SALAHADIN M. GHARAD, M.D., MOVANT
ST. CLAIRE MEDICAL CENTER, INC., RESPONDENT
ON REVIEW FROM COURT OF APPEALS. CASE NO. 2014-CA-000696-I. ROWAN CIRCUIT COURT NO. 14-CI-00001.
CHIEF JUSTICE JOHN D. MINTON, JR. All sitting. All concur.
OPINION AND ORDER
DENYING INTERLOCUTORY RELIEF
John D. Minton, Jr.
St. Claire Medical Center operates a hospital in Morehead, Kentucky, serving a nine-county region in and around Morehead. St. Claire terminated an employment agreement with Salahadin M. Gharad, M.D., a cardiologist. Gharad then sued St. Claire for wrongful termination in which he seeks, among other relief, a declaration that the noncompetition provision of the employment agreement--prohibiting the performance of medical services in the hospital's nine-county service area for a period of two years after termination--is unenforceable.
The trial court granted Gharad a temporary injunction, which prevented St. Claire from enforcing the noncompetition provision. St. Claire then sought to dissolve the temporary injunction bye filing a motion for temporary relief in the Court of Appeals under Kentucky Rules of Civil Procedure (CR) 65.09. The Court of Appeals granted temporary relief to St. Claire and dissolved the temporary injunction. The Court of Appeals found that the trial court abused its discretion by temporarily enjoining enforcement of the noncompetition provision at issue because Gharad failed to establish he would suffer irreparable injury, a prerequisite for the granting of an injunction.
Gharad now requests this Court to grant him interlocutory relief from the order of the Court of Appeals and restore the trial court's temporary injunction. We deny interlocutory relief because we agree that Gharad has failed to make the requisite showing of irreparable injury.
At this juncture, the underlying facts of Gharad's dispute with St. Claire are immaterial to our determination. Suffice it to say, Gharad and St. Claire present differing views of not only Gharad's performance and conduct while employed by St. Claire but also whether St. Claire terminated Gharad with or without cause. The only issue before us is whether the trial court abused its discretion in granting a temporary injunction against St. Claire.
Our review is limited under CR 65.09. As we have repeatedly emphasized, only those cases presenting " extraordinary cause" are worthy of our review. Of course, we have interpreted " extraordinary cause" to include " abuse of discretion by the courts below[.]" 
The appropriate standard for a trial court when reviewing a motion for a temporary injunction is well settled. CR 65.04 mandates that a trial court deny injunctive relief unless it finds: " (1) that the movant's position presents 'a substantial question' on the underlying merits of the case . . .; (2) that the movant's remedy will be irreparably impaired absent the extraordinary relief; and (3) that an injunction will not be inequitable[.]" 
The trial court went through the proper analytical steps and determined that Gharad satisfied all the requirements. Notably for purposes of the motion before this Court, the trial court found Gharad was irreparably injured because he would suffer loss of income and damage to his reputation. Furthermore, the trial court found St. Claire's enforcement of the noncompetition provision would render Gharad unable to revive his practice in the provision's designated nine-county area. Finally, the trial court found disallowing Gharad's patients' ability to continue to treat with him, if they so desired, constituted irreparable injury.
Try as he might, Gharad is simply unable to distinguish materially his action from our decision in Price v. Paintsville Tourism Comm'n. Of course, Price did not involve a noncompetition provision like Gharad challenges here. In Price, we adopted the federal approach that " despite individual hardship[,] the loss of one's job and one's income pending disposition of a wrongful termination case does not amount to 'irreparable injury' justifying a temporary injunction."  Surely, " extraordinary circumstances surrounding a discharge could, conceivably, amount to irreparable injury so as to justify an injunction, but in the ordinary case, . ...