             THE STATE OF SOUTH CAROLINA 

                  In The Supreme Court 


      Patricia Brouwer, Appellant,

      v.

      Sisters of Charity Providence Hospitals; South Carolina
      ENT, Allergy and Sleep Medicine, P.A.; Robert
      Puchalski, M.D.; Francine K. Moring, M.D.; Jane Does
      and John Does, Defendants,

      Of whom South Carolina ENT, Allergy and Sleep
      Medicine, P.A.; Robert Puchalski, M.D.; and Francine K.
      Moring, M.D. are, Respondents.

      Appellate Case No. 2012-213231


                 Appeal From Kershaw County 

       The Honorable Alison Renee Lee, Circuit Court Judge 




                       Opinion No. 27427 

            Heard March 5, 2014 – Filed August 6, 2014 



                 REVERSED AND REMANDED


Daryl G. Hawkins, of Law Office of Daryl G. Hawkins, L.L.C., of
Columbia, for Appellant.

William H. Davidson, II and Andrew F. Lindemann, both of Davidson
& Lindemann, P.A., and William O. Sweeny, III and Benson Hall
Driggers, both of Sweeny Wingate & Barrow, P.A., of Columbia, for
Respondents.
       JUSTICE BEATTY: In this direct appeal, Patricia Brouwer challenges the
circuit court's order dismissing her medical malpractice case for failure to file an
expert witness affidavit with her Notice of Intent to File Suit ("NOI") pursuant to
section 15-79-125 of the South Carolina Code.1 Brouwer contends she is exempt
from filing an expert witness affidavit because section 15-36-100(C)(2)2 does not
require an affidavit where the alleged negligent act "lies within the ambit of
common knowledge and experience." We agree as this Court recently held that
section 15-79-125(A) incorporates section 15-36-100 in its entirety, including the
common-knowledge exception codified in 15-36-100(C)(2). Ranucci v. Crain, Op.
No. 27422 (S.C. Sup. Ct. filed July 23, 2014) (Shearouse Adv. Sh. No. 29 at 49).
("Ranucci II"). Additionally, we conclude that Brouwer successfully invoked this
exception and, thus, was not required to file an expert witness affidavit with her
NOI. Accordingly, we reverse the decision of the circuit court and remand the
case for further proceedings.


                         I.     Factual / Procedural History


1
    Section 15-79-125 provides, in part, as follows:

              Prior to filing or initiating a civil action alleging injury or death
       as a result of medical malpractice, the plaintiff shall
       contemporaneously file a Notice of Intent to File Suit and an affidavit
       of an expert witness, subject to the affidavit requirements established
       in Section 15-36-100, in a county in which venue would be proper for
       filing or initiating the civil action.

S.C. Code Ann. § 15-79-125(A) (Supp. 2013) (emphasis added).
2
    Section 15-36-100 states in pertinent part:

       (C)(2) The contemporaneous filing requirement of subsection (B) is
       not required to support a pleaded specification of negligence
       involving subject matter that lies within the ambit of common
       knowledge and experience, so that no special learning is needed to
       evaluate the conduct of the defendant.

S.C. Code Ann. § 15-36-100(C)(2) (Supp. 2013) (emphasis added).
       On January 9, 2009, Brouwer was admitted to Sisters of Charity Providence
Hospital ("Hospital") for a uvulopalatopharyngoplasy, a procedure used to treat
sleep apnea. During the surgery, Brouwer suffered an allergic reaction that
required her to be treated in the Intensive Care Unit ("ICU"). Brouwer attributed
the reaction to her latex allergy that was disclosed to medical personnel on
Brouwer's forms for "Pre-Anesthesia Evaluation" and "Consent to Operation,
Anesthetic and Other Medical Services." Prior to surgery, the Hospital issued
Brouwer a wrist band that identified the latex allergy.

       On December 29, 2011, Brouwer filed an NOI and a Summons and
Complaint, wherein she asserted a medical malpractice claim against the Hospital,
the medical practice, the operating physician, the anesthesiologist, and other
unnamed medical personnel. On January 4, 2012, Brouwer filed an Amended NOI
to correct a scrivener's error as to a named defendant. Brouwer did not file an
expert witness affidavit with her NOI because it was her "good faith belief" that
her allergic reaction to latex "lies within the ambit of common knowledge and
experience, so that no special learning is needed to evaluate the conduct of the
Defendants." If the circuit court deemed its submission necessary, Brouwer
requested additional time to procure and file an expert witness affidavit.

       Respondents moved to dismiss Brouwer's NOI and Complaint pursuant to
Rule 12(b)(6), SCRCP. In support of the motion, Respondents alleged Brouwer's
failure to file an expert witness affidavit with her NOI violated the mandatory
provisions of section 15-79-125. Brouwer opposed the motion, but conceded the
Complaint was prematurely filed as the parties had not yet engaged in mediation.3

      After a hearing, the circuit court denied Respondents' motion to dismiss
Brouwer's NOI on the ground the common-knowledge exception codified in
section 15-36-100(C)(2) was applicable. The court, however, dismissed the
Summons and Complaint without prejudice.

       Subsequently, Respondents filed a motion to alter or amend pursuant to Rule
59(e), SCRCP. In support of its motion, Respondents relied on the recently issued
decision of the Court of Appeals in Ranucci v. Crain, 397 S.C. 168, 723 S.E.2d

3
  See S.C. Code Ann. § 15-79-125(C) (Supp. 2013) (stating, "[w]ithin ninety days
and no later than one hundred twenty days from the service of the Notice of Intent
to File Suit, the parties shall participate in a mediation conference unless an
extension for no more than sixty days is granted by the court based upon a finding
of good cause").
242 (Ct. App. 2012) ("Ranucci I"), wherein the court found "section 15-79-125(A)
invokes only the provisions of section 15-36-100 governing the preparation and
content of the affidavit." Id. at 176, 723 S.E.2d at 246. The court explained, "The
plain language of section 15-36-100, which ties the filing of affidavits under that
statute to a complaint or other initial pleading, prevents the remaining provisions
from applying to affidavits filed pursuant to section 15-79-125." Id. at 177, 723
S.E.2d at 246. Based on this holding, Respondents asserted "the common
knowledge exception found in § 15-36-100 does not apply to the requisite
prelitigation procedures mandated in § 15-79-125 and cannot be used to obviate
the requirement that there be an expert affidavit filed with the Notice of Intent."

      Finding Ranucci I dispositive, the circuit court granted Respondents' motion
to dismiss Brouwer's NOI. Following the denial of her Rule 59(e) motion,
Brouwer appealed to the Court of Appeals. This Court certified the appeal
pursuant to Rule 204(b) of the South Carolina Appellate Court Rules.

                             II.    Standard of Review

       "On appeal from the dismissal of a case pursuant to Rule 12(b)(6), an
appellate court applies the same standard of review as the trial court." Rydde v.
Morris, 381 S.C. 643, 646, 675 S.E.2d 431, 433 (2009). "That standard requires
the Court to construe the complaint in a light most favorable to the nonmovant and
determine if the facts alleged and the inferences reasonably deducible from the
pleadings would entitle the plaintiff to relief on any theory of the case." Id.
(internal quotations omitted). The Court may sustain the dismissal when "the facts
alleged in the complaint do not support relief under any theory of law." Flateau v.
Harrelson, 355 S.C. 197, 202, 584 S.E.2d 413, 416 (Ct. App. 2003).

                                   III.   Discussion

A.    Arguments

       Brouwer contends the circuit court erred in granting Respondents' motion to
dismiss the NOI for her failure to contemporaneously file an expert witness
affidavit. In support of this contention, Brouwer disputes the propriety of Ranucci
I on the ground the decision is inconsistent with the rules of statutory construction.
Because section 15-79-125(A) clearly references section 15-36-100, Brouwer
claims all of the affidavit requirements enunciated in section 15-36-100, including
the common-knowledge exception in subsection (C)(2), are applicable to an NOI.
Brouwer explains that to construe these statutes separately would lead to an absurd
result where the common-knowledge exception would apply to the actual filing of
a medical malpractice complaint but not to the filing of an NOI. Stated another
way, Brouwer claims "prelitigation [would] require[] an expert witness affidavit
regardless of whether the subject matter is within the ambit of common knowledge
and experience, but actual litigation [would] not require an expert witness
affidavit." Brouwer argues that such a conclusion violates public policy as it
makes "access to the legal system more expensive and more difficult."

       Alternatively, Brouwer contends that even if the NOI did not comply with
the statutory requirements, Respondents' claim regarding the insufficiency of the
NOI became moot when the parties engaged in mediation as Respondents were
apprised of the specifics of the underlying medical malpractice claim.4

B.    Analysis

       Recently, this Court overruled the decision of the Court of Appeals in
Ranucci I. Ranucci v. Crain, Op. No. 27422 (S.C. Sup. Ct. filed July 23, 2014)
(Shearouse Adv. Sh. No. 29 at 49). ("Ranucci II"). In so ruling, we specifically
held that section 15-79-125 incorporates section 15-36-100 in its entirety. Thus,
the common-knowledge exception of section 15-36-100(C)(2) may operate to
eliminate the need to file an expert witness affidavit with the NOI under section
15-79-125(A). Consequently, we hold the circuit court erred in finding that
Brouwer could not invoke the common-knowledge exception when she filed her
NOI. This decision, however, does not end our analysis as we must consider
whether Brouwer's case fell within this exception.



4
  In her brief to this Court, Brouwer's argument on this point is conclusory and is
not supported by any authority. Moreover, the circuit court did not rule on this
issue. Thus, we find this issue is not preserved for the Court's review. See First
Sav. Bank v. McLean, 314 S.C. 361, 363, 444 S.E.2d 513, 514 (1994) (noting when
a party fails to cite authority or when the argument is simply a conclusory
statement, the party is deemed to have abandoned the issue on appeal); Eaddy v.
Smurfit-Stone Container Corp., 355 S.C. 154, 164, 584 S.E.2d 390, 396 (Ct. App.
2003) ("[S]hort, conclusory statements made without supporting authority are
deemed abandoned on appeal and therefore not preserved for our review."); see
also Wilder Corp. v. Wilke, 330 S.C. 71, 76, 497 S.E.2d 731, 733 (1998) (holding
an issue must have been raised to and ruled upon by the trial court in order to be
preserved for appellate review).
      To establish a cause of action for medical malpractice, the plaintiff must
prove the following facts by a preponderance of the evidence:

      (1)	   The presence of a doctor-patient relationship between the 

             parties; 


      (2)	   Recognized and generally accepted standards, practices, and
             procedures which are exercised by competent physicians in the
             same branch of medicine under similar circumstances;

      (3)	   The medical or health professional's negligence, deviating from
             generally accepted standards, practices, and procedures;

      (4)	   Such negligence being a proximate cause of the plaintiff's
             injury; and

      (5)	   An injury to the plaintiff.

27 S.C. Jur. Med. & Health Prof'ls § 10 (2014) (footnotes omitted); Smith v.
United States, 119 F. Supp. 2d 561 (D.S.C. 2000). "A plaintiff in a medical
malpractice case must establish by expert testimony both the standard of care and
the defendant's failure to conform to the required standard, unless the subject
matter is of common knowledge or experience so that no special learning is needed
to evaluate the defendant's conduct." Carver v. Med. Soc'y of S.C., 286 S.C. 347,
350, 334 S.E.2d 125, 127 (Ct. App. 1985); David v. McLeod Reg'l Med. Ctr., 367
S.C. 242, 248, 626 S.E.2d 1, 4 (2006). "The application of the common knowledge
exception in proving negligence in a case involving medical malpractice depends
on the particular facts of the case." Hickman v. Sexton Dental Clinic, P.A., 295
S.C. 164, 168, 367 S.E.2d 453, 455 (Ct. App. 1988). "When expert testimony is
not required, the plaintiff must offer evidence that rises above mere speculation or
conjecture." Id.

       Here, Brouwer conceded her claim involves medical malpractice, thus, her
cause of action cannot be construed as one of ordinary negligence. See Dawkins v.
Union Hosp. Dist., 408 S.C. 171, 758 S.E.2d 501 (2014) (distinguishing between
cases involving medical malpractice and ordinary negligence). Accordingly, she
must either present expert witness testimony or establish that the negligent act
alleged in her NOI "lies within the ambit of common knowledge and experience,
so that no special learning is needed to evaluate the conduct of the defendant."
S.C. Code Ann. § 15-36-100(C)(2) (Supp. 2013).
       We find the substance of Brouwer's allegation, i.e., that the negligent
exposure of a patient to latex with a known allergy can result in an allergic reaction
in that patient, is a matter within the common knowledge or experience so that no
special learning is needed to evaluate Respondents' conduct at the pre-litigation
stage. Cf. Green v. Lilliewood, 272 S.C. 186, 249 S.E.2d 910 (1978) (holding tubal
ligation rendering intrauterine device and other birth control device useless
constitutes a matter of common knowledge); Thomas v. Dootson, 377 S.C. 293,
659 S.E.2d 253 (Ct. App. 2008) (recognizing expert testimony was not required for
claim arising from a surgical drill that burned skin on contact because claim would
fall within the common knowledge or experience of laymen); Hickman v. Sexton
Dental Clinic, P.A., 295 S.C. 164, 367 S.E.2d 453 (Ct. App. 1988) (holding
evidence presented was sufficient for the jury to infer without the aid of expert
testimony a breach of duty to dental patient where patient testified an unsupervised
dental assistant rammed a sharp object into patient's mouth).

       Therefore, we hold that Brouwer did not need to file an expert witness
affidavit with her NOI. See 70 C.J.S. Physicians & Surgeons § 142 (Supp. 2014)
("[I]n a common-knowledge case, whether a medical malpractice plaintiff's claim
meets the threshold of merit can be determined on the face of the complaint, and
because the defendant's careless acts are quite obvious, the plaintiff need not
present expert testimony to establish the standard of care; in such a case, requiring
an affidavit of merit is not necessary to weed out meritless lawsuits." (footnotes
omitted)). Because Brouwer's NOI was sufficient to satisfy the pre-litigation
requirements of section 15-79-125(A), Brouwer's lawsuit remains viable as the
statute of limitations has been tolled during the pendency of this appeal. S.C. Code
Ann. § 15-79-125(A) (Supp. 2013) ("Filing the Notice of Intent to File Suit tolls all
applicable statutes of limitations.").

                                 IV.    Conclusion

        Having overruled Ranucci I, we conclude that Brouwer was permitted to
invoke the common-knowledge exception of section 15-36-100(C)(2) in her pre-
litigation filings. Because the negligent act alleged by Brouwer fits within this
exception, she was not required to file an expert witness affidavit with her NOI to
satisfy the pre-litigation requirements of section 15-79-125(A). Accordingly, we
reverse the decision of the circuit court and remand the case for further
proceedings.
     REVERSED AND REMANDED.

     KITTREDGE, HEARN, JJ., and Acting Justice James E. Moore,
concur. PLEICONES, J., dissenting in a separate opinion.
JUSTICE PLEICONES: For the reasons given in my dissent in Ranucci v.
Crain, Op. No. 27422 (S.C. Sup. Ct. filed July 23, 2014), I respectfully dissent and
would affirm the circuit court's dismissal of appellant's Notice of Intent to File
Suit.
