Carlo G. Chiarella v. Roberta A. Ford

CourtDistrict Court of Appeal of Florida
DecidedFebruary 21, 2024
Docket2022-2874
StatusPublished

This text of Carlo G. Chiarella v. Roberta A. Ford (Carlo G. Chiarella v. Roberta A. Ford) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carlo G. Chiarella v. Roberta A. Ford, (Fla. Ct. App. 2024).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

CARLO G. CHIARELLA, Appellant,

v.

ROBERTA A. FORD, Appellee.

No. 4D2022-2874

[February 21, 2024]

Appeal from the Circuit Court for the Fifteenth Judicial Circuit, Palm Beach County; G. Joseph Curley, Judge; L.T. Case No. 502019CA012452.

Philip M. Burlington and Jeffrey V. Mansell of Burlington & Rockenbach, P.A., West Palm Beach, and Casey D. Shomo of Casey D. Shomo, P.A., Palm Beach Gardens, for appellant.

Kansas R. Gooden of Boyd & Jenerette, P.A., Miami, and Kevin D. Franz of Boyd & Jenerette, P.A., Boca Raton, for appellee.

GROSS, J.

Carlo Chiarella, the plaintiff below, appeals a final judgment awarding him $140,000 from the defendant, Roberta Ford, in this automobile negligence case. We write to address one issue—the plaintiff’s contention that the jury verdict was inconsistent because it awarded him the expenses of one spinal fusion surgery but found no permanent injury. We hold that the plaintiff failed to preserve the issue for appellate review because he did not request that the verdict be resubmitted to the jury.

The Lawsuit

The plaintiff sued the defendant for personal injuries arising out of an auto accident. The defendant admitted fault, but disputed (1) the cause of the plaintiff’s injuries, (2) the permanency of the plaintiff’s injuries, and (3) the damages sustained by the plaintiff. The Accident

In July 2017, the plaintiff’s BMW was rear-ended by the defendant’s Tesla. The impact pushed the BMW into another vehicle. The plaintiff described the impact as “pretty hard,” explaining that the airbag deployed, he suffered abrasions and felt like he was “punched in the face.” The BMW was deemed a total loss.

The Plaintiff’s Pre-Accident Medical History

The plaintiff sustained several injuries at the gym between 2006 and 2012 from doing bench press or squats, causing neck and lower back pain for which he sought treatment with chiropractors. The plaintiff also had a bicycle accident in 2014, resulting in a visit to the ER where he underwent a cervical x-ray and sought treatment for a neck sprain and a back sprain. The cervical x-ray showed retrolisthesis, an abnormal finding, but there was never any recommendation from a healthcare provider to get an MRI or follow up with a spine surgeon.

Beginning in March 2015, the plaintiff was treated by a chiropractor for back and neck issues, including radiating leg pain and neck pressure. Despite not disclosing his bicycle accident or cervical x-ray to the chiropractor, the plaintiff mentioned numbness on his intake form, which could have signified disc involvement. The chiropractor observed the plaintiff’s limited lumbar motion and frequent pain, which impacted his daily activities. The plaintiff did not follow the chiropractor’s two-week treatment plan.

In November 2015, a different chiropractor treated the plaintiff for chronic lower back pain and sciatica dating from 2009, but the plaintiff did not complete the prescribed chiropractic plan. The plaintiff received more chiropractic treatment for back pain in 2016. The plaintiff also saw a chiropractor for a neck strain sustained at the gym about three months before the 2017 auto accident.

The Plaintiff’s Post-Accident Medical Treatment

The plaintiff was treated at an emergency room on the day of the accident. Ten days later, he began seeing Dr. Chung, an orthopedic surgeon.

After undergoing MRIs in July 2017, the plaintiff was diagnosed with bulges, tears, and herniations on the cervical and lumbar spines. The findings were abnormal for a 35-year old. However, the 2017 MRIs did not

2 reveal acute compression of the cervical spine. The plaintiff initially underwent conservative treatments, including anti-inflammatory medication, steroid injections, and physical therapy. Dr. Chung testified that the plaintiff had an 80-90% improvement in the neck as of December 2017.

During this time, the plaintiff underwent physical therapy at a clinic owned by a chiropractor who employs physical therapists on his staff. The plaintiff stopped treatment there in February 2018, when he described his cervical and lumbar pain as “worst two, best zero, current one.” In September 2018, the plaintiff resumed treating with the chiropractor’s office upon noticing increased symptoms after starting a new restaurant business.

The plaintiff resumed seeing Dr. Chung in October 2018 due to the flare-up of his neck and back pain. In March 2019, the plaintiff underwent MRIs which showed increased spinal abnormalities, with his worst pathology in the cervical spine, so Dr. Chung recommended that he undergo neck surgery. Dr. Chung testified that worsening MRI findings can be due to either an intervening trauma or the progression of the initial injury.

In April 2019, the plaintiff went to the ER after turning his neck at work and experiencing a lot of pain. The plaintiff gave a history in which he reported that “he had neck pain for the past two years status post his [auto accident]; and he just turned his neck, and he had an acute worsening.” Dr. Chung opined that the plaintiff “simply turning his neck” was not an intervening trauma, adding that he had already recommended neck surgery to the plaintiff before the incident.

In June 2019, the plaintiff underwent cervical fusion surgery performed by Dr. Chung. Dr. Chung acknowledged that no lumbar complaints were documented at that time. By December 2019, the plaintiff’s radicular pain had resolved but he continued to have posterior neck discomfort.

Subsequently, due to intermittent flare-ups of pain in his lower back, the plaintiff was referred for an updated lumbar MRI in February 2021, and he underwent lumbar fusion surgery performed by Dr. Chung in March 2021.

At trial, the plaintiff introduced a medical bill index reflecting a total of nearly $350,000 in past medical expenses, including about $76,000 for conservative care. The remainder of the bills related to surgical care.

3 The plaintiff testified that he still had neck and back pain after his surgeries. Dr. Chung recommended future care including physical therapy, medication, injections, MRIs, and potential future neck surgery. At trial, the plaintiff presented evidence that his future medical expenses, reduced to present value, would total over $1.1 million.

Competing Opinions on Causation and Permanency

Dr. Chung testified that all the plaintiff’s post-accident injuries and treatment, including both surgeries, were caused by the July 2017 auto accident. Dr. Chung said that the plaintiff sustained permanent injuries from his treatment and from the car accident. Dr. Chung explained that “a fusion by definition will limit [his] range of motion,” and that “there’s been a permanent change to his spine.” Applying American Medical Association guidelines, Dr. Chung gave the plaintiff a 9% impairment rating for his neck, plus a 9% impairment rating for his back.

The defendant’s only witness, an orthopedic spine surgeon, testified that: (1) the plaintiff had neck and back problems prior to the July 2017 auto accident; (2) the plaintiff suffered a sprain/strain of the neck and back as a result of the auto accident; (3) the plaintiff did not suffer a permanent injury to his cervical or lumbar spine resulting from the auto accident; (4) the plaintiff’s need for surgery was not related to the auto accident; and (5) six-to-eight weeks of chiropractic care or physical therapy was reasonable. However, he conceded on cross-examination that if the jury believed the neck surgery was related to the crash, “[t]he surgery in and of itself would be considered a permanent injury” because the plaintiff has “had a permanent change of the way his neck works, with permanent implants put in his neck.”

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Cite This Page — Counsel Stack

Bluebook (online)
Carlo G. Chiarella v. Roberta A. Ford, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carlo-g-chiarella-v-roberta-a-ford-fladistctapp-2024.