                           STATE OF MICHIGAN

                            COURT OF APPEALS



JACK E. POULSEN,                                                      UNPUBLISHED
                                                                      June 8, 2017
               Plaintiff-Appellant,

v                                                                     No. 331925
                                                                      Kalamazoo Circuit Court
SHANNON M. VISSER,                                                    LC No. 2014-000625-NI

               Defendant-Appellee,
and

STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,

               Defendant-Appellee.



Before: BECKERING, P.J., and MARKEY and SHAPIRO, JJ.

PER CURIAM.

         This case concerns plaintiff’s claim for first-party no-fault benefits against State Farm
and third-party tort claim against Visser. State Farm was plaintiff’s no-fault insurer on
December 11, 2013 when plaintiff was rear-ended by Visser while he was waiting to make a
right turn at an intersection. Visser moved for summary disposition against plaintiff alleging that
he had failed to present sufficient evidence to create a genuine issue of material fact that he
sustained a threshold injury. However, the trial court granted Visser’s motion, not on the basis
that plaintiff had failed to present evidence of a threshold injury, but on the basis that plaintiff
had failed to present sufficient evidence that his injuries were caused by the motor vehicle
accident. This ruling prompted State Farm to then move for summary disposition on plaintiff’s
first party claim, which the trial court granted relying substantially on the findings in its previous
decision granting Visser summary disposition. Plaintiff now appeals as of right. We reverse.

        Plaintiff’s first party claim arises out of statute. Atkins v Suburban Mobility Auth for
Regional Transp, 492 Mich 707, 718; 822 NW2d 522 (2012). The statute entitles plaintiff to
benefits “for accidental bodily injury arising out of the ownership, operation, maintenance or use
of a motor vehicle as a motor vehicle.” MCL 500.3105(1). The “causal connection between the
injury and the use of a motor vehicle” must be “more than incidental fortuitous, or ‘but for.’ ”
Thornton v Allstate Ins Co, 425 Mich 643, 659; 391 NW2d 320 (1986). State Farm initially paid


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benefits to plaintiff, but on December 9, 2014 it sent plaintiff a letter stating that it would “deny
further personal injury protection benefits for cervical strain effective October 30, 2014 and
concussion/TBI, L. Knee Strain, and Thoracic Strain effective April 3, 2014.” Therefore, the
issue regarding plaintiff’s first party claim is whether any cervical injuries he experienced after
October 30, 2014 and any knee or thoracic injuries he experienced after April 3, 2014 arose out
of the motor vehicle accident.

        Plaintiff’s third party claim is a tort claim, Atkins, 492 Mich at 718, which, includes the
requirement of causation, Mick v Kent Co Sheriff’s Dept, 494 Mich 367, 390; 835 NW2d 545
(2013). Generally, a defendant’s claim that the crash is not a proximate cause of plaintiff’s
limitations is one, like nearly all proximate cause questions, that is for the trier of fact to
determine. See Nichols v Dobler, 253 Mich App 530, 532; 655 NW2d 787 (2002) (stating that
proximate cause is generally a factual issue). Only, “if reasonable minds could not differ
regarding the proximate cause of the plaintiff’s injury” should the court decide the issue as a
matter of law.” Id.

        The initial burden of production on a motion for summary disposition is on the moving
party, and this burden can be satisfied by demonstrating to the court either that the nonmoving
party’s evidence is insufficient to establish a question of fact on its claims or by submitting “
‘affirmative evidence that negates an essential element of the nonmoving party’s claim.’ ”
Quinto v Cross & Peters Co, 451 Mich 358, 361-362; 547 NW2d 314 (1996), quoting Celotex v
Catrett, 477 US 317, 331; 106 S Ct 2548; 91 L Ed 2d 265 (1986). The burden does not shift to
the non-moving party until the moving party has first met its burden. Id. and Skinner v Square D
Co, 445 Mich 153, 160; 516 NW2d 475 (1994). Neither defendant appears to allege that
plaintiff’s evidence is insufficient on its own to establish a question of fact on the issue of
whether his injuries were caused by or arose out of the motor vehicle accident. Rather both
defendants and the trial court rely heavily on an accident reconstruction report prepared by State
Farm and on reports from State Farm’s medical examiners. The trial court determined these
documents negated the essential element of causation on both plaintiff’s first party no-fault claim
and its third party tort claim and that because plaintiff did not present any evidence rebutting
these documents both defendants were entitled to summary disposition.

        However, neither the accident reconstruction reports nor the reports submitted by State
Farm’s medical examiners preclude the existence of an issue of material fact on the issue of
causation, and so they do not negate an essential element of plaintiff’s claim. State Farm’s
medical examiner, Dr. Zafar, reported in September 2014, three months before suit was filed that
“given the chronology, description of events and symptoms, it is likely that the motor vehicle
accident resulted in a whiplash, post-concussive syndrome.” Zafar stated that “the current
symptomatology of headaches, neck pain, and cognitive issues may be considered to cause a
temporary impairment as a result of the December 11, 2013 accident.” State Farm then hired a
company that prepares accident reconstruction reports. However, contrary to the claims of
defendants and the trial court, the accident reconstruction report did not say anything about the
cause of plaintiff’s injuries. It merely concluded that “the forces and motions experienced by
[plaintiff] were minimal and consistent with simple, routine physical tasks.” Whether these
forces resulted in an injury to plaintiff is a medical question, not an engineering one. The report
did not preclude a finding that minimal forces consistent with simple, routine physical tasks
could have caused plaintiff’s injuries. Even after reviewing the engineering report, all Zafar was


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able to state is that if the report’s conclusions were accepted, it would be “difficult” to correlate
plaintiff’s injuries to the accident and that it was “questionable” whether the low degree of
impact could cause an “ongoing clinical impairment.” None of these conclusions remove the
possibility that plaintiff had some injuries that were caused by the motor vehicle accident.
Therefore, plaintiff did not have an affirmative duty to rebut their conclusions in order to survive
defendants’ motions for summary disposition on the issue of causation.

         Concerning plaintiff’s first party claim, State Farm also relies on two reports prepared by
its orthopedic experts. The first expert, Dr. Burkhardt, opined that plaintiff had “cervical strain,
left knee contusion, myofascial pain, closed head injury/concussion” that “was caused by this
accident” but in Burkhardt’s opinion plaintiff “has reached pre-injury status.” Burkhardt
concluded that plaintiff’s injuries had resolved, but he agreed that plaintiff was injured in the
accident. Therefore, while Burkhardt’s report is affirmative evidence that plaintiff was required
to rebut to prevail against State Farm’s motion, the report actually supports plaintiff’s position in
its third party claim against Visser. Similarly, the second orthopedic expert, Dr. Schneeberger,
found that plaintiff had left knee strain/sprain, lumbar and thoracic strains and sprains, cervical
strain and sprain, and a history of traumatic brain injury and that his condition was caused by the
December 11, 2013 accident. Schneeberger then concluded that “the strain and sprain of the left
knee, strain and sprain of the thoracic and cervical spine” would have temporarily impaired
plaintiff “for four to six months, after which time he would have reached maximum medical
improvement.” As with Burkhardt’s report, this report was affirmative evidence that plaintiff
was required to rebut to survive State Farm’s motion, but the report supports plaintiff’s position
on the issue of causation in his third party tort claim against Visser.

        Plaintiff submitted evidence that his injuries had not resolved to rebut the conclusions of
State Farm’s orthopedic experts. His primary physician, Dr. Houchin, wrote a letter in August of
2014 stating that plaintiff’s neck, shoulder, and occipital pain began immediately following the
accident and that while plaintiff had preexisting knee pain, it was exacerbated by the accident.
Plaintiff was required to undergo physical therapy where his therapist noted spasms, muscle
pain, and limited cervical range of motion in various examinations in the months immediately
succeeding the accident. It was established by documentary evidence that Houchin excused
plaintiff from work on account of his injuries for nearly an entire year after the accident. In
April of 2014 plaintiff’s headaches and neck pain were documented by physical therapists and by
Houchin. In May of 2014 plaintiff’s occipital nerve problems and myofascial muscle pain began
to be diagnosed on a consistent basis. A rational trier of fact could construe the early notations
of plaintiff’s muscle spasms in December 2013 and January 2014 as a symptom or precursor to
the myofascial muscle pain that began being diagnosed on a regular basis in the spring of 2014.

        Based on plaintiff’s medical records from his own treating physicians, a rational trier of
fact could conclude that contrary to the conclusions of State Farm’s orthopedic examiners,
plaintiff continued to experience both knee and thoracic injuries that arose out of the motor
vehicle accident after April of 2014 and that he continued to experience cervical injuries as a
result of the motor vehicle accident after October of 2014. Neither defendant presented
unrebutted evidence that definitively negated an essential element of either plaintiff’s first party
no-fault claim or his third party tort claim on the issue of causation. Therefore, we reverse the
trial court’s orders granting defendants summary disposition.



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        Additionally, although the trial court did not rule on whether plaintiff had presented
sufficient evidence of a threshold injury to survive Visser’s motion for summary disposition,
because the issue was raised by plaintiff at both the trial court and on appeal, we address the
issue and determine that plaintiff did present sufficient evidence to survive Visser’s motion on
this basis as well.1 The No-Fault Act, MCL 500.3101 et seq, limits third party tort liability for
noneconomic loss caused by “ownership, maintenance, or use of a motor vehicle” to situations in
which “the injured person has suffered death, serious impairment of body function, or permanent
serious disfigurement.” MCL 500.3135(1). The elements of a serious impairment of body
function are (1) an objectively manifested impairment, i.e., “one observable or perceivable from
actual symptoms or conditions,” (2) the impairment affected an important body function, i.e., a
body function that has great value, significance, or consequence to the person affected, and (3)
the impairment of the body function affected the person’s general ability to lead her normal life.
McCormick v Carrier, 487 Mich 180, 195-196, 199; 795 NW2d 517 (2010).

        In interpreting the first prong, “an objectively manifested impairment,” the Supreme
Court has held that an “ ‘objectively manifested’ impairment is commonly understood as one
observable or perceivable from actual symptoms or conditions.” McCormick, 487 Mich at 196.
The focus must be on “how injuries affected a particular body function.” Id. “[P]laintiffs must
‘introduce evidence establishing that there is a physical basis for their subjective complaints of
pain and suffering.’ ” Id. at 198 quoting DiFranco v Pickard, 427 Mich 32, 74; 398 NW2d 896
(1986). “[S]howing an impairment generally requires medical testimony.” Id. at 198.

        Plaintiff relies heavily on the fact that various medical examiners noted muscle spasms,
swelling or tenderness on his knee, and trigger points in various medical records. These are
conditions that have been recognized as satisfying the objective manifestation requirement.
Guerrero v Smith, 280 Mich App 647, 663-664; 761 NW2d 723 (2008) (finding that “[t]his
Court has observed that muscle spasms . . . may qualify as objective manifestations”).
Additionally, there was medical documentation from plaintiff’s treating physicians of how his
injuries affected particular body functions. A CT scan taken the day of the injury did show mild
disc bulges. His physical therapy notes from December 31, 2013 state that he was having
difficulty walking, had decreased range of motion, and had difficulty getting into his car. Similar
findings were documented by his physical therapist in notes dated January 15, 2014. Physical
therapy notes in March of 2014 noted that while his cervical range of motion was increasing it
was still limited, and plaintiff needed “a lot of cuing for correct performance of neck exercises.”
Plaintiff’s primary care physician also determined that he should be disabled from working for
nearly all of 2014. Even the medical examiner hired by State Farm, Zafar, concluded that the
accident could have caused whiplash resulting in mechanical strain and that plaintiff suffered a
temporary impairment as a result of the accident. This evidence leaves open a question of fact
on the first McCormick prong of whether plaintiff established an objectively manifested
impairment. See Abir Chouman v Home Owners Ins Co, 293 Mich App 434, 442-445; 810


1
  Even when an issue is not addressed by the trial court if the issue is raised before it then that
issue is properly preserved for appellate review. Loutts v Loutts, 298 Mich App 21, 23-24; 826
NW2d 152 (2012).



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NW2d 88 (2011) (finding that when the plaintiff’s physician found “muscle spasms, pain,
numbness, and restricted range of motion” and that when the plaintiff had a bulging disc that was
shown in medical imaging there was a genuine factual dispute on whether the plaintiff suffered
an objectively manifested impairment”).2

        The second McCormick prong of whether the objectively manifested impairment is of an
important body function is “an inherently subjective inquiry” because “[w]hether a body function
has great ‘value,’ ‘significance,’ or ‘consequence’ will vary depending on the person.”
McCormick, 487 Mich at 199. However, “the spine is an extremely important part of every
person’s body.” Abir Chouman, 293 Mich App at 444. Therefore, the disc bulges and evidence
of limited cervical mobility constitute impairments of an important body function. Additionally,
physical therapy records stating that plaintiff used to walk two miles a day prior to the accident
and his deposition testimony that his pre-accident lifestyle included taking out the dogs, taking
out the trash, and vacuuming show that his knee, a body function critical to all those activities,
was an important body function to him.

        With regards to the final prong on whether the impairment affected plaintiff’s ability to
lead his normal life, the inquiry is whether the impairment had “an influence on some of
[plaintiff’s] capacity to live in [his] normal manner of living.” McCormick, 487 Mich at 202.
The determination “requires a subjective, person- and fact-specific inquiry that must be decided
on a case-by-case basis.” Id. Plaintiff does not need to show that the impairment caused him to
completely cease a pre-accident lifestyle but simply that some of his ability to live in his normal
manner of living has been affected. Id. at 202-203.

         Plaintiff’s physical therapy records show that after the accident he was unable to walk his
usual two miles and that getting into his vehicle was more painful. The physical therapy notes
also state that due to the injuries, plaintiff avoids stairs and slippery or uneven surfaces and that
his pain increases if he sits for long periods of time. Plaintiff testified at his deposition that he
works in real estate. Being unable to sit for long periods of time would undoubtedly affect his
ability to function at his real estate work. His doctor disabled him from working for most all of
2014. There was sufficient evidence to create a genuine issue of material fact regarding whether
some of plaintiff’s ability to live in his normal manner of living before the accident was affected
as a result of injuries sustained in the December 2013 accident.




2
  In Abir Chouman, the defendant-insurer had appealed the trial court’s grant of a directed
verdict to plaintiff. This Court reversed because defendant presented testimony from its own
physician whose conclusions differed from those of plaintiff’s physician. However, this Court
recognized that the evidence plaintiff presented, along with that presented by defendant, created
a question of fact for the jury to resolve. 293 Mich App at 441-444.



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        Plaintiff presented sufficient evidence for a rational trier of fact to conclude that he
suffered a threshold injury, a serious impairment of an important body function, to assert a third
party tort claim against Visser.

       Reversed and remanded. We do not retain jurisdiction.



                                                            /s/ Jane M. Beckering
                                                            /s/ Jane E. Markey
                                                            /s/ Douglas B. Shapiro




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