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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. 01-21-00008-CV
Regular Panel Decision
Aug 29, 2024

Sealy Emergency Room, L.L.C. and Kannappan Krishnaswamy, M.D. v. Dr. Atul Dhingra, Dr. Swapan Dubey and Dr. Sanjeev Dubey

Appellants Sealy Emergency Room, L.L.C., and Dr. Kannappan Krishnaswamy appealed a trial court's summary judgment in favor of appellees Free Standing Emergency Room Managers of America, L.L.C., Dr. Atul Dhingra, Dr. Swapan Dubey, and Dr. Sanjeev Dubey. The dispute arose from a management agreement for an emergency room, with appellants bringing counterclaims and third-party claims for breach of contract, fraud, fraudulent inducement, and negligence. After a previous dismissal for lack of appellate jurisdiction was reversed by the Texas Supreme Court, the First District of Texas Court of Appeals reviewed the merits. The court found that the appellants failed to raise a genuine issue of material fact on any of their claims, concluding that the alleged breaches of contract were not supported by the agreement's plain language or that the best-efforts clause was unenforceable. Furthermore, claims of fraud and negligence were not substantiated or were barred by the economic loss rule. Therefore, the appellate court affirmed the trial court's summary judgment.

Contract DisputeSummary JudgmentAppellate ReviewBreach of ContractFraudFraudulent InducementNegligenceEconomic Loss RuleTexas LawHealthcare Management
References
45
Case No. E2008-02483-CCA-R9-CD
Regular Panel Decision
Sep 28, 2010

State v. John Cote and Sarah Cote, In Re: Dr. Sandra Elkins

The State of Tennessee and Dr. Sandra Elkins appealed a trial court's discovery order, which granted John and Sarah Cote's request for Dr. Elkins's personal medical and employment records. The Cotes, accused in a minor child's death, sought these records related to Dr. Elkins, the medical examiner who performed the victim's autopsy, arguing their materiality to their defense. The appellate court, treating the appeal as a common law writ of certiorari, found that the Cotes failed to make a plausible showing that the requested privileged information was material and favorable to their defense, a necessary prerequisite for an in camera review. Consequently, the court reversed the trial court's order for in camera inspection and remanded the case, also explicitly ruling that records from the Tennessee Board of Medical Examiners are absolutely protected from disclosure.

Criminal ProcedureDiscoveryIn Camera ReviewPrivileged InformationMedical RecordsMental Health RecordsEmployment RecordsMedical ExaminerDue ProcessCertiorari
References
49
Case No. 03-10-00019-CV
Regular Panel Decision
Oct 12, 2011

Dr. Don Brantley, Belinda Castillo, Dr. Corinne Alvarez-Sanders and Patricia Logterman// Texas Youth Commission Cherrie Townsend in Her Official Capacity as Executive Director v. Texas Youth Commission Cherrie Townsend in Her Official Capacity as Executive Director// Dr. Don Brantley, Belinda Castillo, Dr. Corinne Alvarez-Sanders

This case concerns challenges by current and former employees of the Texas Youth Commission (TYC) against the constitutionality of Senate Bill 103, which converted TYC employment from 'for-cause' to 'at-will.' The plaintiffs, including Dr. Don Brantley, Belinda Castillo, Dr. Corinne Alvarez-Sanders, and Patricia Logterman, sought declaratory, injunctive, and monetary relief based on alleged wrongful termination, due process violations, defamation, and unconstitutional takings. The district court partially granted and denied TYC's plea to the jurisdiction. The appellate court affirmed the dismissal of Castillo's claims for lack of ripeness and the defamation and takings claims for all plaintiffs due to sovereign immunity. It reversed in part, allowing Alvarez-Sanders and Logterman to replead their wrongful-termination/due-process claims for equitable relief against a proper state official, and similarly reversed in part Brantley's wrongful-termination/due-process claim.

Employment LawPublic EmployeesAt-Will EmploymentFor-Cause EmploymentDue ProcessConstitutional LawRetroactive LegislationEx Post Facto LawBill of AttainderSovereign Immunity
References
37
Case No. MISSING
Regular Panel Decision

National Standard Insurance Co. v. Gayton

National Standard Insurance Company appealed a judgment awarding workers’ compensation benefits to Chris Gayton. The central issue was the admissibility of medical records containing diagnoses and opinions from treating physicians (Dr. A.R. Fernandez, Dr. Wainscott, and Dr. Corbin) when Gayton had not listed them as expert witnesses in discovery interrogatories. National Standard argued for exclusion based on Texas Rules of Civil Procedure 166b and 215, which require designation of expert witnesses. The court, however, distinguished between testifying experts and nontestifying medical experts whose opinions are part of authenticated medical records. It held that the discovery rules for testifying experts do not preclude the admission of such medical records. Consequently, the judgment awarding benefits to Gayton was affirmed.

Discovery ProceduresExpert TestimonyMedical EvidenceAdmissibility of EvidenceTexas Rules of Civil ProcedureAppellate PracticePersonal Injury LitigationDisability BenefitsTreating Physician's RecordsHearsay Rule Exception
References
10
Case No. ADJ3817836 (SJO 0250881)
Regular
May 31, 2012

ZUFAN A. REDA vs. FRY'S ELECTRONICS, INC., ZURICH NORTH AMERICAN INSURANCE

This case concerns applicant Zufan A. Reda's claim for permanent total disability due to a psychiatric injury. The Workers' Compensation Appeals Board (WCAB) is ordering the development of the record because neither the applicant's QME, Dr. Sidle, nor the defendant's QME, Dr. Keins, provided substantial evidence regarding the apportionment of psychiatric permanent disability. The WCAB found that Dr. Sidle's report incorrectly addressed causation of injury rather than apportionment of disability, and Dr. Keins' report was rejected as non-substantial due to prior rulings on industrial causation. Therefore, the WCAB has appointed Dr. Roy Curry as a "regular physician" to conduct a new evaluation on the issue of psychiatric permanent disability.

Petition for ReconsiderationDevelopment of RecordLabor Code section 5701Industrial InjuryPsychiatric InjuryCompensable ConsequenceSection 5803Section 5804Section 5410Permanent Total Disability
References
3
Case No. 14-12-00531-CV
Regular Panel Decision
Sep 12, 2013

Denise Zimmerman v. Dr. Leslie Farias, D.D.S., P.A. F/K/A Dr. Leslie Farias, D.D.S., P.C. and Leslie Farias, Individually

Denise Zimmerman, a dental hygienist, sued Dr. Leslie Farias, D.D.S., P.A., and Leslie Farias individually for negligence after breaking her hip in a workplace fall due to alleged tripping hazards from computer cords. Neither Farias nor her Professional Association subscribed to Texas workers’ compensation insurance. Zimmerman's claims included unsafe working environment and an attempt to pierce the corporate veil against Farias. The trial court granted summary judgment in favor of the appellees. The appellate court affirmed, concluding that Zimmerman did not provide sufficient evidence to support her claims of sham to perpetrate fraud or an unreasonable risk of harm in her premises liability claim.

Workplace personal injurySummary judgmentNegligencePremises liabilityCorporate veil piercingAlter egoDental office accidentAppellate reviewTexas lawNo-evidence summary judgment
References
36
Case No. 2016-01-0701
Regular Panel Decision
May 09, 2017

Crabtree, Daryl v. Eaton Corporation

Daryl Crabtree, an employee of Eaton Corporation, sought additional medical benefits with an unauthorized doctor, Dr. Scott Hodges, for a low-back injury sustained in August 2015. Crabtree had initially received authorized treatment from Dr. Rickey Hutcheson, who diagnosed him with a lumbar strain and spondylosis, determined he reached maximum medical improvement (MMI) with a 2% impairment, and discharged him. Dr. Hodges later recommended surgery, contingent on reviewing additional medical records. Eaton denied Crabtree's request for a second opinion and further treatment, relying on Dr. Hutcheson's opinion. The Court of Workers' Compensation Claims at Chattanooga denied Crabtree's request for expedited relief, ruling that he was unlikely to rebut the statutory presumption of correctness afforded to the authorized treating physician's opinion. The court also clarified that no entitlement to a second opinion existed since Dr. Hutcheson had not recommended surgery.

Back InjuryMedical Benefits DisputeExpedited HearingAuthorized Treating PhysicianUnauthorized PhysicianMedical Impairment RatingCausation DisputePre-existing ConditionLumbar StrainSpinal Stenosis
References
4
Case No. 03-04-00744-CV
Regular Panel Decision
May 12, 2006

Greg Abbott, Attorney General of the State of Texas v. North East Independent School District and Dr. Richard A. Middleton, in His Official Capacity as Custodian of Public Records for North East Independent School District

This case addresses whether a memorandum from a school principal to a teacher, which outlines complaints and directs corrective actions, qualifies as a confidential "document evaluating the performance of a teacher" under Texas Education Code Ann. § 21.355. The Attorney General argued it was merely a reprimand and therefore not confidential, while the North East Independent School District (NEISD) contended it was an evaluation. The district court sided with NEISD, granting their motion for summary judgment. The Court of Appeals affirmed this decision, concluding that the memorandum's content, including the principal's judgment on performance issues, corrective directives, and provisions for further review, indeed constituted an evaluation, thereby making it confidential and exempt from public disclosure under the Texas Public Information Act.

Public Information ActTeacher Performance EvaluationConfidentialitySchool District RecordsSummary Judgment ReviewStatutory InterpretationGovernment TransparencyEducation CodeAppellate ReviewTexas Law
References
18
Case No. 2017-06-0405
Regular Panel Decision
Dec 06, 2017

Castillo, David Valle v. The Hotel Group Holdings, LLC

David Valle Castillo, an employee of The Hotel Group Holdings, LLC, filed a request for expedited hearing seeking additional medical and temporary benefits for a compensable injury. Mr. Castillo, a dishwasher, slipped and fell on October 7, 2016, and the claim was accepted. He sought treatment from Dr. Edward Mackey, who recommended spinal fusion surgery due to symptomatic spinal stenosis. The employer denied further medical benefits based on an independent medical examination by Dr. Tarek Elalayli, who concluded the work injury was less than 50% related. The Court found that Dr. Mackey's opinion, affirmed by a causation letter, was presumed correct and that the employer failed to rebut this presumption. The Court granted Mr. Castillo's request for medical benefits, ordering The Hotel Group to authorize continued treatment with Dr. Mackey, including the recommended surgery. However, the request for temporary disability benefits was denied due to incomplete records regarding the duration of disability.

Expedited HearingMedical BenefitsTemporary BenefitsSpinal StenosisSpinal FusionCausation OpinionTreating PhysicianIndependent Medical ExaminationPresumption of CorrectnessBurden of Proof
References
3
Case No. MISSING
Regular Panel Decision

Simon Ramirez and Cynthia Ramirez v. Dr. Jose Carreras

Simon Ramirez sustained a lower back injury while working, leading to a spinal fusion. K-Mart's worker's compensation carrier hired Dr. Jose Carreras to conduct a range-of-motion examination for disability rating. Simon and Cynthia Ramirez alleged Dr. Carreras caused further injury by forcefully bending Simon during the examination. The trial court directed a verdict on assault and battery but presented the common law negligence claim to the jury, which found no negligence. The appellate court affirmed the trial court's judgment, upholding the jury's verdict. It also ruled that the Texas Medical Liability and Insurance Improvement Act was not applicable due to the absence of a physician-patient relationship between Dr. Carreras and Simon Ramirez, reaffirming its prior decision on this matter as the law of the case.

NegligenceMedical ExaminationDuty Not To InjureWorker's CompensationPhysician-Patient RelationshipCommon Law NegligenceDirected VerdictAppellate ReviewSufficiency of EvidenceMedical Malpractice Act Inapplicability
References
5
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