Uninsured plaintiff needs cervical discectomy and fusion at C4-5 after T-bone crash. $200K. Fresno County.
Summary
Liability is admitted but defense argues that the surgery was largely necessitated by injuries from a prior crash.
The Case
- Case Name: Alfredo Molina v. Skyview Memorial Lawn, Inc.
- Court and Case Number: Fresno County Superior Court / 23CECG02285
- Date of Verdict or Judgment: Monday, June 09, 2025
- Date Action was Filed: Monday, June 12, 2023
- Type of Case: Negligence, Vehicles - Auto vs. Auto
- Judge or Arbitrator(s): Hon. Jonathan Skiles
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Plaintiffs: Alfredo Molina
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Defendants: Skyview Memorial Lawn, Inc.
- Type of Result: Jury Verdict
The Result
- Gross Verdict or Award: $200,000
- Contributory/Comparative Negligence: None
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Economic Damages:
$200,000
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Non-Economic Damages:
None; plaintiff was subject to Prop 213 and as an uninsured motorist was not eligible for non-economic damages.
- Trial or Arbitration Time: 3 weeks
- Jury Deliberation Time: 7 hours
- Post Trial Motions & Post-Verdict Settlements: Defense brought a motion for nonsuit with respect to future medical expenses, claiming plaintiff did not meet the "reasonably certain" standard and failed to present evidence of subject incident causing conditions requiring future medical care.
The Attorneys
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Attorney for the Plaintiff:
Saeedian Law Group by Adina A. Ostoia, Beverly Hills.
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Attorney for the Defendant:
The Law Offices of John A. Biard by Steven Daniels and William Pinkley, Rancho Cordova.
The Experts
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Plaintiff's Medical Expert(s):
Troy Mounts, M.D., spine surgery.
Orlando Micheli, M.D., interventional radiology.
Neil Ghodadra, M.D., orthopedic surgery and life care planning.
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Defendant's Medical Expert(s):
Matthew Sabatino, M.D., orthopedic surgery.
William Hoddick, M.D., diagnostic radiology.
Facts and Background
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Facts and Background:
In July 2021, the 43-year-old plaintiff was driving straight with the right-of-way when an individual, who was working at the time for Skyview Memorial Lawn, came out of a parking lot and T-boned plaintiff's vehicle on the passenger side.
Plaintiff was uninsured at the time, so Prop 213 applied to his bodily injury claim.
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Plaintiff's Contentions:
Plaintiff acknowledged that he was not entitled to any non-economic damages. Dr. Ghodadra prepared a life-care plan for plaintiff, about $1.8M, but the judge did not allow future meds to go to the jury, agreeing with defendant that plaintiff did not meet the "reasonably certain" standard.
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Defendant's Contentions:
Defendant accepted liability, but disputed the nature and extent of plaintiff's damages.
Defendant contended that throughout discovery plaintiff and his counsel, intentionally concealed plaintiff’s involvement in a violent MVA that occurred four years prior to the subject MVA and sent him to an emergency department with severe neck and back pain. The pertinent medical records were discovered only in the plaintiff’s expert files produced in expert discovery. Plaintiff testified in written discovery responses and his deposition that he had never been injured in any prior MVA’s. Defendant argued that plaintiff had in fact sustained significant injuries to his neck and back during the 2017 MVA, and that plaintiff also suffered from pre-existing degenerative issues.
Defendant argued the ACDF was unnecessary, and to the extent it was necessary, it was not caused by the subject incident. Plaintiff’s experts testified that in the next20 years the plaintiff would suffer from adjacent segment disease due to his cervical fusion, thereby requiring surgery in the future. Defendant presented evidence that any future cervical fusion was not reasonably certain to occur and that the proposed future surgery had a likelihood of less than 6%. The defendant also contended that plaintiff failed to prove causation with respect to future lumbar medical care.
The defendant moved for nonsuit after plaintiff rested. The motion was based on the grounds that 1) plaintiff failed to prove that the subject incident caused any of the plaintiff’s injuries or any underlying conditions requiring future medical care for plaintiff’s lumbar spine; and 2) plaintiff failed to prove that future medical expenses were reasonably certain to occur.
The judge denied the defendant's motion as to causation as to plaintiff’s past medical care, finding that plaintiff presented sufficient evidence as to causation of some injury to his neck.
With respect to future damages claimed by the plaintiff, the judge ruled in two parts. First, with respect to the future cervical fusion claimed by the plaintiff to be necessitated by adjacent segment disease, the judge sustained the motion for nonsuit finding the plaintiff failed to present evidence that any future cervical surgery was reasonably certain to occur based upon the testimony of all experts. With respect to future medical care for the plaintiff’s lumbar spine (whether surgery, spinal cord stimulators or further workup), the judge ruled that no evidence was presented showing that the underlying conditions for which plaintiff sought future lumbar medical care were caused by the subject incident, including a congenital condition known as Bertolotti’s Disease and a degenerative condition.
Injuries and Other Damages
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Physical Injuries claimed by Plaintiff:
Plaintiff underwent an anterior cervical discectomy and fusion (ACDF) at C4-5 and his past medical expenses were approximately $346,000.
Special Damages
- Special Damages Claimed - Past Medical: $350,000
Demands and Offers
- Plaintiff §998 Demand: $499,000
- Defendant §998 Offer: $250,000
Additional Notes
Per plaintiff's counsel:
Plaintiff counsel Adina A. Ostoia is with Block LLP as of July 2025.
Plaintiff is appealing the judge's denial of future medical-treatment costs going to the jury. The trial on damages revolved around plaintiff's injuries from a crash four years prior to the subject accident, in 2017. After that crash he went to the emergency room to get checked out and had no further treatment.
Plaintiff was only allowed to request past medical expenses from the jury per the judge's order. The jury apportioned the need for the ACDF surgery between the subject crash of 2021 and the earlier crash of 2017 and, thus, awarded plaintiff $200,000 of the $350,000 requested for past medical expenses. Plaintiff is appealing the judge's order regarding future medical expenses.
Insurer: Travelers
Per defense counsel:
The plaintiff’s only evidence of medical expense was the testimony of Troy Mounts, M.D. claiming the reasonable surgeon’s fee for a 2-level ACDF fell in the range of $60,000 to $80,000 and the facility fee for the surgery fell in the range of $120,000 to $180,000. As no medical bills were presented to the jury, it appears the jury relied on the ranges offered by Dr. Mounts and that the jury attributed the surgery entirely to the subject incident. There was no indication that the jury apportioned damages between the two MVAs.