Dlouhy v. Kootenai Hospital DistrictAnnotate this Case
Debra Dlouhy, Dustin Dlouhy, individually and as Personal Representative of the Estate of Duane Dlouhy (“the Dlouhys”) appealed a district court order granting summary judgment in favor of Kootenai Health. The district court granted summary judgment on the Dlouhys’ medical malpractice action after determining that the Dlouhys had failed to provide adequate foundation showing that their expert witnesses had actual knowledge of the community standard of care. In May 2015, Duane Dlouhy went to the emergency department because of rectal bleeding. After a CT scan, "no obvious mass" was noted on his records, but that "dark red blood" was present. The radiologist charted that a “neoplasm cannot be excluded.” Mr. Dlouhy was discharged from the hospital and went home, but returned several hours later after the rectal bleeding began again. A colonoscopy was performed, but no complete view of the rectum could be obtained. Mr. Dlouhy was discharged again. He would have follow-up appointments in June and September, 2015, and in January 2016. By August, he had been diagnosed with state IV colorectal cancer. After review of the trial court record, the Idaho Supreme Court determined the district court erred in granting Kootenai Health’s motion for summary judgment on the grounds that the Dlouhys failed to provide sufficient expert testimony as to the community standard of care. The Dlouhys argued that “for board-certified physicians, there is a national standard of care.” They argued that Mr. Dlouhy's original emergency physician was subject to the national standard of care that applied to board-certified gastroenterologists, and that their out-of-area expert had actual knowledge of the applicable national standard because he held the same board certification as the local physician. The Supreme Court concluded the expert familiarized himself sufficiently in the community standard of care for board-certified gastroenterologists such that his testimony should not have been excluded. The district court’s order granting summary judgment was reversed in part, the final judgment dismissing the Dlouhys’ medical malpractice claim was vacated, and the case remanded for further proceedings.