Shirley Lenoir, Individually and as Personal Representative of the Estate of Shana Lenoir and Christopher McKnight , Individually and as Next Friend of Nayla McKnight v. U.T. Physicians ( 2015 )


Menu:
  •                                                                                         ACCEPTED
    01-14-00767-CV
    FIRST COURT OF APPEALS
    HOUSTON, TEXAS
    4/3/2015 10:50:40 AM
    CHRISTOPHER PRINE
    CLERK
    NO. 01-14-00767-CV
    In the Court of Appeals
    for the First Judicial District   FILED IN
    1st COURT OF APPEALS
    Houston, Texas         HOUSTON, TEXAS
    4/3/2015 10:50:40 AM
    SHIRLEY LENOIR, INDIVIDUALLY AND AS PERSONAL REPRESENTATIVE
    CHRISTOPHER
    Clerk
    OFA.  PRINE
    THE
    ESTATE OF SHANA LENOIR AND CHRISTOPHER MCKNIGHT, INDIVIDUALLY AND
    AS NEXT FRIEND OF NAYLA MCKNIGHT
    Appellants,
    VS.
    U. T. PHYSICIANS
    Appellee.
    On Appeal From the 164th Judicial District Court of Harris County, Texas
    Trial Court Cause No. 2012-35806
    The Honorable Alexandra Smoots-Hogan, Judge Presiding
    APPELLANTS’ REPLY BRIEF
    THE GOURRIER LAW FIRM, LLP
    Joseph M. Gourrier
    joseph@gourrierlaw.com
    Texas State Bar No. 24007258
    530 Lovett Boulevard, Suite B
    Houston, Texas 77006
    Telephone: 713-533-9077
    Facsimile: 713-533-9376
    Attorney for Appellants Shirley Lenoir, Individually and as Personal
    Representative of the Estate of Shana Lenoir and Christopher McKnight,
    Individually and as Next Friend of Nayla McKnight
    ORAL ARGUMENT REQUESTED
    TABLE OF CONTENTS
    PAGE
    TABLE OF CONTENTS ............................................................................................. ii
    INDEX OF AUTHORITIES........................................................................................ iii
    ARGUMENT ............................................................................................................... 1
    I.       UT Physicians Failed to Prove that it is a Governmental Unit and the
    Appellants Created Fact Issues Regarding the Court’s Jurisdiction ................. 1
    A.       The Lenoirs Did Not Make a Judicial Admission that UT Physicians
    is a Governmental Unit ........................................................................... 1
    B.       The Legislature Did Not Authorize the Creation and Control of UT
    Physicians by the UT System Board of Regents ..................................... 3
    C.       UT Physicians Cannot Indirectly Assert Sovereign Immunity as an
    Independent Contractor According to KDF v. Rex, 
    878 S.W.2d 589
                      (Tex. 1994). ............................................................................................. 5
    II.      The Trial Court Erred in Granting the Plea to the Jurisdiction Because the
    Lenoirs Alleged that Shana Lenoir’s Death Was Proximately Caused By An
    Employee’s Use of Tangible Physical Property ................................................ 9
    CONCLUSION ............................................................................................................ 15
    CERTIFICATE OF COMPLIANCE ........................................................................... 16
    CERTIFICATE OF SERVICE ................................................................................... 16
    ii
    INDEX OF AUTHORITIES
    PAGE(S)
    CASES
    Adams v. Rios,
    No. 14-95-00239-CV, 
    1996 WL 337108
    (Tex. App.—Houston [14th Dist.]
    June 20, 1996, no pet.) ....................................................................................... 13
    Ambulatory Infusion Therapy Specialist, Inc. v. N. Amer. Adm’s, Inc.,
    
    262 S.W.3d 107
    (Tex. App.—Houston [1st Dist.] 2008, no pet.)...................... 11
    Angleton Danbury Hosp. Dist. v. Chavana,
    
    120 S.W.3d 424
    (Tex. App.—Houston [14th Dist.] 2003, no pet.) ................... 13
    Baylor Univ. v. Sonnichsen,
    
    221 S.W.3d 632
    (Tex.2007) .............................................................................. 11
    Cnty. of Cameron v. Brown,
    
    80 S.W.3d 549
    (Tex. 2002) ............................................................................... 12
    Edinburg Hosp. Auth. v. Trevino,
    
    904 S.W.2d 831
    (Tex. App.—Corpus Christi 1995), rev’d on other grounds,
    
    941 S.W.2d 76
    (Tex.1997) ................................................................................ 12
    Holy Cross Church of God in Christ v. Wolf,
    
    44 S.W.3d 562
    (Tex. 2001) ............................................................................... 3
    Horizon/CMS Healthcare Corp. v. Auld,
    
    34 S.W.3d 887
    (Tex.2000) ................................................................................ 1
    Kamel v. Univ. of Tex. Health Sci. Ctr. at Houston,
    
    333 S.W.3d 676
    (Tex. App.—Houston [1st Dist.] 2010, pet. denied) .............. 11
    KDF v. Rex,
    
    878 S.W.2d 589
    (Tex. 1994)............................................................................. 5, 6, 7
    Quinn v. Mem'l Med. Ctr.,
    
    764 S.W.2d 915
    (Tex. App.—Corpus Christi 1989, no writ)........................... 12
    iii
    Rusk Sate Hosp. v. Black,
    
    392 S.W.3d 88
    (Tex. 2012)................................................................................. 9
    Tex. Dep’t of Criminal Justice v. Miller,
    
    51 S.W.3d 583
    (Tex. 2001)................................................................................. 9, 10
    Tex. Tech. Univ. Health Sci. Ctr. v. Buford,
    
    334 S.W.3d 334
    (Tex. App.-Eastland 2010, no pet.) ........................................ 13
    TRST Corpus, Inc. v. Fin. Ctr., Inc.,
    
    9 S.W.3d 316
    (Tex. App.—Houston [14th Dist.] 1999, pet. denied) ................. 5
    Wise Reg’l Health Sys. v. Brittain,
    
    268 S.W.3d 799
    (Tex. App.—Fort Worth 2008, no pet.) ................................. 12
    STATUTES & RULES
    TEX. CIV. PRAC. & REM. CODE §101.001(3) ................................................................ 5
    TEX. CIV. PRAC. & REM. CODE §101.021 (2) ............................................................... 9
    TEX. EDUC. CODE §65.02 ............................................................................................. 3, 5
    TEX. EDUC. CODE §65.11 ............................................................................................. 4
    TEX. EDUC. CODE §65.35 (a) ........................................................................................ 4
    TEX. EDUC. CODE §73.001 ........................................................................................... 3, 4, 5
    TEX. EDUC. CODE §73.057 ........................................................................................... 1
    iv
    ARGUMENT
    I.     UT Physicians Failed to Prove that it is a Governmental Unit and the
    Appellants Created Fact Issues Regarding the Court’s Jurisdiction.
    As the movant on a plea to the jurisdiction, Appellee UT Physicians
    (“UTP”) had the burden of establishing that it is a governmental unit entitled to
    raise sovereign immunity. UTP failed to meet this burden and the trial court erred
    in granting its plea to the jurisdiction.
    A.     The Lenoirs Did Not Make a Judicial Admission that UT
    Physicians is a Governmental Unit.
    UTP’s first argument in its response brief is that the Lenoirs made a judicial
    admission that it is a governmental unit in response to a motion to dismiss filed by
    Nurse Matthews. UTP is mistaken.
    A judicial admission is an assertion of fact that is conclusively established in
    live pleadings. Horizon/CMS Healthcare Corp. v. Auld, 
    34 S.W.3d 887
    , 905
    (Tex.2000).     Further, a judicial admission “must be a clear, deliberate, and
    unequivocal statement.” 
    Id. In its
    original answer filed on July 20 2012, UTP asserted that it was a
    governmental unit entitled to sovereign immunity in response to the Lenoirs’
    claims for respondeat superior based upon Nurse Matthews’ negligent conduct.
    Second Supp. CR 6.
    1
    Contrary to UTP’s argument, the Lenoirs have always disputed UTP’s
    contention that it is a governmental unit and did so their response to Nurse
    Matthews’ motion to dismiss filed on October 29, 2013.
     “Defendant Matthews and her alleged governmental employer became
    parties to the lawsuit when Plaintiffs’ Original Petition was filed on
    June 20, 2012.” Second Supp. CR 637. (emphasis added)
     “Since Defendant UT Physicians alleged that it was a governmental
    entity and Defendant Matthews was its alleged employee, the Office
    of Attorney General was required to defend Matthews…” Second
    Supp. CR 643. (emphasis added)
     “The Office of Attorney General is Defendant Matthews’ attorney as a
    matter of law and fact because she was allegedly a public servant at
    the time of the negligence alleged by Plaintiffs.” Second Supp. CR
    646. (emphasis added)
     “Since Defendant UT Physicians claims that it is a state institution
    and Defendant Matthews was its former employee…” Second Supp.
    CR 647. (emphasis added)
    The Lenoirs also denied that UTP was a governmental unit is other
    responses filed in the trial court.
     “Defendant UT Physicians alleges that it is part of The University of
    Texas Health Science – Houston.            Plaintiffs deny that is a
    governmental unit or part of UTHSCH, but are merely arguing in the
    alternative for the purpose of this response.” Second Supp. CR 93 at
    fn. 4.
    Finally and most importantly for purposes of this appeal, the Lenoirs pled a
    waiver claim under the TTCA, in the alternative, if the trial court determined that
    UTP was a governmental unit in their Second Amended Original Petition. See,
    2
    Holy Cross Church of God in Christ v. Wolf, 
    44 S.W.3d 562
    , 568 (Tex. 2001)
    (“Assertions of fact, not plead in the alternative, in the live pleadings of a party are
    regarded as formal judicial admissions.”).
     “54. Pleading in the alternative in the event the Court determines
    that Defendant U.T. Physicians is a governmental unit…” CR 126.
    The Lenoirs have not judicially admitted that UTP is a governmental unit
    and their statements above are not the type of “clear, deliberate, and unequivocal
    statements” sufficient under Texas law to constitute judicial admissions. See,
    Horizon/CMS Healthcare Corp. v. Auld, 
    34 S.W.3d 887
    , 905 (Tex.2000).
    Therefore, the court should reject UTP’s judicial admission argument made in a
    desperate attempt to bolster its governmental unit argument on appeal.
    B.     The Legislature Did Not Authorize the Creation and Control of
    UT Physicians by the UT System Board of Regents.
    In their opening brief, the Lenoirs conclusively established that UTP is a
    private, non-profit corporation and not a governmental unit entitled to raise
    sovereign immunity because the Legislature did not authorize its creation or
    addition to the UT System in the statutes creating the UT System and its
    components. See, TEX. EDUC. CODE §§65.02; 73.001. Indeed, in TEX. EDUC.
    CODE 65.02 (b), the Legislature expressly reserved for itself the power to add
    entities to the governance, control, jurisdiction or management of the UT System
    stating:
    3
    (b) The University of Texas System shall also be composed of such
    other institutions and entities as from time to time may be assigned by
    specific legislative act to the governance, control, jurisdiction, or
    management of The University of Texas System.
    The Legislature did not pass a specific legislative act authorizing UTP to be
    created and added to the UT System and without such a statute, UTP cannot claim
    that it is part of the UT System. The same is also true under TEX. EDUC. CODE
    §73.001(7), the Legislature did not authorize the creation or addition of UTP to the
    University of Texas at Houston when it created the other medical institutions in
    Houston.1
    UTP cites TEX. EDUC. CODE §65.11 as authority for its creation, but that
    statute only authorizes the UT Board of Regents to administer, organize and name
    the institutions and entities in the UT System for maximum operating efficiency.
    Section 65.11 does not authorize the creation of any entities, it merely identifies
    that the UT System has the power to organize the entities created by the
    Legislature and made part of the UT System.
    Similarly, TEX. EDUC. CODE §65.35 (a) does not authorize the creation of
    any entities as part of the UT System either, instead, the statute merely authorizes
    1
    UTP claims that TEX. EDUC. CODE §73.057 does not apply because it is not a “hospital”,
    however, the term “teaching hospital” is not defined in the statutes. It is clear from the record
    that medical residents, like Dr. Gonski, were being taught at the UTP facility by UTHSCH
    faculty, like Dr. Huang, which is why Gonski provided medical care to Shana Lenoir at the time
    of the incident. UTP is clearly a teaching hospital under the plain meaning of the term.
    4
    the UT Board of Regents to govern, operate and support the entities made a part of
    the UT System by the Legislature in §§65.02 and 73.001.
    Therefore, UTP cannot be a governmental unit, under TEX. CIV. PRAC. &
    REM. CODE §101.001(3)(A) or (D), for purposes of the TTCA because it is not a
    government agency and has no status or authority under either the Texas
    Constitution or Texas law because its creation was not authorized by these legal
    authorities.     UTP has failed to meet its burden of establishing that it is a
    government unit under the TTCA and the trial court erred in granting its plea to the
    jurisdiction.
    C.        UT Physicians Cannot Indirectly Assert Sovereign Immunity as
    an Independent Contractor According to KDF v. Rex, 
    878 S.W.2d 589
    (Tex. 1994).
    UTP cites TRST Corpus, Inc. v. Fin. Ctr., Inc., 
    9 S.W.3d 316
    , 320 (Tex.
    App.—Houston [14th Dist.] 1999, pet. denied), in support of its argument that it is a
    government unit. However, the court determined that TRST was entitled to assert
    sovereign immunity because it was created and controlled by a governmental unit,
    TRS, and its sole purpose was to hold title to property for the benefit of TRS
    members, not because it was a governmental unit. However, in reaching this
    conclusion, the court cited KDF v. Rex, 
    878 S.W.2d 589
    , 596-97 (Tex. 1994) for
    the proposition that a suit against a Kansas partnership operated by a Kansas state
    5
    agency was a lawsuit against the state where the two entities were not
    distinguishable.
    The Lenoirs relied upon KDF in the trial court and their opening brief, but
    UTP made no real attempt to distinguish this controlling case. In KDF, the Texas
    Supreme Court determined that KPERS was a Kansas governmental entity created
    by statute, but that the Kansas Debt Fund (KDF) and Pacholder, an Ohio
    corporation acting as an investment advisor to KPERS, were not.               
    KDF, 878 S.W.2d at 596
    , (“Unlike KPERS, however, K.D.F. and Pacholder are not Kansas
    governmental entities.”). Thus, the Court had to determine whether or not KDF
    and Pacholder could assert sovereign immunity indirectly, even though they were
    not governmental entities.
    To begin its analysis, the Court first looked at what types of acts would
    create indirect liability on the part of the state and which acts would not, stating:
    Thus, in either state, indirect liability on the part of the state will arise
    from the performance of ministerial functions by a state employee
    under the control or direction of the state, and not from (1)
    discretionary acts of the employee, (2) acts of independent
    contractors, or (3) intentional, grossly negligent, fraudulent, or
    malicious conduct by the employee.
    
    Id. at 597.
    Applying these principles to the facts of the case, the Court determined that
    KDF, “operates solely upon the direction of KPERS, and exercises no discretion in
    6
    its activities.” 
    Id. Therefore, KDF
    was entitled to assert immunity for performing
    essentially ministerial functions under the control and direction of KPERS.
    However, the Court found that, “Pacholder operates as an independent
    contractor. Its activities necessarily involve considerable discretion.” 
    Id. Thus, the
    Court held that Pacholder, as an independent contractor, was not entitled to assert
    immunity, stating:
    While sovereign immunity protects the activities of government
    entities, no sovereign is entitled to extend that protection ad infinitum
    through nothing more than private contracts. Pacholder is not entitled
    to sovereign immunity protection unless it can demonstrate its actions
    were actions of the Kansas government, executed subject to the
    control of KPERS.
    
    Id. Here, UTP
    is not a governmental unit because it was not created by law, as
    set forth above. Therefore, the court must determine whether UTP is entitled to
    assert sovereign immunity indirectly through either the UT System or UTHSCH
    because it is subject to their direction and control, like KDF, or whether UTP
    cannot assert immunity because it is an independent contractor, like Pacholder.
    Further, the court must conduct this analysis within the context of this
    specific case where the Lenoirs seek to hold UTP liable in respondeat superior for
    the negligent conduct of its former employee, Nurse Matthews. In short, the court
    must determine whether UTP is entitled to indirectly assert sovereign immunity
    because either the UT System or UTHSCH directed or controlled the nursing
    7
    activity performed by Nurse Matthews at the UTP clinic. The evidence in this case
    conclusively negates any such conclusion.
    The Lenoirs offered evidence that UTP was an independent contractor to
    UTHSCH because it entered into an agreement with UTHSCH to administer
    certain business operations, including but not limited to, strategic development,
    marketing, billing for and collection of professional fees, contracting for
    professional services, clinic operations, credentialing, and managed care
    operations.   See, “Management Agreement” between The University of Texas
    Health Science Center at Houston and UT Physicians, CR 88-95. UT Physicians is
    required by the Management Agreement to provide offices, furnishings and
    equipment, personnel (including nursing personnel), supplies, and management
    services to UTHSCH. 
    Id. More importantly
    for purposes of UT Physicians’ plea to the jurisdiction and
    motion to dismiss under the TTCA, the Management Agreement required UT
    Physicians to provide nursing staff for use by UTHSCH physicians, but the nursing
    staff, including Nurse Matthews, remained under UT Physicians’ direction and
    control. See, Management Agreement, at ¶1.4 (B) (“Nursing and Other Clinical
    Personnel.”). CR 89. UT Physicians is paid a “management fee” for the use of its
    medical care facilities and services rendered. 
    Id. at ¶3.1,
    (“Amount of Fee.”). CR
    91.
    8
    Since Angela Matthews was the employee of UT Physicians, an independent
    contractor, and UTHSCH did not have the right to control the details of her work
    under the plain language of the Management Agreement, UT Physicians cannot
    assert the UT System’s or UTHSCH’s sovereign immunity based on her negligent
    conduct.
    II.   The Trial Court Erred in Granting the Plea to the Jurisdiction Because
    the Lenoirs Alleged that Shana Lenoir’s Death Was Proximately
    Caused By An Employee’s Use of Tangible Personal Property.
    Alternatively, if the Court determines that UT Physicians is a governmental
    unit entitled to raise sovereign immunity, the trial court erred in granting UTP’s
    plea to the jurisdiction because the Lenoirs pled a waiver of sovereign immunity
    based upon the use of tangible personal property by an alleged government
    employee that caused Shana Lenoir’s death.
    Under the TTCA, immunity is waived if injury or death is caused by a
    “condition or use of tangible personal or real property.” TEX. CIV. PRAC. & REM.
    CODE §101.021 (2). But, immunity is waived “only when the governmental unit
    itself uses the property.” Rusk Sate Hosp. v. Black, 
    392 S.W.3d 88
    , 97 (Tex. 2012).
    “A governmental unit does not ‘use’ property within the meaning of the [Texas
    Tort Claims Act] when it merely allows someone else to use it.” 
    Id. Further, merely
    “furnish[ing] the condition that [makes] the injury possible” does not waive
    immunity. Tex. Dep’t of Criminal Justice v. Miller, 
    51 S.W.3d 583
    , 588 (Tex.
    9
    2001). Rather, it is the use of tangible property that must have actually caused the
    injury. 
    Id. The case
    at bar is not one where someone else used the medication, as in
    Black, nor is it a case where the use of medication merely furnished the condition
    that made injury possible, like Miller. Here, it was Nurse Matthews’ use of the
    property—i.e., the progesterone injection—that allegedly caused Shana Lenoir’s
    death, not her medical records or some nursing judgment. Therefore, immunity has
    been waived and the trial court erred in dismissing the Lenoirs’ claims against
    Matthews’ alleged governmental employer, UTP.
    The Lenoirs’ live pleading at the time of the hearing on UTP’s plea to the
    jurisdiction was Plaintiffs’ Second Amended Original Petition. CR 118-130. The
    Lenoirs specifically alleged that the injection of progesterone by Nurse Matthews
    actually caused Shana Lenoir’s death and that the administration of the injection
    was negligent because:     (1) it was contraindicated because of Lenoir’s twin
    pregnancy, (2) medically unnecessary because Lenoir was at least eight (8) months
    pregnant, (3) considered off-label use because progesterone is not approved to
    prevent pre-term labor by the FDA and (4) it was not ordered by a physician. CR
    121,123,127 at ¶¶17-19, 38-49 and 54-57. Therefore, the Lenoirs properly pled a
    waiver of immunity against UTP under the TTCA for negligent use of tangible
    10
    personal property by Nurse Matthews and the trial court erred in granting its plea
    to the jurisdiction.
    In its appellate brief, UTP continues to mischaracterize the Lenoirs’ claims
    against its former employee, Angela Matthews, in an attempt to bar any claims
    under the TTCA. UTP argues that the progesterone injection administered by
    Nurse Matthews that caused Shana Lenoir’s death was not use of tangible personal
    property, but rather the exercise of nursing judgment or use/non-use of information
    in her medical record. Not surprisingly, UTP spends several pages of its response
    brief citing cases where the courts held that immunity was not waived because the
    cases involved the application of medical judgment or use/non-use of information
    in medical records. Resp. Br. at 46-53.
    It is well established that the treatment of claims under Texas law focuses on
    the true nature of disputes rather than allowing artful pleading to gain favorable
    redress under the law. See, Baylor Univ. v. Sonnichsen, 
    221 S.W.3d 632
    , 636
    (Tex.2007); Ambulatory Infusion Therapy Specialist, Inc. v. N. Amer. Adm’s, Inc.,
    
    262 S.W.3d 107
    , 112 (Tex. App.—Houston [1st Dist.] 2008, no pet.). The court is
    “required to construe the allegations in favor of jurisdiction unless, on its face, the
    petition affirmatively demonstrates a lack of jurisdiction.” Kamel v. Univ. of Tex.
    Health Sci. Ctr. at Houston, 
    333 S.W.3d 676
    , 681 (Tex. App.—Houston [1st Dist.]
    2010, pet. denied). Further, in deciding a plea to the jurisdiction, a court may not
    11
    consider the merits of the case, but only the plaintiff's pleadings and the evidence
    pertinent to the jurisdictional inquiry. Cnty. of Cameron v. Brown, 
    80 S.W.3d 549
    ,
    555 (Tex. 2002).
    The cases cited by UTP are inapplicable because this is not a medical
    judgment claim since the Lenoirs have alleged that the progesterone injection by
    Matthews actually caused Shana Lenoir’s death, not some mental thought process
    or a piece of paper. Indeed, Shana Lenoir received an injection from Nurse
    Matthews and approximately 12 hours later, she and her unborn twins were dead
    from an allergic reaction. First Supp. CR 21-22; 27-29.
    The present case is more akin to the cases involving the dispensing of
    medication which has been held to be a use of tangible personal property. See,
    Quinn v. Mem'l Med. Ctr., 
    764 S.W.2d 915
    , 917 (Tex. App.—Corpus Christi 1989,
    no writ) (“We hold that the dispensing of a drug by a hospital pharmacy is a use of
    tangible personal property and falls within the waiver provisions of the statute.”);
    Wise Reg’l Health Sys. v. Brittain, 
    268 S.W.3d 799
    , 807 (Tex. App.—Fort Worth
    2008, no pet.) (holding that the plaintiff’s allegations that a nurse administered
    medications, when she should have refused to do so in light of the patient's
    condition, constituted use of medication and waiver of immunity); Edinburg Hosp.
    Auth. v. Trevino, 
    904 S.W.2d 831
    , 838 (Tex. App.—Corpus Christi 1995), rev’d on
    other grounds, 
    941 S.W.2d 76
    (Tex.1997) (determining that the dispensing of drug
    12
    by hospital pharmacy was “use”); Adams v. Rios, No. 14-95-00239-CV, 
    1996 WL 337108
    , at *4 (Tex. App.—Houston [14th Dist.] June 20, 1996, no pet.) (not
    designated for publication).
    In Tex. Tech. Univ. Health Sci. Ctr. v. Buford, 
    334 S.W.3d 334
    , 338 (Tex.
    App.-Eastland 2010, no pet.), after the court cited the cases listed above, it stated:
    The common thread running through those cases is that, in each one,
    the governmental unit being sued was the entity that employed those
    who used, by administering or dispensing, the drugs that were alleged
    to have caused the damages.
    Here, there is no dispute that the alleged governmental unit being sued,
    UTP: (1) employed Nurse Matthews and (2) supplied the progesterone hormone
    that Matthews injected into Shana Lenoir [CR 121, ¶18], and the injection is
    alleged to have caused Shana Lenoir’s death. Thus, the Lenoirs properly pled a
    waiver of immunity against UTP under Texas law and the trial court erred in
    granting the plea to the jurisdiction.
    In its brief, UTP admits that Angleton Danbury Hosp. Dist. v. Chavana, 
    120 S.W.3d 424
    , 428 (Tex. App.—Houston [14th Dist.] 2003, no pet.) presented a case
    where waiver was proper because it involved the mistaken injection of the wrong
    medication.    Resp. Br. at 56. However, UTP claims, “[I]n this case, there is no
    pleading or evidence that Ms. Lenoir’s death was caused by Nurse Matthews’
    negligent injection of a medication different from the one prescribed.” 
    Id. But, the
    Lenoirs did allege that Nurse Matthews negligently injected a different medication
    13
    than what was ordered by Dr. Gonski and that the injection caused Shana Lenoir’s
    death, as set forth below.
    Dr. Gonski’s order for the progesterone injection is quoted in ¶17 of the
    petition, but the order does not specify what kind of progesterone was supposed to
    be administered to Shana Lenoir.
    17. Plaintiffs allege that in the physician’s orders, Gonski wrote,
    “Progesterone shot IM weekly” and signed her name. CR 121, ¶17.
    Instead, Nurse Matthews decided on her own what progesterone to
    administer and it turned out not to be the right one. CR 121, ¶19.
    19. Plaintiffs allege that a 250 mg injection of progesterone was
    administered to Shana Lenoir by Defendant ANGELA MATHEWS,
    an LVN who signed her initials on the medical record.
    Although 17-alpha hydroxyprogesterone caproate (17P) has been used
    to prevent pre-term labor, this was not the drug Nurse Matthews injected
    into Shana Lenoir.     CR 123, ¶39.     Instead, Nurse Matthews allegedly
    injected 17-hydroxyprogesterone (17-OHP), which is not the same
    medication. CR 123, ¶38.
    39. Plaintiffs allege that although the American College of
    Obstetricians and Gynecologists (ACOG) has recommended the use
    of 17-alpha hydroxyprogesterone caproate (17P) for the prevention of
    pre-term labor, this is not the drug that was administered to Shana
    Lenoir.
    Thus, the Lenoirs alleged that Nurse Matthews administered the
    progesterone injection without a physician’s order. CR 124, ¶46 (A).
    14
    46. Plaintiffs allege that Defendant ANGELA MATHEWS
    engaged in several acts and omissions constituting negligence
    including:
    A.   Administering an injection without a physician order;
    The Lenoirs pled a waiver of immunity because Matthews injected a
    different medication than was ordered by Dr. Gonski and it is alleged to have
    caused Shana Lenoir’s death and the trial court erred in granting the plea to the
    jurisdiction.
    CONCLUSION
    WHEREFORE PREMISES CONSIDERED, the Appellants respectfully
    request an order overruling the trial court’s order granting Appellees UT
    Physicians plea to the jurisdiction, remanding this case to the trial court for further
    proceedings and awarding the Appellants their costs and any and all other general
    and equitable relief to which they may justly be entitled.
    Respectfully submitted,
    THE GOURRIER LAW FIRM, PLLC
    By: /s/ Joseph M. Gourrier      .
    JOSEPH M. GOURRIER
    Texas State Bar No. 24007258
    530 Lovett Boulevard, Suite B
    Houston, Texas 77006
    Telephone: 713-533-9077
    Facsimile: 713-533-9376
    joseph@gourrierlaw.com
    ATTORNEY FOR APPELLANTS
    15
    CERTIFICATE OF COMPLIANCE
    As required by Texas Rule of Appellate Procedure 9.4(i)(3), Appellants
    certify that this brief is 3,452 words which is in compliance with Texas Rule of
    Appellate Procedure 9.4(i)(2).
    By: /s/ Joseph M. Gourrier
    JOSEPH M. GOURRIER
    Texas State Bar No. 24007258
    CERTIFICATE OF SERVICE
    I certify that a true and correct copy of the foregoing instrument has been
    served upon all parties of record via certified mail return receipt requested and/or
    facsimile on the 3rd day of April, 2015.
    Ken Paxton                                  David Iler
    Daniel T. Hodge                             Jaqualine McMillan
    David C. Mattax                             Fulbright & Jaworski, LLP
    John P. Giberson                            1301 McKinney, Suite 5100
    Jason Warner                                Houston, TX 77010-3095
    OFFICE OF THE ATTORNEY GENERAL              Telephone: (713) 651-5151
    Tort Litigation Division, MC-030            Facsimile: (713) 651-5246
    P.O. Box 12548, Capitol Station             Attorneys     for    Appellee     U.T.
    Austin, Texas 78711-2548                    Physicians
    Telephone: (512) 463-2197
    Facsimile: (512) 463-2224
    Attorneys     for     Appellee   U.T.
    Physicians
    /s/ Joseph M. Gourrier      .
    Joseph M. Gourrier
    16