Mary Moroles v. Doctor's Hospital at Renaissance, Ltd. ( 2010 )


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  •                              NUMBER 13-09-00425-CV
    COURT OF APPEALS
    THIRTEENTH DISTRICT OF TEXAS
    CORPUS CHRISTI - EDINBURG
    MARY MOROLES,                                                                Appellant,
    v.
    DOCTOR’S HOSPITAL AT RENAISSANCE, LTD.,                                       Appellee.
    On appeal from the County Court at Law No. 2
    of Hidalgo County, Texas.
    MEMORANDUM OPINION
    Before Justices Rodriguez, Garza, and Benavides
    Memorandum Opinion by Justice Garza
    Appellant, Mary Moroles, appeals from a summary judgment granted in favor of
    appellee, Doctor’s Hospital at Renaissance, Ltd. (“Doctor’s Hospital”). In granting Doctor’s
    Hospital’s summary judgment motion, the trial court concluded that Moroles failed to file
    her lawsuit within the two-year statute of limitations prescribed by chapter 74 of the civil
    practice and remedies code. See TEX . CIV. PRAC . & REM . CODE ANN . § 74.251(a) (Vernon
    2005). By two issues, Moroles argues that the trial court erred in granting the summary
    judgment motion and denying her motion for reconsideration because: (1) a fact question
    exists as to the date triggering the statute of limitations period, and therefore, summary
    judgment is precluded; and (2) the open courts provision of the Texas Constitution permits
    her lawsuit. See TEX . CONST . art. I, § 13. We affirm.
    I. BACKGROUND
    Moroles’s underlying claims arise from an incident where she slipped and fell on a
    grape in an H.E. Butt Grocery Company (“H.E.B.”) store, which caused her kneecap to
    shatter in five places. Moroles was treated by Francis M. Sweeney, M.D. at Doctor’s
    Hospital. Dr. Sweeney first operated on Moroles’s knee on July 8, 2004. In order to
    reunite the broken bones in Moroles’s kneecap, Dr. Sweeney inserted several pins in the
    kneecap. However, Moroles’s kneecap did not heal, and a second surgery was performed
    on September 1, 2005. During the second surgery, some of the pins were removed from
    Moroles’s kneecap. Dr. Sweeney ordered that the removed pins be cultured because it
    was suspected that Moroles’s knee failed to heal because of a fungal infection inside the
    surgical wound. The cultures were completed on September 13, 2005, and the results
    revealed that the removed pins were covered with Aspergillus flavus, a fungus.1 Moroles
    was subsequently referred to an infectious disease specialist for further treatment.
    On August 17, 2007, Moroles filed her first amended petition asserting premises
    liability claims against H.E.B. and health care liability claims against Dr. Sweeney and
    Doctor’s Hospital.2 In response, Doctor’s Hospital filed an answer, traditional and no-
    evidence motions for summary judgment, and a motion to dismiss. In particular, Doctor’s
    Hospital’s traditional summary judgment motion argued that Moroles failed to timely file her
    health care liability claims against Doctor’s Hospital. See TEX . CIV. PRAC . & REM . CODE
    ANN . § 74.251(a). Specifically, Doctor’s Hospital contended that: (1) Moroles failed to
    comply with the two-year statute of limitations period governing health care liability claims
    by filing suit more than three years after the triggering event—the alleged infection
    1
    On appeal, Moroles asserts that “[t]he species of m old cultured from inside her knee is one that is
    associated with soil, decaying vegetation, and water-dam aged m aterials, not a hum an infection.” Aspergillus
    flavus, a fungus, “is a plant, anim al, and hum an pathogen that produces the carcinogen, aflatoxin.”
    Aspergillus flavus.org: Aspergillus flavus and aflatoxin, http://www.aspergillusflavus.org/index.htm l (last visited
    Jan. 7, 2010). Aflatoxins “are toxic and carcinogenic m etabolites” that m ay cause “acute hepatitis,
    im m unosuppression, and heptocellular carcinom a.” 
    Id. 2 H.E.B.
    and Dr. Sweeney are not parties to this appeal.
    2
    occurring during the July 8, 2004 surgery, see id.; and (2) the open courts provision of the
    Texas Constitution did not toll the statute of limitations in this case because Moroles
    discovered the infection within two years of the triggering event (ten months prior to the
    expiration of the limitations period) and because Moroles waited more than twenty-three
    months from the alleged discovery of the infection to file suit. See TEX . CONST . art. 1, § 13.
    Moroles responded by arguing that the two-year statute of limitations began to run
    at the time she discovered the infection—September 14, 2005. She further argued that
    Doctor’s Hospital cannot hold her, a layperson without medical training, to a higher
    standard than doctors in discovering hidden damage and loss. Moroles contended that,
    because the two-year statute of limitations began to run on September 14, 2005, her suit
    against Doctor’s Hospital on August 17, 2007, filed less than two years after allegedly
    discovering the infection, was timely. Moroles supported her arguments with citations to
    case law interpreting the open courts provision of the Texas Constitution. See Kallam v.
    Boyd, 
    232 S.W.3d 774
    , 775-76 (Tex. 2007) (per curiam); see also Nelson v. Krusen, 
    678 S.W.2d 918
    , 920-24 (Tex. 1984); Walters v. Cleveland Reg’l Med. Ctr., 
    264 S.W.3d 154
    ,
    157-59 (Tex. App.–Houston [1st Dist.] 2007, pet. granted).
    The trial court granted Doctor’s Hospital’s traditional summary judgment motion on
    May 19, 2008, noting that “Defendant’s First Amended Motion for Summary Judgment is
    granted for the Plaintiff’s failure to file her lawsuit against the Defendant within the two (2)
    year statute of limitations . . . .” Shortly thereafter, Moroles filed a motion to reconsider the
    trial court’s granting of Doctor’s Hospital’s summary judgment motion. In this motion,
    Moroles reasserted the arguments made in her response to Doctor’s Hospital’s summary
    judgment motion and further argued that the open courts provision of the Texas
    Constitution tolled the limitations period because her injury was not discoverable when the
    July 8, 2004 surgery was conducted and, by using the July 8, 2004 surgery date for
    limitations purposes, the trial court endorsed “a remedy by due course of law contingent
    on an impossibility” (i.e., concluding that she should have filed suit before the infection was
    3
    discovered). See 
    id. After a
    hearing, the trial court denied Moroles’s motion to reconsider
    on June 3, 2009. After a severance order was entered, this appeal ensued.
    II. STANDARD OF REVIEW      AND   APPLICABLE LAW
    A.     Motion to Reconsider
    The standard of review for a motion to reconsider a prior summary judgment is
    whether the trial court abused its discretion. See Macy v. Waste Mgmt., Inc., 
    294 S.W.3d 638
    , 651 (Tex. App.–Houston [1st Dist.] 2009, no pet.); see also Shanley v. First Horizon
    Home Loan Corp., Nos. 14-07-01023-CV, 14-08-00060-CV, 2009 Tex. App. LEXIS 9301,
    at *6 (Tex. App.–Houston [14th Dist.] Dec. 8, 2009, no pet h.) (mem. op.). A trial judge
    abuses his discretion only when he makes a decision that is unreasonable or arbitrary, or
    without reference to any guiding rules or principles. See Downer v. Aquamarine Operators,
    Inc., 
    701 S.W.2d 238
    , 241-42 (Tex. 1985).
    B.     Summary Judgment for Defendant Based on Limitations
    We review a trial court’s granting of a traditional motion for summary judgment
    under a de novo standard of review. See Creditwatch, Inc. v. Jackson, 
    157 S.W.3d 814
    ,
    816 n.7 (Tex. 2005) (citing Schneider Nat’l Carriers, Inc. v. Bates, 
    147 S.W.3d 264
    , 290
    n.137 (Tex. 2004)); see also Alaniz v. Hoyt, 
    105 S.W.3d 330
    , 345 (Tex. App.–Corpus
    Christi 2003, no pet.). To prevail on a summary judgment motion, a moving party must
    establish that no genuine issue of material fact exists and judgment should be granted as
    a matter of law. Shah v. Moss, 
    67 S.W.3d 836
    , 842 (Tex. 2001). In deciding whether there
    is a genuine issue of material fact, we resolve any doubt against the movant, view the
    evidence in a light most favorable to the non-movant, and take as true evidence favorable
    to the non-movant. Id.; see Am. Tobacco Co. v. Grinnell, 
    951 S.W.2d 420
    , 425 (Tex.
    1997) (citing Nixon v. Mr. Prop. Mgmt. Co., 
    690 S.W.2d 546
    , 548-49 (Tex. 1985)).
    The statute of limitations is an affirmative defense. See TEX . R. CIV. P. 94; see also
    Woods v. William M. Mercer, Inc., 
    769 S.W.2d 515
    , 517 (Tex. 1988). A defendant moving
    for summary judgment on a statute of limitations affirmative defense must conclusively
    4
    prove the elements of the defense. 
    Shah, 67 S.W.3d at 842
    ; see Garza v. Exel Logistics,
    Inc., 
    161 S.W.3d 473
    , 475 n.10 (Tex. 2005) (“[A] defendant moving for summary judgment
    on an affirmative defense must prove each element of its defense as a matter of law,
    leaving no issues of material fact.”). Thus, the defendant must (1) conclusively prove when
    the cause of action accrued, and (2) negate the discovery rule, if it applies and has been
    pleaded or otherwise raised, by proving as a matter of law that there is no genuine issue
    of material fact about when the plaintiff discovered, or in the exercise of reasonable
    diligence should have discovered, the nature of her injury. KPMG Peat Marwick v.
    Harrison County Hous. Fin. Corp., 
    988 S.W.2d 746
    , 748 (Tex. 1999); see Montes v.
    Villarreal, 
    281 S.W.3d 552
    , 555 (Tex. App.–El Paso 2008, pet. filed). If the movant
    establishes that the statute of limitations bars the action, the non-movant must then adduce
    summary judgment evidence raising a fact issue in avoidance of the statute of limitations.
    See KPMG Peat 
    Marwick, 988 S.W.2d at 748
    ; Walker v. Harris, 
    924 S.W.2d 375
    , 377
    (Tex. 1996); see also City of Houston v. Clear Creek Basin Auth., 
    589 S.W.2d 671
    , 678
    (Tex. 1979) (holding that when a movant establishes a right to summary judgment, the
    burden shifts to the non-movant to raise a fact issue precluding judgment); Zale Corp. v.
    Rosenbaum, 
    520 S.W.2d 889
    , 891 (Tex. 1975).
    C.     The Law in Question
    Section 74.251(a) of the civil practice and remedies code provides as follows:
    [N]o health care liability claim may be commenced unless the action is filed
    within two years from the occurrence of the breach or tort or from the date
    the medical or health care treatment that is the subject of the claim or the
    hospitalization for which the claim is made is completed; provided that,
    minors under the age of 12 years shall have until their 14th birthday in which
    to file, or have filed on their behalf, the claim. Except as herein provided this
    section applies to all persons regardless of minority or other legal disability.
    TEX . CIV. PRAC . & REM . CODE ANN . § 74.251(a).
    III. ANALYSIS
    A.     The Date Triggering the Running of the Statute of Limitations
    By her first issue, Moroles argues that summary judgment is precluded because
    there is a fact question regarding the date triggering the limitations period. Specifically,
    5
    Moroles contends that: (1) the infection was not ascertainable until she received the
    results of the fungal culture on September 14, 2005; (2) she received ongoing treatment,
    which tolled the limitations period; and (3) the discovery rule tolled the limitations period
    because the infection was undiscoverable until September 14, 2005. Doctor’s Hospital
    asserts that: (1) Moroles was required to file suit within two years from the ascertainable
    date of the alleged negligence, July 8, 2004; and (2) neither section 74.251(a) of the civil
    practice and remedies code nor Texas case law have provided that the two-year limitations
    period may be tolled. See 
    id. 1. The
    Governing Limitations Period
    The two-year limitations period imposed by section 74.251 of the civil practice and
    remedies code is measured from one of three dates: (1) the occurrence of the breach or
    tort; (2) the date that the relevant course of treatment was completed; or (3) the last date
    of the relevant hospitalization. Id.; see 
    Shah, 67 S.W.3d at 842
    -43; Kimball v. Brothers,
    
    741 S.W.2d 370
    , 372 (Tex. 1987). A medical malpractice claimant may not choose from
    among the measurement that most favors her case. 
    Shah, 67 S.W.3d at 841
    . If the date
    of the breach or tort is ascertainable, limitations began to run on that date, and inquiries
    into the second and third categories are not necessary. See 
    Shah, 67 S.W.3d at 841
    (citing Earle v. Ratliff, 
    998 S.W.2d 882
    , 886 (Tex. 1999)).
    2.     Whether the Date of the Alleged Negligence is Ascertainable
    First, we must determine whether the date of the alleged negligence is
    ascertainable. See 
    Shah, 67 S.W.3d at 841
    ; see also Winston v. Peterek, 
    132 S.W.3d 204
    , 207 (Tex. App.–Houston [14th Dist.] 2004, pet. denied). If the defendant committed
    the alleged tort on an ascertainable date, whether the plaintiff established a course of
    treatment is immaterial because limitations begins to run on the ascertainable date. See
    Husain v. Khatib, 
    964 S.W.2d 918
    , 919 (Tex. 1998); see also 
    Shah, 67 S.W.3d at 841
    . If
    the date the health care provider’s alleged negligence took place can be ascertained, then
    there are no doubts to resolve, and we must measure limitations from that date. 
    Husain, 964 S.W.2d at 919
    .
    6
    Moroles contends that the precise date of the alleged negligence is not
    ascertainable. We disagree. Here, the date of Dr. Sweeney's and, in turn, Doctor's
    Hospital's alleged negligence is readily ascertainable. Dr. Sweeney operated on Moroles’s
    knee on July 8, 2004. During this surgery, pins were inserted in Moroles’s knee. Later, on
    September 14, 2005, lab tests revealed that the pins inserted in Moroles’s knee were
    covered with fungi, and Moroles filed suit against Doctor’s Hospital on August 17, 2007.
    Moroles offered deposition testimony that it was her belief that she acquired the infection
    during the July 8, 2004 surgery because her knee never fused after the surgery as a result
    of the infection.3
    Because the date in which the alleged negligence occurred is ascertainable, and
    because Moroles did not file suit until more than three years after that date, Moroles’s
    negligence claim is barred. See Chambers v. Conaway, 
    883 S.W.2d 156
    , 159 (Tex. 1993)
    (holding that when a claim accrues is a question of law, not one of fact); Moreno v. Sterling
    Drug, Inc., 
    787 S.W.2d 348
    , 351 (Tex. 1990) (noting that, for purposes of the application
    of limitations statutes, a cause of action generally accrues when the wrongful act effects
    an injury, regardless of when the plaintiff learned of the injury); Mills v. Pate, 
    225 S.W.3d 277
    , 285 (Tex. App.–El Paso 2006, no pet.); see also Rodriguez v. Mem’l Med. Ctr., No.
    13-06-162-CV, 2007 Tex. App. LEXIS 9159, at *7 (Tex. App.–Corpus Christi Nov. 20,
    2007, no pet.) (mem. op.) (concluding that the date of the surgery when a sponge was left
    in plaintiff’s body was ascertainable, and appellant’s suit was time-barred because it was
    filed approximately twenty-seven months after the surgery); Streich v. Pallares, No. 13-02-
    698-CV, 2005 Tex. App. LEXIS 5224, at **5-6 (Tex. App.–Corpus Christi July 7, 2005, no
    pet.) (mem. op.) (holding that appellant’s medical liability claim was time-barred even
    though appellant was unaware of the alleged malpractice until two months after it occurred
    3
    In her deposition testim ony, Moroles testified that, except for her trial attorney, no one else had
    inform ed her that she acquired the fungal infection from the July 8, 2004 procedure conducted at Doctor’s
    Hospital. However, this testim ony is belied by her own pleadings and the affidavit of W illiam R. Martin, M.D.,
    which was attached to her response to one of Doctor’s Hospital’s m otions for sum m ary judgm ent. In his
    affidavit, Dr. Martin accuses Sweeney and Doctor’s Hospital of negligence in failing to m aintain a sterile
    surgical field for the July 8, 2004 surgery and that the cause of Moroles’s aspergillus infection was the July
    8, 2004 surgery.
    7
    and did not file suit until more than twenty-eights months after the alleged malpractice).4
    Based on the foregoing, we conclude that Doctor’s Hospital conclusively established
    that the statute of limitations bars Moroles’s action and is entitled to judgment as a matter
    of law. See TEX . R. CIV. P. 166a(c); see also KPMG Peat 
    Marwick, 988 S.W.2d at 748
    .
    B.      The Open Courts Provision of the Texas Constitution
    In her second issue, Moroles argues that the open courts provision of the Texas
    Constitution tolls the limitations period in a health care liability claim so long as a claimant
    exercises due diligence in bringing suit within a reasonable time after discovering her claim.
    Moroles again argues that she has received ongoing treatment regarding the knee injury
    from doctors at Doctor’s Hospital; therefore, the date of the original surgery is not
    conclusive for purposes of calculating the limitations period. Doctor’s Hospital contends
    that the open courts provision does not toll the limitations period if a claimant discovers the
    injury within the applicable two-year limitations period. Doctor’s Hospital also asserts that
    Moroles did not exercise due diligence in bringing suit within a reasonable time after
    discovering the infection.
    1.       Applicable Law
    The Texas Constitution guarantees that persons bringing common-law claims will
    not unreasonably or arbitrarily be denied access to the courts. TEX . CONST . art. I, § 13 (“All
    courts shall be open, and every person for an injury done him, in his lands, goods, person
    4
    Moroles’s argum ent that she received ongoing treatm ent which tolled the lim itations period is
    im m aterial because the exact date of the alleged tort is ascertainable. Shah v. Moss, 67 S.W .3d 836, 841
    (Tex. 2001); see also Earle v. Ratliff, 998 S.W .2d 882, 886 (Tex. 1999).
    Further, with respect to Moroles’s argum ent that the discovery rule applies, she does not cite any
    authority that specifically holds that the rule applies in a situation such as this, nor does she show why
    Morrison v. Chan is not controlling precedent. See 699 S.W .2d 205, 208 (Tex. 1985) (“W e hold that the
    Legislature’s intent in passing Art. 4590i, § 10.01 [the predecessor to section 74.251 of the civil practice and
    rem edies code], was to abolish the discovery rule in cases governed by the Medical Liability Act.”). W e
    conclude that Moroles’s discovery rule argum ent has been waived due to inadequate briefing. See T EX . R.
    A PP . P. 38.1(i). W e note also that Moroles did not raise the discovery rule argum ent in her response to
    Doctor’s Hospital’s traditional m otion for sum m ary judgm ent. See T EX . R. C IV . P. 166a(c) (“Issues not
    expressly presented to the trial court by written m otion, answer or other response shall not be considered on
    appeal as grounds for reversal.”); see also Teter v. Comm’n for Lawyer Discipline, 261 S.W .3d 796, 798-99
    (Tex. App.–Dallas 2008, no pet.) (citing McConnell v. Southside Indep. Sch. Dist., 858 S.W .2d 337, 341, 343
    (Tex. 1993); City of Houston v. Clear Creek Basin Auth., 589 S.W .2d 671, 677 (Tex. 1979)). W hile Moroles
    did argue in her m otion for reconsideration that the “open courts requires the discovery rule,” we interpret this
    contention to pertain to the open courts provision of the Texas Constitution, which we discuss below.
    8
    or reputation, shall have remedy by due course of law.”); see 
    Shah, 67 S.W.3d at 841
    (citing 
    Earle, 998 S.W.2d at 889
    ; 
    Jennings, 917 S.W.2d at 793
    ). The Shah court noted
    that “a statute that unreasonably or arbitrarily abridges a person’s right to obtain redress
    for injuries another person’s harmful act causes is an unconstitutional due-course-of-law
    violation.” 
    Shah, 67 S.W.3d at 842
    (citing 
    Earle, 998 S.W.2d at 889
    ; 
    Jennings, 917 S.W.2d at 793
    ). Thus, the open courts provision of the Texas Constitution protects a person from
    legislative acts that truncate a person’s right to sue before there is a reasonable
    opportunity to discover the wrong and subsequently bring suit. 
    Id. (citing Neagle
    v. Nelson,
    
    685 S.W.2d 11
    , 12 (Tex. 1985)). Moreover, “the Legislature cannot abrogate the right to
    bring a well-established common-law claim without showing that the statute’s objectives
    and purposes outweigh denying the constitutionally guaranteed right of redress.” 
    Id. (citing Weiner
    v. Wasson, 
    900 S.W.2d 316
    , 318 (Tex. 1995); Sax v. Votteler, 
    648 S.W.2d 661
    ,
    665-66 (Tex. 1983)).
    However, unlike the discovery rule, which a defendant must negate once the plaintiff
    has pleaded it, a plaintiff asserting that the open courts provision defeats limitations bears
    the burden of raising a fact issue. Yancy v. United Surgical Partners Int’l, Inc., 
    236 S.W.3d 778
    , 782 (Tex. 2007) (citing Brown v. Shores, 
    77 S.W.3d 884
    , 888-89 (Tex. App.–Houston
    [14th Dist.] 2002, no pet.) (Brister, C.J., concurring)). The Yancy court stated the following
    with respect to the open courts provision and the tolling of the limitations period:
    Instead, Yancy’s claim is based on the open courts guarantee, which is
    premised on the notion that “the Legislature has no power to make a remedy
    by due course of law contingent on an impossible condition.” Morrison v.
    Chan, 
    699 S.W.2d 205
    , 207 (Tex. 1985). This guarantee differs from tolling
    provisions. Unlike the discovery rule, which defers accrual of a cause of
    action until the plaintiff knew or, exercising reasonable diligence, should have
    known of the facts giving rise to the claim, HECI Exploration Co. v. Neel, 
    982 S.W.2d 881
    , 886 (Tex. 1997), the open courts provision merely gives litigants
    a reasonable time to discover their injuries and file suit, Hall v. Dow Corning
    Co., 
    114 F.3d 73
    , 77 (5th Cir. 1997) (applying Texas law). Because the open
    courts guarantee does not toll limitations, courts must determine what
    constitutes a reasonable time for a claimant to discover her injuries and file
    suit. 
    Hall, 114 F.3d at 77
    .
    236 S.W.3d at 784 (concluding that a plaintiff’s health care liability claims were time-barred
    when she found out about her condition on May 3, 2000, and retained a lawyer—on or
    9
    about December 10, 2001—well within the limitations period, yet did not file suit against
    the relevant health care provider until September 2, 2003) (emphasis added). If the
    plaintiff fails to bring the claim within a reasonable time, then there will be no violation of
    the open courts provision. 
    Id. at 785.
    This rule is in place to prevent claims from existing
    indefinitely. See Rankin v. Methodist Healthcare Sys. of San Antonio, Ltd., 
    261 S.W.3d 93
    , 103 (Tex. App.–San Antonio 2008, pet. granted).
    2.      Discussion
    “To establish a right to redress under the open courts provision, a litigant must show
    (1) that [s]he has a cognizable common-law cause of action, and (2) that restriction of the
    claim is unreasonable or arbitrary when balanced against the statute’s purpose.” 
    Diaz, 941 S.W.2d at 100
    . Once the plaintiff establishes a prima facie violation, she must show she
    used due diligence in bringing the suit within a reasonable time after learning about the
    alleged wrong. See Pech v. Estate of Tavarez, 
    112 S.W.3d 282
    , 285 (Tex. App.–Corpus
    Christi 2003, no pet.) (citing 
    Shah, 67 S.W.3d at 847
    ; 
    Nelson, 678 S.W.2d at 921-22
    ;
    DeRuy v. Garza, 
    995 S.W.2d 748
    , 752 (Tex. App.–San Antonio 1999, no pet.)); see also
    
    Shah, 67 S.W.3d at 847
    (“A plaintiff may not obtain relief under the open courts provision
    if he does not use due diligence and sue within a reasonable time after learning about the
    alleged wrong.”). “The reasonable time is given in order to allow a claimant to investigate,
    prepare[,] and file suit after discovering her injury.” 
    Pech, 112 S.W.3d at 285-86
    (citing
    Gagnier v. Wichelhaus, 
    17 S.W.3d 739
    , 745 (Tex. App.–Houston [1st Dist.] 2000, pet.
    denied); 
    DeRuy, 995 S.W.2d at 752
    ).
    There is no clear authority as to what a “reasonable time” is within which to file a
    health care liability claim after discovering an injury, especially when the suit is filed outside
    the limitations period. See 
    Gagnier, 17 S.W.3d at 745
    . “Whether a plaintiff has used the
    degree of diligence required is ordinarily a question of fact to be determined by the trier of
    fact; however, it may be ‘determined as a matter of law when the evidence construed most
    favorably for the claimant, admits no other conclusion.’” 
    Pech, 112 S.W.3d at 286
    (quoting
    
    Neagle, 685 S.W.2d at 14
    (Kilgarlin, J., concurring) and citing 
    DeRuy, 995 S.W.2d at 752
    -
    10
    53). Several Texas courts have addressed this precise issue, yet no court has definitively
    determined how much elapsed time constitutes a “reasonable time.” Compare 
    Gagnier, 17 S.W.3d at 745
    (holding that a ten month delay in filing suit was not per se unreasonable
    when defendants delayed in providing plaintiff with medical records and plaintiff was
    recovering, consulting with an attorney, and investigating her claim), and 
    DeRuy, 995 S.W.2d at 753
    (holding that approximately a one-year delay in filing suit was not per se
    unreasonable when plaintiff was recuperating for three months, consulted an attorney six
    months later, and filed suit three months later), with 
    Shah, 67 S.W.3d at 847
    (holding a
    seventeen-month delay in filing suit was unreasonable as a matter of law when plaintiff
    offered no explanation for the delay), and 
    Hall, 114 F.3d at 77
    (applying Texas law to find
    a fifteen-month delay in bringing suit unreasonable under the open courts provision), and
    Erickson v. Heim-Hall, 
    172 S.W.3d 664
    , 666 (Tex. App.–San Antonio 2005, no pet.) (“We
    hold that the nineteen[-]month delay between the October 2001 discovery of the
    misdiagnosis and the filing of the underlying lawsuit in May of 2003 was unreasonable as
    a matter of law.”), and 
    Pech, 112 S.W.3d at 287
    (concluding that a fourteen-month delay
    in filing suit after discovery of the injury was unreasonable), and Voegtlin v. Perryman, 
    977 S.W.2d 806
    , 813 (Tex. App.–Fort Worth 1998, no pet.) (concluding that a delay of more
    than one year was unreasonable when plaintiff offered no explanation for the delay), and
    Fiore v. HCA Health Servs. of Tex., Inc., 
    915 S.W.2d 233
    , 237 (Tex. App.–Fort Worth
    1996, writ denied) (holding that a thirteen-month delay in bringing suit was excessive as
    a matter of law when plaintiff offered no explanation for the delay), and LaGesse v.
    PrimaCare, Inc., 
    899 S.W.2d 43
    , 47 (Tex. App.–Eastland 1995, writ denied) (concluding
    that a twelve-month delay was excessive as a matter of law where the only reasons for the
    delay were the result of the trial attorney’s actions), and Work v. Duval, 
    809 S.W.2d 351
    ,
    353-54 (Tex. App.–Houston [14th Dist.] 1991, no writ) (holding that an injury discovered
    four months prior to the expiration of the two-year limitations period irrelevant because
    plaintiff unreasonably delayed in filing suit for twenty-one months following the discovery
    of the injury).
    11
    In the present case, Dr. Sweeney first operated on Moroles’s knee at Doctor’s
    Hospital on July 8, 2004, which we concluded earlier was the date of the alleged tortious
    conduct from which the limitations period outlined by section 74.251(a) began to run. See
    TEX . CIV. PRAC . & REM . CODE ANN . § 74.251(a). Thus, under the applicable limitations
    period, Moroles should have filed suit by July 10, 2006.5 Moroles alleged to have first
    discovered the fungal infection on September 14, 2005, which was within the governing
    limitations period. However, she did not file suit until August 17, 2007, more than thirteen
    months after the limitations period expired and more than twenty-three months after she
    alleged to have discovered the infection. Assuming, arguendo, that Moroles indeed first
    discovered the infection on September 14, 2005, she had approximately ten months to file
    suit before the limitations period expired on July 10, 2006. The record does not contain
    an explanation from Moroles as to the delay in filing suit. On appeal, she argues that she
    delayed filing suit because she was receiving ongoing treatment for the infection.
    However, this precise explanation was not made to the trial court. See TEX . R. APP. P.
    33.1(a).
    We do not find Moroles’s delay in bringing suit to be reasonable. See 
    Shah, 67 S.W.3d at 847
    ; 
    Hall, 114 F.3d at 77
    ; 
    Erickson, 172 S.W.3d at 666
    ; 
    Pech, 112 S.W.3d at 287
    ; 
    Voegtlin, 977 S.W.2d at 813
    ; 
    Fiore, 915 S.W.2d at 237
    ; 
    LaGesse, 899 S.W.2d at 47
    ;
    
    Work, 809 S.W.2d at 353-54
    . We therefore conclude that Moroles did not meet her burden
    in raising a fact issue that the open courts provision defeats the governing limitations
    statute; thus, the open courts provision does not save Moroles’s claim. See TEX . CIV.
    PRAC . & REM . CODE ANN . § 74.251(a); see also Yancy, 
    236 S.W.3d 778
    , 782; 
    Pech, 112 S.W.3d at 287
    -88.
    Because we have held that Doctor’s Hospital was entitled to summary judgment on
    limitations and the open courts provision of the Texas Constitution did not save Moroles’s
    5
    July 8, 2006, two years from the date of the July 8, 2004 surgery, fell on a Saturday; therefore,
    Moroles had until the following Monday, July 10, 2006, in which to file suit. See T EX . R. C IV . P. 4 (“The last
    day of the period so com puted is to be included, unless it is a Saturday, Sunday or legal holiday, in which
    event the period runs until the end of the next day which is not a Saturday, Sunday or legal holiday.”).
    12
    claims, we conclude that the trial court correctly granted summary judgment and did not
    abuse its discretion is denying Moroles’s motion for reconsideration. See 
    Downer, 701 S.W.2d at 241-42
    ; 
    Macy, 294 S.W.3d at 651
    ; see also Shanley, 2009 Tex. App. LEXIS
    9301, at *6. Accordingly, we overrule both of Moroles’s issues on appeal.
    IV. CONCLUSION
    We affirm the judgment of the trial court.
    DORI CONTRERAS GARZA,
    Justice
    Delivered and filed the
    18th day of February, 2010.
    13