Iowa Supreme Court Attorney Disciplinary Board v. Pamela Ann Vandel , 2017 Iowa Sup. LEXIS 5 ( 2017 )


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  •                IN THE SUPREME COURT OF IOWA
    No. 16–1704
    Filed January 27, 2017
    IOWA SUPREME COURT ATTORNEY DISCIPLINARY BOARD,
    Complainant,
    vs.
    PAMELA ANN VANDEL,
    Respondent.
    On review of the report of the Grievance Commission of the
    Supreme Court of Iowa.
    Grievance commission reports respondent committed ethical
    misconduct and recommends a one-year suspension.       LICENSE
    SUSPENDED.
    Tara van Brederode and Elizabeth Quinlan, Des Moines, for
    complainant.
    Pamela Ann Vandel, Runnells, pro se.
    2
    WIGGINS, Justice.
    The Iowa Supreme Court Attorney Disciplinary Board brought a
    complaint against an attorney alleging multiple violations of the Iowa
    Rules of Professional Conduct. A division of the Grievance Commission
    of the Supreme Court of Iowa found the respondent’s conduct violated
    the rules and recommended we suspend her license to practice law with
    no possibility of reinstatement for a period of one year. On appeal, the
    Board urges us to reaffirm the recommendation. On our de novo review,
    we find the attorney violated numerous provisions of our rules, which
    require us to impose sanctions. Accordingly, we suspend the attorney’s
    license to practice law indefinitely with no possibility of reinstatement for
    a period of six months from the date of filing this decision.
    I. Scope of Review.
    We review attorney disciplinary proceedings de novo. Iowa Ct. Rs.
    36.21(1), .22(4). The Board must prove ethical violations by a convincing
    preponderance of the evidence. Iowa Supreme Ct. Att’y Disciplinary Bd.
    v. Crum, 
    861 N.W.2d 595
    , 599 (Iowa 2015). A convincing preponderance
    of the evidence is more than the standard in a typical civil case, but less
    than proof beyond a reasonable doubt.            Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Netti, 
    797 N.W.2d 591
    , 595 (Iowa 2011).        While we
    respectfully consider the commission’s findings and recommendations,
    they are not binding on us. 
    Crum, 861 N.W.2d at 599
    –600. Upon proof
    of an ethical violation, we may impose a greater or lesser sanction than
    the commission recommended. 
    Netti, 797 N.W.2d at 595
    .
    Additionally, because the attorney failed to respond to the Board’s
    complaint, we treat the allegations in the complaint as admitted
    pursuant to Iowa Court Rule 36.7. 
    Crum, 861 N.W.2d at 599
    –600.
    3
    II. Findings of Fact.
    Upon on our de novo review of the record and the admitted
    allegations, we make the following findings of fact. In 1996, Pamela A.
    Vandel received her license to practice law in Iowa.
    On September 28, 2012, Vandel began representing Nichole
    Phillips in a custody, visitation, and child-support modification case. In
    2004, a dissolution decree was entered granting physical custody of a
    minor child to Nichole, and it provided her former husband, Floyd
    Phillips, with a specific visitation schedule.   On September 20, 2012,
    attorneys Brian Witherwax and Tyler Johnston filed a petition for
    modification on behalf of Floyd, claiming a substantial change in
    circumstances warranted modification as to custody, visitation, and child
    support. Through his attorneys, Floyd also filed an application for rule
    to show cause, alleging Nichole placed the minor child on ADHD
    medication against medical advice and without informing Floyd, which
    was contrary to the terms of the decree.
    After Vandel entered her appearance on behalf of Nichole, she filed
    answers and counterclaims to Floyd’s petition for modification and
    application for rule to show cause. On April 10, 2013, Floyd’s attorneys
    filed a motion to withdraw. The court held a hearing on April 15 and
    granted Nichole’s request for designation of expert witness and addressed
    Floyd’s failure to obtain a psychological evaluation as previously ordered.
    After the hearing on April 15, Vandel advised Nichole to deny Floyd
    further visitation and filed a motion to suspend visitation.     Based on
    Vandel’s advice, Nichole began denying Floyd visitation on April 17.
    Thereafter on April 22, Floyd’s attorneys filed an application for a rule to
    show cause asserting Nichole denied Floyd visitation on April 17. That
    application along with Witherwax’s and Johnston’s motion to withdraw,
    4
    and the motion to suspend visitation were scheduled for hearing on
    May 9 at 1:30 p.m.
    On the morning of May 9, Vandel called Floyd’s attorney, Tyler
    Johnston, and told him the hospital notified her she needed to go in for a
    blood transfusion that day and asked if he would agree to a continuance.
    After Johnston agreed to the continuance, Vandel called Judge
    Gunderson and indicated she was medically incapable of attending the
    hearing. Vandel followed up with an email expressing her gratitude to
    Judge Gunderson and Johnston for understanding her need for the
    transfusion. Due to Vandel’s representations concerning her need for a
    blood transfusion, the court continued the hearing to the date of trial on
    May 20.   Despite her representations, Vandel did not receive a blood
    transfusion on May 9.
    On May 13, Floyd, through his new attorney Jason Springer, filed
    an application for rule to show cause alleging that Nichole, based on the
    advice of Vandel, had denied Floyd visitation nine times between April 17
    and May 11, in violation of the dissolution decree.
    The modification trial occurred May 20 through May 24 before
    Judge Blane. Prior to the start of the trial, counsel for both parties met
    with Judge Blane and agreed the court would consider, in addition to
    modification, Nichole’s counterclaim filed on October 1, 2012; Floyd’s
    application for rule to show cause filed on April 22, 2013; and Floyd’s
    application for rule to show cause filed on May 13. In order for the court
    to hear the application for rule to show cause filed on May 13, Vandel
    waived Nichole’s right to notice without consulting her. Nichole found
    out about the second application for rule to show cause on the third day
    of trial when Vandel showed her the application during a break.
    5
    During the modification trial, Nichole testified that Vandel told her
    three days before the trial she was going to withdraw as counsel on the
    first day of trial if Nichole did not pay her an additional $10,000. When
    Nichole told Vandel she was unable to pay $10,000, Vandel lowered the
    amount to $5000.             Although Nichole did not make an additional
    payment, Vandel appeared for trial and did not file a motion to withdraw.
    However, throughout the trial, Vandel continued to tell Nichole that she
    was going to withdraw if she did not make an additional payment.
    Nichole explained to Judge Blane that Vandel’s threats to withdraw put
    her “under extreme stress,” and she felt like she was being “harassed . . .
    badgered, and . . . threatened.”
    Additionally, on the first day of trial, Vandel presented Nichole with
    documents to sign in the form of a mortgage with a promissory note,
    attorney fee lien, assignment of income, judgment by confession, and
    assignment of wages.            Vandel falsely told Judge Blane she did not
    present any documents for Nichole to sign during the trial.                       Further,
    when Vandel threatened to withdraw if she did not receive an additional
    payment, Vandel did not inform Nichole of the likelihood that the judge
    would grant or deny such a motion.
    On May 28, Judge Blane found Vandel “guilty [beyond a
    reasonable doubt] of nine (9) counts of contempt of court by willfully
    counseling, thereby aiding and abetting the violation of the Court’s
    Decree of May 19, 2004, pursuant to Iowa Code section 665.2(3).” 1
    1Vandel filed a writ of certiorari challenging the district court’s ruling. The court
    of appeals sustained her writ, finding substantial evidence did not support the district
    court’s finding of contempt as to Vandel. However, we are unable to consider the court
    of appeals decision because Vandel failed to answer the complaint filed by the Board;
    thus, admitting all the allegations of the Board for purposes of this disciplinary
    proceeding.
    6
    Judge Blane also filed a complaint with the Board against Vandel. On
    June 6, Nichole filed a complaint with the Board against Vandel.       In
    response to Nichole’s complaint, Vandel wrote a letter to the Board on
    July 2, continuing to claim she needed medical treatment on May 9. In
    Vandel’s appellate brief filed on April 8, 2014, she again asserted that
    she was unavailable for the hearing on May 9, 2013, because she “had to
    go in for a blood transfusion.”    However, in a letter to the Board’s
    investigator on April 11, 2014, Vandel stated there were no medical
    records showing she had a blood transfusion on May 9, 2013.
    During the period in which Vandel represented Nichole, she
    maintained an Interest on Lawyers Trust Account (IOLTA).         Between
    September 2012 and March 2013, Nichole made payments to Vandel of
    $3000, $3894, $4080.30, $5000, and $8000.          They did not have a
    written fee agreement. The only information Nichole had regarding the
    scope of Vandel’s representation was that she would be charged $295 per
    hour for legal services.
    As part of its investigation into the complaints against Vandel, the
    Board discovered Vandel did not deposit any of the payments by Nichole
    into her trust account, did not maintain a check register, did not perform
    monthly reconciliations of her trust account, and did not maintain client
    ledgers.   However, Vandel falsely certified that she had deposited all
    retainers into her trust account and performed reconciliations of trust
    account balances with bank statement balances and client ledger
    balances on a monthly basis when she answered the 2013 and 2014
    Iowa Supreme Court Client Security Commission Questionnaires.
    On May 3, 2016, the Board filed a complaint alleging Vandel
    engaged in multiple violations of the Iowa Rules of Professional Conduct,
    concerning false statements to a tribunal, conduct prejudicial to the
    7
    administration of justice, failure to maintain a trust account, dishonesty,
    and misrepresentation.
    After Vandel failed to file an answer within the specified time, on
    June 16, the Board filed a motion to invoke Iowa Court Rule 36.7, asking
    the commission to deem the allegations in the complaint admitted. On
    June 23, Vandel filed a resistance to the motion, asserting she planned
    to hand-deliver her answer to the commission clerk on June 24.
    However, Vandel never filed the promised answer.         The commission
    waited until July 5, and on that date held the allegations in the
    complaint admitted. Iowa Supreme Ct. Att’y Disciplinary Bd. v. Conroy,
    
    795 N.W.2d 502
    , 506 (Iowa 2011) (“[T]he allegations of an ethics
    complaint are deemed admitted if the respondent fails to answer within
    the specified time.”); accord Iowa Ct. R. 36.7.   Vandel did not request
    additional time to file an answer, nor did she show good cause for her
    failure to file a timely answer. See Iowa Supreme Ct. Att’y Disciplinary
    Bd. v. Attorney Doe No. 819, ___ N.W.2d ___, ___ (Iowa 2016)
    (“Respondents in disciplinary proceedings are admonished that the
    failure to timely respond to the Board’s complaint results in admission of
    the allegations that may be unraveled only if the respondent shows good
    cause for the delay.”). Therefore, this matter proceeded to hearing solely
    on the issue of determining the appropriate sanction.
    At the hearing, Vandel asked the commission to take into
    consideration the fact that she does not intend to practice law in the
    future and her history of providing pro bono legal services throughout
    her career.   Following the hearing, the commission recommended we
    suspend Vandel’s license to practice law with no possibility of
    reinstatement for a period of one year.
    8
    III. Violations.
    A. Rule 32:1.4(b).       Rule 32:1.4(b) provides “[a] lawyer shall
    explain a matter to the extent reasonably necessary to permit the client
    to make informed decisions regarding the representation.” Iowa R. Prof’l
    Conduct 32:1.4(b).       For a client to effectively participate in the
    representation, reasonable communication between the lawyer and client
    is necessary. 
    Id. r. 32:1.4
    cmt. 1.
    Vandel violated this rule when she repeatedly told Nichole she was
    going to withdraw if Nichole did not make an additional payment to her.
    Vandel did not explain to Nichole that in order to withdraw she would
    have to make a motion to the court to do so.           Further, she did not
    explain the likelihood that a judge would grant such a motion on the first
    day of trial or during the trial.     Vandel’s threats to withdraw caused
    Nichole   extreme    stress,   and    she   felt   harassed   and   badgered.
    Accordingly, Vandel’s failure to fully explain the circumstances left
    Nichole unable to make an informed decision regarding Vandel’s
    representation and effectively prepare for and participate in the trial.
    Thus, Vandel violated rule 32:1.4(b).
    B. Rule 32:3.3(a)(1).     Rule 32:3.3(a)(1) prohibits a lawyer from
    knowingly making “a false statement of fact . . . to a tribunal.”         
    Id. 32:3.3(a)(1). The
    word knowingly requires an attorney to have “actual
    knowledge of the fact in question.” 
    Id. r. 32:1.0(f).
    “We will not infer an
    attorney made a misrepresentation knowingly simply because the
    misrepresentation occurred.” Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    Barnhill, 
    847 N.W.2d 466
    , 486 (Iowa 2014).
    Vandel knowingly made a false statement of fact to a tribunal when
    she told Judge Gunderson that she was medically incapable of attending
    the hearing on May 9 due to her need for a blood transfusion. During
    9
    the modification trial before Judge Blane, she continued to claim she had
    a blood transfusion.    Finally, in her statement of facts to the court of
    appeals, Vandel asserted that she was unavailable for the hearing on
    May 9 because she had to go in for a blood transfusion.        Despite her
    representations to these tribunals, Vandel has no medical records
    showing she had a blood transfusion on May 9. We find Vandel made
    these statements knowingly due to the number of times she repeated it
    to various persons and entities.
    Additionally, Vandel made another false statement to Judge Blane
    during the modification trial when she maintained that she never
    presented Nichole with any documents to sign in the form of a mortgage
    with a promissory note, attorney fee lien, assignment of income,
    judgment by confession, and assignment of wages.         We find she also
    made this statement knowingly.
    Accordingly, Vandel knowingly made several false statements to
    tribunals and therefore violated rule 32:3.3(a)(1).
    C. Rule 32:4.1(a).   This rule prohibits a lawyer from knowingly
    making “a false statement of material fact . . . to a third person.” Iowa R.
    of Prof’l Conduct 32:4.1(a). An attorney can violate this rule by making a
    false statement of material fact to opposing counsel. Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. Barnhill, 
    885 N.W.2d 408
    , 421 (Iowa 2016).
    Vandel violated this rule when she knowingly told her opposing
    counsel, Johnston, that she needed to go in for a blood transfusion on
    May 9 and asked if he would agree to a continuance.            Despite her
    representation to Johnston, Vandel did not receive a blood transfusion
    on May 9. We find at the time she made the statement she knew it was
    false.
    10
    D. Rule 32:8.4(d). A lawyer violates rule 32:8.4(d) when a lawyer
    engages “in conduct prejudicial to the administration of justice.” Iowa R.
    Prof’l Conduct 32:8.4(d). We have said that “there is no typical form of
    conduct that prejudices the administration of justice,” but “actions that
    have commonly been held to violate this disciplinary rule have hampered
    ‘the efficient and proper operation of the courts or of ancillary systems
    upon which the courts rely.’ ” Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    Templeton, 
    784 N.W.2d 761
    , 768 (Iowa 2010) (quoting Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. Howe, 
    706 N.W.2d 360
    , 373 (Iowa 2005)).
    We have consistently held that an attorney violates rule 32:8.4(d)
    when the “misconduct results in additional court proceedings or causes
    court proceedings to be delayed or dismissed.” Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Dolezal, 
    841 N.W.2d 114
    , 124 (Iowa 2013) (quoting
    Iowa Supreme Ct. Att’y Disciplinary Bd. v. Rhinehart, 
    827 N.W.2d 169
    ,
    180 (Iowa 2013)).
    Based on Vandel’s false statement that she needed a blood
    transfusion, the court granted her request for a continuance of the May 9
    hearing. Although opposing counsel Johnston agreed to the continuance
    because of Vandel’s “medical emergency,” he noted in an email to Judge
    Gunderson and Vandel that the continuance would prejudice Floyd
    because his application for rule to show cause would not get resolved
    until a later date.   Instead of the court considering his application on
    May 9, the court’s consideration of the application was delayed almost
    two weeks until the trial on May 20. Because Vandel’s false statement
    caused a delay in the proceedings, she violated rule 32:8.4(d).
    E. Rule 32:3.4(c).    Rule 32:3.4(c) provides “[a] lawyer shall not
    . . . knowingly disobey an obligation under the rules of a tribunal except
    11
    for an open refusal based on an assertion that no valid obligation exists.”
    Iowa R. Prof’l Conduct 32:3.4(c).
    The Board alleged, after the hearing on April 15, Vandel advised
    Nichole to deny Floyd further visitation, and based on Vandel’s advice,
    Nichole began denying Floyd visitation on April 17, in violation of the
    2004 dissolution decree.        Vandel admitted this allegation in this
    disciplinary proceeding because she failed to answer the complaint.
    Vandel knew that Nichole was obligated to follow the visitation
    order in the dissolution decree unless the court granted her motion to
    suspend Floyd’s visitation.     Because Vandel knowingly disobeyed the
    visitation order in the dissolution decree and advised her client to
    disregard the order, she violated rule 32:3.4(c).
    F. Rule 32:1.3.      Rule 32:1.3 states “[a] lawyer shall act with
    reasonable diligence and promptness in representing a client.”        
    Id. r. 32:1.3.
      “This rule requires an attorney to handle a client matter in a
    ‘reasonably timely manner.’ ”    
    Netti, 797 N.W.2d at 598
    (quoting Iowa
    Supreme Ct. Att’y Disciplinary Bd. v. Johnson, 
    792 N.W.2d 674
    , 678 (Iowa
    2010)). We have recognized violations “when an attorney fails to appear
    at scheduled court proceedings, does not make the proper filings, or is
    slow to act on matters.”      Iowa Supreme Ct. Att’y Disciplinary Bd. v.
    Nelson, 
    838 N.W.2d 528
    , 537 (Iowa 2013); see also Iowa Supreme Ct.
    Att’y Disciplinary Bd. v. Ackerman, 
    786 N.W.2d 491
    , 495 (Iowa 2010)
    (holding the attorney violated rule 32:1.3 for the dilatory handling of
    estates, despite receiving notices and inquiries from beneficiaries); Iowa
    Supreme Ct. Att’y Disciplinary Bd. v. Hauser, 
    782 N.W.2d 147
    , 150–53
    (Iowa 2010) (finding the attorney violated rule 32:1.3 by failing to make
    filings and not appearing at the scheduled trial).
    12
    The Board contends Vandel violated rule 32:1.3 when she waived
    Nichole’s right to notice of Floyd’s application for rule to show cause filed
    on May 13, without obtaining her consent and without informing Nichole
    until the third day of trial. Although these facts are undisputed, we find
    they are unrelated to reasonable diligence or promptness in Vandel’s
    representation of Nichole. While Vandel’s conduct likely violated a rule of
    professional conduct, we do not find rule 32:1.3 applies. 2                   Thus, the
    Board has failed to prove a violation of rule 32:1.3.
    G. Rule 32:1.5(b).          This rule requires a lawyer to communicate
    with the client, preferably in writing, regarding “[t]he scope of the
    representation and the basis or rate of the fee and expenses for which
    the client will be responsible.”           Iowa R. Prof’l Conduct 32:1.5(b).           An
    2See,   e.g., Iowa R. Prof’l Conduct 32:1.4. Rule 32:1.4(a) provides a lawyer must
    (1) promptly inform the client of any decision or circumstance
    with respect to which the client’s informed consent . . . is required by
    these rules;
    (2) reasonably consult with the client about the means by which
    the client’s objectives are to be accomplished;
    (3) keep the client reasonably informed about the status of the
    matter;
    (4) promptly comply with reasonable requests for information;
    and
    (5) consult with the client about any relevant limitation on the
    lawyer’s conduct when the lawyer knows that the client expects
    assistance not permitted by the Iowa Rules of Professional Conduct or
    other law.
    Iowa R. Prof’l Conduct 32:1.4(a). Additionally, rule 32:1.4(b) states “[a] lawyer shall
    explain a matter to the extent reasonably necessary to permit the client to make
    informed decisions regarding the representation.” 
    Id. r. 32:1.4
    (b). When an attorney
    neglects to keep a client informed about the status of the case, it is a violation of rule
    32:1.4. 
    Nelson, 838 N.W.2d at 537
    .
    13
    attorney’s failure to do so violates rule 32:1.5(b). 
    Nelson, 838 N.W.2d at 538
    . Further,
    a lawyer should not enter into an agreement whereby
    services are to be provided only up to a stated amount when
    it is foreseeable that more extensive services probably will be
    required, unless the situation is adequately explained to the
    client. Otherwise, the client might have to bargain for
    further assistance in the midst of a proceeding or
    transaction.
    Iowa R. Prof’l Conduct 32:1.5 cmt. 5.
    There was no written fee agreement between Vandel and Nichole.
    Vandel did not communicate to Nichole the scope of her representation
    other than to tell Nichole she charged $295 per hour for legal services.
    When Vandel demanded $10,000 from Nichole three days before trial,
    she referenced a nonexistent fee contract. Nichole, on the other hand,
    had an email from April 2013, in which she referred to Vandel’s
    agreement to accept $100-per-month payments.
    It is worth noting that the Board previously admonished Vandel for
    similar conduct in 2007, when four days prior to a hearing she
    demanded a client pay her an additional $3500 or she would not
    represent him further.     The Board found her conduct violated rule
    32:1.16(b)(5) because the fee contract did not unilaterally allow Vandel to
    require an additional retainer. Here, Vandel did not adequately explain
    to Nichole the scope of her representation or that she would provide her
    services only up to a stated amount, and therefore, she violated rule
    32:1.5(b).
    H. Rules 32:1.15(a), 32:1.15(c), and 32:1.15(f).        We address
    these alleged violations together because they apply to the safekeeping of
    a client’s property, including retainer fees.   Rule 32:1.15 provides, in
    relevant part,
    14
    (a) A lawyer shall hold property of clients or third
    persons that is in a lawyer’s possession in connection with a
    representation separate from the lawyer’s own property.
    Funds shall be kept in a separate account. Other property
    shall be identified as such and appropriately safeguarded.
    Complete records of such account funds and other property
    shall be kept by the lawyer and shall be preserved for a
    period of six years after termination of the representation.
    ....
    (c) A lawyer shall deposit into a client trust account
    legal fees and expenses that have been paid in advance, to
    be withdrawn by the lawyer only as fees are earned or
    expenses incurred.
    ....
    (f) All client trust accounts shall be governed by
    chapter 45 of the Iowa Court Rules.
    
    Id. r. 32:1.15.
       This rule incorporates Iowa Court Rule 45.7, which
    directs how lawyers are to handle retainers.       Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. McCarthy, 
    814 N.W.2d 596
    , 607 (Iowa 2012).         Rule
    45.7(3) “requires a lawyer to deposit a retainer into a trust account and
    withdraw payments as the lawyer earns the fee or incurs the expense.”
    Id.; Iowa Ct. R. 45.7(3).   It “also requires a lawyer, at the time of a
    withdrawal of a fee or expense, to notify his client in writing of the time,
    amount, and purpose of the withdrawal and provide a complete
    accounting.” 
    McCarthy, 814 N.W.2d at 607
    ; Iowa Ct. R. 45.7(4).
    Vandel did not deposit any of Nichole’s payments into her trust
    account. Because she did not deposit any of the payments into the trust
    account, Vandel did not withdraw fees and expenses as she earned them,
    nor did she provide Nichole with contemporaneous notices. Therefore,
    Vandel violated rules 32:1.15(a), 32:1.15(c), and 32:1.15(f).
    I. Rule 32:8.4(c). This rule is violated when a lawyer engages “in
    conduct involving dishonesty, fraud, deceit, or misrepresentation.” Iowa
    15
    R. Prof’l Conduct 32:8.4(c).   We “require some level of scienter that is
    greater than negligence to find a violation of rule 32:8.4(c).” 
    Netti, 797 N.W.2d at 605
    .     We have previously found an attorney “engaged in
    knowing dishonesty” when he falsely represented that he regularly
    reconciled his client trust account when he answered the Iowa Supreme
    Court Client Security 2010 Combined Statement. Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Morris, 
    847 N.W.2d 428
    , 435 (Iowa 2014).
    During the hearing, Vandel stated she is not good at managing
    money and admitted to these trust account violations. We find Vandel
    engaged in knowing dishonesty when she falsely answered the 2013 and
    2014 Client Security Commission Questionnaires.          Particularly, she
    falsely represented that she deposited all retainers into her trust account
    and that she performed monthly reconciliations of trust account
    balances. Thus, Vandel violated rule 32:8.4(c).
    IV. Sanctions.
    In determining the appropriate sanction a lawyer must face for
    misconduct,
    we consider the nature of the violations, protection of the
    public, deterrence of similar misconduct by others, the
    lawyer’s fitness to practice, and the court’s duty to uphold
    the integrity of the profession in the eyes of the public. We
    also consider aggravating and mitigating circumstances
    present in the disciplinary action.
    
    Nelson, 838 N.W.2d at 542
    (quoting 
    Templeton, 784 N.W.2d at 769
    –70).
    Our primary purpose when imposing sanctions is to protect the public,
    not to punish the lawyer.      
    Id. However, when
    an attorney violates
    multiple conduct rules, we may impose enhanced sanctions.             Iowa
    Supreme Ct. Bd. of Prof’l Ethics & Conduct v. Alexander, 
    574 N.W.2d 322
    ,
    327 (Iowa 1998). Further, when “considering the importance of honesty
    16
    to our profession, we have stated that misrepresentation by a lawyer . . .
    generally results in a ‘lengthy suspension.’ ”     Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Gottschalk, 
    729 N.W.2d 812
    , 821 (Iowa 2007) (quoting
    Iowa Supreme Ct. Bd. of Prof’l Ethics & Conduct v. Grotewold, 
    642 N.W.2d 288
    , 294 (Iowa 2002).
    In Vandel’s case, there are several aggravating factors we must
    consider when determining the appropriate sanction.             First, an
    aggravating factor is Vandel’s prior discipline.   Iowa Supreme Ct. Att’y
    Disciplinary Bd. v. Baldwin, 
    857 N.W.2d 195
    , 214 (Iowa 2014).         We
    consider both prior admonitions and prior public discipline.           
    Id. Additionally, “[p]rior
    misconduct is more suggestive of increased
    sanctions when it involves the same type of conduct as the conduct
    currently subject to discipline.” 
    Id. The Board
    has previously admonished Vandel on two occasions.
    In 2004, the Board admonished her for representing both parties in a
    marriage dissolution matter.     In 2007, the Board admonished her for
    similar conduct to the conduct in this case when she demanded a client
    pay an additional retainer for her continued representation four days
    before a hearing when the fee contract did not allow her to unilaterally
    require an additional retainer. In 2012, we publicly reprimanded Vandel
    for similar trust account violations.
    Second, we consider substantial experience in the practice of law
    an aggravating factor affecting our determination. 
    Morris, 847 N.W.2d at 436
    . Vandel has substantial experience as she has been practicing law
    in Iowa for twenty years.
    Third, it is significant that Vandel’s actions exposed her client to
    harm. See 
    Netti, 797 N.W.2d at 606
    –07. Vandel’s repeated threats to
    17
    withdraw prior to and during the trial caused Nichole extreme stress and
    prevented her from effectively participating in the trial.
    Finally, an “attorney’s failure to appreciate the wrongfulness of his
    or her actions is an aggravating circumstance.” Iowa Supreme Ct. Bd. of
    Prof’l Ethics & Conduct v. Tofflemire, 
    689 N.W.2d 83
    , 93 (Iowa 2004). On
    the other hand, “[a] mitigating factor is the attorney’s recognition of some
    wrongdoing.”    
    Id. During the
    commission’s sanctions hearing, Vandel
    said she is not good at managing money and admitted to trust account
    violations. However, she never acknowledged that she repeatedly made
    false statements to the trial court, opposing counsel, the court of
    appeals, and the Board.      Further, she adamantly denied her conduct
    caused any harm to Nichole.
    We also take into consideration the mitigating factors present in
    this case.   First, we acknowledge that Vandel was hospitalized for a
    severe illness near the time she requested a continuance for the hearing
    on May 9. Although Vandel did not have a blood transfusion on May 9,
    she was admitted to the hospital on May 7 for severe illness and pain.
    She left the hospital on the morning of May 8, despite being counseled
    against leaving because of the severity of her illness.      “While personal
    illness will not excuse an attorney’s misconduct, such illnesses may
    influence our approach to discipline.” 
    Netti, 797 N.W.2d at 606
    .
    Second, we note Vandel has provided substantial pro bono legal
    work throughout her career and routinely performs work for low-income
    clients. See Iowa Supreme Ct. Att’y Disciplinary Bd. v. McGinness, 
    844 N.W.2d 456
    , 467 (Iowa 2014) (stating community service is a mitigating
    factor).
    In similar cases involving misrepresentations compounded with
    other misconduct, we have suspended an attorney’s license for as short
    18
    as six months to as long as two years. In McGinness, we imposed a six-
    month suspension for making false statements to a tribunal; conduct
    that involved dishonesty, fraud, deceit, or misrepresentation; and
    conduct prejudicial to the administration of justice. 
    Id. at 462–63,
    467.
    In Morris, we imposed a six-month suspension on an attorney who
    falsely answered questions in the Client Security Combined Statement,
    had substantially and repeatedly failed to maintain a trust account, had
    twenty-five years of experience, and had three prior 
    suspensions. 847 N.W.2d at 436
    –37.
    In Iowa Supreme Court Attorney Disciplinary Board v. Hearity, we
    suspended an attorney for one year for making a false statement to the
    court in addition to neglect, charging unreasonable fees, failing to
    properly terminate representation, failing to respond to the board, and
    practicing law without a license.     
    812 N.W.2d 614
    , 618–21, 623 (Iowa
    2012).
    In Netti, we suspended an attorney’s license for two years for
    multiple   violations,    including   misrepresentations   to   the   court,
    incompetent representation, conflict of interest, failure to properly
    communicate with clients, failure to maintain a trust account, taking
    fees without accounting for his time, failure to cooperate with the Board,
    and his unauthorized practice of 
    law. 797 N.W.2d at 607
    .
    In light of Vandel’s multiple violations, the aggravating factors, and
    the mitigating factors, we conclude a suspension of six months is
    warranted in this case.
    V. Disposition.
    We suspend Vandel’s license to practice law in Iowa with no
    possibility of reinstatement for six months from the date of this opinion.
    This suspension applies to all facets of the practice of law. See Iowa Ct.
    
    19 Rawle 34
    .23(3).   Vandel must also comply with the requirements of Iowa
    Court Rule 34.24 with respect to the notification of clients and opposing
    counsel. To establish her eligibility for reinstatement, Vandel must file
    an application for reinstatement meeting all applicable requirements of
    Iowa Court Rule 34.25.     We tax the costs of this action to Vandel
    pursuant to Iowa Court Rule 36.24(1).
    LICENSE SUSPENDED.