Patrick-Joseph Groulx v. Rashid Iqbal ( 2024 )

If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
revision until final publication in the Michigan Appeals Reports.
STATE OF MICHIGAN
COURT OF APPEALS
PATRICK-JOSEPH GROULX, UNPUBLISHED
November 18, 2024
Plaintiff-Appellant, 10:26 AM
and
PEOPLE OF THE STATE OF MICHIGAN,
Plaintiff,
v No. 366784
Bay Circuit Court
RASHID IQBAL, LC No. 2022-003668-CZ
Defendant-Appellee.
PATRICK-JOSEPH GROULX,
Plaintiff-Appellant,
and
PEOPLE OF THE STATE OF MICHIGAN,
Plaintiff,
v No. 367588
Bay Circuit Court
MCLAREN, LC No. 2022-003667-CZ
Defendant-Appellee.
PATRICK-JOSEPH GROULX,
Plaintiff-Appellant,
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and
PEOPLE OF THE STATE OF MICHIGAN,
Plaintiff,
v No. 367591
Bay Circuit Court
ADAM D. NICHOLAS, LC No. 2022-003664-CZ
Defendant-Appellee.
PATRICK-JOSEPH GROULX,
Plaintiff-Appellant,
and
PEOPLE OF THE STATE OF MICHIGAN,
Plaintiff,
v No. 367592
Bay Circuit Court
CHRISTINE GRANSDEN, LC No. 2022-003665-CZ
Defendant-Appellee.
PATRICK-JOSEPH GROULX,
Plaintiff-Appellant,
and
PEOPLE OF THE STATE OF MICHIGAN,
Plaintiff,
v No. 367593
Bay Circuit Court
RYAN COX, LC No. 2022-003669-CZ
Defendant-Appellee.
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Before: RICK, P.J., and MURRAY and MALDONADO, JJ.
PER CURIAM.
In these five consolidated appeals, plaintiff appeals as of right orders granting summary
disposition in favor of each defendant. In Docket No. 367588, we reverse summary disposition in
favor of defendant McLaren as to plaintiff’s claims for eavesdropping and failing to provide a
clean environment. In all other respects, we affirm.
I. FACTUAL BACKGROUND
According to plaintiff, a nonparty was spraying herbicide on a field next to his home, and
plaintiff was directly sprayed by some of the herbicide. He suffered physical health problems as
a result, and sought medical treatment for those ailments. At the suggestion of his treating
physician, plaintiff explored psychiatric help to manage his pain and other issues. Pursuant to that
suggestion, he went to an outpatient medical facility, where he was seen by defendants, nurse
practitioner Christine Gransden and Dr. Ryan Cox. According to medical notes from the visit,
plaintiff was referred there for a psychiatric evaluation for paranoia. Dr. Cox believed plaintiff
was not in any apparent physical distress, but he appeared “paranoid and delusional,” with
“persecutory” thought processes and with poor concentration, impulse control, insight, and
judgment.
Plaintiff was admitted to McLaren’s inpatient behavioral health unit. Plaintiff contends
that he agreed to admit himself there because Gransden and Dr. Cox threatened to have him
involuntarily committed if he did not. Plaintiff promptly demanded to leave, but his request was
refused. As to McLaren, plaintiff also alleges he was assigned to a room that lacked hot water and
was infested with biting insects. While at McLaren, plaintiff was seen by Dr. Rashid Iqbal and
Dr. Adam Nicholas. Dr. Nicholas kept extensive notes, which reflected that plaintiff was severely
malnourished when he was admitted. Dr. Nicholas noted that plaintiff’s thinking appeared to be
anxious, paranoid, delusional, tangential, disorganized, and unreliable. Plaintiff was
uncooperative about taking his medication, initially claiming that he was taking it and later
admitting to spitting it out. Relevant to his eavesdropping claim, plaintiff averred that on an
unspecified date, he told his ex-wife over the telephone that he expected to be kept for another 45
days, and, the next day, Dr. Nicholas asked who told him that he would be kept for another 45
days. Dr. Nicholas initiated involuntary commitment proceedings, and plaintiff eventually
submitted to injections with an antipsychotic medication to secure his release. Dr. Nicholas’s notes
reflect that plaintiff tolerated the medication well, but plaintiff contends that he suffered serious
side effects lasting a year.
A couple of months after his release, plaintiff was involuntarily readmitted to a different
hospital for a few days. He appeared for a hearing before the Saginaw Probate Court, which
concluded that it did not find clear and convincing evidence that plaintiff required treatment.
However, the court did recommend that plaintiff “stay in touch with medical professionals . . . . ”
Plaintiff received a bill for services from Dr. Iqbal, which he contends is illegal. Plaintiff
demanded that defendants destroy his behavioral file, and defendants refused. Several months
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later, an unidentified caller from “[redacted] Behavioral Health” asked the Saginaw County
Sheriff’s Office to perform a wellness check on plaintiff, noting that he had just dropped off letters
“ranting about lawsuits and other things that didn’t make sense,” (capitalization omitted), so they
“wanted Groulx checked on” due to concerns that he was not taking his medication.
Plaintiff filed his complaints in this case on November 10, 2022. His approach to litigation
was haphazard. Plaintiff presented an array of similar claims against the various defendants in
separate cases instead of a single case, and made efforts to hold some defendants in default despite
his failure to serve them properly. He also attempted to unilaterally impose contractual
“conditions” on defendants in his complaints and made essentially baseless claims that defendants
were acting in bad faith. Beyond that, plaintiff demanded large sums of money damages.
Defendants moved for summary disposition, largely arguing that plaintiff’s claims were all
premised on the contention that defendants misdiagnosed him, which constituted medical
malpractice regardless of how plaintiff presented those claims. In relevant part, defendants
additionally pointed out that plaintiff had not sent notices of intent, as required by
MCL 600.2912b. Plaintiff contended that he had sent such notices contemporaneously with the
filing of his complaint. The trial court, after fielding various objections filed by plaintiff, agreed
that his claims sounded in medical malpractice and that the applicable statute of limitations had
expired. The court dismissed plaintiff’s claims with prejudice. This appeal followed.
II. ANALYSIS
A. A NOTE ON PLAINTIFF’S APPEAL
Plaintiff’s complaint, supporting documents, and briefing are challenging to follow. Many
of his arguments are repetitive and poorly supported, if at all. As a self-represented litigant, he is
entitled to generosity and lenity in construing his pleadings. Estelle v Gamble, 429 US 97, 106-
108; 97 S Ct 285; 50 L Ed 2d 251 (1976). That lenity is not infinite and does not extend to crafting
arguments on his behalf. This Court will consider his arguments to the extent they can be
discerned. In re JCR II, ___ Mich App ___, ___ n 6; ___ NW3d ___ (2024) (Docket No. 367472);
slip op at 7 n 6. Most of plaintiff’s issues can be discerned well enough for this Court to address
them, but we will not engage in guesswork as to the others.
B. STANDARDS OF REVIEW
This Court “review[s] de novo questions of statutory interpretation and whether a trial court
properly granted summary disposition.” In re Guardianship of Malloy, ___ Mich ___, ___; ___
NW3d ___ (2024) (Docket No. 165018); slip op at 12. The trial court’s rulings and orders do not
indicate which subrule it relied on when granting summary disposition. The court was presented
with and seemingly considered evidence beyond the pleadings, so we will treat its grants of
summary disposition as having been made under MCR 2.116(C)(10). Cary Investments LLC v
Mount Pleasant, 342 Mich App 304, 312-313; 994 NW2d 802 (2022). A motion for summary
disposition under MCR 2.116(C)(10) “tests the factual sufficiency of a claim.” El-Khalil v
Oakwood Healthcare, Inc, 504 Mich 152, 160; 934 NW2d 665 (2019). The trial court must
consider all the evidence in the light most favorable to the nonmoving party and may grant
summary disposition only if there is no genuine question of material fact. Id. “A genuine issue of
material fact exists when the record, giving the benefit of reasonable doubt to the opposing party,
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leaves open an issue upon which reasonable minds might differ.” West v Gen Motors Corp, 469
Mich 177, 183; 665 NW2d 468 (2003).
The interpretation and application of statutes, rules, and legal doctrines is reviewed de
novo. Estes v Titus, 481 Mich 573, 578-579; 751 NW2d 493 (2008). The interpretation of
common-law doctrines is reviewed de novo. Kandil-Elsayed v F & E Oil, Inc, 512 Mich 95, 109;
1 NW3d 44 (2023). Because “a trial court necessarily abuses its discretion when it makes an error
of law,” appellate review of a trial court’s discretionary decision that was based on a legal
determination is “effectively” de novo. Milne v Robinson, ___ Mich ___, ___; ___ NW3d ___
(2024) (Docket No. 164190); slip op at 4 (quotation marks, brackets, and citation omitted).
C. NATURE OF PLAINTIFF’S CLAIMS
We first address the extent to which plaintiff’s claims sound in medical malpractice. The
trial court correctly found that most of plaintiff’s claims sound in medical malpractice, but erred
as to two of his claims, which sound in ordinary negligence.
“A medical malpractice claim is sometimes difficult to distinguish from an ordinary
negligence claim,” but “the distinction is often critical.” Trowell v Providence Hosp and Med
Ctrs, Inc, 502 Mich 509, 517-518; 918 NW2d 645 (2018). A person must commence an action by
filing a complaint “within the applicable statute-of-limitations period . . . which for medical
malpractice actions is generally two years.” Ottgen v Katranji, 511 Mich 223, 231, 245; 999
NW2d 359 (2023). “A plaintiff may not evade the appropriate limitation period by artful drafting,”
such as characterizing malpractice as ordinary negligence. Simmons v Apex Drug Stores, Inc, 201
Mich App 250, 253; 506 NW2d 562 (1993). Our Supreme Court has explained:
A medical malpractice claim is distinguished by two defining characteristics. First,
medical malpractice can occur only within the course of a professional relationship.
Second, claims of medical malpractice necessarily raise questions involving
medical judgment. Claims of ordinary negligence, by contrast, raise issues that are
within the common knowledge and experience of the fact-finder. Therefore, a court
must ask two fundamental questions in determining whether a claim sounds in
ordinary negligence or medical malpractice: (1) whether the claim pertains to an
action that occurred within the course of a professional relationship; and (2)
whether the claim raises questions of medical judgment beyond the realm of
common knowledge and experience. If both these questions are answered in the
affirmative, the action is subject to the procedural and substantive requirements that
govern medical malpractice actions. [Bryant v Oakpointe Villa Nursing Centre,
471 Mich 411, 422; 684 NW2d 864 (2004) (quotation marks, brackets, and citations
omitted).]
Preliminarily, a court must address whether a defendant is capable of committing medical
malpractice. Estate of Swanzy v Kryshak, 336 Mich App 370, 377-378; 970 NW2d 407 (2021).
There is no serious dispute that all five defendants are capable of committing medical malpractice.
Furthermore, there is no serious dispute that defendants’ alleged wrongs occurred in the course of
a professional relationship with plaintiff. Thus, the question we must ask here is whether plaintiff’s
claims relate “to matters involving medical judgment outside the common knowledge and
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experience of the fact-finder.” Meyers v Rieck, 509 Mich 460, 469; 983 NW2d 747 (2022)
(quotation marks, brackets, and citation omitted). If the jury can only evaluate the reasonableness
of a medical professional’s conduct “after having been presented the standards of care pertaining
to the medical issue before the jury explained by experts, a medical malpractice claim is involved.”
Bryant, 471 Mich at 423. Likewise, if a claim requires a plaintiff to establish that a particular
medical diagnosis was incorrect, such a claim necessarily sounds in medical malpractice because
it “requires the presentation of expert testimony addressing questions involving the exercise of
medical judgment or medical competency.” Lucas v Awaad, 299 Mich App 345, 363-364; 830
NW2d 141 (2013).
1. FALSE NARRATIVE, FALSE IMPRISONMENT, AND EMOTIONAL DISTRESS
Plaintiff’s “false narrative” claims must be addressed first, because most of his other claims
refer back to defendants’ continuing use of a “false narrative.” These claims sound in medical
malpractice because they essentially state that defendants erroneously diagnosed him with a
variety of mental health issues in lieu of treating him for his real malady of chemical exposure.
However creatively plaintiff presents these claims, they are premised on the allegation that
defendants misdiagnosed him. Plaintiff can therefore only prevail by proving that the diagnoses
were, in fact, misdiagnoses. We recognize that plaintiff provided some documentation in an
attempt to support the argument that the diagnoses were wrong. However, this only establishes a
question of fact that would have to be resolved by a trier of fact with the benefit of expert
testimony. Therefore, plaintiff’s “false narrative” claims sound in medical malpractice. Lucas,
299 Mich App at 364.
Plaintiff additionally alleges a combination of “fraudulent imprisonment” and/or
“conspiracy to permanently imprison” claims against McLaren and Drs. Iqbal, Nicholas, and Cox.
No such cause of action exists,1 but there is a cause of action for “false imprisonment,” which is
defined as “an unlawful restraint on a person’s liberty or freedom of movement.” Walsh v Taylor,
263 Mich App 618, 627; 689 NW2d 506 (2004) (quotation marks and citations omitted). “[T]he
essence of a claim of false imprisonment is that the imprisonment is false, i.e., without right or
authority to do so.” Moore v Detroit, 252 Mich App 384, 388; 652 NW2d 688 (2002) (quotation
marks, brackets, and citation omitted). Because MCL 330.1403 provides that involuntary mental
health treatment may only be provided pursuant to the Mental Health Code, MCL 330.1001 et
seq., involuntary mental health treatment contrary to the Mental Health Code could conceivably
constitute false imprisonment. However, plaintiff identifies no violations of the Mental Health
Code by any defendant. Defendants could also conceivably be liable under MCL 330.1439 if they
were grossly negligent or engaged in willful and wanton misconduct. However, the soundness of
their decisions would, again, require expert medical testimony. Plaintiff’s “fraudulent
imprisonment” claims are therefore either meritless because they are unsupported or sound in
medical malpractice.
1
As will be discussed, plaintiff adds the word “fraudulent” to most of his claims, which is not
sufficient to transform a claim into a fraud claim.
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Plaintiff also raises claims for emotional distress. He alleges that he suffered emotional
distress because of the allegedly untrue diagnoses and because of being committed to a behavioral
health facility where he was surrounded by people he found upsetting. These claims depend on
his “false narrative” and imprisonment claims, so they also sound in medical malpractice. It is not
necessary to discuss the elements of “emotional distress,” because, as noted, the factual basis for
any such claim is clearly based on his “false narrative” and false imprisonment claims. Both claims
require expert testimony to establish that plaintiff’s diagnoses were actually untrue, and thus sound
in medical malpractice. Lucas, 299 Mich App at 364.
2. DEFAMATION
Plaintiff also asserts various claims for slander and libel. Those claims either sound in
medical malpractice or were barred by the one-year statute of limitations applicable to defamation
claims.
Slander and libel are both forms of defamation. See Mitan v Campbell, 474 Mich 21, 24;
706 NW2d 420 (2005), quoting MCL 600.5805. The distinction is that libel is written and slander
is spoken. See Glazer v Lamkin, 201 Mich App 432, 438; 506 NW2d 570 (1993). Defendants
have a constitutional right to defend against a defamation claim by showing the allegedly
defamatory statements to be true and made in good faith. Howe v Detroit Free Press, 440 Mich
203, 225-226; 487 NW2d 374 (1992). The statement need only be “substantially accurate,”
meaning “the gist or the sting” of the statement would be the same, regardless of minor
inaccuracies as to details. Hawkins v Mercy Health Servs, Inc, 230 Mich App 315, 332-333; 583
NW2d 725 (1998). Defamation claims are subject to a one-year statute of limitations.
MCL 600.5805(1).
Plaintiff’s slander and libel claims are mostly based on defendants’ creation of the “false
narrative” that he suffered from various mental illnesses. Those claims fail for two reasons. First,
as discussed, the “false narrative” claims sound in medical malpractice. Second, plaintiff filed his
complaints on November 10, 2022, which is more than a year after the “false narrative” was
allegedly created and entered in plaintiff’s file.
Plaintiff also asserts that he was defamed because the police were called to his home in
2022. As earlier noted, on September 13, 2022, an unidentified caller from “[redacted] Behavioral
Health” asked the Saginaw County Sheriff’s Office to perform a wellness check on plaintiff. A
police report on the incident noted that plaintiff had dropped off letters “ranting about lawsuits and
other things that didn’t make sense,” [capitalization omitted], leading the caller to believe plaintiff
was off his medication. It is not clear how this constitutes defamation. Even presuming that it
could be considered defamatory, plaintiff would have to establish that it “was published
negligently.” MCL 600.2911(7). Usually, “a jury does not require expert testimony to determine
what a reasonable person would do in an ordinary negligence case.” Zeeland Farm Servs, Inc v
JBL Enterprises, Inc, 219 Mich App 190, 197; 555 NW2d 733 (1996). But the circumstances in
this case are unusual, because the reasonableness of the publication turns in part on what the
publisher already knew about plaintiff’s mental health. As discussed, the propriety of defendants’
belief that plaintiff had mental health problems cannot be determined without expert testimony.
Furthermore, plaintiff does not allege that any of the specific facts in the police report were untrue,
and determining the truth of the “gist” of any implication that he had mental health problems could
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not be established without expert testimony. Therefore, this claim also sounds in medical
malpractice.
3. PLAINTIFF’S BEHAVIORAL FILE
Plaintiff additionally raises two claims regarding his behavioral file: one claiming that he
requested the file be destroyed and it was not, and the other claiming that defendants barred him
from accessing it. As to the destruction claim, plaintiff alleged in his complaint that defendants
were violating his rights by failing to destroy the file. Presuming that plaintiff properly brought a
claim for destruction of the file, that claim would sound in medical malpractice. Licensed health
professionals are required to keep certain records for at least seven years. People v Anderson, 330
Mich App 189, 197; 946 NW2d 825 (2019). Under MCL 333.16213(4), a professional “may”
destroy those records under certain circumstances. The word “may” is generally a grant of
permission to exercise discretion, not a mandate. Ass’n of Home Help Care Agencies v Dep’t of
Health and Human Servs, 334 Mich App 674, 687; 965 NW2d 707 (2020). Plaintiff’s argument,
to the extent it can be discerned, seems to be that he had a right to have his file destroyed because
of alleged inaccuracies in that file. This claim sounds in medical malpractice because plaintiff
would need to present expert medical testimony to establish that the diagnoses in the file were
actually untrue. In any event, plaintiff provides no support for the proposition that he might have
a right to compel defendants to destroy his file under any circumstance, and we will not search for
any such authority on his behalf. In re JCR II, ___ Mich App at ___ n 6; slip op at 7 n 6.
Likewise, plaintiff presents an argument regarding access to his behavioral file, but we note
that he did not include any relevant factual allegations in his complaint. Furthermore, he only
raised this argument for the first time at a hearing on the motions for summary disposition below.
“Michigan is a traditional notice-pleading jurisdiction with a relatively low bar for the sufficiency
of initial allegations, particularly because parties generally will not yet have the benefit of
discovery.” Glasker-Davis v Auvenshine, 333 Mich App 222, 229; 964 NW2d 809 (2020)
(quotation marks and citation omitted). Nevertheless, a complaint must support a cause of action
with factual assertions, not merely conclusory allegations. Wolfenbarger v Wright, 336 Mich App
1, 16; 969 NW2d 518 (2021). Here, plaintiff did not even do that, so he never brought any such
claim. “A party is bound by their pleadings, and it is not permissible to litigate issues or claims
that were not raised in the complaint.” Bailey v Antrim Co, 341 Mich App 411, 424; 990 NW2d
372 (2022). Strictly speaking, the trial court could not have “dismissed” any claim regarding
access to plaintiff’s behavioral file, because no such claim was present in any of these actions, but
the trial court arrived at the correct result of finding any such claim is now precluded.
4. MEDICAID FALSE CLAIMS ACT
In contrast, some of plaintiff’s claims clearly do not sound in medical malpractice. Plaintiff
alleges that Dr. Iqbal violated the Medicaid False Claim Act (MFCA), MCL 400.601 et seq., by
sending him an invoice for services despite his status as a Medicaid recipient. Plaintiff alleges that
defendants other than Dr. Iqbal violated the MFCA by contributing to the “false narrative,” so
those claims would sound in medical malpractice. However, a billing-related claim might not
sound in medical malpractice if the claim is strictly limited to a commercial or business decision.
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See Lucas, 299 Mich App at 366-368. We conclude that plaintiff’s MFCA claim does not sound
in medical malpractice as to Dr. Iqbal.
Nevertheless, this claim was properly dismissed because plaintiff does not support it with
facts in the record or with applicable legal authority. Plaintiff cites only MCL 400.610a and 42
CFR § 447.15. The statute only addresses certain procedures for bringing a claim under the
MFCA. It does not identify any specific conduct forbidden or required under the Act. Plaintiff
has not explained how Dr. Iqbal violated the statute. The federal code provision, and one internal
reference therein, do not absolutely prohibit billing a Medicaid recipient. Rather it forbids
providers from denying services to a patient on the basis of the patient’s inability to pay. Dr. Iqbal
did not deny plaintiff any services. We cannot and will not guess at plaintiff’s thought processes.
In re JCR II, ___ Mich App at ___ n 6; slip op at 7 n 6. While this claim does not sound in medical
malpractice as to Dr. Iqbal, it fails for lack of merit because plaintiff does not support it with facts
or law.
5. EAVESDROPPING
Plaintiff’s eavesdropping claim against McLaren does not appear to sound in medical
malpractice. “ ‘Eavesdrop’ or ‘eavesdropping’ means to overhear, record, amplify or transmit any
part of the private discourse of others without the permission of all persons engaged in the
discourse.” MCL 750.539a. “Any person who is present or who is not present during a private
conversation and who wilfully uses any device to eavesdrop upon the conversation without the
consent of all parties thereto, or who knowingly aids, employs or procures another person to do
the same in violation of this section, is guilty of a felony.” MCL 750.539c. A person may be
entitled to civil remedies, including damages, against someone who commits eavesdropping
against them. MCL 750.539h. On the face of plaintiff’s eavesdropping claim, there is no obvious
reason why medical judgment would be involved. This claim against McLaren does not appear to
sound in medical malpractice.
We emphasize that we do not hold that it is a meritorious claim. We only hold that
summary disposition was inappropriate on the basis that the claim sounds in medical malpractice
and is therefore barred by the statute of limitations applicable to such claims. Because the record
is not sufficiently developed to permit further analysis, we remand this issue back to the trial court
for further proceedings.
6. CLEAN ENVIRONMENT
Similarly, plaintiff’s claim that McLaren failed to provide him with a clean and sanitary
environment does not appear to sound in medical malpractice. While many aspects of providing
care for a person in a hospital require medical judgment, it is difficult to imagine how failing to
fix the hot water or failing to remediate biting insects calls for medical judgment. Giving plaintiff
the benefit of the doubt, this appears to be a claim for personal injury arising out of ordinary
negligence.
“All negligence actions, including those based on premises liability, require a plaintiff to
prove four essential elements: duty, breach, causation, and harm.” Kandil-Elsayed, 512 Mich
at 110. The existence of a duty is a question of law for the courts, and it is based on policy and
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consideration of several factors, including the relationship between the parties. Id., 512 Mich
at 110-112. “A common-law duty of care exists when the relationship between the actor and the
injured person gives rise to a legal obligation on the actor’s part for the benefit of the injured
person.” Marion v Grand Trunk Western Ry Co, ___ Mich ___, ___; ___ NW3d ___ (2024)
(Docket No. 164298); slip op at 4-5 (quotation marks and citation omitted). MCL 330.1708(2),
which is part of the Mental Health Code, MCL 330.1001 et seq., expressly states that “Mental
health services shall be provided in a safe, sanitary, and humane treatment environment.” In an
unpublished opinion,2 this Court held that the statute does not create “a private right of action,
although we think it does outline a standard of care applicable to an ordinary negligence claim.”
Ackley v Kingswood Hosp, Inc, unpublished per curiam opinion of the Court of Appeals, issued
May 14, 2020 (Docket No 346350), p 4 (emphasis added).
As with plaintiff’s eavesdropping claim, we do not hold that this claim is necessarily
meritorious. Rather, we hold only that providing a hospital patient with basic sanitation facilities
or a room free from biting-insect infestations does not, at least under the circumstances of this
case, sound in medical malpractice. The record is insufficiently developed to permit further
analysis, so this issue must be remanded for further proceedings.
7. FRAUD
It is finally necessary to address plaintiff’s purported “fraud” claims. As earlier noted,
plaintiff adds the word “fraudulent” to all of his claims other than his formal claim for medical
malpractice (which he does not appear to pursue on appeal). None of them articulate an actionable
claim for fraud under the circumstances.
“Fraud claims must be pleaded with particularity, addressing each element of the tort,” so
a “plaintiff must allege that (1) the defendant made a representation that was material, (2) the
representation was false, (3) the defendant knew the representation was false, or the defendant’s
representation was made recklessly without any knowledge of the potential truth, (4) the defendant
made the representation with the intention that the plaintiff would act on it, (5) the plaintiff actually
acted in reliance, and (6) the plaintiff suffered an injury as a result.” Stephens v Worden Ins
Agency, LLC, 307 Mich App 220, 229-230; 859 NW2d 723 (2014). A claim of fraud cannot be
established if the plaintiff did not rely on the allegedly false statement, irrespective of whether any
third party relied on the statement. MacDonald v Barbarotto, 161 Mich App 542, 547; 411 NW2d
747 (1987).3 “[C]onclusory statements that are unsupported by allegations of fact on which they
may be based will not suffice to state a cause of action.” State ex rel Gurganus v CVS Caremark
Corp, 496 Mich 45, 63; 852 NW2d 103 (2014). Furthermore, courts are not bound by parties’
2
Unpublished opinions of this Court are not binding, but they may be considered persuasive or
instructive. Centria Home Rehab, LLC v Philadelphia Indemnity Ins Co, ___ Mich App ___, ___;
___ NW3d ___ (2023) (Docket Nos. 359371 and 359372); slip op at 8.
3
“Although published decisions of this Court issued prior to November 1, 1990, are not strictly
binding on this Court, all published decisions of this Court are precedential under the rule of stare
decisis and generally should be followed.” Davis v Secretary of State, ___ Mich App ___, ___
n 10; ___ NW3d ___ (2023) (Docket No. 362841); slip op at 9 n 10.
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labels, Trowell, 502 Mich at 519. For example, where a paragraph in a complaint included the
word “intentionally” but did not assert any facts showing that the defendant acted intentionally,
that paragraph was insufficient to properly allege that the defendant acted intentionally.
Wolfenbarger v Wright, 336 Mich App 1, 16-17; 969 NW2d 518 (2021). Therefore, adding the
word “fraudulent” to a claim has no effect by itself and does not suffice to transform a claim into
one for fraud. Here, plaintiff’s “fraud” claims fail for several reasons.
First, plaintiff’s claims are mostly based on defendants’ medical diagnoses, all of which
plaintiff disputes. Therefore, he must prove that the diagnoses actually were untrue. Doing so
would require expert medical testimony, so the claims sound in medical malpractice. Lucas, 299
Mich App at 364.
Second, plaintiff only makes bare, conclusory allegations that defendants made any untrue
statements on which he relied. Plaintiff alleged that each defendant was in some way responsible
for creating a “false narrative.” He further alleged that he acted in reliance upon the false narrative
under duress. In support, plaintiff merely cited his “Affidavit of Truth,” which does not explain
anything. Plaintiff does not identify any specific statements that were untrue and that he relied on.
“General allegations are not sufficient to state a claim of fraud.” Van Marter v American Fidelity
Fire Ins Co, 114 Mich App 171, 184; 318 NW2d 679 (1982); see also State ex rel Gurganus, 496
Mich at 63.
Third, while plaintiff’s complaints, affidavits, and briefs are challenging to follow, he
makes it perfectly clear that he never believed that he had any mental health problems. Thus, even
if defendants’ diagnoses were untrue, plaintiff never believed them to be true, and he identifies no
way in which he acted in reliance on the truth of those diagnoses. At most, he alleges that third
parties are relying on those statements, but that does not constitute fraud. Plaintiff alleged that he
expected to receive treatment for chemical exposure, but he went to McLaren on the advice of his
own treating physician, not because any defendant allegedly promised him such treatment.
Plaintiff’s treating physician is not a party to this action. In short, plaintiff has not adequately
stated any claim sounding in fraud, and nothing in his complaints or affidavits suggest that he
would be able to do so.
D. STATUTE OF LIMITATIONS
Because the trial court correctly found that most of plaintiff’s claims sounded in medical
malpractice, we must next address whether the trial court correctly determined that the applicable
limitations period had run as to those claims. We hold that the trial court correctly determined that
plaintiff’s claims sounding in medical malpractice were time-barred.
Pursuant to MCL 600.5838a(1), a medical malpractice claim “accrues at the time of the act
or omission that is the basis for the claim of medical malpractice, regardless of the time the plaintiff
discovers or otherwise has knowledge of the claim.” Even if a plaintiff has only suffered a single
injury, the plaintiff’s injury or injuries may arise out of multiple discrete acts or omissions, each
of which could give rise to an independent claim with an independent accrual date. Kincaid v
Cardwell, 300 Mich App 513, 525-526; 834 NW2d 122 (2013). A plaintiff cannot “resurrect the
last-treatment rule through ambiguous or creative pleading.” Id. at 526. Nevertheless, the last
date of treatment can provide an upper boundary to the last possible date on which a medical
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malpractice claim could have accrued. See Watts v Henry Ford Health Sys, 480 Mich 1055; 743
NW2d 897 (2008) (the last date the defendant hospital had any contact with the decedent was the
last date the plaintiff’s medical malpractice action could have accrued).
A medical malpractice claim is not “commenced” unless a plaintiff files a notice of intent
that includes all of the information required by MCL 600.2912b(4) and has waited at least 182
days. Boodt v Borgess Med Ctr, 481 Mich 558, 562-563; 751 NW2d 44 (2008). “However, if a
defendant fails to respond to the notice of intent within 154 days, a plaintiff may file a complaint
immediately and need not await the expiration of 182 days.” Roberts v Mecosta Co Gen Hosp,
466 Mich 57, 60 n 1; 642 NW2d 663 (2002), citing MCL 600.2912b(7) and (8). Generally, if a
plaintiff files a complaint without filing the requisite notice of intent, the complaint should be
dismissed without prejudice, so the plaintiff may file a notice of intent. Dismissal with prejudice
is proper if the plaintiff is “unable to refile his complaint because the applicable period of
limitations ha[s] run.” Lockwood v Mobile Med Response, Inc, 293 Mich App 17, 27-28; 809
NW2d 403 (2011). For purposes of medical malpractice actions, days are counted by including
the final day and excluding the day of the act or event forming the basis for a claim. Haksluoto v
Mt Clemens Regional Med Ctr, 500 Mich 304, 314-319; 901 NW2d 577 (2017). A notice of intent
sent on the final day of the limitations period preserves that final day of the limitations period and
the day on which the notice is filed. Id. at 323-324.
1. ACCRUAL
It is challenging to discern when plaintiff’s claims, if any, might have accrued, because of
the chaotic nature of his pleadings. We will, for purposes of resolving this appeal, presume they
accrued as late as the evidence permits.
The easiest dates to consider are plaintiff’s claims against Gransden. Plaintiff alleged that
Gransden committed wrongs only on November 9 or 10, 2020, and nothing in the record hints that
Gransden was involved in plaintiff’s treatment after November 10, 2020. Therefore, any claims
plaintiff might have against Gransden accrued no later than November 10, 2020. Plaintiff’s claims
against Dr. Iqbal are slightly more challenging. While the record does not indicate that Dr. Iqbal
was involved in plaintiff’s treatment after November 19, 2020, plaintiff alleged that Dr. Iqbal
committed wrongs against him through November 24, 2020, when he was released from McLaren.
Thus, we will accept the latter date for the purposes of this discussion.4 The remaining defendants
are less easily addressed. Plaintiff alleged that they committed wrongs from November 9 through
24, 2020, which, again, corresponds to plaintiff’s stay at McLaren. Plaintiff also alleges that they
committed wrongs from February 5, 2021 through February 10, 2021, apparently regarding his
readmission to a different hospital. We accept the February 5 date because it is conceivable that
defendants had some involvement in procuring that readmission, but we do not accept the latter
4
Dr. Iqbal sent plaintiff an invoice on March 31, 2021, but that date would only be relevant to
plaintiff’s MFCA claim, which we have determined is not meritorious.
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date because there is simply no evidence that defendants had any involvement in plaintiff’s
treatment during that readmission.5
2. MCL 600.5851
Plaintiff contends that he is entitled to extend the applicable limitations period by one year
under MCL 600.5851 because he was under a “disability” of “insanity” until February 10, 2021.
Plaintiff may not avail himself of any such extension because he was not actually disabled within
the meaning of the statute.
Our Supreme Court has held that “the insanity saving provision” in MCL 600.5851 applies
to medical malpractice claims. Vega v Lakeland Hosps at Niles and St Joseph, Inc, 479 Mich 243,
251; 736 NW2d 561 (2007). However, MCL 600.5851(2) provides:
The term insane as employed in this chapter means a condition of mental
derangement such as to prevent the sufferer from comprehending rights he or she
is otherwise bound to know and is not dependent on whether or not the person has
been judicially declared to be insane.
This subsection clearly provides that a judicial declaration of insanity is irrelevant, and the
touchstone is whether the person actually cannot comprehend their rights because of “a condition
of mental derangement.” But plaintiff’s lawsuit is entirely premised on the assertion that he never
suffered from any kind of mental illness. Again, “[a] party is bound by their pleadings, and it is
not permissible to litigate issues or claims that were not raised in the complaint.” Bailey, 341 Mich
App at 424. And while “[i]n general, parties are permitted to plead inconsistent claims and facts
in the alternative,” AFSCME Council 25 v Faust Pub Library, 311 Mich App 449, 459; 875 NW2d
254 (2015), plaintiff has not done so here. Instead, he attempts to take advantage of a disability
while simultaneously claiming he never suffered from said disability. Plaintiff is bound by his
claims that he was not actually insane at any time, so he is definitionally not entitled to any
extension of time under MCL 600.5851.6
5
Although plaintiff alleges various other wrongs on later dates, those wrongs pertain entirely to
his claims for defamation and regarding his behavioral file, which we have already determined to
be barred or lacking in merit irrespective of whether they might sound in medical malpractice.
6
Plaintiff also seems to misunderstand how the grace period would work, even if it was available
to him. He appears to believe it would extend the applicable limitations period by a year, but it
would not. MCL 600.5851(1) could potentially grant a plaintiff a year in which to bring an action
“although the period of limitations has run.” It is not a tolling provision that suspends a statute of
limitations for a year; rather, it is a grace period independent of the statute of limitations. Honig v
Liddy, 199 Mich App 1, 3-4; 500 NW2d 745 (1993). If the provision applied, it would give plaintiff
one year after the removal of a disability within which to file his complaint. He claims the
“disability” was removed on February 10, 2021, so he would have had until February 10, 2022 to
file. At that time, however, the two-year limitations period was still running, so any period of time
that might have been available to him under MCL 600.5851(1) is irrelevant.
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3. LIMITATIONS PERIOD
Some of plaintiff’s claims might still have been viable on November 10, 2022, when he
filed his complaints. However, because plaintiff failed to comply with the notice of intent
requirements for commencing a medical malpractice action, he never “commenced” any of his
claims sounding in medical malpractice, and they became time-barred by the time the trial court
entered its orders granting summary disposition. Therefore, while we disagree in part with the
trial court’s reasoning, it arrived at the correct outcome.
Nothing in the record suggests that plaintiff ever sent a letter purporting to be a notice of
intent to McLaren. Plaintiff was required to send a notice of intent to McLaren even if his medical
malpractice claims against McLaren were entirely vicarious. Potter v McLeary, 484 Mich 397,
402-403; 774 NW2d 1 (2009); see also Dorris v Detroit Osteopathic Hosp Corp, 460 Mich 26, 49;
594 NW2d 455 (1999). Therefore, any medical malpractice claims plaintiff might have had against
McLaren were never tolled beyond two years. Plaintiff did not comply with the notice of intent
requirement of MCL 600.2912b, so he never “commenced” a medical malpractice claim against
McLaren. Even assuming the latest possible date any of his claims sounding in medical
malpractice could have accrued, the two-year limitations period expired as to any such claims
against McLaren shortly after plaintiff filed his complaints.
Plaintiff sent letters to the individual defendants on either November 10 or 11, 2022. This
was approximately contemporaneous with the filing of his complaints. He contends that these
qualified as notices of intent.7 Plaintiff sent his letter to Gransden on November 11, 2022, but
there is no evidence or allegation that Gransden had any involvement with plaintiff’s care after
November 10, 2020. Therefore, any medical malpractice claims plaintiff might have had against
Gransden were already time-barred by the time he sent a possible notice of intent, so they also
could not have been tolled beyond two years. Plaintiff’s claims against Gransden might have fallen
within the two-year period, but plaintiff failed to file the complaint after sending a notice of intent
and waiting the requisite notice period. Consequently, he never “commenced” a medical
malpractice claim against Gransden. As with McLaren, any such claims became time-barred
shortly after he filed his complaint.
Plaintiff’s letters to Drs. Cox, Nicholas, and Iqbal likewise could have potentially tolled
some of his claims against those defendants. But as we previously acknowledged, plaintiff failed
to wait 154 to 182 days after sending his letters before he filed these actions. As a result, his
complaints could not serve to commence any medical malpractice action. Some defendants even
pointed this out to plaintiff while he still had time to save most of his claims by seeking dismissal
without prejudice, but plaintiff failed to do so. Instead, plaintiff advanced arguments that, to the
extent they can be comprehended, relied on irrelevant statutes, such as MCL 600.2912, which only
states that malpractice may be maintained against any state-licensed professional. The limitations
periods continued running.
7
We need not consider whether the contents of the letters were sufficient under
MCL 600.2912b(4), because the timing of those letters and of plaintiff’s complaints is dispositive.
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By the time the trial court decided Dr. Iqbal’s motion for summary disposition on June 15,
2023, plaintiff’s medical malpractice claims against Dr. Iqbal were time-barred. At that point,
dismissal without prejudice would have been futile. Thus, dismissal was properly with prejudice.
Some of plaintiff’s claims against Dr. Nicholas and Dr. Cox might still have been viable by the
time the trial court orally ruled on their motions for summary disposition, but by the time the trial
court actually entered its orders, following the trial court’s proper rejection of a number of
objections by plaintiff on irrelevant grounds, any possible limitations period had run as to those
defendants as well. Therefore, again, dismissal without prejudice would have been futile, and
dismissal was properly with prejudice. In other words, all of plaintiff’s claims sounding in medical
malpractice were properly dismissed with prejudice because they were time-barred.
E. SUMMARY DISPOSITION
Plaintiff also advances several arguments that more generally challenge the propriety of
granting summary disposition. None of those arguments have merit.8
1. RIGHT TO JURY TRIAL
Plaintiff first argues that he has a constitutional right to a jury trial because he demanded
one, and granting summary disposition under MCR 2.116 violates that right; in other words,
summary disposition is unconstitutional. Plaintiff is wrong. There is no right to a jury trial if there
are no issues of fact to be determined. It is the duty of the court to first determine whether there
are any material factual controversies for the jury to resolve. Moll v Abbott Laboratories, 444
Mich 1, 26-28; 506 NW2d 816 (1993), abrogated on other grounds by Trentadue v Buckler Lawn
Sprinkler, 479 Mich 378, 389-394; 738 NW2d 664 (2007). The role of the jury is only to resolve
questions of fact; “[a]ll other questions, being questions of law, are for the court.” Phillips v Mirac,
Inc, 470 Mich 415, 426; 685 NW2d 174 (2004). “Accordingly, excluded from the jury’s purview
are such matters as whether a party has met its burden of proof, whether certain evidence may be
considered, which witnesses may testify, whether the facts found by the jury result in a party being
held liable, and the legal import of the amount of damages found by the jury.” Id. at 428. In other
words, summary disposition is proper and constitutional if a trial court correctly determines that
there are no material questions of fact at issue.
2. STATUTES OF LIMITATION
Plaintiff next argues that statutes of limitations should be unconstitutional. This argument
has, again, long been rejected. “Michigan law has long provided that the resolution of claims in
court actions is subject to periods of limitation.” Nielsen v Barnett, 440 Mich 1, 8; 485 NW2d 666(1992). “Indeed, it is well established that the Legislature may impose reasonable procedural
requirements, such as a limitations period, on a plaintiff’s available remedies even when those
8
In light of our resolution of this appeal, we need not address plaintiff’s argument regarding the
affidavit of merit requirement for medical malpractice claims.
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remedies pertain to alleged constitutional violations.” Rusha v Dep’t of Corrections, 307 Mich
App 300, 307; 859 NW2d 735 (2014). Statutes of limitations are not unconstitutional per se.
Plaintiff poses several hypothetical scenarios under which a limitations period could
prevent a person from pursuing a claim through no fault of the person. Under some circumstances,
at least involving constitutional claims, a limitations period might be so “harsh and unreasonable”
that it effectively deprives plaintiffs of access to the courts. In re Muskegon Co Treasurer for
Foreclosure, ___ Mich App ___, ___; ___ NW3d ___ (2023) (Docket No. 363764); slip op at 5-
7. However, plaintiff offers no evidence that he was deprived of access to the courts. He failed to
commence his lawsuits within two years, but that does not mean doing so was impossible. Plaintiff
speculates that the different periods of limitations for different kinds of claims “may raise concerns
about equal treatment under the law,” but advances no actual argument in support of that
conjecture. Even giving plaintiff the maximum possible lenity as a self-represented litigant, a total
absence of argument constitutes abandonment. In r JCR II, ___ Mich App at ___ n 6; slip op at 7
n 6. Finally, the Legislature’s role is to set policy, and the courts may not interfere with that policy
merely because the policy might be perceived as unfair. In re MSL, ___ Mich App ___, ___; ___
NW3d ___ (2024) (Docket No. 368581); slip op at 12. Statutes of limitations are constitutional in
general, and plaintiff fails to show that the particular statute of limitations here is so unreasonable
that it should be deemed unconstitutional.
3. BURDEN OF PROOF
Plaintiff argues that defendants were required to provide material evidence in support of
their motions for summary disposition and establish entitlement to summary disposition by a
preponderance of the evidence. Plaintiff is incorrect.
The party moving for summary disposition under MCR 2.116(C)(10) has the initial burden
of production, which may be satisfied in one of two ways: the moving party may either “submit
affirmative evidence that negates an essential element of the nonmoving party’s claim” or
“demonstrate to the court that the nonmoving party’s evidence is insufficient to establish an
essential element of the nonmoving party’s claim.” Quinto v Cross and Peters Co, 451 Mich 358,
362; 547 NW2d 314 (1996) (quotation marks and citation omitted). If the moving party supports
its position, the nonmoving party with the ultimate burden of proof must show that there is a
genuine question of material fact. Id. at 362-363. A party’s motion might be insufficiently
supported if they cite no evidence or cite only evidence that does not support their argument.
Simmons v Telecom Credit Union, 177 Mich App 636, 641; 442 NW2d 739 (1989). The moving
party need not supply documentary evidence in support of facts that are not disputed. See Relative
Time Films, LLC v Covenant House Mich, 344 Mich App 155, 167 n 10; 999 NW2d 64 (2022).
Furthermore, a party may properly move for summary disposition under MCR 2.116(C)(10) by
arguing that the nonmoving party has the ultimate burden of proof at trial, and that the nonmoving
party cannot meet that burden. Cleveland v Hath, ___ Mich App ___, ___; ___ NW3d ___ (2024)
(Docket No. 363321); slip op at 7-8.
Plaintiff’s proposed “preponderance of the evidence” standard for the moving party is
contrary to established law. “Preponderance of the evidence” pertains to a plaintiff’s ultimate
burden of persuasion, not to the required quantum of production at a motion for summary
disposition. See Hazle v Ford Motor Co, 464 Mich 456, 465 n 10; 628 NW2d 515 (2001). A
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“preponderance of the evidence” standard would not make sense in a summary disposition context,
because the trial court may not weigh the evidence, evaluate credibility, or resolve questions of
material fact when deciding a motion for summary disposition. Pioneer State Mut Ins Co v Dells,
301 Mich App 368, 377; 836 NW2d 257 (2013).
When deciding motion for summary disposition, the court’s function is limited to
determining whether there is a genuine issue of fact for trial. Lytle v Malady, 458 Mich 153, 175
n 23; 579 NW2d 906 (1998). Here, defendants relied on documents already provided by plaintiff
to show that, while there might be some factual disputes, none of them were material because
resolving those disputes could not affect the outcome of the case. Mr Sunshine v Delta College
Bd of Trustees, 343 Mich App 597, 612; 997 NW2d 755 (2022). Therefore, the burden shifted
back to plaintiff. Because he had the ultimate burden of proof, plaintiff was not permitted to “rely
on mere allegations or denials in pleadings[.]” Quinto, 451 Mich at 362. Instead, he was required
to “go beyond the pleadings to set forth specific facts showing that a genuine issue of material fact
exists.” Id. “To meet this burden, the nonmoving party must present documentary evidence
establishing the existence of a material fact, and the motion is properly granted if this burden is
not satisfied.” AFSCME v Detroit, 267 Mich App 255, 261; 704 NW2d 712 (2005). Plaintiff
largely failed to do so.
Plaintiff cites three cases in support of his position, none of which have any apparent
relevance beyond the passing mention of the phrases “material fact” or “preponderance of the
evidence.” Plaintiff’s logic is not apparent, and we will not attempt to guess it. In re JCR II, ___
Mich App at ___ n 6; slip op at 7 n 6. The “preponderance of the evidence” standard applies to
the burden of proof plaintiff must overcome to prove his case at trial; it has nothing to do with
summary disposition. Defendants were required to provide some support for their argument that
there was no question of material fact to resolve, but they did so. Plaintiff’s argument therefore
lacks merit.
4. JUDICIAL BIAS
Plaintiff next claims that the trial court was biased against him, but his argument is so
incoherent and unsupported that it exceeds any conceivable lenity we could extend to him.
Plaintiff argues that the trial court made multiple rulings against him. Plaintiff does not
identify any of these other than a vague reference to “remov[ing] the fraud from consideration”
while “determin[ing] that the applicable statute of limitations was one year” as to eavesdropping,
which constituted infliction of unusual punishment. Even presuming that ruling was wrong, the
prohibition against “unusual punishment” refers to criminal punishment for people convicted of a
crime, not to civil matters. Butler v Detroit, 149 Mich App 708, 720-721; 386 NW2d 645 (1986).
Furthermore, even repeated erroneous rulings against a party are insufficient to establish bias or
prejudice. In re MKK, 286 Mich App 546, 566; 781 NW2d 132 (2009). Plaintiff otherwise argues
that the trial court excused mistakes made by defendants’ attorneys but did not excuse his own
mistakes. However, plaintiff identifies none of these alleged mistakes. While plaintiff is entitled
to lenity and generosity in construing his arguments, this Court will not go so far as to invent
arguments for him. In re JCR II, ___ Mich App at ___ n 6; slip op at 7 n 6.
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F. AMENDMENT OF COMPLAINT
Plaintiff finally argues that he is entitled to amend his complaint to address any deficiencies
therein. Plaintiff accurately sets forth the general rule, but is not entitled to amend his complaint.
In general, a party whose claims are summarily dismissed should be given leave to amend
their complaint unless the amendment would be futile. Weymers v Khera, 454 Mich 639, 658-
659; 563 NW2d 647 (1997). If the proposed amendments would be legally insufficient on their
face or merely restatements of the same allegations, the amendment would be futile. PT Today,
Inc v Comm’r of Office of Fin and Ins Services, 270 Mich App 110, 143; 715 NW2d 398 (2006).
If the plaintiff’s claims would be subject to summary disposition in any event, amendment need
not be granted. Id. at 144-145. Here, plaintiff sought leave to amend his complaint in order to
remove his formal “medical malpractice” claims so that his other claims could go forward.
However, as earlier discussed, most of his claims sounded in medical malpractice because of their
factual underpinnings, rather than because of their formal labels. This proposed amendment would
not have helped him.
Plaintiff also presents a confusing argument that he was unable to determine who called
law enforcement to his residence in 2022. He says that without access to discovery, he cannot
determine the identity of the caller. It is not clear what this has to do with amending his complaint.
As discussed above, any request by defendants to perform a wellness check would involve an
exercise of medical judgment under the circumstances, so the claim sounds in medical malpractice.
The identity of the caller would not change that. To the extent this argument could be characterized
as a basis for amending his complaint, it would fail because amendment would be futile.
III. CONCLUSION
In Docket Nos. 366784, 367591, 367592, and 367593, we affirm the trial court’s grant of
summary disposition and dismissal in favor of Gransden and Drs. Iqbal, Nicholas, and Cox.
Because they have prevailed in full, these defendants may each tax costs in their respective cases.
MCR 7.216(A).
In Docket No. 367588, we reverse in part the trial court’s grant of summary disposition in
favor of McLaren as to plaintiff’s claims for eavesdropping and for failing to maintain a clean
environment, and we remand those claims to the trial court for further proceedings consistent with
this opinion. In all other respects, we affirm. We do not retain jurisdiction. McLaren and plaintiff
shall bear their own costs, neither having prevailed in full. MCR 7.219(A).
/s/ Michelle M. Rick
/s/ Christopher M. Murray
/s/ Allie Greenleaf Maldonado
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