Indiana Appellate Case Reporter
Editors:
James P. Barth, Esq.
Pfeifer Morgan & Stesiak
Lindsay N. Popejoy
The Cline Law Firm, LLC
May 6th, 2022
Cases included in this issue are from March 2022
INDIANA SUPREME COURT

Restatement (Second) of Torts §429 is inapplicable under the circumstances of this case. Restatement (Second) of Agency §267 was expressly adopted by the Supreme Court in the medical care context– A medical provider may be held liable for the acts of an apparent agent based on the provider’s manifestations of an agency relationship with the apparent agent, which causes a third party to rely on such a relationship. Two-factor analysis for application of §267: (1) representation and (2) reliance.
 
 
In September 2008, Anonymous Defendant 1, an orthopedic physician group, and Accelerated Rehab, a physical therapy provider, executed a “Staffing Agreement.” The Staffing Agreement required Accelerated Rehab to supply licensed, qualified rehabilitation personnel, including physical therapists, to staff Anonymous Defendant 1. Accelerated Rehab had “sole responsibility” for recruiting, vetting, training, supervising, evaluating, and monitoring the rehabilitation personnel. The Staffing Agreement also stated that all personnel shall be employees or independent contractors of Accelerated Rehab.

Accelerated Rehab was subsequently acquired by Athletico, Ltd. and Athletico Management, LLC (collectively, “Athletico”). Athletico apparently continued to operate by the terms of the original Staffing Agreement executed between Anonymous Defendant 1 and Accelerated Rehab in 2008. Athletico’s therapy facility and Anonymous Defendant 1 operated under very similar names and Athletico had use and occupancy of the second floor of Anonymous Defendant 1’s orthopedic care facility. However, there was no evidence of any contract, agreement, or other indication of legal relationship between Anonymous Defendant 1 and Athletico or its rehab staff.

In 2015 and 2016, Darci Wilson (“Wilson”) received health care from Anonymous Defendant 1. In December 2015, Wilson underwent knee surgery at Anonymous Defendant 1. Following her surgery, Anonymous Defendant 1 referred Wilson to physical therapy services located on the second floor of its health care facility for her therapy needs.

Wilson attended her first physical therapy appointment on April 12, 2016 with physical therapist Christopher Lingle (“PT Lingle”). During the appointment, PT Lingle performed a procedure that caused Wilson excruciating pain. When her pain did not subside, Wilson followed up with her orthopedist, who informed her that she had been reinjured and would need to undergo another surgery.

At the time of her treatment with PT Lingle, Wilson believed that PT Lingle was an employee of Anonymous Defendant 1. Before her first physical therapy appointment, Wilson was provided with an “Appointment Policy – PT/OT” form which stated, in relevant part, “Thank you for choosing [Anonymous Defendant 1] for your therapy needs.” The appointment policy form was signed by “[Anonymous Defendant 1] Physical/Occupational Therapy Department.” In addition, the physical therapy facility featured only Anonymous Defendant 1’s branding. There was nothing that suggested that the physical therapy facility was occupied by Accelerated Rehab or Athletico. After Wilson’s therapy session, Anonymous Defendant 1 sent her a bill for the treatment. At no point during Wilson’s treatment did anyone indicate to her that any individual providing services to her, including PT Lingle, was unaffiliated with Anonymous Defendant 1.

Wilson eventually filed a proposed complaint for damages with the Indiana Department of Insurance for the injuries that she sustained because of her treatment with PT Lingle. Wilson alleged that Anonymous Defendant 1 and its employee or agent, PT Lingle, were negligent in the provision of health care to her. Wilson later amended her proposed complaint to add Athletico as a defendant. She alleged that PT Lingle provided physical therapy services through Athletico, and under the assumed business name of Anonymous Defendant 1.
In December 2018, Athletico and PT Lingle initiated a cause of action against Wilson and filed a motion for summary judgment. Athletico argued that because it was not a qualified health care provider pursuant to the Indiana Medical Malpractice Act, Wilson’s claim against Athletico was barred by the two-year statute of limitations. In January 2019, while Athletico’s summary judgment motion was pending, Wilson filed a complaint for damages against Anonymous Defendant 1, Athletico, and PT Lingle in a trial court. Athletico and PT Lingle moved to dismiss Wilson’s complaint. The parties subsequently agreed to consolidate the two proceedings.

In October 2019, the trial court entered summary judgment in favor of Athletico and PT Lingle based upon Wilson’s failure to comply with the applicable statute of limitations for her claim against those defendants.

In March 2020, the trial court entered summary judgment in favor of Anonymous Defendant 1. The trial court held that Anonymous Defendant 1 could not be held liable for PT Lingle’s actions without evidence of an employment or contractual relationship between the two.
The Court of Appeals affirmed the trial court’s ruling in a memorandum decision. The Court of Appeals held that there was no genuine issue of material fact as to whether Anonymous Defendant 1 could be liable for PT Lingle’s acts as an apparent agent for Anonymous Defendant 1 under §429 of the Restatement (Second) of Torts as adopted in Sword v. NKC Hospitals. Wilson petitioned for transfer, which was granted. 
The Supreme Court began its analysis of the issue by considering the scope of Sword and its requirement that a legal relationship exist between the principal and the alleged apparent agent. The Court noted that although there was evidence that Anonymous Defendant 1 and Accelerated Rehab had executed a staffing agreement, the record did not include any such contract between Athletico and Anonymous Defendant 1. In fact, there was no legal relationship established on the record of this case between Anonymous Defendant 1 and Athletico. Thus, §429 of the Restatement (Second) of Torts was not applicable to the facts of this case.

Importantly, the Court noted that its concern in Sword was not based on any qualities unique to hospital, nor the specific employment or contractual arrangements between hospitals and their physicians. Rather, the concern was with what a patient reasonably believes because of specific representations that a health care provider has made. The Court recognized that health care consumers are constrained by geography, logistics, and insurance network coverage and often lacked the luxury of time to delve deeply into the legal relationship among health care providers.

Consequently, the Supreme Court considered §267 of the Restatement (Second) of Agency and its application in the context of hospital and non-hospital medical facilities. The Court noted that, unlike §429 of the Restatement (Second) of Torts, §267 of the Restatement (Second) of Agency does not require a legal relationship between the principal and apparent agent. The Court decided to adopt §267 in the medical care context. The Court noted that its decision was fair and consistent with a national trend seeking to limit the ability of health care providers to evade potential vicarious liability based on arrangements – whether contractual or informal – that are not readily apparent to the average health care consumer.

In applying §267 to the facts of the Wilson case, the Court looked at two elements: representation and reliance. The Court concluded that, at the summary judgment stage, Wilson had shown disputed issues of material fact as to both representation and reliance. The Court reversed the trial court’s grant of summary judgment in favor of Anonymous Defendant 1 and remanded the case.
 
Restatement (Second) of Torts §429 and Sword v. NKC Hospital’s apparent agency principles apply to non-hospital medical entities that provide patients with health care.
 

In April 2013, Harrold Arrendale (“Arrendale”) was sent to American Imaging & MRI, LLC a/k/a Marion Open MRI (“Marion Open MRI”) by his primary care provider for the performance of an MRI upon his spine. Marion Open MRI was a non-qualified health care provider under the Indiana Medical Malpractice Act that provided outpatient diagnostic imaging services to patients. At that time, Marion Open MRI had contracted with radiologist Dr. Alexander Boutselis to read and interpret MRI results for patients on an independent contractor basis. It was Dr. Boutselis who read and interpreted Arrendale’s April 2013 spinal MRI.

In December 2017, Arrendale filed a complaint for damages with a trial court against various defendants, including Marion Open MRI, for failure to diagnose and treat a spinal arteriovenous fistula which caused permanent injury to Arrendale.

In July 2020, Marion Open MRI filed a motion for summary judgment with the trial court. Marion Open MRI argued that it was not liable for the actions of Dr. Boutselis because Sword and the Restatement (Second) of Torts §429 did not apply to non-hospital entities. Arrendale argued that there was a dispute of material fact regarding whether Dr. Boutselis was acting as an apparent agent of Marion Open MRI under Sword, even though Marion Open MRI was not a hospital. Arrendale provided the trial court with an affidavit which stated that Marion Open MRI had never provided him with any notice that the radiologist reading his MRI was an independent contractor, that he had no independent knowledge of the relationship between Marion Open MRI and Dr. Boutselis, and that he assumed that Dr. Boutselis was an employee of Marion Open MRI when Dr. Boutselis provided health care to him.

The trial court granted summary judgment in Marion Open MRI’s favor. The trial court noted that Indiana’s appellate courts had only applied Sword’s apparent agency rules to hospitals and not yet to non-hospital medical facilities.

The Court of Appeals reversed the trial court decision, holding that Sword may be applied to a non-hospital diagnostic imaging facility. Marion Open MRI petitioned for transfer, which the Supreme Court granted.

For its review of the issue presented, the Supreme Court first looked at Sword’s apparent agency analysis for hospitals that use independent contractors. The Court then considered the application of Sword outside the hospital context. The Court decided to expressly adopt the application of Sword to non-hospital medical entities that provide health care to individuals, including diagnostic imaging facilities like Marion Open MRI. In its expansion of Sword to non-hospital medical entities, the Court acknowledged the ongoing changes in the way patients consume health care. The Court noted that the policy reasons underlying Sword apply equally to Marion Open MRI and non-hospital medical entities providing patients with health care. The Court further noted that there was no meaningful difference between a hospital and a non-hospital medical entity when considering Sword’s manifestation and reliance inquiries.

The Supreme Court ultimately held that a non-hospital medical entity holding itself out as a health care provider may be held vicariously liable for its independent contractor physician’s tortious acts unless it gives meaningful notice to the patient, the patient has independent special knowledge of the arrangement between the non-hospital medical entity and its physicians, or the patient otherwise knows about those relationships.

Regarding the specific facts of Arrendale’s case, the Court noted that there was no dispute that a “legal relationship” existed between a principal and an alleged apparent agent as required by Sword and §429. The Court noted that there was also no dispute that Marion Open MRI, a non-hospital entity, had provided health care services to Arrendale. The court further noted that there was no evidence in the record showing that Marion Open MRI informed or otherwise provided Arrendale with meaningful notice that an independent contractor radiologist would interpret his MRI. Arrendale did not select his own radiologist before admission, and he testified that he believed that Marion Open MRI employed the radiologist who read his MRI. In addition, Arrendale lacked any special knowledge regarding the contractual relationship between Marion Open MRI and Dr. Boutselis. Arrendale had received Dr. Boutselis’ interpretation of his MRI on Marion Open MRI letterhead with no indication that Dr. Boutselis was an independent contractor. Thus, the Supreme Court found that there was a genuine issue of material fact regarding whether Dr. Boutselis was the apparent agent of Marion Open MRI. The Court reversed the summary judgment in favor of Marion Open MRI and remanded the case. 
INDIANA COURT OF APPEALS

Plaintiff failed to show active concealment sufficient to toll the statute of limitations and U.S.C. Sections 1981, 1985 and 1986 were inapplicable to a wrongful death action.
 
In 2012, Lucius D. Washington was shot and killed by an Indiana State Police trooper. In 2017, Catherine J. Arnos, the personal representative of Washington's estate, filed claims for wrongful death and federal civil rights violations against Seth Mann, Steven E. Hillman, Douglas Carter, and the Indiana State Police (the ISP) (collectively the State Defendants). The State Defendants moved for summary judgment on the basis that the complaint was untimely filed and that the federal civil rights claims also failed as a matter of law. The trial court denied summary judgment. The State Defendants appeal, arguing that the trial court erred in concluding that there were genuine issues of material fact as to whether the statutory limitation period should be tolled by the doctrine of fraudulent concealment. They also assert that the trial court erred in denying summary judgment on the federal civil rights claims. The Court of Appeals agreed on both matters and reversed.

On May 18, 2012, Indiana State Police Trooper Seth Mann was on patrol in uniform and driving a marked car in Fort Wayne near the intersection of Main and Cherry Streets. Mann saw three individuals striking a person on the ground. Mann did a U-turn, and the men started walking away. Mann exited his vehicle and pursued the individual, later identified as Washington, that he saw striking the victim's head. Washington picked up his pace and ran to a fence about a hundred feet away from Mann's vehicle and started to climb it. Mann pulled Washington off the fence. They fell to the ground, with Mann landing on his back and Washington landing on top of Mann, chest to chest. Mann felt Washington's hand in the area of the left side of his gun belt. Although Washington did not strike or hit Mann, Mann punched Washington's midsection three or four times and then pushed him off to Mann's right. It was so dark that all Mann could see was Washington's white shirt when Mann drew his handgun and rapidly fired five shots, followed by two “controlled pairs” for a total of nine shots. Washington died as a result of the shooting.

On May 24, 2012, the ISP issued a one-page news release information form to notify the public that an investigation of Washington's fatal shooting had been opened. Arnos was not married to Washington, but she is the mother of his child Cameron, who was then four years old. Arnos contacted the Allen County Prosecutor's Office, which advised her that the matter was under investigation and that she would be contacted when the investigation was concluded. No one ever contacted Arnos. Other than hearing this news in the press, Arnos had no knowledge of the circumstances of Washington's death.

On May 23, 2017, Arnos, on behalf of the Estate and Washington's son, filed a complaint asserting a wrongful death claim against Mann and the ISP and federal civil rights claims under 42 U.S.C. §§ 1981, 1985, and 1986 against Carter, Hillman, and Mann in their individual capacities.

The Estate has failed to establish an issue of fact material to its fraudulent concealment theory.

Claims under § 1986 must be brought within one year and accrue when the plaintiff knows or should know that his or her constitutional rights have been violated. The State Defendants asserted that the Estate's federal civil rights actions accrued when Arnos learned that Washington had been shot and that the Estate filed its action after the limitation periods had run on its wrongful death and civil rights claims. The Estate argued that the applicable limitation periods were tolled based on the doctrine of fraudulent concealment.

Under the doctrine of fraudulent concealment, a person is estopped from asserting the statute of limitations as a defense if that person has concealed material facts from the plaintiff thereby preventing discovery of a wrong. Indiana Code Section 34-11-5-1, provides: “If a person liable to an action conceals the fact from the knowledge of the person entitled to bring the action, the action may be brought at any time within the period of limitation after the discovery of the cause of action.”

There are two types of fraudulent concealment, active and passive. GYN-OB Consultants, LLC v. Schopp, 780 N.E.2d 1206, 1210 (Ind. Ct. App. 2003), trans. denied. Although the Estate did not specifically identify which type of fraudulent concealment it was relying on, the Court of Appeals found that the Estate appeared to argue active fraudulent concealment. Active concealment involves affirmative acts of concealment intended to mislead or hinder the plaintiff from obtaining information concerning the wrongful act. Id. at 1210. To establish active fraudulent concealment, the plaintiff must show that “the defendant (1) had actual knowledge of the alleged wrongful act and (2) intentionally concealed it from the plaintiff (3) by making some statement or taking some action calculated to prevent inquiry or to mislead (4) upon which the plaintiff reasonably relied.” Lyons v. Richmond Cmty. Sch. Corp., 19 N.E.3d 254, 260-61 (Ind. 2014) (citations and quotation marks omitted). For the doctrine of fraudulent concealment to apply, Indiana law requires a showing of reasonable care and due diligence on the part of the plaintiff. Doe v. United Methodist Church, 673 N.E.2d 839, 844 (Ind. Ct. App. 1996), trans. Denied (1997).

The State Defendants contended that the Estate failed to exercise due diligence to investigate a possible claim and the Estate had not designated evidence showing that the State Defendants intentionally concealed Mann's shooting of Washington from the Estate by making some statement or taking some action calculated to prevent inquiry or to mislead upon which the Estate reasonably relied. The Estate asserted that the State Defendants took two affirmative actions that were intended to conceal any wrongdoing and were misleading: (1) the prosecutor's public announcement that no criminal charges would be filed against Mann and (2) Superintendent Carter's appointment of a new chairman to the Board to amend the April 4 Finding, which was not authorized by the SOP. However, the Court of Appeals stated that its review of the record did not reveal any designated evidence that indicates that the ISP's actions misled Arnos or prevented her from inquiring into the possibility of a claim or that Arnos reasonably relied on any of the ISP's actions.

Thus, the Estate failed to file its complaint within the applicable limitation periods and failed to designate evidence to show that the State Defendants took an affirmative act upon which Arnos reasonably relied that was intended to mislead her or prevent her inquiry into the possibility of a claim and that Arnos exercised due diligence to investigate the possibility of a claim. Accordingly, the Court of Appeals determined that the trial court erred by denying the State Defendants’ summary judgment based on fraudulent concealment.

The Estate's federal civil rights claims also fail on the merits.

Citing 42 U.S.C. § 1981, the Estate alleged that the killing of Washington and concealment of facts surrounding his death constituted discrimination on the basis of race and were part of a pattern and practice of Superintendent Carter demonstrating his disparate treatment of black citizens and employees and that this pattern discriminated against Arnos and Cameron by denying them equal protection and due process of law.

The Court of Appeals dealt first with the Estate's claim that was based solely on § 1981, the Court noted that § 1981 “prohibits racial discrimination in the making and enforcement of private as well as public contracts.” Significantly, § 1981 does not provide a remedy against state actors independent of § 1983. Therefore, the Court of Appeals found that the Estate's § 1981 claim against Carter, Hillman, and Mann failed on the merits as a matter of law, and that the trial court erred when it denied the State's motion for summary judgment on this claim.

The Court of Appeals went on to discuss that even if it were to assume that the Estate had properly sought a remedy pursuant to § 1983 for alleged violations of the rights protected under its § 1981 claim, it would still fail. Section 1983 provides a civil remedy against any “person who, under color of state law, subjects a United States citizen to the deprivation of any rights, privileges, or immunities secured by the federal Constitution or federal laws.” City of Warsaw v. Orban, 884 N.E.2d 262, 267 (Ind. Ct. App. 2007), trans. Denied (2008). “To prevail on a Section 1983 claim, ‘the plaintiff must show that (1) the defendant deprived the plaintiff of a right secured by the Constitution and laws of the United States, and (2) the defendant acted under the color of state law.’” Melton v. Ind. Athletic Trainers Bd., 156 N.E.3d 633, 649 (Ind. Ct. App. 2020) (quoting Myers v. Coats, 966 N.E.2d 652, 657 (Ind. Ct. App. 2012)), trans. denied (2021).

Although Section 1981 prohibits racial discrimination in the making and enforcement of contracts and private employment, the police shooting of Washington and the investigation and review of the shooting did not involve a contract with or employment of Washington. The Estate contended that the SOP is a contract, but it provided no cogent argument or authority to support the contention. Therefore, the Court of Appeals found that the contention was waived. See Ind. Appellate Rule 46(A)(8)(a); Loomis, 764 N.E.2d at 668. The Court of Appeals also concluded that any claim that Washington's rights under § 1981 were violated failed on the merits.

The State Defendants asserted that the Estate's claims were barred by the intracorporate conspiracy doctrine. Under this doctrine, “an agreement between or among agents of the same legal entity, when the agents act in their official capacities, is not an unlawful conspiracy.” Ziglar v. Abbasi, 137 S. Ct. 1843, 1867 (2017). The rationale for this principle is that “[w]hen two agents of the same legal entity make an agreement in the course of their official duties, ... their acts are attributed to their principal,” and thus “there has not been an agreement between two or more separate people.” Id. The Court of Appeals noted that the United States Supreme Court has not given its approval to this doctrine in the specific context of § 1985(3), and there is a division in the courts of appeals respecting the validity or correctness of the intracorporate-conspiracy doctrine with reference to § 1985 conspiracies. Id. at 1868. Given that the federal courts are divided as to whether a § 1985(3) conspiracy can arise from official discussions between or among agents of the same entity, the Ziglar court observed that until it rules definitively on the issue, a reasonable official lacks the notice required before imposing liability. Id. at 1868-69 (concluding that officers in Department of Justice would not have known with any certainty that § 1985(3) prohibited their alleged agreements).

Because Superintendent Carter, Major Hillman, and Mann all worked for the ISP if the intracorporate conspiracy doctrine applies to public entities, they would not be subject to a § 1985(3) claim. Indiana courts have not addressed whether the intracorporate conspiracy doctrine applies to federal civil rights claims and the Court of Appeals determined that it did not need to decide whether the doctrine applied. Accordingly, the § 1985(3) fails on the merits, as does the § 1986 claim. Therefore, the trial court erred by denying summary judgment to the State Defendants on the Estate's conspiracy claim.

The Court of Appeals ruled in favor of the State Defendants in all respects and reversed the trial court on both issues.

 
Plaintiff failed to designated evidence to create a question of fact on Defendant’s sudden emergency defense.


Motorist injured in motor vehicle accident brought negligence action against other driver. The trial court granted defendant’s motion for summary judgment on the grounds that defendant suffered an unforeseeable sudden medical emergency and the Motorist appealed.

In 1975, when Henthorn was twelve years old, she was diagnosed with ornithine transcarbamylase (“OTC”) deficiency, which is an allergy to protein. Henthorn took medication for her OTC deficiency, and she watched her diet by limiting her protein intake. If Henthorn ate too much protein, she would get an extremely bad headache that would not go away. Henthorn had also gotten dizzy or close to passing out because of her OTC deficiency. However, Henthorn testified that her OTC deficiency did not really affect her on a daily basis, and she very rarely had symptoms.

On August 18, 2017, Henthorn left her home and travelled north to Indianapolis. As she approached the intersection of Stop 11 Road and Meridian Street, she lost control of her vehicle. As a result of the accident, Patrick sustained several injuries. Patrick filed a complaint against Henthorn in which he asserted that Henthorn had been negligent. Henthorn filed her answer and, as an affirmative defense, alleged that she had lost consciousness due to a sudden emergency not of her own making. Henthorn also filed a motion for summary judgment asserting that she was entitled to summary judgment because her sudden loss of consciousness was not foreseeable. Specifically, she asserted that her OTC deficiency was well controlled prior to the accident, she was under no driving restrictions, and she had not experienced any physical impairments or ill health that day. Accordingly, she contended that the designated evidence established that she did not breach any duty to Patrick.

In her motion for summary judgment, Henthorn asserted that she had suffered a medical emergency and, thus, had negated the breach element of Patrick's claim. Henthorn relied on the Court of Appeals’ opinion in Denson v. Estate of Dillard, 116 N.E.3d 535 (Ind. Ct. App. 2018), to support her claim. In that case, a passenger in a vehicle was severely injured when the driver suffered a heart attack and crashed. Id. at 537. The passenger sued the driver's estate, and the estate filed an affirmative defense and motion for summary judgment in which it alleged that the driver had suffered a sudden medical emergency. The trial court found that the estate had negated the breach element of the negligence claim and entered summary judgment for the estate. The Court of Appeals determined as a matter of law that the driver could not be found to have acted unreasonably after he suffered the heart attack and was rendered unconscious. Id. at 541. Thus, the question became whether the driver's sudden physical incapacity was reasonably foreseeable such that a reasonably prudent person in his position would not have risked driving.

Henthorn asserted that, as a matter of law, she could not be found to have acted unreasonably when she suddenly lost consciousness and that she did not act unreasonably when she decided to drive on the day of the accident because her designated evidence demonstrated that her condition was well controlled, that she felt healthy that day, and that she had never had any driving restrictions placed on her. The trial court agreed and entered summary judgment in her favor.

On appeal, Patrick conceded that if Henthorn suffered a medical emergency prior to the accident, the holding in Denson would apply. But Patrick asserted that whether Henthorn acted unreasonably in deciding to drive on the date of the accident was not and never had been the issue in this matter. Rather, he asserted that the real issue is whether she actually suffered a sudden medical emergency on the date of the accident. And Patrick contends that Henthorn's inconsistent statements created a genuine issue of material fact regarding whether she suffered a medical emergency prior to the accident.

When considering the meaning of witness testimony, the proper inquiry requires that courts consider both the question and the answer in context. The statements at issue in Henthorn's deposition were in response to questions about her medical history. Patrick's questions were not questions about whether Henthorn had suffered a medical emergency on the date of the accident. Rather, they were clearly questions about her medical history. Taking Henthorn's answers during the deposition in context and not in isolation, the only reasonable inference is that, when Henthorn testified that she had not had an episode in ten years, she was responding to questions about her medical history and was referring to the time period before the accident, not to the date of the accident.

Neither Henthorn's symptoms nor her memory of the accident would affect the outcome of the case. The Court of Appeals determined that Henthorn met her burden when she designated her affidavit and that of her doctor, which showed that Henthorn suffered from a medical emergency related to her OTC deficiency. Patrick did not designate any evidence to demonstrate that Henthorn did not suffer a medical emergency prior to the accident. The designated evidence consistently demonstrates that she suffered a medical emergency prior to the accident.

Thus, the Court of Appeals found that the designated evidence showed, and Patrick did not dispute, that Henthorn's condition had been well controlled, that she did not have any driving restrictions, and that she felt healthy on the morning of the accident, which demonstrates that her sudden physical incapacity was not reasonably foreseeable. See Denson, 116 N.E.3d at 541. Because the designated evidence demonstrates that Henthorn suffered a medical emergency which was not reasonably foreseeable, Henthorn affirmatively negated one element of Patrick's negligence claim. The Court of Appeals therefore affirmed the trial court’s entry of summary judgment in favor of Henthorn.
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