Slater v. Armada CA4/3

CourtCalifornia Court of Appeal
DecidedMay 29, 2015
DocketG050741
StatusUnpublished

This text of Slater v. Armada CA4/3 (Slater v. Armada CA4/3) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Slater v. Armada CA4/3, (Cal. Ct. App. 2015).

Opinion

Filed 5/29/15 Slater v. Armada CA4/3

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FOURTH APPELLATE DISTRICT

DIVISION THREE

GABRIELA SLATER,

Plaintiff and Appellant, G050741

v. (Super. Ct. No. CIVRS1108549)

ROBERT ARMADA, OPINION

Defendant and Respondent.

Appeal from a judgment of the Superior Court of San Bernardino County, Joseph R. Brisco, Judge. Reversed. Law Offices of David S. Lin, David S. Lin and Maximilian Lee for Plaintiff and Appellant. Walker & Mann, Jeffrey A. Walker, Douglas K. Mann, and Jean K. Bak for Defendant and Respondent. Gabriela Slater appeals from the summary judgment in favor of Dr. Robert Armada in this medical malpractice action. She contends the only evidence offered to show the absence of negligence (an expert declaration) was inadmissible, so the trial court should have denied summary judgment. We agree and reverse the judgment. FACTS & PROCEDURE The Complaint Slater’s complaint against Armada alleged a single cause of action for medical malpractice. She alleged that on February 23, 2011, she was admitted to San Antonio Community Hospital (San Antonio), where Armada performed an exploratory laparotomy to remove lesions, adhesions, and a possible cyst from around her bowel. After the surgery, Armada informed Slater the surgery was successful and there had been no complications. That night, Slater began experiencing intense pain but when she told Armada, he dismissed her pain as minor and badgered her with rude comments about being fat. Slater learned from medical personnel at San Antonio that she had suffered a perforated bowel during the course of the surgery. Slater was discharged from San Antonio on February 26, 2011, and had a follow up appointment with Armada on March 3 when he again insisted she was fine, despite her complaints of pain. Over the next few days, Slater experienced increasingly severe pain and began showing signs of serious infection at the site of the surgical incision. On March 7, she was taken to the San Antonio emergency room, re-admitted, and underwent emergency surgery by Dr. Vinod Garg to perform a “bowel erection or resection” due to infection. Her diagnoses on re-admission to San Antonio included an abscessed bowel, acute respiratory failure, acute renal failure, postoperative anemia, and diabetes mellitus (which she apparently had not previously been diagnosed with). Slater remained in San Antonio for 10 days, which included a week in the Intensive Care Unit, and was then transferred to Heritage Park Nursing Facility (Heritage Park) for another 10 days. Slater later underwent a third abdominal surgery, which she

2 alleged was due in part to medical conditions exacerbated by Armada’s negligently performed surgery. After that third operation, Slater was diagnosed with endometrial cancer. Slater alleged she suffered numerous serious injuries as a result of Armada’s negligent performance of the laparotomy including acute kidney failure, a perforated bowel, and the subsequent development of diabetes and endometrial cancer. The Summary Judgment Motion Moving Papers Armada filed a motion for summary judgment asserting there were no triable issues of fact on standard of care and causation. His separate statement of undisputed facts set forth nine facts and cited the declaration of his expert witness, Dr. James A. Macer, as the only supporting evidence. The nine facts were: (1) Armada provided medical care to Slater that conformed to the requisite standard of care; (2) “Armada’s recommendation of [the surgical procedure] . . . was clearly appropriate given [Slater’s] complaints and presentation[;]” (3) the surgery was performed in an appropriate manner and within the standard of care, there was no evidence Armada injured Slater’s bowel during the surgery, and there was proper informed consent identifying injury to the bowel as a risk; (4) Armada’s post-operative care of Slater was within the standard of care, there were no findings indicating she suffered injury to her bowel, and when she was discharged from San Antonio she had a normal temperature and was able to tolerate food and ambulate; (5) there was no relationship between the surgery and Slater’s subsequent diagnoses of diabetes and endometrial cancer; (6) to a reasonable degree of medical probability, Armada’s treatment of Slater did not cause or contribute to Slater’s injury; (7) there was an increased known risk of bowel perforation and obstruction given Slater’s history of abdominal surgery, pelvic and abdominal scarring, and endometriosis; (8) Slater’s “post-operative course” was the result of her preexisting conditions; and (9) Slater’s injuries were not the result of any improper medical care by Armada.

3 Armada’s counsel, Jeffrey A. Walker, submitted a declaration attaching the evidence in support of Armada’s summary judgment motion. Walker declared he had personal knowledge of the facts contained in his declaration. He declared he was attaching to his declaration Slater’s complaint, and “true and correct copies” of Macer’s declaration and Curriculum Vitae. Walker stated he was attaching as Exhibit D, “a CD-ROM containing true and correct copies of records that were sent to . . . Macer for his review,” including the medical records of Armada, Dr. Richard Armour, San Antonio, and Heritage, and the depositions of Slater, her husband, and another witness named Lisa Fox. Exhibit D, the CD-ROM, contains seven files in PDF form. The first three files are PDFs of deposition transcripts of Slater, her husband, and Fox. Exhibit D contains a 368-page PDF of medical records from Heritage Park and a 752-page PDF file of medical records from Armour, both of which include signed form declarations from the custodians of records. Exhibit D contains a 3,548-page PDF file of Slater’s medical records from San Antonio, which contains blank unexecuted form custodian of records affidavits. Exhibit D also contains a 79-page PDF of medical records that appear to be from Armada’s office.1 Macer’s Declaration Macer’s declaration stated he had reviewed copies of medical records of Armada, Armour, San Antonio, and Heritage, and the depositions of Slater, her husband, and Fox, that were referred to in Walker’s declaration. He was familiar with the standard of practice required of an obstetrician/gynecologist practicing in Southern California.

1 We note none of the deposition PDF files bear signatures of the deponent or the reporter. Additionally, the PDF file of Armada’s medical records contains no declaration from the custodian of records—blank or otherwise.

4 Macer declared Slater had a history of multiple abdominal and pelvic surgeries prior to being treated by Armada, and a history of diverticulosis and other medical conditions. Armada began treating Slater on February 10, 2011, due to a four-month history of ongoing abdominal pain with increased severity and a lengthy history of urine incontinence. A CT scan performed on January 24, 2011, showed multiple diverticula in the colon and a possible endometrioma. Armada confirmed Slater’s abdominal and pelvic pain, but was unable to determine whether she had an ovarian cyst or a peritoneal cyst. He recommended performing an exploratory laparotomy.

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Slater v. Armada CA4/3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/slater-v-armada-ca43-calctapp-2015.