Rives v. University of Tennessee

CourtDistrict Court, E.D. Tennessee
DecidedMarch 18, 2024
Docket3:22-cv-00414
StatusUnknown

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

Bluebook
Rives v. University of Tennessee, (E.D. Tenn. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE KNOXVILLE DIVISION

DYLLAN RIVES and JAMES R. RIVES, ) ) Plaintiffs, ) 3:22-CV-00414-DCLC-JEM ) v. ) ) UNIVERSITY OF TENNESSEE, et al., ) ) Defendants. ) )

MEMORANDUM OPINION AND ORDER Hickory was Plaintiff’s dog. When Hickory became ill, Plaintiffs did everything they could to get him the best veterinary care available. In the process, they spent over $70,000. They trusted the care of Hickory to the Defendants. But when Hickory died two weeks after Defendants discharged him from their care, Plaintiffs sued, alleging various theories of liability, including a deprivation of constitutional rights and property interests, extortion, civil conspiracy and claims of malicious harassment. Defendants have filed a Motion to Dismiss [Doc. 25]. For the reasons that follow, the Court finds Plaintiffs are not entitled to proceed and the First Amended Complaint is DISMISSED WITH PREJUDICE. I. BACKGROUND Hickory was injured in early January 2022 [Doc. 23, ¶ 17]. When his condition deteriorated, Defendant Caitlin McManemon (“McManemon”) saw Hickory at UTSAH on January 11, 2022 and diagnosed him with Myasthenia Gravis (MG), an immune-mediated neuromuscular condition [Doc. 23, ¶¶ 19–25]. UTSAH discharged Hickory on January 13, 2022 with a prescription for a drug known as a Cholinesterase Inhibitor (ChEI) [Doc. 23, ¶¶ 30–31]. Too little ChEIs in patients with MG can lead to respiratory failure; too much, and adverse reactions result [Doc. 23, ¶ 172]. Treating patients with this medication requires finding the right balance [Doc. 23, ¶ 172]. Hickory did well on this medication for a time, but then on January 27 or 28, 2022, he developed symptoms [Doc. 23, ¶¶ 39, 44]. Per McManemon’s instructions, Plaintiff

Dyllan Rives raised Hickory’s dose [Doc. 23, ¶¶ 47, 50]. Hickory got even worse on the higher dose, and even after UTCVM told Dyllan Rives to lower it again, he experienced overdose symptoms [Doc. 23, ¶¶ 52–55, 58–59]. The following morning, Dyllan Rives followed UTSAH’s recommendation to bring Hickory into the hospital to adjust his medication [Doc. 23, ¶¶ 60–61, 63]. The hospital asked for a deposit of a portion of the eventual bill [Doc. 23, ¶ 61]. At some point, Plaintiffs claim, McManemon began “misrepresenting facts” [Doc. 23, ¶ 173]. Nonetheless, from February 5 to February 10, 2022 McManemon reported her efforts to adjust Hickory’s medication [Doc. 23, ¶¶ 65, 92]. She “challenge[d]” him to go without it, confirming he still needed it, then reintroduced it [Doc. 23, ¶¶ 64–67]. Hickory “respond[ed] favorably” [Doc. 23, ¶¶ 67–68]. McManemon then tried dosing him more often, but he began

showing overdose-like symptoms [Doc. 23, ¶¶ 74–78]. However, McManemon stated she did not think he was experiencing an overdose, and that “we just need to play with his dose” [Doc. 23, ¶ 79]. The following day, Hickory received a significantly higher dose before McManemon could examine him, necessitating an antidote and oxygen [Doc. 23, ¶ 82, 84–85]. On February 9, 2022, Dyllan Rives told McManemon she intended to take him to North Carolina State University to receive an alternative treatment [Doc. 23, ¶¶ 87–88]. McManemon expressed concern about transporting Hickory in his condition [Doc. 23, ¶ 90]. Before Dyllan Rives could move Hickory, things took a turn for the worse. That night, McManemon called Dyllan Rives explaining Hickory’s oxygen levels were dropping and he could die without a ventilator [Doc. 23, ¶¶ 92, 95–96]. Dyllan Rives consented to the ventilator [Doc. 23, ¶ 97]. McManemon informed her she should come see Hickory because few animals “with pneumonia” needing ventilation survive [Doc. 23, ¶ 102]. UTCVM called asking for a $6,500 deposit shortly after the visit [Doc. 23, ¶ 108].

Hickory remained on the ventilator and continued receiving ChEIs at what McManemon stated was the “lowest possible dose to prevent respiratory collapse or paralysis” [Doc. 23, ¶ 114]. McManemon updated Plaintiffs again stating Hickory had experienced overdose-like symptoms, but she could not confirm his medication was to blame [Doc. 23, ¶¶ 146–149].1 She requested an additional deposit [Doc. 23, ¶ 151]. Plaintiffs’ counsel Elisa Rives was on the call and noted “while we support Hickory, a blank check [is] not being written for any additional mistakes” [Doc. 23, ¶ 152]. McManemon stated Hickory needed the ventilator because he was “exhausted,” not because his dose was too high [Doc. 23, ¶ 153]. Elisa Rives countered that the antidote Hickory received “is given to counteract the effects of too much . . . [medication] not too little” [Doc. 23, ¶ 154]. Plaintiffs stopped hearing from McManemon after that, but the UTSAH/UTCVM business

office did call to request an additional deposit [Doc. 23, ¶¶ 155, 157]. On February 14, 2022, a resident called to update Plaintiffs [Doc. 23 ¶¶ 162–63]. She explained Hickory had temporarily stopped receiving his medication because he was “not responding” to it, but she stated she wanted to try restarting a lower dose [Doc. 23, ¶ 166, 176]. Because this resident thought Hickory needed a lower dose, Plaintiffs assert McManemon was lying when she said Hickory was on the lowest possible dose [Doc. 23, ¶¶ 168–73]. Plaintiffs arranged a meeting with emergency care employees [Doc. 23, ¶¶ 177–78].

1 According to the Amended Complaint, signs of an overdose include salivation, lacrimation, urination, and diarrhea [Doc. 23, ¶ 111 n. 11]. During that meeting, “Dyllan Rives stated Hickory was on the ventilator because of [an overdose] and not because of pneumonia,” and employees familiar with Hickory’s care “nodded in agreement” [Doc. 23, ¶ 180]. Plaintiffs therefore claim McManemon “misrepresented” why Hickory was on the ventilator when she stated it was because of pneumonia [Doc. 23, ¶¶ 181–83].

They also claim Hickory’s veterinarians stated his “breathing tests had always been with pressure support,” whereas clinical notes stated he “breathed on his o[w]n during trial without ventilation” [Doc. 23, ¶¶ 185–86]. Though Elisa Rives stated at the meeting “the goal was to get Hickory off the ventilator as soon as possible,” Plaintiffs claim Defendants failed to properly calibrate Hickory’s medication dose, prolonging his time on the ventilator [Doc. 23, ¶¶ 195, 245]. At a subsequent meeting, [see Doc. 23, ¶¶ 201–02], Defendant Juergen Schumacher (“Schumacher”), head of UTSAH, asked “what’s the time line here?” and noted “you can keep him (Hickory) alive on the ventilator indefinitely, but that is not life . . .” [Doc. 23, ¶ 210–11]. Dyllan Rives replied “there is no time line” [Doc. 23, ¶ 214]. After Defendants requested two additional deposits, [see Doc. 23, ¶¶ 243, 250], Dyllan

Rives sought a “financial arrangement” [Doc. 23, ¶ 256]. But Defendant Leslie Wereszczak (“Wereszczak”) purportedly told Plaintiffs “you have to understand it from a business side, we have many owners who tell us money is not an issue, but we have to constantly ask for half the deposit because if the animal dies then we are left with the bill” [Doc. 23, ¶ 262]. Dyllan and Elisa Rives visited UTSAH again and this time noticed the police were present [Doc. 23, ¶¶ 278–80]. After informing Wereszczak she was an attorney representing Dyllan Rives, Elisa Rives asked Wereszczak about the comment she made about deposits, and she “vehemently, ang[ri]ly, and loudly” denied having made it [Doc. 23, ¶¶ 287–88]. Police escorted Dyllan and Elisa Rives out of the room [Doc. 23, ¶ 290]. Dyllan Rives paid another deposit [Doc. 23, ¶ 293]. The next day, Dyllan Rives called the police herself, but instead of responding to her, they responded to the UTSAH front desk to a call concerning “two possibly ‘disturbed individuals’” [Doc. 23, ¶¶ 294–95]. Starting March 1, 2022, Hickory returned to an earlier dose of his medication, and he came

off the ventilator on March 3, 2022 [Doc.

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