Jahn Patric Kirlin and Sara Louise Kirlin v. Dr. Barclay A. Monaster, M.D.; Dr. Christian William Jones, M.D.; and Physicians Clinic d/b/a Methodist Physicians Clinic-Council Bluffs

CourtSupreme Court of Iowa
DecidedMarch 21, 2025
Docket24-0205
StatusPublished

This text of Jahn Patric Kirlin and Sara Louise Kirlin v. Dr. Barclay A. Monaster, M.D.; Dr. Christian William Jones, M.D.; and Physicians Clinic d/b/a Methodist Physicians Clinic-Council Bluffs (Jahn Patric Kirlin and Sara Louise Kirlin v. Dr. Barclay A. Monaster, M.D.; Dr. Christian William Jones, M.D.; and Physicians Clinic d/b/a Methodist Physicians Clinic-Council Bluffs) 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.

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Jahn Patric Kirlin and Sara Louise Kirlin v. Dr. Barclay A. Monaster, M.D.; Dr. Christian William Jones, M.D.; and Physicians Clinic d/b/a Methodist Physicians Clinic-Council Bluffs, (iowa 2025).

Opinion

In the Iowa Supreme Court

No. 24–0205

Submitted February 19, 2025—Filed March 21, 2025

Jahn Patric Kirlin and Sara Louise Kirlin,

Appellants,

vs.

Barclay A. Monaster, Christian William Jones, and Physicians Clinic Inc. d/b/a Methodist Physicians Clinic – Council Bluffs,

Appellees.

Appeal from the Iowa District Court for Pottawattamie County, Michael D.

Hooper, judge.

The plaintiffs in a medical malpractice action appeal the summary

judgment granted to the defendants based on a failure to timely certify experts.

Reversed and Remanded.

Mansfield, J., delivered the opinion of the court, in which all justices

joined.

Kelly N. Wyman of Wyman Law, Council Bluffs, and Dean T. Jennings of

Jennings Law Firm, Council Bluffs, for appellants.

Robert A. Mooney and Kalli P. Gloudemans of Mooney, Lenagham

Westberg Dorn, LLC, Omaha, Nebraska, for appellees Christian Williams Jones

and Physicians Clinic Inc.

Frederick T. Harris, Theodore T. Appel (until withdrawal), and Georgia R.

Rice of Lamson Dugan & Murray LLP, West Des Moines, for appellee Barclay A.

Monaster. 2

Mansfield, Justice.

This is the second time this medical malpractice case has been before us.

Unfortunately, we must reverse and remand once again. The question before us

is what happens to a section 668.11 expert certification deadline when the

deadline lapses while a case is on appeal. If there is a reversal and remand, does

the old deadline spring back in place minus a tolling period? Or if the trial

scheduling discovery plan contains an alternative default deadline, does that

deadline now control?

We conclude that we need not answer the question today. Both positions

are plausible. We conclude that the district court abused its discretion in not

finding “good cause” for the plaintiffs to make expert certifications that adhered

to the second deadline but not the first. Not only was there uncertainty about

which deadline applied but the record also reveals a lack of prejudice to the

defendants, the plaintiffs making good-faith efforts to litigate the case, and the

defendants’ prior communication of a different position to the plaintiffs.

Together, these considerations add up to an abuse of discretion in denying the

plaintiffs their day in court. Accordingly, we reverse the judgment of the district

court dismissing this case and remand for further proceedings.

I. Background Facts and Procedural History.

A. The Alleged Malpractice. We recite the facts as alleged by the

plaintiffs. Jahn Kirlin is a thirty-seven-year-old man. Beginning on April 1, 2019,

Kirlin experienced a sudden and continuous significant right-side neck pain,

intense headaches, and pressure behind his right eye. Dr. Christian William

Jones, a family physician with Methodist Physicians Clinic (MPC), began treating

Kirlin for these symptoms on April 4. Dr. Jones recommended some pain 3

management medications and a pain management referral. He suggested an MRI

would be necessary if symptoms did not improve.

On April 12, Dr. Jones was notified that the head and neck pain were

continuing with no relief. The office stated that it was too late in the day on a

Friday to order the MRI and that it would be ordered on Monday, April 15.

On Monday, Dr. Barclay Monaster—another family physician—took

charge of Kirlin’s care, having returned from a leave of absence after undergoing

treatment for alcohol abuse. Dr. Monaster refused to order an MRI before seeing

Kirlin in person. Kirlin scheduled an appointment for 1:30 p.m. At that time,

Dr. Monaster refused to order the MRI, emphasized a $3,000 test was not

necessary, ordered a prescription for steroids, and suggested Kirlin could

continue his chiropractic care and follow up at the end of the week.

On the next day, April 16, Kirlin was receiving treatment from his

chiropractor and immediately experienced stroke symptoms after an adjustment

of his neck. Kirlin was transported by ambulance to Jennie Edmundson Hospital

and eventually to the University of Nebraska Medical Center. It was confirmed

that Kirlin suffered bilateral distal cervical vertebral artery dissections with

high-grade stenoses and small thrombus in the proximal basilar artery, with

permanent and irreversible damage.

The plaintiffs allege that some combination of MPC, Dr. Jones, and

Dr. Monaster changed, altered, or made deliberate omissions on Kirlin’s medical

records; the medical records do not reflect an appointment for Kirlin on April 15.

The plaintiffs further allege that Dr. Monaster was intoxicated at the time of the

appointment with Kirlin on April 15. They allege that Dr. Monaster was arrested

and later pleaded guilty to operating a motor vehicle while intoxicated, second

offense, on April 16. Shortly thereafter, according to the plaintiffs, Dr. Monaster 4

reentered inpatient treatment for alcohol abuse. Kirlin is no longer able to work

his previous job as a sheriff’s deputy and has retired.

B. Litigation Leading Up to the Prior Appeal. On September 11, 2020,

Jahn and Sara Kirlin sued MPC, Dr. Jones, and Dr. Monaster in the

Pottawattamie County District Court. We described the ensuing events in our

previous appellate opinion:

The Kirlins timely filed a section 147.140 certificate of merit affidavit on October 2, signed by Dr. David Segal, a board-certified neurosurgeon. The Defendants challenged the certificate on the basis that Dr. Monaster is a family physician and Dr. Segal was not board-certified in family medicine. See Iowa Code §§ 147.139(1) (requiring the affiant to be “licensed to practice in the same or a substantially similar field as the defendant”), .139(3) (“If the defendant is board-certified in a specialty, the [affiant must be] certified in the same or a substantially similar specialty . . . .”), .140(1)(a) (requiring that the expert affiant “meet the qualifying standards of section 147.139”). Before the district court could issue a ruling on those motions, however, the Kirlins voluntarily dismissed their petition without prejudice under Iowa Rule of Civil Procedure 1.943.

The Kirlins refiled their petition on April 14, 2021, and provided a new certificate of merit signed by Dr. Brian Smith—board-certified in family medicine—who opined that each defendant in the second case breached the standard of care.

Kirlin v. Monaster, 984 N.W.2d 412, 414 (Iowa 2023) (alteration and omission in

original) (footnote omitted).

At this point, the defendants sought dismissal of the refiled action. They

maintained that the Kirlins’ voluntary dismissal of their initial lawsuit and

subsequent refiling could not overcome the fatal defect in their initial

section 147.140 certificate of merit. The district court agreed with the defendants

and entered summary judgment in the refiled action.

C. Our Prior Decision Reversing Dismissal and Remanding. On appeal,

we reversed and remanded. See id. at 413. We recognized the plaintiffs’ “absolute 5

right” to voluntarily dismiss their petition pursuant to Iowa Rule of Civil

Procedure 1.943. See id. at 416. We then concluded,

When the Kirlins . . .

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Jahn Patric Kirlin and Sara Louise Kirlin v. Dr. Barclay A. Monaster, M.D.; Dr. Christian William Jones, M.D.; and Physicians Clinic d/b/a Methodist Physicians Clinic-Council Bluffs, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jahn-patric-kirlin-and-sara-louise-kirlin-v-dr-barclay-a-monaster-md-iowa-2025.