Devin Tucker Versus Seaside Behavioral Center, LLC; East Jefferson General Hospital ( 2023 )


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  • DEVIN TUCKER                                        NO. 23-CA-132
    VERSUS                                              FIFTH CIRCUIT
    SEASIDE BEHAVIORAL CENTER, LLC;                     COURT OF APPEAL
    EAST JEFFERSON GENERAL HOSPITAL
    STATE OF LOUISIANA
    ON APPEAL FROM THE TWENTY-FOURTH JUDICIAL DISTRICT COURT
    PARISH OF JEFFERSON, STATE OF LOUISIANA
    NO. 829-149, DIVISION "M"
    HONORABLE SHAYNA BEEVERS MORVANT, JUDGE PRESIDING
    December 27, 2023
    FREDERICKA HOMBERG WICKER
    JUDGE
    Panel composed of Judges Susan M. Chehardy,
    Fredericka Homberg Wicker, and Marc E. Johnson
    REVERSED AND REMANDED
    FHW
    SMC
    MEJ
    COUNSEL FOR PLAINTIFF/APPELLANT,
    DEVIN TUCKER
    Adrian M. Simm, Jr.
    Lance C. Unglesby
    Jamie F. Gontarek
    Lewis O. Unglesby
    COUNSEL FOR DEFENDANT/APPELLEE,
    SEASIDE BEHAVIORAL CENTER, LLC
    Guice A. Giambrone, III
    Ivana Dillas
    COUNSEL FOR DEFENDANT/APPELLEE,
    EAST JEFFERSON GENERAL HOSPITAL
    Brett M. Dupuy
    Jean-Paul J. Morrell
    WICKER, J.
    Plaintiff appeals the trial court’s judgments sustaining the dilatory
    exceptions of prematurity filed by defendants and dismissing his claims against
    them without prejudice. For the following reasons, we reverse both judgments and
    remand the matter for further proceedings.
    FACTS AND PROCEDURAL HISTORY
    On June 10, 2022, plaintiff, Devin Tucker, filed this lawsuit against
    defendants, Seaside Behavioral Center, L.L.C. (“Seaside”) and East Jefferson
    General Hospital (“EJGH”), for damages sustained on December 25, 2020, when
    he jumped from a third-floor window at EJGH while under the care of Seaside and
    EJGH. In his petition, Mr. Tucker asserts that he suffers from schizophrenia and
    bipolar disorder, and that he suffered a psychotic breakdown on December 16,
    2020. He provides that the Jefferson Parish Coroner’s Office ordered him to be
    brought to EJGH for a psychiatric examination, and he was placed on a “10-day
    hold.” According to Mr. Tucker, after he arrived at EJGH and was evaluated, he
    was transferred into the care of Seaside, which is a behavioral health center
    “housed in and run by EJGH.” Mr. Tucker asserts that on Christmas morning, he
    was able to completely open the window in his hospital room, and he attempted to
    escape by jumping from the window to the ground three stories below.
    In his petition, Mr. Tucker alleges that the grievous injuries he sustained
    were caused by the negligence, fault, and/or strict liability of Seaside and EJGH.
    He contends that he was in the custody and control of Seaside and/or EJGH at the
    time of the incident, and that their failure to properly maintain the window created
    a foreseeable and unreasonably dangerous condition. Mr. Tucker asserts that
    Seaside and EJGH were negligent in failing to have locks or some type of restraint
    on a third-floor window of a psychiatric unit, where individuals are committed
    against their will. He also claims that Seaside and EJGH failed to maintain an
    23-CA-132                                 1
    adequate staff of properly trained personnel in the psychiatric unit. Mr. Tucker
    alleges that none of his allegations are medical malpractice claims, because they do
    not relate to his treatment or the judgment of a medical professional.
    On July 18, 2022, Seaside filed a dilatory exception of prematurity, asserting
    that it is a qualified health care provider under the Louisiana Medical Malpractice
    Act (“LMMA”), La. R.S. 40:1231.1, et seq., and that Mr. Tucker’s claims against
    it are based on allegations of medical malpractice. Seaside argued that Mr.
    Tucker’s lawsuit must be dismissed without prejudice, because he failed to bring
    his claims before a medical review panel prior to filing this lawsuit, as required by
    La. R.S. 40:1231.8(A)(1). In support of its exception, Seaside attached a document
    from the Louisiana Patient’s Compensation Fund (“PCF”) certifying that Seaside
    was a qualified health care provider at the time of the incident.
    On August 15, 2022, Mr. Tucker filed a memorandum in opposition to
    Seaside’s exception of prematurity, stating that he does not dispute that Seaside is
    a qualified healthcare provider under the LMMA, but this fact alone is insufficient
    to show that his claims arise from medical malpractice. He argued that his claims
    are not related to any medical treatment and therefore, do not fall under the
    LMMA. Seaside filed a response on August 18, 2022, maintaining that Mr.
    Tucker’s claims arise from medical malpractice, because this case involves
    complex medical questions regarding the medication and proper monitoring
    necessary for a schizophrenic patient and the risk he posed to himself or others.
    Seaside’s exception of prematurity came for hearing before the trial court on
    August 23, 2022. After considering the arguments of counsel, the trial court
    sustained the exception and dismissed Mr. Tucker’s claims against Seaside without
    prejudice. The court signed a written judgment to this effect on September 1,
    2022.
    23-CA-132                                  2
    Thereafter, on September 15, 2022, EJGH filed a dilatory exception of
    prematurity, asserting that it is a qualified health care provider and that Mr.
    Tucker’s claims against EJGH were treatment-related and caused by dereliction of
    professional skill. Therefore, it argued that the claims against it arise from medical
    malpractice and are subject to the provisions of the LMMA. EJGH, like Seaside,
    attached a document from the PCF certifying that it was a qualified health care
    provider.
    On October 19, 2022, Mr. Tucker filed a memorandum in opposition to
    EJGH’s exception, asserting that his claims against EJGH were not treatment-
    related, because he did not receive any psychiatric treatment or other medical care
    from EJGH after he was transferred to the care of Seaside. Mr. Tucker argued that
    his claims against EJGH arose from the acts of its administrators in failing to
    properly maintain the third-floor hospital room window on its premises and failing
    to protect Mr. Tucker from the dangerous condition created by allowing the
    unsecured window to be fully opened on the third floor of the hospital psychiatric
    unit. Mr. Tucker attached his medical records to his memorandum in opposition to
    EJGH’s exception of prematurity. EJGH filed a reply memorandum on October
    24, 2022, stating that Mr. Tucker’s claims against EJGH are identical to those
    against Seaside and thus, EJGH is entitled to have the claims against it dismissed
    as premature, just as Seaside did.
    A hearing on EJGH’s exception of prematurity was held on October 27,
    2022. At the conclusion of the hearing, the trial court sustained EJGH’s exception.
    On November 28, 2022, the court signed a written judgment granting the exception
    of prematurity and dismissing Mr. Tucker’s claims against EJGH without
    prejudice. Mr. Tucker appeals both the September 1, 2022 and November 28,
    2022 judgments.
    LAW AND DISCUSSION
    23-CA-132                                  3
    On appeal, Mr. Tucker argues that the trial court erred by granting
    defendants’ exceptions of prematurity and finding that his claims, which arise from
    general negligence, administrative decisions, and premises liability, are subject to
    the LMMA. He contends that the trial court failed to strictly construe the
    provisions of the LMMA to his claims against Seaside and EJGH. Mr. Tucker
    further argues that even if the trial court had properly found that one or some of his
    claims sound in medical malpractice, the trial court should have severed any claims
    that could fall under the LMMA. Finally, Mr. Tucker contends that the trial court
    erred when it refused to consider his medical records attached to and filed in
    support of his opposition to EJGH’s exception of prematurity.
    A dilatory exception of prematurity questions whether a cause of action has
    matured to the point where it is ripe for judicial determination. Perry v. State
    Farm Mutual Automobile Insur. Co., 16-418 (La. App. 5 Cir. 12/14/16), 
    209 So.3d 308
    , 311; Spradlin v. Acadia-St. Landry Med. Found., 98-1977 (La. 2/29/00), 
    758 So.2d 116
    , 119. When an exception of prematurity is pled in the medical
    malpractice context, the burden of proving prematurity is on the exceptor, who
    must show that it is entitled to a medical review panel because the allegations fall
    within the LMMA. LaCoste v. Pendleton Methodist Hosp., L.L.C., 07-008 (La.
    9/5/07), 
    966 So.2d 519
    , 523; Perry, 
    209 So.3d at 311
    . Under the LMMA, a
    medical malpractice claim against a private qualified health care provider is subject
    to dismissal on an exception of prematurity if such claim has not first been
    presented to a medical review panel. La. R.S. 40:1231.8(B)(1)(a)(i); Williamson v.
    Hospital Service Dist. No.1 of Jefferson, 04-451 (La. 12/1/04), 
    888 So.2d 782
    , 785.
    Appellate courts conduct a de novo review of a trial court's ruling sustaining
    a dilatory exception of prematurity, because the issue of whether a claim sounds in
    medical malpractice involves a question of law. Matherne v. Jefferson Parish
    Hospital Dist. No. 1, 11-1147 (La. App. 5 Cir. 5/8/12), 
    90 So.3d 534
    , 536, writ
    23-CA-132                                 4
    denied, 12-1545 (La. 10/12/12), 
    98 So.3d 873
    . Where, as here, no evidence is
    introduced at the trial of a dilatory exception of prematurity, the court must render
    its decision on the exception based upon the facts as alleged in the petition, and all
    allegations therein must be accepted as true. LaCoste, 966 So.2d at 525.
    Mr. Tucker contends that the trial court erred by refusing to consider his
    medical records, which were attached to his opposition memorandum, when ruling
    on EJGH’s exception of prematurity. At the hearing, counsel for both parties
    referred to the medical records during their argument. Thereafter, the trial court
    indicated that it was “bound by the four corners of the petition in addressing the
    exception” and could not consider evidence. However, La. C.C.P. art. 930
    provides that on the trial of a dilatory exception, evidence may be introduced to
    support or controvert any of the objections pleaded, when the grounds thereof do
    not appear from the petition. Although the trial court erroneously provided that it
    could not consider evidence, this error is of no moment in this case, where the
    record reflects that neither Mr. Tucker nor defendants moved to introduce any
    exhibits at the hearings.
    In Denoux v. Vessel Management Services, Inc., 07-2143 (La. 5/21/08), 
    983 So.2d 84
    , 88, the Louisiana Supreme Court held that “evidence not properly and
    officially offered and introduced cannot be considered, even if it is physically
    placed in the record. Documents attached to memoranda do not constitute evidence
    and cannot be considered.” Accordingly, because no evidence was properly
    offered and introduced at the hearings on the exceptions, we must render our
    decision on the exception of prematurity based solely upon the facts as alleged in
    the petition, accepting all allegations therein as true. 1
    1
    At the hearing on Seaside’s exception of prematurity, counsel for Seaside stated, “I would like to offer,
    file and introduce my exhibits into the record.” Counsel for Mr. Tucker indicated he had no objection,
    and the trial court replied that the exhibits were admitted. However, the transcript does not reflect that
    any specific exhibits were identified. The record shows that Seaside attached a document to its exception
    of prematurity indicating that it is a qualified health care provider. In the event Seaside intended to
    23-CA-132                                            5
    In Mr. Tucker’s petition, he sets forth the same claims against both
    defendants, Seaside and EJGH. He asserts that defendants had custody and control
    over him at the time of the incident and are liable for his damages, which occurred
    as a result of their negligence, fault, and strict liability. The petition sets forth
    specific allegations against defendants as follows:
    1. Permitting said premises and/or areas to be maintained in a negligent and
    improper manner;
    2. Failing to maintain and/or repair aforesaid premises and/or areas;
    3. Failing to warn Petitioner of the hazardous condition existing at said
    premises;
    4. Failing to see and take proper precautions against what should have been
    seen and precautioned against;
    5. Failing to discover and protect petitioner against the dangerous condition
    and risk created by the dangerous condition of said defect;
    6. Failing to remedy a defective condition of which defendants had actual or
    constructive notice, despite a reasonable opportunity to do so;
    7. Operating a premises which contained an unreasonable hazard;
    8. Failing to maintain the window in Mr. Tucker’s hospital room in a proper
    manner to prevent escape;
    9. Failing to place protective screens or bars over the psychiatric unit
    windows so as to prevent Mr. Tucker from being able to jump out of the
    window in an attempt to escape; and
    10.Failing to maintain an adequate staff of properly trained personnel in the
    psychiatric unit.
    The LMMA’s limitations on tort liability for a qualified health care provider
    apply only to claims arising from medical malpractice, as defined in the LMMA
    itself, while all other tort liability on the part of the qualified health care provider is
    governed by general tort law. Blevins v. Hamilton Medical Center, Inc., 07-127
    (La. 6/29/07), 
    959 So.2d 440
    , 444. Because the LMMA is special legislation in
    derogation of the general rights of tort victims, any ambiguities in the LMMA must
    introduce this document, we point out that the parties do not dispute that Seaside is a qualified healthcare
    provider.
    23-CA-132                                             6
    be strictly construed against coverage. Id.; Price v. City of Bossier City, 96-2408
    (La. 5/20/97), 
    693 So.2d 1169
    , 1172.
    “Malpractice” is defined in La. R.S. 40:1231.1(13), as:
    any unintentional tort or any breach of contract based
    on health care or professional services rendered, or
    which should have been rendered, by a health care
    provider, to a patient, including failure to render
    services timely and the handling of a patient,
    including loading and unloading of a patient, and also
    includes all legal responsibility of a health care
    provider arising from acts or omissions during the
    procurement of blood or blood components, in the
    training or supervision of health care providers, or
    from defects in blood, tissue, transplants, drugs, and
    medicines, or from defects in or failures of prosthetic
    devices implanted in or used on or in the person of a
    patient.
    In Coleman v. Deno, 01-1517 (La. 1/25/02), 
    813 So.2d 303
    , the Louisiana
    Supreme Court set forth a six-part test to determine whether certain conduct by a
    qualified health care provider constitutes medical malpractice, as defined in the
    LMMA. Williamson, 888 So.2d at 786. The Coleman factors include: 1) whether
    the particular wrong is “treatment related” or caused by a dereliction of
    professional skill; 2) whether the wrong requires expert medical evidence to
    determine whether the appropriate standard of care was breached; 3) whether the
    pertinent act or omission involved assessment of the patient's condition; 4) whether
    an incident occurred in the context of a physician-patient relationship, or was
    within the scope of activities which a hospital is licensed to perform; 5) whether
    the injury would have occurred if that patient had not sought treatment, and 6)
    whether the tort alleged was intentional. Id. at 786-787.
    In order to determine whether or not Mr. Tucker’s claims arise from medical
    malpractice and are subject to the provisions of the LMMA, we consider the
    allegations of the petition, along with the definition of malpractice in La. R.S.
    40:1231.1(13), and apply the Coleman factors thereto.
    23-CA-132                                  7
    The first Coleman factor considers whether the particular wrong is
    treatment-related or caused by a dereliction of professional skill. Mr. Tucker
    argues that his claims do not arise from a failure to render medical treatment or
    services. Rather, they arise from defendants’ failure to properly maintain the
    premises over which it had care, custody, and control, and their failure to warn or
    protect him from the dangerous condition on the premises, i.e. an unlocked and
    unsecured window on the third floor of a psychiatric ward. He further asserts that
    his claims are based on the actions of the administrators of Seaside and EJGH by
    allowing a dangerous or defective condition to remain on the premises without any
    warning and failing to provide an adequate staff of properly trained personnel in
    this psychiatric unit.
    Defendants respond that Mr. Tucker’s claims relate to his medical treatment,
    because he would not have attempted to escape via the hospital’s third floor
    window if he did not suffer from schizophrenia and bipolar disorder. They also
    contend that his claims of inadequate staff directly relate to his condition and are
    intricately connected to his evaluation and confinement.
    In considering the first Coleman factor, our review of the jurisprudence
    reveals that the Louisiana Supreme Court’s opinion in Lacoste, supra, is
    instructive. In Lacoste, 966 So.2d at 522-522, the plaintiffs brought wrongful
    death and survival actions against a hospital alleging negligent and intentional
    conduct of the defendant in 1) designing, constructing and/or maintaining a facility
    in such a manner that the hospital did not have sufficient emergency power to
    sustain life support systems; 2) designing, constructing and/or maintaining a
    facility in such a manner that allowed flood waters to enter the structure, thus
    endangering the safety of patients; and 3) failing to implement an adequate
    evacuation plan. The Louisiana Supreme Court found that the plaintiffs’ claims
    against the hospital did not fall within the purview of the LMMA. When
    23-CA-132                                 8
    considering the first Coleman factor, the Louisiana Supreme Court found that the
    plaintiffs’ claims were not treatment-related or caused by dereliction of
    professional medical skill. Id. at 526. The Court pointed out that the petition did
    not allege that the decedent’s death was related to medicine, medical care, or
    medical treatment. It further provided that the “language of the allegations,
    ‘designing,’ ‘constructing,’ ‘maintaining,’ and ‘failing to implement’ all suggest
    premises liability and general negligence rather than a dereliction of professional
    medical skill.” Lacoste, 966 So.2d at 526.
    In the present case, similar to Lacoste, Mr. Tucker did not allege in his
    petition that his injuries were related to medicine, medical care, or medical
    treatment. The allegations refer to a “hazardous,” “dangerous,” and “defective”
    condition of the premises, and the failure to “warn Petitioner of the hazardous
    condition,” “discover and protect the Petitioner against the dangerous condition,”
    and “maintain an adequate staff of properly trained personnel.” This language
    suggests general negligence or premises liability, rather than the dereliction of
    professional medical skill.
    The jurisprudence reflects several situations in which the claims of patients
    were found not to be treatment-related. For instance, in Williamson, 888 So.2d at
    784-787, the Louisiana Supreme Court considered whether the failure of a health
    care provider to properly maintain a wheelchair, which lost a wheel causing injury
    to a patient, was subject to the provisions of the LMMA. The Court held that these
    acts were not treatment-related, because the claims that “the hospital negligently
    failed to repair the wheelchair and placed it back into service without verifying that
    it was properly repaired” were neither related to, nor did they involve, actual
    “treatment” of the patient. Id. at 789-90.
    In Blevins v. Hamilton Medical Center, Inc., 07-0217 (La. 6/29/07), 
    959 So.2d 440
    , the Louisiana Supreme Court considered whether the failure of a health
    23-CA-132                                    9
    care provider to properly maintain a hospital bed, which rolled while the patient
    was attempting to use the bathroom, resulting in a knee injury, fell within the
    LMMA. The Court found that the alleged acts were not treatment-related and were
    not covered by the LMMA. Id. at 446-448.
    In Blazio v. Ochsner Clinic Foundation, 19-753 (La. App. 4 Cir 3/4/20), 
    294 So.3d 36
    , 43, writ denied, 20-732 (La. 10/6/20), 
    302 So.3d 530
    , the Fourth Circuit
    found that a plaintiff’s negligence claim against a hospital for placing a lock on the
    bathroom door of his/her hospital room, without a way to enter the bathroom
    timely in an emergency situation, was not treatment-related. The Court found that
    the plaintiff’s claim related to the deficient design of the hospital and lack of
    emergency procedure, which did not involve medical treatment and was not related
    to the dereliction of medical skill. The Court concluded that the plaintiff’s claims
    were not subject to the LMMA. 
    Id.
    In support of its decision to sustain Seaside’s exception of prematurity, the
    trial court referred to the Fourth Circuit’s decision in Prisk v. Palazzo, 95-1475
    (La. App. 4 Cir. 1/19/96), 
    668 So.2d 415
    , writ denied, 96-437 (La. 4/8/96), 
    671 So.2d 335
    . However, we do not find the holding in Prisk to be persuasive here. In
    Prisk, 668 So.2d at 416, the plaintiff filed suit against a doctor and a hospital,
    alleging she was falsely imprisoned for eight days and that she “was caused to go
    to [the hospital] under false pretenses.” The Fourth Circuit found that based on its
    review of certain provisions of the Louisiana Mental Health Law, La. R.S. 28:1, et
    seq., confinement for purposes of treatment falls within the definition of health
    care. The Court stated that the plaintiff specifically alleged that she was falsely
    imprisoned in violation of the Louisiana Mental Health Law, which “contemplates
    confinement in a treatment facility as the initial step in the examination and
    treatment of persons suffering from substance abuse or mental illness” and
    “imposes special duties on physicians and hospitals before confining a patient for
    23-CA-132                                  10
    treatment.” The Court found that a breach of the statutory duties set forth in the
    Mental Health Law constitutes medical malpractice. Id. at 418.
    In the present case, unlike Prisk, Mr. Tucker did not allege he was
    wrongfully confined to the hospital, that any mental health procedures were not
    followed, or that the Mental Health Law was violated.
    The petition does not show that Mr. Tucker’s allegations against Seaside and
    EJGH relate to medical treatment or the dereliction of professional medical skill.
    There is no indication of whether all of the windows in the hospital were
    maintained without locks or restraints or whether, instead, the window in this
    particular room was broken. Although defendants argue that the decision to hold
    Mr. Tucker in a room with no locks on the windows was negligent due to his
    psychiatric condition, there is nothing in the petition indicating that a medical
    professional made this decision or that it was based on a medical assessment.
    Further, with regard to the claim that Seaside and EJGH failed to maintain an
    adequate staff of properly trained personnel, the petition does not indicate whether
    the hospital administrators, a medical professional, or other hospital personnel was
    responsible for the staffing of the psychiatric unit. Finally, as discussed above,
    defendants introduced no evidence in support of their claim that Mr. Tucker’s
    confinement in a room with no locks on its window was related to his evaluation
    and treatment.
    Based on our review of the factual allegations in the petition, we find that
    the first Coleman factor weighs in favor of finding that the alleged actions of
    defendants were not treatment-related.
    Next, we consider the second Coleman factor, which is whether the wrong
    requires expert medical evidence to determine whether the appropriate standard of
    care was breached. Mr. Tucker contends that no medical professional has been
    named in this lawsuit or is alleged to have breached the standard of care, and a
    23-CA-132                                 11
    medical professional would not be qualified to determine whether a hospital
    window was defective or presented an unsafe condition. Defendants respond that
    an expert is needed to determine the applicable standard of care for patients
    suffering from schizophrenia and bipolar disorder.
    Mr. Tucker has not alleged that his injuries were caused by an act or
    omission of a doctor, nurse, or other medical professional. Based on the
    allegations of the petition, there has been no showing that expert medical testimony
    is necessary to determine whether Seaside or EJGH breached a particular duty
    owed to Mr. Tucker. Defendants introduced no evidence to the contrary.
    The third Coleman factor considers whether the pertinent act or omission
    involved assessment of the patient's condition. Mr. Tucker argues that defendants’
    acts or omissions did not involve an assessment of his condition, because the
    design and maintenance of the hospital and its windows involved administrative
    decisions, not professional, medical decisions. Defendants respond that
    defendants’ medical assessments of Mr. Tucker bear directly on what precautions
    they took, or failed to take, to prevent Mr. Tucker from escaping through the
    window.
    In support of its decision to grant Seaside’s exception of prematurity, the
    trial court also relied on this Court’s decision in W.P. v. Universal Health Services
    Foundation, 11-801 (La. App. 5 Cir. 3/27/12), 
    91 So.3d 1097
    , writ denied, 12-960
    (La. 6/15/12), 
    90 So.3d 1067
    . Defendants rely on this case as well. However, we
    find this case to be distinguishable. In W.P., 
    91 So.3d at 1098
    , the plaintiffs filed
    suit against a hospital for negligence in failing to prevent two sexual assaults of
    their minor son after he was placed in a room with another psychiatric patient.
    This Court found that “a determination of a breach of the appropriate standard of
    care for assessment of psychiatric patients and making room assignments based on
    this assessment falls within the scope of the malpractice act.” 
    Id. at 1101
    . The
    23-CA-132                                 12
    Court pointed out that placing a patient in a room with another patient with special
    medical needs related “to the particular medical assessment and condition of each
    of the patients, and are therefore related to the treatment of the patients within the
    meaning of the medical malpractice act.” 
    Id.
    Unlike W.P., in the present case, the allegations of the petition do not
    indicate whether Seaside and EJGH’s acts or omissions involved an assessment of
    Mr. Tucker’s condition, and defendants introduced no evidence in support of their
    argument.
    Based on our review of the petition, we find that this Coleman factor weighs
    in favor of finding that Mr. Tucker’s claims sound in general negligence, not
    medical malpractice. The claims set forth in the petition do not suggest that an
    assessment of Mr. Tucker’s condition had any bearing on the decision to hold him
    in a room with a window that did not lock or have any restraints.
    The fourth Coleman factor considers whether the incident occurred in the
    context of a physician-patient relationship, or was within the scope of activities
    which a hospital is licensed to perform. Mr. Tucker argues that issues regarding
    the hospital room window were design or maintenance issues, not issues involving
    a physician-patient relationship. Defendants respond that, because Mr. Tucker was
    under a mandatory psychiatric hold, the incident occurred in the context of the
    physician-patient relationship.
    There is no allegation in the petition that any medical professional breached
    the standard of care in his treatment of Mr. Tucker. The allegations do not suggest
    that either the design or maintenance of the window, or the adequacy of properly
    trained staff in the psychiatric unit, were the result of any medical decision. The
    allegations of the petition do not support a finding that the incident occurred in the
    context of a physician-patient relationship or within the scope of activities a
    hospital is licensed to perform. Again, defendants introduced no evidence to the
    23-CA-132                                  13
    contrary. Therefore, this factor also weighs in favor of finding that Mr. Tucker’s
    claims do not sound in medical malpractice.
    The fifth Coleman factor is whether the injury would have occurred if the
    patient had not sought treatment. As the Louisiana Supreme Court stated in
    Lacoste, 966 So.2d at 529, “[i]n a general sense, any wrong that a patient suffers in
    a hospital or doctor’s office would not occur if the patient had not first entered the
    facility.” The Court found that, given its finding that the wrongs alleged in the
    petition were not treatment-related or the result of a dereliction of professional
    skill, the possibility that the injury would not have occurred if the plaintiff had not
    sought treatment did not weigh greatly in favor of finding that the wrongful
    conduct alleged in the petition was medical malpractice within the confines of the
    LMMA.
    Following the reasoning in Lacoste, we find that while the particular
    incident and injury may not have occurred if Mr. Tucker had not been treated by
    defendants, this does not weigh greatly in favor of finding that the wrongful
    conduct alleged was medical malpractice.
    The final Coleman factor, whether the tort alleged was intentional, is not at
    issue in this case. Mr. Tucker has not alleged that Seaside or EJGH intentionally
    committed any wrongful act or omission.
    After applying the LMMA’s definition of malpractice and the Coleman v.
    Deno factors to the petition, we find that Mr. Tucker’s claims, as alleged in the
    petition, do not arise from medical malpractice and are not subject to the
    provisions of the LMMA. Therefore, defendants are not entitled to a medical
    review panel.2 Accordingly, we find that the trial court erred in sustaining
    2
    Our decision is based solely on the allegations of the petition. In Lacoste, 966 So.2d at 529, n. 2, the
    Louisiana Supreme Court pointed out that the trier of fact would ultimately decide if the case involved
    medical malpractice or negligence, and it was only concerned with whether the factual allegations of the
    petition asserted claims within the purview of the LMMA. It further stated, “[t]hat a fact-finder with
    more evidence before it may ultimately conclude that the defendant’s conduct was medical malpractice
    does not control our review of the instant exception of prematurity, which is, as we have explained,
    23-CA-132                                           14
    defendants' exception of prematurity and dismissing plaintiff's claims against
    Seaside and EJGH.
    CONCLUSION
    For the reasons stated above, we reverse the trial court’s September 1, 2022
    and November 28, 2022 judgments that sustained the exceptions of prematurity
    filed by Seaside and EJGH, and we remand to the trial court for further
    proceedings.
    REVERSED AND REMANDED
    limited to the factual allegations in the amended pleadings.” Likewise, in the present case, we
    acknowledge that a fact-finder with more evidence before it may ultimately find that defendant’s conduct
    was medical malpractice. However, defendants did not meet their burden of proving, at this stage of the
    proceedings, that the allegations arise from medical malpractice.
    23-CA-132                                          15
    SUSAN M. CHEHARDY                                                               CURTIS B. PURSELL
    CHIEF JUDGE                                                                     CLERK OF COURT
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    FREDERICKA H. WICKER
    CHIEF DEPUTY CLERK
    JUDE G. GRAVOIS
    MARC E. JOHNSON
    ROBERT A. CHAISSON                                                              LINDA M. WISEMAN
    STEPHEN J. WINDHORST
    FIRST DEPUTY CLERK
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    SCOTT U. SCHLEGEL                            FIFTH CIRCUIT
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    NOTICE OF JUDGMENT AND CERTIFICATE OF DELIVERY
    I CERTIFY THAT A COPY OF THE OPINION IN THE BELOW-NUMBERED MATTER HAS BEEN DELIVERED
    IN ACCORDANCE WITH UNIFORM RULES - COURT OF APPEAL, RULE 2-16.4 AND 2-16.5 THIS DAY
    DECEMBER 27, 2023 TO THE TRIAL JUDGE, CLERK OF COURT, COUNSEL OF RECORD AND ALL PARTIES
    NOT REPRESENTED BY COUNSEL, AS LISTED BELOW:
    23-CA-132
    E-NOTIFIED
    24TH JUDICIAL DISTRICT COURT (CLERK)
    HONORABLE SHAYNA BEEVERS MORVANT (DISTRICT JUDGE)
    ADRIAN M. SIMM, JR. (APPELLANT)      LEWIS O. UNGLESBY (APPELLANT)      GUICE A. GIAMBRONE, III (APPELLEE)
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Document Info

Docket Number: 23-CA-132

Judges: Shayna Beevers Morvant

Filed Date: 12/27/2023

Precedential Status: Precedential

Modified Date: 10/21/2024