Joey Paul Guidry, Jr. v. Southern Regional Medical Center d/b/a Leonard J. Chabert Medical Center (owned by Hospital Service District No. 1 of the Parish of Terrebonne, a political subdivision of the State of Louisiana, and managed by Ochsner Health System); Ochsner Clinic Founda

CourtLouisiana Court of Appeal
DecidedDecember 30, 2024
Docket2024CA0760
StatusUnknown

This text of Joey Paul Guidry, Jr. v. Southern Regional Medical Center d/b/a Leonard J. Chabert Medical Center (owned by Hospital Service District No. 1 of the Parish of Terrebonne, a political subdivision of the State of Louisiana, and managed by Ochsner Health System); Ochsner Clinic Founda (Joey Paul Guidry, Jr. v. Southern Regional Medical Center d/b/a Leonard J. Chabert Medical Center (owned by Hospital Service District No. 1 of the Parish of Terrebonne, a political subdivision of the State of Louisiana, and managed by Ochsner Health System); Ochsner Clinic Founda) 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
Joey Paul Guidry, Jr. v. Southern Regional Medical Center d/b/a Leonard J. Chabert Medical Center (owned by Hospital Service District No. 1 of the Parish of Terrebonne, a political subdivision of the State of Louisiana, and managed by Ochsner Health System); Ochsner Clinic Founda, (La. Ct. App. 2024).

Opinion

STATE OF LOUISIANA

COURT OF APPEAL

FIRST CIRCUIT

2024 CA 0760

JOEY PAUL GUIDRY, JR.

VERSUS

SOUTHERN REGIONAL MEDICAL CENTER D/B/ A LEONARD J. CHABERT MEDICAL CENTER (OWNED BY HOSPITAL SERVICE DISTRICT NO. I OF THE PARISH OF TERREBONNE, A POLITICAL SUBDIVISION OF THE STATE OF LOUISIANA, AND MANAGED BY OCHSNER HEALTH SYSTEM); OCHSNER CLINIC FOUNDATION D/B/ A OCHSNER HEALTH SYSTEM; BABI R. CHANDAMURI, M.D.; AND CHRISTOPHER F. LAWRENCE, M.D.

JUDGMENT RENDERED: DEC 3 0 2024

Appealed from the Thirty -Second Judicial District Court Parish of Terrebonne - State of Louisiana Docket Number 186272 - Division A

The Honorable Timothy C. Ellender, Jr., Presiding Judge

David L. Browne COUNSEL FOR APPELLANT Metairie, Louisiana PLAINTIFF— Joey Paul Guidry, Jr. and-

Pierre F. Gremillion Metairie, Louisiana

Liz Baker Murrill COUNSEL FOR APPELLEE Attorney General DEFENDANT -- Christopher F. Baton Rouge, Louisiana Lawrence, M.D. and-

William E. Bourgeois Special Assistant Attorney General Morgan City, Louisiana

BEFORE: MCCLENDON, WELCH, AND LANIER, JJ. WELCH, J.

In this medical malpractice suit, Plaintiff, Joey Paul Guidry, Jr., appeals a

summary judgment rendered in favor of Defendant, Christopher F. Lawrence, M.D.,

on the issues of liability and causation. For the following reasons, we vacate and

remand.

BACKGROUND

Plaintiff presented to Southern Regional Medical Center d/ b/ a Leonard J.

Chabert Medical Center (" Chabert") in Houma, Louisiana on November 11, 2016,

with complaints of abdominal pain. Plaintiff underwent a CT scan of his abdomen

and pelvis. Dr. Lawrence, a radiologist at Chabert, read and interpreted Plaintiff' s

CT scan as indicative of gastric outlet obstruction or gastroparesis. Plaintiff's

ordering physician referred him to Chabert' s GI clinic. On November 15, 2016, Dr.

Babi R. Chandamuri, a gastroenterologist with Chabert' s GI clinic, performed an

esophagogastroduodenoscopy (" EGD," also known as an upper endoscopy) with

biopsy on Plaintiff. Dr. Chandamuri noted that the primary explanation of Plaintiff' s

symptoms could be gastroparesis or a distal obstructing lesion partially blocking the

passage of food. Dr. Chandamuri recommended additional biopsies, a CT

enterogram, gastric emptying scan, and a follow-up in the GI clinic. After Plaintiff' s

biopsy results showed no evidence of infection or cancer, additional tests were

performed. On November 28, 2016, Dr. Chandamuri referred Plaintiff to surgery and

scheduled a follow-up in Chabert' s GI clinic.

Before healthcare providers at Chabert could complete their assessment of

Plaintiff, he terminated his treatment at Chabert and sought treatment at Ochsner in

New Orleans. Radiologists in New Orleans obtained new images and compared

those with the images reviewed by Dr. Lawrence. Like Dr. Lawrence, the New

Orleans radiologists did not visualize an abnormal mass. Ultimately, a surgeon in

New Orleans identified a rare, non -cancerous neural sheath tumor in the distal

2 portion of Plaintiff's stomach during an exploratory surgery in June 2017; the

surgeon removed the tumor. Thereafter, Plaintiff made a full recovery.

On November 10, 2017, Plaintiff filed a medical review panel (" MRP")

complaint with the Louisiana Division of Administration, pursuant to the

Malpractice Liability for State Services Act (" MLSSA"), La. R.S. 40: 1237. 1, etseq.,

naming Dr. Lawrence, Dr. Chandamuri, and Chabert as defendants.' Plaintiff

claimed that Defendants' treatment of him fell below the applicable standard of care

in diagnosis and treatment. Plaintiff claimed he suffered " significant injuries ...

including substantial weight loss, the placement of a feeding tube, multiple surgeries,

and hospitalizations" as a result of Defendants' failure to diagnosis his gastric tumor.

On March 11, 2019, the MRP issued an opinion in which it unanimously

found that the " evidence does not support the conclusion that the defendants failed

to meet the applicable standard of care as charged in the complaint." The MRP gave

reasons for its conclusion as to Dr. Lawrence, pertinently, as follows: " He made

appropriate initial and subsequent imaging interpretations and outlined appropriate

management of the patient. Furthermore, he demonstrated excellent coordination

among the subsequent treating physicians in the care of this patient. His appropriate

impressions and recommendations expedited evaluation and facilitated diagnosis."

On June 28, 2019, Plaintiff filed a petition for damages against Chabert;

Ochsner Clinic Foundation d/ b/ a Ochsner Health System (" OCF"), manager of

Chabert; 2 Dr. Chandamuri; and Dr. Lawrence. Plaintiff made the same claims

1 Louisiana has two statutory " Parts" pertaining to medical malpractice liability: one regulating malpractice liability claims for medical services provided by state health care providers, the Malpractice Liability for State Services Act (" MLSSA"), La. R.S. 40: 1237. 1, et seq.; and the other regulating malpractice liability claims for medical services provided by qualified private health care providers, the Louisiana Medical Malpractice Act (" LMMA"), La. R.S. 40: 1231. 1, et seq. The MLSSA applies here given this suit involves state defendants.

2 Following a hearing on a dilatory exception raising the objection of prematurity filed by OCF, the trial court sustained the exception and signed a consent judgment on November 30, 2020, which dismissed Plaintiff' s claims against OCF without prejudice.

3 against Defendants as in his request for the MRP. Pertinent herein, Plaintiff alleged

that Dr. Lawrence failed to recognize and report the presence of the tumor, which

was a breach of the standard of care applicable to radiologists. Plaintiff further

contended that Dr. Lawrence' s breach of the standard of care caused Plaintiff to

suffer injuries, resulting in damages. 3

Thereafter, Chabert filed a motion for summary judgment on January 2, 2020.

Chabert argued that Plaintiff had not identified an expert who could establish that

Chabert breached the standard of care applicable to a hospital. Accordingly, Chabert

argued Plaintiff had no evidence to meet his burden of proof under La. R.S.

9: 2794( A), and thus, Plaintiff' s claims against Chabert should be dismissed with

prejudice. Dr. Lawrence and Dr. Chandamuri filed a joint motion for summary

judgment on February 21, 2020. The doctors argued that Plaintiff had not identified

an expert who could establish a deviation from the standard of care applicable to the

doctors, nor causation. The trial court set Chabert' s and the doctors' motions for

summary judgment for hearing on April 24, 2020. The trial court continued the

hearings on the two motions to June 26, 2020.

Plaintiff opposed Defendants' motions for summary judgment and submitted

the affidavit of a radiology expert, Jordan Lloyd Haber, M.D., to opine as to the

applicable standards of care and Defendants' alleged breaches thereof.

A minute entry for June 26, 2020 indicated that "[ p] er communication

received from" the parties, " a consent judgment will be submitted." Thereafter, the

trial court signed a consent judgment on June 24, 2020 on the doctors' motion for

summary judgment, which decreed that Dr. Lawrence withdrew his motion for

summary judgment; granted Dr.

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Joey Paul Guidry, Jr. v. Southern Regional Medical Center d/b/a Leonard J. Chabert Medical Center (owned by Hospital Service District No. 1 of the Parish of Terrebonne, a political subdivision of the State of Louisiana, and managed by Ochsner Health System); Ochsner Clinic Founda, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joey-paul-guidry-jr-v-southern-regional-medical-center-dba-leonard-j-lactapp-2024.