Iannotti v. Secretary of Health and Human Services

CourtUnited States Court of Federal Claims
DecidedJuly 28, 2014
Docket1:12-vv-00782
StatusUnpublished

This text of Iannotti v. Secretary of Health and Human Services (Iannotti v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Iannotti v. Secretary of Health and Human Services, (uscfc 2014).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 12-782V (Filed: July 7, 2014) NOT TO BE PUBLISHED

************************ KENDRA IANNOTTI, * * Special Master Corcoran Petitioner, * * v. * Vaccine Act Interim Fees and Costs; * Withdrawal of Counsel SECRETARY OF HEALTH AND * HUMAN SERVICES, * * Respondent. * * ************************

Ronald C. Homer, Conway, Homer & Chin-Caplan, P.C., Boston, MA, for Petitioner

Gordon Elliot Shemin, U.S. Dep’t of Justice, Washington, DC, for Respondent

DECISION AWARDING INTERIM ATTORNEYS’ FEES AND COSTS 1

In this case under the National Vaccine Injury Compensation Program (hereinafter the “Vaccine Program”), Petitioner Kendra Iannotti requests, pursuant to 42 U.S.C. § 300aa-15(e), an interim award for attorneys’ fees and costs incurred by her counsel in attempting to obtain Program compensation. After careful consideration, I have decided to grant the request for the reasons set forth below.

1 Because this decision contains a reasoned explanation for my action in this case, it will be posted on the United States Court of Federal Claims’ website, in accordance with the E-Government Act of 2002, Pub. L. No. 107-347, § 205, 116 Stat. 2899, 2913 (codified as amended at 44 U.S.C. § 3501 note (2006)). As provided by 42 U.S.C. § 300aa-12(d)(4)(B), however, the parties may object to the posted decision’s inclusion of certain kinds of confidential information. Specifically, under Vaccine Rule 18(b), each party has 14 days within which to request redaction “of any information furnished by that party: (1) that is a trade secret or commercial or financial in substance and is privileged or confidential; or (2) that includes medical files or similar files, the disclosure of which would constitute a clearly unwarranted invasion of privacy.” Vaccine Rule 18(b). Otherwise, the whole decision will be available to the public. (Id).

1 BACKGROUND

Petitioner’s Medical History

On November 13, 2012, Ms. Iannotti, as a pro se litigant, filed a petition under the Vaccine Program alleging that she had developed Guillain-Barré syndrome (“GBS”) after receiving the influenza (“flu”) vaccine on August 19, 2011 (Pet. at 1; Ex. 10). As the medical records filed in the case indicate, Ms. Iannotti presented to Yale-New Haven Hospital on December 5, 2011, at which time she described to her treating physicians “a history of [one] month of progressive muscle weakness” ascending from her legs to her arms. (Ex. 4 at 52; Ex. 9 at 413).

The results of tests performed on Ms. Iannotti at Yale Hospital were consistent with GBS and diabetic polyradiculoneuropathy. (Ex. 9 at 486). Ms. Iannotti was discharged from Yale to Gaylord Hospital in Wallingford, Connecticut on December 9, 2011 with a presumptive diagnosis of post-vaccination GBS versus diabetic polyradiculoneuropathy (taking into account Ms. Iannotti’s reported prior history of Type 1 diabetes). (Ex. 4 at 52-53, 56-57, and 63-64). Treating physicians considered the flu vaccine a potential trigger for Petitioner’s presumed GBS. (Ex. 4 at 56, 63-64). The notes of some treating physicians suggest that, at the outset of diagnosing Ms. Iannotti, they deemed GBS unlikely because the onset of her symptoms was too long after she had received her flu vaccination, and because she denied any antecedent viral infections. (Ex. 9 at 413). 2 GBS was later favored as the most likely diagnosis, however, due to Petitioner’s overall presentation. (Id. at 485-86).

Ms. Iannotti’s subsequent medical history is inconclusive as to whether her illness was in fact GBS related to her August 2011 vaccination. Thus, there are suggestions in the record that the diagnosis of polyradiculoneuropathy attributable to diabetes was the more accurate one. 3 Confirmation of that diagnosis depended on results from an autoimmune blood panel. (Ex. 4 at 197). But Petitioner was later discharged from Gaylord on December 24, 2011 without a definitive diagnosis and with the results of that blood panel test still pending. (Id. at 4, 221). Ultimately, Ms. Iannotti’s medical records from January 6, 2012 reflect a persistent diagnosis of GBS. (Ex. 9 at 562). 4

2 In a treating physician’s differential diagnosis from December 6, 2011, the possibility that Ms. Iannotti had a cyst that became infected was also referenced as a possible trigger for her suspected GBS (Ex. 9 at 443). Ms. Iannotti was treated for a pilonidal cyst on October 26, 2011; though no signs of infection were found, a high risk of infection was noted. (Id. at 999, 1017). 3 Ms. Iannotti’s December 9, 2011 Gaylord admission form specifically indicates the view of the admitting physician that polyradiculoneuropathy was more likely than GBS. (Ex. 4 at 14). Similarly, Gaylord records from December 12, 2011 state, without elaboration, “LE poliradiculo-neuropathy: presumably from diabetes and/or demyelinating process. Doubt GBS.” (Ex. 4 at 197). 4 Only the notes of one record physician, Dr. Boroumand, from July 26, 2012 suggest that GBS was not properly diagnosed. (Ex. 9 at 1036). Dr. Boroumand appears to have reviewed Petitioner’s chart and concluded that her symptoms were at best “certainly consistent” with GBS. Id. This record was later signed by Dr. Oray-Schrom, the attending physician throughout Petitioner’s December 2011 hospitalization at Yale. (Id. at 408, 536, 1036-37).

2 After Ms. Iannotti’s December 2011 GBS diagnosis, the medical records indicate that she continued to suffer from chronic pain and weakness. (Ex. 9 at 1053). Tests to determine the cause of these chronic symptoms are mentioned in the filed records, although the records appear incomplete because they do not set forth the results of such tests. (Id. at 1056, 1085, 1151). Also mentioned but missing from the record are a neurology appointment in February 2012, blood tests conducted on March 21, 2012, and EMG 5 and nerve conduction studies ordered on April 20, 2012. See Id. As of July 2013, Petitioner’s medical history includes “[GBS status post] flu vaccine.” (Id. at 2676). There is no present record of further tests to determine the etiology of her illness.

Procedural History

After filing the petition on her own and representing herself in this matter for several months, Ms. Iannotti retained attorney Ronald C. Homer, who appeared in the action on her behalf on April 8, 2013. (ECF No. 9). With Mr. Homer’s aid Ms. Iannotti obtained by subpoena various medical records to support her claim. (See ECF Nos. 14 and 18). Ten such exhibits were filed in December 2013 (Exs. 1-10; ECF No. 21), although Petitioner later reported that, based on review of these records, she was aware that her filed medical records were incomplete (see March 5, 2014 Status Report (ECF No. 27)).

As of January 2014, Ms. Iannotti was reporting to this forum her expectation that she would soon be filing a Statement of Completion, thus triggering the date for the Respondent’s Rule 4(c) Report. (See January 6, 2014 Status Report (ECF No. 24)). However, in her very next status report, Petitioner stated that her counsel had determined that he would be withdrawing from the action entirely. (ECF No. 27). Mr. Homer has since filed motions both to withdraw as counsel (motion dated May 15, 2014 (ECF No. 34)) and also for an interim award of attorneys’ fees (motion dated April 24, 2014 (ECF No. 30) (“Fee App.”)). The former motion specifically states that Ms. Iannotti now intends to revert to her original pro se status. (ECF No. 34 at 1).

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