Whiting v. Himelman CA4/2

California Court of Appeal·Decided December 11, 2014·No. E058637·Unpublished

Opinion

Filed 12/11/14 Whiting v. Himelman CA4/2

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION TWO

TIMOTHY LEWIS WHITING, Plaintiff and Appellant, E058637 v. (Super.Ct.No. INC10008352) RONALD B. HIMELMAN, OPINION Defendant and Respondent.

APPEAL from the Superior Court of Riverside County. Jeffrey L. Gunther, Judge. (Retired Judge of the Sacramento Sup. Ct. assigned by the Chief Justice pursuant to art. VI, § 6 of the Cal. Const.) Affirmed.

Timothy Lewis Whiting, in pro. per., for Plaintiff and Appellant.

Lotz, Doggett & Rawers, Jeffrey S. Doggett and Iris G. Glezer for Defendant and Respondent.

I

INTRODUCTION

This medical malpractice action arises from plaintiff Timothy Lewis Whiting

suffering from chest pains, which led to Dr. Ronald Himelman performing coronary angiogram surgery on Whiting. Whiting appeals from judgment entered after the trial court granted Dr. Himelman’s motion for summary judgment on the ground Whiting failed to provide expert testimony refuting Dr. Himelman’s expert’s testimony regarding causation and standard of care. Whiting contends expert medical testimony was not required to prove his medical battery cause of action. He claims evidence of a lack of informed consent was sufficient. Whiting also argues Dr. Himelman’s extrajudicial admission provided the requisite expert testimony needed to prove medical malpractice.

We conclude Whiting has not established he is able to prove the necessary elements of his medical battery and medical malpractice claims. Therefore the trial court did not err in granting Dr. Himelman’s summary judgment motion. The judgment is affirmed.

II

FACTS AND PROCEDURAL BACKGROUND On November 12, 2009, at 2:00 a.m., Whiting went to the emergency room (ER)

at Desert Regional Medical Center (Medical Center). Whiting, who was 46 years old at the time, complained he had been suffering from chest pain for about eight hours. His symptoms were worse when lying down. Dr. Himelman treated Whiting with aspirin, Pepcid, and a GI cocktail. An EKG showed Whiting had sinus bradycardia with first degree block. Dr. Himelman noted Whiting was not in distress but suffered from atypical chest pain.

Whiting underwent an exercise Cardiolite echocardiogram, in which Dr.

Himelman monitored the exercise stress portion of the echocardiogram. The test results showed Whiting had adequate exercise tolerance with no electrocardiographic evidence of ischemia. The test results for the Cardiolite perfusion portion of the test were negative. On November 12, 2009, Dr. Himelman also performed a transthoracic echocardiogram on Whiting. Whiting’s test results were normal, with no significant abnormalities, other than trivial regurgitation in the aortic, mitral, pulmonic, and tricuspid valves. There was no pericardial effusion (escape of fluid).

On November 13, 2009, Dr. Himelman performed coronary angiogram surgery, which included left heart catheterization with ventriculography (the act or process of making an X-ray photograph of a ventricle of the heart after injecting a radiopaque substance); right and left coronary angiography (the radiographic visualization of the blood vessels after injection of a radiopaque substance); and right sheath side-port angiography. Before Dr. Himelman performed the surgery, Whiting was advised of the risks, benefits, and alternatives of the procedures and sedation, and Whiting signed consent forms for the procedures and sedation.

There were no complications during the surgery. The test results showed no angiographic evidence of coronary artery disease. Dr. Himelman reported that hemostasis (stoppage of bleeding) was “successful using a sealant (Angioseal).” The Angioseal was used to stop bleeding by sealing the femoral artery. The Angioseal sandwiched the puncture site between a bio-absorbable anchor and a collagen sponge, which dissolves within 60 to 90 days. Dr. Himelman recommended Whiting add an angiotensin-converting enzyme (ACE) inhibitor and instructed Whiting to followup in the

near future with a Veterans Administration physician. Whiting was discharged from the Medical Center on November 13, 2009, in stable condition.

In September 2010, Whiting filed a medical malpractice lawsuit against Dr.

Himelman and other defendants. After several demurrers, Whiting filed a fourth amended complaint containing causes of action for medical malpractice and medical battery (complaint). Whiting alleges in the complaint that Dr. Himelman and Jon Doe #1 M.D. committed medical malpractice and medical battery by implanting a medical devise inside Whiting’s body without his consent, while performing unnecessary consensual coronary angiogram surgery. The medical device implant allegedly resulted in permanently damaging Whiting’s heart.

Whiting alleges in his medical malpractice cause of action that defendants negligently performed the coronary angiogram surgery and negligently cared for Whiting, in violation of the applicable standard of medical care, by (1) failing to inform Whiting of the implantation of a catheter cap in his body; (2) failing to warn Whiting of the dangerous side effects of the device; and (3) failing to schedule a 90-day follow-up appointment to ascertain if the device had dissolved. Whiting alleges in the medical battery cause of action that, although he consented to coronary angiogram surgery, defendants performed a substantially different medical procedure by implanting a catheter cap in his body without his consent.

Dr. Himelman filed a summary judgment motion, supported by copies of Whiting’s Medical Center records and an expert medical declaration by clinical and interventional cardiologist, Dr. C. Alan Brown. Dr. Himelman’s expert, Dr. Brown,

stated that Dr. Himelman’s treatment of Whiting was within the standard of care and did not cause any injury to Whiting. Dr. Brown stated the only device Dr. Himelman used was an Angioseal vascular closure device, which was appropriate and did not require consent.

Whiting filed opposition, along with his own supporting declaration. The court heard and granted Dr. Himelman’s summary judgment motion on the grounds Whiting had not presented any evidence raising a triable issue of fact as to whether Dr. Himelman breached the applicable standard of care and causation. The trial court concluded summary judgment was appropriate because Whiting had not offered any expert testimony rebutting Dr. Himelman’s expert’s testimony regarding causation and standard of care.

III

SUMMARY JUDGMENT LEGAL STANDARDS A moving party is entitled to summary judgment when that party establishes the right to entry of judgment as a matter of law. (Code Civ. Proc., § 437c, subd. (c).) A defendant meets this burden by demonstrating that the plaintiff cannot establish one or more elements of its cause of action, or that the defendant has a complete defense to the cause of action. (Towns v. Davidson (2007) 147 Cal.App.4th 461, 466.)

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