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          "para_493",
          "para_494",
          "para_495"
        ],
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      }
    ],
    "paragraphs": [
      {
        "text": "RENDERED: APRIL 24, 2026; 10:00 A.M.",
        "paragraph_id": "para_1"
      },
      {
        "text": "TO BE PUBLISHED",
        "paragraph_id": "para_2"
      },
      {
        "text": "Commonwealth of Kentucky",
        "paragraph_id": "para_3"
      },
      {
        "text": "Court of Appeals",
        "paragraph_id": "para_4"
      },
      {
        "text": "NO. 2024-CA-0798-MR",
        "paragraph_id": "para_5"
      },
      {
        "text": "CVS PHARMACY, INC. APPELLANT",
        "paragraph_id": "para_6"
      },
      {
        "text": "v.",
        "paragraph_id": "para_7"
      },
      {
        "text": "APPEAL FROM PERRY CIRCUIT COURT",
        "paragraph_id": "para_8"
      },
      {
        "text": "HONORABLE ALISON C. WELLS, JUDGE",
        "paragraph_id": "para_9"
      },
      {
        "text": "ACTION NO. 15-CI-00115",
        "paragraph_id": "para_10"
      },
      {
        "text": "JAMES DUSTIN CHANEY, D.O. AND",
        "paragraph_id": "para_11"
      },
      {
        "text": "RITE AID OF KENTUCKY, INC. APPELLEES",
        "paragraph_id": "para_12"
      },
      {
        "text": "AND",
        "paragraph_id": "para_13"
      },
      {
        "text": "NO. 2024-CA-0962-MR",
        "paragraph_id": "para_14"
      },
      {
        "text": "JAMES DUSTIN CHANEY CROSS-APPELLANT",
        "paragraph_id": "para_15"
      },
      {
        "text": "v.",
        "paragraph_id": "para_16"
      },
      {
        "text": "CROSS-APPEAL FROM PERRY CIRCUIT COURT",
        "paragraph_id": "para_17"
      },
      {
        "text": "HONORABLE ALISON C. WELLS, JUDGE",
        "paragraph_id": "para_18"
      },
      {
        "text": "ACTION NO. 15-CI-00115",
        "paragraph_id": "para_19"
      },
      {
        "text": "CVS PHARMACY, INC. CROSS-APPELLEE",
        "paragraph_id": "para_20"
      },
      {
        "text": "-2-",
        "paragraph_id": "para_21"
      },
      {
        "text": "OPINION",
        "paragraph_id": "para_22"
      },
      {
        "text": "REVERSING AND REMANDING",
        "paragraph_id": "para_23"
      },
      {
        "text": "AS TO APPEAL NO. 2024-CA-0798-MR",
        "paragraph_id": "para_24"
      },
      {
        "text": "AND DISMISSING",
        "paragraph_id": "para_25"
      },
      {
        "text": "AS TO CROSS-APPEAL NO. 2024-CA-0962-MR",
        "paragraph_id": "para_26"
      },
      {
        "text": "** ** ** ** **",
        "paragraph_id": "para_27"
      },
      {
        "text": "BEFORE: CETRULO, L. JONES, AND MCNEILL, JUDGES.",
        "paragraph_id": "para_28"
      },
      {
        "text": "MCNEILL, JUDGE: Following a jury trial in which the jury found in favor of",
        "paragraph_id": "para_29"
      },
      {
        "text": "James Dustin Chaney, D.O. (“Chaney”) on his negligence and false light claims",
        "paragraph_id": "para_30"
      },
      {
        "text": "against CVS Pharmacy, Inc. (“CVS”), the Perry Circuit Court entered a judgment",
        "paragraph_id": "para_31"
      },
      {
        "text": "against CVS in the amount of $7,560,000.00, which was later reduced to",
        "paragraph_id": "para_32"
      },
      {
        "text": "$2,160,000.00. CVS appeals, arguing it was entitled to a directed verdict on",
        "paragraph_id": "para_33"
      },
      {
        "text": "Chaney’s claims. Chaney cross-appeals the reduction of his damage award.",
        "paragraph_id": "para_34"
      },
      {
        "text": "Because we find that the trial court erred in denying CVS’s motion for a directed",
        "paragraph_id": "para_35"
      },
      {
        "text": "verdict, we reverse the circuit court’s judgment and dismiss Chaney’s cross-appeal",
        "paragraph_id": "para_36"
      },
      {
        "text": "as moot.",
        "paragraph_id": "para_37"
      },
      {
        "text": "BACKGROUND",
        "paragraph_id": "para_38"
      },
      {
        "text": "Chaney is a former practicing physician from Eastern Kentucky. In",
        "paragraph_id": "para_39"
      },
      {
        "text": "2011, the Kentucky Board of Medical Licensure (“KBML”) began investigating",
        "paragraph_id": "para_40"
      },
      {
        "text": "Chaney’s prescribing habits for controlled substances. Based upon Chaney’s",
        "paragraph_id": "para_41"
      },
      {
        "text": "-3-",
        "paragraph_id": "para_42"
      },
      {
        "text": "KASPER1 data, KBML pharmacy consultant Chris Johnson identified sixteen of",
        "paragraph_id": "para_43"
      },
      {
        "text": "Chaney’s patients based on “age, addictive drug combinations, distance traveled to",
        "paragraph_id": "para_44"
      },
      {
        "text": "the pharmacy, polypharmacy, duplicate refills, and similar last names” and",
        "paragraph_id": "para_45"
      },
      {
        "text": "recommended further investigation by the KBML. A physician consultant",
        "paragraph_id": "para_46"
      },
      {
        "text": "reviewed the sixteen patient charts and found that Chaney’s care fell below the",
        "paragraph_id": "para_47"
      },
      {
        "text": "acceptable standard in eleven charts regarding diagnosis, in ten regarding",
        "paragraph_id": "para_48"
      },
      {
        "text": "treatment, and in four regarding recordkeeping. The consultant also found that",
        "paragraph_id": "para_49"
      },
      {
        "text": "Chaney had demonstrated gross negligence in ten of the patient charts reviewed.",
        "paragraph_id": "para_50"
      },
      {
        "text": "On December 12, 2012, the KBML and Chaney entered into an agreed order,",
        "paragraph_id": "para_51"
      },
      {
        "text": "which found that Chaney had violated KRS2 311.595 and KRS 311.597 and",
        "paragraph_id": "para_52"
      },
      {
        "text": "required, among other things, that Chaney keep a controlled substances log and",
        "paragraph_id": "para_53"
      },
      {
        "text": "complete further training on prescribing controlled substances.",
        "paragraph_id": "para_54"
      },
      {
        "text": "Contemporaneous with the KBML investigation, state and federal law",
        "paragraph_id": "para_55"
      },
      {
        "text": "enforcement were looking into Chaney’s pain management clinic, Clarion. In",
        "paragraph_id": "para_56"
      },
      {
        "text": "2015, Chaney was federally indicted on multiple charges in connection with his",
        "paragraph_id": "para_57"
      },
      {
        "text": "ownership of Clarion, including conspiracy to distribute and dispense controlled",
        "paragraph_id": "para_58"
      },
      {
        "text": "substances unlawfully. Ultimately, Chaney pled guilty to one count of conspiracy",
        "paragraph_id": "para_59"
      },
      {
        "text": "1 The Kentucky All Schedule Prescription Electronic Reporting (“KASPER”) System is an",
        "paragraph_id": "para_60"
      },
      {
        "text": "electronic system established by Kentucky Revised Statutes (“KRS”) 218A.202 to monitor",
        "paragraph_id": "para_61"
      },
      {
        "text": "prescriptions of controlled substances.",
        "paragraph_id": "para_62"
      },
      {
        "text": "2 Kentucky Revised Statutes.",
        "paragraph_id": "para_63"
      },
      {
        "text": "-4-",
        "paragraph_id": "para_64"
      },
      {
        "text": "to commit money laundering and was sentenced to thirty months in federal prison.",
        "paragraph_id": "para_65"
      },
      {
        "text": "Based upon his conviction, Chaney agreed to surrender his medical license in lieu",
        "paragraph_id": "para_66"
      },
      {
        "text": "of revocation.",
        "paragraph_id": "para_67"
      },
      {
        "text": "Amid the federal prosecution, Chaney learned that CVS had filled",
        "paragraph_id": "para_68"
      },
      {
        "text": "prescriptions under his Drug Enforcement Administration (“DEA”) number that he",
        "paragraph_id": "para_69"
      },
      {
        "text": "did not write. Chaney contacted CVS and requested that they perform an audit of",
        "paragraph_id": "para_70"
      },
      {
        "text": "all prescriptions written by Chaney and two other physicians with the same last",
        "paragraph_id": "para_71"
      },
      {
        "text": "name, James “Ace” Chaney (Chaney’s uncle), and George Chaney (apparently",
        "paragraph_id": "para_72"
      },
      {
        "text": "unrelated). As a result of their investigation, CVS identified 101 prescriptions that",
        "paragraph_id": "para_73"
      },
      {
        "text": "had been falsely attributed to Chaney in KASPER.",
        "paragraph_id": "para_74"
      },
      {
        "text": "In March of 2015, Chaney filed a lawsuit against CVS in Perry Circuit",
        "paragraph_id": "para_75"
      },
      {
        "text": "Court, alleging that CVS was negligent in misattributing prescriptions to Chaney",
        "paragraph_id": "para_76"
      },
      {
        "text": "written by other medical providers and then reporting those misattributions to",
        "paragraph_id": "para_77"
      },
      {
        "text": "KASPER.3 The lawsuit further alleged that CVS’s negligence caused Chaney to",
        "paragraph_id": "para_78"
      },
      {
        "text": "be investigated by the KBML and state and federal authorities, to be indicted, and",
        "paragraph_id": "para_79"
      },
      {
        "text": "to lose his license. An amended complaint later added a false light claim. Chaney",
        "paragraph_id": "para_80"
      },
      {
        "text": "sought damages for emotional pain and suffering and impairment of his ability to",
        "paragraph_id": "para_81"
      },
      {
        "text": "earn income.",
        "paragraph_id": "para_82"
      },
      {
        "text": "3 The lawsuit also named Rite Aid, local pharmacy R/X Discount Co., several CVS and Rite Aid",
        "paragraph_id": "para_83"
      },
      {
        "text": "pharmacists, and some John Does.",
        "paragraph_id": "para_84"
      },
      {
        "text": "-5-",
        "paragraph_id": "para_85"
      },
      {
        "text": "Following a jury trial, the jury found in Chaney’s favor and awarded",
        "paragraph_id": "para_86"
      },
      {
        "text": "$7,560,000.00 in damages, which was later reduced to $2,160,000.00. This appeal",
        "paragraph_id": "para_87"
      },
      {
        "text": "and cross-appeal followed.",
        "paragraph_id": "para_88"
      },
      {
        "text": "STANDARD OF REVIEW",
        "paragraph_id": "para_89"
      },
      {
        "text": "CVS argues the trial court erred in denying their motion for a directed",
        "paragraph_id": "para_90"
      },
      {
        "text": "verdict on Chaney’s negligence and false light claims. “Upon review of the",
        "paragraph_id": "para_91"
      },
      {
        "text": "evidence supporting a judgment entered upon a jury verdict, the role of an",
        "paragraph_id": "para_92"
      },
      {
        "text": "appellate court is limited to determining whether the trial court erred in failing to",
        "paragraph_id": "para_93"
      },
      {
        "text": "grant the motion for directed verdict.” Lewis v. Bledsoe Surface Min. Co., 798",
        "paragraph_id": "para_94"
      },
      {
        "text": "S.W.2d 459, 461 (Ky. 1990). A motion for directed verdict “raises only questions",
        "paragraph_id": "para_95"
      },
      {
        "text": "of law as to whether there is any evidence to support a verdict.” Harris v. Cozatt,",
        "paragraph_id": "para_96"
      },
      {
        "text": "Inc., 427 S.W.2d 574, 575 (Ky. 1968) (emphasis added). “[A] trial judge cannot",
        "paragraph_id": "para_97"
      },
      {
        "text": "enter a directed verdict unless there is a complete absence of proof on a material",
        "paragraph_id": "para_98"
      },
      {
        "text": "issue or if no disputed issues of fact exist upon which reasonable minds could",
        "paragraph_id": "para_99"
      },
      {
        "text": "differ.” Bierman v. Klapheke, 967 S.W.2d 16, 18–19 (Ky. 1998) (citation",
        "paragraph_id": "para_100"
      },
      {
        "text": "omitted).",
        "paragraph_id": "para_101"
      },
      {
        "text": "“All evidence which favors the prevailing party must be taken as true",
        "paragraph_id": "para_102"
      },
      {
        "text": "and . . . [t]he prevailing party is entitled to all reasonable inferences which may be",
        "paragraph_id": "para_103"
      },
      {
        "text": "drawn from the evidence.” Lewis, 798 S.W.2d at 461. “[A] directed verdict is",
        "paragraph_id": "para_104"
      },
      {
        "text": "appropriate where there is no evidence of probative value to support an opposite",
        "paragraph_id": "para_105"
      },
      {
        "text": "-6-",
        "paragraph_id": "para_106"
      },
      {
        "text": "result because [t]he jury may not be permitted to reach a verdict upon speculation",
        "paragraph_id": "para_107"
      },
      {
        "text": "or conjecture.” Toler v. Süd–Chemie, Inc., 458 S.W.3d 276, 285 (Ky. 2014), as",
        "paragraph_id": "para_108"
      },
      {
        "text": "corrected (Apr. 7, 2015) (internal quotation marks and citation omitted). Finally,",
        "paragraph_id": "para_109"
      },
      {
        "text": "“[a]ppellate review of the trial court’s denial of a motion for directed verdict is not",
        "paragraph_id": "para_110"
      },
      {
        "text": "limited to evaluating the reasons proffered by the trial court for its denial.”",
        "paragraph_id": "para_111"
      },
      {
        "text": "Louisville Metro Government v. Ward, 610 S.W.3d 295, 307 (Ky. App. 2020).",
        "paragraph_id": "para_112"
      },
      {
        "text": "“Rather, we must make our own review of the entire record to determine whether",
        "paragraph_id": "para_113"
      },
      {
        "text": "the trial court’s ruling was clearly erroneous.” Brooks v. Lexington-Fayette Urban",
        "paragraph_id": "para_114"
      },
      {
        "text": "Cnty. Housing Auth., 132 S.W.3d 790, 798 (Ky. 2004).",
        "paragraph_id": "para_115"
      },
      {
        "text": "ANALYSIS",
        "paragraph_id": "para_116"
      },
      {
        "text": "As to Chaney’s negligence claim, CVS contends it was entitled to a",
        "paragraph_id": "para_117"
      },
      {
        "text": "directed verdict because Chaney failed to prove that its negligence was the cause of",
        "paragraph_id": "para_118"
      },
      {
        "text": "his injuries. “The elements of a negligence claim are (1) a legally-cognizable duty,",
        "paragraph_id": "para_119"
      },
      {
        "text": "(2) a breach of that duty, (3) causation linking the breach to an injury, and",
        "paragraph_id": "para_120"
      },
      {
        "text": "(4) damages.” Patton v. Bickford, 529 S.W.3d 717, 729 (Ky. 2016) (citation",
        "paragraph_id": "para_121"
      },
      {
        "text": "omitted). “The absence of proof on any one of the required elements is fatal to a",
        "paragraph_id": "para_122"
      },
      {
        "text": "negligence claim.” Keaton v. G.C. Williams Funeral Home, Inc., 436 S.W.3d 538,",
        "paragraph_id": "para_123"
      },
      {
        "text": "542 (Ky. App. 2013) (citing M & T Chemicals, Inc. v. Westrick, 525 S.W.2d 740,",
        "paragraph_id": "para_124"
      },
      {
        "text": "741 (Ky. 1974)).",
        "paragraph_id": "para_125"
      },
      {
        "text": "-7-",
        "paragraph_id": "para_126"
      },
      {
        "text": "Traditionally, “causation [has] consist[ed] of two distinct components:",
        "paragraph_id": "para_127"
      },
      {
        "text": "‘but-for’ causation, also referred to as causation in fact, and proximate causation.”",
        "paragraph_id": "para_128"
      },
      {
        "text": "Patton, 529 S.W.3d at 730. “But-for causation requires the existence of a direct,",
        "paragraph_id": "para_129"
      },
      {
        "text": "distinct, and identifiable nexus between the defendant’s breach of duty",
        "paragraph_id": "para_130"
      },
      {
        "text": "(negligence) and the plaintiff’s damages such that the event would not have",
        "paragraph_id": "para_131"
      },
      {
        "text": "occurred ‘but for’ the defendant’s negligent or wrongful conduct in breach of a",
        "paragraph_id": "para_132"
      },
      {
        "text": "duty.” Id. “An act or omission is not regarded as a cause of an event if the",
        "paragraph_id": "para_133"
      },
      {
        "text": "particular event would have occurred without it.” Id. (quoting Gross v. FBL",
        "paragraph_id": "para_134"
      },
      {
        "text": "Financial Services, Inc., 557 U.S. 167, 176–77 (2009)).",
        "paragraph_id": "para_135"
      },
      {
        "text": "“Proximate causation captures the notion that, although conduct in",
        "paragraph_id": "para_136"
      },
      {
        "text": "breach of an established duty may be an actual but-for cause of the plaintiff[’s]",
        "paragraph_id": "para_137"
      },
      {
        "text": "damages, it is nevertheless too attenuated from the damages in time, place, or",
        "paragraph_id": "para_138"
      },
      {
        "text": "foreseeability to reasonably impose liability upon the defendant.” Id. at 731.",
        "paragraph_id": "para_139"
      },
      {
        "text": "“Proximate cause is bottomed on public policy as a limitation on how far society is",
        "paragraph_id": "para_140"
      },
      {
        "text": "willing to extend liability for a defendant’s actions[.]” Id. (quoting Ashley County,",
        "paragraph_id": "para_141"
      },
      {
        "text": "Arkansas v. Pfizer, Inc., 552 F.3d 659, 671 (8th Cir. 2009)).",
        "paragraph_id": "para_142"
      },
      {
        "text": "CVS argues that Chaney’s negligence claim fails as a matter of law",
        "paragraph_id": "para_143"
      },
      {
        "text": "because both components are absent here. We confine our analysis to the “but-for”",
        "paragraph_id": "para_144"
      },
      {
        "text": "or cause-in-fact element of causation because we believe it is dispositive. In",
        "paragraph_id": "para_145"
      },
      {
        "text": "Kentucky, the “but-for” or cause-in-fact component of causation has been",
        "paragraph_id": "para_146"
      },
      {
        "text": "-8-",
        "paragraph_id": "para_147"
      },
      {
        "text": "subsumed by the “substantial factor” test in the Restatement (Second) of Torts §",
        "paragraph_id": "para_148"
      },
      {
        "text": "431. Lewis v. B & R Corporation, 56 S.W.3d 432, 437 (Ky. App. 2001). This",
        "paragraph_id": "para_149"
      },
      {
        "text": "section states in pertinent part that an “actor’s negligent conduct is a legal cause of",
        "paragraph_id": "para_150"
      },
      {
        "text": "harm to another if . . . his conduct is a substantial factor in bringing about the",
        "paragraph_id": "para_151"
      },
      {
        "text": "harm[.]” RESTATEMENT (SECOND) OF TORTS § 431 (1965). Comment (a) to § 431",
        "paragraph_id": "para_152"
      },
      {
        "text": "explains what is meant by “substantial factor”:",
        "paragraph_id": "para_153"
      },
      {
        "text": "In order to be a legal cause of another’s harm, it is not",
        "paragraph_id": "para_154"
      },
      {
        "text": "enough that the harm would not have occurred had the",
        "paragraph_id": "para_155"
      },
      {
        "text": "actor not been negligent. . . . [T]his is necessary, but it is",
        "paragraph_id": "para_156"
      },
      {
        "text": "not of itself sufficient. The negligence must also be",
        "paragraph_id": "para_157"
      },
      {
        "text": "a substantial factor in bringing about the plaintiff’s",
        "paragraph_id": "para_158"
      },
      {
        "text": "harm. The word “substantial” is used to denote the fact",
        "paragraph_id": "para_159"
      },
      {
        "text": "that the defendant’s conduct has such an effect in",
        "paragraph_id": "para_160"
      },
      {
        "text": "producing the harm as to lead reasonable men to regard it",
        "paragraph_id": "para_161"
      },
      {
        "text": "as a cause, using that word in the popular sense, in which",
        "paragraph_id": "para_162"
      },
      {
        "text": "there always lurks the idea of responsibility, rather than",
        "paragraph_id": "para_163"
      },
      {
        "text": "in the so-called “philosophic sense,” which includes",
        "paragraph_id": "para_164"
      },
      {
        "text": "every one of the great number of events without which",
        "paragraph_id": "para_165"
      },
      {
        "text": "any happening would not have occurred. Each of these",
        "paragraph_id": "para_166"
      },
      {
        "text": "events is a cause in the so-called “philosophic sense,” yet",
        "paragraph_id": "para_167"
      },
      {
        "text": "the effect of many of them is so insignificant that no",
        "paragraph_id": "para_168"
      },
      {
        "text": "ordinary mind would think of them as causes.",
        "paragraph_id": "para_169"
      },
      {
        "text": "As recognized by the comment, under the “substantial factor” test, a",
        "paragraph_id": "para_170"
      },
      {
        "text": "plaintiff must still prove that his injury would not have occurred but for",
        "paragraph_id": "para_171"
      },
      {
        "text": "defendant’s negligence. Thus, the question of whether a defendant’s conduct was",
        "paragraph_id": "para_172"
      },
      {
        "text": "a substantial factor in bringing about the plaintiff’s harm “does not arise if the",
        "paragraph_id": "para_173"
      },
      {
        "text": "testimony clearly proves that the harm is from a cause other than the actor’s",
        "paragraph_id": "para_174"
      },
      {
        "text": "negligence.” RESTATEMENT (SECOND) OF TORTS § 431 (1965) cmt. b. “It is only",
        "paragraph_id": "para_175"
      },
      {
        "text": "-9-",
        "paragraph_id": "para_176"
      },
      {
        "text": "where the evidence permits a reasonable finding that the defendant’s conduct had",
        "paragraph_id": "para_177"
      },
      {
        "text": "some effect that the question whether the effect was substantial rather than",
        "paragraph_id": "para_178"
      },
      {
        "text": "negligible becomes important.” Id.",
        "paragraph_id": "para_179"
      },
      {
        "text": "It is the court’s duty to determine “whether the evidence as to the facts",
        "paragraph_id": "para_180"
      },
      {
        "text": "makes an issue upon which the jury may reasonably differ as to whether the",
        "paragraph_id": "para_181"
      },
      {
        "text": "conduct of the defendant has been a substantial factor in causing the harm to the",
        "paragraph_id": "para_182"
      },
      {
        "text": "plaintiff.” Pathways, Inc. v. Hammons, 113 S.W.3d 85, 92 (Ky. 2003) (quoting",
        "paragraph_id": "para_183"
      },
      {
        "text": "RESTATEMENT (SECOND) OF TORTS § 431(1)(a)) (internal quotation marks omitted).",
        "paragraph_id": "para_184"
      },
      {
        "text": "If the defendant’s conduct is unrelated to plaintiff’s harm, or “when the matter",
        "paragraph_id": "para_185"
      },
      {
        "text": "remains one of pure speculation and conjecture . . . it becomes the duty of the court",
        "paragraph_id": "para_186"
      },
      {
        "text": "to direct a verdict for the defendant.” RESTATEMENT (SECOND) OF TORTS § 433B",
        "paragraph_id": "para_187"
      },
      {
        "text": "(1965) cmt. a. On appeal, the question for this Court is whether reasonable minds",
        "paragraph_id": "para_188"
      },
      {
        "text": "could differ as to whether CVS’s misattributing controlled substance prescriptions",
        "paragraph_id": "para_189"
      },
      {
        "text": "to Chaney was a substantial factor in causing his injuries—specifically,",
        "paragraph_id": "para_190"
      },
      {
        "text": "investigation by the KBML and federal law enforcement, and the subsequent loss",
        "paragraph_id": "para_191"
      },
      {
        "text": "of his medical license and imprisonment.",
        "paragraph_id": "para_192"
      },
      {
        "text": "Here, the evidence does not support any reasonable inference that",
        "paragraph_id": "para_193"
      },
      {
        "text": "misattributions by CVS were a substantial factor in causing Chaney’s injuries.",
        "paragraph_id": "para_194"
      },
      {
        "text": "Regarding the KBML investigation, pharmacy consultant Chris Johnson testified",
        "paragraph_id": "para_195"
      },
      {
        "text": "that he reviewed Chaney’s KASPER in 2011 at the KBML’s request. However, he",
        "paragraph_id": "para_196"
      },
      {
        "text": "-10-",
        "paragraph_id": "para_197"
      },
      {
        "text": "was unaware of any investigation into Chaney based on misattributed",
        "paragraph_id": "para_198"
      },
      {
        "text": "prescriptions. In fact, the record is silent as to why KBML requested Johnson to",
        "paragraph_id": "para_199"
      },
      {
        "text": "investigate Chaney. Even Chaney admitted on cross-examination that he did not",
        "paragraph_id": "para_200"
      },
      {
        "text": "know why Johnson began his investigation, and he does not know that",
        "paragraph_id": "para_201"
      },
      {
        "text": "misattributions led to any investigation of him by any Kentucky state authority.",
        "paragraph_id": "para_202"
      },
      {
        "text": "KBML representative Leanne Diakov testified that its investigation",
        "paragraph_id": "para_203"
      },
      {
        "text": "was not based on misattributions. In fact, she testified that the KBML did not even",
        "paragraph_id": "para_204"
      },
      {
        "text": "look at Chaney’s KASPER report. Although Johnson identified sixteen patient",
        "paragraph_id": "para_205"
      },
      {
        "text": "names from Chaney’s KASPER and referred them to the KBML for further",
        "paragraph_id": "para_206"
      },
      {
        "text": "investigation, the KBML only looked at the medical records of the sixteen patients",
        "paragraph_id": "para_207"
      },
      {
        "text": "when determining whether Chaney had complied with the standard of care.",
        "paragraph_id": "para_208"
      },
      {
        "text": "While Chaney’s brief claims that he put on “more than enough",
        "paragraph_id": "para_209"
      },
      {
        "text": "evidence for a jury to conclude that CVS harmed Chaney,” the “evidence” he cites",
        "paragraph_id": "para_210"
      },
      {
        "text": "is problematic. He points to the testimony of his pharmacy expert, Dr. Dering-",
        "paragraph_id": "para_211"
      },
      {
        "text": "Anderson, himself, and KBML pharmacy consultant Chris Johnson as establishing",
        "paragraph_id": "para_212"
      },
      {
        "text": "that “CVS’s false data was input into its computer system which was then sent to",
        "paragraph_id": "para_213"
      },
      {
        "text": "KASPER and other repositories; that those repositories flagged Chaney as a ‘top",
        "paragraph_id": "para_214"
      },
      {
        "text": "prescriber’ of opioids based on the false data, and that Chaney was investigated as",
        "paragraph_id": "para_215"
      },
      {
        "text": "a result of this distinction by the [KBML].”",
        "paragraph_id": "para_216"
      },
      {
        "text": "-11-",
        "paragraph_id": "para_217"
      },
      {
        "text": "The “other repositories” mentioned, which flagged Chaney as a “top",
        "paragraph_id": "para_218"
      },
      {
        "text": "prescriber of opioids,” were Doximity, ProPublica, and the Center for Medicaid",
        "paragraph_id": "para_219"
      },
      {
        "text": "Services. Chaney testified to an exhibit that he had prepared with data from these",
        "paragraph_id": "para_220"
      },
      {
        "text": "three repositories, which suggested that he had prescribed substantially more",
        "paragraph_id": "para_221"
      },
      {
        "text": "controlled substances than he says he did. The issue with this evidence, however,",
        "paragraph_id": "para_222"
      },
      {
        "text": "is that Chaney failed to link any claimed misattributions from these databases to",
        "paragraph_id": "para_223"
      },
      {
        "text": "CVS.",
        "paragraph_id": "para_224"
      },
      {
        "text": "Further, Chaney was not “investigated as a result of this distinction”",
        "paragraph_id": "para_225"
      },
      {
        "text": "(being a ‘top prescriber of opioids’), as he asserts. In support of this proposition,",
        "paragraph_id": "para_226"
      },
      {
        "text": "he cites the two patients that pharmacy consultant Chris Johnson identified from",
        "paragraph_id": "para_227"
      },
      {
        "text": "his KASPER, which Chaney claims were misattributed to him. One of these",
        "paragraph_id": "para_228"
      },
      {
        "text": "patients, J.S., was misattributed by a different pharmacy and is therefore not",
        "paragraph_id": "para_229"
      },
      {
        "text": "relevant to CVS’s negligence.",
        "paragraph_id": "para_230"
      },
      {
        "text": "Misattribution of the other, H.K., is purely speculative. Chaney’s",
        "paragraph_id": "para_231"
      },
      {
        "text": "argument goes like this: the report issued by KBML’s medical consultant indicates",
        "paragraph_id": "para_232"
      },
      {
        "text": "that Chaney saw H.K. on 11/16/2011 and prescribed her Oxycodone, Gabapentin,",
        "paragraph_id": "para_233"
      },
      {
        "text": "and Tizanidine. However, this is not reflected in Chaney’s KASPER report. Ergo,",
        "paragraph_id": "para_234"
      },
      {
        "text": "the 2011 prescriptions must have been misattributions that have since been",
        "paragraph_id": "para_235"
      },
      {
        "text": "corrected.",
        "paragraph_id": "para_236"
      },
      {
        "text": "-12-",
        "paragraph_id": "para_237"
      },
      {
        "text": "This is simply a bridge too far. “Liability must rest on a more solid",
        "paragraph_id": "para_238"
      },
      {
        "text": "basis than speculation and surmise.” Texaco, Inc. v. Standard, 536 S.W.2d 136,",
        "paragraph_id": "para_239"
      },
      {
        "text": "138 (Ky. 1975). Even assuming the H.K. prescription was a misattribution, it was",
        "paragraph_id": "para_240"
      },
      {
        "text": "not a substantial factor in bringing about Chaney’s harm because KBML’s medical",
        "paragraph_id": "para_241"
      },
      {
        "text": "consultant, Dr. Surinder Kad, found that Chaney’s care regarding this patient",
        "paragraph_id": "para_242"
      },
      {
        "text": "complied with minimum standards.",
        "paragraph_id": "para_243"
      },
      {
        "text": "Similarly, no evidence suggests controlled substance prescriptions",
        "paragraph_id": "para_244"
      },
      {
        "text": "misattributed by CVS were a substantial factor in causing Chaney to be",
        "paragraph_id": "para_245"
      },
      {
        "text": "investigated and indicted by federal authorities. John Couch, a retired deputy from",
        "paragraph_id": "para_246"
      },
      {
        "text": "the Perry County Sheriff’s Office, testified that the investigation was initiated",
        "paragraph_id": "para_247"
      },
      {
        "text": "when a concerned citizen made an anonymous complaint about Clarion to the",
        "paragraph_id": "para_248"
      },
      {
        "text": "Kentucky State Police headquarters in Frankfort. Frankfort requested that Perry",
        "paragraph_id": "para_249"
      },
      {
        "text": "County’s Kentucky State Police Drug Enforcement section look into Clarion, so",
        "paragraph_id": "para_250"
      },
      {
        "text": "Couch conducted surveillance on the clinic and observed cars from out of state and",
        "paragraph_id": "para_251"
      },
      {
        "text": "people mingling in the parking lot. He relayed this information to his superior, and",
        "paragraph_id": "para_252"
      },
      {
        "text": "the investigation was ultimately passed to the FBI. Couch testified his",
        "paragraph_id": "para_253"
      },
      {
        "text": "investigation had nothing to do with KASPER data.",
        "paragraph_id": "para_254"
      },
      {
        "text": "Testimony from Assistant U.S. Attorney Roger West confirmed",
        "paragraph_id": "para_255"
      },
      {
        "text": "Couch’s version of events. West testified that the investigation stemmed from",
        "paragraph_id": "para_256"
      },
      {
        "text": "complaints from state and federal law enforcement that had conducted surveillance",
        "paragraph_id": "para_257"
      },
      {
        "text": "-13-",
        "paragraph_id": "para_258"
      },
      {
        "text": "at Clarion. West further stated that the Clarion investigation was not based on any",
        "paragraph_id": "para_259"
      },
      {
        "text": "erroneously attributed prescriptions in the KASPER database and that Chaney was",
        "paragraph_id": "para_260"
      },
      {
        "text": "investigated based solely upon his ownership of Clarion.",
        "paragraph_id": "para_261"
      },
      {
        "text": "Chaney claims he was indicted for being a “pill-mill” doctor “[b]ased",
        "paragraph_id": "para_262"
      },
      {
        "text": "on a search warrant which relied entirely upon KASPER,” but again, this is beyond",
        "paragraph_id": "para_263"
      },
      {
        "text": "the evidence. While the affidavit submitted by the FBI in support of its search",
        "paragraph_id": "para_264"
      },
      {
        "text": "warrant references Chaney’s KASPER, it can hardly be said that the search warrant",
        "paragraph_id": "para_265"
      },
      {
        "text": "“relied entirely upon KASPER.” In fact, only one paragraph of the sixty-four-page",
        "paragraph_id": "para_266"
      },
      {
        "text": "affidavit concerns Chaney’s KASPER. The remainder of the affidavit sets forth",
        "paragraph_id": "para_267"
      },
      {
        "text": "the FBI’s detailed investigation into Clarion, including interviews with seven",
        "paragraph_id": "para_268"
      },
      {
        "text": "former patients, a former physician employee, and a former compliance officer, as",
        "paragraph_id": "para_269"
      },
      {
        "text": "well as the results of months of surveillance.",
        "paragraph_id": "para_270"
      },
      {
        "text": "But even if the FBI considered the KASPER data, Chaney bore the",
        "paragraph_id": "para_271"
      },
      {
        "text": "burden of proving that it was more likely than not that CVS misattributions were a",
        "paragraph_id": "para_272"
      },
      {
        "text": "substantial factor in bringing about his harm. See Standard, 536 S.W.2d at 138.",
        "paragraph_id": "para_273"
      },
      {
        "text": "The affidavit states that the FBI reviewed Chaney’s KASPER data from December",
        "paragraph_id": "para_274"
      },
      {
        "text": "2010 to December 2012, which indicated that Chaney was prescribing “very large”",
        "paragraph_id": "para_275"
      },
      {
        "text": "amounts of controlled substances. CVS concedes that it misattributed 23",
        "paragraph_id": "para_276"
      },
      {
        "text": "controlled substance prescriptions to Chaney from 2010 to 2012. However,",
        "paragraph_id": "para_277"
      },
      {
        "text": "Chaney’s KASPER data shows that he wrote close to 14,000 controlled substance",
        "paragraph_id": "para_278"
      },
      {
        "text": "-14-",
        "paragraph_id": "para_279"
      },
      {
        "text": "prescriptions during this period. It is unreasonable to infer that the 23",
        "paragraph_id": "para_280"
      },
      {
        "text": "misattributions by CVS proven at trial were a substantial factor in causing the FBI",
        "paragraph_id": "para_281"
      },
      {
        "text": "to indict Chaney. Especially considering the multitude of other evidence outlined",
        "paragraph_id": "para_282"
      },
      {
        "text": "in the affidavit—extended surveillance of Clarion, interviews with its former",
        "paragraph_id": "para_283"
      },
      {
        "text": "patients, and even one of its former physicians—which suggested criminal activity",
        "paragraph_id": "para_284"
      },
      {
        "text": "may be taking place at Clarion. While possible, it is simply not probable. Baylis v.",
        "paragraph_id": "para_285"
      },
      {
        "text": "Lourdes Hosp., Inc., 805 S.W.2d 122, 124 (Ky. 1991) (“[E]vidence of causation",
        "paragraph_id": "para_286"
      },
      {
        "text": "must be in terms of probability rather than mere possibility[.]”).",
        "paragraph_id": "para_287"
      },
      {
        "text": "But even more fundamentally, Chaney failed to prove that his",
        "paragraph_id": "para_288"
      },
      {
        "text": "indictment would not have occurred but for the misattributions by CVS. “An act",
        "paragraph_id": "para_289"
      },
      {
        "text": "or omission is not regarded as a cause of an event if the particular event would",
        "paragraph_id": "para_290"
      },
      {
        "text": "have occurred without it.” Gross, 557 U.S. at 176–77 (quoting W. Keeton, D.",
        "paragraph_id": "para_291"
      },
      {
        "text": "Dobbs, R. Keeton, & D. Owen, Prosser and Keeton on Law of Torts 265 (5th ed.",
        "paragraph_id": "para_292"
      },
      {
        "text": "1984)). Here, there is no evidence, or even a reasonable inference, that Chaney",
        "paragraph_id": "para_293"
      },
      {
        "text": "would not have been investigated or indicted but for any misattributions by CVS.",
        "paragraph_id": "para_294"
      },
      {
        "text": "Such a conclusion could only be reached by speculation. However, “speculation",
        "paragraph_id": "para_295"
      },
      {
        "text": "and supposition are insufficient to justify a submission of a case to the jury, and . . .",
        "paragraph_id": "para_296"
      },
      {
        "text": "the question should be taken from the jury when the evidence is so unsatisfactory",
        "paragraph_id": "para_297"
      },
      {
        "text": "as to require a resort to surmise and speculation.” O’Bryan v. Cave, 202 S.W.3d",
        "paragraph_id": "para_298"
      },
      {
        "text": "585, 588 (Ky. 2006) (citation omitted).",
        "paragraph_id": "para_299"
      },
      {
        "text": "-15-",
        "paragraph_id": "para_300"
      },
      {
        "text": "As an extension of the above, Chaney failed to prove that any",
        "paragraph_id": "para_301"
      },
      {
        "text": "misattributions by CVS caused him to lose his medical license, lose his ability to",
        "paragraph_id": "para_302"
      },
      {
        "text": "prescribe controlled substances, or go to prison. The evidence clearly showed that",
        "paragraph_id": "para_303"
      },
      {
        "text": "these results were the direct consequences of Chaney’s conviction for conspiracy",
        "paragraph_id": "para_304"
      },
      {
        "text": "to commit money laundering. Chaney stipulated in the 2016 agreed order of",
        "paragraph_id": "para_305"
      },
      {
        "text": "surrender to pleading guilty to conspiracy to commit money laundering, engaging",
        "paragraph_id": "para_306"
      },
      {
        "text": "in conduct which violates Kentucky law, and that, pursuant to 201 KAR4 9:081, the",
        "paragraph_id": "para_307"
      },
      {
        "text": "facts underlying his conviction relate to controlled substances. Diakov testified",
        "paragraph_id": "para_308"
      },
      {
        "text": "that the KBML was required by law to suspend a practitioner’s ability to prescribe",
        "paragraph_id": "para_309"
      },
      {
        "text": "controlled substances when they have been convicted of a crime involving",
        "paragraph_id": "para_310"
      },
      {
        "text": "controlled substances. She further testified that Chaney’s surrender of his license",
        "paragraph_id": "para_311"
      },
      {
        "text": "was based solely upon his guilty plea. In sum, Chaney failed to prove that any",
        "paragraph_id": "para_312"
      },
      {
        "text": "misattributions by CVS were the legal cause of his harm, and “the jury could not",
        "paragraph_id": "para_313"
      },
      {
        "text": "have reasonably reached its verdict on the basis of the evidence before it.” Belt v.",
        "paragraph_id": "para_314"
      },
      {
        "text": "Cincinnati Insurance Company, 664 S.W.3d 524, 530 (Ky. 2022) (internal",
        "paragraph_id": "para_315"
      },
      {
        "text": "quotation marks and citation omitted). Therefore, the circuit court erred in denying",
        "paragraph_id": "para_316"
      },
      {
        "text": "CVS’s motion for directed verdict on Chaney’s negligence claim.",
        "paragraph_id": "para_317"
      },
      {
        "text": "CVS also argues the trial court should have directed a verdict on",
        "paragraph_id": "para_318"
      },
      {
        "text": "Chaney’s false light claim. In McCall v. Courier–Journal and Louisville Times",
        "paragraph_id": "para_319"
      },
      {
        "text": "4 Kentucky Administrative Regulations.",
        "paragraph_id": "para_320"
      },
      {
        "text": "-16-",
        "paragraph_id": "para_321"
      },
      {
        "text": "Co., 623 S.W.2d 882 (Ky. 1981), our Supreme Court adopted the Restatement",
        "paragraph_id": "para_322"
      },
      {
        "text": "(Second) of Torts § 652E (1976), which sets forth the requirements for a false light",
        "paragraph_id": "para_323"
      },
      {
        "text": "claim as follows:",
        "paragraph_id": "para_324"
      },
      {
        "text": "One who gives publicity to a matter concerning another",
        "paragraph_id": "para_325"
      },
      {
        "text": "that places the other before the public in a false light is",
        "paragraph_id": "para_326"
      },
      {
        "text": "subject to liability to the other for invasion of his privacy,",
        "paragraph_id": "para_327"
      },
      {
        "text": "if",
        "paragraph_id": "para_328"
      },
      {
        "text": "(a) the false light in which the other was placed would",
        "paragraph_id": "para_329"
      },
      {
        "text": "be highly offensive to a reasonable person, and",
        "paragraph_id": "para_330"
      },
      {
        "text": "(b) the actor had knowledge of or acted in reckless",
        "paragraph_id": "para_331"
      },
      {
        "text": "disregard as to the falsity of the publicized matter",
        "paragraph_id": "para_332"
      },
      {
        "text": "and the false light in which the other would be",
        "paragraph_id": "para_333"
      },
      {
        "text": "placed.",
        "paragraph_id": "para_334"
      },
      {
        "text": "“Publicity” means that “the matter is made public, by communicating",
        "paragraph_id": "para_335"
      },
      {
        "text": "it to the public at large, or to so many persons that the matter must be regarded as",
        "paragraph_id": "para_336"
      },
      {
        "text": "substantially certain to become one of public knowledge.” RESTATEMENT",
        "paragraph_id": "para_337"
      },
      {
        "text": "(SECOND) OF TORTS § 652D cmt. a (1976). Examples of publicity include:",
        "paragraph_id": "para_338"
      },
      {
        "text": "“publication in a newspaper or a magazine, even of small circulation, or in a",
        "paragraph_id": "para_339"
      },
      {
        "text": "handbill distributed to a large number of persons, or any broadcast over the radio,",
        "paragraph_id": "para_340"
      },
      {
        "text": "or statement made in an address to a large audience[.]” Id. However, it is not",
        "paragraph_id": "para_341"
      },
      {
        "text": "enough “to communicate a fact concerning the plaintiff’s private life to a single",
        "paragraph_id": "para_342"
      },
      {
        "text": "person or even to a small group of persons.” Id. “The distinction, in other words,",
        "paragraph_id": "para_343"
      },
      {
        "text": "is one between private and public communication.” Id. “The purpose of",
        "paragraph_id": "para_344"
      },
      {
        "text": "a false light action is to protect the individual in not being made to appear before",
        "paragraph_id": "para_345"
      },
      {
        "text": "-17-",
        "paragraph_id": "para_346"
      },
      {
        "text": "the public in an unreasonably objectionable false light and otherwise than as he is.”",
        "paragraph_id": "para_347"
      },
      {
        "text": "McCall, 623 S.W.2d at 888 n.9 (citing RESTATEMENT (SECOND) OF TORTS § 652E",
        "paragraph_id": "para_348"
      },
      {
        "text": "cmt. b (1976)).",
        "paragraph_id": "para_349"
      },
      {
        "text": "In his second amended complaint, Chaney alleged that due to",
        "paragraph_id": "para_350"
      },
      {
        "text": "misattributions by CVS, he “appeared falsely to the public as having written large",
        "paragraph_id": "para_351"
      },
      {
        "text": "amounts of controlled substance prescriptions.” CVS contends Chaney’s false",
        "paragraph_id": "para_352"
      },
      {
        "text": "light claim fails as a matter of law because he failed to prove that the",
        "paragraph_id": "para_353"
      },
      {
        "text": "misattributions were communicated to the public at large or placed him in a false",
        "paragraph_id": "para_354"
      },
      {
        "text": "light that would be highly offensive to a reasonable person. We agree.",
        "paragraph_id": "para_355"
      },
      {
        "text": "As for publicity, the evidence at trial was that communication of",
        "paragraph_id": "para_356"
      },
      {
        "text": "individual prescription data (including any prescriptions misattributed to Chaney)",
        "paragraph_id": "para_357"
      },
      {
        "text": "was limited to three recipients: KASPER, third-party payors such as insurance",
        "paragraph_id": "para_358"
      },
      {
        "text": "companies, and the patients themselves. None of these communications satisfies",
        "paragraph_id": "para_359"
      },
      {
        "text": "the publicity requirement of a false light claim. As noted above, publicity means",
        "paragraph_id": "para_360"
      },
      {
        "text": "that the matter is “made public, by communicating it to the public at large, or to so",
        "paragraph_id": "para_361"
      },
      {
        "text": "many persons that the matter must be regarded as substantially certain to become",
        "paragraph_id": "para_362"
      },
      {
        "text": "one of public knowledge.” RESTATEMENT (SECOND) OF TORTS § 652D cmt. a",
        "paragraph_id": "para_363"
      },
      {
        "text": "(1976).",
        "paragraph_id": "para_364"
      },
      {
        "text": "KASPER data is not available to the general public and is protected",
        "paragraph_id": "para_365"
      },
      {
        "text": "by statute. See Williams v. Commonwealth, 213 S.W.3d 671, 683 (Ky. 2006); KRS",
        "paragraph_id": "para_366"
      },
      {
        "text": "-18-",
        "paragraph_id": "para_367"
      },
      {
        "text": "218A.202(6)(a) & (b). Similarly, prescription data transferred to insurance",
        "paragraph_id": "para_368"
      },
      {
        "text": "companies is confidential under HIPAA. See 45 C.F.R.5 §§ 160.102, 160.103,",
        "paragraph_id": "para_369"
      },
      {
        "text": "164.502(a). “These restrictions negate the assumption that the matter was",
        "paragraph_id": "para_370"
      },
      {
        "text": "substantially certain to become one of public knowledge.” Moore v. Big Picture",
        "paragraph_id": "para_371"
      },
      {
        "text": "Co., 828 F.2d 270, 274 (5th Cir. 1987) (holding that communications that could",
        "paragraph_id": "para_372"
      },
      {
        "text": "only be accessed in accordance with the Freedom of Information Act, 5 U.S.C.6 §",
        "paragraph_id": "para_373"
      },
      {
        "text": "552(a)(3) (1977), were not public). While Chaney claims that the prescription data",
        "paragraph_id": "para_374"
      },
      {
        "text": "communicated by CVS to KASPER and insurance companies “then flows to",
        "paragraph_id": "para_375"
      },
      {
        "text": "various databases and publicly available sources of information[,]” we are unaware",
        "paragraph_id": "para_376"
      },
      {
        "text": "of any evidence confirming this assertion.7",
        "paragraph_id": "para_377"
      },
      {
        "text": "Finally, a communication to a patient via the label on their",
        "paragraph_id": "para_378"
      },
      {
        "text": "prescription pill bottle is a private communication. See RESTATEMENT (SECOND)",
        "paragraph_id": "para_379"
      },
      {
        "text": "OF TORTS § 652D cmt. a (1976) (“[I]t is not an invasion of the right of privacy . . .",
        "paragraph_id": "para_380"
      },
      {
        "text": "to communicate a fact concerning the plaintiff’s private life to a single person or",
        "paragraph_id": "para_381"
      },
      {
        "text": "even to a small group of persons.”). This is true even though misattributions were",
        "paragraph_id": "para_382"
      },
      {
        "text": "sent to 101 individual patients. See Sherr v. HealthEast Care System, 262 F. Supp.",
        "paragraph_id": "para_383"
      },
      {
        "text": "3d 869, 881 (D. Minn. 2017) (holding that hospital’s disclosure of information to",
        "paragraph_id": "para_384"
      },
      {
        "text": "5 Code of Federal Regulations.",
        "paragraph_id": "para_385"
      },
      {
        "text": "6 United States Code.",
        "paragraph_id": "para_386"
      },
      {
        "text": "7 We have reviewed Chaney’s citation to the video record (VR 03/08/23 at 14:23:50) and find no",
        "paragraph_id": "para_387"
      },
      {
        "text": "support for this claim.",
        "paragraph_id": "para_388"
      },
      {
        "text": "-19-",
        "paragraph_id": "para_389"
      },
      {
        "text": "35-40 medical practitioners did not constitute publicity); Cohen v. Beachside Two–",
        "paragraph_id": "para_390"
      },
      {
        "text": "I Homeowners’ Ass’n, No. 05-706, 2005 WL 3088361, at *17 (D. Minn. Nov. 17,",
        "paragraph_id": "para_391"
      },
      {
        "text": "2005) (holding that distribution to “a small community of about fifty households in",
        "paragraph_id": "para_392"
      },
      {
        "text": "a small geographic area” was not to the public at large). As noted by the",
        "paragraph_id": "para_393"
      },
      {
        "text": "Restatement, “[t]he distinction . . . is one between private and public",
        "paragraph_id": "para_394"
      },
      {
        "text": "communication.” RESTATEMENT (SECOND) OF TORTS § 652D cmt. a. As examples",
        "paragraph_id": "para_395"
      },
      {
        "text": "of public communication, the Restatement lists “any publication in a newspaper or",
        "paragraph_id": "para_396"
      },
      {
        "text": "a magazine, even of small circulation, or in a handbill distributed to a large number",
        "paragraph_id": "para_397"
      },
      {
        "text": "of persons, or any broadcast over the radio, or statement made in an address to a",
        "paragraph_id": "para_398"
      },
      {
        "text": "large audience[.]” Id.",
        "paragraph_id": "para_399"
      },
      {
        "text": "Information communicated on a patient’s prescription pill bottle is",
        "paragraph_id": "para_400"
      },
      {
        "text": "essentially private. The nature of the communication does not change—from",
        "paragraph_id": "para_401"
      },
      {
        "text": "private to public—simply because of the number of private communications. This",
        "paragraph_id": "para_402"
      },
      {
        "text": "is particularly true here, where there is no evidence that any one patient knew of",
        "paragraph_id": "para_403"
      },
      {
        "text": "any other patient’s misattributed prescription. Again, the relevant question is",
        "paragraph_id": "para_404"
      },
      {
        "text": "whether the communication was “to so many persons that the matter must be",
        "paragraph_id": "para_405"
      },
      {
        "text": "regarded as substantially certain to become one of public knowledge.”",
        "paragraph_id": "para_406"
      },
      {
        "text": "RESTATEMENT (SECOND) OF TORTS § 652D cmt. a (1976) (emphasis added). Given",
        "paragraph_id": "para_407"
      },
      {
        "text": "the substance of the communications at issue, we cannot say it was substantially",
        "paragraph_id": "para_408"
      },
      {
        "text": "-20-",
        "paragraph_id": "para_409"
      },
      {
        "text": "certain that any prescriptions misattributed to Chaney would become public",
        "paragraph_id": "para_410"
      },
      {
        "text": "knowledge.",
        "paragraph_id": "para_411"
      },
      {
        "text": "Even if Chaney could prove the publicity aspect of his false light",
        "paragraph_id": "para_412"
      },
      {
        "text": "claim, he has failed to show that any misattributions painted him in a false light",
        "paragraph_id": "para_413"
      },
      {
        "text": "that would be highly offensive to a reasonable person. First, Chaney has failed to",
        "paragraph_id": "para_414"
      },
      {
        "text": "show that the 101 misattributions attributed to CVS cast him in a false light, or in",
        "paragraph_id": "para_415"
      },
      {
        "text": "other words, “otherwise than he is.” RESTATEMENT (SECOND) OF TORTS § 652E",
        "paragraph_id": "para_416"
      },
      {
        "text": "cmt. b (1976). Chaney’s second amended complaint alleges that the",
        "paragraph_id": "para_417"
      },
      {
        "text": "misattributions made him “appear[] falsely to the public as having written large",
        "paragraph_id": "para_418"
      },
      {
        "text": "amounts of controlled substance prescriptions.” But Chaney’s KASPER data from",
        "paragraph_id": "para_419"
      },
      {
        "text": "the relevant period (2010-2014) shows that he wrote over 21,000 controlled",
        "paragraph_id": "para_420"
      },
      {
        "text": "substance prescriptions. By any standard, Chaney did write a “large amount of",
        "paragraph_id": "para_421"
      },
      {
        "text": "controlled substance prescriptions.” And while Chaney disputes the reliability of",
        "paragraph_id": "para_422"
      },
      {
        "text": "this number, he has not put forth any evidence suggesting it was so much lower",
        "paragraph_id": "para_423"
      },
      {
        "text": "that the 101 misattributions by CVS somehow tipped the balance and made him",
        "paragraph_id": "para_424"
      },
      {
        "text": "appear to the public otherwise than he is.",
        "paragraph_id": "para_425"
      },
      {
        "text": "Additionally, he has not shown that the misattributions would be",
        "paragraph_id": "para_426"
      },
      {
        "text": "“highly offensive” to a reasonable person. This means that Chaney “would be",
        "paragraph_id": "para_427"
      },
      {
        "text": "justified in the eyes of the community in feeling seriously offended and aggrieved",
        "paragraph_id": "para_428"
      },
      {
        "text": "by the publicity.” A reasonable person in Chaney’s position, someone who had",
        "paragraph_id": "para_429"
      },
      {
        "text": "-21-",
        "paragraph_id": "para_430"
      },
      {
        "text": "written over 21,000 controlled substance prescriptions, would not be highly",
        "paragraph_id": "para_431"
      },
      {
        "text": "offended by having 101 controlled substance prescriptions misattributed to him.",
        "paragraph_id": "para_432"
      },
      {
        "text": "This comparatively small number would not make a reasonable person in Chaney’s",
        "paragraph_id": "para_433"
      },
      {
        "text": "position worry that people would think that they overprescribed controlled",
        "paragraph_id": "para_434"
      },
      {
        "text": "substances. Especially since here the only members of the public who would have",
        "paragraph_id": "para_435"
      },
      {
        "text": "seen these misattributions were the individual patients who received the",
        "paragraph_id": "para_436"
      },
      {
        "text": "prescriptions, and it is unlikely they would have attributed them to Chaney rather",
        "paragraph_id": "para_437"
      },
      {
        "text": "than to CVS. Further, absent evidence to the contrary, each patient presumably",
        "paragraph_id": "para_438"
      },
      {
        "text": "was aware of only a single misattribution and therefore would not have assumed",
        "paragraph_id": "para_439"
      },
      {
        "text": "that Chaney was an overprescriber simply on that fact. In sum, Chaney failed to",
        "paragraph_id": "para_440"
      },
      {
        "text": "introduce sufficient evidence to convince a reasonable juror that CVS gave",
        "paragraph_id": "para_441"
      },
      {
        "text": "“publicity” to any misattributions and that those misattributions would be “highly",
        "paragraph_id": "para_442"
      },
      {
        "text": "offensive” to a reasonable person, as required for a false light claim.",
        "paragraph_id": "para_443"
      },
      {
        "text": "Here, the jury’s verdict was so palpably against the evidence that we",
        "paragraph_id": "para_444"
      },
      {
        "text": "can only conclude “it was reached as a result of passion or prejudice.” Bierman,",
        "paragraph_id": "para_445"
      },
      {
        "text": "967 S.W.2d at 19. Certainly, Chaney’s story is tragic. He was presented as a",
        "paragraph_id": "para_446"
      },
      {
        "text": "small-town doctor who lost everything. The jury heard how Chaney was",
        "paragraph_id": "para_447"
      },
      {
        "text": "investigated, indicted, and made to sit in prison in solitary confinement. They",
        "paragraph_id": "para_448"
      },
      {
        "text": "heard how he had to give up doing what he loved and now makes pizzas for",
        "paragraph_id": "para_449"
      },
      {
        "text": "meager wages. They heard how large, corporate pharmacies, including CVS,",
        "paragraph_id": "para_450"
      },
      {
        "text": "-22-",
        "paragraph_id": "para_451"
      },
      {
        "text": "misattributed controlled substance prescriptions to Chaney. But what they did not",
        "paragraph_id": "para_452"
      },
      {
        "text": "hear was sufficient evidence to satisfy the elements of Chaney’s negligence and",
        "paragraph_id": "para_453"
      },
      {
        "text": "false light claims, as set forth above. We do not take reversing the jury’s verdict",
        "paragraph_id": "para_454"
      },
      {
        "text": "lightly. “Clearly, the sanctity of the jury verdict is fundamental in our judicial",
        "paragraph_id": "para_455"
      },
      {
        "text": "system.” Kentucky Kingdom Amusement Co. v. Belo Kentucky, Inc., 179 S.W.3d",
        "paragraph_id": "para_456"
      },
      {
        "text": "785, 790 (Ky. 2005). However, at the same time, when there is “no evidence of",
        "paragraph_id": "para_457"
      },
      {
        "text": "probative value to support [a] . . . result[,]” a directed verdict is appropriate,",
        "paragraph_id": "para_458"
      },
      {
        "text": "because “[t]he jury may not be permitted to reach a verdict upon speculation or",
        "paragraph_id": "para_459"
      },
      {
        "text": "conjecture.” Toler, 458 S.W.3d at 285 (citation omitted). Here, there was",
        "paragraph_id": "para_460"
      },
      {
        "text": "insufficient evidence for a reasonable juror to conclude that CVS’s negligence",
        "paragraph_id": "para_461"
      },
      {
        "text": "caused Chaney’s injuries or placed him in a false light, and the circuit court should",
        "paragraph_id": "para_462"
      },
      {
        "text": "have directed a verdict in CVS’s favor.",
        "paragraph_id": "para_463"
      },
      {
        "text": "Finally, Chaney cross-appeals the trial court’s reduction of his damage",
        "paragraph_id": "para_464"
      },
      {
        "text": "award. Because we have found the trial court erred in failing to grant a directed",
        "paragraph_id": "para_465"
      },
      {
        "text": "verdict for CVS on Chaney’s claim, this issue is now moot. Therefore, we decline",
        "paragraph_id": "para_466"
      },
      {
        "text": "to address it.",
        "paragraph_id": "para_467"
      },
      {
        "text": "CONCLUSION",
        "paragraph_id": "para_468"
      },
      {
        "text": "Based on the foregoing, the judgment of the Perry Circuit Court is",
        "paragraph_id": "para_469"
      },
      {
        "text": "reversed, and the case is remanded with instructions to dismiss Chaney’s",
        "paragraph_id": "para_470"
      },
      {
        "text": "complaint. Chaney’s cross-appeal is dismissed as moot.",
        "paragraph_id": "para_471"
      },
      {
        "text": "-23-",
        "paragraph_id": "para_472"
      },
      {
        "text": "ALL CONCUR.",
        "paragraph_id": "para_473"
      },
      {
        "text": "BRIEFS FOR APPELLANT/CROSS-",
        "paragraph_id": "para_474"
      },
      {
        "text": "APPELLEE CVS PHARMACY,",
        "paragraph_id": "para_475"
      },
      {
        "text": "INC.:",
        "paragraph_id": "para_476"
      },
      {
        "text": "S. Chad Meredith",
        "paragraph_id": "para_477"
      },
      {
        "text": "G. Luke Burton",
        "paragraph_id": "para_478"
      },
      {
        "text": "F. Maximilian Czernin",
        "paragraph_id": "para_479"
      },
      {
        "text": "Cincinnati, Ohio",
        "paragraph_id": "para_480"
      },
      {
        "text": "Darryl W. Durham",
        "paragraph_id": "para_481"
      },
      {
        "text": "Louisville, Kentucky",
        "paragraph_id": "para_482"
      },
      {
        "text": "Randall Scott May",
        "paragraph_id": "para_483"
      },
      {
        "text": "Hazard, Kentucky",
        "paragraph_id": "para_484"
      },
      {
        "text": "Jonathan W. Garlough",
        "paragraph_id": "para_485"
      },
      {
        "text": "Chicago, Illinois",
        "paragraph_id": "para_486"
      },
      {
        "text": "Anne-Louise T. Mittal",
        "paragraph_id": "para_487"
      },
      {
        "text": "Milwaukee, Wisconsin",
        "paragraph_id": "para_488"
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        "text": "BRIEFS FOR APPELLEE/CROSS-",
        "paragraph_id": "para_489"
      },
      {
        "text": "APPELLANT JAMES DUSTIN",
        "paragraph_id": "para_490"
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      {
        "text": "CHANEY:",
        "paragraph_id": "para_491"
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      {
        "text": "J. Dale Golden",
        "paragraph_id": "para_492"
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        "text": "Laraclay Parker",
        "paragraph_id": "para_493"
      },
      {
        "text": "Cody P. McIlvoy",
        "paragraph_id": "para_494"
      },
      {
        "text": "Lexington, Kentucky",
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