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Click here for the full text of this decision FACTS:Douglas and Kam Crosswhite brought their 3-year-old son to the Hopkins County Memorial Hospital emergency room with symptoms of a possible upper respiratory infection, plus nausea, vomiting and fever. The emergency room physician, Dr. Ricky Cameron, prescribed medication and told the parents to bring the child back in 24 hours for further evaluation. Twenty-two hours later, the Crosswhites returned with their son. Because the boy’s condition had deteriorated, Cameron admitted him to the hospital and consulted with the child’s pediatrician, Dr. James Longino. The next day, Longino ordered tests that revealed that the child had bacterial meningitis. The child was transferred to Children’s Medical Center of Dallas, where he recovered, but with significant and permanent neurological injuries. The Crosswhites sued Cameron, Longino and the first hospital. They claimed a prudent physician would have performed the tests for bacterial meningitis earlier, and that the delay in testing caused the child’s further injuries. As required by the medical malpractice statute, the Crosswhites filed an expert report. Longino filed a motion challenging the adequacy of the report. The trial court denied it and Longino appeals. HOLDING:Reversed and remanded. The court finds the report was not filed in good faith. It did not provide a fair summary of how Longino breached the applicable standard of care. It fails to differentiate between the conduct of Cameron and Longino, yet the complained-of conduct occurred while Cameron was the treating physician. Further, the report states only that the delay in diagnosis caused significant and permanent neurological injuries, but the report does not show how this conclusion supports causation beyond mere conjecture. “In the absence of specific information concerning Longino’s conduct and only conclusory statements concerning causation, the trial court abused its discretion by finding that the expert report constituted a good-faith effort.” OPINION:Ross, J.; Morriss, CJ, Ross and Carter, JJ.

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