Alt v. Key
IN THE
TENTH COURT OF APPEALS
No. 10-91-129-CV
     JEWELL ALT, ET AL.,
                                                                                              Appellants
     v.
     WILLIAM F. KEY, M.D., ET AL.,
                                                                                              Appellees
From the 220th District Court
Bosque County, Texas
Trial Court # B-161-89
                                                                                                   Â
O P I N I O N
                                                                                                   Â
      Jewell Alt and Howard Alt, individually and on behalf of the estate of Russell Alt, sued Dr.
William Key, Dr. T.W. Murphy, and Clifton Medical & Surgical Clinical Association for medical
malpractice in connection with Russell Alt's death. The jury refused to find that Dr. Key and Dr.
Murphy were negligent but found that Jewell and Russell Alt's negligence was the proximate cause
of Russell's death. Jewell and Howard complain that, because Dr. Key was negligent as a matter
of law, the court erred when it denied their motion for a new trial. They also argue that the
refusal to find Dr. Key negligent was against the great weight and preponderance of the evidence.
We affirm.
      On September 4, 1988, Russell Alt, accompanied by his wife, Jewell, who is a pharmacist,
went to the emergency room at Goodall-Witcher Hospital. Russell was experiencing symptoms
commonly associated with heart problems. Dr. Key, the attending physician, recommended
hospitalization. The Alts, however, claimed they could not afford hospitalization and did not have
insurance that would cover the costs. Thus, they left the hospital with prescription medications
and instructions to report to a clinic in forty-eight to seventy-two hours. On September 6 Russell
went to the clinic and claimed to be feeling better. However, on September 8 he died of
complications resulting from a heart attack.
STANDARD AND SCOPE OF REVIEW
      The first and third points are that, because Dr. Key's negligence on September 4 and
September 6 was established as a matter of law, the court erred when it denied the motion for a
new trial. Findings of fact are binding on the appellate court unless either the contrary is
established as a matter of law, or there is no evidence to support the finding. McGalliard v.
Kuhlmann, 722 S.W.2d 694, 696 (Tex. 1986). When reviewing the evidence, this court must
disregard all evidence to the contrary and uphold the finding if there is any evidence to support
it. See id. at 696-97.
      Jewell and Howard complain in points two and four that the jury's refusal to find Dr. Key
negligent on September 4 and September 6 was against the great weight and preponderance of the
evidence. This is the standard of review when a party having the burden of proof on the question
attacks the jury's refusal to find the affirmative. See Croucher v. Croucher, 660 S.W.2d 55, 58
(Tex. 1983). A complaint that the finding is against the great weight and preponderance of the
evidence will be reviewed in light of the entire record to determine whether it was clearly wrong
or manifestly unjust. See Traylor v. Goulding, 497 S.W.2d 944, 945 (Tex. 1973). Furthermore,
the fact-finder is the judge of the credibility of the witnesses and the weight to be given their
testimony. Carson v. Kee, 677 S.W.2d 283, 284 (Tex. App.âFort Worth 1984, no writ).
FACTS
      September 4, 1988
      Dr. Key was the attending physician at the emergency room. The medical records reflect that
Russell had "right quadrant pain going into both arms-also diaphoretic-stomach bloating-lots of
gas-running a temperature also-short of breath." Dr. Key recognized that the symptoms suggested
heart problems and ordered a cardiac-enzymes analysis and an electrocardiogram. Dr. Murphy
analyzed the results of the electrocardiogram.
      Dr. Key gave the following testimony. He told the Alts that Russell had some heart damage
and recommended hospitalization for further testing. Although he suspected a heart problem, Dr.
Key never: (1) told the Alts that unstable angina was a potential diagnosis; (2) explained the
treatments available in the hospital; or (3) informed the Alts that Russell was at risk of having a
heart attack or even sudden death.
      The Alts said they could not afford hospitalization and did not have insurance that would
cover the costs. They then asked for an alternative. Dr. Key, who emphasized that he felt Russell
should be in the hospital, prescribed several medications and told Russell to come to his clinic in
forty-eight to seventy-two hours.
      Russell Alt was feeling ill enough to cause him to seek emergency medical attention on
September 4. Yet, despite the doctor's recommendation, he refused hospitalization. Jewell, a
pharmacist, recognized one of the medications prescribed as a medication typically given for
"heart pain." She also admitted that Russell smoked approximately two packs of cigarettes a day
and that she was familiar with warnings that smoking may cause heart disease.
      Dr. Shoultz, a Waco-area physician specializing in cardiovascular diseases, reviewed Russell's
medical records and testified that the records indicate that Dr. Key recommended hospitalization
on September 4. He also claimed that Dr. Key provided adequate information concerning the
course of the treatment suggested and noted that a doctor has to be careful what to "unload" on
a patient with potential heart problems, although he did admit that "the more information you can
give them, the better off they are." Dr. Shoultz testified that Dr. Key's treatment of Russell was
reasonable and within the applicable standard of care.
      Dr. Murphy, Dr. Key's partner, admitted that the standard of care when unstable angina is
suspected is hospitalization for treatment and that a patient should be told if his condition is
immediately life threatening.
      Dr. Dittrich, from California, claimed that readily available forms of treatment for unstable
angina exist in a hospital. Dr. Key, he alleged, did not meet the appropriate standard of care
because he failed to hospitalize Russell. Dr. Dittrich further testified that when Russell initially
refused hospitalization, Dr. Key should have described "exactly" what could happen as a result.
      Dr. Hellstern, a Dallas physician, testified that when Russell refused hospitalization Dr. Key
should have explained all the possible consequences. He also said that accepting Russell's decision
to refuse hospitalization, without explaining the possible consequences, was below the standard
of care.
      We find that some evidence supports the refusal to find that, with respect to Russell's death,
Dr. Key was negligent on September 4. See McGalliard, 722 S.W.2d at 696. Furthermore, based
on the record as a whole, that refusal to find was not clearly wrong or manifestly unjust. See
Traylor, 497 S.W.2d at 945. The jury could have chosen to accept Dr. Key's and Dr. Shoultz's
testimony or to believe that the Alts' negligence, when they refused hospitalization after seeking
emergency medical treatment for symptoms commonly associated with a heart problem, negated
any negligence on the part of Dr. Key. See Carson, 677 S.W.2d at 284. Points one and two are
overruled.
September 6, 1988
      Russell reported to Dr. Key's clinic on September 6 and claimed to be feeling better. Dr. Key
ordered another electrocardiogram, which showed no change from the September 4
electrocardiogram. He did not (1) tell the Alts that unstable angina was still a potential diagnosis,
(2) explain the treatments available in the hospital, (3) inform the Alts that Russell was at risk of
having a heart attack or even sudden death, or (4) recommend hospitalization.
      Dr. Shoultz testified that, in light of the patient's claim that he was feeling better, Dr. Key's
actions were reasonable. Dr. Dittrich and Dr. Hellstern stated, however, that the
electrocardiogram on September 6 indicated that Russell had taken a "turn for the worse." Thus,
they claimed that not recommending hospitalization at this time constituted a failure to meet the
appropriate standard of care.
      We find some evidence to support the refusal to find that, with respect to Russell's death, Dr.
Key was negligent on September 6. See McGalliard, 722 S.W.2d at 696. Furthermore, based on
the record as a whole, that refusal to find was not clearly wrong or manifestly unjust. See
Traylor, 497 S.W.2d at 945. The jury could have believed Dr. Key's testimony that Russell, who
claimed to be feeling better, appeared better and logically concluded that he would have refused
hospitalization at this point. See Carson, 677 S.W.2d at 284. We overrule points three and four.
September 8, 1988
      Early that morning, Jewell called Dr. Key's office because Russell's condition had worsened.
Dr. Key returned the call around noon. Jewell again called Dr. Key at approximately 6:30
P.M.and informed him that Russell was pale, cold, sweaty, and had chest pain. Dr. Key
recommended hospitalization.
      Later, Jewell called Dr. Key at his home and again repeated Russell's symptoms. Dr. Key
recommended that she take him to the emergency room. When Jewell said that Russell was to
weak to go to the hospital, Dr. Key suggested an ambulance.
      At this time, Jewell lost faith in Dr. Key and called a friend about finding another doctor.
Jewell got the friend's answering machine and, by the time the call was returned, Russell had died.
      All points have been overruled and we affirm the judgment.
Â
                                                                                 BOB L. THOMAS
                                                                                 Chief Justice
Before Chief Justice Thomas,
          Justice Cummings, and
          Justice Vance
Affirmed
Opinion delivered and filed May 27, 1992
Do not publish
an
style='font-family:"CG Times"'>Appellants four issues are: (1) whether the
probate court erred in concluding that the gun collection was among the
contents of the homeÂ; (2) whether the probate court erred in denying
Appellants recovery of their attorneyÂs fees; (3) whether the probate court
erred in awarding Merrill Lynch attorneyÂs fees; and (4) whether the probate
court erred in awarding Toni attorneyÂs fees.
Analysis
The Gun Collection
Regarding Appellants issue on the gun
collection, Merrill Lynch prefaces its response with an assertion that
Appellants have waived or not preserved their complaint because they did not
seek in the probate court the relief that they now seek in this appeal.Â
Merrill Lynch correctly notes that itÂnot AppellantsÂpled claims for
declaratory relief and constructive trust relating to the gun collection.Â
Appellants did not sue Merrill Lynch or Toni for return of the gun collection
to the estate by imposition of a constructive trust or for a declaratory
judgment on the ownership of the gun collection. While they did plead in the
probate court that Merrill Lynch had improperly transferred the gun collection
to Toni in breach of its fiduciary and statutory (Probate Code section 233)
duties, Appellants sought only money damages for these alleged breaches and
Merrill LynchÂs removal and fee disgorgement. Appellants lost on these claims
in the trial court and have not appealed these adverse rulings.Â
In their first issue, Appellants are indirectly
attempting to do on appeal what the willÂs no-derivative action and in terrorem
clauses prohibit them from doing directly
and what they did notÂand could notÂdo in the probate court. And we agree with
Merrill Lynch that it is axiomatic that a party cannot complain on appeal about
a trial courtÂs failure to award relief when the party never pled for that
relief in the trial court.Â
A claim, issue, or allegation may not be raised for the first time on appeal. Adams v. First NatÂl Bank, 154 S.W.3d 859, 871 (Tex. App.ÂDallas 2005, no
pet. h.) (ÂA claim that was not presented to the trial court cannot be
considered on appeal.Â); Carrizales v. Tex. DepÂt Prot. & Reg. Servs.,
5 S.W.3d 922, 925 (Tex. App.ÂAustin 1999, pet. denied) (ÂAs a rule, a party may not raise an issue, even a constitutional
claim, for the first time on appeal.Â); General AssÂn Branch
Davidian Seventh Day Adventist v. McLennan County Appraisal Dist., 715
S.W.2d 391, 393 (Tex. App.ÂWaco 1986, no writ) (issue may not be raised for
first time on appeal); see also California DepÂt of Mental Hygiene v. Bank
of the Southwest, N.A., 354 S.W.2d 576, 581 (Tex. 1962) (ÂAn allegation
raising this contention is not contained in petitionerÂs pleadings and was not
raised in the trial court. The issue cannot be raised for the first time on
appeal.Â).
Appellants plainly did not plead a cause of
action for return of the gun collection or for declaratory relief regarding the
gun collection. We thus hold that Appellants have not preserved their
complaint for appeal and overrule their first issue. Tex. R. App. P. 33.1(a).
Appellants AttorneyÂs Fees
Section 245 of the Probate Code provides for the
recovery of reasonable attorneyÂs fees incurred in obtaining compliance
regarding any statutory duty that the personal representative has neglected. Tex. Prob. Code Ann. § 245 (Vernon Supp. 2004-05). Arguing that because the probate court imposed a constructive trust
on five of the twelve categories of contested property as a result of Merrill
LynchÂs alleged neglect, Appellants in their second issue complain that the
trial court abused its discretion in refusing to award them their attorneyÂs
fees.
An appellate court reviews a trial courtÂs
decision on the award of attorneyÂs fees for an abuse of discretion. Bocquet
v. Herring, 972 S.W.2d 19, 21 (Tex. 1998). ÂWhether to award
attorney's fees, and to which party, is a decision that is solely within the
trial court's discretion and will not be reversed absent a clear abuse of that
discretion.ÂÂ Sammons v. Elder, 940 S.W.2d 276, 284 (Tex. App.ÂWaco
1997, writ denied). A trial court abuses its discretion when it acts
Âwithout reference to any guiding rules or principles, or stated another way,
when the trial court acts in an arbitrary and unreasonable manner. City of
San Benito v. Rio Grande Valley Gas Co., 109 S.W.3d 750, 757 (Tex. 2003) (quoting Downer v. Aquamarine Operators, Inc., 701 S.W.2d 238, 242 (Tex. 1985)). An abuse of discretion does not occur when a trial court bases its decision
on conflicting evidence. Goode v. Shoukfeh, 943 S.W.2d 441, 446 (Tex. 1997); Davis v. Huey, 571 S.W.2d 859, 862 (Tex. 1978).
The probate court specifically concluded that
Merrill Lynch did not fail to use due diligence in recovering property
belonging to the estate. And the probate court noted that on the five times
that it disagreed with Merrill Lynch on the categorization of property as
estate property or Âcontents of the home, those disagreements were within the
zone of reasonable disagreement and amounted to approximately only 7% of the
value of the entire estate. Merrill Lynch adds that it was not Appellants, but
Merrill Lynch, who sued for a constructive trust and for declaratory relief on
the contested property. Additionally, in its decision to deny Appellants
recovery of their attorneyÂs fees, the probate court emphasized that Appellants
had lost on their claims to remove Merrill Lynch and to disgorge its executorÂs
fee. On the other hand, the probate court found that in some instances Merrill
LynchÂs conduct deviated from the ordinary standard of care and in some
instances may have been inadvertent, but the conduct did not rise to the level
of willful, malicious, or bad-faith conduct.
Based on the above and on the probate courtÂs
extensive and careful consideration of all the evidence and claims in this
case, we cannot say that the probate court abused its discretion in refusing to
award Appellants attorneyÂs fees. Appellants second issue is overruled.
Merrill LynchÂs AttorneyÂs Fees
Appellants third issue challenges the probate
courtÂs award of attorneyÂs fees to Merrill Lynch. The probate court found
that Merrill Lynch defended Appellants removal action in good faith and was
entitled to recover its attorneyÂs fees under section 149C(c) of the Probate
Code. That section permits an independent executor to recover necessary
expenses, including attorneyÂs fees, if it defends an action for removal in
good faith, Âwhether successful or not.ÂÂ Tex.
Prob. Code Ann. § 149C(c) (Vernon 2003). Â[A]n executor acts in good
faith when [it] subjectively believes [its] defense is viable, if that belief
if reasonable in light of existing law.ÂÂ Lee v. Lee, 47 S.W.3d 767, 795
(Tex. App.ÂHouston [14th Dist.] 2001, pet. denied).
Merrill Lynch prevailed on Appellants claim to
remove it as independent executor for alleged gross misconduct or gross
mismanagement. Appellants have not appealed the probate courtÂs ruling on their
removal claim. Appellants brief points out several instances of Merrill
LynchÂs conduct that served as the basis for their removal claim, but those
instances do not pertain to Merrill LynchÂs defense of the removal action in
good faith. Moreover, Appellants do not point to any actual harm that they
suffered, and the probate court specifically found that the estate suffered no
actual harm or damages from Merrill LynchÂs incorrect categorization of some of
the contested property.
The probate court did take issue with the
reasonableness of Merrill LynchÂs interpretation that the phrase Âcontents of
the home included Âpersonal property wherever located, but in finding that
Merrill Lynch defended the action in good faith, the court noted that the
estate was not harmed and again that Merrill LynchÂs disagreements were
reasonable. The probate court did not abuse its discretion in awarding Merrill
Lynch attorneyÂs fees. We overrule Appellants third issue.
ToniÂs AttorneyÂs Fees
Finally, in their fourth issue, Appellants complain
of the probate courtÂs award of attorneyÂs fees to Toni, recoverable from
Appellants. They assert that the probate court abused its discretion in
granting Toni leave to file a trial amendment, that no legal basis for the award
exists, and that Toni did not substantially prevail.
In Appellants earlier, superseded petitions,
they specifically sued for declaratory relief on the terms of the will and the
marital agreement, alleging that Toni had forfeited her benefits under the will
because of her alleged violations of the in terrorem clause. In
response to Appellants suit, Merrill Lynch filed a counterclaim, adding Toni
as a third-party defendant and seeking declaratory relief on the property being
contested by Appellants.
In her response to Appellants request for
disclosure, Toni stated that she was seeking Ârecovery of her reasonable and
necessary attorneyÂs fees pursuant to the action for declaratory judgment.ÂÂ She
identified her attorney as an expert who would testify on attorneyÂs fees. At the
time of trial, ToniÂs amended answer requested an award of attorneyÂs fees; she
had not made a claim for affirmative relief. She thus filed a motion for leave
to file a trial amendment to allege a claim for attorneyÂs fees, and the
probate court granted Toni leave.
Texas Rule of Civil Procedure 66 allows a party
to seek leave to file a trial amendment to its pleading if no prejudice or
surprise is shown by the opponent. Tex.
R. Civ. P. 66; State Bar v. Kilpatrick, 874 S.W.2d 656, 658 (Tex. 1994). Because of ToniÂs response to Appellants request for disclosure, the probate court
found that Appellants could not seriously object to her proposed trial
amendment on grounds of surprise or prejudice. We agree with the probate court
and hold that it did not abuse its discretion in allowing the trial amendment.
The probate court found that Appellants and
Merrill LynchÂs live pleadings implicitly sought declaratory relief. See
Edwards Aquifer Auth. v. Bragg, 21 S.W.3d 375, 381 (Tex. App.ÂSan Antonio
2002) (court has discretion to construe pleading as containing implicit request
for declaratory judgment), affÂd, 71 S.W.3d 729 (Tex. 2002). We agree.Â
And when one claimant has invoked the declaratory judgment statute, the other
party may plead for and recover attorneyÂs fees Âas are equitable and just. Tex. Civ. Prac. & Rem. Code Ann. §
37.009 (Vernon 1997); Spiller v. Spiller, 901 S.W.2d 553, 560 (Tex.
App.ÂSan Antonio 1995, writ denied).
While it is true, as Appellants claim, that
neither they nor Toni had direct claims against each other at trial, it is
undeniably true that Appellants and Toni were adverse parties. Furthermore, Âthe award of attorney's fees in declaratory judgment actions is
clearly within the trial court's discretion and is not dependent on a finding
that a party Âsubstantially prevailed. Barshop v. Medina County Underground Water Conservation Dist., 925 S.W.2d 618, 637 (Tex. 1996). The probate
court awarded Toni her attorneyÂs fees from Appellants, rather than from the
estate, because an award from the estate would have only diminished her income interest
in the trust. We cannot say that the probate court abused its discretion, and
we overrule Appellants fourth issue.
Conclusion
         Having overruled Appellants four
issues, we affirm the probate courtÂs final judgment. Because Appellants have
been unsuccessful in this appeal, Merrill Lynch is entitled to recover an
additional attorneyÂs fee of $15,000 from the estate, and Toni is entitled to
recover an additional attorneyÂs fee of $15,000 from Appellants.
BILL VANCE
Justice
Before
Chief Justice Gray,
Justice Vance, and
Justice Reyna
         (Chief
Justice Gray dissenting)
Opinion
delivered and filed August 31, 2005
[CV06]
         Those
eight vehicles were: two Ferrari road cars parked in their usual place in the
marital homeÂs garage; a 2002 Porsche that was usually parked in the garage but
was out for repairs; a personal-use Ford Explorer usually parked either at the
home or office; a personal-use Subaru parked at the office; a 2001 Porsche and
a 1995 Ferrari given to Toni as gifts; and ToniÂs personal Mercedes parked at
the home.
        AppellantsÂ
general prayer for relief in their petition is insufficient to cure the absence
of the specific claim and relief that they are seeking for the first time on
appeal; a general prayer for relief must be consistent with the claims in the
petition. See Kissman v. Bendix Home Sys., Inc., 587 S.W.2d 675, 677
(Tex. 1979) (ÂOnly the relief consistent with the theory of the claim reflected
in the petition may be granted under a general prayer.Â); Stoner
v. Thompson, 578 S.W.2d 679, 684 (Tex. 1979) (general prayer for relief
cannot
Âenlarge a pleading to the extent that it embraces an entirely different cause
of action for which fair notice does not exist.Â).