Nelson v. Debbas

862 A.2d 1083, 862 A.2d 1088, 160 Md. App. 194, 2004 Md. App. LEXIS 184
CourtCourt of Special Appeals of Maryland
DecidedDecember 8, 2004
Docket1881, September Term, 2003
StatusPublished
Cited by4 cases

This text of 862 A.2d 1083 (Nelson v. Debbas) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nelson v. Debbas, 862 A.2d 1083, 862 A.2d 1088, 160 Md. App. 194, 2004 Md. App. LEXIS 184 (Md. Ct. App. 2004).

Opinion

SHARER, J.

Appellants, Thelma Nelson, Individually, and as Personal Representative of the Estate of Madeline V. Lyons, and others, filed a medical negligence action against appellees, Elie G. Debbas, M.D., and Fort Washington Hospital, pursuant to the Maryland Health Care Malpractice Claims Act. 1 On motions of appellees, the Circuit Court for Prince George’s *197 County dismissed the action against Elie G. Debbas, M.D., and granted summary judgment in favor of Fort Washington Hospital.

Appellants have raised for our review two questions, which we have recast as follows: 2

1. Did the trial court err in dismissing appellants’ medical negligence suit on the ground that appellants failed to file a Certificate of Qualified Expert, as required by the Maryland Health Care Malpractice Claims Act?
2. Was the evidence sufficient to create a dispute of material fact on the question of whether there was an agency relationship between the attending physicians, who administered care to the Decedent, and the Hospital?

For the reasons that follow, we shall reverse the orders of the circuit court.

FACTUAL BACKGROUND 3

On May 10, 2000, Madeline V. Lyons (“Decedent”) visited the emergency room at Fort Washington Hospital (“the Hospital”), complaining of weakness and fatigue. At the Hospital, she was examined and treated by Dr. Hengameh N. Mesbahi, *198 who advised Decedent to follow up with her primary care physician, Dr. Michael G. Sidarous.

On May 12, 2000, Decedent presented to Dr. Sidarous with symptoms similar to those she complained of at the Hospital on May 10. Dr. Sidarous diagnosed Decedent with mild congestive heart failure, and prescribed medication. He further advised her to return to the Hospital should her symptoms worsen. On May 16, 2000, Decedent returned to the Hospital, complaining of excruciating abdominal pain.

On both May 10 and May 16, the Hospital required that Decedent complete a consent form, entitled “Conditions of Admission to Emergency Department of Hospital.” The form contained the following language:

MEDICAL CONSENT: I hereby voluntarily consent to such diagnostic procedures and hospital care and to such therapeutic treatment by doctors of the medical staff of Fort Washington Hospital, which, in their judgment becomes necessary while I am an Emergency Department patient or an inpatient in said hospital.

Upon her completion of the medical consent on May 16, Decedent was admitted to the Hospital’s emergency room.

Decedent was first seen by Patrick W. Daly, M.D., an emergency room physician and Director of the Hospital’s Emergency Medical Department, in the emergency room shortly after 9:00 a.m. Dr. Daly examined Decedent and ordered certain diagnostic tests, including x-rays. At about 10:45 a.m., Decedent was diagnosed as having free air under the left diaphragm.

About one hour later, Dr. Daly requested a surgical consult with Dr. Debbas, Chief of Surgery at the Hospital (who was also then President of the Medical Staff). Dr. Debbas and Dr. Sidarous, Decedent’s personal physician, suggested that she undergo a CT scan. The scan, performed promptly, revealed a condition requiring early surgical intervention.

At 1:00 p.m., on the order of Dr. Debbas and Dr. Sidarous, Decedent began what would become three hours of blood *199 transfusion. Between the hours of approximately 12:45 p.m. and 6:00 p.m., no constant and ongoing physical monitoring of Decedent occurred. At about 6:30 p.m. Decedent was admitted to surgery and the administration of anesthesia was begun. At 8:05 p.m., while in surgery, Decedent went into cardiac arrest. Attempts to resuscitate her were unsuccessful, and she died at 9:01 p.m.' 1

Appellants assert that the delay from the time of discovery of Decedent’s condition until the surgery constituted medical negligence, which was the proximate cause of Decedent’s death.

PROCEDURAL HISTORY

On April 8, 2002, appellants filed a Statement of Claim against Dr. Debbas and the Hospital with the Health Claims Arbitration Office (HCAO), pursuant to the Maryland Health Care Malpractice Claims Act (“the Act”), Md.Code. Ann., Cts. and Jud. Proc. §§ 3-2A-01 to 3-2A-09 (2002 Repl. Vol & 2004 Supp.). Accompanying the Statement of Claim was a Certificate of Qualified Expert, executed by Ann M. Gordon, M.D., attesting to the appellees’ deviations from the appropriate standard of medical care. Appellants filed an Election to Waive Arbitration pursuant to § 3-2A-06B of the Act, and, on April 30, 2002, filed the instant action in the Circuit Court for Prince George’s County. The litigation proceeded on appellants’ subsequently-filed first amended complaint.

Dr. Debbas filed a motion to dismiss, predicated on the single assertion that appellants had failed to file an appropriate Certificate of Qualified Expert. The motion to dismiss was granted by the court on August 29, 2003. 4 5

The Hospital filed a motion for summary judgment, initially on the basis of the allegedly defective certificate, but later *200 supplemented by the argument that the record did not support a finding of negligence by the Hospital. That later argument raises the issue of apparent authority of the treating physicians and potential vicarious liability. The circuit granted the motion for summary judgment on August 29, 2003.

Appellants filed appropriate motions to reconsider, all of which were denied by the circuit court on October 2, 2003. Appellants filed their timely notice of appeal on October 27, 2003.

DISCUSSION

I. Did the trial court err in dismissing appellants’ medical negligence suit on the ground that appellants failed to file a Certificate of Qualified Expert, as required by the Maryland Health Care Malpractice Claims Act?

We hold that appellants’ Certificate of Qualified Expert satisfies the Act’s requirements and shall reverse the trial court’s grant of Dr. Debbas’s motion to dismiss. 6 We also *201 hold that the record supports a finding that there exists a dispute of material fact relating to the apparent authority of the physicians vis-a-vis the Hospital, and the potential of vicarious liability of the Hospital.

Standard of Review

In reviewing the circuit court’s dismissal of appellants’ claim against Dr. Debbas, we shall assume the truth of the well-pleaded facts in the complaint and the inferences which we may reasonably draw from such facts. Parker v. Kowalsky & Hirschhorn, P.A., 124 Md.App.

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Related

Williams v. Dimensions Health Corp.
480 Md. 24 (Court of Appeals of Maryland, 2022)
Debbas v. Nelson
885 A.2d 802 (Court of Appeals of Maryland, 2005)
Calderone v. Kent County Memorial Hospital
360 F. Supp. 2d 397 (D. Rhode Island, 2005)

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Bluebook (online)
862 A.2d 1083, 862 A.2d 1088, 160 Md. App. 194, 2004 Md. App. LEXIS 184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nelson-v-debbas-mdctspecapp-2004.