Abelar v. Mora CA2/3 ( 2022 )


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  • Filed 10/25/22 Abelar v. Mora CA2/3
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
    Ca l ifornia Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions
    no t certified for publication or ordered published, except as specified by rule 8.1115(a). This opinion has
    no t been certified for publication or ordered published for purposes of rule 8.1115(a).
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    SECOND APPELLATE DISTRICT
    DIVISION THREE
    DEE ANN ABELAR et al.,                                           B311451
    Plaintiffs and Appellants,                                 Los Angeles County
    Super. Ct. No. BC641637
    v.
    JEFFREY MORA,
    Defendant and Respondent.
    APPEAL from a judgment of the Superior Court of Los
    Angeles County, Curtis A. Kin, Judge. Affirmed.
    Gary Rand & Suzanne E. Rand-Lewis and Suzanne E.
    Rand-Lewis for Plaintiffs and Appellants.
    Bonne, Bridges, Mueller, O’Keefe & Nichols, Mitzie L.
    Dobson and Michael K. Liu for Defendant and Respondent.
    _______________________________________
    INTRODUCTION
    This is a medical malpractice and loss of consortium action
    brought by plaintiffs and appellants Dee Ann Abelar and her
    husband Brian Abelar (plaintiffs)1 against, as pertinent here,
    defendant and respondent Jeffrey Mora, M.D.2 Plaintiffs appeal
    from a judgment entered after summary judgment in Mora’s
    favor.
    Approximately six weeks after Dee Ann underwent a
    craniotomy, she began experiencing neurological symptoms
    including seizures. She was treated by Mora, a neurologist, as
    well as several other physicians at a local hospital. Eventually,
    Dee Ann was transferred to USC Keck Medical Center. There,
    doctors discovered an infection. Plaintiffs contend Mora, among
    others, negligently failed to diagnose and treat the infection.
    Mora moved for summary judgment and supported his
    motion with a declaration by an expert neurologist who opined
    that Mora’s treatment met the standard of care and did not cause
    or contribute to the infection. Plaintiffs opposed the motion and
    supported it with a declaration by a general surgeon, Dr. Leslie
    Rand-Luby. Mora moved to depose Dr. Rand-Luby concerning the
    foundation for her stated opinions and the court granted the
    motion. An extended law and motion battle ensued. The court
    issued two orders compelling plaintiffs to produce Dr. Rand-Luby
    1 Because plaintiffs have the same last name, we refer to the Abelars
    by their first names in describing the facts of the case. No disrespect is
    intended.
    2 Although Mora is a physician, we refer to him throughout our opinion
    by his last name only. We reserve the use of the honorific, “Dr. _____,”
    for the medical experts. No disrespect is intended.
    2
    for a limited-scope deposition, but they refused to do so.
    Eventually, after finding that plaintiffs and their counsel filed a
    frivolous second motion for a protective order, the court imposed
    an evidentiary sanction striking Dr. Rand-Luby’s declaration.
    The court subsequently granted Mora’s motion for summary
    judgment, entered judgment in his favor, and awarded costs
    including expert witness fees.
    Plaintiffs contend the court erred by ordering Dr. Rand-
    Luby’s deposition, striking her declaration as an evidentiary
    sanction, granting the motion for summary judgment, and
    denying their motion to tax costs in part. Finding no error, we
    affirm.
    FACTS AND PROCEDURAL BACKGROUND
    1.    General Background
    Plaintiffs filed this medical malpractice action against
    numerous physicians, their associated medical corporations, and
    several hospitals in December 2016. As pertinent here, the
    complaint states causes of action for professional negligence and
    loss of consortium against Mora.3
    According to the complaint, Dee Ann underwent a
    craniotomy on October 6, 2015, to remove a meningioma that had
    been compressing her optic nerve. She was discharged from the
    hospital two days after the surgery.
    3The complaint includes eight causes of action. All but two of those
    were resolved in favor of Mora pursuant to a successful demurrer by
    another physician defendant and a stipulation between plaintiffs and
    the remaining physician defendants.
    3
    On November 20, 2015, Dee Ann suffered a grand mal
    seizure and was briefly admitted to the emergency department at
    a local hospital. Dee Ann continued to experience seizures and
    other neurological symptoms and was admitted to the local
    hospital on November 30, 2015. There, she was treated by several
    physicians including Mora. Plaintiffs allege Mora told them that
    the local hospital “did not have the specialist care or facilities
    necessary to properly diagnose or treat” Dee Ann and
    recommended that Brian transfer Dee Ann to another hospital.
    Dee Ann remained hospitalized until she was transferred to USC
    Keck Medical Center on December 11, 2015. There, doctors
    performed a second craniotomy during which portions of
    Dee Ann’s brain and skull were removed. An infection was
    definitively diagnosed on December 19, 2015.
    With respect to the professional negligence claim, plaintiffs
    contend Dee Ann was suffering from an infection during the time
    Mora was treating her. They allege that Mora’s failure to
    diagnose and treat the infection fell below the standard of care
    and that his actions caused or contributed to her injuries.
    Plaintiffs also assert a claim for loss of consortium as to Dee
    Ann’s husband, Brian.
    2.    October 2019 to January 2020: Motion for Summary
    Judgment and Opposition
    Mora filed a motion for summary judgment in
    October 2019. With respect to the professional negligence claim,
    Mora asserted plaintiffs would be unable to establish that he
    breached the standard of care or that any action or inaction by
    Mora caused plaintiffs’ alleged injuries. The motion was
    supported by a declaration by Dr. Michael Gold, an expert in
    neurology. Dr. Gold reviewed Dee Ann’s medical records and
    4
    opined that Mora met the standard of care at all times while
    treating Dee Ann and that no act or omission by Mora caused or
    contributed to her subsequently-diagnosed infection. Mora also
    argued that because Dee Ann’s negligence claim failed, the loss of
    consortium claim necessarily failed.
    Plaintiffs opposed the motion, generally arguing that there
    were triable issues of fact as to whether Dee Ann was suffering
    from an infection during the time Mora was treating her.
    Plaintiffs’ medical expert, Dr. Rand-Luby, is a general surgeon
    and she opined that the medical records show Dee Ann was
    suffering from an infection while Mora treated her and that
    Mora’s failure to diagnose and treat the infection failed to meet
    the standard of care. Plaintiffs also contended that Mora’s
    medical expert failed to provide a medical opinion sufficient to
    shift the burden of production to them.
    Mora immediately served a notice of deposition of
    Dr. Rand-Luby to be held on the earliest possible noticed date,
    January 28, 2020.
    3.    January 2020: Mora’s Application to Conduct a
    Limited-Scope Deposition of Plaintiffs’ Medical Expert;
    Plaintiffs’ Motion for a Protective Order
    On January 16, 2020, Mora filed an ex parte application
    seeking to continue the motion for summary judgment. Mora
    asked for the continuance and an order allowing him to depose
    Dr. Rand-Luby regarding the foundation of her medical opinions
    pursuant to St. Mary Medical Center v. Superior Court (1996) 
    50 Cal.App.4th 1531
     (St. Mary).4 Mora raised numerous concerns
    4The appellate court held that a party may conduct a limited-scope
    deposition of an expert who submits a declaration in support of or in
    5
    regarding Dr. Rand-Luby’s qualification to opine on the standard
    of care for a neurologist given that she is a general surgeon with
    apparent specialties in breast and advanced laparoscopic
    surgeries. Further, Dr. Rand-Luby stated that she had treated
    “conditions” and “problems” like those suffered by Dee Ann but
    was not specific about the nature of the “conditions” and
    “problems” to which she referred. Mora also questioned a variety
    of other statements made by Dr. Rand-Luby which appeared to
    be without sufficient foundation. Plaintiffs opposed the ex parte
    application on myriad grounds and requested monetary sanctions
    against Mora and his counsel.
    On January 17, 2020, the court granted Mora’s ex parte
    request to depose Dr. Rand-Luby and continued the motion for
    summary judgment. Nevertheless, on January 24, 2020, plaintiffs
    served objections to Mora’s deposition notice asserting, among
    other things, that the deposition was not proper under St. Mary.
    And on January 28, 2020, the day of the scheduled deposition,
    plaintiffs filed a motion for a protective order seeking to quash
    the deposition notice for Dr. Rand-Luby, again claiming that the
    deposition was not proper under St. Mary. In response, Mora filed
    a motion to compel the deposition of Dr. Rand-Luby and to
    specially set the date of the deposition on March 24, 2020.
    The parties stipulated that both motions would be heard on
    March 13, 2020.
    opposition to a motion for summary judgment if there is a legitimate
    question regarding the foundation of the expert’s opinion. (St. Mary,
    supra, 50 Cal.App.4th at p. 1539.)
    6
    4.    March 2020: The Court Grants Mora’s Motion to
    Compel the Deposition of Dr. Rand-Luby
    On March 13, 2020, the court heard arguments on the
    motion to compel the deposition of Dr. Rand-Luby and the motion
    for a protective order. The court issued a written ruling granting
    Mora’s motion to compel. The court rejected plaintiffs’ argument
    that no good cause existed to depose their expert under St. Mary
    as well as their other numerous arguments. The court denied
    plaintiffs’ motion for a protective order and ordered the
    deposition to occur on March 24, 2020 at 10:00 a.m.
    5.    Mid-2020: Pandemic-Related Delays
    Due to the Covid-19 pandemic, the deposition did not take
    place as scheduled and the court continued the motion for
    summary judgment to mid-July 2020 and then to late
    October 2020. On June 30, 2020, the court ordered plaintiffs to
    produce Dr. Rand-Luby for her deposition no later than
    September 16, 2020. For Dr. Rand-Luby’s convenience, Mora
    agreed to take her deposition on September 24, 2020.
    6.    September 2020: Plaintiffs’ Second Motion for
    Protective Order to Prohibit Mora from Deposing
    Dr. Rand-Luby
    On September 22, 2020, two days before Dr. Rand-Luby’s
    long-awaited deposition was scheduled to take place, plaintiffs
    filed a second motion for a protective order seeking to prevent
    Mora from deposing Dr. Rand-Luby. The hearing was noticed for
    December 11, 2020. Plaintiffs advised Mora that Dr. Rand-Luby
    would not appear for her deposition on September 24, 2020, and
    she did not.
    7
    Plaintiffs’ motion requested the following orders from the
    trial court: that Dr. Rand-Luby’s deposition last no longer than
    two hours; that the scope of the deposition be limited to questions
    regarding the foundation of her opinions stated in her
    declaration; that the logistics of the deposition, including the
    video link, details regarding exhibits, and the location of the
    reporter, be provided to plaintiffs’ counsel at least seven days
    prior to the deposition; that Dr. Rand-Luby not be required to
    produce any documents at the deposition and that Mora would
    not be permitted to adjourn the deposition in order to compel the
    production of documents; and that Mora pay Dr. Rand-Luby’s
    fees at least seven business days prior to the date of the
    deposition. Plaintiffs also demanded an order compelling the
    deposition of Mora’s medical expert, Dr. Gold.
    The motion for a protective order claimed that Mora’s
    “improper deposition notice falsely claims the deposition is
    pursuant to St. Mary … when in actuality [he] intends to conduct
    a complete expert witness deposition of Dr. Rand-Luby” in
    violation of Code of Civil Procedure section 2034.410, et seq.5
    Further, and with respect to the production of documents by
    Dr. Rand-Luby, plaintiffs admitted that Mora agreed to “ ‘move
    forward’ ” with the deposition without the production of
    documents but they objected that Mora “failed and refused to
    confirm that he will not adjourn the deposition and seek an order
    compelling production of documents.” Plaintiffs also complained
    that the logistics of the deposition, which would be held remotely,
    had not been fully disclosed.
    5All undesignated statutory references are to the Code of Civil
    Procedure.
    8
    On the issue of expert witness fees, plaintiffs insisted that
    Mora refused to pay Dr. Rand-Luby’s expert witness fees:
    “Instead, on September 21, 2020, for the first time, and a mere
    three (3) days before the scheduled deposition, defense counsel
    demanded Dr. Rand-Luby provide a completed W-9 form,
    including her social security number, to an unknown secretary at
    defense counsel’s office before her witness fees would be paid.”
    Thus, plaintiffs urged, it was Mora’s fault that the deposition
    would not take place as scheduled: “Defense counsel’s refusal to
    tender Dr. Rand-Luby’s fees in a timely manner, and demand
    three (3) days before the scheduled deposition for a W-9 form
    before those fees would be paid, leaves Dr. Rand-Luby in the
    position of having to cancel surgeries on short notice which is
    highly prejudicial to both Dr. Rand-Luby and to her patients.
    Moreover, because the deposition was not confirmed by timely
    payment of fees, Dr. Rand-Luby has surgeries and other patient
    consultations scheduled such that she will have been working in
    excess of twenty[-]four (24) hours straight before the deposition
    commences. Defendant Mora’s failure to timely tender fees so as
    to ensure that Dr. Rand-Luby could block the time for her
    deposition without the potential of losing a complete day’s
    earnings has caused unwarranted annoyance, oppression, and
    undue burden to Dr. Rand-Luby.”6
    6Mora agreed to pay Dr. Rand-Luby for two hours at a rate of $990 per
    hour in advance of the deposition. The check was delivered to
    plaintiffs’ counsel’s office on the morning of September 22, 2020.
    9
    7.    September 2020: Mora’s Application to Specially Set
    the Deposition of Dr. Rand-Luby and Request for
    Sanctions; Order to Show Cause Regarding Sanctions
    On September 30, 2020, and in response to plaintiffs’
    refusal to produce Dr. Rand-Luby for her deposition as scheduled,
    Mora filed an ex parte application again seeking an order
    specially setting Dr. Rand-Luby’s deposition and seeking
    monetary, evidentiary, and terminating sanctions under
    section 2023.030. Mora asserted that counsel for the parties met
    and conferred on September 21, 2020, and had resolved all of
    plaintiffs’ concerns about the deposition. Yet plaintiffs filed their
    motion for a protective order the next day, raising issues that had
    already been agreed upon, including the payment of expert
    witness fees in advance of the deposition. Mora recounted
    plaintiffs’ repeated refusal to produce Dr. Rand-Luby for
    deposition despite the court’s orders that they do so and
    requested that the court specially set a date and time for the
    deposition.
    Mora also asserted that plaintiffs’ second motion for a
    protective order was frivolous and made in bad faith because it
    rehashed arguments that had already been rejected by the court
    and raised issues that had already been settled informally by
    counsel. Accordingly, Mora requested that the court sanction
    plaintiffs and their counsel for misuse of the discovery process.
    Plaintiffs opposed the ex parte application, arguing that
    Mora’s application was “a bad faith attempt to avoid the Court’s
    hearing of, and ruling on, Plaintiffs’ pending Motion for
    Protective Order.” Plaintiffs reasserted the arguments presented
    in their second motion for a protective order and demanded
    10
    monetary sanctions against Mora and his counsel “for bringing
    this patently frivolous application.”
    On October 1, 2020, the court heard Mora’s ex parte
    application, which it granted in part. The court advanced the
    hearing on plaintiffs’ second motion for a protective order to
    October 23, 2020, and set an order to show cause for the same
    day “as to why Plaintiff[s] and their counsel should not be
    sanctioned for failure to comply with the Court’s orders of
    06/30/2020 and 03/13/2020. Sanctions to be imposed may be
    monetary and/or by striking the declaration[ ] of Dr. Leslie Rand-
    Luby, M.D. and/or by dismissing Plaintiff[s’] claims against
    [Mora].”
    8.    October 2020: Second Request for Protective Order
    Denied; Sanctions Imposed
    On October 26, 2020, the court heard argument on and
    denied plaintiffs’ second motion for a protective order. In its
    written order, the court recounted plaintiffs’ history of refusing to
    produce Dr. Rand-Luby for deposition, notwithstanding two
    orders compelling the deposition. As to the merits, the court
    reviewed plaintiffs’ arguments and concluded each of them lacked
    merit. For example, plaintiffs claimed that Mora intended to take
    a “premature expert deposition” but no evidence before the court
    supported that contention and, in any event, the court’s orders
    compelling the deposition limited the permissible scope.
    Regarding plaintiffs’ demands for logistical information and
    payment of expert fees seven days before the deposition, the court
    noted that no rule or statute required Mora to do so and, in any
    event, Mora had paid for two hours of Dr. Rand-Luby’s time two
    days prior to the deposition. The court also rejected plaintiffs’
    unilateral demand to limit the deposition to two hours as without
    11
    any legal basis. And, the court noted, several of plaintiffs’
    arguments had been resolved prior to their filing of the second
    motion for a protective order. Accordingly, the court not only
    denied the motion but concluded it was “entirely frivolous.”
    “Indeed, the timing of the motion and the unmeritorious positions
    asserted therein lead to but one conclusion—that plaintiffs made
    the motion in bad faith and as subterfuge for their apparent
    strategic decision to avoid the court-ordered deposition of
    Dr. Rand-Luby.”
    The court also imposed monetary and evidentiary
    sanctions. The court acknowledged that the Covid-19 pandemic
    and Dr. Rand-Luby’s “noble service as a healthcare professional
    during these uncertain times” had required some delay in the
    taking of her deposition. But Mora had been more than
    accommodating in that regard, “only to be met by plaintiffs’ delay
    and unsupported excuses for avoiding the court-ordered
    deposition, culminating in the instant bad-faith motion for a
    protective order. Indeed, even after the Court issued its Order to
    Show Cause on October 1, 2020, plaintiffs persisted in their
    unsupported position regarding the conditions under which they
    would produce Dr. Rand-Luby, which, in context, the Court views
    as plaintiffs[’] attempt to appear as if attempting to comply with
    this Court’s orders, as opposed to making a genuine, good faith
    effort to be in compliance.” Accordingly, the court found that
    plaintiffs failed to show cause why “an appropriately tailored
    evidence sanction” should not be imposed. Due to plaintiffs’
    refusal to produce Dr. Rand-Luby for deposition and their bad
    faith in bringing the second motion for a protective order, the
    court struck the declaration of Dr. Rand-Luby submitted in
    opposition to Mora’s motion for summary judgment. The court
    12
    also imposed a monetary sanction of $1,600, jointly and severally
    against plaintiffs and their counsel.
    9.    Summary Judgment
    On November 20, 2020, the court heard argument on and
    granted Mora’s motion for summary judgment. Specifically, the
    court found that the declaration of Dr. Gold, who was a qualified
    expert, established that Mora had no reason to suspect that
    Dee Ann was suffering from an infection while she was under his
    care. According to Dr. Gold, Mora ordered the proper laboratory
    and imaging studies and prescribed appropriate medication to
    treat Dee Ann’s seizures. And in light of the clinical evidence,
    Mora had no reason to suspect the presence of an infection.
    Accordingly, the court found that Mora’s evidence shifted the
    burden to plaintiffs to show the existence of a triable issue of
    material fact. But because the court struck Dr. Rand-Luby’s
    declaration as an evidentiary sanction, plaintiffs failed to provide
    admissible expert testimony in opposition to Mora’s motion. The
    court concluded plaintiffs failed to show the existence of triable
    issues of material fact as to the medical negligence claim. And
    because that claim failed, Brian’s loss of consortium claim also
    failed as a matter of law.
    10.   Judgment for Mora; Appeal
    The court entered judgment in favor of Mora on
    December 15, 2020, including an award of costs “in such sum as
    is reflected in Defendant’s cost memorandum.” Plaintiffs timely
    appealed from the judgment.
    13
    11.   Cost Award
    Mora filed his cost memorandum seeking costs of
    $13,978.63, including expert witness fees of $8,637.33. Plaintiffs
    moved to tax most of the items in Mora’s cost bill, arguing
    variously that the costs were not allowed, were unreasonably
    high, or were not necessary to the litigation. As to the expert
    witness fees claimed as costs under section 998, plaintiffs
    asserted that Mora failed to provide a copy of a written
    settlement offer in support of his cost memorandum and was
    therefore not entitled to recover expert witness fees. Without
    conceding that they had received settlement offers in the first
    instance, plaintiffs also urged that any settlement offers were
    premature, unreasonable, and in bad faith. In reply, Mora
    explained that he had attempted to settle with each of the
    plaintiffs in May 2019 by offering to waive costs in exchange for a
    dismissal with prejudice. Mora also conceded that several items
    listed on the cost memorandum were not recoverable and
    withdrew his request for costs as to those items.
    The court granted the motion to tax costs in part,
    eliminating costs of $420 (concededly already paid by plaintiffs),
    $60 (a filing fee not necessary to the litigation), and $15 (an item
    for which Mora lacked a receipt.) The court eliminated another
    $630 in costs, concluding those costs were also not necessary to
    the litigation. The court awarded the remaining cost items and
    entered an amended judgment to that effect.
    DISCUSSION
    Plaintiffs make the following arguments: (1) the court
    abused its discretion by ordering a deposition of plaintiffs’
    medical expert, Dr. Rand-Luby; (2) the court further abused its
    14
    discretion by striking the declaration of Dr. Rand-Luby as an
    evidentiary sanction; (3) the court erred by granting Mora’s
    motion for summary judgment; (4) the court also erred by
    awarding certain items included in Mora’s cost bill. We address
    these issues in turn.
    1.    Appealability
    As an initial matter, we address Mora’s assertion that
    several of plaintiffs’ arguments are not properly before us. As
    Mora notes, the notice of appeal states only that plaintiffs appeal
    from a December 15, 2020 judgment after an order granting
    summary judgment. More to the point, according to Mora, the
    notice of appeal does not list the other orders plaintiffs challenge
    here: the court’s orders regarding Dr. Rand-Luby’s deposition and
    the postjudgment order fixing the amount of Mora’s costs. Mora
    urges us to construe the notice of appeal in a manner that limits
    our review to the propriety of the court’s order granting Mora’s
    motion for summary judgment. We decline to do so.
    It is well-established that most discovery-related orders,
    such as the orders at issue here, are not directly appealable and
    may be challenged on appeal from the final judgment. (See, e.g.,
    O&C Creditors Group, LLC v. Stephens & Stephens XII, LLC
    (2019) 
    42 Cal.App.5th 546
    , 561 [“Discovery orders are not directly
    appealable, and even writ review of such orders is limited;
    instead, they are generally challenged by appeal from the final
    judgment.”]; Nickell v. Matlock (2012) 
    206 Cal.App.4th 934
    , 940
    [“An order granting terminating sanctions is not appealable, and
    the losing party must await the entry of the order of dismissal or
    judgment unless the terminating order is inextricably
    intertwined with another, appealable order.”]; Doe v. United
    States Swimming, Inc. (2011) 
    200 Cal.App.4th 1424
    , 1432 [“There
    15
    is no statutory provision for appeal from an order compelling
    compliance with a discovery order.”].) Accordingly, plaintiffs’
    challenges to the court’s orders requiring the deposition of
    Dr. Rand-Luby, denying their motions for a protective order, and
    imposing evidentiary sanctions are proper.
    Further, where, as here, “a judgment awards costs and fees
    to a prevailing party and provides for the later determination of
    the amounts, the notice of appeal subsumes any later order
    setting the amounts of the award.” (Grant v. List & Lathrop
    (1992) 
    2 Cal.App.4th 993
    , 998; DeZerega v. Meggs (2000) 
    83 Cal.App.4th 28
    , 44; and see Eisenberg et al., Cal. Practice Guide:
    Civil Appeals and Writs (The Rutter Group 2022) ¶ 2:156.2
    [“Where a judgment awards unspecified costs and attorney fees
    and provides for later determination of the amount, the failure to
    file a separate appeal from the subsequent order fixing the
    amount of costs and fees does not preclude review of the order on
    appeal from the underlying judgment.”], italics omitted.) A
    separate appeal from the order setting the amount of the costs is
    permitted, but not required.
    2.    The court did not abuse its discretion by ordering a
    limited-scope deposition of plaintiffs’ medical expert,
    Dr. Rand-Luby.
    2.1.   Standard of Review
    We review the order granting Mora’s request to take the
    deposition of Dr. Rand-Luby for an abuse of discretion. (St. Mary,
    supra, 50 Cal.App.4th at p. 1540 [“Whether to grant discovery in
    a given case falls within the sound discretion of the trial court
    based upon all of the facts presented.”].) The same standard of
    review applies to the denial of a motion for a protective order.
    (See People ex rel. Harris v. Sarpas (2014) 
    225 Cal.App.4th 1539
    ,
    16
    1552 [stating standard of review for the denial of a discovery-
    related protective order is abuse of discretion].) “ ‘ “Management
    of discovery lies within the sound discretion of the trial court.
    Consequently, appellate review of discovery rulings is governed
    by the abuse of discretion standard. [Citation.] Where there is a
    basis for the trial court’s ruling and the evidence supports it, a
    reviewing court will not substitute its opinion for that of the trial
    court. [Citation.]” [Citation.] The trial court’s determination will
    be set aside only when it has been established that there was no
    legal justification for the order granting or denying the discovery
    in question.’ ” (O&C Creditors Group, LLC v. Stephens &
    Stephens XII, LLC, supra, 42 Cal.App.5th at p. 561.)
    2.2.   Legal Principles
    To determine whether the court abused its discretion by
    allowing Mora to depose Dr. Rand-Luby, we look to St. Mary,
    supra, 
    50 Cal.App.4th 1531
    . In that case, as here, the defendant
    moved for summary judgment and the plaintiff responded by
    producing the declaration of a medical expert who had not been
    previously identified as an expert. (Id. at pp. 1534–1535.) When
    the defendant attempted to take its motion off calendar and
    depose the expert, the plaintiff objected, arguing the expert could
    not be deposed until the parties exchanged expert witness lists
    pursuant to former section 2034. (St. Mary, at p. 1535; § 2034
    was repealed by Stats. 2004, ch. 182, § 22, operative July 1, 2005;
    see now § 2034.010 et seq., added by Stats. 2004, ch. 182, § 23.)
    The trial court denied the continuance and the appellate court
    reversed, stating that “under the proper circumstances, the
    parties should be allowed to depose an expert who supplies a
    declaration or affidavit in support of or in opposition to summary
    judgment or summary adjudication where there is a legitimate
    17
    question regarding the foundation of the opinion of the expert.”
    (St. Mary, at pp. 1537, 1540.)
    The court reasoned that permitting limited discovery by the
    moving party will, in some circumstances, further the purpose of
    the summary judgment procedure, which is to dispose of actions
    that present no triable issues of material fact while avoiding
    mini-trials on the merits of those issues. (St. Mary, supra, 50
    Cal.App.4th at pp. 1538, 1540.) Section 437c, subdivision (h),
    provides for continuances to allow further discovery by the
    opposing party, but there is no comparable provision for the
    moving party. (St. Mary, at pp. 1538–1539.) The moving party
    may generally depose witnesses before it decides to file a
    summary judgment motion, but it lacks that opportunity when
    the witness is an expert and there has not yet been a designation
    of experts under former section 2034. (St. Mary, at p. 1539.) To
    further the purpose of the summary judgment procedure, the
    court held, the trial court has discretion to allow additional
    discovery where there are “objective facts presented which create
    a significant question regarding the validity of the affidavit or
    declaration which, if successfully pursued, will impeach the
    foundational basis of the affidavit or declaration in question.” (Id.
    at pp. 1540–1541.)
    2.3.   Analysis
    The court did not abuse its discretion in finding that there
    were sufficient questions about the bases for Dr. Rand-Luby’s
    opinions to bring this case within the rule of St. Mary, supra,
    
    50 Cal.App.4th 1531
    . First, in setting forth her qualifications as
    an expert, Dr. Rand-Luby asserts that she treats patients with
    “conditions such as those suffered by Plaintiff” and “review[s]
    patient and hospital records concerning problems such as
    18
    Plaintiff’s.” It is unclear from this description which of Dee Ann’s
    various “problems” and “conditions” Dr. Rand-Luby has ever
    treated. Her curriculum vitae, which is referenced in her
    declaration and attached thereto, indicates that Dr. Rand-Luby is
    a general surgeon with particular experience in breast and
    advanced laparoscopic surgery. Thus it is not obvious to what
    extent Dr. Rand-Luby’s professional experience provides a
    foundation for her opinions about the qualifications of Mora’s
    medical expert neurologist to render his opinions in this case, the
    purported absence of Mora’s qualifications to treat Dee Ann in
    the first instance, and her opinion that Mora failed to meet the
    standard of care for a neurologist.
    Second, Dr. Rand-Luby identified the foundation for her
    opinions in very general terms, citing voluminous medical
    records, laboratory test results, medical literature, and
    consultations with Infectious Disease Department physicians.
    But as to her specific opinions, she fails to identify the foundation
    for such statements as “[t]he medical record is purposefully
    misstated,” Dee Ann’s “symptoms were due to a long term
    infection as noted in her USC tests and records,” and “there were
    lab reports, CT and MRI reports which were not normal, this is
    clearly set forth in the reports, which indicated the presence of a
    post surgical infection.” Typically, an expert medical opinion
    would include, for example, details such as the date of a
    particular laboratory test result and explain why the specific
    indicators support the expert’s opinion. Dr. Rand-Luby, however,
    offered only broad, conclusory statements. She also gave
    sweeping opinions such as “Defendant MORA was not qualified
    to treat Plaintiff’s condition and lacked the experience to do so,”
    19
    without identifying any evidence that could form the basis of
    such an opinion.
    These vagaries, and others, lead us to conclude that the
    court did not abuse its discretion in ordering a limited-scope
    deposition of Dr. Rand-Luby to allow Mora to inquire about the
    foundation of her opinions.
    3.    The court did not abuse its discretion by excluding
    Dr. Rand-Luby’s declaration as an evidentiary
    sanction.
    3.1.   Standard of Review
    “We review the trial court’s imposition of discovery
    sanctions for an abuse of discretion. (Stephen Slesinger, Inc. v.
    Walt Disney Co. (2007) 
    155 Cal.App.4th 736
    , 765; accord, Britts v.
    Superior Court (2006) 
    145 Cal.App.4th 1112
    , 1123 [abuse of
    discretion standard of review applies ‘to review of an order
    imposing discovery sanctions for discovery misuse’ unless ‘the
    propriety of a discovery order turns on statutory interpretation’].)
    ‘We view the entire record in the light most favorable to the
    court’s ruling, and draw all reasonable inferences in support of it.
    [Citation.] … The trial court’s decision will be reversed only “for
    manifest abuse exceeding the bounds of reason.” ’ (Slesinger, at
    p. 765; accord, Los Defensores, Inc. v. Gomez [(2014)] 223
    Cal.App.4th [377], 390 [‘ “ ‘The power to impose discovery
    sanctions is a broad discretion subject to reversal only for
    arbitrary, capricious, or whimsical action.’ ” ’].)” (Sabetian v.
    Exxon Mobil Corp. (2020) 
    57 Cal.App.5th 1054
    , 1084.)
    3.2.   Legal Principles
    Section 2023.030 authorizes a trial court to impose a range
    of penalties against “any party engaging in the misuse of the
    20
    discovery process,” including monetary and evidence sanctions.
    (Id., subds. (a), (c)). As pertinent here, section 2023.010 provides
    that misuse of the discovery process includes “[f]ailing to respond
    or to submit to an authorized method of discovery” (id., subd. (d)),
    “[m]aking, without substantial justification, an unmeritorious
    objection to discovery” (id., subd. (e)), “[d]isobeying a court order
    to provide discovery” (id., subd. (g)), and “[m]aking or opposing,
    unsuccessfully and without substantial justification, a motion to
    compel or to limit discovery (id., subd. (h)). Evidentiary sanctions
    may be imposed only after a motion to compel has been made and
    granted and the party to be sanctioned has failed to comply with
    that order. (§ 2025.450, subd. (h).)
    Concerning the proper scope of the sanction imposed, we
    note that “[d]iscovery sanctions must be tailored in order to
    remedy the offending party’s discovery abuse, should not give the
    aggrieved party more than what it is entitled to, and should not
    be used to punish the offending party.” (Karlsson v. Ford Motor
    Co. (2006) 
    140 Cal.App.4th 1202
    , 1217.)
    3.3.   Analysis
    As described in detail ante, plaintiffs repeatedly misused
    the discovery process by refusing to produce Dr. Rand-Luby for a
    court-ordered deposition. The court issued at least two orders
    compelling her appearance, both of which plaintiffs refused to
    obey. And plaintiffs’ second motion for a protective order was, in
    the court’s words, “entirely frivolous.” Thus, the statutory
    requirements for the imposition of an evidentiary sanction—
    misuse of the discovery process, granting of a motion to compel
    discovery, and violation of the court’s resulting order—have been
    met.
    21
    Plaintiffs equate the evidentiary sanction to a terminating
    sanction and argue that the court erred in imposing that sanction
    because the court did not make the necessary findings, i.e., that
    plaintiffs willfully violated the court’s discovery orders and acted
    without substantial justification, nor did the court impose a less
    severe sanction before imposing a terminating sanction, as is
    required. These arguments are misdirected because the court did
    not issue a terminating sanction. A terminating sanction consists
    of “(1) An order striking out the pleadings or parts of the
    pleadings of any party engaging in the misuse of the discovery
    process. [¶] (2) An order staying further proceedings by that
    party until an order for discovery is obeyed. [¶] (3) An order
    dismissing the action, or any part of the action, of that party. [¶]
    (4) An order rendering a judgment by default against that party.”
    (§ 2023.030, subd. (d).) It is clear from the record that the court
    issued an evidentiary sanction, not a terminating sanction. The
    court did not, for example, strike plaintiffs’ complaint or dismiss
    their action against Mora. The court did not even go so far as to
    strike plaintiffs’ opposition to the motion for summary judgment
    in its entirety. Instead, it issued an evidentiary sanction striking
    Dr. Rand-Luby’s declaration, which was narrowly tailored to
    address the dilatory conduct by plaintiffs and their counsel in
    obstructing her court-ordered deposition.
    The fact that the sanction substantially impaired plaintiffs’
    ability to oppose Mora’s summary judgment does not render the
    court’s decision an abuse of discretion. “Absent some unusual
    extenuating circumstances not present here, the appropriate
    sanction when a party repeatedly and willfully fails to provide
    certain evidence to the opposing party as required by the
    discovery rules is preclusion of that evidence from the trial—even
    22
    if such a sanction proves determinative in terminating plaintiff’s
    case. [Citation.] ‘The ratio decidendi behind such cases,’ a court
    has stated, is ‘that a persistent refusal to comply with an order
    for the production of evidence is tantamount to an admission that
    the disobedient party really has no meritorious claim … .’
    [Citation.]” (Juarez v. Boys Scouts of America, Inc. (2000) 
    81 Cal.App.4th 377
    , 390, disapproved on an unrelated point by
    Brown v. USA Taekwondo (2021) 
    11 Cal.5th 204
    , 222, fn. 9.)
    Plaintiffs’ only other argument is that Mora failed to
    establish adequate grounds to conduct an expert deposition under
    the doctrine stated in St. Mary, supra. But as we have said, the
    court did not abuse its discretion in ordering the deposition.
    4.    The court properly granted Mora’s motion for
    summary judgment.
    4.1.   Standard of Review
    The standard of review is well established. “The purpose of
    the law of summary judgment is to provide courts with a
    mechanism to cut through the parties’ pleadings in order to
    determine whether, despite their allegations, trial is in fact
    necessary to resolve their dispute.” (Aguilar v. Atlantic
    Richfield Co. (2001) 
    25 Cal.4th 826
    , 843.) The moving party
    “bears the burden of persuasion that there is no triable issue of
    material fact and that he is entitled to judgment as a matter of
    law.” (Id. at p. 850; § 437c, subd. (c).) The pleadings determine
    the issues to be addressed by a summary judgment motion.
    (Metromedia, Inc. v. City of San Diego (1980) 
    26 Cal.3d 848
    , 885,
    reversed on other grounds by Metromedia, Inc. v. City of San
    Diego (1981) 
    453 U.S. 490
    ; Nieto v. Blue Shield of California
    Life & Health Ins. Co. (2010) 
    181 Cal.App.4th 60
    , 74.)
    23
    On appeal from a summary judgment, we review the record
    de novo and independently determine whether triable issues of
    material fact exist. (Saelzler v. Advanced Group 400 (2001) 
    25 Cal.4th 763
    , 767; Guz v. Bechtel National, Inc. (2000) 
    24 Cal.4th 317
    , 334.) We resolve any evidentiary doubts or ambiguities in
    favor of the party opposing summary judgment. (Saelzler, at
    p. 768.) “In performing an independent review of the granting of
    summary judgment, we conduct the same procedure employed by
    the trial court. We examine (1) the pleadings to determine the
    elements of the claim, (2) the motion to determine if it establishes
    facts justifying judgment in the moving party’s favor, and (3) the
    opposition—assuming movant has met its initial burden—to
    ‘decide whether the opposing party has demonstrated the
    existence of a triable, material fact issue.’ ” (Oakland Raiders v.
    National Football League (2005) 
    131 Cal.App.4th 621
    , 630.) “We
    need not defer to the trial court and are not bound by the reasons
    in its summary judgment ruling; we review the ruling of the trial
    court, not its rationale.” (Ibid.)
    The appellant has the burden to show error, even if the
    appellant did not bear the burden in the trial court, and “ ‘to
    point out the triable issues the appellant claims are present by
    citation to the record and any supporting authority.’ ” (Claudio v.
    Regents of the University of California (2005) 
    134 Cal.App.4th 224
    , 230.) Further, “an appellant must present argument and
    authorities on each point to which error is asserted or else the
    issue is waived.” (Kurinij v. Hanna & Morton (1997) 
    55 Cal.App.4th 853
    , 867.) Matters not properly raised or that lack
    adequate legal discussion will be deemed forfeited. (Keyes v.
    Bowen (2010) 
    189 Cal.App.4th 647
    , 655–656.)
    24
    4.2.   Legal Principles Regarding Professional
    Negligence
    As the party with the ultimate burden at trial, plaintiffs
    would be required to establish medical negligence by proving
    “(1) a duty to use such skill, prudence, and diligence as other
    members of the profession commonly possess and exercise; (2) a
    breach of the duty; (3) a proximate causal connection between the
    negligent conduct and the injury; and (4) resulting loss or
    damage.” (Johnson v. Superior Court (2006) 
    143 Cal.App.4th 297
    ,
    305.)
    With respect to the first element, the standard of care for
    medical professionals requires “ ‘ “that a physician or surgeon
    have the degree of learning and skill ordinarily possessed by
    practitioners of the medical profession in the same locality and
    that he [or she] exercise ordinary care in applying such learning
    and skill to the treatment of [the] patient.” [Citation.]’ ”
    (Flowers v. Torrance Memorial Hospital Medical Center (1994)
    
    8 Cal.4th 992
    , 998, final brackets added; see also Brown v. Colm
    (1974) 
    11 Cal.3d 639
    , 642–643 [noting “a doctor is required to
    apply that degree of skill, knowledge and care ordinarily
    exercised by other members of his profession under similar
    circumstances”]; McAlpine v. Norman (2020) 
    51 Cal.App.5th 933
    ,
    938 [same].) “Proof of this standard is ordinarily provided by
    another physician, and if a witness has disclosed sufficient
    knowledge of the subject to entitle his opinion to go to the jury,
    the question of the degree of his [or her] knowledge goes to the
    weight of [the] testimony rather than to its admissibility.”
    (Brown, at p. 643; In re Roberto C. (2012) 
    209 Cal.App.4th 1241
    ,
    1249.) Thus, the standard of care can ordinarily be proved only by
    expert testimony, “ ‘unless the conduct required by the particular
    25
    circumstances is within the common knowledge of the layman.’
    [Citations.]” (Landeros v. Flood (1976) 
    17 Cal.3d 399
    , 410.)
    Proof of causation may also require expert testimony
    “[w]here the complexity of the causation issue is beyond common
    experience.” (Garbell v. Conejo Hardwoods, Inc. (2011) 
    193 Cal.App.4th 1563
    , 1569; accord, Webster v. Claremont Yoga
    (2018) 
    26 Cal.App.5th 284
    , 290.) In a summary judgment
    proceeding, an expert’s opinions may be rejected if they are
    conclusory, speculative, without foundation, or stated without
    sufficient certainty. (Sanchez v. Kern Emergency Medical
    Transportation Corp. (2017) 
    8 Cal.App.5th 146
    , 155–156
    (Sanchez).)
    4.3.   Analysis
    4.3.1. Plaintiffs’ Complaint
    As noted, we first consider the allegations of plaintiffs’
    complaint to determine the scope of the issues. With respect to
    the professional negligence claim, plaintiffs contend Dee Ann was
    suffering from an infection during the time Mora was treating
    her and that Mora’s failure to diagnose and treat the infection fell
    below the standard of care and caused or contributed to her
    injuries. These allegations sufficiently state a claim for
    professional negligence.
    4.3.2. Mora’s Evidence
    As the moving party, Mora had the initial burden to show
    that plaintiffs’ claims have no merit—that is, that one or more
    elements of the cause of action cannot be established, or that
    there is a complete defense to that cause of action. (§ 437c,
    subd. (o); see Jones v. Wachovia Bank (2014) 
    230 Cal.App.4th 935
    , 945.) “If a defendant’s moving papers make a prima facie
    26
    showing that justifies a judgment in its favor, the burden of
    production shifts to the plaintiff to make a prima facie showing of
    the existence of a triable issue of material fact.” (Jones, at p. 945;
    Professional Collection Consultants v. Lauron (2017) 
    8 Cal.App.5th 958
    , 965.)
    Mora’s motion for summary judgment addressed two
    elements of plaintiffs’ negligence claim: standard of care and
    causation. As to the standard of care, Mora’s expert neurologist,
    Dr. Gold, opined to a reasonable degree of medical certainty that
    Mora’s treatment of Dee Ann met the standard of care.
    Specifically, Dr. Gold noted that Mora first consulted on
    Dee Ann’s case on November 30, 2015, upon her second
    admission to a local hospital. At that time, Mora noted Dee Ann’s
    prior surgery and post-surgical breakthrough seizures. Mora’s
    differential diagnoses included stroke and Todd’s paralysis (focal
    weakness following seizure.) None of Dee Ann’s laboratory results
    or vital signs indicated the presence of an infection and her neck
    was supple, indicating no meningitis or infection of the lining of
    the brain. According to Dr. Gold, Mora ordered appropriate lab
    tests, medications to treat the seizures, and an MRI. The MRI
    performed on November 30, 2015, showed no evidence of an acute
    stroke or concerning signs of an infection. The imaging did show
    fluid collection near the surgical site, consistent with her
    postsurgical imaging study.
    Mora continued to consult on Dee Ann’s case and saw her
    daily until December 4, 2015. Some of Dee Ann’s focal weakness
    had resolved by December 1, 2015, consistent with Mora’s
    diagnosis of Todd’s paralysis. Her white blood cell count and vital
    signs did not suggest an infection and her neck remained supple,
    i.e., not suggestive of an infection. Mora continued to treat
    27
    Dee Ann’s seizures appropriately by ordering MRI and EEG
    studies as needed and adjusting or changing her antiseizure
    medications. According to Dr. Gold, a subsequent MRI performed
    on December 2, 2015 did not indicate the presence of an infection,
    nor did her vital signs or lab results.
    Mora resumed his care and treatment of Dee Ann on
    December 7, 2015. Her vital signs and white blood count were
    normal and her neck was supple through December 10, 2015.
    Mora ordered another EEG which showed that Dee Ann’s brain
    was irritated from the craniotomy and experiencing epileptiform
    changes. He continued to adjust her medication to address her
    ongoing seizure activity. Mora spoke to a colleague at USC Keck
    Medical Center and planned to transfer Dee Ann there because
    her symptoms were not resolving and that hospital had a
    dedicated specialty epilepsy team.
    When Dee Ann arrived at USC, her neurological team was
    not initially concerned about infection as the possible cause of
    Dee Ann’s condition, and they did not perform a lumbar puncture
    to evaluate the possibility of infection. According to the medical
    records, Dee Ann’s treating physicians at USC did not consider
    infection until December 16, 2015. And even after a repeat
    craniotomy performed at USC revealed the presence of an
    infection, Dee Ann continued to have seizure activity that was
    not adequately controlled by medication.
    In light of these facts, Dr. Gold concluded that Mora met
    the standard of care by properly assessing and diagnosing
    Dee Ann’s condition relating to postsurgical seizures, ordering
    appropriate tests and prescribing anti-seizure medication,
    monitoring her brain activity, and modifying her medications as
    her condition changed. In sum, according to Dr. Gold, Dee Ann
    28
    did not exhibit any clinical signs of an infection prior to her
    transfer to USC Keck Medical Center and her symptoms were
    likely caused by brain irritation resulting from her craniotomy in
    October 2015.
    As to causation, Dr. Gold also opined to a reasonable degree
    of medical certainty that nothing Mora did or did not do caused or
    contributed to Dee Ann’s injuries. She suffered from seizures
    prior to, during, and after Mora’s care and treatment and, to a
    reasonable medical probability, Dee Ann would have needed the
    same surgery and anti-epilepsy treatment at USC whether she
    did or did not have an infection while under Mora’s care.
    We agree with the court that Mora provided sufficient
    evidence to meet his initial burden of production with respect to
    the standard of care and causation regarding the professional
    negligence claim. And as we explain, plaintiffs’ arguments to the
    contrary are unavailing.
    Plaintiffs’ main contention is that Mora failed to produce
    sufficient evidence to shift the burden of proof to them. For
    example, plaintiffs assert that Mora’s separate statement did not
    “provide a proper basis for his request for summary judgment,
    and the Trial Court committed reversible error by allowing the
    motion to go forward when [Mora] clearly had not provided a
    competent statement of facts to support adjudication of the issues
    presented. Moreover, the separate statement was based upon the
    conclusory Declaration of Michael Gold, M.D.” In a similar vein,
    plaintiffs suggest that “[t]he separate statement was not
    supported by competent evidence, but rather, by a self-serving
    Declaration consisting of hearsay and conclusions of law, which
    was patently insufficient to satisfy the evidentiary requirements
    of CCP § 437c, and shift the burden of proof to [plaintiffs].”
    29
    Plaintiffs also claim that Mora’s separate statement was
    “conclusory and defective” as it “did not sufficiently state facts
    which would allow the Trial Court to render judgment on the
    allegations of the Complaint[ ] and contained only conclusions.
    The majority of the facts are legal opinions and conclusions as to
    ultimate facts. The separate statement should have been stricken
    as it does not comply with [section] 437c, [subdivision] (b).”
    In asserting that Mora’s motion for summary judgment was
    not supported by sufficient evidence, plaintiffs make only broad
    assertions that the evidence was incompetent, without any
    analysis of the evidence submitted by Mora. As discussed ante,
    however, Mora submitted a detailed declaration by an expert in
    neurology describing the clinical findings Mora made, his
    diagnoses of Todd’s paralysis, the tests Mora ordered and the
    results they produced, as well as his monitoring of Dee Ann’s
    condition and adjustment of anti-seizure medications. The
    expert’s conclusions that Mora met the standard of care and did
    not cause or contribute to Dee Ann’s injuries are well supported.7
    To show that such evidence failed to shift the burden to them,
    plaintiffs needed to do more than make bare assertions that the
    supporting evidence was incompetent. Instead, they were
    required to demonstrate through reasoned argument and
    7 Citing Kelly v. Trunk (1998) 
    66 Cal.App.4th 519
    , plaintiffs argue that
    “an expert’s bare conclusion is insufficient to support summary
    judgment, just as it would be insufficient at trial.” Indeed, that court
    stated that “an opinion unsupported by reasons or explanations does
    not establish the absence of a material fact issue for trial, as required
    for summary judgment.” (Id. at p. 524.) This case is inapplicable with
    respect to Mora’s expert, Dr. Gold, because he disclosed the materials
    relied upon as well as the factual bases and reasons for his opinions.
    30
    citations to relevant evidence and legal authority why the
    evidence was incompetent. (See Dietz v. Meisenheimer & Herron
    (2009) 
    177 Cal.App.4th 771
    , 799 (Dietz) [noting that if an
    appellant fails to support a claim with reasoned argument and
    citations to authority we may treat that claim as waived].)
    Plaintiffs utterly fail to do so.
    Plaintiffs also contend the court erred by granting the
    motion for summary judgment because Mora “failed to show that
    [plaintiffs] could not establish each element of their prima facie
    case for Professional Negligence – Medical Malpractice by
    Physician.” But Mora was not required to disprove each element
    of plaintiffs’ negligence claim. It was sufficient to demonstrate
    that plaintiffs would be unable to establish one element of their
    claim. (§ 437c, subds. (o)(1) [“A cause of action has no merit if …
    [¶] [o]ne or more of the elements of the cause of action cannot be
    separately established … .”] & (p)(2) [“A defendant or cross-
    defendant has met his or her burden of showing that a cause of
    action has no merit if the party has shown that one or more
    elements of the cause of action, even if not separately pleaded,
    cannot be established … .”].)
    Finally, plaintiffs argue that Mora’s separate statement
    violated a rule of court and therefore his motion did not shift the
    burden to them. We reject this argument because plaintiffs
    provide no analysis of the facts and cite no applicable legal
    authority supporting their position. (See Dietz, supra, 177
    Cal.App.4th at p. 799.)
    4.3.3. Plaintiffs’ Opposition
    As noted, the only medical expert testimony supporting
    plaintiffs’ opposition to Mora’s motion for summary judgment was
    the declaration of Dr. Rand-Luby, which was stricken by the
    31
    court as an evidentiary sanction. The absence of a medical expert
    opinion in support of plaintiffs’ opposition is fatal.
    “ ‘Whenever the plaintiff claims negligence in the medical
    context, the plaintiff must present evidence from an expert that
    the defendant breached his or her duty to the plaintiff and that
    the breach caused the injury to the plaintiff.’ [Citation] ‘ “ ‘When
    a defendant moves for summary judgment and supports his
    motion with expert declarations that his conduct fell within the
    community standard of care, he is entitled to summary judgment
    unless the plaintiff comes forward with conflicting expert
    evidence.’ ” ’ [Citation.]” (Sanchez, supra, 8 Cal.App.5th at
    p. 153.) Because Mora satisfied his initial burden and plaintiffs
    failed to submit any opposing medical expert evidence, Mora was
    entitled to summary judgment as a matter of law.
    Plaintiffs’ only response on this point is that Dr. Rand-
    Luby’s declaration creates triable issues of material fact and the
    court erred by striking it. As we have already explained, however,
    the court’s imposition of the evidentiary sanction was sound.
    4.3.4. Because the negligence cause of action fails, the
    loss of consortium claim also fails.
    It is well-settled that “an unsuccessful personal injury suit
    by the physically injured spouse acts as an estoppel that bars the
    spouse who would claim damages for loss of consortium.”
    (Meighan v. Shore (1995) 
    34 Cal.App.4th 1025
    , 1034–1035; see
    also Chavez v. Glock, Inc. (2012) 
    207 Cal.App.4th 1283
    , 1315–
    1316; Haning et al., Cal. Practice Guide: Personal Injury,
    ¶ 3:2413.) Because we conclude plaintiffs’ negligence cause of
    action fails, we must also conclude the cause of action for loss of
    consortium fails.
    32
    5.    The court did not abuse its discretion by awarding
    Mora ex parte application fees and expert witness fees
    as costs under section 998.
    5.1.   Standard of Review
    Generally, the prevailing party in civil litigation has the
    right to recover costs enumerated by statute and other costs
    reasonably necessary to the litigation and reasonable in amount.
    (§§ 1032, 1033.5.) “ ‘Whether a cost item was reasonably
    necessary to the litigation presents a question of fact for the trial
    court and its decision is reviewed for abuse of discretion.
    [Citation.] However, because the right to costs is governed
    strictly by statute [citation] a court has no discretion to award
    costs not statutorily authorized. [Citations.]’ [Citation.] Whether
    a cost is statutorily authorized is a question of law we review de
    novo. [Citation.]” (Naser v. Lakeridge Athletic Club (2014) 
    227 Cal.App.4th 571
    , 575–576.)
    5.2.   Plaintiffs’ Arguments
    5.2.1. Striking the Cost Memorandum
    Plaintiffs argue the court erred by refusing to strike Mora’s
    cost memorandum in its entirety. As we understand their cursory
    argument, plaintiffs asked the court to strike the cost
    memorandum because it claimed $420 in costs that had
    previously been awarded to Mora as a sanction and had already
    been paid by plaintiffs.8 Because the cost memorandum included
    this item, plaintiffs claim the memorandum was “patently false,
    and the Trial Court should have stricken it in its entirety.”
    8Mora acknowledged the issue and withdrew the request for costs that
    had already been paid.
    33
    Plaintiffs cite California Rules of Court, rule 3.1700, which
    provides that a cost memorandum must be verified by a party,
    attorney, or agent, stating that “to the best of his or her
    knowledge the items of cost are correct and were necessarily
    incurred in the case.” (Cal. Rules of Court, rule 3.1700(a)(1).) Of
    course, the cost memorandum was verified.
    Plaintiffs’ only cited authority makes no provision for the
    remedy they seek. And as they have provided no other relevant
    authority or discernable legal argument, we reject their
    argument without further discussion. (See Dietz, supra, 177
    Cal.App.4th at p. 799.)
    5.2.2. Ex Parte Application Filing Fees
    Plaintiffs also contend the court abused its discretion by
    awarding Mora filing fees relating to multiple ex parte
    applications to continue his motion for summary judgment.
    Plaintiffs assert that the ex parte applications were not
    reasonably necessary to the litigation because plaintiffs had
    previously stipulated to continuances on four occasions.
    Mora’s cost memorandum includes filing fees relating to
    three ex parte applications, each of which appears to request a
    continuance of the motion for summary judgment. In two of those
    applications, however, Mora not only sought a continuance but
    also requested an order compelling plaintiffs to produce
    Dr. Rand-Luby for deposition. The court concluded it was
    reasonable for Mora to seek relief by ex parte application due to
    “plaintiffs’ intransigence in refusing to allow the deposition of
    their expert, Dr. Leslie Rand-Luby[.]” In light of the degree to
    which plaintiffs and their counsel flouted their discovery
    obligations, we see no abuse of discretion in the court’s ruling.
    And as to the remaining ex parte application, plaintiffs have not
    34
    included the application in the record on appeal. They have
    therefore forfeited the issue by failing to provide a sufficient
    record for review (Maria P. v. Riles (1987) 
    43 Cal.3d 1281
    , 1295
    [failure to provide an adequate record requires that the issue be
    resolved against the appellant].)
    5.2.3. Expert Fees as Costs under Section 998
    Finally, plaintiffs challenge the court’s award of expert
    witness fees under section 998.
    On May 13, 2019, Mora made written offers to settle with
    each of the plaintiffs individually for a waiver of costs (including
    sanctions) in exchange for a dismissal with prejudice. Plaintiffs
    refused the offers. In his cost memorandum, Mora sought expert
    witness fees of $8,637.33 as costs under section 998.
    Recoverable costs do not typically include the fees of expert
    witnesses not ordered by the court. (§§ 1032, 1033.5, subd. (b)(1).)
    But those fees are recoverable as costs where, as here, a more
    favorable judgment for the defendant follows a plaintiff’s
    rejection of a valid pretrial section 998 settlement offer. As
    relevant here, section 998 provides: “(c)(1) If an offer made by a
    defendant is not accepted and the plaintiff fails to obtain a more
    favorable judgment or award … in any action or proceeding …,
    the court or arbitrator, in its discretion, may require the plaintiff
    to pay a reasonable sum to cover postoffer costs of the services of
    expert witnesses, who are not regular employees of any party,
    actually incurred and reasonably necessary in either, or both,
    preparation for trial or arbitration, or during trial or arbitration,
    of the case by the defendant.”
    Plaintiffs challenge the award of expert fees as costs on two
    grounds. First, plaintiffs argue that Mora is not entitled to expert
    witness fees under section 998 because he did not attach copies of
    35
    his written settlement offers to his cost memorandum. Plaintiffs
    are wrong. As noted ante, a memorandum of costs must be
    “verified by a statement of the party, attorney, or agent that to
    the best of his or her knowledge the items of cost are correct and
    were necessarily incurred in the case.” (Cal. Rules of Court,
    rule 3.1700(a)(1).) The verification provides prima facie evidence
    that the costs were reasonably incurred. Supporting
    documentation must be submitted only if costs have been put in
    issue by a motion to tax costs. (See Jones v. Dumrichob (1998) 
    63 Cal.App.4th 1258
    , 1265, 1267.) Mora submitted copies of the
    settlement offers to the court at the appropriate time, i.e., with
    his opposition to plaintiffs’ motion to tax costs, which put the
    expert witness fees at issue.9
    Second, plaintiffs contend that Mora’s settlement offers
    were so premature and unreasonably low as to be invalid. As
    plaintiffs correctly note, “[t]o be valid, a section 998 offer must be
    made in good faith, which requires that the offer of settlement be
    9Citing Behr v. Redmond (2011) 
    193 Cal.App.4th 517
    , plaintiffs claim
    Mora “was required to provide the Trial Court with evidence of a
    written offer to compromise, within the time permitted to file his
    memorandum of costs, in order for the Trial Court to be able to make a
    determination as to whether expert fees can be recovered.” The case
    does not so hold. Although it is somewhat unclear from the opinion, it
    appears the prevailing party sought to recover expert witness fees
    under section 998. The opposing party challenged that ite m in a
    motion to tax costs but the court denied the motion. On appeal, the
    prevailing party conceded that the request for expert witness fees as
    costs was not supported by evidence of a written settlement offer and
    the court of appeal therefore reversed the award due to the lack of
    supporting evidence. (Behr, at p. 538.) The case is distinguishable
    because here, Mora did submit evidence of the written settlement
    offers.
    36
    ‘ “realistically reasonable under the circumstances of the
    particular case. …” ’ [Citations.] A token or nominal offer made
    with no reasonable prospect of acceptance will not pass the good
    faith test. [Citation.] ‘[W]hen a party obtains a judgment more
    favorable than its pretrial offer, [the offer] is presumed to have
    been reasonable and the opposing party bears the burden of
    showing otherwise.’ [Citations.]” (Essex Ins. Co. v. Heck (2010)
    
    186 Cal.App.4th 1513
    , 1528 (Essex).)
    “ ‘ “Whether a section 998 offer was reasonable and made in
    good faith is left to the sound discretion of the trial court.”
    [Citation.] “In reviewing an award of costs and fees under …
    section 998, the appellate court will examine the circumstances of
    the case to determine if the trial court abused its discretion in
    evaluating the reasonableness of the offer or its refusal.”
    [Citation.] “ ‘ [“]The burden is on the party complaining to
    establish an abuse of discretion, and unless a clear case of abuse
    is shown and unless there has been a miscarriage of justice a
    reviewing court will not substitute its opinion and thereby divest
    the trial court of its discretionary power.” [Citations.]’ ”
    [Citation.]’ [Citation.]” (Essex, supra, 186 Cal.App.4th at
    pp. 1528–1529.)
    The court concluded Mora’s settlement offers were
    reasonable under the circumstances. Noting that the offers were
    made two and a half years after plaintiffs filed their complaint,
    the court rejected plaintiffs’ argument that the offers were
    premature. Further, Mora’s offers were accompanied by a letter
    disclosing to plaintiffs that Mora’s experts had determined that
    he met the standard of care and did not cause Dee Ann’s injuries.
    By that point, the court found, plaintiffs had had the opportunity
    to evaluate the strength of their case and obtain their own expert
    37
    opinion regarding Mora’s liability. Further, the court found that
    the offer to waive costs was not unreasonably low: “Indeed, it is
    hard to ignore that defendant Mora’s motion for summary
    judgment was granted as a direct result of plaintiffs’ decision not
    to make their expert available for deposition as ordered by the
    Court. Given the multiple opportunities plaintiffs were afforded
    to comply with the Court’s order to produce their expert
    Dr. Rand-Luby for deposition, it is reasonable to infer plaintiffs
    decided not to do so because they well knew that expert could not
    provide evidence to raise a disputed issue as to Dr. Mora’s
    liability.”
    We see no abuse of discretion in the court’s ruling. Courts
    have held that a settlement offer of a waiver of costs can have
    significant monetary value, as it does here. (See Jones v.
    Dumrichob, supra, 63 Cal.App.4th at p. 1264 [noting a party’s
    exposure to costs can be substantial].) And the fact that Mora
    prevailed on the motion for summary judgment is prima facie
    evidence that his settlement offer was reasonable. (See, e.g.,
    Essex, supra, 186 Cal.App.4th at p. 1528 [noting that “ ‘[w]hen a
    party obtains a judgment more favorable than its pretrial offer,
    [the offer] is presumed to have been reasonable’ ”].)
    Plaintiffs fail to demonstrate a clear abuse of discretion.
    Citing Pineda v. Los Angeles Turf Club, Inc. (1980) 
    112 Cal.App.3d 53
     (Pineda), plaintiffs contend that Mora’s settlement
    offers were invalid because they were “premature,” “illusory, and
    patently unreasonable.” Specifically, plaintiffs note that Mora
    served his settlement offers in May 2019, before he had incurred
    any expert witness fees, and on that basis they argue that “the
    offers were clearly illusory, token offers designed solely to make
    [Mora] ‘eligible for the recovery of large expert witness fees at no
    38
    real risk.’ ” Further, plaintiffs claim that offering a waiver of
    costs as a settlement “at the point of litigation where no expert
    fees have been incurred renders the offer illusory, token and
    patently invalid.”
    Pineda involved the wrongful death of a jockey due to a
    head injury sustained at the Santa Anita racetrack. One of the
    defendants manufactured the helmet the decedent wore, and
    plaintiffs contended the helmet was defectively designed and
    manufactured. (Pineda, supra, 112 Cal.App.3d at p. 56.)
    Apparently, the trier of fact determined that the manufacturer
    was not liable. The manufacturer had offered the plaintiffs
    $2,500 to settle the case about a month prior to trial and they
    declined. The manufacturer then requested expert witness fees as
    costs under section 998. But the court denied the request, saying
    that the offer was unreasonable and not made in good faith.
    (Pineda, at pp. 62–63.) The court’s explanation of its ruling was
    brief: “ ‘I don’t feel that [the manufacturer’s] offer was a realistic
    offer in this case and the expert witness fees will be denied.’
    When questioned by Mr. Davis, counsel for [the manufacturer],
    concerning the basis of its ruling, the court reiterated, ‘I feel,
    under the circumstances, it was not a good faith offer and I am
    exercising my discretion and I am going to disallow those costs.
    That is final.’ ” (Id. at p. 63.)
    The appellate court concluded that the court did not abuse
    its discretion. “Under the circumstances of this case[,] the trial
    court had ample reason to find that the offer was not reasonable.
    Although [the manufacturer’s] liability was tenuous indeed,
    having in mind the enormous exposure the trial court could find
    that [the manufacturer] had no expectation that its offer would
    be accepted. From this it follows that the sole purpose of the offer
    39
    was to make [the manufacturer] eligible for the recovery of large
    expert witness fees at no real risk.” (Pineda, supra, 112
    Cal.App.3d at p. 63.)
    It is evident that the court’s analysis in Pineda was fact-
    specific and therefore provides little guidance in the present case.
    But at a minimum, the case does not stand for the proposition
    plaintiffs advance, namely, that the service of a settlement offer
    prior to incurring substantial expert fees is necessarily an
    “illusory” and “token” offer that will not support an award of
    expert fees as costs under section 998.
    Plaintiffs also suggest that the offer of a waiver of costs was
    invalid because Dee Ann’s medical expenses exceeded
    $1.2 million, citing Pineda and Wear v. Calderon (1981) 
    121 Cal.App.3d 818
    , 821 (Wear).
    In Wear, after a judgment in favor of the defendant, the
    trial court awarded the defendant costs including expert witness
    fees based on the plaintiff’s pretrial rejection of the defendant’s
    section 998 compromise offer of $1. The Court of Appeal deleted
    the award of expert witness fees from the cost award and
    affirmed the modified judgment. In so doing, the court
    determined that a section 998 offer must be made in good faith.
    (Wear, supra, 121 Cal.App.3d at p. 821.) Because it appeared, on
    the particular circumstances of the case, that the defendant made
    the offer for the sole purpose of later recovering large expert
    witness fees, the court concluded that the $1 settlement offer did
    not satisfy the good faith requirement. (Id. at p. 822.)
    Plaintiffs cite no facts indicating that Mora acted in bad
    faith or made his settlement offer solely for the purpose of later
    recovering expert witness fees. As noted, the settlement offers
    sent to plaintiffs disclosed that Mora’s experts had concluded that
    40
    Mora did not breach the standard of care or cause Dee Ann’s
    injuries. In other words, Mora had a reasonable belief that he
    would prevail in the litigation and it was therefore reasonable to
    offer to settle the case for a relatively low amount. In the absence
    of evidence to the contrary, we see no abuse of discretion in the
    court’s conclusion that Mora acted in good faith.
    DISPOSITION
    The judgment and order awarding costs are affirmed.
    Respondent Jeffrey Mora shall recover his costs on appeal.
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
    LAVIN, J.
    WE CONCUR:
    EDMON, P. J.
    EGERTON, J.
    41
    

Document Info

Docket Number: B311451

Filed Date: 10/25/2022

Precedential Status: Non-Precedential

Modified Date: 10/25/2022