THOMAS B. RUSSELL, Senior District Judge.
This matter is before the Court upon Defendant's Motion for Summary Judgment. (DN 20). Plaintiff has responded. (DN 23). Defendant has replied. (DN 24). For the following reasons, Defendant's motion is GRANTED.
Plaintiff Andree Azzam ("Azzam") was hired by Defendant Baptist Healthcare Affiliates ("BHA") in 1992 as a registered nurse ("RN") in the Medical-Surgical patient care unit. After two years, Azzam transferred to the surgery unit, where she reported to Barbara Ritchie. RNs assigned to surgery at BHA typically work eight-hour shifts, five days per week, Monday through Friday. Additionally, full-time surgical RNs are required to be available one night during each regular workweek and weekends, on a rotating basis, for "call." Call is necessary when emergency situations arise such as gunshot wounds, car wrecks, and cesarean sections. DN 20-2, Azzam Dep. at 40-41 and 106. Weekend call responsibilities begin Friday at 3:00 pm and continue until 7:00 am Monday. While an RN is on call, he or she cannot take any medications that might inhibit his or her ability to report to duty within 30 minutes of receiving a call.
In April 2008, Azzam tendered to BHA a request for leave pursuant to the Family Medical Leave Act for "symptomatic a[trial]-fib[rillation]." A Certification of Physician or Practitioner supporting her request for leave stated that her "A-Fib" condition, which began in 2000, was treated with "Medication-close physician follow-up," did not require hospitalization at the time, and would not interfere with Azzam's ability to work "except when develops A-Fib," when she would require "time available to check... A-Fib when it occurs."
On May 6, 2008, while on vacation in northern Illinois to attend the Mastiff Association Dog Show, Azzam was admitted to the emergency room of Centegra Health System where she complained of stroke-like symptoms. Azzam maintains that she suffered a left-hemisphere stroke with resultant aphasia as a sequela, and that the physicians in the emergency room told her she had "a brain bleed." DN 20-2, Azzam Deposition. BHA maintains that Azzam suffered a Transient Ischemic Attack. The medical records from Centegra state that there was a "Probable transient ischemic attack versus cerebrovascular accident
Upon returning from Illinois, Azzam saw her cardiologist, Dr. Adams, who insisted that Azzam see a neurologist before releasing Azzam to return to work without restrictions from a "cardiac standpoint." Azzam consulted with a neurologist, Dr. Oates, on June 23, 2008. Azzam told Dr. Oates she had a stroke and was still exhibiting symptoms, but Dr. Oates never performed any laboratory, diagnostic, or radiological tests on her. DN 20-2, Azzam Dep. at 83-84. Dr. Oates did however, treat Azzam by prescribing "medications and neurological exercises."
Azzam modified her previous FMLA request to reflect a Leave of Absence start date of May 12, 2008, with confirmation that Azzam was unable to perform work of any kind. DN 20-4. On July 14, 2008, Dr. Oates cleared Azzam to work for four hours a day, five days a week, with no nights or weekends. Additionally, she was to be in "non-patient, non-critical care areas, doing sedentary light duty activity for the next 4 months until she will be reviewed as to her restrictions." DN 23-7. Then on July 23, 2008, Dr. Oates cleared Azzam for "light duty, no nights, no week-ends, 5 hours in 24 hr, 5 out of 7 days for the next 2 months." DN 23-7.
Consistent with Dr. Oates's orders, Azzam returned to work on July 25, 2008 without patient care or call responsibilities. On September 3, 2008, Dr. Oates noted that Azzam "has shown steady improvement" and released Azzam to perform patient care duties subject to the five hours of daily work and "no call" restrictions. On November 3, 2008, Dr. Oates noted that Azzam showed "great improvement" but did not lift the restrictions. Azzam worked five hours a day, five days a week, with no call responsibilities through the end of 2008. During this time, BHA's three other surgical RNs, along with the charge nurse and Barbara Ritchie, continued to assume Azzam's call responsibilities just as they had done since May. Towards the end of the year, the RNs complained about the extra call duties as a result of Azzam's restrictions and staff turnover. DN 20-8, Ritchie Dep. at 82-94. It was agreed that BHA would re-evaluate the situation at the first of the year. Id. at 67.
On January 6, 2009, Ritchie and Lynn Rigon met with Azzam to express their concerns about her inability to fulfill the duties of her surgical RN position due to her restrictions. Id. at 76-77. At this meeting, Ritchie asked Azzam to "try for one schedule of being able to take call or work a normal workday." Id. at 78. Azzam responded by stating that she could not do it until she was cleared by the doctor. DN 23-10, Azzam Dep. at 204. Azzam further testified that after she refused to try returning to a normal schedule, Lynn Rigon said "Well, then, you're terminated." Id. Azzam then asked about the Pre-Admission Testing (PAT) position (which did not require any call duty) that Azzam had previously expressed an interest
Azzam's Employee Separation Report stated that the reason for separation was "Dissatisfied w/ Schedule" and that she was "unable to take call which is a requirement for staff RN's in surgery." DN 23-2. The report further provided that Azzam was eligible for reemployment when "able to fulfill essential job functions." Id.
Azzam then filed this action, alleging that BHA subjected Azzam to disparate treatment on the basis of her disability or its perception of her disability, and failed to reasonably accommodate her known disability, in violation of the Americans with Disabilities Act, 42 U.S.C. § 12112(b)(4) and the Kentucky Civil Rights Act (KCRA). Azzam also alleged discrimination on the basis of age in violation of the Age Discrimination in Employment Act, 29 U.S.C. § 631 and the KCRA. Defendant BHA then filed this motion for summary judgment as to all claims set forth in the complaint. In response, Azzam abandoned her claim of age discrimination. Therefore, the only remaining claims are for discrimination on the basis of a disability under the ADA and KCRA.
Summary judgment is appropriate where "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a). In determining whether summary judgment is appropriate, a court must resolve all ambiguities and draw all reasonable inferences against the moving party. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986).
"[N]ot every issue of fact or conflicting inference presents a genuine issue of material fact." Street v. J.C. Bradford & Co., 886 F.2d 1472, 1477 (6th Cir.1989). The test is whether the party bearing the burden of proof has presented a jury question as to each element in the case. Hartsel v. Keys, 87 F.3d 795, 799 (6th Cir.1996). The plaintiff must present more than a mere scintilla of evidence in support of his position; the plaintiff must present evidence on which the trier of fact could reasonably find for the plaintiff. See id. (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986)). Mere speculation will not suffice to defeat a motion for summary judgment: "the mere existence of a colorable factual dispute will not defeat a properly supported motion for summary judgment. A genuine dispute between the parties on an issue of material fact must exist to render summary judgment inappropriate." Monette v. Elec. Data Sys. Corp., 90 F.3d 1173, 1177 (6th Cir.1996).
The disability discrimination provisions of the Kentucky Civil Rights Act parallel the requirements of the Americans with Disabilities Act.
To establish a prima facie case of disability discrimination, a plaintiff must show that "(1) [s]he is disabled; (2) [s]he is otherwise qualified for the position with or without reasonable accommodation; (3) [s]he suffered an adverse employment decision; (4) [her] employer knew or had reason to know of [her] disability; and (5) [her] position remained open." Hammon v. DHL Airways, Inc., 165 F.3d 441, 449 (6th Cir.1999). Defendant BHA contends that summary judgment is appropriate because Azzam cannot establish the elements of a prima facie case of discrimination under the ADA because she is neither "disabled" nor a "qualified individual with a disability."
BHA argues that Azzam was not disabled under the ADA.
The first prong of the analysis is to determine whether or not Azzam suffered from a mental or physical impairment. The EEOC regulations define a physical or mental impairment as "[a]ny physiological disorder or condition ... affecting one or more body systems, such as neurological, musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive, digestive, genitourinary, immune, circulatory, hemic, lymphatic, skin, and endocrine...." 29 C.F.R. § 1630.2(h)(1). Azzam contends that she suffered a left hemisphere stroke with resulting aphasia. Azzam's medical records from her hospitalization show that she likely suffered a "non-hemorrhagic acute cerebrovascular accident affecting her right side and speech and presumed to be thromboembolic phenomenon from a cardiac source." Regardless of whether Azzam suffered a stroke or a cerebrovascular
The second prong of the analysis is to determine whether or not this impairment substantially limits a major life activity. Major life activities include: "caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working." 42 U.S.C. § 12102(2). Major life activities can also include the operation of a major bodily function, such as neurological and brain functions. Id. The EEOC Regulations provide that an impairment is a disability if it "substantially limits the ability of an individual to perform a major life activity as compared to most people in the general population." 29 C.F.R. § 1630.2(j)(1)(ii).
The 2008 ADAAA was intended to broaden the scope of those protections and states that "[t]he definition of disability in this chapter shall be construed in favor of broad coverage of individuals under this chapter" and that "[t]he term `substantially limits' shall be interpreted consistently with the findings and purposes of the ADA Amendments Acts of 2008." 42 U.S.C. § 12102(4)(A) and (B). Through the amendments, Congress intended to no longer require "that to be substantially limited in performing a major life activity under the ADA `an individual must have an impairment that prevents or severely restricts the individual from doing activities that are of central importance to most people's daily lives.'" Pub.L. No. 110-325 § 2(b)(4) (quoting Toyota Motor Mfg., Ky., Inc. v. Williams, 534 U.S. 184, 122 S.Ct. 681, 151 L.Ed.2d 615 (2002)).
Azzam contends that her impairment substantially limited her neurological functions and her abilities to work and to concentrate. Because Azzam has offered no evidence to support her claims that her impairment substantially limited her neurological functions and her ability to concentrate, the Court will focus its attention on Azzam's argument that she is substantially limited in the major life activity or working.
The evidence regarding Azzam's limitations on working is comprised of Dr. Oates's notes and Azzam's own testimony. During her deposition, Azzam was asked, "To your knowledge, was there any-ever any treatment-based or even therapeutic reason that you couldn't work on weekends?" Azzam responded by saying "I would not have gotten my rest. I would not have been able to take any HS medicine," meaning her bedtime medicines of Ambien and Celexa.
Although the ADAAA took effect before Azzam was terminated, the revised regulations took effect May 24, 2011. These revised regulations eliminated the following language:
With respect to the major life activity of working —
29 C.F.R. § 1630.2(j)(3)(i) (2010). Other circuits have held that the revised regulations do not apply retroactively. Allen v. SouthCrest Hosp., 455 Fed.Appx. 827, 834-35 (10th Cir.2011); EEOC v. AutoZone Inc., 630 F.3d 635, 641 n. 3 (7th Cir.2010).
The Interpretive Guidance to Part 1630, which also became effective May 24, 2011, provides that the above language was eliminated because "no other major life activity receives special attention in the regulation, and with the fact that, in light of the expanded definition of disability established by the Amendments Act, this major life activity will be used only in very targeted situations." "Substantially Limited in Working," Appendix to Part 1630 — Interpretive Guidance on Title I of the Americans With Disabilities Act, 29 C.F.R. Pt. 1630, App. The Interpretive Guidance goes on to explain that the "broad class of jobs" restriction remains in place even after the amendment to the regulations:
Id. Therefore, even under the broadened ADAAA language, Azzam still must show that her impairment substantially limits her ability to perform a class of jobs or a broad range of jobs in various classes as compared to most people having comparable training, skills, and abilities.
Azzam does not explain how her fatigue, substantially affected her ability to work in comparison to most people in the general population. Besides the reduced hours and no weekend restrictions, Azzam was not limited in her ability to otherwise perform her job as an RN and she did in fact
Azzam further argues that "Defendant cannot credibly deny that it regarded her as disabled when it provided reasonable accommodation of Plaintiff's disability for several months before unilaterally and arbitrarily withdrawing the accommodation at the time Plaintiff's employment was terminated." Azzam Response, DN 23, at 9. Under the ADAAA, an individual is regarded as disabled when "the individual has been subjected to an action prohibited by the ADA ... because of an actual or perceived impairment whether or not the impairment limits or is perceived to limit a major life activity." 42 U.S.C. § 12102(3)(A). However, a perceived disability claim may not be based on an impairment that is "transitory and minor," meaning having "an actual or expected duration of 6 months or less." 42 U.S.C. § 12102(3)(B).
Here, the evidence supports the claim that BHA knew of or perceived Azzam's impairment, a stroke/cardiovascular accident with resulting fatigue. Furthermore, BHA knew at the time of termination that Azzam had not been cleared by her doctor to resume a normal schedule. The ADAAA does not require a plaintiff bringing a claim under the "regarded as" prong to show the impairment limited a major life activity or that the employer perceived that the impairment limited a major life activity. Accordingly, pursuant to the broadened standards of the ADAAA, the Court finds such evidence sufficient to show that Plaintiff was regarded as disabled.
BHA next argues that Azzam cannot show that she was "otherwise qualified" for the position of a surgical RN. The ADA defines "qualified individual" as "an individual who, with or without reasonable accommodation, can perform the essential functions of the employment position that such individual holds or desires." 42 U.S.C. § 12111(8). "Essential functions" are "the fundamental job duties of the employment position the individual with a disability holds or desires" and "does not include the marginal functions of the position." 29 C.F.R. § 1630.2(n). In determining which functions are essential, the ADA instructs that "consideration shall be given to the employer's judgment as to what functions of a job are essential, and if an employer has prepared a written description before advertising or interviewing applicants for the job, this description shall be considered evidence of the essential functions of the job." 42 U.S.C. § 12111(8). BHA contends that the "call" responsibilities and 8-hour shifts are essential functions of the full-time surgical RN position.
The Court concludes that call responsibilities and 8-hour shifts were essential functions of a surgical RN. It is undisputed that all full-time surgical RNs employed by BHA at Baptist Hospital Northeast are required to perform weekly and weekend "call" responsibilities.
At the time Azzam was terminated, she refused to attempt to return to a normal schedule and assume call duty and stated that she could not do so. Although Azzam sought relief from these responsibilities entirely until her physician lifted her restrictions or reassignment to the PAT position,
Because Azzam cannot show that she was otherwise qualified for the position as a surgical RN, she cannot establish a prima facie case of disability discrimination under the ADA or the KCRA. Therefore, there is no genuine dispute as to any material fact and Defendant BHA is entitled to summary judgment as a matter of law. For the foregoing reasons, Defendant's motion for summary judgment is GRANTED. A separate order shall issue.