Ramirez v. Barajas CA4/2

California Court of Appeal·Decided September 13, 2021·No. E071558·Unpublished

Opinion

Filed 9/13/21 Ramirez v. Barajas CA4/2

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION TWO

FRANCISCO ROMEO RAMIREZ, Plaintiff and Appellant, E071558 v. (Super.Ct.No. CIVDS1516561) ISAOLE BARAJAS et al., OPINION Defendants and Appellants.

APPEAL from the Superior Court of San Bernardino County. John M. Pacheco, Judge. Affirmed; cross-appeal dismissed.

Wilshire Law Firm and Daniel B. Miller for Plaintiff and Appellant, Francisco Romeo Ramirez.

Kinkle, Rodiger and Spriggs, Scott B. Spriggs, and Ronald R. Carlson for Defendants and Appellants, Isaole Barajas and Star Auto Parts, Inc.

Plaintiff Francisco Ramirez appeals from the judgment after a jury trial on his personal injury claim. Plaintiff sued Isaole Barajas and her employer, Star Auto Parts, Inc., (defendants) for $1.4 million in damages after Barajas rear-ended another person’s car, causing it to hit the back of his pickup truck. Defendants admitted negligence but contested causation and damages, and two months before trial, plaintiff rejected their settlement offer of $350,000. (Code Civ. Proc., § 998, unlabeled statutory citations refer to this code.) Ultimately, the jury concluded defendants were responsible for some but not all of plaintiff’s medical costs (he had shoulder and neck surgery after the accident), awarding him a total of $58,311.77.

Plaintiff challenges the damage award, arguing it is contrary to the law on exacerbating a preexisting condition because the evidence the accident worsened his existing shoulder injury was undisputed. He also argues the trial court committed reversible error by excluding two documents he intended to use to impeach defendants’ orthopedic expert. In addition, defendants have filed a cross-appeal of the section 998 award, arguing the trial court improperly taxed the majority of their costs.

We conclude plaintiff’s arguments lack merit and defendants’ cross-appeal is untimely. We therefore affirm the judgment and dismiss the cross-appeal for lack of jurisdiction.

I

FACTS

A. The Accident and Subsequent Medical Treatment In November 2014, Barajas was on delivery for her employer when she caused a rear-end collision involving three cars. She tried to change lanes but didn’t see there was a construction zone ahead and the cars in front of her had stopped. Her subcompact Ford Fiesta rear-ended another subcompact car (a Chevy Aveo) at about 50 miles per hour, which caused that car to collide with plaintiff’s pickup truck (a Nissan Frontier) at about 17 miles per hour. Plaintiff had been looking in his rearview mirror and saw the first collision happen so he braced for the impact by putting his foot on the brake and hands on the steering wheel.

After the accident, plaintiff made sure his two sons weren’t hurt, then got out of his truck to check on the other two drivers, who were also okay but Barajas was crying and apologizing. Plaintiff told her accidents happen and it was a good thing no one was hurt. When the police arrived, plaintiff declined medical treatment but mentioned he had some pain in his shoulder and neck. He drove away from the accident and took his sons to lunch before going home. The cost of repairing his truck was $772 for parts and $2,507 for labor.

The accident happened on Friday afternoon. Plaintiff said he felt some pain over the weekend and took two ibuprofen. On Sunday, he hired an attorney, who referred him to a chiropractor. The chiropractor diagnosed plaintiff with a cervical spine sprain or

strain and treated him for about 20 sessions. The chiropractor’s final assessment report, dated January 2015, says plaintiff’s neck pain had “resolved with full range of motion.” At trial, the chiropractor said the diagnostic test he performed on plaintiff’s neck did not indicate radiculopathy (or nerve injury).

In February 2015, plaintiff had surgery on his right shoulder to repair a tear in his labrum (bone socket tissue) commonly referred to as a “SLAP” tear (which stands for “superior labrum anterior to posterior”). In May 2015, he began receiving cervical injections for renewed pain in his neck and, in April 2016, underwent surgical discectomy and fusion of his fifth and sixth cervical vertebrae (C5 and C6).

Plaintiff was 39 years old at the time of the accident and was between jobs. His most recent employment was in 2012, working in construction as a stone setter, a job that required him and his partner to lift 100- to 200-pound stones on a routine basis.

B. Expert Testimony Both sides presented medical and accident reconstruction experts to express their views on the severity of the accident and whether it necessitated the treatment plaintiff had received. It was undisputed that the Delta-V of plaintiff’s truck (the change in speed from the impact) was between seven and eight miles per hour. It was also undisputed that the labral tear in plaintiff’s right shoulder was a preexisting condition and was not caused by the accident. As defendants’ radiologist explained, the presence of a sizable cyst near

1A sprain is an injury to the tissue or tendons that connect two bones together, whereas a strain is an injury to muscle or the tendons that attach muscle to bone.

the tear (caused by joint fluid seeping into the injury) meant the tear had occurred a few years before the accident—either from one movement or repetition over time.

Where the experts disagreed was whether the accident necessitated either surgery.

Plaintiff’s experts believed the accident had exacerbated the tear to the point it required surgery and had caused a disc injury to plaintiff’s neck. Plaintiff’s radiology expert could not say whether the abnormalities in plaintiff’s cervical discs that were present in his postaccident MRI predated the accident. Dr. Alexander, the orthopedic surgeon who had performed the discectomy and fusion of plaintiff’s C5 and C6 vertebrae, acknowledged that plaintiff’s MRI indicated he was suffering from aging-related disc degeneration, but he believed the accident had caused additional trauma to the discs thereby necessitating surgery.

Defendants’ orthopedic expert, Dr. Bhatia, strongly disagreed with Dr.

Alexander’s opinion and his treatment plan. He said it is virtually impossible in today’s vehicles for a person to suffer a spinal injury from a low speed collision, and that if plaintiff had suffered a disc injury from the accident, he would have immediately felt severe nerve pain in his neck and the pain would have persisted. He believed the surgery Dr. Alexander performed was “absolutely” unnecessary at this stage of plaintiff’s life and that he would have recommended more conservative and less invasive treatment. In his opinion, plaintiff had suffered a cervical sprain from the accident, necessitating precisely the type of treatment the chiropractor had performed. He said the cost of that treatment would typically be $2,000 but could be as high as $4,000.

Defendants’ radiologist believed to a medical certainty that plaintiff’s MRI showed chronic, aging-related degeneration that was actually quite typical for someone plaintiff’s age. He explained that the presence of bone spurs on plaintiff’s cervical vertebrae indicated his discs had been degenerating for years prior to the accident. The fact the discs were bulging rather than herniated also pointed towards a chronic condition as opposed to acute trauma.

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