Meseke v. St. Francis Medical Center

914 So. 2d 136, 2005 WL 2757506
CourtLouisiana Court of Appeal
DecidedOctober 26, 2005
DocketNo. 40,317-CA
StatusPublished
Cited by1 cases

This text of 914 So. 2d 136 (Meseke v. St. Francis Medical Center) 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
Meseke v. St. Francis Medical Center, 914 So. 2d 136, 2005 WL 2757506 (La. Ct. App. 2005).

Opinion

BROWN, C.J.

| defendant, St. Francis Medical Center, Inc., has appealed from the trial court’s judgment denying its exception of prematurity which asserted that, under the provisions of the Louisiana Medical Malpractice Act (“LMMA”), the complaint filed by plaintiffs, the surviving spouse and children of Erich Meseke, first had to be presented to a medical review panel pursuant to the provisions of La. R.S. 40:1299.47. For the reasons set forth below, the judgment of the trial court is reversed, and the plaintiffs’ petition is reversed and remanded for further proceedings consistent with this opinion.

Facts and Procedural Background

In December 2004, plaintiffs filed suit against St. Francis alleging that on January 17, 2004, Meseke, who had begun having serious lower right abdominal pain, sought medical intervention. He went to the emergency room at St. Francis at ap[138]*138proximately 6:00 p.m. and remained there until a bed was made available to him in the main hospital. On the night of January 18, 2004, Meseke was allegedly in need of assistance to go to the bathroom, and he unsuccessfully attempted to call for assistance twice by using the nurse call button. He also allegedly yelled out for a nurse, but no one came. When Meseke tried to go to the restroom unassisted, he fell to the floor and suffered damages including a crushed vertebra which required surgical intervention. Meseke later died on March 8, 2004, and in an amending petition, plaintiffs asserted that his fall was causally linked with his death.

12Paragraph six of plaintiffs’ original petition, quoted below in pertinent part; sets forth the specific allegations of negligence:

That ST. FRANCIS MEDICAL CENTER, INC., through its employees, was negligent in causing the damages suffered by Mr. Meseke, including but not limited to failing to maintain adequate safeguards to prevent the fall at issue, in failing to promptly answer the repeated request for assistance, in failing to promptly notify the appropriate physicians of the fall of Mr. Meseke and failure to provide medical care consistent with the,appropriate standards....

On December 21, 2004, St. Francis filed an exception of prematurity in which the hospital admitted treating Meseke in January 2004. The exception noted that plaintiffs’ petition for damages was filed after a medical review panel had been convened, but before it had rendered any opinion regarding the allegations of the petition. St. Francis requested that plaintiffs’ petition be dismissed without prejudice as premature pursuant to the provisions of La. R.S. 40:1299.47, which provides that no action may be commenced against a qualified healthcare provider until the claimants’ proposed complaint has been presented to a medical review panel. As noted above, this claim has been filed with a medical review panel which has not yet rendered a decision.

In a memorandum in opposition to the exception of prematurity, plaintiffs argued that Meseke simply needed to go to the bathroom and kept calling for help to assist him in getting there. Plaintiffs contended that there was no particular medical expertise involved in answering the call for restroom assistance and that the conduct at issue herein was no more medically rooted than a slip-and-fall at a grocery store. Plaintiffs relied on Rachal v. Tenet Healthcare Systems, 03-0630 (La.App. 4th Cir.11/12/03), 860 So.2d 1175, writ denied, 04-0205 (La.03/26/04), 871 So:2d 350, the facts of which involved' a patient who repeatedly called for assistance to use the bathroom, and, when no one responded, slipped and fell when attempting to reach the bathroom without assistance. The Fourth Circuit in Radial concluded that the hospital staffs failure to respond to the patient’s request for assistance was not the type of wrong envisioned by the Medical Malpractice Act. According to the Fourth Circuit’s reasoning, assistance to the bathroom could not be considered a part of the patient’s treatment, nor would such assistance require the professional skills of a doctor or nurse.

At the hearing on the exception of prematurity, plaintiffs again relied on Rachal, supra. St. Francis argued that although assistance to the bathroom was an issue in the case, plaintiffs herein are alleging more, and the determination of whether St. Francis provided appropriate medical care would require expert medical testimony. The trial court, stating that the issue was “a very, very close call,” nonetheless concluded that the exception of prematurity should be denied.

[139]*139 Discussion

The dilatory exception of prematurity is the proper procedural mechanism to invoke when a plaintiff has failed to submit a medical malpractice claim for a decision by a medical review panel prior to filing suit against a qualified healthcare provider. McLemore v. Westwood Manor Nursing and Rehabilitation, LLC, 37,450 (La.App. 2d Cir.08/20/03), 852 So.2d 1170. Furthermore, an appellate court has jurisdiction to hear an appeal from the denial of an exception of prematurity in such instances 14because the benefits of a medical review panel will be lost if not obtained prior to the prosecution of a medical malpractice lawsuit. Romero v. Willis-Knighton Medical Center, 38,374 (La.App. 2d Cir.02/07/04), 870 So.2d 474.

In order to assess whether the trial court in the instant case correctly denied the exception of prematurity, we must determine whether the allegations in the plaintiffs’ petition constitute claims under the LMMA. The term “malpractice” is defined in pertinent part in the LMMA as:

Any unintentional tort or any breach of contract based on healthcare or professional services rendered, or which should have been rendered, by a healthcare provider, to a patient, including failure to render services timely and the handling of a patient, including loading and unloading of a patient, and also includes all legal responsibility of a healthcare provider arising from acts or omissions in the training or supervision of healthcare providers....

La. R.S. 40:1299.41(A)(8).

In turn, the provisions of La. R.S. 40:1299.41(A)(9) define “healthcare” as:

Any act, or treatment performed or fúr-nished, or which should have been performed or furnished, by any healthcare provider for, to, or on behalf of a patient during the patient’s medical care, treatment or confinement.

In order to help determine whether the circumstances of a particular case, as alleged in a petition, fall under the LMMA, the Louisiana Supreme Court supplied several factors to consider in Coleman v. Deno, 01-1517 (La.01/25/02), 813 So.2d 303, 315, 316:

(1) Whether the particular wrong is “treatment related” or caused by a dereliction of professional skill;
|r(2) Whether the wrong requires expert medical evidence to determine whether the appropriate standard of care was breached;
(3) Whether the pertinent act or omission involved assessment of the patient’s condition;
(4) Whether an incident occurred in the context of a physician-patient relationship, or was within the scope of activities which a hospital is licensed to perform;
(5) Whether the injury would have occurred if the patient had not sought treatment; and
(6) Whether the tort alleged was intentional.

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Bluebook (online)
914 So. 2d 136, 2005 WL 2757506, Counsel Stack Legal Research, https://law.counselstack.com/opinion/meseke-v-st-francis-medical-center-lactapp-2005.