v.
Pitman
IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND DAWN R. WEST, et al., * Plaintiffs, *
v. Civ. No. JKB-24-00333 KAREN T. PITMAN, ef al., * Defendants. * * * te x Xe x xe * * * MEMORANDUM Plaintiffs Dawn and Steven West have filed suit against a variety of Defendant healthcare providers alleging medical malpractice. Some of those providers then impleaded Advanced Radiology, P.A. and Dr. Julian Thayer Simmons (together, the “Third-Party Defendants”). Plaintiffs subsequently filed claims directly against the Third-Party Defendants in a separate case, Civ. No. JKB 25-00292; that case was consolidated with the instant one, with the above-captioned case being designated as the lead case. (ECF No. 59.)! Now pending before the Court is a Motion to Dismiss by the Third-Party Defendants against Plaintiffs’ complaint in Civ. No. JKB-25-00292. (ECF No. 60.) Also pending before the Court is Plaintiffs’ “Motion to Withdraw and Amend Responses to Defendant Grill’s Requests for Admissions” (the “Motion to Withdraw”). (ECF No. 65.) Both Motions are fully briefed, and no hearing is necessary. See Local Rule 105.6 (D. Md. 2023). For the following reasons, the Motion to Dismiss will be denied, and the Motion to Withdraw will be granted. Also, to promote efficiency and reduce confusion, Plaintiffs will be directed to file a single Amended Complaint encompassing allegations against all Defendants and Third-Party
' Unless otherwise noted, all record citations refer to the electronic docket for Civ, No. JKB-24-00333.
Defendants. Plaintiffs will not be permitted to make any change to the substance of their pleadings, and this directive will not impact the validity of currently filed Answers. I. MOTION TO DISMISS A. Factual Allegations The Court has already provided a brief synopsis of the factual allegations in this case. (See ECF No. 57 at 2-3.) In short, Plaintiffs—a married couple from Delaware—allege that, from 2018 through 2021, Defendants negligently failed to diagnose Mrs. West’s cancer. She alleges that she now suffers from incurable cancer that could have been timely treated and cured had Defendants complied with the applicable standard of care. (/d.) The allegations specific to Plaintiffs’ claims against Third-Party Defendants, and relevant to the instant Motion to Dismiss, are as follows. Dr. Simmons is a physician licensed to practice in Maryland and an agent and/or employee of Advanced Radiology, a Maryland-based medical practice. (Civ. No. JKB-25-00292, ECF No. 1 9] 3-4, 8.) “On July 16, 2020, an MRI was performed to evaluate [Mrs. West’s] temporomandibular joints.” (Ud. § 10.) Dr. Simmons reviewed the results and “interpreted the MRI to be essentially normal.” (/d.) However, Plaintiffs allege, had Dr. Simmons followed the appropriate standard of care, he would have “identiflied] and report[ed] a suspicious mass in Mrs. West’s right parotid gland” and would have also “recommend|[ed] follow-up studies and evaluation of the mass.” (/d. 9.) About two years later, between May and August 2022, Mrs. West underwent a more thorough diagnostic workup, which included an MRI, biopsy, and PET scan. (/a. 4 11.) The MRI, conducted in May, revealed an abnormal mass in her parotid gland which “likely represented primary parotid gland cancer.” (/d.) The June biopsy “revealed the histological type of her parotid gland cancer—adenoid cystic carcinoma.” (/d.) And the August 2022 PET scan showed that the
cancer had spread to other parts of the body. (/d.) On August 30, 2022, “Mr. West underwent extensive surgery,” and following that, she underwent radiation therapy. (/d. 12-13.) Plaintiffs allege that, [a]s a result of the [Third-Party] Defendants’ negligence, there was a significant delay in the diagnosis and treatment of Mrs. West’s parotid gland cancer which caused her to suffer severe and permanent injury, including loss of hearing. The negligence of the [Third-Party] Defendants allowed Mrs. West’s parotid gland cancer to progress, grow and spread to the point of causing injury and becoming incurable cancer. Had the Defendants complied with the standard of care, Mrs. West’s parotid gland cancer would have been timely detected, diagnosed and treated without injury and at a time when it was curable. (Id. 14.) Plaintiffs filed their complaint against Third-Party Defendants in January 2025, after exhausting state administrative remedies. (Jd. § 2.) B. Legal Standard A motion to dismiss under Rule 12(b)(6) tests the sufficiency of the allegations pled in a complaint. Sheppard v. Visitors of Va. State Univ., 993 F.3d 230, 234 (4th Cir. 2021). When considering a motion to dismiss, the Court must “accept all well-pleaded allegations in the complaint as true and draw all reasonable inferences in the plaintiff's favor.” Langford v. Joyner, 62 F.4th 122, 124 (4th Cir. 2023). However, conclusory allegations are not entitled to the assumption of truth, nor are legal conclusions couched as factual allegations. Ashcroft v. Iqbal, 556 U.S. 662, 678, 681 (2009). To survive, the complaint “must include ‘sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.’” Langford, 62 F.4th at 124 (quoting /gbal, 556 U.S. at 678 (2009)). In assessing the motion, the Court limits its review to the complaint, documents attached to the complaint as exhibits, and documents attached to the motion, if those documents are integral to the complaint and their authenticity is not disputed. Reamer v. State Auto, Mut. Ins. Co., 556 F. Supp. 3d 544, 549 (D. Md. 2021).
C. Analysis Third-Party Defendants raise two arguments in support of their Motion to Dismiss. First, they contend that Plaintiffs’ claims against them are barred by the statute of limitations. (ECF No. 60-1 at 4-6.) Second, they argue that the claims should be dismissed on grounds of judicial estoppel, “as Plaintiffs have adopted a position that is inconsistent with their prior stance in this litigation with respect to Advanced Radiology, P.A. and Julian Thayer Simmons, M.D.” (Jd. at 6.) The Court addresses each in turn, and concludes that neither warrants the dismissal of the Complaint.
[*10]request.> (ECF No. 74.) Federal Rule of Civil Procedure 36(b) provides in relevant part: A matter admitted under this rule is conclusively established unless the court, on motion, permits the admission to be withdrawn or amended. Subject to Rule 16(e) [(governing final pretrial conferences)|, the court may permit withdrawal or amendment if it would promote the presentation of the merits of the action and if the court is not persuaded that it would prejudice the requesting party in maintaining or defending the action on the merits. District courts have “considerable discretion over withdrawal of admissions once they have been made.” Kress v. Food Emps. Lab. Rels. Ass'n, 285 F. Supp. 2d 678, 681 (D. Md. 2003), aff'd on other grounds, 391 F.3d 563 (4th Cir. 2004) (citation omitted). In exercising that discretion, the Court must consider both factors set out in Rule 36(b): (1) whether withdrawal would promote the presentation of the merits of the action; and (2) whether withdrawal would prejudice the party that had originally propounded the RFA. Acosta v. Mezcal, Inc., Civ. No. JKB-17-0931, 2018 WL 4188448, at *2 (D. Md. Aug. 31, 2018) (citing Bailey v. Christian Broadcasting Network, 483 F. App’x 808, 810 (4th Cir. 2012)). “The party opposing withdrawal or amendment bears the burden of demonstrating prejudice.” Jd. (first citing Sonoda v. Cabrera, 255 F.3d 1035, 1039 (9th Cir. 2001), and then citing Pulse Med. Instruments, Inc. v. Drug Impairment Detection Servs., Inc., Civ. No. DKC-07-1388, 2009 WL 6898404, at[*16] (D. Md. Mar. 20, 2009)). Here, both factors counsel in favor of permitting Plaintiffs to withdraw and amend their Responses to the RFAs. First, doing so will aid in the presentation of the merits, as it will allow the Court (and, if the issue survives to trial, the jury) to consider the substance of an important factual issue in this case—that is, whether Third-Party Defendants complied with the standard of
5 Defendants Dr. Grill and TMJ / Facial Pain Center, LLC filed a brief indicating that “tak[e] ‘no position’ as to the Plaintiffs’ pending Motion insofar as the relief requested—withdrawing their Response to Request for Admissions—is really an issue for the Third-Party Defendants.” (ECF No. 71 at 2-3.) No other Defendants have stated their position on the matter.
[*11]care in interpreting the July 2020 MRI results. Second, Third-Party Defendants have not shown how they would be prejudiced by permitting the amendment of the Responses to the RFAs. The “prejudice” at issue in the Rule 36(b) analysis is “the prejudice stemming from reliance on the binding effect of the admission.” 8B Charles Alan Wright & Arthur R. Miller, Federal Practice & Procedure § 2264 (3d ed. 2025). But Third-Party Defendants do not argue that they relied on Plaintiffs’ responses to the RFAs to their detriment. Instead, they argue that Plaintiffs changed their mind only because they decided to adopt “a new litigation strategy” of pursuing claims against the Third-Party Defendants, and that Plaintiffs’ claim that their earlier admission were inaccurate is “disingenuous.” (ECF No. 74 at 4.) The Court can only speculate as to Plaintiffs’ subjective motivations. But Plaintiffs advance a plausible argument for why they changed their position in good faith—namely, that, about a month after Plaintiffs made the initial Response, certain Defendants produced an expert report from a physician who concluded that Third-Party Defendants missed “clear evidence of a mass indicative of or at least suspicious of cancer” in interpreting the July 2020 MRI results. (ECF No. 65-1 at 2—3 (citing ECF No. 65-4).)° For these reasons, the Third-Party Defendants have not carried their burden of showing why amendment should not be permitted. Accordingly, the Motion to Withdraw will be granted. Il. FILING OF AMENDED COMPLAINT As the Court has recently had occasion to observe, “[i]n federal litigation, a plaintiff can only ever have one operative complaint at a time.” Head v. Rakowski, Civ. No. JKB-22-00566,
° Third-Party Defendants argue that the Court may deny leave to withdraw even if both provisions of Rule 36(b) are satisfied. (ECF No. 74 at 3-4 (citing Conlon v, United States, 474 F.3d 616 (9th Cir. 2007)).) The Court agrees that the permissive phrasing of the Rule (the Court “may,” not “must,” permit withdrawal) indicates that the Court need not automatically award relief even when both factors are met. But here, the Court finds no countervailing considerations strong enough to outweigh the two factors enumerated in Rule 36(b) that both point strongly in favor of permitting withdrawal. Cf Conlon, 474 F.3d at 625 (noting that even when a court considers additional factors, the two Rule 36(b) factors were “clearly intended . . . to be central to the analysis”).
[*12]2025 WL 89892, at *1 (D. Md. Jan. 14, 2025). But here there are functionally two operative complaints—the complaint in the lead action, Civ. No. JKB-24-00333, and the complaint in the second action filed by Plaintiffs directly against Third-Party Defendants, Civ. No. JKB-25-00292. For administrative convenience, a single complaint must be identified going forward. Thus, the Court will direct Plaintiffs to file an Amended Complaint encompassing the allegations from both consolidated actions. Leave to amend will be strictly limited to factual allegations and legal contentions expressly stated in one of the two complaints; Plaintiffs will not be permitted to expand on, or otherwise modify, the substance of their pleadings in any way. Because the Court anticipates that the Amended Complaint will not contain any substantive changes, all Answers currently filed will continue to remain valid, without any need for any Defendants to amend them. Further, the filing of the Amended Complaint will not have any impact on any other deadlines applicable in this case, except for the deadline for Third-Party Defendants to file their Answer. IV. CONCLUSION For the foregoing reasons, Third-Party Defendants’ Motion to Dismiss (ECF No. 60) will be denied, and Plaintiffs’ Motion to Amend (ECF No. 65) will be granted. Plaintiffs will be directed to file an Amended Complaint, and all parties will be directed to file a joint status report regarding further scheduling issues. A separate order will issue.
DATED this _/@ day of April, 2025. BY THE COURT:
James K. Bredar United States District Judge
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