Loyd Landon Sorrow Sr. v. University of Texas Health Science Center at Houston and Michael Seale, M.D.

Affirmed and Memorandum Opinion filed May 30, 2024.

In The

Fourteenth Court of Appeals

NO. 14-23-00314-CV

LOYD LANDON SORROW, SR., Appellant
V.
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT
HOUSTON AND MICHAEL SEALE, M.D., Appellees

On Appeal from the 334th District Court
Harris County, Texas
Trial Court Cause No. 2017-33383

MEMORANDUM OPINION

Raising five issues on appeal, pro se appellant Loyd Landon Sorrow Sr.
argues the trial court erred by rendering summary judgment on his claims against
appellees The University of Texas Health Science Center at Houston (UTHealth)
and Michael Seale, M.D. (we collectively refer to the appellees as the medical
defendants). Concluding that Sorrow did not raise a fact issue to defeat summary
judgment on his claims against the medical defendants, we affirm.
I. BACKGROUND

Sorrow filed suit in 2017, naming the Harris County Sheriff, 1 The University
of Texas Health Science Center of Houston, 2 and “Dr. Seal,” as defendants and
alleged a variety of tort, statutory, and constitutional violations stemming from
Sorrow’s medical treatment while in the custody of the Sheriff during his pre-trial
detention. In his petition, Sorrow asserts that between 2001 and 2002—at least
fifteen years earlier—he was prescribed a “mixture of highly powerful anti-
depressants, narcotics, and narcotic[-]like pills and[/]or medications” by doctors
when he was in jail that caused him to have “many adverse reactions, side effects,
and adverse side effects, . . . such as audio-visual hallucinations, anxiety attacks,
agitation, memory lapses and loss.” Sorrow alleges that Dr. Seale was one of the
doctors who prescribed the medication he alleged caused his injuries. Dr. Seale
treated Sorrow as an employee of UTHealth, which contracts with Harris County
to provide medical treatment to persons in the custody of the county.3 Sorrow
alleges these actions also resulted in the denial of due process because the
medications he was prescribed dulled his reasoning and resulted in a “medicated
mental restraint” for his court hearings.

In 2018, the Sheriff moved for summary judgment on Sorrow’s claims
against the Sheriff, which Sorrow appealed to this court. We concluded the trial

1
Sorrow made several arguments regarding the person or persons he intended to sue at
the Harris County Sheriff’s department. For purposes of this opinion, we assume he intended to
name persons working for the Sheriff.
2
Compare Tex. Educ. Code Ann. § 65.02(9) (“The University of Texas Health Science
Center at Houston”) with Tex. Educ. Code Ann. § 73.001 (“The University of Texas at
Houston”).
3
Sorrow also claimed the Sheriff neglected him and failed to intervene, prevent, or
exercise the degree of safe care that professional guardians owe mentally ill pre-trial detainees
within the boundaries provided by Texas law and the U.S. and Texas Constitutions. The Sheriff
is not a party to this appeal.

2
court added finality language to its otherwise interlocutory order, which was error
with respect to Sorrow’s claims against the medical defendants because the
medical defendants were unserved and the Sheriff’s motion for summary judgment
did not state any grounds concerning the unserved medical defendants. See Sorrow
v. Harris Cnty. Sheriff, 622 S.W.3d 496, 505–06 (Tex. App.—Houston [14th Dist.]
2021, pet. denied) (Sorrow I). We remanded the case to the trial court for further
proceedings limited to Sorrow’s claims against the unserved medical defendants.
Id. at 510.

On remand, the medical defendants answered and then filed a joint motion
for summary judgment arguing that Sorrow’s claims were barred by the statute of
limitations, which had expired and to which no tolling doctrine applied. The
medical defendants further argued that Sorrow’s claims against them were barred
by the statute of repose applicable to health-care-liability claims. See Tex. Civ.
Prac. & Rem. Code Ann. § 74.251. The trial court rendered summary judgment
and signed an interlocutory order dismissing Sorrow’s claims against the medical
defendants in May 2022. The trial court then signed an order severing the claims
against the medical defendants from the claims against the Sheriff, making the
judgment against the medical defendants final because it actually disposed of all
claims and all parties with respect to the medical defendants. See Lehmann v.
Har-Con Corp., 39 S.W.3d 191, 192 (Tex. 2001).

Sorrow appealed. Although the medical defendants challenged the timeliness
of his appeal and, thus, our jurisdiction, we concluded that Sorrow prematurely
filed his notice of appeal before what became the final judgment. Therefore,
Sorrow’s appeal was timely, and we have jurisdiction. Sorrow v. University of
Texas Health Sci. Ctr. at Houston and Michael Seale, M.D., No. 14-23-00314-CV
(Tex. App.—Houston [14th Dist.] Sept. 14, 2023, order).

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II. ANALYSIS

Sorrow challenges the trial court’s rendition of summary judgment in the
following five issues: (1) the trial court misapplied the equitable-tolling doctrine;
(2) the trial court erred in evaluating the evidence; (3) the trial court erred on fact
issues; (4) the trial court erred in “applying the law in regards Final Judgments to
unserved parties”; and (5) the trial court erred by “not deciding fact issues for
opioid litigation as a related cause[.]” 4

A. Equitable tolling

In issue one, Sorrow argues the trial court’s conclusion—that his claims
against the medical defendants were untimely—was erroneous. After the medical
defendants filed their traditional summary-judgment motion, Sorrow objected to
the motion in part because he believed he was entitled to equitable tolling for
2002–2010 because he was “drugged and suffering depression” during that time.
Sorrow argues that he is entitled to tolling because he was not capable of
diagnosing his injuries while in prison. The trial court did make not any findings of
fact or specifically address the issue of equitable tolling.

A defendant seeking traditional summary judgment on a limitations defense
must establish “(1) when the cause of action accrued, and (2) that the plaintiff
brought its suit later than the applicable number of years thereafter—i.e., that ‘the
statute of limitations has run.’” Draughon v. Johnson, 631 S.W.3d 81, 89 (Tex.
2021) (quoting Provident Life & Accident Ins. Co. v. Knott, 128 S.W.3d 211, 221

4
As we explained in Sorrow I, we construe the claims of an incarcerated pro se litigant
with liberality and patience. Haines v. Kerner, 404 U.S. 519, 520–21 (1972); see Minix v.
Gonzales, 162 S.W.3d 635, 637 n.1 (Tex. App.—Houston [14th Dist.] 2005, no pet.). However,
Sorrow must comply with all applicable rules of procedure and substantive law. Burbage v.
Burbage, 447 S.W.3d 249, 258 (Tex. 2014) (explaining that courts may not stray from
procedural rules simply because litigant represented self); see also Harrison v. Reiner, 607
S.W.3d 450, 457 (Tex. App.—Houston [14th Dist.] 2020, pet. filed).

4
(Tex. 2003)). The defendant’s burden includes negating equitable doctrines the
plaintiff has raised “that affect which days count toward the running of limitations”
but not those that “overcome the statute of limitations even if the defendant
conclusively proves that it has run.” Id. at 88, 92. This distinction may require a
court to decide whether an equitable doctrine affects the running of limitations or
overcomes the expiration of a limitations period. See Zive v. Sandberg, 644 S.W.3d
169, 174 (Tex. 2022). If the defendant discharges this burden, the plaintiff may still
defeat summary judgment by “adduc[ing] summary judgment proof raising a fact
issue in avoidance of the statute of limitations.” KPMG Peat Marwick v. Harrison
Cnty. Hous. Fin. Corp., 988 S.W.2d 746, 748 (Tex. 1999).

It is undisputed that the medical care at issue occurred from 2001 to 2002. In
his appellate brief, Sorrow reiterates that his claims in this case “stem from 2001–
02 pretrial, trial, and posttrial detention and release.” Sorrow argues that the
prescription of medications by the medical defendants impaired his judgment and
his ability to participate in his 2002 criminal trial, thus subjecting him to “drug
induced judicial prosecution” resulting in his criminal conviction. He also asserts
that the combination of medicines prescribed to him by the medical defendants
caused “4 or 5 heart attacks, hypertension exacerbation, anxiety, and depression
(suicidal), with severe hallucinations, and delusions.”

Although Sorrow describes his claim against Dr. Seale as based on a
violation of the Health and Safety Code, Sorrow actually pleads a
health-care-liability claim against Dr. Seale.5 See Tex. Civ. Prac. & Rem. Code
Ann. § 74.001(13) (a “‘Health care liability claim’ means a cause of action against
a health care provider or physician for treatment, lack of treatment, or other
5
In Sorrow I, we previously stated that Sorrow did not plead a health-care-liability claim
with respect to the Harris County Sheriff. Sorrow I, 622 S.W.3d at 502 n.6. The Sheriff is not a
health-care provider and his claims against the Sheriff were not health-care-liability claims.

5
claimed departure from accepted standards of medical care, or health care, or
safety or professional or administrative services directly related to health care,
which proximately results in injury to or death of a claimant”); Loaisiga v. Cerda,
379 S.W.3d 248, 255 (Tex. 2012) (courts must focus on set of operative facts
“underlying the claim” that are relevant to alleged injury, not on how “the
plaintiff’s pleadings describ[e] the facts or legal theories asserted.”). If the facts of
a claim “could support claims against a physician or health care provider for
departures from accepted standards of medical care, health care, or safety or
professional or administrative services directly related to health care,” then Civil
Practice and Remedies Code chapter 74 applies “regardless of whether the plaintiff
alleges the defendant is liable for breach of any of those standards.” Collin Creek
Assisted Living Ctr., Inc. v. Faber, 671 S.W.3d 879, 885 (Tex. 2023) (quoting
Loaisiga, 379 S.W.3d at 255); Yamada v. Friend, 335 S.W.3d 192, 196 (Tex.
2010) (“Whether a claim is a health care liability claim depends on the underlying
nature of the claim being made.”).

The statute of limitations for a health-care-liability claim is two years. Tex.
Civ. Prac. & Rem. Code Ann. § 74.251(a) (two-year limitation period);
(b) (ten-year statute of repose). As against UTHealth, Sorrow alleges UTHealth did
not provide safe medical care as it was contracted to do for Harris County
prisoners and it did not properly oversee the care provided by Dr. Seale. Therefore,
Sorrow’s claim against UTHealth is also a health-care-liability claim.

Although Sorrow did raise the issue of equitable tolling in the trial court, he
has never explained a legal basis for applying equitable tolling to his claims. The
supreme court has invoked equitable tolling sparingly. Levinson Alcoser
Associates, L.P. v. El Pistolon II, Ltd., 670 S.W.3d 622, 628 (Tex. 2023).6

6
The Supreme Court of Texas has not articulated a general test for determining when
6
Equitable tolling is unavailable if it is inconsistent with the text of a relevant
statute. Id. at 627; see also Texas Workers’ Comp. Ins. Fund v. Del Indus., Inc., 35
S.W.3d 591, 596 (Tex. 2000) (“[t]he common law has been dramatically engrafted
upon by the legislature. Where the common law is revised by statute, the statute
controls.”) (quoting Bartley v. Guillot, 990 S.W.2d 481, 485 (Tex. App.—Houston
[14th Dist.] 1999, pet. denied)).

The statute of limitations for a health-care-liability claim contains no
discovery rule:

Notwithstanding any other law and subject to Subsection (b), no
health care liability claim may be commenced unless the action is
filed within two years from the occurrence of the breach or tort or
from the date the medical or health care treatment that is the subject of
the claim or the hospitalization for which the claim is made is
completed . . . . Except as herein provided this section applies to all
persons regardless of minority or other legal disability.
Tex. Civ. Prac. & Rem. Code Ann. § 74.251(a); see Walters v. Cleveland Reg’l
Med. Ctr., 307 S.W.3d 292, 298 (Tex. 2010) (“It is undeniable that the statute of
limitations [governing health-care-liability claims] contains no discovery rule.”).
However, the open courts provision of the Texas Constitution provides litigants a
reasonable time to discover their injuries and file suit without being time-barred by

equitable tolling is available. Levinson Alcoser, 670 S.W.3d at 630. Most of the tests for
equitable tolling come from federal law and are premised on the concept of excusable ignorance
of the limitations period or with respect to a litigant who diligently pursued his rights but could
not timely bring an action. E.g., Lozano v. Montoya Alvarez, 572 U.S. 1, 10 (2014) (“As a
general matter, equitable tolling pauses the running of, or ‘tolls,’ a statute of limitations when a
litigant has pursued his rights diligently but some extraordinary circumstance prevents him from
bringing a timely action.”); Lehman v. United States, 154 F.3d 1010, 1016 (9th Cir. 1998)
(“Equitable tolling focuses primarily on the plaintiff’s excusable ignorance of the limitations
period.”). Equitable tolling, a long-established feature of American jurisprudence, is derived
from “the old chancery rule[.]” Holmberg v. Armbrecht, 327 U.S. 392, 397 (1946). However, the
Supreme Court of Texas has explained that these tests cannot be applied to any statute of
limitations contained in statute, because parties are presumed to know the law. Levinson Alcoser,
670 S.W.3d at 630.

7
applicable limitations periods. Tex. Const. art. I, § 13; Walters, 307 S.W.3d at 295.
The doctrine is commonly applied to health-care-liability claims when the
malpractice cannot be readily discovered, such as errant-sponge cases. See id. at
295–96 (citing Neagle v. Nelson, 685 S.W.2d 11, 12 (Tex. 1985)). Under the open
courts provision, a claimant must “use due diligence and sue within a reasonable
time after learning about the alleged wrong” to overcome a limitations defense.
Yancy v. United Surgical Partners Int’l, 236 S.W.3d 778, 785 (Tex. 2007) (quoting
Shah v. Moss, 67 S.W.3d 836, 847 (Tex. 2001)).

The central question is whether it was impossible or exceedingly difficult for
the plaintiff to discover the alleged wrong and sue within the two-year statute of
limitations period. See Shah, 67 S.W.3d at 846–47. It is the plaintiff’s burden to
show that the nature of his claim made it impossible or exceedingly difficult to
discover the alleged wrong and bring suit within the two-year period. See Walters,
307 S.W.3d at 296–97. Here, Sorrow argues that he is not a medical professional,
not an expert on medications, and could not diagnose himself. Sorrow’s ability to
understand the mechanism of his injuries is different and distinct from his ability to
understand that he was injured.

Although he may not have been educated about the various medicines he
was prescribed, Sorrow had concerns about the effects of his medications in 2002.
In his offer of proof filed in the trial court, Sorrow admits that “[t]hese same issues
have been in litigation since 2002.”7 The record establishes that Sorrow has been
consistently and continuously alleging since 2002 in various legal proceedings that
the medications prescribed by the medical defendants in 2001 to 2002 caused him

7
He also states that this case relates back to “Criminal Court in 2001–02.” However,
Sorrow does not explain how any issues in his criminal case might affect the civil liability of the
medical defendants for their medical treatment of him.

8
injury.8 The record demonstrates Sorrow had no difficulty recognizing his alleged
injuries and in fact was aware of his alleged injuries before the limitations period
expired.9 Therefore, the statute of limitations ran on his claims against the medical
defendants years before he filed this suit. See Tex. Civ. Prac. & Rem. Code Ann.
§ 74.251(a).10 Sorrow also did not establish his entitlement to any tolling provision.
Therefore, the trial court did not err in rendering summary judgment on Sorrow’s
claims based on the statute of limitations.11

We overrule issue 1.

B. Evaluating the evidence

In issue two, Sorrow argues that the trial court erred in weighing the
evidence of the correct accrual date triggering limitations pursuant to the “Hughes
Rule.”

The supreme court explained that “when an attorney commits malpractice in

8
In 2005, Sorrow filed an application for a writ of habeas corpus (which he included in
his summary-judgment response) in which he explained as one of his grounds that he pleaded
guilty involuntarily in his 2002 criminal case due to “unknown and unforeseen side effects and
or interactions created by the use of four(4), different ‘Prescribed (narcotic like) Medications’ for
the treatment of pain relief, hypertension and mental depression control.” In 2011, Sorrow filed
suit against various defendants, including Dr. Seale, based on the same factual allegations.
9
We reached the same conclusion regarding Sorrow’s constitutional, tort, and negligence
claims against the Sheriff, based on the same medical treatment and medication at issue here,
which were also filed after statute of limitations ran. Sorrow I, 622 S.W.3d at 503. In that case,
Sorrow argued that the discovery rule should have tolled the statute of limitations.
10
We need not address the issue here, but the statute of repose in Chapter 74 puts a limit
on how long a health-care-liability claim can be tolled. See Tex. Civ. Prac. & Rem. Code Ann.
§ 74.251(b) (“This subsection is intended as a statute of repose so that all claims must be brought
within 10 years or they are time barred.”). Therefore, even if Sorrow had established some
tolling of the limitations on his claims, the statute of repose would have barred the claims against
the medical defendants.
11
We also note that Sorrow did not comply with the provisions of Chapter 74, which
requires presuit notice and the filing of an expert report. See Tex. Civ. Prac. & Rem. Code Ann.
§§ 74.051, .351.

9
the prosecution or defense of a claim that results in litigation, the statute of
limitations on the malpractice claim against the attorney is tolled until all appeals
on the underlying claim are exhausted.” Hughes v. Mahaney & Higgins, 821
S.W.2d 154, 156 (Tex. 1991). The doctrine has never been extended to
professional liability beyond legal-malpractice claims. Erikson v. Renda, 590
S.W.3d 557, 565 (Tex. 2019). Sorrow offers no authority, and we have found none,
that would extend the Hughes tolling doctrine to health-care-liability claims.

Sorrow also appears to conflate the accrual of his injury with his discovery
of his injury. A cause of action accrues when facts come into existence that permit
a plaintiff to recover. Exxon Mobil Corp. v. Rincones, 520 S.W.3d 572, 593 (Tex.
2017). Generally, in the context of a tort, this is when a wrongful act causes an
injury. See Southwestern. Energy Prod. Co. v. Berry-Helfand, 491 S.W.3d 699,
721 (Tex. 2016) (“As a general proposition, a cause of action accrues when a
wrongful act causes a legal injury, even if the fact of injury is not discovered until
later . . . .”); Murray, 800 S.W.2d at 828. In his appellate brief, Sorrow reiterates
that his claims in this case “stem from 2001-02 pretrial, trial, and posttrial
detention and release.” The accrual of Sorrow’s alleged injury occurred in 2001 to
2002. The summary-judgment evidence, as well as the admission made by Sorrow
in his pleadings, reflect the accrual of his alleged injury in 2001 to 2002.

Sorrow’s discussion of the accrual of his injury is really another argument
that the statute of limitations should be tolled. Sorrow claims that he was not able
to recognize his injuries and argues that he is not a medical professional and was
not capable of diagnosing himself. However, Sorrow was aware of his injuries
within the limitations period, and limitations ran on his claims against the medical
defendants years before he filed this suit.

We overrule issue two.

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C. Fact issues

In issue three, Sorrow argues that the trial court erred because there was a
fact issue as to the discovery rule precluding summary judgment on his claims.
However, as discussed above, we have already concluded that limitations ran on
his claims against the medical defendants years before he filed this suit. To the
extent that specific facts exist which Sorrow believes were disregarded by the trial
court, he does not identify those specific facts and how they were presented to the
trial court in his appellate brief. See Tex. R. App. P. 38.1(i).

We overrule issue three.

D. Noncompliance with the mandate

In issue four, Sorrow argues that the trial court did not comply with this
court’s mandate in Sorrow I. He claims: “the trial court had no right to allow the
appellees to lead the mandates proceeding, even inappropriately as their motions
and summary judgment were, in accordance to the [sic] Mandates wording.” He
further states the “trial court cannot give a judgment or grant more relief than the
mandate provides.”

This court previously remanded the case to the trial court “for further
proceedings limited to Sorrow’s claims against the unserved defendants.”
Sorrow I, 622 S.W.3d at 510. On remand, the medical defendants—who were the
then-unserved defendants—appeared and answered. The merits of Sorrow’s claims
against the medical defendants were addressed as intended by this court’s mandate
in Sorrow I directing further proceedings. We discern no error on the part of the
trial court for receiving and ruling on the motions of the medical defendants.

We overrule issue four.

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E. Opioid litigation

In issue five, Sorrow argues the trial court erred by not weighing the
evidentiary value of pleadings he filed in the “Harris County Texas Opioid
Litigation.” Sorrow also argues the trial court should have held a hearing on the
evidence because “Harris County Texas admits it was deceived by the Opioid
Defendants and thus, it harmed pretrial detainees in their custody.” However,
Sorrow offers no explanation of how the separate opioid proceeding (presumably
against a drug manufacturer) or Sorrow’s interpleader into that litigation have any
legal effect on whether his claims against the medical defendants were barred by
limitations.

We overrule issue five.

III. CONCLUSION

We affirm the judgment of the trial court as challenged on appeal.

/s/ Charles A. Spain
Justice

Panel consists of Justices Wise, Spain, and Hassan.

12