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LEGAL EASE

                                    ‘Do I have to?’
                                    and ‘How much?’

                                    Part I of II

                                    By George F. “Rick” Evans

  I’ve heard these two questions so often over my career that I’ve            Or suppose you’ve been caring for a patient for years, and he’s in-
just got to use that hackneyed, old expression of, “If I had a dime         volved in a custody dispute as part of his divorce. If part of your care
for every time X happened, I’d be a millionaire by now.” Maybe              involved treatment for addiction, mental illness or other issues per-
that’s an overstatement, but it’s not far from the truth. I get these       taining to his suitability to care for a minor child, you might be re-
two questions about once every week from some doctor, some place.           quired to testify. I could go on with many examples but the point is
Let me try to put them to rest.                                             simple. You are like the guy who witnessed the car crash. Or the bur-
                                                                            glary. As an eyewitness, you are uniquely positioned to help the jury
  Exactly what are these two questions? The first one is the phone          decide the case, and the law requires that you share that knowledge
call I routinely receive in which a doctor has been asked to testify.       with the jury whether you want to or not. The same principle applies
Sometimes it’s a deposition. Sometimes it’s for a trial. Maybe it’s a       when you are the eyewitness to medical care you provided to a patient
request that some attorney is making over the phone or by letter.           if that care somehow is relevant to the legal dispute.
Or maybe the doctor has received a subpoena demanding he appear
at such-and-such a place and time to testify. The doctor wants to             So, the short answer to, “Do I have to?” is yes, IF you are the
know: “Do I really have to do this?”                                        equivalent of a medical eyewitness to an issue of relevance to the
                                                                            legal dispute.
  The second question follows from the first. How much money,
if any at all, can the doctor charge for testifying? There are some           Here’s a little caveat to subpoenas. They have an effective “range”
follow-up questions and practice pointers you may not have con-             of no more than 150 miles from where you reside or where you’re
sidered that I’ll also address. This is the first of a two-part article     served. In other words, you can’t be required to travel more than
intended to tackle these issues. Let’s begin with the first issue.          150 miles from where you live or where the subpoena is delivered
                                                                            to you. A Houston attorney handling a Houston case can’t force
QUESTION ONE: DO I HAVE TO?                                                 you to come to Houston to give a deposition about a patient you
  If you are somehow involved, even peripherally, in a legal dispute        treated. However, that same attorney could just drive over to San
                                                                            Antonio and, using a subpoena, make you testify in San Antonio.
between two or more people, the answer is usually yes, you have to          You haven’t avoided testifying. You just avoid having to travel more
testify. Sorry, but there you have it. Let me give you an analogy.          than 150 miles to do it.
If you were walking down the street and saw a car run a red light
and hit another car, like it or not, you’re an eyewitness to the event.       Now, let’s assume you’re not a “medical eyewitness,” but, instead,
You can be required to come to court and tell the jury what you             have nothing to do with the case or any of the parties. If you’ve got
saw. Just like a district attorney could call you to testify in a criminal  absolutely nothing to do with the patient or the case, then you can’t
case if you happened to see a burglary or some other crime. You             be forced to testify. You don’t have to. This question arises when
can be subpoenaed to testify for any case as to what you saw or             some attorney is trying to get you to be an expert witness on some
heard. You’re an eyewitness.                                                issue relevant to a lawsuit or pending claim. They want you to re-
                                                                            view something and render an opinion on some issue. The answer
  Similarly, if you’re a treating physician of a person involved in a       to whether you have to do that is a resounding no. The choice is
legal dispute, you can typically be required to testify in that capacity.   100 percent yours. Nobody can force you. You can’t be subpoenaed
Let me give you some examples. A person is hurt in an accident,             or otherwise made to do it unless you agree.
and you provide medical care. Your patient files a lawsuit concern-
ing those injuries which has the legal effect of waiving his right to         Now, with that behind us, next month we’ll discuss just how
physician/patient confidentiality. Either his attorney or the defense       much, if anything, you can charge for testifying.
attorney could require you to testify about your care of the patient.
If you won’t do it voluntarily, they can drop a subpoena on you and                           George F. “Rick” Evans Jr., is the founding partner of
make you do it. You’re a medical eyewitness to an event relevant to                        Evans, Rowe & Holbrook. A graduate of Marshall Col-
the lawsuit. You can be required to testify as to the patient’s condi-                     lege of Law, his practice for 36 years has been exclusively
tion, what your treatment was, how he’s doing now, and so forth.                           dedicated to the representation of physicians and other
                                                                            healthcare providers. Mr. Evans is the BCMS legal counsel.

30 San Antonio Medicine • May 2015
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