Christus Health v. Dorriety

345 S.W.3d 104, 2011 Tex. App. LEXIS 3755, 2011 WL 1886572
CourtCourt of Appeals of Texas
DecidedMay 19, 2011
Docket14-09-00927-CV
StatusPublished
Cited by23 cases

This text of 345 S.W.3d 104 (Christus Health v. Dorriety) 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.

Bluebook
Christus Health v. Dorriety, 345 S.W.3d 104, 2011 Tex. App. LEXIS 3755, 2011 WL 1886572 (Tex. Ct. App. 2011).

Opinion

OPINION

JEFFREY V. BROWN, Justice.

In this healthcare-liability case, the appellants, Christus Health and Christus Health Gulf Coast d/b/a Christus St. Catherine Health & Wellness Center (collectively), (“Christus”), appeal from the trial court’s judgment after a jury trial. Chris-tus does not challenge the jury’s finding of negligence, but on appeal challenges certain damage awards and the apportionment of court costs. For the reasons explained below, we affirm.

I

In the early 1980s, Melissa Dorriety was diagnosed with the medical condition diabetes insipidus. She managed the condition with a drug known as DDAVP. One day in June 2006, Melissa came home from work early, complaining of shortness of breath and not feeling well. Her husband, Rickey Dorriety, took her to a local hospital, Christus St. Catherine in Katy, where she was diagnosed with hyponatremia, or low sodium, and admitted. In an effort to raise her sodium levels, doctors took her off of DDAVP.

After two days in the hospital, a doctor ordered that Melissa’s liquid input and output be strictly monitored because of concerns about her sodium level fluctuating while she was not taking her diabetes medication. That afternoon and evening Melissa’s fluid output began to greatly exceed her input, but no one notified Melissa’s doctors of this development. Nor were Melissa’s vital signs monitored overnight. A blood test reported to the hospital’s nurses at 6:15 a.m. revealed that Mel *107 issa’s sodium was at a dangerously high level. One doctor later described the sodium level read at 6:15 a.m. as a “panic value.” Yet, no doctor was contacted until 7:50 a.m. Believing Melissa was to be discharged that morning, Rickey went to Melissa’s room, where he found her unresponsive. Melissa was transferred to the intensive care unit, comatose and already suffering effects leading to brain damage. Several days later, Melissa was transferred to a larger hospital, St. Luke’s, where several specialists examined her, but they ultimately concluded that there was nothing that could be done to help her recover from her coma. Melissa was later discharged to hospice care. She died on July 11, 2006.

The Dorrietys sued Christus and two of the doctors who treated Melissa, Dr. Muk-esh Mehta and Dr. Lorie Shapiro. The Dorrietys later nonsuited Dr. Shapiro, and Christus successfully moved to designate her as a responsible third party. At trial, the jury found negligence on the part of Christus and Dr. Shapiro, but did not find negligence on the part of Dr. Mehta. The jury apportioned responsibility at forty percent for Christus and sixty percent for Dr. Shapiro.

The jury awarded damages to Melissa’s husband, Rickey, for pecuniary losses in the past ($75,000) and future ($250,000), but did not award him any damages for loss of companionship and support in the past or future or for mental anguish in the past or future. The jury also awarded damages to Melissa’s adult, mentally impaired son, Timothy, for pecuniary losses in the past ($75,000) and future ($1,000,-000), but did not award him damages for loss of companionship and support in the past or future or for mental anguish in the past or future. The jury also did not award any damages to Melissa’s other adult son, Patrick, for pecuniary loss, loss of companionship and support, or mental anguish. Finally, the jury awarded damages to Melissa’s estate for medical expenses ($65,536) and funeral and burial expenses ($13,413), but did not award any damages for physical pain and mental anguish. The trial court entered judgment based on these jury findings, awarding the Dorrietys forty percent of the damages the jury found.

II

A

In its first issue, Christus contends the evidence is legally insufficient to support the jury’s award of medical expenses. Under a legal-sufficiency review, we must determine whether the evidence would enable a reasonable and fair-minded person to reach the finding under review. City of Keller v. Wilson, 168 S.W.3d 802, 827 (Tex.2005). We credit favorable evidence if reasonable fact finders could and disregard contrary evidence unless reasonable fact finders could not. Id.

Christus’s first argument is framed as a legal-sufficiency challenge to the jury’s finding of $65,536 in medical expenses paid by Melissa’s estate for her care from her hospitalization at Christus and two other healthcare entities until her death. These expenses were proved by affidavits filed as provided in section 18.001 of the Civil Practice and Remedies Code and by an agreed summary of past medical expenses actually paid. See Tex. Civ. Prac. & Rem.Code § 18.001 (governing affidavits concerning cost and necessity of services). When a proper section-18.001 affidavit is filed and no controverting affidavit is filed, the affidavit “is sufficient evidence to support a finding of fact by [a] judge or jury that the amount charged was reasonable or that the service was necessary.” Id. § 18.001(b).

*108 The real thrust of Christus’s argument, however, is that the Dorrietys failed to present competent expert testimony that linked the medical expenses to the alleged negligence. Evidence presented in compliance with section 18.001(b) does not establish a causal nexus between the accident and the medical expenses. Figueroa v. Davis, 318 S.W.3d 53, 61 (Tex. App.-Houston [1st Dist.] 2010, no pet.). A plaintiff may recover only for reasonable and necessary medical expenses specifically shown to result from treatment made necessary by the negligent acts or omissions of the defendant. Texarkana Mem’l Hosp. v. Murdock, 946 S.W.2d 836, 839-40 (Tex.1997).

Christus complains that the testimony of the Dorrietys’ expert on medical liability, Dr. Juan Carlos Ayus, was unreliable because he failed to review or segregate the medical bills and instead relied on the representation of the Dorrietys’ counsel that all of the medical bills submitted were necessary. Christus further complains that Dr. Ayus’s testimony misled the jury because it awarded the full amount of those charges instead of subtracting the amount attributable to treatment unrelated to any alleged negligence.

Dr. Ayus was not designated to testify as to medical expenses, but was designated on standard of care, breach of the standard of care, and causation. The Dorrie-tys’ counsel provided the medical bills to Dr. Ayus the day before his trial testimony. On direct examination, Dr. Ayus testified as follows:

Q: (Dorrietys’ counsel) You understand once [Melissa] was transferred to St. Luke’s, there was an admission into St. Luke’s ICU that lasted for twelve days and then ultimate transfer to hospice?
A: (Dr. Ayus) Yes.
Q: It would not surprise you that there were a variety of consultants called in to take care of Melissa, including a cardiovascular care providers [sic], Dr. Diaz, who’s a neurologist; Dr. Velasco, Dr. Suneja, who is a cardiologist. A radiology group to review CT and MRI films. Dr. Salazar.

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Cite This Page — Counsel Stack

Bluebook (online)
345 S.W.3d 104, 2011 Tex. App. LEXIS 3755, 2011 WL 1886572, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christus-health-v-dorriety-texapp-2011.