WHEN PLEADINGS DO NOT ALLEGE AGGRAVATION, COMPARATIVE ANALYSIS OF INJURIES NOT REQUIRED BY PLAINTIFF, RATHER IT IS DEFENDANTS BURDEN
Blocker v. Deloatch, A-1422-20 (N.J. Super. Ct. App. Div. June 14, 2022) (unpub.)
In an automobile negligence action, plaintiff Sabrina Blocker appealed from two orders granting summary judgment in favor of defendants and dismissing the complaint with prejudice. The Appellate Division reversed the dispositive orders entered in favor of defendants.
In April 2016, plaintiff was involved in a three-car accident in Franklin Township with defendants Joseph Revolinsky and Richard Deloatch. Plaintiff was treated for low back pain following the 2016 accident. In March 2018, plaintiff was involved in a second accident with defendant Doris Henriquez.
Plaintiff was evaluated by three doctors after the April 2016 accident through January 2020. Dr. Elkholy reported specifically how plaintiffs low back pain significantly worsened after being involved in the March 2018 accident, which accentuated her previous condition. Plaintiff filed a complaint alleging negligence and seeking damages from both of the 2016 and 2018 accidents.
Defendants Revolinsky and Deloatch moved for summary judgment, contending plaintiff failed to serve an expert report containing a comparative analysis of the injuries sustained and how the accidents aggravated or exacerbated the injuries in accordance with the Polk standard. Polk v. Daconceicao, 268 N.J. Super. 568, 575 (App. Div. 1993). The motion judge granted both motions and dismissed plaintiff’s complaint, finding the report of Dr. Elkholy deficient and nothing more than a net opinion.
In plaintiff’s complaint, plaintiff did not allege that the 2016 and 2018 accidents aggravated any previously stated injuries. The Appellate Division relied on Davidson, where the Supreme Court addressed the evidentiary burden of a plaintiff who had history of prior injuries but did not plead aggravation in seeking damages. The Court concluded the plaintiff could “carry her burden of moving forward in her non-aggravation case by demonstrating the existence of a ‘permanent’ injury resulting from the automobile accident without having to exclude all prior injuries to the same body part.” Davidson v. Slater, 189 N.J. 166, 170 (2007).
Accordingly, the Appellate Division held that since the plaintiff did not plead aggravation, she was not required to provide a comparative analysis of her past, present, and subsequent injuries. Defendants should have had the burden to differentiate the causative effect of the collisions before a factfinder. The Court determined that a reasonable factfinder could find defendants’ conduct caused plaintiff to sustain an injury with causation as a question for the factfinder, thus the Appellate Division reversed and remanded the summary judgment orders.
SUMMARY JUDGMENT ORDER REVERSED ABSENT EXPLANATION FOR DELAY IN PLAINTIFF’S TREATMENT
Vera v. State Farm Indemnity Co., A-2236-20 (N.J. Super. Ct. App. Div. June 16, 2022) (unpub.)
After suffering injuries in an automobile accident, Plaintiff Miguel Vera sued his insurer, Defendant State Farm Indemnity Company, alleging defendant breached its policy by delaying approval of a medical test and surgery that caused plaintiff injuries to become more serious and permanent.
The Appellate Division reversed the Trial Court order granting summary judgment to defendant and dismissing plaintiff’s complaint with prejudice. The Appellate Division stated the record did not adequately explain the circumstances surrounding the alleged delay in plaintiff’s treatment, therefore State Farm was not entitled to summary judgment.
In short, the record showed multiple authorization denials from defendant in respect to MRI and surgical procedures for plaintiff’s injuries. Plaintiff’s orthopedic surgeon wrote his opinions, stating the delay in approving the MRI and surgery left plaintiff with a significant “permanent injury”, and caused a “further worsening of [plaintiff’s] status”.
The Court addressed defendant’s argument that the No-Fault Act, N.J.S.A. 39:6A-1 to - 35 precluded plaintiff’s claim. The Court disagreed with defendant’s assertions and explained the text of the statute relates to payment of benefits after treatment has commenced. The Court examined the viability of plaintiff’s claim and held that there is a good faith obligation implied in every contract, including an insurance policy.
In order to state a claim for damages from the delay in authorizing testing and treatment, plaintiff must show: (1) State Farm had a good faith-obligation in its policy; (2) State Farm unreasonably delayed the authorization and failed to fulfill its contractual obligation; (3) and that the unreasonable delay caused his damages.
While plaintiff did not establish those facts in the record, the record also did not demonstrate that plaintiff cannot prove the claim. Accordingly, State Farm was not entitled to summary judgment as a genuine issue of material fact may exist. The Court remanded the case for further proceedings.
FORMER NOVARTIS EXECUTIVE’S $1.8M WHISTLEBLOWER AWARD AFFIRMED BY APPELLATE DIVISION
Guo v. Novartis Pharmaceuticals, A-5652-18 (N.J. Super. Ct. App. Div. July 25, 2022) (unpub.)
The Appellate Division affirmed jury verdicts that awarded Plaintiff Min Amy Guo $1.8 million on a state Conscientious Employee Protection Act (CEPA) claim and $345,360 to Defendant Novartis on its counterclaim for unjust enrichment.
During Plaintiff Guo’s employment as Senior Director Of Health Economics Outcome Research in the Oncology Department of defendant Novartis, the defendant entered into a corporate integrity agreement requiring policies and procedures with federal law including the False Claims Act (FCA), 31 U.S.C. § 3729 to -33, and Anti-Kickback Statute (AKS), 42 U.S.C. § 1320a-7b(b).
It was plaintiff’s understanding that defendant could violate the AKS by paying a distributor for “a study of negligible scientific value” as a kickback for purchasing and distributing its product. In this context, plaintiff believed a proposed study with the McKesson Corporation and its expedited approval constituted a kickback that would violate federal law. After multiple internal encounters expressing her concerns with the proposed study, plaintiff was eventually terminated for a pattern of transgressions, poor judgment, and misconduct. Plaintiff filed a complaint against defendant, alleging her termination violated both the Conscientious Employee Protection Act and common law.
Following trial, the jury returned a verdict awarding plaintiff $1,816,040 on her CEPA claim and awarded defendant $345,360.79 on its counterclaim for unjust enrichment over Guo’s violation of company policy. Guo appealed from the unjust enrichment verdict while Novartis appealed from Guo’s CEPA claim award as well as the award of $1.5 million in attorney’s fees and costs to Guo. The panel for the Appellate Division affirmed both verdicts from the Law Division.
INSUFFICIENT SHOWING OF ‘EXTRAORDINARY CIRCUMSTANCES’ PRECLUDES A LATE NOTICE OF CLAIM PURSUANT TO TORT CLAIMS ACT
Estate of Barakat v. Roosevelt Care Ctr. at Edison et. al., A-0033-21 (N.J. Super. Ct. App. Div. Jul. 29, 2022) (unpub.)
Following the Law Division’s grant for leave to file a late notice of claim pursuant to a provision of the Tort Claims Act, N.J.S.A. 59:8-9, the Appellate Division reversed the lower court’s decision in an unpublished opinion. In support of the motion for leave to file a late notice of claim, plaintiff Morad, decedent’s son, presented facts in his affidavit that alleged defendant Roosevelt Care Center (RCC) failed to inform him of the cause of his mother’s death, limited his visitation due to the COVID-19 pandemic, and caused devastation as a result of the loss of his mother.
The trial court found plaintiff repeatedly attempted to obtain decedent’s medical records, which were necessary in filing a timely notice of claim, ultimately granting plaintiff’s leave to file a late notice of claim due to extraordinary circumstances. Defendants appealed, arguing the lower court erred in incorrectly pinpointing that claims accrued in January 2021, misapplied the Tort Claims Act, and mistakenly exercised discretion in finding extraordinary circumstances.
The Tort Claims Act states the notice of claim shall be presented no later than the 90th day after the accrual of the cause of action and be forever barred from recovering against a public entity if the claimant fails to file the claim within 90 days notwithstanding exceptions in N.J.S.A. 59:8-9. The exceptions include discretion of a judge of a Superior Court if the party filing a late notice of claim is able to show extraordinary circumstances.
The Appellate Division addressed the accrual date of Morad’s claim was the day of his mother’s death on August 1, 2020, and not the January 2021 date of plaintiff obtaining the medical records. As Morad was active in the ninety days following his mother’s death by communicating with defendants, seeking medical records, and making an application to the Surrogate Court, there is “nothing in the record suggesting [Morad] was unaware of the potential medical malpractice claim or unable to contact counsel to explore legal claims during the ninety-day period.”
While the Tort Claims Act does not explicitly define what constitutes “extraordinary circumstances”, judges assess on a case-by-case determination based on the facts presented. Plaintiff was unable to show sufficient reasons that prevented the filing of a timely notice of claim. As ninety days from August 1, 2020 expired on October 30, 2020, the Appellate Division reversed the grant accordingly.
GOOD CAUSE STANDARD ADDRESSED FOR EXTENDING DISCOVERY
Hollywood Café Diner, Inc. v. Jaffee et. al, ___N.J. Super.__ (App. Div. 2022)
Plaintiff Hollywood Café Diner commenced a legal malpractice action alleging defendants negligently represented the Diner in a case resulting in a $1.5 million settlement for Kevin Fynes, a patron who lost part of his leg in a car crash following a 2012 St. Patrick’s Day “Pub Crawl.” Defendant Jaffee handled the defense for Liberty International Underwriters, the insurer of plaintiff at the time.
Plaintiff alleged defendants breached their professional duties by failing to investigate the accident, to disclose details and to include a confidentiality provision in the settlement. Both parties remained generally inactive throughout the discovery process, eventually requesting extensions of the discovery end date. Finding there had been no exceptional circumstances and there had been 510 days of discovery in the malpractice action, the judge denied the discovery extension. Thereafter, defendants motion for summary judgment arguing plaintiff had not provided an expert opinion regarding the alleged professional negligence was then granted.
Plaintiff appealed contending the judge erred by using the “exceptional circumstances” standard instead of the “good cause” standard in deciding to decline to extend discovery.
Rule 4:24-1(c) permits the parties to extend discovery if written motion is filed “prior to the conclusion of the applicable discovery period.” “If good cause is otherwise show, the court shall enter an order extending discovery.” Id. The Appellate Division held when the court chooses to send out arbitration and trial notices during the discovery period, judges evaluating a timely motion to extend discovery may not utilize the "exceptional circumstances" standard, but rather the judge "shall enter an order extending discovery" upon a showing of "good cause.”
Plaintiff established good cause by properly serving paper discovery demands and dealing with court closures and similar barriers resulting from the COVID-19 pandemic. The Appellate Division reversed and remanded.
DEFENDANTS’ SUMMARY JUDGMENT MOTIONS BASED ON INSUFFICENT EXPERT OPINIONS IN MEDICAL MALPRACTICE ACTION AFFIRMED
Byun et al. v. Englewood Hospital and Medical Center et al., A-4020-19 (N.J. Super. Ct. App. Div. Sept. 2, 2022) (unpub.)
The Appellate Division, in an unpublished opinion, affirmed the trial court’s grant of summary judgment motions for defendants in a medical negligence case, finding plaintiff repeatedly failed to make a prima facie case of medical negligence absent a sufficient expert opinion.
Plaintiff Myong Ae Byun took her daughter, decedent Jackie, to the emergency department at Englewood Hospital per recommendation from Jackie’s neurologist. Jackie had limited ability to communicate verbally due to autism and a history of seizures. After nurses attempted to obtain samples and insert an intravenous line into Jackie’s arm, Jackie pulled the IV out and was flattened down back into the bed by force to reinsert the IV. Jackie then appeared to have a seizure, ultimately resulting in Jackie’s death after failed attempts to intervene by hospital personnel.
Defendants argued plaintiffs failed to comply with the Affidavit of Merit statute, N.J.S.A. 2A:53A-26 to -29. Defendants’ counsel objected to the sufficiency of plaintiff’s medical experts’ affidavits as certain experts were not board certified in emergency medicine at the time of the alleged malpractice. Defense counsel moved to bar expert testimony for which plaintiffs had not submitted an affidavit of merit and limit the testimony of certain expert witnesses on the grounds the experts had made vague references to staff members not identified and offered opinions on the standards of care applicable to emergency-medicine when they were not qualified to offer those opinions.
On appeal, the Appellate Division addressed that the purpose of the Affidavit of Merit statute is to establish as a threshold matter that a plaintiff’s claim has merit, weeding out meritless lawsuits against licensed professionals early in the litigation process. The Patients First Act establishes the required qualifications of a medical malpractice testifying expert and requires that expert be specialized at the time of the occurrence that is the basis for the malpractice action in the same specialty or subspecialty as defendant physicians. N.J.S.A. 2A:53A-41.
Finding that the trial court judge granted defendants' summary-judgment motions not based on any failure to comply with the Affidavit of Merit statute but because plaintiffs, lacking the expert testimony required to establish medical malpractice, could not prove their case, the Appellate Division affirmed the lower court decision.