Jordan v. State ex rel. Board of Administrators

40 So. 3d 1139, 2009 La.App. 4 Cir. 1277, 2010 La. App. LEXIS 814
CourtLouisiana Court of Appeal
DecidedMay 26, 2010
DocketNo. 2009-CA-1277
StatusPublished
Cited by1 cases

This text of 40 So. 3d 1139 (Jordan v. State ex rel. Board of Administrators) 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
Jordan v. State ex rel. Board of Administrators, 40 So. 3d 1139, 2009 La.App. 4 Cir. 1277, 2010 La. App. LEXIS 814 (La. Ct. App. 2010).

Opinions

ROLAND L. BELSOME, Judge.

| iMichelle Jordan suffered nerve injury and paralysis to her right leg following a vaginal hysterectomy. A medical malprac[1141]*1141tice claim was filed, alleging that she was not informed of the possible complications involved with the surgery and the defendants failed to obtain her consent for the procedure. Following discovery, the trial court granted summary judgment in Ms. Jordan’s favor and against the Medical Center of Louisiana (MCLNO) and awarded $500,000.00 in damages. For the reasons that follow we affirm.

In August 2004, Ms. Jordan went to the MCLNO seeking treatment for pelvic pain. Subsequently, on September 2, 2004 she underwent a vaginal hysterectomy. During her recovery, Ms. Jordan experienced weakness and pain, impaired movement, and disability in her right leg. Even though Ms. Jordan underwent physical therapy, her condition failed to improve.

Ms. Jordan filed a complaint with the Medical Review Panel alleging medical negligence and lack of informed consent against MCLNO. The Medical Review Panel found that there was a material issue of fact concerning Ms. Jordan’s consent that should be resolved by the court. This litigation followed.

l2On May 11, 2005, MCLNO provided Ms. Jordan with a full certified copy of her medical record. The record did not contain a signed consent form. After filing the petition in this matter, Ms. Jordan forwarded a request for production of documents to MCLNO. That request specifically asked for:

Any and all written consents signed by the plaintiff, Michelle A. Jordan, concerning any operation or procedure performed for her on September 2, 2004 at the Medical Center of Louisiana at New Orleans.

Approximately five months later, MCLNO responded to the request for production of documents by stating that the requested documents could not be produced “due to flood damage caused by Hurricane Katrina”. Again, the full certified copy of Ms. Jordan’s medical record was produced in May 2005, prior to Katrina, did not contain a signed consent form. The reasonable presumption would be that whatever files or documents were lost due to flooding, were identical to the medical record produced prior to Hurricane Katrina.

Accordingly, with MCLNO failing to present evidence that a genuine issue of material fact existed as to whether Ms. Jordan consented to the surgery, she filed a motion for summary judgment. In support of the summary judgment, Ms. Jordan provided the trial court with: 1) her affidavit attesting that no written or verbal consent was given from her to perform the vaginal hysterectomy; 2) her deposition testimony; 3) an affidavit from a board certified physician for orthopedic and orthopedic surgery regarding the nature and cause of her injury; 4) an affidavit and report from a vocational rehabilitation consultant; 5) an affidavit from an economist regarding lost wages; 6) the defendant’s response to plaintiffs request for production of documents; and 7) plaintiffs certified medical record. The motion for summary judgment was set for hearing. The defendant was served with the motion for summary judgment and hearing date, but failed to file an opposition.

Is At the hearing for the motion for summary judgment, the defendant presented the court with an opposition together with an unsigned affidavit together with excerpts from the plaintiffs deposition and medical records. Nothing offered by the defendant established that Ms. Jordan had consented to the vaginal hysterectomy. The court did not allow the defendant to file the opposition because it was untimely under the requirements of La. C.C.P. art. [1142]*1142966(B) 1 Thereafter, the trial court, considering Ms. Jordan’s motion for summary-judgment and the evidence presented, awarded her the $500,000.00 limit available for medical liability for state services pursuant to La. R.S. 40:1299.39 F.

The proper standard of review for an appellate court determining the correctness of a granting of summary judgment is de novo, using the same criteria that govern the trial court’s consideration of whether summary judgment is appropriate. Reynolds v. Select Properties Ltd., 93-1480, p. 1 (La.4/11/94), 634 So.2d 1180, 1182; see also Indep. Fire Ins. Co. v. Sunbeam Corp., 99-2181, 99-2257, p. 7 (La.2/29/00), 755 So.2d 226, 230. This Court will not disturb the trial court’s granting of a motion for summary judgment if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits submitted, if any, show that there is no genuine issue as to a material fact, and that the mover is entitled to judgment as a matter of law. La. C.C.P. art. 966. The summary judgment procedure is designed to secure the just, speedy, and inexpensive determination of every action. La. C.C.P. art. 966(A)(2).

MCLNO raises three assignments of errors on appeal. In sum, MCLNO’s arguments all suggest that the trial court erred in granting the motion for summary judgment because Ms. Jordan failed to meet her burden of showing there was no genuine issue of material fact and that she also failed to properly establish all the elements of her claim. More |4specificaIIy, MCLNO asserts that Ms. Jordan must prove that a reasonable person in her position would have rejected the procedure had she been adequately informed of the risks.

In a medical malpractice case the plaintiff must prove: 1) the established standard of care; 2) the health care provider’s breach of that standard of care; and 3) the causal connection between the health care provider’s alleged negligence and the plaintiffs claimed injuries. Lugenbuhl v. Dowling, 96-1575 (La.1997), 701 So.2d 447, 456 (citing Pfiffner v. Correa, 94-0924, 94-0963, 94-0992 (La.10/17/94) 643 So.2d 1228; La. R.S. 9:2794). The courts’ objective test for determining causation is whether a reasonable person in the patient’s position would have consented to the procedure if fully informed of the risks and complications. LaCaze v. Collier, 434 So.2d 1039, 1048 (La.1983). Generally, the question of causation is one for the trier of fact, in this case the trial court. See Id. When considering the element of causation the fact finder may consider the condition of the patient at the time and the necessity of the medical treatment. Id.

In the instant case, Ms. Jordan sufficiently proved each element required for a claim in medical malpractice. La. R.S. 40:1299.402 provides the prevailing stan[1143]*1143dard of care a | -.health care provider must adhere to in order to secure valid informed consent. The breach of that standard of care was established through Ms. Jordan’s affidavit stating that she was not informed as to the risks associated with the vaginal hysterectomy and that she never signed a consent form for the procedure. Additionally, the certified copy of her medical record lacked any indication that written or verbal consent was obtained, which further supports Ms. Jordan’s statements.

As for the causation inquiry, the trier of fact is charged with determining causation or whether a reasonable person in the patient’s position would have consented to the procedure had full disclosure been made. See LaCaze, supra. Ms. Jordan’s medical record provided the trial court with information regarding Ms. Jordan’s condition at the time of the operation and the necessity of the procedure.

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Related

Jordan v. STATE EX REL. BD. OF ADM'RS
40 So. 3d 1139 (Louisiana Court of Appeal, 2010)

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Bluebook (online)
40 So. 3d 1139, 2009 La.App. 4 Cir. 1277, 2010 La. App. LEXIS 814, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jordan-v-state-ex-rel-board-of-administrators-lactapp-2010.