Collins v. Dartmouth-Hitchcock Med. Center

2015 DNH 015
CourtDistrict Court, D. New Hampshire
DecidedJanuary 21, 2015
Docket13-CV-352-JD
StatusPublished
Cited by1 cases

This text of 2015 DNH 015 (Collins v. Dartmouth-Hitchcock Med. Center) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Collins v. Dartmouth-Hitchcock Med. Center, 2015 DNH 015 (D.N.H. 2015).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Colleen Collins, et al.

v. Civil No. 13-cv-352-JD Opinion No. 2015 DNH 015 Dartmouth-Hitchcock Medical Center and James E. Saunders, M.D.

O R D E R

Colleen Collins and her sisters, Ruth Collins and Debra

Ceriello, brought suit against Dartmouth-Hitchcock Medical Center

(“DHMC”) and Dr. James E. Saunders, alleging claims under the

Americans with Disabilities Act (“ADA”) and the Rehabilitation

Act, along with state law claims. Their claims arose from

Colleen’s post-operative and subsequent treatment at DHMC related

to her deafness.1 DHMC and Dr. Saunders move for summary

judgment on all of the plaintiffs’ claims. The plaintiffs

object.

Standard of Review

Summary judgment is appropriate when “the movant shows that

there is no genuine dispute as to any material fact and the

movant is entitled to judgment as a matter of law.” Fed. R. Civ.

P. 56(a). In deciding a motion for summary judgment, the court

draws all reasonable inferences in favor of the nonmoving party.

1 Because Colleen and her sister, Ruth, share the last name Collins, to avoid confusion all of the plaintiffs will be referred to by their first names: Colleen, Ruth, and Debra. Foodmark, Inc. v. Alasko Foods, Inc., 768 F.3d 42, 47 (1st Cir.

2014). “A genuine issue of material fact must be built on a

solid foundation--a foundation constructed from materials of

evidentiary quality” so that “conclusory allegations, empty

rhetoric, unsupported speculation, or evidence which, in the

aggregate, is less than significantly probative will not suffice

to ward off a properly supported motion for summary judgment.”

Garcia-Gonzalez v. Puig-Morales, 761 F.3d 81, 87 (1st Cir. 2014).

In response to a properly supported motion for summary judgment, opposing parties must provide competent record evidence

that shows there is a genuine issue for trial. Anderson v.

Liberty Lobby, Inc., 477 U.S. 242, 250 (1986); Mosher v. Nelson,

589 F.3d 488, 492 (1st Cir. 2009). The plaintiffs, who are

represented by counsel, did not provide “a short and concise

statement of material facts, supported by appropriate record

citations, as to which [the plaintiffs] contend[] a genuine

dispute exists so as to require trial.” LR 56.1(b). Instead,

the plaintiffs titled the section that is nearly their entire

memorandum as “Disputed Material Facts.” That section is not

limited to factual statements with record citations but instead

includes citations to statutes and cases and argument

interspersed with the factual statements. The plaintiffs’

failure to follow the applicable local rule both unnecessarily

complicated the process of assessing their objection to summary

judgment and, to some extent, undermined the effectiveness of

their arguments.

2 Background

Colleen Collins has had hearing loss since childhood and has

been a patient at DHMC since 1967. Over time, Colleen became

profoundly deaf and received a cochlear implant.2 During her

treatment at DHMC, Colleen communicated with her providers by lip

reading, with the assistance of the cochlear implant.3

Dr. James E. Saunders is an otolaryngologist who began

treating Colleen in 2009. At an appointment in August of 2011,

Dr. Saunders and Colleen discussed her cochlear implant that was beginning to fail. As in previous meetings, Colleen and Dr.

Saunders communicated by voice and lip reading. They discussed a

plan to replace the failing implant with a new one that would

become operational within approximately thirty to forty-five days

after the surgery. Surgery was scheduled for September 16, 2011.

Colleen had never requested an American Sign Language

(“ASL”) interpreter for her appointments at DHMC. Dr. Saunders

did not know that Colleen understood ASL. Beginning in 2007,

DHMC began a program, known as CMapp, that schedules ASL

interpreters for appointments at DHMC whenever a patient requests

an interpreter.

2 “A cochlear implant is a surgically implanted device that provides sound to individuals who are profoundly deaf or severely hard of hearing.” Aff. of Dr. James E Saunders, docket no. 19-4, ¶ 5. 3 Colleen also communicated with her family, friends, and colleagues at work predominantly through a combination of lip reading and her cochlear implant, although she used sign language to communicate with friends who were deaf.

3 On September 16, 2011, Colleen arrived for surgery

accompanied by her sisters, Ruth and Debra. During the surgery,

Dr. Saunders removed the failing cochlear implant but found a

cholesteatoma, an abnormal growth in Colleen’s middle ear. He

removed the cholesteatoma, but the area had to heal before he

could insert a new cochlear implant.

After the surgery, Dr. Saunders and Stella McHugh met with

Ruth and Debra to explain the results. McHugh is a clinical

audiologist and cochlear implant audiologist at DHMC. Dr. Saunders explained the cholesteatoma and its consequences. To

assist their understanding, Dr. Saunders drew a diagram of the

inner ear, showing the location of the cholesteatoma. He told

Ruth and Debra that he had removed the failing cochlear implant

and the cholesteatoma but that additional surgery would be needed

in four to six months, after the area had healed, to insert a new

cochlear implant. During the meeting, Debra and Ruth mentioned

that Colleen knew ASL, which surprised Dr. Saunders and McHugh

because Colleen had never mentioned using ASL and had never asked

for an ASL interpreter.

During the post-surgery meeting, Dr. Saunders told Debra and

Ruth that Colleen had a tumor, the cholesteatoma. Debra

understood the cholesteatoma was abnormal cell growth, scar

tissue growth, and was an enzyme that had dissolved bone in

Colleen’s ear canal and was working its way into the skull.

Further, every cell had to be scraped out because if any were

left behind they would grow, get into her brain, and kill her.

4 Debra said that the diagram Dr. Saunders drew was very helpful in

understanding what he was explaining. Debra asked who would

explain the outcome of the surgery to Colleen. Dr. Saunders said

that he would explain it and that it was his job to do that.

As soon as Colleen could have visitors, Debra and Ruth went

in to see her. Colleen could see from their faces that they had

been crying and asked what was wrong. Debra said she should wait

for the doctor and that everything was fine. When Dr. Saunders

arrived, Debra asked him how he would communicate with Colleen when she was “drugged,” could not hear, and did not have her

glasses, and he responded that he would have to write big enough

for her to see.

Although Dr. Saunders does not usually discuss surgical

results with patients immediately after surgery, he wanted to

tell Colleen directly about the unexpected finding during

surgery, the cholesteatoma, and that he had not been able to

insert the new cochlear implant. Colleen was groggy from

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