[00:00:00] Speaker 04: Case number 16-7055, Senna Shinari, appellant versus George Washington University. [00:00:06] Speaker 04: Mr. Bach for the appellant, Mr. McConnell for the appellee. [00:00:14] Speaker 01: Good morning. [00:00:15] Speaker 01: If it pleases the court, Jason Bach on behalf of the appellant, Senna Shinari. [00:00:22] Speaker 02: Good morning. [00:00:23] Speaker 01: Good morning. [00:00:24] Speaker 01: If George Washington University had its way, they would have this court believe that Mr. Tonari is simply just a cheat and not a student with disabilities. [00:00:38] Speaker 01: We have documented a number of occasions that Mr. Tunari had interactions with the faculty at George Washington University Medical School for more than two years before he was actually dismissed from the medical school, where Mr. Tunari's mental issues and psychological issues were discussed with the faculty members. [00:01:00] Speaker 01: And it's important to know in this case that Mr. Tenari was not dealing with faculty members from an English department or some other type of liberal arts department. [00:01:11] Speaker 01: He was dealing with trained medical doctors in the medical school discussing his conditions with these individuals at length. [00:01:20] Speaker 00: Does that mean that [00:01:33] Speaker 00: accommodation? [00:01:35] Speaker 01: I don't think it increases their obligation to suggest an accommodation, but what it does do is it certainly creates a question of fact as to whether or not they were aware that he suffered from a disability when they are trained medical doctors having those discussions with them in person. [00:01:54] Speaker 00: What case stands for the proposition that [00:02:01] Speaker 00: where you need to go to get a try? [00:02:04] Speaker 01: Well, in this particular case, we have a situation where, um, you know, the cases that are cited primarily by the appellees aren't on point where do you have any cases that are on point? [00:02:18] Speaker 01: There we've never seen a case where we have a student who is going to [00:02:25] Speaker 01: is going to a medical school, faculty members and administration saying that I have these issues, I have these problems. [00:02:33] Speaker 01: We believe that more likely this information was intentionally withheld from Mr. Tenari. [00:02:40] Speaker 01: I understand this information is available on the vast [00:02:42] Speaker 01: George Washington, you know, website. [00:02:44] Speaker 00: What information was it? [00:02:47] Speaker 01: They claimed that Mr. Ciannari had an obligation to not just inform them of his disability, but had an obligation to go to the student disability services office to request accommodations. [00:02:58] Speaker 02: But doesn't the case law require that the student not only notify the institution about the disability, but request an accommodation? [00:03:09] Speaker 02: That's what the case law says, and he concedes that he never requested an accommodation. [00:03:15] Speaker 01: Right, Mr. Turner was not aware that he was entitled to any accommodations. [00:03:18] Speaker 02: He does say in his deposition under questioning that he did not ask for an accommodation, correct? [00:03:26] Speaker 01: He did not ask for accommodations until after his dismissal from the medical school. [00:03:32] Speaker 02: And you mentioned, in answer to Judge Wilkins, you mentioned this website. [00:03:37] Speaker 02: for disability support services. [00:03:44] Speaker 02: Have you looked at that? [00:03:45] Speaker 01: I have, Your Honor. [00:03:47] Speaker 01: It has been some time, but I have. [00:03:50] Speaker 02: It seems to me, tell me if this is, if my perception of this website, first of all, they mention the website, the website is mentioned in the guide for, what do they call it, the survival guide? [00:04:08] Speaker 02: It's mentioned in there. [00:04:09] Speaker 02: And Dr. Goldberg testifies that she told your client about it. [00:04:18] Speaker 02: So there's no contrary evidence in the record about it. [00:04:22] Speaker 02: So would I be wrong to think that what this website is is essentially an offer of reasonable accommodation under the law to any student who needs it? [00:04:38] Speaker 02: I mean, that's what it is. [00:04:45] Speaker 02: When you click on the third option, which is for accommodation, there are seven different options for how to apply, including testing and including ADHD. [00:05:04] Speaker 02: So why isn't that essentially the university's offer of reasonable accommodation to any student who needs it? [00:05:12] Speaker 02: Do you see my point? [00:05:13] Speaker 01: I do, Your Honor, and the point being is that Mr. Tonari never saw that website. [00:05:17] Speaker 02: Well, we have to deal with the record here. [00:05:21] Speaker 02: And the only thing in the record is, number one, that it's in the survival guide. [00:05:29] Speaker 02: Correct? [00:05:29] Speaker 02: That's correct. [00:05:31] Speaker 02: And number two, Dr. Goldberg testified, right, that she tells all first-year students about it. [00:05:37] Speaker 01: She did testify to that. [00:05:38] Speaker 01: OK. [00:05:38] Speaker 02: And there's no contrary evidence in the record. [00:05:42] Speaker 02: Correct? [00:05:42] Speaker 01: Just Mr. Tanari's words that he doesn't have a recollection of that. [00:05:47] Speaker ?: Yeah. [00:05:49] Speaker 04: He doesn't deny that she said it. [00:05:51] Speaker 01: He does not deny that she said it, but he does not have a recollection. [00:05:54] Speaker 02: He doesn't recollect it. [00:05:57] Speaker 02: You know, if you think about the way this statute works and what it's supposed to accomplish, isn't this website exactly what universities should be doing? [00:06:10] Speaker 01: And they should be informing the students about that website. [00:06:13] Speaker 02: In the record, in this case, they did. [00:06:16] Speaker 02: Now, maybe you think they should do a better job of informing them, right? [00:06:19] Speaker 02: Well, let me put it to you this way. [00:06:21] Speaker 02: Suppose he had known about it. [00:06:22] Speaker 02: Would you agree that that would be fatal to your case? [00:06:25] Speaker 01: If he had known about the website? [00:06:28] Speaker 02: Yeah. [00:06:29] Speaker 02: If it was evidence that he knew about it and didn't take advantage of it. [00:06:35] Speaker 01: Yes. [00:06:36] Speaker 01: He believed that they were intentionally, after the fact when he discovered this information, in retrospect, he believed that they were withholding this information from him. [00:06:48] Speaker 02: Is there any evidence in the record about that at all? [00:06:51] Speaker 02: That they were withholding the information about the website? [00:06:54] Speaker 01: There is no evidence in the record that Dean Goldberg ever told Mr. Tonari one-on-one in their meetings and their numerous meetings. [00:07:03] Speaker 01: She has never testified that she referred him to that website. [00:07:06] Speaker 02: But she did testify that she every year tells the first-year students about it. [00:07:11] Speaker 01: She testified that she tells all students about it. [00:07:15] Speaker 02: And it's in the manual. [00:07:17] Speaker 01: That's correct. [00:07:18] Speaker 01: And I'm going to reserve my three minutes. [00:07:28] Speaker 03: May it please the court, Nicholas McConnell on behalf of George Washington University. [00:07:34] Speaker 03: It's been represented to the court that they've never encountered, the plaintiff has never encountered a case similar to this one, where a student with a disability who has informed various school officials of ADHD, that that has then led to a dismissal. [00:07:49] Speaker 03: But that's exactly what the helper in case was about, which we have cited in our brief. [00:07:54] Speaker 03: I think the case law is clear that a student under circumstances such as Mr. Tunari needs to do something more than simply say to a faculty member somewhere, oh, by the way, I have ADHD, because in and of itself ADHD doesn't constitute a disability. [00:08:12] Speaker 03: Well, but suppose it does. [00:08:14] Speaker 02: The student has to give notice, correct? [00:08:19] Speaker 02: Yes, Your Honor. [00:08:20] Speaker 02: Okay. [00:08:20] Speaker 02: And the university's obligation is to respond. [00:08:25] Speaker 02: And the student's supposed to ask for a reasonable accommodation, correct? [00:08:28] Speaker 03: Correct, Your Honor. [00:08:29] Speaker 03: Yes. [00:08:29] Speaker 02: But there are some disabilities that are just obvious, right? [00:08:33] Speaker 02: Correct, Your Honor. [00:08:34] Speaker 02: And so the university sort of has constructive notice of both the disability and the need for an accommodation, correct? [00:08:42] Speaker 03: That is true. [00:08:43] Speaker 02: So it's not true that in all circumstances, the student has to request a reasonable condition. [00:08:49] Speaker 03: There may be circumstances, Your Honor, where the existence of a disability would be obvious. [00:08:55] Speaker 02: Yeah. [00:08:56] Speaker 03: Agreed. [00:08:56] Speaker 03: But the cases are quite clear that ADHD is not one of them. [00:09:01] Speaker 03: In fact, we cite a case in our briefs where the student with ADHD actually attempted to prove through medical evidence that the ADHD both existed and was sufficiently severe as to create academic problems for the student. [00:09:17] Speaker 03: The court looked carefully at the medical testimony and determined that the diagnosis, particularly of ADHD, is a complicated diagnosis. [00:09:27] Speaker 03: difficult to make. [00:09:29] Speaker 03: The DSM manual that sets out the guidelines for how the diagnosis is made follows through a whole series of very complex steps. [00:09:36] Speaker 03: And the court looked at that evidence and determined no, in this instance, even with some medical support, the record does not sufficiently establish that this student had ADHD [00:09:47] Speaker 03: of a severity that constituted a disability for academic purposes requiring accommodation of some kind. [00:09:54] Speaker 04: Didn't you tell Dr. Flory that his anxiety was impairing his ability to participate on performance-based tests and performance-based classes? [00:10:05] Speaker 03: He mentioned anxiety, and it would be difficult to think of any student under the pressures of medical students. [00:10:10] Speaker 03: No, no. [00:10:10] Speaker 04: Anxiety that impaired his ability. [00:10:12] Speaker 04: He didn't just say, I'm anxious. [00:10:14] Speaker 04: He said, I have anxiety that is impairing my ability to perform in these performance-based classes, the clinical classes, or the interaction with mock patients, and to take performance-based tests. [00:10:27] Speaker 04: And Dr. Flory responded not by everybody saying everyone's anxious, but by saying, here is a special counselor who's focused in this. [00:10:35] Speaker 03: The school a school official was on notice that He had a disability that was impairing his ability to take tests going on anxiety is not a disability your honor It may be if it arises in the context of a Diagnosis that says that the disability reaches that level [00:10:59] Speaker 03: But virtually every student in an academic high-pressure environment has anxiety, and it does affect performance. [00:11:05] Speaker 03: There's no question about that. [00:11:07] Speaker 04: This was different. [00:11:08] Speaker 02: You're not seriously saying that all students suffer from an anxiety disorder, are you? [00:11:14] Speaker 03: No, absolutely not, Your Honor. [00:11:16] Speaker 02: Nor are you saying, at least I assume you're not saying, that a student couldn't have a diagnosed anxiety disorder that could arise to a disability under the Act. [00:11:25] Speaker 03: They could certainly be true. [00:11:27] Speaker 02: OK, so then why did you answer Judge Malek by saying that it's not a disability? [00:11:33] Speaker 03: It's not necessarily a disability. [00:11:36] Speaker 03: And here, of course, [00:11:39] Speaker 03: the student was directly referred for counseling for the very purpose of sorting out, A, is there some way that we can help you with that anxiety? [00:11:47] Speaker 03: Is this something more than the normal student anxiety? [00:11:52] Speaker 03: That was the purpose for the referral. [00:11:53] Speaker 04: Well, let me just clarify a couple things that you just said. [00:11:56] Speaker 04: One, I think the record shows that both Dr. Flory and a number of the teachers had noticed that he was having [00:12:04] Speaker 04: more problems than the usual student in this context because of his anxiety. [00:12:09] Speaker 04: And two, I just had a question. [00:12:10] Speaker 04: Given that, is there evidence in the record that says this referral was, I got it that it was for counseling to help him deal with it. [00:12:18] Speaker 04: I thought you just said it was also to help diagnose whether he had an anxiety disorder. [00:12:24] Speaker 03: Is that what this counselor does? [00:12:26] Speaker 03: he was speaking with generally in the medical program aren't necessarily those who are going to make these types of diagnoses. [00:12:33] Speaker 03: That's why they are referred for counseling. [00:12:35] Speaker 03: That's where the process would begin. [00:12:36] Speaker 04: Does the counselor do the diagnosis or does the counselor just help? [00:12:40] Speaker 04: I thought the counselor was their accommodation. [00:12:42] Speaker 03: It would be both. [00:12:43] Speaker 03: I would assume that a competent clinician is going to decide, I can help the student with this anxiety or no, there's something more going on with the student that I need to refer either to the disability office or perhaps to some other level of clinician, maybe a psychiatrist, maybe a psychologist. [00:13:02] Speaker 03: But certainly, that's where that process begins. [00:13:04] Speaker 03: And he was referred to the process, encouraged to go there, by several people, Dr. Goldberg, Dr. Flory, and of course, his own attending physician, Dr. Dewar, [00:13:13] Speaker 03: had said, look, if you're really having problems with this, the logical place for you to go is to go back to the university and seek counseling there. [00:13:21] Speaker 03: He was then referred to counseling, and his response to that was, I don't have time for that. [00:13:27] Speaker 03: Did you ask for any accommodation from the university to take time off from your academic schedule so that you could do that? [00:13:33] Speaker 03: No, I never asked for that. [00:13:35] Speaker 02: Is there anything in the record that would tell us how effective this website is, like how many students use it and how it works? [00:13:43] Speaker 03: There is nothing in the record on that issue, Your Honor. [00:13:45] Speaker 03: Do you know? [00:13:45] Speaker 03: Do you happen to know? [00:13:50] Speaker 03: I can say that every faculty member I've talked with has made quite clear that students at the university are of disability, are welcome to the community, and supported in the community. [00:14:04] Speaker 02: Students are not turned away. [00:14:06] Speaker 02: That wasn't my question. [00:14:06] Speaker 02: I was asking about the website. [00:14:10] Speaker 02: The website itself? [00:14:11] Speaker 02: I don't know. [00:14:11] Speaker 02: OK. [00:14:13] Speaker 02: Anything else? [00:14:13] Speaker 02: No. [00:14:13] Speaker 02: OK. [00:14:15] Speaker 02: Thank you. [00:14:16] Speaker 02: Thank you, Robert. [00:14:16] Speaker 02: Did counsel have any time left? [00:14:20] Speaker 02: Okay, go ahead. [00:14:28] Speaker 01: In fact, your honor, the director does show that Dr. Flory, at the time that she recommended that he see a counselor, had no knowledge of there even being an office that provided accommodations to students. [00:14:42] Speaker 04: What accommodation did he want? [00:14:44] Speaker 01: Well, the number one accommodation for a student with ADHD that he would have benefited from was extended test timing. [00:14:50] Speaker 01: And if you look at why he got in trouble and why this issue came up with him filling in the bubbles, it has everything to do with test time. [00:14:56] Speaker 02: And that's one of the exact combinations that they offer on the website. [00:15:00] Speaker 01: Right, that is one of the accommodations. [00:15:03] Speaker 01: It's the most common accommodation. [00:15:04] Speaker 02: And it's right there on the website. [00:15:06] Speaker 02: And a student can apply for it. [00:15:08] Speaker 02: And with medical justification, we'll get just that accommodation. [00:15:17] Speaker 01: That is correct. [00:15:18] Speaker 02: And your only response to that is that he didn't know about it. [00:15:22] Speaker 01: He did not know about it, but also he's going and talking to these professionals in his department who are not referring him directly to that office. [00:15:32] Speaker 01: Dr. Flory, for example, had no knowledge of the office even existed. [00:15:35] Speaker 01: So they can't refer him to an office that they don't know existed. [00:15:39] Speaker 01: In my short period of time, I just want to clear up a few issues on the record of factual disputes. [00:15:46] Speaker 01: The appellees are claiming that Dean Goldberg has stated that Mr. Chinari never told her about his ADHD, and that's not accurate. [00:15:54] Speaker 01: In her deposition, she testified that she had no recollection of him telling her, but she did not deny that he told her. [00:16:04] Speaker 01: Another factual issue involving Dr. Durer, who was Mr. Trenari's personal physician, they would like the court to believe that he never actually diagnosed him with ADHD. [00:16:16] Speaker 01: In fact, Dr. Durer stated that he didn't see in his notes on the date that he prescribed the ADHD that he diagnosed him. [00:16:25] Speaker 01: However, he did admit that he did diagnose him in February of 2012 with ADHD. [00:16:33] Speaker 01: Nice to see my time. [00:16:34] Speaker 01: Thank you. [00:16:36] Speaker 02: Thank you both. [00:16:36] Speaker 02: The case is submitted.