George Bello v. United States

Court of Appeals for the Eleventh Circuit·Decided December 6, 2018·No. 18-10367·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 18-10367

Non-Argument Calendar

D.C. Docket No. 8:17-cv-02237-JSM-AAS

GEORGE BELLO, Plaintiff - Appellant,

versus UNITED STATES OF AMERICA,

Defendant - Appellee.

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

(December 6, 2018)

Before TJOFLAT, JORDAN, and NEWSOM, Circuit Judges. PER CURIAM:

George Bello appeals the district court’s order dismissing as time-barred his medical malpractice claim against the United States, filed pursuant to the Federal Tort Claims Act, 28 U.S.C. § 1671–80. After careful review and consideration of the record and parties’ briefs, we affirm.

I

In August of 2014, Mr. Bello was diagnosed with squamous cell cancer of his left eye at the James A. Haley Veterans Hospital (“Haley”) in Tampa, Florida. In November of 2014, Haley physicians commenced a course of chemotherapy eye drops and, approximately seven months later, informed Mr. Bello that his eye was free of cancer. Upon completion of the chemotherapy treatment, however, Mr. Bello complained to his caregivers that his left upper eyelid was drooping, a condition termed ptosis. At the time, Haley caregivers did not investigate or diagnose a cause for this ailment, which persisted for several months.

Unfortunately, in December of 2015, Mr. Bello’s physicians determined that his cancer had progressed to a degree that it was necessary to remove his left eye and the surrounding structures. In March of 2016, Mr. Bello underwent surgery for enucleation and/or exteneration—complete removal—of his left eye, eyelid, and orbit. During a May 12, 2016 meeting with Mr. Bello, Haley physicians confirmed that he would have most likely kept his eye had the cancer been detected sooner.

On or around August 26, 2016, Mr. Bello mailed to the Department of Veterans Affairs (“VA”) Veterans Health Administration at Haley Medical Center an undated Standard Form 95—an administrative claim for damage, injury, or death under the Federal Tort Claims Act (“FTCA”)—along with the progress notes prepared by Haley physicians from their May 12 meeting with Mr. Bello. On March 16, 2017, after settlement discussions failed, the VA Office of Chief Counsel in Saint Petersburg, Florida, sent a letter denying Mr. Bello’s administrative claim.

The March 16 denial letter included detailed instructions for seeking administrative reconsideration of his denied claim. It explained that, to be timely filed, such requests must be received by the VA General Counsel in Washington, D.C., within six months of the denial letter date and may be submitted by mail, fax, or email. It further explained that seeking reconsideration was not necessary, and that Mr. Bello could instead elect to file his lawsuit in an appropriate district court, subject to the six-month limitations period commencing on the date of the denial letter.

Mr. Bello did not seek administrative reconsideration of his claim from the VA. Instead, he hired an attorney who retained a private ophthalmological expert, Tamara R. Fountain, M.D., to evaluate Mr. Bello’s medical records. On June 2, 2017, Mr. Bello mailed a presuit notice of intent to file a lawsuit, pursuant to

Florida Statute § 766.010, to the VA Office of General Counsel in Saint Petersburg. As required by Florida law governing medical malpractice lawsuits, the notice included an affidavit from Dr. Fountain expressing her opinion that Haley physicians were negligent in the care and treatment of Mr. Bello’s eye by failing to diagnose and treat his left eye ptosis following chemotherapy.

On September 27, 2017, Mr. Bello filed his FTCA lawsuit in the Middle District of Florida. Mr. Bello’s complaint alleged that, had Haley physicians properly diagnosed, monitored, and treated the ptosis of his left eye, they would have discovered the return of his cancer earlier and likely avoided the need for surgery. Along with the financial and physical challenges attendant to losing one of his eyes, Mr. Bello claims to have endured significant mental and emotional distress, trauma, and lost enjoyment of his life.

The United States filed a motion to dismiss for failure to state a claim—

specifically, that Mr. Bello did not file his complaint within the six-month limitations period following the VA’s denial of his administrative claim on March 16, 2017. The district court granted the United States’ motion to dismiss. In his appeal, Mr. Bello argues—as he did in the district court—that the complaint was timely filed because the presuit notice of intent to sue was functionally equivalent to a request for reconsideration, and, alternatively, that he is entitled to equitable tolling of the statute of limitations.

II

We review a district court’s dismissal for failure to state a claim under Rule 12(b)(6) de novo, “accepting the complaint’s allegations as true and construing them in the light most favorable to the plaintiff.” Chaparro v. Carnival Corp., 693 F.3d 1333, 1335 (11th Cir. 2012). We review the district court’s factual findings for clear error. Bryant v. Rich, 530 F.3d 1368, 1377 (11th Cir. 2008). Whether equitable tolling applies is a legal question also subject to de novo review. Lawrence v. Florida, 412 F.3d 1221, 1224 (11th Cir. 2005).

A tort claim under the FTCA is “forever barred unless it is presented in writing to the appropriate Federal agency within two years after such claim accrues.” 28 U.S.C. § 2401(b). A tort claim under the FTCA accrues “when the plaintiff knows of both the injury and its cause.” United States v. Kubrick, 444 U.S. 111 (1979). A claim is deemed presented when the appropriate agency receives from the claimant a Standard Form 95 or other written notification of the alleged tortious incident. See 28 C.F.R. § 14.2(a). See also Burchfield v. United States, 168 F.3d 1252, 1254–55 (11th Cir. 1999).

Upon an agency’s denial of a claim, the claimant has six months to request reconsideration. See 28 U.S.C. § 2401(b); 28 C.F.R. § 14.9(b). Upon receiving a

request for reconsideration, the agency has six months to make a final disposition of the claim. A plaintiff then has another six months from the date of final disposition to file a complaint in the appropriate district court. See 28 C.F.R. § 14.9(b). Alternatively, a claimant may forgo a request for reconsideration and file a complaint in district court, subject to the six-month limitations period, which commences on the date of the initial agency denial.

There is no dispute that Mr. Bello timely presented his claim to the VA within the two-year limitations period from the time his medical malpractice claim accrued. And both parties generally agree that Mr. Bello was bound by the six- month limitations period following the VA’s denial of his claim on March 16, 2017, and that his complaint was due on or before September 16, 2017. Mr. Bello argues, however, that the presuit notice of intent to file a lawsuit that he mailed to the VA Office of General Counsel in Saint Petersburg—received June 5, 2017— was tantamount to a request for reconsideration, thus initiating a six-month time frame for the VA to issue a final disposition of the claim. From the end of that limitations period, or from the date of the VA’s final disposition of the request for reconsideration, whichever occurred first, Mr. Bello would have then had another six months to file his complaint.

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