Myrtle Robinson v. Kenneth A. Okpor, MD

CourtCourt of Appeals of Tennessee
DecidedJanuary 9, 2015
DocketW2014-00030-COA-R3-CV
StatusPublished

This text of Myrtle Robinson v. Kenneth A. Okpor, MD (Myrtle Robinson v. Kenneth A. Okpor, MD) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Myrtle Robinson v. Kenneth A. Okpor, MD, (Tenn. Ct. App. 2015).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT JACKSON August 12, 2014 Session

MYRTLE ROBINSON, ET AL. V. KENNETH A. OKPOR, MD, ET AL.

Appeal from the Circuit Court for Shelby County No. CT00312513 Gina C. Higgins, Judge

No. W2014-00030-COA-R3-CV - Filed January 9, 2015

The trial court granted summary judgment to the Appellee medical providers on the basis of Appellant’s failure to comply with the health care liability notice provisions, expiration of the applicable statute of limitations, failure to state a claim upon which relief can be granted, and res judicata. We affirm as to the trial court’s ruling that Appellant’s claims are barred by the doctrine of res judicata.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed

J. S TEVEN S TAFFORD, delivered the opinion of the Court, in which R ICHARD H. D INKINS, J., and W. M ICHAEL M ALOAN, S P., J., joined.

Al H. Thomas and Aaron L. Thomas, Memphis, Tennessee, for the appellant, Myrtle Robinson, on behalf and as personal representative of Fannie Oliver Zinn.

Jennifer S. Harrison and Lauren Dunavin Callins, Memphis, Tennessee, for the appellees, Kenneth A. Okpor, M.D., and Memphis Lung Physicians, P.C.

MEMORANDUM OPINION 1

1 Rule 10 of the Rules of the Court of Appeals of Tennessee provides:

This Court, with the concurrence of all judges participating in the case, may affirm, reverse or modify the actions of the trial court by memorandum opinion when a formal opinion (....continued) Background

This is the second case dealing with the same set of facts. See Robinson v. Baptist Memorial Hosp., No. W2013-01198-COA-R3-CV, 2014 WL 3407888 (Tenn. Ct. App. July 11, 2014), perm. app. denied, (Tenn. Dec. 18, 2014) (hereinafter, “Robinson I”). Accordingly, we take our recitation of the facts from our prior Opinion:

In November 2005, Fannie Oliver Zinn (“Decedent”) underwent treatment for endometrial cancer. In April 2006, when Ms. Zinn was 88 years old, she was diagnosed with terminal, metastatic cancer. Ms. Zinn opted to forego aggressive treatment, and sought only palliative care for symptomatic relief. On or about July 19, 2006, Ms. Zinn presented to her primary physician Dr. Hassan Haddad’s office, complaining of shortness of breath. Dr. Haddad diagnosed fluid on Ms. Zinn’s lungs, placed her on a diuretic and discharged her. On or about July 20, 2006, Ms. Zinn called Dr. Haddad to report that her symptoms had not abated and had, in fact, become worse. Dr. Haddad made arrangements for Ms. Zinn to be admitted to Baptist Memorial Hospital (“BMH”). Further examination at BHM revealed recurrent malignant pleural effusions around her lungs, which were caused by her malignant lung cancer.2 At BMH, Ms. Zinn underwent thoracentesis (i.e., draining fluid off the lung using a needle and local anesthetic), which provided relief. X-rays taken before and after the thoracentesis revealed bi-lateral pleural effusions, and Ms. Zinn was admitted to BMH for further evaluation. The radiology reports for these x-rays were dictated on July 20, 2006 at 7:58 a.m. and 9:12 a.m., and

(.....continued) would have no precedential value. When a case is decided by memorandum opinion it shall be designated “MEMORANDUM OPINION”, shall not be published, and shall not be cited or relied on for any reason in any unrelated case. 2 Pleural Effusions are excess fluid between the two membranes that cover the lungs (the visceral and parietal pleurae) that separate the lungs from the chest wall. A small quantity of fluid is normally spread thinly over the visceral and parietal pleurae and acts as a lubricant between the two membranes. Any significant increase in the quantity of pleural fluid is a pleural effusion. The most common symptoms of pleural effusion are chest pain and painful breathing (pleurisy).

-2- were transcribed later that day at 3:37 p.m. According to the record, Ms. Zinn’s bilateral pleural effusions, which caused both of her lungs to continue to fill with fluid, were a direct result of the spread of her terminal cancer. On July 20, 2006, Dr. Kenneth A. Okpor, M.D., a pulmonologist/critical care specialist, was consulted to discuss various options for treatment. After examining Ms. Zinn, Dr. Okpor explained three treatment options: (1) repeat thoracentesis as needed, (2) a permanent chest draining tub (Pleurex catheter) for slow and constant draining, or (3) a video assisted thoracic surgery (“VATS”) pleurodesis, which involves the infusion of a talc solution into the pleural space surrounding the lungs to prevent a recurrent build-up of fluid. Dr. Okpor recommended option 3, the VATS pleurodesis. On July 24, 2006, Ms. Zinn underwent a left-sided VATS pleurodesis, which was performed by Dr. Edward Todd Robbins and Dr. Garrettson Smith Ellis. Dr. Robbins testified that, at the time of the VATS procedure, he was aware that Ms. Zinn was suffering from bi-lateral effusions. Ms. Zinn died on July 27, 2006 as a result of complications from her operation. After his initial examination of Ms. Zinn, on July 20, 2006, Dr. Okpor dictated a consult note at 3:37 p.m. on that day.3 Dr. Okpor had allegedly reviewed the x-rays and report from July 20, which showed bi-lateral effusions, and his initial consultation states that: “Chest x-ray was reviewed and it showed a large left-sided pleural effusion.” On August 7, 2006, after Ms. Zinn’s death, Dr. Okpor logged onto the BMH website to authenticate his July 20, 2006 consult note. During his authentication, Dr. Okpor edited the original note. Specifically, in his authenticated note, he diagnosed Ms. Zinn with bi-lateral pleural effusions, whereas his original consultation note indicated only a “left-sided effusion.” Although pre-authenticated versions of doctors’ notes are not usually saved in the BMH system, here, Dr. Okpor’s pre-authenticated version of Ms. Zinn’s information was preserved because Dr. Robbins had printed a hard-copy of the

3 We note that the date and time that Dr. Okpor dictated his consult note is the exact same date and time that the radiology reports for Ms. Zinn’s x-rays were transcribed . . . . From our review of the record, this appears to merely be a coincidence.

-3- consultation note in preparation for Ms. Zinn’s July 24, 2006 VATS surgery. Dr. Robbins placed the copy of Dr. Okpor’s pre-authenticated note in Ms. Zinn’s medical record, where it was allegedly discovered by plaintiffs some five years later, . . ..

Robinson I, 2014 WL 3407888, at *1–*2 (footnotes in original with omissions noted).

Ms. Zinn’s daughters, Myrtle Robinson and Willette Jeffries, as their mother’s personal representatives (together, “Original Plaintiffs”), filed suit against BMH, Dr. Robbins, Dr. Ellis, and Dr. Haddad in the Circuit Court at Shelby County, claiming healthcare liability. BMH, Dr. Ellis, and Dr. Haddad all obtained summary judgment in their favor, leaving only Dr. Robbins as a viable defendant. Prior to a hearing on Dr. Robbins’ motion for summary judgment, Original Plaintiffs were granted leave to amend their complaint to aver a cause of action against Dr. Robbins for lack of informed consent. Dr. Robbins’ summary judgment motion was, therefore, held in abeyance pending the amendment.

Eventually, Original Plaintiffs filed another motion to amend their complaint, this time to add Dr. Okpor and his employer, Memphis Lung Physicians, P.C., (“MLP,” and together with Dr. Okpor, “Appellees”) as defendants. According to our prior Opinion:

[Original Plaintiffs] were granted leave, on August 19, 2011, to file a second amended complaint, which was entered on February 1, 2012. . . . Concerning Dr. Okpor and MLP, the second amended complaint states,

27. On July 20, 2006, when Kenneth A. Okpor, M.D. reviewed Ms. Zinn’s chest x-rays . . . . Dr.

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