Thompson v. West Virginia Board of Osteopathy

442 S.E.2d 712, 191 W. Va. 15, 1994 W. Va. LEXIS 39, 1994 WL 96674
CourtWest Virginia Supreme Court
DecidedMarch 24, 1994
DocketNo. 21720
StatusPublished
Cited by1 cases

This text of 442 S.E.2d 712 (Thompson v. West Virginia Board of Osteopathy) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thompson v. West Virginia Board of Osteopathy, 442 S.E.2d 712, 191 W. Va. 15, 1994 W. Va. LEXIS 39, 1994 WL 96674 (W. Va. 1994).

Opinion

PER CURIAM:

Janet Thompson, Kenneth Thompson and Vera Thompson Treadway (hereinafter the Thompsons) appeal the circuit court’s dismissal of their petition for a writ of mandamus to compel the West Virginia Board of Osteopathy to make findings of fact and conclusions of law and to pursue disciplinary action against Allen Gant, D.O. The Thomp-sons, all descendants of Modest Thompson, deceased, complained to the Board of Osteopathy that Dr. Gant caused Mr. Thompson’s premature death by negligently administering the drug Methotrexate. The circuit court found that the Board of Osteopathy had discharged its non-discretionary duty when the Board dismissed the Thompsons’ complaint. Although the Board of Osteopathy dismissed the Thompsons’ complaint, the Board failed to make findings of fact and conclusions of law as required by W.Va.Code 30-14-12a [1986]. Because the Board of Osteopathy failed in its non-discretionary duty, we reverse the circuit court.

On April 23,1986, Dr. Gant began treating Mr. Thompson, who was eighty-one years old, with a 25 mg. injection of Methotrexate. The Thompsons allege that the Methotrexate was to treat Mr. Thompson’s osteoarthritis. According to the Physician’s Desk Reference, 40 Ed., 1986, Methotrexate is a highly toxic drug generally used to treat cancer patients and can have the following side effects: ul-cerative stomatitis, leukopenia, nausea and abdominal distress. The expert witness for the Thompsons, Peter Hasselbacher, M.D., a Board certified specialist in rheumatology and internal medicine, testified that Metho-trexate has never been suggested for treating osteoarthritis, which, according Dr. Has-selbacher, was the decedent’s form of arthritis.

Dr. Gant maintains that the drug was used to treat Mr. Thompson’s rheumatoid arthritis, which he diagnosed on the basis of Mr. Thompson’s symptoms. In 1986, Dr. Gant became aware of the benefits of Methotre-xate by reading about various experimental studies involving rheumatoid arthritis. After informing Mr. Thompson of the possible benefits and side effects, Dr. Gant alleges that Mr. Thompson agreed to the treatment. On April 23, 1986, Dr. Gant began treating Mr. Thompson with a 25 mg. injection of the drug every couple of weeks until May 21, 1986, when Dr. Gant doubled the dosage to 50 mg., which was given three times, the last dosage given on July 28, 1986.

The Thompsons allege that the record does not corroborate Dr. Gant’s diagnosis of rheumatoid arthritis and that the drug’s dosage should not have increased in light of Mr. Thompson’s adverse drug reaction as shown by his weight loss, penile infection, low white blood count and renal insufficiency. However, on May 21, 1986, Dr. Gant found Mr. Thompson to be free of pain and able to walk with his walker. Believing that the drug was reducing Mr. Thompson’s joint effusion and [17]*17swelling, Dr. Gant doubled the drug’s dosage.1

On July 30, 1986, two days after the last injection of Methotrexate, Mr. Thompson experienced chest pain. Suffering from a heart attack, Mr. Thompson was admitted to Raleigh General Hospital. The Thompsons allege that Dr. Gant failed to inform the hospital of Mr. Thompson’s treatment with Metho-trexate. Mr. Thompson’s August 4, 1986 blood tests showed the presence of Methotre-xate in the toxic range. According to Dr. Hasselbacher, this level of Methotrexate indicates an extraordinarily high exposure to the drug because normally the drug is eliminated from the system within a day or two.

On August 7, 1986, Mr. Thompson died. The decedent’s postmortem examination found the cause of death to be “Coronary Thrombosis,” “Hypertensive and Arterioscle-rotic Cardiovascular Disease,” and “CC: Chronic Obstructive Pulmonary Disease.” The microscopic examination noted that “[t]he [bone] marrow is relatively hypoeellu-lar.”

Alleging that Dr. Gant’s negligence hastened the decedent’s death, Janet Thompson, as Mr. Thompson’s personal representative filed a malpractice action in federal court which was settled for $250,000.2 Thereafter, the Thompsons filed a complaint with the Board of Osteopathy. Apparently the Board considered the Thompsons’ complaint four separate times and each time concluded that no malpractice had occurred. Aside from the conclusion, none of the Board’s minutes contains any findings of fact and conclusions of law.3 Although one meeting’s minutes state that a full report was sent to the Attorney General’s office, the record does not contain a copy of this report.

Alleging that the Board of Osteopathy failed in its duties (1) to make findings of fact and conclusions of law, and (2) to pursue [18]*18disciplinary proceedings against Dr. Gant, the Thompsons petitioned circuit court for a ■writ of mandamus. In its answer, the Board of Osteopathy responded with “some of the information considered by the Board in reaching its decision” by listing thirteen factors and some subsequent information considered by the Board. After the circuit court refused to issue a writ of mandamus, the Thompsons appealed to this Court.

I

'W.Va.Code, 30-14-12a [1986] requires the Board of Osteopathy to make an initial determination concerning the existence of probable cause before deciding to take disciplinary action against any licensed osteopathic physician or surgeon. In addition to determining probable cause, the Board must make findings of fact and conclusions of law. W.Va. Code 30-14-12a(e) [1986], states:

In every case considered by the board under this article regarding suspension, revocation or issuance of a license whether initiated by the board or upon complaint or information from any person or organization, the board shall make a preliminary determination as to whether probable cause exists to substantiate charges of cause to suspend, revoke or refuse to issue a license as set forth in subsection (a), section eleven [§ 30-14-ll(a) ] of this article. If such probable cause is found to exist, all proceedings on such charges shall be open to the public who shall be entitled to all reports, records, and nondeliberative materials introduced at such hearing, including the record of the final action taken: Provided, That any medical records, which were introduced at such hearing and which pertain to a person who has not expressly waived his right to the confidentiality of such records, shall not be open to the public nor is the public entitled to such records. If a finding is made that probable cause does not exist, the public has a right of access to the complaint or other document setting forth the charges, the findings of fact and conclusions supporting such finding that probable cause does not exist, if the subject osteopathic physician consents to such access.

Our major case dealing with public access to medical disciplinary proceedings is Daily Gazette Co., Inc. v. W. Va. Bd. of Medicine, 177 W.Va. 316, 352 S.E.2d 66 (1986) (Bd. of Medicine). In Bd. of Medicine, a newspaper sought information under the West Virginia’s Freedom of Information Act, W.Va. Code 29B-1-1 [1977] et seq., about physician disciplinary proceedings from the medical licensing board for physicians and podiatrists.4 Based on our holding in Daily Gazette Co., Inc. v. Committee on Legal Ethics of the West Virginia State Bar, 174 W.Va.

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Bluebook (online)
442 S.E.2d 712, 191 W. Va. 15, 1994 W. Va. LEXIS 39, 1994 WL 96674, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thompson-v-west-virginia-board-of-osteopathy-wva-1994.