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Stephanie Dubois v. Radwan Haykal, M.D.

Citation: Not availableDocket: W2003-01549-COA-R3-CV

Court: Court of Appeals of Tennessee; November 1, 2004; Tennessee; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

The case involves an appeal in a medical malpractice action where the plaintiff alleged that the defendants, including a physician and a pharmacy, failed to adequately warn her about the interaction between Tegretol and her oral contraceptives, leading to an unplanned pregnancy. The trial court granted summary judgment to the defendants, finding the plaintiff's expert testimony on causation unreliable and inadmissible. The plaintiff appealed, and the Court of Appeals of Tennessee reversed the trial court's decision, applying an abuse of discretion standard. The appellate court found that the trial court had improperly excluded the expert testimonies, which were based on reliable data and could establish a genuine issue of material fact regarding causation. The expert witnesses, a clinical pharmacist and an OB/GYN, argued that Tegretol is known to reduce the efficacy of oral contraceptives, which likely led to the plaintiff's pregnancy. The appellate court emphasized the importance of reliable expert testimony under Tennessee Rules of Evidence 702 and 703 and remanded the case for further proceedings, including determining the scope of the pharmacist's duty. The costs of the appeal were taxed to the defendants.

Legal Issues Addressed

Admissibility of Expert Testimony under Tennessee Rules of Evidence

Application: The appellate court reversed the trial court's exclusion of expert testimony, emphasizing that expert opinions must be based on reliable facts and data as per Tennessee Rules of Evidence 702 and 703.

Reasoning: The ruling referenced Tennessee Rules of Evidence 702 and 703, which govern the admissibility of expert testimony, emphasizing that expert opinions must be based on reliable facts and data to be admissible.

Elements of Medical Malpractice under Tennessee Law

Application: The case centered on the plaintiff's inability to establish causation, one of the required elements in a medical malpractice claim, which the appellate court determined could be supported by the expert testimonies presented.

Reasoning: In medical malpractice cases, a claimant must prove: the standard of care in the relevant community, the defendant's deviation from that standard, and that the injuries were proximately caused by the defendant's negligence.

Evaluation of Expert Testimony Using Daubert/McDaniel Standard

Application: The trial court's evaluation of expert testimony under Daubert/McDaniel was found to be an abuse of discretion, as the appellate court determined that the experts' testimonies were based on trustworthy data and therefore admissible.

Reasoning: It noted that the trial court had conducted a Daubert/McDaniel hearing to evaluate the admissibility and reliability of the expert opinions.

Scope of Pharmacist's Duty

Application: The appellate court highlighted that the scope of a pharmacist's duty is a factual question, necessitating further proceedings to determine the extent of liability.

Reasoning: The appellate court found this exclusion to be an error, reaffirming that the scope of a pharmacist's duty is a factual question and remanding the case for further proceedings.

Standard for Summary Judgment in Medical Malpractice

Application: The trial court granted summary judgment due to the plaintiff's failure to establish causation; however, the appellate court reversed this decision, finding that the expert testimonies could establish a genuine issue of material fact regarding causation.

Reasoning: The appellate court reversed the trial court’s judgment and remanded the case for further proceedings, applying an abuse of discretion standard to the trial court’s decision.