Free Amended Complaint - District Court of California - California

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Frank J. Lozoya IV (SBN161640) LAW OFFICES OF LOZOYA & LOZOYA 15060 Ventura Blvd., Suite 211 Sherman Oaks, California 91403 Telephone: 818-789-7150 Facsimile: 818-789-7190 Email: [email protected] Attorneys for Plaintiffs, JOAN G. LOZOYA UNITED STATES DISTRICT COURT

8 SOUTHERN DISTRICT OF CALIFORNIA 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1
SECOND AMENDED COMPLAINT FOR DAMAGES

JOAN G. LOZOYA, Plaintiff, v. ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL; FREEMONT EMERGENCY SERVICE, INC.; ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, Defendant(s).

CASE NO. 07CV-2148IEG (WMC)

PLAINTIFF'S SECOND AMENDED COMPLAINT FOR DAMAGES and DEMAND FOR JURY TRIAL

Plaintiffs, JOAN G. LOZOYA, hereby allege as follows:

GENERAL ALLEGATIONS 1. This action arises under the 42 U.S.C. § 1395dd et al, the Emergency Medical Treatment and Active Labor Act (EMTALA); and California and Nevada statutory and common law. Federal subject matter jurisdiction of the federal claims alleged below are provided, in whole or in part, by 28 U.S.C. §§1331, 1337(a) and 1343(4). Supplemental jurisdiction of the state law claims is provided by 42 U.S.C. 1367(a). Venue is appropriate in the San Diego division

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of this federal judicial district inasmuch as most or all the events upon which liability is predicated took place within the County of San Diego. At all times material hereto, Plaintiff, JOAN G. LOZOYA, is and has been a resident of San Diego County, State of California. At all times material hereto, Defendant, ALEXANDRA E. PAGE, M.D., was and is a licensed physician practicing in the County of San Diego, State of California. At all times material hereto, Defendant, ERIC J. ANDERSON, M.D., was and is a licensed physician practicing in Clark County, State of Nevada. At all times material hereto, Defendant, LINDSY BLAKE, M.D., was and is a licensed physician practicing in Clark County, State of Nevada. At all times material hereto, Defendant, MOUNTAIN VIEW HOSPITAL and licensed medical facility in Clark County, State of Nevada. At all times material hereto, Defendant, HOSPITAL CORPORATION OF AMERICA, INC. Owns and operates the licensed medical facility identified as Defendant, MOUNTAIN VIEW HOSPITAL, and has its place of business in the State of Nevada and California. At all times material hereto, Defendant, FREEMONT EMERGENCY SERVICE, INC., and licensed medical facility in Clark County, State of Nevada. At all times material hereto, Defendant, KAISER FOUNDATION HEALTH PLAN, INC. owns and operates licensed medical facility in the State of California and doing business in San Diego County, State of California. At all times material hereto, Defendant, KAISER PERMANENTE owns and operates licensed medical facility in the State of California and doing business in San Diego County, State of California. The true names and capacities, whether individual, corporate, associate or otherwise, of DOE Defendants, 1 through 30, inclusive, and each of them, are unknown to plaintiffs at this time, and therefore plaintiffs sue said DOE defendants, and each of them, by said fictitious names and will ask leave of the Court to amend their complaint to show their true names and capacities when the same are ascertained. Plaintiffs are informed and believe and thereon 2
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allege that defendants, and each of them, are responsible in some manner for the occurrences herein alleged and are the proximate cause of plaintiffs' injuries. Plaintiffs are informed and believe and thereon allege that at all times herein mentioned, defendants, and each of them, were and are agents and employees of the remaining defendants, and in doing the things alleged herein, acted within the course, scope, and duty of employment with such agency. On or about November 8, 2006, Plaintiff, JOAN G. LOZOYA, was injured in a fall and was transported to MOUNTAIN VIEW HOSPITAL for requested medical attention. Upon arriving at MOUNTAIN VIEW HOSPITAL, Plaintiff was seen by Defendants, ERIC J. ANDERSON, M.D. and LINDSY BLAKE, M.D. Plaintiff, JOAN G. LOZOYA was advised that she had a severe fracture of her right shoulder. Plaintiff was advised by Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL and HOSPITAL CORPORATION OF AMERICA, INC., that they would place her in a sling, provide her with some pain killers but failed to transport her to San Diego for medical treatment in San Diego. Plaintiff, JOAN G. LOZOYA requested of the Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL and HOSPITAL

CORPORATION OF AMERICA, INC., that she not be transported to San Diego, that Plaintiff immediately be seen by an orthopedic specialist and that Plaintiff be treated by Defendants at Defendants facility in Nevada. Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL and HOSPITAL CORPORATION OF AMERICA, INC., and each of them, refused to treat Plaintiff, refused to request an immediate orthopedic specialist consult and failed to stabilize Plaintiff's emergency injuries before forcing Plaintiff to be transferred to San Diego without arranging for or providing any medical transportation. On or about November 11, 2006, Plaintiff was seen in the emergency department of Defendant, KAISER FOUNDATION HEALTH PLAN, INC. and KAISER PERMANENTE.

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19.

Plaintiff was then followed in the fracture clinic where on November 14, 2006, surgery was performed by Defendant, ALEXANDRA E. PAGE, M.D.

20.

In providing medical care and treatment to Plaintiff, Defendants, ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL; ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, and each of them, including their nursing staff and other employees, failed to provide necessary and proper medical care for plaintiff's medical condition, to which plaintiff was owed a duty of the proper medical care for this community of physicians.

21.

Plaintiff's surgery was not successful and resulted in an additional surgery that has now left Plaintiff permanently maimed and disfigured and Plaintiff suffers loss of use of her arm, impairment of enjoyment of life, suffers significant pain and discomfort, emotional distress and will continue to incur medical costs and expenses in the future, as well s related damages and losses not yet known but arising out of and proximately caused by the conduct of Defendants, ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL

CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL; ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, and each of them. 22. Plaintiff, JOAN G. LOZOYA discovered, sometime after April 4, 2007 the injuries sustained was the a failure of the Defendants, and each of them, to properly exercise the proper degree of knowledge and skill in examining, diagnosing, treating, and caring for Plaintiff's medical condition. 23. Thereafter, pursuant to Code of Civil Procedure §364, Defendants were given proper notice of Plaintiffs' intent to file a medical malpractice action against said Defendants. /// /// /// /// 4
SECOND AMENDED COMPLAINT FOR DAMAGES

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FIRST CAUSE OF ACTION VIOLATION OF 42 U.S.C. § 1395dd et al; the Emergency Medical Treatment and Active Labor Act (EMTALA); (Plaintiff As Against HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL & DOES 1 through 30) Plaintiffs JOAN G. LOZOYA, reallege paragraph 1 through 23 of this Complaint and incorporate those paragraphs under this Cause of action as though fully set forth herein. At all times material hereto, Defendant, MOUNTAIN VIEW HOSPITAL and licensed medical facility in Clark County, State of Nevada. At all times material hereto, Defendant, HOSPITAL CORPORATION OF AMERICA, INC. Owns and operates the licensed medical facility identified as Defendant, MOUNTAIN VIEW HOSPITAL, and has its place of business in the State of Nevada and California. The medical facilities of Defendants, MOUNTAIN VIEW HOSPITAL and HOSPITAL CORPORATION OF AMERICA, INC., are governed by 42 U.S.C. § 1395dd et al.; the Emergency Medical Treatment and Active Labor Act (EMTALA) as well as 42 CFR Ch. IV, §489.24 et seq., and related requirements of 42 CFR §489.20(1), (m), (q) and (r). On or about November 8, 2006, Plaintiff, JOAN G. LOZOYA, was injured in a fall and was transported to MOUNTAIN VIEW HOSPITAL for requested medical attention. Upon arriving at MOUNTAIN VIEW HOSPITAL, Plaintiff was seen by Defendants, ERIC J. ANDERSON, M.D. and LINDSY BLAKE, M.D. Plaintiff, JOAN G. LOZOYA was advised that she had a severe fracture of her right shoulder. Plaintiff was advised by Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, FREEMONT EMERGENCY SERVICE, INC. and HOSPITAL CORPORATION OF AMERICA, INC., that they would place her in a sling, provide her with some pain killers but that they would not transport her to San Diego for medical treatment in San Diego after refusing to treat her further. Plaintiff, JOAN G. LOZOYA requested of the Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, FREEMONT EMERGENCY SERVICE, INC. and HOSPITAL CORPORATION OF AMERICA, INC., that she not be 5
SECOND AMENDED COMPLAINT FOR DAMAGES

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transported to San Diego, that Plaintiff be seen by an orthopedic specialist and that Plaintiff be treated by Defendants at Defendants' facility in Nevada with an orthopedic. Defendants, LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, and HOSPITAL CORPORATION OF AMERICA, INC., and each of them, violated the EMTALA by refusing to treat Plaintiff, refusing to request an immediate orthopedic specialist consult, refusing and failing to properly stabilize Plaintiff's emergency injuries, and forcing Plaintiff's improper transfer to San Diego, failing to provide medical transportation and refusing to properly care for Plaintiff. Defendants by improperly, in violation of the standard of care, treating, consulting, and diagnosing the Plaintiff, caused Plaintiff significant personal injuries. Defendants, LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL and DOES 1 through 30, inclusive, and each of them, including their nursing staff and other employees, also violated EMTALA by failing to provide necessary and proper medical care for plaintiff's medical condition, to which plaintiff was owed a duty of the proper medical care for this community of physicians. As a result of the conduct of the named Defendants' herein, Plaintiff suffers loss of use of her arm, impairment of enjoyment of life, suffers significant pain and discomfort, emotional distress and will continue to incur medical costs and expenses in the future, as well as related damages and losses not yet known but arising out of and proximately caused by the conduct of Defendants, LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL and DOES 1 through 30, inclusive, and each of them. Plaintiff, JOAN G. LOZOYA discovered, sometime after April 4, 2007 the personal injuries sustained were a proximate result of the Defendants' EMTALA violation.

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SECOND CAUSE OF ACTION Medical Malpractice - Negligence (Plaintiff As Against Defendants ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D., HOSPITAL CORPORATION OF AMERICA, INC.; FREEMONT EMERGENCY SERVICE, INC., MOUNTAIN VIEW HOSPITAL & DOES 1 through 30) Plaintiffs JOAN G. LOZOYA, reallege paragraph 1 through 35 of this Complaint and incorporate those paragraphs under this Cause of action as though fully set forth herein. At all times material hereto, Defendant, ERIC J. ANDERSON, M.D., was and is a licensed physician practicing in Clark County, State of Nevada. At all times material hereto, Defendant, LINDSY BLAKE, M.D., was and is a licensed physician practicing in Clark County, State of Nevada. At all times material hereto, Defendant, FREEMONT EMERGENCY SERVICE, INC., and licensed medical facility in Clark County, State of Nevada. At all times material hereto, Defendant, MOUNTAIN VIEW HOSPITAL and licensed medical facility in Clark County, State of Nevada. At all times material hereto, Defendant, HOSPITAL CORPORATION OF AMERICA, INC. owns and operates the licensed medical facility identified as Defendant, MOUNTAIN VIEW HOSPITAL, and has its place of business in the State of Nevada and California. On or about November 8, 2006, Plaintiff, JOAN G. LOZOYA, was injured in a fall and was transported to MOUNTAIN VIEW HOSPITAL for requested medical attention. Upon arriving at MOUNTAIN VIEW HOSPITAL and FREEMONT EMERGENCY SERVICE, INC., Plaintiff was seen by Defendants, ERIC J. ANDERSON, M.D. and LINDSY BLAKE, M.D. Plaintiff, JOAN G. LOZOYA was advised that she had a severe fracture of her right shoulder. Plaintiff was advised by Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, FREEMONT EMERGENCY SERVICE, INC. and HOSPITAL CORPORATION OF AMERICA, INC., that they would 7
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place her in a sling, provide her with some pain killers but that they would not transport her to San Diego for medical treatment in San Diego after refusing to treat her further. Plaintiff, Plaintiff, JOAN G. LOZOYA requested of the Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, FREEMONT EMERGENCY SERVICE, INC. and HOSPITAL CORPORATION OF AMERICA, INC., that she not be transported to San Diego, that Plaintiff be seen by an orthopedic specialist and that Plaintiff be treated by Defendants at Defendants facility in Nevada with an orthopedic. Defendants, ERIC J. ANDERSON, M.D., LINDSY BLAKE, M.D., MOUNTAIN VIEW HOSPITAL, FREEMONT EMERGENCY SERVICE, INC. and HOSPITAL CORPORATION OF AMERICA, INC., and each of them, violated the EMTALA by refusing to treat Plaintiff, refusing to request an immediate orthopedic specialist consult, refusing and failing to properly stabilize Plaintiff's emergency injuries, and forcing Plaintiff's improper transfer to San Diego, failing to provide medical transportation and refusing to properly care for Plaintiff. Defendants by improperly, in violation of the standard of care, treating, consulting, and diagnosing the Plaintiff, caused Plaintiff significant personal injuries. Defendants, ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; FREEMONT EMERGENCY SERVICE, INC., MOUNTAIN VIEW HOSPITAL and DOES 1 through 30, inclusive, and each of them, including their nursing staff and other employees, also violated EMTALA by failing to provide necessary and proper medical care for plaintiff's medical condition, to which plaintiff was owed a duty of the proper medical care for this community of physicians. Defendants, ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; FREEMONT EMERGENCY SERVICE, INC., MOUNTAIN VIEW HOSPITAL and DOES 1 through 30, including their nursing staff and other employees, failed to exercise that degree of knowledge and skill ordinarily possessed and exercised by other physicians, hospitals, nurses, attendants, consultants, 8
SECOND AMENDED COMPLAINT FOR DAMAGES

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employees for plaintiff's medical condition, to which plaintiff was owed a duty of proper medical care from this community of physicians, staff, agents and employees. Pursuant to NRS 41A.071 Plaintiff attaches as Exhibit "1" the Medical Affidavit in support of Plaintiff's medical malpractice claims and incorporates the same as if fully set forth herein. As a result of the conduct of the named Defendants' herein, Plaintiff suffers loss of use of her arm, impairment of enjoyment of life, suffers significant pain and discomfort, emotional distress and will continue to incur medical costs and expenses in the future, as well s related damages and losses not yet known but arising out of and proximately caused by the conduct of Defendants, ERIC J. ANDERSON, M.D.; LINDSY BLAKE, M.D.; HOSPITAL CORPORATION OF AMERICA, INC.; MOUNTAIN VIEW HOSPITAL and DOES 1 through 30, inclusive, and each of them. As a legal and proximate cause of this breach of duty by the Defendants, and each of them, they caused serious injury to Plaintiff as described herein above. As a result of the conduct of the defendants, and each of them, Plaintiffs have suffered damages in a sum to be proven at trial but within the jurisdictional of this court. Plaintiff, JOAN G. LOZOYA discovered, sometime after April 4, 2007 the personal injuries sustained were a proximate result of the Defendants' negligent conduct as described herein.

THIRD CAUSE OF ACTION Medical Malpractice - Negligence (Plaintiff As Against Defendants ALEXANDRA E. PAGE, M.D., KAISER FOUNDATION HEALTH PLAN, INC., KAISER PERMANENTE & DOES 1 through 30) Plaintiffs JOAN G. LOZOYA, reallege paragraph 1 through 23 of this Complaint and incorporate those paragraphs under this Cause of action as though fully set forth herein.

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53.

At all times material hereto, Defendant, ALEXANDRA E. PAGE, M.D., was and is a licensed physician practicing in the County of San Diego, State of California.

54.

At all times material hereto, Defendant, KAISER FOUNDATION HEALTH PLAN, INC. owns and operates licensed medical facility in the State of California and doing business in San Diego County, State of California.

55.

At all times material hereto, Defendant, KAISER PERMANENTE owns and operates licensed medical facility in the State of California and doing business in San Diego County, State of California.

56.

On or about November 11, 2006, Plaintiff was seen in the emergency department of Defendant, KAISER FOUNDATION HEALTH PLAN, INC. and KAISER PERMANENTE.

57.

Plaintiff was then followed in the fracture clinic o where on November 14, 2006, surgery was performed by Defendant, ALEXANDRA E. PAGE, M.D.

58.

In providing medical care and treatment to Plaintiff, Defendants, ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, and each of them, including their nursing staff and other employees, failed to provide necessary and proper medical care for plaintiff's medical condition, to which plaintiff was owed a duty of the proper medical care for this community of physicians.

59.

Defendants, ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, including their nursing staff and other employees, failed to exercise that degree of knowledge and skill ordinarily possessed and exercised by other physicians, hospitals, nurses, attendants, consultants, employees for plaintiff's medical condition, to which plaintiff was owed a duty of proper medical care from this community of physicians, staff, agents and employees.

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60.

As a result of the conduct of the named Defendants' herein, Plaintiff suffers loss of use of her arm, impairment of enjoyment of life, suffers significant pain and discomfort, emotional distress and will continue to incur medical costs and expenses in the future, as well s related damages and losses not yet known but arising out of and proximately caused by the conduct of Defendants, ALEXANDRA E. PAGE, M.D.; KAISER FOUNDATION HEALTH PLAN, INC.; KAISER PERMANENTE and DOES 1 through 30, inclusive, and each of them.

61.

As a legal and proximate cause of this breach of duty by the Defendants, and each of them, they caused serious injury to Plaintiff as described herein above. As a result of the conduct of the defendants, and each of them, Plaintiffs have suffered damages in a sum to be proven at trial but within the jurisdictional of this court.

62.

Plaintiff, JOAN G. LOZOYA discovered, sometime after April 4, 2007 the personal injuries sustained were a proximate result of the Defendants' negligent conduct as described herein.

REQUEST FOR RELIEF WHEREFORE, Plaintiff, JOAN G. LOZOYA prays for judgment against the Defendants, and each of them, as follows:

FIRST CAUSE OF ACTION a. b. c. d. e. General Damages according to proof at the time of trial; Special Damages according to proof at the time of trial; For the civil penalty allowed under the EMTALA; For costs of suit herein incurred according to proof at the time of trial; For prejudgment interest from the date of harm or breach and/or from the date of filing; and f. For such other and further relief as this Court may deem necessary and proper.

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SECOND CAUSE OF ACTION General Damages according to proof at the time of trial; Special Damages according to proof at the time of trial; For costs of suit herein incurred according to proof at the time of trial; For prejudgment interest from the date of harm or breach and/or from the date of filing; and For such other and further relief as this Court may deem necessary and proper.

THIRD CAUSE OF ACTION General Damages according to proof at the time of trial; Special Damages according to proof at the time of trial; For costs of suit herein incurred according to proof at the time of trial; For prejudgment interest from the date of harm or breach and/or from the date of filing; and For such other and further relief as this Court may deem necessary and proper.

REQUEST FOR TRIAL BY JURY Plaintiff, JOAN G. LOZOYA hereby demands a jury trial of all issues so triable.

Dated: July 23, 2008

LAW OFFICES OF LOZOYA & LOZOYA

s/Frank J. Lozoya IV, Esq. FRANK J. LOZOYA IV Attorneys for Plaintiff, JOAN G. LOZOYA

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EXHIBIT "1"

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(SBN161640) LAW OFFICES OF LOZOYA & LOZOYA 2 15060 Ventura Blvd., Suite 211 3 Sherman Oaks, California 91403 Telephone: 818-789-7150 4 Facsimile: 818-789-7190
5 6

1 Frank J. Lozoya IV

Attorneys for Plaintiffs, 7 JOAN G. LOZOYA
8 9 10 11

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA

) ) Plaintiff, ) 13 ) v. ) 14 ) ERIC J. ANDERSON, M.D.; LINDSY ) 15 BLAKE, M.D.; HOSPITAL ) CORPORATION OF AMERICA, ) 16 INC.; MOUNTAIN VIEW ) HOSPITAL; FREEMONT ) 17 EMERGENCY SERVICE, INC.; ) ALEXANDRA E. PAGE, M.D.; ) 18 KAISER FOUNDATION HEALTH ) PLAN, INC.; KAISER ) 19 PERMANENTE and DOES 1 through ) 30, inclusive, )
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JOAN G. LOZOYA,

CASE NO. 07CV-2148IEG (WMC)

MEDICAL AFFIDAVIT PURSUANT TO NRS 41A.071

Complaint Filed: 11/08/2007

Defendants.

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1 MEDICAL AFFIDAVIT -NRS 41A.071

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DECLARATION OF JOANNE WILLIAMS, M.D.

I, Joanne Williams, M.D., declare and state as follows: 1. I have been retained by the Law Offices of Lozoya & Lozoya, counsel
for Plaintiff in the matter entitled Lozoya v. Anderson, et al, to render

certain opinions regarding the care and treatment of Mrs. Lozoya. 2. I am a licensed physician in the State of California. I have personal knowledge of the following facts, and I am capable and competent to testify to them in a court of law if called upon to do so. 3. I received my Bachelors Science Degree from California State University Los Angeles in June of 1978. I received my Medical Degree from the U.C.I. Medical School in 1982. In 1983, I completed my medical internship with Martin Luther King Medical Center of Los Angeles. I completed a three year residency program in emergency medicine Martin Luther King Medical Center of Los Angeles in 1985. I have been in emergency medicine practice from 1984 as well as forensic medicine from 1986 to the present. I have been an Assistant Professor I of Emergency Medicine at Charles R. Drew University of Medicine & Science from May of 1991 to May

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2 MEDICAL AFFIDAVIT -NRS 41A.071

of 1993. I was an Assistant Professor of Emergency Medicine III at
Charles R. Drew University of Medicine & Science. I was a member

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of the Committee of Faculty Council and the Professional Staff Association for Charles R. Drew University of Medicine & Science. I am currently an Adjunct Associate Professor of Emergency Medicine at Charles Drew University and a Clinical Associate Professor of Emergency Medicine at the Keck School of Medicine of USC. I am currently a Physician Specialist in Emergency Medicine for the Department of Health Services for the County of Los Angeles. 5. I am a member of the National Medical Association as well as a fellow of the American College of Forensic Medicine and I am the Chair of the Emergency Medicine Committee for the International Trauma, Anesthesia and Critical Care Society. I have also been a member of the Society of Academic Emergency Medicine among other societies and organizations. I am also on the Board of Directors for the American Academy of Emergency Medicine. I am certified by the National Board of Medical Examiners, American Board of Emergency Medicine, American Board of Forensic Medicine and the American Board of Forensic Examiners.

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3 MEDICAL AFFIDAVIT -NRS 41A.071

In formulating my expert medical opinions in this matter, I have thoroughly reviewed and considered the medical records of Mrs. Lozoya and xray film dated November 8, 2006.

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PROOF OF SERVICE ) ) ss. )

I am employed in the County of Los Angeles, State of California. I am over the age of 18 and not a party to the within action. My address is 15060 Ventura Blvd., Suite 211, Sherman Oaks, California 91403. On July 24, 2008, I served the foregoing document described as: PLAINTIFF'S SECOND AMENDED COMPLAINT FOR DAMAGES and DEMAND FOR JURY TRIAL , on the interested parties in this action by placing a true copy thereof in a sealed envelope, addressed as follows:

SEE ATTACHED SERVICE LIST

( XXXXX ) MAIL: I placed such envelope(s) with postage thereon fully paid in the United States mail at Sherman Oaks, Los Angeles County, California. I am "readily familiar" with the firm's practice of collection and processing correspondence for mailing. Under that practice it would be deposited with the U.S. Postal Service on that same day with postage thereon fully prepaid at Sherman Oaks, Los Angeles County, California, in the ordinary course of business. I am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one day after date of deposit for mailing in affidavit. ( XXX ) VIA U.S. MAIL: On July 24, 2008, I served the above-mentioned document(s) on the above-listed parties via first class pre-paid United states Mail at the above addresses. I declare that I am employed in the office of a member of the bar of this federal court at whose direction the service was made. Executed on July 24, 2008, at Sherman Oaks, Los Angeles County, California. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

s/Frank J. Lozoya IV, Esq. FRANK J. LOZOYA IV

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LOZOYA V. ANDERSON, et al. CASE NO. 07CV-2148IEG (WMC) Proof of Service List

ATTACHED SERVICE LIST

Yuk K. Law, Esq. LAW + BRANDMEYER LLP 245 S. Los Robles Avenue, Suite 600 Pasadena, California 91101 Telephone: 626-243-5500 Facsimile: 626-243-4799 Scott D. Buchholz, Esq. Kyle A. Cruse, Esq. DUMMIT, BUCHOLZ & TRAPP 101 West Broadway, Suite 1400 San Diego, California 92101-8122 Telephone: 619-231-7738 Facsimile: 619-231-0886

Attorney for Defendant, ERIC ANDERSON, M.D., FREMONT EMERGENCY SERVICES, INC. (erroneously sued and served herein as FREMONT EMERGENCY SERVICE, INC.)

Attorney for Defendant, HEALTH CORPORATION OF AMERICA, INC., and MOUNTAIN VIEW HOSPITAL

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SECOND AMENDED COMPLAINT FOR DAMAGES