Trisun Healthcare, LLC and Trisun Care Center River Ridge v. Minerva Lopez, Individually as Wrongful Death Beneficiary of Humberto Lopez, on Behalf of the Estate of Humberto Lopez, and on Behalf of All Wrongful Death Beneficiaries of Humberto Lopez

CourtCourt of Appeals of Texas
DecidedJuly 3, 2014
Docket13-13-00238-CV
StatusPublished

This text of Trisun Healthcare, LLC and Trisun Care Center River Ridge v. Minerva Lopez, Individually as Wrongful Death Beneficiary of Humberto Lopez, on Behalf of the Estate of Humberto Lopez, and on Behalf of All Wrongful Death Beneficiaries of Humberto Lopez (Trisun Healthcare, LLC and Trisun Care Center River Ridge v. Minerva Lopez, Individually as Wrongful Death Beneficiary of Humberto Lopez, on Behalf of the Estate of Humberto Lopez, and on Behalf of All Wrongful Death Beneficiaries of Humberto Lopez) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Trisun Healthcare, LLC and Trisun Care Center River Ridge v. Minerva Lopez, Individually as Wrongful Death Beneficiary of Humberto Lopez, on Behalf of the Estate of Humberto Lopez, and on Behalf of All Wrongful Death Beneficiaries of Humberto Lopez, (Tex. Ct. App. 2014).

Opinion

NUMBER 13-13-00238-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG

TRISUN HEALTHCARE, LLC AND TRISUN CARE CENTER RIVER RIDGE, Appellant,

v.

MINERVA LOPEZ, INDIVIDUALLY AS WRONGFUL DEATH BENEFICIARY OF HUMBERTO LOPEZ, DECEASED, ON BEHALF OF THE ESTATE OF HUMBERTO LOPEZ, DECEASED, AND ON BEHALF OF ALL WRONGFUL DEATH BENEFICIARIES OF HUMBERTO LOPEZ, DECEASED, Appellee.

On appeal from the 214th District Court of Nueces County, Texas.

MEMORANDUM OPINION

Before Chief Justice Valdez and Justices Rodriguez and Longoria Memorandum Opinion by Chief Justice Valdez Appellee, Minerva Lopez, individually and as wrongful death beneficiary of

Humberto Lopez, deceased, on behalf of the estate of Humberto Lopez, deceased, and

on behalf of all wrongful death beneficiaries of Humberto Lopez, deceased, filed a health

care liability cause of action against appellant, Trisun Healthcare, LLC and Trisun Care

Center River Ridge (“Trisun”). Trisun appeals the trial court’s denial of its motion to

dismiss appellee’s health care liability claim. By two issues, Trisun contends that

appellee’s expert report does not comply with the requirements of section 74.351(r)(6)

and that the expert, Michael P. Zeitlin, M.D., CMD, is not qualified to opine regarding

causation. We affirm.1

I. STANDARD OF REVIEW AND APPLICABLE LAW

We review the trial court’s decision on a motion to dismiss a health care liability

claim under an abuse of discretion standard. Am. Transitional Care Ctrs. of Tex., Inc. v.

Palacios, 46 S.W.3d 873, 877–78 (Tex. 2001). “An abuse of discretion occurs when a

trial court acts in an arbitrary or unreasonable manner or without reference to any guiding

principles.” Moore v. Sutherland, 107 S.W.3d 786, 789 (Tex. App.—Texarkana 2003,

pet. denied) (citing Garcia v. Martinez, 988 S.W.2d 219, 222 (Tex. 1999)). We may not

reverse for abuse of discretion simply because we would have decided the matter

differently. Downer v. Aquamarine Operators, Inc., 701 S.W.2d 238, 242 (Tex. 1985).

We may not substitute our judgment for that of the trial court concerning the

resolution of factual issues or matters committed to the trial court’s discretion. Walker v.

Packer, 827 S.W.2d 833, 839 (Tex. 1992). The appellant must “establish that the trial

1 As this is a memorandum opinion and the parties are familiar with the facts, we will not recite the facts in this opinion except as necessary to advise the parties of the Court's decision and the basic reasons for it. See TEX. R. APP. P. 47.4.

2 court could reasonably have reached only one decision.” Id. at 840. A trial court has no

discretion in determining what the law is or in applying the law to the facts and “a clear

failure by the trial court to analyze or apply the law correctly will constitute an abuse of

discretion.” Id.

Section 74.351 requires a plaintiff to serve on each defendant physician or health

care provider whose conduct is implicated by a healthcare liability claim a curriculum vitae

of each expert listed in the report and one or more expert reports setting forth the standard

of care, breach of the standard of care, and causation. TEX. CIV. PRAC. & REM. CODE ANN.

§ 74.351(a), (r)(6) (West, Westlaw through 2013 3d C.S.). An “expert report” is

a written report by an expert that provides a fair summary of the expert’s opinions as of the date of the report regarding applicable standards of care, the manner in which the care rendered by the physician or health care provider failed to meet the standards, and the causal relationship between that failure and the injury, harm, or damages claimed.

Id. § 74.351(r)(6).

A court must grant a motion to dismiss under section 74.351(b) if, after the 120-

day deadline has passed, it appears to the court that the report does not represent an

objective, good-faith effort to comply with the definition of an expert report. Id. § 74.351(l).

A “good-faith effort” means that the report “provide[s] enough information to . . . inform

the defendant of the specific conduct the plaintiff has called into question . . . [and] a

basis for the trial court to conclude that the claims have merit.” Palacios, 46 S.W.3d at

879. A report cannot constitute a good-faith effort if it omits any of the statutory

requirements. Id.

The trial court should look no further than the report itself, because all the

information relevant to the inquiry is contained within the document's four corners. Id. at

3 878. The report does not need to marshal all of the plaintiff’s proof, but it must include

the expert’s opinion regarding the three elements identified in section 74.351(r)(6), which

include the standard of care, breach, and the causal relationship. Bowie Mem’l Hosp. v.

Wright, 79 S.W.3d 48, 52 (Tex. 2002) (citing Palacios, 46 S.W.3d at 878).

II. ADEQUACY OF DR. ZEITLIN’S REPORT

By its first issue, Trisun contends that Dr. Zeitlin’s report is not a good-faith effort

to comply with section 74.351. Appellee responds that Dr. Zeitlin’s report adequately

addresses at least one theory; thus, the trial court properly denied Trisun’s motion to

dismiss. See Certified EMS, Inc. v. Potts, 392 S.W.3d 625, 630 (Tex. 2013) (“If a health

care liability claim contains at least one viable liability theory, as evidenced by an expert

report meeting the statutory requirements, the claim cannot be frivolous. . . . In sum, an

expert report that adequately addresses at least one pleaded liability theory satisfies the

statutory requirements, and the trial court must not dismiss in such a case.”).

First, Dr. Zeitlin stated in his report that Trisun owed the following standards of

care to the deceased: (1) “to immediately notify [the deceased’s] physician when his left

hand wound deteriorated and obtain additional treatment orders for hyperbaric wound

treatment and consultation with a wound care specialist or plastic surgeon”; (2) “to monitor

and treat the pressure ulcer documented on [the deceased’s] scrotum at admission”; (3)

“to institute standard and recognized precautionary measures for [the deceased] to

prevent the development of pressure sores”; and (4) “to contact a surgeon or other

physician when they knew that [the deceased’s] left hand ulcerations had deteriorated

and they had been ordered by Dr. Ramirez to obtain a consultation with a surgeon.” Dr.

Zeitlin opined that Trisun breached these standards of care by failing to: (1) “immediately

4 notify [the deceased’s] physician when his left hand wound deteriorated”; (2) “obtain

additional treatment orders for hyperbaric wound treatment and consultation with a wound

care specialist or plastic surgeon when [the deceased’s] left hand wounds deteriorated”;

(3) “monitor and treat the pressure ulcer documented on [the deceased’s] scrotum at

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

Related

Certified Ems, Inc. D/B/A Cpns Staffing v. Cherie Potts
392 S.W.3d 625 (Texas Supreme Court, 2013)
American Transitional Care Centers of Texas, Inc. v. Palacios
46 S.W.3d 873 (Texas Supreme Court, 2001)
Moore v. Sutherland
107 S.W.3d 786 (Court of Appeals of Texas, 2003)
Bowie Memorial Hospital v. Wright
79 S.W.3d 48 (Texas Supreme Court, 2002)
Methodist Hospital v. Shepherd-Sherman
296 S.W.3d 193 (Court of Appeals of Texas, 2009)
Fagadau v. Wenkstern
311 S.W.3d 132 (Court of Appeals of Texas, 2010)
Garcia v. Martinez Ex Rel. Martinez
988 S.W.2d 219 (Texas Supreme Court, 1999)
Walker v. Packer
827 S.W.2d 833 (Texas Supreme Court, 1992)
Broders v. Heise
924 S.W.2d 148 (Texas Supreme Court, 1996)
Downer v. Aquamarine Operators, Inc.
701 S.W.2d 238 (Texas Supreme Court, 1985)

Cite This Page — Counsel Stack

Bluebook (online)
Trisun Healthcare, LLC and Trisun Care Center River Ridge v. Minerva Lopez, Individually as Wrongful Death Beneficiary of Humberto Lopez, on Behalf of the Estate of Humberto Lopez, and on Behalf of All Wrongful Death Beneficiaries of Humberto Lopez, Counsel Stack Legal Research, https://law.counselstack.com/opinion/trisun-healthcare-llc-and-trisun-care-center-river-ridge-v-minerva-lopez-texapp-2014.