Susan Ronnfeldt v. Shelby County Chris A. Myrtue Memorial Hospital d/b/a Myrtue Medical Center and Shelby County Medical Corp.

CourtSupreme Court of Iowa
DecidedJanuary 6, 2023
Docket22-0365
StatusPublished

This text of Susan Ronnfeldt v. Shelby County Chris A. Myrtue Memorial Hospital d/b/a Myrtue Medical Center and Shelby County Medical Corp. (Susan Ronnfeldt v. Shelby County Chris A. Myrtue Memorial Hospital d/b/a Myrtue Medical Center and Shelby County Medical Corp.) 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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Susan Ronnfeldt v. Shelby County Chris A. Myrtue Memorial Hospital d/b/a Myrtue Medical Center and Shelby County Medical Corp., (iowa 2023).

Opinion

IN THE SUPREME COURT OF IOWA

No. 22–0365

Submitted November 16, 2022—Filed January 6, 2023

SUSAN RONNFELDT,

Appellant,

vs.

SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL d/b/a MYRTUE MEDICAL CENTER and SHELBY COUNTY MEDICAL CORPORATION,

Appellees.

Appeal from the Iowa District Court for Shelby County, Richard H.

Davidson, Judge.

The plaintiff appeals from the district court’s order vacating the plaintiff’s

prior voluntary dismissal of her medical malpractice action without prejudice

and dismissing the plaintiff’s case with prejudice. REVERSED.

Oxley, J., delivered the opinion of the court, in which all participating

justices joined. Christensen, C.J., took no part in the consideration or decision

of the case.

David J. Cripe of Hauptman O’Brien Wolf & Lathrop, Omaha, Nebraska,

for appellant.

Frederick T. Harris, Bryony J. Whitaker, Theodore T. Appel, and Agnieszka

Gaertner (until withdrawal) of Lamson Dugan & Murray, West Des Moines, for

appellees. 2

OXLEY, Justice.

In 2017, the Iowa General Assembly enacted Iowa Code section 147.140,

tightening the expert witness requirements for plaintiffs in medical malpractice

actions. Section 147.140 requires the plaintiff to file a certificate of merit affidavit

within sixty days of the defendant’s answer; failure to do so “shall result . . . in

dismissal with prejudice.” Iowa Code § 147.140(6) (2021). The fighting issue in

this case is whether that statute’s dismissal requirement trumps a plaintiff’s

right under Iowa Rule of Civil Procedure 1.943 to voluntarily dismiss her case,

once, without prejudice. The defendants contend that it does since their section

147.140 motion to dismiss was filed before the plaintiff’s rule 1.943 dismissal.

They also argue that the statute and rule are irreconcilable, meaning section

147.140 should control. For the reasons that follow, we conclude the two can be

harmonized and the plaintiff’s voluntary dismissal of her case was without

prejudice.

I. Factual and Procedural History.

In May 2016, Ronnfeldt underwent a hernia repair surgery at Myrtue

Medical Center in Shelby County. A CT scan revealed a “significant enlargement

of [her] uterus” which, according to the notes in the medical records, warranted

follow-up discussions and investigation. But Ronnfeldt was never informed of

the results of the scan or referred for further treatment. Four years later,

Ronnfeldt returned to Myrtue Medical Center complaining of abdominal pain.

Another CT scan revealed the mass had “significantly increased in size” and was 3

now a tumor. After surgery to remove the tumor, Ronnfeldt was diagnosed with

stage IV uterine cancer.

Ronnfeldt sued Myrtue Medical Center alleging medical negligence; she

added Shelby County Medical Corporation as a defendant in her amended

petition (both will be collectively referred to as “Myrtue” in this opinion). Myrtue

filed its answer on July 1, 2021, giving Ronnfeldt sixty days to file a certificate of

merit affidavit. See Iowa Code § 147.140(1)(a). On October 27—118 days after

Myrtue’s answer—Ronnfeldt had yet to file such a certificate, so Myrtue moved

to dismiss her petition with prejudice. See id. § 147.140(6) (providing dismissal

with prejudice as the remedy for “[f]ailure to substantially comply with” the

certificate of merit requirement).

The same day, Ronnfeldt voluntarily dismissed her petition. See Iowa R.

Civ. P. 1.943 (“A party may, without order of court, dismiss that party’s own

petition . . . . [The first] dismissal under this rule shall be without prejudice.”).

The district court entered an order noting that a review of the file revealed the

voluntary dismissal, that the clerk of court had closed the file, and that Myrtue’s

motion to dismiss was now moot. Myrtue moved the court to reconsider, arguing

that dismissal with prejudice was mandatory under section 147.140, and

Ronnfeldt could not avoid that statutory mandate by filing a rule 1.943 voluntary

dismissal. The court agreed that it retained jurisdiction to consider Myrtue’s

motion to dismiss, which it then granted, dismissing Ronnfeldt’s claims with

prejudice. 4

Ronnfeldt appealed, arguing her voluntary dismissal terminated the case

in the district court and that, if section 147.140 does trump rule 1.943, “the

legislature usurped the authority of the judiciary when it enacted [section]

147.140,” violating the separation-of-powers doctrine. We retained the appeal.

We hold that the district court lacked jurisdiction to rule on Myrtue’s

motion to dismiss. Ronnfeldt’s voluntary dismissal was self-executing and ended

the case, leaving nothing for the district court to dismiss.

II. Error Preservation and Standard of Review.

As Myrtue notes, Ronnfeldt’s appellate brief fails to identify where in the

record her separation-of-powers argument was raised and decided in the district

court. See Iowa R. App. P. 6.903(2)(g)(1) (providing that the argument section of

appellate briefs “shall include . . . [a] statement addressing how the issue was

preserved for appellate review, with references to the places in the record where

the issue was raised and decided”). We generally will not do a party’s work for

them, particularly if that “require[s] us to assume a partisan role and undertake

the [party’s] research and advocacy.” Inghram v. Dairyland Mut. Ins.,

215 N.W.2d 239, 239–40 (Iowa 1974) (en banc); see also State v. Stoen,

596 N.W.2d 504, 507 (Iowa 1999) (“[W]here a party’s failure to comply with the

appellate rules requires the court ‘to assume a partisan role . . .,’ we will dismiss

the appeal.” (quoting Inghram, 215 N.W.2d at 240)).

On our review of the record, we do not see where Ronnfeldt’s separation-

of-powers argument was preserved for appeal. “Generally, we will only review an

issue raised on appeal if it was first presented to and ruled on by the district 5

court.” State v. Mitchell, 757 N.W.2d 431, 435 (Iowa 2008). This includes

constitutional issues. See id. To preserve a challenge to the constitutional

validity of a statute, litigants must raise the issue “at the earliest available time

in the progress of the case.” State v. Mann, 602 N.W.2d 785, 790 (Iowa 1999)

(quoting State v. McCright, 569 N.W.2d 605, 607 (Iowa 1997)). Ronnfeldt did not

raise a constitutional challenge to section 147.140 in her resistance to Myrtue’s

motion to reconsider, or indeed, based on our review of the record, at any point

in the district court proceedings. Because Ronnfeldt’s brief fails to identify

anything in the record to the contrary, we agree with Myrtue that the

constitutional challenge is not properly preserved for our review. Myrtue

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Susan Ronnfeldt v. Shelby County Chris A. Myrtue Memorial Hospital d/b/a Myrtue Medical Center and Shelby County Medical Corp., Counsel Stack Legal Research, https://law.counselstack.com/opinion/susan-ronnfeldt-v-shelby-county-chris-a-myrtue-memorial-hospital-dba-iowa-2023.