Stephanie Bekker v. Humana Health Plan, Incorporated

229 F.3d 662, 10 Am. Disabilities Cas. (BNA) 1776, 2000 U.S. App. LEXIS 23856
CourtCourt of Appeals for the Seventh Circuit
DecidedSeptember 27, 2000
Docket99-1215, 99-1218
StatusPublished
Cited by50 cases

This text of 229 F.3d 662 (Stephanie Bekker v. Humana Health Plan, Incorporated) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stephanie Bekker v. Humana Health Plan, Incorporated, 229 F.3d 662, 10 Am. Disabilities Cas. (BNA) 1776, 2000 U.S. App. LEXIS 23856 (7th Cir. 2000).

Opinion

RIPPLE, Circuit Judge.

Dr. Stephanie Bekker worked as a physician for Humana Health Plan, Inc. (“Hu-mana”) until Humana discharged her because it had received numerous reports that Dr. Bekker had smelled of alcohol and had exhibited other signs of alcohol use when seeing her patients. After her discharge, Dr. Bekker filed this action against Humana; she alleged that Humana discriminated against her on account of her perceived disability of alcoholism in violation of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12101 et seq. The district court granted summary judgment for Humana. For the reasons set forth in the following opinion, we affirm the judgment of the district court.

I

BACKGROUND

A. Facts 1

Dr. Stephanie Bekker began practicing as an internist at Humana’s Lincoln Park Center in 1983. 2 She worked weekdays and every other Saturday. She also had on-call duty, which required her to work 24-hour shifts three to five times a month. At times, she was the only physician on the premises at the Lincoln Park Center.

1.

In 1990, a nurse at Humana informed the Clinical Director for the Lincoln Park Center, Dr. Thomas, that a rumor was circulating that Dr. Bekker smelled of alcohol while working. Dr. Thomas discussed the rumor with Dr. Bekker. That discussion led to the conclusion that the odor probably was Dr. Bekker’s mouthwash.

In 1995, a patient reported that she had smelled alcohol on Dr. Bekker during her appointment. Dr. Bekker, at Humana’s request, thereafter agreed to undergo an independent clinical evaluation to determine whether she suffered from an alcohol disorder. This evaluation was conducted *665 at Rush-Presbyterian-St. Luke’s Medical Center (“Rush”) and was headed by Dr. Paul Feldman, a physician who specializes in the diagnosis and treatment of substance abuse, particularly substance abuse by physicians. At the completion of the evaluation, Dr. Feldman did not diagnose Dr. Bekker with alcohol abuse or dependence. He did, however, find “indicators suggestive of problematic alcohol usage.” R.56 at 4. One of these indicators was a report from another physician who worked with Dr. Bekker. In this report, Dr. Bekker’s colleague had stated that, while Dr. Bekker was working, he had smelled alcohol on Dr. Bekker’s breath three or four times in the past five years; two of those occasions had occurred in the previous four months. Having found problematic alcohol usage, Dr. Feldman recommended that Dr. Bekker refrain from alcohol for one year and submit to random urine or blood testing to check for the presence of alcohol. Dr. Bekker agreed to the recommended program, refrained from alcohol for one year, and submitted to the random alcohol testing 13 times during that year; all the test results were negative. After the year ended, Dr. Bekker resumed social drinking.

2.

In 1996, another patiént complained that Dr. Bekker had smelled of alcohol during her appointment. When advised of the complaint, Humana’s Director of Employee Health Services/Risk Management, Diane Dusek, initiated an investigation and suspended Dr. Bekker pending the resolution of the investigation.

In her investigation, Dusek spoke first with the patient who had made the complaint. The patient confirmed that Dr. Bekker had smelled of alcohol during her appointment. Also, the patient stated that Dr. Bekker may have smelled of alcohol on a previous visit. Dusek then spoke with Dr. Bekker. In their conversation, Dr. Bekker denied drinking before or during working hours or while she was on call.

The next day, Dr. Bekker again spoke with Dusek and suggested three possible reasons why she may have smelled of alcohol: (1) her face wash contained traces of alcohol, (2) her air freshener may have resembled the scent of alcohol, or (3) when she had recycled some beer bottles, the scent had lingered on her. Dr. Bekker offered to undergo daily alcohol testing to prove that she was not working while under the influence of alcohol. She also volunteered to pay for the cost of the breathalyzer equipment needed to conduct the alcohol testing. Dusek refused her offer but continued her investigation into Dr. Bekker.

Dusek interviewed other staff members at Humana during the course of her investigation. A medical assistant reported that she had smelled alcohol on Dr. Bekker at least once a week, that Dr. Bekker had glassy eyes when the odor was present, and that both patients and employees had commented to her about the odor. A nurse reported that she had smelled alcohol on Dr. Bekker two or three times a week over the previous two years and that patients had commented to her that Dr. Bekker or her examination room had smelled of alcohol. Another employee also reported that Dr. Bekker had smelled of alcohol on at least a weekly basis, that Dr. Bekker’s face was flushed and her eyes were dilated when the odor was present, and that a patient had commented to her that Dr. Bekker smelled of alcohol. Two triage nurses confirmed that they had smelled alcohol on Dr. Bekker and that other employees had spoken of the situation. Another physician reported that a week or two before the investigation, she had smelled an unusual odor on Dr. Bekker and had wondered if it was alcohol.

Humana did not test Dr. Bekker on any of the occasions when she allegedly smelled of alcohol, although testing is the only conclusive means to determine whether the substance that people reported smelling was in fact alcohol. Dusek stated that she found no evidence that Dr. Bekk *666 er consumed alcohol while at work, that she reported to work while impaired by alcohol, or that her professional care was diminished as a result of alcohol impairment. Dusek also admits that she never found evidence that Dr. Bekker actually provided poor patient care or exercised poor medical judgment. Also, Dr. Bekker’s colleague, Dr. Thomas, stated that she did not think that Dr. Bekker ever drank alcohol at work.

Humana’s Vice-President and Medical Director for Chicago, Dr. Ernest Weis, determined that, although Dr. Bekker could be discharged under her employment contract for cause, he would continue her employment if she agreed to certain terms. Under his proposed agreement, Dr. Bekker must (1) submit to a clinical evaluation, (2) attend a prescribed formal recovery program, (3) undergo random alcohol testing for two years, (4) submit all test results and treatment plans to Huma-na’s Employee Health Services, and (5) if she resigned during any treatment, agree to advise any future employer of her condition and to provide reports to Humana regarding her treatment. The agreement also stated that Dr. Bekker would be discharged if she failed to comply with the terms of the agreement, if Humana received any further complaints about Dr. Bekker’s smelling of alcohol, or if Humana determined that Dr. Bekker was using any mood-altering chemicals.

In a meeting on December 6, 1996, Dr. Weis informed Dr. Bekker of these conditions and told her that he believed that she had a drinking problem that required treatment. He advised her that her employment would be continued only if she agreed to his conditions. During the meeting, Dr.

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Bluebook (online)
229 F.3d 662, 10 Am. Disabilities Cas. (BNA) 1776, 2000 U.S. App. LEXIS 23856, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stephanie-bekker-v-humana-health-plan-incorporated-ca7-2000.