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Victor Kareh M.D. v. Tracy Windrum, Individually, as Representative of the Estate of Lancer Windrum, and on Behalf of Her Minor Children, B. W., J. W. and H. W.

Citation: Not availableDocket: 01-14-00179-CV

Court: Court of Appeals of Texas; March 16, 2017; Texas; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

In the case of Victor Kareh, M.D. v. Tracy Windrum, the Court of Appeals for the First District of Texas addressed the issue of medical negligence related to the death of Lancer Windrum. The appellant, Dr. Kareh, was accused of failing to diagnose and recommend appropriate treatment for Lance's condition of obstructive hydrocephalus, leading to his death. The trial court initially ruled in favor of Tracy Windrum, the representative of Lance's estate. However, the appellate court reversed this decision, citing insufficient evidence to support the jury's finding of negligence on Dr. Kareh's part. The court found that expert testimony presented by Windrum's side, particularly from Dr. Robert Parrish, lacked probative force and failed to establish causation. The dissenting opinion, however, argued that the panel misapplied the legal-sufficiency standard and disregarded substantial evidence that supported the jury's verdict. The dissent emphasized the role of the jury in evaluating evidence and the necessity of reviewing such evidence favorably towards the verdict. Ultimately, the appellate court rendered a judgment in favor of Dr. Kareh, concluding that the failure to recommend a shunt was too remote to be considered a proximate cause of death. The case highlights the complexities involved in assessing expert testimony and the standards of care in medical malpractice suits.

Legal Issues Addressed

Expert Testimony and Probative Force

Application: The court discusses the strength of expert testimony, stating that unsupported opinions or conclusions from a witness lack probative force and cannot support a jury finding.

Reasoning: Unsupported opinions or conclusions from a witness lack probative force and cannot support a jury finding, even if admitted without objection.

Legal Sufficiency Standard

Application: The dissent argues that the panel incorrectly determined there was 'no evidence' of the standard of care or breach by Dr. Kareh, emphasizing that the legal-sufficiency standard requires a review of evidence in the light most favorable to the verdict, allowing for reasonable inferences.

Reasoning: The dissent emphasizes that the legal-sufficiency standard requires a review of evidence in the light most favorable to the verdict, allowing for reasonable inferences.

Proximate Cause in Medical Negligence

Application: The panel concluded that Dr. Kareh's failure to recommend the shunt was too remote in time from Lance's eventual death to be considered a proximate cause.

Reasoning: However, they concluded that Dr. Kareh's failure to recommend the shunt was too remote in time from Lance's eventual death to be considered a proximate cause.

Role of Jury in Assessing Evidence

Application: The dissent argues that the jury's findings should not be overturned except in exceptional circumstances, and that disputes between expert testimonies are for the jury to resolve.

Reasoning: In disputes between expert testimonies, it is the jury's responsibility to assess credibility and weigh evidence.