In Re Covenant Medical Center

167 S.W.3d 919, 2005 Tex. App. LEXIS 5282, 2005 WL 1593431
CourtCourt of Appeals of Texas
DecidedJuly 7, 2005
Docket07-05-0033-CV
StatusPublished
Cited by8 cases

This text of 167 S.W.3d 919 (In Re Covenant Medical Center) 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
In Re Covenant Medical Center, 167 S.W.3d 919, 2005 Tex. App. LEXIS 5282, 2005 WL 1593431 (Tex. Ct. App. 2005).

Opinions

BRIAN QUINN, Chief Justice.

Covenant Medical Center and John Eaton, L.V.N. (collectively referred to as Covenant), petitioned this court for a writ of mandamus directing the trial court to 1) vacate its order granting Andrew Cord a 30-day grace period to file a medical expert report under § 13.01(g) of article 4590i of the Texas Revised Civil Statutes and 2) dismiss Cord’s suit. Cord was not entitled to an extension because the medical report tendered fell outside the scope of § 13.01(g), says Covenant, and, therefore, the trial court was obligated to dismiss the suit.1 We deny the application.

The first question we must address is whether the avenue of mandamus can be used to address the issue before us. As recently as this year, a panel of this court held that it could. See In re Brown, No. 07-04-0455-CV, 2005 WL 176504 at *1 (Tex.App.-Amarillo January 27, 2005, orig. proceeding); accord, In re Rodriguez, 99 S.W.3d 825, 827-28 (Tex.App.-Amarillo 2003, orig. proceeding) (holding the same); In re Morris, 93 S.W.3d 388, 390 (Tex.App.-Amarillo 2002, orig. proceeding) (holding the same). So the answer is yes.

Next, we must determine whether the trial court abused its discretion by granting Cord 30 additional days to file an adequate expert report. See In re Entergy Corp., 142 S.W.3d 316, 320 (Tex.2004) (holding that before mandamus can issue, the applicant must show that the trial court clearly abused its discretion); Walker v. Gutierrez, 111 S.W.3d 56, 63 (Tex.2003) (holding that the appropriate standard of review when assessing whether the trial court erred in granting an extension is one of abused discretion). According to Covenant, such an abuse occurred because the failure to timely provide an adequate report resulted not from an accident or mistake, as contemplated by art. 4590i, § 13.01(g), but rather intentional or consciously indifferent conduct.2 Moreover, the conduct consisted of a purported mistake of law concerning the qualifications or ability of a registered nurse to opine about what caused the injury at issue.

[921]*921The expert in question (Paula L. Antog-noli, Ph.D., R.N., C.N.A.A.) was, and is, a registered nurse with a doctorate in philosophy. In her report, she generally described the length of time she practiced nursing, her duties, and the areas of her “clinical expertise.” The latter included “medical/surgical, critical care, emergency and trauma care, and surgical services .... ” So too did she state that the “enclosed vita attests to my qualifications as a result of my education and experience to render an opinion about the standard of care applicable to this case.” (Emphasis added). Nowhere in the report or vitae, however, did she expressly represent that her qualifications also enabled her to address causation.

One suing another for medical malpractice must

[n]ot later than the later of the 180th day after the date on which a health care liability claim is filed or the last day of any extended period ... (1) furnish to counsel for each physician ... one or more expert reports, with a curriculum vitae of each expert listed in the report; or (2) voluntarily nonsuit the action against the physician....

Tex.Rev.Civ. Stat. Ann. art. 4590i, § 13.01(d) (Vernon Supp.2003). For a report to satisfy art. 4590i, § 13.01(d), it must be written by an expert and provide a fair summary of that expert’s opinions regarding the applicable standard of care, its breach, and the causal relationship between the breach and injury. Chisholm v. Maron, 63 S.W.3d 903, 906 (Tex.App.-Amarillo 2001, no pet.). So too must it and the attached vitae establish the expert’s qualifications as an expert. Id. That is, it must show that the declarant is qualified as an expert on the subject about which he speaks. Id. at 906-07; accord In re Windisch, 138 S.W.3d 507, 511 (Tex.App.-Amarillo 2004, orig. proceeding).

Next, while expert testimony is normally required to establish the elements of a medical malpractice claim, see Hood v. Phillips, 554 S.W.2d 160, 165-66 (Tex.1977), that rule has its exceptions. For instance, under some circumstances it may not be necessary to prove causation. Schneider v. Haws, 118 S.W.3d 886, 892-93 (Tex.App.-Amarillo 2003, no pet.); Traut v. Beaty, 75 S.W.3d 661, 668 (Tex.App.-Texarkana 2002, no pet.). Those circumstances include situations wherein the relationship between the act and result is a topic that can be accessed simply through the exercise of a factfinder’s general experience and common sense. Id.

At bar, Cord sued Covenant and a licensed vocational nurse (LVN). His complaints were founded upon alleged breaches of standards applicable to the nursing profession. Being that the standards of care at issue pertained to nursing, as opposed to the practice of medicine by a physician, Cord had a registered nurse (Antognoli) review the supposed misfeasance and draft a report per § 13.01(d), art. 4590L In her report, Antognoli not only described the acts she deemed misfeasance but also opined about the applicable standards of care which a muse was to follow, their breach, and the causal relationship between their breach and injury suffered by Cord. Furthermore, in explaining her qualifications as an expert, she said nothing about her ability to discuss the topic of causation. Instead, she simply represented that her education and experience enabled her “to render an opinion about the standard of care_” Thereafter, the trial court found the report deficient; it apparently believed that she either was not qualified as an expert to opine about causation or did not illustrate that she was so qualified. Nonetheless, it eventually gave Cord 30 more days to file a report satisfying the requirements of § 13.01(d).

[922]*922Implicit in the decision to extend Cord more time is the finding that neither he nor his attorney acted intentionally or with conscious indifference when tendering the initial report.3 Indeed, one of Cord’s attorney’s testified that they did not so act but thought a nurse such as Antognoli was qualified to opine about the results of one’s failure to abide by standards of care recognized in the field of nursing. And, while admitting that Antognoli may not have been qualified to discuss the “extent of the brain damage” suffered by Cord, he nonetheless thought her capable of analyzing the effect one’s inability to breathe would have on one’s well-being. Indeed, he informed the trial court that with regard to the failure to “monitor a patient, if a patient stops breathing, you probably don’t even need to be a nurse to say that’s going to cause harm.”

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In Re Covenant Medical Center
167 S.W.3d 919 (Court of Appeals of Texas, 2005)

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Bluebook (online)
167 S.W.3d 919, 2005 Tex. App. LEXIS 5282, 2005 WL 1593431, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-covenant-medical-center-texapp-2005.