in Re Autozone Parts, Inc. and Aaron Allen
Opinion
Opinion issued November 2, 2017
In The
Court of Appeals
For The
First District of Texas
for the medical exam after Maturey designated medical doctors as witnesses who might testify regarding his physical injuries and his need for future medical care; and (2) they lack an adequate remedy on appeal. We conditionally grant the petition.
Background
This case arose out of a car accident between vehicles operated by Maturey and Allen. At the time of the accident, Allen was driving a vehicle in the course and scope of his employment with AutoZone. Maturey sued AutoZone and Allen for negligence, alleging injuries to his back and neck. Maturey designated multiple medical providers as expert witnesses.
AutoZone and Allen moved that Maturey be required to submit to a medical examination by one of their experts, an orthopedic surgeon. See TEX. R. CIV. P. 204. Maturey responded that AutoZone and Allen had failed to show “good cause” for the examination. The trial court denied the motion.
Discussion
In their petition, AutoZone and Allen contend that the trial court’s order denying their medical exam motion was an abuse of discretion because they met the requirements for a medical examination under Texas Rule of Civil Procedure 204.1.
I. Standard of Review Mandamus is available only when the relator can show both that (1) the trial court clearly abused its discretion or violated a duty imposed by law, and (2) there
is no adequate remedy by way of appeal. In re Ford Motor Co., 165 S.W.3d 315, 317 (Tex. 2005) (per curiam) (orig. proceeding); Walker v. Packer, 827 S.W.2d 833, 839–40 (Tex. 1992) (orig. proceeding); see also In re H & R Block, 159 S.W.3d 127, 132 (Tex. App.—Corpus Christi 2004, orig. proceeding). In determining whether an appeal is adequate, we consider whether the benefits outweigh the detriments of mandamus review. In re BP Prods. N. Am., Inc., 244 S.W.3d 840, 845 (Tex. 2008) (orig. proceeding).
II. Applicable Law Rule 204.1 governs whether a movant may obtain a physical or mental examination of another party. TEX. R. CIV. P. 204.1(a); In re H.E.B. Grocery Co., L.P., 492 S.W.3d 300, 303 (Tex. 2016). The trial court may grant a Rule 204.1 motion if the movant shows that (1) “good cause” exists and (2) the physical condition is “in controversy.” TEX. R. CIV. P. 204.1(c). “Accordingly, ‘good cause’ must be shown for issuance of the exams, which may be shown when the mental or physical condition of the party is ‘in controversy,’ or the party responding to the motion has designated a psychologist as a testifying expert or disclosed a psychologist’s records for possible use at trial.” In re Reliable Com. Roofing Servs., No. 01-15-00450-CV, 2016 WL 3345483, at *4 (Tex. App.—Houston [1st Dist.] May 24, 2016, orig. proceeding) (citing In re Medina, No. 01–07–007474–CV, 2007
WL 4279171, at *2 (Tex. App.—Houston [1st Dist.] Dec. 6, 2007, orig. proceeding)).
“Good cause” for Rule 204.1(c) is shown when (1) the examination is relevant to issues in the case and that the examination will produce, or is likely to lead to, relevant evidence; (2) there is a reasonable nexus between the condition of the person to be examined and the examination sought; and (3) it is impossible to obtain the desired information through means that are less intrusive than a compelled examination. Id. (citing Coates v. Whittington, 758 S.W.2d 749, 753 (Tex. 1988)). The “in controversy” requirement varies according to whether physical or mental medical exams are at issue. Medina, 2007 WL 4279171, at *2. Physical injuries have been held to be in controversy when a party (1) places the condition into controversy by employing it either in support of, or in defense of, a claim or (2) a party affirmatively shows that the condition is in controversy. Id. (citing Williams v. Sanderson, 904 S.W.2d 212, 214–15 (Tex. App.—Beaumont 1995, no writ)). Mental exams are subject to a more rigorous standard due to their sensitive nature. Id.
III. Good Cause Maturey has designated multiple medical providers as expert witnesses to
testify regarding (1) the nature and extent of his injuries, (2) the proximate cause thereof, (3) their examinations, diagnoses and treatment of Maturey, and (4) Maturey’s prognosis and need for future medical care. By designating expert
medical testimony to prove his alleged physical condition, Maturey has placed his physical condition “in controversy.” See Coates, 758 S.W.2d at 753; Reliable Com. Roofing Servs., 2016 WL 3345483, at *5-6; Laub v. Millard, 925 S.W.2d 363, 364 (Tex. App.—Houston [1st Dist.] 1996, no writ); Beamon v. O’Neill, 865 S.W.2d 583, 586 (Tex. App.—Houston [14th Dist.] 1993, orig. proceeding) (granting mandamus relief compelling trial court to vacate denial of medical examination of plaintiff); Sherwood Lane Assocs. v. O’Neill, 782 S.W.2d 942, 944 (Tex. App.— Houston [1st Dist.] 1990, orig. proceeding); Amis v. Ashworth, 802 S.W.2d 374, 378 (Tex. App.—Tyler 1990, orig. proceeding).2 Further, AutoZone and Allen have met the requirements for establishing good cause for a medical exam as set by the Texas Supreme Court in Coates v. Whittington, 758 S.W.2d 749 (Tex. 1988).
Relevance. The issues in controversy are the existence and extent of Maturey’s physical injuries; thus, Maturey’s medical condition is relevant. See H.E.B. Grocery Co, 492 S.W.3d at 303 (holding that physical examination was relevant where “the issues in controversy are the existence and extent of [plaintiff’s] physical injuries”). Maturey’s expert has recommended a “right-sided L4-5 and L5- S1 medial branch block and endoscopic rhizotomies” as a result of disc herniations
2 Rule 204.1 superseded the previous Texas Rule of Civil Procedure 167a, which also provided that such an order was available when a party’s condition was “in controversy,” and “for good cause shown.”
in Maturey’s back and neck. Although a medical exam is not warranted in every case in which the nature and extent of the plaintiff’s injuries are disputed, Maturey’s experts are recommending surgery based on their examination and treatment of Maturey’s injuries. Maturey’s petition alleges damages of “two hundred thousand dollars but not to exceed one million dollars to be determined by the fact finder in its sole discretion.” In answers to discovery, Maturey provided an estimate for future surgery of over $22,000 with additional expenses to be supplemented.
Maturey argued to the trial court that the requested exam is “not relevant discovery” because the purpose of the exam would be for litigation, not treatment. But Maturey failed to provide any authority that Rule 204 limits medical examinations to those experts who are treating the plaintiff. On the contrary, the rule specifically provides that physical exams may be sought for the purpose of litigation. Maturey’s proposed limitation, thus, directly conflicts with the allowance of such exams under the rules.
Reasonable Nexus. A “reasonable nexus” exists between the condition in controversy and the examination sought if the purpose of the requested exam (here, an orthopedic examination) is to determine the existence, nature and extent of the plaintiff’s injuries and (as here) those injuries make up the “condition in controversy.” H.E.B. Grocery Co., 492 S.W.3d at 303.
Less Intrusive Means. Finally, Maturey contends that there are less intrusive means to obtain his medical information, pointing out that his doctors will be made available for deposition, and in any event, his medical records already have been made available. Similar “less intrusive means” arguments have been considered and rejected by the Texas Supreme Court and this court. See H.E.B. Grocery Co., 492 S.W.3d at 303-304; Reliable Com. Roofing Servs., 2016 WL 3345483, at*6. As the Texas Supreme Court reasoned, requiring a defendant’s medical expert to testify without the benefit of having examined the plaintiff places that expert at a distinct disadvantage at trial. See H.E.B. Grocery Co., 492 S.W.3d at 304.
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