WILSON v. INTHACHAK

317 Ga. 868
Supreme Court of Georgia·Decided December 19, 2023·No. S23A1095·Published·Cited by 1 cases

Opinion

317 Ga. 868 FINAL COPY

S23A1095. WILSON et al. v. INTHACHAK et al.

WARREN, Justice.

The Georgia Constitution directs our Court of Appeals to transfer cases to this Court “[i]n the event of an equal division of the [j]udges.” Ga. Const. of 1983, Art. VI, Sec. V, Par. V. In this case, the Court of Appeals equally divided on an issue and transferred the case to this Court. We conclude that although the Court of Appeals was equally divided on that one issue within the case, the court was not equally divided on the disposition of the judgment that was appealed. Under our precedent, this case does not fall within our equal-division jurisdiction, and we return the case to the Court of Appeals.

1. (a) Factual and Procedural Background In January 2018, Dorothy Warren, a patient in the emergency room at Clinch Memorial Hospital, died after Dr. Nirandr Inthachak, working in his office in a different county, allegedly

negligently misinterpreted her CT scan. Angela Wilson, Warren’s daughter, sued Dr. Inthachak.

The trial court granted Dr. Inthachak summary judgment on two bases. First, the trial court held that Wilson had shown “no clear and convincing evidence of gross negligence,” and that her claim thus failed under OCGA § 51-1-29.5, which requires a plaintiff in “an action involving a health care liability claim arising out of the provision of emergency medical care” to prove “gross negligence” by “clear and convincing evidence.”1 The court concluded that OCGA § 51-1-29.5 applied to Wilson’s claim—even though Dr. Inthachak was not physically present in the emergency room—because Dr. Inthachak “interpret[ed] the CT [scan] from the emergency department and fax[ed] his interpretation to the emergency

1 OCGA § 51-1-29.5 (c) says in full:

In an action involving a health care liability claim arising out of the provision of emergency medical care in a hospital emergency department or obstetrical unit or in a surgical suite immediately following the evaluation or treatment of a patient in a hospital emergency department, no physician or health care provider shall be held liable unless it is proven by clear and convincing evidence that the physician or health care provider’s actions showed gross negligence.

department” where Warren was being treated, and Warren was “emergent,” meaning she needed “emergency medical care.”2 Second, the trial court granted summary judgment in favor of Dr. Inthachak based on causation, concluding that Wilson had not shown that “the outcome would have been different” had Dr. Inthachak provided an allegedly correct interpretation of Warren’s CT scan.

(b) The Court of Appeals Opinions3

2 Specifically, the trial court found that “no jury issue exists as to whether the patient was emergent under OCGA § 51-1-29.5 [(a)] (5).” OCGA § 51-1-29.5 (a) (5) says:

“Emergency medical care” means bona fide emergency services provided after the onset of a medical or traumatic condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in placing the patient's health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.

The term does not include medical care or treatment that occurs after the patient is stabilized and is capable of receiving medical treatment as a nonemergency patient or care that is unrelated to the original medical emergency.

3 Because the Court of Appeals transferred the case as equally divided,

the proposed opinions from the Court of Appeals are not published. Although one opinion was styled as the “majority opinion,” and one was styled as the “dissent,” neither opinion was joined by a majority of the judges. Following the labels given by the Court of Appeals, we thus refer to them as the putative majority and putative dissent.

Wilson appealed, and all 14 voting members of the Court of Appeals concluded that the trial court’s grant of summary judgment was improper on both OCGA § 51-1-29.5 and causation grounds. As to the first ground, the Court of Appeals divided evenly (7 to 7) on the question of why summary judgment was improper based on OCGA § 51-1-29.5. On one side of the ledger, the putative majority agreed with the trial court that OCGA § 51-1-29.5 could apply in this case even though Dr. Inthachak was not in the emergency room, but then disagreed with the trial court’s conclusion that OCGA § 51-1- 29.5 must be applied at the summary judgment stage here and concluded that summary judgment based on OCGA § 51-1-29.5 was improper because a fact question existed as to whether Warren was in need of “emergency medical care.” On the other side of the ledger, the putative dissent concluded that summary judgment based on OCGA § 51-1-29.5 was improper because the statute cannot be applied in this case where “Dr. Inthachak examined the CT scans in the relative quiet of his office,” rather than in an emergency room.

As to the second ground on which the trial court granted summary judgment, all 14 judges of the Court of Appeals—all seven in the putative majority and all seven in the putative dissent— agreed that the trial court erred by concluding that no factual question existed as to causation. Based on the above analysis, the putative majority concluded that the trial court’s order granting summary judgment should be vacated and the case remanded, and the putative dissent concluded that the trial court’s order should be reversed.

The Court of Appeals then transferred the case to this Court, citing our equal-division jurisdiction under Article VI, Section V, Paragraph V of the Georgia Constitution. After careful consideration of the text of the Georgia Constitution, our case law interpreting the Georgia Constitution, and the briefing and argument from the parties, we conclude that we do not have equal- division jurisdiction over this case and we return the case to the Court of Appeals.

2. Georgia’s Constitution says about the Court of Appeals: “In the event of an equal division of the Judges when sitting as a body, the case shall be immediately transmitted to the Supreme Court.” Ga. Const. of 1983, Art. VI, Sec. V, Par. V.4 Citing this constitutional

4 The language directing that the Court of Appeals should transfer equally divided cases to this Court has remained largely unchanged since it was introduced in the Georgia Constitution of 1945. See Ga. Const. of 1945, Art. VI, Sec. II, Par. VIII (“In the event of an equal division of Judges on any case when the Court is sitting as a body, the case shall be immediately transferred to the Supreme Court.”); Ga. Const. of 1976, Art. VI, Sec. II, Par. VIII (“In the event of an equal division of judges on any case when the Court is sitting as a body, the case shall be immediately transferred to the Supreme Court.”). See also Elliott v. State, 305 Ga. 179, 184 (824 SE2d 265) (2019) (explaining “the presumption that the framers of a new constitution are not only aware of the provisions of the earlier constitution, but when they adopt provisions contained in a former Constitution, to which a certain construction has been given, they are presumed as a general rule to have intended that these provisions should have the meaning attributed to them under the earlier instrument.”) (citation and punctuation omitted).

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