Donna Hoffman v. Kent Tonnemacher

CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 21, 2010
Docket08-16166
StatusPublished

This text of Donna Hoffman v. Kent Tonnemacher (Donna Hoffman v. Kent Tonnemacher) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Donna Hoffman v. Kent Tonnemacher, (9th Cir. 2010).

Opinion

FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

DONNA HOFFMAN,  Plaintiff-Appellant, v. No. 08-16166 KENT TONNEMACHER, M.D.; D.C. No. UNKNOWN PHYSICIANS,  CV-04-05714-AWI- Defendants, DLB and OPINION MEMORIAL MEDICAL CENTER, Defendant-Appellee.  Appeal from the United States District Court for the Eastern District of California Anthony W. Ishii, Chief District Judge, Presiding

Argued and Submitted December 8, 2009—San Francisco, California

Filed January 21, 2010

Before: A. Wallace Tashima, Susan P. Graber, and Jay S. Bybee, Circuit Judges.

Opinion by Judge Graber

1281 HOFFMAN v. TONNEMACHER 1283

COUNSEL

Kevin G. Little, Fresno, California, for the plaintiff-appellant. 1284 HOFFMAN v. TONNEMACHER Lara M. Krieger, Greines, Martin, Stein & Richland LLP, Los Angeles, California, for the defendant-appellee.

OPINION

GRABER, Circuit Judge:

Plaintiff Donna Hoffman sued Defendant Memorial Medi- cal Center under the Emergency Medical Treatment and Active Labor Act (“EMTALA”), 42 U.S.C. § 1395dd(a), after an emergency room physician failed to diagnose her bacterial infection. The district court granted in part and denied in part Defendant’s pretrial motion for summary judgment, and the surviving claim went to trial. The jury deadlocked, and the district court declared a mistrial. Subsequently, the district court allowed Defendant to file another summary judgment motion which, this time, the court granted. On appeal, Plain- tiff challenges the propriety of allowing this successive sum- mary judgment motion. We hold that the district court has discretion to entertain successive motions for summary judg- ment and that the district court did not abuse its discretion in this instance.1

Plaintiff went to Defendant’s emergency room by ambu- lance at about 11 p.m. on May 22, 2003, complaining of fever, chills, hyperventilation, cough, congestion, pain, numb- ness in her hands, nausea, and vomiting. Dr. Kent Tonnem- acher, who worked in the emergency room, examined her and found that she had a fever of 102.3 degrees. Plaintiff reported that her temperature had been 106 degrees earlier in the day. 1 Plaintiff also appeals the grant of summary judgment, two modifica- tions of the pretrial order to allow the addition of a new expert witness and the later substitution of a different witness, and two evidentiary rulings. We address those issues separately in a memorandum disposition filed this date, reversing the grant of summary judgment and one evidentiary ruling and affirming as to the other issues. HOFFMAN v. TONNEMACHER 1285 Plaintiff informed Dr. Tonnemacher of her medical history, which included a splenectomy and a heart murmur. Dr. Ton- nemacher ordered chest X-rays and a urinalysis, both of which were negative, but he did not order other tests such as a blood culture or a complete blood count. Dr. Tonnemacher diagnosed fever and viral bronchitis with a differential diag- nosis of possible pneumonia. He discharged Plaintiff with a prescription for an oral antibiotic.

The following afternoon, Plaintiff returned to the emer- gency room in much worse condition. The emergency room doctor diagnosed bacterial sepsis and immediately hospital- ized Plaintiff. Plaintiff’s sepsis progressed to systemic inflam- matory response syndrome, and she developed serious complications. Plaintiff survived, but doctors had to amputate six of her toes. Plaintiff was discharged after two months in the hospital.

Plaintiff sued Defendant for violation of EMTALA and both Defendant and Dr. Tonnemacher2 for medical malprac- tice. Defendant filed a motion for partial summary judgment, which the district court denied under Federal Rule of Civil Procedure 56(f). After further discovery, Defendant moved again for summary judgment, which the district court granted in part and denied in part. Plaintiff’s surviving claim alleged that Dr. Tonnemacher’s screening examination constituted disparate treatment in violation of EMTALA because it failed to comply with Defendant’s EMTALA policy.

At trial, Defendant moved for judgment as a matter of law at the close of the evidence. The district court denied the motion. The jury deadlocked, and the district court declared a mistrial. After the mistrial, Defendant moved for modifica- tion of the pretrial order. The district court modified the order to allow Defendant to add a new expert witness and to file 2 Dr. Tonnemacher settled with Plaintiff shortly before trial, and he is not a party to this appeal. 1286 HOFFMAN v. TONNEMACHER another summary judgment motion. The district court then granted Defendant’s summary judgment motion on the ground that Plaintiff could not show a genuine issue of mate- rial fact with respect to causation. Plaintiff timely appeals.

[1] We have held, relying on Supreme Court guidance in the realm of qualified immunity, that a district court may per- mit successive motions for summary judgment on qualified immunity. Knox v. Sw. Airlines, 124 F.3d 1103, 1106 (9th Cir. 1997). We have also assumed the propriety of successive motions for summary judgment outside the context of quali- fied immunity. See Cable & Computer Tech. Inc. v. Lockheed Sanders, Inc., 214 F.3d 1030, 1038 (9th Cir. 2000) (analyzing grant of summary judgment on promissory estoppel claim after district court granted earlier summary judgment motion on contract claim); Preaseau v. Prudential Ins. Co. of Am., 591 F.2d 74, 79-80 (9th Cir. 1979) (holding that, after removal of diversity case to federal court, the federal court may grant summary judgment notwithstanding earlier denial of summary judgment motion by state court). Many of our sister circuits have held that district courts may permit succes- sive motions for summary judgment. Narducci v. Moore, 572 F.3d 313, 324 (7th Cir. 2009); Lexicon, Inc. v. Safeco Ins. Co. of Am., Inc., 436 F.3d 662, 670 n.6 (6th Cir. 2006); Sira v. Morton, 380 F.3d 57, 68 (2d Cir. 2004); Fenney v. Dakota, Minn. & E. R.R. Co., 327 F.3d 707, 718 (8th Cir. 2003); Enlow v. Tishomingo County, 962 F.2d 501, 506-07 (5th Cir. 1992). Joining those circuits, we now hold explicitly that dis- trict courts have discretion to entertain successive motions for summary judgment, independent of whether the motions involve qualified immunity.

[2] Federal Rule of Civil Procedure 56 does not limit the number of motions that may be filed. Indeed, the version of Rule 56 that was in effect when the district court modified the pretrial order stated that a motion for summary judgment could be filed “at any time” after certain events. Fed. R. Civ. P. 56(a), (b) (2007). Rule 56 was amended in December 2009 HOFFMAN v.

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