Turner v. Lowen

CourtDistrict Court, M.D. Tennessee
DecidedOctober 1, 2019
Docket3:18-cv-00721
StatusUnknown

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

Bluebook
Turner v. Lowen, (M.D. Tenn. 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION

KEISHA TURNER and ROY ) CHRISTOPHER TURNER, individually ) and as next friends of RBT and CT, ) ) NO. 3:18-cv-00721 Plaintiffs, ) ) JUDGE RICHARDSON v. ) ) DEBORAH LOWEN, M.D., ) VANDERBILT UNIVERSITY ) MEDICAL CENTER, CHRISTY ) DUNCAN, and TONYA SCOTT, ) ) Defendants. )

MEMORANDUM OPINION Pending before the Court is Defendants Deborah Lowen, M.D. and Vanderbilt University Medical Center’s Motion to Dismiss (Doc. No. 58), supported by an accompanying brief (Doc. No. 59). Also pending before the Court is Defendants Tonya Scott and Christy Duncan’s Motion to Dismiss (Doc. No. 53), supported by an accompanying brief (Doc. No. 54). Plaintiffs Keisha Turner and Roy Christopher Turner, individually and as next friends of RBT and CT (collectively “Plaintiffs”) filed responses to the motions to dismiss (Doc. Nos. 65, 66), and Defendants have in turn replied (Doc. Nos. 68, 71). For the below-stated reasons, the motions will be GRANTED. ALLEGED FACTS1 In 2014, Plaintiffs Keisha and Roy Christopher Turner’s son, RBT, was born. (Doc. No. 52 at ¶ 6). On December 11, 2014, Ms. Turner noticed swelling in RBT’s left leg and transported him to Cumberland Hospital’s Emergency Department for evaluation. (Id. at ¶ 8). At Cumberland,

1 The cited facts are alleged in the Complaint and accepted as true for purposes of the instant motion to dismiss. medical staff examined RBT and obtained x-rays of his legs and torso. (Id.). Cumberland discharged RBT and instructed Ms. Turner to follow up with RBT’s pediatrician the following day. (Id.). On December 12, 2014, Ms. Turner took RBT to his pediatrician’s office and Nurse Practitioner Kristin Hassler examined him. (Id.). Ms. Hassler informed Ms. Turner that RBT had multiple rib fractures. (Id.). Ms. Hassler instructed Ms. Turner to go to the sheriff’s office and

provided Ms. Turner a note to give to the Tennessee Department of Children’s Services (“DCS”) which requested that RBT be taken to East Tennessee Children’s Hospital. (Id.). That same day, Mr. and Ms. Turner went to the Cumberland Sheriff’s Office where Investigator Chad Norris, Investigator David Moore, and DCS worker Ivan Hawn interviewed them regarding RBT’s injuries. (Id. at ¶¶ 8-9). During the interview, Mr. Hawn instructed Mr. and Ms. Turner to take RBT to Defendant Vanderbilt University Medical Center (“VUMC”), which was a 2.5 hour drive away, despite Ms. Turner’s request that RBT return to East Tennessee Children’s Hospital. (Id. at ¶ 10). That evening, Mr. and Ms. Turner traveled to Nashville, Tennessee, and VUMC admitted RBT. (Id. at ¶ 11).

On December 13, 2014, Defendant Deborah Lowen, M.D. (“Dr. Lowen”) met with Mr. and Ms. Turner separately to discuss the cause of RBT’s injuries. (Id. at ¶ 12). Dr. Lowen did not inform Mr. and Ms. Turner that they did not have to speak to her, that they should seek counsel, or that the potential outcome of this event would be the emergency removal of RBT from his parents’ care and control. (Id.). Dr. Lowen charted in her consultation note that she met with both parents separately at the hospital to discern the potential cause of RBT’s injuries “in order to obtain a detailed history on the course of events[.]” (Id. at ¶ 14). She also charted that her “team” was contacted directly by DCS worker Hawn due to an identification of a left leg fracture and multiple rib fractures. (Id. at ¶ 13). Dr. Lowen also remarked in her consultation note that she had reviewed East Tennessee Children’s Hospital’s discharge summary that indicated RBT had a vitamin D deficiency, but that that deficiency did not explain RBT’s multiple fractures of multiple different sites. (Id. at ¶ 15). She further opined in her consultation note that “it is apparent that [RBT] has been a victim of child physical abuse (non-accidental trauma) occurring on more than 1 occasion and affecting

multiple different bones. . . . He needs to be protected from further harm.” (Id. at ¶ 16). Dr. Lowen informed DCS worker Hawn that RBT had multiple rib fractures, fractures in both legs, and a fracture in his shoulder blade that could not be explained by RBT’s medical and family history. (Id. at ¶ 18). She also informed Hawn that Mr. and Mrs. Turner did not provide a history of trauma to explain any of the fractures and that the injuries were caused by repeated episodes of trauma. (Id.). Hawn determined that the legal threshold for abuse was satisfied by Dr. Lowen’s medical diagnosis. (Id.). Shortly thereafter, a court found probable cause of abuse and entered an ex parte protective custody order granting DCS custody of RBT. (Id. at ¶ 19). The court faxed its order to

VUMC, which prevented the Turners from leaving VUMC with RBT. (Id.). DCS placed RBT in the care of his paternal grandfather, Roy Turner. (Id. at ¶ 21). DCS granted Mr. and Ms. Turner limited visitation of RBT. (Id.). Defendant Christy Duncan, a DCS employee, became the case manager in control of the care and placement of RBT. (Id. at ¶ 22). On January 21, 2015, the Turners asked Duncan whether DCS would test RBT for brittle bones and Duncan informed them that DCS would not perform further testing. (Id. at ¶ 23). On February 25, 2015, Duncan administratively substantiated that RBT was physically abused and that Ms. Turner was the perpetrator. (Id. at ¶ 24). The Turners fought the juvenile court’s custody determination and as part of that litigation, Dr. Lowen stated in her deposition that she had “no doubt” that RBT had suffered from child abuse, which resulted in the multiple fractures that he presented with at VUMC in December 2014. (Id. at ¶ 19). She also testified that VUMC’s “child abuse team” was not funded by the state in any way but admitted that she had a contract with the state to review near fatalities, and label them as

near fatalities or not for the state’s child death review process. (Id. at ¶ 28). Ms. Turner gave birth to another son, Plaintiff CT, on September 4, 2015. (Id. at ¶ 29). On September 8, 2015, DCS investigator Tonya Scott filed a petition asking for a determination of abuse and neglect of CT based on Dr. Lowen’s deposition testimony in May 2015 concerning injuries of CT’s brother, RBT. (Id.). DCS obtained custody of CT and placed him in the care of his paternal grandfather, Roy Turner. (Id.). Mr. and Ms. Turner continued to fight the determination of DCS for over two years and on August 4, 2017, a court returned full custody of RBT and CT to the Turners. (Id. at ¶¶ 39-40). At the final hearing, the judge explained that there are very serious medical conditions that can mimic child abuse and exonerated the Turners of all

allegations of abuse. (Id. at ¶ 40). On August 3, 2018, Mr. and Ms. Turner, individually and on behalf of RBT and CT, brought this action against VUMC, Dr. Lowen, and DCS employees Scott and Duncan (collectively “Defendants”). (Doc. No. 1). Plaintiffs filed a First Amended Complaint on December 6, 2018. (Doc. No. 52). Dr. Lowen and VUMC, as well as Scott and Duncan, have filed motions to dismiss. (Doc. Nos. 53, 58). Plaintiffs have responded, (Doc. Nos. 65, 66), and Defendants have replied (Doc. Nos. 68, 71). Therefore, this matter is ripe for adjudication. LEGAL STANDARD For purposes of a motion to dismiss, the Court must take all of the factual allegations in the complaint as true as the Court has done above. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face. Id. A claim has facial plausibility when the

plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged. Id.

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Turner v. Lowen, Counsel Stack Legal Research, https://law.counselstack.com/opinion/turner-v-lowen-tnmd-2019.