IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF NEW YORK
July 17, 2006
KEVIN B. SMITH, PLAINTIFF,
TERRY BOYER, ET AL., DEFENDANTS.
The opinion of the court was delivered by: David E. Peebles U.S. Magistrate Judge
DECISION AND ORDER
Asserting diversity of citizenship as a basis for this court's subject matter jurisdiction, plaintiff Kevin B. Smith, a New York resident, has commenced this action to recover damages resulting from a motor vehicle accident which occurred in June of 2003 in Pennsylvania. Defendants, all citizens of Pennsylvania for diversity purposes, have conceded liability for negligence but dispute plaintiff's entitlement to recover damages, both economic and for pain and suffering. Defendants' opposition to plaintiff's damage claim is based partly upon their contention that under New York's no-fault insurance regime, which they contend should apply, Smith's entitlement to recover damages is limited since he did not suffer from a serious injury as a result of the accident.
A non-jury trial was conducted by me in connection with this action, beginning on June 12, 2006.*fn1 This decision sets forth my findings of fact and conclusions of law, based upon the evidence adduced during that trial.*fn2
Plaintiff was born on June 17, 1963; at the time of trial, he was forty-two years old. Smith is divorced, and resides in Williamstown, New York with his six children, of which he has had custody since December of 2003. Plaintiff's children range in age from nine to eighteen; the oldest two of those children suffer from cystic fibrosis.
Plaintiff is a high school graduate, having achieved a local, non-regents diploma in 1982. After graduating from high school plaintiff worked in a variety of positions, and for a period of time was a member of the United States Military Service. In 1991 plaintiff trained to be a truck driver, ultimately receiving his commercial driver's license.
After working for approximately three years as a driver for another company, plaintiff became employed with G&C Food Distributors & Brokers, Inc. ("G&C"), headquartered in Syracuse, New York, in June of 1994. Plaintiff's responsibilities at G&C included working as an over-the-road truck driver, making deliveries of product to G&C customers. Some of the work performed by Smith at G&C was described by him as "hands on", meaning that he was required to load and offload products, sometimes utilizing a hand cart or pallet jack. According to his payroll records, Smith was earning $14.70 per hour at G&C in 2003.
On June 18, 2003, while driving a Philadelphia route for G&C which entailed delivery stops in both Pennsylvania and New Jersey, the rear of plaintiff's truck was struck by a bus owned by defendant Bieber Tourways and/or Carl R. Bieber, and operated by Terry Boyer; all of those parties are domiciled in Pennsylvania, and were in June of 2003. At the time of the accident, which occurred on Interstate 476 near the junction of that highway with Interstate 76, plaintiff's vehicle was stopped in traffic in the left lane, with its four-way emergency flashers operating. As a result of the impact the rear end and "ICC bar" of plaintiff's truck were pushed in, and the cargo door was not properly operational. The accident also caused plaintiff's trailer to buckle, and the back of his driver's seat to "lay flat."
After speaking with law enforcement officials regarding the accident, and declining an offer for transport by ambulance to a local emergency room, Smith continued driving his route, making one last stop and returning to Syracuse.*fn3 As he made the return trip to Syracuse, without the benefit of a seat back, plaintiff noticed some initial soreness. After returning to his home that evening plaintiff took Tylenol and went to bed, experiencing continued pain.
When plaintiff awoke on the morning after the accident, he was unable to move. As a result Smith made an appointment with his general medical practitioner, Dr. Mufhta Kadura, who examined him on June 20, 2003 and arranged for x-rays and a CT scan of his cervical spine region. Results of x-rays taken on that same day were principally unremarkable, revealing, inter alia, "no encroachment on the neural foramen." Reports of the CT scan testing revealed "[m]ulti-degenerative ostephyte formation" including a "small left posteriolateral ostephyte" at the C3-C4 level, a "small right posteriolateral ostephyte" at the C4-C5 level, and a "moderate sized right posteriolateral ostephyte . . . resulting in mild right lateral recess and neural foraminal compromise" at the C5-C6 level. Based upon those results and his examination, on June 24, 2003 Dr. Kadura directed that the plaintiff remain out of work for a period of two weeks, and prescribed a course of physical therapy twice weekly; that therapy regimen commenced on June 30, 2003, and was extended for approximately four weeks through July of 2003, with little if any appreciable benefit to the plaintiff.*fn4
After remaining out of work based upon Dr. Kadura's advice and his continued experiencing of ongoing pain and numbness extending down his arm into his fingers, plaintiff attempted to return to work in mid-August and was assigned a local delivery run to Rochester, New York. While plaintiff had hoped to keep working, as a matter of financial necessity, he encountered ongoing physical difficulties, requiring him to once again go out on sick leave after working for approximately two weeks.*fn5, *fn6
Plaintiff was again cleared for work by Dr. Kadura on September 12, 2003, without limitation. Smith subsequently returned to G&C, logging 29.25 hours in the pay period ending on September 19, 2003, and 21.75 hours during the next week. At the end of that second period, however, plaintiff experienced difficulties on a Pennsylvania run which he was scheduled to make along with another G&C driver. After leaving G&C for the assigned run, plaintiff requested that the driver stop and leave him off in Tully, just south of Syracuse. A G&C dispatcher was subsequently sent to pick Smith up and return him to the company's offices. Plaintiff left work following that unsuccessful run, and has not returned to G&C since.
Continued complaints of pain, numbness and tingling led to a referral of the plaintiff by Dr. Kadura to Dr. David Eng, a neurosurgeon practicing in Syracuse, New York. Plaintiff was initially seen by Dr. Eng on October 1, 2003. During that visit plaintiff did not appear to be in acute distress. Dr. Eng's notes reflect that plaintiff's reflexes were symmetric, as was his strength throughout with the exception of his left triceps and biceps, which were found to be mildly impaired. Dr. Eng also found that Smith exhibited "good range of motion in his neck", although he appeared to experience some difficulty in flexion. As a result of his examination and findings Dr. Eng discerned the presence of cervical spondylosis with left side radiculopathy at the C6-C7 level, and recommended that Smith undergo magnetic resonance imaging ("MRI") testing.
Smith underwent a second round of x-ray and CT scan testing in early October 2003. X-rays of plaintiff's cervical spine taken at that time reflected no evidence of fracture or dislocation, and no encroachment on the neural foramen. A CT scan of plaintiff's cervical spine revealed normal alignment, with no evidence of disc bulging or herniation, although multi-level degenerative ostephyte formation was perceived posturally and laterally at the C3-C4, C4-C5, and C5-C6 levels. That CT testing also reflected mild right lateral recess and right neural foramen narrowing at the C5-C6 level as a result of an ostephyte ridge formation there.
Plaintiff's MRI testing, conducted on October 15, 2003, revealed a small spondylotic protrusion at the C3-C4 level, with mild narrowing of the margin of plaintiff's left foramina at that level, as well as a small herniation at the C6-C7 level and corresponding marked narrowing of the right anterior subarachnoid space at that level, and with a resulting slight displacement of the cervical cord and narrowing of the right lateral recess at that level. According to Dr. Eng the spondylotic protrusion, referred to as a bone spur, is the result of a degenerative condition, described as part of the normal aging process. Dr. Eng has characterized the bone spur as a latent condition whose existence predated the June 18, 2003 accident, noting that plaintiff was asymptomatic until the accident triggered nerve impingement.
During a follow-up visit to Dr. Eng on November 3, 2003, plaintiff complained of ongoing pain to his left shoulder, deltoids and biceps, with no improvement since the October visit. As a result of that visit Dr. Eng refocused his attention from the C6-C7 level to C3-C4, and recommended surgery to address the bone spur and Smith's reported symptomology. Plaintiff thereafter underwent anterior cervical discectomy surgery, with fusion and plating, at the C3-C4 level on January 16, 2004. Notes of subsequent visits with Dr. Eng reveal that after his surgery plaintiff experienced some improvement, including in mobility. By March 8, 2004 plaintiff reported that his pain and numbness in the left arm "ha[d] virtually gone away." Testing on that date reflected that plaintiff's strength was symmetric, and his range of motion was good.
During an office visit with Dr. Eng on June 7, 2004 plaintiff reported that he had recently recommenced physical therapy, and that he was experiencing discomfort in the fourth and fifth digits. Dr. Eng's examination of Smith on that date revealed that his strength was symmetric, with some weakness of the abductors and grip in the left bicep and tricep regions. Dr. Eng recommended an electromyography ("EMG") and nerve conduction testing studies on the left side to further explore plaintiff's symptoms, and continued him on physical therapy. An EMG and nerve conduction study subsequently conducted in or about August of 2004 revealed no ulnar dysfunction or other abnormalities. Plaintiff reiterated complaints of numbness and tingling in the fourth and fifth digits of his left hand during a subsequent office visit to Dr. Eng on August 30, 2004.
On September 21, 2004 plaintiff's physical therapist prepared a functional capacity evaluation ("FCE") report assessing his limitations, based upon the therapist's testing. In that FCE the therapist determined that plaintiff was unable to lift more than twenty pounds, or to elevate his arms above his shoulders or neck. Relying upon that FCE, Dr. Eng concluded on October 4, 2004 that plaintiff should not drive a truck, and instead could only return to light duty work. Plaintiff was subsequently cleared by Dr. Eng on November 2, 2004 to return to work, effective November 15, 2004. Unfortunately, however, plaintiff's employer was either unable or unwilling to accommodate plaintiff's circumstances, and advised Smith that the company did not have any light duty positions available for him.*fn7
In June of 2005 additional x-rays were taken of plaintiff's cervical spine. Those x-rays revealed no evidence of instability in flexion and extension views, and satisfactory alignment of the cervical spine. Based upon plaintiff's ongoing complaints of pain and limitation and range of motion, during an office visit on June 6, 2005 Dr. Eng recommended that he undergo a second EMG and another round of MRI testing. Plaintiff failed to submit to either examination, however, complaining of the pain which he experienced during earlier testing.
A side from the two brief, failed efforts to return to G&C, plaintiff has not worked as a truck driver since the June, 2003 accident. Beginning on or about December 18, 2004, and extending throughout 2005 and into 2006, Smith was employed as a day laborer supervisor with One Source, a company engaged by contract to perform cleaning services at the Syracuse University Carrier Dome, particularly after events held in the facility. In that position, which was secured through an acquaintance, plaintiff was paid at an hourly rate which began at $6.50, but later increased to $8.25, and often worked for periods ranging up to eighteen hours in a single shift and twenty-nine hours over the course of a two day period. According to plaintiff's tax records, he earned approximately $600 in 2004, and $5,293 in the following year through December 22, 2005, from One Source. Other than working at G&C for two brief periods, and for One Source on a continuing basis, plaintiff has had no other employment since the time of his accident.
A. Subject Matter Jurisdiction
From the facts established at trial it appears that there is complete diversity of citizenship among the parties, plaintiff having at the relevant times been a resident of New York, and the defendants all being citizens of Pennsylvania. Since the matter in controversy exceeds $75,000, exclusive of interest and costs, this court has subject matter jurisdiction over plaintiff's claims. 28 U.S.C. § 1332.
B. Conflicts of Laws
As an initial threshold matter, the court must determine the substantive law to be applied in the case. Plaintiff urges application of Pennsylvania law, the governing provisions of which are far more favorable to his cause than their New York counterparts. Defendants, on the other hand, though somewhat equivocal in this regard, have urged the court to consider applying New York law, including its no-fault provisions, which would prohibit plaintiff's recovery of non-economic damages unless it is found that he suffered a serious injury as a result of the accident.*fn8
As a federal court whose subject matter jurisdiction is premised upon diversity of citizenship, the court must apply the choice of law rules of New York, the forum state. Klaxon Co. v. Stentor Elec. Mfg. Co., 313 U.S. 487, 496-97, 61 S.Ct. 1020, 1021-22 (1941); GlobalNet Financial.com, Inc. v. Frank Crystal & Co., Inc., 449 F.3d 377, 382 (2d Cir. 2006). Under New York law, "[t]he first step in any case presenting a potential choice of law issue is to determine whether there is an actual conflict between the laws of the jurisdiction involved." In re Allstate Ins. Co. (Stolarz), 81 N.Y.2d 219, 223, 597 N.Y.S.2d 904, 905 (1993). A conflict of law exists "[w]here the applicable law from each jurisdiction provides different substantive rules[.]" Curley v. AMR Corp., 153 F.3d 5, 12 (2d Cir. 1998).
Under the provisions of New York's no-fault law, a party injured in a motor vehicle accident may only commence suit seeking recovery of non-economic damages if that person has satisfied the "serious injury" threshold as defined by statute.*fn9 N.Y. Ins. Law § 5104(a); Meyer v. AFGD, Inc.,140 F. Supp.2d 179, 182 (N.D.N.Y. 2001) (Kahn, J.). The provisions of Pennsylvania's Motor Vehicle Financial Responsibility Law ("MVFRL"), by contrast, permit such a party to recover non-economic damages without regard to any serious injury threshold provided that that party has not elected the limited tort option available under the MVFRL.*fn10
75 Pa. Cons. Stat. § 1705; Price v. Guy,558 Pa. 42, 44, 735 A.2d 668, 670 (1999). Since the limited tort option was not available to the plaintiff, as a New York domiciliary, the MVFRL does not require proof of a serious injury before non-economic damages can be awarded under Pennsylvania law.
Because it appears that the laws of the two states differ in a material respect, I must next engage in a choice of law analysis. In New York, such an analysis is informed by one of two distinct sets of principles, depending upon whether the underlying cause of action is one sounding in contract, or instead a tort claim. GlobalNet Financial.com, Inc., 449 F.3d at 383.
Historically, prior to the court's decision in Babcock v. Jackson, 12 N.Y.2d 473, 191 N.E.2d 279, 240 N.Y.S.2d 743 (1963), New York's approach to choice of law issues arising in actions implicating tort claims was simply to apply the principle of lex loci delicti -- meaning the law of the place of the tort -- to all substantive issues in the case. Cooney v. Osgood Mach., Inc., 81 N.Y.2d 66, 71-72, 612 N.E.2d 277, 280, 595 N.Y.S.2d 919, 922 (1993). New York courts have since departed from that hard and fast rule, however, in favor of a more flexible approach giving "controlling effect to the law of the jurisdiction which, because of its relationship or contact with the occurrence or the parties has the greatest concern with the specific issue raised in the litigation." Babcock,12 N.Y.2d at 481, 191 N.E.2d at 183, 240 N.Y.S.2d at 749. Accordingly, New York courts now perform an "interest analysis", when addressing choice of law questions arising in tort actions. GlobalNet Financial.com, Inc.,449 F.3d at 384. Under that approach, "[t]he law of the jurisdiction having the greatest interest in litigation will be applied[.]" Schultz v. Boy Scouts of Am., Inc., 65 N.Y.2d 189, 197, 480 N.E.2d 679, 684, 491 N.Y.S.2d 90, 95 (1985) (internal quotation marks and citation omitted).
Determining which of two competing jurisdictions has the greater interest in having its law applied in a case requires an evaluation of the "'facts or contacts which. . . relate to the purpose of the particular law in conflict.'" GlobalNet Financial.com, Inc.,449 F.3d at 384 (quoting, inter alia, Schultz,65 N.Y.2d at 197, 480 N.E.2d at 684, 491 N.Y.S.2d at 95). This, in turn, requires that the court make two separate inquiries, including to determine "(1) what are the significant contacts and in which jurisdiction are they located; and, (2) whether the purpose of the law is to regulate conduct or allocate loss." Padula v. Lilarn Props Corp.,84 N.Y.2d 519, 521, 644 N.E.2d 1001, 1002, 620 N.Y.S.2d 310, 311 (1994) (citations omitted).
The first of these two elements is easily applied; when engaged in an interest analysis and attempting to discern and define the state interests at stake, "the significant contacts are, almost exclusively, the parties' domiciles and the locus of the tort." Schultz, 65 N.Y.2d at 197, 480 N.E.2d at 684, 491 N.Y.S.2d at 95; see also GlobalNet Financial.com, Inc.,449 F.3d at 384. Addressing the second prong of the interest analysis, New York courts have developed two tests, depending upon the nature of the legal principles at issue, and specifically whether they relate to standards of conduct, or instead to allocation of losses resulting from tortious acts. GlobalNet Financial.com, Inc., 449 F.3d at 384-85; see also Padula,84 N.Y.2d at 521-22, 644 N.E.2d at 1002-03, 620 N.Y.S.2d at 311-12.
Conduct-regulating rules are generally designed to have "the prophylactic effect of governing conduct in order to prevent injuries from occurring." Padula,84 N.Y.2d at 522, 644 N.E.2d at 1002, 620 N.Y.S.2d at 311. It therefore stands to reason that in matters implicating the regulation of conduct, the law of the jurisdiction in which the tort occurred takes on greater significance, and will generally apply. GlobalNet Financial.com, Inc., 449 F.3d at 384 (citing Cooney, 81 N.Y.2d at 72, 612 N.E.2d at 280, 595 N.Y.S.2d at 922).
Where loss-allocating laws are at issue, in contrast, the interests of the jurisdiction in which the tort occurred are less compelling, and in such cases the New York courts accordingly turn to analysis of other factors which bear upon the interests of the competing jurisdictions. In making that analysis, courts have generally looked to the New York Court of Appeals' decision in Neumeier v. Kuehner, 31 N.Y.2d 121, 286 N.E.2d 454, 335 N.Y.S.2d 64 (1972), for guidance. See Cooney,81 N.Y.2d at 73, 612 N.E.2d at 281, 595 N.Y.S.2d at 923. In his decision in Neumeier Chief Judge Fuld, speaking for the majority, posited three rules which, although laid down in the context of New York's guest statutes, have since become firmly embedded in New York's choice of law jurisprudence covering other loss allocation situations as well, see Cooney, 81 N.Y.2d at 73, 612 N.E.2d at 281, 595 N.Y.S.2d at 923, noting that
1. [w]hen the guest-passenger and the host-driver are domiciled in the same state, and the car is there registered, the law of that state should control and determine the standard of care which the host owes to his guest.
2. [w]hen the driver's conduct occurred in the state of his domicile and that state does not cast him in liability for that conduct, he should not be held liable by reason of the fact that liability would be imposed by him under the tort law of the state of the victim's domicile. Conversely, when the guest was injured in the state of his own domicile and its law permits recovery, the driver who has come into that state should not - - in the absence of special circumstances - - be permitted to interpose the law of his state as a defense.
3. [i]n other situations, when the passenger and the driver are domiciled in different states, the rule is necessarily less categorical. Normally, the applicable rule of decision will be that of the state where the accident occurred but not if it can be shown that displacing that normally applicable rule will advance the relevant substantive law purposes without impairing the smooth working of the multi-state system or producing great uncertainty for litigants.
Neumeier, 31 N.Y.2d at 128, 286 N.E.2d at 457-58, 335 N.Y.S.2d at 70. As can be seen, in circumstances implicated by the second and third Neumeier rules the location of the tort takes on particular importance. See Cooney, 81 N.Y.2d at 74, 612 N.E.2d at 281, 595 N.Y.S.2d at 923. Under those rules, assuming each state has an equal interest in enforcing its laws, "the situs of the tort is appropriate as a 'tie-breaker' because that is the only State with which both parties have purposefully associated themselves in a significant way." Id. (citation omitted).
It is the third Neumeier rule which most closely fits the circumstances of this case. That rule creates a presumption that the law of the jurisdiction in which the tort occurred will apply. Gilbert v. Seton Hall Univ., 332 F.3d 105, 109 (2d Cir. 2003). To overcome this presumption, a defendant must show that applying another state's law would "advance the relevant substantive law purposes without impairing the smooth working of the multistate system or producing great uncertainty for litigants." McCann v. Somoza,933 F. Supp. 362, 367-68 (S.D.N.Y. 1996). In making such analysis, relevant considerations necessarily include the purposes behind each state's law as well as each state's interest in applying its law. See Id. at 366-68.
In this instance Pennsylvania is the site of the tort as well as the domicile of the defendants. Accordingly, Pennsylvania has more than a minimal connection to the action, and, consequently, more than little interest in seeing its own loss allocation rules apply. See Ditondo v. National Rent-A-Fence, No. 3:03-CV-14, 2004 WL 1242742, at *1-*2 (N.D.N.Y. June 3, 2004) (applying North Carolina law, as the place of the accident and domicile of the defendants, in case involving a New York plaintiff). Contrast Gilbert,332 F.3d at 109-10 (where a state's only connection to the litigation is that the tort occurred there the state is said to have "at best" a minimal interest in seeing its own loss allocation rules applied); see also Sheldon v. PHH Corp., 135 F.3d 848, 854-55 (2d Cir. 1998) (rejecting application of Michigan law, whose only connection to the litigation was that the accident occurred there, in favor of New York law which had an interest in ensuring recovery for its domiciliary and avoiding burdensome liability for a company which did business within its borders).
Having carefully weighed the interests of Pennsylvania and New York, informed by New York's choice of law principles applicable in tort cases involving loss allocation statutes, I find that the interests of New York are not sufficiently strong to overcome the presumption that Pennsylvania law should control in this case. See Ditondo, 2004 WL 1242742, at *2.
C. Exclusion of Expert Testimony
In their trial brief, defendants have asked the court to exclude opinion testimony offered at trial by Dr. Eng, plaintiff's treating neurosurgeon. The basis for defendants' motion, which is heavily dependent upon legal principles applicable to admission of expert testimony in New York, is their view that Dr. Eng's opinions hinge upon the findings of a physical therapist who is not authorized under New York law to make diagnoses or render opinions of the type set forth in the therapist's FCE.
The admission of expert testimony in an action pending in federal court is governed by rule which provides that
[i]f scientific, technical, or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, training, or education, may testify thereto in the form of an opinion or otherwise, if (1) the testimony is based upon sufficient facts or data, (2) the testimony is the product of reliable principles and methods, and (3) the witness has applied the principles and methods reliably to the facts of the case.
Fed. R. Evid. 702. When applying this standard to expert testimony proffered by a party, trial courts are required by Supreme Court dictate to perform a "gatekeeping" function to ensure "that an expert's testimony both rests on a reliable foundation and is relevant to the task at hand." Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 597, 113 S.Ct. 2786, 2799 (1993).
As a threshold matter, a trial court must obviously examine the question of whether the proffered opinion evidence can satisfy Rule 401 of the Federal Rules of Evidence, requiring that evidence offered at trial be relevant to a controverted claim or defense in the case. Amorgianos v. National R.R. Passenger Corp.,303 F.3d 256, 265 (2d Cir. 2002). If the requisite degree of relevance is found, the court must then proceed to determine whether the expert opinion sought to be admitted has a sufficiently reliable foundation to allow consideration by the factfinder. Id. at 265-66. This latter inquiry requires consideration of various relevant factors identified in Rule 702, including whether (1) . . . the testimony is grounded on sufficient facts or data; (2) . . . the testimony "is the product of reliable principles and methods"; and (3) . . . "the witness has applied the principles and methods reliably to the facts of the case."
Amorgianos,303 F.3d at 265 (quotingFed. R. Evid. 702). While both Rule 702 and the Supreme Court's decisions in Daubert, and later in Kumho Tire Co. v. Carmichael, 526 U.S. 137, 119 S.Ct. 1167 (1999), identify factors bearing on the question of reliability, courts have stressed that "the Daubert inquiry is fluid and will necessarily vary from case to case." Amorgianos,303 F.3d at 266.
Before I proceed to engage in the required analysis, two additional considerations should be stated. First, Rule 702 does not require rejection of opinions based solely upon the court's disagreement with the conclusions reached or the correctness of the opinions to be offered. Amorgianos,303 F.3d at 266 (citing Daubert, 509 U.S. at 595, 113 S.Ct. at 2797). Secondly, although the burden of establishing admissibility in the first instance rests with the proponent of the expert testimony in question, any doubts on the part of the court should be resolved in favor of admissibility. See Colon ex rel. Molena v. BIC USA, Inc., 199 F. Supp. 2d 53, 75 (S.D.N.Y. 2001).
At the heart of defendants' motion is the question of whether, in relying in part for his opinions regarding plaintiff's limitations upon a functional capacity evaluation of a physical therapist offering observations regarding the plaintiff's physical abilities and limitations, Dr. Eng deviated from the Rule 702 standard and acted unreasonably and not in reliance upon the type of data typically accepted by others practicing in his field. While, as defendants assert, plaintiff's physical therapist may not be legally permitted or competent under New York law to render specific diagnoses, her observations regarding plaintiff's physical limitations, based upon her care and treatment of Smith, may well bear sufficient indicia of reliability to form a part of the foundation for the opinions of plaintiff's treating neurosurgeon. I note that under somewhat analogous circumstances several courts have permitted chiropractors to testify, pursuant to Rule 702, to the effects of injuries sustained by parties, particularly to the back or neck areas. See Hodder v. United States, 328 F. Supp. 2d 335, 346-47 (E.D.N.Y. 2004) (collecting cases). Whether these cases can be extrapolated to extend to physical therapists and permit them to give opinion testimony regarding physical limitations is perhaps an open question. Even if they cannot, however, it does not necessarily follow that the observations of a treating physical therapist may not be included among the clinical findings and data relied upon by a treating physician opining upon the consideration of his or her patient.*fn11
Were it the case that Dr. Eng's opinions were based solely upon the FCE analysis completed by plaintiff's treating physical therapist, and not upon Dr. Eng's own experiences with the plaintiff, including several in-office examinations; review of EMG, neural condition, MRI and CT testing, as well as x-rays; and having performed surgery on the plaintiff, one could perhaps argue, as defendants have, a lack of reliability, particularly in view of the fact that Dr. Eng was not asked to testify as to whether the FCE report was the type of data reasonably relied upon by professionals in his field of practice.*fn12 Because the bases for Dr. Eng's opinions include his own observations and other data beyond merely the therapist's FCE, however, I find that his testimony falls comfortably within Rule 702 in light of his personal observations and experiences with the plaintiff.
Accordingly, defendants' motion to strike testimony of Dr. Eng will be denied.
In their submissions to the court, and at trial, defendants have conceded liability for negligence. Accordingly, I find that defendants are liable to the plaintiff for any damages legally recoverable and proximately caused by their negligent acts.
Under Pennsylvania law, a plaintiff who is not restricted by the limited tort option may recover all damages, economic and otherwise, which proximately result from defendants' negligence. Bennett v. Mucci, No. 1103 MDA 2005, 2006 WL 1529695, at *2 (Pa. Super. Ct. June 6, 2006) (citing 75 Pa. Cons. Stat. § 1705). In this instance plaintiff's recovery may include, without monetary limitation, damages for pain and suffering as well as for economic loss. 75 Pa. Cons. Stat. § 1705(c).
1. Pain and Suffering
Plaintiff's pain and suffering damage claim is comprised of two elements. Initially, plaintiff seeks recovery of damages associated with the pain and suffering experienced immediately following his accident, and leading up to and including that necessitating his surgery in January of 2004. Additionally, in reliance upon Dr. Eng's conclusion that he suffers from a permanent condition which results in both a limitation of mobility and ongoing pain and numbness, plaintiff seeks recovery of damages for this additional element of pain and suffering, both since recovery from his surgery in January of 2004 and extending into the future.
Although it is undisputed that plaintiff suffered from a bone spur which clearly predated the June, 2003 accident, and surgery of the nature undergone by Smith in January of 2004 could eventually have been necessitated even had he not been involved in the accident, I credit Dr. Eng's conclusion that the trauma associated with the June, 2003 incident triggered plaintiff's pain and numbness leading up to and requiring the operation. I therefore find that plaintiff is entitled to recover damages for pain and suffering associated with that period between June 18, 2003 and the end of the recuperative period for his surgery, in the amount of $50,000.
I do not, however, fully credit the testimony of Dr. Eng and plaintiff's subjective statements regarding pain and suffering extending beyond the date of the surgery. Notably, over much of the time in question plaintiff did not request prescription pain medication, instead self treating his condition with Ibuprofen and similar analgesic, over-the-counter medication. Results of EMG and nerve conduction testing of the plaintiff were largely unremarkable. And, while Dr. Eng recommended additional MRI and EMG studies, plaintiff opted not to undergo the second round of testing. Plaintiff's pain complaints, then, are wholly subjective without any objective evidence to corroborate that following surgery he continued to suffer from a condition which could be expected to generate pain and numbness to the degree which he claims to experience.*fn13 Based upon the court's observations, a careful review of plaintiff's medical records, and the fact of his employment -- oftentimes for lengthy periods -- I find plaintiff's complaints regarding the degree of ongoing, debilitating pain and numbness are exaggerated, and not fully credible.*fn14 While plaintiff does appear to suffer from residual pain to his left shoulder and extending down into his hand, I find that it is relatively minimal and in any event not disabling to the extent claimed by him. Accordingly, I will award the sum of $25,000 to compensate plaintiff for past and future pain and suffering experienced by the plaintiff following recovery from his surgery.
2. Economic Loss
Plaintiff's economic loss claim is supported by the testimony of Dr. Kenneth Reagles, a vocational specialist, and Dr. William Blanchfield, a forensic economist. With Dr. Eng's testimony regarding plaintiff's limitations, which has as its lynchpin the light duty FCE prepared by plaintiff's physical therapist, Dr. Reagles opined that plaintiff is unable to perform even in a sedentary employment position, such as a security guard monitoring closed circuit television screens, or as a telemarketer. Dr. Reagles attributed this inability to both plaintiff's limitations and the difficulties faced by a disabled person entering a competitive workplace setting. Utilizing that opinion, coupled with plaintiff's earnings at G&C foods and his reduced earning power as demonstrated by the wages paid to him by One Source, Dr. Blanchfield opined that over his anticipated working life, assuming that he chose to work until age sixty-five, plaintiff would suffer a diminution in earning capacity and fringe benefits in the amount of nearly $1.8 million.*fn15
At the trial plaintiff failed to establish, to my satisfaction, that he is unable to work in a full time position. Indeed, his work at One Source, oftentimes extending for prolonged periods, belies this contention. In addition, the limitations assumed by Dr. Reagles are inconsistent with plaintiff's conservative course of treatment, as well as his inability or unwillingness to submit to further testing in order to assist in the diagnosis of his condition. In the end, like a house of cards, the opinions leading to the economic damage figure rise and fall upon plaintiff's subjective complaints and the FCE report of plaintiff's physical therapist, completed in September of 2004, and not upon any independent testing or objective findings by Dr. Eng or any other medical professional. The FCC report is both extremely outdated, and not supportive of plaintiff's inability to work in any capacity, as assumed by Dr. Reagles. Plaintiff's subjective complaints, I have already found, are exaggerated and not fully credible. For these reasons, I find that plaintiff has not proven by a preponderance of the evidence that he is unable to work as a truck driver, or in any other available full time position earning comparable wages. Accordingly, plaintiff has not carried his burden of establishing that as a result of defendants' negligence he has suffered from a diminution of his earning capacity. I therefore decline to award damages for future economic loss.
I do find, however, that due to his accident plaintiff was unable to work in his position as a truck driver until after recovering from his surgery. I therefore award past economic losses, based upon plaintiff's average gross weekly pay of $827.60, calculated over the ten weeks prior to the date of plaintiff's accident, and adding twenty percent to that figure to compensate him for lost fringe benefits, in the total amount of $69,109.32 covering the period from June 18, 2003 until he was cleared by Dr. Eng to return to work on November 15, 2004, and excluding amounts earned during that period, plus twenty percent, from G&C.
3. Unpaid Medical Expenses
At the close of proof the parties stipulated that as a result of the accident and the ensuing treatment for his neck injury, plaintiff incurred medical expenses in the amount of $26,203.87. Since those damages are not controverted and were proximately related to defendants' negligent acts, I will therefore award that sum as part of plaintiff's recovery.
IV. SUMMARY AND ORDER
Having applied Pennsylvania law and concluded, based upon their admission, that defendants are liable to the plaintiff in negligence, I find that plaintiff is entitled to recover damages for past and future pain and suffering, in the total amount of $75,000.00, past lost wages in the amount of $69,109.32, and medical expenses of $26,203.87, for a total amount of $170,313.19, but that he is not entitled to recover future economic loss based upon a diminution in his earning capacity. It is therefore
ORDERED, that judgment be entered in plaintiff's favor awarding him the sum of $170,313.19 against the defendants, jointly and severally.