Katie Rankin v. Erica Hernandez, Chantay Solano, and Delcia Saldana ( 2023 )


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  • Affirmed and Memorandum Opinion filed October 17, 2023.
    In The
    Fourteenth Court of Appeals
    NO. 14-22-00565-CV
    KATIE RANKIN, Appellant
    V.
    ERICA HERNANDEZ, CHANTAY SOLANO, AND DELCIA SALDANA,
    Appellees
    On Appeal from the 127th District Court
    Harris County, Texas
    Trial Court Cause No. 2016-18318
    MEMORANDUM OPINION
    Appellees Erica Hernandez, Chantay Solano, and Delcia Saldana (together,
    “Appellees”) were traveling together in a car when they were rear-ended by a
    vehicle driven by appellant Katie Rankin. Appellees sued Rankin for negligence,
    seeking to collect damages for injuries sustained in the accident.
    The parties proceeded to a jury trial and the jury returned a verdict assessing
    a total of $143,000 in damages for all three Appellees. Rankin appealed and, in a
    single issue, asserts the evidence is legally and factually insufficient to establish a
    causal relationship between the accident and Appellees’ claimed injuries and
    medical expenses. For the reasons below, we affirm.
    BACKGROUND
    On March 23, 2014, Hernandez was driving her Ford Mustang with Saldana
    and Solano traveling as passengers. Hernandez was slowing down to come to a
    stop at a red light when her car was rear-ended by a vehicle driven by Rankin. All
    three Appellees visited a chiropractor the day after the car accident, seeking
    treatment for neck and back injuries.
    Appellees sued Rankin in March 2016 and asserted claims for negligence.
    Rankin ultimately accepted fault for the collision but disputed Appellees’ claimed
    injuries and damages. The parties proceeded to a jury trial on these issues in
    March 2022.
    Three questions were submitted to the jury, each inquiring as to the sum of
    money that “would fairly and reasonably compensate” each Appellee for her
    injuries, “if any, that resulted from the occurrence in question.” The jury returned
    the following assessments:
    Erica Hernandez
    Physical pain sustained in the past:                 $25,000
    Physical pain that, in reasonable probability,       $25,000
    Hernandez will sustain in the future:
    Reasonable medical care expenses incurred in         $7,000
    the past:
    Chantay Solano
    Physical pain sustained in the past:                 $2,000
    Physical pain that, in reasonable probability,       $15,000
    2
    Solano will sustain in the future:
    Reasonable medical care expenses incurred in        $2,000
    the past:
    Delcia Saldana
    Physical pain sustained in the past:                $25,000
    Physical pain that, in reasonable probability,      $35,000
    Saldana will sustain in the future:
    Reasonable medical care expenses incurred in        $7,000
    the past:
    The trial court signed a final judgment on May 3, 2022, awarding Appellees the
    damage amounts assessed in the jury’s verdict. Rankin filed a motion for new
    trial, asserting the evidence was legally and factually insufficient to show that the
    accident caused the Appellees’ injuries. The trial court signed an order denying
    the new trial motion and Rankin appealed.
    ANALYSIS
    In a single issue, Rankin argues that Appellees “failed to meet their burden
    of proof at trial to establish a causal relation between the accident, [their] claimed
    injuries and [their] medical treatment.” This failure, Rankin contends, renders the
    evidence legally and factually insufficient to support the judgment. We presume
    without deciding that these arguments were properly preserved and analyze their
    merits below.
    I.     Legal and Factual Sufficiency: Standards of Review and Governing
    Law
    When reviewing the legal sufficiency of the evidence, we consider the
    evidence in the light most favorable to the challenged finding and indulge every
    reasonable inference that would support it. City of Keller v. Wilson, 
    168 S.W.3d 802
    , 821-22, 827 (Tex. 2005). The evidence is legally sufficient if it would enable
    3
    a reasonable and fair-minded person to reach the verdict under review. 
    Id. at 827
    .
    There is “no evidence” or legally insufficient evidence when (1) there is a
    complete absence of evidence of a vital fact; (2) the court is barred by rules of law
    or evidence from giving weight to the only evidence offered to prove a vital fact;
    (3) the evidence offered to prove a vital fact is no more than a mere scintilla; or
    (4) the evidence conclusively establishes the opposite of the vital fact. See 
    id. at 810
    .
    A legal sufficiency challenge asserting that an expert opinion is conclusory
    can be raised for the first time on appeal. City of San Antonio v. Pollock, 
    284 S.W.3d 809
    , 817 (Tex. 2009). An expert opinion is considered conclusory if it is
    essentially “a conclusion without any explanation.” See Arkoma Basin Expl. Co. v.
    FMF Assocs. 1990-A, Ltd., 
    249 S.W.3d 380
    , 399 & n.32 (Tex. 2008).
    Accordingly, “if no basis for the opinion is offered, or the basis offered provides
    no support, the opinion is merely a conclusory statement and cannot be considered
    probative evidence.” City of San Antonio, 284 S.W.3d at 818; see also Burrow v.
    Arce, 
    997 S.W.2d 229
    , 235 (Tex. 1999) (“it is the basis of the witness’s opinion,
    and not the witness’s qualifications or his bare opinions, that can settle an issue as
    a matter of law”). But just because an expert’s testimony could have been clearer
    does not render it conclusory as a matter of law. Gunn v. McCoy, 
    489 S.W.3d 75
    ,
    85 (Tex. App.—Houston [14th Dist.] 2016), aff’d, 
    554 S.W.3d 645
     (Tex. 2018).
    When reviewing the factual sufficiency of the evidence, we examine the
    entire record, considering all the evidence both in favor of and contrary to the
    challenged finding. Vast Constr., LLC v. CTC Contractors, LLC, 
    526 S.W.3d 709
    ,
    723 (Tex. App.—Houston [14th Dist.] 2017, no pet.). When a party attacks the
    factual sufficiency of the evidence pertaining to a finding on which the party did
    not have the burden of proof, we may set aside the finding only if it is so contrary
    4
    to the overwhelming weight of the evidence as to be clearly wrong and unjust.
    Bennett v. Comm’n for Lawyer Discipline, 
    489 S.W.3d 58
    , 66 (Tex. App.—
    Houston [14th Dist.] 2016, no pet.). We consider all the evidence, but will not
    reverse the judgment unless the evidence supporting the challenged finding is so
    weak as to render the finding clearly wrong and manifestly unjust. 4922 Holdings,
    LLC v. Rivera, 
    625 S.W.3d 316
    , 324 (Tex. App.—Houston [14th Dist.] 2021, pet.
    denied). The amount of evidence necessary to affirm is far less than the amount
    necessary to reverse a judgment. GTE Mobilnet of S. Tex. Ltd. P’ship v. Pascouet,
    
    61 S.W.3d 599
    , 616 (Tex. App.—Houston [14th Dist.] 2001, pet. denied).
    To prevail on a negligence claim, a plaintiff must prove the existence of a
    duty, a breach of that duty, and damages proximately caused by the breach. W.
    Invs., Inc. v. Urena, 
    162 S.W.3d 547
    , 550 (Tex. 2005). Establishing causation in a
    personal injury case requires a plaintiff to “prove that the conduct of the defendant
    caused an event and that this event caused the plaintiff to suffer compensable
    injuries.” JLG Trucking, LLC v. Garza, 
    466 S.W.3d 157
    , 162 (Tex. 2015). Thus,
    “when an accident victim seeks to recover medical expenses, she must show both
    ‘what all the conditions were’ that generated the expenses and ‘that all the
    conditions were caused by the accident.’” 
    Id.
     (quoting Guevara v. Ferrer, 
    247 S.W.3d 662
    , 669 (Tex. 2007)).
    Expert testimony generally is necessary to establish causation of medical
    conditions that are “outside the common knowledge and experience of jurors.”
    Guevara, 247 S.W.3d at 665; see also, e.g., Jefferson v. Parra, 
    651 S.W.3d 643
    ,
    650-51 (Tex. App.—Houston [14th Dist.] 2022, no pet.). To constitute evidence of
    causation, a medical expert’s opinion must rest in reasonable medical probability.
    Burroughs Wellcome Co. v. Crye, 
    907 S.W.2d 497
    , 499 (Tex. 1995). Whether
    expert testimony on causation rests on a reasonable medical probability must be
    5
    determined by the substance and context of the testimony rather than semantics or
    use of a particular term or phrase. Smith v. Landry’s Crab Shack, Inc., 
    183 S.W.3d 512
    , 514 (Tex. App.—Houston [14th Dist.] 2006, no pet.).
    However, a plaintiff “is not required to establish causation in terms of
    medical certainty nor is he . . . required to exclude every other reasonable
    hypothesis.” Bradley v. Rogers, 
    879 S.W.2d 947
    , 954 (Tex. App.—Houston [14th
    Dist.] 1994, writ denied). On that note, “a medical causation expert need not
    disprove or discredit every possible cause other than the one espoused by himself.”
    Transcon. Ins. Co. v. Crump, 
    330 S.W.3d 211
    , 218 (Tex. 2010) (internal quotation
    omitted). Only if the evidence presents other plausible causes of the claimed
    injuries or conditions must the plaintiff offer evidence excluding those causes with
    reasonable certainty. JLG Trucking, LLC, 466 S.W.3d at 162.
    II.     Relevant Evidence
    A.    Appellees’ Evidence
    Appellee Erica Hernandez
    Testifying at trial, Hernandez said she was 29 years old at the time of the car
    accident. Hernandez said the accident occurred at approximately 7:00 p.m. on
    March 23, 2014. Later that night, Hernandez recalled she “started to feel pain
    [that] kept worsening, getting worse throughout the night.” Hernandez said she
    sought medical treatment the day after the vehicle accident and went to Dr.
    Zicterman, a chiropractor.
    Hernandez testified that she received treatment from Dr. Zicterman,
    including heating pads, electric shock treatments, and various physical exercises
    and adjustments. Hernandez also recalled getting an MRI on her neck and lower
    back. Post-treatment, Hernandez said she expects that her pain will “sometimes
    6
    fluctuate from maybe no pain or sometimes a little bit of pain and sometimes can
    feel a little worse.”
    Hernandez said she did not have any neck or back pain before the 2014 car
    accident.    Describing her current situation, Hernandez said her pain can be
    aggravated by sitting for extended periods of time. Hernandez also said the pain
    prevents her from riding bikes or playing soccer.
    The jury also heard testimony from Naomi Vela, one of Hernandez’s friends.
    Describing Hernandez’s condition after the car accident, Vela said Hernandez
    complained of back and neck pain that affected her ability to walk up stairs and sit
    for long periods of time. Vela testified that Hernandez is not “as active as she
    normally was” and no longer played soccer despite previously being an “avid
    player.” Vela said Hernandez never complained about back or neck pain before
    the accident.
    Dr. Zicterman testified about the treatment he provided Hernandez after the
    accident.    Beginning with his medical background, Dr. Zicterman said he
    graduated from the Texas Chiropractic College in 1998 and has been practicing as
    a chiropractor since his graduation. Dr. Zicterman said he previously had treated
    patients after “a motor vehicle collision where they were struck from behind.”
    Describing the types of complaints these patients typically presented with, Dr.
    Zicterman said it is “more of a back and low back injury, just because of the
    mechanism of the injury from behind.”
    Dr. Zicterman said he examined Hernandez on March 24, 2014, the day after
    the car accident. According to Dr. Zicterman, he performed an orthopedic exam,
    muscle-strength testing, and range-of-motion testing on Hernandez, who was
    complaining of cervical and lumbar pain.        Dr. Zicterman said he diagnosed
    7
    Hernandez with “cervicalgia[1], cervical sprain/strain, [and] low back pain as well
    as [a] lumbar sprain/strain.”
    Dr. Zicterman said Hernandez’s course of treatment included “passive
    modalities” like electric stimulation treatments and heat packs, “active
    rehabilitation” to strengthen the muscles, and “manual therapy” including
    stretching and deep tissue work.
    Despite this treatment, Dr. Zicterman testified that Hernandez still had
    “residual complaints.” Dr. Zicterman said Hernandez was referred for an MRI, a
    medical procedure he described as “reasonable and necessary” because Hernandez
    “was still having the complaints of the neck and back even after all this time of
    doing the therapies.” Dr. Zicterman said the MRI showed that Hernandez had
    three disc herniations2 in her neck.
    To sum up Dr. Zicterman’s testimony with respect to Hernandez, Appellees’
    counsel asked Dr. Zicterman if he “ha[d] an opinion based on reasonable medical
    probability about whether the — the car collision . . . caused or contributed to the
    condition you diagnosed in Ms. Hernandez?” Dr. Zicterman responded “[y]es”
    and explained that “it’s the mechanism of the injury, to me, that caused the neck
    injury and the low back injury.”
    Dr. Zicterman’s medical records for Hernandez also were admitted into
    evidence. In relevant part, these records show as follows:
    •         Hernandez visited Dr. Zicterman on March 24, 2014, the day after the
    car accident. In his “Initial Evaluation” notes, Dr. Zicterman stated:
    “The patient was involved in a motor vehicle accident as the driver;
    was struck by another vehicle. Patient complains of low back and
    1
    Later on in his testimony, Dr. Zicterman described “cervicalgia” as “pain in the neck.”
    2
    According to Dr. Zicterman, a “herniation is when the disc is protruded or inflamed [or]
    irritated,” which “can cause irritation to the spinal cord.”
    8
    cervical pain which radiates into the lower and upper extremities.”
    Dr. Zicterman diagnosed Hernandez with the following conditions:
    (1) cervicalgia; (2) cervical sprain/strain; (3) lumbago; (4) lumbar
    sprain/strain; and (5) muscle spasms. The bill for this visit shows a
    charge for $435.
    •      Hernandez visited Dr. Zicterman 14 times between March 26 and
    June 4, 2014. Visit notes for each of Hernandez’s 14 visits list (1) the
    areas of complaint; (2) the pain level; (3) the objectives for that day’s
    treatment; and (4) the treatment administered. The bills for these
    visits totaled $2,090.
    •      Hernandez received an MRI on May 7, 2014. The bill for the MRI
    shows a charge for $4,112.
    Dr. Zicterman testified that the services he provided Hernandez were “necessary
    for the proper treatment of the conditions” he diagnosed. Dr. Zicterman agreed
    that it also was necessary for Hernandez to undergo an MRI.
    Appellee Delcia Saldana
    Saldana was 37 years old at the time of the vehicle accident. According to
    Saldana, shortly after the accident she felt pain in her neck, back, and left shoulder.
    Saldana said she sought medical care the day after the accident and visited Dr.
    Zicterman. Saldana said Dr. Zicterman used hot and cold therapy and electric
    stimulation before referring her to have an MRI.
    Saldana said she did not have any neck, back, or shoulder pain prior to the
    2014 accident. Post-treatment, Saldana said certain activities can aggravate her
    pain including “lifting heavy things,” “moving furniture,” and “sleeping on [her]
    side.” Saldana also said she no longer goes to the gym because it causes her “a
    pretty fair amount of pain.”
    According to Dr. Zicterman’s testimony, Saldana presented the day after the
    accident complaining of neck, lower back, and shoulder pain. After examining
    Saldana, Dr. Zicterman diagnosed her with “cervicalgia, cervical sprain/strain,
    9
    lumbar sprain/strain, and lumbago to the back, as well as pain to the left shoulder.”
    Dr. Zicterman testified that Saldana underwent a course of treatment similar to
    Hernandez’s, which included passive modalities, active rehabilitation, and manual
    therapy.
    According to Dr. Zicterman, Saldana also was referred for an MRI. Dr.
    Zicterman said the MRI showed that Saldana had two disc herniations in her neck,
    three disc herniations in her lower back, and “a small amount of physiological fluid
    within the glenohumeral joint” of her left shoulder. Dr. Zicterman opined that
    these injuries were “due to the mechanism of injury from the motor vehicle
    accident.”
    Dr. Zicterman’s medical records for Saldana also were admitted into
    evidence. In relevant part, these records show as follows:
    •      Saldana visited Dr. Zicterman on March 24, 2014, the day after the
    car accident. In his “Initial Evaluation” notes, Dr. Zicterman stated:
    “The patient was involved in a motor vehicle accident as the front seat
    passenger; was struck by another vehicle. Patient complains of low
    back and cervical pain which radiates into the lower and upper
    extremities and left shoulder pain.” Dr. Zicterman diagnosed Saldana
    with the following conditions:           (1) cervicalgia; (2) cervical
    sprain/strain; (3) lumbago; (4) lumbar sprain/strain; (5) injury to the
    left shoulder; and (6) muscle spasms. The bill for this visit shows a
    charge for $435.
    •      Saldana visited Dr. Zicterman 15 times between March 26 and June 4,
    2014. Visit notes for each of Saldana’s 15 visits list (1) the areas of
    complaint; (2) the pain level; (3) the objectives for that day’s
    treatment; and (4) the treatment administered. The bills for these
    visits totaled $2,250.
    •      Saldana received an MRI on May 7, 2014. The bill for the MRI
    shows a charge for $4,162.
    Dr. Zicterman testified that the services he provided Saldana were “necessary for
    10
    the proper treatment of the conditions” he diagnosed. Dr. Zicterman agreed that it
    also was necessary for Saldana to undergo an MRI.
    Appellee Chantay Solano
    Solano is Saldana’s daughter and, at the time of the accident, she was 17
    years old. According to Saldana, Solano was unable to testify at trial because she
    had “a rash over her entire body.” Saldana said that, after the accident, Solano is
    “always complaining [about] a lot of pain in her neck.” Saldana said Solano did
    not complain about neck pain prior to the accident.
    According to Dr. Zicterman, Solano also presented to him the day after the
    accident complaining of neck and lower back pain. Dr. Zicterman performed the
    same tests he did on Hernandez and Saldana and diagnosed Solano with
    cervicalgia and lumbar pain. Dr. Zicterman opined that, “based on reasonable
    medical probability,” Solano’s injuries were caused by “the mechanism of injury in
    the car accident.”
    Dr. Zicterman said he also referred Solano for an MRI. According to Dr.
    Zicterman, the MRI showed that Solano had one disc herniation in her neck and
    one disc herniation in her lower back. Dr. Zicterman said the MRI also showed
    that Solano “had a reversal of the lordotic curve of the neck which is compatible
    with muscle spasm.”
    Dr. Zicterman’s medical records for Solano also were admitted into
    evidence. In relevant part, these records show as follows:
    •      Solano visited Dr. Zicterman on March 24, 2014, the day after the car
    accident. In his “Initial Evaluation” notes, Dr. Zicterman stated:
    “The patient was involved in a motor vehicle accident as the rear seat
    passenger; was struck by another vehicle. Patient complains of low
    back and cervical pain.” Dr. Zicterman diagnosed Solano with the
    following conditions:      (1) cervicalgia; (2) lumbago; (3) lumbar
    11
    sprain/strain; and (4) muscle spasms. The bill for this visit shows a
    charge for $435.
    •      Solano visited Dr. Zicterman eight times between March 26 and April
    11, 2014. Visit notes for each of Solano’s eight visits list (1) the areas
    of complaint; (2) the pain level; (3) the objectives for that day’s
    treatment; and (4) the treatment administered. The bills for these
    visits totaled $1,450.
    •      Solano received an MRI on May 7, 2014. The bill for the MRI shows
    a charge for $5,250.
    Dr. Zicterman testified that the services he provided Solano were “necessary for
    the proper treatment of the conditions” he diagnosed. Dr. Zicterman agreed that it
    also was necessary for Solano to undergo an MRI.
    B.     Rankin’s Evidence
    The jury also heard testimony from Dr. McKechnie, a chiropractor. Dr.
    McKechnie reviewed the Appellees’ medical records in preparation for his
    testimony. However, Dr. McKechnie did not meet or provide any treatment to the
    Appellees.
    When asked if Appellees “were injured as a result of the March 23, 2014
    collision,” Dr. McKechnie responded: “It’s hard to say. [Dr. Zicterman’s] records
    were very strange and peculiar, to say the least.” Elaborating on this point, Dr.
    McKechnie testified:
    I’ve never seen three individuals present to the chiropractor and have
    exactly the same exam findings to the degree. I’ve never seen three
    patients with the same reflex findings or straight leg raise findings or
    exactly the same orthopedic findings. In my — my practice, that is —
    that borderlines on the clinically impossible.
    *                  *                   *
    The diagnoses, with the exception of [Saldana’s] shoulder pain, are
    essentially identical. The exam findings are identical. And a 17-year-
    old, 29-year-old, a 37-year-old in different vehicle positions, different
    12
    seat belt configurations all presenting with exactly the same exam
    findings, that’s incredible.
    Discussing Hernandez’s MRI findings, Dr. McKechnie noted that there were three
    disc herniations identified on her back. According to Dr. McKechnie, this “[c]an
    be” a “meaningless finding.”       With respect to Solano’s MRI findings, Dr.
    McKechnie testified that the notes identified a “1 millimeter broad-based
    herniation.”   Dr. McKechnie described this herniation as “nothing.”         For the
    herniations noted in Saldana’s MRI findings, Dr. McKechnie said they “are normal
    age-related degenerative changes” that are “not traumatic.” Dr. McKechnie opined
    that it was not necessary for the Appellees to undergo MRIs.
    III.     Application
    On appeal, Rankin asserts the evidence is legally and factually insufficient to
    support the award of damages because there was no evidence the accident caused
    Appellees’ injuries and resulting medical expenses. Rankin contends that Dr.
    Zicterman’s testimony cannot support the causation finding because it is
    conclusory.
    As the above evidentiary summaries show, Dr. Zicterman provided similar
    testimony for all three Appellees regarding his medical conclusions and treatment.
    With respect to causation, Dr. Zicterman opined that Appellees’ injuries were
    caused by “the mechanism of injury” from the motor vehicle accident.
    But the sufficiency of Dr. Zicterman’s opinions is not examined in isolation;
    rather, we consider them in conjunction with the record as a whole to determine
    whether they are impermissibly conclusory. See Gunn, 
    489 S.W.3d at 85-86
    (“When evaluating whether an expert’s testimony is speculative or conclusory, or
    whether an expert’s opinion contains fatal analytical gaps, we look to the entire
    record, not just to the expert’s statements in isolation.”). Here, considered with all
    13
    the evidence presented at trial, Dr. Zicterman’s opinions on causation are not
    conclusory.
    Dr. Zicterman discussed his initial meeting with each Appellee the day after
    the car accident, the examinations that were performed, and his diagnoses for each.
    Dr. Zicterman described each Appellee’s course of treatment, which included
    passive modalities, active rehabilitation, and manual therapy.        Dr. Zicterman
    testified that he also reviewed the Appellees’ MRIs and discussed the specific
    injuries shown in each. These medical visits and the treatments that were provided
    to each Appellee also were substantiated by the medical records admitted into
    evidence. This evidence of Dr. Zicterman’s medical visits with Appellees, the tests
    and treatments that were performed on each, and Dr. Zicterman’s reviews of those
    tests provide a factual basis sufficient to support Dr. Zicterman’s opinion that the
    Appellees’ injuries were caused by the motor vehicle accident with Rankin. See,
    e.g., Port of Houston Auth. v. Morales, No. 14-21-00052-CV, 
    2022 WL 4103184
    ,
    at *6 (Tex. App.—Houston [14th Dist.] Sept. 8, 2022, no pet.) (mem. op.) (an
    expert’s medical opinion was not conclusory because, “before opining that the
    gantry accident caused Morales’s injuries, [the expert] performed an extensive
    clinical examination of Morales” and “reviewed Morales’s MRIs”); Hospadales v.
    McCoy, 
    513 S.W.3d 724
    , 738 (Tex. App.—Houston [1st Dist.] 2017, no pet.) (Dr.
    Rodriguez’s causation opinion was not conclusory because it “was based on [the
    plaintiff’s] description of the accident, his physical examination of [the plaintiff],
    and the MRI of [the plaintiff’s] knee.”); City of Laredo v. Limon, No. 04-12-
    00616-CV, 
    2013 WL 5948129
    , at *4 (Tex. App.—San Antonio Nov. 6, 2013, no
    pet.) (mem. op.) (the expert’s opinion was not conclusory because the expert
    “provided a factual basis to support his opinion based on his examination of [the
    plaintiff] and his review of [the plaintiff’s] medical records”).
    14
    Moreover, Dr. Zicterman’s opinions on causation received additional factual
    substantiation from other witnesses’ testimony. Hernandez testified that she felt
    pain shortly after the car accident that worsened throughout the night. Hernandez
    also said she did not have any back or neck pain prior to the accident and, even
    with the chiropractic treatment she received, she has not been able to resume her
    pre-accident level of activity. Similarly, Vela testified that Hernandez is not “as
    active as she normally was.”
    Saldana testified that she too felt pain in her neck, back, and shoulder shortly
    after the accident. Saldana said she did not have neck, back, or shoulder pain prior
    to the accident. Saldana said her post-accident activities have been limited due to
    the pain resulting from the accident. Saldana said her daughter, Solano, also has
    complained about neck and back pain after the accident — complaints she did not
    have before the accident. Together with Dr. Zicterman’s testimony, this evidence
    is legally sufficient to show that Rankin’s conduct caused an event and that the
    event caused the Appellees to suffer compensable injuries. See JLG Trucking,
    LLC, 466 S.W.3d at 162.
    Dr. Zicterman also testified as to the treatments provided to each Appellee
    based on their diagnoses. Notes for these visits were admitted into evidence; the
    summary for each visit lists (1) the areas of complaint; (2) the pain level; (3) the
    objectives for that day’s treatment; and (4) the treatments administered. Medical
    records for each Appellee’s MRI were admitted into evidence and Dr. Zicterman
    summarized their findings and their relevance with respect to Appellees’
    complained-of injuries. The billing records for these treatments and MRIs were
    admitted into evidence; Dr. Zicterman testified that the treatments he provided and
    the subsequent MRIs were “reasonable” and “necessary” for Appellees’ treatment.
    Considered with the record in its entirety, this evidence is legally sufficient to
    15
    establish Appellees’ past medical care expenses. See Gunn, 
    489 S.W.3d at 101
    (“A claim for past medical expenses must be supported by evidence that such
    expenses were reasonable and necessary.”).
    Turning to our factual sufficiency analysis, we also conclude that the
    challenged finding is not so contrary to the overwhelming weight of the evidence
    as to be clearly wrong and unjust. See Bennett, 
    489 S.W.3d at 66
    . As summarized
    above, Dr. McKechnie was the only witness who offered evidence contrary to the
    challenged finding. Dr. McKechnie opined as to the weaknesses in the Appellees’
    medical records and testified that their MRI findings did not exhibit significant
    injuries.
    But it was within the jury’s province to resolve these conflicts in the
    evidence. See In re Wyatt Field Serv. Co., 
    454 S.W.3d 145
    , 151 (Tex. App.—
    Houston [14th Dist.] 2014, orig. proceeding [mand. denied]) (“When presented
    with conflicting testimony, the fact finder may believe one witness and disbelieve
    others[.]”). Considered in light of the record as a whole, the jury’s resolution of
    this conflict in favor of finding Rankin liable is not clearly wrong or manifestly
    unjust. 4922 Holdings, LLC, 625 S.W.3d at 324.
    On appeal, Rankin asserts that Appellees never ruled out “other causes” of
    their injuries. However, as we stated above, it is necessary to rebut other plausible
    causes of the claimed injuries only if there is evidence of those causes. See JLG
    Trucking, LLC, 466 S.W.3d at 162. Here, there was no evidence that Appellees’
    injuries were attributable to any other causes. Hernandez testified that she did not
    have any neck or back pain prior to the car accident with Rankin. Similarly,
    Saldana testified that neither she nor Solano had any back or neck pain prior to the
    incident. Therefore, it was not necessary for Appellees to rebut other potential
    causes of their claimed injuries. See id.
    16
    After applying the applicable standards of review, we conclude that the jury
    reasonably could have found that the car accident caused the Appellees’ injuries
    and their subsequent treatment. See City of Keller, 168 S.W.3d at 821-22, 827.
    Therefore, legally and factually sufficient evidence supports the jury’s findings that
    the accident caused Appellees’ injuries.        We overrule Rankin’s sufficiency
    challenge.
    CONCLUSION
    We affirm the trial court’s May 3, 2022 final judgment.
    /s/    Meagan Hassan
    Justice
    Panel consists of Chief Justice Christopher and Justices Bourliot and Hassan.
    17
    

Document Info

Docket Number: 14-22-00565-CV

Filed Date: 10/17/2023

Precedential Status: Precedential

Modified Date: 10/29/2023