3 UNITED STATES DISTRICT COURT
4 DISTRICT OF NEVADA
5 * * *
6 FUCHSIA SUN, Case No. 3:21-cv-00428-MMD-CLB
7 Plaintiff, ORDER v. 8 RENOWN HOSPITAL REGIONAL 9 MEDICAL CENTER PEDIATRIC ICU, et al., 10 Defendants. 11 12 I. SUMMARY 13 Pro se Plaintiff Fuchsia Sun filed a complaint against Defendants Renown Regional 14 Medical Center Pediatric ICU (“Renown”), and various Renown doctors and staff for 15 “medical malpractice negligence.” (ECF No. 1-1 (“Complaint”).) Before the Court is the 16 Report and Recommendation of United States Magistrate Judge Carla L. Baldwin. (ECF 17 No. 5 (“R&R”).) The R&R recommends that Sun’s applications to proceed in forma 18 pauperis (ECF Nos. 1, 4) be granted and that her Complaint (ECF No. 1-1) be dismissed 19 without leave to amend. Sun timely filed an objection to the R&R (ECF No. 6 (“Objection”)), 20 and shortly thereafter, Sun filed a motion to extend time to file an affidavit of merit (ECF 21 No. 7 (“Motion”)). Because the Court agrees with Judge Baldwin that NRS § 41A.071 22 requires the Court to dismiss the Complaint for failure to include a required medical expert 23 affidavit—as further explained below—the Court overrules the Objection, adopts the R&R 24 in full, and denies the Motion as moot. 25 II. BACKGROUND 26 The Court incorporates by reference Judge Baldwin’s recitation of the factual 27 background provided in the R&R, which the Court adopts here. (ECF No. 5 at 3-4.) 28 /// 2 A. Review of the Magistrate Judge’s Recommendation 3 This Court “may accept, reject, or modify, in whole or in part, the findings or 4 recommendations made by the magistrate judge.” 28 U.S.C. § 636(b)(1). Where a party 5 timely objects to a magistrate judge’s report and recommendation, then the Court is 6 required to “make a de novo determination of those portions of the [report and 7 recommendation] to which objection is made.” Id. The Court’s review is thus de novo 8 because Sun filed an Objection (ECF No. 6). 9 IV. DISCUSSION 10 Following a de novo review of the R&R and other records in this case, the Court 11 finds good cause to accept and adopt Judge Baldwin’s R&R in full. 12 Judge Baldwin recommends that the Complaint be dismissed because (1) it is 13 unclear as to whether Sun is seeking to represent an unnamed third-party, (2) the Court 14 lacks subject matter jurisdiction over this action, and (3) Nevada law—NRS § 41A.071— 15 requires medical malpractice/professional negligence claims be filed with a supporting 16 medical expert affidavit. (ECF No. 5 at 4-6.) Because § 41A.071 proves to be dispositive, 17 the Court declines to address Sun’s remaining objections to Judge Baldwin’s R&R and will 18 only address § 41A.071 below. 19 In the Objection, Sun states that before filing the Complaint, Sun had “consulted 20 with a licensed medical professional(s) . . . regarding the events[] that took place at the 21 hospital and are the base for actually filing this claim.” (ECF No. 6 at 2.) Sun further states 22 that she “[w]ill provide an Affidavit of Merit.” (ECF No. 6 at 2.) While the Court recognizes 23 pro se litigant are generally afforded leave to amend a complaint, the Court nevertheless 24 dismisses this action without leave to amend pursuant to Nevada law, NRS § 41A.071. 25 Sun’s claim of medical malpractice negligence sounds in state law and thus NRS § 26 41A.071 applies. See Pacheco v. Soon Kim, Case No. 3:14-cv-00124-MMD, 2014 WL 27 5460869 at *3 (D. Nev. Oct. 27, 2014) (“Medical malpractice is a state-law claim.”). Section 28 41A.071 expressly provides that “[i]f an action for professional negligence is filed in the 2 filed without [a supporting] affidavit” from a medical expert. The Nevada Supreme Court 3 has stated that the purpose of § 41A.071 was “to lower costs, reduce frivolous lawsuits, 4 and ensure that medical malpractice actions are filed in good faith based upon competent 5 expert medical opinion.” Washoe Med. Ctr. v. Second Jud. Dist. Ct., 148 P.3d 790, 794 6 (Nev. 2006) (quoting Szydel v. Markman, 117 P.3d 200, 204 (Nev. 2005)). When a medical 7 malpractice complaint is filed without a supporting medical expert affidavit, it is “void ab 8 inito, meaning it is of no force and effect.” Id. As such, “a complaint defective under NRS 9 [§] 41A.071 is void and cannot be amended.” Id. 10 Here, Sun brings this action against Defendants for medical malpractice 11 negligence. (ECF No. 1-1 at 4.) She alleges that the doctors and staff at Renown 12 performed an unnecessary colonoscopy and multiple medical procedures without consent 13 that led to serious complications. (Id.) Sun further alleges that Defendants failed to 14 properly care for a “high risk person,” respiratory therapists were incapable and careless, 15 and that they did not respond when called during hypoxia events that led to respiratory 16 stress. (Id.) Based on these allegations, and assuming the Court has jurisdiction over 17 Sun’s state-law claim,1 the Court finds that Defendants’ actions are not a matter of 18 “ordinary negligence” in the medical context. See Est. of Curtis v. S. Las Vegas Med. 19 Inv’rs, LLC, 466 P.3d 1263, 1267-70 (Nev. 2020) (discussing when a claim sounds in 20 ordinary or professional negligence, and thus whether medical expert affidavit is required). 21 Rather, Sun’s claim raises questions of medical judgment beyond the realm of common 22 knowledge, therefore, Defendants’ alleged actions constitute “professional negligence” 23 triggering NRS § 41A.071’s affidavit requirement. See id. Because Sun failed to file a 24 1Sun brought this action under diversity jurisdiction, 28 U.S.C. § 1332. (ECF No. 1- 25 1.) Federal courts are courts of limited jurisdiction. Under § 1332, federal courts may hear cases in which a citizen of one State sues a citizen of another State or nation and the 26 amount at stake is more than $75,000. The Court notes that in the Complaint, Sun states that she is a citizen of Nevada, and that Defendants are either citizens of, reside in, or 27 incorporated in, the State of Nevada. (Id. at 1-3.) Conversely, in the Objection, Sun states that she is “a resident of New York State and temporary living in Nevada.” (ECF No. 6 at 28 5.) However, it is clear from the Complaint that complete diversity does not exist in this action as required by § 1332. 1 || supporting medical expert affidavit with the Complaint, her claim is void and must therefore 2 || be dismissed without leave to amend, by operation of law. See Washoe Med. Ctr. 148 3 || P.3d at 793-94. Accordingly, Sun’s Motion is denied as moot. 4 In light of Sun’s pro se status, the Court notes that the dismissal of this action does 5 || not prohibit Sun from filing a new complaint. Although the dismissal of this action is based 6 || on failure to comply with NRS § 41A.071, the Court further notes that Judge Baldwin’s 7 || R&R recommends dismissal based on additional deficiencies in the Complaint. (See ECF 8 || No.
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3 UNITED STATES DISTRICT COURT
4 DISTRICT OF NEVADA
5 * * *
6 FUCHSIA SUN, Case No. 3:21-cv-00428-MMD-CLB
7 Plaintiff, ORDER v. 8 RENOWN HOSPITAL REGIONAL 9 MEDICAL CENTER PEDIATRIC ICU, et al., 10 Defendants. 11 12 I. SUMMARY 13 Pro se Plaintiff Fuchsia Sun filed a complaint against Defendants Renown Regional 14 Medical Center Pediatric ICU (“Renown”), and various Renown doctors and staff for 15 “medical malpractice negligence.” (ECF No. 1-1 (“Complaint”).) Before the Court is the 16 Report and Recommendation of United States Magistrate Judge Carla L. Baldwin. (ECF 17 No. 5 (“R&R”).) The R&R recommends that Sun’s applications to proceed in forma 18 pauperis (ECF Nos. 1, 4) be granted and that her Complaint (ECF No. 1-1) be dismissed 19 without leave to amend. Sun timely filed an objection to the R&R (ECF No. 6 (“Objection”)), 20 and shortly thereafter, Sun filed a motion to extend time to file an affidavit of merit (ECF 21 No. 7 (“Motion”)). Because the Court agrees with Judge Baldwin that NRS § 41A.071 22 requires the Court to dismiss the Complaint for failure to include a required medical expert 23 affidavit—as further explained below—the Court overrules the Objection, adopts the R&R 24 in full, and denies the Motion as moot. 25 II. BACKGROUND 26 The Court incorporates by reference Judge Baldwin’s recitation of the factual 27 background provided in the R&R, which the Court adopts here. (ECF No. 5 at 3-4.) 28 /// 2 A. Review of the Magistrate Judge’s Recommendation 3 This Court “may accept, reject, or modify, in whole or in part, the findings or 4 recommendations made by the magistrate judge.” 28 U.S.C. § 636(b)(1). Where a party 5 timely objects to a magistrate judge’s report and recommendation, then the Court is 6 required to “make a de novo determination of those portions of the [report and 7 recommendation] to which objection is made.” Id. The Court’s review is thus de novo 8 because Sun filed an Objection (ECF No. 6). 9 IV. DISCUSSION 10 Following a de novo review of the R&R and other records in this case, the Court 11 finds good cause to accept and adopt Judge Baldwin’s R&R in full. 12 Judge Baldwin recommends that the Complaint be dismissed because (1) it is 13 unclear as to whether Sun is seeking to represent an unnamed third-party, (2) the Court 14 lacks subject matter jurisdiction over this action, and (3) Nevada law—NRS § 41A.071— 15 requires medical malpractice/professional negligence claims be filed with a supporting 16 medical expert affidavit. (ECF No. 5 at 4-6.) Because § 41A.071 proves to be dispositive, 17 the Court declines to address Sun’s remaining objections to Judge Baldwin’s R&R and will 18 only address § 41A.071 below. 19 In the Objection, Sun states that before filing the Complaint, Sun had “consulted 20 with a licensed medical professional(s) . . . regarding the events[] that took place at the 21 hospital and are the base for actually filing this claim.” (ECF No. 6 at 2.) Sun further states 22 that she “[w]ill provide an Affidavit of Merit.” (ECF No. 6 at 2.) While the Court recognizes 23 pro se litigant are generally afforded leave to amend a complaint, the Court nevertheless 24 dismisses this action without leave to amend pursuant to Nevada law, NRS § 41A.071. 25 Sun’s claim of medical malpractice negligence sounds in state law and thus NRS § 26 41A.071 applies. See Pacheco v. Soon Kim, Case No. 3:14-cv-00124-MMD, 2014 WL 27 5460869 at *3 (D. Nev. Oct. 27, 2014) (“Medical malpractice is a state-law claim.”). Section 28 41A.071 expressly provides that “[i]f an action for professional negligence is filed in the 2 filed without [a supporting] affidavit” from a medical expert. The Nevada Supreme Court 3 has stated that the purpose of § 41A.071 was “to lower costs, reduce frivolous lawsuits, 4 and ensure that medical malpractice actions are filed in good faith based upon competent 5 expert medical opinion.” Washoe Med. Ctr. v. Second Jud. Dist. Ct., 148 P.3d 790, 794 6 (Nev. 2006) (quoting Szydel v. Markman, 117 P.3d 200, 204 (Nev. 2005)). When a medical 7 malpractice complaint is filed without a supporting medical expert affidavit, it is “void ab 8 inito, meaning it is of no force and effect.” Id. As such, “a complaint defective under NRS 9 [§] 41A.071 is void and cannot be amended.” Id. 10 Here, Sun brings this action against Defendants for medical malpractice 11 negligence. (ECF No. 1-1 at 4.) She alleges that the doctors and staff at Renown 12 performed an unnecessary colonoscopy and multiple medical procedures without consent 13 that led to serious complications. (Id.) Sun further alleges that Defendants failed to 14 properly care for a “high risk person,” respiratory therapists were incapable and careless, 15 and that they did not respond when called during hypoxia events that led to respiratory 16 stress. (Id.) Based on these allegations, and assuming the Court has jurisdiction over 17 Sun’s state-law claim,1 the Court finds that Defendants’ actions are not a matter of 18 “ordinary negligence” in the medical context. See Est. of Curtis v. S. Las Vegas Med. 19 Inv’rs, LLC, 466 P.3d 1263, 1267-70 (Nev. 2020) (discussing when a claim sounds in 20 ordinary or professional negligence, and thus whether medical expert affidavit is required). 21 Rather, Sun’s claim raises questions of medical judgment beyond the realm of common 22 knowledge, therefore, Defendants’ alleged actions constitute “professional negligence” 23 triggering NRS § 41A.071’s affidavit requirement. See id. Because Sun failed to file a 24 1Sun brought this action under diversity jurisdiction, 28 U.S.C. § 1332. (ECF No. 1- 25 1.) Federal courts are courts of limited jurisdiction. Under § 1332, federal courts may hear cases in which a citizen of one State sues a citizen of another State or nation and the 26 amount at stake is more than $75,000. The Court notes that in the Complaint, Sun states that she is a citizen of Nevada, and that Defendants are either citizens of, reside in, or 27 incorporated in, the State of Nevada. (Id. at 1-3.) Conversely, in the Objection, Sun states that she is “a resident of New York State and temporary living in Nevada.” (ECF No. 6 at 28 5.) However, it is clear from the Complaint that complete diversity does not exist in this action as required by § 1332. 1 || supporting medical expert affidavit with the Complaint, her claim is void and must therefore 2 || be dismissed without leave to amend, by operation of law. See Washoe Med. Ctr. 148 3 || P.3d at 793-94. Accordingly, Sun’s Motion is denied as moot. 4 In light of Sun’s pro se status, the Court notes that the dismissal of this action does 5 || not prohibit Sun from filing a new complaint. Although the dismissal of this action is based 6 || on failure to comply with NRS § 41A.071, the Court further notes that Judge Baldwin’s 7 || R&R recommends dismissal based on additional deficiencies in the Complaint. (See ECF 8 || No. 5 at 3-6.) Those deficiencies should not be overlooked when filing a new complaint 9 || merely because this order does not address them directly. 10 || V. CONCLUSION 11 It is therefore ordered that Plaintiff Fuchsia Sun’s Objection (ECF No. 6) is 12 || overruled. 13 It is further ordered that the Report and Recommendation of Magistrate Judge Carla 14 || L. Baldwin (ECF No. 5) is accepted and adopted in full. 15 It is further ordered that Sun’s applications to proceed in forma pauperis (ECF Nos. 16 || 1, 4) are granted. 17 The Clerk of Court is directed to file Sun’s Complaint (ECF No. 1-1). 18 It is further ordered that Sun’s Complaint (ECF No. 1-1) is dismissed without leave 19 || to amend. Dismissal is based on failure to comply with NRS § 41A.071. 20 It is further ordered that Sun’s motion to extend time to file an affidavit of merit (ECF 21 || No. 7) is denied as moot. 22 The Clerk of Court is directed to enter judgment accordingly and close this case. 23 DATED THIS 17" Day of November 2021. 24 25 J LLrQ MIRANDA M. DU 27 CHIEF UNITED STATES DISTRICT JUDGE 28