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Yagodinski v. Sutton
309 Neb. 179
| Neb. | 2021
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Background

  • In 2011 Gina Yagodinski was rear-ended by Brad Sutton and later sued for injuries including headaches and neck pain; she dropped special damages and proceeded on general damages.
  • Yagodinski consulted Dr. John McClaren, a licensed chiropractor who diagnosed "vestibular post-concussive syndrome" (described as a mild traumatic brain injury) and attributed it to the 2011 collision.
  • The defense moved to exclude McClaren’s opinion that she suffered a traumatic brain injury as outside his expertise and under Daubert/Schafersman reliability standards; the trial court initially excluded the testimony.
  • At trial McClaren testified about whiplash and permanency; the jury returned a $5,000 verdict for Yagodinski. On appeal the Nebraska Supreme Court remanded because the record lacked a definitive ruling on the offer of proof.
  • On remand the court received evidence that McClaren held postgraduate chiropractic neurology certifications, used optical testing (including a saccadometer) and a neuropsychological battery to diagnose concussion, and that a board-certified neurologist disputed the reliability and acceptance of those methods.
  • The trial court again excluded McClaren’s traumatic-brain-injury opinion, finding (1) his diagnostic methods fell outside the statutory scope of chiropractic practice in Nebraska and (2) the opinion failed Daubert/Schafersman review; the Nebraska Supreme Court affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether a licensed chiropractor may offer expert opinion that a patient sustained a traumatic brain injury from the collision McClaren’s diagnosis is within chiropractic scope or, alternatively, his postgraduate training as a "chiropractic neurologist" qualifies him to testify about TBI The diagnosis and the diagnostic methods used are outside the statutory scope of chiropractic practice and are unreliable under Daubert/Schafersman Court held McClaren may testify about whiplash but not about TBI; exclusion affirmed because the diagnostic methods and TBI diagnosis fall outside the statutory chiropractic scope
Whether additional education/credentials allow a chiropractor to expand scope of practice and testify about conditions outside statutory limits McClaren’s extensive neurology training, board certification, and use of medical testing make him qualified to render a TBI opinion Scope of practice is defined by statute and cannot be expanded by extra training absent additional licensure or statutory change Court held additional education/credentials do not expand the legislative scope of chiropractic practice; only the Legislature can enlarge authorized practice areas

Key Cases Cited

  • Daubert v. Merrell Dow Pharm., 509 U.S. 579 (U.S. 1993) (framework for admissibility of scientific expert testimony)
  • Schafersman v. Agland Coop, 262 Neb. 215 (Neb. 2001) (Nebraska application of Daubert reliability standards)
  • Floyd v. Worobec, 248 Neb. 605 (Neb. 1995) (licensed chiropractor may testify as expert on matters within chiropractic scope)
  • Fries v. Goldsby, 163 Neb. 424 (Neb. 1956) (recognizing qualification of chiropractors to testify within their practice scope)
  • Rodgers v. Sparks, 228 Neb. 191 (Neb. 1988) (frames expert qualification question as whether opinion falls within chiropractic field)
  • Carlson v. Okerstrom, 267 Neb. 397 (Neb. 2004) (expert must be qualified by knowledge, skill, experience, training, or education)
Read the full case

Case Details

Case Name: Yagodinski v. Sutton
Court Name: Nebraska Supreme Court
Date Published: May 14, 2021
Citation: 309 Neb. 179
Docket Number: S-20-317
Court Abbreviation: Neb.