Methodist Hospital D/B/A Houston Methodist Hospital, Hemangshu Podder, MD, and Okeckukwu Okidi, MD; Lifegift Organ Donation Center; K2 Holistic Health Care Services, Inc and Jane Ogle,RN ( Incorrectly Named Nurse Jane); Texas Children's Hospital; Baylor College of Medicine v. Tammy Garner, Individually and as the Surviving Mother of Decedent J.G., a Minor

Court of Appeals of Texas·Decided April 24, 2025·No. 01-24-00674-CV·Published

Opinion

Opinion issued April 24, 2025

In The

Court of Appeals

For The

First District of Texas

MEMORANDUM OPINION

In this interlocutory appeal, appellants Methodist Hospital d/b/a Houston Methodist Hospital, Hemangshu Podder, M.D., and Okechukwu Okidi, M.D. challenge the trial court’s denial of their motions to dismiss the health care liability claims brought against them by appellee, Tammy Garner, individually, and as the surviving mother of decedent, J.G., in her suit for negligence, wrongful death, and survival. In a single issue, they assert that Garner’s expert report—required by statute to survive a motion to dismiss—is so deficient with regard to Houston Methodist Hospital, Dr. Okidi, and Dr. Podder that it was equivalent to no report at all. See, e.g., TEX. CIV. PRAC. & REM. CODE § 74.351(b). As such, appellants argue, the trial court should have dismissed the claims against them rather than granting a 30-day extension to cure the deficiencies in the report. See TEX. CIV. PRAC. & REM. CODE § 74.351(b)–(c). If the trial court correctly granted the extension to correct the deficiencies, this Court lacks jurisdiction. See TEX. CIV. PRAC. & REM. CODE § 51.014(a)(9). If, instead, the deficient report is essentially no report, and the trial court should have dismissed the claims per § 74.351(b) instead of granting an extension, this Court has jurisdiction over the appeal. See id. Because we agree with appellants that the extension was improperly granted with regard to Dr. Okidi, we reverse the trial court’s order, render take-nothing judgment in favor of Dr. Okidi, remand to the trial court for entry of an order that

both awards Dr. Okidi reasonable attorney’s fees and costs of court incurred by him and dismisses Garner’s claims against him with prejudice. We conclude that we lack jurisdiction over the appeal filed by Methodist Hospital and Dr. Podder, and we dismiss their appeal from the trial court’s order for want of jurisdiction.

Background

Due to a complication at birth, J.G. required a tracheostomy to live. When he was nine years old, a home health care provider unsuccessfully attempted to change his tracheostomy tube, and J.G. tragically suffered an anoxic brain injury. J.G. was taken by ambulance to Texas Children’s Hospital in The Woodlands, where, a few days later, physicians informed his mother that he was “brain dead.” After meeting with representatives of LifeGift Organ Donation Center (“LifeGift”), Garner consented to the donation of J.G.’s organs. During the organ procurement surgery, the surgical drape caught fire, burning J.G.’s head, face, ear, shoulder, and chest. Garner later sued Texas Children’s Hospital, LifeGift, K2 Holistic Healthcare Services, Inc., Jane Ogle, Methodist Hospital, Dr. Hemangshu Podder, Dr. Okechukwu Okidi, and Baylor College of Medicine, alleging claims for negligence arising from the anoxic brain injury and the organ procurement surgery. Garner alleged that Methodist Hospital was vicariously liable for the actions of Dr. Podder and Dr. Okidi, who were Methodist Hospital employees, and

directly liable for: medical malpractice; negligent handling of a corpse; negligent credentialing, hiring, training, monitoring, supervision, and retention.

Methodist Hospital, Dr. Podder, and Dr. Okidi timely objected to Garner’s expert report on the grounds that it failed to implicate each of them, was not a fair summary of the expert’s opinion on the applicable standard of care, and neither fairly summarized how the care they each provided fell short of the standard of care nor connected how the alleged failure caused the injury or damages claimed. Methodist Hospital, Dr. Podder, and Dr. Okidi also objected that the expert, Dr. Juliet Emamaullee, was not qualified to address the standard of care and causation in this case. The defendants filed motions to dismiss under Chapter 74 of the Texas Medical Liability Act (“TMLA”). See TEX. CIV. PRAC. & REM. CODE § 74.351.

The expert report, entitled “Summary of Organ Procurement Events,” has only three paragraphs. The first paragraph of this report talks generally about the “Joint Commission[’s]” considerations about surgical fires and how to prevent them.

According to The Joint Commission, surgical fires represent a sentinel event in the operating room. They have identified several contributing factors, including 1) a lack of communication among surgical team members before and during the procedure, 2) insufficient ‘time out’ to assess fire risk, and equipment malfunction, among others (Sentinel Event Alert, Issue 68, 10/18/2023). They indicate that surgical fires can be prevented by creating awareness and carefully monitoring elements of the ‘fire triangle’ which include oxygen, ignition sources (i.e. electricity from a cautery device), and fuel (i.e. paper drapes).

Factors contributing to surgical fires includes use of alcohol-based

skin preparation materials, failure to allow alcohol-based skin preparations to dry completely, use of oxygen greater than 21% (especially during head and neck procedures), and failure to use proper precautions when using electrosurgical devices like the cautery. The Joint Commission recommends that a Fire Risk Assessment be performed by the operating room team during the ‘time out’ to address risks that are present. Next, they recommend that the anesthetist maintain local oxygen concentration, 30% where possible, along with stopping or reducing the use of supplemental oxygen to the minimum required for at least one minute before the use of electrocautery devices for head, neck, and upper chest procedures.

The second paragraph summarizes the medical records leading up to and including the organ procurement surgery.

....

When the patient was taken to the operating room, the tracheostomy in place was the 3.5 uncuffed tube per the anesthesia record. (Garner TCH record 000001, page 1662). The records indicate that the procurement surgeon, Dr. Podder, requested that the gauze around the tracheostomy tube be removed prior to skin preparation. The operating room record for the procedure indicates that the skin was cleansed using povidine solution, which is usually not alcohol[-]based (Garner TCH 000001, page 1652). The incision was made at 9:01 am on 12/4/21. According to the anesthesia record, oxygen was being administered via the tracheostomy tube at 2.3 L/min (89% FiO2) at the start of the procedure (Garner TCH 000001, page 1671). Shortly after starting the procedure, the drapes ignited, resulting in an operating room fire. Dr. Williamson, an ENT, was called for an intraoperative consult. . . . [S]he was able to replace the 3.5 uncuffed tracheostomy tube with a 3.5 cuffed pediatric Shiley tracheostomy tube. . . . The operative note for the organ procurement does not document the events surrounding the surgical fire (LifeGift record page 162). In the free text section for the question ‘were there any significant thoracic/abdominal cavity intraoperative findings/abnormalities? Yes or No? If yes please describe’ Dr. Podder wrote ‘sever adhesions, extensive lysis of adhesions done.’ There is no mention of the surgical fire or burn injuries to the decedent. When

reviewing the images of the burn injuries that occurred prior to organ procurement, it is evidence that the surgeon began the sternotomy incision at the sternal notch, adjacent to the tracheostomy tube.

(LifeGift records, page 251).

The third paragraph notes the absence of evidence of specific preventative measures and the expert’s opinions about what, if anything could have been done to reduce the risk of a surgical fire:

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Methodist Hospital D/B/A Houston Methodist Hospital, Hemangshu Podder, MD, and Okeckukwu Okidi, MD; Lifegift Organ Donation Center; K2 Holistic Health Care Services, Inc and Jane Ogle,RN ( Incorrectly Named Nurse Jane); Texas Children's Hospital; Baylor College of Medicine v. Tammy Garner, Individually and as the Surviving Mother of Decedent J.G., a Minor, (Tex. Ct. App. 2025).

Methodist Hospital D/B/A Houston Methodist Hospital, Hemangshu Podder, MD, and Okeckukwu Okidi, MD; Lifegift Organ Donation Center; K2 Holistic Health Care Services, Inc and Jane Ogle,RN ( Incorrectly Named Nurse Jane); Texas Children's Hospital; Baylor College of Medicine v. Tammy Garner, Individually and as the Surviving Mother of Decedent J.G., a Minor (Methodist Hospital D/B/A Houston Methodist Hospital, Hemangshu Podder, MD, and Okeckukwu Okidi, MD; Lifegift Organ Donation Center; K2 Holistic Health Care Services, Inc and Jane Ogle,RN ( Incorrectly Named Nurse Jane); Texas Children's Hospital; Baylor College of Medicine v. Tammy Garner, Individually and as the Surviving Mother of Decedent J.G., a Minor) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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