West v. Huxol

135 F. Supp. 3d 590, 2015 U.S. Dist. LEXIS 127172, 2015 WL 5611653
CourtDistrict Court, W.D. Kentucky
DecidedSeptember 23, 2015
DocketCIVIL ACTION NO. 4:12-CV-00140-JHM
StatusPublished
Cited by2 cases

This text of 135 F. Supp. 3d 590 (West v. Huxol) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
West v. Huxol, 135 F. Supp. 3d 590, 2015 U.S. Dist. LEXIS 127172, 2015 WL 5611653 (W.D. Ky. 2015).

Opinion

Memorandum Opinion and Order

Joseph H. McKinley, Jr., Chief Judge, United States District Court

This matter is before the Court on a renewed motion for summary judgment by Defendant Owensboro Medical Health System, Inc. (“OMHS”) [DN 56] and a renewed motion for summary judgment by Defendant Dr. Robert F. Huxol (“Dr. Hux-ol”) [DN, 60]. Fully briefed, these matters [592]*592are ripe for decision. For the following reasons, the motions for summary judgment are GRANTED.

I. Background

On December 2, 2011, Marilyn West presented to Breckinridge Memorial Hospital in Hardinsburg, Kentucky, with complaints of respiratory distress. (Breck-inridge Health, Inc. Emergency Room Record [DN 56-3, 60-2].) She was treated by Dr. Gregory A. West1 (“Dr. West”), an emergency room physician at Breckin-ridge Memorial. (Id.) Approximately five minutes after arriving at Breckinridge Memorial, Mrs. West went into respiratory arrest. (Breckinridge Mem’l Hosp. Triage Sheet [DN 56-4, 60-2].) She was unable to be intubated on multiple attempts; therefore she had a King esophageal obturator airway placed in an effort to stabilize her airway. (See Emergency Dep’t Note by Dr. Gregory A. West [DN 56-11, 60-2] 1; Breckinridge Health, Inc. Progress Record [DN 56-5, 60-2] 1.) “After her airway was established a pulse and pressure returned.” (Emergency Dep’t Note [DN 56-11, 60-2] 1.)

Her temporary stabilization notwithstanding, it was apparent to Dr. West that Mrs. West needed sophisticated airway management, care that Breckinridge Memorial was not able to provide, so Dr. West sought to transfer Mrs. West to a hospital that could provide a higher level of care. (See Dr. West Dep. [DN 60-3] 36:13-:25, June 24, 2014.) According to the Emergency Department Note by Dr. West,

The OMHS call center was initially consulted and [sic] at 1530 and Dr. Huxol .advised transfer to a tertiary care center in Louisville. The University of Louisville call center was consulted at 1546 advised they would call back. The Norton’s infirmary transfer Center was consulted at 1613, the cardiologist recommended consultation with the patient’s cardiologist prior to transfer care for concerns about continuity of care. The OMHS call center was consulted again at 1620 and rate [sic] her heart specialist were consulted [sic]. Dr. Garimella accepted transfer at 1632.

(Emergency Dep’t Note [DN 56-11, 60-2] 1-2.)

Because Mrs, West had been to OMHS before and her family expressed some interest in going back there, Dr. West first contacted the emergency department at OMHS, via a call center, and was connected with Dr. Huxol. (See Dr. West Dep. [DN 60-3, 60-5] 31:1-38:23.) Dr. West and Dr. Huxol discussed Mrs. West and Dr. West’s difficulty establishing an airway with her, (Dr. Huxol Dep. [DN 60-6, 60-7] 34:12-37:1, Oct. 15, 2013), and the determination was made that University of Louisville Hospital was the best option for transfer, (see Dr. West Dep. [DN 60-3] 33:18-34:1, 35:23-36:3, 36:12-38:23). Dr. West elaborated in his deposition about his phone conversation with Dr. Huxol: “Dr. Huxol and I discussed the case, and we both agreed that this probably wasn’t an appropriate transfer to [OMHS], and that I needed to talk to University. And I also talked to the Norton’s Hospital because Norton’s group manages this hospital. Most of our transfers go to Norton’s, but we don’t usually send them extreme emergencies like this because University really is the appropriate place,” (id. [DN 60-5] 33:18-34:1), “there [was] an interaction as to whether or not it [was] an appropriate transfer, and Dr. Huxol and I both agreed that probably University Hospital would be a better place for her,” (id. 35:25 — 36:3), but “[Dr. Huxol] did say, if you have problems call me back and, you know, we will [593]*593make whatever accommodations we can,” (id. [DN 60-3] 38:9-:ll).' ''

When asked about his statement in the Emergency Department Note that “Dr. Huxol advised transferred to a tertiary care center in Louisville,” Dr. West stated ‘Yes. That was not his decision. That’s a decision we came to together because like I — I was still fairly new to this area and was not used to transferring to OMHS, and we discussed what was reasonable care that could be delivered there and we both knew that University was a little bit further, but they had more — a wider range of services available.” (id. [DN 60-3] 37:20-:25.) Both Dr. West and Dr. Huxol testified in their depositions that Dr. Hux-ol never refused to accept transfer of Mrs. West. (Dr. Huxol Dep. [DN 56-7, 60-6] 34:9-35:19; Dr. West Dep. [DN 56-6, 60-5] 69:3-:5, 75:10-76:5; see also Dr. West Aff. [DN 60-4] ¶¶ 5-7, Jan. 22, 2014.)

Subsequent to the call between Dr. West and Dr. Huxol, Dr. West contacted University of Louisville Hospital regarding transfer. (Dr. West Dep. [DN 60-3] 38:20-:23 (“[A]fter I talked with [Dr. Huxol], and we’d determined that a tertiary care facility, you know, probably University, would be the best option for her then I tried the University Hospital Call Center.”).) After having difficulty with University Hospital, Dr. West consulted Norton Hospital, who referred him back to OMHS. (Id. [DN 60-3] 39:9-40:6, [DN 60-5] 41:11-42:15.) Dr. West then contacted OMHS a second time and was connected with Dr: Garimella, a cardiologist, who accepted her transfer immediately. (Id. [DN 60-5] 42:15-:23.) Mrs. West was' transferred to OMHS that day. She never regained consciousness, was placed on life support, and passed away on December 7, 2011. (See OMHS Discharge Summary, Dec. 7, 2011 [DN 56-8] 1-2.)

On November 29, 2012, Steve West, individually and as administrator of the Estate of Marilyn West (collectively “Plaintiffs”), .brought this wrongful death action in Daviess'Circuit Court against Dr.'Huxol and OMHS. (See Compl. [DN 1-1].) In their.- Complaint, Plaintiffs assert claims against Defendants for violation of the Emergency Medical Treatment and Active Labor Act (“EMTALA”), 42 U.S.C. § 1395dd, and deviation from the applicable standard of care (medical negligence claim); for Dr. Huxol’s alleged refusal, on behalf of OMHS, .to accept transfer of Mrs. West from Breckinridgé Memorial. (See id.) Plaintiff Steve West, individually, also asserts a claim for loss of consortium arising out of his wife’s' allegedly wrongful death, (See id. ¶' 18.) On December 27, 2012, OMHS, with consent of Dr. Huxol, removed the action from Daviess Circuit Court to this Court on the basis of federal question jurisdiction, 28 U.S.C. § 1331. (See Removal Notice [DN 1].)

On January 1, 2014, OMHS [DN 30] and Dr. Huxol [DN 31] moved for summary judgment. The Court, by order dated April 9, 2014, denied those motions with leave to refile at the close-of discovery [DN 44]. Both OMHS [DN 56] and Dr. Huxol [DN 60] have filed renewed motions for summary judgment, which are presently before the Court.

II. Standard of Review

- Before the Court may grant a motion for summary judgment, it must find that there is no genuine dispute as to.any material fact and that the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a).

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Bluebook (online)
135 F. Supp. 3d 590, 2015 U.S. Dist. LEXIS 127172, 2015 WL 5611653, Counsel Stack Legal Research, https://law.counselstack.com/opinion/west-v-huxol-kywd-2015.