Michael Ackman and Joseph F. Ackman, Jr. v. Nero Diagnostic Monitoring, LLC and David Mouton

CourtLouisiana Court of Appeal
DecidedNovember 27, 2024
DocketCA-0024-0184
StatusUnknown

This text of Michael Ackman and Joseph F. Ackman, Jr. v. Nero Diagnostic Monitoring, LLC and David Mouton (Michael Ackman and Joseph F. Ackman, Jr. v. Nero Diagnostic Monitoring, LLC and David Mouton) 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
Michael Ackman and Joseph F. Ackman, Jr. v. Nero Diagnostic Monitoring, LLC and David Mouton, (La. Ct. App. 2024).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

24-184

MICHAEL ACKMAN AND JOSEPH F. ACKMAN, JR.

VERSUS

NEURO DIAGNOSTIC MONITORING, LLC AND DAVID MOUTON

**********

APPEAL FROM THE FIFTEENTH JUDICIAL DISTRICT COURT PARISH OF LAFAYETTE, NO. 20165533 HONORABLE KRISTIAN EARLES, DISTRICT JUDGE

WILBUR L. STILES JUDGE

Court composed of Gary J. Ortego, Ledricka J. Thierry, and Wilbur L. Stiles, Judges.

AFFIRMED. REQUEST FOR ADDITIONAL COSTS AND DAMAGES FOR FRIVOLOUS APPEAL DENIED. Todd J. Bialous Attorney at Law 1100 Poydras St, Suite 2900 PMB 3423 New Orleans, LA 70163-2900 (504) 635-0105 COUNSEL FOR PLAINTIFFS/APPELLANTS: Michael Ackman Joseph F. Ackman, Jr.

Douglas K. Williams K. Nicole Reynolds Alexis N. Curtis Breazeale, Sasche & Wilson, L.L.P. One American Place, Suite 2300 Baton Rouge, LA 70821 (225) 381-8032 COUNSEL FOR DEFENDANTS/APPELLEES: Neuro Diagnostic Monitoring, LLC David Mouton CNIM Medpro a/k/a The Medical Protective Company National Fire & Marine Insurance Company Medpro a/k/a The Medical Protective Company STILES, Judge.

Plaintiffs Michael Ackman and her now-former husband, Joseph Ackman,

pursued a medical malpractice suit after Ms. Ackman developed bilateral vocal cord

paralysis from an injury sustained during a thyroidectomy. Although Plaintiffs

reached a settlement with the surgeon who performed the surgery, Plaintiffs pursued

their suit against the intraoperative monitoring technician who was present at the

surgery, as well as his employer. The trial court dismissed Plaintiffs’ claim after a

jury determined that Plaintiffs failed to establish the applicable standard of care. For

the following reasons, we affirm the trial court’s judgment. We deny Defendants’

request for an award of additional costs, as well as their request for damages

associated with the filing of a frivolous appeal.

FACTS AND PROCEDURAL HISTORY

Due to painful sensations associated with an enlarged thyroid, Ms. Ackman

underwent a subtotal thyroidectomy on August 31, 2015 at Our Lady of Lourdes in

Lafayette. Dr. Henry J. Kaufman, a general surgeon and surgical oncologist,

performed the procedure. Pertinent to this appeal, Dr. Kaufman utilized the services

of Neuro Diagnostic Monitoring, LLC (NDM) to provide bilateral free run recurrent

laryngeal nerve monitoring and identification in order to safeguard the nerves near

the surgical site. David Mouton, a certified intraoperative monitoring technician

employed by NDM, was assigned to provide the monitoring service during the

procedure, which involved setting up the equipment, connecting wiring from NDM’s

laptop to the intubation tube in Mrs. Ackman’s throat, and observing

electromyography (EMG) activity from the patient’s nerves through wave forms

displayed on the laptop’s screen. A supervising offsite physician likewise remotely

monitored the EMG activity. According to Mr. Mouton, his role as the technician was to inform the surgeon of EMG activity indicative of the surgeon encroaching on

a nerve. Equipped with that information, the surgeon could then take additional

safeguards to protect the patient’s nerve.

Mr. Mouton’s intraoperative monitoring is central to the present controversy

as, following Dr. Kaufman’s removal of Ms. Ackman’s thyroid, Ms. Ackman

developed bilateral vocal cord paralysis from an injury sustained during the

procedure. The injury left Ms. Ackman with a host of complications, including

difficulty swallowing, speaking, and breathing. She ultimately underwent a

permanent tracheostomy. Given those conditions, she reported not only

psychological difficulties, but she experienced difficulties in her career, social life,

and marriage.

Although Mr. and Ms. Ackman have since divorced, they filed the petition

instituting this medical malpractice claim in October 17, 2016, first naming Mr.

Mouton and NDM as defendants. Both defendants were identified as “non-qualified”

under the Medical Malpractice Act and, thus, Plaintiffs were not required to first

proceed before a medical review panel. Plaintiffs alleged that Mr. Mouton was

negligent in failing to identify harmful nerve activity during the thyroidectomy and,

in turn, failing to alert Dr. Kaufman of that activity.

Plaintiffs contemporaneously pursued a complaint against Dr. Kaufman, a

qualified healthcare provider, with the Louisiana Patient’s Compensation Fund.

After the completion of the Medical Review Panel process, Plaintiffs filed a first

supplemental and amending petition, adding Dr. Kaufman and his insurer as

defendants. Plaintiffs alleged that Dr. Kaufman failed to properly utilize the

neuromonitoring services available to him, failed to utilize a nerve stimulator probe

before transecting the thyroid, and failed to effectively communicate with Mr.

2 Mouton. Following a settlement, Plaintiffs voluntarily dismissed Dr. Kaufman and

his insurer in January 2021.

After the dismissal of Dr. Kaufman, Plaintiffs pursued their claim against Mr.

Mouton and NDM. Plaintiffs filed a second supplemental and amending petition,

naming Mr. Mouton and NDM’s insurers, MedProGroup a/k/a The Medical

Protective Company and National Fire & Marine Insurance Company as defendants.

The matter proceeded to a multi-day jury trial in August 2023 where, as

discussed below, the parties presented expert testimony regarding the standard of

care applicable to Mr. Mouton and NDM. The jury found in favor of Defendants,

simply responding “No” to an interrogatory inquiring whether “plaintiffs established,

through expert testimony, the standard of care applicable to NDM and David

Mouton[.]” The trial court signed a written judgment dismissing Plaintiffs’ claims

on August 31, 2023.

Plaintiffs appeal, assigning the following as error in their brief to this court :

(1) The jury legally erred or disregarded the law in rendering its verdict by ignoring the undisputed standard of care evidence offered by competent and unchallenged expert testimony at trial.

(2) The jury’s verdict that Appellants had not proved the existence of the applicable standard of care by a preponderance of the evidence was manifestly erroneous as no competing evidence was offered to challenge the standard of care evidence offered by Appellants.

(3) The Trial Court erred in denying Appellants’ request to include loss of chance of a better medical outcome as an alternative remedy on the verdict form.

(4) The Trial Court erred in denying the Appellants’ motion in limine to exclude references to a settlement between the Plaintiffs and a former party-defendant and allowing such references at trial.

3 Defendants answer the appeal, requesting that this court modify the judgment

to award them additional costs and to further award them attorney fees for frivolous

appeal.

DISCUSSION

Burden of Proof

The supreme court has explained that the plaintiff in a medical malpractice

case has the burden of proving, by a preponderance of the evidence: “(1) the standard

of care applicable to the defendant; (2) that the defendant breached that standard of

care; and (3) that there was a causal connection between the breach and the resulting

injury.” Samaha v. Rau, 07-1726, p. 5 (La. 2/26/08), 977 So.2d 880, 883-84 (citing

La.R.S. 9:2794). Further, “[e]xpert testimony is generally required to establish the

applicable standard of care and whether or not that standard was breached, except

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Bluebook (online)
Michael Ackman and Joseph F. Ackman, Jr. v. Nero Diagnostic Monitoring, LLC and David Mouton, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michael-ackman-and-joseph-f-ackman-jr-v-nero-diagnostic-monitoring-llc-lactapp-2024.