UT Southwestern surgeon's whistleblower suit

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UT Southwestern surgeon’s 2007 whistleblower suit alleging retaliation for reporting concerns to his bosses about the school’s practice of allowing physician trainees to go unsupervised at Parkland.

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CAUSE NO. LARRY M. GENTILELLO, M.D., Plaintiff,

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IN THE

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THE UNIVERSITY OF TEXAS SOUTHWESTERN HEALTH SYSTEMS a/kJa UT SOUTHWESTERN HEALTH SYSTEMS and THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS Defendant.

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PLAINTIFF'S ORIGINAL PETITION AND APPLICATION FOR TEMPORARY
RESTRAINING ORDER AND TEMPORARY INJUNCTION


TO THE HONORABLE JUDGE OF SAID COURT: COMES NOW, Larry M. Gentilello, M.D., by and through his attorney of record Charla G. Aldous, who files this Original Petition against The University of Texas Southwestern Health Systems alkJa UT Southwestern Health Systems and The University of Texas Southwestern Medical Center at Dallas for retaliating against him in violation of Chapter 554 of the Texas Government Code, commonly known as the Texas Whistleblower Act, and would respectfully show the onto the Court the following:

PLAINTIFF'S ORIGINAL PETITION

I.


Plaintiff intends to conduct discovery under Level 3 of Texas Rule of Civil Procedure 190.3 and affirmatively pleads that he seeks monetary relief aggregating more than $50,000.
II.

Plaintiff, Larry M. Gentilello, M.D., is an individual residing in Dallas County, Texas. At all times relevant to this action, Plaintiff was employed by The University of Texas Southwestern Health Systems a/kIa UT Southwestern Health Systems and The University of Texas Southwestern Medical Center at Dallas (hereinafter jointly referred to as "Defendants"). The University of Texas Southwestern Health Systems a/kIa UT Southwestern Health Systems is a Texas corporation located at 6263 Harry Hines Boulevard, Dallas, Texas, 75235, whose registered office is 8303 Elmbrook Drive, Dallas, Texas, 75247-4011 and may be served with process by serving its registered agent for service of process, Willis C. Maddrey, M.D. The University of Texas

Southwestern Medical Center at Dallas is a Texas corporation located at 5253 Harry Hines Boulevard, Dallas, Texas, 75235, whose registered office is 8303 Elmbrook Drive, Dallas, Texas, 75247-4011 and may be served with process by serving its registered agent for service of process, Willis C. Maddrey, M.D.
III.

Plaintiff alleges a claim brought under the Texas Whistleblower Act, Texas Government Code chapter 554. The Court has jurisdiction over this claim under the Whistleblower Act due to the Texas Legislature's having waived Defendants' sovereign

PLAINTIFF'S ORIGINAL PETITION

2

immunity for claims brought by a public employee against a governmental entity for retaliatory personnel actions in violation of Texas Government Code section 554.002. TEX. GOV'T CODE § 554.0035. This suit, as set out more fully below, seeks damages from Defendants for adverse personnel actions that were the result of Plaintiffs report of illegal conduct.
IV.

Venue is proper in Dallas County under Texas Government Code section 554.007(a) because this suit is brought by an employee of the State of Texas, and this is the county in which the cause of action arose.
V. PARKLAND PATIENTS TREATED BY UNSUPERVISED RESIDENTS

Plaintiff had been employed by Defendants, entities of the State of Texas, since 2003 in the position of Chair of the Division of Bum, Trauma and Critical Care. Plaintiff was, and is, a tenured Professor of Surgery at The University of Texas Southwestern Medical School ("UT Southwestern"), and occupied the Distinguished C. James Carrico. M.D. Chair in Trauma. The position that Plaintiff occupied was the result of a long and distinguished career in the field of trauma medicine. Plaintiff has authored numerous articles in this field and has devised procedures used by trauma surgeons to save the lives of thousands of individuals across the country. Numerous articles have been written about Plaintiff and the success he has obtained. Plaintiff is recognized by his peers in the medical community as one of the leading trauma surgeons in the United States, and indeed, the world.

PLAINTIFF'S ORIGINAL PETITION
D/685980.1

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While servmg in his capacity as Chair of the Division of Bum, Trauma and Critical Care at UT Southwestern, Plaintiff became aware of certain practices taking place at UT Southwestern regarding inadequate patient care, improper surgical resident supervision and failure to follow proper operating room and patient treatment protocol, all of which ran contrary to proper Medicare and Medicaid requirements and procedures. Plaintiff became aware that the trauma residents were treating patients and performing surgical procedures without the supervision of any attending trauma surgeons. The purpose of the residency program is for the residents to receive training and experience in the area of trauma surgery by being able to observe experienced surgeons and also to be guided by these attending physicians so that mistakes will not be made and the health and safety of the patients would not suffer. Plaintiff observed that the patients at Parkland were being treated by residents with no attending physicians present and were undergoing surgical procedures with no attending physicians in the operating room during critical phases of surgery. The patients at Parkland typically consist of indigents and are primarily minorities. On the other hand, when patients are being treated at Zale Lipshy, attending physicians are present during the time that the patients are treated and during the time that surgical procedures are performed. Of course, the patients at Zale Lipshy are not indigent.

PLAINTIFF REPORTS ILLEGAL ACTIVITY TO HIS SUPERVISOR
The lack of supervision of the trauma surgeon residents' care of Parkland patients and the adverse medical results that were being experienced was naturally a concern to Plaintiff. The person at UT Southwestern who set the policies regarding the presence of attending physicians during surgery and who had the power to investigate these illegal

PLAINTIFF'S ORIGINAL PETITION

4

activities and bring about an end to them was Robert V. Rege, M.D. ("Rege"). Plaintiff raised concerns regarding these illegal practices concerns with Rege. Rege did not

disagree with Plaintiffs findings nor the conclusions reached by Plaintiff but expressed the opinion that Plaintiffs faculty "rounded too much," and that the presence of attending physicians in the surgical suites caused the residents to become "upset." Plaintiff, in good faith, reasonably believed that these practices violated Medicare and Medicaid rules, regulations, statutes and ordinances. Plaintiff further believed that the practices were having an adverse effect upon the indigent patients receiving treatment at Parkland Hospital. When Plaintiff informed Rege that he would like to address these matters with the Dean of the Medical School, Rege informed him that he would be aware of any meetings Plaintiff had with the Dean. RETALIA TION BY REGE AGAINST PLAINTIFF On March 5, 2007, Plaintiff was delivered a letter from Rege in which it was explained that Rege was stripping Plaintiff of the position of Chair of Division of Burn, Trauma and Critical Care as well as withdrawing Plaintiff from the position of the Distinguished C. James Carrico, M.D. Chair in Trauma at UT Southwestern. This

adverse personnel action was taken in retaliation for Plaintiffs good faith report to the person the Plaintiff in good faith believed could investigate and address the allegations of activities violating Medicare and Medicaid patient care and supervisory procedures and requirements. This demotion and stripping of title was effective as of March 5, 2007.

PLAINTIFF'S ORIGINAL PETITION

5

VI.

Count 1 - Whistleblower Claim

1.

Plaintiff hereby re-alleges and incorporates by reference paragraphs I through V. in their entirety.

2.

Plaintiff was employed by Defendants, entities of the State of Texas.

3.

Plaintiff became aware of and had a good faith belief that illegal patient observation and supervision practices in violation of state and federal Medicaid and Medicare regulations were taking place at UT Southwestern.

4.

Plaintiff, believing in good faith that Robert V. Rege, M.D. had the authority to investigate and correct such illegal practices, notified Rege of these activities.

5.

Plaintiffs reporting of these illegal practices resulted in Defendants taking the adverse personnel action against Plaintiff of removing Plaintiff from the position of Chair of Division of Bum, Trauma and Critical Care, as well as removing him from the Distinguished C. James Carrico, M.D. Chair of Trauma at UT Southwestern. These adverse personnel actions were taken against Plaintiff in violation of Texas Government Code section 554.002.

6.

Plaintiff contends that his reporting of these illegal patient care and supervisory activities to Rege was a substantial and/or motivating factor in Defendants' unlawful adverse personnel action taken against him, that such acts were in retaliation for Plaintiffs report, and would not have occurred when they did but for the report.

PLAINTIFF'S ORIGINAL PETITION

6

VII.
DAMAGES

Defendants' unlawful adverse personnel action resulted in damages suffered in the form of past lost wages, past lost benefits, future lost earnings, future lost earning capacity, emotional pain, suffering, mental anguish, and loss of enjoyment of life. More importantly, Defendants' actions have caused irreparable harm to Plaintiffs reputation and career. The demotions and loss of chairs will make it difficult for Plaintiff to obtain future employment at the same level and will make it difficult for Plaintiff to obtain grants and funding for research so critical to the field of trauma medicine. Moreover, the harm to Plaintiffs reputation is such that monetary damages will be inadequate to compensate him for the losses he will sustain. Plaintiff seeks unliquidated damages within the jurisdictional limits of this Court.
IX.
ATTORNEYS' FEES


Plaintiff is entitled to recover reasonable and necessary attorneys' fees under Texas Government Code section 554.003(a)(4).

X.

REINSTATEMENT


Plaintiff seeks reinstatement to the position of Chair of Division of Bum, Trauma and Critical Care at UT Southwestern, as well as reinstatement to the Distinguished C. James Carrico, M.D. Chair of Trauma at UT Southwestern.

PLAINTIFF'S ORIGINAL PETITION

7

XI.
INJUNCTIVE RELIEF

In addition to the above-stated relief, Plaintiff seeks injunctive relief authorized by Texas Government Code section 554.003 (a).
Request for Temporary Restraining Order

A.

Plaintiff asks the Court to issue a temporary restraining order reinstating him to the position of Chair of Division of Bum, Trauma and Critical Care at UT Southwestern, as well as to the Distinguished C. James Carrico, M.D. Chair of Trauma at UT Southwestern, and additionally, to prevent Defendants from continuing the illegal and improper patient care and supervisory activities at UT Southwestern which contravene Medicare and Medicaid requirements and regulations.

B.

It is probable that Plaintiff will recover from Defendants after a trial on the merits

as the adverse personnel action taken by Defendants was in response to Plaintiffs reporting illegal and improper patient care and supervisory activities.

C.

If Plaintiffs application is not granted, harm is imminent, as not only will injury to Plaintiffs career as a medical instructor and physician and reputation in the medical community continue to occur, patients under care at UT Southwestern will continue to needlessly suffer due to the continuation of illegal and improper patient care and supervisory activities by UT Southwestern staff.

D.

The harm which will result if the temporary restraining order is not issued is irreparable because such specific damage to Plaintiffs medical instructor and

PLAINTIFF'S ORIGINAL PETITION

8

physician reputation and career, and especially the undue and pointless suffering of patients under care at UT Southwestern cannot adequately be ascertained or measured by any certain pecuniary standard.

E.

Plaintiff has no adequate remedy at law for such specific damage to his medical instructor and physician reputation and career, or the undue and pointless suffering of patients under care at UT Southwestern as a result of illegal and improper patient care and supervisory activities, as such damages cannot adequately be ascertained or measured by any certain pecuniary standard.

F.

Plaintiff is willing to post bond.

Request for Temporary Injunction

G.

Plaintiff asks the Court to set his application for temporary injunction for a hearing and, after the hearing, issue a temporary injunction against Defendants.

H.

Plaintiff has joined all indispensable parties under Texas Rule of Civil Procedure 39.

Request for Permanent Injunction

I.

Plaintiff asks the Court to set his request for a permanent injunction for a full trial on the merits and, after the trial, issue a permanent injunction against Defendants.

XI.

JURY DEMAND

Plaintiff demands a jury trial and tenders the appropriate fee with this petition.

PLAINTIFF'S ORIGINAL PETITION

9

XII.
PRAYER


For these reasons, Plaintiff asks that the Court issue citation for Defendants to appear and answer, and that Plaintiff be awarded a judgment against Defendants for: a. b. c. d. e. f. g. h.
1.

Actual damages. Reinstatement. Temporary restraining order. Temporary injunction. Permanent injunction. Applicable prejudgment and postjudgment interest. Court costs. Attorneys' fees. All other relief to which Plaintiff is entitled.

Respectfully submitted,

By:

Charla G. Aldou~ State Bar No. 20545235

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ALDOUS LAW FIRM 2305 Cedar Springs Road Suite 200 Dallas, Texas 75201 (214) 526-5595 telephone (214) 526-5525 facsimile

ATTORNEY FOR PLAINTIFF LARRY M. GENTILELLO, M.D.

PLAINTIFF'S ORIGINAL PETITION

10

CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing instrument has been forwarded to counsel for Defendants via certified mail, return receipt requested, on this 14th day of June, 2007, as follows: Leah Hurley
5323 Harry Hines Blvd.
Dallas, TX 75390-9008


PLAINTIFF'S ORIGINAL PETITION

11

VERIFICATION

STATE OF TEXAS DALLAS COUNTY

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§ §

Before me, the undersigned notary, on this day personally appeared Larry M. Gentilello, M.D., the affiant, a person whose identity is known to me. administered an oath to affiant, affiant testified: "My name is Larry M. Gentilello, M.D. I am capable of making this verification. I read the Original Petition; the facts set forth in the Original Petition are within my personal knowledge and are true and correct." Further affiant sayeth not. After I

ARRY

ENTILELLO, M.D.

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SWORN TO AND SUBSCRIBED BEFORE ME on this the 2007.

Il./~ day of June

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NOTAR BUC

My Commission expires:

1-1'd.-d.-OIO

MARY f<' CREEKBAUM

NOTARY PUBLIC
STATE OF TEXAS

My Comm. Exp. 01-12-2010

PLAINTIFF'S ORlGINAL PETITION

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