Justia Alabama Supreme Court Opinion Summaries

The plaintiff underwent a vein-ablation procedure on her right leg in August 2016, performed by a physician other than the defendant. She subsequently developed an infection and was treated by the defendant, who performed several irrigation and debridement procedures over the following months. In March 2017, a 4" x 4" piece of gauze was removed from the plaintiff’s wound, raising questions about whether it had been negligently left in the wound during one of the defendant’s procedures or during subsequent wound care. The plaintiff filed a medical-malpractice complaint in July 2018, alleging that the defendant left a sponge in her body during a September 2016 surgery, which the defendant denied ever performing.The Shelby Circuit Court initially denied the defendant’s motion for summary judgment, allowing the plaintiff to proceed with her claims. After depositions and further discovery, the plaintiff sought to amend her complaint to correct the date of the alleged negligent procedure from September 21, 2016, to October 26, 2016, but continued to reference a vein ablation rather than the actual irrigation and debridement procedure. The defendant moved to strike the amended complaint, arguing undue delay and lack of specificity as required by the Alabama Medical Liability Act (AMLA). The circuit court denied the motion to strike and allowed the amendment.The Supreme Court of Alabama reviewed the case on a petition for writ of mandamus. It held that the plaintiff’s delay in amending her complaint was truly inordinate and unexplained, especially given the information available to her and the defendant’s repeated assertion of his rights under AMLA § 6-5-551. The court found that the circuit court exceeded its discretion by allowing the amendment and directed it to vacate its order granting leave to amend and to strike the plaintiff’s first amended complaint. The petition for writ of mandamus was granted. View "Ex parte Taylor" on Justia Law

An 84-year-old man with a history of dementia was admitted to a hospital after several falls and subsequently transferred to a nursing home for rehabilitation. His wife, acting as his “Authorized Representative,” signed an optional arbitration agreement as part of his admission paperwork. During his stay, the man developed a pressure wound that became septic, leading to his removal from the facility and subsequent death. The wife, as personal representative of his estate, filed a wrongful death lawsuit against the nursing home and its administrator, alleging medical negligence and asserting that the man was incompetent and unable to make decisions for himself at the time of admission.The Mobile Circuit Court reviewed the defendants’ motion to compel arbitration, which was based on the signed agreement. The wife opposed the motion, arguing she lacked authority to bind her husband to arbitration because he was permanently incapacitated due to dementia. She provided medical records and her own affidavit to support her claim of his incapacity. The defendants countered with evidence suggesting the man had periods of lucidity and was not permanently incapacitated. The trial court denied the motion to compel arbitration and later denied a postjudgment motion by the defendants that included additional medical records.The Supreme Court of Alabama reviewed the case de novo. It held that the wife did not meet her burden to prove the man was permanently incapacitated or temporarily incapacitated at the time the arbitration agreement was executed. The Court found that the evidence showed the man had lucid intervals and was at times alert and able to communicate, and that no contemporaneous evidence established incapacity at the time of signing. The Supreme Court of Alabama reversed the trial court’s order and remanded the case, holding that the arbitration agreement was enforceable. View "Mobile Nursing and Rehabilitation Center, LLC v. Sliman" on Justia Law

A Georgia corporation operates several hospitals and clinics in west Georgia and, through an affiliated entity, also operates a small hospital and clinics in east Alabama. An Alabama resident sought treatment at the Alabama hospital and was subsequently transferred by ambulance to the corporation’s Georgia facility for a heart-catheterization procedure. The procedure was performed by a Georgia-based physician employed by the corporation, who is not licensed in Alabama and has never practiced there. The patient alleges that the physician’s negligence during the procedure in Georgia caused him to suffer renal failure and require further medical intervention. The patient sued both the corporation and the physician in the Randolph Circuit Court in Alabama, asserting claims under both Alabama and Georgia medical liability statutes and alleging the corporation’s vicarious liability for the physician’s actions.The physician and the corporation moved to dismiss the case, arguing that the Alabama court lacked personal jurisdiction over them and that venue was improper. The circuit court dismissed the claims against the physician for lack of personal jurisdiction but denied the corporation’s motion to dismiss. The corporation then petitioned the Supreme Court of Alabama for a writ of mandamus to direct the circuit court to dismiss the claims against it.The Supreme Court of Alabama held that the corporation was not subject to general jurisdiction in Alabama, as it was neither incorporated nor had its principal place of business there. However, the Court found that specific personal jurisdiction existed because the patient’s treatment began at the Alabama facility operated by the corporation, and the subsequent care in Georgia was sufficiently related to the corporation’s activities in Alabama. The Court also concluded that the corporation had not demonstrated a clear legal right to dismissal based on improper venue, as it had not adequately addressed whether Alabama’s venue statute applied to claims brought under another state’s law. The petition for a writ of mandamus was denied. View "Ex parte Tanner Medical Center, Inc." on Justia Law

Andrew J. Scarborough, as the administrator of the estate of Timothy John Chumney, filed a lawsuit in the Montgomery Circuit Court against Wexford Health Sources, Inc., Deora Johnson, and Shari Barfield. The case involved allegations of negligence and medical malpractice following Chumney's suicide while incarcerated. The defendants initially did not object to the venue in their Rule 12 motions or answers. However, two years after the trial was first set, they moved to amend their answers to raise the defense of improper venue and filed a motion to transfer the case to Limestone Circuit Court. The Montgomery Circuit Court agreed and transferred the case.Scarborough petitioned the Supreme Court of Alabama for a writ of mandamus, arguing that the defendants had waived their defense of improper venue by not raising it earlier. The defendants contended that the transfer was mandatory under § 6-5-546 of the Alabama Medical Liability Act (AMLA), which they claimed allowed for a venue change at any time before trial.The Supreme Court of Alabama reviewed the case and determined that the defendants had indeed waived their right to challenge the venue under Rule 12(h)(1)(A) of the Alabama Rules of Civil Procedure by not including the defense in their initial motions. The court also clarified that § 6-5-546 of the AMLA did not apply because Scarborough did not allege that the acts or omissions occurred in more than one county. Therefore, the general timing provisions of Rule 12(h)(1) remained applicable.The Supreme Court of Alabama granted Scarborough's petition and issued a writ of mandamus directing the Montgomery Circuit Court to vacate its order transferring the case to Limestone Circuit Court. View "In re: Scarborough v. Wexford Health Sources" on Justia Law

Earnest Charles Jones was severely injured by a bull on August 27, 2018, and was transported by helicopter to the University of South Alabama Hospital. During the transport, flight nurse Bryan Heath Wester allegedly removed a nasal-gastro tube from Jones's throat, causing further injuries. Nearly two years later, Ovetta Jones, on behalf of Earnest, filed a lawsuit against Wester and Air Evac EMS, Inc., alleging negligence and wantonness related to the care provided during the transport.The Dallas Circuit Court initially reviewed the case, where the Joneses filed their complaint on August 24, 2020. The complaint focused on the removal of the nasal-gastro tube by Wester. Nearly four years later, the Joneses amended their complaint to include new allegations that Wester had stolen and replaced ketamine with saline solution the day before the transport, and that other flight nurses failed to detect this and properly treat Earnest's pain. Air Evac moved for summary judgment, arguing that the amended complaint was time-barred and did not relate back to the initial complaint. The trial court denied the motion.The Supreme Court of Alabama reviewed the case and determined that the amended complaint did not arise from the same conduct, transaction, or occurrence as the initial complaint. The amended complaint introduced entirely new facts and allegations, including actions by different individuals on a different day. Consequently, the amended complaint could not relate back to the initial complaint and was time-barred under the applicable statutes of limitations and repose. The Supreme Court of Alabama granted Air Evac's petition for a writ of mandamus, directing the trial court to vacate its order denying the summary judgment and to enter an order granting the motion. View "Ex parte Air Evac EMS, Inc." on Justia Law

Joyce Pates filed a medical malpractice lawsuit against Community Health Systems, Inc. (CHSI), Affinity Hospital, LLC, d/b/a Grandview Medical Center, Dr. John Kirchner, and Southlake Orthopaedics Sports Medicine and Spine Center, P.C. Pates alleged that after injuring her ankle and undergoing surgery performed by Dr. Kirchner at Grandview Medical Center, she experienced complications leading to an infection and ultimately the amputation of her right leg.The Jefferson Circuit Court denied the defendants' motions to dismiss, which argued that Pates's claims were barred by the two-year statute of limitations under the Alabama Medical Liability Act (AMLA). The court reasoned that Pates's injury began when she was informed of the need for amputation, thus starting the statute of limitations from that point.The Supreme Court of Alabama reviewed the case and determined that Pates's claims were indeed barred by the AMLA's statute of limitations. The court found that Pates's injuries, including signs of infection and the need for hardware removal, were evident by November 2020. Therefore, the statute of limitations began at that time, and Pates's complaint filed in February 2023 was outside the two-year limit. The court granted the petitions for writs of mandamus, directing the trial court to dismiss Pates's claims against the defendants. View "Ex parte Affinity Hospital, LLC" on Justia Law

Betty Callens, an 81-year-old woman, underwent left-hip-replacement surgery on September 23, 2019, at Grandview Medical Center. After her discharge on September 27, 2019, she was transferred to Brookdale Skilled Nursing Facility for rehabilitation. Callens alleged that she received poor nursing care at Brookdale, leading to a fall on October 3, 2019, which resulted in another fracture of her left hip and a fractured left femur. She was readmitted to Grandview for further surgeries and was later diagnosed with Clostridioides difficile. On October 15, 2019, Callens was transferred to St. Martin's for rehabilitation. On October 21, 2019, while being bathed by a nurse at St. Martin's, Callens alleged that the nurse applied excessive pressure to her healing hip, causing another dislocation.The Jefferson Circuit Court granted summary judgment in favor of St. Martin's, concluding that Callens failed to provide medical-expert testimony to establish a breach of the standard of care or causation of her injuries. Callens's motion to strike the affidavit of St. Martin's expert, Michael Britton, R.N., was denied. The court found that Britton was qualified as a similarly situated health-care provider.The Supreme Court of Alabama reviewed the case and affirmed the lower court's decision. The court held that Callens's case did not fall under the "layman" exception, which allows for the absence of expert testimony in cases where the lack of skill is apparent to a layperson. The court determined that the care provided to Callens involved complex medical procedures beyond the understanding of an average layperson, thus requiring expert testimony. The court also upheld the qualification of Britton as a similarly situated health-care provider, noting that he had provided hands-on care in the relevant field during the year preceding Callens's injuries. Consequently, the summary judgment in favor of St. Martin's was affirmed. View "Callens v. Episcopal Foundation of Jefferson County" on Justia Law

Theresa Johnson, individually and as executor of her deceased husband Nathaniel Johnson's estate, filed a wrongful-death action against Jackson Hospital & Clinic, Inc. Nathaniel, suffering from COVID-19, was admitted to Jackson Hospital on November 26, 2020. He was placed on a BiPAP device for breathing assistance. On December 6, 2020, he was to be moved to another floor. During the transfer, the BiPAP device was removed, and an oxygen mask was allegedly placed on him. However, Nathaniel experienced distress and died shortly after.The Montgomery Circuit Court initially granted Jackson Hospital's motion for summary judgment, but later set it aside to allow further discovery. Johnson argued that Jackson Hospital's actions were wanton and did not comply with public health guidance. The trial court ultimately denied Jackson Hospital's renewed motion for summary judgment, holding that Johnson's action could proceed under an exception in the Alabama Covid Immunity Act (ACIA).The Supreme Court of Alabama reviewed the case. It found that Jackson Hospital was immune from Johnson's negligence claims under the ACIA and the May 8 proclamation issued by Governor Ivey, which provided liability protections for health-care providers during the COVID-19 pandemic. The court also determined that Johnson did not present clear and convincing evidence of wanton conduct by Jackson Hospital's staff. Consequently, the Supreme Court of Alabama granted Jackson Hospital's petition for a writ of mandamus, directing the trial court to enter a summary judgment in favor of Jackson Hospital on all claims. View "Ex parte Jackson Hospital & Clinic, Inc." on Justia Law

A wrongful-death medical-malpractice action was initiated by Donna Ratliff, representing the estate of Rhoda Gail McBride, against Dr. Frances Koe and Wills Valley Family Medicine, LLC. McBride had sought treatment for leg pain and was diagnosed with a blood clot, for which she was prescribed Coumadin, a blood thinner. McBride's daughter, Ratliff, claimed that neither she nor McBride were adequately informed about the necessity of regular blood tests to monitor the medication's effects. McBride subsequently suffered a fatal brain bleed due to "Coumadin toxicity."The DeKalb Circuit Court jury returned a verdict in favor of Dr. Koe and Wills Valley. However, the trial court granted Ratliff's motion for a new trial, vacating the jury's verdict. The trial court concluded that the defendants had not presented sufficient evidence to support their contributory-negligence defense, which alleged that McBride's failure to attend follow-up appointments contributed to her death.The Supreme Court of Alabama reviewed the case and reversed the trial court's judgment. The court found that there was sufficient evidence to support the contributory-negligence defense, including testimony that McBride had been informed about the need for regular blood tests and the dangers of Coumadin. The court held that the jury's verdict was supported by the evidence and that the trial court had erred in granting a new trial. The case was remanded for further proceedings consistent with this opinion. View "Koe v. Ratliff" on Justia Law

Lavonne S. Mottern died after receiving a contaminated intravenous injection at Princeton Medical Center, operated by Baptist Health System, Inc. (BHS). Donald J. Mottern, as administrator of Lavonne's estate, filed claims against BHS, Meds I.V., LLC (the manufacturer of the injection), and three individuals associated with Meds I.V. The claims against Meds I.V. and the individuals were settled, leaving only the claims against BHS, which included negligence, wantonness, a claim under the Alabama Extended Manufacturer's Liability Doctrine (AEMLD), and a breach of implied warranty under the Uniform Commercial Code (UCC).The Jefferson Circuit Court dismissed all of Mottern's claims against BHS, including the negligence and wantonness claims, which BHS conceded should not have been dismissed. BHS argued that the AEMLD and UCC claims were subject to the Alabama Medical Liability Act (AMLA) and required proof of a breach of the standard of care. The trial court agreed and dismissed these claims, leading to Mottern's appeal.The Supreme Court of Alabama reviewed the case and agreed with BHS that all of Mottern's claims, including those under the AEMLD and UCC, are subject to the AMLA's standard-of-care provisions. The court held that the AMLA applies to all actions for medical injury, regardless of the theory of liability, and requires proof of a breach of the standard of care. The court reversed the trial court's dismissal of the negligence and wantonness claims and remanded the case for further proceedings consistent with its opinion. The main holding is that the AMLA's standard-of-care provisions apply to all claims alleging medical injury, including those under the AEMLD and UCC. View "Mottern v. Baptist Health System, Inc." on Justia Law