Pauly et al v. Stanford Health Care
Filing
78
ORDER RE FIRST DISCOVERY LETTER granting in part and denying in part 72 Discovery Letter Brief. (Illston, Susan) (Filed on 9/7/2021)Any non-CM/ECF Participants have been served by First Class Mail to the addresses of record listed on the Notice of Electronic Filing (NEF)
Case 3:18-cv-05387-SI Document 78 Filed 09/07/21 Page 1 of 3
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UNITED STATES DISTRICT COURT
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NORTHERN DISTRICT OF CALIFORNIA
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MAKENZIE PAULY, et al.,
Plaintiffs,
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United States District Court
Northern District of California
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Case No. 18-cv-05387-SI
ORDER RE FIRST DISCOVERY
LETTER
v.
STANFORD HEALTH CARE,
Re: Dkt. No. 72
Defendant.
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On August 17, 2021, plaintiff Makenzie Pauly filed a first discovery letter regarding three
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subpoenas issued by defendant Stanford Health Care (“defendant’s subpoenas”). Dkt. No. 72. On
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August 20, 2021, defendant filed a letter in response. Dkt. No. 74. For the reasons stated below,
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the Court modifies defendant’s subpoenas to matters concerning plaintiff’s physical injuries during
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November 2008 and December 2008.
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BACKGROUND
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This case arises from defendant’s alleged failure to screen and treat plaintiff in November
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2008 and December 2008 (“Underlying Incident”). Dkt. No. 1. Plaintiff claims she suffered
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personal injury from defendant’s alleged refusal to accept plaintiff as a transfer patient and provide
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plaintiff medical care. Dkt. No. 1 at 8. Plaintiff further claims she suffered physical, mental, and
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emotional distress while waiting six weeks for an appointment with defendant. Id.
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On July 30, 2021, defendant issued three deposition subpoenas to the custodian of records
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for Sutter Medical Center: (1) “ALL DOCUMENTS, MEDICAL RECORDS, OFFICE RECORDS,
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EMERGENCY ROOM RECORDS, SIGN-IN SHEETS, MEDICAL TESTS, INPATIENT AND
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OUTPATIENT CHARTS AND RECORDS, RADIOLOGICAL REPORTS AND TEST
Case 3:18-cv-05387-SI Document 78 Filed 09/07/21 Page 2 of 3
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RESULTS.
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EXAMINATION OF MAKENZIE PAULY (DOB: 09/25/1998)”; 2) “Any and all x-ray films,
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MRS’s, CT scans and any other type of film pertaining to the care, treatment or examination
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pertaining to MAKENZIE PAULY (DOB: 09/25/1998) from the first date to, and including, the
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present.”; and 3) “All itemized statements of billing charges, invoices, records of adjustments and/or
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write/offs, payments and credits, explanation of benefits, balance due and insurance records.” Dkt.
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No. 72 at 4-23.
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ALL OF THE ABOVE PERTAINING TO THE CARE, TREATMENT OR
On August 17, 2021, the plaintiff filed a first discovery letter objecting defendant’s
subpoenas. Dkt. No. 72. On August 20, 2021, defendant filed a response letter. Dkt. No. 74.
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United States District Court
Northern District of California
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LEGAL STANDARD
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Under Federal Rule of Civil Procedure 45, a party may subpoena and command the
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production of documents. FED. R. CIV. P. 45 (a)(1)(C). A party may obtain discovery relating to
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any nonprivileged matter that is relevant to any party’s claim or defense and proportional to the
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needs of the case. FED. R. CIV. P. 26(b)(1). The Court may quash or modify a subpoena if the
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subpoena “requires disclosure of privileged or other protected matter, if no exception or waiver
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applies.” FED. R. CIV. P. 45(d)(3)(A) (iii).
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“[I]n a civil case, state law governs privilege regarding a claim or defense for which state
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law supplies the rule of decision.” FED. R. E. 501. In California, plaintiffs are “not obligated to
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sacrifice all privacy to seek redress for a specific (physical,) mental or emotional injury.” In re
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Lifschutz, 467 P.2d 557, 570 (1970). Plaintiffs “are entitled to retain the confidentiality of all
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unrelated medical or psychotherapeutic treatment they may have undergone in the past” and
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“unquestionably waive their physician-patient and psychotherapist-patient privileges as to all
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information concerning the medical conditions which they have put in issue.” Britt v. Superior
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Court, 574 P.2d 766, 768-69, 779 (1978). Waiver requires “asserting more than a garden-variety
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claim of emotional distress.” Turner v. Imperial Stores, 161 F.R.D. 89, 97 (S.D. Cal. 1995).
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Case 3:18-cv-05387-SI Document 78 Filed 09/07/21 Page 3 of 3
DISCUSSION
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Plaintiff argues defendant’s subpoenas are privileged and beyond the scope of her claims.
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Dkt. No. 72 at 2. Defendant argues discovery of all of plaintiff’s physical and mental health records
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is warranted because plaintiff placed her health at issue in this case. Dkt. No. 74 at 1-2.
The Court finds defendant’s subpoenas to be overbroad. The complaint limits plaintiff’s
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claims to her alleged pain and resulting inability to walk during Underlying Incident in November
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2008 and December 2008. Dkt. No. 1 at 9-19. See Britt v. Superior Court, 574 P.2d 766, 778-79
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(1978) (vacating order permitting discovery of plaintiff’s entire medical history and rejecting
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argument that discovery would determine injury when plaintiff identified particular ailments).
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Plaintiff did not place her entire mental health history by claiming she suffered severe “mental and
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United States District Court
Northern District of California
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emotional distress” during the six weeks of waiting for an appointment with defendant. Compare
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Fitzgerald v. Cassil, 216 F.R.D. 632, 633, 639 (N.D. Cal.2003) (no waiver of privacy of plaintiff’s
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medical and billing records when plaintiff did not allege “cause of action for intentional or negligent
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infliction of emotional distress” or “specific psychiatric injury or disorder or unusually severe
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emotional distress extraordinary in light of the allegations”) with Dornell v. City of San Mateo, 12-
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cv-6065-CRB (KAW), 2013 WL 5443036 at *4 (N.D. Cal. Sept. 30, 2013) (waiver of privacy when
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plaintiff alleged “severe emotional distress” resulting in “anxiety, high blood pressure, chest pain,
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sleeplessness, weight gain, inability to focus and loss of interest in daily life activities and hobbies”).
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Accordingly, defendant’s subpoenas shall be limited to records that concern plaintiff’s
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alleged pain and physical injury during November 2008 and December 2008.
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IT IS SO ORDERED.
Dated: September 7, 2021
______________________________________
SUSAN ILLSTON
United States District Judge
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