Quentin Cavnar v. State ( 2002 )

IN THE COURT OF APPEALS OF TENNESSEE
AT NASHVILLE
Assigned on Briefs July 30, 2002
QUENTIN CAVNAR v. STATE OF TENNESSEE
Appeal from the Tennessee Claims Commission
No. 20200119 William Baker, Commissioner
No. M2002-00609-COA-R3-CV - Filed February 26, 2003
This appeal involves the diagnosis and treatment of a person who was briefly hospitalized at Middle
Tennessee Mental Health Institute. Following his release, the patient filed a claim with the
Tennessee Claims Commission asserting that he had been misdiagnosed and that the staff had
subjected him to mental abuse and torture. The Commission dismissed the patient’s complaint after
he failed to file a timely response to the State’s Tenn. R. Civ. P. 12.02(6) motion to dismiss, and the
patient has appealed. We have determined that the Commission properly dismissed the patient’s
claim, not only because of his tardy response but also because the response fails to state a claim upon
which the Commission may grant relief.
Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Claims Commission Affirmed
WILLIAM C. KOCH , JR ., J., delivered the opinion of the court, in which WILLIAM B. CAIN and
PATRICIA J. COTTRELL, JJ., joined.
Quentin L. Cavnar, Madison, Tennessee, Pro Se.
Paul G. Summers, Attorney General and Reporter; Michael E. Moore, Solicitor General; and Laura
T. Kidwell, Assistant Attorney General, for the appellee, State of Tennessee.
OPINION
I.
Quentin Cavnar is a fifty-year-old man who lives in Madison. On November 4, 2000, he
went for what he called “an enjoyable ride.” When he returned home, his wife called the police to
report that Mr. Cavnar was shooting at streetlights and otherwise acting strangely. After the local
authorities arrived with their mobile crisis unit, Mr. Cavnar sought to justify his actions by
explaining that “the people who control the money, the power people, put cameras on the [street]
lights, and . . . it was not right for people to be spying on other people.” He also explained that he
had unplugged his home telephone “because the phone was not safe” and because “people were able
to listen to his conversation.” Mr. Cavnar attributed his conduct to Valium withdrawal and self-
imposed fasting.
Mr. Cavnar was thereafter admitted to Middle Tennessee Mental Health Institute (“MTMHI”)
in Nashville. He was diagnosed with Bipolar I disorder with manic and psychotic features. MTMHI
kept him under observation for ten days and then released him with a prescription to control his
behavior. After his release, Mr. Cavnar began to complain about his treatment while a patient at
MTMHI. He insisted that he had been both misdiagnosed and ill-used at the hands of various
MTMHI personnel. In July 2001 he wrote MTMHI a letter threatening to sue the State and
demanding that his official diagnosis be changed to “physician-prescribed Valium addiction.”
In October 2001, after MTMHI failed to accede to his demands, Mr. Cavnar filed a pro se
claim with the Tennessee Claims Commission. The claim embodied essentially three grievances.
First, Mr. Cavnar alleged that MTMHI employees exhibited willful and malicious conduct toward
him during his hospitalization and that these employees should be disciplined or dismissed. Second,
he alleged that MTMHI committed medical malpractice by misdiagnosing him as “paranoid
schizophrenic” which, he says, has rendered him unemployable. Third, he alleged that MTMHI’s
actions inflicted emotional distress upon his wife and his children.
On December 17, 2001, the State filed a motion to dismiss Mr. Cavnar’s complaint on two
grounds – lack of subject matter jurisdiction and failure to state a claim. Mr. Cavnar did not file a
timely response to the motion. However, on January 23, 2002, he filed a four paragraph response
stating that he was unable to obtain legal representation and that he was under the impression that
“the proper venue” for his action was the Commission. He stated that if the Commission lacked
jurisdiction he “would sincerely appreciate direction as to what venue would be appropriate,” and
he concluded by disavowing that he was suing for negligent infliction of emotional distress on behalf
of his wife. The Commission dismissed Mr. Cavnar’s lawsuit, and he has appealed.
II.
MR . CAVNAR’S FAILURE TO TIMELY RESPOND TO THE MOTION TO DISMISS
Tenn. Code Ann. § 9-8-403(a)(1) (Supp. 2002) provides that matters such as Mr. Cavnar’s
suit shall be conducted under the Tennessee Rules of Civil Procedure where applicable, and
otherwise they shall be conducted in accordance with the Commission’s rules and regulations. Tenn.
Comp. R. & Regs. 0310-1-1-.01(5)(c) (2001) requires parties opposing a motion before the
Commission, other than a summary judgment motion, to file and serve a response to the motion no
later than fifteen days from service of the motion. Under the Commission’s rule, “[f]ailure to file
a response shall indicate that there is no opposition to the motion.” Where an opponent to a motion
fails to respond, the Commission may permissibly grant the motion on its merits, if to do so appears
otherwise appropriate. This court reviews the Commission’s decision to dismiss a claim using the
abuse of discretion standard. Tuck v. State, No. 03A01-9510-BC-00355,1996 WL 310012 at *3-4
(Tenn. Ct. App June 11, 1996) (No Tenn. R. App. P. 11 application filed).
The Commission dismissed Mr. Cavnar’s claim, in part, because he did not file a timely
response to the State’s motion to dismiss. While pro se litigants are entitled to fair and equal
treatment as they pursue litigation, they are not excused from complying with applicable substantive
and procedural law. Whitaker v. Whirlpool Corp., 32 S.W.3d 222, 227 (Tenn. Ct. App. 2000); Irvin
v. City of Clarksville, 767 S.W.2d 649, 652 (Tenn. Ct. App. 1988). The Commission allowed Mr.
Cavnar thirty days to respond to the State’s motion – fifteen days more than its rule required. To the
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extent that the Commission took Mr. Cavnar’s silence as indicating that he did not oppose the State’s
motion for dismissal, it was simply applying Tenn. Comp. R. & Regs. 0310-1-1-.01(5)(c) according
to its express language. We find no abuse of discretion in the Commission’s enforcement of its own
rule.
III.
THE COMMISSION ’S SUBJECT MATTER JURISDICTION
The Commission did not dismiss Mr. Cavnar’s claim solely because of his procedural default.
It also held that it lacked subject matter jurisdiction with regard to some of Mr. Cavnar’s claims. We
turn now to that determination. In the absence of a dispute regarding jurisdictional facts, issues of
subject matter jurisdiction present questions of law that appellate courts review de novo. Southwest
Williamson County Cmty. Ass’n v. Saltsman, 66 S.W.3d 872, 876 (Tenn. Ct. App. 2001).
Subject matter jurisdiction involves a tribunal's power to adjudicate a particular controversy
brought before it. Northland Ins. Co. v. State, 33 S.W.3d 727, 729 (Tenn. 2000); First Am. Trust
Co. v. Franklin-Murray Dev. Co., 59 S.W.3d 135, 140 (Tenn. Ct. App. 2001). Tribunals such as the
Commission derive their subject matter jurisdiction from the Constitution of Tennessee or from
legislative act, Meighan v. U.S. Sprint Communications Co., 924 S.W.2d 632, 639 (Tenn. 1996);
Kane v. Kane, 547 S.W.2d 559, 560 (Tenn. 1977), and cannot exercise jurisdictional powers that
have not been conferred directly on them expressly or by necessary implication. Dishmon v. Shelby
State Cmty. College, 15 S.W.3d 477, 480 (Tenn. Ct. App. 1999). A tribunal’s subject matter
jurisdiction in a particular circumstance depends on the nature of the cause of action and the relief
sought. Landers v. Jones, 872 S.W.2d 674, 675 (Tenn. 1994); SunTrust Bank v. Johnson, 46 S.W.3d
216, 221 (Tenn. Ct. App. 2000).
The State of Tennessee, as a general matter, enjoys immunity from suit. Tenn. Const. art.
I, § 17 provides that the State may be held liable for monetary damages “only in such manner and
in such courts as the Legislature may by law direct.” In accordance with this constitutional mandate,
the General Assembly created the Commission and has vested it with very specific subject matter
jurisdiction to adjudicate certain defined contract and tort claims against the State. Tenn. Code Ann.
§§ 9-8-301, -307 (1999 & Supp. 2002); Hembree v. State, 925 S.W.2d 513, 516 (Tenn. 1996). If Mr.
Cavnar has a viable claim, it must fit squarely within the Commission’s statutory jurisdiction.
The bulk of Mr. Cavnar’s claim consists of allegations of willful and malicious conduct by
MTMHI employees. For example, he alleges that MTMHI staff intentionally denied him phone
privileges and that on more than one occasion the staff knowingly placed him in proximity of
dangerous, mentally disturbed persons – at least once, so he says, for their personal amusement. He
insists that MTMHI is “guilty of willful endangerment” by continuing to insist that he take
prescribed medication that he believes is causing him adverse effects. Mr. Cavnar describes his
treatment at the hands of MTMHI’s staff generally as “mental abuse and torture.”
Mr. Cavnar has not stated a claim based on the alleged willful or intentional conduct of
MTMHI’s employees, no matter how wronged he may feel. Tenn. Code Ann. § 9-8-307(d)
specifically states that “[t]he State will not be liable for willful, malicious, or criminal acts by state
employees, or for acts on the part of state employees done for personal gain.” Within its general
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preserve of sovereign immunity, the State has not consented to be liable for its employees’ wrongful
intentional acts. Shell v. State, 893 S.W.2d 416, 421 (Tenn. 1995); Lattimer v. Tennessee Dep’t of
Corr., No. M2000-03126-COA-R3-CV, 2002 WL 598558, at *3-4 (Tenn. Ct. App. April 17, 2002)
(No Tenn. R. App. P. 11 application filed). Accordingly, the Commission correctly determined that
it lacked subject matter jurisdiction with regard to Mr. Cavnar’s claims predicated on what he
believed were willful and malicious acts.
IV.
MR . CAVNAR ’S PSYCHOLOGICAL DIAGNOSIS
Mr. Cavnar’s most earnestly-pressed complaint against MTMHI involves his diagnosis. He
insists that he was misdiagnosed as having “paranoid schizophrenia” and that this diagnosis has
forced him to endure embarrassment professionally and socially.1 He asks “[t]hat the Commission
order the medical records of [his] at Middle Tennessee Mental Health Institute and related public
records changed from the misdiagnosis of paranoid schizophrenia or bipolar disorder which was
penciled in, to reflect the diagnosis of patient withdrawing from physician-prescribed Valium.” He
also asks for compensatory damages because the diagnosis has rendered him unable to find
employment. As we understand the Claims Commission’s order, it dismissed this portion of Mr.
Cavnar’s complaint for failure to state a claim.2
A motion to dismiss a complaint for failure to state a claim for which relief can be granted
tests the legal sufficiency of the plaintiff’s pleading. Givens v. Mullikin, 75 S.W.3d 383, 406 (Tenn.
2002); Trau-Med of Am., Inc. v. Allstate Ins. Co., 71 S.W.3d 691, 696 (Tenn. 2002). The motion
requires the court to review the complaint alone, Mitchell v. Campbell, 88 S.W.3d 561, 564 (Tenn.
Ct. App. 2002), and to look to the complaint's substance rather than its form. Kaylor v. Bradley, 912
S.W.2d 728, 731 (Tenn. Ct. App. 1995). Dismissal under Tenn. R. Civ. P. 12.02(6) is warranted
only when the alleged facts will not entitle the plaintiff to relief, Crews v. Buckman Labs. Int’l, Inc.,
78 S.W.3d 852, 857 (Tenn. 2002) or when the complaint is totally lacking in clarity and specificity.
Dobbs v. Guenther, 846 S.W.2d 270, 273 (Tenn. Ct. App. 1992).
A Tenn. R. Civ. P. 12.02(6) motion admits the truth of all the relevant and material factual
allegations in the complaint but asserts that no cause of action arises from these facts. Davis v. The
Tennessean, 83 S.W.3d 125, 127 (Tenn. Ct. App. 2001); Pendleton v. Mills, 73 S.W.3d 115, 120
(Tenn. Ct. App. 2001). Accordingly, courts reviewing a complaint being tested by a Tenn. R. Civ.
P. 12.02(6) motion must construe the complaint liberally in favor of the plaintiff by taking all factual
allegations in the complaint as true, Stein v. Davidson Hotel, 945 S.W.2d 714, 716 (Tenn. 1997), and
by giving the plaintiff the benefit of all the inferences that can be reasonably drawn from the pleaded
facts. Robert Banks, Jr. & June F. Entman, Tennessee Civil Procedure § 5-6(g), at 254 (1999).
On appeal from an order granting a Tenn. R. Civ. P. 12.02(6) motion, we must likewise
presume that the factual allegations in the complaint are true, and we must review the trial court's
1
His complaint speaks in terms of “the stigma of the misdiagnosis of paranoid schizophrenia.”
2
This was not a subject matter jurisdiction question. Tenn. Code Ann. § 9-8-307(a)(1)(D) gives the Claims
Com mission jurisdiction to hea r certain professiona l malpractice claims.
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legal conclusions regarding the adequacy of the complaint without a presumption of correctness.
Bell ex rel. Snyder v. Icard, Merrill, Cullis, Timm, Furen & Ginsburg, P.A., 986 S.W.2d 550, 554
(Tenn. 1999); Stein v. Davidson Hotel, 945 S.W.2d at 716. Pro se complaints for medical
malpractice are not immune from dismissal for failure to state a claim. See, e.g., Moss v. Vanderbilt
Univ. Med. Ctr., No. M1999-01321-COA-R3-CV, 2000 WL 1862840, at *4 (Tenn. Ct. App. Dec.
21, 2000) (No Tenn. R. App. P. 11 application filed) (dismissing the plaintiff’s complaint).
Tenn. R. Civ. P. 8.01 requires plaintiffs to set forth a short and plain factual statement of their
claim showing that they are entitled to relief. In addition, Tenn. Code Ann. § 29-26-115(a) (Supp.
2002) requires plaintiffs asserting a medical malpractice claim to allege that the physician failed to
act with ordinary and reasonable care in accordance with the applicable standard of professional
practice and that as a proximate result, the plaintiff suffered injuries that would not otherwise have
occurred. A patient’s subjective belief that he or she was misdiagnosed is not a sufficient basis for
a malpractice claim. As the Louisiana Court of Appeals has pointed out:
Diagnostic error by a physician is not malpractice per se. Diagnosis
is an act of professional judgment and, in case of misdiagnosis,
malpractice exists only if it results from the physician’s failure to
exercise the standard or degree of care in diagnosing which would
have been exercised by members of his profession in good standing
in his locality under similar circumstances.
Frasier v. Department of Mental Health and Human Res., 500 So. 2d 858, 862 (La. Ct. App. 1986).
Even with the most liberal construction, Mr. Cavnar’s complaint in the Claims Commission
does not articulate an action for medical malpractice. While he alleges that a psychiatrist diagnosed
him with paranoid schizophrenia, he does not allege that the psychiatrist breached the applicable
standard of professional practice. Indeed, Mr. Cavnar’s claim makes no mention of any standard of
professional practice. The essence of Mr. Cavnar’s claim is that he disagrees with the diagnosis.
A patient’s disagreement with a physician’s diagnosis is not enough standing alone to state a claim
for medical malpractice.3
As for Mr. Cavnar’s request that the Commission order MTMHI to change his medical
records, we agree with the State that the Commission’s jurisdiction is statutorily limited to resolving
monetary claims. The relief Mr. Cavnar seeks is, in practical effect, a mandatory injunction. The
Commission lacks authority to issue mandatory injunctions against the State. Burchfield v. State,
774 S.W.2d 178, 184 (Tenn. Ct. App. 1988). For that reason, the Commission properly dismissed
the medical malpractice portion of Mr. Cavnar’s claim.
3
It does not appear to us that MTM HI o fficially diagnosed M r. Cavnar as having paranoid schizophrenia. Mr.
Cavnar attached to his complaint a copy of his discharge summary from M TM HI. That medical record sho ws that wh ile
at some point MT MH I personnel may have diagnosed Mr. Cavnar as suffering from “Schizoaffective Disorder, bipolar
type,” by the time of his discharge that tentative diagnosis had been dow ngrad ed to merely “Bipolar I D isorder.” As for
that diagnosis, M r. Cavnar’s alleges that he consulted another physician following his discharge from MT MH I and
attached a letter from this physician to his claim. The physician’s letter states that the signs and symptoms contained on
the MTMHI discharge summary are consistent with Mr. Cavnar’s final A xis I diagnosis o f “Bipolar I d isorder, manic
with psychotic fea tures.”
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V.
THE INFLICTION OF EMOTIONAL DISTRESS CLAIM
The remaining allegations in Mr. Cavnar’s claim are that the MTMHI employees inflicted
emotional distress upon his wife and children. To the extent that this portion of the claim is based
on intentional conduct by MTMHI employees, the state has not, as we have already pointed out,
consented to be liable for their wrongful intentional acts. Tenn. Code Ann. § 9-8-307(d); Shell v.
State, 893 S.W.2d at 421. Accordingly, a claim filed with the Commission seeking damages for
intentional infliction of emotional distress fails to state a claim upon which relief can be granted.
Negligent infliction of emotional distress is, however, a separate and distinct tort over which
the Commission has subject matter jurisdiction. However, Mr. Cavnar’s claim still fails to state a
claim upon which relief can be granted because he lacks standing to assert it. Actions for damages
caused by tortious conduct ordinarily must be filed by the injured person. Except for a few
exceptional instances, one person ordinarily cannot sue individually for another’s injuries. Millsaps
v. Crofts, 159 Tenn. 582, 585, 21 S.W.2d 389, 390 (1929); accord Loucks v. Albuquerque Nat’l
Bank, 418 P.2d 191, 199 (N.M. 1966). Mr. Cavnar, in his individual capacity, lacks standing to
assert an independent tort claim belonging to his wife and children. For that reason, the
Commissioner’s dismissal of his claim based on the alleged infliction of emotional distress was
proper.
VI.
We affirm the order dismissing Mr. Cavnar’s claim and remand the matter to the
Commission for whatever further proceedings may be required. We tax the costs of this appeal to
Quentin Cavnar for which execution, if necessary, may issue.
_____________________________
WILLIAM C. KOCH, JR., JUDGE
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