ÿWPC@  ë:`3$%¯!:³V±AÊŠ¹°ïnÉ@Ø<Óh67е’Ëøï,±zDÖ¾Š4ðiboŽy/÷>²aêŽoîk njŸòÝj®à_>«®;ª\ڬ݌ªUêšïÛjNØ ó˜*cµŽZáiq€à”ñ+üàý§tã{ÿn5ô®HÑ H ­³Ã÷4xQìCZiã¦yrÿübèÑŠ`¡¹¤ÁÖôu|e c³‹Ÿ±^\„î:wpÐ"Ê/:7¨Èb‰_¸ä“_ÈØ‰™Æ:aaµ–áO};DÚÊîΩ˜Ã „Xiôóóo´´^p.Ô¬¹Bzg ²™Î»x×ÿÅ &?ÍkkèJOuNKºS„‚;á—\®C˜çöZP¾º§ÐÇ :¼š.á0­š~Mnp”|îh _y˺²q‘LŸñEØW´y˜=rò·QîyóÁ:=žgMlÂÞ¶JÎD¦Ð‘€Þ>p±<Ÿè'”RQž)j^bIb)¡Ù~u›ª„ˆs „­ŠÖ S÷lÎ*»ôk\¦ù< ÿÁM§qG($œë±¸R„RÌ,`Œþr§O0*m*Dªœ PSBÐ5Ü€q²þ|~ª¯ô•‰ñ¤gjÝîd§¬öŸÐÐ;ù*# LUNW %¥ 0(«Ów@Û4/b >U:J„U:‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡‡ AQÁÆ 0DØ 0D 0D` ` D/¤ BÓ Bð D3 ˜HP LaserJet 4SiHPPCL5MS,ü,,,,,ü0nLlÎ(ÈhH  Z 6Times New Roman RegularX($¡¡ ÑDÒÓDÔÕDÖרDÙÚÓ€Õcl&3|xã- ù -, øð AZ‹"Arial Regular ùÝ ƒ"¯"ÝÝ  ÝÔ€ X7¾XXXÔÔ€ ôvX X7¾ÔÓ  Óò òÔ Ad ÔFILEDÔ€ X7¾X ôvÔÐ  ÐÌMarch€12,€1999ÌÌCecil€Crowson,€Jr.ÌAppellate€Court€ClerkÔdAhÔó ó,c½¬AZ‹"Arial Regular!"#$&Cþÿ<< CÿÿƒLevel 1Level 2Level 3Level 4Level 5(3¯$¢¢Ý ƒ!ÝÝ  Ý(3¯$££Ý ƒ!ÝÝ  Ý($$””ò òÚ  Ú1Ú  Úó ó(('÷ÿ dxd düÿP Pd'''''ÿÿdxdÝ ƒ!ÝÝ  ÝñÚñ›ñÚñѰÑÒ€°ÒÒ„°ÒÔ€ X7¾XXXÔÑTR[¤ AØ'ÿ Legal3Ø' AØ'ÿ Legalÿ3Ø'TÑÑ€ ÑÑ7€LXXdðXXdð7ÑÑ  ÑÑ  ÑÔ€ ¼þF¼X X7¾ÔÓ  ÓñÚñßr€ )<,(j 8` `€€@Eô ` 8ttxP,ð  rß›ñÚñà@  êàò òIN€THE€COURT€OF€APPEALS€OF€TENNESSEEˆÐ  Ðà@¦¦(êàAT€NASHVILLEó óÔ€ X7¾X¼ ¼þFԈР ÐÌÌÌÌœCURLEY›€œHOWSE›,à ˆ àà à àà 8 àà  à)Ð È À Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)Ìà Ø àClaimant/Appellant,à à àà 8 àà  à)Ð ”Œ Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àAppeal€No.Ð zr  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è à01„A„01„9809„BC„00489Ð `X  МVS›.à Ø àà 0 àà ˆ àà à àà 8 àà  à)Ð F>  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àClaims€CommissionÐ ,$  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àNo.€82818Ð   ÐSTATE€OF€TENNESSEE,à à àà 8 àà  à)à è àà @ àà ˜ àà ð àà H! àà  # àÐ øð  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)Ìà Ø àRespondent/Appellee.à 8 àà  à)Рļ ÐÌÌà@ø ø êàAPPEALED€FROM€THE€TENNESSEE€CLAIMS€COMMISSIONˆÌà@œœ'êàœñ×ñMIDDLE€DIVISIONñ×ññØñAT›€NASHVILLEñØñ›ˆÌÌà@õ õ êàTHE€HONORABLE€THOMAS€œSTOVALL›,€ADMINISTRATIVE€JUDGEˆÌÌÌÌœCURLEY›€œHOWSE›€#91611ÌœTurney›€Center€ÌRoute€1ÌOnly,€Tennessee€37140Ìà Ø àPro€œSe›/Claimant/AppellantÌÌJOHN€KNOX€WALKUPÌAttorney€General€and€ReporterÌÌœSOHNIA›€W.€HONGÌAssistant€Attorney€GeneralÌ425€Fifth€Avenue€NorthÌNashville,€Tennessee€37243Ìà Ø àAttorney€for€Respondent/AppelleeÌÌÌÌÌÌà@¤¤$êàAFFIRMED€AND€REMANDEDˆÌÌÌÌÌà Ø àà 0 àà ˆ àà à àà 8 àà  àà è àà @ àBEN€H.€CANTRELL,Ìà Ø àà 0 àà ˆ àà à àà 8 àà  àà è àà @ àPRESIDING€JUDGE,€M.S.ÌÌÌCONCUR:ÌKOCH,€J.ÌCAIN,€J.ÌÌÓÓÔ€ „F„X X7¾Ôòòà@tt(êàò òO€P€I€N€I€O€NóóˆÐ €;x4: ÐÔ€ X7¾X„ „FÔÓÓó óÌÓÓà Ø àà 0 àAn€inmate€filed€a€medical€malpractice€claim€against€the€Department€ofÏCorrection.€€The€Claims€Commission€granted€summary€judgment€to€the€Department.ÏWe€affirm€the€Commission.ÌÌà@²²-êàò òI.ó óˆÐ   ÐÌà Ø àà 0 àOn€October€13,€1987,€œCurley›€Lee€œHowse›,€an€inmate€in€the€custody€ofÏthe€Department€of€Correction,€was€examined€by€a€physician€assistant€at€the€œDeBerry›ÏCorrectional€Institute.€€The€physician€assistant€found€that€Mr.€œHowse›€had€impacted€earÏwax€(cerumen)€in€his€external€ear€canal.€€He€prescribed€œCerumenex›€eardrops,€to€beÏadministered€over€a€period€of€three€days€in€order€to€soften€the€wax,€so€it€could€beÏmore€easily€removed.€€After€administration€of€the€œCerumenex›,€Mr.€œHowse›€complainedÏof€a€rash€and€itching€on€both€ears.ÌÌà Ø àà 0 àOn€October€16,€a€doctor€examined€the€ears,€found€there€to€be€a€rash€onÏthe€pinna,€or€external€portion,€of€both€ears,€ordered€that€the€earlobes€and€surroundingÏareas€be€kept€clean,€and€prescribed€œBenadryl›€and€the€application€of€1%Ïhydrocortisone€cream€to€the€affected€areas.ÌÌà Ø àà 0 àOn€December€7,€1987,€Mr.€œHowse›€filed€the€first€pleading€in€this€case,€aÏclaim€with€the€Division€of€Claims€Administration,€alleging€negligence€and€medicalÏmalpractice€on€the€part€of€the€staff€at€œDeBerry›,€and€requesting€$125,000€in€damages.ÌÌà Ø àà 0 àOver€the€years€Mr.€œHowse›€has€filed€numerous€inmate€grievances,Ïmotions,€and€other€handwritten€documents€that€have€been€made€a€part€of€this€record.ÏMany€of€them€refer€to€other€incidents€of€alleged€malpractice€or€of€abuse€byÏcorrectional€employees€that€occurred€subsequent€to€December€7,€1987.€€In€all€of€theÏdocuments€he€has€filed,€he€styles€himself€as€ð ðReverend€œCurley›€œHowse›,ðð€though€heÏnowhere€states€how€he€acquired€this€title.€€He€contends€that€some€of€the€abuse€heÐ J:B39 Ðsuffered€was€in€retaliation€for€the€pursuit€of€his€medical€malpractice€claim.€€We€mustÏconfine€our€review€to€his€original€claim€however,€because€we€believe€it€is€the€only€oneÏcurrently€at€issue.€Ìà Ø àÌà Ø àà 0 àThe€claim€of€Mr.€œHowse›€was€transferred€from€the€Division€of€ClaimsÏAdministration€to€the€Claims€Commission.€€On€June€22,€1993,€the€CommissionÏdismissed€it€for€failure€to€state€a€claim€upon€which€relief€can€be€granted,€òòseeóó€Tenn.€R.Ð èà ÐCiv.€Proc.€12.02(6).€€The€Commission€also€granted€the€Stateððs€Motion€for€SummaryÏJudgment.ÌÌà Ø àà 0 àMr.€œHowse›€then€appealed€to€this€court.€€We€reversed€the€judgment€ofÏthe€Claims€Commission.€€We€found€that€the€complaint,€if€liberally€construed€in€favorÏof€the€plaintiff,€stated€a€possible€claim€for€negligence,€which€raised€the€possibility€thatÏhe€might€be€able€to€prove€a€set€of€facts€that€would€entitle€him€to€some€relief.ÌÌà Ø àà 0 àWe€also€found€that€the€State€had€not€supported€its€Motion€for€SummaryÏJudgment€by€evidence€of€facts€which€if€true€would€require€dismissal,€or€would€requireÏthe€claimant€to€produce€evidence€to€refute€or€rebut€the€Stateððs€evidence€in€order€toÏavoid€summary€judgment.ÌÌà Ø àà 0 àAfter€remand,€the€Claims€Commissioner€transferred€this€claim€to€theÏAdministrative€Procedures€Division€of€the€Secretary€of€Stateððs€Office,€for€resolution€byÏan€Administrative€Law€Judge.€€The€State€again€filed€a€Motion€for€Summary€Judgment,Ïand€supplemented€its€motion€with€an€expert€affidavit€prepared€by€Dr.€Harold€Butler,Ïmedical€director€for€two€Tennessee€prisons.Ð ¨9 26 Їà Ø àà 0 àAfter€reviewing€the€medical€records,€Dr.€Butler€stated€that€it€appearedÏthat€Mr.€œHowse›€had€a€mild€allergic€reaction€to€the€œCerumenex›,€and€that€if€it€drained€outÏof€his€ears,€it€may€have€irritated€the€skin€on€the€pinna.€€He€concluded€that€the€medicalÏstaff€did€not€deviate€from€the€standard€of€care€in€its€treatment€of€Mr.€œHowse›,€and€thatÏthere€was€no€negligence.€€Based€upon€the€affidavit€of€Dr.€Butler,€and€the€failure€of€theÏclaimant€to€offer€any€medical€proof€in€rebuttal,€the€administrative€law€judge€grantedÏthe€defendantððs€Motion€for€Summary€Judgment.€€This€appeal€followed.€€òòSeeóó€Tenn.Ð H@  ÐCode€Ann.€ðð€9„8„403(a)(1).ÌÌ€€€€à@––-êàò òII.ˆÐ èà Ðó óÌà Ø àà 0 àProof€of€injury€alone€is€not€sufficient€to€survive€a€Motion€for€SummaryÏJudgment€in€a€medical€malpractice€action.€€The€plaintiff€has€the€burden€of€producing,Ïthrough€competent€medical€testimony,€evidence€that€the€defendant€deviated€from€theÏrecognized€standard€of€acceptable€professional€practice,€and€that€this€deviationÏcaused€the€injury€of€which€he€complains.€€Tenn.€Code€Ann.€ðð€€29„26„115.ÌÌà Ø àà 0 àIn€the€present€case,€Mr.€œHowse›€has€alleged€that€the€administration€ofÏœCerumenex›€caused€him€to€suffer€injury.€€However€Mr.€œHowse›€has€not€proven€what€theÏstandard€of€care€requires€before€œCerumenex›€can€be€administered€to€a€patient€withÏcerumen€impaction.€€Neither€does€he€allege€that€the€physician€assistant€and€theÏdoctor€who€treated€him€violated€the€standard€of€care€in€their€treatment.ÌÌà Ø àà 0 àDr.€Butler€stated€that€the€standard€of€care€in€the€medical€community€ofÏwhich€he€was€a€part€is€ð ðto€administer€a€softening€agent,€like€œcerumñÏñeñÏññÐñuñÐñnex›,€when€aÏpatient€has€cerumen€impaction€of€the€external€ear€canal.ðð€€He€concluded€that€theÏmedical€staff€met€the€appropriate€standard€of€care,€and€that€any€injuries€suffered€byÏMr.€œHowse›€were€not€the€result€of€any€deviation€from€that€standard.€€Dr.€ButlerððsÐ ¨9 26 Ðaffidavit€created€a€proper€basis€for€summary€judgment,€and€Mr.€œHowse›€failed€to€offerÏany€evidence€of€his€own€to€refute€that€affidavit.€€ÌÌà@zz,êàò òIII.ˆÐ ¨   Ðó óÌà Ø àà 0 àThe€judgment€of€the€œñÑñAñÑññÒñañÒñdministrative›€œñÓñLñÓññÔñlñÔñaw›€œñÕñJñÕññÖñjñÖñudge›€is€affirmed.€€Remand€thisÏcause€to€the€Claims€Commission€for€further€proceedings€consistent€with€this€opinion.ÏTax€the€costs€on€appeal€to€the€appellant.ÌÌÌÓÓà Ø àà 0 àà ˆ àà à àà 8 àà  à_________________________________Ìà Ø àà 0 àà ˆ àà à àà 8 àà  àBEN€H.€CANTRELL,€Ìà Ø àà 0 àà ˆ àà à àà 8 àà  àPRESIDING€JUDGE,€M.S.ÌÌÌÌCONCUR:ÌÌÌÌÌ_____________________________ÌWILLIAM€C.€KOCH,€JR.,€JUDGEÌÌÌÌÌ_____________________________ÌWILLIAM€C.€CAIN,€JUDGEÌÐ  ˜+$' ÐÑ  ÑÔ‡ ¼_“¼X XJÔà@êê.êàœò òñÙñIN€THE€COURT€OF€APPEALS€OF€TENNESSEEˆÐ  Ðà@÷÷(êàAT€ñÙñÔ#† XJX¼ ¼_“ý$#ÔñÙñNASHVILLEˆÐ  ÐÌÌÌÌñÙñó óñÙñœCURLEY›€œHOWSE›,à ˆ àà à àà 8 àà  à)Ð ô ì Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)Ìà Ø àClaimant/Appellant,à à àà 8 àà  à)à è àAppeal€No.Ð ÔÌ Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è à01„A„01„9809„BC„00489Рļ  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àÐ ´¬  МVS›.à Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àClaims€CommissionÐ ¤œ  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àNo.€82818Ð ”Œ  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àÐ „|  ÐSTATE€OF€TENNESSEE,à à àà 8 àà  à)à è àAffirmed€andà ˜ àà ð àà H! àà  # àÐ tl  Ðà Ø àà 0 àà ˆ àà à àà 8 àà  à)à è àRemandedÐ d\ Ðà Ø àRespondent/Appellee.à 8 àà  à)Ð TL ÐÌÌòòà@ºº'êàÔ‡ ŠÂÅŠX XJÔò òJ€U€D€G€M€E€N€Tó óÔ#† XJXŠ ŠÂÅ‹*#ÔóóˆÐ $ ÐÌÓÓÌà Ø àà 0 àThis€cause€came€on€to€be€heard€upon€the€record€on€appeal€from€theÏClaims€Commission,€and€briefs€of€the€parties;€upon€consideration€whereof,€this€CourtÏis€of€the€opinion€that€in€the€judgment€of€the€administrative€judge€there€is€no€reversibleÏerror.Ìà Ø àà 0 àIn€accordance€with€the€opinion€of€the€Court€filed€here,€it€is,€therefore,Ïordered€and€adjudged€by€this€Court€that€the€judgment€is€affirmed.€€The€cause€isÏremanded€to€the€Claims€Commission€for€any€further€proceedings€necessary€and€€forÏthe€collection€of€the€costs€accrued€below.Ìà Ø àà 0 àCosts€of€this€appeal€are€taxed€against€œCurley›€œHowse›,€for€whichÏexecution€may€issue€if€necessary.ÌÌÌÓÓà Ø àà 0 àà ˆ àà à àà 8 à______________________________________Ìà Ø àà 0 àà ˆ àà à àà 8 àBEN€H.€CANTRELL,€PRESIDING€JUDGE,€M.S.ÌÌÌà Ø àà 0 àà ˆ àà à àà 8 à______________________________________Ìà Ø àà 0 àà ˆ àà à àà 8 àWILLIAM€C.€KOCH,€JR.,€JUDGEÌÌÌà Ø àà 0 àà ˆ àà à àà 8 à______________________________________Ìà Ø àà 0 àà ˆ àà à àà 8 àWILLIAM€B.€CAIN,€JUDGEñÙñ›