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342 F. Supp. 3d 218
D.P.R.
2018
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Background

  • This is a medical-malpractice diversity action by Zoraida Díaz’s siblings alleging misdiagnosis and improper treatment at Doctors’ Center Hospital and by hematologist Dr. Pesquera leading to Zoraida’s severe neurologic injury and permanent incapacitation.
  • Procedural posture: several in limine motions filed; trial continued pending resolution. Remaining defendants: Doctors’ Center Hospital and Pesquera; one defendant defaulted; others dismissed.
  • Key contested pretrial matters: (1) plaintiffs sought to bar defendants from calling expert witnesses; (2) plaintiffs sought to exclude deposition transcripts of experts Katia Dávila-Díaz and Kenneth Miller under Fed. R. Civ. P. 30(e); (3) defendants sought to exclude proposed expert testimony from plaintiff José Díaz and Boris Rojas, testimony from witnesses Dávila and Iris González, and a "Day in the Life" video.
  • Timeline and disclosures: the court’s scheduling order set deadlines for expert disclosures; plaintiffs originally identified José Díaz as a fact witness but listed him as both fact and expert in a joint pretrial order shortly before trial.
  • Factual relevance contested: plaintiffs’ derivative emotional-distress claims depend on proof of negligence toward Zoraida (causation and injury), so testimony and exhibits demonstrating Zoraida’s condition and causation (including expert neurology/hematology testimony and the video) are central.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether to preclude defendants from calling experts Defs failed to disclose experts timely; should be barred No experts were designated by defendants Moot — defendants stated they had no expert designation
Admissibility of Kenneth Miller deposition transcript under Rule 30(e) Transcript should be excluded for alleged untimely errata/review Transcript timely provided; no specific errata identified Denied; plaintiffs ordered to submit errata by deadline
Admissibility of Katia Dávila deposition transcript under Rule 30(e) Transcript should be excluded for Rule 30 defects Transcript availability/date not shown; no specific errors alleged Denied; plaintiffs ordered to submit errata by deadline
Whether José Díaz may testify as an expert (Rule 26/37) Plaintiffs seek to elicit expert neurology opinions from José Díaz Defendants argue failure to disclose expert and reports; seek preclusion Granted — José Díaz may testify as a lay/treating percipient witness but is excluded as an expert for untimely disclosure
Admissibility of Boris Rojas expert testimony Plaintiffs: Rojas will show TTP caused Zoraida’s CNS damage and support derivative emotional claims Defendants: testimony about non-party’s condition is confusing/prejudicial under Rule 403 Denied — Rojas’s testimony is relevant to causation and derivative emotional claims and not unfairly prejudicial
Admissibility of Dávila testimony and "Day-in-the-Life" video Plaintiffs: both are probative of Zoraida’s condition and plaintiffs’ emotional distress Defendants: Dávila’s scope exceeds disclosures; video is unduly prejudicial/confusing Dávila testimony allowed (disclosure sufficient); Gonzalez witness waived; Video admissible if authenticated; Rule 403 reviewed and probative value not substantially outweighed by prejudice

Key Cases Cited

  • EBC, Inc. v. Clark Bldg. Sys., 618 F.3d 253 (3d Cir.) (Rule 30(e) 30-day clock runs from reporter's notice transcript available)
  • Gómez v. Rivera Rodríguez, 344 F.3d 103 (1st Cir.) (distinguishing lay treating-witness testimony from expert testimony)
  • Macaulay v. Anas, 321 F.3d 45 (1st Cir.) (Rule 26 disclosure obligations and sanction rationale to avoid trial by ambush)
  • Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579 (U.S.) (expert testimony admissibility framework)
  • Kumho Tire Co. v. Carmichael, 526 U.S. 137 (U.S.) (Daubert standard applies to technical and specialized expert testimony)
  • Poulis-Minott v. Smith, 388 F.3d 354 (1st Cir.) (untimely expert disclosure and the need to prevent unfair tactical advantage)
Read the full case

Case Details

Case Name: Díaz-Casillas v. Doctors' Ctr. Hosp. San Juan
Court Name: District Court, D. Puerto Rico
Date Published: Oct 23, 2018
Citations: 342 F. Supp. 3d 218; Civil No. 17-1152 (FAB)
Docket Number: Civil No. 17-1152 (FAB)
Court Abbreviation: D.P.R.
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