In Re: Gabriella Posess

CourtLouisiana Court of Appeal
DecidedSeptember 28, 2022
Docket22-CA-18
StatusUnknown

This text of In Re: Gabriella Posess (In Re: Gabriella Posess) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re: Gabriella Posess, (La. Ct. App. 2022).

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.

22-CA-18 1 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.

22-CA-18 2 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;

22-CA-18 3 3. In performing chiropractic maneuvers on a patient with hydrocephalus; and 4.

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In Re: Gabriella Posess, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-gabriella-posess-lactapp-2022.