Foster v. Patwardhan

132 So. 3d 495, 2014 WL 229834, 2014 La. App. LEXIS 146
CourtLouisiana Court of Appeal
DecidedJanuary 22, 2014
DocketNos. 48,575-CA, 48,712-CA
StatusPublished
Cited by11 cases

This text of 132 So. 3d 495 (Foster v. Patwardhan) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Foster v. Patwardhan, 132 So. 3d 495, 2014 WL 229834, 2014 La. App. LEXIS 146 (La. Ct. App. 2014).

Opinions

LOLLEY, J.

| defendants, Dr. Ravish Patwardhan (“Dr. Patwardhan”) and Louisiana Medical Mutual Insurance Company (“LAMMI-CO”), appeal separate motions for partial summary judgment granted by the First Judicial District Court, Parish of Caddo, State of Louisiana, in favor of plaintiff, Kerry Foster. For the following reasons, we affirm the judgment on the issue of liability and reverse the judgment on the issue of statutory damages.

Facts

On August 5, 2008, Foster came to see Dr. Patwardhan for a neurosurgical evaluation. Prior to being evaluated by Dr. Patwardhan, Foster had undergone a lumbar spine surgery performed by Dr. Jorge Martinez resulting from an on-the-job injury suffered during the summer of 2005. Despite the surgery, Foster’s back pain progressively increased to the extent that his workers’ compensation insurer referred him to Dr. Patwardhan for a subsequent neurosurgical evaluation.

Upon presentation, Foster reported extreme lower back and left lower extremity pain, as well as numbness in the toes of his left foot. Dr. Patwardhan ordered an MRI and referred the patient to pain management for a discogram. The discogram was positive, and Dr. Patwardhan recommended surgery.

On September 19, 2008, Dr. Patwardhan performed a transforaminal lumbar inter-body infusion (“TLIF”) at the L3-L4 level with the placement of pedicle screws and a peek cage. Following surgery, Foster awakened complaining of right lower extremity pain, numbness, and right foot weakness, which Foster claimed was not present prior to surgery. As a result, Dr. Patwardhan ordered an MRI and CT scan, which, in his opinion, ^showed the hardware correctly placed. However, Dr. Pat-wardhan did note that a portion of the cage extended beyond the boundaries of the vertebrae.

During routine postoperative follow-up visits, Foster continuously reported lower back and lower extremity pain, and Dr. Patwardhan continued to order CT scans to evaluate the fusion. At each visit, Dr. Patwardhan believed the placement of the device to be proper, and noted fusion beginning to take place. On January 27, 2009, Foster was advised to increase his activities and was even provided a medical [498]*498release to return to work. Another CT scan was performed on April 3, 2009, whereby Dr. Patwardhan again stated the results showed signs of fusion. Finally, on June 24, 2009, after continued complaints of pain and numbness, Dr. Patwardhan referred Foster to pain management for further evaluation.

On July 29, 2009, Foster saw Dr. Donald Smith (“Dr. Smith”), who reviewed the radiographic studies and felt there was no convincing evidence of bone formation or bone fusion at the surgical site. Dr. Smith also noted that the hardware was not in a satisfactory condition.

On April 6, 2010, Foster underwent surgery performed by Dr. Pierce Nunley (“Dr. Nunley”) to correct the previous procedure. Dr. Nunley removed the hardware placed by Dr. Patwardhan and in his operative report, noted that “the implant was encountered and was not affixed; however, it was significantly subsided into the vertebral body.”

Despite the corrective surgery, Foster’s back problems lingered. As a result, Foster filed a medical review panel request to investigate the alleged malpractice of Dr. Patwardhan. A unanimous panel opinion was received on December 29, 2011, which was adverse to Dr. Patwardhan. The panel opinion stated that Dr. Patwardhan failed to meet the applicable standard of 1 scare and that his conduct was a factor in the resulting damages suffered by Foster. This included failing to properly follow up with Foster, failing to inform him of the misplacement of the cage, and failing to perform the surgical procedure correctly. Moreover, the panel opinion found that Foster was not an appropriate candidate for the surgery performed by Dr. Patwar-dhan.

After receiving this favorable panel opinion, Foster filed suit for medical malpractice pursuant to the Louisiana Medical Malpractice Act, naming Dr. Patwardhan and LAMMICO as defendants. In his petition for damages, Foster alleged that Dr. Patwardhan breached the appropriate standard of care, and as a result of this breach, he suffered debilitating and permanent pain and suffering, loss of employment, loss of function in the lower extremities, loss of mobility, and loss of flexibility. Foster also alleged that he suffered physical pain and suffering, mental anguish and distress, permanent disability, loss of enjoyment of life, and an increased likelihood of future medical problems.

Foster filed a motion for partial summary judgment on the issue of liability only. In support of this motion, Foster attached the medical review panel opinion along with his affidavit and an affidavit of one of the medical review panel physicians, Dr. Brian Willis (“Dr. Willis”). Both the panel opinion and Dr. Willis’ affidavit stated that Dr. Patwardhan clearly breached the standard of care, and this breach was the proximate cause of the damages suffered by Foster.

Dr. Patwardhan opposed Foster’s motion with affidavits from himself, as treating physician, and Dr. Robert Lieberson, a Board-certified practicing neurosurgeon (“Dr. Lieberson”). In his affidavit, Dr. Patwardhan claimed |4that Foster was an appropriate candidate for the TLIF procedure and that his pre-, intra-, and postoperative care was all appropriate and within the applicable standard of care. Likewise, Dr. Lieberson’s affidavit stated that Dr. Patwardhan did not breach the standard of care and that the surgery performed and the follow-up care was appropriate.

After a hearing on Foster’s motion, the trial court granted summary judgment in his favor, finding that neither Dr. Patwar-dhan’s nor Dr. Lieberson’s affidavit was sufficient to create a genuine issue of ma[499]*499terial fact. Explaining its reasoning, the trial court noted, “I’ve got a panel opinion that came out against the doctor. I have an affidavit by Dr. Lieberson, which is nothing but a one sentence conclusion. And, I don’t believe that Dr. Patwardhan, due to his circumstances and the problems that he’s had, is competent to issue an affidavit for himself.” Dr. Patwardhan appealed the trial court’s judgment.

With the judgment on liability on appeal, Foster made a separate motion for partial summary judgment on statutory damages, which was granted. Dr. Patwardhan also appealed that judgment. Ultimately, this Court consolidated the two appeals for docketing and opinion purposes.

Summary Judgment

Appellate courts review summary judgments de novo under the same criteria that govern the district court’s consideration of whether summary judgment is appropriate. Samaha v. Rau, 2007-1726 (La.02/26/08), 977 So.2d 880; Thomas v. Willis-Knighton Med. Ctr., 43,176 (La.App.2d Cir.04/80/08), 981 So.2d 807, writ denied, 2008-1183 (La.09/19/08), 992 So.2d 932. The summary judgment procedure is favored and is designed to secure the just, speedy, and inexpensive determination of actions. La. C.C.P. art. 966(A). A motion for summary judgment.shall be granted if the pleadings, depositions, answers to interrogatories, and admissions on file, together with affidavits, if any, show there is no genuine issue of material fact and that the mover is entitled to judgment as a matter of law. La. C.C.P. art. 966(B).

The burden of proof remains with the movant.

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132 So. 3d 495, 2014 WL 229834, 2014 La. App. LEXIS 146, Counsel Stack Legal Research, https://law.counselstack.com/opinion/foster-v-patwardhan-lactapp-2014.