Marguerite B. Holder v. Orange Grove Medical Specialties, P.A. ( 2008 )


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  •                    ``IN THE SUPREME COURT OF MISSISSIPPI
    NO. 2008-CT-01442-SCT
    MARGUERITE B. HOLDER AND HERBERT
    HOLDER
    v.
    ORANGE GROVE MEDICAL SPECIALTIES, P.A.,
    AND BOYD BENEFIELD, M.D.
    ON WRIT OF CERTIORARI
    DATE OF JUDGMENT:                         07/29/2008
    TRIAL JUDGE:                              HON. JERRY O. TERRY, SR.
    COURT FROM WHICH APPEALED:                HARRISON COUNTY CIRCUIT COURT
    ATTORNEY FOR APPELLANTS:                  L. CHRISTOPHER BREARD
    ATTORNEYS FOR APPELLEES:                  STEPHEN GILES PERESICH
    JOHANNA MALBROUGH McMULLAN
    BRIAN DOUGLAS MAYO
    NATURE OF THE CASE:                       CIVIL - MEDICAL MALPRACTICE
    DISPOSITION:                              THE JUDGMENT OF THE COURT OF
    APPEALS IS REVERSED. THE JUDGMENT
    OF THE HARRISON COUNTY CIRCUIT
    COURT IS REINSTATED AND AFFIRMED -
    12/09/2010
    MOTION FOR REHEARING FILED:
    MANDATE ISSUED:
    EN BANC.
    CARLSON, PRESIDING JUSTICE, FOR THE COURT:
    ¶1.    Marguerite Holder and her husband, Herbert Holder (the Holders), filed a medical-
    negligence suit against Orange Grove Medical Specialties, P.A.; Boyd Benefield, M.D.; and
    John Does One through Five (Orange Grove) on December 7, 2006, in the Circuit Court for
    the First Judicial District of Harrison County. On July 29, 2008, almost one year and eight
    months later, the circuit judge dismissed the suit with prejudice, as to each defendant, for
    want of prosecution in accordance with Mississippi Rule of Civil Procedure 41(b). The
    Holders appealed the dismissal, and the Court of Appeals reversed the circuit court, holding
    that the circuit judge should have imposed a lesser sanction. Holder v. Orange Grove Med.
    Specialties, P.A., ___ So. 3d ___, 
    2010 WL 11267
     (Miss. Ct. App. Jan. 5, 2010), reh’g
    denied (May 18, 2010). Orange Grove petitioned this Court for writ of certiorari, which we
    granted. Holder v. Orange Grove Med. Specialties, P.A., 
    39 So. 3d 5
     (Miss. 2010). Finding
    error in the Court of Appeals’ judgment reversing the trial court’s Rule 41(b) dismissal, we
    reverse the decision of the Court of Appeals and reinstate and affirm the judgment of the
    Circuit Court for the First Judicial District of Harrison County.
    FACTS AND PROCEEDINGS IN THE TRIAL COURT
    ¶2.    The following history, in large part, is taken from the facts and trial-court proceedings
    as set out in the opinion of the Court of Appeals.
    ¶3.    On September 21, 2004, Marguerite was admitted to Garden Park Medical Center
    after having been diagnosed with a new onset of atrial fibrillation. She was discharged from
    Garden Park on or about September 26, 2004, by Dr. Benefield and placed on the blood-
    thinning medication, Coumadin.
    ¶4.    According to the complaint, blood tests taken on October 6, 2004, indicated that her
    Coumadin levels were therapeutically too high for her condition and placed her at a greater
    risk for a stroke. No change in her therapy was ordered, but a follow-up appointment was
    2
    made for October 13, 2004. Also, an appointment had been scheduled with Dr. Shah,1
    Marguerite’s cardiologist, who apparently had been called in as a consultant by Dr. Benefield
    when Marguerite was in the hospital.2
    ¶5.    The plaintiffs alleged that when Marguerite arrived for her appointment at Orange
    Grove on October 13, she was told by an unnamed employee, who was a nurse at [the] clinic,
    that additional blood work would not be necessary because it had been performed the week
    before. Marguerite did not see the doctor that day, and no adjustments were made to her
    Coumadin dosage.         The following day, on October 14, 2004, Marguerite suffered a
    hemorrhagic stroke.
    ¶6.    The plaintiffs filed their complaint on December 7, 2006, more than two years after
    Marguerite had suffered her stroke.3 The defendants filed a motion for enlargement of time
    1
    The record does not provide Dr. Shah’s full name.
    2
    In their answer, the defendants admitted that Marguerite had an appointment
    scheduled with Dr. Shah for October 15, 2004, but they disputed that Marguerite had a
    follow-up appointment scheduled for blood work to be performed at the Orange Grove clinic
    on October 13.
    3
    According to the complaint, the plaintiffs alleged the following acts of negligence:
    (1) Defendants negligently failed to monitor and adjust Marguerite’s
    Coumadin therapy, which resulted in her becoming overly anticoagulated and
    caused her to suffer the hemorrhagic stroke;
    (2) Orange Grove is responsible for the negligent acts of its employees, based
    on the theory of respondeat superior;
    (3) Orange Grove was negligent in failing to have a reasonable protocol in
    place to prevent over anticoagulation in a patient such as Marguerite;
    (4) The nurse employee/employees of Orange Grove was/were negligent in
    not performing a follow-up anticoagulation study on October 13, 2004,
    3
    in which to file an answer, which was granted on January 8, 2007. The defendants timely
    filed their answer and defenses to the plaintiffs’ complaint on February 12, 2007. Along with
    that motion, the defendants filed a motion to compel waiver of medical privileges, which
    included their “First Set of Interrogatories and Requests for Production of Documents to the
    Plaintiffs.”
    ¶7.    On March 8, 2007, plaintiffs’ counsel sent correspondence to defendants’ counsel
    advising that he was in trial on another matter “for the next couple of days” and would not
    be able to complete discovery until that trial was concluded.
    ¶8.    On May 4, 2007, defendants’ counsel sent correspondence to plaintiffs’ counsel
    inquiring when responses to the defendants’ discovery requests would be completed. On
    May 22, 2007, plaintiffs’ counsel provided the defendants with an “Authorization to
    Disclose, Release and Furnish Protected Health Information.”
    Marguerite’s return visit, and/or failed to discuss the matter with a physician;
    (5) Orange Grove and Dr. Benefield were negligent in not having an adequate
    system for monitoring Coumadin therapy and/or having studies performed
    locally and test results immediately available for the physicians’ review and
    reaction to increasing anticoagulation, placing a patient at unnecessarily
    increased risk of stroke;
    (6) Defendants Does One through Five, whose identities are unknown at this
    time, are guilty of such acts of negligence, which are, at present, unknown to
    Plaintiffs, but may be discovered during trial preparation of this case;
    (7) Defendants, collectively, are guilty of such other acts of negligence as may
    be discovered during trial preparation of this case.
    4
    ¶9.    On May 24, 2007, defendants’ counsel refaxed his May 4 inquiry about completion
    of discovery to plaintiffs’ counsel, and did so again on June 4, 2007. According to the
    defendants, each request was ignored.
    ¶10.   Approximately one year later, on May 5, 2008, plaintiffs’ counsel sent a letter to
    defendants’ counsel requesting to take Dr. Benefield’s deposition. Two days later, while still
    not having answered the defendants’ discovery, plaintiffs’ counsel filed interrogatories and
    requests for production of documents. On May 9, 2008, the defendants filed a motion to
    dismiss for failure to prosecute, citing in part the plaintiffs’ failure to answer discovery.
    ¶11.   On May 22, 2008, the plaintiffs filed answers to the interrogatories and requests for
    production of documents which had been propounded by the defendants on February 12,
    2007, more than fifteen months earlier, along with a motion to compel the deposition of
    defendant, Dr. Benefield. The defendants responded on June 10, 2008, by filing a motion
    seeking to strike the plaintiffs’ motion to compel Dr. Benefield’s deposition. On July 24,
    2008, the plaintiffs filed their response to the defendants’ motion to dismiss for failure to
    prosecute.
    ¶12.   The defendants’ motion to dismiss came before the Circuit Court of Harrison County
    on July 25, 2008. After a hearing on the matter, the trial court ordered the case dismissed
    with prejudice, holding:
    I feel like that the delays in responding to discovery and not pursuing the case
    as it should have been for this period of time is certainly sufficient for the
    Court to deem that the case was not pursued properly; that it should be
    dismissed for failure to prosecute the case.
    5
    ¶13.   Upon request from plaintiffs’ counsel that a statement of findings of fact and
    conclusions of law be made by the court, the trial judge stated: “I’m not going to make a
    finding of fact and conclusion of law any further than adopting the argument of counsel for
    the defendant, the cases that he has cited as to the basis for the dismissal [sic]. And the
    record speaks for itself. That’s it.” Holder, 
    2010 WL 11267
     at **1-2, ¶¶2-12.
    PROCEEDINGS IN THE COURT OF APPEALS
    ¶14.   Before the Court of Appeals, the Holders asserted that the trial court had abused its
    discretion in dismissing the case for want of prosecution. The Court of Appeals thoroughly
    addressed the issue and reversed the trial court, finding that there was no actual or
    presumptive prejudice to the defendants and that no aggravating factors were present.
    Holder, 
    2010 WL 11267
     at *7, ¶41.
    DISCUSSION
    ¶15.   On July 29, 2010, we granted the defendants’ petition for writ of certiorari. Holder
    v. Orange Grove Med. Specialities, 
    39 So. 3d 5
     (Miss. 2010).
    ¶16.   We employ an abuse-of-discretion standard when reviewing a trial court’s dismissal
    for failure to prosecute pursuant to Rule 41(b). Am. Tel. & Tel. v. Days Inn of Winona, 
    720 So. 2d 178
    , 180 (Miss. 1998) (citing Wallace v. Jones, 
    572 So. 2d 371
    , 375 (Miss. 1990)).
    “Because the law favors a trial of the issues on the merits, a dismissal for lack of prosecution
    is employed reluctantly.” Miss. Dep’t of Human Servs. v. Guidry, 
    830 So. 2d 628
    , 632
    (Miss. 2002) (citing Am. Tel. & Tel., 720 So. 2d at 180; Watson v. Lillard, 
    493 So. 2d 1277
    ,
    1278 (Miss. 1986)).
    6
    ¶17.   Mississippi Rule of Civil Procedure 41(b) permits defendants to move for dismissal
    of any action “[f]or failure of the plaintiff to prosecute . . . .” Miss. R. Civ. P. 41(b). “Rule
    41(b) embodies the tenet that ‘any court of law or equity may exercise the power to dismiss
    for want of prosecution. This power, inherent to the courts, is necessary as a means to the
    orderly expedition of justice and the court’s control of its own docket.’” Hillman v.
    Weatherly, 
    14 So. 3d 721
    , 726 (Miss. 2009) (citing Cucos, Inc. v. McDaniel, 
    938 So. 2d 238
    , 240 (Miss. 2006) (citing Walker v. Parnell, 
    566 So. 2d 1213
    , 1216 (Miss. 1990)
    (quoting Watson, 493 So. 2d at 1278). Motions for failure to prosecute are considered on
    a case-by-case basis. Id. (citing Am. Tel. & Tel., 720 So. 2d at 181 (citing Wallace, 572 So.
    2d at 376)). “There is no set time limit on the prosecution of an action once it has been filed,
    and dismissal for failure to prosecute will be upheld only ‘where the record shows the
    plaintiff has been guilty of dilatory or contumacious conduct.’” Miss. Dep’t of Human
    Servs., 830 So. 2d at 632 (citing Watson, 493 So. 2d at 1278). Finally, this Court also must
    consider whether lesser sanctions would suffice. Id. at 633 (citing Am. Tel. & Tel., 720 So.
    2d at 181-82). We also are “mindful of the fact that ‘dismissal with prejudice is an extreme
    and harsh sanction that deprives a litigant of the opportunity to pursue his claim, and any
    dismissals with prejudice are reserved for the most egregious cases.’” Hoffman v.
    Paracelsus Health Care Corp., 
    752 So. 2d 1030
    , 1034 (Miss. 1999) (citing Wallace, 572
    So. 2d at 376).
    ¶18.   In sum, this Court may uphold a Rule 41(b) dismissal when there is: (1) a record of
    dilatory or contumacious conduct by the plaintiff; and (2) a finding by this Court that lesser
    7
    sanctions would not serve the interests of justice. Additional “aggravating factors” or actual
    prejudice may bolster the case for dismissal, but are not requirements. We address each of
    these considerations below.
    A. Clear Record of Delay
    ¶19.   The Court of Appeals correctly found a clear record of delay in today’s case. Holder,
    
    2010 WL 11267
     at *5, ¶28. The Court of Appeals made the following findings with regard
    to delay: the Holders did not submit their answers to interrogatories until 435 days past the
    deadline set by Mississippi Rule of Civil Procedure 33(b)(3);4 the Holders did not begin their
    own discovery until almost a year past the deadline set by Uniform Rule of Circuit and
    County Court Practice 4.04(A);5 and the Holders failed to reply to the defendants’ motion to
    dismiss within the ten-day time limit in Rule 4.03(2) of the Uniform Rules of Circuit and
    County Court Practice.6 Holder, 
    2010 WL 11267
     at *3, ¶¶17-20. Based on these findings,
    the Court of Appeals held that:
    4
    Rule 33(b)(3) requires plaintiffs to serve their answers, and any objections thereto,
    within thirty days of receiving the defendant’s interrogatories. The Holders received the
    defendants’ interrogatories on February 12, 2007, and answered them on May 22, 2008, 435
    days past the deadline.
    5
    Rule 4.04(A) states in part: “All discovery must be completed within ninety days
    from service of an answer by the applicable defendant.” The defendants answered on
    February 12, 2007, and the Holders did not begin their discovery until May 5, 2008, almost
    a year past the May 12, 2007, deadline.
    6
    Rule 4.03 of the Uniform Rules of Circuit and County Court Practice requires
    plaintiffs to reply to a motion to dismiss within ten days. The defendants’ motion to dismiss
    was filed on May 9, 2008. The Holders responded on July 24, 2008, more than two months
    after the deadline set by Rule 4.03.
    8
    the record substantially supports the trial court’s finding of dilatory conduct
    on the part of the plaintiffs. Whether the plaintiffs’ failure to timely engage in
    discovery, as claimed by the plaintiffs’ counsel, was unintentional is of no
    moment to this Court, for the facts here clearly evince inexcusable delay.
    While there may be instances where delay, under the circumstances, may be
    excusable, we can say unequivocally that the asserted reason for the delay as
    stated by counsel for the plaintiffs, which he attributed to staffing difficulties
    at his law office and his having other trials to contend with, warrants no such
    consideration. In the case at bar, counsel’s mistaken belief that someone from
    his law office had timely answered the defendants’ propounded discovery and
    filed the plaintiffs’ own discovery requests, constitutes–at the very least–delay
    by negligent omission.
    Holder, 
    2010 WL 11267
     at *3, ¶21.
    ¶20.   A showing of delay or contumacious conduct is sufficient for a Rule 41(b) dismissal
    when a lesser sanction would not serve the best interests of justice. Am. Tel. & Tel., 720 So.
    2d at 181 (citing Rogers v. Kroger Co., 
    669 F.2d 317
    , 320 (5th Cir. 1982)). “Delay alone
    may suffice” for a dismissal under Rule 41(b). Cox, 976 So. 2d at 875 (emphasis added).
    “Factors other than delay are not required. The standard is whether there is ‘a clear record
    of delay or contumacious conduct by the plaintiff . . . .’” Id. (citing Am. Tel. & Tel., 720 So.
    2d at 181 (emphasis added)).
    ¶21.   We previously have held that repeated failures to comply with discovery requests
    warrant dismissal with prejudice. Beck v. Sapet, 
    937 So. 2d 945
    , 950 (Miss. 2006) (finding
    a “pattern of consistent follow-up regarding pending requests”); see also Hillman v.
    Weatherly, 
    14 So. 3d 721
    , 723 (Miss. 2009) (defendant had sent plaintiff a “good-faith letter
    requesting answers to discovery” three months after propounding first set of interrogatories).
    In the present case, counsel for the defendants sent his first set of interrogatories to plaintiffs’
    9
    counsel on February 12, 2007. Plaintiffs’ counsel responded to the requests by
    correspondence stating that he would not be able to complete discovery because he was in
    trial on another matter. Defendants’ counsel followed up three times with plaintiffs’ counsel,
    inquiring when the discovery requests would be completed.7 All of these inquiries were
    ignored by plaintiffs’ counsel.
    ¶22.   We also may consider whether the plaintiffs’ activity was reactionary to the
    defendants’ motion to dismiss, or whether the activity was an effort to proceed in the
    litigation. Hillman, 14 So. 3d at 727 (citing Hill v. Ramsey, 
    3 So. 3d 120
    , 122 (Miss. 2009)).
    Plaintiffs’ counsel first attempted discovery in this case when it sent a letter to counsel for
    the defendants requesting to take the deposition of Dr. Benefield on May 5, 2008. While this
    attempt was made prior to the defendants’ filing their motion to dismiss, we cannot ignore
    that counsel for the plaintiffs did not respond to the defendants’ interrogatories and their
    three subsequent followup inquires until thirteen days after the defendants had filed their
    motion to dismiss and 435 days past the deadline set by our Rules of Civil Procedure. See
    Miss. R. Civ. P. 33(b)(3).
    ¶23.   This Court also has recognized that a defendant’s own dilatory conduct may be
    considered when dismissing an action. Salts v. Gulf Nat’l Life Ins. Co., 
    872 So. 2d 667
    , 670
    (Miss. 2004) (citing Palmer v. Biloxi Reg’l Med. Ctr., Inc., 
    564 So. 2d 1346
    , 1370 (Miss.
    7
    Followup inquires were sent on May 4, May 24, and June 4, 2007.
    10
    1990). In today’s case, there has been no showing of dilatory conduct by the defendants.
    The defendants timely filed their answer and defenses to the plaintiffs’ complaint.
    ¶24.   We also note that plaintiffs’ counsel failed to move for a continuance to allow for
    additional time to complete the defendants’ discovery requests. In Mississippi Department
    of Human Services v. Helton, 
    741 So. 2d 240
    , 243 (Miss. 1999), plaintiff’s counsel had
    requested a number of continuances, which defendant’s counsel claimed had caused a delay
    in the case warranting a Rule 41(b) dismissal. This Court found that “[t]here is nothing
    contemptuous or contumacious about requesting continuances.” 
    Id.
     In the present case,
    plaintiffs’ counsel made no attempt to move for a continuance to allow for more time to
    answer the defendants’ discovery requests. Rather, he ignored the defendants’ repeated
    requests to answer interrogatories and allowed the case to languish on the docket without any
    activity for more than a year.
    ¶25.   This case shows a clear record of delay based on the showing of inexcusable delay.
    When there is a clear record of delay, no showing of contumacious conduct is necessary.
    Hine v. Anchor Lake Prop. Owners Ass’n, 
    911 So. 2d 1001
    , 1005 (Miss. Ct. App. 2005).
    The plaintiffs delayed in answering the defendants’ interrogatories for 435 days. The
    plaintiffs also did not serve discovery requests upon the defendants within the time limit set
    by Uniform Rule of Civil and County Court Practice 4.04(A), and the plaintiffs were late in
    responding to the defendants’ motion to dismiss. Thus, the Court of Appeals was correct in
    holding that the trial court did not abuse its discretion in finding that a clear record of delay
    existed in the present case.
    11
    B.     Additional Considerations of Prejudice and Aggravating Factors
    ¶26.   While the Court of Appeals’ finding of delay is correct, we respectfully find that the
    court erred when it continued in its analysis and found that the defendants were not
    prejudiced by the delay and that the absence of an aggravating factor warrants reversal of the
    trial court’s judgment. Holder, 
    2010 WL 11267
    , at **6-7, ¶¶38-41. After finding that an
    aggravating factor is not present in today’s case, the Court of Appeals found that:
    When this fact is taken into consideration together with the fact that there is no
    clear record of actual prejudice caused to the defendant, or even that of
    presumptive prejudice, we find that the trial court erred in its decision to
    dismiss the plaintiffs’ case with prejudice.
    Holder, 
    2010 WL 11267
    , at *7, ¶41.
    ¶27.   The trial court may consider prejudice or the presence of an aggravating factor, and
    these considerations may help to bolster or strengthen a defendant’s case in support of
    dismissal. These considerations, however, are not a prerequisite to dismissal under Rule
    41(b). The standard is “whether there is delay or contumacious conduct by the plaintiff. . .
    .” Cox, 976 So. 2d at 875 (citing Am. Tel. & Tel., 720 So. 2d at 181). Because “[d]elay
    alone may suffice” for a dismissal pursuant to Rule 41(b), we disagree with the Court of
    Appeals’ holding that the absence of both an aggravating factor and prejudice -- which we
    find is present in today’s case – warrants reversal of the trial court’s judgment. We discuss
    each separately below.
    1.     Prejudice
    12
    ¶28.   Actual prejudice is not a requirement for dismissal under Rule 41(b), however
    prejudice may be presumed from unreasonable delay. Cox, 976 So. 2d at 876-79.
    ¶29.   The Court of Appeals found that no presumptive prejudice existed in this case. The
    issue of whether actual prejudice did exist in this case is of no moment, because the result
    would be the same. The case had been stale for more than a year, and the plaintiffs had failed
    to meet multiple discovery and procedural deadlines. This dilatory conduct resulted in an
    unreasonable delay, and we have held that “prejudice may be presumed from unreasonable
    delay.” Id. at 879 (citing Rogers, 
    669 F.2d at 322
    ).
    ¶30.   Actual prejudice may arise when, because of the delay, witnesses become unavailable
    or the memories of witnesses fade. Id. at 877-79. The defendants agree that “[i]t is
    completely reasonable to expect witnesses to have no independent recollection over three
    years after the October 2004 patient interaction and care.” However, the defendants failed
    to present evidence showing that any of the witnesses could not recall the events. Despite
    the defendant’s failure to present evidence of witnesses’ fading memories, we find that the
    delay alone may result in presumed prejudice to the defendant. This presumed prejudice
    strengthens the defendants’ case for dismissal under Rule 41(b).
    2.     Aggravating Factors
    ¶31.   The presence of an aggravating factor may serve to “bolster” or strengthen the case
    for a dismissal, but is not a requirement. Am. Tel. & Tel., 720 So. 2d at 181. The
    aggravating factors include: (1) the extent to which the plaintiff, as distinguished from his
    counsel, was personally responsible for the delay; (2) the degree of actual prejudice to the
    13
    defendant; and (3) whether the delay was the result of intentional conduct. Cox, 976 So. 2d
    at 876 (citing Am. Tel. & Tel., 720 So. 2d at 181). We do not find any aggravating factors
    in this case.
    C. Lesser Sanctions
    ¶32.   Finally, in determining whether the trial court abused its discretion when dismissing
    a case pursuant to Rule 41(b), we must consider whether lesser sanctions would better serve
    the interests of justice. Am. Tel. & Tel., 720 So. 2d at 181. Lesser sanctions may include
    “‘fines, costs, or damages against plaintiff or his counsel, attorney disciplinary measures,
    conditional dismissal, dismissal without prejudice, and explicit warnings.’” Id. (quoting
    Wallace, 572 So. 2d at 377). In the present case, the trial judge asked plaintiffs’ counsel
    what sanctions would be appropriate. Counsel recognized that it is within the trial court’s
    discretion to determine an appropriate sanction, but stated that he thought a warning would
    be appropriate. The trial judge responded by saying: “What’s the purpose of a warning?
    Everybody is supposed to know the rules.” Based on this exchange, the Court of Appeals
    found that the trial court considered lesser sanctions in his holding. Holder, 
    2010 WL 11267
    at *5-6, ¶¶29-36. We agree.
    ¶33.   We now must determine whether the trial court was correct in finding that lesser
    sanctions would not suffice. Am. Tel. & Tel., 720 So. 2d at 181. Plaintiffs’ counsel failed
    to meet three deadlines set by our Rules of Civil Procedure and Uniform Rules of Circuit and
    County Court Practice.     The plaintiffs were more than a year late in answering the
    defendants’ interrogatories and beginning their discovery, and were two months late in
    14
    replying to the defendants’ motion to dismiss. We also must consider that defense counsel
    attempted to contact plaintiffs’ counsel three times with regard to the late response to
    interrogatories. Today’s case is not an isolated incident of one missed deadline or a short,
    delayed response. In light of the multiple, extended delays, we find that lesser sanctions in
    the present case would not serve the interests of justice. Thus, the trial judge did not abuse
    his discretion in dismissing this case under Mississippi Rule of Civil Procedure 41(b).
    CONCLUSION
    ¶34.   This Court may uphold a Rule 41(b) dismissal when there has been a showing of
    “delay or contumacious conduct” by the plaintiff and a finding that lesser sanctions would
    not suffice. Delay alone is sufficient to warrant a dismissal; the Court of Appeals erred in
    reversing the trial court based on the absence of an aggravating factor present in today’s case.
    Aggravating factors may be considered by the trial court when determining whether
    dismissal is an appropriate sanction, but they are not requirements; delay alone may be
    sufficient to warrant a dismissal. Prejudice may be presumed from this delay. Finally, in
    light of the dilatory conduct present in this case, lesser sanctions would not better serve the
    interests of justice. Thus, for the reasons discussed today, we find no abuse of discretion on
    the part of the trial judge in dismissing this case under Mississippi Rule of Civil Procedure
    41(b). Accordingly, we reverse the Court of Appeals and reinstate and affirm the judgment
    of the trial court dismissing the case with prejudice as to each defendant.
    ¶35. THE JUDGMENT OF THE COURT OF APPEALS IS REVERSED. THE
    JUDGMENT OF THE HARRISON COUNTY CIRCUIT COURT IS REINSTATED
    AND AFFIRMED.
    15
    WALLER, C.J., DICKINSON, RANDOLPH AND LAMAR, JJ., CONCUR.
    PIERCE, J., SPECIALLY CONCURS WITH SEPARATE WRITTEN OPINION
    JOINED BY WALLER, C.J., AND LAMAR, J. CARLSON, P.J., DICKINSON AND
    RANDOLPH, JJ., JOIN IN PART. KITCHENS, J., DISSENTS WITH SEPARATE
    WRITTEN OPINION JOINED BY GRAVES, P.J., AND CHANDLER, J.
    PIERCE, JUSTICE, SPECIALLY CONCURRING:
    ¶36.   I concur with the Majority’s decision to affirm the trial court’s dismissal for failure
    to prosecute. I write separately, however, to emphasize our “deferential review” of trial
    courts in such matters as these.8
    ¶37.   In Stutts v. Miller, we affirmed a grant of dismissal for failure to serve process within
    the time prescribed by Mississippi Rule of Civil Procedure 4(h).9 Earlier, in Jenkins v.
    Oswald, we affirmed the denial of a grant of dismissal where a plaintiff failed to serve
    process for more than four years.10 In both cases, I concurred specially, saying “[i]t cannot
    be overstated that our trial courts are entitled to ‘deferential review’ in matters that require
    a discretionary ruling.” 11
    ¶38.   While dismissal for failing to serve process and dismissal for failing to prosecute, the
    issue here, are different matters, they both are in the discretion of the trial court. As in
    8
    See Stutts v. Miller, 
    37 So. 3d 1
    , 7 (Miss. 2009) (Pierce, J., concurring) (citing Rains
    v. Gardner, 
    731 So. 2d 1192
    , 1197-98 (Miss. 1999)).
    9
    Stutts, 37 So. 3d at 7.
    10
    Jenkins v. Oswald, 
    3 So. 3d 746
    , 750-51 (Miss. 2010).
    11
    Stutts, 37 So. 3d at 7 (Pierce, J., concurring) (citing Jenkins, 3. So. 3d at 751).
    16
    Jenkins, I admit that I have some discomfort with the decision of the trial court.12 However,
    in agreement or disagreement, our level of deference remains unchanged. The record reflects
    that the trial court adequately made findings of fact and so came to a decision that is squarely
    within our precedent. I yield to that ruling.
    WALLER, C.J., AND LAMAR, J., JOIN THIS OPINION. CARLSON, P.J.,
    DICKINSON AND RANDOLPH, JJ., JOIN THIS OPINION IN PART.
    KITCHENS, JUSTICE, DISSENTING:
    ¶39.   Because lesser sanctions would better serve the interests of justice, and because the
    Court of Appeals accurately analyzed the law and reached the correct result, I respectfully
    dissent.
    ¶40.   The Court of Appeals reversed the trial court’s dismissal because, in its view – and
    in mine – lesser sanctions were warranted under the circumstances. Holder v. Orange Grove
    Med. Specialties, P.A., 
    2010 WL 11267
    , at ¶¶ 37-38, 42 (Miss. Ct. App. Jan. 5, 2010) (citing
    Cox v. Cox, 
    976 So. 2d 869
    , 879 (Miss. 2008)). Specifically, the Court of Appeals held:
    According to our supreme court, lesser sanctions will not suffice where they
    cannot cure prejudice suffered by a defendant from a plaintiff’s delay in
    prosecuting his or her case.
    ....
    Thus, we are left solely with the question of whether the prejudice presumably
    suffered by the defendants as a result of the plaintiffs’ inexcusable delay in this
    matter, in and of itself, outweighs the law’s preference for a decision on the
    merits. Based on the attendant circumstances of this case, we find that it does
    not.
    12
    Jenkins, 3. So. 3d at 751.
    17
    
    Id.
     at ¶ ¶ 38-39 (citing Cox, 976 So. 2d at 876, 879).
    ¶41.   “Dismissals with prejudice are reserved for the most egregious cases.” Hillman v.
    Weatherly, 
    14 So. 3d 721
    , 726 (Miss. 2009) (quoting Wallace v. Jones, 
    572 So. 2d 371
    , 376
    (Miss. 1990)). These extraordinary circumstances usually require the presence of plaintiff
    culpability, actual prejudice to the defendant, and intentional dilatory conduct. AT & T v.
    Days Inn, 
    720 So. 2d 179
    , 181 (Miss. 1998) (citations omitted). This simply is not that sort
    of case.
    ¶42.   The trial judge’s consideration of lesser sanctions consisted of an abrupt dismissal of
    the plaintiffs’ attorney’s plea for a warning: “What’s the purposes of a warning? Everybody
    is supposed to know the rules.” Consideration of lesser sanctions should consist of more than
    a passing, dismissive reference to a single option. Instead, the trial judge carefully should
    weigh all viable alternatives, which include, in addition to explicit warnings, “fines, costs,
    or damages against the plaintiff or his counsel, attorney disciplinary measures, conditional
    dismissal, [and] dismissal without prejudice.” 
    Id.
     (quoting Wallace, 572 So. 2d at 377)).
    ¶43.   To support its holding, the majority finds, without explanation, that there was
    presumed prejudice and that “[t]his presumed prejudice strengthens the defendants’ case for
    dismissal under Rule 41(b).” Maj. Op. at ¶30. While I agree that a significant delay may
    generate a presumption of prejudice, there is no authority to support a conclusion that
    prejudice should be presumed in the present case. The majority relies on Cox, 976 So. 2d
    at 879, for support, but the delay in that case was fourteen years, a far cry from the 435-day
    delay here. See also Jenkins v. Tucker, 
    18 So. 3d 265
    , 271 (Miss. Ct. App. 2009) (five-year
    18
    history of delay amounted to presumed prejudice). Moreover, even if such a presumption
    existed, it was rebutted when the plaintiffs demonstrated that there was no actual prejudice
    to the defendants. See Beckwith v. State, 
    707 So. 2d 547
    , 567-68 (Miss. 1997) (although
    presumptively prejudicial, twenty-six-year delay in pursuing criminal case did not warrant
    dismissal of indictment where defendant could not demonstrate actual prejudice). The
    defendants here argued that dismissal with prejudice was proper because the plaintiffs’
    failure to respond to interrogatories left them without knowledge of the nurse’s identity.
    However, the plaintiffs countered, and the trial judge agreed, that the defendants should have
    been able to determine the nurse’s identity based on the facts alleged in the complaint.
    Therefore, despite the majority’s holding to the contrary, the absence of actual prejudice does
    have a bearing on the outcome of the case. See AT & T, 
    720 So. 2d 181
     (actual prejudice is
    an aggravating factor that may justify the harshest sanction of dismissal with prejudice).
    ¶44.   “[N]egligence or inexcusable conduct on the part of the plaintiff’s counsel does not
    in itself justify dismissal with prejudice.” 
    Id.
     at 182 (citing Rogers v. Kroger Co., 
    669 F. 2d 317
    , 322-23 (5th Cir. 1982); McGowan v. Faulkner Concrete Pipe Co., 
    659 F. 2d 554
    , 558
    (5th Cir. 1981)). By affirming the trial judge’s decision to dismiss the case with prejudice
    based solely on the plaintiffs’ attorney’s conduct, today’s opinion strikes a blow against the
    law’s preference that cases be decided on their merits. 
    Id.
     at 180 (citing Watson v. Lillard,
    
    493 So. 2d 1277
    , 1278 (Miss. 1986)). It also punishes the plaintiffs, who have been deprived
    of their day in court through no fault of their own. For these reasons, I would affirm the
    19
    Court of Appeals’ reversal of the dismissal and its remand of the case for consideration of
    lesser sanctions. Accordingly, I respectfully dissent.
    GRAVES, P.J., AND CHANDLER, J., JOIN THIS OPINION.
    20