OPINION
Rebecca Dunn Grider sued Mike O’Brien, P.C., O’Quinn & Lаminack, and its successor in interest, the O’Quinn Firm, John M. O’Quinn and Kaiser & May, L.L.P. (collectively “the law firms”) for legal malpractice. After all parties filed motions for summary judgment, the trial court denied Grider’s motion and granted the motions filed by the law firms. In one issue, Grider appeals the trial court’s granting of summary judgment.
We affirm.
Background
Grider sued her physician, Adam Naa-man, M.D., for medical malpractice, and the jury rendered a unanimous verdict for the defendant doctor. The trial court signed a final judgment on May 3, 2000,
1
and Grider filed her notice of appeal on August 25. The case was transferred from Houston to Corpus Christi, and the Corpus Christi Court of Appeals reversed and rendered for Grider on Naaman’s liability and remanded for a “separate new trial solely on unliquidated damages as liability is not contested.”
Grider v. Naaman,
Grider sued the law firms for negligence in connection with their appellate representation in her medical malpractice suit. Specifically, Grider asserted that the lаw firms negligently represented her
A. By advising Grider that her notice of appeal was due on August 29, 2000 instead of its actual due date in early August.
*54 B. By advising Grider not to appeal the adverse verdict and judgment.
C. By failing to properly calculate the due date for Grider’s notice of appeal.
D. By delaying notification until July 18, 2000 it [sic] notification to Gri-der that she had lost her motion for new trial and that they would not represent her on appeal.
E. By delaying the filing of the notice of appeal or by conduct which delayed the filing of Grider’s notice of appeal.
F. By failing to timely file Grider’s notice of appeal, resulting in the dismissal of her appeal.
G. In general, by failing to promptly and competently prosecute Grider’s claims and appeals.
Grider moved for summary judgment or alternativеly, partial summary judgment because the law firms were negligent in their handling of the Naaman appeal by failing to timely file the notice of appeal, and their negligence proximately caused $3 million in actual damages and entitled her to $6 million in punitive damages.
In the O’Quinn defendants’ cross-motion for summary judgment, which was joined by the remaining defendants, they argued that, because both legally and factually sufficient evidence supported the jury’s unanimous verdict in favor of Naaman, Grider, as a matter of law, could not prove that the law firms’ alleged failure to timely perfect an appeal proximately caused her any damages. The trial court ruled as follows:
Considering all the summary judgment evidence and the authorities presented by counsel, the Court rules that there are no сontested issues of material fact and rules that, in an appeal to the Supreme Court in the underlying case, the opinion of the Thirteenth Court of Appeals should be reversed and the judgment of the 80th District Court of Harris County in the underlying case should be affirmed.
The trial court further ordered that Gri-der’s summary judgment “as to the outcome on appeal of her adverse jury verdict is denied,” and the law firms’ summary judgment is granted “that, on appeal, the trial court’s judgment should be affirmed.” Grider appeals the granting of summary judgment in favor of the law firms.
Summary Judgment
We review the trial court’s ruling on a motion for summary judgment de novo.
Provident Life & Accident Ins. Co. v. Knott,
*55 Legal Malpractice
To prevail on a legal malpractice claim, a plaintiff must show that “(1) the attorney owed the plaintiff a duty, (2) the attorney breached that duty, (3) the breach proximately caused the plaintiffs injuries, and (4) damages occurred.” '
Alexander v. Turtur & Assocs., Inc.,
The determination of proximate cause is usually a question of fact.
See El Chico Corp. v. Poole,
Grider contends that the Corpus Christi Court of Appeals’ opinion shows what the outcome of the appeal at the intermediate level would have been-reverse and render in part and remand in part. The law firms argue, 'however, that, because the Corpus Christi Court of Appeals lacked jurisdiction to hear the appeal, its opinion is void and “should be regarded as if it never existed.” We agree with the law firms.
See Cleveland v. Ward,
Medical Malpractice
Grider prеsented one issue to the Corpus Christi Court of Appeals claiming that, in view of the admitted violations of the standard of care by Naaman and the absence of probative evidence to support the sole defensive theory, there was no legally and/or factually sufficient evidence to support the jury’s verdict.
Sufficiency Standard of Review
We review legal conclusions de novo.
See City of Pasadena v. Gennedy,
To determine whether there is some evidence to support a fact finding, we must view the evidence in a light that tends to support the finding of disputed fact and disregard all evidence and inferences to the contrary.
Wal-Mart Stores, Inc. v. Miller,
When conducting a factual sufficiency review, we must consider all of the evidence, including any evidence contrary to the verdict.
Plas-Tex., Inc. v. U.S. Steel Corp.,
The jury is the sole judge of the witnesses’ credibility and the weight to be given their testimony.
Golden Eagle Archery, Inc. v. Jackson,
The Law
To prevail at trial on her claim of medical malpractice, Grider’s burden would have been to establish a “reasonable medical probability” that Naaman’s acts or omissions proximately caused her alleged injuries.
See Park Place Hosp. v. Estate of Milo,
The causation element of a negligence claim comprises the two following components: the cause in fact, or “substantial factor,” component and the foreseeability component.
IHS Cedars Treatment Ctr.,
Merely showing that Grider’s claimed injuries would not have occurred but for Naaman’s alleged negligence is not sufficient. Naaman’s alleged negligence must have been a substantial factor in bringing about Grider’s claimed harm.
See IHS Cedars Treatment Ctr.,
Analysis
The underlying medical malpractice suit arose from a biopsy procedure performed to diagnose whether Grider had a recurrence of Hodgkin’s disease. Grider alleged that Naaman negligently cut her brachial plexus nerve roots, which control the ability to grip, hold, or move the hand, leaving her with a permanent claw left hand. The jury was asked “Do you find from a preponderance of the evidence that the negligence, if any, of Dr. Adam Naa-man proximately caused the injury to Plaintiff?” A unanimous jury answered “no,” and the remaining jury issues, which were predicated on an affirmative answer, were not answered. Grider presented one issue to the Corpus Christi Court of Appeals claiming that, in view of the admitted violations of the standard of care by Naa-man and the absence of probative evidence to support the sole defensive theory, there was no legally and/or factually sufficient evidence to support the jury’s verdict.
This “suit within a suit” requires us to review the trial record and the briefs to determine if Grider’s appeal, had the notice of appeal been timely filed, would have succeeded in reversing the trial court’s judgment and obtaining a more favorable result. See
Millhouse,
The parties did not dispute that a doctor breaches the standard of care if he cuts the brachial plexus nerve believing that he is in the stellate ganglion region of someone with normal anatomy. They also did not dispute at trial that Naaman had in fact cut Grider’s brachial plexus nerves. They did, however, dispute at trial whether Grider’s brachial plexus nerves were in a normal location. Naaman contended that Grider had an unusual anatomical variation in which these nerves were not in their “normal” location, whereas Grider, in contrast, contended that Naaman became “lost” during an operation and cut something in one part оf Grider’s body when he thought he was in another part. The evidence presented must establish (1) the normal location of the brachial plexus nerves and (2) the location where Naaman was operating at the time the injury occurred.
It was undisputed at trial that the bra-chial plexus nerves are normally located above the first rib. Naaman agreed with the statement that “Now under any nor *59 mal anаtomy, I think your position is now clear that the brachial plexus nerves at C8 and T1 would never go below the first rib.” Robert Feldtman, M.D., Naaman’s expert, also agreed that, “... in normal anatomical location that the brachial plexus nerves that were cut in this case are above the first rib.” Thomas Winston, M.D., Gri-der’s expert, also agreed.
Naaman testified that, during Grider’s operation, his instruments never went abovе the first rib, and he could see the outline of the first rib against the pleura. He further testified that he had no reason to think that cutting the pleura to sample the enlarged tissue would have endangered the brachial plexus nerves because he was “on the underneath side of the first rib.” When asked if he believed that the position that he made the cut was not one that would normally endanger the brachial plexus, Naaman summed up his actions as follows:
I believe that where I made the cut was below the first rib, on the inside of the chest. That’s where I was. That’s what I saw. That was an area where the brachial plexus never courses. And I felt, since I’ve operated on first ribs before and I knew that the first rib is between the brachial plexus and the chest, I knew that as long as I have the first rib between me and it, I’m in an area where the brachial plexus never is.
We hold that this testimony constitutes legally sufficient evidence to support the jury’s finding.
Grider asserts that Naaman’s “anatomical abnormality” theory is flawed because Naaman testified that he did not notice any abnormality during the surgery and did not reference an abnormality in his post-operative report. She also contends that David Kline, M.D., who attempted to repair Grider’s injury, testified that the suspected lymph node was not pressing on Grider’s nerve, and Dr. Winston said the enlarged lymph node would not have pushed the brachial plexus nerve down. Furthermore, Arthur Bell, M.D., who had more than 40 years of surgical expertise in thoracic surgery, testified that he had never read, seen, or heard of a lymph node moving the brachial plexus nerve into the stellate ganglion region.
The jury heard conflicting evidence as to Naaman’s alleged negligence. The jury was free to believe one witness, disbelieve another, and resolve inconsistencies in the testimony.
See Dal-Chrome Co.,
Having reviewed the “case-within-the-case” and concluded that the record contains legally and factually sufficient evidence to support the jury’s verdict, we hold that the trial court did not err in granting summary judgment in favor of the law firms. Our review of the merits of Grider’s underlying medical malpractice case reveals that she would not have prevailed at the appellate level. Grider thus cannot prevail on her legal malpractice claim against the law firms because the law firms’ negligence did not proximately cause her damage.
Conclusion
We affirm the trial court’s judgment.
Notes
. The trial court signed Naaman’s motion for judgment on June 1, 2000, almost one month after the final judgment was signed. The Texas Supreme Court held that "An order that merely grants a motion for judgment is in no sense a judgment itself. It adjudicates nothing. The only judgment in this case was signed on May 3.”
Naaman v. Grider,
. Our appellate record does not include the briefs filed in the Corpus Christi appeal.
