George W. Giles v. Carmi flavor and Frangrance Company, Inc.

475 S.W.3d 184, 2015 Mo. App. LEXIS 965, 2015 WL 5579420
CourtMissouri Court of Appeals
DecidedSeptember 22, 2015
DocketWD77952
StatusPublished
Cited by6 cases

This text of 475 S.W.3d 184 (George W. Giles v. Carmi flavor and Frangrance Company, Inc.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
George W. Giles v. Carmi flavor and Frangrance Company, Inc., 475 S.W.3d 184, 2015 Mo. App. LEXIS 965, 2015 WL 5579420 (Mo. Ct. App. 2015).

Opinion

*185 Gary D. Witt, Judge

Appellant George W. Giles (“Giles”) appeals from the entry of summary judgment in favor of his former employer, Respondent Ventura Foods, 1 as well as several entities that Giles alleged designed, manufactured, ánd/or sold the product that caused his medical condition while he was employed' at Ventura Foods (collectively “Respondents”). 2 Because a genuine issue of material fact remains as to when Giles’s injury was capable' of ascertainment, we reverse.

Factual and Procedural History 3

Giles worked at Respondent Ventura Foods’s facility in St. Joseph from September 1, 1997 until May 30, 2003. During the entire time that he worked as a'maintenance worker and welder, Giles was exposed to diacetyl, which is a chemical that was used in butter flavoring. Giles alleges that diacetyl is a strong irritant when inhaled. Giles began to experience difficulty breathing, including shortness of breath, coughing, and wheezing, approximately two years after he began working at Ven-tura Foods.

In June 2001, Giles was referred by his primary care physician to board-certified pulmonologist Dr. Mark Yagan (“Dr. Ya-gan”). Giles- saw Dr. Yagan several times in mid-to-late 2001 and on January 2, 2002. At some point during treatment, Dr. Ya-gan learned that Giles welded equipment which processed butter - flavoring and learned of a potential connection to' the flavoring and lung disease. Both Giles and Dr. Yagan saw at least one newspaper article about the possible connection between butter flavoring and certain lung diseases. The information was reported in the newspaper after a cluster of bronchioli-tis obliterans cases occurred at a microwave popcorn plant in Jasper, Missouri, where butter flavoring containing diacetyl were used.

At an appointment on October 17, 2001, Dr. Yagan noted that Giles’s presentation was not similar to the presentation of the workers in the Jasper plant who were diagnoséd with the butter-flavoring caused lung disease. Sometime later that’ month, Dr.' Yagan had a telephone conversation with Dr. Alan Parmet (“Dr. Parmet”), an occupational physician, about a different patient. As an aside, Dr. Yagan asked Dr. Parmet about Giles’s case. Dr. Yagan wrote down the word “diacetyl” and noted there was a possibility of workplace exposure. As of at least October 31, 2001, Dr. Yagan believed that there may have been a possibility that Giles’s lung condition could be related to his work. He noted in his medical records that he was concerned that Giles has an occupational-induced ill *186 ness perhaps due to diacetyl. Specifically, Dr. Yagan wondered whether Giles was developing obstructive bronchiolitis obli-terans or an interstitial lung disease.

Although the record is not clear as to the specifics, either Dr. Yagan or Giles sought a Material Safety Data Sheet (“MSDS”) from Ventura Foods, and a copy was faxed to Dr. Yagan. The MSDS confirmed that diacetyl was present in Giles’s workplace.' The MSDS did not say the product would cause lung disease. Giles asked employees and representatives of Ventura Foods whether the same ingredients used in the microwave popcorn plant in Jasper that were causing workers lung disease were used at. the Ventura Foods plant. Giles was assured by management that the amount of diacetyl used at the Ventura Foods plant was so "small that it could not cause injury, particularly since he did not handle the product.

Dr, Yagan placed Giles, on medical leave for four weeks to assess whether removal from the- workplace would improve his symptoms. ■ On October 30, 2001, Giles submitted a request under the Family and Medical Leave Act stating that the doctor wants “to see if something at work is causing my lung to be irritated, and inflamed,” Dr. Yagan also informed Giles’s primary care physician that Giles’s symptoms were potentially caused by workplace exposure to diacetyl.

Giles began showing improvement while he was away from work while taking less prednisone, 4 so Dr. Yagan initially thought that the- variable that was different was not being at work. Dr. Yagan noted that the only way to prove that' the butter flavoring was causing the condition was to taper Giles ,off of steroids and monitor him. If he “is doing okay then I will expose him to work again and see if the cough comes back” (emphasis added). But keeping Giles out of work did not make the condition go away, and in November of 2001, Dr. Yagan noted that this makes the occupationally induced disease “less likely.” When asked whether it was his plan to “try to rule it out altogether,” Dr. Yagan stated that “if his cough wasn’t getting better I was going to keep pursuing all possibilities” (emphasis added). On January 2, 2002, Dr. Yagan performed a medical test (a methacholine challenge) which came back positive for asthma. That too made it less likely to Dr. Yagan that Giles had bronchiolitis obliterans, the lung disease caused by exposure to diacetyl. Additionally, Dr. Yagan ruled out interstitial lung disease. He communicated to Giles that his symptoms were caused by asthma which was flared up by sinusitis.

Also on January 2, 2002, Dr. Yagan cleared Giles to return to work. Dr. Ya-gan had-not ruled out occupational exposure and believed further follow up was necessary for a complete diagnosis, though he did not tell Giles this at the last appointment. Dr. Yagan testified, however, that if he had thought that there was “a serious consideration that Mr. Giles had occupational lung disease,” then he would not have cleared him to return to work. Additionally, Dr. Yagan did not place any restrictions on Giles returning to work. Giles did not return to see Dr. Yagan because it seemed to him that prednisone was controlling his breathing problems (thus he saw “no sense to go back to him”) and because he had no health insurance at the time.

On April 21, 2004, Giles saw his new primary care physician,' Dr. Renee Clay-camp (“Dr. Claycamp”), because he needed refills for his asthma medication. Dr. Claycamp referred Giles to a second pul- *187 monologist, Dr. Nancy Brecheisen (“Dr. Brecheisen”), who examined Giles on November 30, 2005. Giles told this doctor that he had worked at Ventura Foods, and related that he had been exposed to butter flavoring, which had been problematic for workers in a, popcorn plant in southern Missouri. Although Dr. Brecheisen included Giles’s concern in her treatment notes, after her examination, she was not able to diagnose Giles with anything other than asthma, a component of which was reversible, and dyspnea. Specifically, in her “ASSESSMENT” of Giles, she stated:

1. Mr. Giles is a 45-year-old male with asthma despite persistent use of steroids for the last four years. He still has a component of reversible disease present.
2. Dyspnea, likely secondary to incompletely treated asthma.
3. History of Wolf-Parkinson-White cardiac disease.

And in her “RECOMMENDATIONS” for Giles, she stated:

1.

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475 S.W.3d 184, 2015 Mo. App. LEXIS 965, 2015 WL 5579420, Counsel Stack Legal Research, https://law.counselstack.com/opinion/george-w-giles-v-carmi-flavor-and-frangrance-company-inc-moctapp-2015.