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Holbrook v. Lykes Bros. Steamship Co.
80 F.3d 777
3rd Cir.
1996
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*1 Mfg. Corp.; Patent Firearms teed Colts corpus.4 habeas a writ of anee of Inc.; Co.; Engineering, Combustion Crane-Houdaille, Inc.; Dar Indus John Products, Inc.; Corpo trial Fibreboard Flexitallic, Inc.; ration; Foster Wheeler Garlock, Company; Corporation; GAF Co.; Inc.; Corp.; Electric Gatke General Co.; Insulating Mfg. General Good year Company; And Rubber Imo Tire Inc.; Gypsum; Delaval, Kaiser Cement & HOLBROOK, Administratrix of A. Grace Corporation; Manufac Keene National P. Holbrook the Estate of John Sales; Owens-Corning Fiberglas turing Inc.; Owens-Illinois, Corp.; Philadel v. phia Company; Indus Asbestos PPG CO., INC.; LYKES BROS. STEAMSHIP Products; Pittsburgh tries; Pabco Corn Inc.; Transport Puerto Lines Marine Pic.; ing Corporation; Turner & Newall Mgmt., Inc.; Sea-Land Ser Rico Marine Plastics Chemicals & Union Carbide Inc.; Shipmor vice, Associates Second Co., Inc.; Gypsum Company; U.S. U.S. Company; Westinghouse Elec Rubber v. Gyp Corp.; ACMC, National tric f/k/a COMPANY; & WILCOX The BABCOCK Company sum Inc.; Engineering, Foster- Combustion Energy Corporation; The Gen Wheeler Holbrook, Appeal Adminis of Grace Co.; Corporation, Electric Keene eral tratrix for the Estate of John Independently in Inter and as Successor Holbrook, Appellant. P. Manufacturing Magnesia Ehret est Company No. 94-2148. Company, Baldwin-Hill Inc.; Baldwin-Ehret-Hill, Owens-Corn Appeals, Court of United States Pittsburgh Corning Fiberglas Corp.; Third Circuit. Company; Packing Corporation; Anchor Compa S, Inc.; Flexitallic AC & Gasket Sept. Argued 1995. Inc.; Inc.; Garlock, ny, Owens-Illinois March 1996. Company; Armstrong In Decided World Glass Inc.; Inc.; Brothers, dustries, Hopeman Fletcher; Gypsum National

Shook & Party Corporation,

Corp.; Third GAF

Defendants HOLBROOK, Administratrix for A.

Grace P. Holbrook

the Estate of John

ACANDS, INC.; Prod American Asbestos Co.; Co.; Packing A.P.

ucts Anchor Company; Arm Refractories Green Asarco; Industries, Inc.;

strong World Corporation;

Asbestospray Asbestos Co.; Company; B.F. Goodrich

Textile Company; Certain Asbestos

Caroline Upon constitutionally jury charge defective. re- ruling Sixth on Guzman's In view of our request claim, expected can be counsel we need not consider Amendment instruction, by the if it is warranted in- an alibi of an alibi claim that the omission further struction, requested, evidence. rendered which was not *3 Jaques, Krispin,

Leonard Donald A. C. (argued) Jaques Admiralty Michael Connor Firm, Detroit, MI, Appellant. Law for Mattioni, Mattioni, Faustino Mattioni & Mattioni, PA, Philadelphia, Appellee for Lykes Bros. Cook, Wilbraham, Lawler, Mary B.

Robert Buba, PA, Philadelphia, & for Puerto Lawler Marine; Sea-Land; Shipmor; Rico Second Green; Acands; World; Armstrong A.P. Crane-Houdaille; GAF; Flexitallic; John Garlock; Delaval; Gypsum; Imo National Newall; Carbide; Gyp- Turner U.S. Union sum; Engineer- Westinghouse; Combustion Foster-Wheeler; ing; Owens-Corning; & Fletcher. Shook Henderson, Binzley, Harold Richard C. W. Cleveland, OH, Flory, Thompson, Hiñe & for Marine; Sea-Land; Appellees: Puerto Rico Shipmor. Second Jr., Gollatz, Griffin, Ewing, Ew- Alexander Media, PA, ing McCarthy, Appellee for & Acands. IV, Joseph

Wesley Payne, R. Office of Law Sullivan, PA, Appellee Philadelphia, P. for Houdaille. Turlik, Joseph, Phila- A. Goldfein &
John PA, Appellee delphia, for Garlock. Fox, Duane, Hecksch- R. Morris & (cid:127)Reeder PA, er, Philadelphia, Appellee for Imo Dela- val. Kadish, English,

Eric McCarter & Cher- J. Hill, NJ, ry Appellee Owens-Illinois. for (argued), Johnson & Steven T. Johnson WA, Garvin, Seattle, Appellee for Owens- Illinois. Sheri', Jones, & Zucker- A. Joffe

William Conshohocken, PA, man, Appellee for West Westinghouse. Seamans, McShea, III, Eckert, P.

John Mellott, PA, Ap- Philadelphia, for & Cherin Westinghouse. pellee argues that Hourican, documents. Holbrook Welge, & various Manta R. William judge’s was unfair and re- PA, the trial conduct Appellee Indus- for PPG Philadelphia, judge. a different quests a new trial before tries. court’s conduct did conclude We O’Brien, III, Delany, Delany & L. John that the court com- prevent a fair PA, Appellee for Combustion Philadelphia, by excluding error testimo- mitted reversible Engineering. experts. reverse ny appellant’s We will Marks, O’Neill, O’Neill, Reilly & Joseph M. trial. remand the cause for new PA, O’Brien, Philadelphia, Appellee Fos- ter-Wheeler. I. Ladner, III, Clark, Keating, E. Michael served as a merchant seaman *4 PA, Philadelphia, Young, for Fortenbaugh & shipping companies’ vessels from aboard the Appellee Electric. General ship in 1953 to 1991. He also served aboard Jasons, Kelley, Spinelli, N. Robert months in 1962 Pacific for seven the South PA, Philadelphia, for Spinelli, McGuire & testing opera- government nuclear during a Owens-Corning. Appellee trial, I.” At Holbrook tion called “Dominic Trevelise, Marilyn Heffley, Andrew J. prove that Holbrook died sought to John Reed, Smith, McClay, Philadelphia, & Shaw as a result of asbestos from mesothelioma Corning; PA, Pittsburgh Fi- Appellees: for exposure shipping vessels. aboard breboard. exposure to contended that defendants asbestos, any, if minimal and could not Miller, Joseph, & Phila- A. Goldfein Leslie and that John have caused PA, Packing. Anchor delphia, for mesothelioma, it re- suffered from Holbrook Ronon, Scarborough, Stradley, G. William during Do- sulted from radiation PA, Ap- Young, Philadelphia, & Stevens the admissibil- minic I. Both sides contested Bros. pellee Hopeman experts’ testimony. ity of various MANSMANN, SCIRICA testimo- Before: The district court excluded certain NYGAARD, Judges. ny by Carpenter, Circuit John Holbrook’s treat- Altschuler,

ing physician, by Dr. a board- physician pulmonary in internal and THE certified OF COURT OPINION they lacked the medicine. The court felt that NYGAARD, Judge. Circuit testify to certain requisite specialization to as shipping com- sued several John Holbrook ruling, part, on It based its matters. suppliers of panies and manufacturers and its cause conclusion that mesothelioma developed he alleging that products, asbestos only diagnose, and that a few are difficult to exposure to asbestos-con- mesothelioma qualify to types specialists of medical would working aboard taining products while testimony it. give expert opinion John Holbrook shipping companies’ vessels. widow, 1993, Grace and his in October of died A. (“Holbrook”), of his administratrix Holbrook embody a Rules of Evidence plaintiff. The The Federal estate, was substituted “strong preference for admit liability. and undeniable for defendants found any having potential for evidentiary rulings by ting evidence some challenges several now assisting trier of fact.” DeLuca v. Mer court, rul- including the court’s the district Pharmaceuticals, Inc., 1) 911 F.2d rell Dow excluding from the dece- ings: (3d Cir.1990). 702, 941, “Rule diagnosis 956 treating physician on his dent’s 2) admissibility expert testimo- governs the mesothelioma; excluding testimony from a policy,” ny, specifically embraces this United eliminating radiation as pulmonologist (3d 3) mesothelioma; Velasquez, F.3d States cause of John Cir.1995), policy a liberal of admissi- experts and has testimony by allowing two 4) Litiga- R.R. Yard PCB cause; bility. In re Paoli redact- exposure as a (“Paoli II”), Cir. tion contained ing references to mesothelioma 1994). 104(a) repair, in- Together, products liability Rules 702 and action tractors). involving determining the district court in struct testimony. Rule 702 Velasquez, 64 F.3d at 849. provides: Carpenter, treating John Holbrook’s physician, specializes in internal medicine. scientific, technical, specialized If or other Carpenter At described the medical knowledge of fact will assist the trier procedures diagnose undertaken to and treat the evidence or to determine a

understand detail, great John Holbrook. In he described issue, qualified fact in as an witness treatment, injection skill, expert by knowledge, experience, chemotherapeutic agent fluorouracil into his education, training, may testify thereto patient’s cavity. During Carpenter’s chest opinion in the form of an or otherwise. examination, subject direct when the turned designed to whether he the treatment for a 104(a), Rule court Under the district makes specific malignancy, interrupted preliminary pro- whether the determinations and stated: posed expert qualified witness is and whether gave He gave. the treatment that he This given under to be is admissible qualified witness has not been and he will v. Merrell Dow Rule 702. See Daubert permitted give opinion not be Pharmaceuticals, Inc., 579, -, 509 U.S. *5 degree certainty reasonable of medical as (1993). 2786, 2796, 125 L.Ed.2d 469 S.Ct. or whether not the cancer was mesothe- preliminary that the testi- This task ensures lioma. mony meets a minimum threshold of reliabili- prevented at-, treating physician The court the ty and relevance. 113 S.Ct. (1) testifying: diagnosis from 2795; that he made a Velasquez, 64 F.3d at 849. (2) Holbrook; he treated Mr. (1) 702, proffered Rule the witness Under (3) mesothelioma; diagnosis his was as to his (2) expert expert; be an must must (4) decedent; preliminary impression of the scientific, testify requiring about matters diagnosis pathology report as to the (3) specialized knowledge; or and technical analyzing sample a tissue of Holbrook’s expert’s testimony the trier must assist lungs, report Carpenter request- which Dr. II, of fact. Paoli 35 F.3d at 741-42. Hol- treating in ed and which he relied his error, allegation first the court’s brook’s (5) patient; symp- to the and as decedent’s ruling excluding testimony by experts, her toms. The court excluded this requirement. The concerns the first issue Carpenter oncologist Dr. not an because was experts’ of the defense testi- inexplicably specialist or a in what the court III, mony, infra, in involves discussed section diagnosis.” termed cancer Refer- “definitive requirements. the other two ring Carpenter’s pa- to Dr. reliance on the interjected thology report, the court diagnosis, Carpenter did not make his own Carpenter B. despite Carpenter the fact that Dr. testified exactly that. requirement that he did The first of Rule 702—that proposed expert an witness be —has routinely Carpenter testified that he liberally construed this been Court. pathology reports him in relies on to assist II, 35 at 741. have held Paoli F.3d “We treating patients, pathologists his because skills, knowledge, range that a broad experience examining diag- have more and such,” training qualify expert an and as nosing specimens. Specifically, Dr. tissue overly imposing rigor- and have “eschewed report Carpenter pathology relied on the he Id.; requirements expertise.” ous see impres- had ordered to confirm his clinical also Hammond v. International Harvester diagnosis sion and of John Holbrook. Dr. Co., Cir.1982) 646, (per- Carpenter’s pathology report reliance on the mitting engineer experience with in diagnosis neg- sales to confirm his does not reflect agricultural equipment, atively qualifications ability diag- automotive and on his or contrary, taught high patient; also automobile nose his to the it reflects who school treatment, qualified diagnosis ter or medical as was not to render procedure routine report he pathology recognized by Rule 703. discuss because pathologist, oncologist or approach liberal to admit- of our Because diagnosis.”1 “definitive cancer testimony, arguments ting most expert’s qualifications an relate more to the Advisory The Notes of Committee on expert’s testimony weight given the to be to, corollary Rule Rule refer Thus, admissibility. than witnesses to its alia, others, reports inter reliance on experts competent as even be illustrate trial court’s The further error. not, they may eyes, in the court’s though provide: *6 it clear that various kinds of make *7 basis under Rule as in- cient scientific occupational iar with John Holbrook’s work terpreted by Daubert. records, history, history medical and and was literature on causal also familiar with the requirement Rule 702—that The second not agents of but was aware scientific, expert to technical or that radiation had ever been linked to meso- specialized knowledge other intended —is deposition, At his he could not thelioma. reliability to ensure the or trustworthiness linkage firm mesothelioma recall a between expert’s testimony. of the that he had and radiation. At he stated omitted). (citation Velasquez, 64 F.3d at 849 relating sporadic to rare “found a few articles sought prove through of meso- Defendants these cases out of the thousands of cases experts that Holbrook’s cancer resulted year, that] each there are a John [and thelioma I. years exposure that from to radiation Dominic few over the last 15 or 20 have permit- relationship Demopoulos Read and Browne were some to radiation.” Drs. shown whole, objections, testify, plaintiffs at trial ted to over as a Altschuler’s exposure opposed previous inability to recall radiation suggests that his exposure, a distinct specific linking prolonged to meso- asbestos literature radiation cause, cause, conclusion, possible very highly probable a resulted from his based thelioma liorna, very knowledge- ruling not on that Dr. Altschuler is 2. Defendants do not address court's argue field, testimony, Dr. Altschuler’s other than a and that he makes habit of able questions allowed to ask re- that Holbrook was garding testifying plaintiffs. on behalf and mesothe- the literature on radiation adequately explained reasoning its probable of his cancer The court the most cause when it stated: diagnosed three decades later. hearing length

I of such will have a jury waiting to be while selected.... A. your for a opportunity This was DaubeH hearing today and tomorrow. It im- interpretation of Rule DaubeH’s Under proper jurors waiting to have for several 104(a), facing proffer a district days go that might to be selected in a ease expert testimony prelimi as a scientific must on for weeks. reasoning assess nary matter whether the appropriately failed to prepare Counsel methodology underlying expert’s testimo discretion the court exercised sound in con- scientifically ny valid. The court accom orderly trolling disposition the efficient and “by plishes considering all relevant fac this unnecessary this case to avoid inconve- reliability may bear on the tors jury. nience to the proffered Velasquez, 64 F.3d at evidence.” II, 849; Paoli at 742. see also C. however, reliability requirement, should not We also no error the court’s find strictly. Helpfulness to applied too testimony. Dr. refusal to strike Demo remains the ultimate trier of fact touchstone poulos specializes pathology study —the admissibility. “good expert If the has largely His focused on disease. research has grounds” testimony, the scientific evi cancer, study subject on which he sufficiently A reliable. de dence is deemed taught, and has on which he has written good grounds that the has termination During residency, performed he articles. expert’s opinions that the are assures animals, during radiation studies “subjective than rather belief or science Health, Institutes of tenure with National Daubert, speculation.” 509 U.S. unsupported Currently, pathology. he studied radiation at-, at Demopoulos experiments S.Ct. devises to en susceptibility

hance the of tumors to radia protective tion and enhance the effects in B. surrounding protect damage. tissue to knowledge His revealed extensive argues the district oncogenesis, familiarity of radiation with the gatekeeping responsibility court failed familiarity Operation I Dominic allowing the to hear the radiation exposure history radiation of John Holbrook. determining its ad testimony without first background, Demopoulos this With missibility. The record shows otherwise. that, asbestos, exposure testified unlike hear pretrial scheduled DaubeH The court no there is threshold radiation request to determine cancer, required to and that cause “[t]he expo testimony regarding probable most of Mi-. can cause *8 of mesothelioma was admissi sure as a cause exposures was the he cer that sustained at Inexplicably, counsel ble. operations I Dominic in 1962.” He based his proceed with unprepared to that seemed opinion on a Mr. Holbrook’s review of medi the court therefore did not hold hearing, and radiation, exposure cal records and to and on this, Despite the court nevertheless one. study. his own research and that it to Holbrook’s counsel would indicated occupational in specializes Dr. Browne to counsel’s motion at trial strike entertain lung initially disease his research fo- testimony. expert the He has pre- cused mesothelioma. made ordinarily con- Although DaubeH could be gatherings regarding at scientific sentations require that make to the court the exposure strued threshold levels to asbestos and of jury’s mesothelioma, published preliminary resulting determination outside the and has say trial, hearing, papers. we cannot that the court abused he several At discussed his of knowledge in the manner which it adhered extensive about studies radia- its discretion cancer, including a cause of requirements of Rules 104 and 702. tion as mesotheli- the testified, degree on the to “a oma. He based medical reasonable of medical certain- relating ty,” to radiation and scientific literature must be ... “[c]are taken to see cancer, low of radiation can cause doses the incantation does not become a se- cancer, and that un- trap mantic and the failure to voice it is not exposure, there no analysis like asbestos is threshold used as a basis for exclusion without requirement exposure Schulz, for radiation to testimony itself.” 942 F.2d at that, Nonetheless, Schulz, cause cancer. He further testified in 208. as we stated in opinion degree to a reasonable of medical phrase expression the “is a useful shorthand certainty, exposure could not be helpful forestalling challenges is in excluded as a cause of John Holbrook’s can- expert testimony.” Id. cer. reviewing It also assists court determin- ing jury given whether the has been experts’ backgrounds Both extensive in the- appropriate by judge standard which to causes, study includ- of mesothelioma and court, therefore, opinion. The district erred radiation, their review of the literature by disallowing cross-examination of Dr. history and their review of John Holbrook’s opinion Browne to determine whether his provided upon they could substance which degree certainty. met this opinions required offer scientific that met the reliability. required threshold of As Dau- In another instance cited Hol bert, procedures examining their the facts brook, objection the court overruled an presented to them and their own research testimony, Dr. Browne’s in which he stated methodologies were based on the methods of possible that radiation is a distinct cause. opinion and did not reveal science way telling I have no whether it to a is merely subjective on their own beliefs. degree certainty of medical the cause. qualify “Situations which the failure to D. opinion typical have resulted exclusion are matter, objects In a related ly those which portions experts’ testimony, defense speculative, using language ‘possibili such ” arguing that in several instances the testimo Evidence, ty.’ Id. The Federal Rules of ny given degree certainty was not to the however, require particular phrase do not required. II Holbrook cites Paoli regarding degree certainty with which Corp., 942 F.2d 204 Schulz Celotex experts they opinions, must form their Cir.1991), proposition for the that medical certainly questions concerning allow the de experts degree must reasonable gree opinion held. certainty. of medical Accordingly, particular phrase while the dispositive, may used should not be indi- one instance at cate the level of confidence the has objection during sustained cross- expressed opinion. Perhaps nothing examination, questioning whether Dr. absolutely certain the field of medi- Browne could state with reasonable medical cine, but the intent of the law is that if a certainty exposure that radiation caused de physician opinion cannot form an with suf- cedent’s mesothelioma. The court ruled that certainty ficient so as to make medical solely question jury. for the judgment, jury can a in- neither use that helped Browne’s answer would have formation to reach decision. impact evaluate the of his evidence that asbestos *9 Although caused John Holbrook’s cancer. a Schulz, In the trial court excluded an ex- specific degree certainty may of not be re pert’s testimony because counsel failed to allowing quired, the court erred not Hol phrase. preface question precise the pose question. the brook to testimony pos- expert’s found that the We certainty required requisite degree have not that when medical sessed the for We experts give opinion, they their recite the and reversed. The stat- unequivocal phrase opinion given opinion that their is ed his terms and his talismanic 786 always potential bar to extensively in the treat- 403 remains as relied on

opinion was at-, Daubert, admissibility. 509 U.S. 113 plaintiff. the ment of at 2798. statement that S.Ct. Holbrook’s II, we reversed a that Paoli It is true “[rjecords simply admissible of deaths are ‘as judgment on certain claims because summary ”is,’ simply ignores our wrong, and deci- plaintiffs had not testified the Metropolitan in Schulz Pollard v. sions required certainty. degree of medical We Co., (3d Cir.1979). 598 1284 Ins. F.2d Life because, degree certainty in II that Paoli Although in we did not reach the Schulz law, proof Pennsylvania the burden of under properly the whether district court re- issue degree certainty. required that indicating fused to admit death certificate Demopou- Here, Drs. the test is different. etiology asbestosis when the testified for the defense that los and Browne clearly in dispute, cancer was we indicated excluded, as it was a could not be analysis Rule 403 that the court’s under was possible cause of John distinct in order. 942 F.2d at 209. fact, Dr. on this cancer. In Browne testified cer- degree a reasonable of medical issue to judge’s trial decision admit “[A] Although testimony would have tainty. that may [Rule 403] or exclude evidence under prove that radiation ex- insufficient been arbitrary reversed it is not be unless cancer, which posure caused the a burden the irrational,” Bhaya Westinghouse v. Elec. bear, sufficiently it cer- did (3d Cir.1990), Corp., F.2d 922 187 but jury help to evaluate and could the tain balancing court its the trial should articulate by plaintiffs experts that asbestos Co., analysis. Philadelphia Elec. Glass cancer, an exposure caused the issue (3d Cir.1994). That district F.3d proof. plaintiff bore the burden of opportunity to articu court failed take the Therefore, err when it the court did not balancing late its does not constitute revers experts’ testi- refused to strike the defense se; however, may require per ible error mony. appellate court do so. See id. that judge’s upheld In Pollard we the trial re- III. under Rule 403 of references “acci- daction challenges the district Holbrook also certificate, dental death” from a death coro- ruling that to mesothelio court’s references pathologist’s necropsy certificate ner’s must be redacted. ma in various documents There, report. sought widow the decedent’s properly contends that she moved covering a policy under accidental benefits certificate, autop of the admission death for The trial that death. court found statements records, hospital sy report and in those could mislead documents in them under references legal phrase meaning “ac- because (8)-(9). 803(6), Rule of Federal Evidence death,” and used cidental as defined court, however, under required Rule policy, its insurance could differ from mean- malignant references to mesotheli 4033 that reports. ing as used the medical To avoid deleted the authors oma be problem, this the court excised from doc- the bases of did not documents any uments reference to the death acci- ruling, In the court stat diagnoses. so their properly held dental. We diagnosis mesothelioma “[t]he ed prejudice 403 to unfair used Rule avoid subjected to diagnosis that must be cross- confusion. meaningful in order it to be examination ruling to mesothelioma jury.” Rule does not mandate references redacted, evidence, rather in various documents would be of this allows admission other court articulated its Rule 403 balanc- when it would to be admitted evidence Thus, objectionable hearsay. Rule as follows: wise be issues, misleading jury, or provides: or consid- 3. Rule time, relevant, delay, waste of Although be excluded if erations undue evidence outweighed substantially value probative presentation needless of cumulative evidence. *10 danger by prejudice, confusion of unfair

787 diagnosis diag- arbitrary irrational, mesothelioma is daeted was neither nor [T]he subjected accordingly, nosis that must be to examina- will be affirmed. my is [I]t

tion and cross-examination.... ruling that Rule that there under IV. prejudice you unfair unfair risk of to be Because we that the find court erred argue able to that 9 other doctors unexa- by excluding testimony, certain canwe affirm diagnosed mined in this mesothelio- Court jury’s liability only verdict on if those ma, only percent which at best has a 90 a— errors were harmless. See Advanced Medi diagnosis chance of as I understand the cal, Inc., Systems, Inc. v. Arden Medical testimony through autopsy being correct. (3d Cir.1992). F.2d 188 “A determination of percent being a 60 chance at if And correct depends harmless error on whether it sample there is a tissue excised highly probable that the error did not con lung opposed point needle examina- judgment.” tribute to the 199. being right tion where the risk of is—the being right only chance of per- Co., In McQueeney Wilmington Trust ... [I]n cent. terms of trustworthiness of Cir.1985), we found diagnosis, it’s not like there was a bone that the district court’s refusal to admit evi- broken, that’s the bone is broken. Here impaired ability dence the defendants’ to dis- you diagnosis have a of mesothelioma credit central element of the something which is that has to be exam- case, against critical liability, was for defense diagnosis, technique ined as to method of potentially the defendants’ best evidence certainty diagnosis. diagnosis, result, and was not cumulative. As we say highly probable could not that it was argued difficulty It that the of the the failure to admit the evidence did not diagnosis weight affects the to be accorded rights, affect defendants’ substantial contents, the documents’ not their admissibil- Hence, we reversed the district court. ity. necessarily This is not so. The difficul- improperly testimony excluded ty diagnosis go more to of the does indeed likely makes it more that the would have admissibility weight than to the decision, reached a different the error is not evidence, but that does not make it irrelevant harmless. light of Rule 403. hurdle, independent addition to the Rule 403 Here, testimony by plaintiffs ex 803(8) 803(6) expressly Rule and Rule con- perts bore on the critical issue of whether template exclusion on untrustworthi- by John Holbrook had mesothelioma caused ness. asbestos, treating physi court, diagnosis may its determina based on cian’s about his The diag tion that mesothelioma is difficult to have been Holbrook’s best evidence on the nose, Likewise, prej determined that the risk of unfair existence of mesothelioma. udice, eliminating by leaving references to mesothelioma Altschuler’s finding not testified to their authors as a cause was crucial to a documents asbestos, radiation, experts, qualified nor relied on out caused John Hol- weighed probative it value. Because of brook’s mesothelioma. This makes diffi accurately say problems diagnosing improbable mesotheli- cult to that it is that admit oma, ting the court determined that the unexa this evidence would not have affected helpful contrary, appears mined references were not to and the outcome. To the potentially jury. say that it would. we cannot could have misled Because harmless, ruling requiring that references to Holbrook is enti court’s these errors were mesothelioma various documents be re- tled to a new trial.4 error, allegations assignments unsupported brook a new trial. The Holbrook makes other merit, argues, analysis, generally without further that the of error are error, without and even if and rulings they require a new trial. Fol- were an abuse of discretion and that the would not Schulz, lowing requires we leave these "multitude of error reversal and a new our course stated, development grant we have we will Hol- issues for further at the next trial. trial.” As *11 ground diagnosis of and as a for a about his mesothelioma asserts Holbrook also report by re- pathology the and judge’s the conduct at reliance on new trial that trial pulmonologist’s testimony urges stricting the elimi- prejudiced her us trial case. of mesothelio- attempts nating to conduct direct- radiation as a cause the to examine her ma, judgment of experts. the in favor her medical Accord- we will reverse examination of Holbrook, a new trial and the cause for “[t]he to actions the defendants remand reassign whole, effectively judge, request a trial. Holbrook’s we taken as communi- judge judge a new on is denied. cated to that the had a low the case to remand the her opinion plaintiffs case and counsel.” Unquestionably, improper con- bias SCIRICA, Judge, concurring in Circuit judge may grounds be for a duct a trial part dissenting part: in party unfairly preju- if a

new trial by a participation join II the Although diced. Active I in Parts and III of however, judge proceedings, opinion in trial is court’s I do not the district believe improper unfair. Carpenter itself nor of Dr. rulings neither on the granting a new require Dr. Altschuler Desjardins Community v. Van BurEn Hos trial. Cir.1992). (1st pital, F.2d 1280 (as The district court’s conduct dis evidentiary

tinguished rulings) its does I. not warrant a new trial. The court inter Carpenter, specialist Dr. internal med- rupted repeatedly and counsel for both sides icine, treating physi- proper both was John Holbrook’s tried to instnict sides the Dr. ques permit lines cian. The district court did not procedure to follow certain may Although Carpenter diagnosed to state that he Hol- tioning. the court’s demeanor times, patholo- brook with mesothelioma because gruff at Holbrook’s counsel have been gists Holy testing Hospital rather than pursuing the court Cross seemed to be diagnosis. previously Carpenter actually “made” the the court had issues diag- (“[Carpenter] This conduct falls did make the rulings made clear. himself may upon report controlling He have relied squarely judge’s role of nosis. within fairly ruling diagnosis.”). cannot While the district court’s proceedings, the court be plaintiff may rigid diagnostic hu too a view of prejudicing or reflect characterized process, judge’s I do not its limitation of miliating The trial role is believe counsel. Carpenter’s testimony reversible possible, if constituted preside passively over Reversal and remand for a new trial when indicated. error. aggressively justified only judge’s is a trial errone- judge’s vary exigencies where efforts must Inadequately prepared overly ous exclusion evidence is not harmless. trial. provides part: may aggressive require indeed Fed.R.Civ.P. advocates interpose itself more ac that the trial court No error either the admission or forcefully proceedings tively and even ground ... for exclusion evidence That, convinced, we are to ensure fairness. setting granting a new trial or for aside trial court did here.5 is what the ... refusal take such verdict unless appears inconsistent action V. justice. with substantial sum, dis- we conclude by Although the district court excluded testimo- trict court committed reversible error ny by Carpenter, there still physician’s was substan- precluding treating at-, "[judicial States,-U.S.-, rulings Liteky 114 S.Ct. at 1157. v. United 114 S.Ct. (1994) supports prop- for a almost never constitute valid basis 127 L.Ed.2d alone at-, assign partiality S.Ct. power case motion.” Id. 114 however, osition we have the bias or here, holding view judge if we at 1157. In of our on remand determine another spend time necessary need not more on Holbrook’s or we determine that reas- we recusal is signment judge. Her required proceedings request for retrial before different "further rejected. just request be had as under circumstances.” *12 ogy University Hol- at the Medical from other sources that South Car- tial evidence olina, testify that radiation did not cause from mesothelioma. Most brook suffered Reineke,1 light her husband’s illness. In of their testi- testimony Dr. important was the mony, the district court’s limitation on Dr. pathologist certified and the chief a board Holy testi- Altschuler’s was harmless. pathology Hospital, Cross who had mesothelioma.2 fied Holbrook causation—

The crucial issue at trial was III. from whether John Holbrook died mesotheli- reasons, foregoing deny For the I would or as a oma as a result asbestos request for a new trial. exposure. the am- result of radiation Given ple suffered evidence that John Holbrook highly probable it is Carpenter court’s refusal to allow Dr. diagnosis did not contribute to

to state his jury. Any judgment of the error was

harmless. II. UNITED of America STATES Altschuler, pretrial deposition,

At a pul- board certified internal and who was medicine,

monary admitted he had no fa- KETCHAM, Appellant. Basil miliarity the medical literature on the with No. 95-5002. relationship between radiation and mesothe- that ra- He said he was not aware lioma. Appeals, United States Court of linked mesothelio- diation had ever been Third Circuit. Nevertheless, ma. the district did Argued Sept. 1995. testifying preclude Dr. Altschuler from knowledge medical derived from Decided March 1996. deposi- subsequent he read to his literature (“You prior may ask him tion but to trial. respect literature he refers to with

what you say,

radiation and what does it

choose.”). short, although In the court re- qualify

fused to Altschuler as radiation, him to it allowed

what he knew. background of Dr. Altschuler’s view testimony on

the court’s admission of his mesothelioma, I con-

radiation and cannot its discretion

clude the district court abused refusing qualify Dr. Altschuler as an limiting his testimo- on radiation and Moreover,

ny. plaintiff called Francis

Masse, protection director of the radiation

programs Institute of at the Massachusetts Hoel,

Technology, and Dr. David chairman of Department Biometry Epidemiol- Furthermore, Demopoulos, a board Dr. Reineke was taken ords. 1. The videotape presented autopsy at trial. pathologist, that the certified testified "malignant report as the listed mesothelioma” rulings, Despite evidence the district court’s death. cause of Holbrook's presented included unredacted refer- hospital rec- ences to mesothelioma in medical Notes qualified qualified. Who is “best” the “best” physician practice weight his own bases upon which reasonable is a matter diagnosis from numerous on information jurors may disagree. variety, and of includ- sources considerable II, we reversed In Paoli relatives, by patients ing statements finding quali a witness was not court’s nurses, opinions reports and techni- doctor, fied we found that “while records, doctors, hospital other cians and relatively clinician less arguably poor rays. are X of them admissible Most witness, qualifie[d] fully than credible evidence, only expenditure Similarly, expert.” F.3d at 753. in In re producing of substantial time in and exam- (“Paoli ”), Litigation I Paoli R.R. Yard PCB authenticating ining various witnesses. (3d Cir.1990), we stated that 916 F.2d 829 physician deci- The makes life-and-death degree a certain kind of insistence on upon them. His vali- sions reliance juris- with our background is inconsistent dation, subject expertly performed and language prudence in this area. cross-examination, ju- ought to suffice for accompanying advisory Rule 702 and purposes. dicial

Notes

notes skill, experience, training “knowledge or The Federal Rules of Evidence are meant education,” qualify Fed.R.Evid. an ex- to courts in sound instruct pert as such. making them in exercise of discretion admis- logic, Following this it is an Id. 855. sibility should in- determinations and not be testimony to sim- abuse of discretion exclude terpreted exclusionary rules. be as It would ply trial does not deem the because the run to the inconsistent with and counter qualified proposed expert to be the best or policy admissibility to allow Rules’ liberal of proposed expert does have not because expert, solely litigation an outside hired specialization that the court considers rely testify purposes, pa- on and most at 856. appropriate. report, testimony by thology exclude treating physician report ordered who approach re The court’s mistaken and on it for life-and-death decisions relied testimony Carpenter’s stricted by patient’s Opinions about the treatment. practice a requirement that the witness physicians who neither examined nor have testify concerning cer particular specialty force, patient probative less treated “have light our liberal standard tain matters. of matter, they proffered general as a then would have qualifications of a governing the they witness, acceptance had treated or examined him.” Wier ex and our of more (3d Heckler, hold that the dis rel. v. 734 F.2d general qualifications, we Wier Cir.1984). For by finding Carpen- example, that context trict court erred provides: in and the mandate of Rule 102. the rules with Federal Rule Evidence however, approach, would be to secure fair- The district court's These rules shall ness in construed administration, unjustifi- elimination unjustly litigation requiring increase costs liti- promotion expense delay, able growth and and gants experts hire a in countless cases to host of development of the law of evidence and treating physicians, that out of fear their end that truth ascertained lives, they their health and whom entrusted justly proceedings and determined. grade” when time not "make the it came would expert qualifications comports approach Our testify in court. admissibility policy with embodied the liberal eases, familiarity literature, security disability we afford on his social opin- greater weight treating physician’s sporadic to a rare cases the literature did not (3d Bowen, major v. 794 F.2d 896 support ion. See radiation as a causative factor. Dorf Cir.1986); Heckler, court, however, Brewster v. 786 F.2d 581 The district did not disallow Cir.1986). giving testimony “The rationale for based on Dr. Altschuler’s familiari- treating physician’s opin- thereof, greater weight ty, alleged lack with the literature employed ion is that he is to cure and has on radiation and mesothelioma. opportunity his greater to know and observe When asked about radiation as a cause of Bowen, Sprague patient....” mesothelioma, the court sustained defense (9th Cir.1987). 1226, 1230 We therefore con objection, ruling that Dr. Altschuler was not by excluding the clude that the court erred “qualified expert’ aas ‘radiation vis-a-vis can- treating physician’s testimony. oncologist,” cer. He’s not an and that would not him to allow discuss the relation- C. Dr. Altschuler ship between radiation and mesothelioma. judge’s ruling on Dr. Alt The trial erroneously required The court that the ex- qualifications schuler’s suffers from the same pert specialization have a in cancer and radi- flaw.2 Altschuler is board-certified ation, diseases, despite expertise lung pulmonary practices internal and medi In placing mesothelioma. restric- primary cine. Dr. Altschuler described his tions on Dr. Altschuler’s practice area as follows: possess background he did not the exact [Pjulmonary medicine involves the diseases appropriate, court deemed it erred. lungs. the chest and It involves medical treatment, procedures certain such II. looking lungs patients. into the It in- x-rays expertise reading chest volves alleges Holbrook next the court understanding pulmonary function by allowing experts, erred Drs. De- breathing It in- tests which are tests. Browne, mopoulos that radia- occupational volves treatment of diseases cancer, tion caused John Holbrook’s that affect chest. preliminarily making a determination on testimony. of this pulmonary is a disease. Mesothelioma position lacked a suffi- this famil- Dr. Altschuler testified that he was

Case Details

Case Name: Holbrook v. Lykes Bros. Steamship Co.
Court Name: Court of Appeals for the Third Circuit
Date Published: Mar 21, 1996
Citation: 80 F.3d 777
Docket Number: 94-2148
Court Abbreviation: 3rd Cir.
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