                    United States Court of Appeals
                          FOR THE EIGHTH CIRCUIT
                                   ___________

                                   No. 05-2682
                                   ___________

Mindy Bloom,                            *
                                        *
            Appellant,                  *
                                        * Appeal from the United States
      v.                                * District Court for the Eastern
                                        * District of Missouri.
Metro Heart Group of                    *
St. Louis, Inc.,                        *
                                        *
            Appellee.              ___________

                             Submitted: December 14, 2005
                                Filed: March 16, 2006
                                 ___________

Before MELLOY, COLLOTON, and BENTON, Circuit Judges.
                          ___________

BENTON, Circuit Judge.

      Mindy Leigh Bloom sued her former employer, Metro Heart Group of St.
Louis, Inc., claiming retaliatory discharge for exercising rights under the Missouri
Workers' Compensation Act, as well as violations of the Family and Medical Leave
Act (FMLA). The district court1 granted summary judgment to Metro. Bloom
appeals. Jurisdiction being proper under 28 U.S.C. § 1291, this court affirms.




      1
        The Honorable Henry E. Autrey, United States District Judge for the Eastern
District of Missouri.
                                          I.

       In 1999, Bloom was diagnosed with carpal tunnel syndrome. In March 2000,
Metro hired her as an ultrasound sonographer, requiring her to grip an ultrasound
machine for 95 percent of the work day. Within three months, the carpal tunnel
symptoms recurred, and Bloom sought treatment for tingling and numbness in her
hands. Her physician said the symptoms were work-related, but at that time placed
no restrictions on her ability to function.

       In March 2002, Bloom reported to Metro that she was experiencing pain.
Metro filed a Report of Injury with the Division of Workers' Compensation. On
March 21, 2002, Bloom filed a workers' compensation claim against Metro. Metro
then sent her to its doctor who also diagnosed carpal tunnel syndrome. This doctor
cautioned Bloom about "gripping" and put limitations on her ability to work, pending
further tests and "possible surgery." The doctor then reported to Metro that "it is
suggested" that Bloom limit her activity to "light gripping only" and "no gripping with
either hand for greater than 15 minutes" per patient. Bloom testified that for the
majority of patients, she had to grip the machine for more than 15 minutes. These
restrictions significantly limited Bloom's ability to operate the ultrasound machine.

       Before the doctor's report arrived, Bloom informed Metro about the
suggestions. Metro placed Bloom on FMLA leave until she had medical clearance to
return to work. Metro sent Bloom an FMLA form stating she was on leave due to "a
serious health condition that makes you unable to perform the essential functions of
your job." The form required a "fitness-for-duty certificate" before she could return
to work. The form also informed Bloom that her leave counted against her annual
FMLA entitlement but that she could substitute paid leave for unpaid FMLA leave.




                                         -2-
      Bloom was absent from work from May 2, 2002 to July 30, 2002, the date when
Metro discharged her. The district court ruled that Bloom used her full 12 weeks of
FMLA leave, and, because her physical condition and inability to do her job had not
changed, Metro could discharge her.

                                         II.

       This Court reviews a grant of summary judgment de novo. Laughlin v.
Schriro, 430 F.3d 927, 928 (8th Cir. 2005). Summary judgment is proper if there are
no genuine issues of material fact and the moving party is entitled to judgment as a
matter of law. See Fed. R. Civ. P. 56(c); Aviation Charter, Inc. v. Aviation Research
Group/U.S., 416 F.3d 864, 868 (8th Cir. 2005); Dulany v. Carnahan, 132 F.3d 1234,
1237 (8th Cir. 1997). This Court examines the record in the light most favorable to
the nonmoving party. Cremona v. R.S. Bacon Veneer Co., 433 F.3d 617, 619 (8th
Cir. 2006).

                                        A.

      In Missouri, no employer shall discharge an employee for exercising any rights
under the Workers' Compensation Act. See Mo. Rev. Stat. § 287.780. However, the
Act was enacted into law against the backdrop of the "at will" doctrine. See Crabtree
v. Bugby, 967 S.W.2d 66, 70 (Mo. banc 1998). "Absent a contrary statutory
provision, an at will employee cannot maintain an action for wrongful discharge
against his employer." Dake v. Tuell, 687 S.W.2d 191, 193 (Mo. banc 1985). "In the
absence of a contract for employment for a definite term or a contrary statutory
provision, an employer may discharge an employee at any time, without cause or
reason, or for any reason, and in such cases no action can be obtained for wrongful
discharge.'" Amaan v. City of Eureka, 615 S.W.2d 414, 415 (Mo. banc 1981). The
Workers' Compensation Act did not abolish the at will doctrine, but rather "provided
a limited exception which allows an action where there was an exclusive causal

                                         -3-
relationship between the discharge and the employee's exercise of rights granted under
chapter 287 RSMo 1978." Crabtree, 967 S.W.2d at 70. "If the evidence demonstrates
that the employer had just cause for terminating the employment, other than for the
employee's exercise of her rights under the Act, then the employee cannot recover
under section 287.780." St. Lawrence v. Trans World Airlines, Inc., 8 S.W.3d 143,
150 (Mo. App. 1999).

       To establish a claim for retaliatory discharge, Bloom must prove: (1) she was
employed by Metro before the injury; (2) she filed a workers' compensation claim; (3)
Metro discharged her; and (4) there is an exclusive causal relationship between her
filing and her discharge. See Crabtree, 967 S.W.2d at 70; Hansome v. Nw.
Cooperage Co., 679 S.W.2d 273, 275 (Mo. banc 1984). "Causality does not exist if
the basis for discharge is valid and nonpretextual." Hansome, 679 S.W.2d at 275 n.2.
The only element in dispute is whether there is an exclusive causal relationship
between Bloom's filing of the claim and Metro's discharge of her.

       The district court found that Metro's discharge of Bloom was "legitimate in that
it recognized plaintiff had a condition which would be affected by her employment
with defendant." Because Bloom's job at Metro required her to grip for extended
periods of time, the district court concluded that she "could not perform the essential
functions of her job."

      Bloom believes that Metro intended from May 2 – the date its doctor mentioned
"surgery" – to discharge her for filing a workers' compensation claim. She outlines
19 paragraphs, which mix factual disputes with conclusory allegations and
speculation. Bloom's speculation and conjecture are insufficient to defeat summary
judgment. See Moody v. St. Charles County, 23 F.3d 1410, 1412 (8th Cir. 1994).
Moreover, "the mere existence of some alleged factual dispute between the parties will
not defeat an otherwise properly supported motion for summary judgment; the
requirement is that there be no genuine issue of material fact." Anderson v. Liberty

                                         -4-
Lobby, Inc., 477 U.S. 242, 247-48 (1985) (emphasis in original). Bloom must
demonstrate a genuine issue of material fact, that is a dispute that might "affect the
outcome of the suit under the governing law," so that "a reasonable jury could return
a verdict for the nonmoving party," Bloom. See id. at 248.

       Even if the 19 paragraphs are interpreted favorably to Bloom, Metro
consistently followed the doctor's restrictions, which prevented her from performing
the essential functions of her job. "A plaintiff's inability to do the job would seem to
be fatal to any claim that the exercise of a workers' compensation right was the sole
reason for the discharge." 37 William C. Martucci, Missouri Practice § 12.22, at
435 (2005) (summarizing cases). This proposition is clearly the law in Missouri. See
Hansome, 679 S.W.2d at 275 n.2, approving three cases: Mitchell v. St. Louis
County, 575 S.W.2d 813, 815-16 (Mo. App. 1978) (employer may fire employee for
excessive absenteeism, even if absenteeism is caused by compensable injury);
Rodriguez v. Civil Serv. Comm'n, 582 S.W.2d 354, 355 (Mo. App. 1979) (the
Compensation Act does not guarantee an employee who is unwilling or unable to
work will be able to return to old job); and Davis v. Richmond Special Road Dist.,
649 S.W.2d 252, 255-56 (Mo. App. 1983) (approving directed verdict where, after
suffering compensable injury, employee returned to work on a trial basis, but was
fired for being unable to perform job). See generally Crabtree, 967 S.W.2d at 72
("The purpose of the workers' compensation law, including the rule of liberal
construction, is to compensate workers for job-related injuries; it is not to insure job
security.").

        Bloom objects that Metro did not follow the most relevant medical opinion
because it ignored the "Discussion" in a report by another physician (Dr. Henry G.
Ollinger) it paid to examine Bloom. Concluding his four-page report, Dr. Ollinger
states:




                                          -5-
      Whatever direction or energies her previous treating physicians think
      best for her, it should be carried on by them in her behalf.

      If she were working, I would not be able to determine any medical basis
      to restrict work activities as a sonographer/electrocardiographer/
      ultrasound technician.

      Bloom believes that this means that the original medical restrictions were lifted
and she could work, so that Metro's cause is pretextual. The quoted Discussion is too
vague to rescind the original restrictions and too conditional to contradict Metro's
doctor.

       Because Metro had a valid, non-pretextual reason to discharge her, Bloom
cannot prove that the workers' compensation claim was the exclusive cause of her
termination. No genuine issues of material fact exist as to the workers' compensation
claim, and Metro is entitled to judgment as a matter of law.

                                          B.

      Upon return from FMLA leave, an employee is entitled to be restored to the
same position held prior to the beginning of the leave, or its equivalent, in terms of
benefits, pay and other terms and conditions. 29 U.S.C. § 2614(a)(1). "However, an
employee is not entitled to restoration if, at the end of the FMLA leave period, the
employee is still unable to perform an essential function of the job." Hatchett v.
Philander Smith Coll., 251 F.3d 670, 677 (8th Cir. 2001), citing 29 C.F.R. §
825.214(b); see also Reynolds v. Phillips & Temro Indus., Inc., 195 F.3d 411, 414
(8th Cir. 1999).

       Although Bloom has continually maintained that she was able to perform the
essential functions of her job, the record refutes this. Dr. Tucker restricted her to
"light gripping," and no gripping for more than 15 minutes per patient. Because


                                         -6-
gripping is required to operate the ultrasound machine, Bloom's restrictions prevented
her from performing this essential function. Bloom emphasizes that she has always
believed she was able to work. The district court countered, "To do so, however,
plaintiff would have to ignore Dr. Tucker's restrictions." See Duty v. Norton-Alcoa
Proppants, 293 F.3d 481, 495 (8th Cir. 2002) (medical release qualifies employee for
job restoration under FMLA).

      When Bloom's condition did not change during her FMLA leave, Metro was not
required to reinstate her. "As long as an employer can show a lawful reason, i.e., a
reason unrelated to an employee's exercise of FMLA rights, for not restoring an
employee on FMLA leave to her position, the employer will be justified to interfere
with an employee's FMLA leave rights." Throneberry v. McGehee Desha County
Hosp., 403 F.3d 972, 979 (8th. Cir. 2005).

       Bloom also contends that Metro's requirement for a fitness-for-duty certificate
violates the FMLA. An employer may require medical certification demonstrating
fitness-for-duty, as long as this policy or practice is uniformly applied to all similarly-
situated employees who take leave for serious health conditions. See 29 U.S.C. §
2614(a)(4); 29 C.F.R. § 825.310(a). Shortly after beginning FMLA leave, Bloom
received the FMLA form stating that she was required:

      "to present a fitness-for-duty certificate prior to being restored to
      employment. If such certification is required but not received, your
      return to work may be delayed until certification is provided."

       Bloom never returned such a certificate (or any equivalent statement).
Although she presented a certificate to two of her physicians, neither completed and
returned the form. Bloom emphasizes the Discussion in Dr. Ollinger's report (quoted
above), which she argues is equivalent to a fitness-for-duty certificate. As noted, it
is too vague and conditional to constitute a statement that Bloom was fit-for-duty.


                                           -7-
       In a different attack, Bloom claims that Metro's certificate policy is not
"uniformly applied" because it treats similarly-situated employees differently. The
parties agree that Metro uniformly required all employees on FMLA leave to provide
a medical certificate before returning to work. However, Metro does not require a
certificate from employees on non-FMLA leave.

      Bloom ignores the clear language of the FMLA:

      As a condition of restoration under paragraph (1) for an employee who
      has taken leave under section 2612(a)(1)(D) of this title [FMLA leave],
      the employer may have a uniformly applied practice or policy that
      requires each such employee to receive certification from the health care
      provider of the employee that the employee is able to resume work....

29 U.S.C. 2614(a)(4) (emphasis added).

    The "employee" who must receive certification is an employee who has taken
FMLA leave. Thus, Bloom need only be treated similarly to other employees on
FMLA leave at Metro. See 29 C.F.R. § 825.310(a). Metro's practice and policy on
FMLA fitness-for-duty certificates comply with federal law.

      Finally, Bloom claims that her FMLA leave did not start until May 16, the day
she began paid leave, so that Metro did not provide the 12 weeks required by 28
U.S.C. 2612(a)(1)(D). Metro's policy is that FMLA leave is generally unpaid. Metro
did not require Bloom first to exhaust paid leave. See 29 U.S.C. § 2612(d)(2)(A).
When her paid leave began is irrelevant. Her FMLA leave began on May 2, the date
she qualified for a serious health condition, making her unable to perform the
functions of her position. See id. § 2612(a)(1)(D).

       Alternatively, Bloom claims that her FMLA leave began July 1, the day her
paid leave ended. To the contrary, Bloom's leave began the day she qualified for a

                                         -8-
serious health condition. See id. Although Bloom elected to substitute unpaid FMLA
leave for paid leave, this substitution does not entitle her to additional leave. See 29
U.S.C. § 2612(d)(2)(A). "Paid vacation or personal leave, including leave earned or
accrued under plans allowing 'paid time off,' may be substituted, at either the
employee's or the employer's option, for any qualified FMLA leave." 29 C.F.R. §
825.207(e).

      The district court properly granted summary judgment to Metro because Bloom
could not perform the essential functions of her job after the FMLA leave.2 "The
FMLA does not require an employer to allow an employee to stay in a position that
the employee cannot perform." Hatchett, 251 F.3d at 677.

                                          III.

      The judgment of the district court is affirmed.
                     ______________________________




      2
        In her brief, Bloom asks in passing that if this court affirms summary judgment
on the FMLA claim, it remand the workers' compensation claim to state court, citing
28 U.S.C. § 1445(c). Bloom waived this argument when she did not timely move for
remand in the district court, on this ground. See Phillips v. Ford Motor Co., 83 F.3d
235, 236 n.3, 237 n.5 (8th Cir. 1996), following Williams v. AC Spark Plugs, 985
F.2d 783, 786 (5th Cir. 1993). Because the district court had federal question
jurisdiction of the FMLA claim, it properly exercised supplemental jurisdiction over
the workers' compensation claim. See Alternative Fuels, Inc. v. Cabanas, 435 F.3d
855, 857 n.2 (8th Cir. 2006). See generally Grubbs v. Gen. Elec. Credit Corp., 405
U.S. 699, 702 (1971) (where after removal a case is tried on the merits without
objection and the federal court enters judgment, the issue in subsequent proceedings
on appeal is not whether the case was properly removed, but whether the federal
district court would have had original jurisdiction of the case had it been filed in that
court).

                                          -9-
