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202 So. 3d 529
La. Ct. App.
2016
Read the full case

Background

  • On Oct. 17, 2009 Andrew Moonan was treated in an ER for two fractured ribs and discharged with instructions to follow up with his PCP, Dr. Frank Monte.
  • Moonan remained largely bedridden at home; he and family members made multiple calls to physicians. On Oct. 20 an after‑hours call to Dr. Monte occurred; family witnesses could not hear the doctor and later said Moonan reported being told to “get up and walk.”
  • Moonan collapsed Oct. 22 and died Oct. 23; autopsy showed pulmonary embolism. Plaintiffs (wife and son) filed a malpractice claim alleging failure to warn of immobility/PE risk and failure to direct ER evaluation.
  • A medical review panel unanimously found no breach by Dr. Monte; plaintiffs then sued in state court. Trial occurred March 2016 and the jury returned a unanimous defense verdict; the trial court denied plaintiffs’ motion for new trial.
  • On appeal plaintiffs raised two errors: (1) allowing Dr. Diechmann (a panel member) to testify as an expert despite no 90‑day expert report under the scheduling order; and (2) redaction of two statements from Mrs. Moonan’s post‑death timeline as hearsay.
  • The appellate court affirmed, finding no abuse of discretion in admitting Diechmann’s testimony and in redacting hearsay portions of the timeline; the verdict and denial of new trial were upheld.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether trial court erred by allowing medical review panel member Dr. Diechmann to testify as a retained expert despite no expert report per scheduling order Moonan: admission violated the court’s pre‑trial scheduling order requiring expert reports 90 days before trial and deprived plaintiffs of required disclosure Monte: plaintiffs knew Diechmann’s opinion (he was on pretrial witness lists, plaintiffs’ counsel met him) and LMMA allows panelists to be called; trial court has discretion Affirmed — no abuse of discretion; plaintiffs were aware of Diechmann’s opinion and LMMA permits panelists’ testimony once panel duties are discharged (trial court properly received testimony)
Whether trial court erred by redacting two statements from Mrs. Moonan’s timeline as hearsay Moonan: redactions were improper because statements were admissible non‑hearsay under the rule for prior consistent statements (declarant testified and was subject to cross‑examination) Monte: the redacted portions quoted Dr. Monte and were offered for truth of the matter asserted; plaintiffs did not hear the doctor and timeline portions are hearsay Affirmed — redactions proper; statements attributed to Dr. Monte were hearsay and trial court did not abuse discretion

Key Cases Cited

  • Robinson v. Apria Healthcare, Inc., 874 So.2d 418 (La. App. 2 Cir. 2004) (trial court has broad discretion enforcing pretrial orders; pretrial procedure aims to avoid surprise)
  • Alix v. E‑Z Serve Corp., 846 So.2d 156 (La. App. 5 Cir. 2003) (doubt on pretrial‑order objections resolved in favor of receiving contested information)
  • Medine v. Roniger, 879 So.2d 706 (La. 2004) (LMMA does not preclude calling medical review panel members as trial experts and does not restrict their testimony after panel duties end)
  • Heller v. Nobel Ins. Grp., 753 So.2d 841 (La. 2000) (motions in limine are matters of trial court discretion in evidentiary rulings)
Read the full case

Case Details

Case Name: Moonan v. Louisiana Medical Mutual Insurance Co.
Court Name: Louisiana Court of Appeal
Date Published: Sep 22, 2016
Citations: 202 So. 3d 529; 16 La.App. 5 Cir. 113; 2016 La. App. LEXIS 1742; NO. 16-CA-113
Docket Number: NO. 16-CA-113
Court Abbreviation: La. Ct. App.
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