Vant Erve v. Secretary of Health & Human Services

39 Fed. Cl. 607, 1997 U.S. Claims LEXIS 287, 1997 WL 763462
CourtUnited States Court of Federal Claims
DecidedNovember 21, 1997
DocketNo. 92-341V
StatusPublished
Cited by18 cases

This text of 39 Fed. Cl. 607 (Vant Erve v. Secretary of Health & Human Services) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vant Erve v. Secretary of Health & Human Services, 39 Fed. Cl. 607, 1997 U.S. Claims LEXIS 287, 1997 WL 763462 (uscfc 1997).

Opinion

OPINION

BRUGGINK, Judge.

This case comes before the court on respondent’s motion for review of the Special Master’s June 27,1997, decision directing the entry of judgment awarding compensation to petitioners under the National Childhood Vaccine Injury Act of 1986, 42 U.S.C. §§ 300aa-l through 300aa-34 (1994) (the Act). Oral argument was held on October 28, 1997. For the reasons set forth below, the decision of the Special Master is reversed and the matter remanded for a new decision on liability and, if appropriate, damages.

BACKGROUND

Petitioners filed their petition for compensation under the Act on May 14, 1992, for injuries to their son, Christian Rhys Vant Erve, arising allegedly from a diphtheria-pertussis-tetanus (DPT) inoculation he received when he was two-months old. Christian was born on April 27,1989, and received a DPT inoculation on June 23, 1989. Two days later, he experienced two episodes where “his left arm and leg shook.” The seizures continued through the following day, June 26, 1989, prompting Christian’s parents to take him to the hospital, where he was admitted. After being diagnosed with seizures and given anti-seizure medication, the seizures stopped and Christian was discharged.

Christian did not exhibit any further seizures after June 1989. By December 7, 1990, however, it became apparent that Christian’s development was delayed. Since that time Christian has suffered from severe physical and mental problems, including spastic diplegia, a neurological condition that results in severe stiffness of limbs on both sides of his body. He possesses diminished mental capacity and diminished hearing and visual capacities connected "with his neurological condition.

Petitioners alleged that Christian suffered either or both of the table injuries residual seizure disorder1 and encephalopathy2 within three days of inoculation. Petitioners also alleged that Christian’s present physical and mental conditions were sequelae of either or both table injuries.

Respondent filed her report in response to the petition on September 8, 1992, recommending against an award for Christian under the Act. In her report, respondent noted that additional medical records were required to further evaluate the petition.3 Respondent received the requested information. Respondent presented a report from her expert, Dr. Arnold D. Gale, a pediatric neurologist, on December 4,1992. Dr. Gale’s report concluded:

Christian suffers from a chronic static neurologic disorder characterized by spastic diplegia and delayed development, most probably caused by a prenatal cerebral insult.
[609]*609... The medical record provides no evidence that he sustained an acute encephalopathy from any cause; rather, he appears to have experienced a prenatal injury based upon his neuroimaging and clinical course.

(Resp’t Pre-hr’g Mem., Witness List, and Ex. List, Ex. 4 at 2.) At the time respondent argued that Christian’s condition was caused by a prenatal injury rather than the DPT vaccination.

An affidavit of Dr. Jan Mathisen, Christian’s treating pediatric neurologist and petitioners’ expert, was filed by petitioners on June 11,1993. In the affidavit, Dr. Mathisen refers to a magnetic-resonance-imaging (MRI) scan performed in December 1991 and a follow-up study performed in August 1992.4 (See Mathisen Aff. H 5.) Dr. Mathisen concludes:

I have reviewed the report from Dr. Gayle [sic] and believe a conclusion of perinatal injury in this child is speculative. There is no clear cut etiology for the seizures. Most children I have seen have demonstrated some clinical finding of cerebral palsy prior to 12-18 months of age when they have perinatal problems. I carefully followed Christian for evidence of spasticity or cerebral palsy and did not see early signs until he was 19 months of age. Additionally, the APGARS and benign neonatal and perinatal course would further militate against a prenatal or perinatal injury-
... It is entirely reasonable in may [sic] opinion to state Christian’s present condition is a continuation of the June, 1989 injury.

(Mathisen Aff. 1IH 7-8.)

After a number of unsuccessful settlement discussions, an evidentiary hearing was seheduled for May 26,1994, where both petitioners and respondent presented evidence through witnesses.5 The Special Master ruled in favor of petitioners on the issue of entitlement on June 21, 1994. Specifically, the Special Master found that: (1) petitioners demonstrated that Christian suffered a table-enumerated seizure disorder with residual effects lasting more than six months from his inoculation; (2) respondent failed to demonstrate that the seizure disorder was the result of a “factor unrelated to the administration of the vaccine”; (3) petitioners also demonstrated that Christian suffered a table-enumerated encephalopathy; and (4) respondent failed to demonstrate that the encephalopathy was the result of a “factor unrelated to the administration of the vaccine.” See Vant Erve v. Secretary of Health & Human Servs., No. 92-341V, 1994 WL 325426 (Ct. Fed. Cl. Spec. Master filed June 21, 1994) (Vant Erve I) (ruling concerning entitlement issue).

From this point, both parties discussed settlement on the amount of damages to be awarded; petitioner filed a number of different life-care plans.6 During this time, respondent requested additional information to assist with development of their version of Christian’s life-care plan. Part of this evaluation required a visit by respondent’s life-care planner to Christian’s home. Petitioners agreed to have Linda L. Cosby, a professional nurse and respondent’s life-care planner, visit with Christian on January 23, 1997. Respondent’s responsive life-care plan was filed on January 31, 1997, recommending a markedly different level of future care than that proposed by petitioners.

As a result of Ms. Cosby’s visit, respondent applied for a subpoena for additional medical records relating to Christian.7 This [610]*610application was opposed by petitioners as an attempt to reopen the issue of entitlement. The Special Master granted the subpoena on the basis that the information was necessary to assess the damages issue on February 20, 1997. Petitioners filed the requested documents on March 17 and April 23, 1997.8

Respondent filed a motion to reopen the issue of entitlement on June 2, 1997, based substantially on expert review of the medical information, including that recently supplied by petitioners.9 First, Dr. Charles R. Fitz, a neuroradiologist, reviewed the results of three post-petition MRI examinations; these examinations occurred in August 1992, April 1993, and January 1997.10 Dr. Fit: concluded: “It is impossible that this is a static disease from a vaccine injury. It is clearly a progressive dysmyelinating-metabolic disease. Nearly all such diseases are inherited.” (Resp’t’s Entitlement Ex. F at 2.)

Second, Dr.

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Bluebook (online)
39 Fed. Cl. 607, 1997 U.S. Claims LEXIS 287, 1997 WL 763462, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vant-erve-v-secretary-of-health-human-services-uscfc-1997.