                              NUMBER 13-07-019-CV

                             COURT OF APPEALS

                  THIRTEENTH DISTRICT OF TEXAS

                     CORPUS CHRISTI - EDINBURG


MADHAVAN PISHARODI, M.D.                                                      Appellant,

                                            v.

ERIC SIX, M.D., AND
ALEJANDRO BETANCOURT, M.D.,                                                   Appellees.


 On appeal from the 103rd District Court of Cameron County, Texas.



                        MEMORANDUM OPINION
             Before Justices Yañez, Rodriguez, and Benavides
               Memorandum Opinion by Justice Benavides

       This is an appeal from a summary judgment granted in favor of appellees, Eric Six

and Alejandro Betancourt. By one issue, appellant Madhavan Pisharodi complains that

the trial court improperly granted summary judgment based on res judicata and collateral

estoppel. Because Pisharodi failed to attack all the possible grounds for the order granting

summary judgment, his two issues are waived. Accordingly, we affirm.
                                       I. Background

       Pisharodi, Six, and Betancourt are doctors who practice in Harlingen, Texas.

Pisharodi obtained privileges at Valley Baptist Hospital in Harlingen in 1999. He claims

that for two years prior to that, Six tried to block him from admission to the hospital staff by

using his influence and manipulating institutional policies and procedures.

       Valley Baptist has a policy that it will not grant privileges to any surgeon who does

not have another "back up" doctor—someone who will agree to be on-call for the physician

if for some reason the physician is unavailable. Pisharodi claims that once he obtained

privileges, Six refused to provide "back up" coverage for Pisharodi and encouraged others

to do the same. He alleges that Six took these actions because he wanted to (1) lessen

competition for neurological surgeons in the Harlingen area, and (2) restrain trade, giving

Six a monopoly.

       Pisharodi alleges that once he obtained staff privileges at Valley Baptist, Six

prevented Pisharodi from obtaining "on call" rotation. Six approached another doctor,

Helson Pacheco, and offered to divide the emergency patient load in exchange for

Pacheco's refusal to provide "back up" coverage for Pisharodi. Pacheco would not refuse

back up coverage to Pisharodi. Pisharodi claims, however, that Betancourt accepted Six's

proposal. Pisharodi alleges that together, Six and Betancourt attempted to push Pisharodi

out of the "on call" patient load.

       Pisharodi claims that thereafter, Six and Betancourt conspired to manufacture

incidents and events to attempt to completely remove Pisharodi from the on-call schedule

and from practice in Harlingen.        Specifically, he claims that they (1) initiated an

investigation of Pisharodi by the Medical Center Trauma Committee and an ad hoc

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committee, (2) manipulated a temporary suspension of an employee nurse practitioner

employed by Pisharodi, (3) misrepresented facts and information to one of Pisharodi's

patients so that the patient would switch to Betancourt, and (4) entered an agreement to

provide coverage with each other conditioned on not providing coverage to Pisharodi.

Based on these allegations, on July 2, 2002, Pisharodi filed suit for antitrust violations.

TEX . BUS. & COMM . CODE ANN . §§ 15.01-.52 (Vernon 2002).

       On December 16, 2004, Six and Betancourt filed their first motion for summary

judgment (the “first motion”). This motion argued that (1) Pisharodi does not have standing

because he is a salaried employee of his professional association, and he has suffered

only an indirect injury; (2) the "rule of reason" applies, and Pisharodi's claims fail because

he cannot show harm to competition as opposed to mere personal harm to a single

competitor; (3) Six and Betancourt have no market or monopoly power in the relevant

market; (4) the peer review activities, judged under the "rule of reason," are not an

unreasonable restraint of trade; (5) peer review activity is statutorily immune from liability;

and (6) the statute of limitations bars consideration of events occurring more than four

years prior to commencement of the suit.          On January 26, 2005, Pisharodi filed a

response. He responded to all the above arguments with evidence.

       The motion for summary judgment stated in several places that Pisharodi could not

raise a genuine issue of material fact, but it did not present evidence negating any of the

elements of Pisharodi's claim.      Moreover, it did not clearly provide notice that the

defendants were moving on no-evidence grounds, thereby shifting the burden to Pisharodi.

On February 16, 2005, the trial court issued a letter ruling and requested that the parties

submit an order. The letter stated that the first motion was defective because it was

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pleaded as a traditional summary judgment but argued as a no-evidence motion. The trial

court held that the motion did not give notice to Pisharodi that he needed to meet an

evidentiary burden. The letter states that the trial court would deny the motion on that

ground, except as to Six and Betancourt's limitations defense. The trial court requested

the parties to submit an order to that effect.

       After the letter ruling, on March 7, 2005, Six and Betancourt filed a second motion

for summary judgment, titled "Motion for No-Evidence Summary Judgment and, In the

Alternative, Motion for Traditional Summary Judgment" (the “second motion”). This motion

clearly set forth the separate no-evidence and traditional summary judgment grounds. Six

and Betancourt moved for no-evidence summary judgment, arguing that there was no

evidence: (1) that the alleged geographic market is a properly-defined relevant market

within which to analyze competition; (2) that competition has suffered in any properly

defined relevant geographic market or that patients do not have alternatives outside

Harlingen; and (3) that Six and Betancourt control a sufficiently large share of the relevant

market to support a claim. Six and Betancourt also moved for traditional summary

judgment, arguing that (1) Pisharodi lacked standing; (2) the relevant market includes the

entire Rio Grande Valley and its eight hospitals; (3) even if Pisharodi were entirely

excluded from Valley Baptist, he would not have a claim because there has not been any

harm to the market; (4) the peer review process does not have anticompetitive effects; (5)

Six and Betancourt's market share within the relevant geographic market is so low that the

antitrust laws are not implicated; and (6) peer review is statutorily immune from tort liability.

       On March 28, 2005, the trial court signed a formal order granting the first motion for

summary judgment on limitations grounds and denying the remainder of the first motion

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without prejudice. After the formal order was signed granting in part and denying in part

the first motion for summary judgment, on April 6, 2005, Pisharodi filed a response to the

second motion for summary judgment. He requested that the court take judicial notice of

his response to the first motion. Pisharodi never asserted that any part of the second

motion had already been disposed by the first order.

       On November 22, 2005 and again on April 4, 2006, Six and Betancourt

supplemented their second motion for summary judgment in two installments, for the first

time raising res judicata and collateral estoppel as part of their traditional motion. On

September 14, 2006, Pisharodi filed a response to the two supplements addressing only

the res judicata and collateral estoppel grounds. On October 5, 2006, the trial court

granted what it called the "motion for summary judgment," stating that it had considered

the motion “and supplements thereto.”

                                          II. Waiver

       Pisharodi’s brief raises a single issue—whether the trial court erred in granting

summary judgment based on res judicata or collateral estoppel. Six and Betancourt argue

that because the trial court's order granting the second motion for summary judgment did

not state the grounds for the order, and Pisharodi did not challenge all possible grounds

for the order, Pisharodi has waived any error in the judgment. We agree.

       It is well established that when a trial court grants summary judgment, but its order

does not provide the trial court’s reasoning, the appellant must negate all possible grounds

for the ruling on appeal:

       When, as here, the trial court does not specify the basis of its ruling, it is the
       appellant's burden on appeal to show that each of the independent grounds
       asserted in support of summary judgment is insufficient to support the

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       judgment. If the appellant does not challenge one of the grounds for
       summary judgment, the judgment may be affirmed on that ground alone.

Humane Society v. The Dallas Morning News L.P., 180 S.W.3d 921, 923 (Tex.

App.–Dallas 2005, no pet.) (citing Star-Telegram, Inc. v. Doe, 915 S.W.2d 471, 473 (Tex.

1995)); see Tex. Workers' Comp. Comm'n v. Patient Advocates, 136 S.W.3d 643, 648

(Tex. 2004); see also Hough v. Brownsville Winter Haven Prop. Owners Ass'n, No.

13-06-0686-CV, 2007 Tex. App. LEXIS 7200, at *8 (Tex. App.–Corpus Christi Aug. 31,

2007, pet. denied) (mem. op).

       Pisharodi first argues that because Six and Betancourt did not submit any additional

factual evidence along with their second motion for summary judgment, other than the

evidence submitted along with the supplements, the trial court must have ruled as a matter

of law that Pisharodi's claims were barred by res judicata or collateral estoppel and

necessarily did not rule on any other grounds raised in the second motion for summary

judgment. Pisharodi’s argument confuses the burdens of proof for a traditional and no-

evidence summary judgment and is not supported by the record.

       Here, Six and Betancourt cured the defects in their first motion for summary

judgment and specifically pointed to several elements of Pisharodi’s claims for which there

was no evidence. TEX . R. CIV. P. 166a(i). Once Six and Betancourt properly raised their

no-evidence points, the burden shifted to Pisharodi to present evidence.            Six and

Betancourt did not have the burden to produce any evidence to support their no-evidence

arguments. See City of Keller v. Wilson, 168 S.W.3d 802, 825 (Tex.2005). Accordingly,

we disagree that the trial court must have ruled only on res judicata and collateral estoppel

because Six and Betancourt did not present any evidence along with the second motion.


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       Pisharodi also appears to argue that the trial court’s order on March 28, 2005

disposed of both the first and second motions for summary judgment except the arguments

regarding res judicata and collateral estoppel, which were raised in supplements to the

second motion. Thus, he was only required to address res judicata and collateral estoppel.

The record does not support this argument, however, and it requires this Court to make

assumptions about the trial court’s reasoning.

       The final order granting summary judgment on October 5, 2006 states that the trial

court considered the “Defendants’ Motion for Summary Judgment and Exhibits, all

response, replies, and supplements thereto.” Thus, the order’s express language indicates

that the trial court considered the motion and the supplements. Pisharodi invites this Court

to surmise about the reasoning behind the trial court’s general order granting summary

judgment. This we cannot do. When reviewing an order granting summary judgment, we

only look to the order granting summary judgment to determine the trial court's reasons for

ruling. See Sharpe v. Roman Catholic Diocese of Dallas, 97 S.W.3d 791, 796 (Tex.

App.–Dallas 2003, pet. denied); see also HB Turbo, L.P. v. Turbonetics Eng'g & Servs.,

No. 13-06-083-CV, 2007 Tex. App. LEXIS 4425, at *7 (Tex. App.–Corpus Christi June 7,

2007, pet. denied) (mem. op.). As we recently explained:

       Were we to remove [the] burden of attacking each of the possible grounds
       for granting summary judgment . . . and assume that the trial court could not
       have granted summary judgment on the other grounds, “we would effectively
       be placing ourselves in the role of the trial court in ruling on the motion for
       summary judgment.”

HB Turbo, L.P., 2007 Tex. App. LEXIS 4425, at *7-8 (quoting Strather v. Dolgencorp of

Texas, Inc., 96 S.W.3d 420, 426 (Tex. App.–Texarkana 2002, no pet.)). We cannot



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engage in assumptions about the trial court’s reasoning, "especially because the burden

of attacking each possible ground alleged in the summary judgment is relatively light."

Strather, 96 S.W.3d at 426.

       Although we recognize that the consequences may seem harsh, the rule we apply

today has a “fairly sound policy basis.” Id. Litigants and appellate courts need only look

in a single place to determine why the trial court granted summary judgment. Id. Thus, we

are not “forced to parse statements made in letters to the parties, at hearings on motions

for summary judgment, on docket notations, and/or in other places in the record.” Id.

       Because the trial court’s order granting summary judgment specifically states that

it considered the motion for summary judgment and the supplements, we cannot assume

that the trial court only ruled on the res judicata and collateral estoppel arguments raised

in the supplements. Because Six and Pisharodi alleged multiple grounds in their motion,

Pisharodi was required to negate all the possible grounds for the ruling.              See

Star-Telegram, Inc., 915 S.W.2d at 474. His failure to do so requires this Court to uphold

the summary judgment. See id.

                                     III. Conclusion

       Because Pisharodi failed to challenge all the possible grounds for the trial court’s

ruling on the second motion for summary judgment, he has waived any error in the

judgment. Accordingly, we affirm.

                                                 _______________________________
                                                 GINA M. BENAVIDES
                                                 Justice

Memorandum Opinion delivered and
filed this the 7th day of August, 2008.


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