Filed: Jul. 16, 2020
Latest Update: Jul. 16, 2020
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 19-3475 _ PATRICK GAITENS; YVONNE GAITENS, Appellants v. UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; UNITED STATES OF AMERICA _ On Appeal from the United States District Court for the District of Delaware (D.C. Civil Action No. 1-18-cv-01011) District Judge: Hon. Richard G. Andrews _ Submitted Under Third Circuit L.A.R. 34.1(a) Friday, June 19, 2020 _ Before: SMITH, Chief Judge, CHAGARES, and PORTER, Circuit Judges (Fi
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 19-3475 _ PATRICK GAITENS; YVONNE GAITENS, Appellants v. UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; UNITED STATES OF AMERICA _ On Appeal from the United States District Court for the District of Delaware (D.C. Civil Action No. 1-18-cv-01011) District Judge: Hon. Richard G. Andrews _ Submitted Under Third Circuit L.A.R. 34.1(a) Friday, June 19, 2020 _ Before: SMITH, Chief Judge, CHAGARES, and PORTER, Circuit Judges (Fil..
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
______________
No. 19-3475
______________
PATRICK GAITENS; YVONNE GAITENS,
Appellants
v.
UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;
UNITED STATES OF AMERICA
______________
On Appeal from the United States District Court
for the District of Delaware
(D.C. Civil Action No. 1-18-cv-01011)
District Judge: Hon. Richard G. Andrews
______________
Submitted Under Third Circuit L.A.R. 34.1(a)
Friday, June 19, 2020
______________
Before: SMITH, Chief Judge, CHAGARES, and PORTER,
Circuit Judges
(Filed: July 16, 2020)
______________
OPINION ∗
______________
∗
This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not
constitute binding precedent.
PORTER, Circuit Judge.
Plaintiffs Patrick and Yvonne Gaitens brought this lawsuit against the United
States under the Federal Tort Claims Act (28 U.S.C. § 2671, et seq.). They alleged that
two doctors at the Wilmington Veterans Administration Medical Center committed
medical negligence when they reviewed the 2014 and 2015 CT scans of Mr. Gaitens’s
lungs. After a bench trial, the District Court thoroughly and thoughtfully reviewed all the
evidence and concluded that neither doctor was medically negligent. For the following
reasons, we will affirm. 1
Plaintiffs argue that two findings of fact by the District Court were clear errors. “A
finding is ‘clearly erroneous’ when although there is evidence to support it, the reviewing
court on the entire evidence is left with the definite and firm conviction that a mistake has
been committed.” United States v. U.S. Gypsum Co.,
333 U.S. 364, 395 (1948).
First, Plaintiffs argue that the District Court committed a clear error when it found
that the doctor who reviewed Mr. Gaitens’s 2014 CT scan was not medically negligent by
failing to identify an eight-millimeter nodule in Mr. Gaitens’s left lung apex. According
to Plaintiffs, the doctor mistook the eight-millimeter nodule for scarring in Mr. Gaitens’s
left lung and was thus medically negligent.
The District Court rejected Plaintiffs’ argument based on the expert testimony
adduced at trial. For example, the District Court found that, because Mr. Gaitens’s 2013
CT scan was not available for comparison, a radiologist could not have distinguished
1
The District Court had subject-matter jurisdiction under 28 U.S.C. §§ 1331 and
1346(b)(1). We have appellate jurisdiction under 28 U.S.C. § 1291.
2
between a nodule and scarring. The District Court based this conclusion on testimony
provided by Plaintiffs’ experts. And the District Court found that the testimony from
Plaintiffs’ experts was consistent with the testimony proffered by the United States’s
expert. That expert, who did not compare the 2014 CT scan to the 2013 CT scan,
concluded that Mr. Gaitens’s left lung apex had scarring—and not a nodule.
What’s more, the District Court credited the United States’s expert when he
testified that the structure that appeared in the left lung apex on Mr. Gaitens’s 2014 CT
scan was scarring. The expert explained that the structure in Mr. Gaitens’s left lung apex
was scarring based on its “linear morphology.” App. 8. The District Court credited this
testimony for two reasons. First, it was consistent with professional guidelines followed
by doctors at the hospital in 2014. And second, one of Plaintiffs’ experts testified that the
nodule in Mr. Gaitens’s left lung apex appeared linear in at least one place.
“[W]hen a trial judge’s finding is based on his decision to credit the testimony of
one of two or more witnesses, each of whom has told a coherent and facially plausible
story that is not contradicted by extrinsic evidence, that finding, if not internally
inconsistent, can virtually never be clear error.” Anderson v. City of Bessemer City,
470
U.S. 564, 575 (1985) (citation omitted). Here, the District Court carefully considered all
the expert testimony and determined that the doctor’s failure to identify the nodule in Mr.
Gaitens’s left lung apex did not amount to medical negligence. App. 8–9. In short, the
District Court’s conclusion is logical and consistent with testimony proffered by both
Plaintiffs’ and the United States’s experts. Having reviewed its analysis, we are not “left
with the definite and firm conviction that a mistake has been committed.” See U.S.
3
Gypsum
Co., 333 U.S. at 395.
Second, Plaintiffs contend that the District Court committed clear error by failing
to discuss one of its arguments—that the hospital committed medical negligence by
failing to have a radiologist compare Mr. Gaitens’s 2014 CT scan to his prior scans. But
the District Court addressed this argument in its well-reasoned opinion, see App. 8, and
from the bench, see App. 221. As previously stated, the District Court made a finding that
Mr. Gaitens’s 2013 CT scan and his other prior CT scans were not available for
comparison with his 2014 CT scan. Because the District Court found that Mr. Gaitens’s
prior scans were not available for comparison, neither the doctor nor the hospital could
have been medically negligent by failing to compare the 2014 CT scan to prior scans that
were not available. Thus, the District Court’s finding is not clear error. See U.S. Gypsum
Co., 333 U.S. at 395.
* * *
Because the District Court committed no clear errors, we will affirm.
4