Koel v. Citizens Medical Center, Inc.

District Court, D. Kansas·Decided May 12, 2023·No. 2:21-cv-02166·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS

RICKY KOEL, ) ) Plaintiff, ) ) v. ) Case No. 21-cv-2166-HLT-TJJ ) CITIZENS MEDICAL CENTER, INC., ) DANIEL P. KUHLMAN, M.D., ) SAM R. FUNK, O.D., P.A., and ) SAM RODGER FUNK, O.D., ) ) Defendants. )

MEMORANDUM AND ORDER This matter is before the Court on Plaintiff’s Motion to Strike Defendant Dr. Funk’s New and Undisclosed Expert Opinion by Dr. Cestari, or in the Alternative, Motion to Extend Deadline for Plaintiff’s Rebuttal Expert Disclosures (ECF No. 102). Pursuant to Federal Rules of Civil Procedure 26(a)(2)(A), 26(a)(2)(D), and 37(c), Plaintiff asks the Court to enter an order striking Dr. Cestari’s theory of causation based on “traumatic optic neuropathy” (“TON”). Plaintiff argues Dr. Cestari’s new theory of causation was not properly and timely disclosed under Fed. R. Civ. P. 26 and the Court’s Scheduling Order, and the late disclosure of Dr. Cestari’s TON theory of causation of Plaintiff’s blindness is a surprise and prejudicial to Plaintiff given the late stage of discovery. Defendants argue the supplementation of Dr. Cestari’s report is timely, and even if the report is untimely, Plaintiff is not prejudiced or surprised by the opinion and the late disclosure is harmless. As set forth below, the Court grants Plaintiff’s motion in part. I. Factual Background The following facts were gleaned from the record in this case. On April 10, 2019, Plaintiff presented to the Emergency Department at Citizens Medical Center (“CMCI”) in Colby, Kansas with a complaint of an injury to the right eye. Plaintiff worked on a local farm when a fence wire snapped, striking his right eye. Dr. Kuhlman, the Emergency Department on-call physician, arrived and ordered a CT scan of Plaintiff’s head and orbits. Dr. Kuhlman called Dr. Funk, a local optometrist, to come to the hospital and examine Plaintiff. Dr. Funk arrived at the hospital and examined Plaintiff’s right eye. Dr. Funk noted

Plaintiff’s pupils were functioning and diagnosed Plaintiff with a “closed” globe. He created a treatment plan involving eye drops and pain medications. Dr. Funk also called a Garden City ophthalmologist, Dr. Fry, to schedule Plaintiff’s next-day appointment for further evaluation. Dr. Funk told Dr. Fry that Plaintiff had a “closed” globe and a negative “Siedel Test.” Dr. Kuhlman was present and did not participate in the discussion. Instead, he left the exam room and attended to other hospital business. Neither Dr. Funk nor Dr. Kuhlman told Dr. Fry about the pending CT scan, and Dr. Funk left the hospital before the radiologist interpreted the results. After Dr. Funk left the hospital, the off-site radiologist called Dr. Kuhlman and read Plaintiff’s CT scan results over the phone, stating the results indicated a “possible” ruptured globe.

Dr. Kuhlman did not notify Dr. Funk about the CT scan results, and he did not change Plaintiff’s treatment plan to reflect the results. The hospital discharged Plaintiff with instructions to see Dr. Fry the next morning. Plaintiff was not given instructions for a ruptured globe, which would have included to maintain bedrest with his right eye facing up and to avoid bending over, straining, and other activities that would further risk injury to the right eye. That night, Plaintiff and his wife drove to Garden City. The next morning, Dr. Fry examined Plaintiff and sent Plaintiff to an emergency eye surgery facility in Wichita. That evening, after examination by an ophthalmologist specializing in eye trauma, Plaintiff underwent surgery to close and repair his ruptured right globe, but he lost vision in his right eye. II. Procedural Background Pursuant to the Third Amended Scheduling Order, the deadline for Plaintiff to disclose his experts was October 10, 2022, the deadline for Defendants to disclose their experts was November 28, 2022, and the deadline for disclosure of rebuttal experts was December 12, 2022.1 The parties’ Expert Discovery deadline was March 30, 2023.2 In addition, the initial Scheduling

Order included the following provision regarding Fed. R. Civ. P. 26(e), requiring final expert supplemental disclosures 40 days before the discovery deadline: Supplementations of those disclosures under Fed. R. Civ. P. 26(e) must be served at such times and under such circumstances as required by that rule. In any event, final supplemental disclosures must be served no later than 40 days before the deadline for completion of all discovery. The supplemental disclosures served 40 days before the deadline for completion of all discovery must identify all witnesses and exhibits that probably or even might be used at trial. The opposing party and counsel should be placed in a realistic position to make judgments about whether to take a particular deposition or pursue follow-up “written” discovery before the time allowed for discovery expires.3

On October 10, 2022, Plaintiff timely disclosed seven expert witnesses, two of whom were eye surgeons: Dr. Wong and Dr. Lefkowitz. The expert reports authored by Dr. Wong and Dr. Leftkowitz opined the cause of Plaintiff’s irreparable injury to the retina resulting in total blindness was the delay in repair of the ruptured globe.4 On November 28, 2022, Defendants timely disclosed four retained experts, one of whom is Dr. Cestari. In Dr. Cestari’s November 27, 2022, expert report, he opined the injury to the retina involved the macula, the injury occurred at the moment of the accident in the field, and the injury was not repairable under any circumstances.

1 ECF No. 41.

2 ECF No. 88.

3 ECF No. 12, ¶ 2c (emphasis added).

4 ECF No. 56. On December 13, 2022, Plaintiff served written expert rebuttal reports of Dr. Wong and Dr. Lefkowitz, purportedly rebutting the opinion that injury to the retina was irreparable as described in Dr. Cestari’s report. It is undisputed that, during his March 23, 2023, deposition, Dr. Cestari disclosed a new theory of causation. Dr. Cestari testified Plaintiff’s blindness could have been caused in part by

“traumatic optic neuropathy” (“TON”), which involves an injury to the optic nerve, not the retina. Dr. Cestari opined the TON likely occurred in the field when the wire hit Plaintiff, TON is irreparable, and the TON in part caused the total blindness in Plaintiff’s right eye.5 In his deposition, Dr. Cestari explained he thought about TON while preparing his report in November but did not think it was sufficiently relevant to include in the report. Then, while preparing for his deposition, including reading an article produced by Plaintiff’s expert along with the depositions of Plaintiff’s experts, Dr. Cestari stated he started to think more about TON and it seemed a reasonable explanation for Plaintiff’s blindness in his right eye. On March 27, 2023, Plaintiff’s expert, Dr. Wong, testified briefly during her deposition

that Plaintiff did not have TON because the medical records and D. Funk’s testimony indicated Plaintiff’s pupils were functioning during Dr. Funk’s slit lamp examination at CMCI on April 10, 2019, which is inconsistent with TON. On March 28, 2023, Plaintiff filed a motion to strike the new TON theory of causation. III. Analysis Plaintiff argues Dr. Cestari’s new TON theory of causation (“new causation theory”) was not properly and timely disclosed under Fed. R. Civ. P. 26 and the Court’s Scheduling Order, and

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Koel v. Citizens Medical Center, Inc., (D. Kan. 2023).

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