J. RANDAL HALL, District Judge.
During his military service in Iraq, Kenneth R. Dixon ("Plaintiff") was rendered a paraplegic, a condition that has required him to seek extensive care with the Charlie Norwood Veterans Affairs Medical Center ("VAMC") in Augusta, Georgia. After seeking outside medical assistance for an infection in his left hip, Plaintiff became aware that an old gauze sponge was left in his body, which he alleges occurred during a surgery performed at the VAMC. Plaintiff filed an administrative claim, as is required by the Federal Tort Claims Act ("FTCA"), which was ultimately denied. Following the denial, he filed suit in this Court for negligence and negligence per se. Now before the Court is the Government's Motion to Dismiss, wherein it avers that this Court lacks subject matter jurisdiction because Plaintiff failed to administratively exhaust his claim under the FTCA. (Doc. 6.) More specifically, the Government contends that Plaintiff referred to a 2011 or 2012 surgery as the source of his injury, while his Complaint in this Court refers to a 2010 operation. For the reasons stated herein, the Government's motion is
Plaintiff, a forty-six-year-old disabled veteran, received treatment at the VAMC in Augusta, Georgia following a severe spinal injury sustained while deployed in Iraq. (Compl., Doc. 1, ¶¶ 5-9.) Plaintiff alleges that following his spinal injury, he became susceptible to pressure sores in his hip and heels, which required "extensive medical treatment at the VA[.]" (Id. ¶¶ 10-11.) To treat these sores, Plaintiff appears to have undergone a number of surgeries between 2010 and 2012.
On December 31, 2012, Plaintiff underwent surgery at a private hospital to address the issues with his left hip. (Id. ¶ 19.) Prior to this surgery, Plaintiff had suffered fevers for months and lost over twenty-five percent of his body weight. (Id. ¶ 20.) During the operation, the surgeon discovered a gauze sponge inside the old surgical site in the left hip. (Id. ¶ 22; Doc. 6, Ex. B.) Until this December 2012
On February 5, 2014, Plaintiff filed a Standard Form 95 ("SF-95") with the Department of Veterans Affairs alleging negligence and medical malpractice. (Doc. 6, Ex. A.) In his claim, he listed his damages as $10 million. On the SF-95 form, Plaintiff alleges the following:
(Id.) Thus, the SF-95 form refers specifically to an August 2011 surgery as the source of his injury. Attached to the SF-95 form was a letter from Joseph T. Rhodes, Esq., Plaintiff's counsel. (Id.) In that letter, Mr. Rhodes stated that during one of Plaintiff's surgeries, "believed to be in 2011 or 2012, the doctors, nurses and all other staff that participated in said surgery negligently left a gauze sponge inside Mr. Dixon's left hip." (Id.)
On August 15, 2014, the VA denied Plaintiff's administrative claim. (Doc. 6, Ex. C.) Plaintiff then initiated suit in this Court on October 28, 2014 under the FTCA. Plaintiff makes claims of negligence and negligence per se based on three allegations: (1) leaving the gauze sponge inside him; (2) failing to properly treat his surgical site; and (3) failing to discover and diagnose the foreign object as the cause of his condition. (Compl. ¶ 28.) Pursuant to Federal Rule of Civil Procedure 12(b)(1), the Government has moved to dismiss Plaintiff's complaint, arguing that he did not exhaust his administrative remedies because he did not properly present notice to the VA prior to bringing suit.
There are two types of challenges to a district court's subject matter jurisdiction under Rule 12(b)(1): facial attacks and factual attacks. A facial attack on a complaint "require[s] the court merely to look and see if [the] plaintiff has sufficiently alleged a basis of subject matter jurisdiction, and the allegations in his complaint are taken as true for the purposes of the motion." Lawrence v. Dunbar, 919 F.2d 1525, 1529 (11th Cir.1990) (citation and internal quotation omitted, alteration in original). On the other hand, a factual attack "challenge[s] the existence of subject matter jurisdiction in fact, irrespective of the pleadings, and matters outside the pleadings, such as testimony and affidavits, are considered." Id. (internal quotation marks and citation omitted).
Here, the Government makes a factual attack, contending that Plaintiff's FTCA claims are barred for failure to exhaust administrative remedies. "On a factual attack of subject matter jurisdiction, a court's power to make findings of facts and to weigh the evidence depends on whether the factual attack on jurisdiction also implicates the merits of plaintiff's cause of action." Garcia v. Copenhaver, Bell & Assocs., M.D.'s, P.A., 104 F.3d 1256, 1261 (11th Cir.1997). When the facts related to jurisdiction do not implicate the merits of the plaintiff's legal claim, then "the trial
Here, the Court finds that the question whether Plaintiff exhausted his administrative remedies implicates only the adequacy of notice, not the merits of his tort claims. Thus, the Court will review and weigh the evidence presented to determine whether subject matter jurisdiction over the challenged claims has been established. Accordingly, "no presumptive truthfulness attaches to plaintiff's allegations, and the existence of disputed material facts will not preclude the trial court from evaluating for itself the merits of jurisdictional claims." Lawrence, 919 F.2d at 1529 (quoting Williamson v. Tucker, 645 F.2d 404, 412-13 (5th Cir.1981)).
The FTCA creates a limited waiver of the sovereign immunity of the United States to suits in tort. Dalrymple v. United States, 460 F.3d 1318, 1324 (11th Cir.2006). The prerequisite for liability under the Act is a "negligent or wrongful act or omission of any employee of the Government while acting within the scope of his office or employment, under circumstances where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred." 28 U.S.C. § 1346(b)(1). Unlike a suit against a private person, however, Congress has created an administrative procedure claimants must exhaust. This procedure allows the agency involved to receive a claim, investigate, and perhaps settle the dispute before a suit is filed. See 28 U.S.C. § 2675. Section 2675(a) provides that "[a]n action shall not be instituted upon a claim against the United States . . . unless the claimant shall have first presented the claim to the appropriate Federal agency and his claim shall have been finally denied by the agency[.]" Failure to timely file an administrative claim with the appropriate agency results in dismissal of the plaintiff's claim because this filing is a jurisdictional prerequisite. Rise v. United States, 630 F.2d 1068, 1071 (5th Cir.1980).
Pursuant to § 2675, an administrative claim
28 C.F.R. § 14.2(a). Courts of this Circuit have construed this mandate to mean that a plaintiff must provide written notice to
The notice requirement serves a number of purposes, benefiting claimants, agencies, and the courts. First, notice is intended "to ease court congestion and avoid unnecessary litigation, while making it possible for the Government to expedite the fair settlement of tort claims asserted against the United States." Adams, 615 F.2d at 288 (quoting S.Rep. No. 89-1327 (1966), reprinted in 1966 U.S.C.C.A.N. 2515, 2516). In addition to this efficiency purpose, the notice requirement "provid[es] for more fair and equitable treatment of private individuals and claimants when they deal with the Government or are involved in litigation with their Government." Id.; see also Burchfield v. United States, 168 F.3d 1252, 1255 (11th Cir.1999) ("Congress, therefore, enacted section 2675(a) not to place procedural hurdles before potential litigants, but to facilitate early disposition of claims.").
When a claimant sues the Government under the FTCA, a clear informational asymmetry exists between the parties. Notice can rectify this asymmetry. That is, notice provides the Government with an opportunity to conduct an independent investigation, assess its potential liability exposure, and approach the bargaining table as an informed party so that settlement negotiations may begin in earnest before an action is ever filed in court, if desired. But to achieve its dual purpose, notice must do more than merely inform the Government of a "potential lawsuit," Suarez v. United States, 22 F.3d 1064, 1066 (11th Cir.1994), or simply refer to an attachment of medical records—agencies, like courts, cannot be forced to dig for material facts "like pigs, hunting for truffles." United States v. Dunkel, 927 F.2d 955, 956 (7th Cir.1991); see Burchfield, 168 F.3d at 1257 ("Nor does our interpretation of the statute mean that an agency will be on notice of all the facts contained in voluminous records presented by a claimant, if the claimant has not pointed to specific sources of injury."). Likewise, a claimant cannot be obligated to prove his claim or provide a detailed preview of his lawsuit at this preliminary stage. See Burchfield, 168 F.3d at 1255. After all, the Government will often have better access to many of the details surrounding the underlying incident. This is especially true where, as here, the claim centers on an alleged error conducted in the midst of a surgery. Moreover, it certainly would not be "fair and equitable" to private claimants if federal agencies were allowed "to shift the burden of investigation to private claimants while retaining only the responsibility of evaluating the information supplied by the claimant." Adams, 615 F.2d at 290 n. 9.
Under this Circuit's generous reading of § 2675(a), a claimant need not state every material fact underlying every legal claim. See Burchfield, 168 F.3d at 1256 ("An agency cannot use an overly technical reading of the language of a claim as a reason to turn a blind eye to facts that become obvious when it investigates the alleged events."); see also Brown v. United States, 838 F.2d 1157,
The gravamen of Defendant's challenge is that it had no reason to review Plaintiff's earlier medical records because it was only notified of surgeries after 2011. Plaintiff acknowledges that he cannot identify specifically who or when the sponge was left in his body, but asserts that he cannot be expected to know those exact details as he was unconscious at the time of the injury. Moreover, the letter from Plaintiff's counsel attached to the SF-95 form clearly indicates some uncertainty as to the date of the injury, as it refers to a surgery "believed to be in 2011 or 2012." (Doc. 6, Ex. A (emphasis added).)
Bearing in mind that under the FTCA's minimal requirements Plaintiff need only "bring[] to the Government's attention facts sufficient to enable it thoroughly to investigate its potential liability," Rise, 630 F.2d at 1071, the Court finds that Plaintiff's notice was adequate. Defendant is correct that Plaintiff's notice makes no mention of a surgery in 2010, but exhaustive fact pleading is not the standard by which the notice is to be judged. Here, Plaintiff's SF-95 and accompanying letter clearly refer to the injury as a foreign object being left in Plaintiff's body during one of his previous surgeries. It is difficult for the Court to imagine that the Government could not adequately investigate his claim, even with confusion regarding the date. If the Government chose to ignore any previous surgeries knowing that Plaintiff would not be conscious during the alleged injury, that fault does not lie with Plaintiff. See Burchfield, 168 F.3d at 1256 ("An agency cannot use an overly technical reading of the language of a claim as a reason to turn a blind eye to facts that become obvious when it investigates the alleged events.") This is especially so given that the accompanying letter simply referred to the surgery as one
Plaintiff's notice clearly informed the VA that he had undergone a number of surgeries at the VAMC, that a gauze sponge was found in the surgical site, and that the gauze was the source of a severe infection. Even a basic investigation of Plaintiff's records would have set sight on the potential source of his alleged injury. The Court will not dismiss this case based on such an "overly technical" reading of the notice statute, particularly where it pertains to a plaintiff who could not—even with excessive diligence—say with any degree of certainty which surgery caused the injury. A contrary holding would clearly frustrate one of the dual purposes of the notice statute: to "provid[e] for more fair and equitable treatment of private individuals and claimants when they deal with the Government or are involved in litigation with their Government." See Adams, 615 F.2d at 288 (quoting S.Rep. No. 89-1327 (1966), reprinted in 1966 U.S.C.C.A.N. 2515, 2516).
This simply is not the type of case intended to be dismissed for inadequate notice. Plaintiff did more than apprise the Government of a potential lawsuit and did not simply refer to voluminous medical records. Cf. Suarez, 22 F.3d at 1066 and Burchfield, 168 F.3d at 1257. Accordingly, the Court finds that Plaintiff's notice contained sufficient factual context to adequately alert the Government of the legal claims waged in this action. Therefore, this Court has subject matter jurisdiction over those claims. The Government's motion to dismiss, therefore, (doc. 6) is