Holzem v. Presbyterian Healthcare Services

CourtNew Mexico Court of Appeals
DecidedJuly 17, 2013
Docket30,294
StatusPublished

This text of Holzem v. Presbyterian Healthcare Services (Holzem v. Presbyterian Healthcare Services) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Holzem v. Presbyterian Healthcare Services, (N.M. Ct. App. 2013).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Opinion Number: _______________

Filing Date: July 17, 2013

Docket No. 30,294

PETER J. HOLZEM, as Personal Representative for the WRONGFUL DEATH ESTATE OF DOUGLAS R. REID, deceased, and CHRISTAL REID, individually and as guardian and next friend of Darian Reed, a Minor,

Plaintiffs-Appellants,

v.

PRESBYTERIAN HEALTHCARE SERVICES and JOSEPH HELAK, D.O.,

Defendants-Appellees.

APPEAL FROM THE DISTRICT COURT OF RIO ARRIBA COUNTY Sheri A. Raphaelson, District Judge

John R. Polk Law Offices John R. Polk Albuquerque, NM

David A. Archuleta Albuquerque, NM

for Appellants

Rodey, Dickason, Sloan, Akin & Robb, P.A. Edward Ricco Jocelyn Drennan Albuquerque, NM

for Appellees

OPINION

HANISEE, Judge.

1 {1} Peter Holzem, the personal representative of Douglas Reid’s estate, and Christal Reid, Douglas Reid’s wife, (collectively, Plaintiffs) brought suit against Presbyterian Healthcare Services and Dr. Joseph Helak (Defendants), seeking damages for the wrongful death of Reid, under theories of medical negligence, respondeat superior, and corporate negligence. The district court granted summary judgment in favor of Defendants based on its conclusion that Plaintiffs lacked competent, admissible expert testimony to support the elements of duty and negligence with regard to Dr. Helak and to prove that Defendants’ actions or inactions proximately caused or contributed to cause Reid’s death. Plaintiffs appeal, asserting that genuine issues of material fact exist to preclude summary judgment, and contending that the district court abused its discretion in excluding both expert testimony and a medical study supporting Plaintiffs’ theory of the case. Because the district court abused its discretion in excluding the testimony of Plaintiffs’ proposed expert, Darwin Palmer, M.D., we reverse and remand.

I. BACKGROUND

{2} Reid, a thirty-four -year-old man, first developed influenza symptoms on either January 2 or 3, 2005. On January 4, he sought treatment at an urgent care center and was subsequently sent to an emergency room at Plains Regional Medical Center, both of which were owned by Defendant Presbyterian Healthcare Services. Dr. Helak treated Reid at the emergency room where Reid presented with symptoms consistent with influenza or gastroenteritis. Dr. Helak did not test Reid for influenza. Rather, Dr. Helak provided Reid with palliative treatment, addressing Reid’s symptoms, but not determining the underlying cause of his illness. Reid was subsequently sent home from the hospital.

{3} On January 5, Reid’s condition deteriorated, and he was seen by his primary care physician, Albert Kwan, M.D., who admitted him as a patient into Plains Regional Medical Center. Reid died there in the intensive care unit at 8:15 a.m. the following day. The autopsy report, issued on February 7, 2005, concluded that the cause of death was myocarditis (inflammation of the heart) due to an Influenza B infection.

{4} Plaintiffs subsequently brought this wrongful death action against Defendants. During the course of the case, Plaintiffs produced evidence from a medical expert, Dr. Palmer, who attested to breaches of the standard of care owed by Dr. Helak and the hospital’s nursing staff. The theory of Plaintiffs’ case was that Dr. Helak “failed to perform a differential diagnosis” when Reid initially presented in the emergency room and “failed to use an available . . . test for influenza.” Plaintiffs asserted that the “differential diagnosis is [a] standard practice in emergency rooms in New Mexico[,] medication is available to treat influenza along with other courses of action[, and that] Reid died of undiagnosed and untreated influenza.” Plaintiffs concluded that “Defendants failed to possess and apply the knowledge and use the skill and care owed to [Reid] and, as the proximate result of the negligence of Defendants, [Reid] died.”

{5} We note that Plaintiffs initiated their case on the primary theory that the negligent

2 medical action involved the failure to make a differential diagnosis. Yet the district court identified the material issue to be Plaintiffs’ ensuing contention that Dr. Helak should have given Reid Tamiflu, a drug used to prevent replication of the influenza virus, despite Defendants’ assertion that Reid had been symptomatic for about fifty hours upon arrival at the emergency room. The district court explained:

If it is true that the negligence in this case is only the failure to make a differential diagnosis[,] then . . . Plaintiff[]s would fail to be able to show that omission caused the death. Clearly, the allegation of . . . Plaintiff[s] is that if [Reid] had been given Tamiflu when he was seen in the emergency department he would have lived. It is that omission, the failure to give Tamiflu, that . . . Plaintiff[s are] necessarily saying caused the death.

We agree with the district court’s understanding of the nature of the claim asserted by Plaintiffs. In fact, to support their contention that a differential diagnosis would have improved Reid’s chances of recovery and survival, Plaintiffs relied on Dr. Palmer’s statement that it would have been medically appropriate for Reid to have been given the antiviral drug, Tamiflu, had the differential diagnosis been made. In his deposition, Dr. Palmer indicated that he was qualified to testify on this topic because he was an infectious disease specialist, who taught about and specialized in treating infectious diseases for twenty-nine years at the University of New Mexico Medical School. The courses he taught included instruction on the diagnosis and treatment of influenza.

{6} After extensive discovery in which Defendants deposed Plaintiffs’ experts, Defendants contemporaneously sought summary judgment and exclusion of testimony by Dr. Palmer. In their motion for summary judgment, which incorporated their separate motion to exclude opinion testimony by Dr. Palmer, Defendants argued that Plaintiffs failed to provide competent, admissible evidence to establish Dr. Helak’s breach of the standard of care or Defendants’ causation of Reid’s injuries and death. Defendants maintained that “Plaintiffs rely upon only one expert, Dr. Palmer, to express opinions on the standard of care applicable to Dr. Helak [and] . . . whether Dr. Helak breached that standard.” Defendants also asserted that Dr. Palmer was unqualified to express opinions as to either breach or causation because he “does not possess adequate training or experience in emergency medicine,” and because he “has no practical experience with Tamiflu, and has not otherwise reviewed or researched . . . this drug[.]”

{7} In his January 2009 deposition, Dr. Palmer stated that he had not practiced emergency medicine for nearly fifty years and had never specialized in emergency medicine. As well, Defendant produced evidence showing that Tamiflu was not available for prescription until 1999 at the earliest, approximately four years after Dr. Palmer retired from practicing medicine. We note that although Dr. Palmer was licensed to practice medicine at the time of his 2009 deposition, he testified that he had not worked or had privileges at any hospital since 1995 and that he had never provided medical care as a private practitioner. Dr. Palmer testified at his deposition that he could not recall practicing medicine between

3 1997 and 2004.

{8} Dr. Palmer further stated when deposed he had not reviewed any literature regarding Tamiflu in preparation for his deposition and that he did not plan to refer to medical research, literature, or studies of any kind when he testified at trial. Dr.

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Holzem v. Presbyterian Healthcare Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/holzem-v-presbyterian-healthcare-services-nmctapp-2013.