Leslie Grussing v. Orthopedic and Sports Medicine

United States Court of Appeals
For the Eighth Circuit
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No. 17-2228
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Leslie Grussing
lllllllllllllllllllllPlaintiff - Appellant
v.
Orthopedic and Sports Medicine, Inc., A Missouri Corporation; Corey Solman, Jr.,
M.D.
lllllllllllllllllllllDefendants - Appellees
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Appeal from United States District Court
for the Eastern District of Missouri - St. Louis
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Submitted: March 13, 2018
Filed: June 12, 2018
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Before WOLLMAN, SHEPHERD, and ERICKSON, Circuit Judges.
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WOLLMAN, Circuit Judge.
Leslie Grussing appeals the district court’s1 denial of her motion for a new trial
under Federal Rule of Civil Procedure 59(a)(1)(A), contending that the district court
1
The Honorable Charles A. Shaw, United States District Judge for the Eastern
District of Missouri.
erroneously limited her cross-examination of the defendants’ expert witness and that
it failed to correct defense counsel’s misstatement of law during closing argument.
We affirm.
I. Background
Dr. Corey Solman, Jr., performed arthroscopic surgery on Grussing’s knee on
June 26, 2014. At her post-surgery follow-up appointment on July 9, 2014, Grussing
reported swelling in her knee to Dr. Solman’s physician assistant, Jason Gay. Gay
recommended that she attend physical therapy to treat her symptoms. Dr. Solman did
not examine Grussing during this visit.
Grussing returned to Dr. Solman’s office on July 18, 2014, and again reported
pain and swelling. Dr. Solman aspirated Grussing’s knee, draining off 60cc of
synovial fluid. Dr. Solman noticed that the fluid looked normal aside from a small
amount of blood and therefore decided not to test the fluid for infection.
Grussing continued to experience pain and swelling during the following
months. She was seen by a different physician in October 2014, who aspirated
Grussing’s knee and sent the synovial fluid in for analysis. The test results showed
that the knee was chronically infected, as a result of which Grussing underwent a
permanent total knee replacement in February 2015.
Grussing thereafter filed suit in federal district court, which had jurisdiction
over these diverse parties. Grussing alleged that Dr. Solman and Orthopedic and
Sports Medicine, Inc. (collectively defendants) committed medical malpractice by
failing to diagnose and treat a post-surgery infection in her knee. The primary issue
at trial was whether Dr. Solman breached the standard of care when he decided not
to test the synovial fluid aspirated from Grussing’s knee during her July 18, 2014,
appointment.
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Grussing opened her case by presenting Dr. Solman’s deposition testimony,
during which he acknowledged that fluid that does not appear to be cloudy can test
positive for bacterial infection.
Grussing’s expert witness testified that because Grussing had sudden
complaints of onset pain and swelling post-surgery, the synovial fluid should have
been sent in for testing, and that Dr. Solman’s failure to do so breached the standard
of care appropriate to the circumstances.
The defense’s expert witness, Dr. Matthew Matava, disagreed and instead
testified that there was no way to confirm that Grussing’s knee was infected when she
was examined by Dr. Solman on July 18, 2014, because Grussing did not exhibit
constitutional signs of an infection—fever, redness, sweats, chills, and abnormal
looking synovial fluid. The following exchange occurred during Dr. Matava’s cross-
examination:
Grussing’s Counsel: Okay. Did [Dr. Solman] actually rule out
infection by any means other than looking at
the fluid?
Dr. Matava: He looked at the fluid, he took the context of
the patient’s history or lack thereof in ruling
out an infection.
Grussing’s Counsel: And again, that’s relying on his history, not
anybody else’s?
Defense Counsel: Your Honor, objection. Repetitious.
The Court: [Counsel], you keep going back to what and
when on this fluid. You need to quit it and
move on. You know, I mean . . . Please.
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Grussing’s Counsel: Can perfectly normal looking synovial fluid
be infected?
Defense Counsel: Your Honor, this is repetitious as well.
The Court: Sustained.
Grussing’s Counsel: I have not asked that question before, Your
Honor.
The Court: Well, you’re not going to ask it now. Move
on from this. No, move on.
Grussing’s Counsel: Your Honor, that’s the core of the case.
The Court: Listen, you have gone over this enough.
Grussing’s counsel ultimately moved on to a different topic.
In his testimony during the defendants’ case-in-chief, Dr. Solman admitted that
infection cannot be ruled out based solely on the appearance of synovial fluid.
Physician assistant Gay also testified that it was “possible, but not probable” for
normal looking synovial fluid to be infected.
At the close of evidence, and before closing arguments to the jury, the court
read its instructions to the jury, including the following:
In these instructions, you are told that your verdict depends on
whether or not you believe certain propositions of fact submitted to you.
The burden is upon the party who relies upon any such proposition to
cause you to believe that such proposition is more likely to be true than
not true. In determining whether or not you believe any proposition, you
must consider only the evidence and the reasonable inferences derived
from the evidence. If the evidence in the case does not cause you to
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believe a particular proposition submitted, then you cannot return a
verdict requiring belief of that proposition.
You have probably heard the phrase “proof beyond a reasonable
doubt.” That is a stricter standard than “more likely true than not true.”
It applies in criminal cases, but not in this civil case; so put it out of your
mind.
During closing arguments, Grussing’s counsel objected to defense counsel’s
statement regarding the burden of proof:
Defense Counsel: I want to discuss briefly just a few
instructions. One of those is the burden of
proof. The plaintiff has the burden of proof in
this case. As indicated a moment ago, I
believe the evidence supports a verdict for Dr.
Solman. And we don’t have an obligation
under the law to prove anything. I don’t
believe plaintiff has met their burden. I think
– but if you are just sitting there and you are
not sure, then the law requires that you find in
favor of the defendants.
A few other instructions. One of them.
Grussing’s Counsel: Objection, Your Honor, this is a misstatement
of the law, “not sure.”
The Court: Counsel.
Defense Counsel: Your Honor –
The Court: Follow the instructions.
Defense Counsel: Yes. And the Court will give you the burden
of proof, what that is. More likely than not.
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The Court: Well, it’s in the instruction.
Defense Counsel: Yes, Your Honor.
The Court: Yes.
The court provided the jury with written copies of the instructions prior to
deliberation, following which the jury returned a verdict in favor of the defendants,
and the district court denied Grussing’s motion for a new trial.
II. Discussion
“We review a district court’s denial of a motion for a new trial for abuse of
discretion.” PFS Distribution Co. v. Raduechel, 574 F.3d 580, 589 (8th Cir. 2009).
Grussing contends that the district court committed reversible error in limiting
the cross-examination of Dr. Matava regarding whether normal looking synovial fluid
can nonetheless be infected. She argues that her counsel had not previously asked the
question that the court deemed repetitious and that had counsel been allowed to
complete his cross-examination, Dr. Matava would have testified that normal looking
synovial fluid can be infected.
“[E]rror which might arise from the exclusion of evidence is harmless where
the same facts are presented to the jury through other evidence.” Porchia v. Design
Equip. Co., 113 F.3d 877, 881 (8th Cir. 1997). Dr. Solman and physician assistant
Gay both testified that it was “possible” but “not probable” for normal looking
synovial fluid to test positive for infection. The jury had earlier heard Dr. Solman’s
deposition testimony that fluid that does not appear to be cloudy can test positive for
bacterial infection, which was the precise evidence that Grussing was hoping to elicit
from Dr. Matava. Any error in limiting counsel’s questioning on the ground that it
was repetitious was thus harmless.
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We similarly reject Grussing’s assertion that she should be granted a new trial
because of the objected-to statement of law during closing arguments. A threshold
issue is whether federal or Missouri law controls the propriety of closing arguments
in this diversity case. Grussing argues that Missouri law applies. Our court has
stated, however, that whether the district court erred in permitting arguments of
counsel is a procedural question that should be governed by federal law. See
Kostelec v. State Farm Fire and Cas. Co., 64 F.3d 1220, 1228 (8th Cir. 1995) (listing
cases); see also Bank of Am., N.A. v. JB Hanna, LLC, 766 F.3d 841, 851 (8th Cir.
2014) (“The granting or denial of a new trial is a matter of procedure governed by
federal law.”) (internal marks and citation omitted). Federal law grants considerable
discretion to the trial court to control arguments. Vanskike v. Union Pac. R. Co., 725
F.2d 1146, 1149 (8th Cir. 1984). We will reverse only if the statements made were
“plainly unwarranted and clearly injurious.” Id.The district court did not abuse its discretion here. It correctly instructed the
jury regarding the burden of proof before and after closing arguments; it immediately
gave a curative instruction during arguments; and the correct burden of proof was
properly emphasized throughout trial. We thus conclude that defense counsel’s
statement was not so plainly unwarranted or so injurious as to require a new trial. See
City of Malden v. Union Elec. Co., 887 F.2d 157, 164-65 (8th Cir. 1989) (holding
that a new trial is not warranted when the district court properly instructed the jury
concerning its duty and thereby cured an improper instruction that had been
previously given by defense during closing arguments); see also United States v.
Voice, 622 F.3d 870, 875 (8th Cir. 2010) (holding that the district court sufficiently
corrected a misstatement of governing law in closing arguments when it instructed
the jury to “rely on the jury instructions that I gave you for what the law means”).
The judgment is affirmed.
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