Opinion

Vaughn v. Carnival Corporation

Court
District Court, S.D. Florida
Filed
Nov 29, 2021
Cited by
0 cases
Authority
More cited than 20.1%

finding objections to a treating physician’s testimony as to causation without merit because “a physician who has examined an injured party may describe what he has seen and give his expert inferences therefrom”

How later courts described this case

  • finding objections to a treating physician’s testimony as to causation without merit because “a physician who has examined an injured party may describe what he has seen and give his expert inferences therefrom”

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The opinion

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF FLORIDA

Case No. 20-cv-23153-BLOOM/Louis

TAMMY VAUGHN,

Plaintiff,

v.

CARNIVAL CORPORATION and

XYZ NURSE,

Defendants.

________________________________/

ORDER ON DEFENDANT’S MOTION IN LIMINE

THIS CAUSE is before the Court upon Defendant Carnival Corporation’s (“Defendant”)

Motion in Limine, ECF No. [32] (“Motion”), filed on November 1, 2021. Plaintiff Tammy Vaughn

(“Plaintiff”) filed her Response in Opposition, ECF No. [33] (“Response”), to which Defendant

filed a Reply, ECF No. [34] (“Reply”). The Court has carefully reviewed the Motion, all opposing

and supporting submissions, the record in this case, the applicable law, and is otherwise fully

advised. For the reasons set forth below, the Motion is granted in part and denied in part consistent

with this Order.

I. BACKGROUND

Plaintiff allegedly sustained an eye injury in August 2019 while aboard Defendant’s cruise.

See ECF No. [1]. Plaintiff asserts claims against Defendant based upon general negligence (“Count

I”); negligent failure to warn (“Count II”); negligence for the acts of the shipboard nurse, Mr.

Ferdinand Rapanan (“Mr. Rapanan”), on a theory of respondeat superior (“Count III”); negligence

for the acts of medical personnel based on a theory of apparent agency (“Count IV”); negligence

for the acts of Mr. Rapanan based on a theory of joint venture (“Count V”); and negligent hiring

and/or retention (“Count VI”). See generally id.

On November 1, 2021, Defendant filed the instant Motion in Limine challenging: (1) a

“handout” that the shipboard medical staff allegedly provided to Plaintiff; (2) statements allegedly

made by the shipboard medical staff; (3) opinions from Plaintiff’s treating physicians about

causation; (4) evidence of prior incidents or claims; and (5) evidence or argument that Plaintiff

uses a guide dog for the visually impaired or is reliant on such a dog. See generally ECF No. [32].

Plaintiff argues that the challenged evidence is admissible or that the Court should reserve ruling

on the admissibility of the challenged evidence until the trial. See generally ECF No. [33].

II. LEGAL STANDARD

“In fairness to the parties and their ability to put on their case, a court should exclude

evidence in limine only when it is clearly inadmissible on all potential grounds.” United States v.

Gonzalez, 718 F. Supp. 2d 1341, 1345 (S.D. Fla. 2010). “The movant has the burden of

demonstrating that the evidence is inadmissible on any relevant ground.” Id. “Unless evidence

meets this high standard, evidentiary rulings should be deferred until trial so that questions of

foundation, relevancy, and potential prejudice may be resolved in proper context.” In re Seroquel

Prods. Liab. Litig., Nos. 6:06-md-1769-Orl-22DAB, 6:07-cv-15733-Orl-22DAB, 2009 WL

260989, at *1 (M.D. Fla. Feb. 4, 2009). Likewise, “[i]n light of the preliminary or preemptive

nature of motions in limine, ‘any party may seek reconsideration at trial in light of the evidence

actually presented and shall make contemporaneous objections when evidence is elicited.’” Holder

v. Anderson, No. 3:16-CV-1307-J-39JBT, 2018 WL 4956757, at *1 (M.D. Fla. May 30, 2018)

(quoting Miller ex rel. Miller v. Ford Motor Co., No. 2:01CV545FTM-29DNF, 2004 WL

4054843, at *1 (M.D. Fla. July 22, 2004)); In re Seroquel Prod. Liab. Litig., 2009 WL 260989, at

*1 (“The court will entertain objections on individual proffers as they arise at trial, even though

the proffer falls within the scope of a denied motion in limine.” (citing United States v. Connelly,

874 F.2d 412, 416 (7th Cir. 1989))).

Evidence is admissible if relevant, and evidence is relevant if it has any tendency to prove

or disprove a fact of consequence. Fed. R. Evid. 401, 402; Advisory Comm. Notes, Fed. R. Evid.

401 (“The standard of probability under the rule is ‘more probable than it would be without the

evidence.’”); United States v. Patrick, 513 F. App’x 882, 886 (11th Cir. 2013). A district court

may exclude relevant evidence under Rule 403 if “its probative value is substantially outweighed

by a danger of . . . unfair prejudice, confusing the issues, misleading the jury, undue delay, wasting

of time, or needlessly presenting cumulative evidence.” Fed. R. Evid. 403. “Rule 403 is an

extraordinary remedy which the district court should invoke sparingly, and the balance should be

struck in favor of admissibility.” Patrick, 513 F. App’x at 886 (citing United States v. Lopez, 649

F.3d 1222, 1247 (11th Cir. 2011)). Rule 403’s “major function . . . is limited to excluding matter

of scant or cumulative probative force, dragged in by the heels for the sake of its prejudicial effect.”

United States v. Grant, 256 F.3d 1146, 1155 (11th Cir. 2001) (quoting United States v. Cross, 928

F.2d 1030, 1048 (11th Cir. 1991)).

i. Handout Allegedly Provided by the Shipboard Medical Staff

Defendant seeks to exclude the handout that the shipboard medical staff allegedly gave to

Plaintiff. ECF No. [32] at 1. Defendant argues that the handout is not authentic, and it is hearsay

that does not fit within any hearsay exception. See id. at 2. Plaintiff responds that the handout has

been authenticated through depositions and it is not hearsay. ECF No. [33] at 2-8. Plaintiff

contends that, even if the handout is hearsay, several hearsay exceptions apply. See id. at 6-8.

First, in order to authenticate evidence, “the proponent must produce evidence sufficient

to support a finding that the item is what the proponent claims it is.” Fed. R. Evid. 901. As

Defendant correctly notes, the Eleventh Circuit has determined that Rule 901 only “requires a

proponent to present sufficient evidence to make out a prima facie case that the proffered evidence

is what it purports to be.” ECF No. [34] at 1; United States v. Maritime Life Caribbean Ltd., 913

F.3d 1027, 1033 (11th Cir. 2019) (quoting United States v. Lebowitz, 676 F.3d 1000, 1009 (11th

Cir. 2012)). Rule 901(b)(1) further states that “testimony of a witness with knowledge” that “an

item is what it is claimed to be” can establish authenticity. Fed. R. Evid. 901(b)(1).

Plaintiff points out that she testified in her deposition that Defendant’s nurse gave her the

handout in question. ECF Nos. [33] at 2; [32-1] at 18. Plaintiff’s husband also confirmed that

Defendant’s nurse gave Plaintiff the handout. ECF Nos. [33] at 3; [32-5] at 14. Lastly, Defendant’s

corporate representative also testified at his deposition that the handout contains recommendations

that are consistent with Defendant’s medical advice. ECF No. [33] at 3-4; see also ECF No. [32-

3] at 13. Defendant argues that self-serving testimony from Plaintiff does not meet the threshold

for showing that the handout is what it purports to be. ECF No. [34] at 1-2. Defendant also argues

that Defendant’s corporate representatives’ statement that the handout is generally consistent with

Defendant’s recommendation is not sufficient to establish authenticity. ECF No. [34] at 2.

Defendant further argues that there is no other evidence, such as Carnival’s logo, indicating who

made the handout or when. ECF No. [32] at 2.

The Court agrees with Defendant only to the extent that Defendant’s corporate

representative’s statement – that the handout contains recommendations that are generally

consistent with Defendant’s own medical advice – does not establish authenticity. However,

considering Rule 901(b)(1), sworn deposition testimony from Plaintiff and Plaintiff’s husband

meet the threshold requirement to establish a prima facie case for authenticity. See Fed. R. Evid.

901(b)(1). The Court notes that any dispute as to the authenticity of the handout beyond this

threshold goes to the weight of the evidence to be determined by the jury, not admissibility. See

Maritime Life Caribbean Ltd., 913 F.3d at 1033.

Next, the Court must address whether the handout is hearsay and whether a hearsay

exception applies. Plaintiff relies on Ash v. Shambodromo, LLC, 676 F. Supp. 2d 1360 (S.D. Fla.

2009), to argue that the handout is not hearsay because it is an opposing party’s statement, and that

even if the handout is hearsay, it falls within several hearsay exceptions. ECF No. [33] at 5-6.

Defendant argues that the handout is hearsay, and that no hearsay exception applies. ECF Nos.

[32] at 2; [34] at 2.

Rule 801(d)(2) states the following:

(2) An Opposing Party’s Statement. The statement is offered against an opposing

party and:

(A) was made by the party in an individual or representative capacity;

(B) is one the party manifested that it adopted or believed to be true;

(C) was made by a person whom the party authorized to make a statement on

the subject;

(D) was made by the party’s agent or employee on a matter within the scope of

that relationship and while it existed; or

(E) was made by the party’s coconspirator during and in furtherance of the

conspiracy.

Fed. R. Evid. 801(d)(2). Plaintiff must meet any one of the above factors for the handout to be

admissible as an opposing party’s statement.

As Plaintiff correctly argues, Mr. Rapanan gave the handout to Plaintiff in his

representative capacity as the shipboard nurse for Defendant. ECF No. [33] at 5. Therefore, the

first factor is met. See Fed. R. Evid. 801(d)(2)(A). Even if Mr. Rapanan did not give the handout

to Plaintiff in his representative capacity, according to Plaintiff’s deposition, Mr. Rapanan

admitted that the information in the handout was Defendant’s medical advice. ECF Nos. [33] at 5;

[32-1] at 18. Therefore, the handout is admissible under the second factor. See Fed. R. Evid.

801(d)(2)(B). Furthermore, according to the deposition of Defendant’s corporate representative,

Defendant allows nurses to give medical advice and does not prohibit nurses from doing so without

getting doctors involved. See ECF No. [32-3] at 5. Thus, the third factor is also satisfied. See Fed.

R. Evid. 801(d)(2)(C).1

In response, Defendant argues that Ash, 676 F. Supp. 2d 1360, is not instructive because

Defendant’s corporate representative has never seen the handout and Defendant did not authorize

the handout itself. See ECF No. [34] at 2. However, Defendant’s claim that the corporate

representative has never seen the handout or that Defendant did not authorize the handout are not

relevant to the material issue of whether Mr. Rapanan gave the handout to Plaintiff in his

representative capacity. In other words, Defendant does not address Plaintiff’s claim that similar

to the general manager in Ash, 676 F. Supp. 2d at 1372, who was authorized to speak on behalf of

the defendant and was acting in the scope of his employment, Mr. Rapanan was authorized to

speak on behalf of Defendant and was acting within the scope of his employment. See id. While

Defendant may not have expressly authorized the handout, Defendant did authorize Mr. Rapanan

to speak on its behalf. Accordingly, the handout is an opposing party’s statement and not hearsay.

Because the handout is admissible as an opposing party’s statement, the Court does not consider

Plaintiff’s arguments in the alternative. The Motion is denied as to this matter.

ii. Statements Allegedly Made by Defendant’s Medical Staff

Defendant also seeks to preclude statements allegedly made by Defendant’s medical staff

that Plaintiff did not need to see a doctor because Plaintiff’s symptoms were caused by her

seasickness patch. ECF No. [32] at 3. Defendant’s contention is that the alleged statements are

inadmissible hearsay and that the medical diagnosis exception to the hearsay rule does not apply.

See id. Plaintiff responds that the statements are not hearsay because they are an opposing party’s

1 Given that there are at least three grounds for admitting the handout as an opposing party’s statement, the

Court does not analyze whether there are additional grounds for admitting the handout as an opposing

party’s statement.

statements, and that even if the statements are hearsay, the statements are admissible under several

hearsay exceptions. ECF No. [33] at 8-9.

The Court’s analysis on this matter is similar to the Court’s analysis in regard to the

handout. As stated above, Rule 801(d)(2) sets forth the relevant test to determine if a statement is

admissible as an opposing party’s statement. See Fed. R. Evid. 801(d)(2). The statements in

question were made by Mr. Rapanan, acting in his representative capacity as a shipboard nurse.

See ECF No. [33] at 8. Therefore, the first factor is met. See Fed. R. Evid. 801(d)(2)(A). Even if

Mr. Rapanan did not make the statements in his representative capacity, according to Plaintiff’s

deposition, Mr. Rapanan stated that his medical advice was Defendant’s medical advice. ECF Nos.

[33] at 8; ECF No. [32-1] at 18. As such, the second factor is also met. See Fed. R. Evid.

801(d)(2)(B). Defendant also authorized Mr. Rapanan to give medical advice. ECF No. [32-3] at

5. Thus, the third factor is met. See Fed. R. Evid. 801(d)(2)(C).2 Therefore, given that the

statements are an opposing party’s statements, not hearsay, and admissible, the Court need not

address Plaintiff’s arguments in the alternative or Defendant’s argument that the medical diagnosis

hearsay exception does not apply. The Motion is denied as to this matter.

iii. Causation Opinions from Plaintiff’s Treating Physicians

Defendant seeks to prevent Plaintiff’s treating physicians from opining on causation

because they failed to provide expert reports. ECF No. [32] at 4. Defendant specifically seeks to

exclude the causation opinions of Dr. Amy Chiu, Dr. Justin Wilkin, and Dr. Cameron Johnson.

See id.3 Plaintiff relies on Underwood v. NCL (Bahamas) Ltd., 17-24492-CV, 2019 WL 1559659,

2 As before, since there are at least three grounds for admitting the statements as an opposing party’s

statements, the Court does not analyze whether there are additional grounds for admitting the statements as

an opposing party’s statements.

3 Defendant states that causation opinions include opinions “regarding the alleged treatment onboard the

vessel, or [opinions] otherwise linking Plaintiff’s injuries to alleged medical treatment on the ship.” ECF

No. [32] at 4. Defendant also seeks to preclude the treating physicians from introducing “testimony and

at *3 (S.D. Fla. Apr. 10, 2019), and contends that an expert report is not necessary, and the Court

should defer ruling on the matter until trial because treating physicians should be permitted to

opine on causation if causation opinions were formed during the scope of their treatment. ECF No.

[33] at 10.

In general, “[w]hen a treating physician testifies regarding opinions formed and based upon

observations made during the course of treatment, the treating physician need not produce a Rule

26(a)(2)(B) report.” In re Denture Cream Prods. Liab. Litig., No. 09-2051-MD, 2012 WL

5199597, at *4 (S.D. Fla. Oct. 22, 2012) (citations and internal quotation marks omitted).

Likewise, “because a treating physician considers not only the plaintiff’s diagnosis and prognosis,

opinions as to the cause of injuries do not require a written report if based on the examination and

treatment of the patient.” Levine v. Wyeth, Inc., No. 8:09-cv-854-T-33AEP, 2010 WL 2612579, at

*1 (M.D. Fla. June 25, 2010) (citing Baratta v. City of Largo, No. 8:01–CV–1894–T–EAJ, 2003

WL 25686843, at *2 (M.D. Fla. Mar.18, 2003)). “Treating physicians commonly consider the

cause of any medical condition presented in a patient, the diagnosis, the prognosis, and the extent

of disability, if any, caused by the condition or injury.” Id. (citing Shapardon v. West Beach

Estates, 172 F.R.D. 415, 416–17 (D.Haw.1997)); see also McGuire v. Davis, 437 F.2d 570, 572-

73 (5th Cir. 1971) (finding objections to a treating physician’s testimony as to causation without

merit because “a physician who has examined an injured party may describe what he has seen and

give his expert inferences therefrom”);4 Jones v. Royal Caribbean Cruises, Ltd., No. 12-20322-

CIV, 2013 WL 8695361, at *5 (S.D. Fla. Apr. 4, 2013). On the other hand, “[w]here a doctor’s

opinion extends beyond the facts disclosed during care and treatment of the patient and the doctor

evidence opining on liability, causation of Plaintiff’s damages, the standard of care, or otherwise attempting

to support her claims for medical negligence.” Id.

4 In Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir. 1981), the Eleventh Circuit adopted as

binding precedent all decisions of the Fifth Circuit issued prior to October 1, 1981.

is specially retained to develop opinion testimony, he or she is subject to the provisions of Rule

26(a)(2)(B).” Levine, 2010 WL 2612579, at *1 (citing Brown v. Best Foods, 169 F.R.D. 385, 388

(N.D. Ala. 1996)).

Defendant argues that the causation opinions were not formed during the treating

physicians’ treatment of Plaintiff. ECF No. [34] at 4-5. Defendant claims that the causation

opinions are “hypothetical conjecture” and that causation opinions should be inadmissible because

“whether [Plaintiff’s injury] occurred due to medical negligence or Plaintiff’s delay in seeking

treatment would make no difference to Plaintiff’s treatment.” Id. However, Defendant does not

provide any record evidence to support the claim that the causation opinions were not formed

during the course of treatment or that medical negligence and delay made no difference to

Plaintiff’s treatment. On the other hand, Plaintiff does not claim that the treating physicians’

causation opinions were necessary to the development of treatment recommendations and merely

states that causation opinions should be admissible “if” those opinions were necessary to the

development of treatment recommendations. ECF No. [33] at 11. Without further information, the

Court cannot determine whether the causation opinions were formed and based upon observations

made during the course of treatment. As such, the Court reservse ruling on the admissibility of

causation opinions until the trial. See In re Seroquel Prods. Liab. Litig., 2009 WL 260989, at *1

(deferring ruling so that questions of foundation, relevancy, and potential prejudice may be

resolved in the proper context).5 Thus, the Motion is denied as to this matter.

5 Plaintiff argues that the treating physicians should be permitted to opine about Plaintiff’s damages and

vision status because those opinions were formed during the course of Plaintiff’s treatment. ECF No. [33]

at 11. Defendant makes clear that it is only objecting to causation opinions, which do not include the above

opinions. ECF No. [34] at 3-4. Therefore, such opinions will be admissible.

iv. Evidence of Prior Incidents or Claims

Defendant seeks to preclude evidence of prior incidents or claims because the probative

value of such evidence is substantially outweighed by the danger of unfair prejudice. ECF No. [32]

at 5-6 (citing Miller ex rel. Miller, 2004 WL 4054843, at *1). Defendant stresses that because the

Eleventh Circuit has determined notice is not required to establish vicarious liability, evidence of

prior incidents or claims to prove notice has little probative value. ECF No. [32] at 6 (citing Yusko

v. NCL (Bahamas) Ltd., 4 F.4th 1164 (11th Cir. 2021)). Plaintiff responds that Plaintiff has not

discovered any evidence of prior incidents yet, and that the Court should reserve ruling on the

admissibility of prior incidents or claims until trial. ECF No. [33] at 11-12.

In general, a district court may deny a motion in limine when it “lacks the necessary

specificity with respect to the evidence to be excluded.” Bowden ex rel. Bowden v. Wal-Mart

Stores, Inc., No. CIV. A. 99-D-880-E, 2001 WL 617521, at *1 (M.D. Ala. Feb. 20, 2001) (quoting

Nat’l Union v. L.E. Myers Co. Grp., 937 F. Supp. 276, 287 (S.D.N.Y. 1996)). In this case, the

Court will not exclude any allegedly improper evidence before such evidence is discovered and

presented for review. See Thompkins v. Lil’ Joe Recs., Inc., No. 02-61161CIV, 2003 WL

25719229, at *2 (S.D. Fla. Dec. 3, 2003) (denying a motion in limine as premature because the

nature of the evidence was unknown). Furthermore, although the Eleventh Circuit has determined

that notice is not required to establish vicarious liability, see Yusko, 4 F.4th 1164, it does not follow

that Plaintiff should be categorically precluded from offering evidence of prior incidents since

such evidence may have sufficient probative value in proving notice for direct negligence, even if

Plaintiff is not required to prove notice for vicarious liability. The Court reserves ruling on any

evidence of prior incidents or claims until trial, and the Court will determine whether such

evidence, if discovered, is unfairly prejudicial at that time. Thus, the Motion is denied as to this

matter.

v. Evidence or Argument About the Guide Dog

Lastly, Defendant seeks to preclude any evidence or argument that the dog Plaintiff

purchased after the incident is a “guide dog” or a “seeing-eye dog” and that Plaintiff relies on such

a service animal. ECF Nos. [32] at 6-7; [34] at 5. Defendant argues that such evidence or argument

would be unfairly prejudicial. ECF No. [34] at 5. Plaintiff responds that it would be unfairly

prejudicial to Plaintiff to exclude evidence of the “service animal.” ECF No. [33] at 12.

Rule 403 states that “[t]he court may exclude relevant evidence if its probative value is

substantially outweighed by a danger of one or more of the following: unfair prejudice, confusing

the issues, misleading the jury, undue delay, wasting time, or needlessly presenting cumulative

evidence.” Fed. R. Evid. 403. Here, Defendant seeks to prevent references to the dog in question

as a “guide dog” or a “seeing-eye dog.” ECF No. [34] at 5. Defendant does not seek to exclude

references to the dog in question as a “service animal.” See id. Defendant also does not challenge

the description of the dog as a “pet” or an “emotional support animal.” ECF No. [32] at 7.

Considering Plaintiff’s husband’s deposition testimony that the dog was not trained to be a “guide

dog” or a “seeing-eye dog” and has no certification suggesting as much, see ECF No. [32-5] at 19,

the Court considers references to the dog as a “guide dog” or a “seeing-eye dog” to be unfairly

prejudicial to Defendant. See Fed. R. Evid. 403.6

Furthermore, Plaintiff goes to work without the dog, see [32-5] at 19, Plaintiff does not

rely on the dog while she is at home, see id., and Plaintiff can still drive, see id. at 19-20. As such,

it appears that Plaintiff does not need a “guide dog” or a “seeing-eye dog” and any statement to

the contrary would also be unfairly prejudicial to Defendant. As such, the Motion is granted as to

6 Plaintiff appears to construe Defendant’s main concern to be that the dog is “a good-looking dog” and that

the “jury may sympathize with Plaintiff because Plaintiff feels more comfortable walking with a dog on her

left side in public.” ECF No. [33] at 14. As indicated above, this does not appear to be Defendant’s primary

concern.

Case No. 20-cv-23153-BLOOM/Louis

this matter. Plaintiff will be permitted to introduce evidence that Plaintiff purchased the dog after

the incident, that the dog is “service animal,” and that Plaintiff relies on the “service animal” in

certain circumstances.

I. CONCLUSION

Accordingly, it is ORDERED AND ADJUDGED that Defendant’s Motion, ECF No.

[32], is GRANTED IN PART AND DENIED IN PART consistent with this Order.

DONE AND ORDERED in Chambers at Miami, Florida, on November 29, 2021.

BETH BLOOM

UNITED STATES DISTRICT JUDGE

Copies to:

Counsel of Record

12

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