BOLGER, Justice.
A cardiologist performed pacemaker surgery on Gregory Hagen and then ordered an x-ray to examine the placement of the pacemaker leads and check for complications. A second cardiologist reviewed the x-ray and discharged Gregory from the hospital. A radiologist also reviewed the x-ray, noted a potential "nodule" in Gregory's lung, and recommended follow-up x-rays. But these recommendations were never relayed to Gregory, who died from lung cancer approximately two years later.
Gregory's wife, Shirley Hagen,
In November 2007 Dr. Gunnar Strobel, a board-certified
A radiologist also reviewed the x-ray and dictated a report (the Radiologist Report). In addition to noting the placement of the pacemaker leads, the Radiologist Report observed:
And under the heading "Impression," the Radiologist Report noted: "Equivocal for right upper lobe nodule. Recommend followup with PA, lateral, obliques[,] and apical lordotic when the patient's condition stabilizes."
In March 2008 Gregory saw Dr. Strobel for a follow-up appointment. According to Dr. Strobel, the purpose of the visit was to "check the pacemaker, discuss the chest pain [Gregory] had experienced in December 2007, and [discuss] the results of [the] December nuclear stress test [that followed]." The parties agree that Gregory never received any information about the contents of the Radiologist Report or the recommendation for further x-rays.
Over one year later, Gregory was diagnosed with "poorly differentiated non-small cell carcinoma," a form of lung cancer. This cancer resulted in Gregory's death in December 2009.
In December 2011 the Estate filed a wrongful death and survival action against Dr. Strobel and Dr. Skolnick (collectively, the cardiologists).
The superior court entered a pretrial order requiring the parties to identify retained expert witnesses by September 2, 2013. In an email to opposing counsel, the Estate's attorney identified an oncologist whom the Estate
The cardiologists then filed a motion for summary judgment, supported primarily by an affidavit from Dr. Strobel. Dr. Strobel attested that in his expert opinion, the cardiologists "met the appropriate standard of care" throughout Gregory's treatment. Dr. Strobel further opined that he "did not have a duty to go back through the entire chart, and check all other care providers['] medical records" when Gregory returned for his follow-up visit.
In their memorandum in support of summary judgment, the cardiologists pointed to our statement in Trombley v. Starr-Wood Cardiac Group, PC that "[i]n medical malpractice actions ... the jury ordinarily may find a breach of professional duty only on the basis of expert testimony."
The Estate had identified no such expert and was precluded from doing so by the superior court's prior order. And the Estate did not oppose the cardiologists' motion for summary judgment or submit additional evidence. The superior court, concluding that the Estate was required to identify a board-certified cardiologist to rebut Dr. Strobel's sworn affidavit, granted summary judgment and dismissed the suit against the cardiologists with prejudice.
The Estate moved for reconsideration, contending that the court had "overlooked a material fact or misconceived a material question." Specifically, the Estate argued that the cardiologists' factual account was internally inconsistent: the cardiologists initially admitted in their answer that the Radiologist Report was provided to Dr. Strobel, but Dr. Strobel later claimed in his deposition testimony that he never received it. The Estate also filed a motion to amend the complaint, pointing to Dr. Strobel's statement in his deposition that he did not read the Radiologist Report because an Alaska Heart Institute employee failed to place a copy in his inbox. The Estate argued that because the cardiologists failed to identify "all potentially responsible persons" as required under Alaska Civil Rule 26(a)(1)(H),
The superior court denied the Estate's motion for reconsideration and entered final judgment in the cardiologists' favor. The court did not rule on the Estate's motion to amend.
"We review a grant of summary judgment de novo, affirming if the record presents no genuine issue of material fact and if the movant is entitled to judgment as a matter of law."
"[A] party seeking summary judgment has the initial burden of proving, through admissible evidence, that there are no [genuine] disputed issues of material fact and that the moving party is entitled to judgment as a matter of law."
"In an action for medical negligence, the plaintiff has the burden of establishing the degree of care ordinarily exercised under the circumstances by health care providers in the defendant's field or speciality...."
The cardiologists argued in their motion for summary judgment that the Estate would need to present expert testimony from a board-certified cardiologist to establish "that a breach of duty owed occurred."
As the superior court noted, the cardiologists submitted an affidavit from a board-certified cardiologist, Dr. Strobel, while the Estate failed to similarly offer sworn expert testimony as necessary to meet its burden of production. The court concluded that summary judgment was therefore appropriate.
We must first determine whether the cardiologists met their burden, as the moving parties, of showing that there was no genuine issue of material fact. With respect to Dr. Skolnick, Dr. Strobel attested that in his opinion,
Dr. Strobel further opined that Dr. Skolnick "met the appropriate standard of care as
As to his own actions, Dr. Strobel defined the appropriate standard of care by stating in his affidavit:
Dr. Strobel concluded that, like Dr. Skolnick, he "met the appropriate standard of care."
In light of these statements — which were not challenged by conflicting expert testimony — we conclude that the cardiologists met their burden as the moving parties by showing that there was no genuine issue of material fact as to the standard of care. Thus to avoid summary judgment, the Estate was required to demonstrate a genuine issue of material fact as to the appropriate standard of care — an element on which the Estate bore the burden of proof.
On appeal the Estate argues, as it did in its motion for reconsideration, that the cardiologists' narrative was inconsistent, and that this inconsistency created an issue of material fact. The Estate notes the cardiologists' admission in their answer that — "[u]pon information and belief" — "[a] copy of the x-ray report containing [the radiologist's] recommendation was provided to [Dr.] Strobel." The Estate contrasts this admission with Dr. Strobel's subsequent deposition testimony that, although the Radiologist Report "was scanned in at the Alaska Heart [Institute] [o]ffice," he never received a copy in his office "inbox."
We see no inconsistency in these statements. Critically, Dr. Strobel never denied that he was "provided" the Radiologist Report; he merely testified that he never received a copy in his office inbox. And in the cardiologists' motion for summary judgment, they admitted that "[a] copy of the radiology report was sent to Dr. Strobel at [Alaska Heart Institute]." (Emphasis added.) Even "reading the record in the light most favorable to the non-moving party and making all reasonable inferences in its favor,"
Moreover, "the existence of a disputed factual issue will only preclude summary judgment if it is a material issue,"
The Estate appears to argue that the superior court should have granted its motion for reconsideration, asserting that the court erred by concluding that there was no "evidence [relevant] to the summary judgment motion that the court should pause to reconsider." But the Estate gives only cursory treatment to this issue in the argument section of its opening brief and omitted the issue from the brief's statement of points on appeal.
"[W]here a point is given only a cursory statement in the argument portion of a brief, the point will not be considered on appeal."
The Estate argues that the superior court should have granted its motion to amend its complaint. In requesting leave to amend, the Estate pointed to Dr. Strobel's deposition testimony that an Alaska Heart Institute employee failed to place a copy of the Radiologist Report in his "inbox" and argued that the cardiologists failed to identify all "potentially responsible persons" as required under Civil Rule 26(a)(1)(H). Accordingly, the Estate asked to amend its complaint to add the Alaska Heart Institute as a defendant; to add new allegations concerning the Alaska Heart Institute's alleged failure to deliver a copy of the Radiologist Report to Dr. Strobel; and to add a negligence cause of action against the Alaska Heart Institute. Although the superior court denied the Estate's motion for reconsideration, it never ruled on its motion to amend.
The Estate omitted this issue from its statement of issues presented for review and discusses it only briefly in the argument portion of its brief, asserting that the cardiologists violated Rule 26(a)(1)(H) and that this "prejudiced [the] [p]laintiffs." But the Estate cites no legal authority for the implied proposition that the superior court was required to grant leave to amend even after granting summary judgment and dismissing the cardiologists from the suit.
We therefore AFFIRM the superior court's judgment.