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