Smith v. Gade CA5

CourtCalifornia Court of Appeal
DecidedOctober 11, 2022
DocketF080299
StatusUnpublished

This text of Smith v. Gade CA5 (Smith v. Gade CA5) 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.

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Smith v. Gade CA5, (Cal. Ct. App. 2022).

Opinion

Filed 10/11/22 Smith v. Gade CA5

NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

FIFTH APPELLATE DISTRICT

CASSIDY JORDAN SMITH, F080299 Plaintiff and Appellant, (Super. Ct. No. 17CECG02257) v.

GOPAL REDDY GADE, OPINION Defendant and Respondent.

APPEAL from a judgment of the Superior Court of Fresno County. Alan M. Simpson, Judge. Carter Law Group and Daniel L. Carter for Plaintiff and Appellant. Horvitz & Levy, Andrea L. Russi, H. Thomas Watson; White Canepa and Mark B. Canepa for Defendant and Respondent. -ooOoo- INTRODUCTION Cassidy Jordan Smith appeals the trial court’s entry of summary judgment in favor of Dr. Gopal Reddy Gade. Smith sued Dr. Gade and Clovis Community Hospital and Medical Center (“Clovis Community”) for medical malpractice on July 6, 2017. She alleged the “Defendants” sutured her vagina to her large intestine after the delivery of her first child in November 2015 resulting in a “fistula[1 ] between the two organs.” According to Smith, she defecates from her vagina because of this condition. Dr. Gade moved for summary judgment, in part, on the ground that the one-year limitations period in Code of Civil Procedure section 340.5 2 barred Smith’s claim. The motion included the following evidence: (1) Smith returned to Clovis Community on November 24, 2015, after reporting a bowel movement from her vagina and was diagnosed with rectovaginal fistula; (2) on November 25, 2015, Smith saw another physician (Dr. Black) who declined to perform emergency surgery because she “could not take on another doctor’s mistake”; (3) on December 2, 2015, Smith told a physician assistant she suspected “her OB/GYN was negligent”; and (4) on November 18, 2016, Smith’s attorney sent Dr. Gade a section 3643 notice that listed Smith’s “[d]iscovery” date of her injury as November 24, 2015. The trial court granted Dr. Gade’s motion. It found the one-year limitations period commenced no later than December 3, 2015. Accordingly, the court determined “[t]he lawsuit filed July 6, 2017 is time barred.” On appeal, Smith raises three issues for our review.4 First, she claims the trial court erred when it concluded section 340.5’s one-year limitations period barred her

1 A “fistula” is “an abnormal duct or passage that connects a hollow organ to the body surface or to another hollow organ.” (American Heritage Dict. (4th ed. 2001) p. 323.) 2 Unless otherwise indicated, all further statutory references are to the Code of Civil Procedure. 3 Code of Civil Procedure section 364 states, in relevant part “[n]o action based upon the health care provider’s professional negligence may be commenced unless the defendant has been given at least 90 days’ prior notice of the intention to commence the action.” (§ 364, subd. (a)). 4 Smith raises a fourth issue concerning the standard of care. While Dr. Gade’s original motion for summary judgment argued this issue, he subsequently withdrew this

2. action. Instead, she claims the evidence demonstrated she did not discover her injury until she underwent corrective surgery in 2016. Second, Smith argues Dr. Gade intentionally concealed her injury, which consequently tolled the statute of limitations. Finally, she claims the trial court abused its discretion when it denied her fifth request for a continuance of Dr. Gade’s motion. As we will explain, Smith’s arguments lack merit. We will affirm the judgment. FACTS DR. GADE DELIVERS SMITH’S BABY AT CLOVIS COMMUNITY On November 16, 2015,5 Smith arrived at Clovis Community in labor. Dr. Gade delivered the baby. He used a vacuum to complete the delivery and he cut a median episiotomy to assist with this. He repaired the episiotomy with two sutures. Dr. Gade discharged Smith the following day. SMITH EXPERIENCES A BOWEL MOVEMENT FROM HER VAGINA, FIRES DR. GADE, AND SEEKS CARE FROM OTHER PROVIDERS Roughly eight days later, Smith experienced a bowel movement out of her vagina. She called Dr. Gade’s office “hysterical” and was informed that she would need to wait until he returned from his vacation to see her. At this point, Smith was “done” with Dr. Gade and she deleted his phone number from her phone. According to Smith, she fired Dr. Gade the “[f]irst day [she] shit out of [her] vagina.” Instead, Smith returned to Clovis Community on November 24 because of her condition. Dr. Grazier examined Smith and noted her condition was “[l]ikely rectovaginal fistula”. Dr. Grazier recommended sitz baths and Flagyl and advised Smith

argument and requested the trial court only rule on the statute of limitations defense. Therefore, we will not address this issue. (American Continental Ins. Co. v. C & Z Timber Co. (1987) 195 Cal.App.3d 1271, 1281 [“[P]ossible theories that were not fully developed or factually presented to the trial court cannot create a ‘triable issue’ on appeal.”].) 5 References to dates are to dates in 2015 unless otherwise stated.

3. to schedule a follow up appointment in one week. Dr. Grazier’s notes reflect Smith felt “comfortable with follow up.” On November 25, Smith visited Community Regional Medical Center (“CRMC”) again complaining of passing stool through her vagina. Dr. Black examined her. Dr. Black’s notes state Smith was “seen yesterday at [Clovis Community] and was told that she had a recto-vaginal fistula and was sent home on Flagyl.” According to Smith, Dr. Black also “diagnosed” her condition as a rectovaginal fistula. However, Dr. Black declined to perform emergency surgery because she “could not take on another doctor’s mistake ….” Smith got the “hint” Dr. Black was critical of her prior OB/GYN. On December 2, Smith returned to CRMC for a medication refill. A physician assistant, Roy Ouano, examined Smith and took notes during the visit. Ouano’s notes reflect that “[p]atient feels her OB/GYN was negligent and would like to be referred to our [Women’s Health Clinic].” Smith next called the office of Dr. Cardona after selecting him from the phone book. She was seen on December 18 by Dr. Lee.6 According to Smith, Dr. Lee stated “it was quite possible” Dr. Gade’s episiotomy repair caused her fistula. Dr. Lee stated “[w]hoever did that episiotomy did this to you.” However, Dr. Lee could not confirm because she did not “have that equipment and stuff.” Dr. Lee then referred Smith to Dr. Varma at University of California San Francisco.7

6 There is an inconsistency in the record regarding Smith’s visit with Dr. Cardona’s office. She stated multiple times in declarations that she “went to see a primary care physician, Dr. Cardona and informed him that I had this fistula and he stated that I would need a recommendation to a doctor to have this fixed.” However, at her deposition, Smith testified she saw Dr. Lee at Dr. Cardona’s office. 7 Smith testified Dr. Lee first referred her to another physician “out here” – presumably referring to Fresno. Smith recalled visiting a Dr. Wiles on January 2, 2016, but was unable to be seen. Smith’s medical records indicate she returned to CRMC on January 2 and 3, 2016, and was seen by physician assistant Steven Hauswirth.

4. Smith saw Dr. Varma in March 2016. Dr. Varma performed corrective surgery on Smith on July 7, 2016. According to Smith, the surgery failed and she continues to defecate through her vagina. She has not seen any doctors for her rectovaginal fistula following this corrective surgery. SMITH NOTIFIES DR. GADE AND CLOVIS COMMUNITY OF HER INTENTION TO SUE On November 18, 2016, Smith’s attorney, Jeffrey Bohn, mailed a section 364 notice addressed to the “Legal Department” at Clovis Community.

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