Gillis v. Dental Board

206 Cal. App. 4th 311, 141 Cal. Rptr. 3d 213, 2012 WL 1867050, 2012 Cal. App. LEXIS 609
CourtCalifornia Court of Appeal
DecidedApril 30, 2012
DocketNo. A131445
StatusPublished
Cited by11 cases

This text of 206 Cal. App. 4th 311 (Gillis v. Dental Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gillis v. Dental Board, 206 Cal. App. 4th 311, 141 Cal. Rptr. 3d 213, 2012 WL 1867050, 2012 Cal. App. LEXIS 609 (Cal. Ct. App. 2012).

Opinion

[314]*314Opinion

BANKE, J.

The Dental Board of California (Board) revoked Dr. Errol M. Gillis’s license to practice dentistry after a mishandled root canal procedure and repeated failure to respond to the patient’s complaints of postprocedure complications. Gillis petitioned the superior court for issuance of a writ of administrative mandamus directing the Board to set aside its decision. The superior court granted the writ on the basis of numerous perceived legal errors and remanded the matter to the Board. The Board appealed, and we now reverse, concluding there were no prejudicial errors and the administrative record amply supports the Board’s disciplinary action.

I. Factual and Procedural Background1

In 2005 and 2006, Gillis worked part time as an endodontic specialist at Sears Dental in Concord, California. In September 2005, a dentist at a different office referred James J. to Sears Dental for root canal treatment on his No. 20 tooth. Gillis saw James J. for the first time on September 7, 2005, and began treatment. On September 26, James J. returned to Gillis for completion of the root canal.

At this second office visit, things began to go wrong. Gillis excessively “overfilled” James J.’s No. 20 tooth. Such an overfill put James J. at risk of permanent nerve damage within 96 hours and caused him major pain, swelling, and numbness. James J.’s wife called Sears Dental repeatedly on September 26, 27, and 28 in an attempt to confer with Gillis about her husband. Gillis was in the office on those days, but did not return any of the calls. On Friday, September 30, another dentist at a different office, Dr. Hoch, who was then helping James J. with his pain, spoke with Gillis and asked him to call James J.’s wife. Gillis did not call that day either. Gillis, himself, had made no arrangements for James J. to speak with another care provider in case he was unavailable. Finally, on Tuesday, October 4, Gillis called back.

Gillis had been aware of the overfill on the day it occurred, September 26, but did not inform James J. of it and did not note it in his chart. Nor did Gillis record the type of sealer he used during the procedure or contemporaneously record his postoperative instructions to James J. Two weeks later, after James J.’s complaints and contact with Dr. Hoch, Gillis prepared notes [315]*315about his treatment of James J. and put them in the file. These notes were not entirely accurate. For example, they stated Gillis spoke with James J.’s wife on October 1, when in actuality he did not speak with her until October 4.

Three years later, on September 19, 2008, the Board initiated a disciplinary action and filed an accusation against Gillis. Paragraph 5 of the accusation alleged, in seven lettered subparagraphs, numerous charges against Gillis related to his treatment of James J.: (A) negligence in failing to maintain complete patient records; (B) negligence in failing to develop and present to the patient a comprehensive treatment plan; (C) negligence in continuing to operate on a patient while the patient was under stress or duress; (D) negligence in using excessive force during the root canal treatment; (E) gross negligence and incompetence in overfilling the patient’s tooth during the root canal treatment; (F) negligence in failing to note, remove, or advise the patient of the overfill; and (G) gross negligence and unprofessional conduct in failing to respond for seven days to James J.’s wife’s postprocedure phone calls seeking help.

After a five-day hearing spanning days in June, July, and September 2009, an ALJ issued a proposed decision on December 3, 2009. The decision found the facts as set forth above and concluded Gillis was both grossly negligent and incompetent under Business and Professions Code section 16702 for overfilling James J.’s tooth (par. 5E), both grossly negligent and engaging in unprofessional conduct under section 1670 for failing to respond to the wife’s calls (par. 5G), and repeatedly negligent under section 1670 for failing to maintain complete patient records and failing to note the overfill or advise James J. about it (pars. 5A and 5F). The ALJ found the Board had not proved the other allegations of the accusation.

The ALJ noted under the Board’s disciplinary guidelines, the penalty for an instance of gross negligence or unprofessional conduct can range from, at a minimum, stayed revocation of license with probation to, at a maximum, license revocation. (See Cal. Code Regs., tit. 16, § 1018; Dental Bd. of Cal., Disciplinary Guidelines with Model Language (Aug. 30, 2010) p. 38 <http://www.dbc.ca.gov/formspubs/pub_dgml.pdf> [as of Apr. 30, 2012].)3 [316]*316The judge concluded “[pjrobation is not appropriate in this case,” because even if Gillis’s “charting and technical skills could be corrected, the evidence reveals that [he] is not a trustworthy practitioner,” was “indifferent to James J.’s needs,” fabricated evidence to enhance his chances at his hearing, and tried to pass blame to others rather than admit his conduct.4

The Board adopted the ALJ’s proposed decision as its own on December 23, 2009.

On January 22, 2010, Gillis petitioned the San Francisco Superior Court for a writ of mandate under Code of Civil Procedure section 1094.5. The trial court reviewed the administrative record and the moving, opposing, and reply papers, and held a 30-minute hearing on June 22, 2010.

At the hearing, the trial court read its tentative ruling. The tentative ruling stated, “[u]nder an independent review of the judgment, and reviewing findings of law de novo, the court finds that the ALJ made several errors of law.” The ruling then listed these perceived errors in the Board’s decision:

(1) The Board was wrong to conclude Gillis’s failure to return phone calls was unprofessional conduct under section 1670, because such conduct was not expressly listed amongst the types of unprofessional conduct enumerated in sections 1680, 1681, or 1682, part of the Dental Practice Act (§ 1600 et seq.).
(2) “Gross negligence appears to be more than a substantial departure from the standard of care.”
[317]*317(3) The Board could not discipline Gillis for both gross negligence and incompetence for the same act, the overfilling of the patient’s tooth, and for both unprofessional conduct and gross negligence for the same act, failing to return phone calls. Section 1670, according to the superior court, “prohibits the imposition of multiple forms of discipline for the same wrongful act.”
(4) The Board’s “decision does not provide analysis that [Gillis] was grossly negligent rather than simply negligent for failure to return phone calls.”
(5) The Board erred by defining “repeated negligence” in section 1670 as two or more acts of negligence.
(6) “It is unclear on what conduct the discipline was imposed.”
The tentative ruling concluded: “In view of the errors in legal theory, and the ambiguities noted in the decision [of the Board], the matter is remanded for redetermination of penalty.”

Before inviting argument from counsel, the trial court noted it reached its tentative ruling: “after . . .

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Cite This Page — Counsel Stack

Bluebook (online)
206 Cal. App. 4th 311, 141 Cal. Rptr. 3d 213, 2012 WL 1867050, 2012 Cal. App. LEXIS 609, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gillis-v-dental-board-calctapp-2012.