Khokha v. Shahin

2009 ND 110, 767 N.W.2d 159, 2009 N.D. LEXIS 120, 2009 WL 1740154
CourtNorth Dakota Supreme Court
DecidedJune 22, 2009
Docket20080211
StatusPublished
Cited by6 cases

This text of 2009 ND 110 (Khokha v. Shahin) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Khokha v. Shahin, 2009 ND 110, 767 N.W.2d 159, 2009 N.D. LEXIS 120, 2009 WL 1740154 (N.D. 2009).

Opinion

VANDE WALLE, Chief Justice.

[¶ 1] Dr. Inder V.. Khokha appealed and Dr. Salem S. Shahin and Salem S. Shahin, M.D., P.C., a North Dakota Professional Corporation,-cross-appealed from a judgment dismissing Khokha’s defamation action against Shahin after a jury found statements made by Shahin to a patient’s family did not defame Khokha. We hold the district court did not abuse its discretion in its evidentiary rulings and did not err in instructing the jury on qualified privilege. We affirm.

I

[¶ 2] Shahin is a urologist who has practiced independently in Williston for nearly 30 years. Khokha is a general surgeon with vascular training specializing in surgery on blood vessels. Khokha had been a surgeon for nearly 25 years when he was recruited to Mercy Medical Center in Williston in October 2003 under an employment contract with the hospital. At the time, Williston had two other surgeons, but neither of those surgeons had training in vascular surgery, and a community need profile projected that Williston could support three surgeons. Shahin agreed to proctor and provide a written evaluation for Khokha’s first ten surgeries at Mercy Medical Center, and according to the hospital president, there were “no issues or concerns identified” by Shahin during that period, which was completed within three months after Khokha arrived in Williston in October 2003.

[¶ 3] Rosie Chamley had been Shahin’s patient for more than 20 years, and during that time, Shahin had performed five operations on her kidneys, including four per-cutaneous procedures to remove kidney stones. Shahin described a percutaneous procedure as a surgical procedure in which no incision is made; rather, a needle with a guide wire, a sheath, and a nephroscope are inserted through the skin into the kidney to remove the kidney stones. Shahin explained that after the kidney stones are removed, a catheter is inserted into the hole in the kidney to drain into a bag outside the body.

[¶ 4] On February 2, 2004, Shahin admitted Chamley to Mercy Medical Center for a percutaneous procedure to remove kidney stones from her right kidney. Following the percutaneous procedure, Cham-ley experienced excessive bleeding from the catheter, and she was returned to the operating room to stop the bleeding. Dr. Wayne Anderson initially assisted Shahin in attempting to control Chamley’s bleeding with a second surgical procedure requiring an incision. According to Shahin, he tried to suture the hole in the kidney where the catheter had been located, but Chamley’s condition deteriorated, and he eventually decided to remove her kidney. Because of scar tissue around Chamley’s kidney and blood vessels, Shahin asked Khokha, who was waiting in the doctors’ lounge to perform a scheduled surgery on another patient, to help remove the kidney. After Chamley’s kidney was removed, it was discovered that her vena cava was torn and was bleeding. Khokha repaired the vena cava with a graft. Chamley’s condition stabilized, and she was sent to the recovery room, but the following day she was transferred to a Bismarck hospital where she later died from complications from bleeding.

[¶ 5] After Chamley died, her family contacted Shahin on February 15, 2004, with questions about the surgical procedures, and he met with the family at his home that evening to explain the proce *162 dures to them. Accordingly to Khokha, Shahin falsely told the family that Khokha “ripped and tore the kidney out,” and he “grabbed ahold of the kidney and just pulled it out ... without severing any vessels, without cutting anything just pulled it out.” However, Shahin claimed he told the family that Chamley’s vena cava was ripped or torn while Khokha removed the kidney. According to Khokha, Shahin tore Chamley’s vena cava while applying a surgical clamp to the area near the kidney before Khokha entered the operating room.

[¶ 6] In April 2004, Shahin talked with the Chamley family’s attorneys by telephone, and in October 2004, Shahin provided the attorneys with a sworn statement about the surgery. In February 2005, Chamley’s family sued Khokha for malpractice, alleging Khokha “was careless and negligent in the manner in which he performed the dissection of Rosie Cham-ley’s kidney in that ... he negligently ripped and tore the vena cava and failed to appropriately suture, graft, and repair the vena cava.” Chamley’s family later added Shahin as a defendant in that lawsuit. See Chamley v. Khokha, 2007 ND 69, 730 N.W.2d 864.

[¶ 7] While defending the Chamley family’s malpractice action against him, Khokha learned that Shahin had discussed the surgical procedures with the family on February 15, 2004, and had given a sworn statement to the family’s attorneys in October 2004. Khokha sued Shahin and his professional corporation for defamation, alleging Shahin made false statements to Chamley’s family about the quality of Khokha’s surgical assistance. Khokha alleged that in February 2004, Shahin falsely told Chamley’s family that Khokha had “pulled, ripped, and tore ... Chamley’s right kidney out of her and part of the vena cava came out with the kidney and was torn and ragged.” Shahin denied making any false and defamatory statements to Chamley’s family.

[¶ 8] At trial, Khokha presented evidence that Chamley’s kidney was not ripped or torn out of her body in the manner that Shahin allegedly described to Chamley’s family and that Khokha was harmed as a result of Shahin’s defamatory statements to the family. Khokha also presented evidence that his surgical practice became stagnant after Chamley’s death and Mercy Medical Center terminated his employment contract in March 2006 because of “declining volumes.” Shahin presented evidence to support his explanation that Khokha tore Chamley’s vena cava when Khokha removed the kidney and that Khokha’s reputation was not harmed as a result of Shahin’s statements to the family. As relevant to the issues in this appeal, the jury also heard evidence that Khokha was arrested for DUI in February 2005; that he had a bad result in a surgical procedure on a young boy in November 2003; and that his surgical practice was subject to high rates of complications. The district court decided Shahin’s statements to Chamley’s family on February 15, 2004, were subject to a qualified privilege, and the jury returned a special verdict, finding those statements were not defamatory.

II

[¶ 9] Khokha argues the jury verdict is perverse and contrary to the evidence, because the jury was misled and improperly influenced by irrelevant and inadmissible evidence about his reputation. He argues Shahin incontrovertibly made false statements to Chamley’s family and the verdict can only be explained by irrelevant, inadmissable, and substantially prejudicial evidence that Shahin did not harm Khokha’s reputation, because Khokha was “a surgeon with an alcohol problem” who *163 had “extremely bad results” and “higher complication rates,” whose practice was the subject of “complaints” and an “investigation” and who left Williston because of an “unresolved DUI.” Khokha argues that reputation evidence was not admissible because it did not relate to the aspect of his reputation that was defamed and the evidence did not pertain to a reputation that was generally known in the community before Shahin made the defamatory statements. Khokha claims inadmissible reputation evidence tainted the trial and affected his substantial rights.

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Bluebook (online)
2009 ND 110, 767 N.W.2d 159, 2009 N.D. LEXIS 120, 2009 WL 1740154, Counsel Stack Legal Research, https://law.counselstack.com/opinion/khokha-v-shahin-nd-2009.