Thomas, M.D. v. St. Joseph Health System

CourtDistrict Court, N.D. Texas
DecidedSeptember 19, 2022
Docket5:20-cv-00028
StatusUnknown

This text of Thomas, M.D. v. St. Joseph Health System (Thomas, M.D. v. St. Joseph Health System) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas, M.D. v. St. Joseph Health System, (N.D. Tex. 2022).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF TEXAS LUBBOCK DIVISION

JOHN THOMAS, M.D., Plaintiff, v. No. 5:20-CV-028-H ST. JOSEPH HEALTH SYSTEM, et al., Defendants. ORDER DENYING PLAINTIFF’S MOTION FOR RECONSIDERATION AND GRANTING PLAINTIFF’S MOTION FOR LEAVE TO AMEND Dr. Thomas brought his RICO claim against Covenant Medical Center (CMC). He meant to sue the Covenant Medical Center hospital where he worked previously; in reality, he sued the Covenant Medical Center corporation that acquired the hospital in January of 2019—nearly two years after the alleged RICO violation. Well after the deadline to amend pleadings had passed, CMC produced the merger agreement detailing this acquisition and the resulting liabilities of CMC and Covenant Health System (CHS), who owned the hospital before the merger. In light of this recent discovery, Dr. Thomas asks the Court to either (1) reconsider its order dismissing CHS from this suit, or (2) grant him leave to amend his complaint to add CHS as a defendant to his RICO claim. Dkt. No. 86. Reconsideration is denied because it is not the proper vehicle for introducing a new defendant to an existing claim against another defendant. But, finding good cause for an amendment, that it would serve the interests of justice, and that it relates back to the original pleadings, the Court grants Dr. Thomas leave to amend his complaint. CHS may be added as a defendant to Dr. Thomas’s RICO claim. 1. Factual Background Dr. John Thomas is a Lubbock-based physician with years of experience in laparoscopic and minimally invasive gastroenterology surgery. Dkt. No. 40 ¶¶ 1, 8. From 2002 until 2014, Dr. Thomas claims he held privileges at CMC, whom he identifies as “CHS’s flagship hospital” in his amended complaint. Id. ¶¶ 4, 9. CMC is wholly owned by

CHS, which is wholly owned by St. Joseph Health System. Id. ¶ 4. A. Patient’s Death in February 2014 On February 10, 2014, Dr. Thomas performed a diagnostic laparoscopy with lysis of adhesions1 and a laparoscopic cholecystectomy2 on a patient at a Covenant Medical Center hospital. Id. ¶ 11. Before the surgery, the patient had seen Dr. Donald Quick, a specialist in hematology and oncology. Id. ¶ 12. Dr. Thomas claims to have completed the operation without complications. Id. ¶ 10. The patient received post-operative care from Dr. Quick, who prescribed a blood thinner called Lovenox to prevent blood clots. Id. ¶ 12. A few days later, the patient showed signs of gastrointestinal bleeding, and Dr. Quick

issued an order to stop the Lovenox injections through the hospital’s Meditech software. Id. ¶ 13. Dr. Thomas claims that the injections were stopped for three hours, but, despite Dr. Quick’s order, they were resumed and continued until February 17, 2014—the day the patient died. Id.

1 This procedure removes scar tissue. 2 This is a minimally invasive procedure to remove the gallbladder. Instead of making a large cut to remove the gallbladder, the surgeon makes several small incisions. The abdomen is filled with gas to create space for the operation, and a small camera is inserted through an opening near the belly button so the surgeon can see the surgery. Once the surgeon can see the gallbladder, it is disconnected and removed through one of the incisions. B. Termination of Dr. Thomas’s Hospital Privileges Following the patient’s death, an ad hoc committee reviewed Dr. Thomas’s performance. Id. ¶ 14. According to his amended complaint, the peer review “blatantly and purposefully covered up the critical factor of the improper continuation of Lovenox after it

had been ordered to be discontinued.” Id. ¶ 18. The review concluded that Dr. Thomas did not provide an adequate standard of care, so Dr. Thomas lost his privileges at the hospital. Id. ¶¶ 14–15. According to Dr. Thomas, Dr. Quick was not held responsible for his role in the patient’s death, and the Meditech software system never received the proper level of scrutiny that it deserved. Id. ¶¶ 18, 20. C. Reports to Professional Associations In addition to terminating Dr. Thomas’s hospital privileges, Dr. Thomas alleges that CMC informed multiple medical groups, including the Texas Medical Board (TMB) and the American College of Surgeons (ACS), about his treatment of the patient. Id. ¶¶ 22, 25. He

claims that in 2015, CMC reported to the TMB that he was responsible for the death of the patient and that his hospital privileges had been revoked for substandard care. Id. ¶ 22. And based on CMC’s report, the TMB took disciplinary action against Dr. Thomas that eventually resulted in Dr. Thomas entering into an agreed order where he admitted to providing the patient with substandard care, resulting in the patient’s death. Id. ¶ 24. In December 2017, the ACS notified Dr. Thomas that it knew about the agreed order. Id. ¶ 25. According to Dr. Thomas, CMC alerted the ACS to the agreed order and made the same alleged misrepresentations that it had made to the TMB. Id. The ACS then disciplined Dr. Thomas for providing substandard care. Id. And in June 2018, the ACS

reported Dr. Thomas’s discipline to the National Practitioner Data Bank. Id. ¶ 26. 2. Procedural History In his original complaint, Dr. Thomas brought four claims against three defendants—CMC, CHS, and St. Joseph. Dkt. No. 1 ¶¶ 29–46. He alleged promissory estoppel and a civil RICO violation against CMC (id. ¶¶ 34–41), as well as intentional interference with prospective business relations and conspiracy to violate RICO against all

defendants (id. ¶¶ 29–33, 42–46).3 Dr. Thomas requested that the Court enjoin the defendants from denying him medical privileges based on the deceased-patient’s treatment and from disclosing any details regarding the deceased-patient’s treatment to various professional associations. Id. ¶¶ 47–49. He also requested public retractation of all statements made to physician reporting agencies. Id. Upon the defendants’ motion, the Court dismissed his promissory estoppel claim sua sponte for lack of subject matter jurisdiction. Dkt. No. 38 at 5–6. It also dismissed his RICO-conspiracy and intentional-interference claims without prejudice for failure to state a claim. Id. at 18–21. It reasoned that Dr. Thomas had not alleged facts showing either (1) an

agreement amongst the defendants sufficient for a RICO-conspiracy action, or (2) a reasonable probability of entering a business relationship sufficient for an intentional- interference action. Id. at 18–20. The Court did, however, find that Dr. Thomas had stated a facially plausible RICO claim as it related to the 2017 report to the ACS. Id. at 8–14. Dr. Thomas amended his complaint within the prescribed period and realleged his RICO-conspiracy and intentional-interference claims against the defendants. Dkt. No. 40 ¶¶ 37–41, 47–51. He also maintained his RICO claim against CMC. Id. ¶¶ 42–46. The

3 Dr. Thomas asserted his RICO claim and RICO-conspiracy claim as separate causes of action in his amended complaint. Dkt. No. 40 ¶¶ 42–51. He alleged the predicate RICO violation against just CMC, while he alleged conspiracy to commit a RICO violation against all three defendants. Id. Court again dismissed his RICO-conspiracy and intentional-interference claims because he failed to allege new facts to cure the deficiencies in his original complaint. Dkt. No. 66 at 7– 10. Finding no viable claims against CHS or St. Joseph, the Court dismissed both from this suit. Id. at 13. Thus, only Thomas’s RICO claim against CMC has survived. See Dkt. No.

38 at 11–14. After the Court’s dismissal of CHS and St. Joseph, CMC requested that the Court stay or limit discovery because it intended to seek summary judgment. Dkt. No. 68 at 5–6. Dr. Thomas moved to compel responses to his discovery requests, alleging that CMC had produced nothing. Dkt. No. 73 at 2–3, 9. CMC then moved for summary judgment. Dkt. No. 74.

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Thomas, M.D. v. St. Joseph Health System, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-md-v-st-joseph-health-system-txnd-2022.