Garcia v. Willman

4 S.W.3d 307, 1999 WL 668815
CourtCourt of Appeals of Texas
DecidedNovember 18, 1999
Docket13-97-928-CV
StatusPublished
Cited by37 cases

This text of 4 S.W.3d 307 (Garcia v. Willman) 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
Garcia v. Willman, 4 S.W.3d 307, 1999 WL 668815 (Tex. Ct. App. 1999).

Opinion

OPINION

Opinion by

Justice YÁÑEZ.

Appellant Rosa Maria Garcia sued Dr. Philip J.A. Willman for medical malpractice under the Texas Medical Liability and Insurance Improvement Act. 1 She now raises five issues in her appeal from a summary judgment granted in Dr. Will-man’s favor. We reverse.

On June 7, 1995, Dr. Michael J. Burke performed surgery on Garcia to remove a brain aneurysm. During her post-operative stay in the hospital, she received Dilantin, an anticonvulsant drug prescribed to prevent seizures. A potential side effect associated with Dilantin is Stevens-Johnson syndrome, a skin disorder capable of producing a severe rash and other complications. Garcia first received Dilantin intravenously on June 7, and on June 11 she began taking Dilantin orally, three times daily.

*309 Dr. Willman first saw Garcia on June 20 while on rounds covering for Dr. Burke. The next time he saw her was on June 27. His affidavit in support of summary judgment describes his involvement with Garcia on that day:

At that time, I also checked her postoperative CT scan and found no increase in any amount of hydrocephalus. I felt the patient was ready to be discharged home, and left orders for her to be discharged and to see Dr. Burke at the office the following week, as per discussion with Dr. Burke earlier that day. That discharge order was later rescinded by Dr. Burke. At approximately 2:00 p.m. that same day, I gave telephone orders to the nurses that I had reviewed the CT scan and it was ok for the patient to go home, will call prescription for Dilantin and to continue home medications. Again, at approximately 9:00 p.m. that evening, I gave additional telephone orders to the nurses to discontinue the patient’s central line, and to apply Mycostatin to the patient’s perineal area three times a day as she was complaining of itching in that area.

Dr. Willman’s final involvement with Garcia came on the following day, June 28, 1995, when he was called by the nursing staff and told that Garcia was complaining of itching. At this time, he directed the nurse to give her Benadryl.

Later that same day, Dr. Burke examined Garcia and issued a discharge order in conjunction with prescriptions for Bena-dryl and Tylenol. In Dr. Burke’s discharge summary, he discontinued the Dilantin, and per his deposition testimony, he explained to Garcia the reasons for discontinuing the Dilantin. Garcia denies that anyone ever informed her to stop taking Dilantin.

A few days later, after being discharged from Spohn Hospital, Garcia was admitted to another hospital and diagnosed with Stevens-Johnson syndrome. Consequently, she brought suit against Dr. Willman, Spohn Hospital, and others alleging negligence, gross negligence, and negligence per se. The basis of her claim against Dr. Willman is that she developed Stevens-Johnson syndrome as a result of taking the Dilantin that he prescribed.

Garcia’s claim against Dr. Willman is governed by the Medical Liability and Insurance Improvement Act of Texas. See Tex.Rev.Civ. Stat. Ann. art. 4590i (Vernon Supp.1999). As a procedural requirement to maintain a suit under 4590i, a plaintiff is required to file an expert report within a certain period after the lawsuit is filed. Tex.Rev.Civ. Stat. Ann. art. 4590i, §§ 13.01(a)(3), 13.01(k) (Vernon Supp. 1999). To comply with the statute, Garcia filed the affidavit of Dr. Don William Penney, dated November 26, 1996. Dr. Penney’s affidavit states that Dr. Willman, the hospital, and others fell below the standard of care in treating Garcia because they failed to diagnose and treat Garcia’s condition prior to prescribing Dilantin and discharging her from the hospital.

Dr. Willman filed a motion for summary judgment almost one year later on October 2, 1997, which included his own expert witness affidavit denying that he strayed from the acceptable standard of care in treating Garcia. Garcia countered with deposition excerpts, medical records, and two expert witness affidavits from Dr. Penney. The first affidavit was the same one used to comply with the procedural requirements of article 4590i. Dr. Penney’s second affidavit, titled “Supplemental Affidavit,” discusses his review of several documents since the previous affidavit, and concludes that a reasonable and prudent doctor in Dr. Willman’s situation would have called the pharmacy and canceled the prescription for Dilantin before Garcia was discharged from Spohn Hospital.

Dr. Willman objected to both of Dr. Penney’s affidavits used in Garcia’s response, arguing that Garcia was statutorily prohibited from using either and both should be struck. As a consequence, he claimed that Garcia had failed to contro *310 vert his expert medical testimony with that of another expert, thereby entitling him to summary judgment. The trial court agreed, struck both affidavits, and granted Dr. Willman’s motion for summary judgment along with his motion to sever. This appeal followed.

In her second issue, appellant argues that an affidavit submitted for purposes of complying with section 13.01 of article 4590i may be used as summary judgment evidence.

Dr. Willman’s objection to Dr. Penney’s initial affidavit was based upon section 13.01(k) of the act which provides:

Notwithstanding any other law, an expert report filed under this section:
(1) is not admissible in evidence by a defendant;
(2) shall not be used in a deposition, trial, or other proceeding; and
(3) shall not be referred to by a defendant during the course of the action for any purpose.

Tex.Rev.Civ. Stat. Ann. art. 4590i, § 13.01(k) (Vernon Supp.1999). Dr. Will-man argues that because the affidavit was initially submitted for purposes of qualifying as an article 4590i expert report, the clear statutory language of 13.01(k) prohibits Garcia from using it as summary judgment evidence. He also points out that the statute prevents him from being able to controvert the affidavit.

Garcia contends that Dr. Willman’s interpretation of the statute creates an absurdity because a statute that requires a plaintiff to provide prima facie proof of a cause of action should not operate to later prevent the plaintiff from using that proof. Instead, Garcia claims that she should be allowed to use the affidavit as summary judgment evidence with the condition that once it is used, she will lose her right to designate Dr. Penney as a “consulting-only” expert and will be precluded from raising section 13.01(k) as a ground for prohibiting the defendant from referring to the affidavit.

We note at the outset that our primary concern when interpreting statutes is to comply with the intent of the Legislature. Our first and best tool in ascertaining this intent is the language of the statute itself. When interpreting the intent and meaning of a statute, the court focuses on, and will follow, the plain language of the statute unless doing so leads to absurd and unintended consequences. Schwenke v. State, 960 S.W.2d 227, 230 (Tex.App.—Corpus Christi 1997, pet.

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Cite This Page — Counsel Stack

Bluebook (online)
4 S.W.3d 307, 1999 WL 668815, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garcia-v-willman-texapp-1999.