                NOT RECOMMENDED FOR FULL-TEXT PUBLICATION
                           File Name: 09a0712n.06

                                           No. 08-2263                                   FILED
                                                                                     Nov 03, 2009
                          UNITED STATES COURT OF APPEALS                        LEONARD GREEN, Clerk
                               FOR THE SIXTH CIRCUIT


PAUL STIMPSON,                                    )
                                                  )
       Plaintiff-Appellant,                       )
                                                  )
v.                                                )   ON APPEAL FROM THE UNITED
                                                  )   STATES DISTRICT COURT FOR THE
UNITED PARCEL SERVICE,                            )   EASTERN DISTRICT OF MICHIGAN
                                                  )
       Defendant-Appellee.                        )
                                                  )
                                                  )


Before: MOORE, GIBBONS, and FRIEDMAN,* Circuit Judges.

       JULIA SMITH GIBBONS, Circuit Judge. Plaintiff Paul Stimpson appeals from the order

of the district court granting summary judgment to United Parcel Service (“UPS”) in his suit alleging

that UPS illegally terminated him for seeking to exercise his rights under the Family Medical Leave

Act (“FMLA” or the “Act”), 29 U.S.C. § 2601 et seq. Stimpson argues that the district court erred

by concluding that 1) Stimpson was not a qualified employee within the meaning of the FMLA and

2) Stimpson failed to provide proper notice to his employer before seeking leave. For the reasons

that follow, we affirm the judgment of the district court granting UPS summary judgment on the

alternative ground that Stimpson did not suffer a serious health condition within the meaning of the

Act and therefore was not entitled to FMLA leave.



       *
       The Honorable Daniel M. Friedman, Senior Circuit Judge of the United States Court of
Appeals for the Federal Circuit, sitting by designation.
No. 08-2263
Stimpson v. United Parcel Service



                                                 I.

       At approximately 3:40 p.m. on Saturday, April 29, 2006, a car struck Stimpson as he rode

his bicycle in Royal Oak, Michigan. The car’s bumper struck the front wheel of Stimpson’s bicycle,

causing the bicycle and Stimpson to fall onto the road. Police issued the offending motorist a

citation for following a pedestrian too closely. Stimpson, whom the police report indicates was

intoxicated at the time of collision, refused medical treatment. At 8:30 p.m. that same day, Stimpson

presented himself at the emergency room of William Beaumont-Royal Oak Hospital (“Beaumont”).

Stimpson complained of moderate pain in his mid- and lower back. The physicians at Beaumont

noted contusions on Stimpson’s back, legs, and right ankle. They prescribed Stimpson medication

for the pain and discharged him from the hospital at 10:35 p.m. Stimpson returned to Beaumont the

next day, complaining of mild back pain. The hospital report notes that Stimpson had failed to fill

the prescription doctors had given him the night before. Emergency room physicians once again

quickly discharged Stimpson after determining that he had no serious injuries.

       Stimpson was a part-time employee of UPS. Keith Washington, Stimpson’s supervisor,

stated that on Saturday evening, April 29, Stimpson called and left a message indicating that a car

had struck him while he was on his bicycle.1 According to Washington, Stimpson did not contact

Washington again nor provide him any additional information about his medical condition.



       1
        Stimpson asserts that the call to Washington instead took place on April 30. If
Washington’s timeline is correct, then Stimpson called Washington before he ever sought any
medical treatment.

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Stimpson v. United Parcel Service

Sometime between May 1 and May 4, Stimpson also spoke with Rick Patton, another UPS

supervisor. Stimpson asserts that he told Patton on May 1 that he had been struck by a car and would

not return to work until he recovered. Patton disputes this and alleges that it was he who called

Stimpson on May 4 to inquire why Stimpson had failed to report for work and, upon learning of the

reason, requested that Stimpson immediately submit verifying medical documentation. Both

Washington and Patton assert that between May 1 and May 12, 2006, Stimpson never called to give

prior notice that he would be unable to work for the day, as UPS’s internal procedures require.

       On May 5, 2006, UPS sent Stimpson a letter at his home address noting that he had failed

to provide any medical documentation to support his leave of absence, which had begun on May 1.

The letter informed Stimpson that he had seventy-two hours to provide supporting documentation

or UPS would terminate his employment. Stimpson submitted no documentation in response to the

May 5 letter; and on May 12, 2006, UPS terminated him. Stimpson later explained his failure to

respond by claiming that he was staying at a different address during the time after the collision than

the one he had given to UPS and that he consequently did not receive the letter until May 22.

       On May 23, 2006, Stimpson filed a grievance with Teamsters Local 243 alleging that UPS

had discharged him in violation of the labor agreement between UPS and the Teamsters. Stimpson

also submitted supporting documentation for his injuries at this time, including the two hospital

emergency room reports noting the contusions and mild to moderate pain. Stimpson additionally

submitted brief notes from physicians at Beaumont’s emergency room and Dr. Brent Herr of the

Physician Health Care Network stating that he should not return to work until May 20, 2006. The

Teamsters and UPS denied his claim. Stimpson later filed a complaint with the National Labor

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No. 08-2263
Stimpson v. United Parcel Service

Relations Board (“NLRB”) alleging that UPS had terminated him because of his union activities,

which the NLRB denied.

       Following the denial of his grievances, Stimpson filed a one-count complaint in the United

States District Court for the Eastern District of Michigan on September 5, 2007, alleging that UPS

had interfered with his effort to take leave under the FMLA. The district court sanctioned

Stimpson’s counsel for failing to file his response to UPS’s motion for summary judgment until the

night before the hearing. Nonetheless, the district court rescheduled the hearing and considered the

arguments raised by Stimpson’s counsel in full.

       In its order granting summary judgment to UPS on Stimpson’s claim, the district court found

that Stimpson was not an eligible employee within the meaning of the FMLA because he had not

worked the required minimum of 1,250 hours within the past twelve months. Stimpson v. UPS, No.

07-13869, 2008 U.S. Dist. LEXIS 59154, at *14 (E.D. Mich Aug. 5, 2008). The district court noted

that this case was novel because UPS previously had terminated Stimpson’s employment on

September 26, 1998. UPS reinstated Stimpson on September 26, 2005, after this court enforced the

NLRB’s order finding that UPS had terminated Stimpson unlawfully because of his union activities.

Id. at *11-12; see also UPS v. NLRB, Nos. 04-1049/1246, 2005 U.S. App. LEXIS 8982, at *20 (6th

Cir. May 18, 2005). Thus, Stimpson had only worked for seven months prior to his dismissal.

Because Stimpson’s 1998 termination was unlawful, the time he would have worked the prior five

months could be counted toward the 1,250-hour requirement. See Ricco v. Potter, 377 F.3d 599, 600

(6th Cir. 2004). However, the district court determined that even counting this time, Stimpson still

fell short of 1,250 hours. Stimpson, 2008 U.S. Dist. LEXIS 59154, at *14. As an alternative

                                                  4
No. 08-2263
Stimpson v. United Parcel Service

holding, the district court held that Stimpson had failed to give proper notice of his intent to seek

leave. Id. at *15-16. The district court finally noted that Stimpson’s medical records did not support

a finding that he had suffered a serious health condition. Id. at *16. Stimpson timely appealed the

district court’s grant of summary judgment.



                                                     II.

        Because the district court granted summary judgment in favor of UPS, we review the district

court’s decision de novo. Cavin v. Honda of Am. Mfg., 346 F.3d 713, 719 (6th Cir. 2003). Federal

Rule of Civil Procedure 56(c) instructs that summary judgment is appropriate “if the pleadings, the

discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as

to any material fact and that the movant is entitled to judgment as a matter of law.” “By its very

terms, this standard provides that the mere existence of some alleged factual dispute between the

parties will not defeat an otherwise properly supported motion for summary judgment . . . .”

Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986). Thus, “[t]he mere existence of a

scintilla of evidence in support of the plaintiff’s position will be insufficient” to require a trial, id. at

252; but we will be careful to draw “all justifiable inferences” in the nonmovant’s favor. Id. at 255.

        The FMLA states that “[i]t shall be unlawful for any employer to interfere with, restrain, or

deny the exercise of or the attempt to exercise, any right provided under this subchapter.” 29 U.S.C.

§ 2615(a)(1); see also 29 C.F.R. § 825.220(b) (noting that “[a]ny violations of the Act . . . constitute

interfering with . . . the exercise of rights provided by the Act.”). Stimpson alleges that UPS

interfered with his FMLA rights by refusing to recognize his May 1-12, 2006, absence as FMLA-

                                                     5
No. 08-2263
Stimpson v. United Parcel Service

qualifying leave. To succeed on such an interference claim, Stimpson must prove that “(1) he is an

‘eligible employee,’ 29 U.S.C. § 2611(2); (2) the defendant is an ‘employer,’ 29 U.S.C. § 2611(4);

(3) the employee was entitled to leave under the FMLA, 29 U.S.C. § 2612(a)(1); (4) the employee

gave the employer notice of his intention to take leave, 29 U.S.C. § 2612(e)(1); and (5) the employer

denied the employee FMLA benefits to which he was entitled.” Cavin, 346 F.3d at 719 (citation

omitted). UPS concedes only that it is an employer within the meaning of the statue and asserts that

Stimpson fails every other prong of the interference test. We address each prong of the test in turn.

                                                  A.

       Employers who violate the FMLA “shall be liable to any eligible employee affected” for

damages and “such equitable relief as may be appropriate.” 29 U.S.C. § 2617(a)(1)(A)-(B)

(emphasis added). The FMLA thus makes clear that only “eligible employees” may recover under

the statute. An eligible employee is one “who has been employed (i) for at least 12 months by the

employer with respect to whom leave is requested . . . and (ii) for at least 1,250 hours of service with

such employer during the previous 12-month period.” Id. § 2611(2)(A). Under the FMLA, courts

are to look at the Fair Labor Standards Act for guidance in determining the number of hours an

employee has worked. Staunch v. Cont’l Airlines, Inc., 511 F.3d 625, 629 (6th Cir. 2008). We

previously have determined that, under these principles, make-whole relief awarded because of a

wrongful termination “may include credit towards the hours-of-service requirement contained in the

FMLA’s definition of ‘eligible employee.’” Ricco, 377 F.3d at 600.




                                                   6
No. 08-2263
Stimpson v. United Parcel Service

        Both parties concede that Stimpson has a minimum of 1,156.62 hours of work credit.2 This

differs from the calculation of the district court, which determined that Stimpson only had 938.5225

hours of work credit. Stimpson, 2008 U.S. Dist. LEXIS 59154, at *13. For the purposes of this

opinion, we will accept the parties’ joint stipulation and begin by assuming that Stimpson is entitled

to a minimum of 1,156.62 hours of credited time. Stimpson argues that the district court erred by

failing to consider whether Stimpson was entitled to additional hours of work credit for the time he

would have worked had UPS not illegally terminated his employment. Pointing to the Amended

Compliance Specification the NLRB issued following our prior decision enforcing the NRLB’s

order, Stimpson notes the specification’s calculation that UPS should credit him with an additional

435.04 hours for time he would have worked on the package shuttle run to Detroit Metropolitan

Airport. The same specification also asserts that UPS should credit Stimpson with 41.9124

additional hours for time he would have worked on UPS’s Saturday/Air driving routes for a total of

476.9524 hours of additional work credit. UPS responds that the NLRB never formally adjudicated

Stimpson’s entitlement to additional hours of credit and that it would be inappropriate for the district

court to have considered these calculations.3


        2
          While both sides advanced competing sets of figures before the district court, they now agree
that at a minimum Stimpson had 454.49 hours of service from September 25, 2005, until April 29,
2006, and 702.13 hours from April 29 to September 26, 1998. (Pl. Br. at 6; Def. Br. at 40). UPS,
however, argues that the resulting total of 1,156.62 hours of service is all that Stimpson is entitled
to claim. (Def. Br. at 40.)
        3
        The panel has learned that Stimpson and UPS entered into a confidential settlement
concerning the backpay amounts owed as to the NLRB’s Amended Compliance Specification. The
settlement occurred on May 10, 2007, well before the district court’s August 5, 2008, opinion in this
case. Despite this, neither party informed the district court of the settlement. The proper course of

                                                   7
No. 08-2263
Stimpson v. United Parcel Service

        UPS’s argument fails because the very fact that the NLRB failed to adjudicate the issue

means that the district court could not ignore the dispute and grant summary judgment based upon

a finding of ineligibility. The Amended Compliance Specification cited by Stimpson at the very

least raises an issue of triable fact as to whether Stimpson reached the 1,250-hour threshold. Adding

the additional 476.9524 hours of time to the 1,156.62 hours both parties concede Stimpson earned

would easily render Stimpson qualified under the FMLA. UPS’s only response is the alleged

impropriety of a court’s consideration of the work hours issue before a final adjudicatory order of

the NLRB. But the FMLA contains no requirement that the NLRB first consider any contested

issues. We find that Stimpson has raised an issue of triable fact as to whether he was an eligible

employee and thus find that the district court erred by granting summary judgment on the basis of

ineligibility. We will therefore assume for the purposes of our analysis that Stimpson meets the

FMLA’s 1,250 hour eligibility requirement. Anderson, 477 U.S. at 255 (on summary judgment,

courts must draw “all justifiable inferences” in the non-moving party’s favor).

                                                   B.

        Having found that Stimpson has raised a genuine issue of material fact as to whether he was

an eligible employee, we must next consider whether Stimpson “gave the employer notice of his


action would have been for the parties to notify the district court that they had settled the compliance
issue with the NLRB via a confidential arrangement and were presenting the underlying legal issues
to the district court for its consideration. Because the parties failed to do this, the district court did
not have a correct understanding of the procedural posture of the NLRB dispute – making the
resulting confusion over the work credit hours issue understandable. We have not considered the
settlement agreement in deciding the present appeal, as it is not a part of the record considered by
the district court. Moreover, the settlement would not be dispositive of the issues before us because
the parties did not agree on the proper work-credit hours calculation.

                                                    8
No. 08-2263
Stimpson v. United Parcel Service

intention to take leave.” Cavin, 346 F.3d at 719. The pertinent regulations state that the notice

provided by the employee “shall provide sufficient information for an employer to reasonably

determine whether the FMLA may apply to the leave request.” 29 C.F.R. § 825.303(b). “[T]he

employee need not expressly assert rights under the FMLA or even mention the FMLA” in order to

provide his employer with proper notice. Id. Instead, the employee must merely “give[] the

employer enough information for the employer to reasonably conclude that [an FMLA-triggering

event] has occurred.” Hammon v. DHL Airways, Inc., 165 F.3d 441, 451 (6th Cir. 1999). This

notice should lead the employer to “inquire further of the employee if it is necessary to have more

information about whether FMLA leave is being sought by the employee, [sic] and obtain the

necessary details of the leave to be taken.” 29 C.F.R. § 825.302(c).

       Both parties presented evidence before the district court that within twenty-four hours of the

original incident, Stimpson phoned at least one of his supervisors, Keith Washington, and informed

him that Stimpson had been struck by a car. See 29 C.F.R. § 825.302(a) (noting that in an

unexpected situation “notice must be given as soon as practicable”). Stimpson’s affidavit further

asserts that he told another supervisor, Rick Patton, that he would not come into work until he

recovered from his injuries. Viewing these facts in the light most favorable to Stimpson, a

reasonable employer would inquire further upon learning that a car had struck an employee to

determine if FMLA leave was necessary. See 29 U.S.C. § 2601(b)(2) (noting that the purpose of the

FMLA is to allow employees to take time off for serious health conditions); Hammon, 165 F.3d at

451 (notice is sufficient when the employee “gives the employer enough information for the

employer to reasonably conclude that an [FMLA-qualifying event] has occurred”). Stimpson’s

                                                 9
No. 08-2263
Stimpson v. United Parcel Service

statements to his supervisors contained both notice that an unexpected medical condition had

occurred and a declaration that Stimpson would need time off from work to recover. See 29 C.F.R.

§ 825.302(c) (requiring that the employee’s notice both “make the employer aware that the employee

needs FMLA-qualifying leave” and notify him of the “anticipated timing and duration of the leave.”).

UPS responded to Stimpson’s phone call by seeking more information about Stimpson’s condition,

culminating in its May 5, 2006, formal request for additional information. This is exactly the course

of action the FMLA envisions. See id. (stating that employers should “inquire further to determine

if the leave is because of a serious health condition” after receiving notice). Although Stimpson

certainly could have provided more information to his supervisors, under the minimal requirements

of the statute, interpreting regulations, and our case law, we find that the district court erred in its

finding that Stimpson failed to provide proper notice.

                                                  C.

        Our analysis does not end with whether Stimpson’s notice was proper. Proper notice is

ultimately irrelevant if Stimpson cannot demonstrate that he sought leave for a legitimate reason

under the FMLA. See Cavin, 346 F.3d at 719. Stimpson argues that he meets this requirement

because he suffered from a “serious health condition” qualifying him for leave. UPS responds that

the documentation Stimpson provided did not arrive until well after the seventy-two hour notice

letter had expired and that the information did not support a finding that Stimpson suffered any

serious harm. Therefore, UPS reasons, its termination of Stimpson was proper.

        UPS sent its seventy-two hour letter on May 5, requiring Stimpson to produce information

supporting his leave request or face termination. Stimpson did not respond until May 22, seventeen

                                                  10
No. 08-2263
Stimpson v. United Parcel Service

days later. The regulations state that “[t]he employee must provide the requested certification to the

employer within 15 calendar days after the employer’s request, unless it is not practicable under the

particular circumstances to do so.” 29 C.F.R. § 825.305(b). While UPS argues that its labor

agreement with the Teamsters allows it to provide a shorter time period of seventy-two hours, the

FMLA expressly provides that no collective bargaining agreement, such as that UPS has with the

Teamsters Union, may diminish any protection granted by the FMLA. 29 U.S.C. § 2652(b). The

fifteen-day period expired on May 20, 2006, two days before Stimpson submitted his medical

information.4 However, UPS terminated Stimpson on May 12, 2006, well before the expiration of

the fifteen-day period. Stimpson missed the deadline, but UPS had first terminated him under a

mistaken understanding of the applicable deadline.

       We need not consider the implications of UPS’s dismissal of Stimpson before the fifteen-day

period had expired or what effect the termination may have had upon Stimpson’s duty to submit

timely his medical information. Even deeming all of the medical evidence in the record as timely

proffered, Stimpson cannot show he suffered from a serious health condition within the meaning of

the Act. Stimpson argues that he had a serious health condition as a result of his collision with the

car while on his bicycle. The FMLA defines a “serious health condition” as “an illness, injury,

impairment, or physical or mental condition that involves . . . inpatient care in a hospital, hospice,




       4
        Because Stimpson did not timely present any medical evidence to the employer, UPS was
under no obligation to advise him of the inadequacy of his submission, contrary to the dissent’s
suggestion.

                                                 11
No. 08-2263
Stimpson v. United Parcel Service

or residential medical care facility; or. . . continuing treatment by a health care provider.” 29 U.S.C.

§ 2611(11). The regulations define “continuing treatment” as a

        period of incapacity . . . of more than three consecutive calendar days . . . that also
        involves . . . [t]reatment two or more times by a health care provider . . . or . . .
        [t]reatment by a health care provider on at least one occasion which results in a
        regimen of continuing treatment under the supervision of the health care provider.

29 C.F.R. § 825.114(a)(1)-(2) (2003).5 For example, an outpatient procedure with a follow-up

appointment is not a “regimen of continuing treatment.” See Morris v. Family Dollar Stores of

Ohio, Inc., No. 07-3417, 2009 U.S. App. LEXIS 6852, at *17-18 (6th Cir. Mar. 31, 2009).

        Here, the medical records indicate that Stimpson suffered only contusions and mild to

moderate back pain. The latter continued because Stimpson declined to fill the prescription the

emergency room physician provided to him. While Stimpson has produced three separate notes from

physicians stating that he could not return to work, the most detailed notation given on the forms is

that Stimpson cannot work “for medical reasons.” These notes fall far short of the requirement that

any doctor’s certification must contain at a minimum “(1) the date on which the serious health

condition began, (2) the probable duration of the condition, (3) the appropriate medical facts within

the health care provider’s knowledge, and (4) a statement that the employee is unable to perform

[his] job duties” in order to be valid. Novak v. MetroHeatlh Med. Ctr., 503 F.3d 572, 578 (6th Cir.

2007) (citing Brenneman v. Medcentral Health Sys., 366 F.3d 412, 422 (6th Cir. 2004)); see also 29



        5
         The Department of Labor has promulgated new regulations interpreting the phrase “serious
health condition.” See The Family and Medical Leave Act of 1993, 73 Fed. Reg. 67934, 68079
(Nov. 17, 2008). However, those regulations only took effect on January 16, 2009, id. at 67934; and
neither Stimpson nor UPS argue that the regulations should apply retroactively.

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No. 08-2263
Stimpson v. United Parcel Service

U.S.C. § 2613(b). Stimpson also has not provided any other medical evidence to counter the

emergency treating physician’s final diagnosis of bruises and mild back pain.6 Importantly, none of

the medical information Stimpson has provided suggests that his back pain significantly limited his

movement or lifting ability, particularly when treated with the prescription Stimpson refused to take.

Because Stimpson cannot demonstrate that he suffered from a serious health condition, he is not

eligible for FMLA leave. See Beaver v. RGIS Inventory Specialists, Inc., 144 F. App’x 452, 456 (6th

Cir. 2005) (collecting cases where short-term conditions were held not to be serious health

conditions); S. Rep. No. 103-3, at 28 (1993), as reprinted in 1993 U.S.C.C.A.N. 3, 30 (“Conditions

or medical procedures that would not normally be covered by the legislation include minor illnesses

which last only a few days and surgical procedures which typically do not involve hospitalization

and require only a brief recovery period.”); cf. Morris, 2009 U.S. App. LEXIS 6852, at *18 (holding

that “an outpatient needle biopsy with one follow up visit” is not a serious medical condition).7 We

therefore affirm the judgment of the district court granting summary judgment to UPS on this

alternative basis. See Dismas Charities, Inc. v. U.S. Dep’t of Justice, 401 F.3d 666, 677 (6th Cir.

2005) (an appellate court may affirm on any ground supported by the record).



       6
        Merriam-Webster’s Ninth New Collegiate Dictionary defines a contusion as “injury to tissue
usu[ally] without laceration: bruise.”
       7
         In advocating its position that Stimpson produced sufficient evidence of a serious health
condition, the dissent extensively quotes a medical textbook for attorneys (of which it apparently
takes judicial notice) and concludes by noting that an acute lumbar strain “can be” a serious health
condition. The question here, however, is not whether a condition hypothetically can amount to a
serious health condition, but whether Stimpson has produced sufficient evidence to create a genuine
issue of fact as to the serious nature of his own health condition.

                                                 13
No. 08-2263
Stimpson v. United Parcel Service

                                              III.

       For the foregoing reasons, we affirm the judgment of the district court granting summary

judgment as to Stimpson’s FMLA claim on the basis that Stimpson did not suffer a “serious health

condition” within the meaning of the Act.




                                              14
No. 08-2263
Stimpson v. United Parcel Service

       KAREN NELSON MOORE, Circuit Judge, dissenting. I agree with the majority’s

conclusions that there are genuine issues of material fact as to whether Stimpson is an eligible

employee and whether he provided proper notice to UPS before taking leave. However, I disagree

with its decision to affirm the district court’s grant of summary judgment to UPS on the alternative

ground that Stimpson cannot show that he suffered a “serious health condition” within the meaning

of the FMLA. Accordingly, I dissent.

       The FMLA’s definition of “serious health condition” includes an “injury . . . that involves

. . . continuing treatment by a health care provider.” 29 U.S.C. § 2611(11)(B). In relevant part, the

regulations define “continuing treatment” as:

       (i) A period of incapacity (i.e., inability to work, attend school or perform other
           regular daily activities due to the serious health condition, treatment therefor, or
           recovery therefrom) of more than three consecutive calendar days, and any
           subsequent treatment or period of incapacity relating to the same condition, that
           also involves:

            (A) Treatment two or more times by a health care provider, by a nurse or
                physician's assistant under direct supervision of a health care
                provider, or by a provider of health care services (e.g., physical
                therapist) under orders of, or on referral by, a health care provider; or

            (B) Treatment by a health care provider on at least one occasion which
                results in a regimen of continuing treatment under the supervision of
                the health care provider.

29 C.F.R. § 825.114(a)(2)(i) (2003) (amended 2009).

       Thus, Stimpson can avoid summary judgment if he presents sufficient evidence that (1) for

more than three consecutive days he was unable to work, and (2) he was treated by a health care

professional at least twice during that period. It is undisputed that Stimpson satisfies the latter


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No. 08-2263
Stimpson v. United Parcel Service

element. He was treated by emergency room physicians at Beaumont on back-to-back days, April

29 and April 30, 2006, and evidently later by Dr. Brent Herr (“Dr. Herr”) for the same condition.8

       For two reasons, Stimpson can satisfy the inability-to-work element, as well. First, the

medical records provided by Stimpson reveal not only that he suffered “contusions and mild to

moderate back pain,” Maj. Op. at 11, but also that he was diagnosed by the attending emergency

physician at Beaumont on April 30 with an “acute myofascial strain” of the thoracic and lumbar (i.e.,

lower back) regions. Record on Appeal (“ROA”) at 101. Acute lumbar strains are most frequently

caused by traumas, such as “injudicious lifting, falls, motor vehicle accidents or athletic injuries.”

5-15A CHERISE DYAL & LAURA BRASSEUR, ATTORNEYS’ TEXTBOOK OF MEDICINE ¶ 15A.40 (3d ed.

2009). Although the pain is generally greatest immediately after the injury, “the onset of pain may

be delayed for several hours, or marked pain and stiffness may not occur until the following day,

upon awakening.” Id. ¶ 15A.43. Symptoms vary depending on the severity of the strain, but

“[t]ypically, the patient with a low back strain moves with care, particularly when sitting down or

standing up.” Id. Treatment “includes patient reassurance, brief bed rest during the acute phase of

low back pain, a firm mattress with a bed board, and the judicious use of analgesics or nonsteroidal

anti-inflammatory drugs (NSAIDs).” Id. ¶ 15A.46. Additionally, “the patient should be instructed

to avoid activities that intensify back pain.” Id. The recovery period depends upon the severity of


       8
        The majority cites Morris v. Family Dollar Stores of Ohio, Inc., 320 F. App’x 330 (6th Cir.
2009) (unpublished opinion), which held that an outpatient needle-biopsy procedure with one follow-
up appointment was “not a ‘regimen of continuing treatment.’” Id. at 337 (quoting 29 C.F.R.
§ 825.114(a)(2)(i)(B) (2003) (amended 2009)). However, that case is inapposite. Stimpson need
not show a “regimen of continuing treatment,” 29 C.F.R. § 825.114(a)(2)(i)(B), because he is able
to show “[t]reatment two or more times by a health care provider,” id. § 825.114(a)(2)(i)(A).

                                                 16
No. 08-2263
Stimpson v. United Parcel Service

the strain. Although “[t]he acute back strain patient generally experiences gradual improvement over

a period lasting approximately two weeks,” patients with severe strains may not recover for up to

three weeks. Id. ¶ 15A.47. Finally, there is a “significant likelihood of recurrence,” and “[w]hile

the first episode of back pain is usually the briefest and least severe, the vast majority of such

patients are at risk of developing another episode of back pain that will be more severe and longer

lasting.” Id. Clearly, an acute lumbar strain can be a “serious health condition that makes the

employee unable to perform the functions of [his] position.” 29 U.S.C. § 2612(a)(1)(D).

       Second, Stimpson provided UPS with three doctors’ notes—one from an emergency room

physician and two from Dr. Herr—indicating that he would be unable to attend work from April 30

to May 19, 2006, a period of twenty consecutive days. These notes are on their face evidence of

incapacity. They also suggest that Stimpson’s diagnosed acute myofascial strain was the type that

causes serious difficulties, not some milder variety. His injury was so substantial that it kept him

out of work for nearly three weeks. This is “sufficient evidence to create a genuine issue of fact as

to the serious nature of his own health condition.” Maj. Op. at 13 n.8.

       The majority suggests that the notes do not meet the specific requirements for medical

certification of 29 U.S.C. § 2613(b). Maj. Op. at 11-12. However, even if Stimpson were required

to provide medical certification under § 2613, UPS did not satisfy its duty to inform Stimpson that

his certification was deficient and give him a reasonable opportunity to cure the asserted deficiency.

The pertinent regulations state that “[a]n employer must give notice of a requirement for medical

certification each time a certification is required.” 29 C.F.R. § 825.305(a) (2003) (amended 2009).

The regulations further provide that “[t]he employer shall advise an employee whenever the

                                                 17
No. 08-2263
Stimpson v. United Parcel Service

employer finds a certification incomplete, and provide the employee a reasonable opportunity to cure

any such deficiency.” Id. § 825.305(d); see also Novak v. MetroHealth Med. Ctr., 503 F.3d 572, 579

(6th Cir. 2007). Even assuming that UPS’s May 5, 2006 letter to Stimpson requesting “necessary

medical documentation to support your absence” gave Stimpson sufficient notice that UPS required

medical certification, the record clearly shows that UPS neither advised Stimpson that it found his

certification incomplete nor gave him an opportunity to cure the deficiency. ROA at 103.

Accordingly, UPS cannot now complain that the certification was deficient.9

       In sum, given Stimpson’s diagnosis of an acute lumbar strain and the three separate doctors’

notes stating that he could not return to work until May 20, 2006, I believe that Stimpson has

introduced sufficient evidence of a “period of incapacity . . . of more than three consecutive calendar

days” due to his injury. 29 C.F.R. § 825.114(a)(2)(i). Accordingly, Stimpson has established a

genuine issue of material fact as to whether he received “continuing treatment” for his injury and

therefore whether he suffered from a “serious health condition.” Id. § 825.114(a)(2)(i)(A); 29 U.S.C.

§ 2611(11)(B). Summary judgment is inappropriate. I respectfully dissent from the majority’s

contrary view.



       9
         The majority asserts that UPS had no obligation to notify Stimpson that his certification was
inadequate “[b]ecause Stimpson did not timely present any medical evidence” of his condition. Maj.
Op. 10 n.5. An employee must provide certification within fifteen days of the employer’s request
unless he cannot do so practicably under the circumstances. 29 C.F.R. § 825.305(b). UPS requested
certification on May 5, making Stimpson’s deadline May 20. As the majority notes, the company
terminated Stimpson on May 12, closing his window to respond eight days early in contravention
of the regulation. Maj. Op. at 10. Stimpson submitted his doctors’ notes on May 22, admittedly two
days late. The majority’s approach, however, would allow UPS to benefit from the fifteen-day
requirement despite violating it—a windfall we should hesitate to permit the moving party.

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