Loutos v. Hhs

CourtUnited States Court of Federal Claims
DecidedJune 8, 2016
Docket03-355
StatusUnpublished

This text of Loutos v. Hhs (Loutos v. Hhs) 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
Loutos v. Hhs, (uscfc 2016).

Opinion

In the United States Court of Federal Claims OFFICE OF SPECIAL MASTERS No. 03-355V (Not to be Published)

************************* * PETER LOUTOS, II and * Filed: December 18, 2015 RAMONA LOUTOS, as parents and * natural guardians of P.A.L., III, a minor, * * Special Master Corcoran Petitioners, * * v. * Decision; Interim Costs Award; * Expert Costs; Pro Se Claimant. * SECRETARY OF HEALTH AND * HUMAN SERVICES, * * Respondent. * * *************************

Peter and Ramona Loutos, Port St. Lucie, FL, pro se Petitioners.

Linda S. Renzi, U.S. Dep’t of Justice, Washington, DC, for Respondent.

Decision Granting In Part Interim Costs Award1 On February 19, 2003, Peter and Ramona Loutos, as parents and natural guardians of P.A.L., III, a minor (“P.A.L.”), filed this action seeking compensation under the National Vaccine Injury Compensation Program (the “Vaccine Program” or “Program”).2 ECF No. 1. Petitioners

1 Because this decision contains a reasoned explanation for my actions in this case, I will post it 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 (Dec. 17, 2002) (current version at 44 U.S.C. § 3501 (2014)). As provided by 42 U.S.C. § 300aa- 12(d)(4)(B), however, the parties may object to the published 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. 2 The Vaccine Program comprises Part 2 of the National Childhood Vaccine Injury Act of 1986, Pub. L. No. 99-660, 100 Stat. 3758, codified as amended, 42 U.S.C. §§ 300aa-10 through 34 (2012) (“Vaccine Act” or “the Act”). Individual section references hereafter will be to § 300aa of the Act. allege that P.A.L. developed an autism spectrum disorder (“ASD”) as a result of his receipt of the measles, mumps, and rubella (“MMR”) vaccine and/or thimerosal-containing vaccines received from September of 1998 to December of 1999. An entitlement hearing is set for June of 2016, but Petitioners now seek an interim award of $26,450 for expert-related costs. See Mot. for Interim Payment of Expert Medical Witnesses, dated Dec. 31, 2014 (ECF No. 92) (“Costs App.”). For the reasons stated below, I hereby grant in part and deny in part Petitioners’ request for interim costs, awarding Petitioners $21,950 in interim costs.

Brief Procedural History This matter has been pending for more than ten years. The Loutoses originally filed a short form petition on February 19, 2003, as part of the Omnibus Autism Proceeding (“OAP”). ECF No. 1. Thereafter, Petitioners began filing medical records in support of their claim. See, e.g., ECF Nos. 12, 15, and 19. Following the OAP’s conclusion, on August 25, 2011, Petitioners’ prior counsel filed a status report indicating that Petitioners now intended to allege that P.A.L. suffered from an underlying mitochondrial disorder and had scheduled an initial appointment for testing, in order to evaluate whether such a condition would lead them to amend their claim.3 ECF Nos. 22 and 23. Shortly thereafter, on September 7, 2011, Petitioners’ counsel withdrew from the case, and since that time Petitioners have been pro se litigants.

In 2014, the Loutoses filed two expert reports supporting their causation theory – one from Janet Kern, PhD (Pet’rs’ Ex. 52), and a second from Lisa Rankin, MD (one of P.A.L.’s treating physicians) (Pet’rs’ Ex. 53). ECF No. 82. Dr. Kern (a neuroscientist) opined in her report that P.A.L. suffered an adverse reaction to his vaccination within 48 hours, and that his symptoms subsequently progressed and worsened to include brain damage resulting in a diagnosis of encephalopathy (which she characterized as one of the most commonly reported vaccine adverse events). ECF No. 82-1 at 5-6. She further expressed the view that P.A.L. showed a progressive and sequential pattern of regression into ASD after his vaccinations at 15 months, and that the encephalopathy was a factor in his ASD (along with his mitochondrial dysfunction). Id.

Dr. Rankin’s expert report similarly opines in favor of Petitioners’ causation theory. Before filing an expert report, Dr. Rankin had also provided Petitioners with a “To Whom It May Concern” letter opining that P.A.L. suffered from a mitochondrial dysfunction that had been exacerbated by the MMR vaccine, resulting in his ASD. That letter was filed in August 2012, along with the results of P.A.L.’s mitochondrial dysfunction testing. ECF Nos. 52 and 53.

Petitioners filed the present interim costs application on December 31, 2014. ECF No. 92. Included with the application were expert invoices. Id. at 4-7. Respondent filed a pleading in reaction to Petitioners’ application for interim costs on January 5, 2015, noting that any expert

3 To date, Petitioners have not filed an amended petition in this case.

2 costs award should not be made until after the filing of Respondent’s expert report,4 as well as after the filing of each expert’s curriculum vitae. ECF No. 93. Petitioners subsequently filed a motion on January 15, 2015, for suspension of this proceeding to allow them additional time to find counsel to represent them in this matter (ECF No. 97), and the motion was granted, suspending the case until February 19, 2015 (ECF No. 98).

During the suspension period, this matter was assigned to me. ECF No. 101. Following a status conference on March 10, 2015, I agreed to allow this case to remain suspended to allow Petitioners more time to find counsel, but I instructed Respondent in the intervening period to review and respond substantively to Petitioners’ interim costs application (after Petitioners filed the missing curricula vitae, which they did on March 17, 2015). ECF Nos. 105 and 106. Respondent filed her substantive response on June 3, 2015. ECF No. 112 (“Opp.”). During a subsequent July 13, 2015, status conference, I provided Petitioners with an opportunity to file a reply responding to Respondent’s opposition to their motion for interim costs (ECF No. 115), and they did so on September 22, 2015. ECF No. 118 (“Reply”). This matter is now ripe for resolution.

The Interim Costs Petition and Respondent’s Objections The Loutoses request an interim award of costs totaling $26,450 for work performed by Drs. Kern and Rankin to date. This total sum breaks down to $25,200 for the services of Dr. Kern (based on an hourly rate of $300 per hour for 84 hours of work), and $1,250 for the services of Dr. Rankin (based on an hourly rate of $250 per hour for five hours of work). Petitioners’ initial interim costs application argued that there is a reasonable basis for their claim (based on the submitted medical records) and that their good faith in filing the matter should be presumed. Costs App. at 2. They also contended that this matter has been protracted, and that bearing these expert costs poses an undue burden on them as pro se litigants. Id. at 3.

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