GARY L. SHARPE, Senior District Judge.
Plaintiffs Joleen Shlotzhauer (hereinafter "Shlotzhauer") and Eric Shlotzhauer (hereinafter "Eric") commenced this action against defendant United States of America pursuant to the Federal Tort Claims Act (FTCA).
On the evening of December 16, 2011, James Boyles, a USPS employee, was collecting mail in Utica, New York. (Def.'s Statement of Material Facts (SMF) ¶ 1, Dkt. No. 26, Attach. 2.) It was dark and the roads were wet. (Id. ¶ 2; Dkt. No. 32 ¶ 2.) After stopping at an intersection, Boyles proceeded to make a right turn. (Def.'s SMF ¶¶ 3-4.) As he turned the corner, the USPS vehicle struck Shlotzhauer. (Id. ¶¶ 4-5, 7.)
Emergency responders arrived and observed "[one] female patient sitting upright on the ground under care of bystanders." (Id. ¶¶ 10-11 (internal quotation marks and citation omitted).) They noted that she had been "struck at a very low rate of speed by a [USPS employee] making a right hand turn at a very low rate of speed." (Id. ¶ 12 (internal quotation marks and citation omitted).) Shlotzhauer was transported to a hospital for treatment. (Id. ¶ 13.) A computerized tomography (CT) scan of her abdominal area noted no traumatic abnormalities. (Id. ¶ 14.) A CT scan of the thoracic spine noted multi-level degenerative disc disease. (Id. ¶ 15.) A CT scan of her cervical spine showed multi-level degenerative disease, bulging discs, and bone spurs. (Id. ¶¶ 16-17.)
Prior to the accident, body imaging conducted on Shlotzhauer also showed degenerative disc disease. (Id. ¶ 30.) However, before the accident, plaintiffs contend that this degenerative disc disease affected only the lumbar spine and did not necessitate treatment. (Dkt. No. 32 ¶ 29 (citing Dkt. No. 32, Attach. 10).)
On December 19, 2011, Shlotzhauer's primary care provider, nurse practitioner Carrie Stemmer, ordered additional imaging studies. (Def.'s SMF ¶ 18.) An x-ray of the right shoulder revealed no bone or tissue abnormality; an x-ray of the right hip revealed minimal degenerative changes and no evidence of acute fracture or dislocation; and an x-ray of the lumbar spine showed mild to moderate degenerative change in the lower lumbar spine area and no acute compression fractures. (Id. ¶¶ 18-20.) On December 27, 2011, a magnetic resonance imaging (MRI) revealed that Shlotzhauer's right shoulder was normal. (Id. ¶ 21.) Additionally, an MRI of her cervical spine showed "advanced degenerative arthritis[,] disc disease," disc herniation, moderate spinal stenosis, and bone spurs. (Id. ¶ 22 (internal quotation marks and citation omitted); Dkt. No. 26, Attach. 9 at 2.) NP Stemmer found these results "consistent with advanced degenerative arthritic change." (Dkt. No. 26, Attach. 9 at 2.)
Two days later, Shlotzhauer was treated at a medical center for complaints of light-headedness, dizziness, and blurred vision. (Def.'s SMF ¶ 23.) A head CT scan, blood work, and an electrocardiogram (EKG) all showed normal results. (Id. ¶¶ 23-24.) Shlotzhauer was diagnosed with thoracic strain and hypertension. (Id. ¶ 25.) Dr. Patrick Costello later recorded a normal brain MRI, perfect vision in both eyes, and his impression of transient vision loss. (Id. ¶ 27; Dkt. No. 32 ¶ 27.) A subsequent eye examination revealed that Shlotzhauer had "normal, healthy" eyes. (Def.'s SMF ¶ 28.)
On November 6, 2016, Dr. William Montgomery reviewed all of these medical records and conducted an independent medical examination of Shlotzhauer.
Plaintiffs commenced this action on January 23, 2015, alleging an FTCA claim based upon the government's negligence and seeking damages of $3,300,000. (See generally Compl.) Following discovery, the government moved for summary judgment. (Dkt. No. 26.)
The standard of review pursuant to Rule 56 of the Federal Rules of Civil Procedure is well established and will not be repeated here. For a full discussion of the standard, the court refers the parties to its decision in Wagner v. Swarts, 827 F.Supp.2d 85, 92 (N.D.N.Y. 2011), aff'd sub nom. Wagner v. Sprague, 489 F. App'x 500 (2d Cir. 2012).
Under the FTCA, the government's liability is determined according to the law of the state where the incident giving rise to the claim occurred. Goodkin v. United States, 773 F.2d 19, 21 (2d Cir. 1985). As applicable here, New York's "No-Fault" Law precludes recovery of non-economic loss resulting from the negligent operation of a motor vehicle "except in the case of a serious injury." N.Y. Ins. Law § 5104(a). "Serious injury" includes, among other things,
Id. § 5102(d). To prevail on a summary judgment motion, a defendant claiming that a plaintiff did not suffer a serious injury must present competent medical evidence that the plaintiff's injuries were not caused by the car accident at issue, see Ostroll v. Nargizian, 97 A.D.3d 1076, 1077 (3d Dep't 2012), or that the injuries do not meet the definition for "serious injury" as set forth in § 5102(d), see Henry v. Rivera, 34 A.D.3d 352, 353 (1st Dep't 2006); Seminara v. Grossman, 253 A.D.2d 420, 421 (2d Dep't 1998). Thereafter, the burden shifts to the plaintiff "to proffer medical evidence that contain[s] objective, quantitative evidence with respect to diminished range of motion or a qualitative assessment comparing [the plaintiff's] present limitations to the normal function, purpose[,] and use of the affected body organ, member, function[,] or system." Ostroll, 97 A.D.3d at 1077 (internal quotation marks and citations omitted). Additionally, if the defendant presents evidence of preexisting injuries, the plaintiff must present evidence addressing the claimed lack of causation.
See id.
After identifying multiple potentially-applicable definitions of serious injury, the government claims that Shlotzhauer cannot meet any of them. (Dkt. No. 26, Attach. 1 at 10-12.) Based on the independent medical assessment of Dr. Montgomery, the government contends that "[Shlotzhauer]'s complaints of pain are not corroborated by an[y] objective medical findings and that any abnormalities in her imaging studies reflect pre-existing degenerative changes." (Id. at 9 (citing Dkt. No. 26, Attach. 14).) Plaintiffs argue that the government has not met its initial burden of demonstrating a lack of serious injury. (Dkt. No. 32, Attach. 1 at 5.) Specifically, plaintiffs contend that "Dr. Montgomery's opinion is baseless without any medical documentation to support his conclusion that . . . Shlotzhauer's injuries were pre-existing . . . [and] because, having determined that the conditions were pre-existing, he failed to address whether they were aggravated or exacerbated by the accident[.]" (Id. at 9.) Instead of providing their own expert opinion to the contrary, plaintiffs contend that medical records show that Shlotzhauer suffered serious injury from the accident. (Id. at 11-18.)
A careful review of the record evidence demonstrates that the government has established that Shlotzhauer's conditions preexisted the subject accident, and her subjective assessments of injury to her neck, lumbar spine, hip, shoulder, or vision are not enough to classify her injury as serious within the meaning of New York's no-fault statute. (Dkt. No. 26, Attach. 1 at 8-9.)
After examining all of the above-mentioned medical evidence, (Dkt. No. 26, Attach. 14 at 1-2), Dr. Montgomery found that the only objective data to corroborate the bodily pain Shlotzhauer complained of was the scapular dyskinesis diagnosis, "which could cause some shoulder pain," (id. at 6). However, Dr. Montgomery opined that Shlotzhauer's shoulder condition was normal for a woman her age, and that "it [wa]s questionable whether the MRI findings [in her shoulder] occured during the [accident]." (Id. at 5.) Instead, he found that there was "some symptom magnification" and "her pain does seem out of proportion to what would be expected in the absence of imaging findings or with very limited findings on such objective studies such as MRIs and x-rays." (Id. at 3, 6.) He also found that image studies showing disc herniations in the lumbar and cervical spine indicated conditions that are degenerative in nature, which were consistent both before and after the accident. (Id. at 3-4.) As for Schlotzhauer's neck pain, Dr. Montgomery found "there is nothing in the. . . medical findings to explain her reported pain." (Id. at 5.) Although Dr. Montgomery noted the lumber spine imaging that showed "some slightly increased disc degeneration" after the accident, he concluded that "there has not been a significant radiologic change to corroborate or explain the symptoms she claims." (Id. at 5-6.) Additionally, Dr. Montgomery explained that there was "no stenosis in the lumbar spine to explain [her hip pain] and no visible bony injury." (Id. at 6.)
"[W]hether a limitation of use or function is significant or consequential . . . relates to medical significance and involves a comparative determination of the degree or qualitative nature of an injury based on the normal function, purpose[,] and use of the body part." Toure v. Avis Rent A Car Sys., 98 N.Y.2d 345, 353 (2002) (footnote, internal quotation marks, and citation omitted). To establish a serious injury based on a significant limitation of use of a body function or system, Shlotzhauer must prove that she suffered from "something more than a . . . minor, mild[,] or slight limitation of use." Licari v. Elliott, 455 N.Y.S.2d 570, 573 (1982). The significance of the limitation must be supported by credible medical evidence and must be objectively measured and quantified. See Lanuto v. Constantine, 192 A.D.2d 989, 991 (3d Dep't 1993). Subjective complaints of pain, unsupported by credible medical evidence, cannot form the basis of a significant limitation. See Scheer v. Koubek, 70 N.Y.2d 678, 679 (1987). Moreover, conclusory claims of causation by physicians are not sufficient to rebut detailed findings of degenerative changes. See Henchy v. VAS Express Corp., 115 A.D.3d 478, 479 (1st Dep't 2014). Here, although Shlotzhauer had some pain caused by scapular dyskinesis in her shoulder, it was not something more than the normal shoulder condition for a person her age. (Dkt. No. 26, Attach. 14 at 5.) As for Shlotzhauer's other complaints of pain, there is credible evidence that her injury was either non-existent or degenerative in nature. (Id. at 3-6.)
Furthermore, the evidence does not demonstrate that Shlotzhauer suffered a "a medically determined injury or impairment of a non-permanent nature which prevents [her] from performing substantially all of the material acts which constitute [her] usual and customary daily activities for not less than ninety days during the one hundred eighty days immediately following the occurrence of the injury or impairment." N.Y. Ins. Law § 5102(d). "Substantially all" is "construed to mean that the person has been curtailed from performing his usual activities to a great extent rather than some slight curtailment." Licari, 455 N.Y.S.2d at 573. Given the lack of objective medical evidence indicating that Shlotzhauer was more than slightly curtailed from performing her daily activities as a result of injuries sustained in the accident, and for the reasons stated by the government, (Dkt. No. 26, Attach. 1 at 11-12), Shlotzhauer fails to meet this definition of "serious injury." As such, the government met its initial burden of showing a lack of serious injury and that the source of the pain experienced by Shlotzhauer was pre-existing. See Ostroll, 97 A.D.3d at 1077; Henry, 34 A.D.3d at 353; Seminara, 253 A.D.2d at 421.
Plaintiffs' reliance on Dr. Connolly's report to rebut Dr. Montgomery's expert opinion is misplaced. After reviewing Dr. Connolly's report, no reasonable person could conclude that he "opined that [Shlotzhauer's] neck, back[,] and bilateral shoulder pain was caused by the motor vehicle accident." (Compare Dkt. No. 32, Attach. 1 at 15, with Dkt. No. 32, Attach. 13 at 5.) In fact, Dr. Connolly supported Dr. Montgomery's findings: he found "no spinal deformity"; "pre-existing multilevel degeneration of the cervical spine"; and "signs of symptom magnification and chronic pain behavior, which are unfortunate and typically relate to a delay in recovery." (Dkt. No. 32, Attach. 13.) Notably, Dr. Connolly also concluded that, despite "pre-existing conditions that contribute substantially to the delay in her recovery," Shlotzhauer was "capable of employment [in her former position]." (Id. at 5.)
Plaintiffs attempt to characterize the record medical evidence as demonstrating a decreased range of motion and continued course of treatment following the accident that is indicative of a serious injury. (Dkt. No. 32, Attach. 1 at 9-18.) However, plaintiffs fail to provide specific citations for many of their factual assertions, as discussed above, and do not present objective evidence demonstrating that any injury Shlotzhauer suffered was either serious or not the result of pre-existing disc degeneration. See Ostroll, 97 A.D.3d at 1077. Even if the plaintiffs' factual assertions were properly supported, their claims fail for the reasons stated by the government. (Dkt. No. 35 at 4-6.) Accordingly, the government's motion is granted.