Susan Chen, Resp-cross App v. Darren Migita, Md, App-cross Resp

CourtCourt of Appeals of Washington
DecidedJune 22, 2020
Docket79685-2
StatusUnpublished

This text of Susan Chen, Resp-cross App v. Darren Migita, Md, App-cross Resp (Susan Chen, Resp-cross App v. Darren Migita, Md, App-cross Resp) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Susan Chen, Resp-cross App v. Darren Migita, Md, App-cross Resp, (Wash. Ct. App. 2020).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

SUSAN CHEN, as parents and natural ) No. 79685-2-I guardians of J.L., a minor, and L.L., a ) minor, and NAIXIANG LIAN, as parents ) DIVISION ONE and natural guardians of J.L., a minor, ) and L.L., a minor, ) UNPUBLISHED OPINION ) Respondents/Cross-Appellants. ) ) v. ) ) DARREN MIGITA, M.D.; IAN KODISH, ) M.D.; JAMES METZ, M.D.; SEATTLE ) CHILDREN’S HOSPITAL; REDMOND ) CITY POLICE DEPARTMENT ) DETECTIVE NATALIE D’AMICO; THE ) CITY OF REDMOND; and STATE OF ) WASHINGTON, DEPARTMENT OF ) SOCIAL AND HEALTH SERVICES, ) ) Appellants/Cross-Respondents. ) )

HAZELRIGG, J. — CR 60(b)(1) authorizes a trial court to vacate a judgment

based on an “irregularity,” which may occur upon a failure to adhere to a

“prescribed rule” or “mode of proceeding.” However, a motion to vacate under CR

60(b) is not a substitute for a direct appeal. In this case, the superior court

perceived a legal error as to an aspect of a prior order granting summary judgment

and partially vacated that order in an attempt to correct the error. This was an

abuse of discretion. For these reasons, we reverse and remand for reinstatement

Citations and pinpoint citations are based on the Westlaw online version of the cited material. No. 79685-2-I/2

of the order granting summary judgment dismissing the claims against the

defendant physicians. We otherwise affirm.

FACTS

Susan Chen and Naixiang Lian are the parents of two minor children, J.L.

and L.L.1 J.L. came to the attention of the Suspected Child Abuse and Neglect

(SCAN) team at Seattle Children’s Hospital (SCH) in October 2013, when he was

three years old. Several physicians referred him to the hospital based on a

constellation of concerning symptoms, including low weight, abdominal distention,

and lethargy. After repeated urging, Chen brought J.L. to SCH’s emergency

department on October 20, 2013. The physician who examined J.L. described his

“gaunt” appearance and “protuberant belly” as well as his “complex past medical

history and an undetermined reason for his failure to thrive.” Due to J.L.’s

presentation and abnormal lab results, the physician recommended a coordinated

workup to include endocrinology, gastroenterology, and nephrology. However, the

parents insisted on taking J.L. home and the physician concluded that he “[did] not

meet the eminent risk criteria for [a] medical hold.” The doctor discharged J.L. with

his parents’ agreement to follow up with J.L.’s primary care physician the following

day.

Three days later, on October 23 2013, Chen took J.L. to his primary care

physician who made a report to Child Protective Services (CPS), due to her

longstanding concern about J.L.’s symptoms and Chen’s resistance to medical

1 Chen’s motion to use initials to refer to the minor children is granted.

2 No. 79685-2-I/3

advice.2 After some negotiation with a CPS social worker, Chen returned with J.L.

to SCH on October 24, 1013. The emergency room physician observed signs of

“gross malnutrition” and noted that J.L. had been placed in State custody due to

his critical symptoms and Chen’s opposition to medical evaluation. The doctor

admitted J.L. to the hospital for further evaluation and monitoring by the SCAN

team.

Drs. Darren Migita and James Metz were a part of SCH’s “Child Protection

Team” that evaluated J.L. for possible child abuse and neglect on October 27,

2013. Dr. Metz reported that J.L. was “severely malnourished” and concluded that

his significantly distended abdomen could be related to his malnourishment. Dr.

Metz noted that Chen’s behavior appeared to be “erratic” and that, while she

sought care for J.L. from numerous physicians, she did not appear to follow

through with recommendations. Regardless of her intentions, Dr. Metz concluded

there was likely an “element of neglect given [J.L.’s] current nutritional status.” Dr.

Migita requested a psychiatric consult to evaluate J.L.’s exposure to trauma and

the presence of trauma-related disorders. Dr. Ian Kodish conducted an evaluation

and observed that J.L. had a “severe speech delay” and exhibited features of

“reactive attachment disorder, which may stem from a failure of strong nurturing

attachment formed with [L.J.’s] primary caregiver.” He concluded that other

disorders, including Autism Spectrum disorder, could not be definitively ruled out.

2 J.L.’s primary care physician is not a party to this lawsuit. The trial court dismissed Chen’s

claims against that physician and this court recently upheld the dismissal in an unpublished decision. See Chen v. Halamay, No. 76929-4, slip op. (Wash. Ct. App. Feb. 10, 2020) (unpublished) http://www.courts.wa.gov/opinions/pdf/769294.pdf.

3 No. 79685-2-I/4

Following his discharge from the hospital, the State placed both J.L. and

L.L. in foster care. L.L. was returned to his parents’ care after a few days, but the

State initiated a dependency proceeding as to J.L. and he remained in foster care

for almost a year, until the dependency was dismissed in September 2014.

In October 2016, representing themselves pro se, Chen and Lian

(collectively, Chen) sued Drs. Metz, Migita, and Kodish, and SCH.3 Chen filed

three separate complaints under the same cause number. Two of the complaints

were unsigned. The complaints also identified J.L. and L.L. as plaintiffs. Chen

alleged that (1) the physicians misdiagnosed J.L.; (2) the medical treatment they

provided to him fell below the standard of care; (3) the physicians reported

inaccurate information to CPS; and (4) failed in their duties as expert witnesses,

which resulted in J.L. being removed from his home and caused harm to the family.

Chen claimed that the SCH was vicariously liable because the physicians were

acting within the scope of their “employment and agency.” In fact, none of the

defendant physicians were employed by SCH.

On December 8, 2016, Chen filed a single summons directed at all three

physicians and SCH. On December 13, 2016, she served SCH with a copy of the

summons and complaint. Chen did not, however, personally serve any of the

physicians and none of the physicians authorized SCH to accept service on their

behalf.

3 In addition to the individual physicians and SCH, Chen’s lawsuit included additional defendants, including the City of Redmond, the State of Washington, and the Department of Social and Health Services.

4 No. 79685-2-I/5

The three physicians jointly moved for summary judgment in February

2017.4 They sought dismissal of Chen’s claims based on (1) failure to effect

service on the physicians, resulting in a lack of jurisdiction; (2) failure to file within

the statute of limitations as to Drs. Metz and Kodish, because the complaint filed

against them was unsigned and therefore void; (3) failure of proof under RCW

7.70.040 because the plaintiffs had not retained a qualified expert who expressed

the opinion that the physicians’ conduct fell below the standard of care; and (4)

statutory immunity under RCW 26.44.060 based on the physicians’ good faith

reports of alleged child abuse or neglect. The physicians requested dismissal “with

prejudice.”

SCH separately joined in the motion, and adopted the physicians’

arguments. Because the only claim against it was premised on vicarious liability

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