrombosis’ was a life-threatening condition.” He claimed that Dr. Lyle’s breach was the proximate cause of Harmony’s death. Although he initially named C. Wayne Lyle, M.D., P.A, as the sole defendant, Daniels later amended his complaint three times to add C. Wayne Lyle, M.D., individually, and Medical Services Group, Ltd. (collectively the “Lyle appellees”), as well as Baptist Health and Diamond Risk Insurance LLC (collectively the “Baptist Health

appellees”) as defendants.1 The Lyle appellees and Baptist Health appellees filed answers denying the material allegations.

During the next few years, the parties filed a series of competing summary-judgment motions. In May 2019, the Lyle appellees and the Baptist Health appellees filed nearly identical motions for summary judgment alleging that the applicable standard of care, the breach of that standard, and the medical causation for Daniels’s claim were not matters of common knowledge that lie within a jury’s comprehension. Thus, Daniels was required to provide expert testimony to support each element of his claim, and because he had not done so, the Lyle and Baptist Health appellees argued that they were entitled to judgment as a matter of law. On August 23, 2019, the circuit court denied appellees’ motions for summary judgment because Daniels’s deadline to designate a case-in-chief expert had not yet passed. That deadline was May 22, 2020.

On May 22, 2020, Daniels did not designate a case-in-chief expert, but he did file a motion for partial summary judgment with respect to liability against all appellees, claiming that he had met his burden of proof on all elements of his medical-malpractice “common knowledge” case without using experts. The Lyle appellees, in turn, filed a competing motion for summary judgment alleging that Harmony “was provided comprehensive information

1 Although Daniels did not name her as a defendant, he further alleged that Manuela Debacker, RN, Harmony’s treating nurse on August 5, knew that Harmony’s DVT “was a life-threatening condition,” that Nurse Debacker did not inform Harmony or Daniels that Harmony’s DVT was life threatening, that Debacker was acting as an employee or agent of Baptist Health within the course and scope of her employment, and that her actions and omissions were imputed to Baptist Health.

about her condition, including that it could ‘lead to serious and even[ ] life-threatening complications if the clot travels to the lungs’ and that she read it.” They attached an affidavit from their expert, Randolph P. Maddox, M.D., who stated that the “[s]tandard of care [for] patient diagnosis, treatment, and how patients are to be provided instruction regarding diagnoses and treatment recommendations is something that is taught in medical school and residency because it is not a matter of common knowledge.” Dr. Maddox further stated that Dr. Lyle’s treatment of Harmony was “all within the applicable standard of care.” Relying on that affidavit, the Lyle appellees asserted that Daniels failed to meet proof with proof.

The Baptist Health appellees filed a renewed summary-judgment motion several days later also contending that this is not a common-knowledge-exception case, and because Daniels chose not to disclose a case-in-chief standard-of-care expert against Baptist Health, summary judgment should be granted. The Baptist Health appellees relied on an expert disclosure from Michelle Parish, APRN, as their standard-of-care expert, who opined that the standard of care for Baptist Health emergency nurses at the time of patient discharge is not a matter of common knowledge. On September 21, 2020, the circuit court denied all parties’ summary-judgment motions and ordered the parties into mediation, to be completed by November 30.

Free access — add to your briefcase to read the full text and ask questions with AI

Charles L. Daniels II, Individually; Charles L. Daniels II, on Behalf of Payton Daniels, a Minor; And Charles L. Daniels II, as Special Administrator of the Estate of Harmony Lynn Daniels v. C. Wayne Lyle, M.D.; C. Wayne Lyle, M.D., P.A.; Medical Services Group, Ltd.; Baptist Health; And Diamond Risk Insurance LLC, 2025 Ark. App. 197 (Ark. Ct. App. 2025).

2025 Ark. App. 197 (Charles L. Daniels II, Individually; Charles L. Daniels II, on Behalf of Payton Daniels, a Minor; And Charles L. Daniels II, as Special Administrator of the Estate of Harmony Lynn Daniels v. C. Wayne Lyle, M.D.; C. Wayne Lyle, M.D., P.A.; Medical Services Group, Ltd.; Baptist Health; And Diamond Risk Insurance LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related