Deborah Lacy v. Meharry General Hospital

07/28/2022
IN THE COURT OF APPEALS OF TENNESSEE
AT NASHVILLE
February 17, 2022 Session

DEBORAH LACY v. MEHARRY GENERAL HOSPITAL ET AL.

Appeal from the Circuit Court for Davidson County
No. 16C1053 William B. Acree, Senior Judge

No. M2021-00632-COA-R3-CV

Plaintiff Deborah Lacy brought this action against Dr. Nagendra Ramanna, alleging that
he committed a battery upon her by shaking her hand too forcefully during a visit in which
Plaintiff was seeking medical treatment for an alleged heart condition. Following
discovery, Defendant moved for summary judgment, which the trial court granted after
finding no evidence that the handshake caused injury to Plaintiff’s right hand. We affirm.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed;
Case Remanded

KRISTI M. DAVIS, J., delivered the opinion of the Court, in which D. MICHAEL SWINEY,
C.J., and THOMAS R. FRIERSON, II, J., joined.

Deborah Lacy, Madison, Tennessee, appellant, pro se.

Sara F. Reynolds and Ashley B. Tipton, Nashville, Tennessee, for the appellee, Nagendra
Ramanna.

OPINION

I. BACKGROUND

This is Plaintiff’s second appeal of this action. In the first appeal, Lacy v. Meharry
Gen’l Hosp., No. M2016–01477–COA–R3–CV, 2017 WL 6501915, at *1 (Tenn. Ct. App.
Dec. 19, 2017) (“Lacy I”), this Court provided the following factual background, in
pertinent part:

On April 14, 2016, Ms. Lacy filed a complaint against Dr. Ramanna in the
Circuit Court for Davidson County, Tennessee. . . . [T]he complaint alleged
that Ms. Lacy made an appointment with Dr. Ramanna, a cardiologist, “to
 check why she was getting so out of breath while doing her daily chores since
February 11, 2015.” According to the complaint, “upon entering the room .
. . Plaintiff extended her right hand for the [sic] Dr. Nagendra Ramanna to
shake her hand and this is when he squeezed Plaintiff [sic] fingers to [sic]
hard.” Ms. Lacy generally described this interaction as “a beating” or
“assault.” As a result, Ms. Lacy complained that her “hand is in constant
pain” and “the fingers no longer have any strength.”

In Lacy I, we affirmed the dismissal of all of Plaintiff’s claims but the battery action against
Dr. Ramanna, finding that “[w]hile further evidence may demonstrate otherwise, at this
stage of the proceedings, we cannot conclude that the [Health Care Liability] Act applies
to Ms. Lacy’s handshake claim” to bar her action for failure to comply with the statutory
procedural requirements for a health care liability claim. 2017 WL 6501915, at *4.

Following the remand to the trial court from Lacy I, Defendant filed a motion for
summary judgment, arguing that “(a) Dr. Ramanna did not unreasonably squeeze
Plaintiff’s hand or fingers during the July 15 handshake; (b) Plaintiff did not suffer any
injury because of the handshake; and (c) Plaintiff consented to the handshake, precluding
any cause of action for battery.” In support of the motion, Defendant filed affidavits from
himself, his assistant whom Plaintiff alleged witnessed the handshake, and Dr. Douglas R.
Weikert, an orthopaedic surgeon who testified among other things that there is no objective
evidence of injury to Plaintiff’s right hand, and “no action or omission on the part of Dr.
Ramanna caused Ms. Lacy any injury which would not otherwise have occurred.”

Defendant also filed excerpts from Plaintiff’s deposition, in which she admitted that
(1) she did not tell Defendant he was hurting her hand either during or after the handshake;
(2) she did not tell anyone else at the clinic that day of her alleged injury; and (3) she did
not seek any medical treatment for the alleged injury until two years later. Plaintiff also
discussed in her deposition her prior claims that numerous other individuals had assaulted
and “beaten” her right hand before the handshake with Dr. Ramanna in 2015.

Defendant also filed a statement of material facts as to which he contended there
was no genuine issue for trial, as required by Tenn. R. Civ. P. 56.03. Plaintiff responded
with numerous filings, roughly 168 pages long, all of which but a few were handwritten.
Defendant filed a reply. Plaintiff responded by filing a “notice of filing a flash drive,”
stating only that “[t]he Response Reply Motion to the Summary Judgment Motion filed
April 21, 2021. With Exhibits.” Plaintiff’s sur-reply consisted of various documents
totaling 320 pages on a USB flash drive filed with the trial court. The trial court granted
Defendant summary judgment in an order stating, “the Court finds that there is no credible
evidence that the Defendant committed a battery upon the Plaintiff, and there is no evidence
that the handshake injured the Plaintiff.”

2
 II. ISSUES

The issues as framed and presented by Plaintiff are difficult to render
comprehensible. Quoted verbatim, they state as follows:

1. Whether the Trial Court erred in Granting the Appellees Ramanna’s
Motion for Summary and Reply Summary Judgment Motion, without
including the Appellants Response to the Appellee’s Reply Summary
Judgment Motion. Tenn. Civil Rule 27(c). The Appellants entire Response
to the Appellee’s Reply Summary Judgment Motion is in a Brown envelope
Vol. 1 of 1 on a flash Drive.

2. Whether the Trial Court erred in Granting the Appellees Motion for
Summary Judgment and Reply Summary Judgment Motion when the
Appellant was not properly included in the discovery process, by allowing
the Appellant proof of the Appellee, fake hand x-ray and Medical Records to
just go away.
a. Doctor Appellant has never been a patient of before
b. Hand x-rays with Warning signs that had been clearly altered.
c. Taking one part of the Appellant medical Records and leaving the other
part.
d. Clearly changing the numbers on the Appellants Medical records to take
the records out of order.

3. Whether the Trial Court erred in Granting the Appellee Ramanna Motion
for Summary Judgment and the Reply Summary Judgment. Filing Irrelevant
inadmissible Evidence for the, Tenn. Rule 56, 26.02, 404.

We construe the primary issue presented to be whether the trial court properly
granted Defendant summary judgment. Plaintiff also appears to argue that the trial court
erred by not considering her sur-reply to Defendant’s reply to her response to the motion
for summary judgment, and by accepting the authenticity of some of Plaintiff’s medical
records and x-ray images proffered by Defendant.

III. STANDARD OF REVIEW

A trial court may grant summary judgment only if the “pleadings, depositions,
answers to interrogatories, and admissions on file, together with the affidavits . . . show
that there is no genuine issue as to any material fact and that the moving party is entitled
to a judgment as a matter of law.” Tenn. R. Civ. P. 56.04. The propriety of a trial court’s
summary judgment decision presents a question of law, which we review de novo with no
presumption of correctness. Kershaw v. Levy, 583 S.W.3d 544, 547 (Tenn. 2019).
3
 “The moving party has the ultimate burden of persuading the court that there are no
genuine issues of material fact and that the moving party is entitled to judgment as a matter
of law.” Martin v. Norfolk S. Ry., 271 S.W.3d 76, 83 (Tenn. 2008). As our Supreme Court
has instructed,

when the moving party does not bear the burden of proof at trial, the moving
party may satisfy its burden of production either (1) by affirmatively negating
an essential element of the nonmoving party’s claim or (2) by demonstrating
that the nonmoving party’s evidence at the summary judgment stage is
insufficient to establish the nonmoving party’s claim or defense.

Rye v. Women’s Care Ctr. of Memphis, 477 S.W.3d 235, 264 (Tenn. 2015). “[I]f the
moving party bears the burden of proof on the challenged claim at trial, that party must
produce at the summary judgment stage evidence that, if uncontroverted at trial, would
entitle it to a directed verdict.” TWB Architects, Inc. v. Braxton, LLC, 578 S.W.3d 879,
888 (Tenn. 2019) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 331, 106 S.Ct. 2548, 91
L.Ed.2d 265 (1986)).

When a party files and properly supports a motion for summary judgment as
provided in Rule 56, “to survive summary judgment, the nonmoving party may not rest
upon the mere allegations or denials of its pleading, but must respond, and by affidavits or
one of the other means provided in Tennessee Rule 56, set forth specific facts . . . showing
that there is a genuine issue for trial.” Rye, 477 S.W.3d at 265 (internal quotation marks
and brackets in original omitted). “Whether the nonmoving party is a plaintiff or a
defendant—and whether or not the nonmoving party bears the burden of proof at trial on
the challenged claim or defense—at the summary judgment stage, ‘[t]he nonmoving party
must demonstrate the existence of specific facts in the record which could lead a rational
trier of fact to find in favor of the nonmoving party.’” TWB Architects, 578 S.W.3d at 889
(quoting Rye, 477 S.W.3d at 265).

In reviewing the trial court’s summary judgment decision, we accept the evidence
presented by the nonmoving party (in this case, Plaintiff) as true; allow all reasonable
inferences in her favor; and “resolve any doubts about the existence of a genuine issue of
material fact in favor of” Plaintiff, the party opposing summary judgment. Id. at 887.

IV. ANALYSIS

A. Compliance with Tenn. R. App. P. 27

As an initial matter, Defendant argues that “Plaintiff’s failure to submit any
intelligible argument results in waiver of all issues presented on appeal” and requests that
the appeal be dismissed for noncompliance with Tenn. R. App. P. 27 and Tenn. Ct. App.
4
R. 6. In Lacy v. Vanderbilt Univ. Med. Ctr., M2018-00832-COA-R3-CV, 2019 WL
1450390, at *3, *4 (Tenn. Ct. App. Apr. 1, 2019), this Court took a similar approach,
stating:

Ms. Lacy raises several issues for review. However, her statement of the
issues is rambling and largely incoherent. Because Ms. Lacy’s brief fails to
comport with the requirements of the Tennessee Rules of Appellate
Procedure, we do not reach her substantive issues.

* * *

Ms. Lacy’s brief is largely incoherent as she neither develops her arguments
nor cites authority to support her positions. . . .

Ms. Lacy has extensive experience with this Court as she has filed no fewer
than eleven (11) appeals since November 2015.1 In two prior appeals, this
Court warned Appellant that she is required to comply with Tenn. R. App. P.
27 but then proceeded to address the case on the merits despite the procedural
shortcomings in her brief. See Lacy v. HCA Tristar Hendersonville Hosp.,
2018 WL 575346 at *5-6 (Tenn. Ct. App. Jan. 26, 2018); Lacy v. Hallmark
Volkswagen, 2017 WL 2929502 at *1-3 (Tenn. Ct. App. July 10, 2017).
Even after repeated warnings, Ms. Lacy still refuses to abide by the
Tennessee Rules of Appellate Procedure. Due to our inability to reach the
substantive issues, given the deficiencies in Ms. Lacy’s brief after repeated
warnings, Ms. Lacy’s appeal is dismissed.

(Footnote in original). In the present case, in contrast to some of her many prior appeals
in other actions, Plaintiff’s appellate brief contains all the basic elements required by Tenn.
R. App. P. 27, including a table of contents, table of authorities, and statements of the

1
See Lacy v. HCA Tristar Hendersonville Hosp., No. M2017-01055-COA-R3-CV, 2018 WL 575346
(Tenn. Ct. App. Jan. 26, 2018) (no perm. app. filed); Lacy v. Meharry Gen. Hosp., No. M2016-01477-
COA-R3-CV, 2017 WL 6501915 (Tenn. Ct. App. December 19, 2017) (no perm. app. filed); Lacy v.
Hallmark Volkswagen Inc. of Rivergate, No. M2016-02366-COA-R3-CV, 2017 WL 2929502 (Tenn. Ct.
App. July 10, 2017) (no perm. app. filed); Lacy v. HCA Health Serv. of TN, Inc., No. M2016-01027-COA-
R3-CV, 2017 WL 1944351 (Tenn. Ct. App. May 10, 2017), perm. app. denied (Aug. 17, 2017); Lacy v.
Saint Thomas Hosp. W., et al., No. M2016-01272-COA-R3-CV, 2017 WL 1827021 (Tenn. Ct. App. May
4, 2017), perm. app. denied (May 4, 2017); Lacy v. Vanderbilt Univ. Med. Ctr., No. M2016-02014-COA-
R3-CV, 2017 WL 6273316 (Tenn. Ct. App. May 4, 2017) (no perm. app. filed); Lacy v. Mitchell, 541
S.W.3d 55 (Tenn. Ct. App. Nov. 30, 2016); Lacy v. HCA Tristar Hendersonville Hosp., No. M2015-02217-
COA-R3-CV, 2016 WL 4497953 (Tenn. Ct. App. Aug. 25, 2016), appeal after remand. Additionally, Ms.
Lacy has three cases still pending in this Court. See Lacy v. Vanderbilt Univ. Med. Ctr., No. M2018-00832-
COA-R3-CV; Lacy v. Saint Thomas Hosp. W., No. M2018-01758-COA-R3-CV; Lacy v. Big Lots Stores,
Inc., M2019-00419-COA-R3-CV.
5
issues, the case, and the facts, with some citations to the record and reference to legal
authorities, and an argument section. Much of it is rambling, incoherent, and difficult to
understand; but in our discretion, we do not think it is so deficient as to warrant the harsh
sanction of dismissal of her appeal without consideration of its merits. However, we
conduct our review mindful of the admonition to Plaintiff in Lacy v. Vanderbilt, wherein
we stated:

Rule 6 of the Tennessee Rules of the Court of Appeals requires an appellate
brief to contain a written argument in regard to each issue on appeal, with a
statement of the alleged erroneous action of the trial court, as well as a
specific reference to the record where such action is recorded. The Rule
further provides:

No complaint of or reliance upon action by the trial court will
be considered on appeal unless the argument contains a
specific reference to the page or pages of the record where such
action is recorded. No assertion of fact will be considered on
appeal unless the argument contains a reference to the page or
pages of the record where evidence of such fact is recorded.

Tenn. R. Ct. App. 6(b).

* * *

“[T]his Court is not charged with the responsibility of scouring the appellate
record for any reversible error the trial court may have committed.” [Owen
v. Long Tire, LLC, No. W2011-01227-COA-R3-CV, 2011 WL 6777014, at
*4 (Tenn. Ct. App. Dec. 22, 2011)]. “It is not the role of the courts, trial or
appellate, to research or construct a litigant’s case or arguments for him or
her, and where a party fails to develop an argument in support of his or her
contention or merely constructs a skeletal argument, the issue is waived.”
Sneed v. Bd. of Prof’l Responsibility of Sup. Ct., 301 S.W.3d 603, 615 (Tenn.
2010).

2019 WL 1450390, at *2, *3 (quoting Clayton v. Herron, No. M2014-01497-COA-R3-
CV, 2015 WL 757240, at *2-3 (Tenn. Ct. App. Feb. 20, 2015)).

B. Plaintiff’s Sur-reply in Opposition to Summary Judgment

Plaintiff appears to argue that the trial court erred by refusing to consider her sur-
reply to Defendant’s reply to her response to the motion for summary judgment. Tennessee
Rule of Civil Procedure 56.03 provides for the following summary judgment procedure:
6
 In order to assist the Court in ascertaining whether there are any material
facts in dispute, any motion for summary judgment made pursuant to Rule
56 of the Tennessee Rules of Civil Procedure shall be accompanied by a
separate concise statement of the material facts as to which the moving party
contends there is no genuine issue for trial. Each fact shall be set forth in a
separate, numbered paragraph. Each fact shall be supported by a specific
citation to the record.

Any party opposing the motion for summary judgment must, not later than
five days before the hearing, serve and file a response to each fact set forth
by the movant either (i) agreeing that the fact is undisputed, (ii) agreeing that
the fact is undisputed for purposes of ruling on the motion for summary
judgment only, or (iii) demonstrating that the fact is disputed. Each disputed
fact must be supported by specific citation to the record. Such response shall
be filed with the papers in opposition to the motion for summary judgment.

In addition, the non-movant’s response may contain a concise statement of
any additional facts that the non-movant contends are material and as to
which the non-movant contends there exists a genuine issue to be tried. Each
such disputed fact shall be set forth in a separate, numbered paragraph with
specific citations to the record supporting the contention that such fact is in
dispute.

If the non-moving party has asserted additional facts, the moving party shall
be allowed to respond to these additional facts by filing a reply statement in
the same manner and form as specified above.

Rule 56 does not anticipate or provide for a sur-reply in support of or opposition to
summary judgment. Consequently, we believe it was within the trial court’s discretion to
determine how to deal with Plaintiff’s pleading. See generally Demquarter Healthcare
Invs., L.P. v. OP Chattanooga, LLC, No. E2016–00031–COA–R3–CV, 2016 WL
7479143, at *6 (Tenn. Ct. App. Dec. 29, 2016) (“We find no abuse of discretion in the trial
court’s decision to allow the defendants’ new arguments raised in their ‘surreply’ brief and
to rely on those arguments in denying the motion for summary judgment”).

In the present case, as Defendant argues, there is no indication in the record that the
trial court declined to consider Plaintiff’s sur-reply in ruling on the summary judgment
motion. Defendant did not object to it. The trial court entered no order stating it denied
consideration of the sur-reply. The final judgment states that the court grants summary
judgment “[a]fter listening to oral arguments and reviewing the Defendant’s Motion, the
Plaintiff’s Response, and the record as a whole.” (Emphasis added).

7
 Moreover, Plaintiff points to nothing in the 320-page sur-reply that creates a genuine
issue of material fact on the dispositive question of causation of any alleged injury. It
consists primarily of copies of handwritten pleadings filed by Plaintiff in her many other
lawsuits. There are some medical records, many of which involve alleged injuries to parts
of her body other than her right hand. Some of the documents in the voluminous sur-reply
are duplicative of filings that were already in the record. We find no error in the trial
court’s handling of Plaintiff’s sur-reply.

C. Authenticity and Admissibility of Medical Records

Throughout her brief, Plaintiff repeatedly refers to “fake medical records,” “fake x-
rays,” and “fake doctors” in reference to certain of her own medical records that were
provided to her and filed with the trial court in support of Defendant’s assertions. However,
the records were filed with the affidavits of records custodians from three health care
providers, stating that (1) the copies of the records were “true and correct cop[ies] of each
and every record and tangible thing maintained by” the providers pertaining to Plaintiff;
(2) that “the records and tangible items . . . were created at or near the time of the events
recorded in those documents/tangible things by, or from information transmitted by, a
person with knowledge of and a business duty to record or transmit those matters,” and (3)
the records “were created, kept and maintained in the ordinary course of regularly
conducted activity at the offices of [the health care providers] as a regular business
practice.” See Tenn. R. Evid. 902(11) (setting forth requirements for self-authentication of
certified records of a regularly conducted activity). It thus appears that the records were
properly authenticated. “Both the rules of evidence and the common law designate the trial
court as the ‘arbiter of authentication issues,’ and, accordingly, that court’s ruling will not
be disturbed absent a showing that the court clearly abused its discretion.” State v. Miller,
No. M2019-00214-CCA-R3-CD, 2020 WL 526094, at *6 (Tenn. Crim. App. Feb. 3, 2020).
Plaintiff provided no proof to support her belief that the medical records were “fake.” This
issue is without merit.

D. Summary Judgment: Causation of Alleged Injury

As we have recently reiterated, “[t]his Court has defined the tort of battery as ‘an
intentional act that causes an unpermitted, harmful or offensive bodily contact.’”
Spearman v. Shelby Cnty. Bd. of Ed., 637 S.W.3d 719, 734 (Tenn. Ct. App. 2021) (quoting
Lacy v. Hallmark Volkswagen Inc. of Rivergate, No. M2016-02366-COA-R3-CV, 2017
WL 2929502, at *4 (Tenn. Ct. App. July 10, 2017)). “Therefore, Ms. Lacy must show that
the Defendant[] intentionally committed an act that resulted in a harmful or offensive
contact. Contact constitutes ‘offensive contact’ if it ‘infringes on a reasonable sense of
personal dignity ordinarily respected in a civilized society.’” Lacy v. Hallmark
Volkswagen, 2017 WL 2929502, at *4 (quoting Doe v. Mama Taori’s Premium Pizza, LLC,
No. M1998–00992–COA–R9–CV, 2001 WL 327906, at *4 (Tenn. Ct. App. Apr. 5, 2001)).
8
 Defendant makes several arguments as to why the trial court correctly granted him
summary judgment. He asserts that Plaintiff’s claim of battery was negated by her consent
to shake hands with him. Plaintiff’s allegations regarding who initiated the handshake are
inconsistent and contradictory. In her complaint, she alleged that “upon entering the
[examination] room is when Plaintiff extended her right hand for the Dr. Nagendra
Ramanna to shake her hand and this is when he squeezed Plaintiff fingers to[o] hard.” In
Plaintiff’s deposition, she testified that Defendant “reached his hand out and I grabbed it
to shake it.” Regardless of who initiated the handshake, the trial court did not base its
ruling on consent, and neither do we. This is because a person may consent to shaking
hands with someone and still not consent to the other person using such excessive force as
to cause a hand injury.

Defendant also argues that the trial court correctly held that he presented evidence
that negated the elements of injury and causation of her battery claim. He points to
Plaintiff’s deposition testimony where she stated as follows:

Q. So you don’t remember if all -- if he squeezed all of your hand?
A. No, he shook my hand so I’m sure he -- no, I didn’t -- no, he -- he squeezed
all my fingers, but the most affected was the two middle fingers. I mean all
of them were affected but the two middle fingers were the most affected.
Q. When you say “middle fingers,” you’re talking about the middle finger
and your ring finger?
A. Yes.
Q. Did you say anything to him during the handshake?
A. No.
Q. Did you ever tell him, “You’re hurting my hand. Please stop”?
A. I jerked my hand. Jerked my hand.
Q. So during the handshake, you jerked --
A. Not --
Q. -- your hand back?
A. Not forcefully because he -- I just kind of like pulled it back when he
started squeezing it. But he had it so tight I couldn’t just yank it out, because
he had it.
Q. Did you ever tell him that he was --
A. No.
Q. -- hurting your hand?
A. No, why? He knew.
Q. After you pulled your hand back, what happened?
A. I let him talk to me. Because he was not first one to assault me. All the
doctors and nurses do it.

* * *
9
Q. So you never mentioned that his hand – handshake hurt your hand to Dr.
Ramanna until you filed the lawsuit?
A. Right.

* * *

Q. Did you ever tell the nurse that was in the room that Dr. Ramanna hurt
your hand?
A. No.
Q. Did you tell anyone that he hurt your hand before you left the clinic that
day?
A. No.

Defendant submitted his affidavit in which he testified as follows in pertinent part:

I do not shake every patient’s hand. When I do shake a patient’s hand, I only
do so if the patient extends his or her hand to initiate or accept the handshake.

I did not squeeze or shake Ms. Lacy’s hand or fingers in a hard, unreasonable,
or abnormal manner. Instead, I shook Ms. Lacy’s hand in a gentle and
courteous manner as that is my habit and practice when I shake anyone’s
hand. Furthermore, I have never squeezed a patient’s hand or fingers in a
hard, unreasonable, or abnormal manner.

I would remember if a patient, colleague, or acquaintance stated or otherwise
indicated that my handshake was painful. I do not remember a patient,
colleague, or acquaintance ever stating or otherwise indicating that my
handshake was painful. I do not remember a patient, colleague, or
acquaintance ever asking me to stop shaking his or her hand.

I would remember if I witnessed a patient, colleague, or acquaintance
wincing, flinching, recoiling, or grimacing when shaking my hand. I do not
remember a patient, colleague, or acquaintance ever[] wincing, flinching,
recoiling, or grimacing when shaking my hand.

Ms. Lacy never complained to me about the handshake. The first time I
learned that Ms. Lacy was claiming she was injured from shaking my hand
was when she filed her lawsuit.

In shaking Ms. Lacy’s hand, I never intended to threaten, harm, frighten, or
offend Ms. Lacy. My intention in shaking Ms. Lacy’s hand was to greet her
in a professional and courteous manner.
10
 During the appointment, I never threatened any harmful or offensive contact
with Ms. Lacy.

(Numbering in original omitted). Defendant’s medical assistant, Quistina Ursery-
McMillan, whom Plaintiff alleged was in the room during the handshake, testified by
affidavit that she did “not remember a patient ever stating or otherwise indicating that Dr.
Ramanna’s handshake was painful [or] asking Dr. Ramanna to stop shaking his or her
hand.” She said, “I would remember if I witnessed a patient wincing, flinching, recoiling,
or grimacing when shaking Dr. Ramanna’s hand.”

In support of his summary judgment motion, Defendant filed the affidavit of
Douglas R. Weikert, M.D., who testified:

I practice in the specialty of orthopaedic surgery in Nashville, Tennessee. I
have been continuously licensed and practicing medicine in Tennessee since
1993. I am board certified in orthopaedic surgery with a certificate of added
qualification in hand surgery. . . . I make this affidavit based on my personal
knowledge, education, and experience as well as my review of numerous
materials related to this action, including pleadings, medical records,
radiology studies, depositions, and other documents.

Ms. Lacy suffered no injury to her right hand or fingers as a result of any
handshake with Dr. Ramanna. No action or omission on the part of Dr.
Ramanna caused Ms. Lacy any injury which would not otherwise have
occurred.

It is my understanding that Ms. Lacy claims Dr. Ramanna squeezed her right
hand and fingers so hard during a July 15, 2015 handshake that it “crushed”
her middle and ring fingers and left her with functional limitations and
permanent injury. If Ms. Lacy had suffered such injuries, evidence of the
damage would be visible on a radiology study of Ms. Lacy’s right hand.

A 2017 radiology study of Ms. Lacy’s right hand shows no evidence of any
traumatic or other injury to her right hand or fingers. Ms. Lacy’s medical
records also contain a 2014 radiology study of her right hand. Between the
2014 and 2017 radiology studies, there is no objective change in the bony
anatomy of Ms. Lacy’s right hand or fingers because of any acute or chronic
trauma. In other words, there are no anatomical differences in Plaintiff’s
right hand or fingers in the 2014 and 2017 radiology studies.

Had Ms. Lacy suffered the injuries alleged, she would have needed to seek
medical care and treatment. Ms. Lacy, however, did not seek any medical
11
 care or treatment for her right hand or fingers until October 2017 when she
allegedly injured her right hand in a car accident. The fact that Ms. Lacy did
not seek any medical care or treatment until after the October 2017 car
accident further supports my medical opinion that Ms. Lacy’s hand or fingers
were not injured during the handshake with Dr. Ramanna.

(Numbering and footnote in original omitted).

Defendant also submitted a copy of a medical intake questionnaire that Plaintiff
filled out two days after her alleged handshake injury during another unrelated medical
appointment, wherein Plaintiff answered “no” to the question “Have you been hit, kicked,
punched, [or] otherwise hurt by someone in the past year?” Moreover, Plaintiff herself
testified as follows:

Q. Did you ever seek medical treatment for your hand based on this
handshake?
A. I finally did.
Q. And when did you seek that treatment?
A. 2017 -- two years later. I’ll be honest, I was afraid to go anywhere.

* * *

Q. Was [that] the first time that you sought treatment?
A. Yes, yes.

* * *

Q. So immediately after the handshake, can you describe the pain that you
felt in your fingers?
A. Just felt like crushed bones, like it was being crushed. That’s all. . . .
Q. But you didn’t go and seek any treatment to see if, you know, your fingers
had been broken or anything? You didn’t seek any medical treatment
regarding your hand until 2017 -- your fingers? Sorry.
A. Not right after, no.
Q. And it was 2017 when you went?
A. You know, the car wreck was in October of 2017 so it could have been
possibly early January.
Q. Of 2018?
A. Yeah, could have been.

Considering the above-quoted evidence in the light most favorable to Plaintiff, even
assuming for argument’s sake that Plaintiff suffered a hand injury ̶ which is frankly a big
12
stretch, but one warranted by a faithful application of the summary judgment standard ̶
Defendant successfully negated the element of causation. In the face of Defendant’s expert
medical testimony, Plaintiff produced no proof, by expert medical testimony, or otherwise,
that any injury she might have suffered was caused by Defendant’s handshake. No
reasonable trier of fact could conclude that Dr. Ramanna caused any hand injury to Ms.
Lacy. The trial court therefore correctly granted Defendant summary judgment.

In the argument section of his brief, Defendant argues that this is a frivolous appeal
and requests an award of his attorney’s fees on appeal. However, “[a] request for attorney
fees is waived if not included in the statement of issues.” Sexton v. Carden, No. E2019-
01057-COA-R3-CV, 2020 WL 7240297, at *5 (Tenn. Ct. App. Dec. 9, 2020) (citing
Keeble v. Keeble, No. E2019-01168-COA-R3-CV, 2020 WL 2897277, at *4 (Tenn. Ct.
App. June 3, 2020)). Because Defendant did not raise attorney’s fees in his statement of
the issues, we deem this issue to have been waived.

V. CONCLUSION

The judgment of the trial court is affirmed. Costs on appeal are assessed to the
appellant, Deborah Lacy, for which execution may issue if necessary.

_______________________________
KRISTI M. DAVIS, JUDGE

13