Prentiss E. Smith, M.D., Phillip A. Wittmann, Movants-Appellants v. Our Lady of the Lake Hospital, Inc., Etc.

960 F.2d 439, 22 Fed. R. Serv. 3d 1043, 1992 U.S. App. LEXIS 8554, 1992 WL 84889
CourtCourt of Appeals for the Fifth Circuit
DecidedApril 29, 1992
Docket91-3260
StatusPublished
Cited by63 cases

This text of 960 F.2d 439 (Prentiss E. Smith, M.D., Phillip A. Wittmann, Movants-Appellants v. Our Lady of the Lake Hospital, Inc., Etc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prentiss E. Smith, M.D., Phillip A. Wittmann, Movants-Appellants v. Our Lady of the Lake Hospital, Inc., Etc., 960 F.2d 439, 22 Fed. R. Serv. 3d 1043, 1992 U.S. App. LEXIS 8554, 1992 WL 84889 (5th Cir. 1992).

Opinion

JERRY E. SMITH, Circuit Judge:

Dr. Prentiss Smith and his attorneys appeal sanctions imposed under Fed.R.Civ.P. 11 and 26(g), 28 U.S.C. § 1927, and the inherent power of the court. See Smith v. Our Lady of the Lake Hosp., 135 F.R.D. 139 (M.D.La.1991). They also argue that the district judge should have been disqualified under 28 U.S.C. § 455(a) because of his relationship with the defendant hospital and a defendant physician. We reverse the imposition of sanctions and thus need not reach the issue of recusal.

I.

Smith was a cardiovascular surgeon associated with Our Lady of the Lake Hospital (“the hospital”) in Baton Rouge, Louisiana. In 1982 the hospital’s executive committee began investigating complaints from recovery room nurses about Smith’s medically improper and personally abusive and offensive conduct. The ad hoc committee established for the review gave Smith two months to resolve his problems or his hospital privileges would be terminated; this probation was later extended for a year.

During the following year, the hospital began to review the mortality rates of patients undergoing certain cardiac and thoracic procedures, including those on whom Smith had operated. One element of this review was a statistical table comparing the mortality rates for certain surgical procedures of several doctors, including Smith. The table apparently was prepared by Smith’s principal competitor, Dr. B. Eugene Berry, and indicated that Smith had a relatively high mortality rate for several procedures, although as Smith points out, the table did not include data about the relative difficulty of each individual operation or *442 about the doctors who allegedly had higher mortality rates than did he. 1

After the hospital’s cardiovascular staff reviewed Smith’s level of care and did not find it inadequate, the executive committee asked the independent Society of Thoracic Surgeons (“the society”) to study the data, informing the society that the doctor’s mortality rates were unacceptable. During the course of the society’s review, representatives of the hospital and the executive committee contacted the society by mail and telephone, although nothing in the record indicates that those communications were inherently fraudulent. The hospital suspended Smith’s surgical privileges in March 1985, and in May the society’s ethics committee stated that Smith’s level of care was substandard. At Smith’s request, two other hospital committees reviewed his record and found it wanting.

After he was suspended, Smith pursued the hospital’s appeal process, during which a nonbinding ad hoc committee reported to the executive committee that the evidence presented to them was insufficient to support the suspension. The committee did conclude that all of Smith’s surgeries should be pre-approved by another surgeon, that another surgeon should be present whenever Smith operated, and that his behavior was shameful. His privileges were terminated permanently on June 27, 1986.

Smith then consulted Donald Bivens, an Arizona attorney specializing in physician-hospital disputes. Bivens interviewed five doctors at the hospital, including a member of the executive committee, and the hospital’s outside counsel. He also compiled a seventy-eight-page chronology of the proceedings surrounding Smith’s suspension and termination. The interviews and chronology included information indicating that factors other than Smith’s professional competence — such as his personal character — had caused his termination and that the hospital did not follow its bylaws in the termination process.

Ten months after the firing, Smith turned to the New Orleans law firm of Stone, Pigman, Walther, Wittmann & Hutchinson (“Stone, Pigman”), because he wanted local counsel. 2 During the next two months, according to an uncontested affidavit, lawyers and law clerks for the firm spent more than two hundred hours investigating the factual foundation and potential legal theories for Smith’s claim, including interviewing Smith and the attorney who represented him during the suspension proceedings and examining the materials Bivens had prepared.

II.

In June 1987, represented by the Stone, Pigman lawyers, Smith filed a civil Racketeer Influenced & Corrupt Organizations Act (“RICO”) suit against the hospital, six doctors who were members of the executive committee, five members of the board of trustees, and Berry. The suit charged the defendants with, among other claims, using the mails to execute a scheme to defraud Smith of his livelihood and using the pretense of challenging his professional competence to lull him into inaction regarding the actual bases for his termination, i.e., greed and personal dislike, and by ruining his reputation, eliminating him as a competitor in the Baton Rouge market for cardiovascular surgery. The complaint charged that Berry’s professional corporation was a RICO enterprise under 18 U.S.C. §§ 1962(a) and (b), that the hospital was an enterprise under id. § 1962(d), and that the written and telephone communications between the defendants and the society constituted the necessary pattern of racketeering activity as mail and wire fraud under 18 U.S.C. §§ 1341 and 1343.

In September 1987, the plaintiffs moved to disqualify the district judge because he *443 was a patient of one of the defendant doctors, urologist Redfield Bryan. The judge denied the motion but stated that it could be renewed if the judge had to return to Bryan for treatment. We denied the plaintiffs leave to take an interlocutory appeal from that decision.

In August 1987, the parties began discovery under a joint discovery plan. The following April, the district court stayed discovery, pending a hearing on Smith’s motion to amend and the defendants’ motion to dismiss. After the hearing, the court denied Smith’s motion but did not act on the motion to dismiss. In September, with discovery still stayed, Smith voluntarily dismissed his federal suit. A state law action, filed at the same time as his federal one, apparently is still pending.

In January 1989, the defendants filed a joint motion for sanctions against Smith and attorneys Wittmann, Landis, and Randall Smith under Fed.R.Civ.P. 11 and 26(g), 28 U.S.C. § 1927, and the inherent power of the court.

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Bluebook (online)
960 F.2d 439, 22 Fed. R. Serv. 3d 1043, 1992 U.S. App. LEXIS 8554, 1992 WL 84889, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prentiss-e-smith-md-phillip-a-wittmann-movants-appellants-v-our-ca5-1992.