                                  NO. 12-11-00318-CV

                      IN THE COURT OF APPEALS

              TWELFTH COURT OF APPEALS DISTRICT

                                    TYLER, TEXAS

ROSIE SIMMONS,                                   §          APPEAL FROM THE 7TH
APPELLANT


V.                                               §          JUDICIAL DISTRICT COURT

STEPHEN PAMATMAT, M.D. AND TYLER
NEPHROLOGY ASSOCIATES, P.A.,
APPELLEES                        §                          SMITH COUNTY, TEXAS

                                 MEMORANDUM OPINION
       Rosie Simmons appeals the trial court’s order of dismissal of her medical malpractice
action against Stephen Pamatmat, M.D. She raises two issues by way of interlocutory appeal in
which she complains that the trial court abused its discretion. We affirm.


                                         BACKGROUND
       Dr. Pamatmat used a guidewire, a type of medical device, in an attempt to perform a
thrombectomy on Simmons.         During the procedure, the guidewire broke and lodged in
Simmons’s body. As a result, Simmons required surgery.
        Simmons claimed that Dr. Pamatmat misused the guidewire and that this misuse
constituted medical malpractice. On May 10, 2011, she brought a medical malpractice action
against Dr. Pamatmat and his employer, Tyler Nephrology Associates, P.A. (Tyler Nephrology).
She then, on July 19, 2011, filed the expert report of Richard Welcome, M.D. Dr. Welcome
opined that Dr. Pamatmat failed to satisfy the applicable standard of care for medical treatment
in his care of Simmons and that this failure caused Simmons to undergo an unnecessary surgery.
       On August 9, 2011, Dr. Pamatmat filed a motion to dismiss Simmons’s claim against him
in which he alleged that Simmons failed to provide an adequate expert report. In Dr. Pamatmat’s
motion, he notified Simmons that the submission date was August 29, 2011. Simmons failed to
respond to Dr. Pamatmat’s motion to dismiss. On September 7, 2011, which was 120 days after
the suit was filed, the trial court noted the lack of objection or response by Simmons, granted the
motion, and dismissed Simmons’s claim against Dr. Pamatmat with prejudice.
       Simmons filed a motion for rehearing, and Dr. Pamatmat filed a response. The motion
was overruled by operation of law.            Although Simmons’s claim against Tyler Nephrology
remains pending, Simmons brought this interlocutory appeal complaining of the trial court’s
dismissal of her claim against Dr. Pamatmat.1


                                           MOTION TO DISMISS
       In Simmons’s first and second issues, she argues that the trial court abused its discretion
in dismissing her claim against Dr. Pamatmat. In her first issue, she urges that Dr. Welcome’s
report satisfied the mandates of an expert report for a medical malpractice claim. In her second
issue, she contends that Dr. Pamatmat’s motion was filed prematurely because the 120 day
deadline for filing an expert report had not yet passed.
Expert Reports
       When a party asserts a health care liability claim, the party must serve an expert report on
each defendant within 120 days of filing the lawsuit. TEX. CIV. PRAC. & REM. CODE ANN.
§ 74.351(a) (West 2011).         The expert report must provide a fair summary of the expert’s
opinions regarding applicable standards of care, the manner in which the care rendered failed to
meet the standard, and the causal connection between that failure and the injury incurred. Id.
§ 74.351(r)(6) (West 2011). If a plaintiff serves an expert report that is deficient, the trial court
has two options: (1) dismiss the case with prejudice and award attorney’s fees and costs of court
to the health care provider, or (2) grant one thirty-day extension to allow the plaintiff to cure the
deficiencies. Id. § 74.351(b), (c) (West 2011); see Foster v. Zavala, 214 S.W.3d 106, 116 (Tex.
App.—Eastland 2006, pet. denied). If the deficiencies can be cured within the thirty day period,
the trial court must grant the plaintiff an extension if one was requested. Scoresby v. Santillan,
346 S.W.3d 546, 554 (Tex. 2011).
       However, absent a request for an extension, a court shall grant a motion challenging the
adequacy of an expert report “if it appears to the court, after hearing, that the report does not

       1
           See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014(a)(10).


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represent an objective good faith effort to comply with the definition of an expert report in
Subsection (r)(6).” See TEX. CIV. PRAC. & REM. CODE ANN. § 74.351(l) (West 2011). In this
context, “hearing” does not mean that the trial court is required to hold an oral hearing; rather,
the trial court may decide the matter on written submission. See Martin v. Martin, Martin &
Richards, Inc., 989 S.W.2d 357, 359 (Tex. 1998); see Jackson v. Reardon, 14 S.W.3d 816, 819
(Tex. App.—Houston [1st Dist.] 2000, no pet.) (stating that “Article 4590i [, the predecessor to
Chapter 74,] does not expressly require an oral hearing on a motion to dismiss. As a general rule,
an adjudication based on written materials alone is sufficient.”); Mocega v. Urquhart, 79 S.W.3d
61, 64 (Tex. App.—Houston [14th Dist.] 2002, pet. denied) (holding that a motion to dismiss
pursuant to Article 4590i may be properly “heard” by submission).
Unopposed Motions Under Smith County Local Rules
         A trial court does not abuse its discretion in granting a motion where the opposing party
makes a representation of no opposition to it. See United Bus. Machs., Inc. v. Sw. Bell Media,
Inc., 817 S.W.2d 120, 123 (Tex. App.—Houston [1st Dist.] 1991, no pet.) (holding that trial
court did not abuse its discretion in ruling against party who failed to file response to motion,
even where party requested hearing, because failure to respond could have been considered
representation of no opposition to motion). In Smith County, the failure to respond to a motion
is a representation of no opposition to the motion unless objections are already on file. Smith
(Tex.) Dist. Ct. and County Ct. at Law R. 2.6. Local rules are effective to the extent they are not
inconsistent with the rules of procedure. See TEX. R. CIV. P. 3(a)(1); Walton v. Canon, Short &
Gaston Corp., 23 S.W.3d 143, 150 (Tex. App.—El Paso 2000, no pet.).
Discussion
         Dr. Pamatmat argues that the trial court could not have abused its discretion in dismissing
Simmons’s claim because Simmons indicated no opposition to Dr. Pamatmat’s motion. We
agree.
         Dr. Pamatmat filed his motion to dismiss on August 9, 2011. In the motion and in
compliance with the local rules of Smith County, Dr. Pamatmat indicated that the motion was set
for submission for August 29, 2011. See Smith (Tex.) Dist. Ct. and County Ct. at Law R. 2.3.
That designation set the date on which the trial court could have decided the case as August 29,
2011, or some date thereafter. See id. Even though Dr. Pamatmat’s motion clearly sought to
dismiss Simmons’s claim against him, Simmons failed to file a response.



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         By failing to respond to the motion, Simmons represented to the trial court that she had
no opposition to the dismissal of her claim against Dr. Pamatmat. See Smith (Tex.) Dist. Ct. and
County Ct. at Law R. 2.6. Similarly, she made no request for the trial court to grant her a thirty
day extension to amend or supplement the expert report. Because Simmons indicated by her
conduct that she had no opposition to Dr. Pamatmat’s motion to dismiss, Simmons cannot
establish that the trial court abused its discretion in granting the motion. Moreover, at oral
argument, Simmons conceded that the trial court had jurisdiction to dismiss her suit on the day
that it did, which was the 120th day after she filed her suit.
         We overrule Simmons’s first and second issues.


                                                    DISPOSITION
         Having overruled Simmons’s first and second issues, we affirm the trial court’s order
dismissing Simmons’s claim against Dr. Pamatmat.


                                                                  BRIAN HOYLE
                                                                    Justice




Opinion delivered December 20, 2012.
Panel consisted of Worthen, C.J., Griffith, J., and Hoyle, J.




                                                    (PUBLISH)



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                                    COURT OF APPEALS
      TWELFTH COURT OF APPEALS DISTRICT OF TEXAS
                                            JUDGMENT

                                         DECEMBER 20, 2012


                                          NO. 12-11-00318-CV


                                  ROSIE SIMMONS,
                                      Appellant
                                         V.
                            STEPHEN PAMATMAT, M.D. AND
                         TYLER NEPHROLOGY ASSOCIATES, P.A.,
                                      Appellees



                              Appeal from the 7th Judicial District Court
                           of Smith County, Texas. (Tr.Ct.No. 11-1389-A)



                        THIS CAUSE came to be heard on the appellate record and briefs filed
herein, and the same being considered, it is the opinion of this court that there was no error in the
trial court’s order of dismissal.
                        It is therefore ORDERED, ADJUDGED and DECREED that the order of
dismissal of the court below be in all things affirmed, and that all costs of this appeal are
hereby adjudged against the appellant, ROSIE SIMMONS, for which execution may issue, and
that this decision be certified to the court below for observance.
                        Brian Hoyle, Justice.
                        Panel consisted of Worthen, C.J., Griffith, J., and Hoyle, J.




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