Judge: Michael E. Whitaker, Case: 21STCV37567, Date: 2023-08-16 Tentative Ruling
Case Number: 21STCV37567 Hearing Date: April 18, 2024 Dept: 207
TENTATIVE
RULING - NO. 1
|
DEPARTMENT |
207 |
|
HEARING DATE |
April
18, 2024 |
|
CASE NUMBER |
21STCV37567 |
|
MOTION |
Motion
for Summary Judgment |
|
Defendant Andrew Gelis |
|
|
OPPOSING PARTY |
Plaintiff
Pericles Chamis |
MOVING PAPERS:
REPLY PAPERS:
BACKGROUND
On or about November 4, 2020, Plaintiff Pericles Chamis (“Plaintiff”)
underwent an upper endoscopy procedure, during which “Plaintiff began vomiting
and convulsing on the operating table.”
(Fifth Amended Complaint [“5AC”] ¶¶ 20, 26.) A subsequent MRI revealed that Plaintiff
suffered a stroke, causing central visual impairment, dysphagia, and cognitive
and behavioral issues. (5AC ¶ 32.) Plaintiff brought suit against the surgeon,
Defendant Dale Prokupek, M.D. and Defendant Dale Prokupek, M.D., Inc.
(“Prokupek”); Dr. Prokupek’s company, Defendant Millennium Medical Associates,
Inc. (“Millennium”); Dr. Prokupek’s employee Defendant Andrew Gelis (“Gelis”); anesthesiologist
Defendant Michelle Dinh, M.D. (“Dinh”), Defendant Soma Surgery Center, Inc.
(“Soma”), where the endoscopy was performed; Defendant Sean Ravaei, owner and
operator of Soma (“Ravaei”); nurse practitioner Defendant Jeanne Hershey-Weber (“Hershey-Weber”);
and nurse Defendant Melanie Kerr (“Kerr”); alleging three causes of action: (1)
professional negligence – medical malpractice; (2) breach of fiduciary duty;
and (3) intentional misrepresentation.
On November 2, 2023, the Court sustained Defendant Gelis’s demurrer as
to the first and second causes of action without leave to amend. (November 2, 2023 Minute Order.) Defendant Gelis now moves for summary
judgment as to the third cause of action. Plaintiff opposes the motion and Gelis
replies.
EVIDENTIARY OBJECTIONS
Plaintiff’s
Objections to Gelis’s evidence
The
Court rules as follows with respect to Plaintiff’s evidentiary objections:
1. Overruled
2. Overruled
3. Overruled
4. Overruled
5. Overruled
Gelis’s
Evidentiary Objections
The
Court rules as follows with respect to Gelis’s evidentiary objections:
1. Overruled
2. Overruled
3. Overruled
4. Overruled
5. Sustained
LEGAL STANDARD – MOTION FOR SUMMARY
JUDGMENT
“[T]he party moving for
summary judgment bears the burden of persuasion that there is no triable issue
of material fact and that he is entitled to judgment as a matter of law[.]
There is a triable issue of material fact if, and only if, the evidence would
allow a reasonable trier of fact to find the underlying fact in favor of the
party opposing the motion in accordance with the applicable standard of proof.”
(Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 850.)
“[T]he party moving for summary judgment bears an initial burden of
production to make a prima facie showing of the nonexistence of any triable
issue of material fact; if he carries his burden of production, he causes a
shift, and the opposing party is then subjected to a burden
of production of his own to make a prima facie showing of the existence of a
triable issue of material fact.” (Ibid.)
“On a summary judgment
motion, the court must therefore consider what inferences favoring the opposing
party a factfinder could reasonably draw from the evidence. While viewing the
evidence in this manner, the court must bear in mind that its primary function
is to identify issues rather than to determine issues. Only when the inferences are indisputable may
the court decide the issues as a matter of law. If the evidence is in conflict,
the factual issues must be resolved by trial.”
(Binder v. Aetna Life Ins. Co. (1999) 75 Cal.App.4th 832, 839
[cleaned up].) Further, “the trial court
may not weigh the evidence in the manner of a factfinder to determine whose
version is more likely true. Nor may the
trial court grant summary judgment based on the court's evaluation of
credibility.” (Id. at p. 840
[cleaned up]; see also Weiss v. People ex rel. Department of Transportation
(2020) 9 Cal.5th 840, 864 [“Courts deciding motions for summary judgment or
summary adjudication may not weigh the evidence but must instead view it in the
light most favorable to the opposing party and draw all reasonable inferences
in favor of that party”].)
DISCUSSION
1. INTENTIONAL MISREPRESENTATION
“The elements of intentional misrepresentation are (1) a
misrepresentation, (2) knowledge of falsity, (3) intent to induce reliance, (4)
actual and justifiable reliance, and (5) resulting damage.” (Aton Center,
Inc. v. United Healthcare Ins. Co. (2023) 93 Cal.App.5th 1214, 1245.)
Plaintiff alleges Gelis altered Plaintiff’s medical records (1) “to
cover Hershey-Weber’s improper instructions she gave to Plaintiff regarding
stopping his Xarelto Regimen” (5AC ¶ 40); and (2) “to obscure the cause of
Plaintiff’s injuries” (5AC ¶¶ 82, 102, 118.)
The medical records in question are (1) the June 22, 2020 progress
notes; (2) the October 14, 2020 progress notes; and (3) the November 4, 2020
Operative Report.
Gelis argues that Plaintiff cannot prove (1) Gelis’s alterations to
the June and October 2020 were misrepresentations made to Plaintiff; (2)
Gelis did not intend Plaintiff to rely on any misrepresentations in the medical
records; (3) Plaintiff did not rely on Gelis’s misrepresentations to his
detriment because he told his medical care providers in the emergency room on
November 4, 2020 when he stopped taking his Xarelto; and (4) Gelis did not make
any changes to the November 4, 2020 Operative Report.
a. Defendant’s Evidence
Gelis first argues that
Gelis’s alterations to Plaintiff’s medical records were not directed at the
Plaintiff, nor were they intended for Plaintiff to rely on them. In support, Gelis provides evidence that the
changes were the inadvertent result of a template update, and Gelis did not
intentionally enter Plaintiff’s medical record to make any changes.
Specifically, Gelis provides the
audit log showing the changes that Gelis made to the record on June 22, 2020
(Exhibit C) and October 14, 2020 (Exhibit E) and demonstrating that the changes
made on August 16, 2021 were modified by “template”; expert deposition
testimony from Dean F. Sittig, Ph.D. explaining and interpreting the audit logs
consistent with Gelis’s narrative; deposition testimony from Dr. Prokupek
indicating that after Dr. Prokupek learned he was being sued, he implemented
changes to the template for the electronic medical record system (Exhibit G at
pp. 68:24-70:22); and deposition testimony from Gelis indicating his
understanding was the purpose of the template changes was not to adjust
existing records, but to help prevent lawsuits in the future. (Exhibit H at pp. 89:17-25; 203:3-7.)
Gelis’s evidence that he
altered Plaintiff’s medical records inadvertently by way of a global template
update, as opposed to intentionally accessing Plaintiff’s specific medical
record to make changes, goes to the elements of Gelis’s knowledge of falsity
and intent to induce Plaintiff’s reliance, not whether Gelis made a
misrepresentation to Plaintiff, as Gelis has argued.
Gelis next argues that
Plaintiff did not rely on Gelis’s alterations to the medical records to his
detriment. In support, Gelis has
produced the November 4, 2020 ED Provider Notes from Providence St. Joseph’s
Medical Center Emergency Department, where Plaintiff was treated immediately
following the procedure at Soma. The
Providence notes indicate “He […] was on Xarelto which was stopped on October
30.” (Exhibit M.)
Thus, because Providence was
clearly aware that Plaintiff had been off his Xarelto medication since October
30, Gelis has met his burden of persuasion/production of evidence to show that
Plaintiff will be unable to establish that Plaintiff relied on the altered Soma
medical records (which obscured his cessation of Xarelto) to his detriment.
As such, Gelis has shifted the
burden of production to Plaintiff to raise triable issues of material fact as
to the 4th element of the cause of action -- actual and
justifiable reliance.
b. Plaintiff’s Evidence
Plaintiff disputes that it was
Plaintiff who told the Providence emergency department about the esophagogastroduodenoscopy
(EGD) or that he stopped taking his Xarelto medication, arguing that Plaintiff
was in no condition to tell the emergency department staff about his condition,
as he was unable to even sign his name following the EGD procedure and
complications. (See Plaintiff’s Separate
Statement No. 13.) In support, Plaintiff
points to Plaintiff’s medical records from Soma Surgery Center. (McCoy Decl., Ex. D.)
As a threshold matter, the Court sustains Gelis’ objections to those
medical records, as they have not been properly authenticated, and therefore
they have no evidentiary value.
Nevertheless, there is no indication in the cited Soma Surgery Center
medical records that Plaintiff was unable to communicate with the Providence
emergency department staff following his EGD procedure at Soma. To the contrary, the cited medical records
indicate, “Immediately after the procedure the patient was awake and alert with
a soft non tender abdomen, lack of any type of pain, breathing normally and
with stable blood pressure, pulse and temperature.” The records further indicate that Plaintiff
was given oral and written instructions and “Patient verbalizes understanding
of these instructions and agrees to comply with them.” (McCoy Decl., Ex. D.)
But even if Plaintiff were unable to personally communicate with the
Providence Emergency Department, the fact remains that Plaintiff’s November 4,
2020 Providence medical records state Plaintiff underwent an EGD procedure and
had stopped taking his Xarelto medication on October 30. Thus, regardless of who communicated the
information to Providence, Providence was clearly aware during Plaintiff’s
November 4 visit that Plaintiff had stopped taking his Xarelto medication as of
October 30.
Moreover, Plaintiff indicates in Plaintiff’s opposition to Undisputed
Material Fact No. 4, “Defendants further failed to provide records to the
emergency department at Providence Hospital.”
Therefore, Providence knew Plaintiff had stopped his Xarelto and did not
have Plaintiff’s health care records suggesting otherwise. This further underscores that the altered
Soma medical records were not relied upon and did not play a part in affecting
Plaintiff’s subsequent care at Providence.
Plaintiff has also not provided any evidence indicating that the
altered Soma medical records impacted any of Plaintiff’s care after November 4,
2020.
Plaintiff also cites to the deposition transcripts of Dr. Prokupek and
of Defendant Gelis in opposition to Undisputed Material Fact No. 15. However, Gelis’s cited testimony that he did
not know where Millennium was located and Dr. Prokupek’s cited testimony that
he is 100% owner of the company do not demonstrate that Plaintiff relied on the
altered medical records to his detriment.
As such, Plaintiff has not met his burden of production to create a
triable issue of material fact that Plaintiff relied upon the altered health
care records to his detriment.[1]
CONCLUSION AND ORDER
Therefore, Gelis’s Motion for Summary Judgment is granted. Gelis has demonstrated that Plaintiff will be
unable to prevail on intentional misrepresentation cause of action against Gelis
and Plaintiff’s proffered evidence is insufficient to meet Plaintiff’s burden
of production to make a prima facie showing of the existence of triable issues
of material fact.
Further, the Court will enter the proposed Judgment in favor of
Gelis.
Gelis shall provide notice of the Court’s ruling and file a proof of
service regarding the same.
DATED: April 18, 2024 ___________________________
Michael
E. Whitaker
Judge
of the Superior Court
[1] Because the Court finds the issue of actual and
justifiable reliance dispositive, it does not analyze whether Gelis altered the
November 4, 2020 Operative Report or whether Gelis’s alterations to the June
and October progress notes were the result of an inadvertent template update or
intentional changes.
TENTATIVE
RULING - NO. 2
|
DEPARTMENT |
207 |
|
HEARING DATE |
April
18, 2024 |
|
CASE NUMBER |
21STCV37567 |
|
MOTION |
Motion
for Summary Adjudication |
|
Defendant Dale Prokupek, M.D. |
|
|
OPPOSING PARTY |
Plaintiff
Pericles Chamis |
MOVING PAPERS:
REPLY PAPERS:
BACKGROUND
On or about November 4, 2020, Plaintiff Pericles Chamis (“Plaintiff”)
underwent an upper endoscopy procedure, during which “Plaintiff began vomiting
and convulsing on the operating table.”
(Fifth Amended Complaint [“5AC”] ¶¶ 26, 72.) A subsequent MRI revealed that Plaintiff
suffered a stroke, causing central visual impairment, dysphagia, and cognitive
and behavioral issues. (5AC ¶ 32.) Plaintiff brought suit against the surgeon,
Defendant Dale Prokupek, M.D. (“Prokupek” or “Defendant”) and Defendant Dale
Prokupek, M.D., Inc. (“Prokupek Inc.”); Dr. Prokupek’s company, Defendant
Millennium Medical Associates, Inc. (“Millennium”); Dr. Prokupek’s employee,
Defendant Andrew Gelis (“Gelis”); anesthesiologist Defendant Michelle Dinh,
M.D. (“Dinh”), Defendant Soma Surgery Center, Inc. (“Soma”), where the
endoscopy was performed; Defendant Sean Ravaei, owner and operator of Soma
(“Ravaei”); nurse practitioner Defendant Jeanne Hershey-Weber (“Hershey-Weber”);
and nurse Defendant Melanie Kerr (“Kerr”); alleging three causes of action: (1)
professional negligence – medical malpractice; (2) breach of fiduciary duty;
and (3) intentional misrepresentation.
Defendant Prokupek now moves for summary adjudication, on the
following issues:
(1)
Plaintiff cannot maintain all required elements of the
second cause of action for Breach of Fiduciary Duty – Lack of Informed Consent
against Defendant Prokupek
(2)
Plaintiff cannot maintain all required elements of the
third cause of action for Intentional Misrepresentation on the issue of
informed consent against Defendant Prokupek
(3)
Plaintiff cannot maintain all required elements of the
third cause of action for Intentional Misrepresentation on the issue of changes
to medical records against Defendant Prokupek.
Plaintiff opposes the motion and Prokupek
replies.
EVIDENTIARY
OBJECTIONS
The Court rules as follows with
respect to Prokupek’s evidentiary objections:
1.
Overruled
2.
Overruled
3.
Overruled
4.
Overruled
5.
Overruled
6.
Overruled
7.
Overruled
8.
Sustained
9.
Sustained
10. Sustained
LEGAL STANDARDS – SUMMARY ADJUDICATION
A party may move for
summary adjudication as to one or more causes of action, affirmative defenses,
claims for damages, or issues of duty if that party contends that there is no
merit to the cause of action, defense, or claim for damages, or if the party
contends that there is no duty owed. (See Code Civ. Proc., § 437c, subd. (f)(1).) “A motion for summary adjudication shall be
granted only if it completely disposes of a cause of action, an
affirmative defense, a claim for damages, or an issue of duty.” (Ibid.,
emphasis added) A cause of action has no merit if: (1) one or
more elements of the cause of action cannot be separately established, even if
that element is separately pleaded, or (2) a defendant establishes an
affirmative defense to that cause of action.
(See Code Civ. Proc., §
437c, subd. (n); Union Bank v. Superior
Court (1995) 31 Cal.App.4th 573, 583.)
Once the defendant has shown that a cause of action has no merit, the
burden shifts to the plaintiff to show that a triable issue of material fact
exists as to that cause of action. (See Code Civ. Proc., § 437c, subd. (o)(2); Union Bank v. Superior Court, supra, 31 Cal.App.4th at p.
583.)
“[T]he party moving for
summary judgment bears the burden of persuasion that there is no triable issue
of material fact and that he is entitled to judgment as a matter of law[.]
There is a triable issue of material fact if, and only if, the evidence would
allow a reasonable trier of fact to find the underlying fact in favor of the
party opposing the motion in accordance with the applicable standard of proof.”
¿(Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 850
(hereafter Aguilar).) ¿“[T]he party moving for summary judgment bears an
initial burden of production to make a prima facie showing of the nonexistence
of any triable issue of material fact; if he carries his burden of production,
he causes a shift, and the opposing party is then subjected to a burden of
production of his own to make a prima facie showing of the existence of a
triable issue of material fact.” ¿(Ibid.; Smith v. Wells Fargo Bank,
N.A. (2005) 135 Cal.App.4th 1463, 1474 [summary judgment standards held by Aguilar
apply to summary adjudication motions].) Further, in line with Aguilar,
“[o]n a motion for summary adjudication, the trial court has no discretion to
exercise. If a triable issue of material fact exists as to the challenged
causes of action, the motion must be denied. If there is no triable issue of
fact, the motion must be granted.” (Fisherman's Wharf Bay Cruise Corp.
v. Superior Court (2003) 114 Cal.App.4th 309, 320.)
Further, “the trial court
may not weigh the evidence in the manner of a factfinder to determine whose
version is more likely true. Nor may the
trial court grant summary judgment based on the court's evaluation of credibility.” (Aguilar, supra, 25 Cal.4th. at p. 840
[cleaned up]; see also Weiss v. People ex rel. Department of Transportation
(2020) 9 Cal.5th 840, 864 [“Courts deciding motions for summary judgment or
summary adjudication may not weigh the evidence but must instead view it in the
light most favorable to the opposing party and draw all reasonable inferences
in favor of that party”].)
EXCESS
PAGES OPPOSITION
In Reply, Prokupek objects that
the Opposition brief contains 22 pages, in contravention of California Rules of
Court, rule 3.1113(d), limiting opposition briefs to 20 pages, absent leave of
court. Therefore, the Court disregards
the excess pages 21 and 22 of the Opposition brief.
DISCUSSION
“A defendant or
cross-defendant has met his or her burden of showing that a cause of action has
no merit if the party has shown that one or more elements of the cause of
action, even if not separately pleaded, cannot be established, or that there is
a complete defense to the cause of action. Once the defendant or
cross-defendant has met that burden, the burden shifts to the plaintiff or
cross-complainant to show that a triable issue of one or more material facts
exists as to the cause of action or a defense thereto.” (Code Civ. Proc., § 437c, subd. (p)(2);
accord Doe v. Good Samaritan Hosp. (2018) 23 Cal.App.5th 653, 661 [“It
is not until the defendant meets this burden that the burden of production
shifts to the plaintiff to show that a triable issue of one or more material
facts exists as to the defense”].)
Furthermore, “[t]he
requirement of a separate statement from the moving party and a responding
statement from the party opposing summary judgment serves two functions: to
give the parties notice of the material facts at issue in the motion and to
permit the trial court to focus on whether those facts are truly undisputed.” (Parkview Villas Assn., Inc. v. State Farm
Fire & Casualty Co. (2005) 133 Cal.App.4th 1197, 1210.) Stated in a different way, “[t]he purpose of
a summary judgment proceeding is to permit a party to show that material
factual claims arising from the pleadings need not be tried because they are
not in dispute. The purpose is carried out in section 437c, subdivision (b)(1)
by requiring the moving party to include in the moving papers a separate
statement setting forth plainly and concisely all material facts which the
moving party contends are undisputed together with a reference to the
supporting evidence. The complaint
measures the materiality of the facts tendered in a defendant's challenge to
the plaintiff's cause of action, hence the moving party's separate statement
must address the material facts set forth in the complaint.” (Teselle v. McLoughlin (2009) 173
Cal.App.4th 156, 168 [cleaned up].) And “[w]here
the evidence presented by defendant does not support judgment in his favor, the
motion must be denied without looking at the opposing evidence, if any,
submitted by plaintiff.” (Hawkins v.
Wilton (2006) 144 Cal.App.4th 936, 940.)
Prokupek contends that there are 5
Undisputed Material Facts which support his arguments that Plaintiff cannot
prevail on either the second or third causes of action vis-à-vis Issues Nos. 1
and 2. To support his arguments, Prokupek
advances in pertinent part the Deposition
Transcript of Plaintiff, 38:6-22, in support of Undisputed Material Fact Nos. 5
and 10 which state: “Plaintiff knew he
was taking Xarelto to thin his blood to protect him from blood clots.”
But Undisputed Material Fact Nos. 5 and 10
are not wholly supported by the cited evidence.
In particular, Plaintiff does not testify that he knew that taking Xarelto
protected him from blood clots. (See
Defendant’s Notice of Lodging Separate Volume of Documentary Evidence, Exh. 2,
38:6-22.) As such, Prokupek’s Undisputed
Material Fact Nos. 5 and 10 are in part without evidentiary support. And in the absence of such material facts, Prokupek
will not be able to persuade the Court that there are no triable issues of
material fact concerning Plaintiff’s Second and Third causes of action vis-à-vis
Issues Nos. 1 and 2.
In short, because Prokupek fails
to support all of the facts it claims are material and undisputed with
sufficient, competent evidence, the Court finds that Prokupek has not met his
initial burdens of production and persuasion.
Consequently, the Court determines that the burden of production does
not shift to Plaintiff to produce evidence that raises triable issues of
material fact vis-à-vis Issues Nos. 1 and 2.
Notwithstanding the procedural
defect addressed above in Section 1, the Court alternatively addresses Prokupek’s
motion regarding Issue No. 1.
To prevail on a claim of
breach of fiduciary duty, Plaintiff must prove (1) the existence of a fiduciary
duty; (2) breach of the fiduciary duty; and (3) damage proximately caused by
the breach. (Jameson v. Desta (2013) 215 Cal.App.4th 1144, 1164.) “A
physician has a fiduciary duty to disclose all information material to the
patient’s decision when soliciting a patient’s consent to a medical procedure.
(Ibid.)
Plaintiff alleges Prokupek
breached his fiduciary duty to obtain Plaintiff’s informed consent by failing
to inform Plaintiff of the “inherently dangerous” risks of ceasing his Xarelto
medication when instructing Plaintiff to cease taking that medication 5-7 days
prior to undergoing the upper endoscopy procedure. (5AC ¶¶ 89-90.)
Defendant provides excerpts of
the deposition of Nurse Hershey-Weber, indicating that Nurse Weber was the one
who, on both June 22, 2020 and October 14, 2020, instructed Plaintiff to stop
taking his Xarelto medication five days prior to the upper endoscopy
procedure. (Ex. B at pp. 79:20-81:12;
Ex. C at pp 92:16-93:10.) Defendant
further provides excerpts of Plaintiff’s deposition, indicating that Plaintiff
knew he was taking Xarelto to thin his blood. (Ex. D at p. 38:6-22.)
Regarding Prokupek’s first
argument that it was Nurse Hershey-Weber, not Prokupek, who gave Plaintiff the
instruction to stop taking his Xarelto medication five days prior to the
procedure, the Court previously noted, in connection with Nurse Hershey-Weber’s
motion for summary judgment:
In California, Nurse Practitioners are not
authorized to treat patients without a supervising physician. (See Plaintiff’s
Opposition to Separate Statement of Disputed Material Facts, fn. 1.) Therefore,
to the extent there was a fiduciary duty to disclose the risks of going off his
Xarelto medication and undergoing the endoscopy procedure, that duty attached
to Dr. Prokupek, not Hershey-Weber. (See Moore v. Regents of University of
California (1990) 51 Cal.3d 120, 133.)
Therefore, the fact that it
was Nurse Hershey-Weber who gave the instruction to Plaintiff, and not Prokupek,
is not persuasive, because the ultimate fiduciary duty to disclose belongs to
Prokupek, as Nurse Hershey-Weber’s supervising physician, who signed off on the
medical record and progress notes. (See
Ex. B at p. 80:9-10.)
Further, with respect to
Defendant’s argument that Plaintiff was already aware of the inherent dangers
of going off the medication he was taking to thin his blood and prevent blood
clots, the Court disagrees. Plaintiff
may not have been aware that going off the medication for five days would
increase his risk of blood clots and stroke as much as it did.
Therefore, the Court finds
that Prokupek has not met his initial burdens of production and persuasion to
establish that Plaintiff will be unable to establish that Prokupek breached his
fiduciary duty to obtain informed consent when his nursing staff instructed
Plaintiff to stop taking his Xarelto.
“Fraud is an intentional tort; it is the element of fraudulent intent,
or intent to deceive, that distinguishes it from actionable negligent
misrepresentation and from nonactionable innocent misrepresentation. It is the
element of intent which makes fraud actionable, irrespective of any contractual
or fiduciary duty one party might owe to the other.” (City of Atascadero v.
Merrill Lynch, Pierce, Fenner & Smith, Inc. (1998) 68 Cal.App.4th 445,
482.) And “The well-established common
law elements of fraud which give rise to the tort action for deceit[1]
are: (1) misrepresentation of a material fact (consisting of false
representation, concealment or nondisclosure); (2) knowledge of falsity
(scienter); (3) intent to deceive and induce reliance; (4) justifiable reliance
on the misrepresentation; and (5) resulting damage.” (Id. at p. 481.)[2]
Plaintiff alleges Prokupek (1) “falsely advised Plaintiff that it was
safe for him to stop taking Xarelto for one week prior to his procedure” (5AC ¶
108); and (2) altered Plaintiff’s medical records to remove indications that
Plaintiff was advised to stop taking Xarelto to obscure the cause of
Plaintiff’s stroke (5AC ¶ 112.)
a. INFORMED CONSENT
Again, notwithstanding the procedural
defect addressed above in Section 1, the Court alternatively addresses Prokupek’s
motion regarding Issue No. 2.
In support of Issue 2, Prokupek provides the same evidence that it was
Nurse Hershey-Weber, not Prokupek, who gave Plaintiff the instruction to stop
taking his Xarelto, and that Plaintiff was aware of the inherent risks in going
off the medication he took to thin his blood to prevent blood clots.
As discussed above, the fact that it was Nurse Hershey-Weber, as
opposed to Prokupek, who instructed Plaintiff to stop taking his Xarelto, does
not change the fact that Prokupek was ultimately the supervising physician, who
signed off on the medical notes for Plaintiff’s visits with Nurse
Hershey-Weber. It also does not change
the fact that Prokupek knew of the risks, yet failed to disclose them, either
directly or through his staff. And the
fact that Plaintiff knew generally that he took Xarelto to thin his blood does
not mean Plaintiff was aware of the degree of risk of stopping the medication
for five days.
Therefore, Prokupek has not met his burdens of production or persuasion
to establish that Plaintiff will be unable to prevail on his third cause of
action for intentional misrepresentation under a theory that Dr. Prokupek
failed to disclose the risks of going off his Xarelto medication.
b. ALTERATIONS TO PLAINTIFF’S MEDICAL RECORDS
For the same reasons the Court articulated in
the concurrent tentative ruling on Defendant Gelis’s motion for summary
judgment, Plaintiff’s theory of liability based upon the alleged alterations to
his medical records fails, because Plaintiff has not demonstrated any actual
and justifiable reliance on the altered records. However, “[a] motion for
summary adjudication shall be granted only if it completely disposes of a cause
of action, an affirmative defense, a claim for damages, or an issue of
duty.” (Code Civ. Proc., § 437c, subd. (f)(1).)
Because the Court finds Prokupek has not met
his burdens of production and persuasion with respect to Issue 2, Issue 3 would
not completely dispose of the intentional misrepresentation cause of
action. Therefore, the Court cannot grant summary adjudication as to
Issue 3, notwithstanding Plaintiff’s failure to demonstrate actual and justifiable
reliance.
CONCLUSION AND ORDER
Therefore, Prokupek’s Motion for Summary Adjudication is denied. Prokupek has not met his burdens of
production and persuasion to show that Plaintiff will be unable to prevail on the
Second or Third causes of action.
The Clerk of the Court shall provide notice of the Court’s
ruling.
DATED: April 18, 2024 ___________________________
Michael
E. Whitaker
Judge
of the Superior Court
[1] “A deceit, within the meaning of the last section, is
either:
1.
The suggestion, as a fact, of that which is not true, by one who does not
believe it to be true;
2.
The assertion, as a fact, of that which is not true, by one who has no
reasonable ground for believing it to be true;
3.
The suppression of a fact, by one who is bound to disclose it, or who gives
information of other facts which are likely to mislead for want of
communication of that fact; or,
4.
A promise, made without any intention of performing it.” (Civ. Code, § 1710.)
[2] “[Name of plaintiff] claims that [name of defendant]
made a false representation that harmed [him/her/nonbinary pronoun/it]. To
establish this claim, [name of plaintiff] must prove all of the following:
1.
That [name of defendant] represented to [name of plaintiff] that a fact was
true;
2.
That [name of defendant]'s representation was false;
3.
That [name of defendant] knew that the representation was false when
[he/she/nonbinary pronoun] made it, or that [he/she/nonbinary pronoun] made the
representation recklessly and without regard for its truth;
4.
That [name of defendant] intended that [name of plaintiff] rely on the
representation;
5.
That [name of plaintiff] reasonably relied on [name of defendant]'s
representation;
6.
That [name of plaintiff] was harmed; and
7.
That [name of plaintiff]'s reliance on [name of defendant]'s representation was
a substantial factor in causing [his/her/nonbinary pronoun/its] harm.” (CACI
1900 (2022 ed.).)