Fitzgerald v. Catholic Health Initiatives Colorado

CourtDistrict Court, D. Colorado
DecidedMarch 19, 2025
Docket1:21-cv-00006
StatusUnknown

This text of Fitzgerald v. Catholic Health Initiatives Colorado (Fitzgerald v. Catholic Health Initiatives Colorado) is published on Counsel Stack Legal Research, covering District Court, D. Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fitzgerald v. Catholic Health Initiatives Colorado, (D. Colo. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge William J. Martínez

Civil Action No. 21-cv-0006-WJM-TPO

JOSEPH FITZGERALD, by and through his parent and next friend, LINDA FITZGERALD,

Plaintiff,

v.

CATHOLIC HEALTH INITIATIVES COLORADO d/b/a ST. ANTHONY SUMMIT MEDICAL CENTER; SARAH PFEIFFER, P.A.; and XAN COURVILLE, M.D.,

Defendants.

ORDER DENYING MOTION TO STRIKE TESTIMONY OF EXPERT PATRICK MCNAIR, M.D.

Before the Court is Plaintiff Joseph Fitzgerald’s Motion to Strike Defendants’ Expert Designation of Patrick McNair, M.D. (“Motion”) (ECF No. 130). Xan Courville, M.D., Sarah Pfeiffer, P.A., (jointly, “Individual Defendants”), and St. Anthony Summit Medical Center (“Summit”) (“collectively, Defendants”) filed responses (ECF Nos. 133, 134), to which Fitzgerald filed a reply (ECF No. 137). For the following reasons, the Court denies the Motion. I. PERTINENT BACKGROUND This medical negligence lawsuit stems from injuries Fitzgerald sustained after he allegedly developed compartment syndrome while hospitalized due to a snowboarding injury. (ECF No. 67 ¶¶ 14–16, 52–64.) Fitzgerald alleges that Courville and Pfeiffer failed to promptly identify and address his compartment syndrome and that this delay in care led to avoidable, permanent injury. (Id. ¶¶ 65–76.) Fitzgerald further alleges that Summit acted negligently by failing to properly train its staff and implement policies that would have prevented his injury. (Id. ¶¶ 77–88.) In January 2022, Defendants disclosed Dr. Patrick McNair as a non-retained

expert witness pursuant to Fed. R. Civ. P. 26(a)(2)(C) and summarized his proffered testimony as follows: Dr. McNair is an orthopedic surgeon who provided care and treatment to Plaintiff. Dr. McNair is expected to testify consistent with his medical records and deposition, if taken. Dr. McNair first encountered plaintiff in January 2019 and will testify as to his interactions and evaluations with plaintiff and will testify as to his remarks in his medical records and his operative findings. Dr. McNair, in order to fix Mr. Fitzgerald’s tibial plateau fracture, had to open up all the compartments of plaintiff’s leg. He had to take down the anterior tibial muscle and he looked specifically at the medial gastric and the soleus muscle, the deep and superficial compartments posteriorly and saw no further muscle damage. Dr. McNair will testify about his surgical findings and any discussions he had with plaintiff or his family members.

(ECF No. 130-12 at 11.) In July 2023, the Court amended the scheduling order, setting the expert witness discovery deadline for April 1, 2024. (ECF No. 88.) On May 21, 2024, Summit produced to Fitzgerald a supplemental expert witness disclosure, in which it declared that McNair “will provide expert testimony concerning his care and treatment of [Fitzgerald]. Specifically, he will provide expert opinions that there was no evidence of any injury related to compartment syndrome.” (ECF No. 130- 13 at 3.) Days later, Individual Defendants filed a supplemental expert witness disclosure, in which they repeated the disclosure block-quoted above and added that McNair will testify that in his opinion, Mr. Fitzgerald did not have compartment syndrome. Dr. McNair associates compartment syndrome with muscle necrosis or death which did not occur in this case. Dr. McNair will testify consistent with his January 21, 2019 operative report which states that Mr. Fitzgerald’s muscles in his right lower extremity, both the proximal and superficial compartments, as well as the deep posterior compartments had viable, healthy active tissue without signs of necrosis. Dr. McNair also found the anterior compartment, which was visualized from the proximal lateral incision, was also healthy and viable without signs of necrosis. Dr. McNair will testify these findings are inconsistent with compartment syndrome. He is also aware of the findings from Dr. Courville’s January 6, 2019 fasciotomy which showed no muscle necrosis or death in the compartments and Dr. Courville was able to close the fasciotomy incisions and did not have to keep them open due to muscle swelling which is also inconsistent with compartment syndrome. Dr. McNair will testify that it is his opinion that Mr. Fitzgerald did not have compartment syndrome but instead had an isolated injury to his peroneal nerve.

If Mr. Fitzgerald would have experienced compartment syndrome, Dr. McNair would have expected to see muscle necrosis and swelling at the January 6, 2019 fasciotomy and he would have expected to see continual muscle necrosis at his surgery 2 weeks later on January 21, 2019. Because there was no muscle necrosis at either the January 6, 2019 fasciotomy or the January 21, 2019 ORIF, it is Dr. McNair’s opinion that Mr. Fitzgerald did not have a delayed or missed compartment syndrome on January 5 or 6, 2019.

Dr. McNair was aware from treating Mr. Fitzgerald that he had a snowboarding injury on January 5, 2019 where he sustained a high energy, severe bicondylar Schatzker IV right tibial plateau fracture and underwent a closed reduction and placement of an external fixation device by Dr. Courville. The Schatzker classification system is a method of classifying tibial plateau fractures. An increase in the number type denotes increasing severity, reflecting an increase in energy imparted to the bone at the time of injury and also an increasingly worse prognosis. The most common fracture of the tibial plateau is a type II. Mr. Fitzgerald has a type IV. Dr. McNair will describe this classification system. Dr. McNair will testify that he continued to see Mr. Fitzgerald in follow-up for a period of time. On January 28, 2019 Dr. McNair discussed with Mr. Fitzgerald about obtaining an EMG nerve conduction study. On February 6, 2019 Mr. Fitzgerald, accompanied by father, followed up with Dr. McNair. Mr. Fitzgerald told Dr. McNair that he was planning on being in Florida with his parents for 4 weeks. Dr. McNair next saw Mr. Fitzgerald on May 8, 2019 where he was now 3.5 months post ORIF surgery and returned with a very stiff post-operative knee. Mr. Fitzgerald was able to get a nerve conduction study performed in Florida and was told that the peroneal nerve should show some improvement over time. Mr. Fitzgerald was also having knee stiffness at this time which significantly limited his range of motion. They discussed a lysis of adhesion procedure which was performed on May 31, 2019. Dr. McNair performed an arthroscopy of the right knee with extensive lysis of adhesions with manipulation with a good result intraoperatively. Dr. McNair saw Mr. Fitzgerald in follow-up on June 5, 2019 and June 19, 2019, where Mr. Fitzgerald informed Dr. McNair that he was planning on moving back to New Jersey to be near family. Dr. McNair will testify as to his interactions with Mr. Fitzgerald and the follow up care for his tibial plateau fracture.

Dr. McNair will testify that he did not see any evidence of compartment syndrome during the time period he cared for Mr. Fitzgerald. Dr. McNair will use exhibits including medical records to aid in his testimony.

(ECF No. 130-14 at 2–5.) On August 19, 2024, three months after he had received them, Fitzgerald moved to strike the Defendants’ supplemental disclosures, arguing that “(1) they do not comply with the Rules regarding disclosure of non-retained experts; and (2) they are unquestionably late and untimely.” (ECF No. 130 at 4.) II. APPLICABLE LAW Rule 26 requires a party's initial disclosures to include, among other things, “the identity of any witness [the party] may use at trial to present evidence under Federal Rule of Evidence 702, 703, or 705.” Fed. R. Civ. P.

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