Armienti, DeBellis, Guglielmo & Rhoden, LLP, New York (Harriet Wong of counsel), for appellants.
Ogen & Sedaghati, P.C., New York (Eitan A. Ogen of counsel), for respondent.
Friedman, J.P., Acosta, Andrias, DeGrasse, Freedman, JJ.
Judgment, Supreme Court, Bronx County (John Barone, J.), entered March 22, 2012, upon a jury verdict awarding plaintiff damages in the amounts of $500, 000 for past pain and suffering, $1, 500, 000 for future pain and suffering, and $500, 000 for future medical expenses, modified, on the law and the facts, to vacate the award, and to remand the matter for a new trial on the issue of damages, unless plaintiff stipulates, within 30 days after service of a copy of this order with notice of entry, to reduce the award for past pain and suffering to $300, 000, and vacate the awards for future pain and suffering and future medical expenses, and to entry of an amended judgment in accordance therewith, and otherwise affirmed, without costs.
On June 8, 2008, plaintiff was injured while riding in a car that collided with a Metropolitan Transit Authority bus in the Bronx. In November 2008, she commenced this action claiming, among other things, that the accident caused "serious injury, " within the meaning of Insurance Law § 5102(d), to her right shoulder and cervical spine.
After plaintiff was granted summary judgment as to liability, a trial on damages commenced, in November 2011. The jury found that the accident caused "a significant limitation of use of a body function or system" and "a permanent consequential limitation of use of a body organ or member, " two definitions of "serious injury" under the statute. Plaintiff was awarded damages in the amount of $500, 000 for past pain and suffering, $1, 500, 000 for future pain and suffering, and $500, 000 for future medical expenses. Defendants moved for an order setting aside the verdict as against the weight of the evidence or, in the alternative, reducing the damages award to an amount commensurate with plaintiff's injuries. The court denied the motion in a March 2012 order from which defendants now appeal.
Defendants contend that plaintiff failed to establish that she sustained a "serious injury" under Insurance Law § 5102(d) to either her shoulder or her spine. With respect to the shoulder, we agree that the medical evidence at trial failed to establish that the accident caused a "permanent consequential limitation of use" because plaintiff failed to submit objective evidence of permanent limitations based on a recent examination (see Vasquez v Almanzar, 107 A.D.3d 538 [1st Dept 2013]).
However, plaintiff established through quantitative assessments that, for a significant period, the accident seriously limited her use of her right shoulder by causing tendinitis, ongoing nerve impingement, and pain. As proof of significant limitation, plaintiff presented corroborative MRI results. After the accident, plaintiff received regular physical therapy and treatment by a number of orthopedists, and in November 2009 underwent arthroscopic surgery for her shoulder injury, during which an anterior spur was detected. Other medical records indicated that range of motion in the shoulder was limited. The trial court charged, without objection, that in order for there to be a "significant limitation" under Insurance Law § 5102(d) "[i]t is not necessary... to find that there has been a total loss of the body function or system or that the limitation [of] use is permanent" (PJI 2:88F; see also Vasquez, 107 A.D.3d at 539).
Defendants point out that, shortly after the operation, plaintiff stopped therapy for her shoulder until October 2011. However, she sufficiently explained the gap in treatment by testifying that her medical insurance did not cover physical therapy and that she could not afford to pay for it out of pocket (see Ramkumar v Grand Style Transp. Enters. Inc., __N.Y.3d__, 2013 NY Slip Op 06638 ).
While the other injuries of which plaintiff complained did not constitute "serious injury" under Insurance Law § 5102(d), the jury, having determined that plaintiff suffered a serious injury to her right shoulder, was permitted to award damages for all injuries caused by her accident (see Rubin v SMS Taxi Corp., 71 A.D.3d 548 [1st Dept 2010]).
However, the jury's award for future pain and suffering is unsupported by the evidence adduced at trial. It is notable that, 1½ years after the surgery on plaintiff's shoulder, she returned to the operating surgeon seeking treatment of unrelated injuries, and did not report any problems with her shoulder. Moreover, as indicated, plaintiff's records do not indicate any objective signs of limitation resulting from her herniated disc before she was examined by her own expert, on the eve of trial and about 3½ years after the accident.
Finally, plaintiff's future medical expenses are too speculative to be compensable. Her expert expressed no opinion as to whether additional surgery or significant treatment was medically necessary or even likely, and the only treatment following the shoulder surgery in November 2009 was some physical therapy the same month, an epidural injection about two years later, and two further injections that plaintiff claims she had scheduled for after the trial.
All concur except Acosta J. who dissents in part in a ...