Storey v. Effingham County et al
Filing
262
ORDER denying 155 Motion to Dismiss for Lack of Jurisdiction; granting 156 Motion to exclude ; granting in part and denying in part 157 Motion for Summary Judgment. Based on these findings, the Clerk is DIRECTED to TERMINATE Dr. Rahimi as a party to this action. Signed by Chief Judge J. Randal Hall on 2/20/24. (wwp)
IN THE UNITED STATES DISTRICT COURT FOR THE
SOUTHERN DISTRICT OF GEORGIA
SAVANNAH DIVISION
KEITH STOREY, as Executor of
the Estate of Valerie Storey
and Executor of the Estate of
Kenneth Cartee,
Plaintiff,
V
CV 415-149
TRANSFORMHEALTHRX, INC; JOHN
DOES 1-20; ANISA GRANTHAM,
LPC, NCAC; REBECCA RANSOM,
LPN; JANE DOES 1-10; JOHN DOES
PHYISICIANS 1-5; and ALl
RAHIMI, M.D.,
Defendants.
ORDER
Presently pending before the Court are:
Defendant Dr. Ali
Rahimi's (""Dr. Rahimi") motion to dismiss (Doc. 155); Dr. Rahimi's
motion to exclude
judgment
Marilyn
(Doc.
Spikes,
(Doc.
157);
156); Dr.
Defendants
Rebecca
Ransom,
Rahimi's
Anisa
and
motion for summary
Grantham,
Laura
Busbin,
Transformhealthrx,
Inc's
C'THRX") (collectively, the ''THRX Defendants") motion to exclude
(Doc. 163); Plaintiff's motion in limine (Doc. 165); Plaintiff's
motion to exclude (Doc. 168); and the THRX Defendants' motion for
summary judgment (Doc. 171).
pending motions.
This Order addresses Dr. Rahimi's
I. BACKGROUND
The Court summarizes the relevant facts and the procedural
background thus far.
A. Procedural Background
On September 8, 2014, Valerie Storey,^ individually and as
executrix of Kenneth Cartee's
{^'Cartee") estate (the ''Estate"),
filed a civil rights and tort action against Effingham County Jail,
Jimmy
McDuffie,
Effingham
County
Sheriff's
Department,
THRX,
Effingham County Board of Commissioners, and 35 John and Jane Does.
Storey v. Effingham Cnty. Jail, No. 4:14-cv-194, (Doc. 1, at 1)
(S.D.
Ga.
Sept.
8,
2014).
On
November
25,
2014,
the
Court
dismissed the action without prejudice pursuant to Federal Rule of
Civil Procedure 41(a)(1)(A)(ii).
Id. (Doc. 32, at 1).
On May 20, 2015, Ms. Storey, individually and as executrix of
Cartee's
Estate,
filed
this
renewal
action
alleging
multiple
federal and state law causes of action against several individuals
and
entities
treatment.
involved
(Doc. 1.)
Amended Complaint.
in
Cartee's
incarceration
and
medical
On June 22, 2015, Ms. Storey filed her First
(Doc. 37.)
On August 30, 2015, Ms. Storey
filed her Second Amended Complaint (hereinafter, the "Complaint")
— the operative complaint.
(Doc. 72.)
Following Ms. Storey's
1 Ms. storey is Cartee's biological daughter. (Doc. 202-1, at 3.) Even so,
William Lamar Newman adopted Ms. Storey in 1981 after marrying Estella Nelson,
Ms. Storey's mother.
(Id.)
Cartee's parental rights over Ms. Storey were
terminated during this adoption. (Doc. 157-1, at 5.)
death, her husband, Keith Storey, was substituted as the party
plaintiff (hereinafter, "Plaintiff").
(Doc. 137).
The Court previously ruled on several motions for summary
judgment.
On
February 1, 2022, the
Court granted
Defendants
Effingham County, Effingham County Board of Commissioners, and
Jimmy McDuffie's motion for summary judgment.
(Doc. 254.)
On
August 31, 2022, the Court granted Defendants Ashby Lee Zydonyk,
Bryan Shearouse, Cora Mae Gaines, Dorothy Hopf, Garett Buckles,
Johnny Reinhart, Latonya Cooper, Leslie Minor, Paul Davis, Robert
L. Brown, and Tiffany Tisby's (collectively, the "ECSO Officers")
motion for summary judgment.
several
stipulations
remaining
Defendants
Additionally,
the
of
dismissal
are
Court
(Doc. 259.)
Dr.
in
Rahimi
the
and
previously
There have also been
case,
the
found
so
THRX
Ms.
the
only
Defendants.
Storey
lacked
standing to bring a wrongful death claim in her individual capacity
because she was adopted before Cartee's death, so Plaintiff lacks
standing
to
bring
a
wrongful
death
executor of Ms. Storey's estate.
claim
in
(Id. at 24.)
his
capacity
as
The Court also
found Plaintiff has standing to pursue a wrongful death claim in
his capacity as executor of Cartee's Estate.
(Id.)
B. Factual Background
The
resided
facts
at
relevant
Woodlands
to
this
Health
Order
and
are
as
follows.
Rehabilitation
Cartee
facility
("Woodlands") in Midway, Georgia from October 22, 2012 until April
23, 2013.2
(Doc. 157-1, at 1.)^
Dr. Rahimi treated Cartee while
he was a resident at Woodlands.
(Id.)
When Cartee arrived at
Woodlands, he had "an infected left elbow or bursitis, herniation
of
his
C6/C7
paraplegia,
discs,
a
pressure sores,
incontinence
of
methicillin-resistant
a
his
staph
bowel
(MRSA)
Stage I to II sacral ulcer,
elbows, and ulcers on his heels."
and
(Id. at 1-2.)
bladder,
infection,
ulcers on
both
Upon admission,
his sacral ulcer was staged but the other ulcers were not described
or staged.
(Doc. 202-1, at 8.)
Inna Sheyner's ("Dr. Sheyner")
opinion is that Cartee's ulcers at the time of admission would
have been expected to heal within six to eight weeks.
(Id. at 9.)
During his stay at Woodlands, Cartee's ulcers progressively
worsened and new ulcers developed.
(Doc. 157-1, at 2.)
From his
admission until January 10, 2013, Cartee's sacral ulcer went from
Stage I or II to Stage IV with tunneling.
(Id.)
Cartee was
transferred to the hospital on January 10, 2013 and saw infectious
disease Dr. Demicco Barbour who determined Cartee had two potential
sources of infection - left side pneumonia or infected ulcers.
2 An outline of the events leading to Cartee's stay at Woodlands can be found
in the Court's prior Orders. (See Docs. 254, 259.)
3 Dr. Rahimi continually cites to the Complaint in his statement of material
facts. (Doc. 157-1.) At the motion for summary judgment stage, the Court is
not loolcing at the allegations of the complaint, instead, it looks at "whether
the non-moving party has presented sufficient evidence on the claim to get to
a jury." Carrizosa v. Chiquita Brands Int'l, Inc., 47 F.4th 1278, 1340 (11th
Cir. 2022). The Court cites to facts agreed to by both Parties; thus, citation
to the Complaint is irrelevant to the undisputed facts.
^ There is a discrepancy as to whether Cartee went to Memorial Medical Center
("Memorial") or St. Joseph's; nevertheless, the Parties agree he was treated in
(Id. at 2-3; Doc. 202-1, at 9.)
On January 11, 2013, Cartee was
diagnosed with sepsis^; polymicrobial bacteremia; and a large,
infected Stage III decubitus ulcer with devitalized tissue, a foul
odor, and tunneling.
(Doc. 157-1, at 3.)
Cartee stayed in the
hospital until January 22, 2013 and then returned to Woodlands.
(Doc. 202-1, at 9.)
On April 11, 2013, Cartee was admitted to the
hospital again with pressure ulcers, exposed bone in his left heel,
and a gigantic ulcer from buttocks to sacral full of necrotic
tissue and foul odor and tender on palpation.
13.)
(Id. at 9-10, 12-
During the second hospital stay. Dr. Ana Concepcion performed
an infectious disease consult and determined the source of Cartee's
sepsis was his gigantic ulcer.
(Id. at 9-10.)
Dr. Sheyner's expert report states Dr. Rahimi violated the
applicable standard of care by not preventing new pressure ulcers
from developing on Cartee and failing to provide appropriate wound
care on existing pressure ulcers.
(Id. at 10.)
She believes Dr.
Rahimi failed to prevent the ulcers from worsening due to his lack
of supervision, failure to estimate risk factors, lack of review
of his care plan, lack of ordering a higher level of pressure
relieving mattress, and failure to order pressure relieving boots.
the hospital and diagnosed with sepsis in January 2013.
(Doc. 202-1, at 9-10;
Doc. 157-1, at 2-3.)
^ Sepsis is a serious medical condition that occurs when there is bacteria in
the blood stream.
(Doc. 156-1, at 40-41.)
It can cause complications that
lead to death, as well as make other disease processes or co-morbidities more
complicated.
(Doc. 202-1, at 10.)
which are for a patient who cannot move his legs.
(Id. at 11.)
Cartee was scheduled to visit the wound center at St. Joseph's
once a month, but Dr. Sheyner believes if he had been taken to the
hospital when his ulcers started to get worse, then the outcome
would have been different.
(Id.)
Ultimately, she believes Dr.
Rahimi should have ordered outpatient care sooner.
(Id. at 13.)
Cartee was discharged from Woodlands on April 23, 2013, went
to Riverview nursing home until June, and then opted for hospice
care at home.
on
June
(Doc. 157-1, at 3; Doc. 202-1, at 13.)
25,
2013
because
of
acute
Cartee died
respiratory
cardiopulmonary arrest, and adult failure to thrive.
failure,
(Doc. 202-
1, at 2, 13-14.)
II. MOTION TO DISMISS
On April 26, 2017,
Dr.
Rahimi filed a motion to dismiss,
moving the Court to dismiss the state law malpractice claim against
him because it does not arise out of the same case or controversy
as the federal claims.
(Doc. 155, at 1.)
Dr. Rahimi requests the
Court decline to exercise supplemental or
over the state law claim.
(Id.)
pendent jurisdiction
In response. Plaintiff argues
"the allegations of medical malpractice against [Dr.] Rahimi for
failure to properly treat ulcers, and the allegations of failure
to provide medical care to Cartee, also with regard to Cartee's
ulcers,
among
other
conditions,
certainly
involve
similar
occurrences and facts."
(Doc. 200, at 5.)
Dr. Rahimi replied in
support of his motion, again arguing there is no common nucleus of
operative
fact.
(Doc.
226,
at
1.)
The
Court
addresses
the
Parties' arguments below.
A. Legal Standard
Under 28 U.S.C. § 1367(a), district courts ""have supplemental
jurisdiction over all other claims that are so related to claims
in the action within such original jurisdiction that they form
part of the same case or controversy under Article III of the
United
States
Constitution."
Supplemental
jurisdiction ''is
a
doctrine of flexibility, designed to allow courts to deal with
cases involving pendent claims in the manner that most sensibly
accommodates a range of concerns and values."®
Ameritox, Ltd. v.
Millennium
(11th
(quoting
Lab'ys,
Inc.,
803
Carnegie-Mellon
(1988)).
F.3d
Univ.
v.
518,
530
Cohill,
484
Cir.
U.S.
2015)
343,
350
"[A] federal court's power to hear pendent state-law
claims exists wherever a distinct claim arises under federal law,
and 'the relationship between that [distinct] claim and the state
claim permits the conclusion that the entire action before the
court
comprises
but
one
constitutional
'case.'"
Id.
at
531
(alterations in original) (quoting United Mine Workers of Am. v.
Gibbs,
383
U.S.
715,
725
(1966)).
However,
® Supplemental jurisdiction is also called pendent jurisdiction.
F.3d at 530 (citation omitted).
supplemental
Ameritox, 803
jurisdiction ''is a doctrine of discretion, not of plaintiff's
right, and should be exercised only when doing so would promote
judicial economy, convenience and fairness to litigants."
Id.
(quotation marks and citation omitted).
The Court must determine
whether the state law
claim is so
related to the federal claims "that they form part of the same
case or controversy."
Hudson v. Delta Air Lines, Inc., 90 F.3d
451, 455 (11th Cir. 1996) (quoting 28 U.S.C. § 1367(a)).
To make
this determination, the Court looks "to whether the claims arise
from the same facts, or involve similar occurrences, witnesses or
evidence."
Id. (citation
omitted).
This is
common nucleus of operative fact standard.
often
called
the
Reqenicin, Inc. v.
Lonza Walkersville, Inc., 997 F. Supp. 2d 1304, 1309 (N.D. Ga.
2014) (citing Lucero v. Trosch, 121 F.3d 591, 597 (11th Cir. 1997).
B. Discussion
Plaintiff filed the Complaint in this Court based on 28 U.S.C.
§§ 1343, 1367; 42 U.S.C. § 1983; and the Fourteenth Amendment of
the Constitution.
(Doc. 72, at 5.)
The Complaint states "[t]his
case is brought to vindicate . . . Cartee's federal constitutional
rights and to redress tortious conduct by the Defendants under
Georgia law."
(Id.)
The Parties agree the above-stated case law
on supplemental jurisdiction controls this analysis.
at 4.)
(Doc. 200,
However, the Parties disagree as to the application of the
law to the facts.
Dr. Rahimi moves to dismiss the state law medical malpractice
claim because it does not arise from the same facts and does not
involve similar occurrences, witnesses, or evidence as the claims
against the THRX Defendants.
(Doc. 155, at 9.)
The federal claims
that serve as the basis of Plaintiff s Complaint are brought under
42 U.S.C. § 1983 and allege deliberate indifference to Cartee's
medical needs, in violation of the Fourteenth Amendment.
72, at 22.)
(Doc.
Plaintiff argues Defendants failed to provide Cartee
adequate medical care; prevented him from getting needed medical
treatment; provided grossly deficient medical care that endangered
Cartee's health and well-being; failed to train, supervise, or
implement policies at the Effingham County Jail to assure Cartee
received medical care; and the lack of care demonstrated a lack of
regard to Cartee's right to be free from unnecessary and unlawful
bodily harm or threats.
(Id. at 22-25.)
Plaintiff alleges these
actions and/or omissions were negligent and/or reckless and/or
intentional and demonstrated a deliberate indifference to Cartee's
rights.
(Id. at 25.)
Plaintiff brings state law claims against
both the THRX Defendants and Dr. Rahimi.
(Id. at 25-45.)
Relevant
to the motion to dismiss is the medical malpractice claim against
Dr. Rahimi, Count III."^
(Id. at 30-45.)
Plaintiff alleges Dr.
Rahimi was the physician directly responsible for Cartee's care
Originally, Plaintiff brought Count III against Dr. Rahimi and Woodlands;
however, based on a stipulation of dismissal. Woodlands is no longer a party to
this suit.
(Doc. 252.)
during his stay at Woodlands from October 22, 2012 to April 23,
2013.
(Id.
at
30.)
Cartee's
open
pressure
ulcers
were
not
assessed upon his admission to Woodlands or during his stay despite
Dr.
Rahimi
knowing
about
the
preexisting
conditions.
(Id.)
Plaintiff alleges Dr. Rahimi, charged with care and treatment of
Cartee during his stay at Woodlands, breached the standard of care
exercised by members of the medical profession generally by failing
to properly treat Cartee, failing to prevent additional ulcers,
and allowing his ulcers to worsen.
Plaintiff
alleges
Dr.
Rahimi
(Id. at 34-42.)
caused
Based on this.
progression
of
Cartee's
conditions to the point of no recovery, directly contributing to
his premature and wrongful death, which could have been avoided if
Dr. Rahimi exercised the appropriate standard of care.
(Id. at
42-44.)
Dr.
Rahimi moves to dismiss this claim
because it involves
different elements of proof and does not stem from the common
nucleus of operative fact as the federal claims, thus requiring
different witnesses and evidence.
(Doc. 155, at 13.)
Dr. Rahimi
argues there may be overlapping evidence on causation and damages,
but this alone is not enough to confer supplemental jurisdiction.
(Id. at 18 (citations omitted).)
Dr. Rahimi asserts the Court
should decline to exercise supplemental jurisdiction because there
was a substantial temporal and
geographical break between the
claims asserted against the THRX Defendants and the claim against
10
him.
(Id.)
He also argues the state law medical malpractice claim
will require expert testimony and an analysis of the care and
treatment Cartee received at Woodlands, leading to a complex trial.
(Id. at 19-20.)
Dr. Rahimi believes these complexities, along
with the danger of confusion and prejudice trying the state and
federal claims together, should lead the Court to dismiss the claim
against him.
(Id. at 20-21.)
In response to the motion to dismiss. Plaintiff argues the
allegations
against
Dr.
Rahimi
arise
out of the
same
case
or
controversy as the federal claims against the Effingham County and
THRX
Defendants.®
(Doc.
200,
at 4.)
He
argues
the medical
malpractice allegations were only several weeks after the events
involving the THRX Defendants, and the "sequence of events led to,
and was the legal cause of, the death of [Cartee] due to a condition
[Defendants] failed to address."
(Id. at 5, 8.)
Furthermore,
Plaintiff argues the THRX Defendants are original tortfeasors,
making them potentially liable for damages resulting from injuries
caused by them but also by treatment provided by Dr. Rahimi.
at 8.)
(Id.
Dr. Rahimi replied to Plaintiff, arguing the claims against
the THRX Defendants pertain to "access to medical care" rather
than "treatment and prevention of ulcers," illustrating the claims
do not arise form a common nucleus of operative fact.
(Doc. 226,
® The Court previously granted the Effingham County Defendants' motion for
summary judgment; thus, they are no longer Parties to the suit.
11
{Doc. 254.)
at
3.)
He
again
argues
the
overlap
of
damages
does
not
automatically confer supplemental jurisdiction, separate trials
would not result in the duplication of efforts by the Parties, and
the danger of jury confusion is a legitimate concern.
(Id. at 4-
6.)
The Court finds the exercise of supplemental jurisdiction
over Plaintiff's state law medical malpractice claim against Dr.
Rahimi
is
warranted.
While
recognizing
the
distinguishable
characteristics between Cartee's treatment while incarcerated and
his treatment living at Woodlands after incarceration, the series
of events is so closely intertwined it falls into the category of
a common nucleus of operative fact.
It is hard to tell the story
of Cartee's medical decline without including both portions of the
story,
and
the
Court
knows
careful
jury
instructions
and
explanation can eliminate any potential jury confusion regarding
liability and responsibility.
See Eghnayem v. Bos. Sci. Corp.,
873 F.3d 1304, 1313-14 (11th Cir. 2017) ("[T]he risks of prejudice
and confusion . . . can be alleviated by utilizing cautionary
instructions to the jury during the trial and controlling the
manner in which the plaintiffs' claims . . . are submitted to the
jury for deliberation." (citation omitted)).
The Court finds that
keeping the medical malpractice claim against Dr. Rahimi a part of
this
litigation
will
promote
judicial
12
economy
and
ensure
a
consolidated and final outcome for all Parties.
For these reasons,
Dr. Rahimi's motion to dismiss (Doc. 155) is DENIED.
III. DR. RAHIMI'S MOTION TO EXCLUDE
The
Court
now
turns
to
Dr.
Rahimi's
Sheyner's sepsis and causation opinions.
motion
to
exclude
(Doc. 156.)
Dr.
Dr. Rahimi
moves, pursuant to Federal Rule of Evidence 702 and Daubert v.
Merrell Dow Pharms., Inc., 509 U.S. 579 (1993), to exclude
Sheyner's
opinions
because
she
used
a
differential
Dr.
diagnosis
analysis and failed to rule out other possible causes of Cartee's
sepsis, worsening ulcers, and decline.
(Id. at 7-10.)
Thus, Dr.
Rahimi argues Dr. Sheyner's causation opinions should be excluded,
and
she
should
be
precluded
from
testifying
that
Dr.
Rahimi
proximately caused or contributed to Cartee's worsening ulcers,
declining health, and death.
In
response.
generally
several
Plaintiff
conditions
(Id. at 21.)
argues
can
Dr.
cause
Sheyner
testified
worsening
in
that
pressure
ulcers; however, she ruled those out and determined none of those
applied.
(Doc. 176, at 6-7, 16.)
Plaintiff asserts ^'Dr. Sheyner
explained how it was impossible for there to be another cause to
Cartee's worsening pressure sores without [Dr.] Rahimi's failure
to meet the standard of care by failing to provide adequate wound
care to Cartee."^
(Id. at 15.)
Dr. Rahimi replied, arguing Dr.
® The Court notes Plaintiff makes many conclusory arguments in his response to
Dr. Rahimi's motion to exclude and fails to cite to any place in the record to
tie his arguments to the testimony of Dr. Sheyner. (See Doc. 176, at 15.)
13
Sheyner cannot assume he was negligent simply because Cartee's
wounds did not heal.
are
not
valid
(Doc. 194, at 4.)
because
potential causes with
she
did
not
He believes her opinions
"rule
out"
the
alterative
valid scientific methods and procedures.
(Id. at 4-5 (citation omitted).)
Dr. Rahimi is moving to exclude
Dr. Sheyner's causation testimony on the basis of reliability.
(Id. at 6-7.)
Dr. Sheyner's expert report states she reviewed records from
Woodlands, partial records from Memorial, partial records from St.
Joseph's hospital, and Cartee's death certificate.
2.)
(Doc. 94-1, at
Dr. Sheyner's opinion is that Dr. Rahimi breached the standard
of care "by failing to recognize risk factors for pressure ulcer
development and progression" in Cartee, as an immobile patient.
(Id. at 8.)
new
She believes Dr. Rahimi's failure to assess Cartee's
pressure
ulcers
and
take
action
caused
progression
and
infection in Cartee's ulcers and led to "no hope for recovery."
(Id.)
It is Dr. Sheyner's causation opinion that:
more likely than not, [Cartee] would not have developed
progression of his pressure ulcers to terminal stage IV
pressure ulcers with exposed bones and complications
from his pressure ulcers, such as sepsis, severe pain
and emotional distress and suffering, which directly
contributed to his death[,] if the reasonable standards
of care applicable to . . . Dr. Rahimi had been complied
with.
(Id. at 9-10.)
The Court addresses the Parties' arguments below.
A. Legal Standard
Federal Rule of Evidence 702 provides:
14
A witness who is qualified as an expert by knowledge,
skill, experience, training, or education may testify in
the form of an opinion or otherwise if the proponent
demonstrates to the court that it is more likely than
not that:
(a) the expert's scientific, technical, or other
specialized knowledge will help the trier of fact to
understand the evidence or to determine a fact in issue;
(b) the testimony is based on sufficient facts or data;
(c) the testimony is the product of reliable principles
and methods; and
(d) the expert's opinion reflects a reliable application
of the principles and methods to the facts of the case.
''As the Supreme Court recognized in [Daubert], Rule 702 plainly
contemplates that the district court will serve as a gatekeeper to
the admission of [expert] testimony."
Hurel-Dubois
UK
Ltd.,
(citation omitted).
326
F.3d
Quiet Tech. DC-8, Inc. v.
1333,
1340
(llth
Cir.
2003)
"The burden of laying the proper foundation
for the admission of the expert testimony is on the party offering
the expert, and admissibility must be shown by a preponderance of
the evidence."
Allison v. McGhan Med. Corp., 184 F.3d 1300, 1306
(llth Cir. 1999) (citation omitted).
The Eleventh Circuit has explained that district courts are
to engage in a three-part inquiry to determine the admissibility
of expert testimony under Rule 702.
Quiet Tech., 326 F.3d at 1340.
Specifically, the Court must consider whether:
(1) the expert is qualified to testify competently
regarding the matters he intends to address; (2) the
methodology by which the expert reaches his conclusions
15
is sufficiently reliable as determined by the sort of
inquiry mandated in Daubert; and (3) the testimony
assists the trier of fact, through the application of
scientific, technical, or specialized expertise, to
understand the evidence or to determine a fact in issue.
Id. at 1340-41 (citations omitted).
Here,
moving to exclude based on reliability.
The
testifying
expert's
opinions
Dr. Rahimi is only
(See Doc. 156.)
must
be
reliable.
In
Daubert, the Supreme Court directed district courts faced with the
proffer of expert testimony to conduct a ''preliminary assessment
of whether the reasoning or methodology underlying the testimony
is
scientifically
valid
and
of
whether
that
reasoning
methodology properly can be applied to the facts in issue."
U.S. at 592-93.
or
509
Courts should consider four factors: (1) whether
the theory or technique can be tested, (2) whether it has been
subject to peer review, (3) whether the technique has a known or
potential rate of error, and (4) whether the theory has attained
general acceptance in the
relevant community.
Id.
at 593-94.
"These factors are illustrative, not exhaustive; not all of them
will apply in every case, and in some cases other factors will be
equally
important
expert opinion."
in
evaluating
the
reliability
of
proffered
United States v. Frazier, 387 F.3d 1244, 1262
(11th Cir. 2004) (citation omitted).
For example, experience-
based experts need not satisfy the factors set forth in Daubert.
See United States v. Valdes, 681 F. App'x 874, 881 (11th Cir. 2017)
(affirming admission of testimony from expert identifying firearms
16
based on years of experience working with firearms).
However,
"[t]he inquiry is no less exacting where the expert ^witness is
relying solely on experience' rather than scientific methodology."
Summit at
Paces,
LLC
v.
RBC
Bank,
No.
1:09-cv-03504,
2012
WL
13076793, at *2 (N.D. Ga. May 22, 2012) {quoting Fed. R. Evid. 702
advisory committee's notes to 2000 amendment).
Bearing in mind
the diversity of expert testimony, ''the trial judge must have
considerable leeway in deciding in a particular case how to go
about
determining
reliable."
whether
particular
expert
testimony
is
Kumho Tire Co. v. Carmichael, 526 U.S. 137, 152 (1999).
"[W]hether the proposed testimony is scientifically correct is not
a
consideration
expert's
for
this
testimony,
court,
based
methodology, is reliable."
on
but
only
whether
scientific
or
not
principles
the
and
In re Chantix Prods. Liab. Litig., 889
F. Supp. 2d 1272, 1280 (N.D. Ala. 2012) (citing Allison v. McGhan
Med. Corp., 184
F.3d 1300, 1312 (11th Cir. 1999)).
"Vigorous
cross-examination, presentation of contrary evidence, and careful
instruction
on
the
burden
of
proof
are
the
traditional
and
appropriate means of attacking shaky but admissible evidence."
Id. at 1282 (citation omitted).
Regardless of the specific factors considered, "[p]roposed
testimony must be supported by appropriate validation - i.e., 'good
grounds,' based on what is known."
most
cases, "[t]he
expert's
Daubert, 509 U.S. at 590.
testimony
17
must
be
grounded
in
In
an
accepted body of learning or experience in the expert's field, and
the expert must explain how the conclusion is so grounded."
R.
Evid.
702
advisory
committee's
notes
to
2000
Fed.
amendment.
"'Presenting a summary of a proffered expert's testimony in the
form of conclusory statements devoid of factual or analytical
support is simply not enough" to carry the proponent's burden.
Cook ex rel. Est. of Tessier v. Sheriff of Monroe Cnty., 402 F.3d
1092, 1113 (11th Cir. 2005).
Thus, "if the witness is relying
solely or primarily on experience, then the witness must explain
how that experience leads to the conclusion reached,
why that
experience is a sufficient basis for the opinion, and how that
experience is reliably applied to the facts."
Frazier, 387 F.3d
at 1261 (citation omitted) (alterations adopted).
B. Discussion
Dr. Rahimi argues Dr. Sheyner's causation testimony should be
excluded based on reliability because the "differential diagnosis"
used was improperly done since Dr. Sheyner did not "rule out" other
potential causes of Cartee's death.
(Doc. 156, at 7-10.)
In a
conclusory fashion. Plaintiff argues Dr. Sheyner did in fact rule
out other possible sources of sepsis and determined Dr. Rahimi's
failure to meet the standard of care caused Cartee's worsening
pressure sores.
(Doc. 176, at 15.)
"Differential diagnosis "is accomplished by determining the
possible causes for the patient's symptoms and then eliminating
18
each of these potential causes until reaching one that cannot be
ruled out or determining which of those that cannot be excluded is
the most likely.'" Guinn v. AstraZeneca Pharms. LP, 602 F.3d 1245,
1253 (11th Cir. 2010) (citations omitted).
To be reliable, the
process does not have to rule out all possible alternative causes,
but '"it must at least consider other factors that could have been
the sole cause of the plaintiff's injury."
Id.
"[A]n expert does
not establish the reliability of his techniques or the validity of
his conclusions simply by claiming that he performed a differential
diagnosis on a patient."
McClain v. Metabolite Int'l, Inc., 401
F.3d 1233, 1253 (11th Cir. 2005).
''[A] differential diagnosis
that fails to take serious account of other potential causes may
be so lacking that it cannot
opinion on causation."
provide
a
reliable
basis for an
Guinn, 602 F.3d at 1253 (citations and
internal quotation marks omitted).
'MA]n expert must provide a
reasonable explanation as to why he or she has concluded that any
alternative cause suggested by the defense was not the sole cause
of the plaintiff's injury."
Id. (citations and quotation marks
omitted and alterations adopted).
In other words, "'an expert must
provide
alternative
reasons
for
rejecting
hypotheses
using
scientific methods and procedures and the elimination of those
hypotheses must be founded on
unsupported speculation."
more than subjective
beliefs or
Hendrix ex rel. G.P. v. Evenflo Co.,
609 F.3d 1183, 1197 (11th Cir. 2010) (citation and quotation marks
omitted).
"A district court is justified in excluding evidence if
19
an expert utterly fails . . . to offer an explanation for why the
proffered alternative cause was ruled out.''
Id. (citations and
quotation marks omitted and alteration in original).
Based on these principles, the Court finds
causation opinion should be excluded.
Dr. Sheyner's
First, in her deposition.
Dr. Sheyner admits she only reviewed ""partial documents."
156-1, at 120.)
(Doc.
The Court is unaware which documents were missing
from her review, but this is concerning to the Court as it is hard
to develop a reliable medical opinion without all the information.
Furthermore,
in
her
deposition.
Dr.
Sheyner
named
several
conditions that could affect a patient's ability to heal pressure
ulcers.
(Id.
at
41-54.)
Despite
her
recognition
of
these
possibilities, she at no point ruled out other potential causes to
reach her conclusion that Dr. Rahimi's negligence caused Cartee's
demise.
In fact. Dr. Sheyner admitted she could not rule out other
sources
of
Cartee's
sepsis
information to do so.
out
other
sources
because
(Id. at 120.)
of
sepsis.
Dr.
she
did
not
have
enough
When asked if she could rule
Sheyner
replied:
""Based
on
documents that I reviewed, and I have mentioned to you I was able
to review partial documents, I did not see any other sources . . .
I was able to
rule out or rule in.
information to say that."
(Id.)
No, I don't
have enough
When asked to clarify, she stated
she had enough information from consultants to rule in Dr. Rahimi's
actions but based on the information she had, she could not rule
out other sources.
(Id.)
As explained above, ""an expert must
20
provide a reasonable explanation as to why he or she has concluded
that any alternative cause suggested by the defense was not the
sole cause of the plaintiff's injury."
Guinn, 602 F.3d at 1253
{citations and quotation marks omitted and alterations adopted).
Dr. Sheyner explicitly stated she could not rule out other sources
and provides no justification aside from the fact she did not have
enough information.
(Doc. 156-1, at 120.)
Based on this, the
Court finds Dr. Sheyner's differential diagnosis is not reliable.
Dr. Sheyner's expert report states: ^^Dr. Rahimi's negligence
. . . resulted in ischemic pressure, wound infection and sepsis,
which
caused
ulcers."
the
development
(Doc. 94-1, at 9.)
and
progression
of
the
pressure
She then concludes that if the proper
precautions were taken by Dr. Rahimi, it is more likely than not
that progression from the ulcers to the terminal infection with
sepsis could have been avoided.
(Id.)
She believes it is more
likely than not that Cartee would not have developed such severe
ulcers and complications, such as sepsis, had Dr. Rahimi complied
with
the
standards of care.
(Id.
at 9-10.)
However, if
Dr.
Sheyner cannot determine the cause of the sepsis, it is unreliable
to take her opinion that Dr. Rahimi's negligence caused Cartee to
reach such a serious condition.
Dr. Sheyner, as an expert, was
required to explain why she rejected other theories or causes of
Cartee's
sepsis
using
scientific
methods
and
procedures
provide more than just subjective beliefs or speculation.
609 F.3d at 1197.
and
Hendrix,
She failed to do so, and thus the Court finds
21
Dr.
Sheyner's
unreliable.
causation
testimony
on
Cartee's
sepsis
to
be
Based on the foregoing, the Court GRANTS Dr. Rahimi's
motion to exclude the sepsis and causation opinions of Dr. Sheyner.
(Doc. 156.)
judgment.
The Court now turns to Dr. Rahimi's motion for summary
(Doc. 157.)
IV. MOTION FOR SUMMARY JUDGMENT
Plaintiff asserts a medical malpractice claim against Dr.
Rahimi, Count III.
(Doc. 72, at 30-44.)
Plaintiff alleges Dr.
Rahimi breached the standard of care by: failing to properly treat
Cartee's
pressure
ulcers;
failing
to
prevent
new
ulcers
from
forming; allowing his ulcers to worsen; failing to recognize the
risk for ulcer development in the immobile paraplegic patient with
urinary and bowel incontinence; failing to provide appropriate
preventive measures; failing to reposition Cartee every two hours
to prevent pressure ulcer formation; failing to monitor the change
in Cartee's condition and provide directions to Woodlands on how
to treat him; failing to properly assess the pressure ulcers during
Cartee's
admission
or
re-admission;
failing
to
take
timely
interventions in wound care and pressure relieving measures; and
failing
to
examine
Cartee.
(Id.
at
38-43.)
Based
on
these
failures. Plaintiff alleges Dr. Rahimi caused: the progression of
Cartee's pressure ulcers to Stage IV infected ulcers with exposed
bones, osteomyelitis, and no hope for recovery; ischemic pressure,
wound infection,
and sepsis,
which
22
caused
the
development
and
progression of the pressure ulcers; and severe pain, emotional
distress,
and
suffering
from
Cartee's
pressure
ulcer
complications, which directly contributed to his premature and
wrongful death.
(Id. at 44-44.)
Dr. Rahimi moves for summary
judgment on this claim on six grounds: (1) Ms. Storey did not have
the
right to
capacity
bring
because
a
she
wrongful
had
been
death
claim in
adopted;
(2)
her
Keith
individual
Storey,
as
executor of the estate of Ms. Storey, is not a proper party to the
case; (3) Ms. Storey did not bring a wrongful death claim on behalf
of Cartee's next-of-kin; {4} Cartee's Estate's pain and suffering
claim is barred by the two-year medical malpractice statute of
limitations
('"SOL");
(5)
Plaintiff
cannot
recover
punitive
damages; and (6) Plaintiff cannot show proximate cause.
157,
at
grounds.
1-4.)
Plaintiff
opposes
Dr.
Rahimi's
motion
(Doc.
on
all
(Doc. 202.)
Preliminarily,
the
Court
already
found
Ms.
Storey
lacked
standing to bring a wrongful death claim in her individual capacity
because she was adopted before Cartee's death; thus. Plaintiff
lacks standing to bring a wrongful death claim in his capacity as
executor of Ms. Storey's estate.
(Doc. 259, at 24.)
Thus, Dr.
Rahimi's motion is GRISTED as it pertains to Ms. Storey's wrongful
death claim in her individual capacity.
Furthermore, Dr. Rahimi
argues Keith Storey cannot prosecute a claim Ms. Storey never had.
(Doc. 157-2, at 5.)
The Court agrees, and Dr. Rahimi shall be
granted summary judgment on any individual capacity claims for
23
wrongful
death
pending
against
him.
The
Court
addresses
the
remaining arguments below.
A. Summary Judgment Standard
Under Federal Rule of Civil Procedure 56, a motion for summary
judgment is granted ^'if the movant shows that there is no genuine
dispute as to any material fact and the movant is entitled to
judgment as a matter of law."
fact is
Fed. R. Civ. P. 56(a).
^'An issue of
^material' if . . . it might affect the outcome of the
case . . . [and it] is ^genuine' if the record taken as a whole
could lead a rational trier of fact to find for the nonmoving
party."
Hickson Corp. v. N. Crossarm Co., 357 F.3d 1256, 1259-60
(11th Cir. 2004) (citations omitted).
The Court must view factual
disputes in the light most favorable to the
non-moving
party,
Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574,
587 (1986), and must draw ''all justifiable inferences in [the nonmoving party's] favor."
United States v. Four Parcels of Real
Prop., 941 F.2d 1428, 1437 (11th Cir. 1991) (en banc) (internal
punctuation and citations omitted).
the evidence or determine credibility.
Inc., 477 U.S. 242, 255 (1986).
The Court should not weigh
Anderson v. Liberty Lobby,
However, the nonmoving party "must
do more than simply show that there is some metaphysical doubt as
to the material facts."
omitted).
Matsushita, 475 U.S. at 586 (citations
A mere "scintilla" of evidence, or simply conclusory
allegations, will not suffice.
See e.g., Tidwell v. Carter Prods.,
135 F.3d 1422, 1425 (11th Cir. 1998).
24
Dr. Rahimi does not bear the burden of proof at trial, and
therefore may ''satisfy [his] initial burden on summary judgment in
either of two ways."
McQueen v. Wells Fargo Home Mortg., 955 F.
Supp. 2d 1256, 1262 (N.D. Ala. 2013) (citing Fitzpatrick v. City
of Atlanta, 2 F.3d 1112, 1115-16 (11th Cir. 1993)).
First, he
"may simply show that there is an absence of evidence to support
[Plaintiff's]
(citation
case
on
omitted).
the
particular
If this occurs.
issue
at
hand."
Id.
Plaintiff "must rebut by
either (1) showing that the record in fact contains supporting
evidence sufficient to withstand a directed verdict motion, or (2)
proffering evidence sufficient to withstand a directed verdict
motion at trial based on the alleged evidentiary deficiency."
Id.
(citation omitted). Or second. Dr. Rahimi may "provide affirmative
evidence demonstrating that [Plaintiff] will be unable to prove
[his] case at trial."
Id.
(citation omitted and emphasis in
original).
"Parties may not, by the simple expedient of dumping a mass
of evidentiary material into the record, shift to the Court the
burden
of
identifying
positions."
supporting
potential
V.
respective
Essentially, the Court has no duty "to distill
argument
that
could
be
materials before it on summary judgment."
Corp.
their
Preis v. Lexington Ins., 508 F. Supp. 2d 1061, 1068
(S.D. Ala. 2007).
every
evidence
Dunmar
Corp.,
43
F.3d
587,
made
based
upon
the
Id. (citing Resol. Tr.
599
(11th
Cir.
1995)).
Accordingly, the Court will only review the materials the Parties
25
specifically cite and legal arguments they expressly advance.
See
id.
In this action, the Clerk of Court provided Plaintiff notice
of the summary judgment motion, the right to file affidavits or
other materials in opposition, and the consequences of default.
{Doc. 160.)
For that reason, the notice requirements of Griffith
V. Wainwright, 772 F.2d 822, 825 (11th Cir. 1985) (per curiam),
are satisfied.
Plaintiff responded to the motion (Doc. 202), and
Dr. Rahimi replied in support (Doc. 227).
The time for filing
materials has expired, the issues have been thoroughly briefed,
and the motion is now ripe for consideration.
In reaching its
conclusions, the Court has evaluated the Parties' briefs, other
submissions, and the evidentiary record in the case.
B. Discussion
The Court analyzes
Dr.
Rahimi's arguments using the same
points set forth in his motion for summary judgment.
(Doc. 157.)
The Court resolved the first two points above.
1. Ms. Storey Did Not Bring a Wrongful Death Claim on Behalf
of Cartee's Next-of-Kin
Dr. Rahimi argues Ms. Storey could have brought a wrongful
death claim on behalf of Cartee's next-of kin, but she failed to
do so.
(Doc. 157-2, at 6-7.)
He argues she erroneously brought
a claim in her individual capacity instead of for the next-of-kin
and the SOL expired on June 25, 2015 so all wrongful death claims
against
Dr.
Rahimi should
be
dismissed.
26
(Id.)
In
response.
Plaintiff argues the
plaintiffs
were
originally identified
as
Valerie Storey, individually and as the Executrix of the Estate of
Cartee, thus indicating she brought a claim both individually and
for Cartee's next-of-kin.
(Doc. 202-2, at 20.)
The Court already
interpreted Ms. Storey's claims as brought both individually and
as executrix of Cartee's Estate.
(Doc. 259, at 16.)
Thus, Dr.
Rahimi's motion is DENIED on this ground.
2. The Estate's Pain and Suffering Claim is Barred by the SOL
Next, Dr. Rahimi argues Plaintiff failed to bring his pain
and suffering claim before the expiration of the two-year SOL.
(Doc. 157-2, at 7.)
Plaintiff contends Dr. Rahimi first breached
the standard of care on October 22, 2012 when
he misdiagnosed
Cartee's condition; breached the standard of care again on December
3, 2012 when Cartee developed a new ulcer on his right buttock;
and
Dr.
Rahimi's
progressively
negligence
worse,
January 10, 2013.
caused
resulting
in
(Id. at 8-9.)
Cartee's
Cartee's
ulcers
to
hospitalization
get
on
Cartee died on June 25, 2013,
and Ms. Storey was appointed Executrix of his Estate on November
20, 2013, 148 days later.
(Id. at 10.)
Under Georgia law, the
SOL was tolled between the time of Cartee's death and Ms. Storey
being appointed to represent the Estate.
9-3-32).)
(Id. (citing O.C.G.A. §
Even with the SOL tolling. Dr. Rahimi argues the SOL on
the Estate's pain and suffering claim against him ran on June 7,
2015, and Plaintiff did not add Dr. Rahimi as a Defendant until
June 22, 2015.
(Id. at 10-11.)
27
In response. Plaintiff argues the SOL did not run before he
filed
his claim
against
Dr.
Rahimi because 'Mt]he
statute
of
limitations for a wrongful death action emanating from medical
malpractice begins to run from the date of death, not from the
date of negligent act or omission of the practitioner."
202-2, at 21 (citing O.C.G.A. § 9-3-71(a)).)
(Doc.
He also argues that
even if Dr. Rahimi's medical malpractice did not cause Cartee's
death, the Estate's claim
was
still timely because
Dr.
Rahimi
committed medical malpractice as late as April 10, 2013, and with
the tolling of the SOL after Cartee's death, the June 22, 2015
claim was timely filed.
(Id. at 21-22.)
Dr. Rahimi replied,
arguing that Plaintiff believes the SOL was reset whenever Dr.
Rahimi committed an act of malpractice or did not start until Dr.
Rahimi
last
otherwise.
treated
Cartee;
however,
(Doc. 227, at 6-7.)
Georgia
law
provides
Dr. Rahimi asserts the SOL on an
Estate's pain and suffering claim commences the first day the
decedent suffers an injury rather than on the date of death.
at 7 (citations omitted).)
(Id.
He argues Plaintiff's attempt to use
the ''continuous treatment" doctrine
malpractice claims in Georgia.
does
not
(Id. at 9-10.)
apply to
medical
Thus, Plaintiff's
pain and suffering claim against Dr. Rahimi is barred by the twoyear SOL.
(Id.)
"Under O.C.G.A. § 9-3-71(a), a medical malpractice action
must be brought within two years after the date on which an injury
or death arising from an alleged negligent or wrongful act or
28
omission occurred."
App.
2011).
''"In
Deen v. Pounds, 718 S.E.2d 68, 71 (Ga. Ct.
most
misdiagnosis
immediately upon the misdiagnosis."
S.E.2d
585,
586-87
(Ga.
alterations adopted).
Ct.
App.
cases,
the
injury
Kitchens v.
2006)
(citation
begins
Brusman, 633
omitted
and
If a patient experiences symptoms of the
same injury before and after the misdiagnosis, the date of the
misdiagnosis is the date of the injury.
omitted).
Id. at 587 (citation
However, if a misdiagnosis results in new or subsequent
injuries, the SOL runs from the date of the new injury or the date
the symptoms of the new injury manifest to the patient.
Id.
[A] plaintiff's preexisting injury [is] not transformed
into a new injury simply because his underlying . . .
condition
remained
untreated
notwithstanding
the
increase in his symptoms . . . .
Where . . . the
patient's symptoms of his untreated condition worsen
over time, for statute of limitation(s) purposes, the
injury occurred at the time of the alleged misdiagnosis.
Deen, 718 S.E.2d at 73 (quoting Kaminer v. Canas, 653 S.E.2d 691,
695 (Ga. 2007)).
Dr. Rahimi treated Cartee at Woodlands from October 22, 2012
through April 25, 2013.
(Doc. 202-1, at 3.)
When he arrived at
Woodlands, he had four pressure ulcers and a surgical wound.
at 8.)
(Id.
During his stay at Woodlands, Cartee's ulcers progressively
got worse and new ones developed.
(Id. at 9.)
Cartee was twice
transferred to the hospital for treatment of his ulcers and was
eventually
ulcers.
diagnosed
with
sepsis,
(Id.; Doc. 157-1, at 2-3.)
potentially
caused
by
the
Plaintiff asserts Dr. Rahimi
was responsible for Cartee's worsening condition because he did
29
not properly treat the ulcers; thus. Dr. Rahimi argues the statute
of limitations on this claim for pain and suffering commenced when
Dr. Rahimi first saw Cartee on October 22, 2012.
8-9, 11-12.)
(Doc. 157-2, at
The Parties agree new ulcers formed, but there does
not seem to be evidence on when the new ulcers developed or when
the old ulcers got worse.
(Id. at 9; Doc. 202-2, at 7.)
The
Georgia Court of Appeals explained in Deen that a worsening of
symptoms is legally different from the development of a new and
more deleterious condition.
omitted).
Deen, 718 S.E.2d at 73 (citations
Keeping this in mind, and without clarity as to when
each of Cartee's ulcers developed, or when the preexisting ulcers
got worse, the Court finds there is not enough information to grant
summary judgment on the statute of limitations issue.
Ultimately,
there is a genuine dispute of material fact as to when the statute
of limitations began to run based on Dr. Rahimi's treatment of
Cartee.
Thus, Dr. Rahimi's motion is DENIED on this ground.
3. Plaintiff Cannot Recover Punitive Damages
Next, Dr. Rahimi argues punitive damages are not recoverable
in a wrongful death action, notwithstanding the intentional or
willful acts of the defendant, and so the next-of-kin's wrongful
death claim should be dismissed.
(Doc. 157-2, at 17.)
Further,
he argues punitive damages would be permissible as part of the
Estate's pain and suffering claim, but since it is barred by the
SOL, this claim also fails.
(Id.)
30
In response. Plaintiff argues the Estate can recover punitive
damages as part of its claim for pain and suffering.
2, at 22.)
(Doc. 202-
However, Plaintiff offers no argument in opposition
regarding the next-of-kin's wrongful death claim.
Because the
Court already found there was a genuine dispute of material fact
as to the SOL on the Estate's claim. Dr. Rahimi's motion is denied
on that ground.
But as to the next-of-kin's claim, the Court
agrees with Dr. Rahimi that punitive damages are recoverable only
when the defendant's acts are willful, intentional, or done under
circumstances
that
show
a
conscious
indifference
to
the
consequences. (Doc. 157-2, at 17); Roseberry v. Brooks, 461 S.E.2d
262, 268 (Ga. Ct. App. 1995).
Since there is no proof of willful,
intentional, or conduct that evidences an entire want of care of
conscious
indifference
by
Dr.
Rahimi,
and
Plaintiff
does
not
dispute the motion on this basis. Dr. Rahimi's motion for summary
judgment is GRANTED on this ground.
Plaintiff shall be unable to
recover punitive damages.
4. Plaintiff Cannot Show Proximate Cause
Finally, Dr. Rahimi argues Plaintiff cannot prove proximate
cause because Dr. Sheyner, the only expert that offered causation
testimony against him, did not provide reliable opinions.
157-2, at 21-23.)
(Doc.
In response. Plaintiff puts forth the same
arguments he gave in opposition to the motion to exclude.
202-2, at 22-39.)
31
(Doc.
''To prove a medical malpractice claim in Georgia, a plaintiff
must show: (1) the duty inherent in the health care provider-
patient
relationship;
(2)
breach
of
that
duty
by
failing
to
exercise the requisite degree of skill and care; and (3) that this
failure is the proximate cause of the injury sustained."
Knight
V. W. Paces Ferry Hosp., Inc., 585 S.E.2d 104, 105 (Ga. Ct. App.
2003) (citing Zwiren v. Thompson, 578 S.E.2d 862, 864 (Ga. 2003)).
"In order to establish proximate cause . . . the plaintiff must
use expert testimony because the question of whether the alleged
professional negligence caused the plaintiff's injury is generally
one for specialized expert knowledge beyond the ken of the average
layperson."
Zwiren, 578 S.E.2d at 865 (citations omitted).
the Court thoroughly explained
above.
As
Dr. Sheyner's causation
testimony on Cartee's sepsis is unreliable because she failed to
conduct a dependable differential diagnosis.
Court
granted
Dr.
Rahimi's
motion
causation opinions of Dr. Sheyner.
to
Because of this, the
exclude
the
sepsis
and
Without an expert's testimony
linking Dr. Rahimi's alleged actions to Cartee's death and illness.
Plaintiff's medical malpractice claim against Dr. Rahimi fails
because he cannot prove causation.
Thus, Dr. Rahimi is entitled
to summary judgment, and his motion (Doc. 157) is GRANTED on this
ground.
32
V. CONCLUSION
For
Rahimi's
the foregoing reasons, IT IS
HEREBY
motion
is DENIED,
to dismiss
(Doc.
155)
ORDERED
Dr.
that
Dr.
Rahimi's
motion to exclude (Doc. 156) is GRANTED, and Dr. Rahimi's motion
for summary judgment (Doc. 157) is GRANTED IN PART and DENIED IN
PART.
Based on these findings, the Clerk is DIRECTED to TERMINATE
Dr. Rahimi as a party to this action.
ORDER
ENTERED
at
Augusta,
Georgia,
this
day
of
February, 2024.
J.
UNltsDi-S^^ES DISTRICT COURT
SOUTHERN DISTRICT OF GEORGIA
33
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