Estate of Kara B. Tornell and Preston H. Tornell, both individually and in his Administrator capacity v. Trinity Health Corporation, Catholic Health Initiatives-Iowa Corp., d/b/a MercyOne West Des Moines Medical Center, MercyOne West Des Moines, William E. Nowysz, William Nowysz, P.C., Des Moines River Physicians, LLC, Ryan Brimeyer and The Iowa Clinic, P.C.

CourtCourt of Appeals of Iowa
DecidedJuly 2, 2025
Docket24-0720
StatusPublished

This text of Estate of Kara B. Tornell and Preston H. Tornell, both individually and in his Administrator capacity v. Trinity Health Corporation, Catholic Health Initiatives-Iowa Corp., d/b/a MercyOne West Des Moines Medical Center, MercyOne West Des Moines, William E. Nowysz, William Nowysz, P.C., Des Moines River Physicians, LLC, Ryan Brimeyer and The Iowa Clinic, P.C. (Estate of Kara B. Tornell and Preston H. Tornell, both individually and in his Administrator capacity v. Trinity Health Corporation, Catholic Health Initiatives-Iowa Corp., d/b/a MercyOne West Des Moines Medical Center, MercyOne West Des Moines, William E. Nowysz, William Nowysz, P.C., Des Moines River Physicians, LLC, Ryan Brimeyer and The Iowa Clinic, P.C.) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Estate of Kara B. Tornell and Preston H. Tornell, both individually and in his Administrator capacity v. Trinity Health Corporation, Catholic Health Initiatives-Iowa Corp., d/b/a MercyOne West Des Moines Medical Center, MercyOne West Des Moines, William E. Nowysz, William Nowysz, P.C., Des Moines River Physicians, LLC, Ryan Brimeyer and The Iowa Clinic, P.C., (iowactapp 2025).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 24-0720 Filed July 2, 2025

ESTATE OF KARA B. TORNELL and PRESTON H. TORNELL, both individually and in his administrator capacity, Plaintiffs-Appellants,

vs.

TRINITY HEALTH CORPORATION; CATHOLIC HEALTH INITIATIVES-IOWA CORP., d/b/a MERCYONE WEST DES MOINES MEDICAL CENTER; MERCYONE WEST DES MOINES; WILLIAM E. NOWYSZ, WILLIAM NOWYSZ, P.C.; DES MOINES RIVER PHYSICIANS, LLC; RYAN BRIMEYER and THE IOWA CLINIC, P.C., Defendants-Appellees. ________________________________________________________________

Appeal from the Iowa District Court for Polk County, Jeanie Vaudt, Judge.

A husband appeals the dismissal of a wrongful death action that he filed as

administrator of his late wife’s estate and in his individual capacity. AFFIRMED.

S.P. DeVolder (argued) of The DeVolder Law Firm, P.L.L.C., Norwalk, for

appellants.

Ryan P. Tunink (argued) and Frederick T. Harris of Lamson Dugan &

Murray LLP, West Des Moines, for appellee Catholic Health Initiatives-Iowa Corp.

Jennifer E. Rinden, Vincent S. Geis, and Eric P. Martin of Shuttleworth &

Ingersoll, P.L.C., Cedar Rapids, for appellees Nowysz, William Nowysz, P.C., and

Des Moines River Physicians, LLC.

Stacie M. Codr, Jeffrey R. Kappelman, and Peter R. Lapointe of Finley Law

Firm, P.C., Des Moines, for appellees Brimeyer and The Iowa Clinic, P.C. 2

Heard at oral argument by Tabor, C.J., and Greer, Chicchelly, Langholz,

and Sandy, JJ. 3

TABOR, Chief Judge.

Preston Tornell appeals the dismissal of his petition against Catholic Health

Initiatives (CHI)1 for the wrongful death of his wife, Kara. Preston—who is not an

attorney—represented himself both as an individual and as the administrator of the

estate, which the district court found to be the unauthorized practice of law. Finding

Preston’s filings were void, the court dismissed his claims without prejudice.

On appeal, Preston contends that he could proceed pro se because Kara

died without a will and he was the sole beneficiary of her estate. Short of that, he

maintains that the court should have allowed him to amend his petition or granted

him more time to hire an attorney. Because the dismissal was proper, we affirm.

I. Facts and Prior Proceedings

In December 2021, Kara experienced sudden “back pain, shortness of

breath, low blood pressure, low pulse oxygen, and discolored tissues.”2 She went

by ambulance to the emergency department at MercyOne in West Des Moines,

where she received treatment from several doctors. Her condition deteriorated

rapidly. After experiencing cardiac arrest, cardio-pulmonary resuscitation, and

many medical procedures to stabilize her, Kara was admitted to the critical care

department. Her prognosis was “uncertain” because of a prolonged lack of

oxygen. The next day, “with treatments exhausted and with no hope for recovery,”

1 CHI and MercyOne West Des Moines Medical Center have different counsel than

defendants Ryan Brimeyer and The Iowa Clinic. Des Moines River Physicians, William E. Nowysz, and William Nowysz P.C. also have separate representation. But the defendants’ district court filings all track one another, and they filed one appellees’ brief, so we refer to them collectively as CHI. 2 We take these facts from Preston’s petition. 4

Preston made “the devastating decision to remove [Kara] from life support,” and

she soon died.

Preston sued CHI, alleging five wrongful death claims against the hospital,

its associated clinics, and its medical providers.3 Listed as plaintiffs were the

Estate of Kara B. Tornell; Preston, as administrator of the estate; and Preston, in

his individual capacity.4 Preston represented all plaintiffs throughout the

proceedings until this appeal.

CHI answered and asserted as affirmative defenses that Preston’s petition

failed to state a claim for which relief could be granted and amounted to the “illegal

practice of law.” CHI then moved to dismiss,5 citing Iowa Rules of Civil

Procedure 1.421(1)(f) and 1.421(4). CHI argued that the petition failed to state a

claim on which the court could grant relief because Preston’s “attempt to bring

claims on behalf of the Estate” without an attorney “amounts to the unauthorized

practice of law.” According to CHI, because Preston could only represent himself,

all claims “brought on behalf of someone other than Mr. Tornell personally [were]

3 The petition, which the district court described as “prolix,” alleged:

1. Wrongful death due to negligence of the hospital. 2. Wrongful death due to negligence of the clinic. 3. Wrongful death due to “negligence, gross negligence, and/or recklessness” of Dr. Nowysz. 4. Wrongful death due to negligence of Dr. Brimeyer. 5. Wrongful death due to “negligence, gross negligence, and/or recklessness” of Des Moines River Physicians. Each count asserted damages of “great (past and future) mental anguish, loss of consortium, loss of society, loss of service, grief, loss of normal life, loss of enjoyment and quality of life, anxiety and depression,” loss of Kara’s future earnings, medical expenses, and “other expenses for the needs of the Plaintiffs.” 4 The Tornells’ seven children were not listed as plaintiffs. 5 Each of the three groups of defendants filed its own post-answer motion to

dismiss, all of which relied on substantially the same reasons. 5

a legal nullity.” And CHI argued that by statute only the estate could assert the

loss-of-consortium claims, so they had to be dismissed for that reason as well.

Just before a hearing on the motion to dismiss, Preston moved for leave to

amend his petition to allege that Kara died intestate and that he “is the only

beneficiary and distributee of her estate.”6 The court did not rule on the motion to

amend before the hearing.

At the hearing, CHI reiterated its argument that Preston could not bring

claims “on behalf of someone other than his natural person, which is the children

and the estate. The estate, by statute, is the only entity or person who is capable

of bringing the claims that Mr. Tornell seeks to present.” CHI continued: “By virtue

of that, he is engaged in an unauthorized practice of law by presenting those

claims.” In CHI’s view, that unauthorized practice rendered the petition void, and

“a void petition can’t state a claim, which is why we’re asking the Court dismiss

these claims.” Preston countered: “I am not representing anyone other than

myself. No one other than myself would be prejudiced from my lack of knowledge

or experience in the courtroom.” The district court asked for proposed orders from

the parties. In his proposed order, which Preston docketed as a brief, he

suggested for the first time that “if pro se representation is not allowed,” the

appropriate remedy was to allow him thirty days to hire counsel.

6 That same day, on behalf of the plaintiffs, Preston filed a “sur-reply and additional

authorities.” In that filing, Preston suggested to the district court that it could take judicial notice of the probate proceedings. But he does not renew that suggestion on appeal. Both his motion to amend and sur-reply noted that they were prepared with help from a named attorney but clarified that such assistance did not constitute an entry of appearance by that attorney. 6

To start its order, the district court treated the motion to dismiss under

rule 1.421 as a motion for judgment on the pleadings under rule 1.954. The court

then offered three lines of analysis.

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Estate of Kara B. Tornell and Preston H. Tornell, both individually and in his Administrator capacity v. Trinity Health Corporation, Catholic Health Initiatives-Iowa Corp., d/b/a MercyOne West Des Moines Medical Center, MercyOne West Des Moines, William E. Nowysz, William Nowysz, P.C., Des Moines River Physicians, LLC, Ryan Brimeyer and The Iowa Clinic, P.C., Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-kara-b-tornell-and-preston-h-tornell-both-individually-and-in-iowactapp-2025.