Gaynor v. Washington University

261 S.W.3d 650, 2008 Mo. App. LEXIS 850, 2008 WL 2497339
CourtMissouri Court of Appeals
DecidedJune 24, 2008
DocketED 90358
StatusPublished
Cited by5 cases

This text of 261 S.W.3d 650 (Gaynor v. Washington University) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gaynor v. Washington University, 261 S.W.3d 650, 2008 Mo. App. LEXIS 850, 2008 WL 2497339 (Mo. Ct. App. 2008).

Opinion

KATHLANNE KNAUP CRANE, Presiding Judge.

Plaintiff appeals from the judgment of the trial court dismissing her medical malpractice action based on res ipsa loquitur on the ground that she failed to file the health care affidavits required by section 538.225 RSMo (2005 Supp.). 1 In her sole point on appeal, she contends that the trial court erred in dismissing her action. She reasons that she should be exempt from filing the affidavits required by section 538.225 because her action was based on res ipsa loquitur and she would not be required or permitted to use expert testimony at trial. We affirm for the reason that section 538.225, which requires a plaintiff to file an affidavit “[i]n any action against a health care provider for personal injury or death on account of the rendering of or failure to render health care services,” does not exempt personal injury actions in which proof is based on res ipsa loquitur.

Plaintiff, Frieda L. Gaynor, filed a first amended petition to recover damages for personal injury, naming as defendants Washington University, Barnes-Jewish Hospital, Andrea A. Vannucci, M.D., Joseph Borrelli, M.D., and John Doe, M.D. (collectively, defendants). She alleged that she was admitted to Barnes-Jewish Hospital on July 23, 2004 for surgery on her left ankle, that Dr. Vannucci was an employee or agent of Washington University and Barnes-Jewish Hospital and was the attending anesthesiologist, and that Dr. Bor-relli was also an employee or agent of Washington University and Barnes-Jewish Hospital and was the primary surgeon. According to her amended petition, immediately upon regaining consciousness following the surgery, plaintiff began to com *652 plain of extreme pain in her left eye, and she was subsequently determined to have suffered a corneal abrasion. Plaintiff was seen by a doctor in the ophthalmology department and was later released from Barnes-Jewish Hospital. Plaintiff returned to Barnes-Jewish Hospital the next week, and she was diagnosed with a corneal ulcer to the left eye. She was admitted to the hospital and underwent various procedures before being discharged four days later. Plaintiff alleged that she was unconscious at the time of the initial injury to her left cornea, and that the circumstances alleged were sufficient to establish defendants’ negligence under the principle of res ipsa loquitur.

Defendants thereafter moved to dismiss on several grounds, including that plaintiff failed to file the health care affidavits required by section 538.225 RSMo. On February 15, 2007 the trial court denied this motion as premature. It concluded that the health care affidavits were mandatory whether or not plaintiff would be required to present expert medical testimony at trial to establish the standard of care of a health care provider, and it ordered plaintiff to file health care affidavits as required by section 538.225 within sixty days.

Plaintiff filed a motion for reconsideration on the ground that she was not required to file health care affidavits because expert testimony is not required to prove res ipsa loquitur claims. Plaintiff did not file health care affidavits within sixty days of the trial court’s February 15, 2007 order, and defendants again moved to dismiss.

After a hearing, the trial court denied plaintiffs motion for reconsideration because it had no legal effect, granted the motion to dismiss for failure to comply with the court’s February 15, 2007 order, and dismissed the petition without prejudice on the ground that a health care affidavit was mandated by statute even if “the ‘medical malpractice is of that untypical kind that does not require proof of standard of care by an expert,”’ quoting Budding v. SSM Healthcare System, 19 S.W.3d 678, 680-81 n. 4 (Mo. banc 2000). It subsequently entered a judgment for defendants and dismissed the action as to all defendants.

DISCUSSION

Plaintiff argues that the rule prohibiting the use of expert testimony in a medical malpractice case premised on res ipsa loquitur 2 must logically extend to relieve a plaintiff in a medical malpractice case from the duty to file the health care affidavit required by section 538.225.

Chapter 538 governs tort actions against health care providers. Section 538.225.1 requires a plaintiff to file an affidavit for each defendant named in the petition:

1. In any action against a health care provider for damages for personal injury or death on account of the rendering of or failure to render health care services, the plaintiff or the plaintiffs attorney shall file an affidavit with the court stating that he or she has obtained the written opinion of a legally qualified health care provider which states that the defendant health care provider failed to use such care as a reasonably prudent and careful health care provider would have under similar circumstances and that such failure to use such reasonable care directly caused or directly contributed to cause the damages claimed in the petition.

Unless the trial court, for good cause shown, allows the plaintiff additional time, the affidavit must be filed no later than ninety days after the petition is filed. Sec *653 tion 538.225.5. If the plaintiff fails to file a health care affidavit, the court, upon motion of any party, is required to dismiss the action against the moving party without prejudice. Section 538.225.6.

Plaintiff relies on dicta in Mahoney v. Doerhoff Surgical Services., Inc., 807 S.W.2d 503, 507 (Mo. banc 1991), to support her claim that she was not required to file an affidavit. In Mahoney, the plaintiffs medical malpractice action was dismissed for failure to comply with section 538.225RSMo (1986). On appeal, the plaintiffs challenged the constitutionality of the statute on several grounds. The court held that the statute enacted a procedure to be followed in suits for damages for personal injury or death caused by negligent health care providers, and did not change substantive law. Id. at 508. The court proceeded to describe the procedure: “The procedure allows the plaintiff with good cause an extension of time to comply, or to correct a defective affidavit already filed, or implicitly, to show that the medical malpractice the petition alleges is of that untypical kind that does not require proof of standard of care by expert opinion.” Id.

Plaintiff claims this language created an exception to the application of section 538.225.1 for res ipsa loquitur cases. However, the Missouri Supreme Court thereafter characterized this language as dicta, and it firmly rejected the conclusion that the statute created this exception. Budding, 19 S.W.3d at 678. In Budding,

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Cite This Page — Counsel Stack

Bluebook (online)
261 S.W.3d 650, 2008 Mo. App. LEXIS 850, 2008 WL 2497339, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gaynor-v-washington-university-moctapp-2008.