Natalie Kipp v. Douglas Sanford, M.D.

CourtCourt of Appeals of Iowa
DecidedJune 17, 2020
Docket18-2232
StatusPublished

This text of Natalie Kipp v. Douglas Sanford, M.D. (Natalie Kipp v. Douglas Sanford, M.D.) 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.

Bluebook
Natalie Kipp v. Douglas Sanford, M.D., (iowactapp 2020).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 18-2232 Filed June 17, 2020

NATALIE KIPP, Plaintiff-Appellant,

vs.

DOUGLAS STANFORD, M.D., Defendant-Appellee. ________________________________________________________________

Appeal from the Iowa District Court for Black Hawk County, Kellyann Lekar,

Judge.

Natalie Kipp appeals the district court order granting Douglas Stanford a

new trial. AFFIRMED.

Pressley Henningsen and Benjamin P. Long of RSH Legal, P.C., Cedar

Rapids, for appellant.

Jennifer E. Rinden, Robert D. Houghton, and Nancy J. Penner of

Shuttleworth & Ingersoll, Cedar Rapids, for appellee.

Considered by Vaitheswaran, P.J., and Mullins and Ahlers, JJ. 2

AHLERS, Judge.

In this medical negligence case, Natalie Kipp appeals the district court order

granting her doctor, Douglas Stanford, a new trial. In August 2013, Kipp had

Stanford perform surgery in an effort to address a medical condition that caused

her severe abdominal cramping and pain. Kipp’s suit alleged Stanford pushed a

medical device too far during the procedure, causing significant injury to her. The

jury returned a verdict finding Stanford liable and awarded Kipp damages.

Stanford moved for a new trial, and the district court granted the motion, finding

certain statements Kipp’s attorney made during closing arguments constituted

misconduct warranting a new trial. Kipp appeals.

I. Background

The statements at issue were made by Kipp’s counsel during his closing

and rebuttal arguments. Near the start of the closing argument, counsel addressed

the jury’s work and accountability, noting:

And so what I’m gonna do today is I’m gonna talk with you a little bit about what the evidence has been and what that evidence shows. The one truth about what happened here. And after we talk together about that evidence, we talk about that one truth, then you are gonna be given a job to do. In fact, when you came here last week, summons went out to the community, it seemed kind of random, and you were brought in here out of the community and you were asked to sit in this box and you weren’t exactly sure why. But as we’ve worked here together and talked about this case, I’m not sure that it is so random. I believe you eight people were meant to be here to hear this case. And in exchange for your time, in exchange for your attention, you are given an awesome power. You’re given the power to hold accountable. You’re given the power to value a substantial loss. You’re given the power to be a hero for someone who doesn’t have the power herself. And what the judge told you is it’s your Constitutional Right to use that power to render a verdict and to do justice. 3

Soon after, counsel again reminded the jury of its place in the community when

addressing the district court’s admonition to not discuss the case:

Soon, you’re going to be released from that admonition. You’re going to be able to go back and talk with each other about the evidence, about the law that applies. And then when that’s done, you’re going to be able to go back out into the community, and your friends and your family may ask you, what was this all about? And you will be allowed to talk about it.

Counsel referred to accountability and community again near the end of his closing

argument:

What they’re saying is medicine is hard, and our devices go in the belly, and we can’t actually see the tip of the device anymore, so don’t hold us accountable. Don’t make us do things the right way. Don’t make us meet the standards of care because we can’t see the tip of the tool. When you apply your common sense, that can’t be the standard here in this community. In our communities, doctors are excepted [sic] to do things in a way that is safe, that puts the patient safety first, that avoids known and preventable complications, and that’s even when they do their first cut. Because if the defense argument was right, then every person who has that initial cut is at risk of a serious, life-changing injury.

Counsel also evoked a theme of responsibility while telling the jury a personal

anecdote:

We’ve talked about the evidence together. What are we doing here? When I was 10 years old, I had a birthday party. I had four friends come over to my house. We were playing ball in the front yard, and we didn’t intend for it to happen, but the ball went through Mr. and Mrs. Nugent, my neighbor, it went through their yard, their window. We didn’t intend for that to happen, but it happened. And being 10, we ran. We took off. We hid. And I would never forget my dad grabbing me by the arm. I could feel his fingertips right up under my armpit. He wasn’t hurting me, but he was firm, marched me next door, made me knock on the door, tell them what I had done wrong, and promise to make up for it. That’s what it means to take responsibility. I learned that lesson from my dad that day. Why are we here? Because there’s a betrayal in this case. Dr. Stanford was negligent. But beyond that, Dr. Stanford, to this day, refuses to take responsibility. 4

Defense counsel objected to this statement. After an off-the-record discussion,

the district court overruled the objection. Right after resuming his argument, Kipp’s

counsel stated:

So now what do we do together about it? Remember, in exchange for your time, for your attention, you’re given the power to hold accountable. So we are here now to ask for your help to do exactly that. This is Instruction Number 13. This talks about the formula for what we do to hold someone accountable for their actions. . . . And so when we come to you and we talk to you about holding Dr. Stanford accountable for his actions, what we’re talking about is forcing Dr. Stanford to balance out the harms and the losses that he caused. We don’t have a magic wand. We can’t ask you to go back in time and make sure this doesn’t happen. The only way in our system of justice to balance out those harms of—those harms and losses is to put something on the other side of the scale that evens things out, compensates for what’s happened. And in our system of justice, the only thing we can ask you to put on the other side of that scale is money. That’s the only justice there is. And so to hold Dr. Stanford accountable for his actions, we need to talk about the amount of money that holds him accountable and balances the harms and losses that he caused.

Throughout the rest of his closing argument, Kipp’s counsel made additional

statements at issue on appeal:

So let’s talk about those harms and losses. Let’s talk about the amount of money that balances those harms and losses so that we can work together on what accountability means, holding Dr. Stanford accountable for the harms and losses he’s caused. .... We have to think about what’s the most valuable thing to us. What’s the most important things in our lives? And when we value things in our day-to-day life, how do we value things we trade? You give me this item, I give you this in return. They have equivalent value. What would we trade for Natalie’s experience? For her pain? For her limitation of function?

Defense counsel objected to plaintiff’s counsel’s statement, and the district court

overruled the objection. 5

Defense counsel moved for a mistrial after Kipp’s closing argument

concluded. Defense counsel argued the repeated references to accountability and

statements calling the jurors “heroes” and referring to Stanford’s actions as a

“betrayal” had no other purpose than to “inflame [the jury] and to appeal to a sense

of prejudice, almost requesting a punishment against Dr. Stanford.” While the

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