Justia U.S. 5th Circuit Court of Appeals Opinion Summaries

Gene Cleveland Battieste, a veteran, underwent surgery at a Veterans Affairs Medical Center in Jackson, Mississippi in 2006. Although he had consented to surgery on certain cervical vertebrae, an additional procedure was performed on his C2 vertebra without his knowledge or consent. Following the surgery, Mr. Battieste experienced post-operative complications, including infection and increased pain. He applied for VA disability benefits in 2008, which were ultimately approved in 2020. The 2020 decision by the VA Board of Veterans’ Appeals was the first time Mr. Battieste or his family learned of the unauthorized surgery and the VA’s failure to provide proper informed consent or adequate post-operative care. Mr. Battieste died in 2022.In November 2022, the administrator of Mr. Battieste’s estate filed an administrative claim under the Federal Tort Claims Act (FTCA), which the VA denied. In May 2024, a lawsuit for medical negligence was filed in the United States District Court for the Southern District of Mississippi. The district court dismissed the case, finding that Mississippi’s medical malpractice statute barred any action brought more than seven years after the alleged negligence.The United States Court of Appeals for the Fifth Circuit reviewed the case de novo. The court determined that Mississippi Code Annotated § 15-1-36(2)’s seven-year period is a statute of repose, not merely a statute of limitations. The court found that Mississippi’s intermediate appellate courts consistently interpret the seven-year provision as an absolute bar to claims, and the statute’s structure and language support this reading. Because the suit was filed more than seven years after the surgery, the court held the claim was time-barred and affirmed the district court’s dismissal. View "Battieste v. United States" on Justia Law

Michael Hickson, who had become severely disabled following cardiac arrest and anoxic brain injury in 2017, was hospitalized multiple times for recurring infections but recovered from several serious episodes. In June 2020, while hospitalized for pneumonia, sepsis, and suspected COVID-19, his doctors at St. David’s Healthcare assessed him as having a 70% chance of survival. Despite this, he was placed on hospice care and a do-not-resuscitate order was issued, with medical staff indicating that his inability to walk or talk equated to a poor quality of life. Life-sustaining treatment, including food and fluids, was withdrawn, even as his condition temporarily improved. Michael’s family, led by his wife Melissa Hickson, sought answers and attempted to visit him, but were repeatedly denied access and information. Michael ultimately passed away, and subsequent public statements by the hospital disclosed protected health information and cast aspersions on Melissa’s fitness as a guardian.The United States District Court for the Western District of Texas dismissed or granted summary judgment in favor of the defendants on all claims, including disability discrimination under § 504 of the Rehabilitation Act and § 1557 of the ACA, § 1983 claims, state-law medical negligence, informed consent, wrongful death, and intentional infliction of emotional distress. The plaintiffs objected to the recommendations for dismissal of the disability discrimination and § 1983 claims; the district court overruled these objections and dismissed those claims with prejudice. The remaining state-law claims were later resolved on summary judgment.Upon de novo review, the United States Court of Appeals for the Fifth Circuit held that disability discrimination claims based on alleged denial of medical treatment solely due to disability are cognizable and may proceed. The court also vacated and remanded the dismissals of the informed consent and intentional infliction of emotional distress claims, but affirmed dismissal of the § 1983 claims and other state-law claims. View "Hickson v. St. David's Healthcare Partnership" on Justia Law

A patient received treatment for diabetes at VA facilities from 2016 to 2022. In early 2020, he reported worsening symptoms and expressed dissatisfaction with his medical care, believing negligence contributed to his condition. Two years later, he filed a complaint with the Office of the Inspector General, alleging improper diagnosis and treatment at VA facilities. He also submitted a Standard Form-95 (SF-95) to the Office of the General Counsel, naming himself as claimant and his wife as a witness and property owner. The agency denied his claim, and he was informed of his right to sue. The couple then filed a pro se lawsuit under the Federal Tort Claims Act (FTCA), alleging negligent medical care caused kidney disease. Subsequently, the wife filed her own SF-95, asserting power of attorney, but the agency denied this claim as duplicative and because the couple had already sought judicial remedy.The United States District Court for the Eastern District of Texas, following a magistrate judge’s recommendation, dismissed the wife’s claims for failure to exhaust administrative remedies, dismissed both plaintiffs’ claims as time-barred, and denied leave to amend as futile. The plaintiffs objected, but the district court adopted the recommendations and dismissed the case with prejudice. The plaintiffs appealed.The United States Court of Appeals for the Fifth Circuit reviewed the case de novo. The court held that the district court erred in finding the wife failed to exhaust administrative remedies for her property damage claim, because the administrative filing gave sufficient notice for that claim. However, the Fifth Circuit affirmed the district court’s dismissal on the alternative ground that all claims were barred by the FTCA’s statute of limitations, as the plaintiffs’ injuries and property damages were or should have been known more than two years before the administrative claims were filed. The denial of leave to amend was also affirmed. View "Ellsworth v. Dallas Texas Department of Veteran Affairs" on Justia Law

Mark Stanford, an incapacitated resident of a Mississippi nursing facility, suffered severe burns after starting a fire in his room. The Mississippi State Department of Health determined that the nursing center failed to adequately supervise Stanford and maintain a safe environment, citing the facility for violating federal regulations regarding the safety and supervision of residents. Stanford, through his conservator, brought a lawsuit alleging negligence and medical malpractice against the nursing facility and related entities.Brandon Nursing and Rehabilitation Center moved to compel arbitration based on an agreement signed in 2017 by Stanford’s brother, Russell Phillips, who acted as Stanford’s health surrogate during his admission. Stanford opposed arbitration, arguing that the agreement was invalid because Phillips lacked authority under Mississippi’s Uniform Health-Care Decisions Act to bind Stanford, since Stanford’s adult son—a higher-priority family member under the statute—was reasonably available and willing to serve as surrogate. The United States District Court for the Southern District of Mississippi held that Phillips was not a proper surrogate under the statute and denied the motion to compel arbitration.Reviewing the case, the United States Court of Appeals for the Fifth Circuit applied de novo review to both the denial of arbitration and interpretation of state law. The Fifth Circuit determined that the key issue was whether, under Mississippi’s Uniform Health-Care Decisions Act, a health care provider must ensure that no higher-priority family member is “reasonably available” before accepting decisions from a lower-priority family member acting as surrogate. Noting the statutory ambiguity and lack of controlling Mississippi precedents, the Fifth Circuit did not resolve the merits but instead certified this question of state law to the Mississippi Supreme Court for authoritative interpretation. View "Stanford v. Brandon Nursing" on Justia Law

A woman brought suit against the United States under the Federal Tort Claims Act (FTCA) after her child suffered severe and permanent nerve damage during childbirth at a Texas hospital. She alleged that the resident physician who delivered her baby used excessive force in responding to a complication known as shoulder dystocia, and that the attending physician failed to properly supervise. The plaintiff sought compensatory damages for medical care and related expenses.The United States District Court for the Western District of Texas dismissed the case for lack of subject-matter jurisdiction under Federal Rule of Civil Procedure 12(b)(1). The district court, adopting a magistrate judge’s recommendation, determined that shoulder dystocia is always an obstetrical emergency under Texas law. It concluded that, in such emergencies, Texas law requires proof of “willful and wanton negligence” (a heightened standard akin to gross negligence). The court further reasoned that because the FTCA does not waive sovereign immunity for punitive damages, and because damages for willful and wanton negligence are punitive, it lacked jurisdiction to hear the case.On appeal, the United States Court of Appeals for the Fifth Circuit reversed and remanded. The Fifth Circuit held that the district court erred in two respects: first, by presuming as a matter of law that the physician provided emergency medical care in every instance of shoulder dystocia, rather than treating it as a factual question; and second, by conflating the heightened standard of liability (willful and wanton negligence) with the nature of damages recoverable. The Fifth Circuit clarified that compensatory damages for gross negligence are available under Texas law and are not barred by the FTCA, which only precludes punitive damages. The case was remanded for further proceedings. View "Robledo v. USA" on Justia Law

William Carter, a paraplegic confined to a wheelchair, was arrested for unauthorized use of 911 and spent eight days in the Shreveport City Jail. During his incarceration, Carter, who had pre-existing bedsores, did not receive adequate medical care for his wounds, which allegedly led to their infection and his subsequent hospitalization. Carter's mother, suing on his behalf, filed claims under the Americans with Disabilities Act (ADA), the Rehabilitation Act (RA), 42 U.S.C. § 1983, and Louisiana state negligence law.The United States District Court for the Western District of Louisiana excluded the expert testimony of Dr. Joel Nitzkin before trial. After a jury trial, the court granted the defendants' Rule 50 motion for judgment as a matter of law on the ADA/RA claim, concluding that the claim was about medical treatment rather than an actionable disability claim. The jury returned a verdict for the defendants on the § 1983 and state-law claims.The United States Court of Appeals for the Fifth Circuit reviewed the case. The court affirmed the district court's judgment, holding that the ADA/RA claim amounted to a complaint about medical negligence, which is not actionable under the ADA. The court found that the failure to change Carter's bandages was a medical treatment issue, not a failure to accommodate under the ADA. Additionally, the court held that Carter's placement in a segregated cell for his safety did not constitute intentional discrimination under the ADA. The court also did not address the exclusion of Dr. Nitzkin's testimony, as it was only relevant to the ADA claims, which failed as a matter of law. The judgment of the district court was affirmed. View "Carter v. City of Shreveport" on Justia Law

Plaintiff filed suit against Thoratec, manufacturer of the Left Ventricular Assist Device (LVAD) implanted in her husband, and subsequently filed suit against the Government under the Federal Tort Claims Act (FTCA), 28 U.S.C. 2671 et seq., based on medical malpractice committed by a heart surgeon and a nurse. The Government appealed the district court's order denying its motion for judgment on partial findings, and its amended judgment. Plaintiff appealed the district court's damages award. The court concluded that the district court did not err as a matter of law when it applied Virginia's common knowledge exception and held that plaintiff had proved her medical malpractice claim without offering expert testimony; because plaintiff failed to present the survivorship argument issue in her post-trial motion, the court may not consider it on appeal; and the district court's award was not clearly erroneous or contrary to right reason. Accordingly, the court affirmed the judgment. View "Bush v. Thoratec Corp." on Justia Law

Ronald Hines was a Texas-licensed veterinarian who practiced since the mid-1960s. He worked mainly in traditional veterinary practices until he retired in 2002. After his retirement, he founded a website and began to post articles about pet health and care. These general writings soon turned to more targeted guidance and, as he acknowledged in his complaint, he began “to provide veterinary advice to specific pet owners about their pets.” This advice was given via email and telephone calls, and Hines “never physically examine[d] the animals that are the subject of his advice,” though he did review veterinary records provided by the animal owners. Texas required veterinarians to conduct a physical examination of an animal or its premises before they can practice veterinary medicine with respect to that animal. In 2012, the Texas Board of Veterinary Medical Examiners informed Hines that by providing veterinary advice without a physical examination, he had violated Texas law. Hines eventually agreed to: abide by the relevant state laws, including the physical examination requirement, one year of probation; a stayed suspension of his license; a $500 fine; and to retake the jurisprudence portion of the veterinary licensing exam. Hines thereafter filed suit in federal court, seeking declaratory and injunctive relief. He argued that the physical examination requirement violates his First Amendment right to free speech as well as his rights under the Due Process and Equal Protection Clauses of the Fourteenth Amendment. The Board moved to dismiss under Federal Rule of Civil Procedure 12(b)(6). The district court granted the Board’s motion in part and denied it in part. With respect to the equal protection claim, the court concluded that because the law did not discriminate on the basis of any suspect classification, the count was evaluated pursuant to rational basis review, and held that the physical examination requirement passed that deferential standard. The court dismissed Hines’s substantive due process claim for similar reasons. The district court denied the motion to dismiss the First Amendment claims. It recognized that states have broad power to regulate professionals, but determined that because the physical examination requirement “regulate[s] professional speech itself,” it is subject to the First Amendment. Relying on federal Supreme Court precedent, the district court held that Hines had stated a plausible claim that the Board had infringed his First Amendment rights. The Board moved to certify for interlocutory review the district court’s order. The issue this case presented for the Fifth Circuit's review thus centered on whether Hines' First or Fourteenth Amendment rights were violated. The Court concluded it offends neither, reversing the district court’s denial of the defendants’ motion to dismiss the plaintiff’s First Amendment counts and affirming the district court’s granting of the defendants’ motion to dismiss the plaintiff’s Fourteenth Amendment counts. View "Hines v. Alldredge" on Justia Law

The government appealed the district court's award of damages in a medical malpractice suit under the Federal Tort Claims Act (FTCA), 28 U.S.C. 2671 et seq., contending that the district court should have applied the Texas periodic payment statutory scheme, Texas Civil Practice & Remedies Code 74.501-507. The court agreed, vacating the district court's judgment insofar as it failed to fashion a damages award similar to that contemplated by the Texas periodic payment statutory scheme and awarded post-judgment interest not in compliance with 31 U.S.C. 1304(b)(1)(A). The court remanded for further proceedings.View "Lee, Sr., et al. v. United States" on Justia Law

The Estate filed a malpractice suit against the deceased's health care providers under the Federal Tort Claims Act (FTCA), 28 U.S.C. 2671 et seq., alleging in part that they failed to provide appropriate follow-up care after discovering a mass in the deceased's stomach. The court affirmed the district court's grant of summary judgment for the United States based on its finding that the Estate's expert report failed to establish the relevant standard of care or create a question of fact as to the remaining elements of a malpractice claim under Mississippi law. View "Estate of Ira J. Sanders v. United States" on Justia Law