In Re: Gabriella Posess

Louisiana Court of Appeal·Decided September 28, 2022·No. 22-CA-18·Unknown

Opinion

IN RE: GABRIELLA POSESS NO. 22-CA-18 FIFTH CIRCUIT

COURT OF APPEAL

STATE OF LOUISIANA

ON APPEAL FROM THE TWENTY-FOURTH JUDICIAL DISTRICT COURT PARISH OF JEFFERSON, STATE OF LOUISIANA NO. 810-962, DIVISION "A"

HONORABLE RAYMOND S. STEIB, JR., JUDGE PRESIDING

September 28, 2022

SUSAN M. CHEHARDY

CHIEF JUDGE

Panel composed of Judges Susan M. Chehardy, Fredericka Homberg Wicker, and Marc E. Johnson

AFFIRMED SMC FHW MEJ

COUNSEL FOR PLAINTIFF/APPELLANT, GABRIELLA POSESS Zachary R. Christiansen

COUNSEL FOR DEFENDANT/APPELLEE, DR. CRAIG LEDET, DR. JOHN SALMON, AND UPTOWN PMR Marc W. Judice Adam P. Gulotta

CHEHARDY, C.J.

In this medical malpractice action, plaintiff challenges the trial court’s July 28, 2021 judgment in favor of defendants finding that her claim against them had prescribed and dismissing her lawsuit and medical review panel claims. For the following reasons, finding the trial court did not manifestly err in determining that the discovery rule did not apply to suspend the prescriptive period for plaintiff to file her medical malpractice action against defendants beyond one year from July 2018, we affirm the trial court’s judgment. FACTUAL BACKGROUND AND PROCEDURAL HISTORY On September 17, 2019, plaintiff, Gabriella Posess, filed a medical malpractice complaint with the Division of Administration requesting the formation of a medical review panel pursuant to La. R.S. 40:1231.8. Uptown Premier Medical Rehab, L.L.C. d/b/a Uptown PMR (“Uptown PMR”), Dr. Craig Ledet, D.C, Dr. John Salmon, D.C., A.J. Friedman, M.D. and Robert Kelly, M.D. were named defendants. The complaint alleged malpractice in connection with medical care and chiropractic treatment rendered to plaintiff from November 29, 2017, through May 31, 2018, for injuries she sustained in an automobile accident that occurred on September 26, 2017.

The following facts are taken from the malpractice complaint: Following plaintiff’s automobile accident, plaintiff presented to Uptown PMR on September 29, 2017, seeking treatment for her injuries.1 Dr. Kelly, a general practitioner, initially evaluated plaintiff and obtained her medical history, which included

1 The medical records that were introduced into evidence at the hearing on defendants’ exception of prescription indicate that, on referral by her attorney representing her in the motor vehicle accident, plaintiff presented to Uptown PMR with headaches, nausea, mid to upper back pain, fatigue, and a change in her appetite.

congenital hydrocephalus, shunt placement, and surgical repairs to the shunt, performed via endoscopic third ventriculostomies.2 Following Dr. Kelly’s examination and assessment, he prescribed a chiropractic course of therapy. Plaintiff received her first chiropractic adjustment on October 2, 2017, and thereafter, followed up with Dr. Kelly for an additional consult on October 4, 2017.

On October 6, 2017, plaintiff presented to Dr. Friedman, a neurologist at Uptown PMR, for a neurological consultation. At that time, plaintiff reiterated her medical history of congenital hydrocephalus to Dr. Friedman, including the shunt placement, revision, and endoscopic third ventriculostomies. Following the consult, Dr. Friedman recommended that plaintiff continue with chiropractic treatment for her injuries. Plaintiff followed up with Dr. Friedman for a second consultation on November 13, 2017. Due to her continuing complaints of pain and other symptoms, Dr. Friedman recommended that she continue with the prescribed chiropractic treatment.

On November 29, 2017,3 plaintiff presented to Uptown PMR and was seen by Dr. Salmon for a chiropractic adjustment and continued therapy. Immediately after the adjustment and manipulation, plaintiff experienced extreme nausea, dizziness, and an increase in her headaches. During the chiropractic adjustment and manipulation on December 1, 2017—and at each therapy session thereafter—

2 Hydrocephalus is an abnormal buildup of fluid in the ventricles (cavities) deep within the brain.

This excess fluid causes the ventricles to widen, putting pressure on the brain’s tissues. Cerebrospinal fluid is the clear, colorless fluid that protects and cushions the brain and spine. The pressure of too much cerebrospinal fluid associated with hydrocephalus can damage brain tissues and cause a range of brain function problems. An endoscopic third ventriculostomy (“ETV”) is a minimally invasive surgical procedure indicated for the treatment of hydrocephalus in which an opening is created in the third floor of the third ventricle using an endoscope placed within the ventricular system through a burr hole allowing the buildup of cerebrospinal fluid to bypass the blockage restoring appropriate cerebrospinal fluid flow. An ETV is an alternative to placement of a cerebrospinal shunt. 3 There is a discrepancy in plaintiff’s complaint as to the date she underwent the pivotal chiropractic adjustment by Dr. Salmon that commenced the dates of malpractice. The complaint references two dates—November 29, 2017 and November 27, 2017. There were no medical records attached to plaintiff’s complaint, however, the medical records filed into the record by defendants at the hearing on the exception of prescription establishes that the correct date is November 29, 2017.

plaintiff verbally expressed that she was experiencing extreme nausea and a worsening of her headaches since the November 29, 2017 adjustment. Because of her ongoing complaints of thoracic and lumbar pain, Dr. Salmon ordered a thoracic and lumbar MRI on May 11, 2018, which revealed “disc dissection at the L5-S1 level” and “compression of the exiting nerve root.” Plaintiff discontinued treatment with defendants on May 31, 2018.

On September 21, 2018, plaintiff presented to Dr. Antonio Prats, a neurosurgeon, for a “return consultation.” At that time, her chief complaint was of low back pain that started following her September 26, 2017 automobile accident. Plaintiff reported that immediately after the accident in 2017, she noted the onset of thoracic pain, for which she was treated with chiropractic adjustments and manipulations that did not improve her symptoms. Plaintiff advised Dr. Prats that she began to experience low back pain that occurred after the chiropractic maneuvers in November of 2017, and noticed “some discomfort and a funny sensation radiating down the lateral aspect of the right leg.” Plaintiff reported that “since she discontinued the chiropractic manipulation,” she “noticed rehabilitation.” Dr. Prats reviewed the MRI of plaintiff’s lumbar spine from May 31, 2018, and noted that “[o]f significance is disc dissection at the L5-S1 level associated with the distal that is eccentric to the right side causing mild compression of the exiting nerve root.” Plaintiff claims defendants’ malpractice was not discovered until September 21, 2018, presumably as a result of her consultation with Dr. Prats.

Plaintiff alleged the following breaches of the standard of care as to Dr.

Salmon:

1. In negligently performing the chiropractic maneuver on November 27, 2017;

2. In utilizing too much force and over extending the spinal column causing L5-S1 disc herniation and nerve root impingement;

3. In performing chiropractic maneuvers on a patient with hydrocephalus;

and

4. In continuing to perform chiropractic maneuvers on a patient with hydrocephalus who was displaying signs of neurological complications from congenital hydrocephalus.

As to Dr. Ledet, plaintiff alleged that he deviated from the standard of care:

1. In performing chiropractic maneuvers on [sic] patient with hydrocephalus who was displaying frank signs of a neurological complication from congenital hydrocephalus;

2. In performing chiropractic maneuvers on a patient with hydrocephalus;

3. In failing to do a proper chiropractic work up;

4. In failing to properly supervise other chiropractors for which he was responsible; and

5. In failing to conform to the standard of care.

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