Haas v. Wyoming Valley Health Care System

465 F. Supp. 2d 429, 2006 U.S. Dist. LEXIS 91111, 2006 WL 3733164
CourtDistrict Court, M.D. Pennsylvania
DecidedDecember 6, 2006
Docket3:03-CV-1966
StatusPublished
Cited by3 cases

This text of 465 F. Supp. 2d 429 (Haas v. Wyoming Valley Health Care System) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Haas v. Wyoming Valley Health Care System, 465 F. Supp. 2d 429, 2006 U.S. Dist. LEXIS 91111, 2006 WL 3733164 (M.D. Pa. 2006).

Opinion

MEMORANDUM

CAPUTO, District Judge.

Presently before the Court is Defendant’s motion for summary judgment pursuant to Federal Rule of Civil Procedure 56. (Doc. 66-1.) For the reasons set forth below, Defendant’s motion will be denied.

This Court has jurisdiction pursuant to 28 U.S.C. § 1331 1 (“federal question”) and 28 U.S.C. § 1343 2 (“civil rights and elective franchise”).

*430 BACKGROUND

Defendant Wyoming Valley Health Care System, Inc. (“WVHCS”) is a not-for-profit healthcare system which operates an acnte-care hospital known as Wilkes-Barre General Hospital (“the Hospital”). (Doc. 70 ¶ 1.) The physicians who perform services at the Hospital are not employees of WVHCS. (Doc. 70 ¶ 3.) In August of 2000, Plaintiff Jonathan Haas (“Dr.Haas”) began the application process to gain privileges as an orthopedic surgeon at the Hospital. (Doc. 70 ¶ 25.) Dr. Haas did not apply for employment with the Hospital itself, nor was he ever employed by the Hospital. (Doc. 70 ¶ 26.) On or about February 27, 2001, following an evaluation by Dr. Matthew Berger, a psychiatrist, Dr. Haas was granted initial appointment to the medical staff at WVHCS. (Doc. 70 ¶¶ 43-45; Doc. 81-14 p. 16 ¶¶ 3-4.) In his application for privileges at WVHCS, Dr. Haas offered no information that he had experienced psychiatric issues in the past or that he presently had such issues at the time of application. (Doc. 70 ¶¶ 29-30.)

On May 23, 2001, Dr. Haas was performing his first unsupervised total knee replacement at the Hospital. (Doc. 70 ¶ 48.) During the course of the surgery, Dr. Haas engaged in admittedly unusual behavior. (Doc. 70 ¶¶ 49-54; Doc. 81-14 pp. 2-3 ¶¶ 48-54.) Defendant contends— and Dr. Haas agrees — that Plaintiff was having a hypomanic episode on May 23, 2001. (Doc. 57 ¶ 57 and Haas Dep. 36:18-19, March 20, 2006.) Defendant claims that Dr. Haas could not remember the names of surgical instruments and was unable to perform the surgery without assistance. (Doc. 70 ¶¶ 61-62.) Several witnesses’ sworn statements support these contentions. (Davenport Dep. 11:1-22, 13:3-12, April 26, 2006; McCarty Dep. 33:25, 34:1-10; Prebish Dep. 25:22-25, 26:1-2, April 14, 2006.) Contrarily, Plaintiff asserts that he was thinking clearly and knew what he was doing, but that he was simply more jovial than usual on this day. (Doc. 81-14 p. 16 ¶ 5; Haas Dep. 36:22-23.)

Following this incident of May 23, 2001, Dr. Haas voluntarily relinquished his hospital privileges at WVHCS for health reasons. (Doc. 70 ¶ 77; Doc. 81-14 p. 18 ¶ 15.) Plaintiff met with Dr. Berger several times in the period after this incident. (Doc. 70 ¶ 81; Doc. 81-14 p. 18 ¶ 17.) On November 1, 2001, Dr. Berger issued a letter “To whom it may concern” which stated in part that “[a]s to whether Dr. Haas had a psychiatric problem, I am unable to make that determination and say whether a psychiatric problem existed. Therefore, I am unable to psychiatrically clear him.” (Haas Dep. Ex. 19 p. 1.) The letter also states, however, “[that] on interview with me, the patient showed no evidence [of] any Axis I psychiatric disorder. As to Axis II issues, i.e. his personality, the patient does tend to be rather introspective and socially naive in his interactions. However, I do not believe that this reaches the threshold which could be considered a disorder and/or a disease.” (Haas Ex. 19 p. 6.)

On November 6, 2001, the Credentials Committee considered Dr. Haas’ request for reinstatement and issued a letter on this date stating that ‘unequivocal’ clearance from a psychiatrist would be required before they could recommend reinstatement. (Doc. 70 ¶ 86; Doc. 81-14 p. 19 ¶ 19.) Subsequently, Dr. Haas consulted with another psychiatrist, Dr. Kelly Felins. (Doc. 70 ¶ 87; Doc. 81-14 p. 19 ¶20.) Dr. Felins conducted three 45-minute sessions *431 on Dr. Haas, and concluded in her report dated June 26, 2002 that there was no evidence of any Axis I disorder, including bipolar disorder or schizophrenia, and that Dr. Haas was not delusional, although Dr. Felins stopped short of providing unconditional psychiatric clearance at that time. (Doc. 70 ¶ 88; Doc. 81-14 p. 19 ¶ 20.) Dr. Felins thereafter suggested that Dr. Haas see a male psychiatrist — which whom she felt he would have better progress — and recommended Dr. Dominick Mazza. (Doc. 70 ¶ 89.) Dr. Haas soon after began to meet with Dr. Mazza on a weekly basis. (Doc. 70 ¶ 90; Doc. 81-14 p. 20 ¶ 21.)

On November 4, 2002, Dr. Felins provided a report to the Credentials Committee, indicating that Dr. Haas had attended weekly psychotherapy with Dr. Mazza, and concluding that Dr. Haas’ disorder was stable and in no way should interfere with his ability to return to work. (Haas Ex. 24; Doc. 70 ¶ 100; Doc. 81-14 p. 20 ¶ 21.) Dr. Felins continued in the letter to “recommend strongly that [Dr. Haas] end his voluntary medical leave and return to work without restrictions as soon as possible.” (Id.) On November 27, 2002, Dr. Mazza wrote a letter to WVHCS confirming that Dr. Haas was a patient, and stating that he supported the evaluation made by Dr. Felins in her November 4, 2002 letter. (Haas Ex. 25; Doc. 70 ¶ 101; Doc. 81-14 p. 20 ¶ 22.) After seeking and failing to gain elaboration on these communications, Dr. Thomas Campbell, Vice-President of Medical Affairs for WVHCS, concluded that Dr. Felins’ letter of November 4, 2002 constituted only a recommendation, and not a psychiatric clearance as was required to allow Dr. Haas to return to work. (Doc. 70 ¶¶ 102-07.)

On December 4, 2002, the Credentials Committee met and discussed Dr. Haas’ application for reinstatement. (Doc. 70 ¶ 108; Doc. 81-14 p. 20 ¶26.) At this meeting, it was determined that Dr. Haas should be granted reinstatement, subject to (among others) the stipulations that he was to be accompanied during all surgical procedures by a board-certified orthopedic surgeon — whom Dr. Haas would have to obtain — for a six-month ■ period, and that the WVHCS must receive satisfactory monthly reports from the surgeon supervising Dr. Haas. (Doc. 70 ¶ 111; Doc. 81-14 p. 21 ¶ 27.) Additionally at the December 4th meeting, Dr. Sam DePasquale, an experienced general surgeon and then Chairman of the Credentials Committee, volunteered to supervise Dr. Haas, but the Committee rejected this offer, determining that an orthopedic surgeon should be the supervisor. (Doc. 70 ¶ 110; Doc. 81-14 pp. 21-22 ¶ 29, p. 22 ¶ 30.) These stipulations were included in a letter sent to Dr. Haas dated December 18, 2002. (Haas Ex. 26; Doc. 70 ¶ 124; Doc. 81-14 pp. 23-24 ¶40.)

On June 24, 2003, Dr. Haas advised WVHCS via letter that he believed the stipulations set forth by the Committee pursuant to the December 18, 2002 letter were “unjustified and apparently impossible to comply with” because his efforts to find a supervising surgeon had been unsuccessful. (Haas Ex. 27; Doc. 70 ¶ 128; Doc. 81-14 p. 24 ¶ 41.) Upon learning of Dr. Haas’ objections, the Credentials Committee informed him that he was out of time to appeal the stipulations. (Haas Ex. 27; Doe. 70 ¶ 131; Doc. 81-14 p.

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Haas v. Wyoming Valley Health Care System
553 F. Supp. 2d 390 (M.D. Pennsylvania, 2008)

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Bluebook (online)
465 F. Supp. 2d 429, 2006 U.S. Dist. LEXIS 91111, 2006 WL 3733164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/haas-v-wyoming-valley-health-care-system-pamd-2006.