Tom and Karen Moore v. Lloyd A. Walwyn, M.D. - Dissenting

CourtCourt of Appeals of Tennessee
DecidedJanuary 19, 1996
Docket01A01-9507-CV-00295
StatusPublished

This text of Tom and Karen Moore v. Lloyd A. Walwyn, M.D. - Dissenting (Tom and Karen Moore v. Lloyd A. Walwyn, M.D. - Dissenting) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tom and Karen Moore v. Lloyd A. Walwyn, M.D. - Dissenting, (Tenn. Ct. App. 1996).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE MIDDLE SECTION AT NASHVILLE

FILED TOM AND KAREN MOORE, ) Jan. 19, 1996 ) Plaintiffs/Appellants, ) Cecil Crowson, ) Davidson Circuit Jr. Appellate Court Clerk ) No. 94C-1356 VS. ) ) Appeal No. ) 01-A-01-9507-CV-00295 LLOYD A. WALWYN, M.D., ) ) Defendant/Appellee. )

DISSENTING OPINION

Both the trial court and the majority of this panel have decided that Tom and Karen Moore are not entitled to a jury trial on their medical malpractice claim against Dr. Lloyd A. Walwyn because of shortcomings in the affidavits they filed in opposition to Dr. Walwyn’s motion for summary judgment. While I do not relish defending sloppy lawyering, I am convinced that my colleagues have scrutinized the Moores’ counter-affidavits using standards stricter than those required by Tenn. R. Civ. P. 56.05 and Tenn. Code Ann. § 29-26-115 (1980). I would vacate the summary judgment because the counter-affidavits demonstrate the existence of genuine and material factual issues that only a jury should resolve.

I.

Tom Moore severely injured his left forearm and left leg when he fell from a roof on May 1, 1993. He was first taken to the Williamson County Medical Center and was later transferred to the Tennessee Christian Medical Center where he came under the care of Dr. Lloyd A. Walwyn. Dr. Walwyn determined that injuries to Mr. Moore’s leg required surgery and on May 2, 1993, performed an open reduction of the fractures of the left fibula and tibia.1 During this procedure, Dr. Walwyn repaired the fractured fibula using a plate and screws and repaired the fractured tibia using two screws. Three days after the surgery, Dr. Walwyn performed a closed manipulation of the fracture of the tibia and inserted pins into the tibia to stabilize it with an external fixator.2

Mr. Moore left the hospital on May 7, 1993. He changed physicians after three office visits with Dr. Walwyn between May 19 and June 16, 1993. In July 1993, the physicians at Metro General Hospital advised Mr. Moore that his leg fracture would require additional surgery because he had “infected pins on his current external fixator which communicate with his fracture site.” During surgery on July 21, 1993, Dr. Melvin Law confirmed infection of the pin sites and also infected nonunion of both the left tibia and left fibula. Dr. Law irrigated and debrided the infected tibia, fibula, and pin sites. He also replaced the external fixator Dr. Walwyn had installed. Dr. Law removed the second external fixator and placed Mr. Moore’s leg in a cast in October 1993.

Mr. Moore and his wife sued Dr. Walwyn and others on May 2, 1994. They alleged that the infection in Mr. Moore’s leg was caused by Dr. Walwyn’s negligent failure to prescribe sufficient antibiotics before, during, and after the May 2, 1993 surgery. They also alleged that the infection caused by Dr. Walwyn’s negligent failure to prescribe antibiotics required Mr. Moore to undergo “four surgeries including nine different procedures” and to experience pain, suffering, additional medical expenses, and loss of wages. In addition, they alleged that Dr. Walwyn declined to treat Mr. Moore after learning that he lacked the funds to pay him.

1 An open reduction of a fracture is a surgical procedure involving the manipulation of the affected bone or bones after an incision into the skin and muscle over the site of the fracture. See Stedman’s Concise Medical Dictionary 872 (2d ed. 1994) (“Stedman’s”). 2 The closed manipulation did not require a second incision; however, the pins attaching the tibia to the external fixator did protrude through the skin. A fixator is a device providing rigid immobilization through external skeletal fixation by means of rods attached to pins which are placed in or through the bone. See Stedman’s 386.

-2- From this point on, the case fell into the predicable pattern common to many medical malpractice cases. On October 19, 1994, Dr. Walwyn filed a motion for summary judgment supported by his own self-serving affidavit asserting in the most general terms that he “acted with ordinary and reasonable care” in accordance with “the recognized standard of professional practice in orthopaedic surgery in Nashville and similar areas.”3 This motion placed the burden squarely on the Moores to produce a competent affidavit supporting their claim that Dr. Walwyn had committed malpractice. Failure to produce competent expert testimony contradicting Dr. Walwyn’s affidavit would result in the summary dismissal of the Moores' claims against Dr. Walwyn because they could only be substantiated with expert testimony.4

The Moores responded to Dr. Walwyn’s motion for summary judgment on December 5, 1994, with a memorandum of law and a promise that counter- affidavits would be filed no later than one day before the hearing on the summary judgment motion. The Moores were apparently unable to locate an orthopaedic surgeon in Tennessee willing to testify against Dr. Walwyn. On the day before the hearing, they filed the “affidavit” of Dr. Bruce Schlafly, a board-certified orthopaedic surgeon practicing in Missouri, who opined that “Dr. Lloyd Walwyn . . . breached the recognized standard of care in failing to administer antibiotics and such breach of care caused Tom Moore injuries that he would not have otherwise suffered.”

Dr. Walwyn’s lawyers launched a fusillade of objections to the form, substance, and timing of Dr. Schlafly’s affidavit at the December 16, 1994

3 This motion was proper because a defendant physician’s affidavit is sufficient by itself to support the physician’s motion for summary judgment. Smith v. Graves, 672 S.W.2d 787, 789-90 (Tenn. Ct. App. 1984). There is, however, a growing judicial hostility toward expert affidavits used to support or to oppose motions for summary judgment that contain only an opinion without supplying a foundation of specific facts. See Edward Brumet, Summary Judgment Materials, 147 F.R.D. 647, 674-676 (1993) ("Brumet"). 4 Goodman v. Phythyon, 803 S.W.2d 697, 702-03 (Tenn. Ct. App. 1990); Hurst v. Dougherty, 800 S.W.2d 183, 185 (Tenn. Ct. App. 1990); Parker v. Vanderbilt Univ., 767 S.W.2d 412, 420 (Tenn. Ct. App. 1988); Ayers v. Rutherford Hosp., Inc., 689 S.W.2d 155, 160 (Tenn. Ct. App. 1984).

-3- hearing. The trial court decided to consider Dr. Schlafly’s affidavit even though it had not been filed within the time required by the local rules of court.5 On January 11, 1995, the trial court entered an order granting Dr. Walwyn’s motion for summary judgment because “there is no genuine issue as to a material fact concerning whether the defendants deviated from the recognized standard or acceptable professional practice.”

The Moores hired a second lawyer who filed a “motion to reconsider” on February 9, 1995. Since Dr. Walwyn’s lawyers had taken issue with the form of Dr. Schlafly’s original “affidavit,” the Moores’ motion was accompanied by a second affidavit by Dr. Schlafly that was “more succinct in form for the Court to consider.” The motion reiterated that “there was sufficient proof to show that the Defendant deviated from the acceptable standard of care sufficient to raise a question of fact.”

The trial court conducted another hearing on February 24, 1995. The trial court declined to consider Dr. Schlafly’s second affidavit because the Moores had “not made a sufficient showing as to why the affidavit testimony of Dr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Alexander v. Memphis Individual Practice Ass'n
870 S.W.2d 278 (Tennessee Supreme Court, 1994)
Price v. Becker
812 S.W.2d 597 (Court of Appeals of Tennessee, 1991)
Ayers Ex Rel. Ayers v. Rutherford Hospital, Inc.
689 S.W.2d 155 (Court of Appeals of Tennessee, 1984)
Cowden v. Sovran Bank/Central South
816 S.W.2d 741 (Tennessee Supreme Court, 1991)
Mansfield v. Colonial Freight Systems
862 S.W.2d 527 (Court of Appeals of Tennessee, 1993)
Foley v. St. Thomas Hospital
906 S.W.2d 448 (Court of Appeals of Tennessee, 1995)
Teeters v. Currey
518 S.W.2d 512 (Tennessee Supreme Court, 1974)
Goodman v. Phythyon
803 S.W.2d 697 (Court of Appeals of Tennessee, 1990)
SCHAEFER BY SCHAEFER v. Larsen
688 S.W.2d 430 (Court of Appeals of Tennessee, 1984)
Kilpatrick v. Bryant
868 S.W.2d 594 (Tennessee Supreme Court, 1993)
Poore v. Magnavox Co. of Tennessee
666 S.W.2d 48 (Tennessee Supreme Court, 1984)
Speaker v. Cates Co.
879 S.W.2d 811 (Tennessee Supreme Court, 1994)
Brookins v. the Round Table, Inc.
624 S.W.2d 547 (Tennessee Supreme Court, 1981)
Blocker v. Regional Medical Center at Memphis
722 S.W.2d 660 (Tennessee Supreme Court, 1987)
HURST BY HURST v. Dougherty
800 S.W.2d 183 (Court of Appeals of Tennessee, 1990)
Byrd v. Hall
847 S.W.2d 208 (Tennessee Supreme Court, 1993)
Richland Country Club, Inc. v. CRC Equities, Inc.
832 S.W.2d 554 (Court of Appeals of Tennessee, 1991)
Braswell v. Carothers
863 S.W.2d 722 (Court of Appeals of Tennessee, 1993)
Fowler v. Happy Goodman Family
575 S.W.2d 496 (Tennessee Supreme Court, 1978)

Cite This Page — Counsel Stack

Bluebook (online)
Tom and Karen Moore v. Lloyd A. Walwyn, M.D. - Dissenting, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tom-and-karen-moore-v-lloyd-a-walwyn-md-dissenting-tennctapp-1996.