Michael Trask v. Amar F. Ahmed, M.D.; Sandro Younadam, M.D.; Shellie O'Brien-Perry, A.R.N.P.; Kimberly A. Willich, A.R.N.P.; and Oforbuike C. Ewelukwa, M.D.

Supreme Court of Iowa·Decided May 29, 2026·No. 25-0671·Published

Opinion

In the Iowa Supreme Court No. 25–0671

Submitted March 24, 2026—Filed May 29, 2026 Michael Trask,

Appellant,

vs.

Amar F. Ahmed, Sandro Younadam, Shellie O’Brien-Perry, Kimberly A.

Willich, and Oforbuike C. Ewelukwa,

Appellees.

Appeal from the Iowa District Court for Linn County, Lars G. Anderson, Chief District Court Judge.

A plaintiff appeals the dismissal of his medical malpractice lawsuit as filed beyond the statute of limitations after the district court held that the savings statute, Iowa Code § 614.10, did not apply. Reversed and Remanded.

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

Brian O. Marty (argued) and Andrew B. Howie of Shindler, Anderson, Goplerud & Weese, P.C., West Des Moines, for appellant.

Jeffrey R. Kappelman (argued), Connie L. Diekema, and Jacob T.

Wassenaar of Finley Law Firm, PC, Des Moines, and John A. Maschman, Frederick T. Harris, and Olivia R. McDowell of Lamson Dugan & Murray, LLP, West Des Moines, for appellees.

McDermott, Justice.

In this case, we must decide whether Iowa’s savings statute, which treats a second lawsuit as a continuation of an earlier one, applies when a plaintiff in a medical malpractice lawsuit voluntarily dismisses his original action after serving defective certificates of merit under Iowa Code § 147.140 (2023). The district court held that the savings statute did not apply and granted the defendants’ motion to dismiss the plaintiff’s second lawsuit as filed beyond the statute of limitations. The plaintiff appeals.

I.

Because this case involves an appeal from the denial of a motion to dismiss, we accept the facts as alleged in the petition as true. McGill v. Fish, 790 N.W.2d 113, 116 (Iowa 2010). On January 10, 2018, Michael Trask presented to the Mercy Hospital emergency department in Cedar Rapids with lower abdominal pain. Dr. Gregory Frech examined him and ordered a CT scan. A different physician, Dr. David Van Roeckel, reviewed the scan and documented a potential small bowel obstruction, abdominal hernia, and a 2.6-centimeter suspected mid-right renal mass, and recommended an abdominal MRI. Frech reviewed Van Roeckel’s report and noted the bowel obstruction and hernia, but he allegedly made no mention of the renal mass to Trask. Frech also made no recommendation for further imaging in Trask’s documentation and did not include the renal mass in Trask’s “problem list.”

Although Trask was admitted to the hospital that night, Frech allegedly failed to communicate the abnormal finding to the hospital’s admitting or surgical teams. Several members of Mercy’s medical staff examined Trask, including an admitting physician, a nurse practitioner, and two doctors

conducting surgical consultations. Although each had reviewed the CT image or Van Roeckel’s report, none made mention of the renal mass either in Trask’s medical documentation or in communications with Trask. On January 11, Trask had laparoscopic surgery to repair the hernia. Two days later, he was discharged from the hospital without being informed of the mass in his kidney.

Almost a year and a half later, in July 2019, Trask saw Dr. Oforbuike Ewelukwa at the Mercy Gastroenterology Clinic for chronic diarrhea and rectal bleeding. Although Ewelukwa’s notes indicated that he personally reviewed the earlier CT scan, he too failed to note the renal mass or to inform Trask about it.

Almost two years later, in June 2021, Trask’s primary care physician ordered an MRI after some test results indicated a possible fatty liver. The MRI, performed on July 26, revealed a cystic mass on Trask’s right kidney. In early August, urological consultations at Mercy and the University of Iowa confirmed that Trask had a five-centimeter complex cystic mass. In late September, Trask underwent a right radical nephrectomy, completely removing the right kidney and some surrounding tissue. The pathology report stated that the mass was clear-cell carcinoma, confirming an approximately forty-five-month delayed diagnosis of kidney cancer.

Trask filed a medical malpractice lawsuit on September 25, 2023. On November 30, he filed and served certificates of merit for expert witnesses under Iowa Code § 147.140. On May 24, 2024, we issued our opinion in Miller v. Catholic Health Initiatives-Iowa Corp., 7 N.W.3d 367 (Iowa 2024), which held for the first time that certificate-of-merit affidavits must be signed under oath or under “penalty of perjury” to satisfy § 147.140. Id. at 376. On June 13, the defendants, citing Miller, filed a joint motion for summary judgment, seeking a dismissal with prejudice based on the noncompliant certificates. The motion was

timely filed under the trial scheduling order’s dispositive motion deadline. On July 16, Trask filed a dismissal without prejudice of the lawsuit.

On November 22, Trask filed a new petition against the same defendants alleging identical causes of action. The petition invoked Iowa Code § 614.10, the “savings statute,” arguing that the second action should be deemed a continuation of the first. The State of Iowa was dismissed as a defendant after filing an unresisted motion to dismiss. The remaining defendants filed pre-answer motions to dismiss, asserting that the savings statute did not apply and thus the action was barred by the statute of limitations.

The district court granted the motions to dismiss, holding that the savings statute did not apply because the initial lawsuit did not “fail” within the meaning of the statute since Trask could have resisted the summary judgment motion rather than dismissing the case. Alternatively, the district court held that the failure of the original action was due to Trask’s own negligence in failing to properly prepare the certificates of merit. Trask appeals.

II.

Trask contends that the district court erred in dismissing the case. He argues that the savings statute in Iowa Code § 614.10 applies in this situation, making the second lawsuit a continuation of the original and preserving his claims as timely filed.

When ruling on a motion to dismiss, the court generally considers only the petition and matters subject to judicial notice. Meade v. Christie, 974 N.W.2d 770, 775 (Iowa 2022). In ruling on a motion to dismiss, we accept factual allegations as true, but not legal conclusions. Struck v. Mercy Health Servs.-Iowa Corp., 973 N.W.2d 533, 538 (Iowa 2022). Trask’s petition in the second lawsuit includes a section addressing the savings statute’s application and specifically

pleads that “[t]his action is subject to Iowa Code § 614.10’s saving’s provision.” In ruling on the defendants’ motion to dismiss, we will consider the filings from the original lawsuit referred to in the new petition. See King v. State, 818 N.W.2d 1, 6 n.1 (Iowa 2012) (stating that in ruling on a motion to dismiss for failure to state a claim, the court may consider documents referenced in the petition even if they were not attached).

A statute of limitations is a law that sets a time limit for filing a legal action.

Albrecht v. Gen. Motors Corp., 648 N.W.2d 87, 93 (Iowa 2002). The statute of limitations applicable here, Iowa Code § 614.1(9)(a), provides that causes of action for medical malpractice must be brought “within two years after the date on which the claimant knew, or through the use of reasonable diligence should have known, or received notice in writing of the existence of, the injury or death for which damages are sought.” Trask claims to have first learned of the mass on his kidney after the MRI on July 26, 2021. The second lawsuit was filed on November 22, 2024. If the savings statute doesn’t apply, the second lawsuit is indisputably barred by the two-year statute of limitations.

The savings statute, Iowa Code § 614.10, allows a second lawsuit to proceed as a continuation of a prior lawsuit in certain situations, even if the statute of limitations has expired. The statute states:

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Michael Trask v. Amar F. Ahmed, M.D.; Sandro Younadam, M.D.; Shellie O'Brien-Perry, A.R.N.P.; Kimberly A. Willich, A.R.N.P.; and Oforbuike C. Ewelukwa, M.D., (iowa 2026).

Michael Trask v. Amar F. Ahmed, M.D.; Sandro Younadam, M.D.; Shellie O'Brien-Perry, A.R.N.P.; Kimberly A. Willich, A.R.N.P.; and Oforbuike C. Ewelukwa, M.D. (Michael Trask v. Amar F. Ahmed, M.D.; Sandro Younadam, M.D.; Shellie O'Brien-Perry, A.R.N.P.; Kimberly A. Willich, A.R.N.P.; and Oforbuike C. Ewelukwa, M.D.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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