RATCLIFF v. AMERICAN HONDA MOTOR CO. INC.

IN THE UNITED STATES DISTRICT COURT

FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

JODY RATCLIFF,

Plaintiff,

v. 1:17CV174

AMERICAN HONDA MOTOR CO. INC., □

et al.,

Defendants.

MEMORANDUM OPINION AND RECOMMENDATION OF

UNITED STATES MAGISTRATE JUDGE

This matter is before the Court on a Motion for Summary Judgment on Statute of

Limitations [Doc. #475] by Defendants Ford Motor Company (Ford), Brenntag Specialties,

Inc. (BSD, and Whittaker, Clark & Daniels Inc. (CD), and a Motion for Summary Judgment

Pursuant to Fed. R. Civ. P. 56 [Doc. #468] by Defendant Honeywell International, Inc.1

With respect to the statute of limitations defense, Defendants contend that the three-

statute of limitations began to run on May 5, 2005, when Plaintiff Jody Ratcliff was first

diagnosed with a form of mesothelioma, and that the statute of limitations therefore expired

several years before she filed the March 1, 2017 Complaint in this case. Plaintiff argues that

the statute of limitations did not accrue until April 2014, which is when she alleges she knew

ot had treason to know that her disease had progressed to another sub-type of mesothelioma.

* Cyprus Amax Minerals Company (Cyprus) originally joined in the Motion for Summary Judgment [Doc. .

#475], but subsequently settled with Plaintiff, and the claims and motions involving Cyprus will be terminated

as moot in light of the Notice of Settlement.

As discussed below, the Court concludes that there are no genuine issues of material fact as

to the statute of limitations, and there is no evidence on which a juty could find that Plaintiffs’

claims in the present case ate timely. Therefore, the Court will recommend that the Statute of

Limitations Motion for Summary Judgment be gtanted and that Defendant Honeywell’s

Motion for Summary Judgment Pursuant to Fed. R. Civ. P. 56 be otanted as it relates

Honeywell’s statute of limitations defense.

The Court notes that there ate also several other pending Motions: Defendant Ford

has filed Daubert Motions to exclude the expert opinion testimony of Dr. David Rosner, Dr.

Carlos Bedtossian, and Dr. Arnold Brody, and a related Motion fot Summary Judgment

Pursuant to Rule 56 [Doc. #461, #467, and #471]. Defendant Honeywell has filed a Daubert

Motion to Exclude the Expert Opinion Testimony of Dr. Carlos Bedtossian [Doc. #463].

Defendant WCD has filed Daubert Motions to Exclude Specific Causation Opinions and

Cumulative Exposure Opinion as Evidence of Causation and a related Motion for Summary

Judgment [Doc. #465, #472, and #477]. Defendant BSI has filed a Motion for Partial

Summarty Judgment and a Motion to Bifurcate [Doc. #486 and #491]. As a result of this

Coutt’s recommendation that summary judgment be granted on the statute of limitations, the

Court will recommend that these remaining pending Motions be terminated as moot.

I. EACTS, CLAIMS, AND PROCEDURAL HISTORY

In this case, Plaintiff Jody Ratcliff filed a twelve-count Complaint on March 1, 2017,

against sixty-two (62) defendants alleging injury caused by exposute to asbestos-containing

products. (Compl. [Doc. #1].) Ms. Ratcliff asserts claims of negligence, gross negligence,

inadequate design, breach of watranty, product Hability, premises liability, fraud/false

representation, and conspitacy against a number of automotive repair shops, retailers, and

businesses in the automotive or beauty retail industry. The Complaint divides the Defendants

into vatious groups: the “Friction Defendants,’ the “Talc Defendants,’ the “Retailer

Defendants,” the “Talc Product Retailer Defendants,’ and the “Automobile Repair

Defendants.” Most of the Defendants have settled or otherwise been dismissed, and the

remaining Defendants are Ford, BSI, WCD, and Honeywell.

As the basis for her claims, Plaintiff contends that her father, Oden Ratcliff, worked as

a tool salesman, and that during the summers of 1987-1989, she visited automotive garages

and dealerships alongside her father, that she was a bystander in the garages while brake work

was performed, and that as a result she was exposed to dust from asbestos-containing brakes

and related products. Plaintiff also contends that between 1977 and 2016, she used talc

. products that allegedly contained asbestos, including baby powder, deodorant, and makeup.

Plaintiff began experiencing abdominal symptoms in 2004 and underwent various

imaging and testing, including a diagnostic laparoscopic procedure in 2005. As a result of the

biopsy, she was diagnosed with well-differentiated papillary mesothelioma (““WDPM”) on May

5, 2005, by Dr. Jason Pereira at Vanderbilt University Medical Center. In his deposition in

this case, Dr. Pereira confirmed that Plaintiff had “a form of cancer,” and explained that

? Defendants Ford and Honeywell ate identified as two of the “Friction Defendants,” a group that allegedly

“mined, milled, processed, imported, converted, compounded, designed, manufactured, marketed, supplied,

distributed, sold and/or otherwise placed in the stream of commerce automotive products, materials and/or

equipment containing asbestos to which Plaintiff was directly and indirectly exposed in North Carolina between .

1985 and approximately 2004.” (Compl. 4/9.) BSI and WCD ate identified as two of the “Talc Defendants,”

a ptoup that allegedly “mined, milled, processed, imported, converted, compounded, designed, manufactured,

marketed, supplied, distributed, sold and/or otherwise placed in the stream of commerce asbestos-containing

talc, cosmetic and/or personal hygiene products—including taw and processed talc, makeups, deodorants

‘and/or tampons—that contained asbestos to which Plaintiff was directly and indirectly exposed in North

Carolina and elsewhere between approximately February 14, 1977, and 2016.” (Compl. 10.)

mesothelioma is “a malignancy of the lining of the abdomen or the thorax,” that in Plaintiffs

case the malignancy was of the peritoneal cavity (the lining of the abdomen), and that WOPM

is “one variant” of mesothelioma. (Pereira Dep. at 53-54, 88.89 [Doc. #476-2 at 15, 23-24].)3

Following her diagnosis, Ms. Ratcliff sought a second opinion from specialists at MD

Anderson Cancet Center. (MD Anderson Rep. [Doc. #518-3].) The MD Anderson Report

dated June 20, 2005, reflects that “[iJn most of the atea, the tumor [had] a pattern similar to a

well-differentiated papillary mesothelioma,” but that “invasion into the adipose tissue is seen”

with diagnosis of “Malignant Mesothelioma, Epithelial Type.” (MD Anderson Rep. [Doc.

#518-3].) In her deposition, Plaintiff testified that she did not receive a copy of this Report,

but that she received a call from MD Anderson that confirmed her diagnosis of WDPM. (J.

Ratcliff Dep. Dec. 13, 2016 at 196-198; Feb. 14, 2017 at 236 [Doc. #476-3 at 52-53, 311].)

Dr. Pereira referred Plaintiff to an oncologist, Dr. Carbone. (Pereira Dep. [Doc. #476-

at 62.) Plaintiff confirmed that she saw Dr. Carbone on May 26, 2005, and that Dr. Carbone

said that it was “okay to manage this [by] just following it with CAT scans [and] if or when

symptoms come back, then treating it at that point,” and that at some point she would need

“treatment ot surgety.” (J. Ratcliff Dep. Feb. 15, 2017 at 325-27 [Doc. #476-3 at 243-44].)

Plaintiff also testified that she remembered Dr. Carbone saying, “welcome to the league of

cancer sutvivors.” (J. Ratcliff Dep. Feb. 15, 2017 at 325 [Doc. #476-3 at 243].)

3 One of Plaintiff's later treating physicians, Dr. Edwatd Levine, explained that well-differentiated papillary

mesothelioma is “a malignant tumor atising from the mesothelium, which is the peritoneal [abdominal] lining.

... That malignant tumor, it comes in several varieties. Well-differentiated refers to the histological grade and

papillaty desctibes what it looks like under the mictoscope.” (Levine Dep. at 20-21 [Doc. #476-5 at 8].)

.

At the time of her diagnosis in 2005, Ms. Ratcliff worked at Vanderbilt University

Medical Center as an ICU Nurse. (J. Ratcliff Dep. Dec. 13, 2016 at 33 [Doc. #476-3 at 11].)

Following the diagnosis, Plaintiff performed research regarding her condition, using the

internet and publication databases that she had access to as part of her position as a nurse.

Plaintiff recalled that researching WDPM led her to “general mesothelioma sites that had

_ discussion about asbestos and causes.” (J. Ratcliff Dep. Dec. 14, 2016 at 284 [Doc. #476-3 at

76].) She stated that she conducted an internet search “to try to find information about

WDPM,” and that “mesothelioma and asbestos” was “one of the bigger hits.” (See J. Ratcliff

Dep. Dec. 20, 2016 at 566 [Doc. #476-3 at 148] .) Plaintiff also recalled that she was directed

to a telephone number during her research, that she called the number to get more information

about her condition, and that the number directed her to an attorney handling asbestos-

exposute mesothelioma cases. (See J. Ratcliff Dep. Dec. 14, 2016 at 288; Dec. 20, 2016 at

567-568 [Doc. #476-3 at 77, 149].) Plaintiff discussed her case with someone at the number,

_ according to Plaintiff, they told her that she did not have a case. (Id.)

Ms. Ratcliff moved to North Carolina soon thereafter, and was followed with frequent

CT scans at Duke Medical Center. She later moved to Seattle, Washington. In 2009 and 2010,

she began to expetience mote symptoms, including fluid in her abdomen (ascites) and an

increase in the tumor bulk in her abdomen. Sometime in 2009 or 2010, she contacted another

attorney to discuss WDPM and whether there was a cause of action for asbestos exposute. (J.

Ratcliff Dep. Dec. 13, 2016 at 103-104; Dec. 23, 2016 at 569; Feb, 14, 2017 at 244-45 [Doc.

#476-3 at 29, 149, 313].) However, according to Plaintiff, that attorney also told her that she

did not have a case. (d.)

In April 2010, Ms. Ratcliff went to see Dr. Thomas Malpass, an oncologist at Virginia

Mason Medical Center (“VMMC’”) in Seattle. Dr. Malpass’ Report reflects a diagnosis of

“Indolent primary peritoneal malignancy (well differentiated papillary mesothelioma).”

(Levine Dep. Ex. 3 [Doc. #476-5 at 32-34].) Dr. Malpass referred Ms. Ratcliff to Dr. Edward

Levine at Wake Forest Baptist Medical Center. (Gee Levine Dep. Ex. 2 [Doc. #476-5 at 28-

31].) At the initial evaluation on October 15, 2010, Dr. Levine noted that Ms. Ratcliff was

being seen for “evaluation of peritoneal mesotheliorna with malignant ascites.”’ (Levine Dep.

Ex. 2 [Doc. #476-5 at 28-30].) Dr. Levine noted that Ms. Ratliff had been diagnosed with

petitoneal mesothelioma in 2005, had been followed with frequent imaging, had been relatively

asymptomatic until eatly in 2010 when she started developing abdominal distention, had

ptoceeded with procedures (paracentesis) in June and September 2010 to remove fluid from

her abdomen, was continuing to expetience symptoms, and was now inquiring about

cytoreductive surgety® and intraperitoneal chemotherapy.° (Levine Dep. Ex. 2 [Doc. #476-5

at 28-30].) Dr. Levine confirmed a diagnosis of peritoneal mesothelioma and performed

cytoreductive sutgety with intraperitoneal chemotherapy in November 2010. (Levine Dep. at

37, 43-44 [Doc. HA76-5 at 12, 14]; Operative Report, Levine Dep. Ex. 6 [Doc. #476-5 at 38-

41].) The surgical pathology report following the November 2010 surgery reflects a diagnosis

“Dr. Levine explained that acites refers to fluid accumulating in PlaintifPs abdomen. (Levine Dep. at 23

[Doc. #476-5 at 9].)

5 Cytoreductive surgery is an operation to reduce the volume ot bulk of a tumor. (Levine Dep. at 31-32 Dee.

#476-5 at 11],)

6 Hyperthermic intraperitoneal chemotherapy refers to chemotherapy that is delivered ditectly into the

i at an elevated fempesatate during a tumor reduction operation. (Levine Dep. at 32 [Doc. #476-5 at

of well-differentiated papillary mesothelioma (Pl. Resp. Ex. 6 [Doc. #518-6 at 3]), and the

cytology report of the fluid reflects “malignant mesothelioma” (Levine Dep. Ex. 7 [Doc.

#476-5 at 42].) Ms. Ratcliff attended a follow-up appointment with Dr. Levine on December

2, 2010, and was directed to tetutn for regular follow-up. (Levine Dep. at 44-45 and Ex. 8

[Doc. #476-5 at 14, 43].) In her deposition, Mr. Ratcliff testified that when she had the 2010

sutgety, Dr. Levine told her that she “had a lot of tumor bulk, and that he thought maybe I

had about a year to live.” (J. Ratcliff Dep. Dec. 20, 2016 at 572 [Doc. #476-3 at 150].)

Ms. Ratcliff continued to be seen by Dr. Malpass at VMMC in Seattle, and a record

from VMMC teflects that Ms. Ratcliff was seen oti Novembet 8, 2013, with “well

differentiated papillary mesothelioma status post radical debulking and intraperitoneal

cisplatin done in November 2010, now with progressive and symptomatic disease.” (Malpass

Recotd [Doc. #476-5 at 46].) Dr. Malpass sent the record to Dr. Levine at Wake Forest to

discuss whether a second surgety should be performed. Dr. Levine met with Ms. Ratcliff on

December 27, 2013, and scheduled the second surgery. On March 3, 2014, Ms. Ratcliff

underwent a second cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.

The surgical pathology report for that surgery reflects “Epithelioid mesothelioma.” (Levine

Dep. Ex. 14 [Doc. #476-5 at 60].) In his deposition, Dr. Levine explained that epithelioid

mesothelioma is a “subtype of peritoneal mesothelioma” that is “[m]ore aggressive than the

well-differentiated papillary type” but “is still peritoneal mesothelioma.” (Levine Dep. at 57-

58 [Doc. #476-5 at 17-18].)

Ms. Ratcliff was then referred to Dr. Hedy Kindler of the University of Chicago

Medical Center. The April 30, 2014 progress note by Dr. Kindler reflects that Ms. Ratcliff

.

had “tecuttent petitoneal epithelial mesothelioma, previously characterized as well

differentiated papillary mesothelioma (WDPM) now chatactetized as epithelioid type...”

(Kindler Diagnosis History [Doc. #518-7 at 5].) Ms. Ratcliff returned to VMMC’s outpatient

clinic on May 28, 2014. At this time, Dr. Gurkamal Chatta from VMMC noted that Dr.

Kindlet’s review of the pathology from Ms. Ratcliff's March 3, 2014 surgery revealed

“transitional malignancy from well-differentiated papillary mesothelioma to an epithelioid

mesothelioma.” (See Pl. Resp, Ex. 9 [Doc. #518-9 at 2].) .

On July 26, 2016, Ms. Ratcliff filed suit in Washington state court for damages

connected to her diagnosis of mesothelioma (Case No. 16-2-18128-7 SEA). Plaintiff later

elected to take a voluntary dismissal of that case. (Defs. Reply [Doc. #542] at 3 n.2). Plaintiff

filed her initial Complaint in the instant matter on Match 1, 2017. In the present Motions □□□

Summary Judgement [Doc. #468 & 475], the remaining Defendants contend, cuter ala, that

Plaintiff's Complaint was filed after the applicable statute of limitations period had expired.

STANDARD OF REVIEW

Pursuant to Rule 56 of the Federal Rules of Civil Procedure, summary judgment is

appropriate “Gf the pleadings, depositions, answets to interrogatories, and admissions on file,

together with the affidavits, if any, show that there is no genuine issue as to any material fact

and that the moving party is entitled to judgment as a matter of law.” Anderson v. Liberty

Lobby, Inc., 477 U.S. 242, 247 (1986). A genuine issue of fact exists if the evidence presented

could lead a reasonable fact-findet to return a verdict in favor of the non-moving patty. Id. at

255. The patty seeking summaty judgment bears the initial burden of coming forward and

demonsttating the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477

USS. 317, 323 (1986). Once the moving party has met its burden, the nonmoving patty must

then present specific facts demonstrating a genuine issue of material fact which requires trial.

Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986).

_ When making a summaty judgment determination, the court must view the evidence

and draw all reasonable inferences from the evidence in the light most favorable to the

nonmoving patty. Anderson, 477 U.S. at 247. However, the party opposing summaty

judgment may not rest on mete allegations or denials, and the coutt need not consider

“unsupported assettions” or “self-serving opinions without objective corroboration.” Evans

v. Techs. Applications & Serv. Co., 80 F.3d 954, 962 (4th Cir. 1996); see also Andetson, 477

U.S. at 248-49. Moreover, a mete scintilla of evidence supporting the non-moving party’s case

is insufficient to defeat a motion for summaty judgment. See, e.g., Shaw v. Stroud, 13 F.3d

791, 798 (4th Cir. 1994) (citing Anderson, 477 U.S. at 248).

With respect to a statute of limitations defense, “[o]nce a defendant has properly

pleaded the statute of limitations, the burden is then placed upon the plaintiff to offer a

forecast of evidence showing that the action was instituted within the permissible period after

_the accrual of the cause of action.” Faulise v. Smithkline Beecham Corp., 5:05CV 200, 2006

WL 2229001, at *4 (W.D.N.C. Aug. 2, 2006) (internal quotations omitted). To the extent that

the statute of limitations is raised at summary judgment, “[i]n general the question of whether □

a cause of action is batted by the statute of limitations is a mixed question of law and fact,”

but “[w]here the statute of limitations is properly pleaded, and the facts with reference to it

ate not in conflict, the issue is a matter of law, and summaty judgment is appropriate.” Id.

(internal quotations omitted).

? .

III. DISCUSSION

A. The Applicable Statute of Limitations

Here, the parties do not dispute that the statute of limitations in this case is set out in

Section 1-52(5) of the North Catolina General Statutes, which provides that an individual has

three yeats to commence an action for injury to the person. N.C. Gen. Stat. § 1-52(5). The

patties also do not dispute that Plaintiff filed this suit on March 1, 2017, and that the claim is

untimely if the statute of limitations began to run before March 1, 2014. The issue is therefore

whether Plaintiff has presented a genuine issue of material fact to support a finding that her

claim accrued after March 1, 2014.

For cases involving latent injury, North Carolina General Statute § 1-52(16) provides

that the three-year statute of limitations for personal injury actions “shall not accrue until

bodily harm to the claimant ... becomes apparent or ought reasonably to have become

appatent to the claimant, whichever event first occurs.” N.C. Gen. Stat. § 1-52(16); Stahle v.

CTS Corp., 817 F.3d 96 (2016). However, for cases involving disease, the North Carolina

Supreme Court has explained that:

A disease presents an intrinsically different kind of claim. Diseases such as

asbestosis, silicosis, and chronic obstructive lung disease normally develop over

long petiods of time after multiple exposures to offending substances which are

thought to be causative agents. It is impossible to identify any particular

exposure as the “first injury.” Indeed, one ot even multiple exposures to an

offending substance in these kinds of diseases may not constitute an injury. The

first identifiable injury occurs when the disease is diagnosed as such, and

at that time it is no longer latent ....

By this treatment of occupational disease claims, the legislature and the Court

have recognized that exposure to disease-causing agent is not itself an injury.

The body is daily bombarded by offending agents. Fortunately, it almost always

10

is capable of defending itself against them and remains healthy until, in a few

cases, the immune system fails and disease occuts. That, in the context of

disease claims, constitutes the first injury. Although persons may have latent

diseases of which they are unawate, it is not possible to say precisely when the

disease first occutted in the body. The only possible point in time from

which to measure the “first injury” in the context of a disease claim is

when the disease is diagnosed. When the disease is diagnosed, it is no

longer latent.

Wilder v. Amatex Corp., 314 N.C. 550, 336 S.E.2d 66 (N.C. 1985) (emphasis added); see also

Dunn v. Pacific Employers Ins. Co., 332 N.C. 129, 132, 418 S.E.2d 645, 647 (N.C. 1992)

(“Section 1-52(16) of the North Carolina General Statutes requires that a personal injuty

action be brought within three years from the date ‘bodily harm to the claimant . . . becomes

appatent or ought reasonably to have become apparent to the claimant, whichever event

occuts first.’ In occupational disease cases, such as the instant case, a cause of action grounded

in negligence accrues when the disease is diagnosed.”); Stahle, 817 F.3d at 110 (“North

Carolina law is settled that disease is not a latent injury; instead, the legal injury and awareness

of that injury occut simultaneously at diagnosis.”’).

Once the clock on the statute of limitations is triggered, subsequent aggravation of the

plaintiffs condition will not alter the date of accrual. See Keith v. U.S. Airways, Inc., 994 □□□

Supp. 692, 695 (M.D.N.C. 1998) (applying North Carolina Law and holding that “Plaintiffs

claims thus accrued no later than when she was diagnosed with her repetitive stress disorders.

Any subsequent aggravation of her condition does not alter the date of accrual.” (citation

omitted)); Faulise, 2006 WL 2229001, at *5 (“Although Plaintiff contends that Ms. Faulise’s

congestive heart failure was not discovered until August 2002, North Carolina law is cleat that

the worsening of Ms. Faulise’s condition does not create a new limitations period. In sum, as

soon as plaintiff's injury became apparent, or ought reasonably to have become apparent, [het]

11

cause of action accrued. The fact that further damage which plaintiff did not expect was

discoveted does not bring about a new cause of action, it metely aggravates the original injury.”

Gnternal quotation omitted); see also Hussey v. Montgomery, 114 N.C. App. 223, 227-28, 441

S.E.2d 577, 579 (holding that where Defendant fell and injured his head as a result of

Defendant’s negligence, the statute of limitations began to tun on that date, even though

Defendant was not awate of the extent of his injuries including brain damage, and even though

he was told by hospital petsonnel that there would not be brain damage); Robertson v. City of

High Point, 129 N.C. App. 88, 91, 497 S.E.2d 300, 302 (N.C. Ct. App. 1998) (Additionally,

N.C. Gen. Stat. § 1-52(16) provides that an action for physical damage to claimant’s property

shall not accrue until it becomes apparent ot ought reasonably to have become apparent to

claimant. The ptimaty purpose of N.C. Gen. Stat. § 1-52(16) is that it is intended to apply to

plaintiffs with latent injuries. However, where plaintiffs clearly know more than three years

prior to bringing suit about damages, yet take no legal action until the statute of limitations

has run, the fact that further damage is caused does not bring about a new cause of action.”

(internal citation omitted).

B. Date of Diagnosis

It is undisputed that Ms. Ratcliff was diagnosed with well-differentiated papillary

mesothelioma on May 5, 2005. Ms. Ratcliff nevertheless contends that there is a genuine issue

of material fact because there is conflicting evidence regarding her exact diagnosis in 2005,

that is, whether her mesothelioma was well-differentiated papillary mesothelioma or diffuse

epithelioid mesothelioma. Plaintiff also contends that while she was informed of the diagnosis

of well-differentiated papillary mesothelioma in 2005, she did not know of the diagnosis of

□ 12

diffuse epithelioid mesothelioma until 2014. However, these contentions would only be

material issues if well-differentiated papillary mesothelioma and diffuse epithelioid

mesothelioma ate separate and distinct illnesses. Plaintiff has not presented any evidence on

which a jury could make that finding, and as explained below, all of the evidence teflects that

WDPM and diffuse epithelioid mesothelioma ate both subtypes of peritoneal mesothelioma.

Dr. Pereita, who diagnosed Plaintiff in 2005, explained in his deposition that Plaintiff

had “a form of cancer,” that mesothelioma is “a malignancy of the lining of the abdomen or

the thorax,” and that WDPM is “one variant” of mesothelioma. (Pereira Dep. at 53-54, 88-89

[Doc. #476-2 at 15, 23-24].) Dr. Pereira further explained that well-differentiated papillary

mesothelioma is a “mote benign variant” with “better prognosis” than epithelial type, but both

ate malignant cancerous conditions. (Pereita Dep. at 75-76 [Doc. #476-2 at 20].)

Similarly, the April 2010 report of Dr. Malpass, Plaintiffs oncologist in Seattle, reflects

a diagnosis of “Indolent primaty peritoneal malignancy (well differentiated papillary

mesothelioma).” (Levine Dep. Ex. 3 [Doc. #476-5 at 34].) Dr. Malpass’ report notes that

Plaintife s diagnosis was a “rate disease,” that management was largely surgical, that Ms.

Ratcliff was following a “typical pattern,” and that “[t]hese patients can deteriorate into a more

ageressive, mote typical mesothelioma pattern and at that point may be benefited by systemic

chemotherapy.” (d.)

After Plaintiff began expétiencing mote symptoms in 2010, including fluid in her

abdomen requiting multiple procedutes, Dr. Levine at Wake Forest began treating Plaintiff

. 13 . □

and performed cytoreductive surgery with intraperitoneal chemotherapy in November 2010.7

She was in the hospital for eight days and was out of work for two months. (J. Ratcliff Dep.

Dec. 13, 2016 at 91-92 [Doc. #476-3 at 26].) In 2014, she underwent a second cytoreductive

surgery with hyperthermic intraperitoneal chemotherapy, and the surgical pathology report for

that surgery teflects “Epithelioid mesothelioma,” which Dr. Levine explained is a “subtype of

peritoneal mesothelioma” that is “[m]ore aggressive than the well-differentiated papillary type”

but “is still peritoneal mesothelioma.” (Levine Dep. at 57-58 [Doc. #476-5 at 17-18].) Dr.

Levine further explained that “[p]eritoneal mesothelioma has several subtypes” and “Tone of

those is the well-differentiated papillary.” (Levine Dep. at 74-75 [Doc. #476-5 at 22].) Dr.

Levine confirmed that well-differentiated papillary mesothelioma “is a malignant condition”

and “isa cancer.” (Levine Dep. at 21 [Doc. #476-5 at 8].) Dr. Levine confirmed that Plaintiffs

diagnosis did not change, that it was still peritoneal mesothelioma, and that only the sub-type

changed from well-differentiated papillary to epithelioid. (Levine Dep. 58-61 [Doc. #476-5 at

18].) Dr. Levine noted that Plaintiffs well-differentiated papillary mesothelioma “progressed,”

teflecting “the malignant process, the growth of uncontrolled or poorly controlled growth of

cells originating in the peritoneum.” (Levine Dep. at 24-25, 28-29 [Doc. #476-5 at 9-10].) Dr.

Levine explained that “accumulations of mutations within the cells” caused the histological

sub-type to change. (Levine Dep. at 66 [Doc. #476-5 at 20].) Other treatment records

similarly reflect that PlaintitP WDPM ptogtessed of transitioned into diffuse epithelioid

7 PlaintifPs expett Dr. Bedrossian desctibed this as “the thetapy of choice fot peritoneal malignant

mesothelioma.” (Bedrossian Report at 17 [Doc. #476-8 at 18].) Dr. Levine explained that this procedure is

performed on patients with “petitoneal metastases ot petitoneal spread of an intra-abdominal malignancy.”

(Levine Dep. at 32-33 [Doc. #476-5 at 11].)

14

mesothelioma. (See, e.g., VMMC Record of Dr. Kinder evaluation [Doc. #518-9 at 2]; Dr.

Malpass Record [Doc. #476-5 at 46].) Plaintiff herself contends that her WDPM

“transformed,” “transitioned,” or “progressed” into diffuse epithelioid malignant

mesothelioma. (Pl. Resp. [Doc. #518] at 3, 9, 10, 13).

PlaintifPs expert Dr. Bedrossian stmilarly notes that “ja 2010, you begin to see it

transition between well-differentiated papillary mesothelioma and diffuse malignant peritoneal

mesothelioma . . . [a]nd then in the last specimen in 2014, you see frank invasion ... So you

see a sequence of progression under the microscope.” (Bedrossian Dep. Jan. 16, 2018 at 28

[Doc. #476-7 at 9].) Dr. Bedrossian noted that “the lesion is the same,” and that it was

“transitioning” to be more invasive over time. (Bedrossian Dep. March 6, 2019 at 33 [Doc.

#476-4 at 10].) Dr. Bedrossian explained that he believes that “from the start, [WDPM] is a

low malignant condition, a condition of low malignancy ... but it’s not fully manifest. And

as it progresses, it becomes more and more evident that it becomes invasive.” (Bedtossian

Dep. Jan. 16, 2018 at 29 [Doc. #476-7 at 9].) In his report, Dr. Bedrossian explained that

Plaintiff's “case of WDPM is pathologically considered a neoplasm with a low grade malignant

potential, referred to also as borderline mesothelioma, and an attenuated malignant tumor.”

(Bedrossian Report at 7-8 [Doc. #476-8 at 8-9]). Dr. Bedtossian also noted that “this

condition is part of the spectrum of asbestos-related mesothelioma” which is sometimes

“picked up early,” as in Plaintiffs case. (Bedrossian Dep. March 6, 2019 at 42-43 [Doc. #476-

4 at 12].)

A case in this District previously considered a similar issue in 2008 in Stromberg v.

Ashland, No. 1:07-CV-332, 2008 WL 11355372 at *1 (M.D.N.C. July 16, 2008). In that case,

15

the plaintiffs filed suit on April 25, 2007, alleging that Donald Stromberg was exposed to

vatious solvents which caused his diagnosis of myelofibrosis on September 16, 2004, and

rendered him disabled. About eight months after the commencement of the action, Mr.

Stromberg developed and was diagnosed with acute myelogenous leukemia. Mr. Stromberg

died from acute myelogenous leukemia in January 2008. Following Mr. Stromberg’s death, an

amended complaint was filed to assert a claim for acute myelogenous leukemia and for

wrongful death, and to add ExxonMobil as a defendant. Id. ExxonMobil moved to dismiss

the amended complaint as ExxonMobil had not been named as a defendant within three years

of Mr. Stromberg being diagnosed with myelofibrosis. In opposition to ExxonMobil’s motion

to dismiss, the plaintiff argued that the statute of limitations accrued in or about December

2007 when Mr. Stromberg was diagnosed with acute myelogenous leukemia, which is the

disease that ultimately lead to his death. Id. at The plaintiff argued that acute myelogenous

leukemia was a “new disease” that was sepatate and distinct from myelofibrosis and that

allegedly manifested from the same chemical exposutes. Id. The Court rejected the plaintiffs

argument that the statute of limitations did not accrue until Mr. Stromberg’s diagnosis of acute

myelogenous leukemia was diagnosed, given the plaintiffs characterization that the

myelofibrosis “developed into” and “transferred into” acute myelogenous leukemia. Id.

Similarly in this case, Ms. Ratcliff appeats to suggest shat the diagnosis she received in

Match 2014 of diffuse epithelioid malignant mesothelioma was a diagnosis of a new disease,

and therefore the statute of limitations could not accrue until she recetved that diagnosis.

However, this atgument ignores the uncontrovetted evidence, from her own treating

physicians and her own expert, that diffuse epithelioid malignant mesothelioma was not a

, 16

diagnosis of a new illness, but rather reflected a progression of her peritoneal mesothelioma

from one sub-type to another. Ms. Ratcliff does not argue that she continues to suffer from

WDP®M alongside diffuse epithelioid mesothelioma, and has not presented any evidence to

support such a contention. In addition, the record reflects that while Plaintiff's condition

initially progressed slowly, she was awate of the diagnosis in 2005, knew that she would need

treatment in the future and would need to receive frequent scans and monitoring, and tecalled

her doctor welcoming her “to the league of cancer survivors.” By 2010, she was experiencing

significant symptoms, requiting multiple ptocedutes to drain fluid from her abdomen, as well

as sutgery and intraperitoneal chemotherapy. She spent 8 days in the hospital and several

months recovering. She recalls Dr. Levine telling her in 2010 that she likely had one year to

live. (J. Ratcliff Dep. Dec. 20, 2016 at 572-573 [Doc. #476-3 at 150].)® She also testified

that she understood that she had cancer cells in her abdomen as part of the WDPM diagnosis,

and that the 2010 intraperitoneal chemotherapy was designed to kill cancer cells remaining

after the tumor was temoved. (J. Ratcliff Dep. Dec. 14, 2016 at 279-281 [Doc. #476-3 at 75-

76].) Thete was no new ot different disease in 2014, just a progression of het cancer, and

Plaintiff presents no basis to conclude that progression of a prior cancer diagnosis would te-

trigger the statute of limitations.?

® The Court also notes that Dr. Malpas’ recotds from 2013 reflect that her previously tndolent disease had

become symptomatic requiring surgery in 2010 and then with continuing symptoms leading to a referral for

further surgery in 2014, all prior to March 1, 2014. In addition, on February 26, 2014, Plaintiff signed a “North

Carolina Baptist Hospital Informed Consent — Request for Operation” prior to undergoing her cytoreductive

sutgety which expressly stated, “I have been told by.my physician that I have been diagnosed as having the

following condition: peritoneal mesothelioma” (Levine Dep. at 54, Ex. 12 [Doc. #476-5 at 17, 53].) As such,

Plaintiff herself acknowledged this diagnosis by February 26, 2014, and even using this date, Plaintiff's

Complaint was untimely filed.

° The Court notes that some states, including Virginia, would not recognize a new accrual of the statute of

limitations even if there were a sepatate and distinct diagnosis. See Joyce v. A.C. and S., Inc., 785 F.2d 1200

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C. Date of the Discovery of Cause □

Plaintiff further contends that thete is a genuine issue of material fact with respect to □

whether it was reasonable that she should have suspected prior to 2014 that her mesothelioma

was caused by exposute to asbestos. Plaintiff contends that summary judgment is improper

because a genuine question of fact exists as to “whether or not a reasonable person would

suspect a wrongful cause under the same citcumstances.” (Pl Resp. [Doc. #518] at 14).

Plaintiff contends that it was not until her second cytoreduction surgery on March 3, 2014,

that she became awate that she was injuted in the legal sense. (See Pl. Resp. [Doc. #518 at

20]). In support of this contention, Plaintiff points to Black v. Littlejohn, in which the N otth

Carolina Supreme Court determined that the discovery rule should be interpreted broadly so

that the statute of limitations “does not begin to run until plaintiff discovers, ot in the exercise

of reasonable cate, should have discovered, that he was injured as a result of defendant’s

wrongdoing.” Black 312 N.C. 626, 642, 325 S.E.2d 469, 482 (1985); see also Markley v. Sulzer

Metco, No. 4:11CV139, 2012 WL 13026999, at *1 (E.D.N.C. Feb. 28, 2012) (Under N.C.

Gen. Stat. 1-52(16), plaintifPs cause of action did not accrue, and therefore, the statute of

limitations did not begin to run, until plaintiff should reasonably have discovered not only the

existence of his illness, but also the cause of his illness.”).

In the instant matter, Plaintiff was diagnosed with mesothelioma 2005. According to

Plaintiffs expert witness Dr. Bedtossian, the link between low-grade asbestos exposure and

(4th Cir. 1985) (concluding that in an action for personal injury under Virginia law “there is but a single,

indivisible cause of action for all injuries sustained,” and the diagnosis of a sepatate and distinct illness would

not ttigger a new statute of limitations). In the present case, as in Stromberg, the Court concludes that even if

a diagnosis of a separate and distinct disease could trigger a new statute of limitations in North Carolina, Plaintiff

here has not presented any evidence on which a jury could find that the progression of her peritoneal

mesothelioma from one sub-type to another represented a separate and distinct disease.

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peritoneal mesothelioma was fully established in 2005. (See Bedrtossian Report at 16 [Doc.

#476-8 at 17]; Bedrossian Dep. Jan. 16, 2018 at 46-47 [Doc. #476-7 at 14].) Dr. Bedrossian

also noted that “pathologists have designated mesothelioma a ‘signal tumor’ for asbestos

exposute, i.e, a neoplasm caused almost exclustvely by asbestos exposute.” (Bedrossian Report

at 8 [Doc. #476-8 at 9] Bedrossian Dep. Match 6, 2019 at 263, 269-72 [Doc. #476-4 at 67,

69].) Plaintiff also cites to numerous articles and reports to support her contention that there

was a well-known causal link between asbestos exposute and mesothelioma, and to the extent

that literature exists which suggests a causal link between asbestos exposute and peritoneal

mesothelioma, these articles and reports were available at the time of Ms. Ratcliff's 2005

diagnosis.!° .

Indeed, Plaintiff acknowledges that after her initial diagnosis of WDPM in 2005, she

conducted research and was led to mesothelioma sites that had “discussions about asbestos

and causes.” (J. Ratcliff Dep. Dec. 14, 2016 at 284 [Doc. #476-3 at 76]). She called a telephone

number for information regarding her disease, which funneled her to a law firm handling

* Plaintiff contends that “very limited scientific literature discussing WDPM existed prior to 2005 and typically

classified WDPM as ‘benign.”’ (PI. Resp. [Doc. #518] at 12.) In support of this assertion, Plaintiff cites to the

World Health Organization 2004 Classification of Tumouts, specifically the chapter for paratesticular

structures, which is found in the 2004 edition of WHO Classification of Tumours: Pathology and Genetics of

Tumouts of the Urinary System and Male Genital Organs. Ud.) However, it is uncleat why Plaintiff points to

the classification of tumors of the male genital organs. As noted by Defendants, the WHO chapter for tumors

of the ovaty and peritoneum found in the 2003 edition of WHO Classification of Tumours: Pathology and

Genetics of Tumouts of the Breast and Female Genital Organs actually provides that peritoneal malignant

mesothelioma may be divided into “diffuse, well differentiated papillary and deciduoid types” and that “well

differentiated papillary, diffuse epithelial and deciduoid mesotheliomas appear clinically related to asbestos

exposure in some cases.” (WORLD HEALTH ORG., WHO CLASSIFICATION OF TUMOURS: PATHOLOGY AND

GENETICS OF TUMOURS OF THE BREAST:-AND FEMALE GENITAL ORGANS 197-99 (T avassol, F. & Devilee, P.

eds., 2003) [Doc. #476-6 at 2].) Plaintiff also cites to various other studies and publications, but Plaintiff does

not contend that she saw ot relied on any of these studies or publications, nor does Plaintiff point to any expert

testimony with respect to those studies.

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asbestos-exposute mesothelioma cases. (J. Ratcliff Dep. Dec. 14, 2016 at 288 [Doc. #476-3 at

Plaintiff continued to research and in 2009 or 2010 she reached out to another attorney

to discuss WDPM to “just see[ ] if there was any case as fat as asbestos exposure and WDPM.”

J. Ratcliff Dep. Feb. 14, 2017 at 244-245 [Doc. #476-3 at 313].) Plaintiff contends that in

both encounters, the attorneys declined to take her case. However, as Defendants note, the

statute of limitations is not tolled while a plaintiff looks for a lawyer who might be willing to

take the case. Here, Plaintiff clearly had cause to suspect that her condition might be caused

by asbestos — indeed, her internet searches about her disease led her to a law firm handling

asbestos cases, and she later sought out a law firm to discuss the case."

Plaintiff nevertheless contends that she was not reasonably on notice of the cause of

het mesothelioma, given that her treating physicians did not inform her that her disease was

telated to asbestos. exposute.!* However, as noted by Defendants, Plaintiffs treating

physicians still do not believe her mesothelioma was caused by asbestos exposure, based on

the natute of the presentation and lack of any occupational exposure. (See, e.g., Levine Dep.

at 26, 86-88 [Doc. #476-5 at 10, 25].) The fact that Plaintiff's doctors do not believe that her □

™ In addition, the record reflects that Plaintiff also sought out medical experts in peritoneal mesothelioma. In

this regard, Defendants point to an October 4, 2010 e-mail from Plaintiffs aunt to Plaintiff, sending Plaintiff a

list of peritoneal mesothelioma specialists including Dr. Levine. (E-mail dated October 14, 2010 [Doc. #476-

9].) In the e-mail, Plaintiffs aunt notes that this is a “list compiled by National Institutes of Health and the

National Cancer Institute — top peritoneal meso docs in the nation — sent to me by asbestos center in florida.”

(E-mail dated October 14, 2010 [Doc. #476-9].) Thus, by 2010, Plaintiff was sufficiently on notice of the link

between her disease and asbestos to seek out specialists in peritoneal mesothelioma compiled by an “asbestos

center” in Florida.

Plaintiffs Brief asserts that Plaintiffs treating physicians repeatedly advised her that her mesothelioma was

not caused by asbestos. (Pl. Resp. [Doc. #518] at 2, 14, 18.) However, the record actually reflects that Plaintiff

does not recall ever discussing asbestos with her treating physicians. (J. Ratcliff Dep. Dec. 13, 2016 at 32, 35-

36, 157-159, 161, 164, 197-198; Dec. 14, 2016 at 288; Feb. 15, 2017 at 326-328; Feb. 14, 2017 at 237; Sept. 20,

2018 at 169 [Doc. #476-3 at 11, 12, 42-44, 52-53, 77, 244, 311, 357].)

disease was caused by asbestos exposute, in 2005 or now, does not mean that the statute of

limitations has not begun to run. Similarly, Plaintiff contends that it is unteasonable to find

that she should have been on notice of the link to asbestos, given that Defendant’s experts

opine that Plaintiffs mesothelioma was not caused by asbestos exposure. However, the

statute of limitations is not stayed until all experts agree on causation, or until causation can

be ptoved to unanimous certainty. The fact that Defendants dispute that Plaintiffs condition

was caused by asbestos exposute does not preclude the statute of limitations from running.

Indeed, it appears that under Plaintiff's view, the statute of limitations has still not begun to

run, and would not run until there was no dispute regarding the causation of her disease.

The Coutt also notes that Plaintiffs expert Dr. Bedrossian does not provide any

support for her statute of limitation contentions. Plaintiff herself states that Dr. Bedrossian’s

opinions ate “unrelated to Plaintiffs knowledge of her diagnoses, its relationship with

asbestos, ot notice of a potential claim against Defendants prior to filing the within action.”

(PL. Br. at 8 [Doc. #518].) Nevertheless, it is notable that Dr. Bedrossian opines that Plaintiffs

WDPM was caused by het exposute to asbestos, and Dr. Bedtossian explained that Plaintiffs

WDPM and epithelioid mesothelioma were “the same lesion,” caused by asbestos exposure.

(Bedrossian Report at 17 [Doc. #476-8 at 18]; Bedrossian Dep. Match 6, 2019 at 33 [Doc.

#476-4 at 10].) As such, Plaintiff is not arguing that only her epithelioid mesothelioma was

caused by asbestos exposute, ot that het WDPM was not caused by ot linked to asbestos

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exposure.43 Thus, her theory of causation is the same as to both WDPM and epithelioid

mesothelioma.

Ultimately, Plaintiff has not presented any evidence to create a genuine issue of material

fact that would affect the statute of limitations determination, and there is no basis on which

a teasonable jury could conclude that her claim did not accrue until after Match 1, 2014.

D. Washington Case

Finally, Plaintiff contends that in her prior state case, which she filed in Washington

State and then voluntarily dismissed, the court found that there were genuine issues of material

fact precluding summaty judgment on the statute of limitations defense. However, this

contention does not fairly convey the status of the state court’s determination at the time of

Plaintiff's voluntary dismissal.

In support of her contention, Plaintiff offers a partial transcript of an August 18, 2017,

hearing on motions for summary judgment in her Washington State case (see Transcript [Doc.

##518-25]), where the judge stated that the medical record was “ambiguous” as to whether

there was an association between WDPM and asbestos, thus potentially creating an issue of

fact on whether a reasonable person would have been on notice to suspect a wrongful cause.

(PI. Resp. [Doc. #518] at 14). However, teview of that statement in context reflects that when

the court made that statement, its understanding was that Ms. Ratcliffs argument was that

With respect to causation, Dr. Bedrossian opines that “WDPM appeats to belong squarely in the category of

asbestos-induced neoplastic proliferations, occupying a less aggressive position spectrum of malignancy than a

fully developed malignant mesothelioma,” and “Ms. Ratcliff developed WDPM and epithelioid malignant □

mesothelioma from the inhalation of asbestos.” (Bedtossian Report at 15, 17 [Doc. #476-8 at 16, 18].) As

noted above, Defendants have filed Daubert motions seeking to exclude Dr. Bedrossian’s opinions on

causation. The Court need not resolve those issues because even if Dr. Bedtossian’s opinions ate considered,

Plaintiff's claims are barred by the statute of limitations.

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WDPM and malignant mesothelioma wete separate and distinct diseases, and that WDPM

was not caused by asbestos but malignant mesothelioma was a sepatate disease caused by

asbestos and not diagnosed in Plaintiff until 2014. Notably, at a later Februaty 8, 2018,

summaty judgment motion heating, after receiving clarification that Ms. Ratcliff was arguing

that her WDPM was caused by asbestos, the judge stated that Plaintiff's new position on .

causation supported the defendant’s motion for summary judgment on statute of limitations

grounds. (Washington State Ct. Sum. J. Hr’g Tr. at 58-61 [Doc. #476-11 at 60-63).

Specifically, the judge ‘stated:

Well, you’te making my job very easy because I’m going to grant defendant’s

motion on summaty judgment on statute of limitations .... I mean, we have

to be consistent here, Counsel, and you walked into my courtroom seven _

months ago and said, “WDPM is not related to asbestos. Thete’s no way that

she could have known that WDPM was asbestos telated. She developed

something which was later asbestos related.” And now you're telling me

something different and ’m — you know, I’ve done a lot of reading, but ’m

happy to grant the defendants’ motion on summary — on statute of limitations

at this time. : .

(id.) Thus, at the heating in February 2018, the coutt clarified that given Plaintiffs position

that her WDPM was caused by asbestos exposure, the three-year statute of limitations had

run. (id.) Plaintiff took a voluntary dismissal in that case before any further order was entered.

Therefore, Plaintiffs citation to the Washington State case actually supports Defendants’

position that the statute of limitations bats Plaintiffs claims.

IV. CONCLUSION -

IT IS THEREFORE RECOMMENDED that Defendants’ Statute of Limitations

Motion for Summary Judgment [Doc. #475] be GRANTED and Honeywell’s Motion for

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Summaty Judgment Pursuant to Fed. R. Civ. P. 56 [Doc. #468] be GRANTED as it relates

to Defendant’s statute of limitations defense.

Il’ IS FURTHER RECOMMENDED that Defendant Ford’s Daubert Motions to

Exclude the expert opinion testimony of Dr. David Rosner, Dr. Carlos Bedrossian, and Dr.

Arnold Brody and Motion for Summary Judgment pursuant to Rule 56 [Doc. #461, #467,

and #471]; Defendant Honeywell’s Daubert Motion to Exclude the expert opinion testimony

of Dr. Carlos Bedrossian [Doc. #463]; Defendant WCD’s Daubert Motions to Exclude

Specific Causation Opinions and Cumulative Exposure Opinion as Evidence of Causation

and Motion for Summaty Judgment [Doc. #465, #472, and #477]; and Defendant BSI’s

Motion for Partial Summary Judgment and Motion to Bifurcate [Doc. #486 and #491] be

TERMINATED as MOOT. .

This, the 27th day of September, 2019.

__/s/ Joi Blizabeth Peake

United States Magistrate Judge

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