Douglas Wilson and Jane Wilson v. Shenandoah Medical Center

CourtSupreme Court of Iowa
DecidedMay 23, 2025
Docket23-0509
StatusPublished

This text of Douglas Wilson and Jane Wilson v. Shenandoah Medical Center (Douglas Wilson and Jane Wilson v. Shenandoah Medical Center) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Douglas Wilson and Jane Wilson v. Shenandoah Medical Center, (iowa 2025).

Opinion

In the Iowa Supreme Court

No. 23–0509

Submitted March 26, 2025—Filed May 23, 2025

Douglas Wilson and Jane Wilson,

Appellees,

vs.

Shenandoah Medical Center,

Appellant.

On review from the Iowa Court of Appeals.

Appeal from the Iowa District Court for Page County, Margaret Reyes,

judge.

A hospital seeks further review of a court of appeals decision affirming a

district court ruling that good cause supported relief from the expert certification

deadline under Iowa Code section 668.11. Decision of Court of Appeals

Vacated; District Court Judgment Reversed and Case Remanded with

Instructions.

Waterman, J., delivered the opinion of the court, in which Oxley,

McDermott, and May, JJ., joined. Mansfield, J., filed a dissenting opinion, in

which Christensen, C.J., and McDonald, J., joined.

Nancy J. Penner (argued), Jennifer E. Rinden, and Vincent S. Geis of

Shuttleworth & Ingersoll, PLC, Cedar Rapids, for appellant.

Jessica A. Zupp (argued) of Zupp and Zupp Law Firm, Denison; Gary T.

Gee of GaryGee Law Office, Shenandoah; and Andrew D. Sibbernsen of

Sibbernsen Law Firm, PC, Omaha, Nebraska, for appellees. 2

Waterman, Justice.

Are defense attorneys their “brother’s keeper,” obligated to remind

opposing counsel of expert disclosure deadlines? This medical malpractice case

requires us to revisit Iowa Code section 668.11 (2021), which in professional

liability cases, prohibits the testimony of experts not timely certified unless good

cause is shown for missing the deadline.

In this case, the plaintiff underwent hip joint replacement surgery and was

injured in a fall while convalescing at the defendant hospital. He and his spouse

sued the hospital, alleging professional negligence in his postoperative care. The

plaintiffs identified a nursing expert in a certificate of merit affidavit and an

interrogatory answer. But the plaintiffs, without explanation, did not certify their

nursing expert under section 668.11 until the defendant moved for summary

judgment three months after the agreed-upon deadline expired. The plaintiffs

resisted, arguing that expert testimony was not required to avoid summary

judgment and blaming defense counsel’s silence for missing the plaintiffs’ expert

deadline. The district court found good cause excused the delay, relying on

defense counsel’s silence about that deadline while scheduling other matters.

The court did not decide whether expert testimony was required. We granted the

hospital’s application for interlocutory appeal and transferred the case to the

court of appeals, where a three-judge panel affirmed over a dissent. We granted

the hospital’s application for further review.

On our review, we conclude that the district court abused its discretion in

ruling that good cause excused the plaintiffs’ three-month delay in certifying

their expert under section 668.11. Defense counsel is not their brother’s keeper.

We hold that defense counsel has no duty to remind opposing counsel of the

expert certification deadline, and an adversary’s silence cannot excuse missing

the statutory deadline by three months. The defendant’s relative lack of prejudice 3

alone is insufficient to establish good cause. The plaintiffs’ expert is prohibited

from testifying. For the reasons explained below, we vacate the court of appeals

decision and reverse the district court ruling. We remand the case for the district

court to determine in the first instance whether these plaintiffs’ claims require

expert testimony to avoid summary judgment.

I. Background Facts and Proceedings.

On December 30, 2019, Douglas Wilson underwent a total right hip

replacement surgery at the Shenandoah Medical Center (SMC). Wilson was

transferred to the postanesthesia care unit in stable condition. But nurses noted

that “pain control has been very difficult for this patient.” Nurses also noted that

Wilson had attempted to get out of his bed and walk on his own. To ensure

Wilson did not get out of bed without assistance, a bed alarm was ordered and

a family member was asked to spend the night with him. Over the next two days,

Wilson remained at SMC with ongoing evaluations by the nursing staff. They

observed that Wilson exhibited signs of confusion and memory loss. As the

nurses described it, Wilson experienced “episodes of coherence, but they [were]

intermittent.”

On January 3, 2020, the nursing staff noted that Wilson “was more awake

and alert” and his episodes of confusion were briefer and less frequent. Wilson

again attempted to get out of bed and walk, this time with the assistance of his

wife Jane, to the bathroom but he fell to the floor. In response, the nursing staff

indicated that Wilson would be maintained “1:1” and that Wilson would “have a

dedicated staff member overnight.” The next day, Wilson’s confusion persisted

and he yet again attempted to leave his bed unassisted. Late in the day, Wilson

stood up without assistance to use the bathroom. He fell to the floor, striking his

head and landing on his right hip, the one with the new prosthetic joint. 4

The Wilsons filed this medical malpractice action against SMC on

December 27, 2021. They alleged that SMC’s nurses were negligent in their

postoperative care. SMC filed its answer on January 20, 2022. Shortly thereafter,

the Wilsons filed a certificate of merit affidavit under Iowa Code section 147.140.

The certificate was signed by registered nurse Jenny Beerman, who stated, “It is

my opinion that nurses, agents and employees, working at [SMC] breached the

standard of care in caring for and treating Douglas Wilson . . . .”

Iowa Code section 668.11 governs disclosure of expert witnesses in

professional liability cases. That section requires a party “who intends to call an

expert witness” to “certify to the court and all other parties the expert’s name,

qualifications and the purpose for calling the expert” within certain deadlines.

Id. § 668.11(1). The plaintiff must make this disclosure “within one hundred

eighty days of the defendant’s answer,”1 while the defendant must make this

disclosure “within ninety days of plaintiff’s certification.” Id. Any party who fails

to comply with these disclosure deadlines is prohibited from offering expert

testimony unless “good cause [is] shown.” Id. § 668.11(2). Based on this statute,

the Wilsons’ original section 668.11 deadline was July 27. Also relevant is Iowa

Rule of Civil Procedure 1.500(2)(d), which requires expert disclosures to occur

“at the times and in the sequence set forth in the court’s trial scheduling order.”

The parties conferred and created a trial scheduling plan that imposed a

number of additional deadlines. SMC suggested pushing the deadline to certify

experts to early 2023. The Wilsons’ counsel pushed back and wrote in an email,

“While I have no problem pushing out the deadline for expert disclosure, I don’t

want to wait until January of next year. I propose a September 1st deadline for

Plaintiffs’ experts and December 1st for Defendant experts. Let me know your

1The statute also permits the court to extend this deadline based on a showing of “good

cause.” Iowa Code § 668.11(1)(a). 5

thoughts?” SMC agreed to these dates.

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