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Foster v. Patwardhan

Citations: 132 So. 3d 495; 2014 WL 229834; 2014 La. App. LEXIS 146Docket: Nos. 48,575-CA, 48,712-CA

Court: Louisiana Court of Appeal; January 21, 2014; Louisiana; State Appellate Court

Narrative Opinion Summary

This case involves a medical malpractice claim against a neurosurgeon and their insurer, stemming from a surgery that allegedly failed to meet the standard of care. The plaintiff, who underwent a transforaminal lumbar inter-body fusion, experienced continued pain and complications post-surgery, leading to corrective surgery by another physician. A medical review panel concluded that the initial surgery did not adhere to the required standard of care, prompting the plaintiff to file a lawsuit. The trial court granted partial summary judgments for the plaintiff, affirming liability but reversing statutory damages, citing insufficient evidence to refute the medical review panel's conclusions. On appeal, the defendants challenged the trial court’s rulings, emphasizing expert affidavits that purportedly demonstrated compliance with the standard of care. However, the court found these affidavits inadequate to establish a material factual dispute. The appellate court upheld the summary judgment on liability but reversed the decision on statutory damages, noting a genuine issue regarding the plaintiff's injury status, specifically the presence of a right foot drop. The case underscores the stringent standards for expert witness qualifications and the burden of proof in summary judgment motions, as well as the complexities surrounding statutory damage assessments in malpractice claims.

Legal Issues Addressed

Burden of Proof in Summary Judgment

Application: The burden initially lies with the mover to show lack of factual support in the opponent's case, which Foster demonstrated through affidavits and the medical review panel's findings, shifting the burden to Dr. Patwardhan to prove a material factual dispute.

Reasoning: The provision dictates that in a motion for summary judgment, the burden of producing evidence rests initially on the mover, who can fulfill this by submitting affidavits or indicating the lack of factual support for an essential element in the opposing party's case.

Expert Witness Qualification in Medical Malpractice

Application: Dr. Patwardhan was disqualified as an expert witness due to lack of qualifications, which included insufficient training and experience in neurosurgery, and being deemed incompetent by the State Board of Medical Examiners.

Reasoning: In this case, the trial court determined that Dr. Patwardhan did not meet these requirements, finding he lacked the necessary knowledge and qualifications to provide expert testimony regarding the neurosurgical procedures at issue.

Medical Malpractice and Standard of Care

Application: The court evaluated whether Dr. Patwardhan met the required standard of care in performing surgery on the plaintiff and found that he did not, based on the medical review panel's opinion.

Reasoning: The panel's unanimous opinion, issued on December 29, 2011, concluded that Dr. Patwardhan did not meet the required standard of care and contributed to Foster's damages, including improper follow-up and inadequate patient candidacy assessment for the surgery.

Statutory Damages and Genuine Issues of Fact

Application: The court found a genuine issue of material fact regarding the existence of a right foot drop, reversing the summary judgment on statutory damages as this determination required a factfinder.

Reasoning: The trial court's partial summary judgment on liability was upheld, while the judgment on statutory damages was reversed due to the existence of genuine factual issues.

Summary Judgment Standards

Application: The trial court granted partial summary judgment to the plaintiff on liability due to the absence of genuine issues of material fact, supported by the medical review panel's findings and insufficient counter-evidence from the defendants.

Reasoning: The trial court granted Foster's motion, determining that Dr. Patwardhan's and Dr. Lieberson's affidavits did not present sufficient evidence to create a genuine issue of material fact.