Bonny M. Bolson, Appellant V. Hayden G. Williams, Et Al, Respondents

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
BONNY M. BOLSON,
Appellant,
v.
HAYDEN G. WILLIAMS and DONITA C.
WILLIAMS, individually and on behalf of
the marital community composed thereof;
WILLIAMS & SCHLOER, CPA'S, P.S., a
Washington professional service
corporation,
Respondents.
No. 71365-5-
DIVISION ONE
UNPUBLISHED OPINION
FILED: May 27, 2014
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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 Wn.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 Wn. 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 Wn. 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 Wn. 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 Wn. 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 Wn.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 Wn.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 Wn. 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 Wn. 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 Wn. App. at 331
(quoting Merriman v. Toothaker, 9 Wn. 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 Wn. 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 Wn. App. 124, 153-54, 286 P.3d 695 (2012),
review denied, 176 Wn.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 Wn. 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 Wn. App. at 687 (quoting Uqolini v. State Marine Lines,
71 Wn.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 Wn.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 Wn. 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
Wn.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 Wn.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 Wn. 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 Wn. 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 Wn.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 Wn.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 Wn.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
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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.
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No. 71365-5-1/18
RAP 	2.4(a) 	limits the 	circumstances 	under 	which 	a 	respondent 	may 	seek
affirmative relief. 	State v. Sims. 171 Wn.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 Wn. App. 418, 420, 948 P.2d 1347 (1998) (quoting Phillips Bldq. Co. v. An,
81 Wn. 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 Wn.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 Wn.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 Wn. 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
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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:
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19