Tiziano M. Scarabelli, M.D. v. Kenneth Ellenbogen, M.D.

CourtCourt of Appeals of Virginia
DecidedMay 2, 2023
Docket0421222
StatusPublished

This text of Tiziano M. Scarabelli, M.D. v. Kenneth Ellenbogen, M.D. (Tiziano M. Scarabelli, M.D. v. Kenneth Ellenbogen, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tiziano M. Scarabelli, M.D. v. Kenneth Ellenbogen, M.D., (Va. Ct. App. 2023).

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges O’Brien, Ortiz and Raphael PUBLISHED

Argued at Richmond, Virginia

JOHN E. NESTLER, M.D. AND STEPHANIE CALL, M.D.

v. Record No. 0497-22-2

TIZIANO SCARABELLI, M.D., HARRIS D. BUTLER, III AND BUTLER CURWOOD, PLC OPINION BY JUDGE DANIEL E. ORTIZ TIZIANO M. SCARABELLI, M.D. MAY 2, 2023

v. Record No. 0421-22-2

KENNETH ELLENBOGEN, M.D., ANTONIO ABBATE, M.D., STEPHANIE CALL, M.D. AND MCV ASSOCIATED PHYSICIANS

FROM THE CIRCUIT COURT OF THE CITY OF RICHMOND Phillip L. Hairston, Judge

Charles M. Sims (Charles G. Meyer, III; Rachael L. Loughlin; O’Hagan Meyer, PLLC, on briefs), for Kenneth Ellenbogen, M.D., Antonio Abbate, M.D., Stephanie Call, M.D., MCV Associated Physicians and John E. Nestler, M.D.

L. Steven Emmert (Sykes, Bourdon, Ahern & Levy P.C., on briefs), for Tiziano M. Scarabelli M.D., Harris D. Butler, III and Butler Curwood, PLC.

When a party or an attorney files an objectively baseless defamation complaint, a trial court

must impose sanctions under Code § 8.01-271.1. We apply this familiar principle to an acrimonious

disagreement between several litigants. After hiring Dr. Tiziano Scarabelli, MCV Associated

Physicians (“MCVAP”) began receiving complaints about Scarabelli’s behavior, resulting in

intense litigation involving defamation, fraudulent inducement, and sanctions. On appeal, Drs. Stephanie Call and John Nestler argue that the trial court erred in denying their post-trial

sanctions motions against Scarabelli and his attorney, Harris D. Butler, III, concerning

Scarabelli’s defamation claims and related litigation. Although Scarabelli’s complaint against

Call was objectively reasonable, his complaint against Nestler was baseless, as Nestler’s alleged

defamatory statements did not carry the requisite defamatory “sting.” Thus, we affirm the trial

court’s denial of Call’s motion for sanctions but reverse its denial of Nestler’s motion for

sanctions. On separate appeal, Scarabelli argues that the trial court erred in allowing MCVAP’s

fraudulent inducement counterclaim to go to the jury, claiming that the source of duty rule,

voluntary payment doctrine, Virginia Wage Payment Act, and “Gasque” doctrine preclude such

a claim. See Gasque v. Mooers Motor Car Co., 227 Va. 154 (1984). Because the doctrines cited

by Scarabelli do not apply, we affirm the jury’s verdict on the fraudulent inducement claim.

BACKGROUND

MCVAP hired Scarabelli as the Virginia Commonwealth University (“VCU”) Health

Systems’ Director of Cardio-Oncology on a one-year contract, from June 2017 to 2018. By

winter, MCVAP had received several complaints from staff members concerning Scarabelli’s

lack of professionalism. Several MCVAP doctors believed that these misunderstandings were

cultural1 and attempted to counsel Scarabelli. MCVAP also received complaints from interns,

residents, and patients that appeared to constitute allegations of sexual harassment, prompting a

Title IX investigation referral. During the investigative process, MCVAP placed Scarabelli on

administrative leave from February to June 2018. It continued to pay Scarabelli’s salary—over

$20,000 per month—during this time. Ultimately, MCVAP chose to not renew Scarabelli’s

contract.

1 Referring to Scarabelli’s Italian background. -2- Scarabelli filed a complaint against Drs. Kenneth Ellenbogen, Antonio Abbate, Nestler,

Call, and MCVAP (collectively, “Defendants”), alleging that they defamed him because he

questioned VCU’s cardiac monitoring process. In an amended complaint, Scarabelli alleged that

Defendants falsely (1) attacked his professionalism and (2) alleged that he committed sexual

misconduct with interns, residents, and fellows “to discredit [him], stop his concerns regarding

the cardiac care of chemotherapy patients, and . . . ruin him professionally.” Scarabelli sought to

prove that Call defamed him when she authored a January 2018 memorandum that stated in part:

• “There were some instances where he made some mildly uncomfortable comments to the female NP or patients which were a little inappropriate in nature . . . .” • “From one trainee . . . : o ‘When introducing himself and helping those around him correctly pronounce his name, he would say . . . “Tiziano . . . like tits (grabbing his chest) and ano (pointing to his anus).”’ o ‘I remember him stating that “blondes are for dating and brunettes are for marrying.”’ o ‘I recall him being very touchy feely, including placing his hands on many of the resident’s thighs, including my own.’ o ‘When going to the ED to see a new admission, the fellow and I escorted him down there since he was new and did not know how to get there. Once we got to the ED he began speaking to a female care partner, roughly 20-24 years of age, and he then pursued to ask her for a tour. While the fellow and I waited a few minutes for him to return, we asked what he was doing. He said something along the lines of her being very attractive so he asked her to show him around.’ o ‘I also remember him mentioning that his wife is sexy a couple times.’” • “I only worked with him for a few days. It was the worst experience of my medical career . . . . Everyone else told me that they felt sorry for me . . . . He was rude; he constantly interrupted, correcting me and dressed me down in front of the team while I tried to present . . . . He made me stand up in front of the entire team to ‘act out’ vectors for EKG reading and said ‘no, not like that, put your hand on your chest . . . .’” • “I have heard negative things about him from other attendings—that their patients complain about him being unprofessional and rude.” -3- • “He is always putting down other physicians and our healthcare system.” • “He told the interns not to page him.” • “He made reference during rounds recurrently to ‘my beautiful eyes’; it made me uncomfortable . . . . He touched my leg . . . . He made multiple inappropriate comments on rounds . . . . I felt like he tried to come on to me, like he was constantly staring at me . . . . He was constantly complaining about other attendings and making comparisons to past institutions, clearly stating that ours was inferior.”

And Scarabelli sought to prove that Nestler defamed him in making the following statements:2

• “Based on multiple complaints raised against you by interns.” • “Concerns that were raised.” • “Multiple complaints have been raised.” • “Administrative leave.” • “Dr. Scarabelli was placed on administrative leave.”

MCVAP counterclaimed, alleging that Scarabelli fraudulently induced his hiring.

Specifically, MCVAP alleged that Scarabelli submitted a curriculum vitae that he knew

“contained references to fraudulently procured articles published in medical . . . journals” and

“purposefully concealed . . . the true circumstances” of his termination from the University of

Alabama. MCVAP claimed it “would never have employed” Scarabelli had it known the truth.

Defendants filed a plea in bar and a demurrer to Scarabelli’s amended complaint. On

demurrer, Defendants argued, in part, that the statements by Call and Nestler were not actionable

as defamation. After argument, the trial court overruled Defendants’ renewed plea in bar and

demurrer.

A six-day consolidated trial followed. After argument, Scarabelli moved to strike,

arguing that MCVAP voluntarily paid his administrative leave and did not sufficiently quantify

2 The parties provided a joint interrogatory chart that includes all alleged defamatory statements. The purpose of this chart was to “amplify the Amended Complaint.” -4- its damages.

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Tiziano M. Scarabelli, M.D. v. Kenneth Ellenbogen, M.D., Counsel Stack Legal Research, https://law.counselstack.com/opinion/tiziano-m-scarabelli-md-v-kenneth-ellenbogen-md-vactapp-2023.