Court Opinion

ID: 4542635
Source: CourtListenerOpinion
Date Created: 2020-06-19 09:07:11.416242+00
Date Added: 2024-06-11T12:47:49.537617
License: Public Domain

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
                  revision until final publication in the Michigan Appeals Reports.

                           STATE OF MICHIGAN

                            COURT OF APPEALS

MICHAEL H. BERNARDI,                                                  UNPUBLISHED
                                                                      June 18, 2020
               Plaintiff-Appellant,

v                                                                     No. 347134
                                                                      Lapeer Circuit Court
TONYA MELYNDA ROCK,                                                   LC No. 17-051096-NI

               Defendant-Appellee.

Before: GLEICHER, P.J., and GADOLA and LETICA, JJ.

PER CURIAM.

        In this automobile-negligence action, plaintiff, Michael Bernardi, appeals as of right the
trial court’s order granting defendant Tonya Rock’s motion for summary disposition under MCR
2.116(C)(10). In particular, the trial court determined that the expert’s opinion that the accident
caused plaintiff’s herniated disc was unreliable, and, without it, there was no evidence of causation.
We affirm.

                                        I. BACKGROUND

        On September 9, 2014, defendant was driving a Jeep Grand Cherokee Laredo behind
plaintiff, who was operating a school bus transporting five middle schoolers. Plaintiff was wearing
a shoulder harness and lap belt and had just come to a stop. Defendant testified that she had been
following the bus when she looked down, swept some crumbs off her lap, and looked back up to
see the stopped bus. Defendant slammed on her brakes, but nevertheless “slid into the back of”
the bus.

        At that point, plaintiff testified that he was leaning forward to grab the park brake with his
right hand to pull it, but was uncertain whether he actually grabbed the park brake. Defendant
described the impact as “[j]ust tap[ping] the [bus’s] bumper” and testified that her air bags did not
deploy. Plaintiff, who is 5’ 8” and, at that time, weighed approximately 245 pounds, described
feeling the impact “a little bit,” explaining “[i]t’s a heavy bus.” Plaintiff’s foot moved off the
brake, and the bus, that was in neutral, rolled forward, “maybe ten feet or so” before plaintiff
stopped it. After engaging the parking brake and determining that no one on the bus was injured,

                                                 -1-
plaintiff testified that he contacted his supervisor and remained in his seat. Plaintiff felt “okay”
and was “not in any discomfort.”

       Although plaintiff testified that he did not speak to defendant or look at the back of the bus,
defendant testified that plaintiff left the bus, told her “he was fine,” “walked around the bus, and
pointed out that there wasn’t even a scratch on the [bus’s] bumper.”

        The Undersheriff, who responded to the scene, confirmed that there was no visible damage
to the bus, assessing it as zero in his report. If the Undersheriff had seen a single scratch, he would
have scored the damage as a one. However, the Undersheriff rated the damage to the SUV as two,
meaning that there was damage to the hood that would require repair. The later repair bill was
$3,580.83 as the Jeep had damage to its front grille and hood. The Undersheriff also specifically
asked plaintiff if he was injured and plaintiff replied that he was not.

       Plaintiff’s supervisor arrived and completed the route before returning plaintiff to the
garage. Per policy, plaintiff was sent to a clinic for a urinalysis screening and drug test.

        Thereafter, plaintiff returned to the garage and provided a written statement, explaining
that he had “heard tires” before the bus was “hit in the rear by [a] car.” Plaintiff reported that there
was “[n]o damage to [the] bus” and “no inj[u]ries.”

        Plaintiff clocked out and went home “feeling fine.” The next morning, however, plaintiff
“couldn’t get out of bed.” Plaintiff nevertheless went to work and guided another driver through
his route for two- and one-half hours before he went to the hospital at his supervisor’s direction
after reporting his back pain to her. At the hospital, plaintiff reported pain in his right buttocks
and down his right leg almost to the area behind his right knee. An x-ray was ordered and the
resultant report revealed degenerative disc disease, including at L3-L4 and L4-L5 levels. Plaintiff
was diagnosed with a right sciatica and lumbar gluteal myositis, and prescribed medication.

        After a few weeks, plaintiff sought help from his primary care physician, who referred him
to Dr. Geoffrey Seidel, a specialist in physical medicine and rehabilitation. On October 24, 2014,
more than six weeks after the accident, plaintiff first saw Dr. Seidel, who noted that plaintiff was
limping and ordered a CT without contrast dye. The written result accompanying the CT noted a
history of “[m]otor vehicle collision.” It also revealed that plaintiff had a ruptured disc at L4-L5
of his spine with a large extrusion of the disc material. Additionally, plaintiff suffered from chronic
degeneration in his spine along with nerve damage due to his age (sixty), arthritis, obesity, and
diabetes.

       Dr. Seidel referred plaintiff to Dr. Sidhu, a surgeon. On November 14, 2014, Dr. Sidhu
reviewed Dr. Seidel’s CT images, which he opined “were somewhat fuzzy”1 with certain detail
being “relatively poor.” At that point, plaintiff had not engaged in physical therapy and an MRI
could not be performed because plaintiff had metal in his eye from an earlier employment injury.
Dr. Sidhu ordered a CT with dye contrast. It revealed that plaintiff suffered from severe stenosis,

1
    Dr. Seidel later conceded that the images were fuzzy.

                                                  -2-
a narrowing of the spaces within his spine, at L3-L4 and L4-L5, with near complete occlusion of
the dural sac. Dr. Sidhu agreed that plaintiff also had a herniated disc.

         In January 2015, Dr. Sidhu performed a “[b]ilateral decompressive laminectomy with
partial facetectomy L3, L4, L5 with severe [spinal] stenosis with excision of herniated disc at L4-
L5[.]” Plaintiff engaged in physical therapy, but ultimately underwent a second surgery, a spinal
fusion, in November 2017.

        In the interim, plaintiff sued defendant, alleging that he had suffered a serious impairment
of body function as a result of the 2014 accident, and that, even if he had a pre-existing condition,
defendant’s negligence had aggravated it. After engaging in discovery, defendant filed a motion
for summary disposition under MCR 2.116(C)(10), contending that there was no genuine issue of
material fact regarding plaintiff’s ability to establish that this accident caused plaintiff’s injuries
as well as a serious impairment of an important body function. Defendant noted that plaintiff had
been involved in an earlier separate rear-end accident about a month before this incident—a fact
that plaintiff had failed to disclose to his various treating and examining physicians. Moreover, in
reviewing the respective damage to the bus and SUV, defendant’s expert accident reconstructionist
opined that the maximum impact-induced velocity change was 2 to 3.7 mph. “Impact tests using
human subjects indicate[d] that velocity changes within this range are below levels associated with
injuries.” And “[t]his energy exchange would result in a maximum g-force of only 0.9 to 1.7 g for
the” bus. According to defense counsel, such g-forces were less than those involved in a sneeze
or cough. Defendant also submitted the opinion of Dr. Roth, a physiatrist like Dr. Seidel, who had
evaluated plaintiff as part of an independent medical examination (IME) for plaintiff’s workers’
compensation claim and determined that plaintiff’s lower back pain resulted from his pre-existing,
long-term diabetes, not the September 2014 accident.

        Plaintiff’s response detailed his 35-year career with Ford Motor Company, including his
time as a hi-lo driver before he retired in 2009. In 2011, plaintiff began his part-time position as a
school bus driver and worked until the day after this accident. Plaintiff conceded that he initially
believed that he was uninjured; however, “as his adrenaline wore off,”2 he awoke in pain. Plaintiff
asserted that his “medical records clearly establish that his injuries and treatment stem[med] from”
this accident. In part, plaintiff attached a letter from Dr. Seidel to plaintiff’s primary-care physician
and copied to his surgeon, stating: “I consider this disc herniation to be work[-]related.” Plaintiff
rejected defendant’s contention that plaintiff’s earlier August 2014 accident caused his current
injuries. Plaintiff explained that the August accident occurred when his sedan was rear-ended
while it waited in a line to enter the county fairground. Plaintiff claimed to be traveling at less
than 5 mph, and, although the later repair bill was $777.24, plaintiff testified that he was uninjured.
Regarding Dr. Roth’s IME, plaintiff noted that all of his medical bills were paid pursuant to his
claim under the workers’ compensation act3 and that his request for Social Security disability

2
    This was plaintiff’s counsel’s description, not plaintiff’s deposition testimony.
3
    Plaintiff testified that he settled his workers’ compensation claim.

                                                   -3-
(SSD) benefits4 was approved as of the day after the accident.5 Moreover, plaintiff asserted that
defendant was legally responsible even if plaintiff’s physical condition had predisposed him to
injury as a result of this accident.

       Defendant responded that plaintiff’s medical records confirmed degenerative or arthritic
damage in plaintiff’s spine and evidenced nothing more than plaintiff’s complaints after the
accident. There was no admissible medical or expert opinion that plaintiff’s actual injury was
caused by the accident rather than by plaintiff’s degenerative condition.

        At the hearing on defendant’s motion, the trial court rejected defendant’s claim that there
was evidence that plaintiff’s injuries arose from the earlier accident as opposed to this accident.
The circuit court also reasoned that temporal connection alone could not establish a causal
relationship and that plaintiff’s reliance on the SSD determination did not aid him because it did
not connect his injury to this accident. But Dr. Seidel’s referral letter indicated that Dr. Seidel
considered plaintiff’s herniated disc to be “work-related,” and “when viewed in the light most
favorable to plaintiff, [it] would be some evidence to support a finding of causation if the opinion
would be admissible at trial.” Because the circuit court needed additional information underlying
Dr. Seidel’s conclusion, it afforded plaintiff the opportunity to demonstrate that Dr. Seidel’s
opinion testimony was admissible evidence.

        The attorneys then deposed Dr. Seidel, who had practiced for 26 years and saw
approximately 850 patients annually, and met with plaintiff three times. As already mentioned,
plaintiff’s initial visit was on October 24, over six weeks after the accident. Plaintiff reported that
there was a concern that he had “a pinched nerve in his back” and had not improved. Plaintiff was
limping and reported a history of “trauma,” being rear-ended while driving a bus. Although
plaintiff had no immediate pain, he “developed lower back pain over the next few hours[.]”
Plaintiff reported never “having a problem like this before.” Dr. Seidel thought that “there might
have been an underlying non-trauma related peripheral neuropathy, the tips of the nerves not
working as well as they should, and that there was obesity.”

        Although Dr. Seidel would have preferred to conduct an MRI of plaintiff’s lumbar spine,
it was not possible because of the metal that plaintiff had in his eye. Dr. Seidel also thought that
a herniated disc was a possibility so he ordered a CT scan of plaintiff’s lower back and scheduled
an electromyography (EMG) to evaluate plaintiff for nerve damage. Dr. Seidel did not document
and had no independent recollection of reviewing plaintiff’s earlier hospital x-ray.

4
  The SSD determination was governed by a rule that factored in the claimant’s age, educational
level, and the investment required to readjust the claimant’s employment. Plaintiff’s impairments
included his spine disorders (primary), reconstructive surgery of a weight-bearing joint
(secondary), and diabetes mellitus (other).
5
  Plaintiff testified that he was awarded disability back to the date of the accident (plus an
additional five months); however, the paperwork related to the disability determination reflects the
“established onset date” was the day after the accident.

                                                 -4-
        The following week, Dr. Seidel performed the EMG and a nerve conduction velocity test.
This testing confirmed that the tips of plaintiff’s nerves were not working well. Dr. Seidel
diagnosed peripheral neuropathy,6 but could not explain the absence of plaintiff’s H reflexes from
that condition. Instead, Dr. Seidel thought it might “be consistent with lumbar spinal stenosis for
potential disc herniation in [plaintiff’s] lumbar spine.”

        Although Dr. Seidel was not a radiologist, in his review of plaintiff’s CT scan, he suspected
that there was disc material at L5-S1. Moreover, Dr. Seidel described “a large disc herniation” at
L4-L5.

        The following week, plaintiff was not improving as expected. Dr. Seidel then sent a letter
to plaintiff’s primary care physician with a copy to Dr. Sidhu, referring plaintiff to the latter for a
surgical consultation. Therein, Dr. Seidel stated that he considered plaintiff’s “disc herniation to
be work-related.”

        During his deposition, Dr. Seidel opined that with a reasonable degree of medical certainty,
plaintiff’s herniated disc was caused by the accident in light of plaintiff’s history, including
plaintiff’s report of “a bus/auto accident trauma event,”7 and plaintiff’s lack of prior symptoms.
Dr. Seidel recognized that plaintiff’s pre-existing arthritis was “not work-trauma related,” but
concluded that plaintiff’s disc herniation was “work-related trauma related.” In particular, Dr.
Seidel testified that he “documented, a very large disc protrusion” and “[t]hat’s not something I
typically see in lumbar spinal stenosis cases, and there was trauma related to that.”

        Dr. Seidel was “aware that there was no substantial damage done to the physical structure
of the bus.” If witnesses to the accident had reported little to no physical damage to the bus, this
fact would not alter Dr. Seidel’s opinion because “cars hitting buses lose[.]”

        Dr. Seidel further explained that in his “experience dealing with bus drivers is that they are
not restrained[.]” When plaintiff’s counsel informed Dr. Seidel that plaintiff had earlier testified
that “he was leaning forward and attempting to pull the parking brake of the bus,”8 Dr. Seidel

6
 Peripheral neuropathy is the result of damage to the nerves outside the spinal cord (peripheral
nerves). One of its most common causes is diabetes, which plaintiff had.
7
  When Dr. Seidel was later asked if he would be surprised to know that the five others on the bus
“didn’t even feel an impact,” Dr. Seidel responded: “I don’t know that fact.” Dr. Seidel then
testified that plaintiff “just told me there was an accident. He didn’t tell me any other details about
that.” Dr. Seidel later repeated that plaintiff “said he was in an accident[.]” Dr. Seidel believed
that plaintiff was not “someone that was embellishing or exaggerating . . . . And [Dr. Seidel] felt
that [plaintiff] was credible in his report.”
8
 Plaintiff’s counsel had disclosed this information to Dr. Seidel before Dr. Seidel’s deposition
began.

                                                 -5-
opined that plaintiff then “had more of a distance translation of the torso versus the lower half of
the body.”

       Dr. Seidel was not surprised that plaintiff did not seek medical attention until the next
morning. Dr. Seidel explained that it was “common for patients to be sore and think that they are
going to get better.” So “long as they can move around, they don’t seek immediate care.” And
“[m]uscle spasm tends to come on in the hours after.” “[M]any people are shaken up and sore,
and they don’t always go in that day.” Furthermore, “[d]isc herniations are not immediate.”
Instead, one has “to create a crack or fissure in the disc and then, over the ensuing days, the disc
material works its way out of the crack or the gap.”9

        Before rendering his opinion, Dr. Seidel never reviewed plaintiff’s prior medical records,
including any pre-accident imaging or pain complaints. Plaintiff also failed to disclose his earlier
rear-end accident to Dr. Seidel. If plaintiff had done so, Dr. Seidel would have made additional
inquiries, but, given that the reported damage from the August accident was minimal, Dr. Seidel
did not “think a significant injury occurred during that” accident. Dr. Seidel further testified that
the prior accident was inconsequential because plaintiff did not “bring it up.” With the history
provided by plaintiff and given that “individuals can herniate discs with low-velocity trauma,” Dr.
Seidel’s opinion regarding causation did not change.

        Dr. Seidel added that “[d]isc herniations are known to occur without trauma” and “[t]hey
are known to occur with trauma.” Whether the low-velocity impact described by defendant’s
expert “in an elderly male with underlying arthritic change is more at risk for disc herniation, it
appears it is.” Dr. Seidel recognized that “[t]he literature says to have post[-]traumatic disc
herniation requires breakage of bone and separation of the disc from the bone[.]” However, there
is “no study [pertaining to the low-velocity impact described by defendant’s expert] in [plaintiff’s]
age group, to say whether it causes or doesn’t cause disc herniation.” Likewise, with g forces,
“disc herniations occur at various forces in various individuals.” Dr. Seidel analogized to warning
signs posted at Cedar Point that caution individuals with arthritis or spinal problems about
boarding rides with up to 3 or 4 g forces “because they get injuries to their spine by going on those
rides.” Dr. Seidel then opined that “the elderly are more at risk for g-force changes and disc
herniations than younger people.”

       Asked whether coughing or sneezing could have caused plaintiff’s spinal issues, Dr. Seidel
responded:

                  I don’t know. I just said to you that coughing or sneezing is something that
          some people say is associated with disc herniation. Some people say putting their
          child in a car seat can do the same thing.

  Plaintiff’s deposition testimony was that he was leaning forward to grab the park brake with his
right hand to pull it; however, plaintiff was uncertain whether he had actually grabbed the park
brake.
9
    Plaintiff’s back pain appeared the next morning, not days later.

                                                  -6-
In any event, even factoring in the police report’s description of the accident and defendant’s
expert’s determination regarding the low-velocity impact involved, Dr. Seidel’s opinion remained
unchanged based on plaintiff’s history, his examination, and his review of the CT images without
contrast dye.

        When further asked to opine regarding Dr. Sidhu’s post-surgery conclusion that plaintiff’s
disc herniation was chronic in nature10 and not the result of the accident, the following exchange
ensued between Dr. Seidel and defense counsel:

               A. You are giving me a hypothetical, and I don’t know that information.
       So at this moment, I am not deferring to Dr. Sidhu regarding the disc herniation.

              Q. My question is, if Dr. Sidhu were to state that, would you have any
       evidence to dispute that?

             A. At this moment, I would say I would like to look at the CT scan and then
       make my decision about it before giving you an answer.

              Q. So you would not be able to testify today as to any evidence that you
       have to dispute that scenario?

                                                  * * *

                A. I said that I looked at this disc herniation on a CT scan on the day I
       looked at it, and I felt it was post[-]traumatic and due to the accident and I made
       that statement.
                Now I did not spend time and describe the details of what it looked like at
       that moment, and I don’t recall the details of what it looked like at that moment. [11]
                I am not going to defer to Dr. Sidhu, who is looking at different aspects of
       what the disc is in the operating view. I will respect what Dr. Sidhu has to say and
       I will consider it, but I’m not deferring to him.

              Q. I am not asking you to defer to him. I am just asking if there was
       anything that you can state today for us, . . . if there is anything that you know or
       you have seen that could dispute the fact that the disc herniation was something
       more chronic in nature?

10
  Dr. Sidhu’s post-operative note was “[l]umbar spinal stenosis, L3-L [sic? 4], L4-5 with herniated
disc at L4-5 with severe stenosis and impending cauda equnia.”
11
   When questioned as to whether he would be able to review the CT images and “state whether
or not [his individual findings were] related to the . . . accident,” Dr. Seidel responded: “Well, I
would be able to review [the CT scan], and consider what my answer would be. I wouldn’t know
if I could meet the criteria you are outlining in your statement.” Dr. Seidel explained that, in part,
his inability to do so was due to the potential limitations of CT images.

                                                 -7-
       A. I have no answer for you, and you have asked this several times. So I don’t
       have any more information. [Deposition of Dr. Geoffrey K. Seidel, dated October
       12, 2018, pp 35-37.]

       Thereafter, the parties filed supplemental briefs. Plaintiff relied upon Dr. Seidel’s
deposition testimony to establish a causal effect from this accident to his disc herniation or
aggravation of his previously asymptomatic spinal degeneration.

       At the continued hearing, the circuit court again reviewed the facts and applicable law. It
granted defendant’s motion for summary disposition, ruling:

               Dr. Seidel stated in his deposition that his opinion was based on the medical
       history he received from the Plaintiff that [he] had never experienced symptoms of
       a ruptured disc prior to the bus collision and only began experiencing these painful
       symptoms after this event. Again[,] that’s from his deposition pages 8 and 11.
       Plaintiff did not disclose any details about the crash, he only told his doctor that he
       was -- that there was a collision. The Plaintiff did not tell Dr. Seidel that he had
       been in an earlier collision one month[] prior to the bus crash. Dr. Seidel said that
       if he had known about the earlier crash, he would have asked some follow-up
       questions, but it is unlikely that it would have changed his opinion. Dr. Seidel
       further stated that he assumed the force of the collision was fairly significant
       because regardless of whether the bus showed vehicle damage, the smaller vehicle
       showed damage. He also assumed that the bus driver was probably not restrained
       in the seat and that because the driver was leaning forward, he had more of a
       distance translation of the torso versus the lower half of the body. That’s at page
       13. This is contrary to the established fact that the driver [plaintiff] was belted into
       his seat. The other assumptions are speculative as there is no evidence that the
       force of the impact caused the Plaintiff’s body to physically move other than his
       foot slipped off the brake. And that’s [plaintiff’s] dep[osition], page 16.

               Dr. Seidel also stated that the extent of the disc protrusion he observed was
       typical of trauma-related injury and it was not unusual for symptoms to develop
       some time after the injury because ‘disc herniations are not immediate. You have
       to create a crack or a fissure, in the disc and then over ensuing days the disc material
       works it[]s way out of the crack or gap.’ Again, that’s at pages 14 and 21. He also
       stated that ‘disc herniation can occur with or without the trauma and can occur with
       minor trauma such as a cough, sneeze, or lifting a small child.’ Again, pages 27
       and 30. He further stated that he is aware of medical literature that says ‘to have
       post[-]traumatic disc herniation requires breakage of bone and separation of the
       disc from the bone,’ and Plaintiff did not have any fractures or torn ligaments.
       However, he said he was not aware of whether any of these studies considered the
       case of a 60-year-old man with arthritis in his back like the Plaintiff. He said ‘it
       appears an elderly man with arthritic changes is more susceptible to this kind of
       injury,[’] but he was not aware of any medical literature specific to the Plaintiff’s
       circumstances.

                                                 -8-
               Dr. Seidel is undoubtedly a highly qualified expert in his field who
       conducted a thorough and methodical examination of the Plaintiff. However,
       because his understanding of the nature of the collision was based on incomplete
       information and inaccurate or speculative assumptions not supported by the record
       and because there is a lack of published research supporting the proposition that the
       Plaintiff was unusually susceptible to suffering disc herniation in a low-speed rear
       end collision without spinal fracture, this Court cannot find the opinion sufficiently
       reliable to assist the trier of fact in this case. Excluding this evidence, Plaintiff’s
       remaining evidence does not establish a causal link between the bus crash and the
       injury causing impairment of a body function.

The circuit court entered an order granting defendant’s motion for summary disposition and for
dismissal with prejudice and without costs.

       Plaintiff appeals.

                                 II. STANDARD OF REVIEW

        We review a trial court’s grant of summary disposition de novo. Planet Bingo, LLC v
VKGS, LLC, 319 Mich App 308, 319; 900 NW2d 680 (2017). Summary disposition may be
granted under MCR 2.116(C)(10) only “if there is no genuine issue regarding any material fact
and the moving party is entitled to judgment as a matter of law.” Dancey v Travelers Prop Cas
Co of America, 288 Mich App 1, 7; 792 NW2d 372 (2010) (quotation marks and citation omitted).
In determining whether a genuine issue of material fact exists, the trial court considers “the
affidavits, pleadings, depositions, admissions, and other evidence submitted by the parties . . . .”
Joseph v Auto Club Ins Ass’n, 491 Mich 200, 206; 815 NW2d 412 (2012). These materials are
considered only to the extent that they are admissible in evidence. Nuculovic v Hill, 287 Mich 58,
62; 783 NW2d 124 (2010); MCR 2.116(G)(6). “A genuine issue of material fact exists when the
record, giving the benefit of reasonable doubt to the opposing party, leaves open an issue upon
which reasonable minds might differ.” Dancey, 288 Mich App at 8 (quotation marks and citation
omitted). In any event, “ ‘[a] trial court’s ruling may be upheld on appeal where the right result
issued, albeit for the wrong reason.’ ” Southfield Ed Ass’n v Bd of Ed of Southfield Pub Schs, 320
Mich App 353, 374; 909 NW2d 1 (2017), quoting Gleason v Dep’t of Transp, 256 Mich App 1, 3;
662 NW2d 822 (2003).

                                         III. ANALYSIS

                                          A. CAUSATION

        The no-fault insurance act, MCL 500.3101 et seq., imposes a threshold injury requirement
for recovery in third-party automobile negligence actions.12 A plaintiff must demonstrate that
because of a defendant’s ownership, maintenance, or use of a motor vehicle, the plaintiff has
suffered “death, serious impairment of a body function, or permanent serious disfigurement.”

12
  The no-fault act was amended effective June 11, 2019; however, we rely on the pre-amendment
version in effect during the course of these proceedings in deciding this case.

                                                -9-
MCL 500.3135(1). “ ‘Serious impairment of a body function’ means an objectively manifested
impairment of an important body function that affects the person’s general ability to lead his or
her normal life.” MCL 500.3135(5). To demonstrate a serious impairment of body function, a
plaintiff must show: “(1) an objectively manifested impairment (2) of an important body function
that (3) affects the person’s general ability to lead his or her normal life.” McCormick v Carrier,
487 Mich 180, 191; 795 NW2d 517 (2010). As to the first prong, a plaintiff must show that injuries
resulting from the accident were “evidenced by actual symptoms or conditions that someone other
than the injured person would observe or perceive as impairing a body function.” Id. “[T]he
aggravation or triggering of a preexisting condition can constitute a compensable injury.” Fisher
v Blankenship, 286 Mich App 54, 64; 777 NW2d 469 (2009). See also Wilkinson v Lee, 463 Mich
388, 395; 617 NW2d 305 (2000) (“Regardless of the preexisting condition, recovery is allowed if
the trauma caused by the accident triggered symptoms from that condition.”). Likewise, a
degenerative condition can be exacerbated by subsequent injury such that it constitutes an
impairment of a bodily function. Washington v Van Buren County Road Com’n, 155 Mich App
527, 529-530; 400 NW2d 668 (1986). The question here is whether plaintiff suffered an
aggravation or a triggering of the symptoms associated with the preexisting condition because of
the accident. Fisher, 286 Mich App at 63.

        “Causation is an issue that is typically reserved for the trier of fact unless there is no dispute
of material fact.” Patrick v Turkelson, 322 Mich App 595, 616; 913 NW2d 369 (2018) (citation
omitted). Although our courts are cognizant that motions for summary disposition “implicate
considerations of the jury’s role to decide questions of material fact[,] . . . litigants do not have any
right to submit an evidentiary record to the jury that would allow the jury to do nothing more than
guess.” Skinner v Square D Co, 445 Mich 153, 174; 516 NW2d 475 (1994).

       “ ‘To establish proximate cause, the plaintiff must prove the existence of both cause in fact
and legal cause.’ ” Patrick, 322 Mich App at 616, quoting Weymers v Khera, 454 Mich 639, 647;
563 NW2d 647 (1997). “To be adequate, a plaintiff’s circumstantial proof must facilitate
reasonable inference of causation, not mere speculation.” Skinner, 445 Mich at 164. Our Supreme
Court has explained “the basic legal distinction between a reasonable inference and impermissible
conjecture with regard to causal proof:

        ‘As a theory of causation, a conjecture is simply an explanation consistent with
        known facts or conditions, but not deducible from them as a reasonable inference.
        There may be 2 or more plausible explanations as to how an event happened or
        what produced it; yet, if the evidence is without selective application to any 1 of
        them, they remain conjectures only. On the other hand, if there is evidence which
        points to any 1 theory of causation, indicating a logical sequence of cause and
        effect, then there is a juridical basis for such a determination, notwithstanding the
        existence of other plausible theories with or without support in the evidence.’ ” [Id.
        at 164, quoting Kaminski v Grand Trunk WR Co, 347 Mich 417, 422; 79 NW2d
        899 (1956).]

“[A]t a minimum, a causation theory must have some basis in established fact.” Id. at 164. “[A]
basis in only slight evidence is not enough.” Id. It is not “sufficient to submit a causation theory
that, while factually supported, is, at best, just as possible as any other theory.” Id. Instead, “the
plaintiff must present substantial evidence from which a jury may conclude that more likely than

                                                  -10-
not, but for the defendant’s conduct, the plaintiff’s injuries would not have occurred.” Id. at 164-
165.

        In this case, plaintiff asserts that the circuit court erred in granting summary disposition on
the causation question after it determined Dr. Seidel’s opinion that this accident caused plaintiff’s
disc herniation was unreliable.

        Initially, plaintiff mentions his award of SSD benefits and his workers’ compensation
settlement, which presumably support a causal connection. The circuit court, however, rejected
plaintiff’s reliance on the outcome of the separate SSD legal proceeding as it neither involved a
determination that this accident caused plaintiff’s herniated disc or his aggravated his back
condition. We agree.13 The same is true of plaintiff’s worker’s compensation settlement. Cf.
Chouman v Home Owners Ins Co, 293 Mich App 434, 438-439; 810 NW2d 88 (2011) (recognizing
that “settlements may be motivated by a great many possible considerations unrelated to the
substantive merits of a claim.”).

       Plaintiff also contends that our recent decision in Patrick controls the outcome here. It
does not.

        In Patrick, the defendant’s vehicle turned into the driver’s side of the plaintiff’s vehicle,
where the plaintiff was seated. Patrick, 322 Mich App at 599. Multiple air bags deployed within
the plaintiff’s vehicle; one of them struck the left side of the plaintiff’s face, including her ear. Id.
The plaintiff described the sound of those “air bags as an ‘explosion.’ ” In the aftermath of the
accident, the plaintiff “was examined in the emergency room where she reported experiencing
sharp pain in her left ear, ringing in both ears, and a headache.” Id. The plaintiff sought
professional evaluation, including with a doctor specializing “in otology and neurotology who
treat[ed] patients with ear disorders and hearing loss.” Id. at 599-600. The doctor “testified that
peer-reviewed scientific literature includes reports of hearing loss and tinnitus following air bag
deployment due to the sound generated.” Id. at 601. The plaintiff testified about continued hearing
loss in her left ear and its detrimental impact on her life. Id. at 602.

        The Patrick plaintiff sued the driver of the other car, who moved for summary disposition,
contending that she had not suffered a serious impairment of body function and could not prove
causation. Id. at 604. The circuit court granted the defendant’s motion because the plaintiff failed
to establish a serious impairment of body function and did not reach the causation question. Id.
This Court reversed, concluding that the evidence was sufficient to present a jury the question of
the serious impairment issue. Id. at 607-615. Even though the circuit court had not addressed the
parties’ causation arguments, this Court did so because the defendant argued, as an alternate
ground for affirmance, that causation was lacking. Id. at 615-616. Recognizing “that hearing loss
can occur as part of the aging process” and that the plaintiff had had no pre-accident hearing test,
this Court concluded that, viewing the evidence in the light most favorable to the plaintiff, her lack
of pre-accident hearing issues and her doctor’s testimony about “peer-reviewed literature” created
a jury question on causation. Id. at 619.

13
     See footnote 4.

                                                  -11-
         In this case, on the other hand, Dr. Seidel readily admitted that there was no scientific
literature supporting his conclusion that a low-impact accident caused plaintiff’s disc herniation.
This alone distinguishes Patrick. And Dr. Seidel recognized that there was arthritic degeneration
of plaintiff’s spine that, in his opinion, was not attributable to this accident. Dr. Seidel admitted
that he did not know if he would be able to sort out which of plaintiff’s injuries were attributable
to this accident with review of the CT images he obtained, while also maintaining his opinion that
the large protrusion of disc material resulted from trauma. And when asked what fact he would
point to in order to dispute Dr. Sidhu’s opinion that plaintiff’s disc herniation was more chronic in
nature, Dr. Seidel had “no answer,” saying that he had answered the question several times.
Finally, while recognizing that disc herniation occurs without any trauma at all, Dr. Seidel
remained steadfast in his opinion that plaintiff’s disc herniation resulted from this accident, even
assuming it had been a low-impact bump, given plaintiff’s age and self-reported history of no prior
back problems.

        Plaintiff is correct that here, as in Patrick, there were no pre-accident images of plaintiff’s
      14
spine. 322 Mich App at 619. In direct contrast to Patrick, however, plaintiff here did not
immediately report an injury and did not believe that he struck his body on any part inside the bus.
Plaintiff did not lose consciousness, suffered no bruising, repeatedly reported being uninjured, and
felt “okay” after the accident. Plaintiff testified that he only felt the impact a “little bit” because
the bus was “heavy.” And, when specifically asked whether he “physically move[d] at all as a
result of the impact,” plaintiff’s sole response was that his “foot came off the brake pedal” and that
the bus rolled forward a few feet. After going to the clinic, not for any injury, but for a mandatory
drug and urine test, plaintiff arrived home and continued to feel “fine.” It was not until the
following morning that plaintiff felt back pain.

       Importantly, Dr. Seidel testified that disc herniation occurs with and without trauma. In
fact, Dr. Seidel recognized that disc herniation could be caused by every day activities, like
coughing, sneezing, or placing a child into a car.

        In light of these potential alternatives, we turn to the next question—the propriety of the
circuit court’s ruling that Dr. Seidel’s testimony regarding causation was inadmissible.

                          B. ADMISSIBILITY OF EXPERT TESTIMONY

       We review for an abuse of discretion a circuit court’s decision regarding the admission of
evidence. Edry v Adelman, 486 Mich 634, 639; 786 NW2d 567 (2010). “An abuse of discretion
occurs when the trial court chooses an outcome falling outside the range of principled outcomes.”

14
   On appeal, defendant contends that plaintiff “neglected” to inform Dr. Seidel that plaintiff had
“had an x-ray of his lumbar spine just several years prior due to back pain.” While there is some
indication in the record that plaintiff’s former long-time employer failed to timely respond to
defendant’s subpoena for records, defendant’s contention is unsupported by citation to the record,
and we find no such mention of this x-ray in the record. MCR 7.210(A)(1). Therefore, we decline
to consider this information.

                                                 -12-
Id. “ ‘[T]he proponent of the evidence bears the burden of establishing . . . admissibility[.]’ ” Id.,
quoting People v Crawford, 458 Mich 376, 386 n 6; 582 NW2d 785 (1998).

        MRE 702 governs the admissibility of expert witness testimony. Edry, 486 Mich at 639.
It provides:

       If the court determines that scientific, technical, or other specialized knowledge will
       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 thereto in the form of an opinion or otherwise if (1) the
       testimony is based on sufficient facts or data, (2) the testimony is the product of
       reliable principles and methods, and (3) the witness has applied the principles and
       methods reliably to the facts of the case.

MRE 702 incorporates standards of reliability derived from Daubert v Merrell Dow Pharms, Inc,
509 US 579; 113 S Ct 2786; 125 L Ed 2d 469 (1993). Gilbert v DaimlerChrysler Corp, 470 Mich
749, 781; 685 NW2d 391 (2004). “[T]he rule’s reference to ‘knowledge’ ‘connotes more than
subjective belief or unsupported speculation.’ ” Gilbert, 470 Mich at 781, quoting Daubert, 509
US at 590. Indeed, “[c]areful vetting of all aspects of expert testimony is especially important
when an expert provides testimony about causation.” Id. at 782.

       “Under MRE 702, it is generally not sufficient to simply point to an expert’s experience
and background to argue that the expert’s opinion is reliable and, therefore, admissible.” Edry,
486 Mich at 642. “A lack of supporting literature, while not dispositive, is an important factor in
determining the admissibility of expert witness testimony.” Elher v Misra, 499 Mich 11, 23; 878
NW2d 790 (2016).

         In addition to considering MRE 702 in determining the reliability of an expert’s testimony,
the trial court must consider MCL 600.2955(1). “MCL 600.2955(1) requires the court to determine
whether the expert’s opinion is reliable and will assist the trier of fact by examining the opinion
and its basis, including the facts, technique, methodology, and reasoning relied on by the expert[.]”
Elher, 499 Mich at 23. MCL 600.2955(1) sets forth the following factors to be considered in
making this determination:

               (a) Whether the opinion and its basis have been subjected to scientific
       testing and replication.

              (b) Whether the opinion and its basis have been subjected to peer review
       publication.

              (c) The existence and maintenance of generally accepted standards
       governing the application and interpretation of a methodology or technique and
       whether the opinion and its basis are consistent with those standards.

               (d) The known or potential error rate of the opinion and its basis.

               (e) The degree to which the opinion and its basis are generally accepted
       within the relevant expert community. As used in this subdivision, “relevant expert

                                                -13-
       community” means individuals who are knowledgeable in the field of study and are
       gainfully employed applying that knowledge on the free market.

              (f) Whether the basis for the opinion is reliable and whether experts in that
       field would rely on the same basis to reach the type of opinion being proffered.

               (g) Whether the opinion or methodology is relied upon by experts outside
       of the context of litigation. [MCL 600.2955(1)(a) through (g).]

Even so, not every factor identified in MCL 600.2955 is relevant to every case. Elher, 499 Mich
at 27.

          Where a plaintiff relies upon the testimony of an expert to prove factual causation, “ ‘there
must be facts in evidence to support the opinion testimony of an expert.’ ” Skinner, 445 Mich at
173, quoting Mulholland v DEC Int’l Corp, 432 Mich 395, 411; 442 NW2d 340 (1989). “It is
axiomatic in logic and in science that correlation is not causation.” Craig v Oakwood Hosp, 471
Mich 67, 93; 684 NW2d 296 (2004). Courts must remain wary of post hoc ergo propter hoc
reasoning. Lowery v Enbridge Energy Limited Partnership, 500 Mich 1034; 898 NW2d 906
(2017) (where an expert testified that an oil spill caused the plaintiff’s injury because it followed
the spill and the plaintiff had not had any problem before the spill, the circuit court properly granted
summary disposition). Stated otherwise, showing only a temporal relationship is generally
insufficient to establish a causal relationship. See e.g., West v Gen Motors Corp, 469 Mich 177,
186; 665 NW2d 468 (2003).

       Plaintiff first argues that the circuit court misapplied MRE 702 and MCL 600.2955 because
Dr. Seidel’s experience, knowledge, and expertise rendered his testimony reliable. But, as already
mentioned, “it is generally not sufficient to simply point to an expert’s experience and background
to argue that the expert’s opinion is reliable and, therefore, admissible” under MRE 702. Edry,
486 Mich at 642. Furthermore, the “lack of supporting literature, while not dispositive, is an
important factor in determining the admissibility of expert witness testimony.” Elher, 499 at 23.
Here, despite Dr. Seidel’s credentials, which were recognized by the circuit court, Dr. Seidel’s
conclusion was unsupported by peer-reviewed medical literature.

        And even as plaintiff recognizes that a temporal connection alone is insufficient to establish
causation, he asserts that his history of asymptomatic back pain and Dr. Seidel’s later medical
testing confirm the existence of a herniated disc or back pain, or both, shortly after the accident.
Again, the fact that there is an injury or aggravation after an accident does not establish that the
accident caused either. Lowery, 500 Mich at 1034; Craig, 471 Mich at 93; West, 469 Mich at 186.

        Plaintiff further asserts that it was the circuit court, not Dr. Seidel, that misconstrued the
facts underlying this accident. But the circuit court began by appropriately recognizing that Dr.
Seidel’s opinion regarding causation was rooted in plaintiff’s self-reported history that he had no
back pain before the accident with the onset of symptoms commencing the next morning.
Regarding plaintiff’s history, the circuit court noted that plaintiff did not go into detail about the
accident and this was confirmed during Dr. Seidel’s deposition. The circuit court also referenced
plaintiff’s failure to mention his involvement in the August 2014 accident, which would have

                                                 -14-
prompted some follow-up questions, but, ultimately, not changed Dr. Seidel’s opinion regarding
causation.

        The circuit court also indicated that Dr. Seidel assumed that the force involved in the instant
accident was fairly significant because defendant’s vehicle had damage. While Dr. Seidel testified
that vehicles involved in accidents with buses “lose and they show the damage,” we agree that
review of the record reveals no assumption on Dr. Seidel’s part that a fairly significant force was
involved in this accident due to the damage to defendant’s Jeep. Regardless, review of Dr. Seidel’s
testimony reveals that he questioned the veracity of the defendant’s accident reconstruction
regarding the g forces involved in this accident as well as the estimated impact velocity change of
2 to 3.7 mph to plaintiff’s bus from this accident. And, despite Dr. Seidel’s testimony that plaintiff
simply disclosed the fact that he had been in an accident without sharing additional details, Dr.
Seidel also testified that “[t]he only history I have is that he was in a bus/auto accident trauma
event” and “[t]he history was that there was trauma driving a bus on 9-10-14 [sic September 9,
2014], hit from behind[.]” Plaintiff’s initial CT scan, ordered by Dr. Seidel, also reflects a history
that plaintiff was in a “[m]otor vehicle collision.” All of this suggests that Dr. Seidel believed that
significant force was involved in this accident.

         The circuit court next mentioned Dr. Seidel’s assumption that plaintiff was unrestrained
when the accident occurred. We agree that the record reflects that Dr. Seidel initially, and
incorrectly, assumed that plaintiff was unrestrained because, in Dr. Seidel’s experience “dealing
with bus drivers . . . , they are not restrained.” With that assumption, Dr. Seidel opined “there may
have been a translation of [plaintiff’s] body over a distance when the accident occurred.” Before
Dr. Seidel’s deposition, however, plaintiff’s counsel informed Dr. Seidel that plaintiff had earlier
testified that he “was leaning forward and attempting to pull the parking brake of the bus.”15
Confronted with this scenario, Dr. Seidel opined that plaintiff “had more of a distance translation
of the torso versus the lower half of the body.” Dr. Seidel later recognized that “he did not have
[the] specifics of [plaintiff’s] body position” as part of plaintiff’s history and learned of plaintiff’s
actual body position just before he was deposed.

        The circuit court determined that Dr. Seidel’s assumptions about how plaintiff’s injury
occurred—plaintiff was unrestrained and leaning forward, resulting in a distance translation of the
torso versus the lower half of plaintiff’s body—were “contrary to the established fact that the
[plaintiff] was belted into his seat.” Plaintiff contends that Dr. Seidel, not the circuit court, better
understood plaintiff’s position during the accident. But plaintiff testified that he was wearing a
shoulder harness and lap belt; the Undersheriff’s testimony along with the police report confirmed
this fact. Plaintiff also testified that he was leaning forward, and, as the circuit court rightly
recognized, plaintiff testified the only movement caused by the accident was his foot moving off
the brake. Plaintiff described no other physical movement of his body as he was seated in the
driver’s seat, leaning forward while restrained by his shoulder belt. Plaintiff never reported being
flung forward or backward due to the impact or injured in any manner. As such, the circuit court
determined that Dr. Seidel’s assumption that plaintiff otherwise suffered trauma to his body,

15
     See footnote 8.

                                                  -15-
including his back, that caused a herniated disc was speculative. Skinner, 445 Mich at 173, quoting
Mulholland, 432 Mich at 411 (stating that when a plaintiff relies upon the testimony of an expert
to prove factual causation, “ ‘there must be facts in evidence to support the opinion testimony of
an expert’ ”).16

        Plaintiff also argues that the circuit court elevated the lack of medical literature to “a litmus
test” for the admission of expert medical testimony. We disagree. The circuit court appropriately
relied upon the lack of literature as a factor in addition to Dr. Seidel’s incorrect assumptions or
speculation about the facts surrounding this accident, namely that plaintiff was unrestrained and
that trauma occurred. Elher, 499 Mich at 23.

         Accordingly, we conclude that the circuit court did not abuse its discretion in excluding
Dr. Seidel’s testimony and opinion regarding causation or in granting summary disposition. And
because plaintiff otherwise failed to produce admissible evidence to create a material question of
fact to demonstrate that his herniated disc or aggravation of his degenerative spinal conditions was
causally related to the accident, the trial court properly granted defendant summary disposition.

        Indeed, even if the circuit court had abused its discretion in excluding Dr. Seidel’s opinion
regarding causation, this record demonstrates that defendant would nevertheless be entitled to
summary disposition. Dr. Seidel candidly recognized that plaintiff’s herniated disc could have
resulted from trauma or no trauma at all. Because a litigant does “not have any right to submit an
evidentiary record to the jury that would allow the jury to do nothing more than guess,” Skinner,

16
  It appears that Dr. Seidel’s testimony may have led to the circuit court to conclude that evidence
of a broken bone was required before a trauma-related disc herniation. Important to this point is
that the x-ray taken the morning after the accident revealed that plaintiff suffered no broken bones.
   During Dr. Seidel’s deposition, he testified that plaintiff did not break any bones or tear any
ligaments. And, in the course of addressing whether any literature supported Dr. Seidel’s opinion
that a low-impact trauma could cause a herniated disc, Dr. Seidel volunteered that “[t]he literature
says to have post[-]traumatic disc herniation requires breakage of bone and separation of the disc
from the bone[.]” Throughout his deposition, Dr. Seidel repeatedly characterized plaintiff’s disc
herniation as trauma or trauma-related or post-traumatic.
   On appeal, plaintiff attaches a peer-reviewed article, that was not part of the record below and
cannot be considered by this Court. Sherman v Sea Ray Boats, Inc, 251 Mich App 41, 56; 649
NW2d 783 (2002); see also MCR 7.210(A)(1). Based on this article, plaintiff explains that Dr.
Seidel was referencing literature pertaining to a lumbar disc herniation involving endplate junction
failure, not an annulus fibrosus failure, which occurred here.
  To the extent that the circuit court relied upon Dr. Seidel’s testimony, its determination
regarding the admissibility of Dr. Seidel’s causation opinion did not depend solely on this point.
Thus, the circuit court reached the right result, albeit, in part, for a wrong reason. Southfield Ed
Ass’n, 320 Mich App at 374, quoting Gleason, 256 Mich App at 3.

                                                  -16-
445 Mich at 174, we conclude that summary disposition was appropriate on this alternate ground
as well. Southfield Ed Ass’n, 320 Mich App at 374, quoting Gleason, 256 Mich App at 3.

       Affirmed.

                                                         /s/ Michael F. Gadola
                                                         /s/ Anica Letica

                                            -17-