McKinney v. Okoye ( 2014 )


Menu:
  •                          Nebraska Advance Sheets
    McKINNEY v. OKOYE	261
    Cite as 
    287 Neb. 261
    We briefly note Rick argues on cross-appeal that the dis-
    trict court lacked personal jurisdiction over Ryan and that,
    so, any rulings as to Ryan were void.45 All the parties agree
    on this point, as do we, though it seems to us that the court’s
    observations as to Ryan were simply incidental to determin-
    ing whether Rick was covered under the policy. But to the
    extent the court’s order makes rulings as to Ryan, such rulings
    are ineffectual.
    CONCLUSION
    We conclude that the severability clause does not affect the
    unambiguous language of the policies’ exclusions, which bar
    coverage for Rick.
    Affirmed.
    Wright, J., not participating.
    45
    See, Johnson v. Johnson, 
    282 Neb. 42
    , 
    803 N.W.2d 420
    (2011); In re
    Interest of William G., 
    256 Neb. 788
    , 
    592 N.W.2d 499
    (1999).
    Carla McKinney, appellant, v. Matthias I. Okoye
    and Nebraska Forensic M edical
    Services, P.C., appellees.
    ___ N.W.2d ___
    Filed January 31, 2014.     No. S-13-155.
    1.	 Summary Judgment: Appeal and Error. In reviewing a summary judgment, an
    appellate court views the evidence in a light most favorable to the party against
    whom the judgment was granted and gives that party the benefit of all reasonable
    inferences deducible from the evidence.
    2.	 Actions: Proof. In a malicious prosecution case, the conjunctive elements for the
    plaintiff to establish are (1) the commencement or prosecution of the proceeding
    against the plaintiff, (2) its legal causation by the present defendant, (3) its bona
    fide termination in favor of the plaintiff, (4) the absence of probable cause for
    such proceeding, (5) the presence of malice therein, and (6) damages.
    3.	 Actions: Public Officers and Employees: Liability. A person who supplies
    information to prosecuting authorities is not liable for the prosecutors’ action so
    long as any ensuing prosecution is left entirely to the officials’ discretion.
    4.	 Actions: Public Officers and Employees. A prosecution is not considered the
    result of the prosecuting authorities’ independent discretion if the informant
    either (1) directs or counsels officials in such a way so as to actively persuade
    Nebraska Advance Sheets
    262	287 NEBRASKA REPORTS
    and induce the officers’ decision or (2) knows that the information provided is
    false or misleading.
    5.	   ____: ____. A person who knowingly provides false or misleading information
    to a public officer may be liable for malicious prosecution even if that person
    brought no pressure to bear on the public officer and left the decision to prosecute
    entirely in the hands of that public officer.
    6.	    Negligence: Expert Witnesses: Testimony: Intent. Expert testimony may estab-
    lish a professional’s conduct was so far afield of accepted professional standards
    or so divergent from the conduct of any minimally competent professional that it
    is reasonable to infer a knowing or intentional state of mind.
    7.	    Intent: Proof. State of mind is difficult to prove, and rarely will the plaintiff be
    able to provide a “smoking gun.”
    8.	    Summary Judgment: Intent. Cases where the underlying issue is one of motive
    or intent are particularly inappropriate for summary judgment.
    9.	    Actions: Intent: Proof. Legal causation in a malicious prosecution action is
    demonstrated when but for the false or misleading information, the decision to
    prosecute would not have been made.
    10.	    Probable Cause: Proof. If there is insufficient undisputed evidence to show
    probable cause as a matter of law, the question of probable cause is a mixed ques-
    tion of fact and law.
    11.	    Actions: Probable Cause. The element of probable cause in a malicious pros-
    ecution action is evaluated from the perspective of the defendant in the action
    who is allegedly legally responsible to the plaintiff for the prosecution, not from
    the perspective of the nonparty prosecuting officials.
    12.	    Criminal Law: Probable Cause. The question of probable cause is whether a
    person in the defendant’s position had reasonable grounds to suspect, based on
    the facts known or reasonably believed by the defendant at the time, that the
    crime prosecuted had been committed.
    13.	    Probable Cause. Probable cause does not depend upon mere belief, however
    sincerely entertained; because if that were so, any citizen would be liable to
    arrest and imprisonment, without redress, whenever any person, prompted
    by malice, saw fit to swear that he believed the accused was guilty of the
    offense charged.
    14.	    Criminal Law: Probable Cause. No probable cause exists if a defendant knew
    that the facts stated to prosecuting authorities supporting the suspicions of a
    crime were false or misleading.
    15.	    Intent: Words and Phrases. Malice does not refer to mean or evil intent, as a
    layman might ordinarily think.
    16.	    Intent. The lack of any personal ill will does not necessarily negate the existence
    of malice.
    17.	    Actions: Intent: Words and Phrases. Malice, in the context of a malicious
    prosecution action, is any purpose other than that of bringing an offender
    to justice.
    18.	    Public Officers and Employees: Evidence. Knowingly providing false or
    misleading information to prosecuting authorities may support the inference
    of malice.
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	263
    Cite as 
    287 Neb. 261
    Appeal from the District Court for Lancaster County: Paul
    D. Merritt, Jr., Judge. Reversed.
    George H. Moyer, of Moyer & Moyer, for appellant.
    James A. Snowden and Nathan D. Anderson, of Wolfe,
    Snowden, Hurd, Luers & Ahl, L.L.P., for appellees.
    Wright, Connolly, McCormack, and Miller-Lerman, JJ.,
    and Pirtle, Judge.
    McCormack, J.
    NATURE OF CASE
    A daycare provider brought a malicious prosecution action
    against the pathologist whose autopsy report was used to
    charge her with felony child abuse resulting in death. The
    charge was eventually dropped after two forensic pathologists
    retained by the daycare provider concluded the cause of death
    of the infant under her care was sudden infant death syn-
    drome (SIDS). The district court granted summary judgment
    in favor of the pathologist on the malicious prosecution claim.
    We must determine whether the inference that the pathologist
    knowingly provided false or misleading information to law
    enforcement can reasonably be drawn from expert testimony
    that the pathologist’s autopsy report was false and was “shock-
    ingly” unscientific.
    BACKGROUND
    Carla McKinney had been providing licensed daycare out
    of her home for almost 21 years without incident. In 2007,
    McKinney started caring for a 6-week-old infant boy. Two
    months later, the infant died in McKinney’s care.
    Investigation of Infant’s Death
    McKinney explained to the police that after feeding the
    infant, she laid him down for a nap. When McKinney went
    to wake the infant, he was not breathing. McKinney was
    unsuccessful in her attempts to revive the infant with cardio-
    pulmonary resuscitation. Although McKinney first told police
    that the infant remained sleeping on his back until she found
    Nebraska Advance Sheets
    264	287 NEBRASKA REPORTS
    him not breathing, she later explained that she had turned
    the infant onto his stomach when he had fussed before fall-
    ing asleep.
    Pathologist Dr. Matthias I. Okoye, pursuant to his duties
    under a contract with Lancaster County, conducted an autopsy
    on the infant. Okoye’s report determined that the cause of
    death was homicide through blunt force trauma to the head
    (associated with closed head injury) and asphyxiation. As evi-
    dence of blunt force trauma to the head, the report listed two
    areas of acute subarachnoid hemorrhage, three areas of acute
    subdural hemorrhage, acute epidural and intraspinal hemor-
    rhage, diffuse acute cerebral edema, a faint contusion on the
    head, and a recent contusion on the upper lip. Okoye listed 11
    distinct clinical findings supporting asphyxia, which we will
    not list here. The report also listed six “faint red contusions”
    on the trunk and extremities of the body, as evidence of minor
    blunt force trauma to the body. In making the autopsy report,
    Okoye relied on his clinical observations during the autopsy,
    laboratory tests, reports by the police of McKinney’s descrip-
    tion of events, and a computed tomography (CT) whole body
    scan that Okoye had ordered.
    During questioning, police investigators told McKinney that
    the pathologist’s provisional report demonstrated the infant
    had died from a blunt trauma to the head while in her care and
    that she needed to provide an explanation. The transcription of
    the police interviews reflects that McKinney eventually said
    that after lifting the infant from an “Exersaucer” and while in
    the process of laying him on his side against a “boppy” pillow
    on the floor, her hand slipped and his head may have hit the
    floor from a couple inches of height.
    McKinney Charged With
    Felony Child Abuse
    McKinney was charged with felony child abuse resulting
    in death. One of the prosecuting attorneys explained that the
    Lancaster County Attorney’s office did not decide to file the
    charge based on Okoye’s autopsy report alone. She averred
    that the decision was also based upon the CT scan, McKinney’s
    allegedly inconsistent accounts to the police of events the day
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	265
    Cite as 
    287 Neb. 261
    the infant died, and McKinney’s perceived admissions during
    questioning that she caused the infant to hit his head either
    while being placed on “a ‘boppy pillow’” or when she dropped
    the infant to the floor from waist height after picking him out
    of “an exercise saucer.”
    Charges Are Dropped, and
    McKinney Sues Appellees
    McKinney’s counsel agreed to waive the probable cause
    hearing in exchange for prompt delivery of police reports. The
    district court issued an “Order of Probable Cause Finding” with-
    out a hearing. Approximately 1 year later, the Lancaster County
    Attorney’s office dropped the charges. McKinney alleges that
    this occurred after pathologists retained by McKinney found
    that the infant had died of SIDS and that there was no evidence
    supporting any traumatic injury.
    McKinney sued Okoye and his wholly owned corpora-
    tion, Nebraska Forensic Medical Services, P.C. (collectively
    appellees), for malicious prosecution stemming from Okoye’s
    autopsy report. After appellees’ motion to dismiss based on
    absolute privilege was unsuccessful,1 appellees moved for sum-
    mary judgment.
    Expert Testimony Submitted at
    Summary Judgment Hearing
    At the hearing on appellees’ motion for summary judgment,
    differing expert testimony was presented on the correctness of
    the autopsy report and the soundness of Okoye’s methodol-
    ogy. Okoye generally defended his findings, conclusions, and
    methods. Appellees’ expert witness, a forensic pathologist, also
    generally defended the autopsy report, except that he found
    Okoye’s diagnosis of asphyxia to be a “diagnosis with no phys-
    ical evidence offered other than the very non-specific and ubiq-
    uitous findings.” Forensic pathologists provided by McKinney,
    Drs. Janice Ophoven and Robert Bux, found the autopsy report
    “shockingly” baseless in its every detail. Ophoven and Bux
    opined that the infant died of SIDS.
    1
    See McKinney v. Okoye, 
    282 Neb. 880
    , 
    806 N.W.2d 571
    (2011).
    Nebraska Advance Sheets
    266	287 NEBRASKA REPORTS
    Ophoven Deposition
    In her deposition, Ophoven addressed Okoye’s autopsy
    report finding by finding. Ophoven had reviewed all the evi-
    dence relied on by Okoye, as well as numerous photographs
    taken by Okoye and law enforcement before, during, and
    after the autopsy. She stated she was generally “shocked” that
    Okoye had concluded there was any evidence of traumatic
    injury. Ophoven stated that much of the supposed evidence of
    injury had been created by Okoye during the autopsy.
    First, Ophoven opined that what Okoye had described as
    subarachnoid hemorrhages were nothing more than “artifact[s]”
    created by Okoye during the autopsy process. Ophoven indi-
    cated that an artifact is something that is produced by the
    autopsy technique and, therefore, is not a legitimate autopsy
    finding. Okoye had circled those areas in two photographs of
    the brain. Ophoven found Okoye’s characterization of those
    areas as hemorrhaging to be a “significant . . . deviation from
    good scientific diagnosis.”
    Ophoven explained that what was demonstrated by one of
    the photographs was simply “a little bit of blood on the surface
    of this brain” due to postmortem bleeding after disruptions that
    are caused when the skullcap is sawed and pulled off during
    the autopsy. Ophoven explained that with a true hemorrhage,
    “you see it pooling in the valleys; you see it come up over the
    hills, and you see it with sufficient — in a typical pattern that
    would suggest that a pathological process was present, and that
    is clearly not the case here.”
    In the other photograph purporting to show subarachnoid
    hemorrhaging, Ophoven opined, “again, it would be one of
    those things where you would never conclude that this is hem-
    orrhage.” The hemorrhaging was clearly blood vessels that
    were disrupted in the process of manually pulling the brain
    out of the head cavity. She stated that the two areas of “hem-
    orrhaging” roughly corresponded to two equidistant areas on
    either side of the brain where the hands would be placed while
    extracting it.
    Ophoven opined that Okoye had similarly inaccurately char-
    acterized three separate locations of “[a]cute subdural hem-
    orrhage.” Ophoven noted that photographs showing some
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	267
    Cite as 
    287 Neb. 261
    pooling of cerebrospinal fluid were apparently what Okoye
    was referring to, “since this is the only thing in the head where
    there’s any blood-colored material.” Ophoven explained that
    “this is what you see in every brain when you take [it] out”
    and that “[w]hen you’re messing with the brain, there’s an
    expected amount of cerebrospinal fluid inside the head. And it
    will pool, along with some of the blood that you’re disrupting
    . . . when you’re handling the brain and cutting into the skull.”
    Ophoven stated that she could clearly recognize the fluid as
    cerebrospinal fluid because of its translucency. Ophoven said,
    “[I]t’s so basic that it is frightening that this was mistaken for
    subdural blood.”
    Ophoven opined that the finding of epidural and intraspinal
    hemorrhaging was likewise baseless. She explained, “[I]t is
    well-recognized that this is a postmortem artifact that is not
    considered a legitimate finding. There’s lots of literature. .
    . . And he has misinterpreted this as a pathological find-
    ing when, in fact, this is a routine and expected finding in
    infant autopsies.”
    The listed “[a]cute subgaleal hemorrhage” was the only area
    where Ophoven agreed with Okoye that there was “a real piece
    of blood.” Nevertheless, Ophoven explained that the scar tissue
    and inflammation clearly visible under a microscope indicated
    it was an old injury. Moreover, the injury was clearly limited
    to the space between the skull and the scalp; there was no evi-
    dence of injury to the brain. Ophoven described the old blood
    as representing nothing more than a “bump” or something left
    over from the birthing process.
    As for Okoye’s listed finding of “[d]iffuse acute cerebral
    edema,” Ophoven testified that the pictures of the brain
    showed it was “not edematous at all.” The “gyri” and “sulci,”
    which Ophoven described as hills and valleys of the brain
    surface, were normal and well defined. Ophoven explained
    that with a swollen brain, the valleys are closed and the hills
    touch each other. She also noted that the CT scan showed
    no edema.
    Ophoven opined that the “[r]ecent focal red abraded contu-
    sion” of the “mid upper lip,” which was listed by Okoye as
    evidence of both blunt force trauma to the head and asphyxia,
    Nebraska Advance Sheets
    268	287 NEBRASKA REPORTS
    was “nothing . . . this looks like every baby mouth.” Ophoven
    explained there was no purple contusion, no disruption of the
    tissue, and no blood. She believed that any color showing in
    the photograph was a result of Okoye’s pulling on the infant’s
    mouth. She stated that in another photograph, the infant’s
    “little lip is just perfectly normal pink there when it’s not being
    pulled up like that.”
    Ophoven found the remaining listed contusions entirely
    insignificant. They were not the right pattern, color, or dis-
    tribution to be indicative of child abuse. She stated that they
    appeared to be livor mortis. But if they were injuries, they
    were old injuries. Ophoven stated further that if these areas
    were of any concern, they should have been examined under
    a microscope to confirm they were injuries and whether they
    were fresh. This apparently was not done. Ophoven stated that
    the “[f]aint red contusion” of the posterior scalp area likewise
    looked like livor mortis and that no section was taken from it
    to confirm differently.
    Ophoven was “at a loss to understand why asphyxia was
    added to the list of cause[s] of death.” She found all the listed
    clinical findings in the autopsy report in support of this con-
    clusion to be either autopsy artifact or otherwise unsupportive
    of asphyxia.
    Ophoven was especially perplexed by the conclusion of
    asphyxia given Okoye’s finding of brain edema. Ophoven
    said that brain edema is fundamentally inconsistent with the
    pathophysiology of asphyxia. A person who is suffocated,
    even slowly, does not have time for his or her brain to swell.
    Ophoven stated that Okoye’s inconsistent findings and conclu-
    sions were thus “shocking and unscientific” and “not only are
    there highly irregular findings in this autopsy, the conclusions
    make no sense.”
    Ophoven found that Okoye’s conclusion of asphyxia was
    inconsistent with clear evidence that there was “white purge”
    from the infant’s lungs. Ophoven described white purge as the
    “mechanical antithesis to the idea of suffocation.” Ophoven
    explained that an infant who is suffocated, especially a
    4-month-old infant, would struggle and that some blood would
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	269
    Cite as 
    287 Neb. 261
    enter the lungs through the nose or mouth. The white purge
    indicated this did not occur.
    In addition to concluding that Okoye’s findings and con-
    clusions were baseless, Ophoven generally disapproved of
    Okoye’s methodology. She noted that Okoye handled and
    sampled the fresh brain before fixing it in formalin. Pictures
    showed that Okoye had placed the fresh brain on a table,
    allowing it to deform under its own weight. Okoye took
    samples for analysis by slicing through the fresh brain, which
    Ophoven described as a “giant no-no.” Cutting into a fresh
    brain, with its different tissues of varying consistencies,
    “wrecks it.”
    Ophoven generally did not consider a CT scan to be a use-
    ful tool in diagnosing brain injury. And regardless, she found
    nothing in the CT scan of the infant indicative of homicide or
    child abuse. She stated that the radiologist who wrote the CT
    scan report did not purport to state a cause of death and that
    the scan found no fractures or evidence of any swelling in the
    brain. The scan found a “depression of the occipital bone” on
    the right side, which Ophoven described as “nothing . . . a little
    divot . . . no big deal.” The CT scan also listed a subdural hem-
    orrhage. Ophoven said it was not there and was not confirmed
    in the autopsy. Ophoven indicated that a pathologist should
    know how to utilize radiology reports and what weight to put
    on certain findings. Overall, the CT scan was “a nonhelpful
    study that turned out to not show anything that was important
    at the postmortem.”
    Ophoven summarized that in her 30 years of experience, this
    was one of the worst autopsy reports she had ever seen. She
    was “absolutely shocked that these [findings] were described as
    traumatic injuries.” Ophoven said that Okoye’s report reflected
    that “you could then make every [SIDS] case a homicide.” In
    every case of SIDS, if one connected “every dot and every
    little curlicue and every little artifact and strung it together,
    [one] could leave the impression to any reasonable person that
    harm had taken place.” And “if I were law enforcement and I
    [received] a report such as this[, I] would have been forced to
    investigate this case as a homicide.”
    Nebraska Advance Sheets
    270	287 NEBRASKA REPORTS
    Bux Affidavit
    Bux generally agreed with Ophoven’s assessment of Okoye’s
    report. Bux stated that Okoye’s method of examining the
    infant’s brain by cutting out sections before removing it from
    the cranial cavity was not practiced by “any other pathologist
    in the western hemisphere.” He explained that it was a bad
    practice because of “the inherent friability of the infant brain,
    the tendency to introduce artifact and the inability to obtain
    good tissue sections for microscopic examination.” Bux found
    Okoye’s methodology “bizarre,” “shocking, disturbing and per-
    plexing.” Bux also explained that “CT scans are notoriously
    inaccurate in determining head trauma.”
    Bux concluded that there was “no evidence to support blunt
    trauma to the head after a careful distinction is made between
    autopsy artifact and antemortem trauma.” Furthermore, the
    diagnosis of asphyxia appeared to Bux to be something Okoye
    was “throwing . . . in as a second way to establish a traumatic
    cause of death if the first cause is rejected by the trier of fact.
    There is no objective evidence in Dr. Okoye’s autopsy report to
    support this diagnosis.”
    Bux clarified that his position on Okoye’s work was not
    a “mere difference of professional opinion.” To the contrary,
    he was “embarrassed as a fellow professional at the conduct
    of Dr. Okoye and the findings he made.” Bux concluded: “If
    Dr. Okoye has the training and experience he claims, he could
    not make as many errors as he made unless there was some
    ulterior motive or a reckless disregard for the integrity of the
    judicial process.”
    Summary Judgment in
    Favor of Appellees
    The district court granted summary judgment in favor of
    appellees, concluding that there was no material issue as to
    several necessary elements of a malicious prosecution claim.
    First, the court concluded that there was no material issue
    of fact on the required element that Okoye was responsible for
    the commencement of the prosecution. The court found as a
    matter of law that “no evidence has been presented from which
    reasonable minds could conclude that Dr. Okoye knowingly
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	271
    Cite as 
    287 Neb. 261
    provided [the county attorney’s office] with false or misleading
    information with the intent to persuade or induce her to file the
    criminal charge against . . . McKinney.”
    Second, the court concluded as a matter of law that suffi-
    cient probable cause existed to warrant the filing of the charge
    against McKinney. In reaching this conclusion, the court exam-
    ined all the information available to the county attorney’s
    office, not just what was known by Okoye. The court did not
    consider appellees’ argument that McKinney’s waiver of the
    preliminary hearing amounted to a prima facie showing of
    probable cause.
    Third, the court found that reasonable minds could not
    conclude that Okoye acted with malice when he prepared
    the autopsy reports. Similarly to the court’s first finding,
    the court said that reasonable minds could not conclude that
    Okoye acted intentionally or with reckless disregard for the
    consequences.
    McKinney appeals the order of summary judgment, which
    resulted in the dismissal of her malicious prosecution claim.
    ASSIGNMENT OF ERROR
    McKinney assigns, summarized, that the district court erred
    in concluding that there was no material issue of fact pertain-
    ing to her malicious prosecution claim.
    STANDARD OF REVIEW
    [1] In reviewing a summary judgment, an appellate court
    views the evidence in a light most favorable to the party
    against whom the judgment was granted and gives that
    party the benefit of all reasonable inferences deducible from
    the evidence.2
    ANALYSIS
    [2] In a malicious prosecution case, the conjunctive ele-
    ments for the plaintiff to establish are (1) the commencement
    or prosecution of the proceeding against the plaintiff, (2) its
    legal causation by the present defendant, (3) its bona fide ter-
    mination in favor of the plaintiff, (4) the absence of probable
    2
    Guinn v. Murray, 
    286 Neb. 584
    , 
    837 N.W.2d 805
    (2013).
    Nebraska Advance Sheets
    272	287 NEBRASKA REPORTS
    cause for such proceeding, (5) the presence of malice therein,
    and (6) damages.3 The parties do not dispute that the county
    attorney’s dismissal of the charges constituted a bona fide ter-
    mination of the prosecution in favor of McKinney. And they
    agree there is a material issue of fact on damages. We address
    whether reasonable minds could differ as to the remaining
    elements of a malicious prosecution claim. In doing so, we
    must read the testimony of Ophoven and Bux in the light most
    favorable to McKinney, and we must give McKinney all rea-
    sonable inferences deducible from this evidence.4
    Legally R esponsible
    for P rosecution
    [3,4] We first consider elements (1) and (2): whether Okoye
    was legally responsible for the commencement of the pros-
    ecution against McKinney. The charges against McKinney
    were initiated by the Lancaster County Attorney’s office. A
    person who supplies information to prosecuting authorities is
    not liable for the prosecutors’ action so long as any ensuing
    prosecution is left entirely to the officials’ discretion.5 “The
    exercise of the officer’s discretion makes the initiation of the
    prosecution his [or her] own and protects from liability the
    person whose information or accusation has led the officer to
    initiate the proceedings.”6 But, a prosecution is not considered
    the result of the prosecuting authorities’ independent discre-
    tion if the informant either (1) directs or counsels officials in
    such a way so as to actively persuade and induce the officers’
    decision or (2) knows that the information provided is false
    or misleading.7
    3
    See, McKinney v. Okoye, supra note 1; Johnson v. First Nat. Bank & Trust
    Co., 
    207 Neb. 521
    , 
    300 N.W.2d 10
    (1980).
    4
    See Guinn v. Murray, supra note 2.
    5
    Schmidt v. Richman Gordman, Inc., 
    191 Neb. 345
    , 
    215 N.W.2d 105
          (1974). See, also, e.g., Restatement (Second) of Torts § 653, comment g.
    (1977).
    6
    Restatement, supra note 5 at 409.
    7
    See, Schmidt v. Richman Gordman, Inc., supra note 5; Restatement, supra
    note 5.
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	273
    Cite as 
    287 Neb. 261
    We agree with the district court that there was no issue of
    fact concerning whether Okoye actively persuaded the county
    attorney’s office to file charges. One of the prosecuting attor-
    neys in the underlying criminal action against McKinney
    averred: “While I considered Dr. Okoye’s report in making my
    decision to file the Information, Dr. Okoye did not at any time
    attempt to actively persuade or induce me to pursue prosecu-
    tion of . . . McKinney.” Okoye likewise averred that he did not
    attempt to persuade law enforcement personnel or the county
    attorney’s office to charge a crime.
    Nothing in the record supports a contrary inference. It
    appears undisputed that the tenor of the communications
    between Okoye and the county attorney’s office was no differ-
    ent than in any other case for which Okoye relayed his autopsy
    results. We decline McKinney’s invitation to expand the mean-
    ing of “actively persuade or induce” to encompass the simple
    knowledge that an autopsy report plays an important role in a
    county attorney’s decision to prosecute.
    [5] However, we find the evidence presented at the sum-
    mary judgment hearing was sufficient to demonstrate a mate-
    rial issue as to whether Okoye knowingly provided false or
    misleading information in his autopsy report. A person who
    knowingly provides false or misleading information to a public
    officer may be liable for malicious prosecution “even if that
    person brought no pressure to bear on the public officer and
    left the decision to prosecute entirely in the hands of that pub-
    lic officer.”8
    The governing standard of review for an order of summary
    judgment should be, and continues to be, one favorable to the
    nonmoving party,9 giving that party the benefit of all reason-
    able inferences deducible from the evidence.10 Conclusions
    based upon guess, speculation, or conjecture do not create
    8
    52 Am. Jur. 2d Malicious Prosecution § 24 at 210 (2011). See, also, e.g.,
    Bhatia v. Debek, 
    287 Conn. 397
    , 
    948 A.2d 1009
    (2008).
    9
    Controlled Environ. Constr. v. Key Indus. Refrig., 
    266 Neb. 927
    , 
    670 N.W.2d 771
    (2003).
    10
    Guinn v. Murray, supra note 2.
    Nebraska Advance Sheets
    274	287 NEBRASKA REPORTS
    material issues of fact for purposes of summary judgment.11
    But where reasonable minds could differ as to whether an
    inference supporting the ultimate conclusion can be drawn,
    summary judgment should not be granted.12 We disagree with
    appellees’ argument that it would be mere speculation and
    conjecture to conclude, from the most favorable view of the
    evidence presented at the summary judgment hearing, that
    Okoye knowingly presented false or misleading information to
    the county attorney’s office.
    [6] It may be speculative to infer an intentional or knowing
    state of mind from nothing more than evidence of simple neg-
    ligence. But McKinney presented evidence that Okoye acted
    far afield of mere negligence. Other courts have explained
    that in a variety of contexts, expert testimony may establish a
    professional’s conduct was “‘so far afield of accepted profes-
    sional standards’” or so divergent from the conduct of any
    “‘minimally competent professional’” that it is reasonable to
    infer a knowing or intentional state of mind.13 We agree that
    when experts find statements by a professional in their field
    not only false or misleading, but grossly negligent, shock-
    ing, and generally inexplicable, then it may be reasonable to
    infer that the false or misleading statements were knowingly
    and intentionally made. A reasonable fact finder could infer
    that Okoye knew or should have known that the statements he
    made regarding his autopsy and the findings of said autopsy
    were false or misleading.
    Ophoven and Bux testified that every single clinical find-
    ing listed by Okoye as supporting his conclusion of homicide
    was false or misleading, because it either did not exist or did
    not indicate trauma. Ophoven and Bux described how Okoye
    “shockingly” misrepresented as multiple traumatic injuries
    11
    See Shipley v. Department of Roads, 
    283 Neb. 832
    , 
    813 N.W.2d 455
          (2012).
    12
    Farmington Woods Homeowners Assn. v. Wolf, 
    284 Neb. 280
    , 
    817 N.W.2d 758
    (2012).
    13
    Jimenez v. City of Chicago, 
    732 F.3d 710
    , 722 (7th Cir. 2013). See, also,
    e.g., Norfleet v. Webster, 
    439 F.3d 392
    (7th Cir. 2006); Collignon v.
    Milwaukee County, 
    163 F.3d 982
    (7th Cir. 1998).
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	275
    Cite as 
    287 Neb. 261
    what were only “artifacts” that Okoye himself had created
    during the autopsy process. Ophoven and Bux were gener-
    ally at a loss to explain how a trained pathologist could con-
    clude that even one of these listed findings was evidence of
    traumatic injury. Ophoven and Bux described shocking and
    bizarre methodology.
    The confluence of false or misleading findings and conclu-
    sions, each so far afield from the findings and conclusions of
    any minimally competent pathologist, could lead to a reason-
    able inference that they were more than mistakes and incom-
    petence. The evidence of reckless disregard for established
    pathology procedures could lead to the inference that Okoye
    was unconcerned with establishing a truthful report. Viewing
    the evidence in a light most favorable to McKinney as the non-
    moving party, we determine reasonable minds could differ as to
    whether Okoye knew that the findings and conclusions stated
    in the autopsy report were false or misleading.
    [7,8] State of mind is difficult to prove, and rarely will the
    plaintiff be able to provide a “‘smoking gun.’”14 Thus, we
    have explained that cases where the underlying issue is one
    of motive or intent are particularly inappropriate for summary
    judgment.15 The district court erred in determining Okoye’s
    intent as a matter of law.
    Appellees argue that even if there is a material issue of fact
    whether Okoye knowingly provided false or misleading infor-
    mation, he did not cause the prosecution. Appellees point out
    statements made by one of the prosecuting attorneys that she
    “did not rely on Dr. Okoye’s autopsy report alone in making
    [her] decision to prosecute . . . McKinney.”
    [9] Such statements do not create even a prima facie case
    for summary judgment on the element of legal causation by
    the defendant. Legal causation is demonstrated when but for
    14
    See, Tellabs, Inc. v. Makor Issues & Rights, Ltd., 
    551 U.S. 308
    , 324, 
    127 S. Ct. 2499
    , 
    168 L. Ed. 2d 179
    (2007); U.S. v. Abu-Jihaad, 
    630 F.3d 102
          (2d Cir. 2010); Jakimas v. Hoffmann-La Roche, Inc., 
    485 F.3d 770
    (3d Cir.
    2007); Com. of Pa. v. Flaherty, 
    983 F.2d 1267
    (3d Cir. 1993); Neiman v.
    Tri R Angus, 
    274 Neb. 252
    , 
    739 N.W.2d 182
    (2007).
    15
    Schatz v. Vidlak, 
    229 Neb. 4
    , 
    424 N.W.2d 613
    (1988).
    Nebraska Advance Sheets
    276	287 NEBRASKA REPORTS
    the false or misleading information, the decision to prosecute
    would not have been made.16 If the decision to prosecute would
    have been made with or without the false or misleading infor-
    mation, the defendant did not cause the prosecution by supply-
    ing false or misleading information.17
    Although one of the prosecuting attorneys listed other con-
    siderations upon which she based her decision to prosecute, she
    did not state whether she would have prosecuted McKinney
    with or without Okoye’s autopsy report. And regardless, a
    “‘plaintiff is not required to present direct evidence such as
    testimony from a prosecutor to establish causation in a mali-
    cious prosecution claim.’”18
    Proximate causation is generally a question for the jury, and
    only where but one inference can be drawn is it proper for the
    court to decide the issue.19 Viewing the evidence at the sum-
    mary judgment hearing in a light most favorable to McKinney,
    we determine reasonable minds could conclude that Okoye’s
    false report legally caused the prosecution. We find appellees’
    argument to the contrary to be without merit.
    P robable Cause
    [10] We turn next to the element of probable cause. In an
    action for malicious prosecution, probable cause is a ques-
    tion of law for the court to determine where there is sufficient
    undisputed evidence to show probable cause.20 However, it is
    for the jury to determine what facts are proved.21 Thus, if there
    16
    See, Matthews v BCBSM, 
    456 Mich. 365
    , 
    572 N.W.2d 603
    (1998);
    Waldner v. Dow, 
    128 Or. App. 197
    , 
    876 P.2d 785
    (1994); Danielson v.
    Hess, 
    807 N.W.2d 113
    (S.D. 2011); Browning-Ferris Industries, Inc. v.
    Lieck, 
    881 S.W.2d 288
    (Tex. 1994); 52 Am. Jur. 2d, supra note 8.
    17
    See, Matthews v BCBSM, supra note 16; Danielson v. Hess, supra note 16;
    King v. Graham, 
    126 S.W.3d 75
    (Tex. 2003).
    18
    French v. French, 
    385 S.W.3d 61
    , 71 (Tex. App. 2012).
    19
    Maloney v. Kaminski, 
    220 Neb. 55
    , 
    368 N.W.2d 447
    (1985).
    20
    See, e.g., Brumbaugh v. Frontier Refining Co., 
    173 Neb. 375
    , 
    113 N.W.2d 497
    (1962); Restatement, supra note 5, § 673.
    21
    Turner v. O’Brien, 
    5 Neb. 542
    , 
    1877 WL 4241
    (1877).
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	277
    Cite as 
    287 Neb. 261
    is insufficient undisputed evidence to show probable cause as a
    matter of law, the question of probable cause is a mixed ques-
    tion of fact and law.22
    [11] The district court erred by evaluating the element of
    probable cause from the perspective of the nonparty prosecut-
    ing authorities. The element of probable cause in a malicious
    prosecution action is evaluated from the perspective of the
    defendant in the action who is allegedly legally responsible to
    the plaintiff for the prosecution, not from the perspective of
    the nonparty prosecuting officials.23 Thus, we have said that
    whether probable cause exists depends, not upon the actual
    facts of the case, but upon the question of whether the person
    making the claim had reasonable grounds to believe in its
    truth.24 The person who knowingly provided false or mislead-
    ing information becomes the “real prosecutor.”25
    [12,13] The question of probable cause is whether a per-
    son in the defendant’s position had reasonable grounds to
    suspect, based on the facts known or reasonably believed by
    the defendant at the time, that the crime prosecuted had been
    committed.26 “Probable cause does not depend upon mere
    belief, however sincerely entertained. Because if that were
    so, any citizen would be liable to arrest and imprisonment
    without redress, whenever any person, prompted by malice,
    22
    See Giannamore v. Shevchuk, 
    108 Conn. App. 303
    , 
    947 A.2d 1012
    (2008).
    23
    See, e.g., Johnson v. First Nat. Bank & Trust Co., supra note 3; Rose v.
    Reinhart, 
    194 Neb. 478
    , 
    233 N.W.2d 302
    (1975); Cimino v. Rosen, 
    193 Neb. 162
    , 
    225 N.W.2d 567
    (1975); Schmidt v. Richman Gordman, Inc.,
    supra note 5; Brumbaugh v. Frontier Refining Co., supra note 20; Brewer
    v. Fischer, 
    144 Neb. 712
    , 
    14 N.W.2d 315
    (1944); Kersenbrock v. Security
    State Bank, 
    120 Neb. 561
    , 
    234 N.W. 419
    (1931); Turner v. O’Brien, supra
    note 21. See, also, e.g., Tomaskevitch v. Specialty Records Corp., 
    717 A.2d 30
    (Pa. Commw. 1998).
    24
    See Turner v. O’Brien, supra note 21.
    25
    Holmes v. Crossroads Joint Venture, 
    262 Neb. 98
    , 117, 
    629 N.W.2d 511
    ,
    527 (2001).
    26
    See, Cimino v. Rosen, supra note 23; Jones v. Brockman, 
    190 Neb. 15
    , 
    205 N.W.2d 657
    (1973); Brumbaugh v. Frontier Refining Co., supra note 20;
    Restatement, supra note 5, § 662.
    Nebraska Advance Sheets
    278	287 NEBRASKA REPORTS
    saw fit to swear that he believed the accused was guilty of the
    offense charged.”27
    [14] Ophoven and Bux both opined that there was no
    reasonable basis for a pathologist in Okoye’s position to
    believe that the cause of death was homicide. We have already
    discussed that there is a material issue of whether Okoye
    knowingly provided false or misleading information in his
    autopsy report. No probable cause exists if a defendant knew
    that the facts stated to prosecuting authorities supporting the
    suspicions of a crime were false or misleading.28 Under such
    circumstances, the defendant’s belief that the plaintiff com-
    mitted a crime is not reasonable.29 Insofar as there is conflict-
    ing expert testimony concerning what someone in Okoye’s
    position would have reasonably believed and whether Okoye
    knew that the facts stated in his autopsy report were false or
    misleading, there is a dispute of fact on the element of prob-
    able cause precluding determination of this issue as a matter
    of law.
    We find no merit to appellees’ argument that McKinney’s
    waiver of her preliminary hearing in the underlying criminal
    case established a prima facie case of probable cause as a
    matter of law. Leaving aside whether such a prima facie case
    could otherwise be made when the preliminary hearing was not
    actually conducted, there can be no prima facie case of prob-
    able cause if false or misleading statements or omissions were
    material to that finding.30 Furthermore, even if such a prima
    facie case had been made, there is a material issue of fact that
    it was rebutted.
    The district court erred in concluding that appellees had
    demonstrated there was no material issue of fact on the element
    of probable cause.
    27
    Ross v. Langworthy, 
    13 Neb. 492
    , 495, 
    14 N.W. 515
    , 517 (1882).
    28
    See, e.g., Horne v. J.H. Harvey Co., 
    274 Ga. App. 444
    , 
    617 S.E.2d 648
          (2005).
    29
    See 
    id. 30 See,
    Hinchman v. Moore, 
    312 F.3d 198
    (6th Cir. 2002); Darrah v. City of
    Oak Park, 
    255 F.3d 301
    (6th Cir. 2001); Lay v. Pettengill, 
    191 Vt. 141
    , 
    38 A.3d 1139
    (2011).
    Nebraska Advance Sheets
    McKINNEY v. OKOYE	279
    Cite as 
    287 Neb. 261
    Malice
    [15-17] We turn lastly to the element of malice. Malice does
    not refer to mean or evil intent, as a layman might ordinarily
    think.31 Thus, the lack of any personal ill will does not neces-
    sarily negate the existence of malice.32 Malice, in the context of
    a malicious prosecution action, is any purpose other than that
    of bringing an offender to justice.33
    [18] Malice may be deduced from the surrounding facts and
    circumstances.34 It may be inferred from the absence of prob-
    able cause, although malice and probable cause are not synony-
    mous.35 Wanton and reckless disregard for the rights of others
    may imply malice.36 Knowingly providing false or misleading
    information to prosecuting authorities may support the infer-
    ence of malice.37
    Whether Okoye acted with malice is a question upon which
    reasonable minds could differ—in the same way reasonable
    minds could differ, based on the conflicting expert testimony,
    as to whether the autopsy report was false or misleading at all.
    As a procedural equivalent to a trial, a summary judgment is an
    extreme remedy.38 And, like intent, malice is almost always a
    question for the trier of fact.39 The district court erred in deter-
    mining the element of malice as a matter of law.
    CONCLUSION
    Appellees failed to demonstrate they are entitled to summary
    judgment. Most important, differing reasonable inferences
    31
    Strong v. Nicholson, 
    580 So. 2d 1288
    (Miss. 1991).
    32
    7 Am. Jur. Proof of Facts 2d 181 Malicious Prosecution § 11 (1975).
    33
    See, McKinney v. Okoye, supra note 1; Restatement, supra note 5, § 668.
    34
    See Schmidt v. Richman Gordman, Inc., supra note 5.
    35
    See 
    id. 36 Johnson
    v. First Nat. Bank & Trust Co., supra note 3.
    37
    See, Sanders v. English, 
    950 F.2d 1152
    (5th Cir. 1992); Horne v. J.H.
    Harvey Co., supra note 28; Jenkins v. Baldwin, 
    801 So. 2d 485
    (La. App.
    2001).
    38
    See Green v. Box Butte General Hosp., 
    284 Neb. 243
    , 
    818 N.W.2d 589
          (2012).
    39
    See 7 Am. Jur. Proof of Facts 2d, supra note 32.
    Nebraska Advance Sheets
    280	287 NEBRASKA REPORTS
    could be drawn as to whether Okoye knowingly provided
    false or misleading information in his autopsy report. Because
    the elements of a malicious prosecution action are difficult
    to prove, “a plaintiff has a steep climb in prosecuting a mali-
    cious prosecution action.”40 Nevertheless, appellees have not
    demonstrated as a matter of law that McKinney will not make
    that climb.
    We reverse the district court’s order granting appellees sum-
    mary judgment.
    R eversed.
    Heavican, C.J., and Stephan and Cassel, JJ., not participating.
    40
    McKinney v. Okoye, supra note 
    1, 282 Neb. at 887
    , 806 N.W.2d at 578.
    State of Nebraska, appellee, v.
    Cody M. Bruckner, appellant.
    ___ N.W.2d ___
    Filed January 31, 2014.     No. S-13-164.
    1.	 Collateral Estoppel: Appeal and Error. The applicability of the doctrine of
    collateral estoppel constitutes a question of law. With regard to such a question,
    an appellate court is obligated to reach a conclusion independent from the lower
    court’s conclusion.
    2.	 Collateral Estoppel: Words and Phrases. “Collateral estoppel” means that
    when an issue of ultimate fact has once been determined by a valid and final
    judgment, that issue cannot again be litigated between the same parties or their
    privies in any future lawsuit.
    3.	 Collateral Estoppel. There are four conditions that must exist for the doctrine
    of collateral estoppel to apply: (1) The identical issue was decided in a prior
    action, (2) there was a judgment on the merits which was final, (3) the party
    against whom the rule is applied was a party or in privy with a party to the prior
    action, and (4) there was an opportunity to fully and fairly litigate the issue in the
    prior action.
    4.	 Constitutional Law: Collateral Estoppel: Double Jeopardy. The doctrine of
    collateral estoppel is embodied in the 5th Amendment guarantee against double
    jeopardy and is applicable to the states through the 14th Amendment.
    5.	 Collateral Estoppel: Double Jeopardy. The fact that collateral estoppel is
    embodied in double jeopardy does not mean that it is coextensive with the protec-
    tions of double jeopardy.