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    "sections": [
      {
        "title": "United States Court of Appeals",
        "paragraphs": []
      },
      {
        "title": "For the Eighth Circuit",
        "paragraphs": [
          "para_3"
        ]
      },
      {
        "title": "No. 25-2173",
        "paragraphs": [
          "para_5"
        ]
      },
      {
        "title": "Ross Christensen",
        "paragraphs": []
      },
      {
        "title": "Plaintiff - Appellant",
        "paragraphs": [
          "para_8",
          "para_9"
        ]
      },
      {
        "title": "Defendant - Appellee",
        "paragraphs": [
          "para_11"
        ]
      },
      {
        "title": "Appeal from United States District Court",
        "paragraphs": [
          "para_13",
          "para_14"
        ]
      },
      {
        "title": "Submitted: May 12, 2026",
        "paragraphs": []
      },
      {
        "title": "Filed: August 11, 2026",
        "paragraphs": [
          "para_17",
          "para_18",
          "para_19",
          "para_20"
        ]
      },
      {
        "title": "Ross Christensen worked for Union Pacific Railroad Co. (Union Pacific) as a",
        "paragraphs": [
          "para_22",
          "para_23",
          "para_24",
          "para_25",
          "para_26",
          "para_27",
          "para_28",
          "para_29",
          "para_30"
        ]
      },
      {
        "title": "On January 9, 2015, while at home and off duty, Christensen suffered a stroke",
        "paragraphs": [
          "para_32",
          "para_33",
          "para_34"
        ]
      },
      {
        "title": "Christensen received medications to address the blood clots that caused the stroke;",
        "paragraphs": [
          "para_36"
        ]
      },
      {
        "title": "By all accounts, Christensen recovered well. Within four days, most of his",
        "paragraphs": [
          "para_38",
          "para_39",
          "para_40"
        ]
      },
      {
        "title": "Christensen underwent three electrical cardioversion procedures on February",
        "paragraphs": []
      },
      {
        "title": "24, 2015, to resolve his atrial fibrillation, the condition that predisposed him to",
        "paragraphs": [
          "para_43"
        ]
      },
      {
        "title": "Cragun, referred Christensen to an electrophysiologist, Dr. David Wang. On March",
        "paragraphs": []
      },
      {
        "title": "3, 2015, Dr. Cragun cleared Christensen to return to work. Roughly two months",
        "paragraphs": [
          "para_46",
          "para_47"
        ]
      },
      {
        "title": "Because Christensen suffered a stroke, Union Pacific’s Health and Medical",
        "paragraphs": []
      },
      {
        "title": "Services (HMS) department required him to submit to a medical fitness-for-duty",
        "paragraphs": [
          "para_50"
        ]
      },
      {
        "title": "1The Honorable Robert F. Rossiter, Jr., United States District Judge for the",
        "paragraphs": [
          "para_52",
          "para_53"
        ]
      },
      {
        "title": "Two physicians—Dr. John Holland and Dr. John Charbonneau, Union Pacific’s",
        "paragraphs": [
          "para_55"
        ]
      },
      {
        "title": "Charbonneau decided to impose one-year sudden-incapacitation restrictions on",
        "paragraphs": []
      },
      {
        "title": "Christensen’s work. Those restrictions prevented Christensen from, among other",
        "paragraphs": [
          "para_58",
          "para_59"
        ]
      },
      {
        "title": "Union Pacific told Christensen that it could revisit these restrictions one year after",
        "paragraphs": [
          "para_61",
          "para_62"
        ]
      },
      {
        "title": "Christensen submit updated medical records, undergo a further fitness-for-duty",
        "paragraphs": [
          "para_64"
        ]
      },
      {
        "title": "In December 2015, Christensen began the return-to-work process. He",
        "paragraphs": [
          "para_66",
          "para_67",
          "para_68"
        ]
      },
      {
        "title": "Christensen was experiencing “[m]ild clumsiness in [his] right hand,” his balance",
        "paragraphs": [
          "para_70",
          "para_71",
          "para_72",
          "para_73"
        ]
      },
      {
        "title": "Dr. Holland performed a further fitness-for-duty evaluation. As a result of",
        "paragraphs": [
          "para_75",
          "para_76",
          "para_77",
          "para_78"
        ]
      },
      {
        "title": "Christensen, who has had a stroke and/or intracerebral hemorrhage in",
        "paragraphs": [
          "para_80",
          "para_81",
          "para_82",
          "para_83",
          "para_84",
          "para_85",
          "para_86",
          "para_87",
          "para_88",
          "para_89",
          "para_90"
        ]
      },
      {
        "title": "Based on this scientific evidence about the risk of seizures after a",
        "paragraphs": [
          "para_92",
          "para_93"
        ]
      },
      {
        "title": "Carrier Safety Administration (FMCSA) state a commercial driver that",
        "paragraphs": [
          "para_95",
          "para_96",
          "para_97",
          "para_98",
          "para_99",
          "para_100",
          "para_101",
          "para_102",
          "para_103",
          "para_104"
        ]
      },
      {
        "title": "Therefore, Mr. Christensen has been given . . . work restrictions for",
        "paragraphs": []
      },
      {
        "title": "Sudden Incapacitation risks . . . to remain in place for a minimum of",
        "paragraphs": [
          "para_107",
          "para_108",
          "para_109",
          "para_110"
        ]
      },
      {
        "title": "Dr. Holland called Christensen on March 18, 2016, to discuss Union Pacific’s",
        "paragraphs": [
          "para_112",
          "para_113",
          "para_114",
          "para_115",
          "para_116",
          "para_117",
          "para_118"
        ]
      },
      {
        "title": "Roughly two years later, in February 2018, Christensen asked that Union",
        "paragraphs": []
      },
      {
        "title": "Pacific reevaluate his work restrictions. Dr. Charbonneau reviewed Christensen’s",
        "paragraphs": []
      },
      {
        "title": "2016 fitness-for-duty evaluation and updated medical records and concluded “no",
        "paragraphs": [
          "para_122",
          "para_123"
        ]
      },
      {
        "title": "Pacific states that its practice is not to affirmatively reach out to employees about",
        "paragraphs": [
          "para_125",
          "para_126",
          "para_127"
        ]
      },
      {
        "title": "Christensen never returned to work as a conductor. While the parties made",
        "paragraphs": [
          "para_129",
          "para_130",
          "para_131"
        ]
      },
      {
        "title": "Christensen sued Union Pacific for damages in 2023. His complaint asserted",
        "paragraphs": []
      },
      {
        "title": "ADA disparate treatment claims under 42 U.S.C. § 12112(a) and (b)(6). Christensen",
        "paragraphs": [
          "para_134",
          "para_135"
        ]
      },
      {
        "title": "Union Pacific moved for summary judgment. It argued that Christensen",
        "paragraphs": [
          "para_137",
          "para_138"
        ]
      },
      {
        "title": "Douglas Corp v. Green, 411 U.S. 792 (1973). And it argued that Christensen could",
        "paragraphs": [
          "para_140",
          "para_141",
          "para_142"
        ]
      },
      {
        "title": "Recognizing that “[t]his is not an easy case” because the “nature of",
        "paragraphs": []
      },
      {
        "title": "Christensen’s disability claim and the circumstances of this case present some tricky",
        "paragraphs": [
          "para_145",
          "para_146",
          "para_147",
          "para_148",
          "para_149",
          "para_150",
          "para_151",
          "para_152",
          "para_153"
        ]
      },
      {
        "title": "Christensen’s increased risk for seizure might have been relatively low, the nature",
        "paragraphs": [
          "para_155",
          "para_156",
          "para_157",
          "para_158",
          "para_159"
        ]
      },
      {
        "title": "Prop. & Cas. Ins. Co. v. Calvin, 802 F.3d 933, 937 (8th Cir. 2015). “Summary",
        "paragraphs": [
          "para_161",
          "para_162",
          "para_163",
          "para_164",
          "para_165",
          "para_166",
          "para_167",
          "para_168"
        ]
      },
      {
        "title": "Union Pac. R.R. Co., 108 F.4th 1055, 1060 (8th Cir. 2024) (citation omitted). But",
        "paragraphs": [
          "para_170",
          "para_171",
          "para_172",
          "para_173",
          "para_174"
        ]
      },
      {
        "title": "Direct threat is an affirmative defense for which the employer bears the burden of",
        "paragraphs": [
          "para_176",
          "para_177",
          "para_178",
          "para_179"
        ]
      },
      {
        "title": "(2) objectively reasonable, and (3) based on the ‘most current medical knowledge",
        "paragraphs": [
          "para_181"
        ]
      },
      {
        "title": "(citations omitted). Moreover, “[s]pecific factors to be considered [in an employer’s",
        "paragraphs": [
          "para_183",
          "para_184",
          "para_185",
          "para_186"
        ]
      },
      {
        "title": "Here, the summary judgment record establishes each element of Union",
        "paragraphs": []
      },
      {
        "title": "Pacific’s direct threat defense. First, it shows that Union Pacific conducted an",
        "paragraphs": [
          "para_189",
          "para_190",
          "para_191"
        ]
      },
      {
        "title": "Pacific’s decision to restrict Christensen from returning to work as a conductor was",
        "paragraphs": [
          "para_193",
          "para_194",
          "para_195",
          "para_196",
          "para_197"
        ]
      },
      {
        "title": "Union Pacific set forth evidence that it appropriately consulted the FMCSA",
        "paragraphs": [
          "para_199",
          "para_200",
          "para_201",
          "para_202"
        ]
      },
      {
        "title": "Christensen failed to raise a fact dispute on any element. Christensen first",
        "paragraphs": [
          "para_204",
          "para_205",
          "para_206",
          "para_207",
          "para_208",
          "para_209",
          "para_210",
          "para_211",
          "para_212",
          "para_213"
        ]
      },
      {
        "title": "Christensen does not persuasively argue that Union Pacific was required to do",
        "paragraphs": [
          "para_215"
        ]
      },
      {
        "title": "Management, LLC, 142 F.4th 1122 (8th Cir. 2025), in support of his argument that",
        "paragraphs": [
          "para_217",
          "para_218",
          "para_219",
          "para_220",
          "para_221",
          "para_222",
          "para_223",
          "para_224",
          "para_225",
          "para_226"
        ]
      },
      {
        "title": "Next, Christensen argues that he raised a fact issue on the objective",
        "paragraphs": [
          "para_228",
          "para_229",
          "para_230",
          "para_231",
          "para_232",
          "para_233",
          "para_234",
          "para_235"
        ]
      },
      {
        "title": "Union Pacific’s decision was objectively unreasonable.2 See, e.g., Michael v. City",
        "paragraphs": [
          "para_237",
          "para_238",
          "para_239",
          "para_240",
          "para_241",
          "para_242"
        ]
      },
      {
        "title": "Charbonneau had disagreed with one of the other medical professionals, the direct",
        "paragraphs": [
          "para_244",
          "para_245",
          "para_246"
        ]
      },
      {
        "title": "4:19-CV-00069-RGE-RAW, 2021 WL 1726895, at *20 (S.D. Iowa Mar. 29, 2021)",
        "paragraphs": []
      },
      {
        "title": "(“A plaintiff does not generate a factual issue as to the objective reasonableness of",
        "paragraphs": [
          "para_249",
          "para_250",
          "para_251",
          "para_252",
          "para_253",
          "para_254",
          "para_255",
          "para_256"
        ]
      },
      {
        "title": "Christensen tries to avoid this conclusion by citing our prior decision in",
        "paragraphs": []
      },
      {
        "title": "Sanders. But Sanders underscores that Christensen lacks the kind of evidence he",
        "paragraphs": [
          "para_259",
          "para_260",
          "para_261"
        ]
      },
      {
        "title": "2Christensen also notes that he received a commercial driver’s license during",
        "paragraphs": [
          "para_263",
          "para_264",
          "para_265",
          "para_266",
          "para_267",
          "para_268",
          "para_269",
          "para_270",
          "para_271",
          "para_272"
        ]
      },
      {
        "title": "Pacific’s decision here. Moreover, Sanders does not make for an apples-to-apples",
        "paragraphs": [
          "para_274",
          "para_275",
          "para_276",
          "para_277",
          "para_278",
          "para_279"
        ]
      },
      {
        "title": "Finally, Christensen asserts that he raised a fact issue on the question of",
        "paragraphs": [
          "para_281",
          "para_282",
          "para_283",
          "para_284",
          "para_285"
        ]
      },
      {
        "title": "Carrillo, that court held that evidence that “Union Pacific looked partly to guidance",
        "paragraphs": [
          "para_287",
          "para_288"
        ]
      },
      {
        "title": "Pacific relied on adequate evidence in reaching its decision. 2024 WL 3861374, at",
        "paragraphs": [
          "para_290",
          "para_291",
          "para_292",
          "para_293",
          "para_294",
          "para_295"
        ]
      },
      {
        "title": "Christensen criticizes Carrillo’s analysis as burden shifting. But that is the",
        "paragraphs": [
          "para_297",
          "para_298",
          "para_299",
          "para_300",
          "para_301",
          "para_302",
          "para_303",
          "para_304"
        ]
      },
      {
        "title": "Christensen did not raise a fact issue as to the adequacy of the materials on which",
        "paragraphs": [
          "para_306"
        ]
      },
      {
        "title": "Because no genuine dispute of material fact exists as to any component of",
        "paragraphs": []
      },
      {
        "title": "Union Pacific’s direct threat defense, the district court properly granted summary",
        "paragraphs": [
          "para_309",
          "para_310",
          "para_311",
          "para_312"
        ]
      }
    ],
    "paragraphs": [
      {
        "text": "United States Court of Appeals",
        "paragraph_id": "para_1"
      },
      {
        "text": "For the Eighth Circuit",
        "paragraph_id": "para_2"
      },
      {
        "text": "___________________________",
        "paragraph_id": "para_3"
      },
      {
        "text": "No. 25-2173",
        "paragraph_id": "para_4"
      },
      {
        "text": "___________________________",
        "paragraph_id": "para_5"
      },
      {
        "text": "Ross Christensen",
        "paragraph_id": "para_6"
      },
      {
        "text": "Plaintiff - Appellant",
        "paragraph_id": "para_7"
      },
      {
        "text": "v.",
        "paragraph_id": "para_8"
      },
      {
        "text": "Union Pacific Railroad Co.",
        "paragraph_id": "para_9"
      },
      {
        "text": "Defendant - Appellee",
        "paragraph_id": "para_10"
      },
      {
        "text": "____________",
        "paragraph_id": "para_11"
      },
      {
        "text": "Appeal from United States District Court",
        "paragraph_id": "para_12"
      },
      {
        "text": "for the District of Nebraska - Omaha",
        "paragraph_id": "para_13"
      },
      {
        "text": "____________",
        "paragraph_id": "para_14"
      },
      {
        "text": "Submitted: May 12, 2026",
        "paragraph_id": "para_15"
      },
      {
        "text": "Filed: August 11, 2026",
        "paragraph_id": "para_16"
      },
      {
        "text": "____________",
        "paragraph_id": "para_17"
      },
      {
        "text": "Before COLLOTON, Chief Judge, SHEPHERD and KOBES, Circuit Judges.",
        "paragraph_id": "para_18"
      },
      {
        "text": "____________",
        "paragraph_id": "para_19"
      },
      {
        "text": "SHEPHERD, Circuit Judge.",
        "paragraph_id": "para_20"
      },
      {
        "text": "Ross Christensen worked for Union Pacific Railroad Co. (Union Pacific) as a",
        "paragraph_id": "para_21"
      },
      {
        "text": "conductor for over ten years. His job entailed, among other things, operating and",
        "paragraph_id": "para_22"
      },
      {
        "text": "moving trains and performing switching operations. After Christensen suffered an",
        "paragraph_id": "para_23"
      },
      {
        "text": "ischemic stroke in 2015, Union Pacific did not permit him to return to work as a",
        "paragraph_id": "para_24"
      },
      {
        "text": "conductor. So Christensen sued Union Pacific, asserting a disparate treatment claim",
        "paragraph_id": "para_25"
      },
      {
        "text": "-2-",
        "paragraph_id": "para_26"
      },
      {
        "text": "under the Americans with Disabilities Act (ADA). The district court1 granted",
        "paragraph_id": "para_27"
      },
      {
        "text": "summary judgment in Union Pacific’s favor. Christensen appeals. Having",
        "paragraph_id": "para_28"
      },
      {
        "text": "jurisdiction under 28 U.S.C. § 1291, we affirm.",
        "paragraph_id": "para_29"
      },
      {
        "text": "I.",
        "paragraph_id": "para_30"
      },
      {
        "text": "On January 9, 2015, while at home and off duty, Christensen suffered a stroke",
        "paragraph_id": "para_31"
      },
      {
        "text": "and lost consciousness. He went to the hospital, where he was diagnosed with",
        "paragraph_id": "para_32"
      },
      {
        "text": "aphasia and right hemiparesis. Later, Christensen was transferred to a second",
        "paragraph_id": "para_33"
      },
      {
        "text": "hospital, where he was diagnosed with atrial fibrillation, among other conditions.",
        "paragraph_id": "para_34"
      },
      {
        "text": "Christensen received medications to address the blood clots that caused the stroke;",
        "paragraph_id": "para_35"
      },
      {
        "text": "those medications apparently caused minor bleeding in his brain.",
        "paragraph_id": "para_36"
      },
      {
        "text": "By all accounts, Christensen recovered well. Within four days, most of his",
        "paragraph_id": "para_37"
      },
      {
        "text": "neurological symptoms had disappeared. And Dr. Kevin Call, Christensen’s treating",
        "paragraph_id": "para_38"
      },
      {
        "text": "neurologist, cleared Christensen to return to his work as a conductor by the end of",
        "paragraph_id": "para_39"
      },
      {
        "text": "February 2015.",
        "paragraph_id": "para_40"
      },
      {
        "text": "Christensen underwent three electrical cardioversion procedures on February",
        "paragraph_id": "para_41"
      },
      {
        "text": "24, 2015, to resolve his atrial fibrillation, the condition that predisposed him to",
        "paragraph_id": "para_42"
      },
      {
        "text": "strokes. These procedures did not succeed, so Christensen’s cardiologist, Dr. David",
        "paragraph_id": "para_43"
      },
      {
        "text": "Cragun, referred Christensen to an electrophysiologist, Dr. David Wang. On March",
        "paragraph_id": "para_44"
      },
      {
        "text": "3, 2015, Dr. Cragun cleared Christensen to return to work. Roughly two months",
        "paragraph_id": "para_45"
      },
      {
        "text": "later, on April 30, 2015, Dr. Wang performed a successful ablation procedure,",
        "paragraph_id": "para_46"
      },
      {
        "text": "restoring Christensen’s heartbeat to a normal rhythm.",
        "paragraph_id": "para_47"
      },
      {
        "text": "Because Christensen suffered a stroke, Union Pacific’s Health and Medical",
        "paragraph_id": "para_48"
      },
      {
        "text": "Services (HMS) department required him to submit to a medical fitness-for-duty",
        "paragraph_id": "para_49"
      },
      {
        "text": "evaluation and requested his medical records. Christensen promptly provided them.",
        "paragraph_id": "para_50"
      },
      {
        "text": "1The Honorable Robert F. Rossiter, Jr., United States District Judge for the",
        "paragraph_id": "para_51"
      },
      {
        "text": "District of Nebraska.",
        "paragraph_id": "para_52"
      },
      {
        "text": "-3-",
        "paragraph_id": "para_53"
      },
      {
        "text": "Two physicians—Dr. John Holland and Dr. John Charbonneau, Union Pacific’s",
        "paragraph_id": "para_54"
      },
      {
        "text": "Chief Medical Officer—reviewed Christensen’s records. After that review, Dr.",
        "paragraph_id": "para_55"
      },
      {
        "text": "Charbonneau decided to impose one-year sudden-incapacitation restrictions on",
        "paragraph_id": "para_56"
      },
      {
        "text": "Christensen’s work. Those restrictions prevented Christensen from, among other",
        "paragraph_id": "para_57"
      },
      {
        "text": "things, operating company vehicles and machinery and working on or near moving",
        "paragraph_id": "para_58"
      },
      {
        "text": "trains. In view of these restrictions, Christensen could not work as a conductor.",
        "paragraph_id": "para_59"
      },
      {
        "text": "Union Pacific told Christensen that it could revisit these restrictions one year after",
        "paragraph_id": "para_60"
      },
      {
        "text": "the date of Christensen’s stroke—i.e., January 9, 2016. Dr. Charbonneau noted that",
        "paragraph_id": "para_61"
      },
      {
        "text": "before Union Pacific would let Christensen return to work, it would require that",
        "paragraph_id": "para_62"
      },
      {
        "text": "Christensen submit updated medical records, undergo a further fitness-for-duty",
        "paragraph_id": "para_63"
      },
      {
        "text": "evaluation, and remain neurologic-event free.",
        "paragraph_id": "para_64"
      },
      {
        "text": "In December 2015, Christensen began the return-to-work process. He",
        "paragraph_id": "para_65"
      },
      {
        "text": "provided Union Pacific with updated medical records, which included exam notes",
        "paragraph_id": "para_66"
      },
      {
        "text": "from an additional physician, Dr. Mohammad Entezari-Taher. Those notes",
        "paragraph_id": "para_67"
      },
      {
        "text": "described Christensen’s recovery as “excellent” and acknowledged that while",
        "paragraph_id": "para_68"
      },
      {
        "text": "Christensen was experiencing “[m]ild clumsiness in [his] right hand,” his balance",
        "paragraph_id": "para_69"
      },
      {
        "text": "and walking were normal. Dr. Entezari-Taher concluded that Christensen was",
        "paragraph_id": "para_70"
      },
      {
        "text": "generally strong and neurologically capable of driving commercially. Christensen’s",
        "paragraph_id": "para_71"
      },
      {
        "text": "records further indicated that he had not suffered a further neurologic event",
        "paragraph_id": "para_72"
      },
      {
        "text": "following his January 2015 stroke.",
        "paragraph_id": "para_73"
      },
      {
        "text": "Dr. Holland performed a further fitness-for-duty evaluation. As a result of",
        "paragraph_id": "para_74"
      },
      {
        "text": "that evaluation, he concluded that Christensen “ha[d] an unacceptable risk for future",
        "paragraph_id": "para_75"
      },
      {
        "text": "seizure relating to his history of stroke and intracerebral hemorrhage.” Dr. Holland",
        "paragraph_id": "para_76"
      },
      {
        "text": "explained:",
        "paragraph_id": "para_77"
      },
      {
        "text": "The scientific literature documents that persons such as Mr.",
        "paragraph_id": "para_78"
      },
      {
        "text": "Christensen, who has had a stroke and/or intracerebral hemorrhage in",
        "paragraph_id": "para_79"
      },
      {
        "text": "the cortical or sub-cortical areas of the brain, have substantially",
        "paragraph_id": "para_80"
      },
      {
        "text": "increased risk for future seizures, due to damage to the brain tissue",
        "paragraph_id": "para_81"
      },
      {
        "text": "caused by the stroke hemorrhage. Mr. Christensen’s stroke and",
        "paragraph_id": "para_82"
      },
      {
        "text": "intracerebral hemorrhages were in the parietal and temporal lobes,",
        "paragraph_id": "para_83"
      },
      {
        "text": "-4-",
        "paragraph_id": "para_84"
      },
      {
        "text": "which are parts of the brain cortex. With these types of brain injury,",
        "paragraph_id": "para_85"
      },
      {
        "text": "the risk for future seizures exists even if the person has not already had",
        "paragraph_id": "para_86"
      },
      {
        "text": "a seizure. However, if the person remains seizure free and off of all",
        "paragraph_id": "para_87"
      },
      {
        "text": "anti-seizure drugs for 5 years after the stroke, then the statistical risk",
        "paragraph_id": "para_88"
      },
      {
        "text": "for a future seizure declines to an acceptable risk level for safety critical",
        "paragraph_id": "para_89"
      },
      {
        "text": "positions (i.e., less than 1% per year occurrence rate).",
        "paragraph_id": "para_90"
      },
      {
        "text": "Based on this scientific evidence about the risk of seizures after a",
        "paragraph_id": "para_91"
      },
      {
        "text": "cortical stroke and/or intracerebral hemorrhages, the evidence based",
        "paragraph_id": "para_92"
      },
      {
        "text": "risk assessments and guidance documents from the Federal Motor",
        "paragraph_id": "para_93"
      },
      {
        "text": "Carrier Safety Administration (FMCSA) state a commercial driver that",
        "paragraph_id": "para_94"
      },
      {
        "text": "has had either of these conditions should be prohibited from driving",
        "paragraph_id": "para_95"
      },
      {
        "text": "commercial vehicles for at least 5 years. FMCSA guidance documents",
        "paragraph_id": "para_96"
      },
      {
        "text": "also state the person may return to commercial driving if the individual",
        "paragraph_id": "para_97"
      },
      {
        "text": "has no history of interval strokes, TIAs[,] or seizures, and a current",
        "paragraph_id": "para_98"
      },
      {
        "text": "thorough medical evaluation shows no risk factors for these",
        "paragraph_id": "para_99"
      },
      {
        "text": "neurological events, and no ongoing functional impairment. HMS",
        "paragraph_id": "para_100"
      },
      {
        "text": "considers these recommendations of FMCSA to be evidence-based, and",
        "paragraph_id": "para_101"
      },
      {
        "text": "to well characterize risks for sudden incapacitation for work[] in other",
        "paragraph_id": "para_102"
      },
      {
        "text": "safety critical positions . . . where the . . . job requirements and safety",
        "paragraph_id": "para_103"
      },
      {
        "text": "risks are substantially similar to those of a commercial driver.",
        "paragraph_id": "para_104"
      },
      {
        "text": "Therefore, Mr. Christensen has been given . . . work restrictions for",
        "paragraph_id": "para_105"
      },
      {
        "text": "Sudden Incapacitation risks . . . to remain in place for a minimum of",
        "paragraph_id": "para_106"
      },
      {
        "text": "five years after his . . . stroke . . . due to his significant and imminent",
        "paragraph_id": "para_107"
      },
      {
        "text": "risks for a future stroke, TIA[,] or seizure due to his cortical stroke and",
        "paragraph_id": "para_108"
      },
      {
        "text": "intracerebral hemorrhages. In January 2020 these work restrictions",
        "paragraph_id": "para_109"
      },
      {
        "text": "may be reviewed and removed . . . .",
        "paragraph_id": "para_110"
      },
      {
        "text": "Dr. Holland called Christensen on March 18, 2016, to discuss Union Pacific’s",
        "paragraph_id": "para_111"
      },
      {
        "text": "decision to continue his work restrictions for five years post-stroke. Dr. Holland",
        "paragraph_id": "para_112"
      },
      {
        "text": "told Christensen that, while he had originally been placed on restrictions for one",
        "paragraph_id": "para_113"
      },
      {
        "text": "year, as was then Union Pacific’s common practice, Union Pacific “ha[d] changed",
        "paragraph_id": "para_114"
      },
      {
        "text": "its practice due to updated scientific information about the frequency of seizures",
        "paragraph_id": "para_115"
      },
      {
        "text": "after strokes and intracerebral hemorrhage if in the cortical or subcortical regions of",
        "paragraph_id": "para_116"
      },
      {
        "text": "the brain.”",
        "paragraph_id": "para_117"
      },
      {
        "text": "-5-",
        "paragraph_id": "para_118"
      },
      {
        "text": "Roughly two years later, in February 2018, Christensen asked that Union",
        "paragraph_id": "para_119"
      },
      {
        "text": "Pacific reevaluate his work restrictions. Dr. Charbonneau reviewed Christensen’s",
        "paragraph_id": "para_120"
      },
      {
        "text": "2016 fitness-for-duty evaluation and updated medical records and concluded “no",
        "paragraph_id": "para_121"
      },
      {
        "text": "basis” existed for removing Christensen’s restrictions. Christensen contends he tried",
        "paragraph_id": "para_122"
      },
      {
        "text": "again in 2020 to change Union Pacific’s mind about his work restrictions. Union",
        "paragraph_id": "para_123"
      },
      {
        "text": "Pacific states that its practice is not to affirmatively reach out to employees about",
        "paragraph_id": "para_124"
      },
      {
        "text": "returning to work as their return-to-work dates approach; instead, Union Pacific",
        "paragraph_id": "para_125"
      },
      {
        "text": "waits for employees to reach out. Union Pacific contends that it has no record of",
        "paragraph_id": "para_126"
      },
      {
        "text": "Christensen’s 2020 return-to-work request.",
        "paragraph_id": "para_127"
      },
      {
        "text": "Christensen never returned to work as a conductor. While the parties made",
        "paragraph_id": "para_128"
      },
      {
        "text": "some efforts at reconciliation after Christensen’s 2020 return-to-work date came and",
        "paragraph_id": "para_129"
      },
      {
        "text": "went, Christensen did not trust Union Pacific by that point and was approaching",
        "paragraph_id": "para_130"
      },
      {
        "text": "retirement age.",
        "paragraph_id": "para_131"
      },
      {
        "text": "Christensen sued Union Pacific for damages in 2023. His complaint asserted",
        "paragraph_id": "para_132"
      },
      {
        "text": "ADA disparate treatment claims under 42 U.S.C. § 12112(a) and (b)(6). Christensen",
        "paragraph_id": "para_133"
      },
      {
        "text": "ultimately conceded that the claim brought under the latter subsection could be",
        "paragraph_id": "para_134"
      },
      {
        "text": "dismissed, and the district court did so, leaving only his claim under § 12112(a).",
        "paragraph_id": "para_135"
      },
      {
        "text": "Union Pacific moved for summary judgment. It argued that Christensen",
        "paragraph_id": "para_136"
      },
      {
        "text": "lacked direct evidence of disability discrimination and so had to establish",
        "paragraph_id": "para_137"
      },
      {
        "text": "discrimination under the burden shifting framework specified in McDonnell",
        "paragraph_id": "para_138"
      },
      {
        "text": "Douglas Corp v. Green, 411 U.S. 792 (1973). And it argued that Christensen could",
        "paragraph_id": "para_139"
      },
      {
        "text": "not do that because he lacked sufficient evidence to make out a prima facie case of",
        "paragraph_id": "para_140"
      },
      {
        "text": "discrimination. Finally, Union Pacific argued that it was entitled to summary",
        "paragraph_id": "para_141"
      },
      {
        "text": "judgment on a direct threat affirmative defense.",
        "paragraph_id": "para_142"
      },
      {
        "text": "Recognizing that “[t]his is not an easy case” because the “nature of",
        "paragraph_id": "para_143"
      },
      {
        "text": "Christensen’s disability claim and the circumstances of this case present some tricky",
        "paragraph_id": "para_144"
      },
      {
        "text": "questions with respect to” the application of the McDonnell Douglas framework, the",
        "paragraph_id": "para_145"
      },
      {
        "text": "district court focused exclusively on Union Pacific’s direct threat defense. It",
        "paragraph_id": "para_146"
      },
      {
        "text": "-6-",
        "paragraph_id": "para_147"
      },
      {
        "text": "reasoned that Union Pacific had conclusively established this defense because it was",
        "paragraph_id": "para_148"
      },
      {
        "text": "undisputed that Christensen worked in a safety-sensitive position and because",
        "paragraph_id": "para_149"
      },
      {
        "text": "“[t]here is also no question that Christensen’s stroke resulted in a heightened risk of",
        "paragraph_id": "para_150"
      },
      {
        "text": "seizures.” The district court further noted that Union Pacific had completed an",
        "paragraph_id": "para_151"
      },
      {
        "text": "individualized fitness-for-duty evaluation for Christensen, assessing the nature and",
        "paragraph_id": "para_152"
      },
      {
        "text": "duration of the risks he faced and his ability to safely perform his job, and that while",
        "paragraph_id": "para_153"
      },
      {
        "text": "Christensen’s increased risk for seizure might have been relatively low, the nature",
        "paragraph_id": "para_154"
      },
      {
        "text": "and severity of the potential harm if a seizure occurred on the job “was extreme” and",
        "paragraph_id": "para_155"
      },
      {
        "text": "the threat of a seizure is “imminent” by nature.",
        "paragraph_id": "para_156"
      },
      {
        "text": "Christensen appeals the grant of summary judgment in Union Pacific’s favor.",
        "paragraph_id": "para_157"
      },
      {
        "text": "II.",
        "paragraph_id": "para_158"
      },
      {
        "text": "We review a district court’s grant of summary judgment de novo. Metro.",
        "paragraph_id": "para_159"
      },
      {
        "text": "Prop. & Cas. Ins. Co. v. Calvin, 802 F.3d 933, 937 (8th Cir. 2015). “Summary",
        "paragraph_id": "para_160"
      },
      {
        "text": "judgment is appropriate when, viewing the facts in the light most favorable to the",
        "paragraph_id": "para_161"
      },
      {
        "text": "non-movant, there are no genuine issues of material fact and the movant is entitled",
        "paragraph_id": "para_162"
      },
      {
        "text": "to judgment as a matter of law.” Id. (citation omitted). Christensen contends that",
        "paragraph_id": "para_163"
      },
      {
        "text": "the district court erred in granting summary judgment in Union Pacific’s favor,",
        "paragraph_id": "para_164"
      },
      {
        "text": "because genuine disputes of material fact exist as to its direct threat defense.",
        "paragraph_id": "para_165"
      },
      {
        "text": "To establish an employer’s liability on a § 12112(a) disparate treatment claim,",
        "paragraph_id": "para_166"
      },
      {
        "text": "an ADA plaintiff must prove that “(1) he was ‘disabled,’ (2) he was ‘qualified,’ and",
        "paragraph_id": "para_167"
      },
      {
        "text": "(3) the employer imposed work limitations because of his disability.” Sanders v.",
        "paragraph_id": "para_168"
      },
      {
        "text": "Union Pac. R.R. Co., 108 F.4th 1055, 1060 (8th Cir. 2024) (citation omitted). But",
        "paragraph_id": "para_169"
      },
      {
        "text": "the ADA recognizes a “direct threat” defense to disparate treatment claims, allowing",
        "paragraph_id": "para_170"
      },
      {
        "text": "an employer to avoid liability even if the plaintiff proves these elements. See id. at",
        "paragraph_id": "para_171"
      },
      {
        "text": "1062; 42 U.S.C. §§ 12111(3), 12113(b). An employee constitutes a direct threat if,",
        "paragraph_id": "para_172"
      },
      {
        "text": "because of his disability, he poses “a significant risk to the health or safety of others",
        "paragraph_id": "para_173"
      },
      {
        "text": "that cannot be eliminated by reasonable accommodation.” 42 U.S.C. § 12111(3).",
        "paragraph_id": "para_174"
      },
      {
        "text": "Direct threat is an affirmative defense for which the employer bears the burden of",
        "paragraph_id": "para_175"
      },
      {
        "text": "-7-",
        "paragraph_id": "para_176"
      },
      {
        "text": "proof. See EEOC v. Wal-Mart Stores, Inc., 477 F.3d 561, 571 (8th Cir. 2007). To",
        "paragraph_id": "para_177"
      },
      {
        "text": "establish this defense, the employer must prove that its determination that its",
        "paragraph_id": "para_178"
      },
      {
        "text": "employee posed a direct threat was “(1) the result of an individualized assessment,",
        "paragraph_id": "para_179"
      },
      {
        "text": "(2) objectively reasonable, and (3) based on the ‘most current medical knowledge",
        "paragraph_id": "para_180"
      },
      {
        "text": "and/or on the best available objective evidence.’” Sanders, 108 F.4th at 1062",
        "paragraph_id": "para_181"
      },
      {
        "text": "(citations omitted). Moreover, “[s]pecific factors to be considered [in an employer’s",
        "paragraph_id": "para_182"
      },
      {
        "text": "direct threat analysis] include (1) the duration of risk, (2) the nature and severity of",
        "paragraph_id": "para_183"
      },
      {
        "text": "the potential harm, (3) the likelihood that the potential harm will occur, and (4) the",
        "paragraph_id": "para_184"
      },
      {
        "text": "imminence of the potential harm.” Wal-Mart Stores, 477 F.3d at 571 (citation",
        "paragraph_id": "para_185"
      },
      {
        "text": "omitted).",
        "paragraph_id": "para_186"
      },
      {
        "text": "Here, the summary judgment record establishes each element of Union",
        "paragraph_id": "para_187"
      },
      {
        "text": "Pacific’s direct threat defense. First, it shows that Union Pacific conducted an",
        "paragraph_id": "para_188"
      },
      {
        "text": "individualized assessment. That assessment included multiple rounds of",
        "paragraph_id": "para_189"
      },
      {
        "text": "fitness-for-duty evaluations that involved comprehensive review of Christensen’s",
        "paragraph_id": "para_190"
      },
      {
        "text": "medical records, his condition, and his job duties. Second, it shows that Union",
        "paragraph_id": "para_191"
      },
      {
        "text": "Pacific’s decision to restrict Christensen from returning to work as a conductor was",
        "paragraph_id": "para_192"
      },
      {
        "text": "objectively reasonable. Union Pacific relied on the opinions of multiple physicians",
        "paragraph_id": "para_193"
      },
      {
        "text": "and on an extensive medical record in reaching its decision. And third, the record",
        "paragraph_id": "para_194"
      },
      {
        "text": "shows that Union Pacific acted on the most current medical knowledge and on the",
        "paragraph_id": "para_195"
      },
      {
        "text": "best available objective evidence. Again, it is undisputed that Christensen",
        "paragraph_id": "para_196"
      },
      {
        "text": "provided—and Union Pacific reviewed—the appropriate medical records. And",
        "paragraph_id": "para_197"
      },
      {
        "text": "Union Pacific set forth evidence that it appropriately consulted the FMCSA",
        "paragraph_id": "para_198"
      },
      {
        "text": "guidelines: per Dr. Holland, the FMCSA’s recommendations are “evidence-based”",
        "paragraph_id": "para_199"
      },
      {
        "text": "and “well characterize risks for sudden incapacitation for work[] in . . . safety critical",
        "paragraph_id": "para_200"
      },
      {
        "text": "positions . . . where the . . . job requirements and safety risks are substantially similar",
        "paragraph_id": "para_201"
      },
      {
        "text": "to those of a commercial driver.”",
        "paragraph_id": "para_202"
      },
      {
        "text": "Christensen failed to raise a fact dispute on any element. Christensen first",
        "paragraph_id": "para_203"
      },
      {
        "text": "contends that a jury could find that Union Pacific did not conduct an individualized",
        "paragraph_id": "para_204"
      },
      {
        "text": "assessment because it relied on the FMCSA guidelines. But it does not follow from",
        "paragraph_id": "para_205"
      },
      {
        "text": "the fact that Union Pacific relied on the guidelines that Union Pacific failed to",
        "paragraph_id": "para_206"
      },
      {
        "text": "-8-",
        "paragraph_id": "para_207"
      },
      {
        "text": "conduct an individualized assessment. Indeed, Union Pacific had to conduct an",
        "paragraph_id": "para_208"
      },
      {
        "text": "individualized review to determine that the FMCSA’s five-year guideline even",
        "paragraph_id": "para_209"
      },
      {
        "text": "applied. That guideline’s application is triggered by the existence of an elevated",
        "paragraph_id": "para_210"
      },
      {
        "text": "seizure risk, which Union Pacific determined existed for Christensen based on a",
        "paragraph_id": "para_211"
      },
      {
        "text": "review of his condition and circumstances—including the brain bleed Christensen",
        "paragraph_id": "para_212"
      },
      {
        "text": "suffered during treatment for his stroke.",
        "paragraph_id": "para_213"
      },
      {
        "text": "Christensen does not persuasively argue that Union Pacific was required to do",
        "paragraph_id": "para_214"
      },
      {
        "text": "anything more. He relies principally on our decision in EEOC v. Drivers",
        "paragraph_id": "para_215"
      },
      {
        "text": "Management, LLC, 142 F.4th 1122 (8th Cir. 2025), in support of his argument that",
        "paragraph_id": "para_216"
      },
      {
        "text": "he raised a fact issue on the individualized-assessment element of Union Pacific’s",
        "paragraph_id": "para_217"
      },
      {
        "text": "direct threat defense. But the facts of that case stand in stark contrast to the facts of",
        "paragraph_id": "para_218"
      },
      {
        "text": "this one. In Drivers Management, the employer “just made a few general calls to",
        "paragraph_id": "para_219"
      },
      {
        "text": "back up [its] ‘prejudice, stereotypes, [and] unfounded fear’ of allowing a deaf",
        "paragraph_id": "para_220"
      },
      {
        "text": "individual to drive [the employer’s] truck.” 142 F.4th at 1133 (second alteration in",
        "paragraph_id": "para_221"
      },
      {
        "text": "original) (citation omitted). On the undisputed facts, Union Pacific’s",
        "paragraph_id": "para_222"
      },
      {
        "text": "review—involving multiple fitness-for-duty examinations based on reviews of the",
        "paragraph_id": "para_223"
      },
      {
        "text": "medical records that Christensen supplied—was more robust by orders of",
        "paragraph_id": "para_224"
      },
      {
        "text": "magnitude. Drivers Management does not compel the conclusion that Christensen",
        "paragraph_id": "para_225"
      },
      {
        "text": "raised a fact issue here.",
        "paragraph_id": "para_226"
      },
      {
        "text": "Next, Christensen argues that he raised a fact issue on the objective",
        "paragraph_id": "para_227"
      },
      {
        "text": "reasonableness of Union Pacific’s direct threat determination because his personal",
        "paragraph_id": "para_228"
      },
      {
        "text": "physicians cleared him to return to work. But the fact that Christensen’s physicians",
        "paragraph_id": "para_229"
      },
      {
        "text": "on the one hand, and Union Pacific’s on the other, disagreed as to whether he could",
        "paragraph_id": "para_230"
      },
      {
        "text": "safely return to work is not material. True, Christensen’s evidence might allow a",
        "paragraph_id": "para_231"
      },
      {
        "text": "jury to conclude that Union Pacific was overcautious or wrong in evaluating the",
        "paragraph_id": "para_232"
      },
      {
        "text": "safety risk that Christensen posed. That is not the question, however. The question",
        "paragraph_id": "para_233"
      },
      {
        "text": "is objective reasonableness, and mere disagreement among experts does not show",
        "paragraph_id": "para_234"
      },
      {
        "text": "-9-",
        "paragraph_id": "para_235"
      },
      {
        "text": "Union Pacific’s decision was objectively unreasonable.2 See, e.g., Michael v. City",
        "paragraph_id": "para_236"
      },
      {
        "text": "of Troy Police Dep’t, 808 F.3d 304, 309 (6th Cir. 2015) (“Reasonable doctors of",
        "paragraph_id": "para_237"
      },
      {
        "text": "course can disagree—as they disagree here—as to whether a particular employee",
        "paragraph_id": "para_238"
      },
      {
        "text": "can safely perform the functions of his job. That is why the law requires only that",
        "paragraph_id": "para_239"
      },
      {
        "text": "the employer rely on an ‘objectively reasonable’ opinion, rather than an opinion that",
        "paragraph_id": "para_240"
      },
      {
        "text": "is correct.” (citation omitted)); Carrillo v. Union Pac. R.R. Co., No. 22-50782, 2024",
        "paragraph_id": "para_241"
      },
      {
        "text": "WL 3861374, at *5 (5th Cir. Aug. 19, 2024) (per curiam) (“[E]ven if Dr.",
        "paragraph_id": "para_242"
      },
      {
        "text": "Charbonneau had disagreed with one of the other medical professionals, the direct",
        "paragraph_id": "para_243"
      },
      {
        "text": "threat analysis asks whether the employer made a ‘reasonable medical",
        "paragraph_id": "para_244"
      },
      {
        "text": "judgment[]’—not whether every examining doctor came to the same exact",
        "paragraph_id": "para_245"
      },
      {
        "text": "conclusion.” (citation omitted)); Jackson v. Union Pac. R.R. Co., No.",
        "paragraph_id": "para_246"
      },
      {
        "text": "4:19-CV-00069-RGE-RAW, 2021 WL 1726895, at *20 (S.D. Iowa Mar. 29, 2021)",
        "paragraph_id": "para_247"
      },
      {
        "text": "(“A plaintiff does not generate a factual issue as to the objective reasonableness of",
        "paragraph_id": "para_248"
      },
      {
        "text": "the employer’s direct threat determination merely by supplying its doctor’s contrary",
        "paragraph_id": "para_249"
      },
      {
        "text": "opinions.”). While a reasonable jury could perhaps conclude from Christensen’s",
        "paragraph_id": "para_250"
      },
      {
        "text": "evidence that Union Pacific misjudged the safety risk he posed, there is nothing in",
        "paragraph_id": "para_251"
      },
      {
        "text": "the record that would allow a jury to conclude that Union Pacific’s judgment was so",
        "paragraph_id": "para_252"
      },
      {
        "text": "off-base as to be objectively unreasonable. Christensen’s physicians did not opine,",
        "paragraph_id": "para_253"
      },
      {
        "text": "for instance, that no physician could have reasonably reached a conclusion differing",
        "paragraph_id": "para_254"
      },
      {
        "text": "from theirs. To the contrary, Dr. Call conceded that risk prediction in this context is",
        "paragraph_id": "para_255"
      },
      {
        "text": "an imprecise science and no tool exists that is “perfectly predictive” of risk.",
        "paragraph_id": "para_256"
      },
      {
        "text": "Christensen tries to avoid this conclusion by citing our prior decision in",
        "paragraph_id": "para_257"
      },
      {
        "text": "Sanders. But Sanders underscores that Christensen lacks the kind of evidence he",
        "paragraph_id": "para_258"
      },
      {
        "text": "would need to raise a fact issue here. In that case, we held that a reasonable jury",
        "paragraph_id": "para_259"
      },
      {
        "text": "could have found that Union Pacific failed to act objectively reasonably when it",
        "paragraph_id": "para_260"
      },
      {
        "text": "restricted the plaintiff from performing his job duties after he suffered a cardiac",
        "paragraph_id": "para_261"
      },
      {
        "text": "2Christensen also notes that he received a commercial driver’s license during",
        "paragraph_id": "para_262"
      },
      {
        "text": "the relevant period after a medical examination. The examiner who passed",
        "paragraph_id": "para_263"
      },
      {
        "text": "Christensen reached a different decision than Union Pacific’s physicians, but again,",
        "paragraph_id": "para_264"
      },
      {
        "text": "that does not permit a finding that Union Pacific’s physicians reached an objectively",
        "paragraph_id": "para_265"
      },
      {
        "text": "unreasonable conclusion.",
        "paragraph_id": "para_266"
      },
      {
        "text": "-10-",
        "paragraph_id": "para_267"
      },
      {
        "text": "arrest. Sanders, 108 F.4th at 1059, 1062. But in reaching that conclusion, we",
        "paragraph_id": "para_268"
      },
      {
        "text": "emphasized the testimony of the plaintiff’s expert, who opined that “Union Pacific’s",
        "paragraph_id": "para_269"
      },
      {
        "text": "decision to limit [the plaintiff] was ‘completely uncalled for, completely wrong, and",
        "paragraph_id": "para_270"
      },
      {
        "text": "not based on any medical principles at all.’” Id. at 1062. Christensen points to no",
        "paragraph_id": "para_271"
      },
      {
        "text": "evidence in the summary judgment record bearing on the unreasonableness of Union",
        "paragraph_id": "para_272"
      },
      {
        "text": "Pacific’s decision here. Moreover, Sanders does not make for an apples-to-apples",
        "paragraph_id": "para_273"
      },
      {
        "text": "comparison to our case. The Sanders plaintiff, unlike Christensen, did not serve in",
        "paragraph_id": "para_274"
      },
      {
        "text": "such a safety-critical role. See id. at 1059. That fundamentally changes the direct",
        "paragraph_id": "para_275"
      },
      {
        "text": "threat analysis Union Pacific had to perform here. See Wal-Mart Stores, 477 F.3d",
        "paragraph_id": "para_276"
      },
      {
        "text": "at 571 (recognizing the “nature and severity of the potential harm” as one of the",
        "paragraph_id": "para_277"
      },
      {
        "text": "factors an employer must weigh in evaluating whether an employee’s health",
        "paragraph_id": "para_278"
      },
      {
        "text": "condition poses a direct threat).",
        "paragraph_id": "para_279"
      },
      {
        "text": "Finally, Christensen asserts that he raised a fact issue on the question of",
        "paragraph_id": "para_280"
      },
      {
        "text": "whether Union Pacific relied on the “best current medical or other objective",
        "paragraph_id": "para_281"
      },
      {
        "text": "evidence” when it imposed its restrictions. As he points out, the FMCSA withdrew",
        "paragraph_id": "para_282"
      },
      {
        "text": "its guidelines “because some of the information [they contain] was obsolete",
        "paragraph_id": "para_283"
      },
      {
        "text": "or . . . prescriptive in nature.” The Fifth Circuit has rejected arguments virtually",
        "paragraph_id": "para_284"
      },
      {
        "text": "identical to Christensen’s about the import of the guidelines’ withdrawal. In",
        "paragraph_id": "para_285"
      },
      {
        "text": "Carrillo, that court held that evidence that “Union Pacific looked partly to guidance",
        "paragraph_id": "para_286"
      },
      {
        "text": "documents from the [FMCSA] that were not peer-reviewed and were removed from",
        "paragraph_id": "para_287"
      },
      {
        "text": "the FMCSA website” was not sufficient to raise a fact issue as to whether Union",
        "paragraph_id": "para_288"
      },
      {
        "text": "Pacific relied on adequate evidence in reaching its decision. 2024 WL 3861374, at",
        "paragraph_id": "para_289"
      },
      {
        "text": "*5. The court acknowledged that it was “undisputed on th[e] record that the",
        "paragraph_id": "para_290"
      },
      {
        "text": "guidance documents were evidence-based and developed through a consensus of",
        "paragraph_id": "para_291"
      },
      {
        "text": "medical experts,” and observed that the plaintiff failed to “identify medical literature",
        "paragraph_id": "para_292"
      },
      {
        "text": "missing from Union Pacific’s consideration” or “claim that Union Pacific",
        "paragraph_id": "para_293"
      },
      {
        "text": "‘intentional[ly] disregard[ed]’ the best objective evidence.” Id. (second and third",
        "paragraph_id": "para_294"
      },
      {
        "text": "alterations in original) (citation omitted).",
        "paragraph_id": "para_295"
      },
      {
        "text": "Christensen criticizes Carrillo’s analysis as burden shifting. But that is the",
        "paragraph_id": "para_296"
      },
      {
        "text": "nature of summary judgment. Once the movant has discharged its initial burden of",
        "paragraph_id": "para_297"
      },
      {
        "text": "-11-",
        "paragraph_id": "para_298"
      },
      {
        "text": "apprising the court of the basis for its summary judgment motion and identifying the",
        "paragraph_id": "para_299"
      },
      {
        "text": "parts of the record it believes demonstrate the absence of genuine disputes of",
        "paragraph_id": "para_300"
      },
      {
        "text": "material fact, it falls on the non-movant to show genuine disputes of material fact",
        "paragraph_id": "para_301"
      },
      {
        "text": "exist. See Mensie v. City of Little Rock, 917 F.3d 685, 688 (8th Cir. 2019)",
        "paragraph_id": "para_302"
      },
      {
        "text": "(articulating summary judgment standards). Here, as in Carillo, that did not happen.",
        "paragraph_id": "para_303"
      },
      {
        "text": "We find Carrillo persuasive and reach the same conclusion as the Carillo court.",
        "paragraph_id": "para_304"
      },
      {
        "text": "Christensen did not raise a fact issue as to the adequacy of the materials on which",
        "paragraph_id": "para_305"
      },
      {
        "text": "Union Pacific relied.",
        "paragraph_id": "para_306"
      },
      {
        "text": "Because no genuine dispute of material fact exists as to any component of",
        "paragraph_id": "para_307"
      },
      {
        "text": "Union Pacific’s direct threat defense, the district court properly granted summary",
        "paragraph_id": "para_308"
      },
      {
        "text": "judgment in Union Pacific’s favor.",
        "paragraph_id": "para_309"
      },
      {
        "text": "III.",
        "paragraph_id": "para_310"
      },
      {
        "text": "For the foregoing reasons, we affirm the judgment of the district court.",
        "paragraph_id": "para_311"
      },
      {
        "text": "______________________________",
        "paragraph_id": "para_312"
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