Kucel v. New Mexico Medical Review Commission

2000 NMCA 026, 997 P.2d 823, 128 N.M. 691
CourtNew Mexico Court of Appeals
DecidedJanuary 24, 2000
Docket19336
StatusPublished
Cited by11 cases

This text of 2000 NMCA 026 (Kucel v. New Mexico Medical Review Commission) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kucel v. New Mexico Medical Review Commission, 2000 NMCA 026, 997 P.2d 823, 128 N.M. 691 (N.M. Ct. App. 2000).

Opinion

OPINION

SUTIN, J.

{1} In this appeal we decide whether the Director of the New Mexico Medical Review Commission has discretion under the Medical Malpractice Act, NMSA 1978, §§ 41-5-1 through -29 (1976, as amended through 1997), to redact some of an applicant’s, here Petitioner Kimberly Kucel’s, legal claims and factual allegations before submitting her application to a panel for review. We hold that the Act does not give the Director that discretion. We therefore conclude that the district court erred by ruling that the Director had implicit discretion to remove issues from Petitioner’s application. We also conclude that the Director should not have redacted any of Petitioner’s averments or legal contentions from her application. We vacate the district court’s order and reverse and remand for entry of an order requiring the Director to submit Petitioner’s complete application to a panel.

BACKGROUND

{2} Under the Act, “[n]o malpractice action may be filed in any court against a qualifying health care provider before application is made to the medical review commission and its decision is rendered.” Section 41-5-15(A). The application must state “the facts of the case, nam[e] the persons involved, [and] the dates and the circumstances, so far as they are known, of the alleged act or acts of malpractice.” Section 41-5-15(B)(l). Once the application is received, the Director serves a copy of the application on the health care provider involved, see § 41-5-16(A), and transmits the application to the health care provider’s professional society, association, or licensing board, see § 41-5-17(A). Three specialists in the health care provider’s field and three lawyers from the state bar association are then chosen to serve on a confidential panel that will review the application. See § 41-5-17(B). After holding a hearing on the application, the volunteer panel decides “whether there is substantial evidence that the acts complained of occurred and that they constitute malpractice[,] and ... whether there is a reasonable medical probability that the patient was injured thereby.” Section 41-5-20(A).

{3} In accordance with this procedure, Petitioner filed a written application with the Commission claiming, among other things, that her doctor committed medical malpractice by negligently failing to recognize, to properly diagnose, and to properly treat the transference and countertransference phenomena that developed during her medical and psychiatric treatment.

{4} Petitioner was initially referred to the doctor in March 1993 for treatment of hematuria. After a hysterectomy later that year, the doctor treated Petitioner for persistent diarrhea and weight loss. By mid-June 1994, Petitioner had lost a significant amount of weight. The doctor then began providing Petitioner with physical and psychological or psychiatric treatment for anorexia nervosa. The doctor billed Petitioner’s insurance company for psychiatric services. Although the record is not entirely clear on this point, it appears that Petitioner’s treatment by the doctor lasted into July 1994 and that the doctor continued to contact Petitioner into the fall of that year.

{5} The transference and countertransference phenomena have been described as:

[t]he process whereby the patient displaces on to the therapist feelings, attitudes and attributes which properly belong to a significant attachment figure of the past, usually a parent, and responds to the therapist accordingly.... A further phenomenon that may occur is countertransference, when the therapist transfers his own problems to the patient.

St. Paul Fire & Marine Ins. Co. v. Love, 459 N.W.2d 698, 700 (Minn.1990) (citation and quotation omitted). Petitioner enumerated specific acts, including sexual acts, and omissions by the doctor as evidence from which the panel members might conclude that the doctor was negligent in failing to diagnose and treat the transference and countertransference phenomena that existed between patient and doctor.

{6} Nevertheless, the Director refused to transmit Petitioner’s application to a panel. In a letter to Petitioner, the Director wrote that he believed the doctor’s intentional sexual conduct could not be considered medical malpractice and that transference and countertransference were not medically recognized phenomena. In another letter, the Director further explained that:

[t]he [Medical Malpractice] Act ... was specifically not designed to have six professionals evaluate issues of alleged intentional torts including sexual misconduct____It does not make good sense that the legislature would establish a tribunal of six volunteer professionals (rather than just six anybodys) to merely determine whether a certain professional had, or tried to have, sexual relations with a patient.

{7} The same letter went on to say that even though the Commission “would [not] be lacking volunteer panelists, I am reluctant to impose upon a panel to undertake this very questionable burden” of inquiring into an issue of intentional sexual conduct, rather than professional negligence, “unless some judge compels me to do so.” After receiving this letter, Petitioner filed a petition for an alternative writ of mandamus with the district court to compel the Director to transmit her application to a panel. The district court issued the alternative writ, which ordered the Director to show cause why a peremptory writ should not be issued. After the Director answered and a hearing was held, the district court issued a “Decision” with findings of fact and conclusions of law. Ten days later, on November 24, 1997, the district court entered an order that decided that “a Partial Alternative Writ of Mandamus compelling the Director ... to set a panel hearing on only those issues of medical negligence readily apparent in the Petition ... should issue.” The order also found that “the Director ... is implicitly invested with discretion as to the selection of those issues to be submitted and considered by the panel and is thus entitled to redact from the Petition any issues of claimed intentional sexual misconduct.” Petitioner did not appeal the decision or order.

{8} The Director redacted all factual allegations and legal claims relating to transference and countertransference and transmitted Petitioner’s application to the Commission.

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Cite This Page — Counsel Stack

Bluebook (online)
2000 NMCA 026, 997 P.2d 823, 128 N.M. 691, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kucel-v-new-mexico-medical-review-commission-nmctapp-2000.