Kebaish v. INOVA Health Care Services

85 Va. Cir. 92, 2012 WL 9321390, 2012 Va. Cir. LEXIS 62
CourtFairfax County Circuit Court
DecidedJune 25, 2012
DocketCase No. CL-2011-17659
StatusPublished
Cited by1 cases

This text of 85 Va. Cir. 92 (Kebaish v. INOVA Health Care Services) is published on Counsel Stack Legal Research, covering Fairfax County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kebaish v. INOVA Health Care Services, 85 Va. Cir. 92, 2012 WL 9321390, 2012 Va. Cir. LEXIS 62 (Va. Super. Ct. 2012).

Opinion

By Judge Jane Marum Roush

This matter is before the court on the plaintiff’s motion to reconsider the court’s ruling sustaining in part the defendants’ demurrer to the amended complaint. For the reasons stated below, the motion to reconsider will be granted in part and denied in part.

Background

Adel Kebaish (“Dr. Kebaish” or the “plaintiff’) filed his amended complaint on February 17, 2012, against INOVA Health Care Services, d/b/a INOVA Fairfax Hospital (“INOVA”), one of its administrators, and ten of its doctors and physician assistants (collectively, the “Individual Defendants”). In his 340-paragraph, 92-page amended complaint, Dr. Kebaish alleges the following causes of action:

Count I: Defamation and Defamation Per Se (against all defendants);

Count II: Breach of Contract (against INOVA);

Count III: Tortious Interference with Existing Contract and/or Business Relationships and Business Expectancy (against all defendants);

Count IV: Common Law Conspiracy (against all defendants);

Count V: Statutory Conspiracy to Injure Dr. Kebaish in Violation of Va. Code §§ 18.2-499 and 18.2-500 (against all defendants);

[93]*93Count VI: Unjust Enrichment (against INOVA).

Dr. Kebaish alleges that he is an orthopedic and spine trauma surgeon who formerly provided services to INOVA on an as needed basis pursuant to a professional services agreement. He alleges that INOVA and the Individual Defendants “relentlessly pursued their efforts to destroy the Plaintiff, out of ego, and a desire to achieve financial profit and individual professional promotion.” Amended Complaint, ¶ l.1 Dr. Kebaish alleges that the Individual Defendants and others “engaged in an ongoing campaign of ridicule, falsification, defamation, exaggeration, condoning of misconduct, and misrepresentations designed to, by innuendo, implication, and inference, vilify and defame Dr. Kebaish in his profession trade and reputation.” ¶ 6. INOVA, it is alleged, “sided with the conspirators” and terminated Dr. Kebaish’s professional services agreement. ¶¶ 7 and 8. Dr. Kebaish alleges that he was terminated because he objected to both substandard care provide by INOVA and INOVA’s fraudulent billing practices. ¶¶ 1, 2-4, 7, 9, 10, 15, 106, 109, 110, 117-120, 149, 158, 177.

The defendants demurred to the complaint on various grounds that will be discussed below. At the hearing on the demurrer on February 24, 2012, the court sustained the demurrer to Count I: Defamation, except as to two alleged statements set forth in ¶¶ 221 and 222; specifically, statements that Dr. Kebaish had once operated on a patient who was DNR (do not resuscitate) without the family’s consent and that Dr. Kebaish’s privileges at INOVA’s emergency room had been “revoked.” The court sustained the demurrer as to Count II: Breach of Contract, Count III: Tortious Interference, Count IV: Common Law Conspiracy, and Count V: Statutory Conspiracy. The court overruled the demurrer as to Count VI: Unjust Enrichment. The court granted plaintiff leave to amend the complaint as to Count I only to amplify the factual allegations that Dr. Kebaish had operated on a DNR patient without the family’s consent and that his privileges at INOVA’s emergency room had been revoked.

The plaintiff has moved the court to reconsider its rulings as to Counts I through V and the defendants have opposed the reconsideration. Each count will be addressed in turn.

Count I: Defamation and Defamation Per Se (against all defendants)

In Count I, Dr. Kebaish alleges that the defendants, at various times, made defamatory statements about his abilities as a surgeon. The defendants demur to Count I on the grounds that, in many instances, the plaintiff has failed to specify who said what to whom. In addition, the defendants argue, [94]*94to the extent that specific statements are quoted, they are statements of mere opinion.

The Supreme Court of Virginia has summarized the applicable legal standards thusly:

In order to assert a claim of defamation, the plaintiff must first show that a defendant has published a false factual statement that concerns and harms the plaintiff or the plaintiff’s reputation. Hyland v. Raytheon Tech. Servs. Co., 277 Va. 40, 46, 670 S.E.2d 746, 750 (2009). The plaintiff also must show that the defendant knew that the statement was false, or, believing that the statement was true, lacked a reasonable basis for such belief, or acted negligently in failing to determine the facts on which the publication was based. Id. When a plaintiff asserts that the defendant acted negligently, the plaintiff must further prove that the defamatory statement made apparent a substantial danger to the plaintiff’s reputation. Id.
“Expressions of opinion, however, are constitutionally protected and are not actionable as defamation.” Id. at 47, 670 S.E.2d at 750. Therefore, in evaluating a demurrer to a claim of defamation, a trial court “must determine as a matter of law whether the allegedly defamatoiy statements contain provably false factual statements or are merely statements of opinion.” Id. “When a statement is relative in nature and depends largely on a speaker’s viewpoint, that statement is an expression of opinion. Factual statements made in support of an opinion, however, can form the basis for a defamation action.” Id. at 47, 670 S.E.2d at 751 (internal citations omitted).
“In determining whether a statement is one of fact or opinion, a court may not isolate one portion of the statement at issue from another portion of the statement. Rather, a court must consider the statement as a whole.” Id. (internal citations omitted). In other words, in considering whether a plaintiff has adequately pleaded a cause of action for defamation, the court must evaluate all of the statements attributed to the defendant and determine whether, taken as a whole, a jury could find that defendant knew or should have known that the factual elements of the statements were false and defamatory.

Lewis v. Kei, 281 Va. 715, 725, 708 S.E.2d 884, 891 (2011).

In order to rule on the plaintiff’s motion to reconsider, the court has reviewed each of the statements in the amended complaint alleged to be defamatory. The court agrees with the defendants that most of the statements [95]*95are statements of opinion that are incapable of being proved false. Some of the statements are simply not actionable as defamation. In addition, many of the statements alleged to be defamatory were made by persons who are not defendants in this action. The court categorizes the allegations of the Amended Complaint as follows:

1. Statements of opinion:

Dr. Theiss’s statement that Dr. Kebaish is incompetent and unqualified and that he would like to get rid of Dr. Kebaish. ¶ 124.

Dr. Hymes’s statement that Dr. Kebaish is incompetent. ¶ 127.

Dr. Theiss’s report to Dr. Kebaish that the physician assistants did not like Dr. Kebaish’s surgical skills and that they thought he was a bad surgeon who had poor technique. ¶ 147.

Dr. Theiss’s statement that he thought Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
85 Va. Cir. 92, 2012 WL 9321390, 2012 Va. Cir. LEXIS 62, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kebaish-v-inova-health-care-services-vaccfairfax-2012.