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Response to motion for summary judgment - Kentucky.com

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or any <strong>for</strong>m of healing of the fractured ribs. (Id., p. 49). Since there is evidence, from numerous lay<br />

witnesses and from Nurse Hat<strong>to</strong>n, that Gerald did not have rib fractures be<strong>for</strong>e he was admitted <strong>to</strong><br />

the Detention Center, there is good cause <strong>for</strong> a jury <strong>to</strong> doubt Dr. Nichols’ assumption that Gerald’s<br />

rib fractures predated his admission <strong>to</strong> the Detention Center.<br />

The Defendants represented in their Motion that “the expert testimony [from Dr. Nichols]<br />

will be that the trauma which was the cause of the bruising noted at the time of Cornett’s admission<br />

<strong>to</strong> the University of <strong>Kentucky</strong> Medical Center occurred prior <strong>to</strong> his detention.” (Memorandum in<br />

Support of Motion <strong>for</strong> Summary Judgment at 23, 28-29). First and <strong>for</strong>emost, there is a factual<br />

dispute here because Dr. Davis testified that he believed most of Gerald’s bruises looked<br />

contemporaneous with or around the time of his fall. Second, Dr. Nichols did not reach his opinion<br />

regarding the date of the bruises from looking at pictures. He reached his opinion solely based on<br />

“the charting that was present in the emergency department and in the neurosurgery<br />

resident’s note.” (Id., p. 44). Keeping in mind Dr. Davis’ caution that expert testimony dating<br />

bruises <strong>to</strong> a specific time is, <strong>for</strong> all intents and purposes, a voodoo science, it is simply preposterous<br />

<strong>to</strong> accept that Dr. Nichols can accurately date a bruise based solely on written charts without pictures.<br />

Nichols testified that caucasians like Gerald take at least four hours <strong>to</strong> develop the beginning of a<br />

visible bruise, but that alcoholics bruise faster than most people. (Id., p. 39). Bob Arnold <strong>to</strong>ok<br />

pictures of Gerald’s bruises on August 18, 2005, more than three days after Gerald’s stay at the<br />

Detention Center. (B. Arnold Depo., p. 17). When Dr. Nichols reviewed these pictures, he<br />

admitted that he could not say that the bruises depicted in those pho<strong>to</strong>graphs were caused by injuries<br />

that predated his incarceration. (Nichols Depo., p. 45). There<strong>for</strong>e, Dr. Nichols’ testimony that, in<br />

medical probability, all such injuries that caused Gerald’s bruising predated his admission <strong>to</strong> the jail,<br />

24

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