Hellen Wilson v. CSX Transportation ( 2002 )


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  •                  IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    November 12, 2002 Session
    HELLEN M. WILSON v. CSX TRANSPORTATION, INC.
    Appeal from the Circuit Court for Hamilton County
    No. 97CV1509      W. Neil Thomas, III, Judge
    FILED MARCH 18, 2003
    No. E2002-00291-COA-R9-CV
    This interlocutory appeal raises the question of the admissibility of the testimony of three
    expert witnesses which the Plaintiff, Hellen M. Wilson, sought to present at trial. The Trial Court
    excluded the expert testimony of Dr. William J. Nassetta and certified pursuant to T.R.A.P. Rule 9
    the following question for this Court: “whether the testimony of the expert witness, William J.
    Nassetta, M.D., as reflected in [his] attached affidavit,. . .is admissible under the doctrine of the
    Tennessee Supreme Court decision in McDaniel v. CSX Transportation, Inc.” The Trial Court also
    granted permission to CSX Transportation (CSXT) to appeal its ruling admitting the testimony of
    two other expert witnesses offered by the Plaintiff. We hold that the testimony of all three expert
    witnesses is admissible under the principles enunciated in McDaniel.
    Tenn. R. App. P. 9 Interlocutory Appeal; Judgment of the Circuit Court Affirmed in Part
    and Reversed in Part; Cause Remanded
    HOUSTON M. GODDARD , P.J., delivered the opinion of the court, in which HERSCHEL P. FRANKS and
    D. MICHAEL SWINEY, JJ., joined.
    Patrick S. O’Brien and Newton G. McCoy, St. Louis, Missouri, and Clarence E. Walker,
    Chattanooga, for the Appellant, Hellen M. Wilson
    Wayne L. Robbins, Jr. and Mary Taylor Gallagher, Nashville, for the Appellee, CSX Transportation,
    Inc.
    OPINION
    Mrs. Wilson brought this action against CSXT under the Federal Employer’s Liability Act
    (FELA), seeking damages for the death of her husband, Ricky J. Wilson, who was employed by
    CSXT as a carman. Mr. Wilson died on November 12, 1996 as a result of a malignant brain tumor
    known as a glioblastoma multiforme, and acute myelogenous leukemia. Mr. Wilson was diagnosed
    with brain cancer at age 40 and died at age 42. Mrs. Wilson alleges several theories of negligence
    in connection with his exposure to various chemicals at his workplace, which she asserts caused or
    contributed to cause his brain cancer and leukemia.
    CSXT moved for summary judgment on November 9, 2001, alleging no genuine issue of
    material fact regarding causation of Mr. Wilson’s injuries and death. CSXT presented the testimony
    of several experts in support of its assertion that there is no proven causal connection between the
    chemicals to which Mr. Wilson was exposed and his brain cancer and leukemia.
    In support of her opposition to summary judgment, Mrs. Wilson presented the testimony of
    Dr. James E. Girard, a chemist, who opined, inter alia, as follows:
    It is my expert opinion, to a reasonable degree of scientific certainty
    that Mr. Ricky Wilson’s sickness and death, were caused by his
    exposure to chemicals while he was employed as a carman [for] CSX
    Transportation. He was exposed repeatedly to diesel exhaust. The
    chemicals which have been described above, namely benzene,
    toluene, xylene and methylene diisocyanate, toluene diisocyanate,
    cadmium, and perchloroethylene are all inhalation hazards and can
    also be absorbed through the skin. According to DuPont Chemical
    Company, “repeated or prolonged overexposure to solvents may lead
    to permanent brain and nervous system damage.”
    Mr. Wilson was exposed to benzene, a known carcinogen.
    Benzene exposure is recognized as a cause of acute myelogenous
    leukemia, and has been shown to increase the incidence of neoplasms
    at multiple sites in chronic inhalation and gavage studies in rodents.
    He was also exposed to cadmium, a known carcinogen. Cadmium
    and cadmium compounds are known to be human carcinogens based
    on sufficient evidence of carcinogenicity from studies in humans
    including epidemiological and mechanistic information which
    indicate a causal relationship between exposure to cadmium and
    cadmium compounds and human cancer. He was also exposed to
    toluene diisocyanate. Toluene diisocyanate is reasonably anticipated
    to be a human carcinogen based on sufficient evidence of
    carcinogenicity in experimental animals.
    (Emphasis in original). Dr. Vincent F. Garry, a pathologist and toxicologist, testified that in his
    opinion the group of chemicals to which Mr. Wilson was exposed “was eminently involved in a
    causal relationship to his cancer.”
    The Trial Court ruled that the expert testimony of Drs. Girard and Garry was admissible and
    sufficient to create a genuine issue of fact as to causation. The Court treated CSXT’s arguments with
    regard to the testimony of Plaintiff’s expert Dr. William J. Nassetta as a motion in limine to exclude
    -2-
    Dr. Nassetta’s testimony. The Court ruled Dr. Nassetta’s testimony inadmissible, stating the
    following in regard to his affidavit:
    I think if you take the medical terminology out of the affidavit, Dr.
    Nassetta, regardless of what he says in his last paragraph, Dr.
    Nassetta’s affidavit can be boiled down to say, we have a hunch. We
    don’t have any studies or statistical data. We have a hunch and we
    think at sometime in the future this malady will connected with these
    compounds.
    I don’t think that’s enough, I really don’t, so I’m going to
    grant the Motion in Limine with respect to Dr. Nassetta.
    *              *                *
    [Counsel for Plaintiff]: Dr. Nassetta is not allowed to testify at all?
    Court: Right. I just think it’s too speculative, Pat. I really do.
    The Trial Court granted Mrs. Wilson’s motion seeking permission for an interlocutory appeal
    under Tenn. R. App. P. 9. CSXT filed a similar motion which also was granted, and this Court
    granted an interlocutory appeal to both parties.
    We will first address CSXT’s argument made in its brief that “pursuant to Rule 56.03 [of the
    Tennessee Rules of Civil Procedure], the court should have taken all of the statements set forth in
    CSXT’s Concise Statement of Material Facts and Supplemental Concise Statement of Material Facts
    as true because the Plaintiff did not, as required by that rule, file any pleading disputing the Concise
    Statements of Facts filed by CSXT.”
    Mrs. Wilson’s response to CSXT’s motion for summary judgment was styled “Plaintiff’s
    additional concise statement of facts and memorandum of law in opposition to Defendant’s Motion
    for Summary Judgment.” Although her response does not, in corresponding numbered paragraphs,
    separately respond to each claimed undisputed fact set forth in the motion for summary judgment,
    it does set forth at length the facts Mrs. Wilson claims are established by the record, and her
    assertions as to why they establish a genuine issue of material fact for trial.
    This Court was recently presented with an argument very similar to that presented by CSXT
    in the case of First Citizens Bank of Cleveland v. Cross, 
    55 S.W.3d 564
    (Tenn.Ct.App. 2001). The
    Cross Court stated as follows:
    The appellees argue that summary judgment was properly granted to
    them because, so the argument goes, Cross failed to comply with
    various provisions of Tenn.R.Civ.P. 56. First, they contend that
    Cross did not comply with Tenn.R.Civ.P. 56.03, which requires a
    non-moving party to respond to each fact set forth by the moving
    party by either (1) agreeing that the fact is undisputed; (2) agreeing
    -3-
    that the fact is undisputed for the purposes of the motion only; or (3)
    demonstrating, with specific citations to the record, that the fact is
    disputed.
    *              *              *
    We find that Cross' response is substantially in compliance with the
    requirements of Rule 56.03. Cross' response adequately sets forth the
    facts that are undisputed. Furthermore, it adequately sets forth, with
    appropriate citations, those facts that she alleges are in dispute.
    
    Cross, 55 S.W.3d at 571
    . In the case at bar, we have reviewed Mrs. Wilson’s response and find it
    is substantially in compliance with Rule 56.03.
    In its appeal, CSXT argues that the Trial Court erred in finding the testimony of Dr. Girard
    and Dr. Garry admissible and sufficient to establish a genuine issue of material fact regarding
    causation of Mr. Wilson’s death. In the case of McDaniel v. CSX Transportation, Inc., 
    955 S.W.2d 257
    (Tenn.1997), the Supreme Court addressed in depth the admissibility of expert testimony as
    contemplated by Rule 702 and 703 of the Tennessee Rules of Evidence. In McDaniel, which was
    also a FELA case, the Court stated as follows:
    After examining the basic legal principles governing the admissibility
    of scientific evidence and the change in direction by the federal
    courts, we turn to Tennessee to clarify our standard of admissibility.
    In general, questions regarding the admissibility, qualifications,
    relevancy and competency of expert testimony are left to the
    discretion of the trial court. State v. Ballard, 
    855 S.W.2d 557
    , 562
    (Tenn.1993). The trial court's ruling in this regard may only be
    overturned if the discretion is arbitrarily exercised or abused. 
    Id. The specific rules
    of evidence that govern the issue of admissibility of
    scientific proof in Tennessee are Tenn. R. Evid. 702 and 703. The
    former provides:
    If scientific, technical, or other specialized knowledge
    will substantially assist the trier of fact to understand
    the evidence or to determine a fact in issue, a witness
    qualified as an expert by knowledge, skill, experience,
    training, or education may testify in the form of an
    opinion or otherwise.
    And Tenn. R. Evid. 703 states:
    The facts or data in the particular case upon which an
    expert bases an opinion or inference may be those
    -4-
    perceived by or made known to the expert at or before
    the hearing. If of a type reasonably relied upon by
    experts in the particular field in forming opinions or
    inferences upon the subject, the facts or data need not
    be admissible in evidence. The court shall disallow
    testimony in the form of an opinion or inference if the
    underlying facts or data indicate lack of
    trustworthiness.
    The plaintiffs contend that the expert testimony in this case is reliable
    and that it will substantially assist the jury on the issue of causation.
    The defendant argues that irrespective of Frye or Daubert, there must
    be adherence to the strict requirements contained in the language of
    the rules and also a reasonable standard for proving causation. It
    contends that the plaintiffs' scientific evidence is unreliable and must
    be excluded. The defendant argues that an epidemiological study
    must show a relative risk of greater than 2.0, which several courts
    have said means that a disease more likely than not was caused by the
    specific agent or event.1           See Daubert v. Merrell Dow
    Pharmaceuticals, Inc., 
    43 F.3d 1311
    (9th Cir.1995), cert. denied, 
    516 U.S. 869
    , 
    116 S. Ct. 189
    , 
    133 L. Ed. 2d 126
    (1995); DeLuca v. Merrell
    Dow Pharmaceuticals, Inc., 
    791 F. Supp. 1042
    (D.N.J.1992), aff'd, 
    6 F.3d 778
    (3rd Cir.1993). As discussed herein, the factor is certainly
    relevant but we reject the contention that it should be adopted as
    matter of law.
    Although the advisory comments to Rule 702 indicate that Tennessee
    has followed the Frye test in analyzing the admissibility of scientific
    evidence, one commentator, recognizing the similarity between
    Tennessee Rule 702 and Federal Rule Evid. 702, has raised the
    question of whether the Frye test of "general acceptance" should be
    abolished in Tennessee. N. Cohen, S. Sheppeard, and D. Paine,
    Tennessee Law of Evidence, § 401.20 at 124, n. 233. Indeed, as the
    trial court in this case noted, there is some evidence of a departure
    from the strict adherence to the Frye test by courts in this State.
    In our view, determining the standard for the admissibility of
    scientific evidence requires an analysis of the unique language found
    in Rules 702 and 703 of the Tennessee Rules of Evidence. For
    instance, Tenn. R. Evid. 702 requires that the scientific evidence
    1
    A relative risk of 2.0 means essen tially that the group which is studied has a risk which is twice that of the
    general po pulatio n of co ntracting the disease under study.
    -5-
    "substantially assist the trier of fact," while its federal counterpart
    requires only that the evidence "assist the trier of fact." Fed.R.Evid.
    702. This distinction indicates that the probative force of the
    testimony must be stronger before it is admitted in Tennessee. See,
    e.g., Weinstein, Rule 702 of the Federal Rules of Evidence is Sound;
    It Should Not Be Amended, 
    138 F.R.D. 631
    , 636 (1991).
    Similarly, Tenn. R. Evid. 703 states that "[t]he court shall disallow
    testimony in the form of an opinion or inference if the underlying
    facts or data indicate lack of trustworthiness." There is no similar
    restriction in the federal rule. Fed.R.Evid. 703. Thus, as one writer
    has observed, "the additional language ... [in the Tennessee rule] is
    obviously designed to encourage trial courts to take a more active role
    in evaluating the reasonableness of the expert's reliance upon the
    particular basis for his or her testimony."          R. Banks, Some
    Comparisons Between the New Tennessee Rules of Evidence and the
    Federal Rules of Evidence, Part II, 20 Mem.S.U. L.Rev. 499, 559
    (1990). In sum, even though the facts and data need not be
    admissible, they must be reviewed and found to be trustworthy by the
    trial court.
    Based on the foregoing analysis, we conclude that Tennessee's
    adoption of Rules 702 and 703 in 1991 as part of the Rules of
    Evidence supersede the general acceptance test of Frye. In
    Tennessee, under the recent rules, a trial court must determine
    whether the evidence will substantially assist the trier of fact to
    determine a fact in issue and whether the facts and data underlying
    the evidence indicate a lack of trustworthiness. The rules together
    necessarily require a determination as to the scientific validity or
    reliability of the evidence. Simply put, unless the scientific evidence
    is valid, it will not substantially assist the trier of fact, nor will its
    underlying facts and data appear to be trustworthy, but there is no
    requirement in the rule that it be generally accepted.
    Although we do not expressly adopt Daubert, the non-exclusive list
    of factors to determine reliability are useful in applying our Rules 702
    and 703. A Tennessee trial court may consider in determining
    reliability: (1) whether scientific evidence has been tested and the
    methodology with which it has been tested; (2) whether the evidence
    has been subjected to peer review or publication; (3) whether a
    potential rate of error is known; (4) whether, as formerly required by
    Frye, the evidence is generally accepted in the scientific community;
    -6-
    and (5) whether the expert's research in the field has been conducted
    independent of litigation.
    Although the trial court must analyze the science and not merely the
    qualifications, demeanor or conclusions of experts, the court need not
    weigh or choose between two legitimate but conflicting scientific
    views. The court instead must assure itself that the opinions are
    based on relevant scientific methods, processes, and data, and not
    upon an expert's mere speculation. See, e.g., 
    Joiner, 78 F.3d at 530
    .
    The trial court should keep in mind that the preliminary question
    under Tenn. R. Evid. 104 is one of admissibility of the evidence.
    Once the evidence is admitted, it will thereafter be tested with the
    crucible of vigorous cross-examination and countervailing proof.
    After that occurs, a defendant may, of course, challenge the
    sufficiency of the evidence by moving for a directed verdict at the
    appropriate times. See Tenn. R. Civ. P. 50. Yet it is important to
    emphasize that the weight to be given to stated scientific theories, and
    the resolution of legitimate but competing scientific views, are
    matters appropriately entrusted to the trier of fact. See 
    Joiner, 78 F.3d at 534-35
    (Birch, J., concurring).
    We recognize that the burden placed on trial courts to analyze and to
    screen novel scientific evidence is a significant one. No framework
    exists that provides for simple and practical application in every case;
    the complexity and diversity of potential scientific evidence is simply
    too vast for the application of a single test. See Developments in the
    Law--Confronting the New Challenges of Scientific Evidence, 108
    Harv.L.Rev. 1481, 1513-1516 (1995). Nonetheless, the preliminary
    questions must be addressed by the trial court, see, Tenn. R. Evid.
    104, and they must be addressed within the framework of rules 702
    and 703.
    APPLICATION OF STANDARD
    The trial court correctly foresaw the trend away from Frye and also
    used the factors set forth in Daubert as a framework for analysis. As
    it observed, the scientific theory that exposure to solvents may cause
    toxic encephalopathy has been tested frequently over a period of 25
    years. Because no precise diagnostic device or biological mechanism
    can isolate the causal factor, the relevant tests have been
    epidemiological studies. The experts in this case testified at length
    about the field of epidemiology and the use of cohort and case-control
    studies. The experts agreed that epidemiological studies have been
    -7-
    used to test the hypothesis that exposure to solvents causes
    encephalopathy and that numerous studies support a causal
    relationship. These studies have been reviewed, reconstructed,
    published in leading journals in the field, and subjected to peer
    review. Although the "positive" studies have been criticized for
    failing to account for confounding factors, the diagnosis is recognized
    in medical textbooks and journals as well as by several national and
    world health organizations. We also observe that the research in this
    area, including that of several of the plaintiffs' experts, was conducted
    independently of this litigation.
    Accordingly, we agree with the trial court's finding that the evidence
    will substantially assist the jury to understand the evidence and to
    determine a fact in issue. We also agree with the trial court's
    conclusion that the methodology and principles underlying the
    scientific evidence are sufficiently trustworthy and reliable to be
    presented to the trier of fact. The trial court is not required to
    determine whether it agrees with the evidence and should not
    substitute its view for the trier of fact. It should allow the jury to
    consider legitimate but conflicting views about the scientific proof.
    Provided the evidence is scientifically valid, criticisms of it and
    opposing views may be elicited on cross examination and/or
    established in the defendant's case. That is the essence of the lawsuit.
    CONCLUSION
    We have concluded that the scientific evidence proffered by the
    plaintiffs satisfies the requirements of Tenn. R. Evid. 702 and 703,
    and that the trial court did not abuse its discretion in admitting it into
    evidence.
    McDaniel, 
    955 S.W.2d 257
    , 263-66 (Tenn. 1997)(footnotes omitted); see also Hand v. Norfolk
    Southern Ry. Co., an unreported opinion of this Court filed in Knoxville on June 2, 1998.
    Our review of the evidence in light of the foregoing, including the reaffirmation of the
    discretion accorded trial judges in the admission of expert testimony, persuades us that in this case
    the Trial Judge was correct in finding that the expert witness testimony of Dr. Garry and Dr. Girard
    offered on behalf of the Plaintiff met the requirements of Rule 702 and 703 of the Tennessee Rules
    of Evidence, and that the Trial Court did not abuse its discretion in the admission thereof.
    We now turn our attention to the proffered expert testimony of Dr. Nassetta. In its order
    granting permission to Mrs. Wilson to seek an interlocutory appeal, the Trial Court certified the
    following question to be answered by this Court:
    -8-
    Whether the testimony of the expert witness, William J. Nassetta,
    M.D., as reflected in the attached affidavit of Dr. William J. Nassetta
    is admissible under the doctrine of the Tennessee Supreme Court
    decision in McDaniel v. CSX Transportation, Inc., 
    955 S.W.2d 257
                   (Tenn.1997).
    We first address Dr. Nassetta’s qualifications as an expert witness. CSXT argues that Dr.
    Nassetta was not shown to be, in the words of Tenn.R.Evid. 702, “a witness qualified as an expert
    by knowledge, skill, experience, training, or education.” CSXT’s attack on Dr. Nassetta is based
    solely upon its argument that he is unqualified as an expert, as it states in its brief that “the issue
    before this court, is the qualification of Dr. Nassetta himself, as opposed to the validity of his
    scientific studies,” and “the question does not revolve around the validity of the science but rather
    around Dr. Nassetta’s qualifications to present the opinions.”
    It is clear to us from both the Court’s comments and its wording of the question certified for
    appeal that its ruling was based on the finding that Dr. Nassetta’s affidavit was too speculative and
    that it did not rely on any studies or statistical data to support his opinions. There is nothing in the
    record to suggest that the Court found Dr. Nassetta unqualified to give an opinion at all; in fact, the
    Court ruled that CSXT’s “Motion to Strike the affidavit of Dr. Nassetta is not well taken. The court
    has considered the affidavit of Dr. Nassetta.”
    Nevertheless, we have reviewed the qualifications of Dr. Nassetta as contained in his
    curriculum vitae, affidavit and deposition. Dr. Nassetta is a medical doctor licensed to practice
    medicine in five states who also holds a master’s degree in public health. He is board-certified in
    internal medicine and board-eligible in occupational and environmental medicine. He testified that
    he is actively involved, on a daily basis, in doing occupational medicine through his work for an
    occupational toxicology consulting company and an occupational medical staffing and consultation
    company.
    Dr. Nassetta’s affidavit further states as follows:
    I have reviewed material safety data sheets, scientific literature, and
    other toxicological references with regard to the chemicals Mr.
    Wilson was exposed to during his employment with CSXT, a detailed
    description of the various employment tasks Mr. Wilson performed
    while working for CSXT in Birmingham, Alabama, as well as the
    medical history of Mr. Wilson. I have personally visited the CSXT
    facility in Birmingham, Alabama where Mr. Wilson worked. I have
    also reviewed numerous epidemiologic, toxicologic, and other
    scientific and medical studies involving the various chemicals to
    which Mr. Wilson was exposed.
    -9-
    Based on our review of the record, we find that Dr. Nassetta meets the requirements of
    Tenn.R.Evid. 702 and is qualified to render an expert opinion in this case. CSXT’s arguments to the
    contrary, including the fact that Dr. Nassetta has never published a paper about brain cancer, pertain
    to the weight afforded to his testimony by the trier of fact, and not its admissibility.
    According to the Supreme Court’s teaching in McDaniel, “the trial court must analyze the
    science and not merely the qualifications, demeanor or conclusions of experts.” The McDaniel Court
    stated that the Trial Court “must assure itself that the opinions are based on relevant scientific
    methods, processes, and data, and not upon an expert's mere 
    speculation.” 955 S.W.2d at 265
    .
    Accordingly, we examine Dr. Nassetta’s testimony to determine if it is based on valid and relevant
    science, and not merely a speculative conclusion.
    Dr. Nassetta’s affidavit states the following in relevant part:
    Ricky Wilson, a black male, was diagnosed with brain cancer at the
    age of 40. Brain cancer is more common in white males
    (glioblastoma specifically) and peaks at an older age. Therefore, in
    the case of Mr. Wilson, it leads one to consider possible occupational,
    environmental or genetic predispositions as more likely in the
    causative analysis.
    Brain gliomas (these include astrocytomas), in particular appear to be
    more related to occupational risk factors than other types of brain
    cancer.
    *              *               *
    Although the etiology of brain tumors in adults remains largely
    unknown, a large number of studies have examined the relationship
    between the environment and occurrence of brain tumors. Despite
    this, only two unequivocal risk factors have been identified: ionizing
    radiation and immuno-suppression. Other studies have identified
    possible environmental risk factors related to brain tumors. These
    include exposure to such things as: organic solvents, lubricating oils,
    polyaromatic hydrocarbons, motor exhaust, welding fumes,
    insecticides, vinyl chloride monomer, formaldehyde, rubber industry,
    work in electrical occupations, magnetic fields, fungicides and
    herbicides. Established risk factors for brain cancer, such as genetic
    predisposition and ionizing radiation can explain only a small
    proportion of the disease. Conventional lifestyle factors, such as
    tobacco smoking, alcohol drinking, and dietary intakes, have not been
    or are only modestly associated with brain cancer risk.
    The occupational exposures pursuant to the available historic
    information were substantial, chronic and without provision for
    -10-
    personal protection, resulting in an optimal environment for the
    development of tumors, including brain tumors.
    It does not appear from the occupational history available that Mr.
    Wilson was exposed to ionizing radiation or was immuno-suppressed
    in some way prior to the development of his brain cancer; however,
    there is ample evidence of his exposure to organic solvents,
    polyaromatic hydrocarbons, motor exhaust and welding fumes.
    Therefore, it is my opinion within a reasonable degree of medical
    certainty that these factors and Mr. Wilson’s occupational exposures
    caused, or contributed to the cause, of Mr. Wilson’s development of
    brain cancer and leukemia.
    Dr. Nassetta admitted in his deposition that he did not have any quantitative information
    about the amount of exposure or dosage2 Mr. Wilson had to the various chemicals at issue in this
    case. He testified as follows regarding his qualitative exposure assessment:
    Q: Do you have any information at all about what dosage Mr. Wilson
    had of any chemicals involved in this lawsuit?
    A: No. This is very typical of almost every case in occupational
    medicine. There is almost never opportunity to have a quantitative
    dose.
    Q: Without knowing dosage can you testify to a reasonable degree of
    medical or scientific certainty that any of these chemicals caused or
    contributed to brain cancer?
    A: I believe so from a qualitative exposure assessment.
    Q: Is that qualitative exposure assessment as a basis for your opinion
    something that is reasonably accepted in the scientific community?
    A: Yes. In fact, if you read most of the epidemiological literature,
    you’ll find that’s how most of the studies are done.
    *                  *                 *
    2
    Dr. Nassetta explained the difference between the concepts of “exposure” and “dose” as follows: “exposure
    is the potential for coming into contact with a chemical. Dose implies that [the] chemical has actually gone across the
    interface of the human bod y.”
    -11-
    Q: Do you know of any literature that links any of the chemicals to
    which Mr. Wilson was exposed to brain cancer?
    A: It links them, yes. I think I mentioned those in my opinions.
    There are numerous epidemiological studies cited in Dr. Nassetta’s opinion, but the one upon
    which he and Plaintiff primarily rely upon is cited and discussed in a textbook entitled Occupational
    Neurology and Clinical Neurotoxicology (Williams and Wilkins 1994), in a chapter called Primary
    Brain Tumors Associated With Chemical Exposure, which reviews epidemiological studies
    concerning the association between occupational chemical exposure and brain tumors.
    Dr. Nassetta cites and relies upon a study referred to as the Howe study, which found as
    follows:
    An examination of cancer mortality between 1965 and 1977 among
    44,000 pensioned Canadian railroad workers exposed to PAHs
    [polycyclic aromatic hydrocarbons] in diesel fumes indicated a
    significantly elevated brain cancer mortality risk among those who
    had worked as welders (SMR = 3.18).
    The Howe study further found an SMR (standardized mortality ratio) of 2.78 for brain cancer among
    those employees with the job classification “carman.” It is not disputed that the SMR, or risk factor
    relative to the general population, reported in this study (2.78) is statistically significant. Mr.
    Wilson worked as a carman for CSXT, and his employment involved a large amount of welding.
    Dr. Nassetta testified in his deposition that “the body of literature considered as a whole conclude[s]
    that there’s a strong association, a strong relative risk, associated with these particular groups of
    chemicals and the exposures and the outcome that we’re looking at in cancer.”
    While the experts presented by CSXT naturally offer opinions in opposition to that presented
    by Dr. Nassetta, CSXT does not in its brief challenge or dispute the scientific validity of the Howe
    study or the other literature relied upon by Dr. Nassetta. As the McDaniel Court noted, “it is
    important to emphasize that the weight given to stated scientific theories, and the resolution of
    legitimate but competing scientific views, are matters appropriately entrusted to the trier of 
    fact.” 955 S.W.2d at 265
    .
    We have reviewed the testimony of Dr. Nassetta in light of the factors enunciated in
    McDaniel for determining reliability and admissibility under Tennessee Rules of Evidence 702 and
    703, and find it admissible under these authorities.
    For the foregoing reasons the judgment of the Trial Court allowing the expert testimony of
    Drs. Girard and Garry is affirmed, the judgment holding Dr. Nassetta’s testimony inadmissible is
    reversed, and the cause is remanded for trial. Costs of appeal are adjudged against CSX
    Transportation, Inc.
    -12-
    _________________________________________
    HOUSTON M. GODDARD, PRESIDING JUDGE
    -13-
    

Document Info

Docket Number: E2002-00291-COA-R9-CV

Judges: Judge Houston M. Goddard

Filed Date: 11/12/2002

Precedential Status: Precedential

Modified Date: 10/30/2014