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2018 Georgia Code 31-9-6 | Car Wreck Lawyer

TITLE 31 HEALTH

Section 9. Consent for Surgical or Medical Treatment, 31-9-1 through 31-9-7.

ARTICLE 10 DRUG REPOSITORY PROGRAM

31-9-6. Construction of chapter; requirements of valid consent.

  1. This chapter shall be liberally construed, and all relationships set forth in this chapter shall include the adoptive, foster, and step relations as well as blood relations and the relationship by common-law marriage as well as ceremonial marriage.
  2. A consent by one person authorized and empowered to consent to surgical or medical treatment shall be sufficient.
  3. Any person acting in good faith shall be justified in relying on the representations of any person purporting to give consent, including, but not limited to, his identity, his age, his marital status, his emancipation, and his relationship to any other person for whom the consent is purportedly given.
  4. A consent to surgical or medical treatment which discloses in general terms the treatment or course of treatment in connection with which it is given and which is duly evidenced in writing and signed by the patient or other person or persons authorized to consent pursuant to the terms of this chapter shall be conclusively presumed to be a valid consent in the absence of fraudulent misrepresentations of material facts in obtaining the same.

(Code 1933, § 88-2906, enacted by Ga. L. 1971, p. 438, § 1; Ga. L. 1991, p. 94, § 31.)

Law reviews.

- For article, "Informed Consent: New Georgia Guidelines," discussing law of medical consent in Georgia, in light of Young v. Yarn, 136 Ga. App. 737, 222 S.E.2d 113 (1975), see 12 Ga. St. B.J. 197 (1976). For article, "Georgia's Medical Consent Law," see 21 Ga. St. B.J. 138 (1985). For article, "Doreika v. Blotner: Affirming Ketchup against Judicial Mustard," see 60 Mercer L. Rev. 807 (2009). For note, "Informed Confusion: The Doctrine of Informed Consent in Georgia," see 37 Ga. L. Rev. 1129 (2003). For comment on Young v. Yarn, 136 Ga. App. 737, 222 S.E.2d 113 (1975), see 28 Mercer L. Rev. 377 (1976).

JUDICIAL DECISIONS

Physician's duty to disclose risks.

- To the extent there is a duty in Georgia pursuant to O.C.G.A. § 31-9-6 to disclose risks associated with a procedure performed by a doctor, that duty rests squarely upon the doctor. Butler v. South Fulton Medical Ctr., Inc., 215 Ga. App. 809, 452 S.E.2d 768 (1994).

Failure to disclose material facts.

- Consent based upon failure to disclose material facts which a patient has a right to know is not valid and cannot satisfy subsection (d) of O.C.G.A. § 31-9-6. Gillis v. Cardio TVP Surgical Assocs., P.C., 239 Ga. App. 350, 520 S.E.2d 767 (1999).

Though the doctor never informed the patient that steroid injections were an alternative to surgery, there was no evidence that this omission was fraudulent; thus, the patient was bound by the consent form signed, and the trial court correctly directed a verdict on the patient's battery claim. Bowling v. Foster, 254 Ga. App. 374, 562 S.E.2d 776 (2002).

Physician's duty of disclosure does not include disclosure of risks of treatment. McMullen v. Vaughan, 138 Ga. App. 718, 227 S.E.2d 440 (1976).

No requirement of disclosure for risks of treatment.

- Requirement of disclosure in general terms, the treatment or terms of treatment, cannot be interpreted as including a requirement for disclosure of risks of treatment. Young v. Yarn, 136 Ga. App. 737, 222 S.E.2d 113 (1975); Simpson v. Dickson, 167 Ga. App. 344, 306 S.E.2d 404 (1983).

While attending physician is required to inform patient of general terms of treatment, this duty does not require disclosure of risks of treatment. Fox v. Cohen, 160 Ga. App. 270, 287 S.E.2d 272 (1981).

Physician must inform the patient of the general terms of treatment. This duty does not include a disclosure of "risks of treatment." Robinson v. Parrish, 251 Ga. 496, 306 S.E.2d 922 (1983).

Physician must inform a patient of the general terms of treatment, but a disclosure of the "risks of treatment" need not be given. Sikorski v. Bell, 167 Ga. App. 803, 307 S.E.2d 701 (1983).

Informed consent doctrine is not a viable principle of law in this state. McMullen v. Vaughan, 138 Ga. App. 718, 227 S.E.2d 440 (1976).

Traditional doctrine of informed consent has been specifically rejected and whatever information must be disclosed as to general course of treatment does not include legally specified risks. Parr v. Palmyra Park Hosp., 139 Ga. App. 457, 228 S.E.2d 596 (1976).

Claims arising out of failure to disclose physician's limitations.

- Patient's complaint could be read to adequately plead claims for fraud, battery, and negligent misrepresentation by alleging that the doctor failed to inform the patient of the doctor's known disabilities prior to the surgery; the known physical limitations caused the doctor to perform the surgery in a deficient manner; and the patient experienced complications as a direct result of the surgery. Holmes v. Lyons, 346 Ga. App. 99, 815 S.E.2d 252 (2018).

Disclosure of general course of treatment to patient precludes any action based on lack of consent to treatment undertaken. Holbrook v. Schatten, 165 Ga. App. 217, 299 S.E.2d 128 (1983).

Since appellant signed a consent form authorizing surgery, and the record clearly established that appellant understood the general course of proposed treatment, the appellant was precluded from maintaining an action alleging that defendant/physician breached the physician's duty in failing to warn of risks of treatment or that appellant's consent was thereby rendered invalid absent a showing of fraudulent misrepresentations of material fact. Holbrook v. Schatten, 165 Ga. App. 217, 299 S.E.2d 128 (1983).

No action for failure to warn of risks.

- As duty under O.C.G.A. § 31-9-6 does not include a disclosure of risks of treatment, plaintiff-patient cannot sustain an action alleging that the defendant breached the defendant's duty in failing to warn of the risks of treatment or that the plaintiff's consent was thereby rendered invalid. Blount v. Moore, 159 Ga. App. 80, 282 S.E.2d 720 (1981).

Physician must respond to questions truthfully.

- When the doctor responds to a specific question posed by a patient concerning the risks of the contemplated treatment, a duty arises to speak truthfully. Spikes v. Heath, 175 Ga. App. 187, 332 S.E.2d 889 (1985); Smith v. Wilfong, 218 Ga. App. 503, 462 S.E.2d 163 (1995); Campbell v. Breedlove, 244 Ga. App. 819, 535 S.E.2d 308 (2000).

When there is no evidence of fraudulent misrepresentations by a doctor in obtaining the consent of a patient for a laparoscopy and the evidence is undisputed that a dilation and curettage surgical procedure is often performed as a preliminary to a laparoscopy, the consent of the patient to both operations is conclusively presumed to be a valid consent. Cole v. Jordan, 161 Ga. App. 409, 288 S.E.2d 260 (1982).

Good faith in accepting authority to consent held question of fact.

- Question of fact precluding summary judgment existed as to whether physician acted in good faith when accepting the authority of county Department of Family and Children Services to consent to heart catheter procedure of child after hearing father's objection to procedure. Bendiburg v. Dempsey, 707 F. Supp. 1318 (N.D. Ga. 1989), modified on other grounds, 909 F.2d 463 (11th Cir. 1990), cert. denied, 500 U.S. 932, 111 S. Ct. 2053, 114 L. Ed. 2d 459 (1991).

Presumption of valid consent is created when such consent is in writing. Fox v. Cohen, 160 Ga. App. 270, 287 S.E.2d 272 (1981).

Effect of inadequacy of consent form when patient knew general course of treatment.

- If the consent form is inadequate, or if there is no written consent shown, summary judgment for physician may be obtained by establishing that plaintiff-patient knew, from any source, the general course of treatment to be undertaken. Parr v. Palmyra Park Hosp., 139 Ga. App. 457, 228 S.E.2d 596 (1976).

Ambiguous terms in consent form construed against physicians.

- When language in a consent form was ambiguous as to whether consent was given only to additional procedures which were both necessary and appropriate or which were either necessary or appropriate, and, whether if two different classes of additional procedures existed, within which class the procedure performed on plaintiff existed, because of the inequality of the bargaining position between defendant physicians and plaintiff, the ambiguity was construed against the defendants as encompassing only additional procedures which were both necessary and appropriate when rendered. Harris v. Tatum, 216 Ga. App. 607, 455 S.E.2d 124 (1995).

Doctrine of res ipsa loquitur inapplicable in malpractice suits. Young v. Yarn, 136 Ga. App. 737, 222 S.E.2d 113 (1975).

Consent to "excision biopsy" of lesion.

- Patient's consent to a general course of treatment does not preclude an action for battery for the treatment actually undertaken. Specifically, pursuant to the terms of the consent form at issue, the patient's consent to an "excision biopsy" of a lesion on the patient's face did not grant the doctor general authority for any other surgical treatment of the lesion. Johnson v. Srivastava, 199 Ga. App. 696, 405 S.E.2d 725 (1991).

Alteration of medical records after surgery.

- Even if evidence existed that a doctor altered medical records pertaining to a surgical procedure after the procedure was completed, that evidence could not support a claim that the patient was fraudulently induced to sign the consent form before the surgery. Long v. Natarajan, 291 Ga. App. 814, 662 S.E.2d 876 (2008).

Notice of use of physician's assistant.

- Although O.C.G.A. § 43-34-106 does not require a physician to include notice of the use of a physician's assistant on a surgical consent form, it is not unreasonable to expect that this type of information would be included. Gillis v. Cardio TVP Surgical Assocs., P.C., 239 Ga. App. 350, 520 S.E.2d 767 (1999).

Motion for summary judgment.

- Court denied a patient's motion for reconsideration of the denial of a motion for summary judgment as to a battery claim that the patient asserted against a doctor because, by the patient's own admission, the evidence that the patient asserted upon reconsideration, as well as the patient's argument that under O.C.G.A. § 31-9-6(d) the patient could not consent to an unlawful surgery, could and should have been asserted in the patient's summary judgment motion. Otero v. Vito, 144 Fed. Appx. 762 (M.D. Ga. Nov. 13, 2006).

Cited in Kenney v. Piedmont Hosp., 136 Ga. App. 660, 222 S.E.2d 162 (1975); Winfrey v. Citizens & S. Nat'l Bank, 149 Ga. App. 488, 254 S.E.2d 725 (1979); Butler v. Brown, 162 Ga. App. 376, 290 S.E.2d 293 (1982); Hyles v. Cockrill, 169 Ga. App. 132, 312 S.E.2d 124 (1983); Verre v. Allen, 175 Ga. App. 749, 334 S.E.2d 350 (1985); Anglin v. Grisamore, 192 Ga. App. 704, 386 S.E.2d 52 (1989).

RESEARCH REFERENCES

Am. Jur. 2d.

- 59 Am. Jur. 2d, Parent and Child, § 71.

C.J.S.

- 67A C.J.S., Parent and Child, §§ 38, 40, 41, 46 et seq.

ALR.

- Mental competency of patient to consent to surgical operation or medical treatment, 25 A.L.R.3d 1439.

Necessity and sufficiency of expert evidence to establish existence and extent of physician's duty to inform patient of risks of proposed treatment, 52 A.L.R.3d 1084.

Malpractice: physician's duty to inform patient of nature and hazards of radiation or x-ray treatments under the doctrine of informed consent, 69 A.L.R.3d 1223.

Modern status of views as to general measure of physician's duty to inform patient of risks of proposed treatment, 88 A.L.R.3d 1008.

Malpractice: questions of consent in connection with treatment of genital or urinary organs, 89 A.L.R.3d 32.

Malpractice: physician's duty, under informed consent doctrine, to obtain patient's consent to treatment in pregnancy or childbirth cases, 89 A.L.R.4th 799.

Liability of dentist for extraction of teeth - Lack of informed consent, 125 A.L.R.5th 403.

Cases Citing O.C.G.A. § 31-9-6

Total Results: 7  |  Sort by: Relevance  |  Newest First

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Garza v. State, 670 S.E.2d 73 (Ga. 2008).

Cited 192 times | Published | Supreme Court of Georgia | Nov 3, 2008 | 284 Ga. 696, 2008 Fulton County D. Rep. 3470

...the principle announced in Young v. Yarn was correct." Ketchup v. Howard, supra at 64(5), 543 S.E.2d 371. Finally, and perhaps most critically, the Court of Appeals noted that "[s]ubsequent to the Young v. Yarn decision, the legislature enacted OCGA § 31-9-6.1, which requires medical professionals to provide information to their patients concerning the risks of some ....
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Nathans v. Diamond, 654 S.E.2d 121 (Ga. 2007).

Cited 80 times | Published | Supreme Court of Georgia | Nov 21, 2007 | 282 Ga. 804, 2007 Fulton County D. Rep. 3609

...After such a hearing, a trial court's finding regarding an expert's qualification will only be reversed on appeal if the trial court abused its discretion in making its ruling. See Cotten, 280 Ga.App. at 283, 633 S.E.2d 655; MCG Health, 285 Ga.App. at 580, 647 S.E.2d 81. [9] See OCGA § 31-9-6.1 (setting forth extensive nature of risks of the specific surgery of which the patient must be informed)....
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Albany Urology Clinic, P.C. v. Cleveland, 528 S.E.2d 777 (Ga. 2000).

Cited 53 times | Published | Supreme Court of Georgia | Mar 6, 2000 | 272 Ga. 296, 2000 Fulton County D. Rep. 945

...but rather by Peyronie's *779 Disease, [4] which might have been confirmed with proper testing and treated effectively without surgery. Prior to trial, the court dismissed Cleveland's claim for battery after finding the pleading defective under OCGA § 31-9-6.1(a)....
...of a claim for professional negligence. [7] As recognized by Georgia's appellate courts, this common law rule could be changed only by legislative act. [8] That occurred in 1988, when the General Assembly adopted the Informed Consent Doctrine, OCGA § 31-9-6.1, which became effective on January 1, 1989. Section 31-9-6.1 sets forth six specified categories of information that must be disclosed by medical care providers to their patients before they undergo certain specified surgical or diagnostic procedures. [9] *780 The Georgia informed consent statute does not impose a general requirement of disclosure upon physicians; rather, it requires physicians to disclose only those factors listed in OCGA § 31-9-6.1(a). [10] This statutory list of mandatory disclosures does not include a requirement that physicians disclose to their patients any aspect of their personal lives which might adversely affect their professional performance. Because OCGA § 31-9-6.1 is in derogation of the common law rule against requiring physicians to disclose medical risks to their patients, it must be strictly construed and cannot be extended beyond its plain and explicit terms....
...791, 794(2), 482 S.E.2d 253 (1997). Where such a relationship exists, silence when one should speak or the failure to disclose what one ought to reveal is equivalent to an actual affirmative false representation. Morris v. Johnstone, 172 Ga. 598, 605, 158 S.E. 308 (1931). OCGA § 31-9-6.1(a) enumerates certain general risks that are inherent in medical procedures, which risks the physician must disclose so as to obtain the patient's valid consent....
...there is no requirement for disclosure absent a specific inquiry by the patient. Were Dr. Trulock's use of illegal drugs a general and inherent risk of the medical procedure which he recommended, I could agree that its absence from the list in OCGA § 31-9-6.1(a) is dispositive of Mr....
...Certainly, the qualifications of the particular physician, no less than the general and inherent risks of the suggested medical procedure, are of concern *784 to the patient whose authorization is being sought. With regard to the risks of the procedure itself, Dr. Trulock complied with OCGA § 31-9-6.1(a) and made the requisite disclosures....
...However, the controlling issue is whether Dr. Trulock's illegal drug use was material to Mr. Cleveland's consent to undergo the recommended procedure, and the mere fact that that factor is not otherwise enumerated in the irrelevant provisions of OCGA § 31-9-6.1(a) should have no bearing on the determination of this issue....
...t, brain or heart damage, etc. associated with the procedure; (4) the likelihood of the procedure's success; (5) the practical, accepted and recognized alternatives to the procedure; and (6) the patient's prognosis if the procedure is rejected. OCGA § 31-9-6.1(a)(1)-(6)....
...Baker, 989 F.2d 1129 (11th Cir.1993). [11] Bo Fancy Productions v. Rabun County Bd. of Commrs., 267 Ga. 341, 343, 478 S.E.2d 373 (1996); Fayette County v. Seagraves, 245 Ga. 196, 197-198, 264 S.E.2d 13 (1980). [12] Simpson, 167 Ga.App. at 348, 306 S.E.2d 404. [13] OCGA § 31-9-6.1(d)....
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Blotner v. Doreika, 678 S.E.2d 80 (Ga. 2009).

Cited 17 times | Published | Supreme Court of Georgia | Jun 8, 2009 | 285 Ga. 481, 2009 Fulton County D. Rep. 1918

...Because Georgia does not recognize a common law duty to inform patients of the material risks of a proposed treatment or procedure, see Albany Urology Clinic v. Cleveland, 272 Ga. 296, 528 S.E.2d 777 (2000); because chiropractic treatment is not included among the matters for which informed consent is required by OCGA § 31-9-6.1; and because the Legislature has not otherwise required informed consent for chiropractic treatment, compare OCGA § 43-34-68 (informed consent requirements for persons who undergo acupuncture), we reverse the holding of the Court of Appeals....
...support of a claim for professional negligence. As recognized by Georgia's appellate courts, this common law rule could be changed only by legislative act. That occurred in 1988, when the General Assembly adopted the Informed Consent Doctrine, OCGA § 31-9-6.1, which became effective on January 1, 1989. Section 31-9-6.1 sets forth six specified categories of information that must be disclosed by medical care providers to their patients before they undergo certain specified surgical or diagnostic procedures. The Georgia informed consent statute does not impose a general requirement of disclosure upon physicians; rather, it requires physicians to disclose only those factors listed in OCGA § 31-9-6.1(a)....
...(Footnotes omitted.) Id., 272 Ga. at 298-299(1), 528 S.E.2d 777. The causes of action asserted by the plaintiffs in Albany Urology Clinic were predicated upon the defendant physician's failure to disclose a matter not included among those listed in OCGA § 31-9-6.1(a). In reversing the Court of Appeals' opinion that the defendant physician was under an affirmative duty to disclose the matter, this Court concluded by stating: Because OCGA § 31-9-6.1 is in derogation of the common law rule against requiring physicians to disclose medical risks to their patients, it must be strictly construed and cannot be extended beyond its plain and explicit terms....
...eated, duty of disclosure ... [that] was beyond the scope of the appellate court's authority," Albany Urology Clinic, supra, 272 Ga. at 299(1), 528 S.E.2d 777, we reverse the Court of Appeals. 2. Contrary to the Court of Appeals' statement that OCGA § 31-9-6.1 "has no effect on the recognition of the common law doctrine of informed consent," Doreika v....
...at 853(1), 666 S.E.2d 21, the doctrine of informed consent for health procedures and treatment is defined in Georgia exclusively by statutes and regulations. There is no question that chiropractic treatments are not among the procedures designated in OCGA § 31-9-6.1 for which informed consent is required. [2] The General Assembly has signaled its willingness to codify informed consent requirements in other areas of health care by its enactment of not only OCGA § 31-9-6.1 but also of OCGA § 43-34-68 (informed consent requires three specified items to be disclosed to patients of acupuncturists); OCGA § 31-9A-3 (informed consent required before abortion performed on pregnant woman); and OCGA § 37-3-163 (i...
...Judgment reversed. All the Justices concur, except SEARS, C.J., and CARLEY, J., who concur specially. CARLEY, Justice, concurring specially. I believe that Georgia should recognize a broader informed consent doctrine than that currently set forth in OCGA § 31-9-6.1....
...296, 298-299(1), 528 S.E.2d 777 (2000), that Georgia does not recognize the common law doctrine of informed consent, and that the "Georgia informed consent statute does not impose a general requirement of disclosure upon physicians; rather, it requires physicians to disclose only those factors listed in OCGA § 31-9-6.1(a)....
...s case, its decision must be reversed. I am authorized to state that Chief Justice Sears joins in this special concurrence. NOTES [1] Nathans, supra, involved a medical malpractice claim arising out of a procedure subject to the requirements of OCGA § 31-9-6.1....
...In footnote 2, the Court deemed "incorrect" the contention that no expert affidavit was necessary to support the plaintiffs' informed consent claim. Nathans, supra, 282 Ga. at 805, n. 2, 654 S.E.2d 121. [2] We recognize that the Legislature revisited OCGA § 31-9-6.1 without taking any measures to limit the application of Ketchup v....
...137(1), 637 S.E.2d 14 (2006), that inaction might be construed as indicating the legislature's agreement with the holding in Ketchup. In this case, however, we do not find that inaction significant. Ketchup was rendered on November 29, 2000. The only time since then that the legislature has revisited OCGA § 31-9-6.1 was during its 2001 session, when Ketchup was merely weeks old and the petition for certiorari was still pending....
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Robinson v. Parrish, 306 S.E.2d 922 (Ga. 1983).

Cited 14 times | Published | Supreme Court of Georgia | Sep 26, 1983 | 251 Ga. 496

...as to the meaning and *497 consequence of such operation" requires the physician to disclose any possible risks and complications of sterilization. The Court of Appeals has addressed on numerous occasions the applicability of the doctrine of informed consent to the Georgia Medical Consent Law (OCGA § 31-9-6 (Code Ann....
...by the patient or other person or persons authorized to consent pursuant to the terms of this chapter shall be conclusively presumed to be a valid consent in the absence of fraudulent misrepresentations of material facts in obtaining the same." OCGA § 31-9-6 (Code Ann....
...A doctor might well believe that an operation or form of treatment is desirable or necessary but the law does not permit him to substitute his own judgment for that of the patient by any form of artifice or deception." [4] It is true that the Georgia Court of Appeals has held that, by virtue of our Medical Consent Law, OCGA § 31-9-6 (Code Ann....
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Cardio TVP Surgical Assocs., P.C. v. Gillis, 528 S.E.2d 785 (Ga. 2000).

Cited 9 times | Published | Supreme Court of Georgia | May 1, 2000 | 272 Ga. 404, 2000 Fulton County D. Rep. 1618

...en it reversed the trial court's grant of partial summary judgment to appellants on this basis. 2. The evidence is uncontroverted that prior to the surgery, Gillis was provided with a consent form which disclosed all the information required in OCGA § 31-9-6.1(a)(1)-(6), was duly evidenced in writing, and was signed by Gillis, a lucid adult capable of consenting to his surgery....
...Gillis contends that the consent he gave did not negate his claim for battery because the form did not reflect that any part of the surgical procedure would be performed by a physician's assistant. [1] However, this argument overlooks the provision in OCGA § 31-9-6.1(f) that [a] prior consent to surgical ......
...ntrol. Although Gillis argues that his consent to allow nonphysicians to participate in the procedure did not include consent to allow such nonphysicians to perform any actual surgical procedures, this argument overlooks the express language in OCGA § 31-9-6.1....
...ders from the physician. Id. at (f) and (h) ("responsible physician" defined as "the physician who performs the procedure or the physician under whose direct orders the procedure is performed by a nonphysician " (emphasis supplied)). Nothing in OCGA § 31-9-6.1 renders a consent invalid when the names of the nonphysicians participating in the surgical procedure are not included in the consent form. Compare Albany Urology Clinic v. Cleveland, 272 Ga. 296, 528 S.E.2d 777 (2000). Rather, OCGA § 31-9-6.1 recognizes that the responsible physician will be supervising and directing nonphysician personnel, some of whom will be performing surgical procedures under the responsible physician's direct orders, and provides that a consent valid und...
...be valid consent" for both the responsible physician and "all medical personnel under the direct supervision and control of the responsible physician." Id. at (f). Accordingly, because as a matter of law the consent Gillis executed pursuant to OCGA § 31-9-6.1(b)(2) is deemed valid for the performance of the surgery by both Shaker and any nonphysicians such as Livingston who performed *788 procedures during the surgery under Shaker's direct orders, the fact questions Gillis attempts to raise re...
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Doctors Hosp. of Augusta v. Alicea, Admrx., 299 Ga. 315 (Ga. 2016).

Cited 7 times | Published | Supreme Court of Georgia | Jul 5, 2016 | 788 S.E.2d 392

..., we will not consider that issue. See Alicea, 332 Ga. App. at 539 n.10. 6 The trial court granted summary judgment to the Defendants on whether intubation is a medical procedure covered by Georgia’s informed consent statute, OCGA § 31-9-6.1, holding as a matter of law that it is not; Alicea did not appeal that ruling....