Steven Hoyt, Individually, and as Next of Friend of Minor Children, T.H. and J.H., and as Sole Administrator of the Estate of Kristine Hoyt v. David D. Kim, M.D. and Juan Luis Zamora, M.D.

CourtCourt of Appeals of Texas
DecidedApril 28, 2017
Docket05-16-00404-CV
StatusPublished

This text of Steven Hoyt, Individually, and as Next of Friend of Minor Children, T.H. and J.H., and as Sole Administrator of the Estate of Kristine Hoyt v. David D. Kim, M.D. and Juan Luis Zamora, M.D. (Steven Hoyt, Individually, and as Next of Friend of Minor Children, T.H. and J.H., and as Sole Administrator of the Estate of Kristine Hoyt v. David D. Kim, M.D. and Juan Luis Zamora, 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.

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Steven Hoyt, Individually, and as Next of Friend of Minor Children, T.H. and J.H., and as Sole Administrator of the Estate of Kristine Hoyt v. David D. Kim, M.D. and Juan Luis Zamora, M.D., (Tex. Ct. App. 2017).

Opinion

AFFIRM; and Opinion Filed April 28, 2017.

S In The Court of Appeals Fifth District of Texas at Dallas No. 05-16-00404-CV

STEVEN HOYT, INDIVIDUALLY, AND AS NEXT OF FRIEND OF MINOR CHILDREN, T.H. AND J.H., AND AS SOLE ADMINISTRATOR OF THE ESTATE OF KRISTINE HOYT, Appellants V. DAVID D. KIM, M.D. AND JUAN LUIS ZAMORA, M.D., Appellees

On Appeal from the County Court at Law No. 3 Dallas County, Texas Trial Court Cause No. CC-16-01507-C

MEMORANDUM OPINION Before Justices Lang, Fillmore, and Schenck Opinion by Justice Schenck Appellants Steven Wayne Hoyt, Individually and as Next Friend of Minor Children

T.L.H. and J.L.H., and as Sole Administrator of the Estate of Kristine Hoyt, appeal the trial

court’s orders granting no-evidence summary judgment in favor of appellees David D. Kim,

M.D. and Juan Luis Zamora, M.D. in a suit appellants initiated following the death of Kristine

Hoyt (Kris). While this case arises from a death allegedly related to the rendition of medical

services, the only claims before us on appeal are fraud and conspiracy to commit fraud. We

conclude appellants failed to present more than a scintilla of evidence of at least one essential

element of these claims against these doctors. Accordingly, we affirm the trial court’s orders

granting summary judgment in favor of Dr. Kim and Dr. Zamora. Because all issues are settled

in law, we issue this memorandum opinion. TEX. R. APP. P. 47.4. BACKGROUND On March 2, 2009, Dr. Kim performed exploratory diagnostic laparoscopic surgery on

Kris at Wise Hospital due to complaints of acute abdominal pain following gastric bypass

surgery the year before. Kris was thirty-seven years old at the time, and she was the wife of

Steven and mother of T.L.H. and J.L.H. During the surgery, a nurse anesthetist, under the

supervision of anesthesiologist Jason R. Schuh, M.D., administered intravenous general

anesthesia to Kris. The anesthesia and/or muscle relaxants administered to Kris allegedly did not

adequately sedate her and, according to Dr. Kim, she began “bucking” when he inserted a

bladeless trocar into her right abdominal cavity. While the parties argue over the exact sequence

of events, it is clear that Kris had been on the operating table and under the effects of anesthesia

for some time when the procedure began. Dr. Kim testified that at some point during the

procedure she “bucked,” perhaps due to the waning effect of anesthesia, causing the severance of

her abdominal aorta. Complications followed Dr. Kim’s efforts to repair the aorta, and Kris

developed disseminated intravascular coagulopathy and died on the operating room table.

Dr. Kim informed Steven of Kris’ death. He told Steven that even though the Justice of

the Peace had declined an inquest, an autopsy was still an option, although Dr. Kim did not think

it was necessary because he knew the cause of death. Steven advised Dr. Kim and Dr. Schuh

that he wanted an autopsy performed.

Dr. Kim notified hospital management of Steven’s desire to have an autopsy performed.

Hospital management contacted Autopsy Associates of North Texas (“Autopsy Associates”) to

arrange for the autopsy. Autopsy Associates assigned the case to Dr. Zamora.

On or after March 2, 2009, and prior to March 4, 2009, Dr. Kim dictated his initial post-

operative report. On March 4, 2009, Dr. Kim dictated a second operative report after a hospital

medical records department employee notified him that he could not locate Dr. Kim’s initial

dictation. In that second report, Dr. Kim included a post-operative diagnosis of trocar related –2– injury of the distal aorta, and indicated that the trocar created a maceration type of injury. In the

procedure portions of his second report, Dr. Kim indicated: more than 50% of a very small aortic

surface was injured by the trocar; when he could clearly examine the injury that had occurred, he

observed a small macerated tear of the distal aorta created by the bladeless trocar tip; he had to

resect the distal portion of the tortuous aorta because of the damage created by the trocar; and an

unfortunate bucking at the exact time of the trocar insertion along with other factors were the

components that led to the aortic injury.

On the morning of March 6, 2009, Dr. Zamora verbally communicated the preliminary

results of the autopsy to Dr. Kim. Later that day, at approximately 2:30 p.m., Dr. Zamora

transmitted his preliminary report by facsimile to the hospital and Dr. Kim. Dr. Zamora’s

preliminary report attributed Kris’ death to a spontaneous dissection of the aorta and referenced

the use of a flexible catheter, rather than a bladeless trocar, which is a rigid instrument. On that

same day, Dr. Kim made hand-written changes to his operative report, deleting most of the

references to a trocar injury, and adding “[a]t the time of this dictation, the findings at autopsy

were not available.” 1

On April 27, 2009, Dr. Zamora issued his final report and notified Steven that, in his

opinion, Kris died of “Dissecting Aneurysm of the Aorta” and that microscopic sections of the

aorta showed changes that are consistent with a degenerative vascular disease known as

Erdheim’s Medial Degeneration. After receiving Dr. Zamora’s autopsy report, which conflicted

with what Dr. Kim had told Steven, appellants arranged for pathologist Michael Baden, M.D. to

perform a second autopsy. Dr. Baden performed the second autopsy on June 10, 2009. He

1 Dr. Kim’s final report included the following comment:

“I could not explain how a blunt trocar could injure the aorta. I explained to Mr. Hoyt insertion of a trocar in the right lateral aspect of the abdomen seemed like an unlikely possibility to the cause of a ruptured aorta. Without autopsy, I could not come up with any other explanation for aortic rupture. The same visualized method of insertion into the same trocar sites was used just 1 year ago. I found an unusual aorta that was tortuous. An unfortunate bucking at the exact time of the trocar insertion along with the above-stated factors were possible factors that led to this aortic injury.”

–3– concluded Kris died from massive internal hemorrhage caused by an inadvertent perforation of

the aorta during the laparoscopic procedure, not as the result of a preexisting degenerative

vascular disease. This conclusion is consistent with the explanation Dr. Kim gave to Steven

immediately following Kris’ death.

Appellants sued several individuals and the anesthesia group alleging claims of

negligence causing Kris’ death and/or participation in a subsequent cover-up regarding the cause

of her death. 2 With respect to Dr. Kim and Dr. Zamora, appellants did not allege any acts of

negligence that caused Kris’ death. Rather, they alleged Dr. Kim and Dr. Zamora participated in

a post-mortem fraud consisting of a cover-up of the true cause of Kris’ death.

The trial court granted Dr. Kim’s and Dr. Zamora’s no-evidence motions for summary

judgment. 3 Appellants filed a Motion for New Trial or Motion for Reconsideration through

which appellants attempted to introduce additional summary judgment evidence. 4 The trial court

denied the motion. 5 Thereafter, the trial court severed appellants’ claims against Dr. Kim and

Dr. Zamora from those against the remaining defendants making its summary judgment orders

final. This appeal followed.

STANDARD OF REVIEW

We review a no-evidence motion for summary judgment under the same legal sufficiency

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