STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
11-290
RITA PATIN
VERSUS
STATE OF LOUISIANA, ET AL.
**********
APPEAL FROM THE NINTH JUDICIAL DISTRICT COURT PARISH OF RAPIDES, NO. 238,068 HONORABLE MARY LAUVE DOGGETT, DISTRICT COURT JUDGE
ULYSSES GENE THIBODEAUX CHIEF JUDGE
Court composed of Ulysses Gene Thibodeaux, Chief Judge, Marc T. Amy, and Phyllis M. Keaty, Judges.
AFFIRMED.
Judith M. Williams Assistant Attorney General 429 Murray Street – 4th Floor P. O. Box 1710 Alexandria, LA 71309-1710 Telephone: (318) 487-5944 COUNSEL FOR: Defendant/Appellee - State of Louisiana, Through the Board of Supervisors of Louisiana State University and Agricultural and Mechanical College as Owner and Operator of LSU Health Sciences Center-Shreveport, d/b/a LSU Family Practice Residency-Alexandria
Rita Patin In Proper Person 435 N. Sterling Street Lafayette, LA 70501 Telephone: (337) 233-5709 THIBODEAUX, Chief Judge.
In this dispute Rita Patin argues that the trial court erred by granting an
exception of prescription in favor of State of Louisiana, Through the Board of
Supervisors of Louisiana State University and Agricultural and Mechanical College as
Owner and Operator of LSU Health Sciences Center-Shreveport, doing business as
LSU Family Practice Residency-Alexandria (Center). Patin requested a medical
review panel proceeding in a letter dated December 11, 2009. In the letter, Patin
asserted that Dr. Charles Norwood’s 1 inappropriate treatment resulted in a stroke,
heart attack, and other serious injuries, and that the last date of treatment was
December 15, 2006. For the following reasons, we affirm.
I.
ISSUE
We shall consider whether the trial court erred by granting an exception
of prescription in favor of Center in this request-for-a-medical-review-panel case
where the alleged victim of medical malpractice requested the medical panel review
three years after the last date of treatment, did not allege the date she discovered she
was the victim of a tort, and did not submit any evidence to allow a determination of
when she should have discovered the facts on which to base this cause of action.
II.
FACTS
In a letter to the Commissioner of Administration, dated December 11,
2009, Patin requested a medical panel review. The letter states that “[t]he last
physical treatment was on December 15, 2006.” Patin alleged that Dr. Norwood
1 Dr. Norwood works through Center as a family practice physician. administered inappropriate treatment which resulted in a stroke, heart attack, and
other serious injuries. No other details were specified in the letter.
Center filed an exception of prescription in the District Court. Patin,
acting on her own behalf, requested and was granted several continuances and then
filed an answer. In the answer, Patin alleged that she continued telephone
consultations with Dr. Norwood into 2008 and, during those conversations, he
“consistently mislead” Patin to believe that her symptoms were part of her healing
process. Patin further alleged that she received excessive electromagnetic/scenar
shocks which resulted in a stroke, heart attack, and exacerbation of other symptoms.
Finally, Patin alleged in her answer that Dr. Norwood attempted unsolicited sexual
contact with her.
The trial court found that Patin’s claim of malpractice was prescribed and
dismissed Patin’s request for a medical review panel with prejudice. In Patin’s
appeal, she claims that the trial court erred by disregarding her answer and by denying
her request for the hearing’s transcript during which she allegedly gave sworn
testimony. Patin also re-alleged the facts she stated in her answer.
Center argues that the general rule is that a medical malpractice claim
must be filed within one year of the alleged act. To benefit from what the Center
characterizes as the three-year-exception to the general rule, a plaintiff must show
some delay in the discovery of the malpractice. Center contends that Patin failed to
allege any facts that would place her case in the three-year prescriptive period. Center
also explained that the record does not contain the hearing’s transcript because Patin
failed to pay for it.
We note that Patin motioned this court to supplement the record to
include documents that are not in the record already. This court denied the motion:
“[a]ppellate courts are courts of record and may not review evidence that is not in the
2 appellate record, or receive new evidence.” Denoux v. Vessel Mgmt. Servs., Inc., 07-
2143, p. 6 (La. 5/21/08), 983 So.2d 84, 88 (citations omitted).
III.
STANDARD OF REVIEW
The manifest error standard of review applies to an appellate court’s
consideration of an exception of prescription. Strahan v. Sabine Ret. & Rehab. Ctr.,
Inc., 07-1607 (La.App. 3 Cir. 4/30/08), 981 So.2d 287. We must bear in mind,
however, that an appellate court must strictly construe the statutes against prescription
and in favor of the extinguished claim. Id.
IV.
LAW AND DISCUSSION
No action for damages for injury or death against any physician, . . . hospital or nursing home duly licensed under the laws of this state, or community blood center or tissue bank as defined in R.S. 40:1299.41(A), whether based upon tort, or breach of contract, or otherwise, arising out of patient care shall be brought unless filed within one year from the date of the alleged act, omission, or neglect, or within one year from the date of discovery of the alleged act, omission, or neglect; however, even as to claims filed within one year from the date of such discovery, in all events such claims shall be filed at the latest within a period of three years from the date of the alleged act, omission, or neglect.
La.R.S. 9:5628(A). Thus, La.R.S. 9:5628(A) “sets forth two prescriptive limits within
which to bring a medical malpractice action, namely one year from the date of the
alleged act or one year from the date of discovery with a three year limitation from the
date of the alleged act, omission or neglect to bring such claims.” Campo v. Correa,
01-2707, p. 9 (La. 6/21/02), 828 So.2d 502, 509.
Even though the patient must go through a medical review panel and
receive its opinion before she or he can file a lawsuit, a health care provider may raise
in court an exception of prescription during the medical review panel stage. Perritt v.
3 Dona, 02-2601, 02-2603 (La. 7/2/03), 849 So.2d 56. See also Primus v. Touro
Infirmary, 05-662 (La.App. 4 Cir. 1/25/06), 925 So.2d 609; Dixon v. La. State Univ.
Med. Ctr., 33,036 (La.App. 2 Cir. 1/26/00), 750 So.2d 408, writ denied, 00-627 (La.
4/20/00), 760 So.2d 350. The exceptor bears the burden of proving prescription
unless it is apparent on the face of the petition that prescription has run. Primus, 925
So.2d 609. For the purposes of allocating the burden of proof on the exception of
prescription under the facts of this case, the letter requesting a medical review panel is
treated as a petition. Id.; Dixon, 750 So.2d 408.
A petition is not prescribed on its face when the action, although brought
after one year from the date on which malpractice was committed has passed, is
brought within one year of the date of discovery of malpractice and within three years
of the date of malpractice. Campo, 828 So.2d 502. Thus, it is an error to shift the
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STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT
11-290
RITA PATIN
VERSUS
STATE OF LOUISIANA, ET AL.
**********
APPEAL FROM THE NINTH JUDICIAL DISTRICT COURT PARISH OF RAPIDES, NO. 238,068 HONORABLE MARY LAUVE DOGGETT, DISTRICT COURT JUDGE
ULYSSES GENE THIBODEAUX CHIEF JUDGE
Court composed of Ulysses Gene Thibodeaux, Chief Judge, Marc T. Amy, and Phyllis M. Keaty, Judges.
AFFIRMED.
Judith M. Williams Assistant Attorney General 429 Murray Street – 4th Floor P. O. Box 1710 Alexandria, LA 71309-1710 Telephone: (318) 487-5944 COUNSEL FOR: Defendant/Appellee - State of Louisiana, Through the Board of Supervisors of Louisiana State University and Agricultural and Mechanical College as Owner and Operator of LSU Health Sciences Center-Shreveport, d/b/a LSU Family Practice Residency-Alexandria
Rita Patin In Proper Person 435 N. Sterling Street Lafayette, LA 70501 Telephone: (337) 233-5709 THIBODEAUX, Chief Judge.
In this dispute Rita Patin argues that the trial court erred by granting an
exception of prescription in favor of State of Louisiana, Through the Board of
Supervisors of Louisiana State University and Agricultural and Mechanical College as
Owner and Operator of LSU Health Sciences Center-Shreveport, doing business as
LSU Family Practice Residency-Alexandria (Center). Patin requested a medical
review panel proceeding in a letter dated December 11, 2009. In the letter, Patin
asserted that Dr. Charles Norwood’s 1 inappropriate treatment resulted in a stroke,
heart attack, and other serious injuries, and that the last date of treatment was
December 15, 2006. For the following reasons, we affirm.
I.
ISSUE
We shall consider whether the trial court erred by granting an exception
of prescription in favor of Center in this request-for-a-medical-review-panel case
where the alleged victim of medical malpractice requested the medical panel review
three years after the last date of treatment, did not allege the date she discovered she
was the victim of a tort, and did not submit any evidence to allow a determination of
when she should have discovered the facts on which to base this cause of action.
II.
FACTS
In a letter to the Commissioner of Administration, dated December 11,
2009, Patin requested a medical panel review. The letter states that “[t]he last
physical treatment was on December 15, 2006.” Patin alleged that Dr. Norwood
1 Dr. Norwood works through Center as a family practice physician. administered inappropriate treatment which resulted in a stroke, heart attack, and
other serious injuries. No other details were specified in the letter.
Center filed an exception of prescription in the District Court. Patin,
acting on her own behalf, requested and was granted several continuances and then
filed an answer. In the answer, Patin alleged that she continued telephone
consultations with Dr. Norwood into 2008 and, during those conversations, he
“consistently mislead” Patin to believe that her symptoms were part of her healing
process. Patin further alleged that she received excessive electromagnetic/scenar
shocks which resulted in a stroke, heart attack, and exacerbation of other symptoms.
Finally, Patin alleged in her answer that Dr. Norwood attempted unsolicited sexual
contact with her.
The trial court found that Patin’s claim of malpractice was prescribed and
dismissed Patin’s request for a medical review panel with prejudice. In Patin’s
appeal, she claims that the trial court erred by disregarding her answer and by denying
her request for the hearing’s transcript during which she allegedly gave sworn
testimony. Patin also re-alleged the facts she stated in her answer.
Center argues that the general rule is that a medical malpractice claim
must be filed within one year of the alleged act. To benefit from what the Center
characterizes as the three-year-exception to the general rule, a plaintiff must show
some delay in the discovery of the malpractice. Center contends that Patin failed to
allege any facts that would place her case in the three-year prescriptive period. Center
also explained that the record does not contain the hearing’s transcript because Patin
failed to pay for it.
We note that Patin motioned this court to supplement the record to
include documents that are not in the record already. This court denied the motion:
“[a]ppellate courts are courts of record and may not review evidence that is not in the
2 appellate record, or receive new evidence.” Denoux v. Vessel Mgmt. Servs., Inc., 07-
2143, p. 6 (La. 5/21/08), 983 So.2d 84, 88 (citations omitted).
III.
STANDARD OF REVIEW
The manifest error standard of review applies to an appellate court’s
consideration of an exception of prescription. Strahan v. Sabine Ret. & Rehab. Ctr.,
Inc., 07-1607 (La.App. 3 Cir. 4/30/08), 981 So.2d 287. We must bear in mind,
however, that an appellate court must strictly construe the statutes against prescription
and in favor of the extinguished claim. Id.
IV.
LAW AND DISCUSSION
No action for damages for injury or death against any physician, . . . hospital or nursing home duly licensed under the laws of this state, or community blood center or tissue bank as defined in R.S. 40:1299.41(A), whether based upon tort, or breach of contract, or otherwise, arising out of patient care shall be brought unless filed within one year from the date of the alleged act, omission, or neglect, or within one year from the date of discovery of the alleged act, omission, or neglect; however, even as to claims filed within one year from the date of such discovery, in all events such claims shall be filed at the latest within a period of three years from the date of the alleged act, omission, or neglect.
La.R.S. 9:5628(A). Thus, La.R.S. 9:5628(A) “sets forth two prescriptive limits within
which to bring a medical malpractice action, namely one year from the date of the
alleged act or one year from the date of discovery with a three year limitation from the
date of the alleged act, omission or neglect to bring such claims.” Campo v. Correa,
01-2707, p. 9 (La. 6/21/02), 828 So.2d 502, 509.
Even though the patient must go through a medical review panel and
receive its opinion before she or he can file a lawsuit, a health care provider may raise
in court an exception of prescription during the medical review panel stage. Perritt v.
3 Dona, 02-2601, 02-2603 (La. 7/2/03), 849 So.2d 56. See also Primus v. Touro
Infirmary, 05-662 (La.App. 4 Cir. 1/25/06), 925 So.2d 609; Dixon v. La. State Univ.
Med. Ctr., 33,036 (La.App. 2 Cir. 1/26/00), 750 So.2d 408, writ denied, 00-627 (La.
4/20/00), 760 So.2d 350. The exceptor bears the burden of proving prescription
unless it is apparent on the face of the petition that prescription has run. Primus, 925
So.2d 609. For the purposes of allocating the burden of proof on the exception of
prescription under the facts of this case, the letter requesting a medical review panel is
treated as a petition. Id.; Dixon, 750 So.2d 408.
A petition is not prescribed on its face when the action, although brought
after one year from the date on which malpractice was committed has passed, is
brought within one year of the date of discovery of malpractice and within three years
of the date of malpractice. Campo, 828 So.2d 502. Thus, it is an error to shift the
burden of proof onto the plaintiff solely because the petition is filed more than one
year after the alleged malpractice if the petition makes a prima facie showing that it
was filed within one year of discovery and within three years of alleged malpractice.
Id.
The date of the discovery must be a reasonable one. Id. Thus,
“[p]rescription commences when a plaintiff obtains actual or constructive knowledge
of facts indicating to a reasonable person that he or she is the victim of a tort.” Id. at
510 (citing Percy v. State, Through E.A. Conway Mem’l Hosp., 478 So.2d 570
(La.App. 2 Cir. 1985)). “Constructive knowledge is whatever notice is enough to
excite attention and put the injured party on guard and call for inquiry.” Id. at 510-11.
“[A] plaintiff’s mere apprehension that something may be wrong is insufficient to
commence the running of prescription unless the plaintiff knew or should have known
through the exercise of reasonable diligence that his problem may have been caused
by acts of malpractice.” Campo, 828 So.2d at 511 (citing Gunter v. Plauche, 439
So.2d 437 (La.1983)). Thus, “[t]he ultimate issue is the reasonableness of the
4 patient’s action or inaction, in light of his education, intelligence, the severity of the
symptoms, and the nature of the defendant’s conduct.” Id. (citing Griffin v.
Kinberger, 507 So.2d 821 (La.1987)).
Here, Patin’s letter requesting a medical panel review refers only to the
date of the last treatment, which was December 15, 2006. It mentions nothing about
when Patin became aware that she may have been the victim of malpractice. Thus,
Patin does not indicate when she suffered the alleged heart attack, stroke, and other
injuries as a result of Dr. Norwood’s treatment. Neither does she indicate when she
became aware that these injuries resulted from Dr. Norwood’s treatment. In addition,
Patin provided no dates on which Dr. Norwood attempted sexual contact with her.
Finally, Patin submitted no sufficient evidence upon which the trial or this court could
determine whether her actions/inactions were reasonable.
Thus, the action for medical malpractice is prescribed on the face of the
“petition.” Therefore, the burden shifted onto Patin to show that prescription has not
run. Patin failed to do so, and, therefore, we find no error in the trial court’s decision
to sustain Center’s exception of prescription.
Patin argues that the trial court erred by not considering the allegations
contained in Patin’s answer to the Center’s exception of prescription. Even if this
court were to construe the “answer” as some sort of an amendment to Patin’s
“petition,” Patin would still have no relief. This is so because usually a party amends
a petition to address questions of vagueness or to state a cause of action. Patin’s
answer addresses neither of these goals as Patin stated a cause of action in her
“petition.” The sole focus of her answer is the question of prescription.
Furthermore, as with Patin’s “petition,” Patin’s answer does not indicate
when she became aware that her injuries were the result of Dr. Norwood’s
malpractice. In addition, because the record is devoid of any evidence, there is no
5 way for the trial court or this court to determine when Patin should have been aware
that she was the victim of malpractice. Thus, the trial court committed no error.
Finally, Patin has no basis to complain regarding the trial court’s failure
to provide the hearing’s transcript. There is no record of Patin’s request or payment
for the transcript. Nor is there a record of Patin’s application for a pauper’s status.
V.
CONCLUSION
The trial court’s judgment granting an exception of prescription in favor
of State of Louisiana, Through the Board of Supervisors of Louisiana State University
and Agricultural and Mechanical College as Owner and Operator of LSU Health
Sciences Center-Shreveport, doing business as LSU Family Practice Residency-
Alexandria is affirmed. Costs of this appeal are assessed to Rita Patin.