Mileikowsky v. Tenet Healthsystem

26 Cal. Rptr. 3d 831, 128 Cal. App. 4th 262
California Court of Appeal·Decided May 4, 2005·No. B159733·Published·Cited by 58 cases

Opinion

Opinion

CURRY, J.

Appellant Gil Mileikowsky, M.D., appeals from an order which granted (1) a request for terminating sanctions, and (2) a request for $8,500 in monetary sanctions. The order was based on his repeated failure to provide discovery. For the reasons set forth herein, the court’s order is affirmed.

Although an order granting a request for terminating sanctions is not appealable and the losing party should ordinarily await entry of the order of dismissal to file notice of appeal, we denied a motion to dismiss the appeal on grounds of prematurity because an order granting monetary sanctions in amounts over $5,000 is immediately appealable. (Civ. Proc. Code, § 904.1, subd. (a)(12).) As is explained further below, although we attempted to limit our review to issues pertaining to the monetary sanctions awarded, our reasoning necessarily encompasses the propriety of granting terminating sanctions. We presume, therefore, that after the remittitur issues, an order striking the operative complaint 1 and dismissing the action will be entered.

*265 FACTUAL AND PROCEDURAL BACKGROUND

A. Facts Related to Substantive Claims

1. Original Complaint and Preliminary Injunction

Dr. Mileikowsky brought suit against Tenet Healthsystem and Encino-Tarzana Regional Medical Center 2 in case No. BS056525 in April 1999. The petition for writ of mandate alleged that Dr. Mileikowsky had medical and surgical privileges at ETRMC- since his appointment to membership on the medical staff in 1986. Every two years thereafter until 1998, he was reappointed to membership. At that time, he claimed, he was not given actual notice of the approaching expiration date of his two-year term, and was not timely furnished with the materials needed to obtain reappointment (essentially a written application) in violation of medical staff bylaws. In February 1999, Dr. Mileikowsky received notice that, as he had not timely filed his application for reappointment, he was considered to have voluntarily resigned. He attempted to file a reappointment application, but was rebuffed. Dr. Mileikowsky challenged the decision to deem him a voluntary departee, and ETRMC’s medical executive committee allegedly rejected that challenge “without prior notice[] or hearing” and in violation of his “right to due process.”

The petition sought a determination that ETRMC’s actions were invalid and a denial of Dr. Mileikowsky’s due process rights, and an order directing ETRMC to set aside its actions or restraining it from giving effect to its determination that Dr. Mileikowsky had voluntarily resigned.

On the day the complaint was filed, the court set a hearing on an order to show cause regarding preliminary injunction, which it granted on April 19, 1999. The injunction precluded ETRMC from preventing Dr. Mileikowsky from exercising the privileges of an active status physician and surgeon and treating patients, or reporting to others that he had voluntarily resigned.

*266 2. Amended Petition

In June 1999, Mileikowsky filed an amended petition that added two Tenet entities and 22 individual defendants. 3 The amended petition also added tort claims under Business and Professions Code section 17200, and for interference with prospective economic advantage and defamation.

On June 16, 2000, the parties stipulated that “[the] preliminary injunction [was] to remain in effect pending determination of damage claims, and that [Dr. Mileikowsky] does not need mandamus relief as long as the preliminary injunction remains in effect.” Thereafter, the court took the petition for writ of mandate off calendar, and transferred the matter to a trial department.

3. New Complaint and Temporary Restraining Order

In January 2000, while the litigation in case No. BS056525 was ongoing, ETRMC’s executive committee recommended that Dr. Mileikowsky not be reappointed to its medical staff.

In July 2000, Dr. Mileikowsky, represented by new counsel, filed a new complaint (case No. BC233153) for breach of contract, breach of covenant of good faith, infliction of emotional distress, retaliation for whistleblowing, and defamation. 4 The primary basis of this complaint was that Tenet and ETRMC had violated the April 1999 preliminary injunction by placing restrictions on his access to ETRMC facilities, including having him constantly accompanied by security personnel when on ETRMC premises. Dr. Mileikowsky also claimed he was retaliated against for reporting alleged violations of medical standards to the California Medical Association and for assisting a plaintiff in a medical malpractice action against ETRMC.

In a letter attached to the complaint as an exhibit, Dale Surowitz, ETRMC’s chief executive officer, stated to Dr. Mileikowsky: “As a condition to your continued access to hospital facilities and use of hospital resources, you are directed to inform my office (or the nurse supervisor in charge *267 outside normal business hours) whenever you enter hospital premises. You are also directed to inform my office, in advance, of any surgical procedure, which you schedule at this facility. Hospital Administration will then assure that security personnel accompany you whenever you are on hospital premises.” The letter went on to say: “[A]ny failure by you to comply with the measures described [above], or any further violation of hospital policies (including, but not limited to, perceived threats or intimidation of hospital personnel or medical staff members, and copying of patient records), will result in the summary suspension of your medical staff membership and privileges.”

When he filed the new complaint, Dr. Mileikowsky sought a temporary restraining order (TRO) and order to show cause regarding preliminary injunction. The opposition justified ETRMC’s action by relating an incident that occurred in December 1999. The operating room manager, Marleen Hafer, entered a surgical suite where Dr. Mileikowsky was operating on a patient, and informed him that his surgical assistant did not have clinical privileges and should be immediately replaced by an alternate. Dr. Mileikowsky “aggressively backed Ms. Hafer, who is less than five feet tall, against a wall while screaming at her, lunging in her direction with his finger and making a head butting motion toward her.” The anesthesiologist, “fear[ing] for Ms. Hafer’s physical safety,” interjected himself and caused Dr. Mileikowsky to turn away. Another observer from outside the room gathered male personnel in case they were needed to restrain Dr. Mileikowsky. The opposition further claimed that Dr.

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Mileikowsky v. Tenet Healthsystem, 26 Cal. Rptr. 3d 831, 128 Cal. App. 4th 262 (Cal. Ct. App. 2005).

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