Victorelli v. Shadyside Hospital ( 1997 )


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  •                                                                                                                            Opinions of the United
    1997 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    11-3-1997
    Victorelli v. Shadyside Hospital
    Precedential or Non-Precedential:
    Docket
    96-3597
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    Recommended Citation
    "Victorelli v. Shadyside Hospital" (1997). 1997 Decisions. Paper 257.
    http://digitalcommons.law.villanova.edu/thirdcircuit_1997/257
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    Filed November 3, 1997
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 96-3597
    KATHLEEN M. VICTORELLI,
    Appellant.
    v.
    SHADYSIDE HOSPITAL
    Appeal from the United States District Court
    for the Western District of Pennsylvania
    (D.C. Civil Action No. 95-cv-00300)
    Argued on July 23, 1997
    Before: SLOVITER, Chief Judge, and ROTH, Circuit Judge,
    LUDWIG, District Judge1
    (Opinion filed November 3, 1997)
    James W. Carroll, Jr., Esquire
    (Argued)
    Tabakin, Carroll & Curtin
    1430 Grant Building
    Pittsburgh, PA 15219
    Attorney for Appellant
    _________________________________________________________________
    1. Honorable Edmund V. Ludwig, United States District Court Judge for
    the Eastern District of Pennsylvania, sitting by designation.
    David R. Johnson, Esquire (Argued)
    Thomson, Rhodes & Cowie, P.C.
    Two Chatham Center
    Suite 1010
    Pittsburgh, PA 15219-3499
    Attorney for Appellee
    Patricia A. Shiu, Esquire
    Catherine R. Albiston, Esquire
    Vicki Laden, Esquire
    The Employment Law Center
    A Project of the Legal Aid Society
    of San Francisco
    1663 Mission Street, Suite 400
    San Francisco, CA 94103
    Donna Lenhoff, Esquire
    Rebecca Epstein, Esquire
    Women's Legal Defense Fund
    1875 Connecitcut Avenue, N.W.
    Suite 710
    Washington, D.C. 20009
    Attorneys for Amici Curiae-
    Appellant
    OPINION OF THE COURT
    ROTH, Circuit Judge.
    Kathleen M. Victorelli appeals an award of summary
    judgment to her former employer, Shadyside Hospital
    ("Shadyside"), on her claim that Shadyside violated the
    Family and Medical Leave Act of 1993, 29 U.S.C.S 2601
    ("FMLA").2 For the reasons discussed below, we will vacate
    _________________________________________________________________
    2. On March 3, 1995, this case was referred by the district court to the
    magistrate judge pursuant to 28 U.S.C. S 636(b)(1)(A) and (B), and Local
    Rule 72.1.3. The magistrate judge filed a report and recommendation,
    recommending that the defendant's motion for summary judgment be
    granted and that the plaintiff's motion for partial summary judgment be
    denied. On July 25, 1996, the report and recommendation was adopted
    by the district court. All references herein to the district court refer
    concurrently to the magistrate judge's report and recommendation and
    to the district court's adoption of it.
    2
    the grant of summary judgment and remand this case to
    the district court for further proceedings.
    I.
    From June 17, 1989, until August 1, 1994, Kathleen M.
    Victorelli was employed as a Central Service Technician by
    Shadyside Hospital in Pittsburgh, Pennsylvania. She was
    terminated from her employment with Shadyside following
    a request for sick leave on July 29, 1994. According to
    Victorelli's deposition, on the preceding evening she
    experienced stomach upset with vomiting and diarrhea. At
    4:30 a.m. on the 29th, Victorelli called the hospital and left
    a voice mail message informing her supervisor that she
    would be unable to work because of her stomach ailment.
    Victorelli called again at 9:00 a.m. to inform another
    supervisor, Janet Lattanzio, of her inability to work that
    day. Lattanzio was unable to speak with Victorelli at that
    time and suggested she call again at approximately 1:30
    p.m. In the interim, Victorelli spoke with her doctor, I.N.
    Adoki, M.D. Dr. Adoki's opinion was that Victorelli was
    suffering from a "flare-up" of her peptic ulcer disease. He
    recommended that she not work that day. Victorelli spoke
    with Lattanzio again at 1:30 p.m. and said she was having
    stomach discomfort because of her peptic ulcer condition.
    Victorelli also told Lattanzio that she was scheduled to meet
    with her doctor about her condition on August 2 and that
    she would be in to work on July 30. Lattanzio responded
    that they would discuss Victorelli's absence on Monday,
    August 1.
    As a result of Victorelli's July 29 "call-off " from work,
    Shadyside decided to terminate her employment. Lattanzio
    made this decision after consultation with another hospital
    official on the morning of the 29th but did not
    communicate it to Victorelli until August 1. Victorelli did
    report to work as scheduled on July 30 and August 1. On
    August 1, Victorelli was informed that she had been
    terminated pursuant to the hospital's progressive
    disciplinary policy. Lattanzio told Victorelli that she was
    being discharged because of previous attendance problems
    and what was considered to be an abuse of sick time.
    Victorelli had had a history of tardiness and absences due
    3
    to sickness, some in excess of her accrued sick time. She
    had been warned about this on numerous occasions.
    Throughout her tenure with Shadyside, Victorelli was
    given high marks in her job evaluations. She had also,
    however, received written warnings for her tardiness and
    absenteeism. In March of 1993, Victorelli was counseled by
    her supervisor regarding her absenteeism and an apparent
    pattern of "Monday-Friday" absences due to sickness. As
    part of Shadyside's progressive disciplinary program,
    Victorelli was given her first verbal warning regarding her
    attendance in April of 1993. On May 2, 1994, Victorelli
    received a warning for tardiness. On May 18, she was given
    another written warning about her absences. The May 18
    warning stated that any subsequent attendance violations
    would result in her dismissal.
    Dr. Adoki first saw Victorelli on March 16, 1988. In
    March of 1990, he began treating her for recurring stomach
    pain, diagnosed as gastritis. He saw her again on August
    13, 1992, because of stomach pain and additional
    symptoms of nausea and vomiting. He then prescribed
    Zantac for her condition. She continues to take Zantac to
    the present day. On November 18, 1992, Dr. Adoki
    diagnosed peptic ulcer disease. He has treated Victorelli on
    June 23, 1993, August 2, 1994, May 30, 1995, and
    November 16, 1995, because of peptic ulcer disease
    problems that could not be controlled by Zantac. Dr. Adoki
    has also spoken with Victorelli on numerous occasions
    regarding her condition. He has found that Victorelli's
    peptic ulcer disease is incurable although it can be
    generally controlled by medication. He has determined that,
    if left untreated, Victorelli's condition would cause a period
    of incapacity in excess of three days. He has also found
    that, while treated, Victorelli's condition has occasionally
    prevented her from working, including on July 29, 1994.
    Over the course of her employment, Victorelli has
    informed her employer that she suffers from peptic ulcer
    disease. She also has had recurring cases of sinusitus and
    inner ear infections. While Shadyside knew of these various
    medical ailments, at no time did it seek medical
    documentation of them. Upon request, Victorelli has, except
    for one occasion, provided a doctor's excuse for her
    4
    illnesses. In her deposition testimony, Janet Lattanzio,
    Victorelli's supervisor, stated that she believed Victorelli
    was sick when she reported in as such. Lattanzio also
    testified that she did not believe that Victorelli reported off
    sick when she was not indeed sick.3
    Victorelli contends that Shadyside Hospital violated the
    FMLA when it terminated her employment because of her
    absence on July 29, 1994. The district court granted
    Shadyside's motion for summary judgment on the grounds
    that Victorelli failed to establish she had a "serious health
    condition" pursuant to FMLA requirements; for that reason
    she was not protected by the FMLA during this absence.
    The district court exercised jurisdiction over Victorelli's
    case pursuant to 29 U.S.C. S 2617 (a)(2) and 28 U.S.C.
    S 1331. We have jurisdiction over Victorelli's appeal
    pursuant to 28 U.S.C. S 1291. We exercise plenary review
    over a grant of summary judgment by the district court and
    apply the same test that the district court should have
    applied. A. Marzano v. Computer Science Corp. Inc., CSC, 
    91 F.3d 497
    , 501 (3d Cir. 1996) (quoting Armbruster v. Unisys
    Corp., 
    32 F.3d 768
    , 777 (3d Cir. 1994)); Fedorczyk v.
    Carribbean Cruise Lines, Ltd., 
    82 F.3d 69
    , 72 (3d Cir.
    1996); Healy v. Southwood Psychiatric Hosp., 
    78 F.3d 128
    ,
    130 (3d Cir. 1996). A district court's interpretation of a
    federal regulation is a question of law subject to plenary
    review. Helen L. v. DiDario, 
    46 F.3d 325
    , 329 (3d Cir. 1995);
    ADAPT v. Skinner, 
    881 F.2d 1184
    , 1191 n. 6 (3d Cir. 1989).
    II.
    The district court evaluated Victorelli's claims under the
    FMLA based upon an interim final rule, promulgated by the
    Department of Labor in June 1993, effective August 5,
    1993, which was still in effect on July 29, 1994. The parties
    _________________________________________________________________
    3. The Pennsylvania Unemployment Compensation Board of Review,
    which determines whether a person may receive benefits after being
    discharged from employment, found that Victorelli had not participated
    in any willful misconduct relative to her absences and had offered ample
    justification for her sick leave usage, and as such her benefits could not
    be denied. (Pennsylvania Unemployment Compensation Board of Review
    Ref. Decision, Oct. 5, 1994.)
    5
    do not dispute that the interim final rule applies, and we
    agree. The course of events and applicable facts in the
    instant case occurred before the final regulations were
    adopted and therefore we find that the interimfinal rule
    governs in this case. See Bauer v. Varity Dayton-Walther
    Corp., 
    1997 WL 369522
    , *4 (6th Cir. July 8, 1997); Manuel
    v. Westlake Polymers Corp., 
    66 F.3d 758
    , 761 n. 2 (5th Cir.
    1995) (finding that a dispute occurring before the release of
    the final regulations is governed by the interim regulations.)
    However, we will refer to the final rule promulgated in
    January 1995, effective February 6, 1995, as an aid to
    interpret the interim final rule. See United States Steel
    Corporation v. Oravetz, 
    686 F.2d 197
    , 201 (3d Cir. 1982)
    (finding that a claim filed before the effective date of the
    final rules should still be interpreted by thefinal rules to
    the extent it is appropriate.)
    III.
    Shadyside was awarded summary judgment because the
    district court determined that Victorelli did not suffer a
    "serious health condition" under the provisions of the
    FMLA. We begin by reviewing the protective sphere of the
    FMLA as applied to Victorelli to determine (1) whether
    Victorelli has a "serious health condition" protected by the
    FMLA, and (2) whether Victorelli was terminated for taking
    FMLA protected leave. In doing so, we will examine"serious
    health condition" as defined under both the controlling
    interim final rule and the final rule.
    The FMLA was enacted to provide leave for workers
    whose personal or medical circumstances necessitate leave
    in excess of what their employers are willing or able to
    provide. 29 C.F.R. S 825.101. "Eligible" employees of a
    covered employer are allowed to take up to 12 weeks of
    leave for medical reasons, for the birth or adoption of a
    child, and for the care of a child, spouse, or parent who has
    a serious health condition. 29 C.F.R. S 825.100(a). More
    specifically, the FMLA applies when an employee's own
    serious health condition makes the employee unable to
    perform the functions of his or her job. 29 U.S.C.
    S 2612(a)(1)(D). Employees who take leave pursuant to the
    statute are entitled to return to the same or equivalent
    6
    position and benefits as they had had previously. An
    employer who denies an employee these entitlements is in
    violation of the FMLA. 29 U.S.C. SS 2614(a)(1), 2615(a); 29
    C.F.R. S 825.100(c).
    The district court found Victorelli to be an employee
    otherwise "eligible" for protection under the FMLA. We
    agree. The district court concluded, however, that
    Victorelli's condition was a "minor" one, not intended to be
    protected by the FMLA. (R & R 10-14) After our review of
    the applicable provisions of the FMLA, we disagree with the
    district court's conclusion that as a matter of law the
    condition was a "minor" one.
    A. "Serious Health Condition":
    The interim final rule defines a "serious health condition"
    as an illness, injury, impairment, or physical or mental
    condition that involves (1) a period of incapacity requiring
    inpatient care, (2) a period of incapacity of more than three
    calendar days, involving continuing treatment by a health
    care provider, or:
    (3) Continuing treatment by (or under the
    supervision of) a health care provider for a chronic or
    long-term health condition that is incurable or so
    serious that, if not treated, would likely result in a
    period of incapacity of more than three calendar days;
    or for prenatal care.
    29 C.F.R. S 825.114(a). Using the interimfinal rule, the
    district court found subsection (3) applicable to Victorelli
    because she was subject to "continuing treatment" by Dr.
    Adoki. (R & R 10.) We agree. However, the district court
    then found that Victorelli could not satisfy any of the
    requirements of "continuing treatment" of S 825.114(b)(1) or
    (2) except under what the court considered to be "an
    expansive reading of the statute." For this reason, the court
    determined that Victorelli did not have a "serious health
    condition."
    Under the interim final rule, "continuing treatment" is
    defined as:
    (b) "Continuing treatment by a health care provider"
    means one or more of the following:
    7
    (1) The employee or family member in question is
    treated two or more times for the injury or illness
    by a health care provider. Normally this would
    require visits to the health care provider or to a
    nurse or physician's assistant under direct
    supervision of the health care provider.
    (2) The employee of family member is treated for
    the injury or illness two or more times by a
    provider of health care services (e.g., physical
    therapist) under orders of, or on referral by, a
    health care provider, or is treated for the injury or
    illness by a health care provider on at least one
    occasion which results in a regimen of continuing
    treatment under the supervision of the health care
    provider - for example, a course of medication or
    therapy - to resolve the health condition.
    (3) The employee or family member is under the
    continuing supervision of but, not necessarily being
    actively treated by a health care provider due to a
    serious long-term or chronic condition or disability
    which cannot be cured. Examples include persons
    with Alzheimer's, persons who have suffered a
    severe stroke, or persons in the terminal stages of
    a disease who may not be receiving active medical
    treatment.
    29 C.F.R. S 825.114.
    The district court reasoned that there are two plausible
    readings of the term "serious health condition" under the
    interim rule, one which encompasses Victorelli's condition
    and one which does not. It therefore found the interim rule
    ambiguous and appealed to the legislative history and the
    final regulation for guidance. The district court interpreted
    the final regulation and legislative history to suggest that
    Victorelli's ulcer was the type of condition that Congress
    intended "to be treated pursuant to an employer's sick
    leave policy." (R & R 13). For that reason, the court found
    SS (b)(1) and (b)(2) to be inapplicable. The district court
    concluded that it is "clear" neither the Secretary of Labor
    nor the Congress intended the FMLA to cover "minor
    ulcers" like Victorelli's.
    8
    We disagree. We conclude that the district court
    construed the requirements of the interim final rule too
    narrowly. Our construction of the interim final rule
    convinces us that there is a material issue as to whether
    Victorelli suffered from a "serious health condition."
    Moreover, even if we consider the provisions of thefinal
    regulation, we find that it neither states nor implies that
    Victorelli's ulcer could not meet the requirements of a
    "serious health condition."
    1. Application of the Interim Final Rule:
    Under the interim final rule, subsection (b)(1) requires
    that a person be treated for an illness "two or more times
    by a health care provider." Victorelli's condition satisfies
    (b)(1) because she was treated by Dr. Adoki for her ulcer
    two times prior to her termination, in addition to being
    treated several times after her termination. Alternatively,
    subsection (b)(2) requires that a person be treated for a
    condition on at least one occasion and be subject to
    "continuing treatment" by a health care provider thereafter.
    Continuing treatment includes a course of medication or
    therapy. Victorelli's condition satisfies (b)(2), because she
    was treated by Dr. Adoki on at least one occasion and
    subsequently received continuing treatment by medication
    for her condition.
    We find that this   construction of subsections (b)(1) and
    (b)(2) is neither   improper nor unduly "expansive." In
    addition, we note   that the district court at no time
    addressed whether   subsection (b)(3) applied to Victorelli's
    condition.
    Subsection (b)(3) requires that the employee be under the
    continuing supervision of, but not necessarily active
    treatment by, a health care provider. The facts indicate that
    Victorelli has been under the continuing supervision of a
    health care provider, Dr. Adoki, since March 16, 1988. He
    has seen her on numerous occasions for gastritis and for
    symptoms of peptic ulcer disease, and he has prescribed
    Zantac for her condition.
    Subsection (b)(3) also requires that the health condition
    be long-term, chronic or incurable. There is evidence that
    9
    Victorelli's peptic ulcer disease appears to be a long-term or
    chronic condition. Victorelli has suffered from this
    condition on a recurring basis since November 1992. Dr.
    Adoki has also stated that, while manageable with
    medication and treatment, Victorelli's condition is
    incurable. It should also be noted that, while Shadyside
    Hospital contested the status of Victorelli's condition, it did
    not attempt to obtain certification of her medical condition
    in the form of second or third opinions, as is its right under
    FMLA regulations. 29 C.F.R. S 825.307. Additionally, Janet
    Lattanzio, Victorelli's supervisor, indicated that not only did
    she not dispute the plaintiff's medical condition but she
    took no steps to find out whether Victorelli indeed had a
    peptic ulcer condition. In fact, at no time did Shadyside
    present any testimony or evidence challenging the medical
    adequacy of Victorelli's FMLA claim.
    We believe the district court was correct in thefirst
    instance when it suggested that the plaintiff couldfit within
    the requirements of subsections (b)(1) and (b)(2) of the
    interim rule. We do not agree, however, that it is"clear"
    that such an interpretation would be an expansive reading
    of the regulations. In addition, there is evidence in the
    record to support a finding that Victorelli's condition
    satisfies the requirements of subsection (b)(3). As such,
    Victorelli has demonstrated a material issue of fact as to
    whether she suffered from a "serious health condition."
    For the above reasons, we conclude that it was
    premature to award summary judgment to Shadyside on
    Victorelli's FMLA claim.4
    _________________________________________________________________
    4. We note that courts in other circuits addressing similar FMLA claims
    have found questionably serious health conditions sufficient to preclude
    summary judgment. See Price v. City of Fort Wayne, 
    1997 WL 353605
    (7th Cir. June 27, 1991) (finding that multiple diagnoses and
    examinations for ailments only temporally related to one another
    sufficient ground upon which to overturn summary judgment motion in
    order to further develop record to determine whether serious health
    condition existed); Rhoads v. Federal Deposit Insurance Corporation, 
    956 F. Supp. 1239
    , 1254 (D. Md. 1997) (finding that episodic periods of
    incapacity involving the inability to breathe freely due to asthma and
    concurrent migraine headaches were sufficient to preclude summary
    10
    2. "Serious Health Condition"
    as viewed by the Final Rule:
    As we mentioned earlier, the district court referred to the
    final rule in concluding that Victorelli did not have a
    "serious health condition." The district court found that
    Victorelli had a "minor ulcer," citing language in the final
    rule that precludes FMLA protection to "minor ulcers." 29
    C.F.R. S 825.114. While the final rule does state that
    "unless complications arise" "minor ulcers" are not covered
    by the FMLA, the final rule fails to indicate what
    "complications" distinguish a "serious" ulcer from a "minor"
    one. 
    60 Fed. Reg. 2180
     at 2195. Nevertheless, the
    requirements of the final rule are helpful to our analysis.
    The final rule, like the interim rule, requires either
    inpatient care or continuing treatment. 29 C.F.R. S 825.114.
    We find, as did the district court, that the applicable
    provision is S 825.114(b), which states:
    (2) Continuing treatment by a health care provider. A
    serious health condition involving continuing treatment
    by a health care provider includes any one of the
    following:
    (i) A period of incapacity (i.e., inability to work,
    attend school or perform other regular daily
    activities due to the serious health condition,
    treatment therefor, or recovery therefrom) of more
    than three consecutive calendar days, and any
    subsequent treatment or period of incapacity
    relating to the same condition, that also involves:
    (A) Treatment two or more times by a health care
    provider, by a nurse or physician's assistant under
    _________________________________________________________________
    judgment as to whether serious health condition existed); McClain v.
    Southwest Steel Co., Inc., 
    940 F. Supp. 295
    , 298-300 (N.D. Okl. 1996)
    (finding summary judgment inappropriate where plaintiff attributed
    absenteeism to chronic nausea, diarrhea, vomiting, severe headaches,
    dizziness and/or lightheadedness as symptoms might constitute a
    serious health problem); Hendry v. GTE North, Inc., 
    896 F. Supp. 816
    ,
    827-28 (N.D. Ind. 1995) (finding that plaintiff's absences which were
    attributed to migraine headaches raise a material issue as to whether
    she had a serious health condition).
    11
    direct supervision from a health care provider, or
    by a provider of health care services (e.g., a
    physical therapist) under orders of, or on referral
    by, a health care provider; or
    (B) Treatment by a health care provider on at
    least one occasion which results in a regimen of
    continuing treatment under the supervision of the
    health care provider.
    (ii) Any period of incapacity due to pregnancy, or
    for prenatal care.
    (iii) Any period of incapacity or treatment for such
    incapacity due to a chronic serious health
    condition. A chronic serious health condition is one
    which:
    (A) Requires periodic visits for treatment by a
    health care provider, or by a nurse or physicians
    assistant under direct supervision of a health care
    provider;
    (B) Continues over an extended period of time
    (including recurring episodes of a single underlying
    condition) and;
    (C) May cause episodic rather than a continuing
    period of incapacity (e.g., asthma, diabetes,
    epilepsy, etc.).
    Victorelli's peptic ulcer disease does not meet the
    requirements under (2)(i) or (2)(ii). There is, however,
    evidence that Victorelli's peptic ulcer disease may satisfy
    the test for a chronic serious health condition under (2)(iii).5
    First, Victorelli's multiple visits to Dr. Adoki for her peptic
    ulcer disease fit the language of (2)(iii)(A). Second, the three
    year duration of Victorelli's condition constitutes an
    extended period of time under (2)(iii)(B). Third, Victorelli's
    periods of incapacity have been episodic rather than
    continuous commensurate with (2)(iii)(C).6
    _________________________________________________________________
    5. Coincidentally, subsection (2)(iii) is the corresponding provision to
    section (b)(3) of the interim final rule.
    6. That Victorelli's periods of incapacity have been episodic may be
    attributable to her on-going course of medication.
    12
    After comparing the interim and the final rules, we note
    that the standard for "continuing treatment" has remained
    unchanged. "The regulation also retains the concept that
    continuing treatment includes either two visits to a health
    care provider or one visit followed by continuing treatment
    by under the supervision of a health care provider." 
    60 Fed. Reg. 2180
     at 2195. We also note that the regimen of
    continuing treatment includes the taking of prescribed
    medication, as Victorelli has done. Moreover, the
    Department of Labor, in promulgating the final rule,
    maintained the same standards for meeting the
    requirements of a long-term, chronic condition."Therefore,
    . . . as under the interim final rule, it is only necessary that
    the patient be under the supervision of a health care
    provider, rather than receiving active treatment." 
    Id.
    In response to the district court's reliance upon
    legislative history for the proposition that "minor ulcers" do
    not constitute a "serious health condition," we note that the
    non-exclusive "laundry list" of applicable "serious"
    conditions, compiled by Congress, was not included in the
    final rule because the Department of Labor determined that
    the existence of such a list might cause employers to make
    incorrect decisions in applying the FMLA. "[T]heir inclusion
    may lead employers to recognize only conditions on the list
    or to second guess whether a condition is equally `serious,'
    rather than apply the regulatory standard" (emphasis
    added). 
    60 Fed. Reg. 2180
     at 2195. We also note that many
    of the conditions, which Congress had described as a
    "serious health condition," are conditions that, as long as
    they are being treated, do not impede a person's ability to
    work.
    Therefore, from our review of the final regulations, we
    conclude that Congress did not intend to deny FMLA
    protection to an employee simply because her doctor was
    able to mitigate the frequency of her discomfort or
    incapacity. The intent of the FMLA is not simply to protect
    those whose condition causes continual incapacity. It is
    also intended to protect those who are occasionally
    incapacitated by an on-going medical problem.7
    _________________________________________________________________
    7. The Department recognizes that certain conditions, such as asthma
    and diabetes, continue over an extended period of time (i.e. from several
    13
    We find that there is sufficient evidence in the record so
    that Victorelli may be able to meet the "regulatory
    standard." A factfinder may be able reasonably to find that
    Victorelli suffers from something more severe than a "minor
    ulcer" and as such is entitled to FMLA protection. For this
    reason, there is a material issue of fact whether Victorelli
    suffered a "serious health condition" as interpreted under
    both the interim and the final rule.
    B. Cause for Termination
    The FMLA prohibits employers from discriminating
    against employees who request FMLA protected leave. 29
    U.S.C. S 2615(a). Specifically, it prevents employers from
    denying employment to employees once they return from an
    FMLA leave period. Any such denial by the employer is
    actionable under the FMLA. 
    Id.
     The record indicates that,
    had it not been for her July 29 absence, Victorelli would
    not have been terminated.
    Q. Was there no other procedure in the works, no
    other unresolved problems, nothing pending that
    would have caused her termination on August 1st,
    1994, even if she had worked her complete shift
    July 29th, 1994?
    A. Not unless something would have happened while
    she was at work.
    Q. I understand that. But assuming she worked her
    shift without incident on July 29th, 1994, and she
    did work apparently without incident on July 30th
    and half of the shift or a little more than half the
    _________________________________________________________________
    months to many years) often without affecting day to day ability to work
    or perform other activities but may cause episodic periods of incapacity
    of less than three days. Although persons with such underlying
    conditions generally visit a health-care provider periodically, when
    subject to flare-up or other incapacitating episode, staying home and
    self-treatment are often more effective than visiting the health care
    provider (e.g., the asthma-sufferer who is advised to stay home and
    inside due to the pollen count being too high). The definition of serious
    health condition "in the rule has, therefore, been revised to include such
    conditions, even if the individual episodes of incapacity are not of more
    than three days duration." 
    60 Fed. Reg. 2180
     at 2195.
    14
    shift on August 1st, would you have had that
    meeting. Is there any other reason that you would
    have had the meeting at twelve o'clock and
    terminated Kathy Victorelli?
    A. No.
    (Lattanzio Aff., Appendix, p. 77).
    On remand, the district court must determine whether
    Victorelli's ulcer disease was a "serious health condition,"
    whether her absence on July 29 was an FMLA leave period
    as provided by 29 U.S.C. S 2612, and whether as a
    consequence her employment termination violated the
    FMLA.
    IV.
    As for Victorelli's motion for summary judgment, we
    agree with the district court that Victorelli has not met her
    burden of persuading us that she deserves to prevail as a
    matter of law. The material issue of fact whether her ulcer
    was a "serious health condition" also prevents a grant of
    summary judgment in her favor. We will therefore affirm
    the district court's denial of Victorelli's motion for partial
    summary judgment.
    V.
    Because of the disputed issue of fact concerning the
    seriousness of Victorelli's health condition, we conclude
    that the district court erred in granting summary judgment
    to defendant, Shadyside. We will, therefore, vacate that
    judgment and remand this case for further proceedings
    consistent with this opinion.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    15