STATE OF LOUISIANA
COURT OF APPEAL
FIRST CIRCUIT
NUMBER 2019 CA 1475
WILLIAM COOK & RENEE SOILEAU
VERSUS
CARL SWAYZE RIGBY, M.D. & LOUISIANA MEDICAL MUTUAL INSURANCE COMPANY
OV 2 5 2020 Judgment Rendered:
Appealed from the Nineteenth Judicial District Court In and for the Parish of East Baton Rouge State of Louisiana Docket Number C633382 Honorable William A. Morvant, Judge Presiding
Michael C. Palmintier Counsel for Plaintiffs/ Appellants, Baton Rouge, LA William Cook & Renee Soileau
Herbert J. Mang, Jr. Counsel for Defendants/ Appellees, Tara S. Bourgeois Carl Swayze Rigby, MD & Louisiana Carey M. Nichols Medical Mutual Insurance Company Nancy B. Roberts Jonathan Thomas Baton Rouge, LA
Douglas K. Williams Counsel for Defendant/Appellee, Chris D. Billings Our Lady of the Lake Hospital, Inc. Kelsey A. Clark Katherine D. Cook Baton Rouge, LA
Vance A. Gibbs Counsel for Defendants/Appellees, Randal R. Cangelosi Matthew A. Stair, MD, Michael L. Bruce, Jason R. Cashio MD, David W. Walker, MD, Radiology Baton Rouge, LA Associates, LLC & Louisiana Medical Mutual Insurance Company
X Y' lC ; CY7C 2C 7CX X̀
BEFORE: WHIPPLE, C.J., GUIDRY, AND WOLFE, JJ. WHIPPLE, C.J.
This matter is before us on appeal by plaintiffs, William Cook and Renee
Soileau, from a judgment of the trial court maintaining a peremptory exception of
prescription in favor of defendants, Matthew A. Stair, M.D., Michael L. Bruce,
M.D., David W. Walker, M.D., Radiology Associates, L.L.C., and Louisiana
Medical Mutual Insurance Company (" LAMMICO"), and dismissing plaintiffs'
claims with prejudice. For the reasons that follow, we affirm.
FACTS AND PROCEDURAL HISTORY
William Cook underwent a mitral valve repair surgery performed by Dr.
Carl Swayze Rigby on July 20, 2012. In January of 2013, Cook' s cardiologist
discovered a retractor bolt in Cook' s pericardium, which purportedly had fallen
from a surgical instrument during the 2012 valve repair surgery. On July 19, 2013,
Cook and his wife, Renee Soileau, filed a complaint against Dr. Rigby with the
Patient' s Compensation Fund (" PCF") to establish a medical review panel in
accordance with the provisions of the Louisiana Medical Malpractice Act
MMA"). However, after a panel chairman was not appointed within one year
pursuant to LSA- R.S. 40: 1299. 47( C), the claim was dismissed.' Thereafter, on
September 9, 2014, plaintiffs filed the instant medical malpractice suit against Dr.
2 Rigby and his insurer, LAMMICO.
On July 13, 2018, plaintiffs filed an amended and supplemental petition
naming Kapp Surgical Instrument, Inc. (" Kapp"), Our Lady of the Lake Hospital,
Inc. (" OLOL"), Radiology Associates, LLC, Matthew Allen Stair, M.D., Michael
Pursuant to House Concurrent Resolution No. 84 of the 2015 Regular Session, Title 40 was recodified in its entirety and the MMA, formerly cited as LSA-R.S. 40: 1299.41, et seq., was redesignated as LSA- R. S. 40: 1231. 1, et seq. In particular, LSA-R.S. 40: 1299. 47 was redesignated as LSA-R.S. 40: 1231. 8. For ease of reference, all citations hereinafter are to the So. 3d current statutory designation. See Kirt v. Metzinger, 2019- 1162 ( La. 4/ 3/ 20), _ n. 3.
2Piaintiffs asserted constitutional challenges to LSA-R.S. 40: 1237. 2, et seq., which the parties agreed to bifurcate and try " if, and only if, following conclusion of trial on the merits, one of the defendants whose liability is limited by the statute in question is found liable to the plaintiffs herein in an amount in excess of the statutory limits." 2 Lynn Bruce, M.D., David Wyman Walker, M.D., and their insurer, LAMMICO, as
defendants, based on allegations made by Dr. Rigby in a September 2417
deposition, regarding negligence in the interpretation of radiological images by Drs. Stair, Bruce, and Walker on July 20, 21, and 23, 2412, and the liability of the
bolt' s manufacturer. On the same date, plaintiffs filed a petition to establish a
medical review panel with the PCF against the newly added healthcare defendants.
Radiology Associates, LLC, Drs. Stair, Bruce, Walker, and LAMMICO
the radiology defendants") subsequently filed a peremptory exception of
prescription, contending that plaintiffs' claims against them filed in July of 2018
were filed over three years after their alleged actions involving interpretation of
radiological images in July of 2012, and that in the absence of the suspension or
interruption of prescription, the claims are thus prescribed on their face pursuant to
LSA-R.S. 9: 5628( A). Following a hearing, the trial court found that plaintiffs'
claims had prescribed. Accordingly, on June 27, 2419, the trial court signed a
judgment granting the exception of prescription and dismissing plaintiffs' claims
against the radiology defendants with prejudice.3
Plaintiffs now appeal, contending that the MMA should not be interpreted to
override the general interruption-of7prescription and relation -back principles
established in the Civil Code and Code of Civil Procedure.
DISCUSSION
Ordinarily, the party pleading prescription bears the burden of proving the
claim has prescribed. However, when the face of the petition reveals that the
plaintiffs' claims have prescribed, the burden shifts to the plaintiffs to
demonstrate prescription was suspended or interrupted. See LeBreton v. Rabito,
97- 2221 ( La. 7/ 8/ 98), 714 So. 2d 1226, 1228; Johnson v. Shafor, 2008- 2145 ( La.
3Plaintiffs' claims against Kapp, a non -healthcare provider, and OLOL were also dismissed with prejudice pursuant to exceptions of prescription. Plaintiffs' appeals of those
judgments are also pending before this court.
3 7/ 29/ 09), 22 So. 3d 935, 938- 39, writ denied, 2009- 1921 ( La. App. 1st Cir.
11/ 20/ 09), 25 So. 3d 812. When, as in this case, no evidence is introduced at the
hearing to support or controvert the exception of prescription, the exception must be decided upon facts alleged in the petition with all allegations accepted as true.'
See LSA-C. C.P. art. 931; Cichirillo v Avondale Industries, Inc., 2004- 2894 ( La.
11/ 29/ 05), 917 So. 2d 424, 428. If no evidence is introduced to support or
controvert the exception, the manifest error standard of review does not apply, and
the appellate court' s role is to detennine whether the trial court' s ruling was legally
correct. Harris v. Breaud, 2017- 0421 ( La. App. Pt Cir. 2/ 27/ 18), 243 So. 3d 572,
578- 579.
The prescriptive period for actions based on medical malpractice is set forth
in LSA-R.S. 9: 5628( A), which requires that such claims be brought within one
year of the alleged act, omission, or neglect, or within one year from the date of
discovery. Additionally, even as to claims filed within one year of the discovery of
the alleged malpractice, all such claims must be filed, at the latest, within three
years from the date of the alleged act, omission, or neglect. LSA-R.S. 9: 5628( A).5
Both the one-year and three- year periods set forth in LSA-R.S. 9: 5628 are
prescriptive, with the qualification that the contra non valentem type exception to
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STATE OF LOUISIANA
COURT OF APPEAL
FIRST CIRCUIT
NUMBER 2019 CA 1475
WILLIAM COOK & RENEE SOILEAU
VERSUS
CARL SWAYZE RIGBY, M.D. & LOUISIANA MEDICAL MUTUAL INSURANCE COMPANY
OV 2 5 2020 Judgment Rendered:
Appealed from the Nineteenth Judicial District Court In and for the Parish of East Baton Rouge State of Louisiana Docket Number C633382 Honorable William A. Morvant, Judge Presiding
Michael C. Palmintier Counsel for Plaintiffs/ Appellants, Baton Rouge, LA William Cook & Renee Soileau
Herbert J. Mang, Jr. Counsel for Defendants/ Appellees, Tara S. Bourgeois Carl Swayze Rigby, MD & Louisiana Carey M. Nichols Medical Mutual Insurance Company Nancy B. Roberts Jonathan Thomas Baton Rouge, LA
Douglas K. Williams Counsel for Defendant/Appellee, Chris D. Billings Our Lady of the Lake Hospital, Inc. Kelsey A. Clark Katherine D. Cook Baton Rouge, LA
Vance A. Gibbs Counsel for Defendants/Appellees, Randal R. Cangelosi Matthew A. Stair, MD, Michael L. Bruce, Jason R. Cashio MD, David W. Walker, MD, Radiology Baton Rouge, LA Associates, LLC & Louisiana Medical Mutual Insurance Company
X Y' lC ; CY7C 2C 7CX X̀
BEFORE: WHIPPLE, C.J., GUIDRY, AND WOLFE, JJ. WHIPPLE, C.J.
This matter is before us on appeal by plaintiffs, William Cook and Renee
Soileau, from a judgment of the trial court maintaining a peremptory exception of
prescription in favor of defendants, Matthew A. Stair, M.D., Michael L. Bruce,
M.D., David W. Walker, M.D., Radiology Associates, L.L.C., and Louisiana
Medical Mutual Insurance Company (" LAMMICO"), and dismissing plaintiffs'
claims with prejudice. For the reasons that follow, we affirm.
FACTS AND PROCEDURAL HISTORY
William Cook underwent a mitral valve repair surgery performed by Dr.
Carl Swayze Rigby on July 20, 2012. In January of 2013, Cook' s cardiologist
discovered a retractor bolt in Cook' s pericardium, which purportedly had fallen
from a surgical instrument during the 2012 valve repair surgery. On July 19, 2013,
Cook and his wife, Renee Soileau, filed a complaint against Dr. Rigby with the
Patient' s Compensation Fund (" PCF") to establish a medical review panel in
accordance with the provisions of the Louisiana Medical Malpractice Act
MMA"). However, after a panel chairman was not appointed within one year
pursuant to LSA- R.S. 40: 1299. 47( C), the claim was dismissed.' Thereafter, on
September 9, 2014, plaintiffs filed the instant medical malpractice suit against Dr.
2 Rigby and his insurer, LAMMICO.
On July 13, 2018, plaintiffs filed an amended and supplemental petition
naming Kapp Surgical Instrument, Inc. (" Kapp"), Our Lady of the Lake Hospital,
Inc. (" OLOL"), Radiology Associates, LLC, Matthew Allen Stair, M.D., Michael
Pursuant to House Concurrent Resolution No. 84 of the 2015 Regular Session, Title 40 was recodified in its entirety and the MMA, formerly cited as LSA-R.S. 40: 1299.41, et seq., was redesignated as LSA- R. S. 40: 1231. 1, et seq. In particular, LSA-R.S. 40: 1299. 47 was redesignated as LSA-R.S. 40: 1231. 8. For ease of reference, all citations hereinafter are to the So. 3d current statutory designation. See Kirt v. Metzinger, 2019- 1162 ( La. 4/ 3/ 20), _ n. 3.
2Piaintiffs asserted constitutional challenges to LSA-R.S. 40: 1237. 2, et seq., which the parties agreed to bifurcate and try " if, and only if, following conclusion of trial on the merits, one of the defendants whose liability is limited by the statute in question is found liable to the plaintiffs herein in an amount in excess of the statutory limits." 2 Lynn Bruce, M.D., David Wyman Walker, M.D., and their insurer, LAMMICO, as
defendants, based on allegations made by Dr. Rigby in a September 2417
deposition, regarding negligence in the interpretation of radiological images by Drs. Stair, Bruce, and Walker on July 20, 21, and 23, 2412, and the liability of the
bolt' s manufacturer. On the same date, plaintiffs filed a petition to establish a
medical review panel with the PCF against the newly added healthcare defendants.
Radiology Associates, LLC, Drs. Stair, Bruce, Walker, and LAMMICO
the radiology defendants") subsequently filed a peremptory exception of
prescription, contending that plaintiffs' claims against them filed in July of 2018
were filed over three years after their alleged actions involving interpretation of
radiological images in July of 2012, and that in the absence of the suspension or
interruption of prescription, the claims are thus prescribed on their face pursuant to
LSA-R.S. 9: 5628( A). Following a hearing, the trial court found that plaintiffs'
claims had prescribed. Accordingly, on June 27, 2419, the trial court signed a
judgment granting the exception of prescription and dismissing plaintiffs' claims
against the radiology defendants with prejudice.3
Plaintiffs now appeal, contending that the MMA should not be interpreted to
override the general interruption-of7prescription and relation -back principles
established in the Civil Code and Code of Civil Procedure.
DISCUSSION
Ordinarily, the party pleading prescription bears the burden of proving the
claim has prescribed. However, when the face of the petition reveals that the
plaintiffs' claims have prescribed, the burden shifts to the plaintiffs to
demonstrate prescription was suspended or interrupted. See LeBreton v. Rabito,
97- 2221 ( La. 7/ 8/ 98), 714 So. 2d 1226, 1228; Johnson v. Shafor, 2008- 2145 ( La.
3Plaintiffs' claims against Kapp, a non -healthcare provider, and OLOL were also dismissed with prejudice pursuant to exceptions of prescription. Plaintiffs' appeals of those
judgments are also pending before this court.
3 7/ 29/ 09), 22 So. 3d 935, 938- 39, writ denied, 2009- 1921 ( La. App. 1st Cir.
11/ 20/ 09), 25 So. 3d 812. When, as in this case, no evidence is introduced at the
hearing to support or controvert the exception of prescription, the exception must be decided upon facts alleged in the petition with all allegations accepted as true.'
See LSA-C. C.P. art. 931; Cichirillo v Avondale Industries, Inc., 2004- 2894 ( La.
11/ 29/ 05), 917 So. 2d 424, 428. If no evidence is introduced to support or
controvert the exception, the manifest error standard of review does not apply, and
the appellate court' s role is to detennine whether the trial court' s ruling was legally
correct. Harris v. Breaud, 2017- 0421 ( La. App. Pt Cir. 2/ 27/ 18), 243 So. 3d 572,
578- 579.
The prescriptive period for actions based on medical malpractice is set forth
in LSA-R.S. 9: 5628( A), which requires that such claims be brought within one
year of the alleged act, omission, or neglect, or within one year from the date of
discovery. Additionally, even as to claims filed within one year of the discovery of
the alleged malpractice, all such claims must be filed, at the latest, within three
years from the date of the alleged act, omission, or neglect. LSA-R.S. 9: 5628( A).5
Both the one-year and three- year periods set forth in LSA-R.S. 9: 5628 are
prescriptive, with the qualification that the contra non valentem type exception to
prescription embodied in the discovery rule is expressly made inapplicable after
documents attached to Unless properly offered and introduced into evidence, memoranda do not constitute evidence and cannot be considered on appeal. Atain Speciality
Insurance Company v Premier Performance Marine, LLC, 2015- 1128 ( La. App. IS` Cir. 4/ 8/ 16), 193 So. 3d 187, 290.
5Louisiana Revised Statute 9: 5628( A) provides, in pertinent part, that:
whether No action for damages for injury or death against any physician, [...] based upon tort, or breach of contract, or otherwise, arising out of patient care shall be brought unless filed within one year from the date of the alleged act, omission, or neglect, or within one year from the date of discovery of the alleged act, omission, or neglect; however, even as to claims filed within one year from the date of such discovery, in all events such claims shall be filed at the latest within a period of three years from the date of the alleged act, omission, or neglect. [ Emphasis added.]
EI three years from the act, omission, or neglect. Harris v. Breaud, 243 So. 3d at 578,
titin Borel v. Young, 2007- 0419 ( La. 11/ 27/ 07), 989 So. 2d 42, 48 ( on rehearing).
The Louisiana Supreme Court has determined that medical malpractice
claims are governed by the specific provisions of the MMA regarding suspension
of prescription to the exclusion of general codal articles on interruption -of -
prescription and relation -back principles. Warren v. Louisiana Medical Mutual
Insurance Company, 2007- 0492 ( La. 6/ 26/ 09), 21 So. 3d 186, 207 ( on rehearing).
In Warren, the Supreme Court reaffirmed its prior holdings in Borel and LeBreton
and rejected the application of LSA-C.C. arts. 3462 and 2324( C) regarding the
interruption of prescription, as well as the application of LSA-C. C. P. art. 1153
regarding relation -back principles, in medical malpractice actions. See Warren v.
Louisiana Medical Insurance Company, 21 So. 3d at 206- 208. In determining that
the general articles could not be applied to claims governed by the more specific
provisions of the MMA, the court reasoned as follows:
LeBreton and Borel stand for the proposition that medical malpractice claims are governed by the specific provisions of the Medical Malpractice Act regarding suspension of prescription to the exclusion of the general codal articles on interruption of prescription. These cases are equally applicable here. The expressed reasoning behind the holding in LeBreton was that if the general rules on interruption were to apply to a medical malpractice action, " then the prescription and suspension provisions provided in the Medical Malpractice Act will be written out," and "[ t]herein lies the conflict." LeBreton, supra at 1230. Although La. C. C. P. art. 1153 does not " interrupt" prescription as did the general codal articles in LeBreton and Borel, " relation back" of an untimely filed amended petition directly avoids the application of prescription by allowing a claim that would have otherwise prescribed to proceed. The effect of this interference is that if relation back is allowed, the " prescription and suspension
provisions provided in the Medical Malpractice Act will be written out," which, as we recognized in LeBreton, presents " a conflict."
LeBreton, supra at 1230. Further, the application of La. C. C.P. art. 1153 " would potentially subject a health care provider to an indefinite period of prescription, ... a result clearly at odds with the purpose of the [ Act]." Borel, supra at 68, n. 12. Because medical malpractice
actions are governed by the specific provisions of the Act regarding prescription and suspension of prescription, under Borel, we find that any general codal article which conflicts with these provisions may not be applied to such actions in the absence of specific legislative
5 authorization in the Act. The Act has no rules allowing relation back of pleadings for medical malpractice claims. The application of the of an [ sic] plaintiff Article 1153 would permit adding subsequent to the expiration of the three- year period provided for in La. R.S. 9: 5628, and would read out of the statute the prescription and suspension period provisions by La. R.S. 9: 5628 and La. R.S. 40: 1299. 47; therefore, La. C. C. P. art. 1153 may not be applied to the medical malpractice action under the reasoning of LeBreton and Borel.
Warren v Louisiana Medical Insurance Company, 21 So. 3d at 207- 208 ( footnote
omitted).
Here, plaintiffs' petition and complaint with the PCF state that the alleged
negligent interpretation of Cook' s x-rays by the radiology defendants occurred on
July 20, 21, and 23, 2012. Where both were filed more than three years later on
July 13, 2018, the claims are prescribed on their face pursuant to LSA-R.S.
9: 5628( A). Plaintiffs thus bear the burden of establishing that their claims have
not prescribed. See LeBreton v. Rabito, 714 So. 2d at 1228. Recognizing the
difficulties of meeting this burden under the aforementioned law, however,
plaintiffs ask this court to " re -visit the underpinnings" of Borel and Warren and
enter an opinion consistent with the views expressed in the dissenting opinions of
Chief Justices Calegero and Johnson therein.
Plaintiffs argue that the current interpretation of the MMA effectively
eliminates the interruption -of p - rescription and relation -back principles set forth in
LSA- C. C. art. 2324 and LSA- C. C. P. art. 1153, and thereby encourages potentially
liable medical malpractice defendants to delay revealing or to instead conceal
malpractice committed by other parties, while simultaneously urging, as a defense
to their own actions, the conduct of such third parties. Plaintiffs contend that the
effect of applying those rulings herein prevents potentially liable radiologists from
being added to the lawsuit after a timely sued healthcare provider, Dr. Rigby, pointed the finger at them" three years after he allowed a medical review panel to
lapse. Plaintiffs further contend that the traditional suspension of prescription
0 through the discovery rule is especially necessary in a medical malpractice case,
where the issues are very complicated, the discovery process takes time, and, more
importantly, defendants are in a superior position of knowledge regarding the facts,
circumstances, and liability in the case.
The radiology defendants counter that although plaintiffs aver that they did
not discover the alleged acts of negligence until Dr. Rigby' s deposition in
September of 2017, no action was taken on their part to deliberately conceal any
potential claim against them. Moreover, the radiology defendants contend that the
bolt found in Cook' s chest was identified in an x-ray taken January 29, 2013, thus
supplying plaintiffs with every reason to question the earlier interpretation of post-
surgery x-rays taken by the radiologists on July 20, 21, and 23, 2012, yet plaintiffs
failed to do so. The radiology defendants conclude that plaintiffs simply failed to
inquire into the scope of the radiologists' treatment and care in interpreting the
earlier post-surgical x-rays and are now attempting to shift the blame for their
failure to investigate to Dr. Rigby.
We are constrained to agree that the claims against these defendants are
prescribed. Plaintiffs have presented this court with no legal authority to support
the application of the general Civil Code and Code of Civil Procedure articles
relative to interruption -of prescription - and relation -back in their medical
malpractice action against these particular parties. An appellate court is bound to
adjudge a case before it in accordance with the law existing at the time of its
decision. Edwards v. State ex rel. Department of Health & Hospitals for Southeast
Louisiana State Hospital at Mandeville, La., 2000- 2420 ( La. App. 1" Cir.
12/ 28/ 01.), 804 So. 2d 886, 888, writ denied sub nom., Edwards v. State ex rel.
Department of Health &. Hospitals for Southeast Louisiana, 2002- 0318 ( La.
4/ 26/ 02), 814 So. 2d 557. Thus, according to the law existing at the time of our
decision herein, which is set forth by the Louisiana Supreme Court in Warren, 7 Borel, and LeBreton, we must conclude that LSA-R.S. 9: 5628( A) governs the
prescriptive periods for plaintiffs' medical malpractice actions. Because plaintiffs'
claims against the radiology defendants were filed nearly six years from the date of
the alleged acts, omission, or neglect, they are prescribed pursuant to LSA-R.S.
9: 5628( A).
Accordingly, the judgment of the trial court, maintaining the exception of
prescription by the radiology defendants and dismissing plaintiffs' claims against
them, will be affirmed.
ANSWER TO APPEAL
Defendants, Dr. Rigby and LAMMICO, filed an answer to the instant appeal
seeking to preserve their right to contest whether a contra non valentern exception
to LSA-R.S. 9: 5628 should be applied herein and whether Dr. Rigby and
LAMMICO are precluded from pleading the fault of potentially negligent parties
dismissed on an exception of prescription in the event these issues were considered
on appeal. In the alternative, defendants ask this court to " disregard their request
for relief in this answer."
Considering our ruling herein, the relief sought in the answer to appeal is
denied as moot.
CONCLUSION
Based on the above and foregoing reasons, the June 27, 2019 judgment of
the trial court is hereby affirmed. The answer to appeal is denied. Costs of this
appeal are assessed to the plaintiffs/appellants, William Cook and Renee Soileau.
JUDGMENT AFFIRMED; ANSWER TO APPEAL DENIED AS MOOT.
N.