NITKIN v. MAIN LINE HEALTH

CourtDistrict Court, E.D. Pennsylvania
DecidedOctober 18, 2021
Docket2:20-cv-04825
StatusUnknown

This text of NITKIN v. MAIN LINE HEALTH (NITKIN v. MAIN LINE HEALTH) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
NITKIN v. MAIN LINE HEALTH, (E.D. Pa. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

APRIL NITKIN, CIVIL ACTION

Plaintiff, NO. 20-4825-KSM v.

MAIN LINE HEALTH d/b/a BRYN MAWR HOSPITAL,

Defendant.

MEMORANDUM

Marston, J. October 18, 2021

Plaintiff April Nitkin has sued her former employer, Defendant Main Line Health d/b/a Bryn Mawr Hospital (“MLH”), alleging that MLH discriminated against her after she reported Dr. Karl Ahlswede, a doctor with whom she practiced, for fraudulent billing and for making inappropriate comments of a sexual nature. (Doc. No. 1.) Nitkin—who alleges that she was fired after discussing MLH’s investigation into Ahlswede’s conduct with her colleagues—seeks relief under Title VII of the Civil Rights Act of 1964 (“Title VII”) and the Pennsylvania Human Relations Act (“PHRA”) and asserts claims for hostile work environment and retaliation. (Id.) Nitkin also brings a wrongful termination claim under Pennsylvania law. (Id.) MLH has filed a motion for summary judgment, arguing that Nitkin’s hostile work environment claim must fail because she cannot show that Ahlswede’s sexually harassing conduct was severe or pervasive, and even if it were, she cannot hold MLH liable under a theory of respondeat superior; that Nitkin’s retaliation claim is subject to dismissal because she has failed to demonstrate that she suffered an adverse employment action or causation; and that Nitkin’s wrongful termination claim fails under state law because she does not identify any public policy on which the claim is based. (Doc. Nos. 22, 25.) Nitkin opposes the motion. (Doc. No. 27.) For the reasons that follow, the motion is granted in part and denied in part. I. Factual Background

Taking the facts in the light most favorable to Nitkin, the relevant facts are as follows. A. Nitkin’s Work at MLH MLH is a not-for-profit health system comprised of four acute care hospitals—Lankenau Medical Center, Bryn Mawr Hospital, Paoli Hospital, and Riddle Hospital—and Bryn Mawr Rehabilitation Hospital. (Doc. No. 22-2 at ¶ 1; Doc. No. 23 at ¶ 1.) MLH hired Nitkin as a Certified Registered Nurse Practitioner (“CRNP”) in January 2016. (Doc. No. 22-2 at ¶ 2; Doc. No. 23 at ¶ 2.) Nitkin served on the palliative care team. (Doc. No. 22-2 at ¶ 3; Doc. No. 23 at ¶ 3.) The palliative care team works with seriously ill patients, recommending ways to alleviate and

manage pain and symptoms and reducing patients’ physical and emotional suffering, among other things. (Doc. No. 22-2 at ¶¶ 4–5; Doc. No. 23 at ¶¶ 4–5.) As a nurse practitioner on the team, Nitkin was responsible for working with the collaborating physician to reduce patient suffering, manage patient systems, and discuss goals with patients. (Doc. No. 22-2 at ¶ 6; Doc. No. 23 at ¶ 6.) One such physician was Dr. Karl Ahlswede, the Medical Director of the Palliative Care Team. (Doc. No. 22-2 at ¶ 6; Doc. No. 23 at ¶ 6.) B. Ahlswede Leads Weekly Team Meetings Every Tuesday, nurse practitioners, nurses, and physicians on the palliative care team who were assigned to work that day would attend an interdisciplinary meeting to discuss the patient list and any pressing issues. (Doc. No. 22-1 at ¶¶ 12–13; Doc. No. 23 at ¶¶ 12–13.) During these meetings, Ahlswede would bring up topics unrelated to work and patient care, such as “his substance misuse history, his beliefs on treating patients with substance misuse,” his wife, his family, and his upbringing. (Doc. No. 22-3, Ex. B, Nitkin Dep. at 80:22–81:15 (“[S]ometimes we would call it, like, his battle stories with opioid[s] and some of the things that

he had done while on opioids.”); see also id. at 82:1–82:2 (“He would disclose a lot of personal information.”), 82:13–15.) Ahlswede “would [also] sometimes put people on the spot” and talk about their personal lives, such as their dating lives and/or past traumas. (Id. at 81:16–21; see also id. at 84:12–88:2 (testifying that others would join in on the discussions Ahlswede led, including a coworker who talked about being sexually assaulted in the past), 88:13–20 (“Karl was discussing [a coworker’s] dating life and how she was going through a breakup, and he was telling her in front of the group what she needs to do to basically find the right person and how she should proceed with the breakup and dating.”).) Nitkin described the meetings as “look[ing] a lot like group therapy” and noted that

“[o]ften people would cry during these meetings.” (Id. at 81:22–24, 88:3–12; see also id. at 88:13–20 (testifying that a coworker cried during a meeting when Ahlswede was discussing her dating life and breakup), 89:2–23 (testifying that that same coworker cried during a meeting when Ahlswede publicly said he did not want her writing emails to everyone about being short- staffed on the weekends because it undermined him), 89:24–90:20, 91:2–11 (testifying that another coworker cried “pretty much anytime Karl would talk about the abuse that he had from his father” and he pointed out that “she was especially sensitive to this” because of “her relationship with her [own] father”).) Ahlswede “would sometimes cry during these meetings,” too. (Id. at 81:24–82:1.) Nitkin testified that the interdisciplinary meetings strayed from work-related topics about 25% of the time. (Id. at 91:24–92:2 (“So, the interdisciplinary meeting occurred every week. And it did not turn into that every week, but I would say one out of four would have some kind of spinoff in that direction.”).) The meetings also veered into sexually inappropriate territory about 12% of the time. (Id. at 92:19–24 (Q: If one in every four of these interdisciplinary

meetings departed from the topic of patient care, of those how many from your recollection became ones in which a sexual topic was discussed? A: Probably about half of those.”).) Nitkin testified that she could not recount “each and every sexual thing” Ahlswede said during these meetings “because there were so many that I am sure some will slip through.” (Id. at 94:9–17; see also id. at 95:18–19 (“So to give you every single instance, I can’t. It was too enumerable.”).) As for specific examples, Nitkin testified that Ahlswede would talk “about women and the power that every woman has over every man because they can use sex as a weapon.” (Id. at 82:3–6; see also id. at 95:11–17 (testifying that at lunch, Ahlswede would joke, “Oh, you women, you need to get together. You can have anything you want from your

husbands or any man, because you can just withhold sex. You should talk to Sandy [my wife]. She does that.”).) Ahlswede joked about “want[ing] more sex from his wife,” who also worked for MLH. (Id. at 82:7–9.) And Ahlswede “talked about his prostatitis” and “joke[d] about how that was due to having sex with loose women.” (Id. at 82:10–12; see also id. at 95:19–23 (“A lot of jokes about his prostate when his prostate would act up. He would make jokes about his wife Sandy being a loose woman, and that he had sex with loose women.”).) Additionally, after the holidays, Ahlswede mentioned that he had received a candle from his wife and said, “And it’s my favorite, because it really sets the scene for sex. And I believe she gave it to me to insinuate that we were going to have sex. And that’s the best gift.” (Id. at 94:17–95:6.) Ahlswede also recounted that years before he had babysat a young girl who took her clothes off and wanted to act like tigers. (Id. at 96:2–14.) He told the team “that he had retold the story to someone and said, ‘Oh, I had a date with a woman, and she took all her clothes off and wanted to act like a tiger,’” and “then later on said, ‘Ha, ha. I was baby-sitting a young girl.” (Id.) Ahlswede later mentioned this story “in an atmosphere where he had someone

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