                                MEMORANDUM OPINION
                                        No. 04-10-00840-CV

                                   Brian K. SEASTRUNK, M.D.,
                                             Appellant

                                                 v.

  Monica MEZA, Individually and as Representative of the Estate of Maddoux J. Cordova and
                              Adam Cordova, Individually,
                                       Appellees

                     From the 150th Judicial District Court, Bexar County, Texas
                                  Trial Court No. 2010-CI-06914
                            Honorable Karen H. Pozza, Judge Presiding

Opinion by:       Rebecca Simmons, Justice

Sitting:          Karen Angelini, Justice
                  Rebecca Simmons, Justice
                  Marialyn Barnard, Justice

Delivered and Filed: August 10, 2011

DISMISSED FOR WANT OF JURISDICTION

           This is an accelerated appeal from the trial court’s denial of Appellant Dr. Brian K.

Seastrunk’s motion to dismiss and its attendant grant of a thirty-day extension to cure a deficient

expert report served on Dr. Seastrunk by Appellees Adam Cordova and Monica Meza,

Individually and as Representative of the Estate of Maddoux J. Cordova. We dismiss the appeal

for want of jurisdiction.
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                                         BACKGROUND

          On the morning of December 11, 2009, Maddoux Cordova, who was almost two years

old, underwent dental surgery at an ambulatory surgery center, Village Specialty Surgical

Center.     Dr. Seastrunk administered anesthesia for Maddoux’s procedure.       Following the

procedure, Maddoux was taken to the the recovery area. Dr. Seastrunk prescribed morphine for

Maddoux’s pain, to be taken as needed. Maddoux was given two .5 mg doses of morphine later

that morning and, six hours later, his grandmother found him unresponsive.         EMS rushed

Maddoux to the hospital where he was placed in an induced coma.             After sixteen days,

Maddoux’s family removed him from the respirator and he died the following day.

          Maddoux’s parents, Monica Meza and Adam Cordova, filed health care liability claims

against Dr. Seastrunk and Village Specialty Surgical Center. Meza and Cordova served the

defendants with expert reports from Dr. Sean G. Boynes and Dr. Vincent Di Maio.             Dr.

Seastrunk objected to the sufficiency of the reports and moved to dismiss the claim with

prejudice. The trial court found that although Dr. Boynes’s report was deficient, it reflected a

good faith effort to comply with the expert report requirement. It further found that Dr. Di

Maio’s report was sufficient as to causation. The trial court denied Seastrunk’s motion to

dismiss and granted a thirty-day extension to cure the deficiencies in the expert reports. Dr.

Seastrunk appeals.

                                          JURISDICTION

          Meza and Cordova challenge our jurisdiction to consider Dr. Seastrunk’s interlocutory

appeal. Dr. Seastrunk states that we have jurisdiction because Meza and Cordova’s reports were

so deficient as be “no reports” under section 74.351 of the Texas Civil Practice & Remedies

Code. See TEX. CIV. PRAC. & REM. CODE ANN. §§ 51.014 (West 2008), 74.351 (West 2008 &



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Supp. 2011); see also Badiga v. Lopez, 274 S.W.3d 681, 685 (Tex. 2009) (“A provider may

pursue an interlocutory appeal of the denial of a motion to dismiss when no expert report has

been timely served, whether or not the trial court grants an extension of time.”).

A. Standard of Review

       Because a challenge to our jurisdiction raises a legal question, we review the challenge de

novo. IFS Sec. Grp., Inc. v. Am. Equity Ins. Co., 175 S.W.3d 560, 562 (Tex. App.—Dallas 2005,

no pet.); cf. Mayhew v. Town of Sunnyvale, 964 S.W.2d 922, 928 (Tex. 1998) (explaining that the

standard of review for appellate jurisdiction under the ripeness doctrine is de novo). We must

dismiss the appeal “[i]f the record does not affirmatively demonstrate [our] jurisdiction.” IFS

Sec. Grp., 175 S.W.3d at 562.

B. The Expert Report Requirement

       Under section 74.351 of the Texas Civil Practice and Remedies Code, a health care

liability claimant must, within 120 days of filing the claim, serve on each party or his attorney at

least one “expert report” with a curriculum vitae of each expert listed in the report. TEX. CIV.

PRAC. & REM. CODE ANN. § 74.351(a); see also Badiga, 274 S.W.3d at 683; Emeritus Corp. v.

Highsmith, 211 S.W.3d 321, 325 (Tex. App.—San Antonio 2006, pet. denied). If an expert

report has not been served within that period, then a trial court must grant a motion to dismiss the

claim. TEX. CIV. PRAC. & REM. CODE ANN. § 74.351(b); see also Badiga, 274 S.W.3d at 683;

Highsmith, 211 S.W.3d at 325. A defendant must file and serve objections to the sufficiency of

any served report implicating that defendant’s conduct or otherwise waive any objections to that

report. TEX. CIV. PRAC. & REM. CODE ANN. § 74.351(a); Ogletree v. Matthews, 262 S.W.3d 316,

319 (Tex. 2007). If a trial court finds elements of the report to be deficient, then the trial court

may grant a thirty-day extension for the claimant to cure the deficiency. TEX. CIV. PRAC. & REM.



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CODE ANN. § 74.351(c), (l); Garcia v. Marichalar, 185 S.W.3d 70, 73 (Tex. App.—San Antonio

2005, no pet.).

C. Appellate Jurisdiction

       We have jurisdiction over appeals only from final judgments unless a statute grants us the

authority to hear an appeal from an interlocutory order. Jack B. Anglin Co. v. Tipps, 842 S.W.2d

266, 272 (Tex. 1992). We are authorized to hear an appeal from an order “den[ying] all or part

of the relief sought by a motion under Section 74.351(b), except that an appeal may not be taken

from an order granting an extension under Section 74.351(c).” TEX. CIV. PRAC. & REM. CODE

ANN. § 51.014(a)(9); Bogar v. Esparza, 257 S.W.3d 354, 359 (Tex. App.—Austin 2008, no pet.).

       We have jurisdiction over an interlocutory appeal of the denial of a motion to dismiss

when an extension has been granted only when no report is served. See Badiga, 274 S.W.3d at

683; Highsmith, 211 S.W.3d at 325. But when a deficient report is served and the court grants a

thirty-day extension, we lack jurisdiction over an interlocutory appeal of the denial of the motion

to dismiss. Scoresby v. Santillan, — S.W.3d. — , No. 09–0497, 2011 WL 2586860, at *6–7

(Tex. 2011); compare Ogletree, 262 S.W.3d at 317 (holding there is no appellate jurisdiction if

there is a deficient report and an extension is granted), with Badiga, 274 S.W.3d at 684–85

(holding there is appellate jurisdiction if extension is granted despite a missing report because

extension is an abuse of discretion).

       A purported expert report is not so deficient as to be no report at all “if the report is

served by the statutory deadline, if it contains the opinion of an individual with expertise that the

claim has merit, and if the defendant’s conduct is implicated.” Scoresby, 2011 WL 2586860, at

*7.   This is a minimal standard that is intended to deter the delay caused by multiple

interlocutory appeals. Id. If a purported expert report meets this standard, and if the trial court



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has granted a thirty-day extension to cure such a deficient report, then we lack jurisdiction over

an interlocutory appeal of a denial of a motion to dismiss for failure to serve an expert report. Id.

D. Analysis

       It is undisputed that the trial court granted a thirty-day extension for Meza and Cordova

to cure the deficiencies in the expert reports that were filed within the 120-day statutory period.

Thus, the only remaining inquiry is whether either Dr. Boynes’s report or Dr. Di Maio’s report

contains the opinion of an individual with relevant expertise stating that Meza and Cordova’s

claim has merit and implicates Seastrunk’s conduct.

       We hold that the reports contain opinions of individuals with relevant expertise. See

Scoresby, 2011 WL 2586860, at *7 (requiring that the reports only need to be authored by

individuals with relevant expertise and do not need to be authored by statutorily qualified experts

to give the trial court discretion to grant an extension). Dr. Boynes’s report and C.V. detail his

background as a licensed dentist with a concentrated practice in Anesthesiology. His report

asserts his qualifications to address the diagnosis, care, and treatment of Maddoux. Furthermore,

Dr. Di Maio’s report and C.V. list his qualifications as a physician who is “Board Certified in

Anatomical, Clinical and Forensic Pathology.” Dr. Di Maio states that he was the Chief Medical

Examiner of Bexar County, Texas, for twenty-five years.

       Dr. Boynes’s and Dr. Di Maio’s reports implicate Dr. Seastrunk’s conduct and support

that Meza and Cordova have a claim against Dr. Seastrunk. Dr. Boynes’s report specifically

accused Dr. Seastrunk of breaching the standard of care for the administration of morphine. Dr.

Boynes opined in his report that for a thirteen-kilogram patient like Maddoux, the recommended

pediatric drug dosage range was .26 milligrams to .65 milligrams. He further stated that one

milligram was prescribed and administered to Maddoux. Dr. Boynes also reported that Dr.



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Seastrunk, as Maddoux’s physician, was required to order the appropriate dosage and proper

administration.   Dr. Di Maio’s report detailed Maddoux’s medical records and concluded,

“Based on the aforementioned material, it is my opinion that, in all medical probability Maddoux

. . . died as a result of cerebral hypoxia due to over sedation by morphine administered by a nurse

at Village Specialty Surgical Center following prescription of the medication by Dr. B.

Seastrunk.” Thus, Dr. Boynes’s and Dr. Di Maio’s reports are not so deficient as to be no report

as to Dr. Seastrunk. See Scoresby, 2011 WL 2586860, at *7; Ogletree, 262 S.W.3d at 320–22;

Bogar, 257 S.W.3d at 360; Garcia, 185 S.W.3d at 73; cf. TEX. CIV. PRAC. & REM. CODE ANN.

§ 74.351(a).

                                          CONCLUSION

       Having concluded that Dr. Boynes’s and Dr. Di Maio’s reports were merely deficient

reports as opposed to “no reports” for which a thirty-day extension was not available, we must

dismiss this appeal for want of jurisdiction. See TEX. CIV. PRAC. & REM. CODE ANN. § 51.014;

Scoresby, 2011 WL 2586860, at *7.



                                                     Rebecca Simmons, Justice




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