Dorothy E. Winnie v. Infectious Disease Associates, P.A.

Court of Appeals for the Eleventh Circuit·Decided November 8, 2018·No. 18-11226·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 18-11226

Non-Argument Calendar

D.C. Docket No. 8:15-cv-02727-MSS-MAP

DOROTHY E. WINNIE, Plaintiff-Appellant,

versus

INFECTIOUS DISEASE ASSOCIATES, P.A., Defendant-Appellee.

Appeal from the United States District Court for the Middle District of Florida

(November 8, 2018)

Before MARCUS, ROSENBAUM and HULL, Circuit Judges. PER CURIAM:

Dorothy Winnie appeals the grant of summary judgment in favor of her former employer, Infectious Disease Associates (“IDA”), in her employment discrimination lawsuit alleging claims under the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12112(a), the Age Discrimination in Employment Act (“ADEA”), 29 U.S.C. § 623(a), and for promissory estoppel under Florida law. After review, we affirm.

I. FACTUAL BACKGROUND

Because Winnie sued for disability and age discrimination, we must detail her job duties, her surgery, and the restrictions after surgery. A. IV Nurses The employer, IDA, has a highly specialized medical practice where doctors and nurses diagnose and treat patients with life-threatening infections. IDA’s patients are typically quite ill, have failed oral antibiotics, and come for a regimen of intravenous (“IV”) infusions of highly potent antibiotics. Open every day of the year, IDA hires only highly trained IV nurses because they must administer extremely potent drugs using special needles that are inserted and removed daily. IDA’s IV room does not have any other employees except for trained IV nurses.

Staffing the IV room with highly skilled IV nurses is a complex process and requires nurses who are flexible to work when needed. The IV room is staffed with four IV nurses on weekdays and two on weekends and holidays. IV nurses

are frequently required to reach, bend, twist, pull, and push to attend to the IV patients. IV nurses must be precise to insert butterfly needles into patients’ veins. A mistake in administering the extremely potent drugs can result in serious injury or death.

The job duties of an IV nurse require lifting more than five pounds, reaching overhead, and using both hands and arms. For example, IV nurses must use both arms and hands to: (1) remove and reapply compression stockings and wound dressings; (2) wrap tourniquets around patients’ arms while applying pressure; (3) insert and remove butterfly needles into patients’ arms for a blood draw or infusion; (4) hold and mix syringes with medication; (5) hold infusion bags and coordinate them with antibiotic vials; (6) tear alcohol swabs and other packets; (7) screw needles onto syringes; (8) assist patients in and out of wheelchairs and recliners; (9) help patients who are unsteady on their feet; and (10) carry IV bags and boxes of medications and place them on shelves. Every IV nurse must be able to perform all of the job duties.

Randi Lewis, an IV nurse, explained that IV nurses must use both of their arms and hands to perform their job. Although the nurses try to work as a team, they all must be able to perform all of the job duties. B. Winnie’s Employment

Beginning in January 2003, Plaintiff Winnie worked as an IV nurse for IDA.

When hired, Winnie was 58 years old. From 2003 until 2013, Winnie worked 40 hours or more per week, including certain weekends. In 2013, when Winnie was 68 years old, IDA granted Winnie’s request for a reduced work schedule of 32 hours per week. Although it did not have an available 32-hour per week position, IDA allowed Winnie to work that reduced schedule and retain employee benefits. C. Winnie’s February 2014 Leave Request and Surgery On February 7, 2014, Winnie went to a doctor who scheduled her to have rotator cuff surgery on her left shoulder on February 18. Winnie had not discussed the matter with IDA. Before having rotator cuff surgery, Winnie’s shoulder did not prevent her from performing her job as an IV nurse, and she had no limitations that impacted her daily life, other than occasional discomfort when sleeping. Prior to February 2014, Winnie never told IDA she had a history of a medical impairment or disability and never requested any accommodation.

On or about February 7, 2014, Winnie advised her supervisor, Susan Padalik, that she requested a leave of absence to have rotator cuff surgery on February 18, 2014. Winnie told Padalik that if the leave of absence was a problem, she would cancel the surgery because she needed her job. Padalik responded that she would talk to Lori Brand, IDA’s manager and practice administrator, but Padalik was sure the leave of absence would not be a problem. A few days later,

Padalik told Winnie that Brand concluded Winnie’s leave of absence would not be a problem. Notably, Brand was under the impression that Winnie needed only eight weeks of leave, stating in an e-mail sent the day before Winnie’s surgery that Winnie “will be off for the next 8 weeks.”

Before her surgery, Winnie’s doctor provided her with a detailed list of restrictions after surgery, which Winnie did not provide to IDA. The restrictions included wearing a shoulder immobilizer with no use of the upper extremity besides elbow, wrist, and hand exercises for the first two months after surgery. From two to four months after surgery, Winnie could remove the immobilizer but could not lift anything heavier than five pounds, use her left arm overhead, or do anything athletic or strenuous. Winnie had the surgery on February 18, 2014.

Winnie did not request any accommodation other than a leave of absence.

Winnie never specifically discussed with anyone that she would need four months of leave, and no one told her she could take four months of leave. Winnie admitted that providing her with a leave of absence for four months from February to June 2014 would create a hardship on IDA. Winnie even admitted that IDA never promised to hold her position open and was not obligated to do so. D. Employee Handbook Back in 2003 at her hire, Winnie received an employee handbook containing IDA’s policies, including a leave of absence policy. Winnie did not review that

policy before requesting leave on February 7, 2014. That leave of absence policy: (1) required at least a 30-day advance written notice of leave; (2) permitted an unpaid leave of absence not to exceed 12 weeks, provided that it was not detrimental to the office’s operation; and (3) explained that an employee who does not return after 12 weeks may be terminated. Winnie did not give at least 30 days advance written notice prior to her requested leave. E. Winnie’s March 2014 Release to Work and Denial to Return On March 20, 2014, Winnie’s doctor released her to return to work with restrictions, including “no use of [her] upper extremity,” meaning that she would not be able to use her left arm. Winnie had not provided her doctor with a list of her job duties as an IV nurse.

In response, on March 21, 2014, IDA’s doctor, Dr. Andrew Krinsky, wrote a letter, stating that there was no light duty work in the IV room, as Winnie’s job required using both hands and arms to insert and manipulate needles and IV tubing and to mix medications. Dr. Krinsky stated that Winnie could not return to work until she could use both arms and hands, and that IDA looked forward to having Winnie return when she was able to do her job. Winnie agreed with Dr. Krinsky’s letter, and that there was no light duty work at IDA. F. Winnie’s April 2014 Redetermination

On April 2, 2014, Winnie provided her doctor with a written list of her job duties. On April 4, 2014, Winnie’s doctor reversed his prior determination and indicated that Winnie was no longer released to return to work. Winnie’s doctor advised that she would not be released to work until June 9, 2014, which meant that Winnie’s total leave would be 16 weeks.

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Dorothy E. Winnie v. Infectious Disease Associates, P.A., (11th Cir. 2018).

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