Is decision to dismiss the medical malpractice case appealable?

The decision was made by the judge . There is nothing had been filed with the clerk. There is determination in the transcript. The facts of the case never made it to a Jury,such as conflicting testimonies of the parties and other facts. The timely disclosed treating doctor was precluded from testimony on the damages and its connection to misinformed consent, My disability papers were precluded. I was insulted by the defense first that my case is an ambush trial and the Judge sided with the defense calling me a good gamer and allowed my disability to be called a spectacle. I was precluded by the Judge from showing the deposition records that the defendant is a lier(inconsistent statements through out sworn testimony).The defense was allowed to preclude the important evidence in the records that would make the Jury understand the negligence and much more.. I want to appeal to let the case go to the Jury. Is it true that the time starts running from the day of decision was made during the last day of trial on the transcript record ? Its been more than a week from the last entry in the transcript record that the case was dismissed. Which paper is presentable to the appeal division?