Scott Mason Pratho, M.D. AND Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata v. Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata, AND Scott Mason Pratho, M.D.

CourtCourt of Appeals of Texas
DecidedFebruary 3, 2005
Docket02-03-00051-CV
StatusPublished

This text of Scott Mason Pratho, M.D. AND Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata v. Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata, AND Scott Mason Pratho, M.D. (Scott Mason Pratho, M.D. AND Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata v. Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata, AND Scott Mason Pratho, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Scott Mason Pratho, M.D. AND Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata v. Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata, AND Scott Mason Pratho, M.D., (Tex. Ct. App. 2005).

Opinion

SCOTT MASON PRATHO, M.D. V. LUPE ZAPATA, INDIVIDUALLY AND AS NEXT FRIEND FOR SABRINA ZAPATA AND GREGORY ZAPATA, AND AS HEIR OR REPRESENTATIVE OF THE ESTATE OF REYNALDO ZAPATA, DECEASED

(comment: 1)

COURT OF APPEALS

SECOND DISTRICT OF TEXAS

FORT WORTH

NO. 2-03-051-CV

SCOTT MASON PRATHO, M.D. APPELLANT AND

APPELLEE

V.

LUPE ZAPATA, INDIVIDUALLY APPELLEE AND

AND AS NEXT FRIEND FOR SABRINA APPELLANT

ZAPATA AND GREGORY ZAPATA, AND

AS HEIR OR REPRESENTATIVE OF THE

ESTATE OF REYNALDO ZAPATA, DECEASED

------------

FROM THE 153RD DISTRICT COURT OF TARRANT COUNTY

OPINION

Appellant Scott Mason Pratho, M.D. appeals from a judgment rendered on a jury verdict awarding damages to the survivors of his deceased patient, Reynaldo Zapata, after Dr. Pratho failed to diagnose and treat Zapata’s heart condition.  Lupe Zapata also appeals the trial court’s judgment notwithstanding the verdict invalidating the jury’s award of damages for pain and suffering sustained by Zapata before his death.  Because we hold that Mrs. Zapata produced legally sufficient evidence of proximate cause, and because we further hold that she established standing to sue on behalf of Zapata’s estate at the time of trial, we will affirm the trial court’s judgment in part and reverse in part.

Forty-nine-year-old Reynaldo Zapata died at home of a heart attack on May 27, 1997.  In the two weeks before his death, Zapata had been evaluated and treated by two emergency room physicians at Harris Methodist Southwest Hospital and a family practitioner, all of whom failed to diagnose Zapata’s heart problem: unstable angina.  Zapata was first seen by emergency room physician Brett Landon Cochrum, M.D., at Harris Methodist on May 19, 1997, where he complained of a burning throat and tingling in his right arm.  Dr. Cochrum concluded that Zapata was suffering pain from an upper respiratory infection and treated him accordingly.

Zapata returned to the emergency room the next day, May 20, 1997, where he was seen by Dr. Pratho.  Dr. Pratho’s assessment was that Zapata suffered from “[n]onspecific neck pain possibly related to cervical disc disease.” Dr. Pratho prescribed Zapata pain medications and steroids, placed his neck in a soft cervical collar, and directed him to follow up with his family practitioner in “the next available appointment for reevaluation and possible work-up.”

The following day, May 21, 1997, Zapata was seen by John E. Staniland, M.D., the partner of Zapata’s regular family doctor.  Dr. Staniland diagnosed Zapata with “musculoskeletal pain radiating from the neck.”  Dr. Staniland prescribed a narcotic pain medication, ordered an x-ray of Zapata’s neck, and referred Zapata to a neurologist.  Zapata suffered a heart attack and died six days later.

Zapata’s widow, on behalf of herself, her two children fathered by Zapata, (footnote: 1) and Zapata’s estate, sued Harris Methodist and the three doctors, (footnote: 2) alleging that the doctors’ failure to diagnose and treat Zapata’s heart condition proximately caused Zapata’s death and ensuing damages to his wife and children.  After Mrs. Zapata settled during trial with Harris Methodist, Dr. Cochrum, and Dr. Staniland, the trial court submitted her claims against Dr. Pratho to the jury.  The jury found Dr. Pratho negligent and further found that 30% of the negligence that caused Zapata’s death was attributable to Dr. Pratho.

I.  DR. PRATHO’S APPEAL

On appeal, Dr. Pratho argues that the judgment against him should be reversed because Mrs. Zapata did not produce legally sufficient evidence of proximate cause.  Dr. Pratho acknowledges that there was expert testimony that the medical treatment by other defendants were proximate causes of Zapata’s death, but he claims there was no expert testimony that the treatment he provided was a proximate cause of Zapata’s death.  Furthermore, Dr. Pratho claims that the evidence failed to establish that he should have foreseen that his treatment would result in Zapata’s death.

In determining a “no-evidence” issue, we are to consider only the evidence and inferences that tend to support the finding and disregard all evidence and inferences to the contrary.   Bradford v. Vento, 48 S.W.3d 749, 754 (Tex. 2001) ; Cont’l Coffee Prods. Co. v. Cazarez, 937 S.W.2d 444, 450 (Tex. 1996); In re King's Estate , 150 Tex. 662, 244 S.W.2d 660, 661 (1951).  Anything more than a scintilla of evidence is legally sufficient to support the finding.   Cazarez, 937 S.W.2d at 450; Leitch v. Hornsby , 935 S.W.2d 114, 118 (Tex. 1996).  More than a scintilla of evidence exists if the evidence furnishes some reasonable basis for differing conclusions by reasonable minds about the existence of a vital fact.   Rocor Int’l, Inc. v. Nat’l Union Fire Ins. Co. , 77 S.W.3d 253, 262 (Tex. 2002).  

In a medical malpractice case, a plaintiff must prove that the negligence of the defendant physician proximately caused the injury alleged. Hart v. Van Zandt , 399 S.W.2d 791, 792 (Tex. 1965).  To establish proximate cause, a plaintiff must show (1) cause-in-fact, i.e., that the defendant's negligence was a substantial factor in bringing about the injury and without which no harm would have occurred, and (2) foreseeability, i.e., that the defendant should have anticipated the danger that resulted from his or her negligence.   Arlington Mem’l Hosp. Found., Inc. v. Baird , 991 S.W.2d 918, 922 (Tex. App.—Fort Worth 1999, pet. denied).  The trier of fact may decide the issue of causation in medical malpractice cases based upon (1) scientific principles provided by expert testimony allowing the fact finder to establish a traceable chain of causation from the condition back to the event; (2) a probable causal relationship as articulated by expert testimony; or (3) general experience and common sense from which reasonable persons can determine causation.   Marvelli v. Alston , 100 S.W.3d 460, 470 (Tex. App.—Fort Worth 2003, pet. denied) (citing Parker v. Employers Mut. Liab. Ins. Co . of Wis. , 440 S.W.2d 43, 46 (Tex. 1969)).

Dr. Pratho argues that because Mrs. Zapata presented no expert testimony articulating a probable causal relationship between his treatment of Zapata and Zapata’s death, the evidence was legally insufficient to support the jury’s verdict against him.  Under Marvelli , however, this is only one manner of proving causation.  If the expert testimony presented by Mrs. Zapata established medical principles that allowed the jury to trace a chain of causation from Zapata’s death back to Dr.

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Scott Mason Pratho, M.D. AND Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata v. Lupe Zapata, Individually and as Next Friend for Sabrina Zapata and Gregory Zapata, and as Heir or Representative of the Estate of Reynaldo Zapata, AND Scott Mason Pratho, M.D., Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-mason-pratho-md-and-lupe-zapata-individually-and-as-next-friend-texapp-2005.