DAVID R. HERNDON, District Judge.
Before the Court is the government's Motion to Dismiss Plaintiff's First Amended Complaint, or in the alternative, for Summary Judgment (doc. 54). Plaintiff opposes the motion (doc. 56). Supplemental briefing was filed by both parties on the issue of the statute of limitations (docs. 74, 79). Based on the following, the Motion to Dismiss, or in the alternative, for Summary Judgment, is
On May 17, 2017, Kyna Mitchell ("plaintiff"), individually and as mother and next fiend of Infant DM ("D.M."), filed an amended complaint naming as defendants the United States of America and Alton Memorial Hospital, alleging violation of the Federal Tort Claims Act ("FCTA") pursuant to 28 U.S.C. § 2674 (doc. 45). Specifically, plaintiff states on or about February 20, 2007, she was admitted to Alton Memorial Hospital for induction of labor due to complications stemming from preeclampsia
The government filed its Motion to Dismiss Plaintiff's First Amended Complaint, or in the alternative, for Summary Judgment (doc. 54) in response, arguing that plaintiff filed her Original Complaint in July of 2015 (some eight years after D.M.'s birth) before the government was adjoined as a defendant (see doc. 1); then named the government as defendant and subsequently dismissed the claim before exhausting administrative remedies as required under the FTCA—all prior to rejoining the government as defendant in plaintiff's Amended Complaint (doc. 54).
The government insists a "fresh suit" must be initiated after administrative remedies were exhausted, and because it was added as defendant in plaintiff's Original Complaint—and purports to be a defendant throughout the overall action—FTCA claims are prohibited against it (Id.). Moreover, the government maintains plaintiff had 2-years from shortly after D.M.'s birth, on or around February 23, 2007 to bring her claim, and therefore has run afoul of FTCA statute of limitations. As a result, the government requests the Court dismiss the instant action, or in the alternative, grant summary judgment in its favor on the following two grounds: (1) failure to exhaust administrative remedies prior to commencing suit; and (2) failure to commence action prior to the running of applicable statute of limitations (doc. 54).
In opposition, plaintiff contends the government was dismissed without prejudice from the original action explicitly to allow for exhaustion of administrative remedies and the refiling of an amended complaint (doc. 56). Plaintiff argues a "fresh suit" was initiated after the denial of her claim with the Department of Health and Human Services ("DHHS") on February 6, 2017; and, from November 6, 2015 through May 17, 2017, Alton Memorial Hospital was the named defendant—not the government—because the effect of voluntarily dismissing a lawsuit is to behave if the suit had never been brought (Id. at 2). Therefore, plaintiff vies exhaustion was complete prior to filing her amended complaint, and further argues having no knowledge of doctor-caused injuries until retaining counsel and filing the original complaint in 2015.
Rule 41 of the Federal Rules of Civil Procedure permits a plaintiff to request voluntary dismissal of a lawsuit without prejudice by way of court order. See FED. R. CIV. P. 41(a)(2) (explaining Rule 41 dismissal is without prejudice unless court order states otherwise). Put differently, voluntary dismissal essentially erases a lawsuit. See Nelson v. Napolitano, 657 F.3d 586, 587-88 (7th Cir. 2011) (stating generally that suit voluntarily dismissed under Rule 41(a) is treated as if never been filed; and unless stipulation states otherwise dismissal is without prejudice); cf. Smith v. Potter, 513 F.3d 781, 782-83 (7th Cir. 2008) (litigation generally depends on existence of live claim).
Here it is undisputed both parties agreed to dismiss plaintiff's original complaint without prejudice, and further, plaintiff was permitted the right to recommence the action subsequent exhaustion of administrative remedies. Once the Court granted the Joint Motion to Dismiss Plaintiff's Original Complaint without prejudice
Plaintiff is accurate in reasoning the government was no longer a defendant prior to the filing of her Amended Complaint.
Having disposed of the voluntary dismissal and exhaustion of administrative remedies issue, the Court is left with arguments regarding the FTCA's statute of limitations ("SOL"). In its motion, the government seeks dismissal under Federal Rule of Civil Procedure 12(b)(6) or summary judgment under Federal Rule of Civil Procedure 56. The Court, having reviewed all relevant material, including the parties' supplemental briefing on the SOL
Under the Federal Tort Claims Act, "[a] tort claim against the United States shall be forever barred unless it is presented in writing to the appropriate Federal agency within two years after such claim accrues or unless action is begun within six months after the date of mailing, by certified or registered mail, of notice of final denial of the claim by the agency to which it was present." See § 28 U.S.C. 2401(b). "[A]ll that is required to start the statute of limitations running is knowledge of the injury and that the defendant or an employee of the defendant acting within the scope of his or her employment may have caused the injury." Arteaga v. United States, 711 F.3d 828, 831 (7th Cir. 2013). It is important to note that accrual of a claim under the FTCA is not contingent upon a plaintiff being aware that a defendant's negligence caused the injury — simple knowledge of the "potential existence of a governmental cause is sufficient to start the clock ticking." Arroyo v. United States, 656 F.3d 663, 669 (7
An FTCA claim accrues when either: (1) plaintiff possesses enough knowledge to "tip him off" that the government may have caused the injury; or (2) a reasonable person in a similar position would have known enough to make a deeper inquiry into whether the government may have caused the injury. See Blanche v. United States, 811 F.3d 953, 958 (7th Cir. 2016); Arroyo, 656 F.3d at 669. Here, it is clear that under the objective or subjective standard, plaintiff had enough knowledge to consider that a doctor-related cause may have created her child's brachial plexus injury soon after giving birth. Briefly, plaintiff delivered baby D.M. on or around February 20, 2007 at Alton Memorial Hospital. Am. Compl., doc. 45, ¶¶ 3-4. Her delivering doctor, Dr. Saji Jacob, at all relevant times, was an employee of Southern Illinois Healthcare Foundation, an entity of the United States of America eligible for FTCA coverage. Id. at ¶¶ 18-19. During labor, plaintiff suffered a difficult delivery and vacuum-assistance was needed to aid in the birthing process. While the vacuum was facilitated, D.M. experienced a shoulder dystocia. Id. at ¶¶ 4-6. Upon delivery, D.M. was immediately diagnosed with a left clavicle fracture
While D.M. was born in 2007, plaintiff did not file her original state court law suit until February 20, 2015, some eight years after D.M's birth. However, plaintiff knew her delivery had been vacuum assisted before she was discharged from the hospital. Pl's deposition, 27:4-14.
Plaintiff tries to argue that she could not possibly have learned of Dr. Jacob's potential negligence and filed suit until she received an expert opinion that her child's injury was caused by medical negligence. This is simply not true. The Seventh Circuit held in Blanche that there is not a mechanical point in time during litigation that accrual begins. 811 F.3d at 960-61. Instead, accrual begins when a plaintiff has reason to suspect that the injury suffered relates in some way to the medical treatment received. Id. at 961, quoting A.Q.C. ex rel. Castillo v. Untied States, 656 F.3d 135, 142 (2d Cir. 2011). In the underlying case, plaintiff was informed of an injury to her child upon birth prior to discharge from the hospital, was instructed to take her child to physical therapy for said injury, and knew that her delivering doctor had to use a vacuum to assist labor. Plaintiff testified at her deposition that she had suspicions of medical personnel almost immediately, and within 1-2 months, suspected Dr. Jacob's to be at fault.
Despite plaintiff's assertions, these underlying facts make her case unlike E.Y. ex re. Wallace v. United States and Arroyo. In E.Y. ex re. Wallace, plaintiff gave birth in April 2005 to a child who was diagnosed with diplegic cerebral palsy, but not until one year later in May 2006. 758 F.3d 861, 864 (7
"When determining the accrual date of a plaintiff's FTCA malpractice claim, courts must decide when the plaintiff knew enough (or should have known enough) to suspect that their injury had a doctor-related cause . . . accrual does not wait until the plaintiff learns that their injury was caused by a doctor's negligence" id. at 673; "An individual does not need to have reason to believe that the relevant governmental conduct was negligent; mere knowledge of the potential existence of a governmental cause is sufficient to start the clock ticking." Id. at 669. Unlike the cases plaintiff cites, plaintiff received a diagnosis almost immediately upon birth, not one year later as in E.Y. ex re. Wallace. Additionally, plaintiff was aware of the vacuum-assistance in her delivery — she did not need medical records to either determine or to learn about any source of potential medical negligence; nor did she need any advanced medical degree or knowledge to understand that by its very nature, the vacuum used during delivery could contribute to cause, or solely cause, the shoulder dystocia which led to the clavicle fracture and resulting nerve damage. However, even if she did need medical records to rely on, she is out of luck in arguing caselaw that held no claim accrual until attorneys consulted and records received, as plaintiff indeed requested medical records numerous times within the first two years from D.M.'s birth.
By June 2007, 4 months after D.M.'s birth, plaintiff had already sought out legal representation for a lawsuit related to D.M.'s arm/shoulder injury. On June 4, 2007, Alton Women's Health Center — the branch of Southern Illinois Healthcare Foundation where plaintiff was seen by Dr. Jacob — received a request for medical records on plaintiff's behalf from the law firm of Brown & Crouppen. And, on October 6, 2008, Dr. Jacob received medical record requests from a separate attorney on behalf of plaintiff, Mr. Jonathon B. Fleisher, of Karlin & Fleisher, L.L.C. It is difficult for the Court to imagine why plaintiff would be consulting with multiple law firms and requesting medical records if not for the reason that she suspected a doctor-related cause to D.M.'s birth injury. As stated above, plaintiff had beliefs that Dr. Jacob was at fault as early as March 2007, and she further stated at her deposition that she suspected she had a lawsuit against Dr. Jacob as early as 2007 or 2008. Pl.'s depo, 47:16-19. It is very clear that not only would a reasonable person "armed with such knowledge . . . be able to discover within the statutory limitations period the rest of the facts needed for drafting a complaint that will withstand a motion to dismiss" (Arteaga, 711 F.3d at 832) but that a reasonably diligent person, in the tort claimant's position, "reacting to any suspicious circumstances of which he might have been aware would have discovered the government cause[.] Id. at 831.
The Court is cognizant of plaintiff's argument that there can be "ghouling consequences" that stem from a rule that the law requires reasonable persons who suffer injuries under the care of medical professionals to always attribute those injuries to the care received. Doc. 79, pg. 2, citing Drazan v. United States, 762 F.2d 56, 59 (7
The facts of the case at bar fit squarely within those of Arteaga. They also square away within the fact pattern of Blanche, in which the plaintiff suffered a difficult delivery resulting in a brachial plexus injury to her infant. 811 F.3d at 956. Upon birth, the child had to be taken to the Intensive Care Unit where her right arm was placed in a splint. Id. Upon discharge, the mother was informed of the baby's diagnosis of a brachial plexus injury and understood that diagnosis as the reason for the child needing the splint. Id. Plaintiff quickly consulted with an attorney one to two weeks after delivering but did not retain him, id., and did not seek another attorney for almost a year, whom she retained but who did not file suit until another year had past. Id. at 956-57. The Seventh Circuit held that plaintiff's FTCA claim was time-barred as a "reasonable person under the circumstances would have had enough information to inquire further into whether [the delivering doctor] caused" the infant's injury. Id. at 959. The facts in the present case align with Blanche, in that plaintiff also suffered a difficult delivery in which vacuum assistance was needed, plaintiff was informed of an injury to D.M. by discharge with directions to perform range of motion exercises, and plaintiff was also suspicious early on and consulted with attorneys about her case. A reasonable person in her position had adequate information to probe deeper into the potential government-cause.
The Court would also like to note that the present case is distinguishable from those in which the medical science landscape on causation had changed over time, tolling the SOL period, or, one in which a plaintiff diligently searches for an expert opinion tying their injuries to medical negligence but could not find one until time passes, thus tolling the SOL. Indeed here, the record demonstrates that plaintiff never sought out any medical opinion as to the cause of D.M.'s injury despite having beliefs that a mistake by Dr. Jacob was made and that she wasn't being told the full story of her infant's injury. See e.g. Pl. depo Aug. 31, 2016, 94:25-95:18, stating that in conversations with Dr. Tolentino, D.M.'s pediatrician, they never spoke about what could have caused the birth injury; Pl. depo, 36:8-25, never asked nor discussed with D.M.'s surgeon, Dr. Nath, the possible causes of D.M.'s injury. Based on plaintiff's knowledge of her delivery, her suspicions of Dr. Jacob, and her consultations with attorneys, it is glaring that she never asked for a causal opinion from any of the treating physicians she took D.M. to for care.
This takes the case of the realm of one in which the SOL does not start to run on a diligent plaintiff until medical science has caught up with their suspicions of doctor-related causation. See e.g. Stoleson v. U.S., 629 F.2d 1265, 1270 (7
Finally, the Court would like to address plaintiff's argument that some of her early concerns regarding doctor-related causation as to D.M.'s injuries were directed only to Alton Memorial Hospital, a private actor. Pl.'s Supplemental Brief, Doc. 79, pgs. 7-10. This contention is a swing and a miss. In her brief, plaintiff tries to twist her answer to a deposition question to make it appear she was responding only as to Alton Memorial and its staff: Q: Did you feel at the time, I'm talking about while you were still at Alton Memorial Hospital, before you and your daughter were discharged, did you feel at that time like your daughter's arm might have a more serious problem than the medical people were indicating to you? A: Yeah, I felt like it was just something that wasn't fully told." Pl's depo, 12:9-16. It is clear that plaintiff is answering the question as to her time spent at Alton Memorial, which is where Dr. Jacob performed her delivery and where she recovered prior to discharge. Nothing in the answer indicates plaintiff only had concerns as to the private actor, Alton Memorial Hospital, as opposed to concerns against Dr. Jacob, the government actor.
Plaintiff further makes arguments to support that the SOL for an FTCA claim does not run simply from knowledge that there is some cause to an injury, but rather from knowledge of a governmental cause. The Court does not dispute this. Rather, the Court is disinclined to believe that plaintiff's early concerns of medical negligence were split between Alton Memorial and Dr. Jacob. As stated numerous times supra, plaintiff suspected Dr. Jacob made a mistake within months of giving birth. Pl. Depo., 37:13-24. Additionally, even if plaintiff's beliefs or knowledge could be compartmentalized between the two medical entities, "when a person suspects, or a reasonable person would suspect, that her injury was caused by negligent medical care, claims regarding other doctor-related causes of that injury that share a time and place with the injury's suspected cause also accrue." Blanche, 811 F.3d at 958. The negligence alleged by plaintiff occurred during her labor and delivery. Plaintiff cannot try to distinguish that different sources of medical-related causes occurred at separate times or places as she has already argued for permissive joinder stating that the United States could be joined as a party to her amended complaint for the specific reason that the events arose out of the same transaction or occurrence. Pl.'s Response, doc. 56, pg. 6. Accordingly, the Court finds no merit that plaintiff was aware of the potential liability of a private actor shortly after birth of D.M., but not of the governmental actor, Dr. Jacob.
Based on the foregoing, plaintiff's claim under the FTCA accrued sometime within the first year after D.M. was born. As the original law suit was filed at least five years past the two-year limitations period, it is not important to discern the exact moment of accrual as it does not alter the outcome that plaintiff's claim against the United States is time-barred — plaintiff has failed to commence an action prior to the running of the applicable statute of limitations. Accordingly, the government's Motion to Dismiss Plaintiff's First Amended Complaint, or in the alternative, for Summary Judgment (doc. 54) is