Bonny M. Bolson v. Hayden G. Williams ( 2014 )


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  •     IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    BONNY M. BOLSON,
    No. 71365-5-
    Appellant,
    DIVISION ONE
    v.
    UNPUBLISHED OPINION
    HAYDEN G. WILLIAMS and DONITA C.                                                              n
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    Respondents.
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    FILED: May 27, 2014       CO
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    Appelwick, J. — Bolson sued her former employer, W&S, alleging that W&S's
    negligent cleanup of the office after a flood resulted in mold growth, which proximately
    caused her sarcoidosis.    On W&S's motion for summary judgment, the trial court
    dismissed Bolson's claims for lack of medical causation. We affirm in part, reverse in
    part, and remand.
    FACTS
    Respondent, Williams & Schloer, CPA's, Inc. (W&S), is a small accounting firm
    located in Puyallup, Washington, near the Puyallup River. W&S is owned and managed
    by Respondents Hayden Williams and Donita Williams, who are husband and wife, and
    their daughter Tina Schloer.     W&S employed Appellant Bonny Bolson as a tax
    accountant and enrolled agent from January 28, 2003 until December 3, 2010
    In 1985, Bolson was diagnosed with a "very high allergic response to mold and
    mites" after she experienced unusually intense headaches and fatigue.        Her doctor
    advised her to avoid additional exposure. Bolson moved to a new home, because her
    No. 71365-5-1/2
    older rental house was triggering her mold allergy. In February 2005, Bolson was again
    exposed to mold in her home.         She experienced watery eyes, fatigue, and facial
    swelling as a result. She again had to move to a new home. On January 20, 2008,
    medical imaging of Bolson's lungs showed nothing abnormal.
    On January 7, 2009, a severe storm caused massive flooding near the Puyallup
    River. Floodwaters rose to the first floor of the W&S office building.
    The day after the flood, W&S initiated cleanup and repair of the flooded office
    building. W&S rented box fans and dehumidifiers, opened up the offices for ventilation,
    tore out all the carpeting and padding, and either dried or threw away all wet personal
    property. The subfloor was checked for wetness and damage, and a contractor was
    brought in to remove and dispose of all insulation. Bleach and other cleaning products
    were applied during the process.
    The flood occurred during a busy tax season, so W&S set up a temporary
    workspace in the back of the building. However, several employees, including Bolson,
    worked from home during the cleanup. Bolson came to the office to get files or discuss
    projects with Schloer for an hour or two every couple of days. Bolson's own records
    indicate that she was present in the office every few days to return client calls and
    review files.
    During the cleanup, there was a damp smell from the moisture, a smell of bleach
    and sawdust, and a lot of noise. Employees complained to W&S about the smell and
    noise of the repair work. W&S acknowledged that it received complaints from Bolson
    and other employees about coughing, headaches, and irritated eyes during the cleanup.
    No. 71365-5-1/3
    Concerned about the musty smell, a few W&S employees purchased two petri
    dish mold tests at the local hardware store. They put one petri dish in the parking lot as
    a control and one in the main part of the office. The one in the office showed a variety
    of mold spots and the one in the parking lot had one or two mold spots. W&S did not
    send the mold tests in for lab analysis. One employee remembered that W&S did not
    want the mold tests to be analyzed, because remediation was still ongoing.
    In mid-January 2009, Bolson began experiencing flu-like symptoms, coughing,
    and fatigue. By February, she also began experiencing backaches and started seeing a
    chiropractor. In March 2009, Bolson was screened for a kidney infection, which came
    back negative. She continued to experience flu-like symptoms and allergies until July
    2009, when she returned to the doctor. The doctors performed an x-ray and computed
    tomography (CT) scan on Bolson, which revealed abnormal scarring in her lungs. After
    biopsying Bolson's lungs, her doctors diagnosed her with sarcoidosis—an inflammatory
    disease that can affect any organ in the body, but most commonly affects the lungs.
    In September 2009, Bolson's sarcoidosis was determined to be clinically stable.
    Upon evaluating Bolson and reviewing three studies on sarcoidosis, Dr. Louis Lim
    believed that "there is insufficient evidence to suggest that her sarcoid was the result of
    her work exposure on a more probable than not basis.              It is possible that the
    environment may have contributed to the development of her illness . . . although the
    time frame would be unusually rapid."       A colleague of Dr. Lim's agreed with this
    conclusion.
    No. 71365-5-1/4
    On December 9, 2010, Bolson filed a workers' compensation claim with the
    Washington Department of Labor and Industries (L&l), alleging sarcoidosis due to
    workplace exposure. L&l rejected Bolson's claim, concluding that she had not suffered
    an industrial injury or occupational disease required for workers' compensation benefits.
    On February 29, 2012, by amended complaint, Bolson sued W&S for negligence,
    premises liability, negligent infliction of emotional distress (NIED), and intentional
    infliction of emotional distress (outrage). She alleged that W&S's negligence in cleaning
    up the office resulted in mold growth, which proximately caused her sarcoidosis.
    On July 5, 2012, W&S moved for summary judgment. W&S argued that Bolson's
    claims should be dismissed, because she had not produced any expert testimony on
    medical causation. W&S also argued that Bolson should be collaterally estopped from
    pursuing claims dependent on medical causation, because she already litigated and lost
    the issue in her workers' compensation claim.
    In her opposition to W&S's motion for summary judgment, Bolson attached a
    declaration from Jack Thrasher, Ph.D.     Thrasher has extensive experience, training,
    and education in the fields of toxicology and immunotoxicology. In his declaration, he
    explained that toxicology is the study of the adverse effects of chemicals on living
    organisms, including humans. He defined immunotoxicology as the study of adverse
    effects on the immune system resulting from exposure to physical factors, chemicals,
    biological materials, and medical devices. Thrasher has specific expertise in toxicology
    and immunotoxicology as they apply to mold, fungi, and bacteria resulting from water
    intrusion in indoor environments.
    No. 71365-5-1/5
    Thrasher reviewed Bolson's case file, including the parties' declarations and
    Bolson's medical records.     He explained that floodwater carries "microbes (including
    bacteria and mold), silt, and other organic matter into structures and create[s] black
    water conditions." As such, he believed that "[potentially dangerous and pathogenic
    mold and bacteria were more likely than not present in the water-damaged interior" of
    the W&S building.       He further explained that W&S's use of box fans constantly
    circulated sawdust containing "mold, bacteria, pathogen by-products, and other
    particulates."
    Thrasher stated that, because of Bolson's preexisting mold allergy, she should
    not have been allowed in the office during remediation. He concluded:
    28.   It is my professional opinion that Ms. Bolson's Sarcoidosis
    was, on a more probable than not basis, caused by her exposure to mold,
    its by-products, and other environmental contaminants that were present
    in the W&S office immediately after the January 2009 flood.
    29.   Further, even if Ms. Bolson had pre-existing conditions or
    illnesses, it is my opinion, on a more probable than not basis, that her
    exposure to the contaminated work environment exacerbated the injuries
    she suffered and continues to suffer.
    Bolson argued that Thrasher's opinion was sufficient expert testimony on the issue of
    medical causation.
    Bolson also moved to strike and exclude any evidence of her L&l claim, and
    moved to seal any related evidence already submitted by W&S.             W&S opposed
    Bolson's motion to strike the L&l records.
    In reply to Bolson's opposition to summary judgment, W&S asserted that
    Thrasher's opinion was insufficient to meet the standards for expert testimony linking a
    specific toxic exposure to a specific medical condition. W&S pointed out that Thrasher
    No. 71365-5-1/6
    did not examine Bolson, did not inspect the W&S building, and did not make any finding
    about specific mold that might lead to sarcoidosis. W&S argued that Bolson failed to
    establish a factual and scientific link between her exposure to an airborne toxin at the
    W&S office and her sarcoidosis.
    At a hearing on W&S's motion for summary judgment, the trial court orally
    granted Bolson's motion to exclude the L&l records and stated that it would not rely on
    those records. The trial court reasoned that L&l records are discoverable for review by
    the parties, but not admissible for any dispositive motion.
    The trial court also orally granted summary judgment for lack of medical
    causation. The trial court explained:
    It's not sufficient to have someone who is not a medical doctor
    telling the jury to draw conclusions on this sort of thing. There has to be a
    connection done by medical testimony as far as I read the law.
    I understand a reviewing court may disagree with me on that, but
    my reading of the reviewing courts repeatedly is that that is the
    requirement.
    Now, there are exceptions, and I appreciate that. Doctor takes off
    the wrong leg, you don't need a doctor telling him he took off the wrong
    leg; that's kind of a famous case. But this case here does require
    someone to draw the connection, the proximate cause between the two on
    a more likely than not basis. And it's not present in this case that I could
    find. And Dr. Thrasher doesn't have the skill. He's not the expert to do
    that, irrespective of his conclusions. Therefore, summary judgment will be
    granted.
    On August 3, 2012, the trial court entered a written order granting W&S's motion
    for summary judgment. The court noted that it did not consider the L&l files. The trial
    court also denied Bolson's subsequent motion for reconsideration. Bolson appeals.
    No. 71365-5-1/7
    DISCUSSION
    Bolson argues on appeal that the trial court erred in requiring expert testimony to
    establish that workplace exposure to mold proximately caused her sarcoidosis. She
    also argues that, even if expert testimony was required, the trial court erred in
    concluding that her expert toxicologist was not qualified as a medical expert under
    Washington law. She further asserts that the trial court erred in dismissing both her
    NIED and outrage claims.
    We review an order granting summary judgment de novo. Hadlev v. Maxwell.
    
    144 Wash. 2d 306
    , 310-11, 
    27 P.3d 600
    (2001). Summary judgment is proper only when
    there are no genuine issues of material fact and the moving party is entitled to judgment
    as a matter of law. CR 56(c); Peterson v. Groves, 
    111 Wash. App. 306
    , 310, 
    44 P.3d 894
    (2002). We review all facts, and reasonable inferences drawn from the facts, in the light
    most favorable to the nonmoving party. CTVC of Haw.. Co. v. Shinawatra, 
    82 Wash. App. 699
    , 708, 
    919 P.2d 1243
    , 
    932 P.2d 664
    (1996). On a motion for summary judgment,
    courts do not weigh evidence or assess witness credibility. Barker v. Advanced Silicon
    Materials, LLC, 
    131 Wash. App. 616
    , 624, 
    128 P.3d 633
    (2006).
    In a negligence claim, the plaintiff must establish that (1) the defendant owes the
    plaintiff a duty to conform to a certain standard of conduct; (2) a breach of that duty; (3)
    a resulting injury; and (4) proximate cause between the breach and the injury. Cameron
    v. Murray, 
    151 Wash. App. 646
    , 651, 
    214 P.3d 150
    (2009). To recover for NIED, the
    plaintiff must prove the four elements of negligence, as well as objective
    symptomatology. Kloepfel v. Bokor. 
    149 Wash. 2d 192
    , 199, 
    66 P.3d 630
    (2003).
    No. 71365-5-1/8
    A proximate cause of an injury is defined as a cause that, in a direct sequence,
    unbroken by a new, independent cause, produces the injury complained of and without
    which the injury would not have occurred. Fabrique v. Choice Hotels Int'l. Inc., 144 Wn.
    App. 675, 683, 
    183 P.3d 1118
    (2008). Issues of negligence and proximate cause are
    generally not susceptible to summary judgment. Ruff v. County of King, 
    125 Wash. 2d 697
    , 703, 
    887 P.2d 886
    (1995).       Only when reasonable minds can reach but one
    conclusion may questions of fact be determined as a matter of law. ]d. at 703-04.
    I.   The Need for Expert Testimony
    Bolson argues that the trial court erred when it determined that expert testimony
    was required to establish that workplace exposure to mold proximately caused her
    sarcoidosis. Bolson contends that a jury could infer causation, without the need of an
    expert, based on the close temporal proximity between the W&S's conduct and her
    injuries.
    When the results of allegedly negligent conduct are within the experience and
    observation of an ordinary lay person, the trier of fact can draw a conclusion about
    causation without expert testimony. Riqqins v. Bechtel Power Corp., 
    44 Wash. App. 244
    ,
    254, 
    722 P.2d 819
    (1986).       For example, no expert testimony is required where a
    physician amputates the wrong limb or pokes a patient in the eye while stitching a
    wound on the face. Beroer v. Sonneland, 144Wn.2d91, 111, 
    26 P.3d 257
    (2001).
    However, evidence establishing proximate cause must rise above speculation,
    conjecture, or mere possibility. Attwood v. Albertson's Food Ctrs., Inc., 
    92 Wash. App. 326
    , 331, 
    966 P.2d 351
    (1998). Expert testimony is therefore required where the nature
    8
    No. 71365-5-1/9
    of "the injury involves obscure medical factors which are beyond an ordinary lay
    person's knowledge, necessitating speculation in making a finding." Riqqins, 44 Wn.
    App. at 254. The expert must be able to testify that the alleged negligence "'more likely
    than not'" caused the harmful condition leading to injury. 
    Attwood, 92 Wash. App. at 331
    (quoting Merriman v. Toothaker, 
    9 Wash. App. 810
    , 814, 
    515 P.2d 509
    (1973)).
    For instance, expert testimony was required when truck drivers alleged that
    multiple airborne chemicals in company trucks caused them to experience skin rashes,
    respiratory symptoms, nose bleeds, headaches, and other symptoms.              Bruns v.
    PACCAR, Inc., 
    77 Wash. App. 201
    , 203, 214-15, 
    890 P.2d 469
    (1995). Similarly, when a
    firefighter had multiple heart problems unrelated to his employment, expert testimony
    was necessary to establish whether his heart disease was caused by occupational
    exposures. City of Bellevue v. Raum, 
    171 Wash. App. 124
    , 153-54, 
    286 P.3d 695
    (2012),
    review denied, 
    176 Wash. 2d 1024
    , 
    301 P.3d 1047
    (2013). Expert testimony was likewise
    needed when a hotel patron contracted salmonella in the hotel restaurant and
    subsequently developed a reactive arthritis. 
    Fabrique, 144 Wash. App. at 687-88
    . In all
    three of these cases, temporal proximity between the harmful condition and the
    plaintiffs' injuries was insufficient to establish causation.
    The same is true here. Sarcoidosis is an inflammatory disease that can appear
    in almost any body organ, but most commonly affects the lungs. An ordinary lay person
    may not be familiar with sarcoidosis; indeed, an ordinary lay person may never have
    heard of sarcoidosis. There is no connection obvious to a lay person between mold
    exposure and sarcoidosis. Thus, an expert must establish that link. Otherwise, the jury
    No. 71365-5-1/10
    would be left to speculate as to the possible causes of sarcoidosis.                 This is
    impermissible under Washington law.        We hold that expert testimony is required to
    establish that Bolson's sarcoidosis was more likely than not caused by her workplace
    exposure to mold.
    II.   Dr. Thrasher's Expert Testimony
    Bolson argues that the trial court erred in granting summary judgment for lack of
    causation, because the court failed to properly recognize Dr. Thrasher's qualifications
    as an expert. Bolson contends that the trial court erroneously concluded that a medical
    doctor must testify to causation.       Instead, Bolson argues, Thrasher's decades of
    experience as a toxicologist and immunotoxicologist qualify him to testify that workplace
    mold exposure proximately caused her sarcoidosis. Bolson asserts that any remaining
    challenges go to the weight and credibility of his testimony rather than its admissibility.1
    Expert testimony must demonstrate that the defendant's conduct "'probably'" or
    "'more likely than not'" caused the injury, rather than "'might have,'" '"could have,'" or
    "'possibly did.'" 
    Fabrique, 144 Wash. App. at 687
    (quoting Uqolini v. State Marine Lines,
    
    71 Wash. 2d 404
    , 407, 
    429 P.2d 213
    (1967)). Importantly, expert testimony must be based
    1 Bolson also argues that W&S failed to preserve any challenge to the
    admissibility of Thrasher's opinion, because W&S did not move to strike Thrasher's
    declaration or challenge his expert qualifications under ER 702. However, materials
    submitted in connection with a motion for summary judgment cannot actually be
    stricken—the trial court only refuses to consider the evidence. Parks v. Fink, 173 Wn.
    App. 366, 374 n.7, 
    293 P.3d 1275
    , review denied, 
    177 Wash. 2d 1025
    , 
    309 P.3d 504
    (2013). As such, a party can object to the admissibility of the evidence in a reply brief
    rather than by a separate motion to strike. ]d, Thus, objecting to an affidavit filed in
    support of a motion for summary judgment preserves the issue on appeal. Bonneville v.
    Pierce County, 
    148 Wash. App. 500
    , 508-09, 
    202 P.3d 309
    (2008). W&S objected to
    Thrasher's opinion in its summary judgment reply brief, and so we may properly
    consider the issue on appeal.
    10
    No. 71365-5-1/11
    on the facts of the case and not on speculation or conjecture,           jd.   Finally, such
    testimony must be based upon a "reasonable degree of medical certainty." 
    id. at 687-
    88.
    Washington courts have explicitly refused to create a per se rule that medical
    doctors must testify to causation. See, e.g., Harris v. Robert C. Groth, M.D., Inc., 
    99 Wash. 2d 438
    , 449-50, 
    663 P.2d 113
    (1983).          Per se limitations on the testimony of
    otherwise qualified nonphysicians are not in accord with the general trend in evidence to
    move away from requiring formal titles and degrees. Goodman v. Boeing Co., 75 Wn.
    App. 60, 81, 
    877 P.2d 703
    (1994). Training in a related field or academic background
    alone may be sufficient. 
    Id. The Washington
    Supreme Court explained that "'the line
    between chemistry, biology, and medicine is too indefinite to admit of a practicable
    separation of topics and witnesses.'" 
    Harris, 99 Wash. 2d at 450
    (quoting 2 J. Wigmore,
    Evidence § 569, at 790 (rev. 1979)). Thus, whether an expert is licensed to practice
    medicine is "certainly an important factor to be taken into account in making this
    determination," but is not dispositive.      Id, at 450-51.      Furthermore, it is worth
    emphasizing that the medical diagnosis of sarcoidosis is not at issue here, only the
    cause of the sarcoidosis.
    In Loudermill v. Dow Chemical Co., the plaintiff offered expert testimony from a
    toxicologist with doctoral degrees in toxicology and chemistry, but not in medicine. 
    863 F.2d 566
    , 568 (8th Cir. 1988). The toxicologist testified, to a high degree of medical
    probability, that chemical exposure caused the plaintiff's cirrhosis of the liver and death.
    \± On appeal, the defendant argued that (1) the toxicologist did not possess the proper
    11
    No. 71365-5-1/12
    qualifications to offer expert testimony on the effects of the plaintiff's exposure to
    chemicals, (2) the toxicologist could not offer opinions as to medical probability because
    he was not a medical doctor, and (3) the toxicologist's opinions were based entirely
    upon speculation and conjecture. Id at 567.
    The Eighth Circuit concluded that the toxicologist's testimony was properly
    admitted. Id at 570. He had extensive knowledge of toxicology and the liver, and his
    testimony to that effect assisted the trier of fact. Id at 568-69. The toxicologist's lack of
    a medical degree went to the weight and value of his testimony, which is for the jury to
    evaluate.   Id at 570.     He examined microscopic specimen slides, pathology and
    autopsy reports, government records, and publications concerning liver injuries caused
    by halogenated hydrocarbons. 
    Id. This factual
    basis likewise went to the credibility of
    his opinion, not its admissibility, |d We also recently recognized that the weight, if any,
    to be given to an expert's opinion based solely on a medical records review, rather than
    a physical exam, is within the jury's province. 
    Raum, 171 Wash. App. at 154
    n.25.
    Similarly, the Third Circuit in Gentv v. Resolution Trust Corp. recognized that
    medical doctors are not the only experts qualified to render an opinion as to the harm
    caused by exposure to toxic chemicals. 
    937 F.2d 899
    , 917 (3d Cir. 1991). The Genty
    court held that exclusion of a toxicologist's testimony "without considering his
    credentials as a doctor of toxicology, simply because he did not possess a medical
    degree, is inconsistent with expert witness jurisprudence." Id
    Dr. Thrasher has extensive experience in the fields of toxicology (45 years) and
    immunotoxicology (25 years). In 1964, he received his doctorate in human anatomy
    12
    No. 71365-5-1/13
    and cell biology from the School of Medicine at University of California, Los Angeles
    (UCLA). He worked as an assistant professor of human anatomy at both the UCLA
    School of Medicine and the University of Colorado School of Medicine. As a professor,
    he conducted "research in cell biology, with a focus on the effects of aging, air
    pollutants, environmental radiation, and organo-mercurial compounds."           He has
    published extensively on the topics of toxicology and immunotoxicology, and has held
    leadership roles at several medical and research facilities.
    Dr. Thrasher defined toxicology as the "study of the adverse effects of chemicals
    on livings systems, whether they be human, animal, plant, or microbe." "Adverse effect"
    means anything from a life threatening injury to a minor annoyance. Thrasher explained
    that toxicology is an interdisciplinary science that integrates the fields of chemistry,
    biology, pharmacology, molecular biology, physiology, and medicine.         Black's Law
    Dictionary likewise defines toxicology as the "branch of medicine that concerns poisons,
    their effects, their recognition, their antidotes, and generally the diagnosis and
    therapeutics of poisoning; the science of poisons." Black's Law Dictionary 1629 (9th
    ed. 2009).
    Similarly, Thrasher defined immunotoxicology as the "study of adverse effects on
    the immune system resulting from exposure to physical factors, chemicals, biological
    materials, medical devices and, in certain instances, physiological factors, collectively
    referred to as agents." It encompasses the study of "immune pathologies associated
    with exposure of humans and wildlife species, including allergy, immune dysregulation,
    autoimmunity, and chronic inflammation." Thrasher has specific expertise in these
    13
    No. 71365-5-1/14
    fields as they apply to "mold, fungi, bacteria, mycotoxins, and indoor environment
    resulting from water intrusion."
    Thrasher reviewed Bolson's case file, including the parties' declarations and
    Bolson's medical records. Thrasher opined that the musty odor, various mold spots on
    the indoor mold test kit, and the employees' physical reactions "indicated mold and
    bacteria growth" in the W&S office building.         Thus, he concluded, "[pjotentially
    dangerous and pathogenic mold and bacteria were more likely than not present in the
    water-damaged interior." Similarly, Dr. Lim believed that it was "possible that the
    environment may have contributed to the development of [Bolson's] illness," even
    though he went on to note that the "time frame would be unusually rapid." Viewing
    these facts in the light most favorable to Bolson, we can infer for summary judgment
    purposes that mold was present in the W&S office during cleanup.
    From there, both Dr. Thrasher and Dr. Lim relied on research publications to
    support their positions. Thrasher read several peer reviewed papers on sarcoidosis and
    discovered at least 18 recent publications on the association of dampness, mold, and
    sarcoidosis. In contrast, Lim studied only three reports, which Thrasher also reviewed.
    Thrasher explained that even these three reports state that exposure to bioaerosols in
    damp indoor spaces is associated with sarcoidosis.
    Based on Thrasher's decades of experience in toxicology, his specific expertise
    in water intrusion into indoor spaces, his review of the case files and Bolson's medical
    records, and his research on sarcoidosis, Thrasher concluded "on a more probable than
    not basis" that Bolson's workplace exposure to mold caused her sarcoidosis. And, even
    14
    No. 71365-5-1/15
    if Bolson had preexisting conditions or illnesses, Thrasher believed, again on a more
    probable than not basis, that the contaminated work environment "exacerbated the
    injuries she suffered and continues to suffer."
    These conclusions fell within Thrasher's particular area of expertise as a
    toxicologist and immunotoxicologist. Based on the definition in Thrasher's declaration
    and in Black's Law Dictionary, a toxicologist is a medical expert capable of recognizing
    and diagnosing symptoms caused by exposure to mold. Challenges to the factual basis
    of Thrasher's opinions and his lack of a medical degree go to the weight and credibility
    of his testimony, not its admissibility.    The fact that Dr. Lim reached a different
    conclusion simply sets up "'a classic battle of the experts, a battle in which the jury must
    decide the victor.'" Intalco Aluminum Corp. v. Dep't of Labor & Indus., 
    66 Wash. App. 644
    ,
    662, 
    833 P.2d 390
    (1992) (quoting Ferebee v. Chevron Chem. Co., 
    736 F.2d 1529
    ,
    1535 (D.C. Cir. 1984)).
    Accordingly, we reverse the trial court's dismissal of Bolson's negligence and
    NIED claims for lack of medical causation.2
    III.   Outrage
    Bolson argues that the trial court erred in dismissing her outrage claim. She
    contends that she does not need to demonstrate a causal connection between the
    2 Bolson argues that the trial court erred when it granted summary judgment on
    the remaining elements of negligence, because there are disputed issues of material
    fact. W&S argues that dismissal was proper on the alternative bases that Bolson failed
    to establish the relevant standard of care or any breach of that standard. However, the
    trial court granted summary judgment solely based on lack of causation. It is clear from
    the record that the trial court did not consider any of the remaining elements of
    negligence.    Because the trial court did not consider the remaining elements of
    negligence, neither do we.
    15
    No. 71365-5-1/16
    defendant's extreme and outrageous conduct and her emotional distress. She argues
    that the court may presume emotional distress once there is outrageous conduct.
    To establish the tort of outrage, a plaintiff must show: (1) extreme and
    outrageous conduct; (2) intentional or reckless infliction of emotional distress; and (3)
    severe emotional distress as a result. Reid v. Pierce County, 
    136 Wash. 2d 195
    , 202, 
    961 P.2d 333
    (1998). While a showing of bodily harm is not necessary, the extreme and
    outrageous conduct "must result in severe emotional distress to the plaintiff." Grimsby
    v. Samson, 
    85 Wash. 2d 52
    , 59, 
    530 P.2d 291
    (1975) (emphasis added and omitted).
    Bolson is incorrect that she need not show any causal connection between the
    purportedly outrageous conduct and her emotional distress. A causal link is clearly
    required.
    Furthermore, Bolson fails to meet the high bar for establishing extreme and
    outrageous conduct.     The conduct must be "'so outrageous in character, and so
    extreme in degree, as to go beyond all possible bounds of decency, and to be regarded
    as atrocious, and utterly intolerable in a civilized community.'" id (emphasis omitted)
    (quoting Restatement (Second) of Torts § 46 cmt. d (1965)).
    For instance, in Birklid v. Boeing Co., Boeing began using a new material in its
    airplanes that was impregnated with a toxic chemical. 
    127 Wash. 2d 853
    , 856, 
    904 P.2d 278
    (1995). Employees soon began experiencing harmful physical reactions to the
    chemical and eventually sued Boeing for outrage, 
    id. at 856-57.
    They alleged that
    Boeing knowingly exposed them to the toxin; removed labels on the chemical; denied
    access to material safety data sheets; harassed employees who requested protective
    16
    No. 71365-5-1/17
    equipment or sought medical treatment; altered the workplace during governmental
    safety tests to disguise harm from the chemical; and experimented with exposing
    employees to the toxin without their informed consent. \± at 857. The Washington
    Supreme Court concluded that the employees stated a claim for outrage based on this
    conduct. Id at 868.
    W&S's conduct that Bolson alleges to be outrageous includes: failing to warn the
    employees of unsanitary conditions; forcing the employees to work in a building with
    toxic particles; ignoring the employees' concerns and symptoms; and throwing away the
    employees' mold kit tests. However, Bolson was allowed to work from home during the
    repairs. W&S's conduct does not rise to the level of extreme and outrageous conduct
    like in Birklid. Birklid demonstrates the type of atrocious, intolerable conduct that gives
    rise to a colorable outrage claim. There is no comparable conduct here.
    W&S did not purposefully expose Bolson to mold with the intent to cause her
    harm. At most, W&S was negligent in cleaning up the office space. Negligence is
    insufficient for an outrage claim.    We therefore affirm the trial court's dismissal of
    Bolson's outrage claim.
    IV.    Collateral Estoppel
    W&S argues that we can affirm on the alternative basis of collateral estoppel,
    because L&l previously ruled against Bolson on the issue of medical causation in her
    workers' compensation claim. Bolson argues that W&S's collateral estoppel argument
    is procedurally barred, because W&S failed to cross appeal the trial court's order
    refusing to consider any L&l records on summary judgment.
    17
    No. 71365-5-1/18
    RAP 2.4(a) limits the circumstances under which a respondent may seek
    affirmative relief. State v. Sims. 
    171 Wash. 2d 436
    , 442, 
    256 P.3d 285
    (2011). It states:
    The appellate court will grant a respondent affirmative relief by modifying
    the decision which is the subject matter of the review only (1) if the
    respondent also seeks review of the decision by the timely filing of a
    notice of appeal or a notice of discretionary review, or (2) if demanded by
    the necessities of the case.
    RAP 2.4(a). A notice of cross appeal is required if the respondent "'seeks affirmative
    relief as distinguished from the urging of additional grounds for affirmance.'" Robinson
    v. Khan, 
    89 Wash. App. 418
    , 420, 
    948 P.2d 1347
    (1998) (quoting Phillips Bldq. Co. v. An,
    
    81 Wash. App. 696
    , 700 n.3, 
    915 P.2d 1146
    (1996)).
    A successful litigant need not cross appeal in order to urge additional reasons in
    support of the judgment, even though rejected by the trial court, so long as no additional
    relief is granted on appeal. Amalgamated Transit Union Local 587 v. State, 
    142 Wash. 2d 183
    , 202, 
    11 P.3d 762
    , 
    27 P.3d 608
    (2000). On the other hand, affirmative relief usually
    means a change in the final result at trial. 
    Sims, 171 Wash. 2d at 442
    . While RAP 2.4(a)
    does not limit the scope of argument a respondent may make, it qualifies any relief
    sought by the respondent beyond affirming the lower court, id When a respondent
    requests partial reversal of the trial court's decision, the respondent seeks affirmative
    relief and needs to cross appeal. In re Arbitration of Doyle, 
    93 Wash. App. 120
    , 127, 
    966 P.2d 1279
    (1998).
    W&S's collateral estoppel argument is not simply an additional basis for
    affirmance—it requires affirmative relief.    W&S asserted collateral estoppel as an
    alternative basis to grant summary judgment below. In response, Bolson moved to
    18
    No. 71365-5-1/19
    strike and exclude all the L&l records that formed the basis of W&S's collateral estoppel
    argument.   The trial court granted Bolson's motion to exclude the L&l records and
    refused to consider any related evidence. Therefore, we would need to reverse the trial
    court's order excluding the L&l records in order to consider collateral estoppel. This
    constitutes affirmative relief. Because W&S did not cross appeal, we do not consider
    W&S's collateral estoppel argument.
    We affirm in part, reverse in part, and remand.
    WE CONCUR:
    cbA,