NO. 07-10-0061-CV 

IN THE COURT OF APPEALS 

FOR THE SEVENTH DISTRICT OF TEXAS 

AT AMARILLO 

PANEL D 

JANUARY 4, 2012 

______________________________ 

DALE BRAMLETT, INDIVIDUALLY AND AS INDEPENDENT 

ADMINISTRATOR OF THE ESTATE OF VICKI BRAMLETT, DECEASED; 

SHANE FULLER AND MICHAEL FULLER, APPELLANTS 

V. 

BENNY P. PHILLIPS, M.D., APPELLEE 

_________________________________ 

FROM THE 99TH DISTRICT COURT OF LUBBOCK COUNTY; 

NO. 2003-522,183; HONORABLE WILLIAM C. SOWDER, JUDGE 

_______________________________ 

Before QUINN, C.J., and CAMPBELL and PIRTLE, JJ. 

OPINION 

This appeal is from the trial court's entry of a judgment on remand from the 

Texas Supreme Court. Finding the trial court erred in the calculation of damages and 

the award of postjudgment interest, we reverse and remand. 

 
 2

Background 

Because the underlying facts of this case are well-known to the parties, we focus 

only on those facts germane to this appeal. This medical malpractice cause of action 

was originally tried to a jury in 2005. That jury returned a verdict in favor of Appellants, 

Dale Bramlett, Individually and as Independent Administrator of the Estate of Vicki 

Bramlett, Deceased, Shane Fuller and Michael Fuller,1

 and against Appellee, Benny P. 

Phillips, M.D., awarding $11 million in actual damages and $3 million in exemplary 

damages. The trial court denied Appellee's request to apply the statutory cap on 

damages in a medical malpractice action provided by article 4590i, section 11.02(a),2

and after post-trial adjustments,3 entered a judgment in favor of Appellants in the sum of 

$12,168,364.50 on October 18, 2005 (the "2005 judgment"). That judgment provided 

for postjudgment interest at the rate of 6.50% from the date of judgment. See Tex. Fin. 

Code Ann. § 304.003 (West 2006). The 2005 judgment was appealed to this Court 

 

1

Where necessary to the discussion, Dale Bramlett, the Estate of Vicki Bramlett, Shane Fuller and 

Michael Fuller will be identified by name; otherwise, they will be collectively referred to as Appellants. 

2

All references to section 11.02(a) or section 11.02(c) are references to the Medical Liability and 

Insurance Improvement Act of 1977. Act of June 16, 1977, 65th Leg., R.S., ch. 817, § 11.02, 1977 Tex. 

Gen. Laws 2039, 2052 (formerly Tex. Rev. Civ. Stat. Ann. art. 4590i). Article 4590i was repealed by Act 

of June 2003, 78th Leg., R.S., ch. 204, § 10.09, 2003 Tex. Gen. Laws 847, 884. Although repealed, this 

statute was effective at all times relevant to this litigation. 

3

Before entering judgment, the trial court (1) reduced the jury award of medical expenses by $124,000.00 

at Appellants' request, (2) applied a settlement credit of $2,300,000.00 resulting from Appellants' 

settlement with Covenant Health Systems, d/b/a Covenant Medical Center, (3) calculated prejudgment 

interest according to article 4590i, section 16.02(c), from the date of injury on October 29, 2002, until the 

day before judgment was signed on October 18, 2005, at 6.50% in accordance with sections 304.003 and 

304.103 of the Texas Finance Code, and (4) offset prejudgment interest based on a written settlement 

offer in the amount of $200,000.00, made on February 21, 2005, pursuant to section 304.105(b) of the 

Texas Finance Code. References to the Texas Finance Code are to Tex. Fin. Code Ann. (West 2006). 
 3

where, on March 17, 2007, it was affirmed in part and reversed and remanded in part.4

 

Consistent with the remittitur suggested in that opinion, on April 30, 2007, this Court 

issued its Opinion on Order of Remittitur, which reformed the 2005 judgment by 

reducing the recovery of Shane Fuller and Michael Fuller for future pecuniary losses 

and associated prejudgment interest. 

Petition for review was granted by the Texas Supreme Court to consider the 

interrelationship between two provisions of the Medical Liability and Insurance 

Improvement Act of 1977. The first provision, section 11.02(a), capped the liability of a 

physician at a fixed amount, adjusted for inflation; whereas the second provision, 

section 11.02(c), created an exception to this cap when the physician's insurer 

negligently fails to settle within the meaning of the Stowers Doctrine,

5

 that is, when the 

physician's insurer negligently fails to settle a claim within the limits of the physician's 

liability policy. Ultimately, the Supreme Court determined that both provisions could be 

given effect by conforming the judgment against the physician to section 11.02(a)'s cap 

and reserving for another case any suit against the insurer under section 11.02(c)'s 

Stowers exception. 

 

4

Phillips v. Bramlett, 258 S.W.3d 158 (Tex.App.--Amarillo 2007), rev'd, 288 S.W.3d 876, 882 (Tex. 2009) 

(Campbell, J., dissenting) (reversing and rendering a take-nothing judgment on the issue of gross 

negligence and exemplary damages, suggesting a remittitur of $220,000 as to both Shane Fuller and 

Michael Fuller on the issue of future pecuniary losses, and affirming the trial court's judgment in all other 

respects). 

5

See generally, G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544, 547 (Tex. Comm’n App. 

1929, holding approved). 
 4

Accordingly, on March 6, 2009, the Supreme Court reversed the judgment of this 

Court6 and remanded the case to the trial court for entry of a judgment "consistent" with 

the Supreme Court's opinion.7

 All motions for rehearing were denied and the Texas 

Supreme Court issued its mandate on September 29, 2009. 

After the Supreme Court issued its opinion, but prior to any action by the trial 

court, Appellants attempted to amend their petition to include claims against Appellee's 

insurance carrier, The Medical Protective Company of Fort Wayne, Indiana, Medical 

Protective Insurance Services, Inc., d/b/a The Medical Protective Company of Fort 

Wayne, Indiana (hereinafter "Med Pro"), and two adjusters, Dan Walston and Paul 

Rinaldi. Because Med Pro had previously filed a motion for rehearing before the 

Supreme Court,8

 Appellants contended that Med Pro was a party to this proceeding and 

they filed a motion requesting the trial court to compel Med Pro to appear and answer 

Appellants' allegations. 

Both parties moved for judgment and without a new trial on the merits, a hearing 

on pending motions was held on November 19, 2009. On December 1, 2009, the trial 

court entered its second judgment (the "2009 judgment") in the sum of $1,717,649.61. 

In rendering that judgment, the trial court implicitly denied Appellants' attempt to add 

 

6

Although the Supreme Court's opinion "reversed" the judgment of this Court, it did not address issues 

previously determined by this Court pertaining to the issue of gross negligence, the remittitur of damages 

for future pecuniary losses, or the findings of the trial court incorporated in the original judgment. 

7

Phillips v. Bramlett, 288 S.W.3d 876, 883 (Tex. 2009). 

8

The Supreme Court ultimately treated this filing as an amicus brief. 
 5

additional parties, recalculated damages,9

 changed the rate and effective date for 

computing postjudgment interest, and omitted findings originally contained in the 2005 

judgment. According to Appellants’ allegations, in rendering judgment, the trial court 

disregarded a Rule 11 agreement between the parties entered into after the 2005 

judgment pertaining to the effective date for the computation of postjudgment interest. 

Appellants' motion to modify, correct, or reform that judgment was subsequently 

overruled by operation of law and this appeal followed. 

Appellants originally sought relief from the Supreme Court through a petition for 

writ of mandamus. The Supreme Court denied that relief without written opinion.10 

While awaiting disposition of their requested mandamus relief, Appellants timely 

perfected this appeal of the trial court's 2009 judgment. Contending this Court lacked 

jurisdiction, Appellee moved to dismiss the appeal. Originally, we denied Appellee's 

motion to dismiss without written opinion; however, upon consideration of Appellee's 

motion for rehearing, we reaffirmed our denial by written opinion.11

 Ultimately, by one issue, stated in seven different subparts, Appellants contend 

the trial court erred by failing to recite in the 2009 judgment that (1) facts exist which 

would enable Appellants to assert a cause of action pursuant to the "Stowers Doctrine," 

 

9

In recalculating damages, the trial court made legal and factual decisions pertaining to the applicable 

date for computation of the statutory cap, as well as the applicable consumer price index to be applied in 

calculating that cap. 

 

10See In re Dale Bramlett, Individually and as Independent Administrator of the Estate of Vicki Bramlett, 

Deceased, Shane Fuller and Michael Fuller, No. 10-0025, (Tex. Feb. 5, 2010) (denied without written 

order) available at http://www.supreme.court.state.tx.us/opinions/casesearch.asp. 

11Bramlett v. Phillips, 322 S.W.3d 443 (Tex.App.--Amarillo 2010, no pet.). 
 6

(2) the amount of damages that would have been awarded Appellants but for the 

section 11.02(a) damages cap, (3) the apportionment of rights between Appellants and 

Appellee in any subsequent prosecution of a Stowers claim; and the trial court erred by 

exceeding the Supreme Court Mandate by (4) changing the effective date for and rate 

of postjudgment interest, (5) vacating the original judgment, (6) removing recitations and 

other language from the original judgment, and (7) misspelling Shane Fuller's name. 

Opinions and Judgments and Mandates! Oh, my!12

 An intermediate appellate court must hand down a written opinion that addresses 

every issue raised that is necessary to final disposition of an appeal. Tex. R. App. P. 

47.1. Upon disposition of that appeal, the court of appeals must also enter a judgment 

that either: (a) affirms the trial court's judgment in whole or in part; (b) modifies the trial 

court's judgment and affirms it as modified; (c) reverses the trial court's judgment in 

whole or in part and renders the judgment that the trial court should have rendered; (d) 

reverses the trial court's judgment and remands the case for further proceedings; (e) 

vacates the trial court's judgment and dismisses the case; or, (f) dismisses the appeal. 

Tex. R. App. P. 43.2. Following entry of the appellate court's judgment and the 

expiration of appropriate time periods, the clerk of that court issues a mandate. Tex. R. 

App. P. 18.1(a), 51.1. The mandate is the appellate court's directive commanding the 

lower court to comply with the appellate court's judgment. Tex. Parks & Wildlife Dep't v. 

Dearing, 240 S.W.3d 330, 347 (Tex.App.--Austin 2007, pet. denied). 

 

12"Lions and tigers and bears! Oh my!", Dorothy, Wizard of Oz (1939). Sometimes our imagination makes 

things seem more daunting than they really are. 
 7

 Similarly, the Texas Supreme Court must hand down a written opinion in all 

cases in which it renders a judgment. Tex. R. App. P. 63. That judgment must either: 

(a) affirm the lower court's judgment in whole or in part; (b) modify the lower court's 

judgment and affirm it as modified; (c) reverse the lower court's judgment in whole or in 

part and render the judgment that the lower court should have rendered; (d) reverse the 

lower court's judgment and remand the case for further proceedings; (e) vacate the 

judgments of the lower courts and dismiss the case; or, (f) vacate the lower court's 

judgment and remand the case for proceedings in light of changes in the law. Tex. R. 

App. P. 60.2. Following entry of its judgment and expiration of appropriate time periods, 

the Clerk of the Supreme Court also issues a mandate. Tex. R. App. P. 18.1(b). 

 When an appellate court affirms a trial court's judgment or renders the judgment 

a trial court should have rendered, the judgment of the appellate court becomes the 

judgment of both courts, as to those issues. Cook v. Cameron, 733 S.W.2d 137, 139 

(Tex. 1987) (op. on rehearing); Dallas County v. Sweitzer, 971 S.W.2d 629, 630 

(Tex.App.--Dallas 1998, no pet.). When a lower court's judgment is reversed in whole, 

that judgment is a nullity, leaving the judgment as if it had never been rendered. See 

Cessna Aircraft Co. v. Aircraft Network, LLC, 345 S.W.3d 139, 145 (Tex.App.--Dallas 

2011, no pet.); In re S.S.G., 208 S.W.3d 1, 3 (Tex.App.--Amarillo 2006, pet. denied) 

(stating effect of reversal is to nullify the judgment); Flowers v. Flowers, 589 S.W.2d 

746, 748 (Tex.App.--Dallas 1979, no writ) (holding reversal of a judgment completely 

nullifies it, leaving it as if it had never been rendered); In re Jerry F., 294 S.W.3d 297, 

298 (Tex.App.--Fort Worth 2009) (orig. proceeding) (stating once reversed, the trial 
 8

court's judgment is of no force and effect). However, when a judgment is reversed in 

part, as to those issues on which the judgment was not reversed, unless otherwise 

modified, the judgment remains in force and effect.

 The scope of an appellate court's mandate is determined with reference to both 

the appellate court's opinion and the mandate itself. Cessna Aircraft Co., 345 S.W.3d at 

144 (citing Truck Ins. Exchange v. Robertson, 89 S.W.3d 261, 263 (Tex.App.--Fort 

Worth 2002, no pet.). Therefore, whether a judgment is reversed in whole or in part 

does not depend solely upon the wording of the mandate itself, but must instead be 

discerned by looking at both the opinion and the mandate to determine the full intent of 

the reviewing court. Id. 

 In this case, both the judgment and mandate of the Texas Supreme Court stated 

in pertinent part: 

IT IS THEREFORE ORDERED, in accordance with the Court's opinion, 

that: 

1) The court of appeals' judgment is reversed; 

2) The cause is remanded to the trial court for further proceedings 

consistent with this Court's opinion; and 

3) Benny P. Phillips, M.D., shall recover, and Dale Bramlett, Individually 

and as Independent Administrator of the Estate of Vicki Bramlett, 

Deceased, Shane Fuller, and Michael Fuller shall pay, the costs 

incurred in this Court and in the court of appeals. 

 

(Emphasis added.) 

 Although the Supreme Court's judgment and mandate "reversed" the judgment of 

this Court, its opinion did not address every issue previously determined by this Court, 
 9

including issues pertaining to the recovery of exemplary damages, the remittitur 

suggested on the issue of Shane and Michael's future pecuniary losses, or the inclusion 

of findings made by the trial court in the original judgment. Because those issues were 

not addressed by the Supreme Court in its opinion, we construe that opinion, judgment 

and mandate as only reversing that part of our judgment dealing with the 

interrelationship between section 11.02(a) and section 11.02(c) of the Medical Liability 

and Insurance Improvement Act of 1977. Therefore, as to those issues not addressed 

by the Supreme Court, the opinions and judgments of this Court remain in force and 

effect. Similarly, as to those issues not addressed by either the Supreme Court or this 

Court, the 2005 judgment of the trial court remains in force and effect. 

Jurisdiction of Trial Court on Remand 

 When an appellate court remands a case with specific instructions, the trial court 

is limited to complying with the instructions and cannot re-litigate issues controverted at 

the former trial. Denton County v. Tarrant County, 139 S.W.3d 22, 23 (Tex.App.--Fort 

Worth 2004, pet. denied). We construe the mandate of the Supreme Court as vesting 

the trial court with the limited jurisdiction to determine the issue addressed in its opinion, 

to-wit: the interplay between "two provisions of the Medical Liability and Insurance 

Improvement Act of 1977, now repealed."13 Therefore, to the extent that the judgment 

of the trial court exceeds that limited scope of authority, it was done so without 

jurisdictional authority. 

 

13Bramlett v. Phillips, 288 S.W.3d 876, 877 (Tex. 2009). 
 10

 Simply put, the Supreme Court found the trial court erred by failing to apply the 

statutory damages cap provided by section 11.02(a). The Supreme Court found the trial 

court's 2005 judgment, and the judgment of this Court, incorrectly assumed that the 

section 11.02(c) statutory Stowers exception waived the section 11.02(a) cap as to both 

the insurer and the insured, when, in fact, it only waived that cap as to the insurer. 

Because the cap was not waived as to the insured (Appellee), the trial court and this 

Court erred by not giving effect to that damages cap. Therefore, the only thing the trial 

court was authorized to do was to recalculate damages by applying the damages cap 

provided by section 11.02(a). To the extent the trial court did anything else, it exceeded 

its limited jurisdiction. 

The 2009 Judgment 

 The 2009 judgment of the trial court does five things: (1) it vacates the court's 

2005 judgment; (2) it calculates the amount of recoverable damages based upon the 

jury's verdict; (3) it provides that "the unpaid part of this Judgment shall bear post 

judgment interest at Five Percent (5.0%) per year compounded annually"; (4) it 

specifically reserves any claim under former article 4590i, section 11.02(c) for another 

case; and (5) it provides that all relief not expressly granted is denied. 

 

 
 11

1. Vacation of the Trial Court's 2005 Judgment 

 Because that provision of the 2009 judgment vacating the 2005 judgment 

exceeds the limited scope of the trial court's jurisdictional authority, it was improper and 

is, hereby, vacated.14 

2. Recalculation of Damages 

 Appellants contend the trial court erred in its recalculation of damages because it 

exceeded the mandate of the Supreme Court by "[c]hanging the rate of postjudgment 

interest and the date from which postjudgment interest accrues from that in the original 

judgment, despite not having been directed to do so." Because the trial court did not 

explain the mathematical process by which it calculated damages, it is impossible for 

this Court to determine (1) the date upon which the adjusted cap on damages was 

calculated, (2) the consumer price index used to adjust that cap, (3) the application of 

settlement credits due to the settlement of another defendant, or (4) the application of 

an offset of prejudgment interest pursuant to section 304.105(b) of the Texas Finance 

Code. While this Court is unable to determine the actual methodology used by the trial 

court in its recalculation of damages, what is clear is that the trial court did not make 

those recalculations based upon the date of the 2005 judgment. Furthermore, it is 

 

14Justice Campbell's dissent accurately captures the essence of this issue wherein he discusses this 

Court's awareness of the impact this appeal could have on the anticipated Stowers action against Dr. 

Phillips's insurer. Where our opinions differ is in his conclusion that the majority implicitly finds the trial 

court erred in failing to include in its 2009 judgment the recitations included in its 2005 judgment. The 

majority opinion should not be read as making that finding. Indeed, reciting those findings in the 2009 

judgment would have equally exceeded the limited scope of the trial court's jurisdictional authority. The 

import and effect of the recitations contained in the 2005 judgment is not a matter before the trial court or 

this Court at this time. That issue has neither been briefed nor argued by either party, and it should not 

be affected by inserting a finding in the 2009 judgment that those recitations are "vacated." That's 

another issue for another day. 
 12

patently clear from the face of the judgment that the trial court changed the rate of 

postjudgment interest. Because the trial court did not recalculate damages in 

accordance with the judgment of the Supreme Court, the trial court erred. 

 3. Postjudgment Interest 

When a judgment is rendered by an appellate court or remanded for the limited 

purpose of entering a new judgment, the judgment creditor is entitled to postjudgment 

interest on the corrected judgment calculated from the date of the original erroneous 

judgment. Thornal v. Cargill, 587 S.W.2d 384, 385 (Tex. 1979); D.C. Hall Transport, 

Inc. v. Hard, 335 S.W.2d 257, 260 (Tex.Civ.App.--Fort Worth 1962, writ ref'd n.r.e.). 

Even though the 2009 judgment does not specify the date from which postjudgment 

interest should be calculated, it clearly does not provide for postjudgment interest on the 

corrected judgment from the date of the original 2005 judgment. Therefore, the trial 

court erred in failing to specify that postjudgment interest would accrue from the date of 

the 2005 judgment. 

 4. Reservation of Section 11.02(c) Claim For Another Case 

The opinion of the Supreme Court made it clear that any Stowers claim would be 

the subject of subsequent litigation. Therefore, the trial court did not err in finding that 

any suit against Appellee's insurer under former article 4590i, section 11.02(c) is 

reserved for another case. 

 

 
 13

5. Relief Not Expressly Granted Is Denied 

Due to the limited jurisdiction of the trial court, the granting of additional relief 

would have exceeded the jurisdiction of the trial court. Therefore, the trial court did not 

err in denying relief not expressly granted. 

Conclusion 

 Having found the trial court exceeded the limited jurisdiction granted by the 

mandate of the Supreme Court by vacating the 2005 judgment, and having found that 

the trial court erred in the recalculation of damages and the computation of 

postjudgment interest, Appellants' issue is sustained and the 2009 judgment is 

reversed. Accordingly, this cause is remanded to the trial court for the recalculation of 

damages. In calculating damages the trial court shall consider (1) the verdict of the jury, 

(2) Appellants' request to reduce the jury award of medical expenses by $124,000.00, 

(3) the judgment of this Court which reversed the award of exemplary damages, (3) this 

Court's Order of Remittitur, which reformed the 2005 judgment by reducing the recovery 

of Shane Fuller and Michael Fuller for future pecuniary losses, (4) the pretrial settlement 

of $2,300,000.00 received by Appellants from Covenant Health Systems d/b/a 

Covenant Medical Center, and (5) the judgment of the Supreme Court ordering the 

application of the statutory damages cap provided by section 11.02(a) as of October 18, 

2005. Furthermore, in entering its judgment the trial court shall (1) calculate 

prejudgment interest pursuant to sections 304.003 and 304.103 of the Texas Finance 

Code from the date of injury, October 29, 2002, until the day before the date the original 
 14

judgment was signed, October 17, 2005.15 (2) offset prejudgment interest based upon 

the written settlement offer made February 21, 2005, (3) determine the applicable 

consumer price index and compute the adjusted section 11.02(a) damages cap as of 

October 18, 2005,16 and (4) determine the applicable rate for postjudgment interest in 

accordance with section 304.003 of the Texas Finance Code, as of October 18, 2005. 

 Patrick A. Pirtle 

 Justice 

Campbell, J., concurring and dissenting. 

 

15The 2005 judgment found that Appellants were entitled to 1,048 days of prejudgment interest. The 

actual number of days between date of injury and the day before the judgment was signed is 1,084 days. 

16The consumer price index is promulgated by the U.S. Department of Labor, Bureau of Labor Statistics. 

See http://www.bls.gov/ro3/fax_9160.htm (last visited December 22, 2011).