Sabot v. Fargo Women's Health Organization, Inc., 920205

• Decision Date: 28 May 1993
• Docket Number: No. 920205,920205
• Citation: 500 N.W.2d 889
• Parties: Nancy SABOT, Plaintiff and Appellant, v. FARGO WOMEN'S HEALTH ORGANIZATION, INC., and George M. Miks, M.D., Defendants and Appellees. Civ.
• Court: North Dakota Supreme Court

Page 889

500 N.W.2d 889

Nancy SABOT, Plaintiff and Appellant, v. FARGO WOMEN'S HEALTH ORGANIZATION, INC., and George M. Miks, M.D., Defendants and Appellees.

Civ. No. 920205.

Supreme Court of North Dakota.

May 28, 1993.

Paul T. Crary (argued), Fargo, for plaintiff and appellant.

Jane C. Voglewede (argued), Vogel, Brantner, Kelly, Knutson, Weir & Bye, Ltd., Fargo, for defendant and appellee Fargo Women's Health Organization.

Dean A. Hoistad (argued), Gunhus, Grinnell, Klinger, Swenson & Guy, Moorhead, MN, for defendant and appellee George M. Miks, M.D.

NEUMANN, Justice.

Nancy Sabot appeals from an order ¹ entered by the District Court for Cass County denying her motion for a judgment notwithstanding the verdict, or, in the alternative, a motion for a new trial. We affirm.

Sabot brought a medical malpractice action against Fargo Women's Health Organization (FWHO) and Dr. George Miks, alleging that Dr. Miks negligently and incompletely performed an abortion procedure on Sabot at FWHO's clinic. Sabot asserts that due to the incomplete and faulty procedure, she passed fetal tissue less than two days subsequent to the abortion, and that after witnessing this event, she experienced severe emotional distress. Sabot also claims that Dr. Miks did not properly administer anesthetic, causing her great physical pain during the procedure. Additionally, she alleges that following the negligent abortion, she experienced physical difficulties and pain. Sabot further contends that FWHO did not adequately counsel her prior to the procedure, nor did they or Dr. Miks properly disclose to her the risks of abortion. The case was tried to a jury in the District Court for Cass County, and after two and one-half weeks of trial, the jury returned a verdict finding FWHO and Dr. Miks 0% negligent. Sabot moved for a judgment notwithstanding the verdict, or, in the alternative, a new trial. Upon denial of her motions, Sabot filed this timely appeal, which raises the following issues: (1) whether the jury instructions were incorrect, allowing for a new trial; (2) whether the district court's evidentiary rulings on rebuttal evidence were incorrect, allowing for a new trial; (3) whether the statements made by opposing counsel in closing arguments were prejudicial, allowing for a new trial; (4) whether the judge's conduct was biased, allowing for a new trial; and (5) if a new trial is awarded, whether there should be a different judge presiding over the new proceedings.

I. JURY INSTRUCTIONS

Sabot challenges three different areas of jury instructions. The first area concerns informed consent of the patient and the doctor's duty to disclose the dangers of abortion. The second area involves damages allowable for emotional distress. The third and final area pertains to a defendant's liability for any pre-existing conditions of the plaintiff.

When this Court scrutinizes jury instructions for error, we do so in light of the evidence presented to the jury, as established by the record on appeal. "Instructions of the trial court must be viewed in the light of the evidence on which they operate." Mousel v. Widicker, 69 N.W.2d 783, 790 (N.D.1955). See also Perleberg v. Gen. Tire and Rubber Co., 221 N.W.2d 729, 733 (N.D.1974); Willert v. Nielsen, 146 N.W.2d 26, 30 (N.D.1966); Grenz v. Werre 129 N.W.2d 681, 690 (N.D.1964). Thus, for Sabot to be successful in her challenge to the instructions noted above, she must convince us by the evidence in the record that a prejudicial error occurred as a result of the instructions.

"Where an appellant seeks to have a verdict of a jury in a civil case set aside because of erroneous instructions, he [or she] must establish affirmatively by the record presented to the appellate court, that, under the evidence, the jury might, and probably would have returned a different verdict if the erroneous instructions had not been given."

Moe v. Kettwig, 68 N.W.2d 853, 863 (N.D.1955) (emphasis added).

The well-established rule is particularly significant in this case because the record on appeal is sparse, at best. There was two and one-half weeks of trial in this case. On appeal, Sabot furnished this Court with less than 100 pages of the trial transcript. Sabot submitted 24 pages from two in-chambers conferences held on the last two days of trial, and 23 pages from her direct examination (the only witness testimony we have on appeal). She also included 32 pages from another in-chambers proceeding in her appendix. That portion of the transcript had been ordered by FWHO and attached to its brief in opposition to Sabot's post-trial motion. In total, we have 79 pages of the trial transcript, which was estimated to be over 2,500 pages in whole. Needless to say, our review is severely hampered by this situation.

Rule 10(b), N.D.R.App.P., requires the appellant to file the trial transcript with this Court on appeal. In relevant part, it provides:

"(b) The Transcript; Duty of Appellant to Order; Time for Ordering. If an appeal is taken in a case in which an evidentiary hearing was held, it is the duty of the appellant to order a transcript of the proceedings. Three copies must be ordered for the supreme court and one copy must be ordered for each party separately represented. The order must be served on the reporter and must be for a complete transcript of the proceedings, unless a stipulation is obtained from all affected parties specifying portions which are not required for the purposes of the appeal. If a party affected by the appeal unreasonably refuses to stipulate to exclude from the transcript portions of the record not necessary to the resolution of issues raised by the appellant, the party proposing the stipulation may apply to the trial court for an order requiring the refusing party to pay for the unnecessary portions of the transcript and reasonable attorney's fees for making the application."

This Court has interpreted Rule 10(b) to allow appellants to proceed on a partial transcript as long as "the record on appeal allows for a meaningful and intelligent review of the alleged error." Bye v. Elvick, 336 N.W.2d 106, 109 (N.D.1983). However, appellants must be wary when choosing to submit incomplete transcripts. We have previously warned: "The appellant assumes the consequences and the risk for the failure to file a complete transcript. If the record on appeal does not allow for a meaningful and intelligent review of alleged error, we will decline review of the issue." Lithun v. DuPaul, 447 N.W.2d 297, 300 (N.D.1989) (citations omitted). See also Rosendahl v. Rosendahl, 470 N.W.2d 230, 231 (N.D.1991); Cullen v. Williams County, 446 N.W.2d 250, 252-53 (N.D.1989).

Sabot asserts that she did not order the complete transcript because she could not afford the costs (approximately $7,125). She alleges that she tried to get the other parties to stipulate to a partial transcript, but Dr. Miks replied that he "absolutely" would not proceed with a partial transcript. Thus, she withdrew her motion for a stipulation to a partial transcript, and apparently abandoned any further attempts at legitimately proceeding with a partial transcript. Eventually, she proceeded with the 79 pages mentioned above. If Sabot believed that the other parties were behaving unreasonably to her request for a partial transcript, Rule 10(b) allowed her to "apply to the trial court for an order requiring [Dr. Miks and FWHO] to pay for the unnecessary portions of the transcript and reasonable attorney's fees for making the application." Rule 10(b), N.D.R.App.P. Sabot never made such an application. Therefore, the fault she attempts to lay on the other parties is not compelling nor convincing to us. Sabot is bound by the portions of the transcript she has provided this Court on appeal, and it is with those pieces of evidence that we must evaluate the challenged jury instructions for error.

The first area of challenged instructions concerns informed consent of the patient and the doctor's duty to disclose the dangers of abortion. Sabot asserts that the instructions on these subjects were incomplete and misleading. In her appellate brief she states: "While the law as stated in the instruction may be a partial statement of the law which existed at the time of Plaintiff's abortion, it is a misleading and erroneous jury instruction because it does not reflect a complete statement of the law with regard to disclosures required of Defendants." Sabot does not contend that the law given in the instructions is incorrect, but that the omission of the rest of the applicable law in the instruction is incorrect. FWHO and Dr. Miks assert that the instructions were given as a result of some expert testimony introduced at trial, which we do not have in the record. While we agree with Sabot that the instructions do not appear to be a complete disclosure of North Dakota law on the subjects, we are unable to decide the legal sufficiency of the informed consent and disclosure instructions. Even if the instructions may have been erroneous, we cannot tell from the record provided us on appeal what prejudicial effect, if any, they had on the jury's deliberations. Sabot has failed to carry her burden of demonstrating, by the record, the prejudicial effect these instructions had on her case.

The same is true with the instructions in the other two areas of damages for emotional distress and liability for a plaintiff's pre-existing condition. While the instructions may have been erroneous, without a more complete and relevant record we cannot determine if the error was prejudicial. Furthermore, these instructions involve damages and proximate cause, issues the jury never reached after finding FWHO and Dr. Miks free from any negligence. In such a situation, we have said: "[E]ven if [the instruction was] erroneous, [it] could not have been prejudicial to [Sabot], as the jury's determination of the liability issue precluded consideration of the question of damages." ...