
    Richard K. ROTH, Plaintiff-Appellant, v. Mallan G. MORGAN, MD; Keith P. Smith, MD, Defendants-Appellees.
    No. 05-60303.
    Summary Calendar.
    United States Court of Appeals, Fifth Circuit.
    Decided Dec. 23, 2005.
    Robert Geoffrey Germany, Pittman, Germany, Roberts & Welsh, Jackson, MS, for Plaintiff-Appellant.
    Ufus Eugene Parker, Jr., Clifford Caswell Whitney, III, Varner, Parker & Sessums, Vicksburg, MS, Illiam C. Griffin, Currie, Johnson, Griffin, Gaines & Myers, Jackson, MS, for Defendants-Appellees.
    Before REAVLEY, JOLLY, and OWEN, Circuit Judges.
   PER CURIAM:

We affirm the judgment of the district court for the following reasons:

1. The district court made clear that a response to Defendants’ motion in limine to exclude Dr. Byrd’s deposition was due by June 9, 2004. Plaintiff failed to file a response to Defendants’ Motion in limine with the clerk of court. Counsel’s letter requesting a conference was not sufficient. “No abuse of discretion is demonstrated when the district court is shown no valid reason for [the plaintiffs] failure to respond to the subject motion.” Edward H. Bohlin Co., Inc. v. Banning Co., Inc., 6 F.3d 350, 356 (5th Cir.1993).
2. “To present a prima facie case of medical malpractice, a plaintiff, (1) after establishing the doctor-patient relationship and its attendant duty, is generally required to present expert testimony (2) identifying and articulating the requisite standard of care and (3) establishing that the defendant physician failed to conform to the standard of care. McCaffrey v. Puckett, 784 So.2d 197, 206 (Miss.2001). The two letters written by Dr. Alan Brown were unsworn and unaccompanied by affidavits. Because of these critical defects, Plaintiff did not present credible summary judgment evidence to raise an issue of fact by way of rebutting the medical expert witness affidavits presented by Defendant Smith. Nissho-Iwai American Corp. v. Kline, 845 F.2d 1300, 1306 (5th Cir.1988) (“It is a settled rule in this circuit that an unsworn affidavit is incompetent to raise a fact issue precluding summary judgment.”); Martin v. John W. Stone Oil Distributor, Inc., 819 F.2d 547, 549 (5th Cir.1987) (“Unsworn documents are also not appropriate for consideration.”).
3. When Dr. Brown withdrew as a witness before trial, Plaintiff was left without a medical expert witness to testify against Defendant Morgan. Without a medical expert witness, Plaintiffs medical malpractice claim fails. Shirley v. McCraney, 241 F.Supp.2d 677, 682 (S.D.Miss.2001) (“Mississippi case law demands that in a medical malpractice action, negligence cannot be established without medical testimony that the defendant failed to use ordinary skill and care.”).

Affirmed. 
      
       Pursuant to 5th Cir. R. 47.5, the Court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5th Cir. R. 47.5.4.
     