Jaime v. St. Joseph Hospital Foundation

853 S.W.2d 604, 1993 Tex. App. LEXIS 793, 1993 WL 73428
CourtCourt of Appeals of Texas
DecidedMarch 18, 1993
Docket01-92-00207-CV
StatusPublished
Cited by4 cases

This text of 853 S.W.2d 604 (Jaime v. St. Joseph Hospital Foundation) 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
Jaime v. St. Joseph Hospital Foundation, 853 S.W.2d 604, 1993 Tex. App. LEXIS 793, 1993 WL 73428 (Tex. Ct. App. 1993).

Opinion

OPINION

COHEN, Justice.

This is an appeal from a summary judgment granted in favor of appellee, St. Joseph Hospital Foundation (the Hospital).

*607 Appellant alleged Encarnation Jaime contracted Acquired Immune Deficiency Syndrome (AIDS) from a blood transfusion she received at the Hospital in December of 1982, prior to surgery there. Jaime was admitted on December 7,1982 for the delivery of her first child. The Hospital discharged Jaime and her baby on December 11. Jaime was re-admitted later on December 11, however, due to postpartum vaginal bleeding. Surgery was conducted (a curettage of the uterus). In preparation for that surgery, the Hospital gave Jaime a blood transfusion with blood supplied by the Gulf Coast Regional Blood Center (Gulf Coast). Appellant alleged the blood was contaminated with AIDS. Jaime ultimately died of AIDS related complications.

Prior to Jaime’s death, she sued the treating physician, Margaret L. Condit, M.D., and the Hospital for medical malpractice. Appellant later nonsuited the physician. Concerning the Hospital, appellant alleged: (1) the mother’s loss of blood was negligently caused by the Hospital; (2) the transfusion was unnecessary; (3) the Hospital negligently failed to screen blood donors, or negligently failed to require the blood bank, Gulf Coast, to screen blood donors; and (4) the Hospital negligently failed to employ surrogate tests on blood for hepatitis, which fortuitously would have reduced by 88 percent the risk of receiving AIDS-tainted blood. 1

The four essential elements of a medical negligence claim are: (1) a duty to conform to a certain standard of care; (2) a failure to conform to the required standard; (3) actual injury; and (4) a reasonably close causal connection between the conduct and the injury. Tilotta v. Goodall, 752 S.W.2d 160, 161 (Tex.App.—Houston [1st Dist.] 1988, writ denied). The plaintiff must prove by competent medical evidence, either that the defendant did something other health care providers using ordinary care would not have done or that it failed to do something they would have done under the same circumstances. Birchfield v. Texarkana Memorial Hosp., 747 S.W.2d 361, 366 (Tex.1987).

A defendant seeking summary judgment must prove conclusively that the plaintiff cannot prevail. Griffin v. Row-den, 654 S.W.2d 435, 435-36 (Tex.1983). This may be accomplished by showing at least one element of the plaintiff’s claim has been established conclusively against the plaintiff. Gray v. Bertrand, 723 S.W.2d 957, 958 (Tex.1987). When the defendant has produced competent evidence to negate a necessary element of the plaintiff’s cause of action, the plaintiff must then introduce evidence that raises a fact issue with respect to the element the defendant seeks to negate. Sakowitz Inc. v. Steck, 669 S.W.2d 105, 107-08 (Tex.1984). Summary judgment for the defendant is proper only if, as a matter of law, the plaintiff cannot succeed on any theory pled. Delgado v. Burns, 656 S.W.2d 428, 429 (Tex.1983).

We must take all evidence favorable to the nonmovant as true and grant every reasonable inference in favor of the nonmoving party. Nixon v. Mr. Property *608 Management Co., 690 S.W.2d 546, 548-49 (Tex.1985). Moreover, when the trial judge’s order does not specify the grounds for the ruling, the summary judgment will be affirmed if any ground is meritorious. Insurance Co. of North Am. v. Security Ins. Co., 790 S.W.2d 407, 410 (Tex.App.—Houston [1st Dist.] 1990, no writ).

Loss of Blood and Unnecessary Transfusion

The Hospital denied that it negligently caused Jaime’s loss of blood and that the transfusion was unnecessary, offering Dr. Miller’s affidavit. Appellant offered no affidavit to controvert this summary judgment proof. In the fourth point of error, appellant claims Dr. Miller’s affidavit did not establish the standard of care, thus, summary judgment was improper.

In medical negligence cases, the court must be guided solely by the expert opinion. Wheeler v. Aldama-Luebbert, 707 S.W.2d 213, 215 (Tex.App.—Houston [1st Dist.] 1986, no writ). A summary judgment may be based on an expert’s uncontroverted testimony if the testimony is clear, positive, direct, otherwise credible, and free from contradictions and inconsistencies, and capable of being readily controverted. Republic Nat’l Leasing Corp. v. Schindler, 717 S.W.2d 606, 607 (Tex.1986); Tex.R.Civ.P. 166a(c).

Dr. Miller’s affidavit, regarding the Hospital’s alleged negligence, states: 2

I am familiar with the standard of care applicable to prenatal and perinatal nursing care and examinations in Houston, Texas, in 1982. It is also my expert opinion that the examinations and treatments of Ms. Jaime performed by the nursing staff were in accordance with the appropriate standard of care. From the nursing record it appears that Ms. Jaime’s postpartum stay was uneventful. The only progress note worth attention was written on 12/8/82 at 10:45 a.m., Ms. Jaime’s hemoglobin and hematocrit were noted to be 9.1 and 26.0, respectively, and her white blood cell count was noted to be 15,200. This indicates the patient was anemic due to the blood loss during delivery. The applicable standard of care dictates that special treatment, such as a blood transfusion or curettage, is generally not indicated for a patient who is in this anemic condition but not actively bleeding and who does not require surgery. Thus, the actions of the nursing staff were within the applicable standard of care because Ms. Jaime’s condition did indicate a need for special care. It is my expert opinion that such blood loss is not uncommon for a young, eighteen year old woman who has delivered a large, 8.9 pound baby. The remainder of the progress notes do not indicate any further problems with Ms. Jaime’s postpartum recovery.
I am familiar with the standard of care in Houston, Texas in 1982 which was applicable to a patient who is readmitted with post-partum vaginal bleeding. Pursuant to the applicable standard of care, a curettage of the uterus was indicated for a patient who is re-admitted with postpartum vaginal bleeding. The applicable standard of care also indicated that the scrapings obtained from the curettage be sent to pathology for microscopic review. When Ms. Jaime was re-admitted to St. Joseph on December 11, 1982, she was diagnosed as having postpartum vaginal bleeding.

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Bluebook (online)
853 S.W.2d 604, 1993 Tex. App. LEXIS 793, 1993 WL 73428, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jaime-v-st-joseph-hospital-foundation-texapp-1993.