Neurology Expert Witness’ Testimony Excluded Because He Does Not Offer a Proper Medical Conclusion
Posted on July 22, 2024 by Expert Witness Profiler
This is a personal injury action stemming from an accident between two tractor trailers. On November 10, 2020, while operating a truck on behalf of his employer, Robert Hibbert was rear-ended by another tractor trailer.
Witnesses noted that he “did not stop and was slumped over the wheel”; the EMS report indicated that Plaintiff, Hibbert did not remember what happened.
Hibbert suffered a stroke on or about May 22, 2013 and alleged that the symptoms he exhibited after the accident are similar to those he exhibited around the time of his 2013 stroke. Plaintiff sought to have his treating physician, Dr. John E. Robinton, to testify that Plaintiff “hit his head and lost consciousness” as a result of the accident, that this impact caused a concussion, and that the concussion triggered a stroke.
In the “Impression” section of his report, Robinton made the following comment, which formed the basis for this motion: “Given the fact that the recent MRI revealed no evidence of an acute injury, I am hopeful that the present complaints and findings are related to a concussion.” Robinton also noted in a letter dated March 30, 2021 that, after reviewing Plaintiff’s neuropsychological assessment, “it did not appear that the report is absolute in [its] conclusion regarding etiology.” From this, Plaintiff argued, Dr. Robinton can testify regarding a possible concussion because “the issue of the concussion has not been ruled out.”
Defendant sought to preclude Robinton’s testimony that the November 10, 2020 accident caused any injury to Plaintiff.
Neurology Expert Witness
John E. Robinton is a neurologist in Montclair, New Jersey and is affiliated with multiple hospitals in the area, including Mountainside Medical Center at Hackensack Meridian Health and Saint Michael’s Medical Center. Firstly, he received his medical degree from Weill Cornell Medicine and has been in practice for more than 20 years. Moreover, Dr. John E. Robinton has expertise in treating Parkinson’s disease, neck pain and spine problems, non-Alzheimer’s dementia, among other conditions.
Discussion by the Court
The Court found that there is no evidence in the record indicating that Plaintiff sustained head trauma or any other kind of injury in the accident, and Robinton’s remark only expresses “hope[] that the present complaints and findings are related to a concussion.”
Plaintiffs sought to have Robinton testify that another injury, e.g., a concussion caused by the accident, triggered Plaintiff’s condition merely because “[t]here is no etiology showing the cause of the Plaintiff’s stroke from this accident.” The Court held that the mere absence of evidence concerning etiology does not open the door to rank speculation as to what else may or may not have been the cause of the post-accident symptoms—and certainly this rank speculation does not clear the Daubert bar when it is expressed in the form of “hope.”
Plaintiff pointed to Stigliano v. Connaught Labs., Inc., which held that “treating doctors may testify about their diagnosis and treatment of [a patient’s] disorder, including their determination of that disorder’s cause.”
All Robinton offered was “hope that the present complaints and findings are related to a concussion”—far from a medical conclusion or diagnosis. The Court held that Stigliano, its progeny, and any cases interpreting New Jersey’s rules of evidence are entirely inapplicable to the question of whether Robinton’s testimony can be admitted. Moreover, even under Stigliano, Robinton’s testimony could not be admitted. His remarks regarding a possible concussion are not a “diagnosis,” but merely conjecture.
Held
The Court granted Defendants Flavors C. and Ricardo Ralat’s motion to preclude John Robinton’s testimony.
Key Takeaway:
To be admissible, an expert must base the conclusions of her testimony on “‘methods and procedures of science’ rather than on ‘subjective belief or unsupported speculation.'” Any testimony by Robinton that the accident caused an injury which triggered Plaintiff’s symptoms would constitute precisely the kind of “subjective belief or unsupported speculation” contemplated by Daubert to be in violation of Rule 702.
Case Details:
| Case Caption: | Hibbert V. Flavors C. Inc. Et Al |
| Docket Number: | 2:21cv13119 |
| Court: | United States District Court for the District of New Jersey |
| Order Date: | July 18, 2024 |
