The Parents' Complaint
The Parents' Complaint
The Parents' Complaint
CASE NO:
MATT KIRCHGESSNER,
Individually, and as Personal
Representative of the Estates of
BAYLOR KIRCHGESSNER and
ADDIE KIRCHGESSNER, his
deceased minor children, and on behalf
of statutory survivors, and LAUREN
KIRCHGESSNER,
Plaintiffs,
vs.
Defendants.
COMPLAINT
his deceased minor children, and on behalf of all statutory survivors, and LAUREN
KIRCHGESSNER, by and through their undersigned counsel, and hereby sue TIM M. SMITH,
M.D., BILLY’s STEAMER & OYSTER BAR, INC., and SCOTT DONALDSON, and alleges
as follows:
Defendant, TIM M. SMITH, M.D. that exceeds the sum of FIFTY THOUSAND DOLLARS
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($50,000.00), exclusive of costs, interest and attorneys’ fees (The estimated value of Plaintiff’s
claim is in excess of the minimum jurisdictional threshold required by this Court). Accordingly,
Plaintiff has entered “$50,001” in the civil cover sheet for the “estimated amount of the claim” as
required in the preamble to the civil cover sheet for jurisdictional purposes only (the Florida
Supreme Court has ordered that the estimated “amount of claim” be set forth in the civil cover
sheet for data collection and clerical purposes only). The actual value of Plaintiff’s claim will be
determined by a fair and just jury in accordance with Article 1, Section 21, Fla. Const.
the Florida DRAM Shop Law against Defendant, BILLY’s STEAMER & OYSTER BAR, INC.
4. This action is being brought pursuant to Florida Statutes §766.102, et seq., Florida
Statutes §768.125, the Florida Wrongful Death Act, the Florida Administrative Code, and the
respectively), were the parents and natural guardians of their minor children, BAYLOR
“ADDIE” respectively).
6. At all times material to this action, Plaintiff, MATT KIRCHGESSNER was and is
the duly appointed Personal Representative of the Estate of BAYLOR KIRCHGESSNER and
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7. At all times material to this action, Mr. & Mrs. KIRCHGESSNER and BAYLOR
and ADDIE were residents of Louisville, Kentucky. On or about December 4, 2020, Plaintiffs
8. At all times material to the action, TIM M. SMITH, M.D. (hereinafter “Dr.
SMITH”) was and is a physician licensed to practice medicine in the state of Florida and was
9. At all times material to this action, Defendant, Dr. SMITH provided care and
treatment to SCOTT DONALDSON at 100 Doctors Drive, Panama City, Florida 32405.
10. At all times material to this action, Defendant, BILLY’s STEAMER & OYSTER.
INC. (hereinafter “BILLYS”) was and is a Florida for-profit business, engaged in the business of
serving food and beverages, including alcoholic beverages, and with principal place of business
11. At all times material hereto, Denise Donaldson and SCOTT DONALDSON were
12. In addition, BILLYS employed personnel to assist in serving food and beverages,
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16. Venue is proper as the alleged negligence occurred in Bay County, Florida, and as
17. Pursuant to §766.104, Fla. Stat., the undersigned counsel certifies that a
reasonable investigation has been conducted as to the matters alleged herein, and it has been
determined that there are reasonable grounds for a good faith belief that there was negligence in
the care and treatment of Mr. DONALDSON by the Defendant, Dr. SMITH and that grounds
18. Certain conditions precedent to the filing of this action, including compliance
with §§ 766.106 and 766.203, Fla. Stat., have been performed by Plaintiffs. A Notice of Intent to
Initiate Litigation, along with the corroborating Affidavits of appropriate health care experts, was
served by certified mail, return receipt requested, upon Defendant prior to the filing of this
Complaint.
19. While the undersigned was able to procure a signed medical records release and
authorization from Mr. DONALDSON, and while such authorization was turned over to the
prospective Defendant, Mr. DONALDON has refused to sign and provide the authorization
20. This action has been brought within the applicable statute of limitations including
all extensions and tolling provisions, as BAYLOR and ADDIE passed away on December 4,
2020.
VICARIOUS LIABILITY
Employment
21. At all times material hereto, Dr. SMITH and was self-employed.
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22. At all times material hereto, the persons serving alcoholic beverages to SCOTT
DONALDSON at BILLYS were the owners, operators, employees, agents and/or servants of
BILLYS.
23. At all times material hereto, including at all times that alcohol was being served to
SCOTT DONALDSON, the employees, agents and or/servants of BILLYS, including but not
limited to SCOTT DONALDSON and Denise Donaldson, were acting within the course and
24. On December 4, 2020, BAYLOR and ADDIE were playing miniature golf at the
Coconut Creek Family Fun Park in Panama City Beach, Florida with their parents.
25. At that same time, Mr. DONALDSON was traveling west on US Highway 98
26. At approximately 3:19 p.m., Mr. DONALDSON’s vehicle suddenly veered south,
crossed the eastbound travel lanes, struck a curb and a wooden fence, and then entered the
Coconut Creek Family Fun Park. The front of Mr. DONALDSON’s vehicle directly struck
BAYLOR and ADDIE, and then continued traveling through the property, crossing a body
27. BAYLOR was pronounced dead at the scene. He was four (4) years old at the
28. ADDIE was pronounced dead enroute to the hospital. She was six (6) years old at
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29. It was later determined that Mr. DONALDSON had suffered a seizure while
driving his car, and that the seizure caused him to leave the road and enter the Coconut Creek
30. Mr. DONALDSON has a long documented history of significant alcohol abuse
which has resulted in his suffering a seizure disorder, withdrawal seizures, tremors, frequent
31. At all times material to this action, Dr. SMITH was and is Mr. DONALDSON’s
longtime family physician. By October 1996, the earliest chart entry in Dr. SMITH’s records,
32. At some point between 1996 and 2000, Mr. DONALDSON developed a seizure
disorder, which was most likely a result of his excessive alcohol consumption.
33. In January 2000, Mr. DONALDSON presented to Dr. SMITH’s office following
a motor vehicle accident wherein he slammed on his brakes and slid into an intersection striking
another vehicle. Dr. SMITH made note at that time that Mr. DONALDSON was on Depakote
48mg for a seizure disorder. In June 2000, Dr. SMITH noted that Mr. DONALDSON was on
34. In 2002, Dr. SMITH noted that Mr. DONALDSON was complaining of shaking
and tremors in his hands. The records indicate that Dr. SMITH was routinely ordering refills for
35. On June 12, 2007, Mr. DONALDSON presented to Dr. SMITH’s office following
a fall which injured his left shoulder. During this visit, Dr. SMITH noted that Mr.
DONALDSON had recently been to his neurologist, and that there was concern regarding his
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drinking alcohol. Two (2) weeks later, Mr. DONALDSON presented to Dr. SMITH’s office
following an automobile accident. Dr. SMITH’s records claim that Mr. DONALDSON was not
37. On February 24, 2011, Dr. SMITH admitted Mr. DONALDSON to Gulf Coast
Medical Center after he presented to the emergency room following suffering a seizure on his
way to his neurology appointment. In addition to the seizure, Mr. DONALDSON was diagnosed
38. While Dr. SMITH made scant mention of Mr. DONALDSON’s alcohol use, the
consulting cardiologist, Dr. Hari Baddigam, diagnosed Mr. DONALDSON with an abnormal
39. On March 4, 2011, a couple of days following discharge from the hospital, Mr.
DONALDSON followed-up with Dr. SMITH in his outpatient office. At that visit, Dr. SMITH
pneumonia and atrial fibrillation. The records make no reference to the electrolyte imbalances or
40. Mr. DONALDSON presented again to Gulf Coast Medical Center on March 12,
2011 and was admitted by Dr. SMITH. As part of the History and Physical, Dr. SMITH noted
that Mr. DONALDSON’s family had reported that he had been drinking heavily. During this
admission, a consulting physician, Dr. William McKenzie, diagnosed Mr. DONALDSON with
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41. On October 12, 2011, Mr. DONALDSON once more presented to Gulf Coast
Medical Center, and once more was admitted by Dr. SMITH. During the History and Physical,
Dr. SMITH noted that Mr. DONALDSON “has been drinking alcohol trying to calm himself
down and this has only added to his agitation.” Despite that reported history, Dr. SMITH did not
make any alcohol-related diagnoses. In contrast, the consulting cardiologist, Dr. Michael
Morrow, charted a history of heavy alcohol intake with a reported history of consuming six (6)
alcoholic beverages a day. While Mr. DONALDSON was discharged by Dr. SMITH the next
day, the latter noted that Mr. DONALDSON “had been drinking a fair amount of alcohol under
lot of stress.” At a follow-up visit two (2) weeks later, Dr. SMITH noted that Mr. DONALDSON
42. On November 13, 2011, Mr. DONALDSON was involved in a serious motor
vehicle accident wherein he fractured several vertebrae in his neck. Mr. DONALDSON
presented to Dr. SMITH’s office on December 27, 2011, for assessment and evaluation. Dr.
SMITH postulated that Mr. DONALDSON’s accident was likely due to his medications or a
seizure. The record also mentions that Mr. DONALDSON was taken off Ambien due to mental
confusion concerns, however Dr. SMITH goes on to state that he believes that this all due to an
electrolyte imbalance.
43. In June 2012, Mr. DONALDSON reported to Dr. SMITH that he had been put on
44. On June 1, 2014, Mr. DONALDSON was brought to Gulf Coast Medical Center’s
Emergency Room by his mother and sister and with reports that the was “out of his mind” and
acting strange. He was once again admitted by Dr. SMITH. Dr. SMITH noted within the
History and Physical that Mr. DONALDSON “continued to have some alcoholic beverages from
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time to time,” however commented that his sodium was not as low as it had been in the past, and
that his blood alcohol level was not elevated. Dr. SMITH once again attributed Mr.
the pattern thus far, the consulting physicians’ evaluations painted a much grimmer picture with
regards to Mr. DONALDSON’s presentation. Cardiology consultant, Dr. Maher Ayoubi, noted
that Mr. DONALDSON was found in his shower with his clothes on, confused, and unable to
answer any questions, and consulting neurologist, Dr. Muhammad Zaman Khan, diagnosed
chronic alcoholism. A June 8, 2014, consultation by Dr. William McKenzie noted that Mr.
DONALDSON was admitted for delirium tremors and alcohol withdrawal. Dr. McKenzie also
noted that Mr. DONALDSON likely had a withdrawal seizure while hospitalized. Dr. SMITH
noted that Mr. DONALDSON suffered severe withdrawals during his hospital admission, and
45. Mr. DONALDSON presented to Dr. SMITH’s office for a post-discharge office
visit on June 13, 2014. Dr. SMITH noted within the HPI that Mr. DONALDSON was again
admitted to the hospital for an “extreme electrolyte imbalance” which he attributed to Mr.
DONALDSON being put on Trileptal. While the record makes passive mention of
seizures.
Center following a fall at home. Dr. SMITH was once again the admitting and attending
physician. As part of the admitting History and Physical, Dr. SMITH noted that Mr.
DONALDSON had a history of a seizure disorder, hypertension, prior motor vehicle accidents,
and recurrent a- fibrillation. Dr. SMITH made mention that Mr. DONALDSON has had
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problems with alcohol requiring hospitalization. Dr. SMITH also made mention that Mr.
DONALDSON experienced withdrawal seizures during his past June hospitalization, and that he
was discharged with a prescription for Campral. Dr. SMITH reported within the H&P that Mr.
DONALDSON “has not been drinking any alcohol” and that despite a “past history of alcohol
47. On January 13, 2015, Mr. DONALDSON reported to Dr. SMITH’s office with
complaints of feeling terrible and having difficulty sleeping. Mr. DONALDSON’s sodium was
noted to be low, and Dr. SMITH noted that Mr. DONALDSON was reporting the return of
tremors. There is no indication that Mr. DONALDSON was asked about his alcohol
48. On May 4, 2015, Mr. DONALDSON was admitted to Gulf Coast Medical Center
due to seizures. He was once again admitted by Dr. SMITH. During consultation with Dr. Amir
Haghighat (interventional cardiology), it was reported that Mr. DONALDSON had been
drinking the day prior to having seizures, and that he had forgotten to take some of his
medications prompting him to present to hospital due to seizure activity. Mr. DONALDSON
reported to Dr. Haghighat that he was under a lot of stress and needed to get thing straightened
out. Mr. DONALDSON’s Alcohol Level was 19 during this hospitalization. Of significance, in
discharging Mr. DONALDSON, Dr. SMITH noted that Mr. DONALDSON forgot to take his
seizure medications, was drinking, and as a result suffered two (2) grand mal seizures. Dr.
SMITH also noted that he instructed Mr. DONALDSON to stop drinking alcohol, however, the
49. Mr. DONALDSON presented to Dr. SMITH’s office on May 22, 2015, for
follow-up post- discharge. While Dr. DONALDSON made reference again to Mr.
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DONALDSON’s a-fib and electrolyte imbalance, there is no mention of alcohol use or abuse, or
50. On September 10, 2015, Mr. DONALDSON was brought to Gulf Coast Medical
Center after his mother found him at home with blood everywhere, multiple bruises and
abrasions, and mental confusion. Within the HPI, Dr. SMITH acknowledged that he has been
treating Mr. DONALDSON for chronic problems with alcoholism, seizure disorder, and atrial
fibrillation. Dr. SMITH further acknowledged that he was unaware if Mr. DONALDSON had
been compliant with taking his medications regularly. Dr. SMITH also noted that Mr.
DONALDSON had been suffering from recent anxiety and had been consuming alcohol as a
calming mechanism. During physical examination, Dr. SMITH postulated that Mr.
DONALDSON’s multiple bruises and abrasions were the likely result of seizures “due to not
taking his seizure medication.” Mr. DONALDSON was admitted into the ICU with a diagnosis
of seizure activity, alcohol abuse, chronic a-fib, acute hyponatremia and hypokalemia.
consulting physicians, including neurologist, Dr. Khurram Nazir. Dr. Nazir noted that Mr.
DONALDSON has been suffering seizures for 8-9 years and was treating with a neurologist. Dr.
Nazir noted that Mr. DONALDSON had a history of alcohol abuse and was on withdrawal
protocols (CIWA). Dr. Nazir noted that he reviewed Mr. DONALDSON’s past hospital
admissions and noticed similar prior admissions where Mr. DONALDSON had been admitted
for “alcohol use and electrolyte imbalances provoking seizures.” Dr. Nazir also noted that Mr.
DONALDSON had not been taking his anti-seizure medications. Following his examination and
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The patient is a 52-year old gentleman, who came in with an episode of seizure, unclear
on how long and how many, but was found to have multiple metabolic derangements
including hyponatremia, hypokalemia, hypomagnesemia, and hypochloremia. He has a
history of similar episodes in the past in the setting of drinking alcohol. All these
derangements have [sic] known to cause seizure threshold even if you are on antiepileptic
coverage, and I think his presentation was due to these provoking factors.
nephrologist, Dr. Scott Dean. Dr. Dean noted that Mr. DONALDSON reported drinking three
(3) pitchers of beer a day. Dr. Dean noted a long history of chronic alcoholism. Following
53. Mr. DONALDSON was discharged by Dr. SMITH on September 16, 2015 with
final diagnoses of seizure disorder, anemia, mental confusion secondary to severe electrolyte
imbalance, hyponatremia, hypokalemia, hypertension, and chronic atrial fibrillation. Dr. SMITH
54. Less than two (2) weeks later, on September 28, 2015, Mr. DONALDSON
presented to Dr. SMITH’s office for follow-up following discharge. During this visit, Dr.
SMITH noted that “[u]unfortunately, he is drinking alcohol again and I fussed at him one more
time about that.” Dr. SMITH prescribed Camprel on that date to address alcohol withdrawal.
55. On October 9, 2015, Mr. DONALDSON presented to Dr. SMITH’s office with
complaints of difficulty sleeping. Dr. SMITH noted that Mr. DONALDSON had been
“completely off the alcohol” but had not yet started the Camprel. Despite that report, one (1)
week later, Dr. SMITH noted that Mr. DONALDSON was “draggy and mentally confused from
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time to time.” A little over one (1) month later, on November 13, 2015, Mr. DONALDSON
presented to Dr. SMITH’s office with complaints of right shoulder pain following another fall.
56. On September 22, 2016, Mr. DONALDSON was readmitted into Gulf Coast
Medical Center. As with his prior admission, Dr. SMITH was the admitting, attending and
discharging physician. At this encounter, Dr. SMITH noted that Mr. DONALDSON “has had a
problem with alcohol in the past.” Dr. SMITH also noted that Mr. DONALDSON was suffering
from nausea, vomiting and diarrhea, and due to his ill appearance and mental confusion, was
ordered to be admitted into this hospital. Dr. SMITH commented that upon arrival to the
hospital, Mr. DONALDSON suffered a grand mal seizure. Dr. SMITH noted that Mr.
DONALDSON was very mentally confused and dehydrated during examination, andalso charted
that Mr. DONALDSON had “been drinking alcoholic beverages every day for several days.”
Dr. SMITH made no diagnoses, but instead noted that Mr. DONALDSON was being admitted
57. While hospitalized, Mr. DONALDSON was attended to by the Critical Care
Service. In contrast to Dr. SMITH, the providers on that service diagnosed Mr. DONALDSON
58. Mr. DONALDSON was put on CIWA alcohol withdrawal protocols throughout
this admission. It was reported that Mr. DONALDSON’s last known alcohol beverage was
earlier that day. Dr. SMITH discharged Mr. DONALDSON with an underwhelming summary of
his conditions and issues, this time claiming that Mr. DONALDSON was brought in for severe
gastroenteritis, nausea, vomiting, diarrhea and because he suffered a seizure at home. While Dr.
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SMITH made no mention of Mr. DONALDSON’s alcohol use, he did postulate that Mr.
59. Mr. DONALDSON presented to Dr. SMITH’s office for post-discharge follow-up
on October 4, 2016. Dr. SMITH noted that he recently had Mr. DONALDSON in the hospital
for electrolyte imbalance but commented that “he is off the alcohol now.”
60. On December 30, 2016, Dr. SMITH noted that Mr. DONALDSON had suffered a
seizure on Christmas Eve after missing a single dose of his anti-seizure medication, and that a
head laceration was repaired in the ER. Dr. SMITH made no mention of the fact that the seizure
occurred, once again, while Mr. DONALDSON was driving and resulted in him leaving the road
61. On February 15, 2017, Mr. DONALDSON was notified by the Florida
Department of Highway Safety and Motor Vehicles that their agency had received information
regarding Mr. DONALDSON’s ability/inability to drive safely due to his medical condition.
This was in response to the automobile accident which occurred on December 23, 2016. Within
the chart there is a questionnaire from the DMV directed to Dr. SMITH which was filled out as
part of evaluating whether or not Mr. DONALDSON would be safe to operate a motor vehicle.
62. Despite having been recently hospitalized for several serious alcohol related
illnesses, Dr. SMITH made no mention of them in response to the DMV’s questionnaire which
asked “what is the probable cause of the loss of consciousness and what treatment, if any, is the
imbalance.”
63. Although Dr. SMITH had recently opined that Mr. DONALDSON’s recent
seizure was due to not taking his seizure medications, he likewise failed to inform the DMV of
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that history and conclusion. With the opportunity to freely provide additional comments and
information, Dr. SMITH merely checked the block indicating that from a medical standpoint,
64. On a separate form, filled out on April 17, 2017, Dr. SMITH continued to provide
Despite clear and longstanding diagnoses for alcoholism, alcohol use, alcohol
mentioned.
blank and failed to notify the DMV that Mr. DONALDSON was on several
DONALDSON in the previous two (2) years, Dr. SMITH listed only Dr.
ii. Sept 2015: Admitted after mother found him at home post-seizure;
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iii. Sept 2016: Admitted for seizures; dx with seizure disorder secondary
to alcohol withdrawal;
e. When questioned about any emotion problems or mental illness, Dr. SMITH
made no editorial comments other than “see attached” which was in likely
admissions due to alcohol related issues and failed to reference that Mr.
h. Dr. SMITH concluded the form by answering “yes” as to whether or not in his
65. It would be only two (2) weeks before Mr. DONALDSON would be admitted
again into Gulf Coast Medical Center for seizures related to alcohol use. On May 2, 2017, Mr.
DONALDSON was once again admitted into Gulf Coast Medical Center by Dr. SMITH. The
chief complaint was “passing out and seizure.” Dr. SMITH noted that Mr. DONALDSON had
chronic problems with electrolyte imbalances, and that his family had reported that he had be
drinking “a lot of beer.” Dr. SMITH postulated that Mr. DONALDSON’s recent seizure was a
direct result of an electrolyte imbalance due to drinking alcohol. Dr. SMITH continued on that
he was unsure if Mr. DONALDSON was regularly taking his anti-seizure medications. Once
again, no admitting diagnoses were made, but instead, Dr. SMITH commented that Mr.
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66. As was the case during prior admissions, the consulting physicians were able to
gather an accurate history which included that Mr. DONALDSON had a history of alcohol
abuse, and a social history which included excessive beer drinking. Mr. DONALDSON was
examined and evaluated by consulting cardiologist, Dr. Hashem Mubarak, who noted the
following impression: Chronic a-fib, Alcohol abuse, Hypertension, Seizure Disorder. “Not sure
whether it is related to the alcohol abuse or not,” slight encephalopathy possibly related to
alcohol.
67. Within his discussion and recommendations, Dr. Mubarak communicated to Dr.
SMITH that following: “I hope he will be compliant with taking the medication although I would
raise a flag since he is alcoholic and has higher than average chance to fall and therefore, we
68. Dr. Mubarak also commented that he had advised Mr. DONALDSON against
continuing to drink alcohol. Despite this alcohol-related hospital admission, Dr. SMITH once
again drafted a discharge summary which made absolutely no reference to his alcohol use and
abuse.
69. On June 13, 2017, Dr. SMITH noted that two (2) days prior, Mr. DONALDSON
had been involved in another motor vehicle automobile accident. While Dr. SMITH noted that
“he has not been drinking any alcohol today,” he did not mention or reference Mr.
DONALDSON’s recent level of alcohol use. Dr. SMITH merely provided Mr. DONALDSON
70. On August 30, 2017, Mr. DONALDSON was brought to Bay Medical Beach ER
via ambulance after being found on the floor post seizure. The ER attending physician made
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note of a history of seizures, a-fib, and alcohol abuse. A laceration on Mr. DONALDSON’s ear
71. On January 7, 2018, Mr. DONALDSON was once again admitted into Gulf Coast
Medical Center by Dr. SMITH. Dr. SMITH noted that Mr. DONALDSON had recently
consumed excessive amounts of beer, and that he [DONALDSON] was unsure if he had missed
taking several of his seizure medications because he had recently had several seizures. Dr.
SMITH noted that Mr. DONALDSON had a history of hyponatremia “because of drinking
excessive water.” Mr. DONALDSON’s sodium and potassium levels were noted to be low, and
his liver markers were abnormal. While Dr. SMITH did formulate an admitting diagnosis
(seizure activity; electrolyte imbalance), he once again failed to make any reference to Mr.
DONALDSON’s alcohol use and/or abuse, and once again commented that the hospital
Dr. David Sinclair. Dr. Sinclair noted that Mr. DONALDSON was brought to the hospital due to
generalized seizure activity. According to Mr. DONALDSON, he had at least five (5) seizures
lasting approximately 45 seconds each. Dr. Sinclair noted that Mr. DONALDSON reported
consuming 4-5 beers per day on average, and that he had not had a drink in the 12 hours prior to
the episodes. As part of his diagnosis, Dr. Sinclair included “[e]pilepsy-intractable-likely related
to chronic alcohol use” and “Alcoholic polyneuropathy.” At discharge, Dr. SMITH once again
attributed Mr. DONALDSON’s seizure to missed medications, however noted that “he had been
73. Less than one (1) month later, on February 2, 2018, Mr. DONALDSON was
admitted into Gulf Coast Medical Center following an automobile accident wherein Mr.
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DONALDSON suffered a seizure while driving which caused his car to lose control and leave
the road. This constitutes the fifth motor vehicle accident which has occurred since Mr.
74. As with the prior admissions, Dr. SMITH was the admitting physician. Dr.
SMITH noted that Mr. DONALDSON’s sodium was low and made conspicuous mention that his
alcohol levels were normal. Despite a hospitalization less than one (1) month prior, wherein Mr.
DONALDSON reported drinking 4-5 beers per day, Dr. SMITH commented that “he is not
75. On October 22, 2018, Mr. DONALDSON received notice from the Florida DMV
indicating that it was time for a follow-up on his medical condition. The notice included
attached forms for Dr. SMITH to complete. The records indicate that Dr. SMITH filled out the
76. In between Dr. SMITH’s last submission to the DMV (April 18, 2017), and his
filling out of this form (June 14, 2019), the following had transpired and was within Dr.
a. May 2, 2017 – Admission to Gulf Coast Medical Center for “passing out and
seizure” wherein it was reported that he had been drinking “a lot of beer,” and
where Dr. SMITH postulated that Mr. DONALDSON’s recent seizure was a
b. June 11, 2017 – Automobile accident wherein Dr. SMITH noted that “he has
c. August 30, 2017 - Bay Medical Beach ER via ambulance after being found on
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d. January 7, 2018 - Admission into Gulf Coast Medical Center for multiple
seizures by Dr. SMITH wherein it was noted that Mr. DONALDSON had
was unsure if he had missed taking several of his seizure medications. This
polyneuropathy;”
driving which caused his car to lose control and leave the road;
77. By this point in time, Dr. SMITH had supervised and cared for Mr.
DONALDSON through five (5) car crashes, at least twelve (12) hospitalizations (all of which
were for seizures and/or alcohol abuse), and multiple falls. Despite those serious alcohol related
events, Dr. SMITH once again filled out the forms without highlighting any of the above
information. When asked to list all serious illnesses and physical impairments, Dr. SMITH
merely put “seizure disorder (electrolyte imbalance)” and made no mention of Mr.
DONALDSON’s other health issues such as alcoholism. When asked about what physicians Mr.
DONALDSON has seen in the past few years, Dr. SMITH merely listed Dr. Elzawahry, and
failed to reference the numerous hospitalizations, all of which were related to seizures and
alcohol use.
78. When asked about frequency of blackouts and fainting spells, Dr. SMITH put that
Mr. DONALDSON had not had one since February 2018, and that the possible cause of his
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79. Despite a known history of dizziness and sleep issues, Dr. SMITH answered that
there were none. Despite several hospitalizations for alcohol use, abuse and withdrawals, Dr.
SMITH made no mention when asked about hospitalizations related to mental or emotional
illness.
80. Dr. SMITH also reported to the DMV that Mr. DONALDSON was “off all
alcohol” despite a known history of addiction, excessive alcohol consumption, and binge
drinking. Dr. SMITH once again verified that in his opinion Mr. DONALDSON was safe to
operate a motor vehicle. At no time did Dr. SMITH inform the DMV that since his last
submission, Mr. DONALDSON had been involved in two (2) other seizure-related automobile
accidents.
81. On June 6, 2018, Mr. DONALDSON presented to Dr. Elzawahry’s office for
evaluation of his seizure disorder. At that visit, Dr. Elzawahry acknowledged a history of
traumatic brain injury and a breakthrough seizure in April 2018. Dr. Elzawahry noted with this
chart that Mr. DONALDSON was experiencing tremors and a worsening of tremors, and within
82. Mr. DONALDSON returned to Dr. Elzawahry’s office on January 23, 2019, with
report that his tremors were worsening, especially in the afternoon. Dr. Elzawahry again noted
83. Mr. DONALDSON returned to the office on July 23, 2019, and was once against
seen by Dr. Elzawahry. At this visit, Dr. Elzawahry diagnosed Mr. DONALDSON with
hyponatremia which he postulated was likely due to alcohol abuse. Within the chart, Dr.
Elzawahry noted that Mr. DONALDSON “underwent rehab 12/2018 but may or may not have
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fallen off the wagon.” Within the same chart, Dr. Elzawahry noted that Mr. DONALDSON was
84. An August 12, 2019, EEG was normal indicating that Mr. DONALDSON’s
current problems were not related to any type of epilepsy, but rather was a result of his alcohol
abuse.
85. On October 7, 2019, Dr. SMITH noted that Mr. DONALDSON had not had a
seizure in about a year, and also commented that this information was “sent in” presumably to
the Florida DMV. Dr. SMITH further noted that it had not been received, and that a copy of the
86. Less than two (2) weeks later, on October 18, 2019, Mr. DONALDSON’s mother
brought him into the office due to an alleged medication error. At that visit, Dr. SMITH noted
that Mr. DONALDSON had been recently drinking beer. There is no indication that Dr. SMITH
reported this to the Florida DMV, or that he created an addendum which would alert the DMV
87. Four (4) days letter, on October 22, 2019, Mr. DONALDSON presented to Dr.
DONALDSON being prescribed several psychotropic medications. At that visit, Dr. Elzawahry
commented that he was having significant difficulty with getting Mr. DONALDSON to
comprehend his explanation of his medical issues. Dr. Elzawahry noted that he was ordering
88. Mr. DONALDSON presented to Dr. Elzawahry once again on June 2, 2020. At
that visit, Dr. Elzawahry noted that Mr. DONALDSON was no longer on Ativan (a hypnotic),
and that he had not seen his primary care physician for over six (6) months. Also at this visit,
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Dr. Elzawahry noted that Mr. DONALDSON’s tremors and restless leg syndrome were “much
worse.” Mr. DONALDSON reported that he was still consuming 2-3 beers a day.
89. On December 2, 2020, Mr. DONALDSON presented to Brain & Spine Specialist,
but instead of seeing Dr. Elzawahry, Mr. DONALDSON was seen by Dr. Achraf Makki. At that
visit, Mr. DONALDSON reported that he was drinking 6-8 beers per day. Dr. Makki noted that
Mr. DONALDSON had fallen at the gym resulting in a concussion. Dr. Makki also noted that
Mr. DONALDSON was experiencing alcohol withdrawal symptoms including tremors in the
office. Mr. DONALDSON reported to Dr. Makki that his tremors seemed worse that day and
90. Two (2) days later, Mr. DONALDSON suffered a seizure while driving resulting
91. At all times material hereto, Mr. DONALDSON and Denise Donaldson were the
92. Upon information and belief, Mr. DONALDSON frequented BILLYS and during
his time there, consumed copious amounts of alcohol while present at BILLYS.
operator, employee and/or servant of BILLYS, and therefore, his consumption was as a patron of
BILLYS.
94. Upon information and belief, Denise Donaldson and other employees/agents of
BILLYS furnished alcoholic beverages to Mr. DONALDSON while he was present at BILLYS.
95. Upon information and belief, at all times material hereto, Denise Donaldson, as
well as the employees/agents of BILLYS, were aware of Mr. DONALDSON’s struggles with
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alcohol, including that he was a habitual drinker who had been hospitalized on numerous
occasions for alcohol related incidents including multiple falls and multiple seizures.
96. Upon information and belief, at all times material hereto, Denise Donaldson as
well as the employees/agents of BILLYS were aware that Mr. DONALDSON had crashed his
97. At all times material hereto, the employees and agents of BILLYS knew or should
have known that it would be unsafe for Mr. DONALDSON to consume alcoholic beverages due
to his known medical history which strongly indicated that he was struggling with alcohol
addiction. In addition, Mr. DONALDSON’s appearance and actions were such that even a lay
98. Despite knowledge of the above, BILLYS, by and through their employees and/or
agents, willfully continued to serve Mr. DONALDSON copious amounts of alcohol drinks on a
99. In the days prior to the December 4, 2020, crash, Mr. DONALDSON continued to
consume copious amounts of alcoholic beverages, including those provided to him at BILLYS
seizures which were poorly controlled due to his alcoholism and non-compliance with anti-
seizure medications.
101. All of Mr. DONALDSON’s seizures have been related to alcohol consumption
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FACTS RELEVANT TO DECLARATORY ACTION
Statutes, the Plaintiffs enjoyed cooperation from Defendant, Mr. DONALDSON in investigating
whether or not his physicians had committed medical negligence. Through the aid of his
personal counsel, the undersigned was able to obtain a general Authorization for Release of
Protected Health Information (PHI) pursuant to the Health Insurance Portability and
Accountability Act, more commonly known as HIPAA. The authorization allowed unfettered
DONALDSON, as follows:
The undersigned acknowledges that once the PHI is disclosed, it may be re-disclosed
to individuals or organizations that are not subject to the federal privacy regulations
such as expert witnesses, litigants, insurance companies, and even may become public
record if filed with a court of law.
104. That same authorization was used by the Plaintiffs to obtain Mr. DONALDSON’s
relevant medical records, including the records from Dr. SMITH and Mr. DONALDSON’s
treating neurologists.
105. That same authorization was provided to Defendant, Dr. SMITH, as part of the
Notice of Intent to Initiate Medical Malpractice Litigation. In addition, the Plaintiffs provided
copies of all relevant medical records they were able to obtain as part of their investigation.
106. Unfortunately, prior to initiation of Pre-Suit, and while Plaintiffs were still
engaged in their own investigation of these claims, Mr. DONALDSON withdrew his cooperation
in that he failed to provide the Plaintiffs with the requested authorization that typically
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766, Florida Statutes. That statutory authorization allows prospective defendants to obtain any
107. In this matter, such authorization was not required as the claimants are BAYLOR
and ADDIE, and not Mr. DONALDSON. While statutory authorizations for the children were
not provided along with the NOI, in an effort to satisfy the rigors of the statute, the Plaintiffs
108. Upon information and belief, Mr. DONALDSON suffered another recent fall
which saw him hospitalized and later transferred to a rehab facility. As such, and because Mr.
DONALDSON remains a represented person, the undersigned was unable to procure any
Table of Claims
109. Plaintiffs reallege and reaver all of the allegations contained in paragraphs 1
110. At all times material hereto, there existed a physician-patient relationship between
duty to provide Mr. DONALDSON with medical care and treatment consistent with the
prevailing professional standard of care, which is that level of medical care, skill and treatment
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which, in light of all relevant surrounding circumstances, is recognized as acceptable and
112. The duty owed by Dr. SMITH to Mr. DONALDSON extended to BAYLOR and
ADDIE as his conduct and actions foreseeably created a broader zone of risk which posed a
threat of harm to others. BAYLOR and ADDIE were within that foreseeable zone of risk, as it
would be foreseeable that Mr. DONALDSON would continue to drive his automobile despite his
113. Defendant, Dr. SMITH, was negligent and breached the prevailing professional
standard of care with regards to the care and treatment provided to Plaintiff, Mr. DONALDSON,
1
McCain v. Fla. Power Corp., 593 So. 2d 500, 501 (Fla. 1992)(The duty element of negligence focuses on whether
the defendant's conduct foreseeably created a broader “zone of risk” that poses a general threat of harm to
others. See Kaisner [v. Kolb], 543 So.2d [732][at] 735 [Fla. 1989] (citing Stevens v. Jefferson, 436 So.2d 33, 35
(Fla.1983)). The proximate causation element, on the other hand, is concerned with whether and to what extent the
defendant's conduct foreseeably and substantially caused the specific injury that actually occurred. In other words,
the former is a minimal threshold legal requirement for opening the courthouse doors, whereas the latter is part of
the much more specific factual requirement that must be proved to win the case once the courthouse doors are
open. As is obvious, a defendant might be under a legal duty of care to a specific plaintiff, but still not be liable for
negligence because proximate causation cannot be proven.”)
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k. Improperly recommending reinstatement of Mr. DONALDSON’s driver’s license
despite him being medically unfit to drive;
l. Failing to perform thorough and comprehensive examinations and evaluations of Mr.
DONALDSON;
m. Failing to consider and conclude that Mr. DONALDSON’s frequent electrolyte
imbalances and seizures were the result of excessive alcohol use;
n. Failing to recommend inpatient treatment for alcohol abuse/dependency;
o. Failing to caution and/or warn Mr. DONALDSON that his chronic alcohol use could
lower his threshold for seizures;
p. Failing to create adequate and complete medical records;
114. As a direct and proximate result of the acts and/or omissions of Defendant, Dr.
SMITH, hereinabove alleged, Mr. DONALDSON suffered a predictable seizure which resulted
in his vehicle leaving the road on December 4, 2020, and which then resulted in the deaths of
BAYLOR and ADDIE due to injuries sustained when his vehicle collided with them.
minor children, and on behalf of all statutory survivors, and LAUREN KIRCHGESSNER,
claims the following damages pursuant to the Florida Wrongful Death Act:
and funeral expenses, and mental pain and suffering, both past and future;
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d. LAUREN KIRCHGESSNER, surviving parent: Loss of future services,
medical and funeral expenses, and mental pain and suffering, both past and
future.
his deceased minor children, and on behalf of all statutory survivors, and LAUREN
KIRCHGESSNER, demand judgment for all damages allowed by law, costs, interest (if and
when applicable), against Defendant, TIM M. SMITH, M.D., and further demand trial by jury on
116. Plaintiffs reallege and reaver all of the allegations contained in paragraphs 1
118. The actions, or inactions, of BILLYS, by and through its agents, employees
and/or servants, more particularly described above, were in the course and scope of their
119. At all times material hereto, Mr. DONALDSON was habitually addicted to
alcoholic beverages.
120. At all times material hereto, the employees, agents and servants of BILLYS knew
that Mr. DONALDSON was habitually addicted to alcoholic beverages and knew that he was
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121. At all times material hereto, there was in full force and effect Florida Statutes
§768.125, which states that a person who willfully and unlawfully sells or furnishes alcoholic
beverages to a person not of lawful drinking age, may become liable for any injury or damage
122. On numerous occasions prior to December 4, 2020, one or more agents, servants
DONALDSON, whom said agents, servants and/or employees knew and/or should have known
driving his automobile on December 4, 2020, which resulted in the wrongful deaths of two (2)
BAYLOR KIRCHGESSNER a, claims the following damages pursuant to the Florida Wrongful
Death Act:
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c. MATT KIRCHGESSNER, surviving parent: Loss of future services, medical
and funeral expenses, and mental pain and suffering, both past and future;
medical and funeral expenses, and mental pain and suffering, both past and
future.
KIRCHGESSNER, his deceased minor children, and on behalf of all statutory survivors, and
LAUREN KIRCHGESSNER, demand judgment for all damages allowed by law, costs, interest
(if and when applicable), against Defendant, BILLY’S STEAMER & OYSTER BAR, INC., and
126. Plaintiffs reallege and reaver all of the allegations contained in paragraphs 1
127. Chapter 766, Florida Statutes sets forth several requirements and conditions
precedent for initiation of a medical malpractice civil action. Among those is a requirement to
put the prospective Defendants on notice of the intent to initiate litigation by service of a formal
Notice of Intent which contains affidavits of merit and copies of all relevant medical records.
128. In addition, Section 766.1065, Florida Statutes requires that an Authorization for
purpose of this authorization, is to allow the prospective Defendants access to protected health
information that is potentially relevant to the claim. While the undersigned did not provide this
authorization along with their Notice of Intent, they did provide Mr. DONALDSON’s relevant
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medical records and a signed medical authorization, pursuant to HIPAA, which allowed access
129. In addition, Dr. SMITH, as Mr. DONALDSON’s primary care physician, had
electronic access to all of his relevant medical records including his own office chart, records
relevant to Mr. DONALDSON numerous hospitalizations (wherein Dr. SMITH was the
admitting physician and therefore would have full access), and records from the neurology office
as Dr. SMITH was the referring physician. The provided authorization also allowed Dr. SMITH
and his legal team to share those records and information regarding Mr. DONALDSON’s PHI.
130. Despite said access, Defendant, Dr. SMITH has alleged that the Plaintiffs have
not satisfied the requirement of Chapter 766, specifically that they have not provided a signed
766.1065 authorization, and with anticipated argument that this somehow resulted in prejudice in
131. Given the unique nature of these claims, whereby the medical records and history
of the decedent is not relevant, but where the medical records and history of a non-claimant are
relevant, said rules create an impracticality with regards to complying with the rigors of the
statute. As such, Plaintiffs’ right and access to the courts is potentially and unjustifiably limited.
his deceased minor children, and on behalf of all statutory survivors, and LAUREN
Chapter 766, as Dr. SMITH and his legal team were provided with all relevant medical records
with which to evaluate these claims, and as Dr. SMITH and his legal team were provided with a
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In the alternative, Plaintiffs seek a declaratory ruling which relaxes the statutory
requirement for submission of a 766.1065 authorization, so that this matter may proceed on its
merits.
provide said 766.1065 authorization so that the statutory requirements can be satisfied.
In the alternative, the Plaintiffs seek a declaratory ruling, wherein this Court would use its
own authority and power to compel production of Mr. DONALDSON’s medical records under
Florida law to the satisfaction of the Defendant, and so that he and his legal team may evaluate
these claims.
I, Jack T. Cook, Esq., hereby certify that there has been a reasonable investigation
conducted pursuant to Chapter 766, Florida Statutes, in order to determine if there are grounds
for a good faith belief that there has been negligence in the care and treatment of SCOTT
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Facsimile: (407) 236-8161
Primary Email: jcook@forthepeople.com
Secondary: rwilliamson@forthepeople.com
ctownsend@forthepeople.com
ashleywilliams@forthepeople.com
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