Ronnie McDaniel v. Payson Healthcare

CourtArizona Supreme Court
DecidedJuly 8, 2022
DocketCV-20-0333-PR
StatusPublished

This text of Ronnie McDaniel v. Payson Healthcare (Ronnie McDaniel v. Payson Healthcare) is published on Counsel Stack Legal Research, covering Arizona Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ronnie McDaniel v. Payson Healthcare, (Ark. 2022).

Opinion

IN THE

SUPREME COURT OF THE STATE OF ARIZONA

RONNIE ANTHONY MCDANIEL, CONSERVATOR OF THE ESTATE OF DALLAS R. HAUGHT; AND ROY G. HAUGHT AND MARIE HAUGHT, NATURAL PARENTS OF DALLAS R. HAUGHT, Plaintiffs/Appellants/Cross-Appellees,

v.

PAYSON HEALTHCARE MANAGEMENT, INC., AN ARIZONA CORPORATION, DBA PAYSON REGIONAL BONE & JOINT; 4C MEDICAL GROUP, P.L.C., AN ARIZONA CORPORATION; AND AMAR PARKASH SHARMA, M.D., Defendants/Appellees/Cross-Appellants.

No. CV-20-0333-PR Filed July 8, 2022

Appeal from the Superior Court in Gila County The Honorable Bryan B. Chambers, Judge No. P0400CV201300157 AFFIRMED IN PART; REMANDED

Opinion of the Court of Appeals, Division Two 250 Ariz. 199 (App. 2020) VACATED IN PART

COUNSEL:

Arthur E. Lloyd (argued), A. Evan Lloyd, Lloyd Law Group of Arizona, P.L.L.C., Payson; Thomas P. McGovern, McGovern Law Offices, Phoenix; and Stanley G. Feldman, Timothy P. Stackhouse, Miller, Pitt, Feldman & McAnally, P.C., Tucson, Attorneys for Ronnie Anthony McDaniel, Estate of Dallas R. Haught, Roy G. Haught, and Marie Haught MCDANIEL, ET AL. V. PAYSON HEALTHCARE, ET AL. Opinion of the Court

Kari B. Zangerle, Mary G. Isban (argued), Campbell, Yost, Clare & Norell, P.C., Phoenix, Attorneys for Payson Healthcare Management, Inc., dba Payson Regional Bone & Joint

J. Arthur Eaves (argued), Brianna M. Jagelski, Sanders & Parks, P.C., Phoenix; and Eileen Dennis GilBride, Jones, Skelton & Hochuli P.L.C., Phoenix, Attorneys for 4C Medical Group, P.L.C. and Amar Parkash Sharma, M.D.

Barry D. Halpern, Ian R. Joyce, Snell & Wilmer L.L.P., Phoenix, Attorneys for Amici Curiae Arizona Medical Association and American Medical Association

David L. Abney, Ahwatukee Legal Office, P.C., Phoenix, Attorney for Amicus Curiae Arizona Association for Justice/Arizona Trial Lawyers Association

JUSTICE MONTGOMERY authored the opinion of the Court, in which CHIEF JUSTICE BRUTINEL, VICE CHIEF JUSTICE TIMMER, and JUSTICES BOLICK, LOPEZ, BEENE, and KING joined.

JUSTICE MONTGOMERY, opinion of the Court:

¶1 To prove negligence in a medical malpractice case, expert testimony is generally required to establish the separate issues of the applicable standard of care and that the failure to meet it caused harm. See A.R.S. § 12-563; Sampson v. Surgery Ctr. of Peoria, LLC, 251 Ariz. 308, 311 ¶¶ 13, 16 (2021). The number of retained or specially employed experts that plaintiffs and defendants may call to testify concerning each issue is addressed by Arizona Rule of Civil Procedure 26(b)(4)(F)(i). Specifically, Rule 26(b)(4)(F)(i) allows each side in a case to presumptively call only one retained or specially employed expert to testify on an issue—hence, the rule is more commonly known as the “One-Expert Rule.”

¶2 In this case, we consider whether defendants who present testimony by treating physicians on the standard of care they provided, in addition to the testimony of a retained or specially employed expert on the standard of care issue, violate the One-Expert Rule. We also consider 2 MCDANIEL, ET AL. V. PAYSON HEALTHCARE, ET AL. Opinion of the Court

whether a treating physician who was dismissed from the case on summary judgment is an indispensable party to a cross-appeal challenging the denial of a motion to designate him a nonparty at fault.

¶3 We hold that defendants do not violate the One-Expert Rule when offering the testimony of a treating physician on the standard of care, in addition to that of a retained or specially employed expert, when the testimony is based on the treating physician’s observations and personal participation in providing treatment to the plaintiff. Also, we hold that a treating physician dismissed on summary judgment is not an indispensable party to an appeal of the denial of a motion to name him a nonparty at fault.

I. FACTUAL AND PROCEDURAL BACKGROUND

¶4 On July 17, 2011, Dallas Haught cut his knee in a dirt-bike accident. He went to Payson Regional Medical Center (Payson Regional), where Dr. Darnell, a surgeon affiliated with defendant Payson Healthcare Management (PHM), provided initial treatment. After Haught’s knee injury worsened, he returned to Payson Regional on July 18 and again on July 19. On July 19, Dr. Darnell ordered a series of tests, including one to measure Haught’s C-Reactive Protein (CRP) level, a marker for infection that measures inflammation. Dr. Darnell incorrectly recorded the CRP test result in Haught’s records, reflecting a reading of 45 instead of 138.79 mg/dl.

¶5 Because Haught’s condition continued to worsen, Dr. Darnell arranged for his transfer later that same day to Scottsdale Shea Medical Center. Dr. Sharma, an employee of 4C Medical Group (collectively “4CMG”) in Scottsdale, saw Haught on his arrival and prepared an initial report that omitted the CRP result. Over the course of Haught’s stay, Drs. Burge, Cory, Friedman, Schaub, and Sharma participated in treating his injury. No one ordered another CRP test.

¶6 At some point, Haught developed necrotizing fasciitis, resulting in the surgical removal of all the skin on his right leg. Through his conservator, Ronnie McDaniel, Haught subsequently sued several healthcare providers, including PHM, Dr. Cory, and 4CMG for medical negligence. He alleged that the failure to accurately communicate the CRP test result delayed the diagnosis of necrotizing fasciitis and caused the need for greater surgical intervention leading to permanent injuries and 3 MCDANIEL, ET AL. V. PAYSON HEALTHCARE, ET AL. Opinion of the Court

disfigurement.

¶7 Before trial, Dr. Cory moved for summary judgment “due to [Haught’s] failure to show that any alleged breach of the standard of care by [him] caused and or contributed to any of Dallas Haught’s actual injuries.” Neither Haught nor any other party opposed the motion and the trial court granted it, entering judgment in favor of Dr. Cory. PHM thereafter requested the trial court withdraw the order granting summary judgment in favor of Dr. Cory and filed a motion to name him a nonparty at fault. 1 The trial court denied the withdrawal motion as untimely and denied the motion to name Dr. Cory a nonparty at fault without explanation. Thereafter, PHM sought special action review of the trial court’s ruling on the motion for summary judgment. The court of appeals declined jurisdiction.

¶8 At trial, defendants PHM and 4CMG called Drs. Berge, Cory, Friedman, and Schaub to testify and made clear at the outset of their testimony that each was not a “paid expert.” Defendants’ disclosure statements indicated that each of them would testify as a treating physician. Specifically, Drs. Berge and Cory would testify “consistent[] with the medical records,” their depositions, and their recollection, and about their “care and treatment” of Haught, “including [their] personal observations of and interactions with him.” Drs. Friedman and Schaub would likewise testify “consistent with the medical records and [their] recollection.”

¶9 Haught argued throughout the trial that the defense elicited expert testimony from the treating physicians, thereby violating the One- Expert Rule. Specifically, Haught argued that by asking questions he characterized as hypothetical concerning the CRP result and infectious disease, the defendants elicited testimony that went beyond the treating physicians’ personal knowledge of the care they provided, rendering them expert witnesses. Therefore, because the treating physicians testified to the same issues as the defendants’ retained experts, the defendants presented

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