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Rivera-Marrero v. Presbyterian Community Hospital

Citations: 255 F. Supp. 3d 290; 97 Fed. R. Serv. 3d 1631; 2017 WL 2537351; 2017 U.S. Dist. LEXIS 89935Docket: Civil No. 14-1922 (DRD)

Court: District Court, D. Puerto Rico; June 12, 2017; Federal District Court

Narrative Opinion Summary

In this case, the defendants, a medical doctor and a healthcare practice, filed a Motion in Limine to limit the testimony of the plaintiff's expert witness, Dr. Howard Cohn. The defendants sought to preclude testimony on new deviations from the standard of care and issues related to informed consent that were not included in the expert report, complaint, or pre-trial order. The court evaluated the admissibility of evidence based on Federal Rules of Evidence 401, 402, and 403, emphasizing the liberal admission of relevant evidence unless its probative value is substantially outweighed by potential prejudice. The court denied the motion concerning deviations from the standard of care, as these were deemed elaborations of existing claims. However, the motion regarding informed consent was granted because the plaintiff failed to supplement the expert report as required by Federal Rule of Civil Procedure 26. The court considered the lack of supplementation a sufficient basis for exclusion under Rule 37, as the expert's testimony significantly diverged from the original report. Ultimately, the court's decision allowed testimony on the standard of care deviations but barred testimony on informed consent, identifying procedural deficiencies in the plaintiff's disclosures.

Legal Issues Addressed

Admissibility of Relevant Evidence under Federal Rule of Evidence 402

Application: The court considered whether Dr. Cohn’s testimony met the criteria for admissibility, emphasizing the liberal admission of relevant evidence.

Reasoning: Fed. R. Evid. 402 maintains that relevant evidence is admissible unless restricted by constitutional, statutory, or procedural rules.

Exclusion of Evidence under Federal Rule of Evidence 403

Application: The court exercised discretion under Rule 403 to determine if the probative value of Dr. Cohn's testimony was outweighed by potential prejudice.

Reasoning: Additionally, Fed. R. Evid. 403 allows for the exclusion of evidence if its probative value is substantially outweighed by factors such as unfair prejudice or confusion.

Relevance of Evidence under Federal Rule of Evidence 401

Application: The court applied the standard of relevance to determine if Dr. Cohn's testimony on new deviations from the standard of care was admissible.

Reasoning: The Court outlined the principles of relevance as per Federal Rule of Evidence (Fed. R. Evid.) 401, stating that evidence is relevant if it makes a fact more or less probable than without it.

Requirement for Expert Report Supplementation under Federal Rules of Civil Procedure 26

Application: The court ruled that Dr. Cohn’s lack of supplemental report concerning informed consent warranted exclusion under Rule 26.

Reasoning: Under Federal Rules of Civil Procedure (FRCP) 26, parties must supplement expert disclosures when there are changes or additions to an expert's opinion, including information from depositions.

Sanctions for Failure to Disclose under Federal Rule of Civil Procedure 37

Application: The court considered sanctions for the plaintiff’s failure to disclose Dr. Cohn’s informed consent findings, leading to the exclusion of this testimony.

Reasoning: Under Rule 37(c)(1), sanctions may be warranted for failing to disclose or supplement expert information as required by Rule 26(a) or (e).