PBCBA BAR BULLETINS pbcba_bulletin_december 2018 | Page 11

PERSONAL INJURY C o r n e r DISMISSAL OF A MALPRACTICE SUIT TED BABBIT A very recent opinion of the Supreme Court of Florida in Morris v. Muniz, No. SC16- 931(Fla. 09/06/18), precludes the dismissal of a medical malpractice suit based upon hyper technical restrictions of the presuit screening process. The trial court dismissed the suit even though the Statute of Limitations had expired so that presuit could not be refiled. The First District Court of Appeals affirmed the trial court in Morris v. Muniz, 189 So. 3rd 348, 351 (Fla. 1st DCA 2016). This case arose as a result of the death of a 20 year-old woman which allegedly occurred because of completely ignoring serious complaints of nausea and vomiting during a women’s pregnancy to such a degree that during that pregnancy, she lost a total of 36 lbs. The Supreme Court reversed the First District holding that the expert who provided the pre-suit Affidavit was more than qualified. At page 5 the Supreme Court reiterated previous opinions as to the purpose behind the pre-suit screening process. Plaintiff’s decedent, in an attempt to comply with Fla. Stat. 766 provided a Notice of Intent and an Affidavit of an Obstetrician which indicated that she had practiced Obstetrics for 30 years, was board certified and had delivered over 14,000 babies. The Affidavit also indicated that she had been engaged in fulltime patient care until shortly before her Affidavit was signed. The Affidavit also indicated that she had been a student in law school for some of the 3 year period prior to signing the Affidavit. The Defendants argued that it was improbable that the expert could meet the qualifications required of Fla. Stat. 766.102 in that she had devoted her professional time during the 3 years immediately preceding the date of the occurrence testified to by going to law school. The trial court agreed that the Defendants were entitled to take the deposition of plaintiff’s expert to review her qualifications. During that deposition, the expert clearly established that she had in fact practiced medicine and had gone to law school at the same time. Plaintiff’s counsel objected to a number of the questions at the deposition and the defendants claimed that such objections thwarted their ability to review the expert’s qualifications and thus dismissal was warranted under Fla. Stat. 766.205(2) which requires the good faith participation of the parties in the informal presuit discovery process. “The Legislature’s intent notwithstanding, we have stated that the presuit process restrict[s] plaintiff’s ability to bring medical malpractice claims.” Dockswell v. Bethesda Memorial Hospital, Inc., 210 So. 3rd 1201, 1205 (Fla. 2017). Therefore, the requirements of the presuit process must be “interpreted liberally so as not to unduly restrict a Florida citizen’s constitutionally guaranteed access to the courts.” Kukral v. Mekras, 679 So. 2d 278, 279 (Fla. 1996). In Kukral, supra, the Supreme Court explained what the Affidavit accompanying a Notice of Intent is supposed to do. At page 6 the Court explained: The expert opinion to be supplied is not one which delineates how the defendants were negligent. Section 766.104 refers to a written medical opinion “that there appears to be evidence of medical negligence.” Section 766.203(2) provides that the medical expert opinion is for “corroboration of reasonable grounds to initiate medical negligence litigation.” And [section] 766.205(1) specifically provides that the medical opinion need only corroborate that “there exists reasonable grounds for a claim of negligent injury.” Obviously, the corroborative medical opinion adds nothing to the Plaintiffs’ notice of PALMBEACHBAR.ORG 11 their claim. It merely assures the Defendants, and the court, that a medical expert has determined that there is justification for the Plaintiffs’ claim, i.e., that it is not a frivolous medical malpractice claim. Kukral, 679 So. 2d at 282 (quoting Stebilla v. Mussallem, 595 So. 2d 136 (Fla. 5th DCA 1992)). Stated another way “[r]equiring a written expert opinion as part of the presuit investigation” simply “assures the defendant that the claim was preceded by a reasonable investigation.” Largie v. Gregorian, 913 So. 2d 635, 639 (Fla. 3rd DCA 2005). Furthermore, as the issue of when the expert needs to be engaged in the practice of medicine, the Court concluded that the three year period precedes the occurrence of the malpractice not the date of the Affidavit. At page 7 the Court holds: “Further, nowhere in section 766.202(6) does it state that the expert must be duly and regularly engaged at the time the opinion is offered, when the role of the medical expert is to provide an opinion regarding the prevailing professional standard of care, or the professional standard of care existing at the time of the occurrence that is the basis for action. See §§766.102(1); 766.203(2). We cannot agree with a construction that not only runs counter to the purpose of the presuit process, which is to facilitate the resolution of medical malpractice claims, but also has the effect of infringing on the constitutional right to access the courts. The Supreme Court holds that when a presuit expert’s affidavit clearly establishes that the expert is qualified to sign that affidavit, the Defendants are not permitted to look behind the affidavit unless they have evidence that statements concerning the experts qualifications in the expert’s affidavit are false. (con’t on pg 12)