Brown v. Burlington Northern Santa Fe Railway Co.

765 F.3d 765, 95 Fed. R. Serv. 360, 38 I.E.R. Cas. (BNA) 1761, 2014 U.S. App. LEXIS 16865, 2014 WL 4257854
CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 29, 2014
Docket13-2102
StatusPublished
Cited by88 cases

This text of 765 F.3d 765 (Brown v. Burlington Northern Santa Fe Railway Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. Burlington Northern Santa Fe Railway Co., 765 F.3d 765, 95 Fed. R. Serv. 360, 38 I.E.R. Cas. (BNA) 1761, 2014 U.S. App. LEXIS 16865, 2014 WL 4257854 (7th Cir. 2014).

Opinion

TINDER, Circuit Judge.

Shannon Brown appeals the dismissal of his lawsuit against the Burlington Northern Santa Fe Railway Company (“BNSF”), which he filed under the Federal Employers’ Liability Act (“FELA”), 45 U.S.C. § 51 et seq. The sole issue he disputes on appeal is the district court’s 1 decision to exclude the testimony of his expert witness, David Fletcher, M.D. We conclude that the district court did not abuse its discretion and therefore affirm its grant of summary judgment.

I. Background

At the time of this appeal, Brown was a 36-year-old man residing in Knoxville, Illinois. He began his employment with BNSF in 1996 as a member of the Maintenance of Way Department. From 2006 to 2009 he progressed through a variety of job duties as a foreman, track inspector, and machine operator. In 2007 a family physician diagnosed Brown with carpal tunnel syndrome in both wrists and cubital tunnel syndrome in his left elbow. 2 On October 25 of that year, Brown allegedly injured his right shoulder after lifting heavy angle bars at work. 3 He reported *768 the alleged injury only after increasing pain prompted him to visit an emergency room. His family physician could not detect any injury despite conducting tests, and instead sent Brown to physical therapy. By December 3rd of 2007, Brown reported that his shoulder was pain free, and his doctor cleared him to return to work with no restrictions.

The day following his official return date, however, Brown had surgery on his right wrist to relieve his carpal tunnel syndrome. Surgery on the other wrist followed on January 22, 2008. He returned to work on March 24 without any restrictions. He had surgery on his left elbow in October of 2009 to treat his cubi-tal tunnel syndrome, and he was cleared to return to work on January 4, 2010. Brown’s surgeon for both of his wrist surgeries and his elbow surgery informed him that all three procedures were successful and resolved his symptoms. Brown would remain employed at BNSF without medical restriction until September 28, 2011, at which point he no longer worked at the company.

Before returning from his elbow surgery in 2009, Brown sued BNSF under FELA, alleging that the railway negligently caused cumulative trauma to his wrists, elbow, and shoulder. According to Brown, his duties at the railroad required him to use vibrating tools that either caused or aggravated his wrist conditions. He further alleges that, in September of 2009, he was required to work excessive hours without proper equipment while BNSF was short-staffed; he maintains that this exertion triggered or exacerbated the cubital tunnel syndrome in his left elbow, prompting his surgery the next month.

Discovery commenced, and Brown retained Dr. Fletcher to examine him and provide expert medical testimony. Dr. Fletcher’s expertise in diagnosing railway work injuries and identifying their cause is unchallenged. He is licensed to practice medicine in Illinois, and is a full-time physician. He graduated from Rush Medical College in Chicago and holds a Master’s Degree in Public Health from the University of California, Berkeley. Dr. Fletcher is a Fellow of the American College of Occupational and Environmental Medicine and has been appointed Clinical Assistant Professor at the University of Illinois and Southern Illinois University. In 2012 he was one of two doctors chosen to serve on the Illinois Workers’ Compensation Commission. He is also the medical director of SafeWorks, Illinois, a private occupational health clinic. Starting in 1985 and continuing through his 2012 deposition, Dr. Fletcher occasionally served as an independent contractor with two railroad companies, the Norfolk Southern Corporation and the Canadian National Railway Company. In that capacity he treated work-related injuries and performed physicals, tested employees’ fitness for duty, and conducted some ergonomic evaluations. He has served as an expert witness in past FELA cases.

Dr. Fletcher eventually submitted four expert reports on Brown’s behalf, although the last was excluded as untimely in a ruling that Brown does not challenge. The first report discussed Brown’s medical records and his independent medical evaluation that Dr. Fletcher conducted on August 2, 2011. Dr. Fletcher reported that Brown had no history of smoking, diabetes, or other common health risk factors. He noted that Brown reported a needle-like sensation in the palms of both hands that was minimal and easy to ignore. Brown also told Dr. Fletcher that his shoulder was “97%” better and caused him no pain. Dr. Fletcher inquired as to Brown’s employment, and Brown told him that his job required him to lift 100 pounds *769 from the floor and 50 pounds overhead. He further reported that he worked between 12 and 16 hours a day, repeatedly lifting between 35 and 40 pounds and using hydraulic and vibratory tools. He informed Dr. Fletcher that as a foreman he commonly had to repair track, shovel dirt, drive spikes, use sledge hammers, and lift heavy metal bars.

Dr. Fletcher’s first report also relayed the results of his physical examination of Brown. The report notes atrophy and loss of muscle strength in his left elbow. Dr. Fletcher conducted a Tinel’s test on the elbow, which revealed nerve irritation. An elbow compression test similarly uncovered signs of injury. Dr. Fletcher also indicated impingement of Brown’s right shoulder, but his report goes on to contradict that finding by reporting that “impingement signs were negative bilaterally.” The report states that an MRI would be necessary to reach a “formal diagnosis” of any shoulder injury, but it notes that Brown could not undergo that test because he had a pacemaker in his chest. Dr. Fletcher recommended an arthroscopic procedure to identify any problems, but no such surgery was performed. Brown has not pointed out any other test confirming an injury to his shoulder. Nevertheless, Dr. Fletcher attributed Brown’s wrist, elbow, and shoulder injuries to his work at BNSF.

Dr. Fletcher’s second report was an update on Brown’s progress, issued on January 3, 2012, after he had examined him a second time. Brown reported pins and needles in his left elbow and numbness in his left hand, and Dr. Fletcher concluded that he required another elbow surgery. He also stated that Brown “had incurred permanent loss” of function and required “[permanent job restrictions.” Again Dr. Fletcher attributed these medical problems to Brown’s job.

In his third report, dated February 27, 2012, Dr. Fletcher more closely examined the cause of Brown’s condition. After summarizing Brown’s health concerns, he stated that he suffered from a “cumulative trauma disorder” caused by his work on the railroad. Carpal tunnel syndrome and cubital tunnel syndrome are both examples of cumulative trauma disorder because they result from repeated applications of force over time rather than one discrete event. Dr. Fletcher stated that he came to this conclusion by the process of differential etiology.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
765 F.3d 765, 95 Fed. R. Serv. 360, 38 I.E.R. Cas. (BNA) 1761, 2014 U.S. App. LEXIS 16865, 2014 WL 4257854, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-burlington-northern-santa-fe-railway-co-ca7-2014.