                                IN THE
                        TENTH COURT OF APPEALS

                               No. 10-11-00446-CV

ANA MARIA GONZALEZ SALAIS,
INDIVIDUALLY AND AS REPRESENTATIVE
OF THE ESTATE OF RUBEN GONZALEZ, DECEASED,
                                    Appellants
 v.

MEXIA STATE SCHOOL, TEXAS DEPARTMENT
OF AGING & DISABILITY SERVICES AND
HUMANE RESTRAINT, INC.,
                                   Appellees



                          From the 77th District Court
                           Limestone County, Texas
                            Trial Court No. 28901A


                         MEMORANDUM OPINION


      This case is here a second time on interlocutory appeal. In the first appeal, we

held that the expert report of paramedic James Wohlers on the standard of care and

breach was adequate and that Wohlers was qualified. Salais v. Tex. Dep’t of Aging &

Disability Serv’s, 323 S.W.3d 527, 532-34 (Tex. App.—Waco 2010, pet. denied). We also
held that the expert report of Dr. Donald Winston on causation was adequate but that

his report and CV failed to show how he is qualified to render an expert opinion on

causation in this case; Dr. Winston’s CV’s “position descriptions alone are inadequate to

show how he is qualified to opine on the causal relationship of Ruben’s death. Merely

being a physician is insufficient to qualify as a medical expert.” Id. at 536; see also Perry

v. Bradley, No. 10-10-00402-CV, 2011 WL 6415135, at *3 n.2 (Tex. App.—Waco Dec. 21,

2011, no pet.) (“a court views both the expert report and the CV to determine if an

expert is qualified. … But position descriptions alone in a CV can be conclusory and

thus inadequate to establish an expert’s qualification, and in that situation, the report

must explain how the expert is qualified to opine on standard of care, breach, or

causation.”). We concluded: “Dr. Winston’s report is technically deficient—as opposed

to being “no report”—because the report lacks his qualifications to give an expert

opinion on causation.” Salais, 323 S.W.3d at 537.

       We therefore remanded the case to the trial court to consider and rule on Salais’s

motion for a thirty-day extension to attempt to cure the deficiency in Dr. Winston’s

report. Before the trial court heard Salais’s motion for a thirty-day extension (Appellee

TDADS sought review in the supreme court, which was denied), the supreme court had

issued two opinions addressing a trial court’s discretion in ruling on a motion for a

thirty-day extension to cure a deficient expert report. In the first case, Samlowski v.

Wooten, there were four opinions and a majority of the court did not agree on the legal

standard to apply to a trial court’s discretion to deny a request for a thirty-day

extension. 332 S.W.3d 404 (Tex. 2011). But as a sister court has noted,

Salais v. TDADS                                                                        Page 2
       [B]inding principles emerged from [Samlowski]. Five justices agreed to the
       general principles that the trial court should err on the side of granting an
       extension under section 74.351(c) and that the trial court must grant such
       an extension if the deficiencies are curable. See Scoresby, 346 S.W.3d at 549;
       Samlowksi, 332 S.W.3d at 411 (plurality opinion by Medina, J., joined by
       Jefferson, C.J. and Hecht, J.); id. at 416 (Guzman, J., concurring in the
       judgment, joined by Lehrmann, J.). Therefore, intermediate appellate
       courts are bound to apply these principles.

Rosemond v. Al-Lahiq, 362 S.W.3d 830, 841 (Tex. App.—Houston [14th Dist.] 2012, pet.

denied).

       In Scoresby v. Santillan, Justice Hecht’s majority opinion reiterated the recognized

principles in Samlowski:    “The trial court should err on the side of granting the

additional time and must grant it if the deficiencies are curable.” 346 S.W.3d 546, 549

(Tex. 2011). “[T]rial courts should be lenient in granting thirty-day extensions and must

do so if deficiencies in an expert report can be cured within the thirty-day period.” Id.

at 554. The court further held:

       [W]e hold that a document qualifies as an expert report if it contains a
       statement of opinion by an individual with expertise indicating that the
       claim asserted by the plaintiff against the defendant has merit. An
       individual’s lack of relevant qualifications and an opinion’s inadequacies
       are deficiencies the plaintiff should be given an opportunity to cure if it is
       possible to do so. This lenient standard avoids the expense and delay of
       multiple interlocutory appeals and assures a claimant a fair opportunity to
       demonstrate that his claim is not frivolous.

Id. at 549.

       Even more recently, the supreme court reaffirmed that one purpose of the expert

report requirement is “’to expeditiously weed out claims that have no merit.’” Certified

EMS, Inc. v. Potts, 392 S.W.3d 625, 630 (Tex. 2013) (quoting Loaisiga v. Cerda, 379 S.W.3d

248, 263 (Tex. 2012)). “[T]he purpose of evaluating expert reports is ‘to deter frivolous

Salais v. TDADS                                                                         Page 3
claims, not to dispose of claims regardless of their merits.’” Id. (quoting Scoresby, 346

S.W.3d at 554). Our first decision indicated that Salais’s health-care liability claim was

not frivolous by holding that the Wohlers report was adequate and that the Winston

report was adequate yet technically deficient because it lacked his qualifications. Salais,

323 S.W.3d at 533-34, 536.

          The trial court held a hearing on Salais’s motion for a thirty-day extension and

entered a November 17, 2011 order denying the motion and granting TDADS’s motion

to dismiss Salais’s health-care liability claim. Salais filed a notice of appeal of that

order, which leads us to revisit this case. Cf. Scoresby, 346 S.W.3d at 549 (explaining that

the lenient standard for granting extensions to cure expert reports should “avoid[] the

expense and delay of multiple interlocutory appeals”); Samlowski, 332 S.W.3d at 411-12

(plurality op.) (“The right answer in many cases will be for the trial court to grant one

thirty-day extension upon timely request and be done with it.”). Her brief asserts three

issues:     (1) the trial court erred in granting TDADS’s motion to dismiss; (2) Dr.

Winston’s report did not constitute “no report” such that the trial court could not grant

an extension; and (3) the trial court abused its discretion in denying the motion for a

thirty-day extension to cure Dr. Winston’s report.1

          Beginning with issue two, we have already held that Dr. Winston’s report was a

deficient report, rather than being “no report.” Salais, 323 S.W.3d at 537. To the extent

the trial court concluded otherwise and granted TDADS’s motion to dismiss and denied

1
  TDADS is correct that Salais’s brief is mostly a regurgitation of her brief in the first appeal and that it
provides an inaccurate statement of the case, but her briefing on the key issue (issue three) in this appeal
is updated; it relies on Scoresby and Samlowski to argue that the trial court abused its discretion in denying
the motion for a thirty-day extension.

Salais v. TDADS                                                                                        Page 4
Salais’s motion for a thirty-day extension on that basis, the trial court abused its

discretion. We sustain issue two.

       Turning to issue three and the trial court’s denial of Salais’s motion for a thirty-

day extension, we held in the first appeal that Dr. Winston’s report on causation was

adequate but that his report and CV failed to show how he is qualified to render an

expert opinion on causation in this case. Id. at 535-36. As a licensed physician, and with

his current position as a practitioner of emergency medicine and former position of

general and trauma surgeon, Dr. Winston is an individual with expertise to render

opinions about the causal relationship between the claimed injury and the alleged

departure from the standard of care. See id. Scoresby states that an individual’s lack of

relevant qualifications is a deficiency the plaintiff should be given an opportunity to

cure if it is possible to do so. Scoresby, 346 S.W.3d at 549. We repeat the admonition in

Scoresby: “The trial court should err on the side of granting the additional time and

must grant it if the deficiencies are curable.” Id. (emphasis added).

       Because of Dr. Winston’s expertise, it is possible that the deficiency in his

report—the failure to show how he is qualified to render an expert opinion on causation

in this case—is curable.    Accordingly, under Scoresby, the trial court should have

granted Salais’s motion for a thirty-day extension, and in failing to do so, the trial court

abused its discretion. See, e.g., Ortiz v. Patterson, 378 S.W.3d 667, 676-77 (Tex. App.—

Dallas 2012, no pet.) (concluding that trial court abused its discretion in denying motion

for thirty-day extension, in light of Scoresby and Samlowski, inter alia); Rosemond, 362

S.W.3d at 840-41 (concluding that trial court abused its discretion in denying motion for

Salais v. TDADS                                                                       Page 5
thirty-day extension where expert report did not show how expert was qualified and

report deficiently addressed statutory elements for reports). We sustain issue three, and

we also sustain issue one, which complains of the trial court’s dismissal of Salais’s

health care liability cause of action against TDADS.

       We reverse the trial court’s November 17, 2011 order and remand this case with

instructions for the trial court to grant a thirty-day extension under section 74.351(c).

See Rosemond, 362 S.W.3d at 841.



                                                REX D. DAVIS
                                                Justice

Before Chief Justice Gray,
       Justice Davis, and
       Justice Scoggins
       (Chief Justice Gray dissenting)
Reversed and remanded
Opinion delivered and filed June 6, 2013
[CV06]




Salais v. TDADS                                                                    Page 6
