Fourth Court of Appeals

San Antonio, Texas

MEMORANDUM OPINION

No. 04-15-00553-CV

IN RE Ruben GONZALEZ

Original Mandamus Proceeding1

Opinion by: Rebeca C. Martinez, Justice

Sitting: Sandee Bryan Marion, Chief Justice

Rebeca C. Martinez, Justice

Jason Pulliam, Justice

Delivered and Filed: October 7, 2015

PETITION FOR WRIT OF MANDAMUS CONDITIONALLY GRANTED

On September 4, 2015, relator Ruben Gonzalez filed a petition for writ of mandamus, 

complaining of the trial court’s order requiring him to undergo a medical examination requested 

by the real parties in interest in the underlying personal injury lawsuit. See TEX. R. CIV. P. 204. We 

conclude the trial court abused its discretion in ordering the medical examination. See Coates v. 

Whittington, 758 S.W.2d 749, 753 (Tex. 1988) (orig. proceeding). Therefore, we conditionally 

grant the petition for writ of mandamus. 

BACKGROUND

In February 2013, Gonzalez was involved in a multi-vehicle accident in La Salle County, 

Texas. Abel Casillas was driving a truck owned by Premier Eagle Ford Services, Inc. and turned 

 1 This proceeding arises out of Cause No. 2013-CVT-000742-D2, styled Martin Garcia Jr. v. Ruben Gonzalez; Vision 

Construction Company, Inc.; Abel Alvarado Casillas; and Premier Eagle Ford Services, Inc., pending in the 111th 

Judicial District Court, Webb County, Texas, the Honorable Monica Z. Notzon presiding.
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in front of Gonzalez’s vehicle. Gonzalez veered to his right and struck a third vehicle driven by 

Martin Garcia Jr. Garcia filed a personal injury lawsuit against Gonzalez, Casillas, Premier Eagle 

Ford Services, and Vision Construction Company in May 2013.1 Gonzalez filed a cross-claim 

against Casillas and Premier, seeking to recover damages for his own mental and physical injuries 

allegedly sustained as a result of the accident.

One of Gonzalez’s treating physicians, Dr. Gerardo Zavala, recommended that Gonzalez 

undergo a surgical procedure to remove four cervical discs and fuse the vertebrae together. Dr. 

Zavala was deposed in February 2015 by Casillas and Premier regarding his past treatment of 

Gonzalez and his recommendation for the four-disc surgery. In March 2015, Casillas and Premier 

filed a motion requesting a medical examination of Gonzalez, which the trial court denied. 

At some point, Gonzalez obtained a second opinion regarding his recommended course of 

treatment from another physician, Dr. Alejandro Betancourt, who had not yet been disclosed to 

the other parties as a testifying expert or potential fact witness. Dr. Betancourt recommended that 

Gonzalez have a single-disc replacement surgery. In May 2015, Gonzalez’s lawyer advised 

opposing counsel in an e-mail that Gonzalez was, “going to move forward with surgery,” but did 

not disclose the nature of the surgery being performed, or identify the physician who would be 

completing it. Dr. Betancourt performed a single-disc replacement surgery on Gonzalez in July 

2015.

Casillas and Premier filed a renewed motion seeking to conduct a medical examination of 

Gonzalez on July 22, 2015. After the real parties in interest filed their renewed motion, Gonzalez 

filed supplemental responses to requests for disclosure identifying Dr. Betancourt as a person with 

knowledge of relevant facts, and the physician who had performed Gonzalez’s surgery. 

 1 Plaintiff Martin Garcia Jr. and defendant Vision Construction Company, Inc. are not parties to this original 

proceeding.
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After a hearing on the renewed motion for examination, the trial court ordered Gonzalez to 

undergo the requested medical examination, which was scheduled to take place on September 9, 

2015, in San Antonio, Texas, with Dr. Gilbert Meadows, the physician retained by Casillas and 

Premier. Gonzalez then filed this original proceeding complaining that the trial court abused its 

discretion in ordering the medical examination, and that he would be unable to remedy the alleged 

error by ordinary appeal. We ordered a stay of the scheduled medical examination and requested 

a response to the mandamus petition.

ANALYSIS

The Texas Rules of Civil Procedure provide that a trial court may issue an order requiring 

a party to submit to a physical or mental examination upon a showing of good cause, when the 

mental or physical condition of the party is in controversy. TEX.R.CIV. P. 204.1(c). “In the absence 

of an affirmative showing of both prongs of the test, a trial court may not order an examination.” 

Coates, 758 S.W.2d at 751. Texas courts have further defined the good cause element to emphasize 

the balance between the competing interests of one party’s right to privacy versus another’s right 

to a fair trial. See In re Ten Hagen Excavating, Inc., 435 S.W.3d 859, 867 (Tex. App.—Dallas 

2014, orig. proceeding). To establish good cause for a medical examination, the requesting party 

must show that: (1) the requested examination is relevant to issues in controversy in the case; (2) 

a reasonable nexus exists between the condition in controversy and the examination sought; and 

(3) the desired information may not otherwise be obtained through other, less intrusive means of 

discovery short of a compelled examination. See Coates, 758 S.W.2d at 753. 

There is no dispute in this case that the requested examination is relevant to issues in 

controversy, and that a reasonable nexus exists between the examination and Gonzalez’s alleged 

physical condition, which is in controversy as a result of Gonzalez’s cross-claim. The only aspect 

of the good cause requirement at issue in this proceeding is the third element. This element requires 
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the requesting party to establish that it is not possible to obtain the information sought by less 

intrusive means and that, absent the requested examination, the relator will not be able to obtain a 

fair trial. Ten Hagen Excavating, 435 S.W.3d at 869.

Based on the mandamus record provided in this proceeding, we conclude that the real 

parties in interest did not establish good cause for the compelled medical examination. The real 

parties presented an affidavit from their expert, Dr. Gilbert Meadows, in support of the 

examination. Dr. Meadows testified, “I would strongly recommend that Mr. Gonzalez undergo an 

independent medical examination before he undergoes a four level cervical fusion.” He also 

suggests that such an independent medical examination should include:

Review of all pertinent documents; review of all X-rays and imaging; receive the 

patient’s history and have him fill out a history form and pain diagram; perform a 

physical examination of the involved anatomical areas, including a neurological 

exam; and discern clinical impressions based upon the history, physical exam, and 

imaging of the patient, finalizing the process with a report.

Dr. Meadows does not, however, detail any information necessary to his evaluation or 

development of opinions that is not covered by existing examinations or medical records, or that 

could not be obtained by other discovery, such as deposing additional witnesses. See id. at 870. 

The real parties did not establish that the information regarding Gonzalez’s condition which would 

be available to their experts through other forms of discovery is inadequate for the purpose of 

defending against Gonzalez’s claims and obtaining a fair trial. 

CONCLUSION

Based on the foregoing analysis, we hold the trial court abused its discretion in granting 

the requested medical examination pursuant to Rule 204 in the absence of a showing of all of the 

required elements of good cause. Accordingly, we conditionally grant the petition for writ of 

mandamus and direct the trial court to vacate its August 25, 2015 Order Granting CrossDefendants’ Renewed Motion to Conduct Medical Examination. See Coates, 758 S.W.2d at 751. 
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We are confident the trial court will comply. The writ will issue only if the trial court fails to 

comply within fifteen days from the date of this court’s order.

Rebeca C. Martinez, Justice