The Texas Court of Appeals has ruled that the claims of two radiologists against Shannon Medical Center for alleged negligent radiation exposure are classified as health care liability claims (HCLCs). This ruling, issued on August 25, 2026, affects how similar cases will be treated in the future, particularly regarding the requirements for expert testimony in malpractice lawsuits.
The case, Shannon Medical Center v. Michael Sickels and James Christopher Cole (Docket No. 15-25-00167-CV), centers around Dr. Michael Sickels and Dr. James Christopher Cole, who worked at Shannon Medical Center for two decades. Both doctors were diagnosed with skin cancer and underwent multiple surgeries. They claimed that Shannon Medical Center failed to protect them from excessive radiation exposure during their work.
The radiologists filed their lawsuit alleging negligence, negligence per se, and gross negligence. They argued that the hospital did not properly monitor or control their radiation exposure and failed to provide adequate protective equipment. After Shannon Medical Center filed a motion to dismiss the case, claiming the radiologists did not submit the required expert report within the specified timeframe, the trial court denied the motion, prompting Shannon to appeal.
The court reviewed whether the radiologists' claims were indeed HCLCs, which require a specific expert report to proceed. The Texas Medical Liability Act mandates that claimants must submit an expert report detailing the applicable standards of care and how the defendant's actions failed to meet those standards within 120 days of the defendant's answer. The court found that the radiologists' claims met the criteria for HCLCs because they involved issues of safety standards related to health care.
The court stated, "The gravamen of Radiologists’ claims is that due to Shannon’s negligence in failing to properly abide by radiation safety standards, Radiologists were exposed to excessive radiation while providing health care to patients present in the room." This ruling confirms that the radiologists' claims are fundamentally linked to their roles as health care providers, and thus, they fall under the purview of the Texas Medical Liability Act.
The ruling also highlighted that the radiologists did not successfully rebut the presumption that their claims were HCLCs. The court noted that the radiologists' injuries were sustained while providing care to patients and that the alleged negligence occurred in the context of their professional duties. The opinion emphasized that the safety standards they claimed were violated were directly related to health care practices.
This decision could have significant implications for future malpractice cases in Texas. By classifying these claims as HCLCs, the court reinforced the need for expert testimony in similar lawsuits. This requirement can be a barrier for many plaintiffs, as obtaining expert reports can be time-consuming and costly.
The ruling also clarified the relationship between the radiologists and Shannon Medical Center. The court found that the radiologists did not establish that they were employees of Shannon, which would have exempted their claims from being classified as HCLCs. Instead, their employment was tied to a separate entity, Shannon Clinic, which further complicated their case.
As a result of this ruling, future plaintiffs in similar situations may face heightened challenges in proving their cases, particularly if they cannot provide the necessary expert reports within the required timeframe. The court's decision underscores the importance of understanding the legal definitions and requirements surrounding health care liability claims.
Looking ahead, the radiologists could potentially appeal the court's ruling or seek further clarification on specific aspects of the decision. However, details regarding any future actions were not available in the court filing. This case serves as a critical reminder of the complexities involved in medical malpractice litigation and the stringent requirements that plaintiffs must navigate.











