Court Opinion

ID: 6329762
Source: CourtListenerOpinion
Date Created: 2022-04-12 22:10:50.454134+00
Date Added: 2024-06-11T09:22:56.470412
License: Public Domain

RENDERED: APRIL 1, 2022; 10:00 A.M.
                       NOT TO BE PUBLISHED

               Commonwealth of Kentucky
                        Court of Appeals

                           NO. 2021-CA-0569-MR

GLENDA C. JOHNSON                                              APPELLANT

                APPEAL FROM PULASKI CIRCUIT COURT
v.                HONORABLE JERRY J. COX, JUDGE
                       ACTION NO. 19-CI-00724

DR. JOHN C. MOBLEY; LAKE
CUMBERLAND PHYSICIANS
PRACTICES, LLC D/B/A LAKE
CUMBERLAND WEIGHT LOSS
PHYSICIANS; AND LAKE
CUMBERLAND REGIONAL
HOSPITAL D/B/A LAKE
CUMBERLAND WEIGHT LOSS
CENTER                                                          APPELLEES

                                 OPINION
                                AFFIRMING

                               ** ** ** ** **

BEFORE: COMBS, DIXON, AND TAYLOR, JUDGES.

DIXON, JUDGE: Glenda C. Johnson appeals from the orders granting partial

summary judgment in favor of Dr. John C. Mobley; Lake Cumberland Physicians
Practices, LLC d/b/a Lake Cumberland Weight Loss Physicians, and Lake

Cumberland Regional Hospital d/b/a Lake Cumberland Weight Loss Center

(collectively “Lake Cumberland”), as well as the orders denying Johnson’s

motions to reconsider and alter, amend, or vacate said partial summary judgments,

entered by the Pulaski Circuit Court on September 9, 2020; October 16, 2020;

February 10, 2021; and March 30, 2021, respectively. After careful review of the

record, briefs, and law, we affirm.

                FACTS AND PROCEDURAL BACKGROUND

             Glenda Johnson is a middle-aged woman who has struggled with

obesity since the birth of her son in 1992. Experiencing only minimal success with

either weight loss or maintenance with diets, medications, and exercise regimens,

she ultimately sought surgical intervention. In 2016, a friend told Johnson about a

gastric bypass/lap-band procedure she had undergone to lose weight. Hopeful a

similar procedure might work for her, Johnson began conducting internet research

to learn about surgical options and whether they were offered nearby. During this

online investigation, Johnson discovered Lake Cumberland’s website.

             Johnson attended a weight-loss seminar sponsored by Lake

Cumberland at which she heard Dr. John Mobley speak about the procedures he

performed to help patients lose weight, as well as the risks associated therewith.

Johnson began treatment with Dr. Mobley on July 11, 2016. After meeting with

                                         -2-
Dr. Mobley and his staff multiple times, undergoing psychological testing,

obtaining a referral from her primary care provider, and completing an

informational packet, a quiz, and a 17-page consent form, Johnson underwent an

adjustable gastric lap-band surgery performed by Dr. Mobley on April 27, 2017.

             During the months following the operation, Johnson followed up with

Dr. Mobley regularly for adjustments of the lap-band. However, on September 28,

2017, Johnson was admitted to a local hospital complaining of abdominal pain.

Subsequently, she underwent a barium esophagram, which revealed a small portion

of Johnson’s stomach had slipped through the band. Johnson claims she was not

apprised of that finding but was released after her symptoms resolved.

             As of October 23, 2017, Johnson had lost 57 pounds and was

tolerating all foods well. She continued to treat with Dr. Mobley until July 25,

2018, at which time she had lost 84 pounds and voiced no complaints.

             On August 10, 2018, however, Johnson went to a local emergency

room for intense abdominal pain. She was transferred to a nearby hospital where

she underwent surgery the following day. The operative report noted adhesions

found around the lap-band, which was removed, and a dime-sized perforation at

the greater curve of Johnson’s stomach.

                                          -3-
                On July 22, 2019, Johnson sued Dr. Mobley and Lake Cumberland,

alleging both medical malpractice and breach of contract/Kentucky Consumer

Protection Act (KCPA) violation.

                On July 27, 2020, Dr. Mobley moved the trial court for partial

summary judgment on Johnson’s KCPA claim. The following day Lake

Cumberland joined his motion. After a hearing on the KCPA claim, the trial court

initially denied the defendants’ motions for summary judgment; however, it

subsequently entered orders granting partial summary judgment in favor of Lake

Cumberland and Dr. Mobley on Johnson’s KCPA claim. The trial court denied

Johnson’s subsequent motions to reconsider and to alter, amend, or vacate these

orders, and Johnson now appeals to this court.

                                STANDARD OF REVIEW

                Summary judgment is appropriate “if the pleadings, depositions,

answers to interrogatories, stipulations, and admissions on file, together with the

affidavits, if any, show that there is no genuine issue as to any material fact and

that the moving party is entitled to a judgment as a matter of law.” CR1 56.03. An

appellate court’s role in reviewing a summary judgment is to determine whether

the trial court erred in finding no genuine issue of material fact exists and the

moving party was entitled to judgment as a matter of law. Scifres v. Kraft, 916

1
    Kentucky Rules of Civil Procedure.

                                           -4-
S.W.2d 779, 781 (Ky. App. 1996). A grant of summary judgment is reviewed de

novo because factual findings are not at issue. Pinkston v. Audubon Area Cmty.

Servs., Inc., 210 S.W.3d 188, 189 (Ky. App. 2006) (citing Blevins v. Moran, 12

S.W.3d 698 (Ky. App. 2000)).

             Concerning a trial court’s denial of a motion to alter, amend, or

vacate, it is well-established:

             CR 59.05 simply provides: “A motion to alter or amend
             a judgment, or to vacate a judgment and enter a new one,
             shall be served not later than 10 days after entry of the
             final judgment.” A party cannot invoke CR 59.05 to
             raise arguments and to introduce evidence that should
             have been presented during the proceedings before the
             entry of the judgment. Unlike CR 60.02, CR 59.05 does
             not set forth the grounds for the motion. But because
             “reconsideration of a judgment after its entry is an
             extraordinary remedy which should be used sparingly,”
             the federal courts, in construing CR 59.05’s federal
             counterpart, Federal Rule of Civil Procedure 59(e), have
             limited the grounds:

                    There are four basic grounds upon which a Rule
                    59(e) motion may be granted. First, the movant
                    may demonstrate that the motion is necessary to
                    correct manifest errors of law or fact upon which
                    the judgment is based. Second, the motion may be
                    granted so that the moving party may present
                    newly discovered or previously unavailable
                    evidence. Third, the motion will be granted if
                    necessary to prevent manifest injustice. Serious
                    misconduct of counsel may justify relief under this
                    theory. Fourth, a Rule 59(e) motion may be
                    justified by an intervening change in controlling
                    law.

                                         -5-
Gullion v. Gullion, 163 S.W.3d 888, 893 (Ky. 2005) (footnotes omitted).

                                   ANALYSIS

            On appeal, Johnson argues the trial court erred by entering summary

judgment before discovery had been completed. It is well-established “summary

judgment is only proper after a party has been given ample opportunity to

complete discovery, and then fails to offer controverting evidence.” Pendleton

Bros. Vending, Inc. v. Commonwealth Fin. & Admin. Cabinet, 758 S.W.2d 24, 29

(Ky. 1988) (emphasis added) (citing Hartford Ins. Grp. v. Citizens Fidelity Bank &

Trust Co., 579 S.W.2d 628 (Ky. App. 1979)). Yet, it is “not necessary to show that

the respondent has actually completed discovery, but only that respondent has had

an opportunity to do so.” Hartford, 579 S.W.2d at 630.

            In Hartford, a period of approximately six months between the filing

of the complaint and the summary judgment was found to be sufficient time to

conduct discovery. However, this is not a bright-line rule, and the appropriate time

for discovery necessarily varies from case to case depending upon the complexity,

availability of information sought, and the like. See Suter v. Mazyck, 226 S.W.3d

837, 842 (Ky. App. 2007).

            Here, more than a year elapsed between the filing of the complaint

and the grants of partial summary judgment. This is not a complicated part of the

                                        -6-
case, nor has it been alleged that any information sought has been withheld. Thus,

we cannot say the trial court’s grant of summary judgment was premature.

             Johnson next argues the trial court erred by refusing to set aside its

prior “arbitrary” and “inconsistent” orders regarding partial summary judgment on

her KCPA claim. Although Johnson recognizes the trial court has the power to

reconsider, revise, alter, and amend its interlocutory orders – as discussed by the

Supreme Court of Kentucky in JPMorgan Chase Bank, N.A. v. Bluegrass

Powerboats, 424 S.W.3d 902 (Ky. 2014) – she contends the trial court’s prior

orders denying defendants’ motions for partial summary judgment on her KCPA

claim, as the law of the case, should not have been disturbed.

             Generally, “[t]he doctrine of law of the case establishes a presumption

that a ruling made at one stage of a lawsuit will be adhered to throughout the

lawsuit.” Hallahan v. The Courier-Journal, 138 S.W.3d 699, 706 (Ky. App.

2004). However, a judge does have the discretionary authority to reconsider a

ruling. Id. “Generally, a judge may reexamine an earlier ruling and rescind it if he

[or she] has a reasonable conviction that it was wrong and it would not cause

undue prejudice to the party that benefited from it.” Id. Moreover, “[i]t is well

established that a trial court may reconsider and grant summary judgment to a

party subsequent to an earlier denial.” Id.

                                         -7-
             Herein, there is no basis for determining the trial court’s previous

orders allowing Johnson’s KCPA claim to survive at those points in the litigation

were binding when the trial court entered its later orders granting the defendants

partial summary judgment on the KCPA claim. By the time those partial summary

judgments were granted, significant discovery – most notably Johnson’s

deposition – had been conducted. This evidence demonstrated the lack of a

genuine issue of material fact that would preclude summary judgment as a matter

of law. Thus, the trial court did not err in this regard.

             Johnson further contends the trial court erred because material issues

of fact exist regarding misrepresentations by the defendants as part of their

business practice. Johnson asserts she was induced to have this surgery based on

the representations made in the advertisements of Dr. Mobley and Lake

Cumberland. She claims she was not informed of the risks and that the consent

form she signed “did more to confuse rather than clarify those risks.”

             We have in other precedent, however, observed for the KCPA to

apply “there must be some allegations that the actions complained of were part of

the business aspect of the practice of medicine.” Barnett v. Mercy Health

Partners-Lourdes, Inc., 233 S.W.3d 723, 730 (Ky. App. 2007). Such actions

include “advertising for a particular procedure or surgery then failing to advise the

patient of the risks involved or of alternative treatment; entering into a financial

                                           -8-
agreement that would increase profits to the possible detriment of patients; or

advertising services at a particular cost then charging at a different rate.” Id.

Johnson argues her claim falls within the first category. Despite her arguments to

the contrary, while the defendants advertised regarding the types of procedures

offered at the clinic, they clearly did not fail to advise Johnson of the risks

involved or of alternative treatment.2 Accordingly, Johnson’s claim does not fit

within those protected under the KCPA.

                                      CONCLUSION

              Therefore, and for the foregoing reasons, the orders of the Pulaski

Circuit Court are AFFIRMED.

              ALL CONCUR.

2
  In her deposition, Johnson recalled that Dr. Mobley discussed the risks in his seminar. She
also correctly answered questions about these in a quiz prior to the operation. They were also
clearly discussed in the consent form she initialed and signed. “The existence of a signed
consent form gives rise to a presumption that patients ordinarily read and take whatever other
measures are necessary to understand the nature, terms and general meaning of consent.”
Hoofnel v. Segal, 199 S.W.3d 147, 151 (Ky. 2006). “To hold otherwise would negate the legal
significance to written consent forms signed by the patient and render the consent form
completely unreliable.” Id.

                                              -9-
BRIEFS FOR APPELLANT:     BRIEF FOR APPELLEE DR. JOHN
                          C. MOBLEY:
John F. Kelley, Jr.
London, Kentucky          Stephen S. Burchett
                          Christopher F. Hoskins
                          Lexington, Kentucky

                          BRIEF FOR APPELLEES LAKE
                          CUMBERLAND PHYSICIANS
                          PRACTICES, LLC D/B/A LAKE
                          CUMBERLAND WEIGHT LOSS
                          PHYSICIANS; AND LAKE
                          CUMBERLAND REGIONAL
                          HOSPITAL, LLC D/B/A LAKE
                          CUMBERLAND WEIGHT LOSS
                          CENTER:

                          B. Todd Thompson
                          Joseph A. Wright
                          Scott R. Redding
                          Elizabeth F. Ousley
                          Louisville, Kentucky

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