Darla Keck v. Chad P. Collins, DMD

CourtCourt of Appeals of Washington
DecidedMay 6, 2014
Docket31128-7
StatusPublished

This text of Darla Keck v. Chad P. Collins, DMD (Darla Keck v. Chad P. Collins, DMD) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Darla Keck v. Chad P. Collins, DMD, (Wash. Ct. App. 2014).

Opinion

FILED

MAY 06, 2014

In the Office of the Clerk of Court

WA State Court of Appeals. Division III

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION THREE

DARLA KECK and RON JOSEPH ) No. 31128-7-111 GRAHAM, husband and wife, and DARLA ) KECK and RON JOSEPH GRAHAM as ) parents for the minor child, KELLEN ) MITCHELL GRAHAM, and KELLEN ) MITCHELL GRAHAM, individually, ) ) PUBLISHED OPINION Appellants, ) ) v. ) ) CHAD P. COLLINS, DMD, PATRICK C. ) COLLINS, DDS; COLLINS ORAL & ) MAXILLOFACIAL SURGERY, P.S., a ) Washington corporation, and SACRED ) HEART MEDICAL CENTER, a ) Washington corporation, ) ) Respondents. )

BROWN, J.-Darla Keck and Ron Joseph Graham (collectively appellants) appeal

the trial court's summary dismissal of their medical negligence suit against Chad P.

Collins, DMD, Patrick C. Collins, DDS, and Collins Oral & Maxillofacial Surgery PS

(collectively respondents).1 Appellants contend the trial court erred in:

(1) concluding their first and second medical expert affidavits lack required specificity on negligent postoperative care, (2) striking their third medical expert affidavit as untimely,

1 To avoid confusion, we refer to Chad P. Collins, DMD as "Dr. Chad" and Patrick C. Collins, DDS as "Dr. Patrick." No. 31128-7-111 Keck v. Collins

(3) denying a continuance of the summary judgment hearing on negligent postoperative care, (4) concluding no genuine issue of material fact exists on negligent referral, and (5) denying reconsideration of the summary judgment order on negligent postoperative care.

After concluding our standard of review is de novo, we hold the trial court erred in

striking the third affidavit. We then hold the trial court erred in denying the continuance,

granting summary dismissal, and denying reconsideration. Accordingly, we reverse and

remand for further proceedings.

FACTS

On November 26, 2007, Drs. Chad and Patrick performed surgery in Spokane on

Ms. Keck, a Missoula resident, to correct her obstructive sleep apnea. The surgery

involves cutting the patient's jawbones, advancing them to open breathing space, and

stabilizing them with plates and screws while new bone bonds them together by filling

the gaps left between them. During the healing process, arch bars help align the

patient's bite.

Ms. Keck had her first follow-up visit in Spokane on December 6,2007. She had

green pus oozing from her surgical incision as well as pain and total numbness in her

chin. Dr. Patrick said the pus was nothing more than a superficial infection. Thus, Dr.

Chad prescribed her clindamycin, an antibiotic. Dr. Chad then consulted Dr. Patrick

regarding an x-ray of her chin. While Dr. Chad said he thought a particular shadow in

the x-ray might evidence a fracture, Dr. Patrick said the shadow was nothing. Finally,

Dr. Patrick dismissed her concerns about discoloration in a tooth, saying the November

26 surgery did not affect that area.

}

I I

No. 31128-7-111 Keck v. Collins

Drs. Chad and Patrick made no other attempt to evaluate Ms. Keck's problems.

Dr. Chad planned to send letters delegating the task of monitoring Ms. Keck's wound

healing to Jeffrey R. Haller, MD (her ear, nose, and throat specialist in Missoula), and

delegating the task of monitoring her bite alignment to George M. Olsen, DDS (her

general dentist in Missoula). The record does not show that the delegation letters were

sent, which may be partly explained by Ms. Keck's need for emergency care two days

later, resulting in immediate consultation between Dr. Chad and Dr. Haller. At that time,

Ms. Keck visited a Missoula emergency room with an infected, painful, and swollen jaw

abscess. The emergency physician consulted Dr. Haller, who consulted Dr. Chad. At

Dr. Chad's direction, Dr. Haller removed the abscess, packed the wound, and

administered clindamycin intravenously. Dr. Haller referred Ms. Keck back to Dr. Chad

for further care.

On December 17, Dr. Olsen noted Ms. Keck had "some major bite issues" and

her "[b]ite may not be correct for 6 months or until after ortho[dontics]." Clerk's Papers

(CP) at 144. However, at her December 26 follow-up visit in Spokane, Dr. Chad noted

she had "excellent" bite alignment. CP at 134, 147. He then removed her arch bars,

claiming Dr. Olsen had approved doing so. Dr. Chad instructed Ms. Keck to return to

him for further care solely as necessary. On January 22, 2008, Dr. Olsen spoke with

Dr. Chad by telephone, expressing concerns about infection, pain, and swelling in Ms.

Keck's jaw and relapse in her bite alignment. The next day, Dr. Chad discovered her

plates and screws were loose, infection had spread into her bone, and her jaw was not

uniting. He again prescribed her clindamycin.

On January 24, Dr. Chad surgically removed the loose plates and screws,

cleaned the bone infection, and wired her jaw shut. During surgery, he confirmed her

plates and screws were "completely loose." CP at 148. Dr. Chad planned to track Ms.

Keck's condition on a limited basis in Spokane, rather than refer her to a Missoula ear,

nose, and throat specialist; plastic surgeon; or oral surgeon. Three days later, Ms. Keck

visited a Missoula emergency room with significant swelling in her jaw. An ear, nose,

and throat specialist, Phillip A. Gardner, MD, consulted Dr. Chad. At Dr. Chad's

direction, Dr. Gardner administered clindamycin intravenously and consulted an

infectious disease specialist, Michael B. Curtis, MD. Dr. Curtis wrote, "Clearly she is

failing clindamycin and I would advocate abandoning this drug." CP at 154. Another

infectious disease specialist, David Christensen, MD, soon began treating her.

At her February 11 follow-up visit in Spokane, Ms. Keck felt constant pain and

said "something is going on" in her jaw. CP at 156. On March 18, Dr. Chad surgically

cleaned the bone infection and installed "more stout hardware" in her jaw because it

was still not uniting. CP at 136. Dr. Chad continued tracking Ms. Keck's condition on a

limited basis in Spokane.

At her June 11 follow-up visit in Spokane, Ms. Keck had severe pain as well as

loose bone and hardware that moved with finger manipulation. On July 18, Dr. Chad

surgically grafted bone, removed a tooth, and installed new hardware in her jaw. Ms.

Keck had her last follow-up visit in Spokane on July 23, 2008. Dr. Chad instructed Ms.

Keck to return to him for further care solely as necessary. She instead sought the care

of an oral surgeon, Clark Taylor, MD, in Missoula. Dr. Clark surgically installed new

hardware. Despite this effort, Ms. Keck still suffers continual "fatigue, acrid taste in her

mouth, pain, swelling, nerve sensations in her eye and numbness in her cheek and

chin." CP at 282.

Appellants sued respondents for medical negligence, partly alleging their follow­

up care fell below the accepted standard of care. In August 2011, appellants disclosed

Kasey Li, MD, as a medical expert witness. On December 20, 2011, Dr. Patrick moved

for summary judgment, partly arguing no genuine issue of material fact exists because

appellants lacked medical expert testimony establishing negligence. In February 2012,

Dr. Patrick's counsel re-noted the summary judgment hearing for March 30, 2012

without consulting appellants' counsel, a sole practitioner, regarding his availability.

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

Related

State Ex Rel. Carroll v. Junker
482 P.2d 775 (Washington Supreme Court, 1971)
Young v. Key Pharmaceuticals, Inc.
770 P.2d 182 (Washington Supreme Court, 1989)
Hash v. Children's Orthopedic Hospital & Medical Center
741 P.2d 584 (Court of Appeals of Washington, 1987)
McKee v. American Home Products Corp.
782 P.2d 1045 (Washington Supreme Court, 1989)
State Ex Rel. Sperry v. SUP'R CT. FOR WALLA WALLA CTY.
251 P.2d 164 (Washington Supreme Court, 1952)
Mahoney v. Shinpoch
732 P.2d 510 (Washington Supreme Court, 1987)
Adams v. Western Host, Inc.
779 P.2d 281 (Court of Appeals of Washington, 1989)
In Re Marriage of Littlefield
940 P.2d 1362 (Washington Supreme Court, 1997)
In Re Stranger Creek
466 P.2d 508 (Washington Supreme Court, 1970)
Morris v. McNicol
519 P.2d 7 (Washington Supreme Court, 1974)
Fox v. Sackman
591 P.2d 855 (Court of Appeals of Washington, 1979)
LaPlante v. State
531 P.2d 299 (Washington Supreme Court, 1975)
Wagner Development, Inc. v. Fidelity & Deposit Co.
977 P.2d 639 (Court of Appeals of Washington, 1999)
King County Fire Protection District No. 16 v. Housing Authority
872 P.2d 516 (Washington Supreme Court, 1994)
Babcock v. State
809 P.2d 143 (Washington Supreme Court, 1991)
Green v. APC (Am. Pharmaceutical Co.)
960 P.2d 912 (Washington Supreme Court, 1998)
McBride v. Walla Walla County
975 P.2d 1029 (Court of Appeals of Washington, 1999)
Rinke v. Johns-Manville Corp.
734 P.2d 533 (Court of Appeals of Washington, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
Darla Keck v. Chad P. Collins, DMD, Counsel Stack Legal Research, https://law.counselstack.com/opinion/darla-keck-v-chad-p-collins-dmd-washctapp-2014.