Caruso v. St. Jude Children's Research Hospital, Inc.

215 F. Supp. 2d 930, 2002 U.S. Dist. LEXIS 18989, 2002 WL 1790768
CourtDistrict Court, W.D. Tennessee
DecidedJuly 9, 2002
Docket01-2643 GV
StatusPublished
Cited by5 cases

This text of 215 F. Supp. 2d 930 (Caruso v. St. Jude Children's Research Hospital, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Caruso v. St. Jude Children's Research Hospital, Inc., 215 F. Supp. 2d 930, 2002 U.S. Dist. LEXIS 18989, 2002 WL 1790768 (W.D. Tenn. 2002).

Opinion

ORDER GRANTING ST. JUDE’S MOTION FOR SUMMARY JUDGMENT

GIBBONS, District Judge.

Plaintiff June M. Caruso commenced this action against St. Jude Children’s ' Hospital (“St.Jude”), her former employer, on August 10, 2001. In her complaint, Caruso asserts state law claims of defamation, outrageous conduct, and retaliatory discharge under Tennessee common law and the Tennessee Public Protection Act (“TPPA”), Tenn.Code Ann. § 50-1-304. On October 23, 2001, St. Jude filed a motion for summary judgment on all of Caruso’s claims. On April 30, 2002, Caruso amended her complaint, adding claims under Title VII of the Civil Rights Act of 1964 (“Title VII”), 42 U.S.C. § 2000e et seq., the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12203 et seq., the Civil Service Reform Act (“CSRA”), 5 U.S.C. § 1221, the Fair Labor Standards Act (“FLSA”), 29 U.S.C. § 215, the False Claims Act, 31 U.S.C. § 3730, the National Labor Relations Act (“NLRA”), 29 U.S.C. § 158, and the Tennessee Wrongful Death Statute, T.C.A. § 20-5-106. 1 On May 17, 2002, St. Jude filed a supplemental motion for summary judgment on the claims added by Caruso in her amended complaint. The court now considers St. Jude’s motion for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure.

Caruso was employed in January 2000 as a post-doctoral research associate in the Department of Radiation Oncology, Division of Neuro-oncology at St. Jude under the supervision of Dr. Richard Heideman. (Caruso Aff. at 1; Mirro 2 Aff. at 1.) The position for which Caruso was hired was a one-year training program; she was not employed in a faculty position, nor was she credentialed or granted clinical privileges. Mirro Aff. at 1. All of Caruso’s clinical activities were under the direct supervision of the attending physician. Id. Mirro avers that Caruso’s primary role at St. Jude was as a student in training. Id. at 2.

Mirro avers that almost from the beginning of her employment, Caruso constantly criticized all of the physicians and staff at St. Jude for providing what she perceived to be inappropriate medical care. Id. Caruso affirms that, almost immediately upon beginning her fellowship, she made repeated complaints regarding what she believed to be the gross medical mistreatment of patients at St. Jude. 3 (Caruso Aff. at 2-3.) Mirro states that Caruso expressed these opinions not only to staff members, but also to patients and families. Id. He attests that she repeatedly countermanded attending physician orders and communicated confidential patient information to outside third parties without the knowledge or approval of the attending *934 physicians or the families. Id. Mirro states that, in one instance, Caruso planned to intentionally induce seizures in a patient without the knowledge or consent of the attending physician. Id. He claims that when the pharmacy refused to provide her with the medication necessary to induce the seizures, Caruso responded in a rude, disrespectful, and abusive manner. Id. As a result of this incident as well as other complaints lodged against Caruso by staff members, Heideman counseled her in early May 2000 that she must follow institutional policies and attempt to cooperate with the other physicians and staff. Id. He warned her that if her inappropriate conduct continued, she would be terminated. Id. Caruso asserts that she was threatened with termination in retaliation for her numerous complaints regarding staff members’ medical mistreatment of patients and disregard of safety procedures. (Caruso Aff. 3-4.)

Mirro avers that since Caruso’s conduct did not improve, on May 25, 2000, Heide-man directed her to cease all clinical care unless she was personally supervised by him. Id. He also instructed her not to make any direct contact with patients or with their families without his prior knowledge and approval. Id. Heideman memorialized this action by a memorandum dated June 1, 2000. Id., Ex. 1. Despite Heideman’s instructions, Mirro avers that Heideman subsequently received complaints from patients and parents who were confused and concerned by the conflicting comments they continued to receive from Caruso. Id. at 3. On May 31, 2000, Larry Kun, the Chairman of the Radiation Oncology Department, issued Caruso a written warning stating that she must work directly under the supervision of two faculty members, and the attending physician must be present during any counseling sessions with patients, family members, or outside physicians. Id., Ex. 2.

Subsequently, Dr. Robert Stanford, a physician at St. Jude, complained that Caruso had criticized his care of a child to the child’s parents. Id., Ex. 3. As a result of this incident, Stanford directed Caruso to have no further contact whatsoever with his patients. Id. Mirro avers that, after Caruso had been removed from this patient’s care, she went into the patient’s room and asked the patient’s mother why she did not want her on the case. Id. at 3. Mirro states that the patient’s mother contacted Heideman and told him that the confrontation with Caruso had hade her very uncomfortable. Id. As a result of this incident, on June 2, 2000, Kun gave Caruso a final written warning that she could not contact patients, family members, or outside physicians without the prior knowledge and consent of the treating physician. Id., Ex. 4.

During this same time period, Mirro attests that Caruso was making complaints to him regarding patient care and treatment. Id. at 4. In response to her allegations, Mirro sent several of the cases about which she had complained out for independent peer review; in each instance, the care ordered by the St. Jude attending physician was deemed appropriate. Id. Mirro attests that Caruso also complained that individuals were altering the medical records. Id. Mirro states that he investigated these allegations, but found no evidence to support them; he communicated the results of these investigations to Caruso. Id.

On July 31, 2000, Kun and Dr.

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Bluebook (online)
215 F. Supp. 2d 930, 2002 U.S. Dist. LEXIS 18989, 2002 WL 1790768, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caruso-v-st-jude-childrens-research-hospital-inc-tnwd-2002.