Ross Christensen v. Union Pacific Railroad Co.

Court of Appeals for the Eighth Circuit·Decided August 11, 2026·No. 25-2173·Published

Opinion

United States Court of Appeals For the Eighth Circuit

No. 25-2173

Ross Christensen

Plaintiff - Appellant

v.

Union Pacific Railroad Co.

Defendant - Appellee

Appeal from United States District Court for the District of Nebraska - Omaha

Submitted: May 12, 2026 Filed: August 11, 2026

Before COLLOTON, Chief Judge, SHEPHERD and KOBES, Circuit Judges.

SHEPHERD, Circuit Judge.

Ross Christensen worked for Union Pacific Railroad Co. (Union Pacific) as a conductor for over ten years. His job entailed, among other things, operating and moving trains and performing switching operations. After Christensen suffered an ischemic stroke in 2015, Union Pacific did not permit him to return to work as a conductor. So Christensen sued Union Pacific, asserting a disparate treatment claim

under the Americans with Disabilities Act (ADA). The district court1 granted summary judgment in Union Pacific’s favor. Christensen appeals. Having jurisdiction under 28 U.S.C. § 1291, we affirm.

I.

On January 9, 2015, while at home and off duty, Christensen suffered a stroke and lost consciousness. He went to the hospital, where he was diagnosed with aphasia and right hemiparesis. Later, Christensen was transferred to a second hospital, where he was diagnosed with atrial fibrillation, among other conditions. Christensen received medications to address the blood clots that caused the stroke; those medications apparently caused minor bleeding in his brain.

By all accounts, Christensen recovered well. Within four days, most of his neurological symptoms had disappeared. And Dr. Kevin Call, Christensen’s treating neurologist, cleared Christensen to return to his work as a conductor by the end of February 2015.

Christensen underwent three electrical cardioversion procedures on February 24, 2015, to resolve his atrial fibrillation, the condition that predisposed him to strokes. These procedures did not succeed, so Christensen’s cardiologist, Dr. David Cragun, referred Christensen to an electrophysiologist, Dr. David Wang. On March 3, 2015, Dr. Cragun cleared Christensen to return to work. Roughly two months later, on April 30, 2015, Dr. Wang performed a successful ablation procedure, restoring Christensen’s heartbeat to a normal rhythm.

Because Christensen suffered a stroke, Union Pacific’s Health and Medical Services (HMS) department required him to submit to a medical fitness-for-duty evaluation and requested his medical records. Christensen promptly provided them.

1 The Honorable Robert F. Rossiter, Jr., United States District Judge for the District of Nebraska.

Two physicians—Dr. John Holland and Dr. John Charbonneau, Union Pacific’s Chief Medical Officer—reviewed Christensen’s records. After that review, Dr. Charbonneau decided to impose one-year sudden-incapacitation restrictions on Christensen’s work. Those restrictions prevented Christensen from, among other things, operating company vehicles and machinery and working on or near moving trains. In view of these restrictions, Christensen could not work as a conductor. Union Pacific told Christensen that it could revisit these restrictions one year after the date of Christensen’s stroke—i.e., January 9, 2016. Dr. Charbonneau noted that before Union Pacific would let Christensen return to work, it would require that Christensen submit updated medical records, undergo a further fitness-for-duty evaluation, and remain neurologic-event free.

In December 2015, Christensen began the return-to-work process. He provided Union Pacific with updated medical records, which included exam notes from an additional physician, Dr. Mohammad Entezari-Taher. Those notes described Christensen’s recovery as “excellent” and acknowledged that while Christensen was experiencing “[m]ild clumsiness in [his] right hand,” his balance and walking were normal. Dr. Entezari-Taher concluded that Christensen was generally strong and neurologically capable of driving commercially. Christensen’s records further indicated that he had not suffered a further neurologic event following his January 2015 stroke.

Dr. Holland performed a further fitness-for-duty evaluation. As a result of that evaluation, he concluded that Christensen “ha[d] an unacceptable risk for future seizure relating to his history of stroke and intracerebral hemorrhage.” Dr. Holland explained:

The scientific literature documents that persons such as Mr. Christensen, who has had a stroke and/or intracerebral hemorrhage in the cortical or sub-cortical areas of the brain, have substantially increased risk for future seizures, due to damage to the brain tissue caused by the stroke hemorrhage. Mr. Christensen’s stroke and intracerebral hemorrhages were in the parietal and temporal lobes,

which are parts of the brain cortex. With these types of brain injury, the risk for future seizures exists even if the person has not already had a seizure. However, if the person remains seizure free and off of all anti-seizure drugs for 5 years after the stroke, then the statistical risk for a future seizure declines to an acceptable risk level for safety critical positions (i.e., less than 1% per year occurrence rate).

Based on this scientific evidence about the risk of seizures after a cortical stroke and/or intracerebral hemorrhages, the evidence based risk assessments and guidance documents from the Federal Motor Carrier Safety Administration (FMCSA) state a commercial driver that has had either of these conditions should be prohibited from driving commercial vehicles for at least 5 years. FMCSA guidance documents also state the person may return to commercial driving if the individual has no history of interval strokes, TIAs[,] or seizures, and a current thorough medical evaluation shows no risk factors for these neurological events, and no ongoing functional impairment. HMS considers these recommendations of FMCSA to be evidence-based, and to well characterize risks for sudden incapacitation for work[] in other safety critical positions . . . where the . . . job requirements and safety risks are substantially similar to those of a commercial driver.

Therefore, Mr. Christensen has been given . . . work restrictions for Sudden Incapacitation risks . . . to remain in place for a minimum of five years after his . . . stroke . . . due to his significant and imminent risks for a future stroke, TIA[,] or seizure due to his cortical stroke and intracerebral hemorrhages. In January 2020 these work restrictions may be reviewed and removed . . . .

Dr. Holland called Christensen on March 18, 2016, to discuss Union Pacific’s decision to continue his work restrictions for five years post-stroke. Dr. Holland told Christensen that, while he had originally been placed on restrictions for one year, as was then Union Pacific’s common practice, Union Pacific “ha[d] changed its practice due to updated scientific information about the frequency of seizures after strokes and intracerebral hemorrhage if in the cortical or subcortical regions of the brain.”

Roughly two years later, in February 2018, Christensen asked that Union Pacific reevaluate his work restrictions. Dr. Charbonneau reviewed Christensen’s 2016 fitness-for-duty evaluation and updated medical records and concluded “no basis” existed for removing Christensen’s restrictions. Christensen contends he tried again in 2020 to change Union Pacific’s mind about his work restrictions. Union Pacific states that its practice is not to affirmatively reach out to employees about returning to work as their return-to-work dates approach; instead, Union Pacific waits for employees to reach out. Union Pacific contends that it has no record of Christensen’s 2020 return-to-work request.

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Ross Christensen v. Union Pacific Railroad Co., (8th Cir. 2026).

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