Amankwaa v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJune 19, 2018
Docket17-36
StatusPublished

This text of Amankwaa v. Secretary of Health and Human Services (Amankwaa v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Amankwaa v. Secretary of Health and Human Services, (uscfc 2018).

Opinion

In the United States Court of Federal Claims No. 17-36V (Filed: June 4, 2018) (Reissued for Publication: June 19, 2018) 1

*************************************** DAWN E. AMANKWAA and BENJAMIN * S. EDWARDS, parents and natural guardians * of BMA, a minor, * * Petitioners, * Vaccine Act; Attorneys’ Fees; Reasonable * Basis for Petitioners’ Claim; Impending v. * Statutory Limitations Deadline; Simmons * SECRETARY OF HEALTH AND HUMAN * SERVICES, * * Respondent. * ***************************************

Robert J. Krakow, New York, NY, for petitioners.

Voris E. Johnson, Jr., United States Department of Justice, Washington, DC, for respondent.

OPINION AND ORDER

SWEENEY, Judge

Petitioners Dawn E. Amankwaa and Benjamin S. Edwards seek compensation under the National Childhood Vaccine Injury Act of 1986 (“Vaccine Act”), 42 U.S.C. §§ 300aa-1 to -34 (2012), alleging that their son, BMA, sustained vaccine-related injuries. After the special master advised petitioners of his position that there was no reasonable basis for them to proceed with their claim, their attorney, Robert J. Krakow, filed a motion to withdraw as petitioners’ counsel of record and a motion for an award of interim attorneys’ fees. Over respondent’s objection, the special master awarded petitioners interim attorneys’ fees for some of the work performed by Mr. Krakow. Before the court is respondent’s motion for review of the special master’s decision. For the reasons set forth below, the court grants respondent’s motion and reverses the special master’s award of interim attorneys’ fees.

1 Vaccine Rule 18(b), contained in Appendix B of the Rules of the United States Court of Federal Claims, affords each party fourteen days in which to object to the disclosure of (1) trade secrets or commercial or financial information that is privileged or confidential or (2) medical information that would constitute “a clearly unwarranted invasion of privacy.” Neither party objected to the public disclosure of any information contained in this opinion. I. BACKGROUND

A. BMA’s Medical History

BMA’s medical history, which is undisputed by the parties, can be briefly summarized. 2 BMA was born on December 31, 2012, and did not display any developmental problems at his one-year well-child visit on January 10, 2014. During that visit, BMA received measles-mumps- rubella, varicella, hepatitis A, and influenza vaccines. BMA received a second dose of the influenza vaccine in February 2014, and four more vaccines in April 2014–diphtheria-tetanus- acellular pertussis, haemophilus influenzae type b, inactivated polio virus, and pneumococcal conjugate.

By July 2014, petitioners had begun to express concern regarding BMA’s development to his pediatric treaters. BMA was referred for an autism evaluation, and in September 2014, he was recommended to undergo physical and speech therapy.

In February 2015, petitioners brought BMA to his pediatrician to report behavioral issues that they first observed after BMA fell down a flight of stairs in November 2013. Also in February 2015, petitioners brought BMA to the emergency room to be evaluated following a suspected seizure. A brain MRI revealed possible white matter damage that is typical of demyelination, 3 but a neurodevelopment specialist expressed doubt that BMA suffered from a demyelinating disease due to his medical history.

Although BMA was treated for his developmental issues and a possible demyelinating disease through 2015, specialists remained doubtful that BMA suffered from a white matter demyelinating disease or that BMA’s developmental issues were attributable to a neurodegenerative disease. Eventually, by the end of 2015, one specialist suggested that in light

2 The court derives most of BMA’s medical history and the case’s procedural history from the special master’s decision awarding interim attorneys’ fees. See generally Amankwaa v. Sec’y of HHS, No. 17-36V, 2018 WL 1125853 (Fed. Cl. Spec. Mstr. Jan. 5, 2018). It derives the remainder of the medical and procedural history from the case’s docket. 3 Demyelination is the “destruction, removal, or loss of the myelin sheath of a nerve or nerves.” Demyelination, Dorland’s Illustrated Medical Dictionary (32d ed. 2012).

-2- of petitioners’ report of BMA experiencing facial pain, 4 BMA might have been suffering from trigeminal neuralgia. 5 BMA was prescribed medication to treat that condition.

In May 2016, BMA had another brain MRI, which revealed no evidence of a neurovascular conflict and a stable white matter signal. BMA subsequently underwent a surgical procedure to treat the nerve compression that was likely causing his trigeminal neuralgia.

BMA’s medical records contain no evidence that any of his treaters linked his vaccinations to his developmental issues or his trigeminal neuralgia. Those records further reveal that BMA was never diagnosed with a white matter demyelinating disease.

B. Procedural History

Under the Vaccine Act, a petition for compensation for a vaccine-related injury must be filed within “36 months after the date of the occurrence of the first symptom or manifestation of onset or of the significant aggravation of such injury.” 42 U.S.C. § 300aa-16(a)(2). According to his billing records, petitioners’ counsel, Mr. Krakow, began working on this case on December 30, 2016, nearly three years after BMA received the first of the vaccines at issue. 6 Of particular note, Mr. Krakow reviewed medical records related to demyelination and asked petitioners questions concerning dysmyelination on December 31, 2016, 7 and reviewed medical records related to BMA’s vaccinations, pediatric history, and neurological history on January 1, 2017. Mr. Krakow ultimately filed a petition for compensation on petitioners’ behalf on January 9, 2017, in which petitioners allege that BMA “suffered from a demyelinating brain injury, nerve damage, trigeminal neuralgia, and other neurological and developmental injuries” as a result of his January, February, and April 2014 vaccinations. Amankwaa, 2018 WL 1125853, at *1. The

4 Petitioners allege that in the spring and summer of 2014, BMA “began to show symptoms of discomfort including head pain, which became apparent because [BMA] would hold his head, rub his eyes and cry.” Pet. ¶ 6. The first report of this facial pain in BMA’s medical records appears to be in the notes from a March 25, 2015 office visit with a pediatric neurologist. See Pet’rs’ Ex. 8 at 1 (“There have been episodes where he cries, rubs his eyes and intermittently holds his head which parents have been interpreting as headaches.”). 5 Trigeminal neuralgia is “severe, episodic pain in the area supplied by the trigeminal nerve”–i.e., the fifth cranial nerve–“often precipitated by stimulation of well-defined trigger points.” Trigeminal Neuralgia, Dorland’s Illustrated Medical Dictionary, supra note 3. 6 Although the statute of limitations does not begin to run on the date of vaccination, the special master explained that “[c]areful [Vaccine] Program counsel often make sure to file a claim no later than three years from the date of administration of the vaccine at issue, even though the statute runs from the onset of symptoms (whether or not they are recognized at the time as such.)[.]” Amankwaa, 2018 WL 1125853, at *3 n.5. 7 In contrast with demyelination, dysmyelination is the “breakdown or defective formation of a myelin sheath, usually involving biochemical abnormalities.” Dysmyelination, Dorland’s Illustrated Medical Dictionary, supra note 3.

-3- following day, Mr. Krakow filed exhibits 1 through 10 in support of the petition.

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