Kabran v. Sharp Memorial

Filed 5/20/15
CERTIFIED FOR PUBLICATION
COURT OF APPEAL, FOURTH APPELLATE DISTRICT
DIVISION ONE
STATE OF CALIFORNIA
BERTHE FELICITE KABRAN, D064133
as Successor in Interest, etc.,
Plaintiff and Respondent.
(Super. Ct. No. 37-2010-00083678-
v. CU-PO-CTL)
SHARP MEMORIAL HOSPITAL,
Defendant and Appellant,
APPEAL from an order of the Superior Court of San Diego County, John S.
Meyer, Judge. Affirmed.
Berman & Riedel and William Michael Berman; Kenneth M. Sigelman &
Associates and Kenneth M. Sigelman, Penelope A. Phillips; Jon R. Williams for Plaintiff
and Respondent.
Lotz, Doggett & Rawers and Jeffrey S. Doggett, Evan J. Topol for Defendant and
Appellant.
Defendant and appellant Sharp Memorial Hospital dba Sharp Rehabilitation
Center (Sharp) appeals from an order granting plaintiff and respondent's Berthe Felicite
Kabran's motion for new trial following a special verdict on a cause of action for medical
malpractice in which the jury found Sharp was negligent in the care and treatment of
plaintiff's predecessor, Dr. Eke Wokocha, but that the negligence was not a substantial
factor in causing harm.1 Sharp contends the trial court acted in excess of its jurisdiction
by granting a new trial because the motion was untimely, rendering the order void. It
further contends the court abused its discretion because the evidence proffered by
plaintiff in support of the new trial motion was cumulative and consistent with defense
expert trial testimony, and thus would not change the outcome of the trial. We conclude
that no jurisdictional defect appears in the court's new trial order and, as a result, Sharp
may not raise its appellate contentions as to the motion's timeliness for the first time on
appeal. We further conclude the trial court did not manifestly abuse its discretion in
assessing the new evidence—results of an autopsy conducted on Dr. Wokocha—and
ruling on this record that plaintiff should be granted a new trial. Accordingly, we affirm
the order.
FACTUAL AND PROCEDURAL BACKGROUND
In 2008, Dr. Wokocha began developing weakness in his upper extremities. By
early 2009, he was experiencing progressive numbness, tingling, and weakness in his
limbs, requiring him to use a wheelchair and walker. Medical resonance imaging (MRI)
conducted in late 2008 showed two distinct problems in the same location of his cervical
spine: narrowing of the spinal canal (cervical stenosis) as well as a mass, later determined
1 Wokocha, a clinical psychologist, died after the jury returned its verdict, and the
court substituted Kabran as his successor in interest. We refer to plaintiff at times as Dr.
Wokocha as do the parties on appeal.
2
to be a low-grade astrocytoma or tumor, on the back side of his spinal cord. Dr.
Wokocha underwent spinal decompression surgery on January 7, 2009, and five days
later was transferred to Sharp's rehabilitation center. After the evening of January 16,
2009, while at Sharp, he experienced a rapid decline in his condition resulting in
complete quadriplegia.
Dr. Wokocha sued Sharp and others for negligence, and trial commenced in
October 2012. The case was tried in part on the theory that while at Sharp Dr. Wokocha
was mishandled by an occupational therapist during an attempted transfer from his bed to
a shower commode chair, resulting in spinal shock and active bleeding (a hematoma),
which caused his rapid deterioration to quadriplegia.2 The parties presented conflicting
expert testimony on the issues of negligence and causation, including based on the
appearance of various MRIs taken of Dr. Wokocha's spine in January and February 2009,
July 2011, and August 2012. The jury returned a special verdict finding Sharp was
negligent in its care and treatment of Dr. Wokocha, but that the negligence was not a
substantial factor in causing him harm.
On March 1, 2013, Kabran timely filed and served her notice of intention to move
for a new trial on grounds, among others, of newly discovered evidence. Several days
later, pursuant to the parties' stipulation, the court granted her an extension of time until
Monday, April 1, 2013, which happened to be a court holiday, to file and serve her
motion and supporting affidavits. On April 2, 2013, Kabran personally served her notice
2 Trial proceeded only against Sharp and John Jahan, M.D., one of Dr. Wokocha's
treating physicians.
3
of motion and motion for new trial, along with two supporting declarations. She
attempted to file the papers in the superior court that day, but ultimately, because the
requisite filing fee was not paid, the court clerk cancelled the file stamp and did not
process the motion.3 On April 3, 2013, Kabran successfully applied ex parte for an order
setting the new trial motion for hearing on April 12, 2013. The court ordered Sharp's
opposition papers to be filed and served by noon on April 10, 2013. Kabran's new trial
motion was eventually filed with the court on April 5, 2013, and her supporting
declarations were filed on April 9, 2013.
Kabran's new trial motion asserted newly discovered evidence, namely, the results
of an autopsy assertedly showing that the damage to Dr. Wokocha's spine was not the
result of his tumor, and that "the [defense] witnesses who testified that the markedly
abnormal area on MRI consisted entirely of a malignant astrocytoma, and/or that it was
unrelated to trauma, were wrong." In support of the motion, Kabran submitted a
declaration from Guerard Grice, M.D., who with another doctor had performed an
autopsy, removed Dr. Wokocha's brain and spinal cord, and examined slides of tissue
blocks taken from the cervical spinal cord. Kabran also submitted a declaration from her
trial expert Jeffrey Gross, M.D., a neurological surgeon. Kabran argued that the tissue
obtained from the autopsy from the "obliterated" portion of Dr. Wokocha's cervical spinal
3 We grant plaintiff's request to judicially notice the San Diego Superior Court's
April 4, 2013 notice to filing party (Evid. Code, §§ 452, subd. (d) [allowing judicial
notice of court records], 459, subd. (a)) as well as the fact that March 31, 2013, was Cesar
Chavez day. (Evid. Code, § 451, subd. (f) [judicial notice of facts of generalized
knowledge].)
4
cord, which was "in sufficient quantity to view grossly and microscopically so as to
arrive at a definitive diagnosis," required a new trial. Sharp opposed the motion on the
merits without raising any issue about its timeliness.4
After hearing arguments on the matter, the trial court granted the motion. It ruled
there was a probability Dr. Grice's opinion would render a different result in a new trial,
and the new evidence could not with reasonable diligence have been discovered and
produced at trial.
Sharp filed this appeal.
DISCUSSION
I. Timeliness of New Trial Motion
Sharp has advanced several theories to contend that plaintiff's motion for new trial
was untimely such that the trial court had no jurisdiction to consider it. It initially argued
plaintiff's new trial motion and supporting affidavits were filed two days beyond the
statutory time limit for filing the motion. Plaintiff responded by pointing out there was
an intervening holiday so that the last day to file the motion and affidavits was April 2,
2013. Sharp has conceded that narrow point.
4 Sharp objected to Dr. Grice's and Dr. Gross's conclusions as to causation on
various grounds. In part, it argued Dr. Grice's conclusions lacked foundation and/or had
an insufficient basis, and, as to his conclusion concerning the cause of the complete
obliteration of Dr. Wokocha's mid-cervical spinal cord, was irrelevant. The court
overruled Sharp's objections, stating, "The fact that plaintiff's newly discovered evidence
may be challenged is not relevant to this motion." Sharp does not challenge on appeal the
court's evidentiary ruling.
5
Sharp now contends the new trial motion was untimely because plaintiff did not
pay the required filing fee until April 5, 2013, after the prescribed time limit for filing the
motion. Responding to plaintiff's argument that Sharp forfeited timeliness contentions by
failing to raise them in the trial court, Sharp argues the statutory time periods, including
the periods in which to file opposing papers or affidavits in support of a new trial motion,
are jurisdictional, and as a result it cannot have waived any objection to the untimely
filing in the trial court.
As an additional ground to reverse the order granting a new trial, Sharp asserts in
its opening and reply briefs that the trial court erred by shortening time for it to respond
to the motion in violation of Code of Civil Procedure5 section 659a, depriving it of the
mandatory 10 days within which to either prepare counteraffidavits or obtain an
extension of time to file them. Because the record does not contain a reporter's transcript
of the April 3, 2013 ex parte hearing on the matter, Sharp has moved to produce
additional "evidence" by way of its counsel's declaration as to what he said at that ex
parte hearing.6
5 Statutory references are to the Code of Civil Procedure unless otherwise specified.
6 Plaintiff's counsel responds to that motion by submitting his own declaration
recounting what occurred at the hearing, contradicting Sharp's counsel's declaration. We
deny Sharp's motion to produce new evidence under section 909, as the circumstances do
not warrant our acting as a fact finder on matters occurring before the trial court.
Generally speaking, we review the record as it was before the trial court. (In re Zeth S.
(2003) 31 Cal. 4th 396, 405.) "[T]he 'circumstances under which an appellate court can
receive new evidence after judgment, or order the trial court to do so, are very rare. For
this court to take new evidence pursuant to statute (§ 909) . . . , the evidence normally
must enable the Court of Appeal to affirm the [order], not lead to a reversal.' " (J.J. v.
6
A. Applicable Law
Section 659, governing new trial motions, provides in part: "(a) The party
intending to move for a new trial shall file with the clerk and serve upon each adverse
party a notice of his or her intention to move for a new trial, designating the grounds
upon which the motion will be made and whether the same will be made upon affidavits
or the minutes of the court, or both, either: [¶] (1) After the decision is rendered and
before the entry of judgment. [¶] (2) Within 15 days of the date of mailing notice of
entry of judgment by the clerk of the court pursuant to Section 664.5, or service upon him
or her by any party of written notice of entry of judgment . . . ."
"[C]ompliance with the 15-day requirement of section 659 is jurisdictional," and
absent compliance a trial court is "without power to entertain the motion." (Tri-County
Elevator Co. v. Superior Court (1982) 135 Cal. App. 3d 271, 277.) When a notice of
intention to move for new trial is timely filed, it "shall be deemed to be a motion for a
new trial on all the grounds stated in the notice." (§ 659, subd. (b).) Thus, " 'when the
adverse party has been given due notice that . . . a motion (for a new trial) will be made
and is fully apprised of the grounds to be urged the jurisdiction of the court is complete.' "
County of San Diego (2014) 223 Cal. App. 4th 1214, 1227, fn. 4, quoting Philippine
Export & Foreign Loan Guarantee Corp. v. Chuidian (1990) 218 Cal. App. 3d 1058,
1090; see also Monsan Homes, Inc. v. Pogrebneak (1989) 210 Cal. App. 3d 826, 830
["The power to invoke [section 909] should be exercised sparingly, ordinarily only in
order to affirm the lower court decision and terminate the litigation, and in very rare cases
where the record or new evidence compels a reversal with directions to enter judgment
for the appellant"].) Whatever arguments counsel made before the court at the April 3,
2013 ex parte hearing are not evidence, much less new evidence. (In re Zeth S., at p. 414,
fn. 6 [it is axiomatic that unsworn statements of counsel are not evidence].) And in any
event, even if we considered counsel's declarations submitted on appeal, their dispute
over what they argued at the hearing fails to meet these stringent standards.
7
(Nichols v. Hast (1965) 62 Cal. 2d 598, 600.) "The purpose of notice under section 659 is
to give the adverse party a reasonable opportunity to oppose a motion for a new trial on
its merits." (Ibid.)
Section 659a sets out time limits for filing accompanying affidavits and briefs
supporting and opposing the notice of intention to move for new trial.7 It has been long
held that the time limits for filing affidavits and counteraffidavits for new trial motions,
though "strict" (Clemens v. Regents of University of California (1970) 8 Cal. App. 3d 1,
21), are not jurisdictional. (Fredrics v. Paige (1994) 29 Cal. App. 4th 1642, 1648; Wiley v.
Southern Pacific Transportation Co. (1990) 220 Cal. App. 3d 177, 188; Clemens, at p. 21;
Boynton v. McKales (1956) 139 Cal. App. 2d 777, 782; see Smith v. Whittier (1892) 95
Cal. 279, 295, called into doubt on other grounds by intervening statute in Caira v. Offner
(2005) 126 Cal. App. 4th 12, 35; Spottiswood v. Weir (1889) 80 Cal. 448, 451 [no error in
allowing filing of counteraffidavits after time fixed by the code]; 8 Witkin, Cal.
Procedure (5th ed. 2008) Attack on Judgment in Trial Court, § 65, p. 650 ["Affidavits or
declarations [in connection with a new trial motion] filed too late may be disregarded.
[Citations.] On the other hand, the time limits are not jurisdictional. The court may still
consider an affidavit or declaration even if it is filed after the deadline"]; but see Erikson
7 Section 659a provides: "Within 10 days of filing the notice, the moving party
shall serve upon all other parties and file any brief and accompanying documents,
including affidavits in support of the motion. The other parties shall have 10 days after
that service within which to serve upon the moving party and file any opposing briefs and
accompanying documents, including counteraffidavits. The moving party shall have five
days after that service to file any reply brief and accompanying documents. These
deadlines may, for good cause shown by affidavit or by written stipulation of the parties,
be extended by any judge for an additional period not to exceed 10 days."
8
v. Weiner (1996) 48 Cal. App. 4th 1663, 1671-1672 (Erikson) [aggregate 30-day time
period of section 659a for filing affidavits is mandatory and jurisdictional].) Thus, the
court may, but need not, reject affidavits filed after those time limits.
"The power of a trial court to rule on a motion for a new trial expires 60 days after
(1) the clerk mails the notice of entry of judgment, or (2) a party serves written notice of
entry of judgment on the party moving for a new trial, whichever is earlier, or if no such
notice is given, then 60 days after filing of the first notice of intent to move for a new
trial. (§ 660.) If the motion for a new trial is not ruled upon within the 60-day time
period, then 'the effect shall be a denial of the motion without further order of the court.'
(§ 660.) The 60-day time limit provided in section 660 is jurisdictional. Consequently,
an order granting a motion for a new trial beyond the relevant 60-day time period is void
for lack of jurisdiction." (Dakota Payphone, LLC v. Alcaraz (2011) 192 Cal. App. 4th
493, 500; see Mercer v. Perez (1968) 68 Cal. 2d 104, 123; Siegal v. Superior Court (1968)
68 Cal. 2d 97, 101.)
B. There is No Jurisdictional Defect in the Court's Order
In this case, there is no dispute Kabran timely filed her notice of intention to move
for new trial on March 1, 2013, and that the notice of intention set forth the grounds for a
9
new trial—newly discovered evidence—raised both below and now on appeal.8 Upon
this filing, the trial court's "jurisdiction [was] complete," and Sharp was provided a
reasonable opportunity to defend the motion, "for plaintiff['s] notice clearly stated that the
motion would be made on the ground [of newly discovered evidence]." (Nichols v. Hast,
supra, 62 Cal.2d at p. 600.) The trial court thereafter set dates for Sharp's opposition, and
Sharp opposed the motion on the merits without raising any issue as to its ability to
respond within the time limits ordered by the court or the timeliness of the motion in
general. The trial court did not address timeliness in its ruling, which was issued within
the 60-day jurisdictional time-frame. (§ 660.)
We need not address Kabran's argument that her accompanying papers were in
fact timely filed on April 2, 2013, notwithstanding the clerk's cancellation of the file-
stamp. Even assuming arguendo she failed to meet section 659a's filing deadline for
supporting affidavits, the trial court did not lose fundamental jurisdiction to act on
plaintiff's motion by virtue of that circumstance, and the late filing did not render the
court's order, or its acceptance of the late-filed papers, void. Sharp's arguments to the
contrary rely on cases addressing the untimely filing of a notice of intention to move for a
new trial. (See Kientz v. Harris (1953) 117 Cal. App. 2d 787 [plaintiff's notice of intention
to file a motion for new trial was untimely filed after court rejected it for the absence of a
filing fee, requiring appellate court to dismiss appeal as untimely filed]; Davis v. Hurgren
(1899) 125 Cal. 48 [affirming denial of motion for new trial where appellants' notice of
8 Though it is not included in the record, Sharp asserts its notice of entry of
judgment was served on February 14, 2013.
10
intention was filed late due to absence of filing fee]; Douglas v. Janis (1974) 43
Cal. App. 3d 931, 936 [where notice of intention to move for new trial was not timely filed
within 15 days from plaintiff's notice of entry of judgment, the trial court acted outside of
its jurisdiction in granting the motion and the order was void]; Ehrler v. Ehrler (1981)
126 Cal. App. 3d 147, 152-153 [order on new trial void where plaintiff's first notice of
intention to move for new trial was filed prematurely, and second notice of intention was
filed three days after the 15-day period from the mailing of the notice of entry of
judgment; the trial court's act in hearing the motion and the parties' participation in the
hearing did not confer jurisdiction on the court].) These cases are inapposite because
there is no dispute Kabran's notice of intention to move for new trial in this case was filed
within the 15-day jurisdictional deadline.
Sharp asserts that the jurisdictional rule for the notice of intention to move for a
new trial "applies to the motion itself and supporting affidavits." But its authority cited
for this proposition, Douglas v. Janis, supra, 43 Cal.App.3d at p. 936, did not involve any
issue concerning the filing of the supporting motion and affidavits; it says nothing about
the timeliness of such papers. Sharp also relies on Erikson, supra, 48 Cal. App. 4th 1663
for the proposition that the 30-day outside time limit for filing affidavits in support of a
new trial motion are jurisdictional, and that the court had no power to consider plaintiff's
supporting affidavits.
In Erikson, the defendant, a medical doctor, moved for a new trial based in part on
grounds of juror misconduct. (Erikson, supra, 48 Cal.App.4th at p. 1667.) The
defendant thereafter obtained a 20-day extension of time in which to file his supporting
11
affidavits. On the last day of the extension, he filed an affidavit of one juror, and 15 days
later, he filed two additional affidavits, one from a juror named Gonzales, which the trial
court ultimately accepted into evidence. (Id. at pp. 1667, 1669.) Nevertheless, the trial
court denied the new trial motion. (Id. at p. 1669.)
The Third District Court of Appeal affirmed the order, declining to consider the
late-filed affidavits. (Erikson, supra, 48 Cal.App.4th at p. 1666.) On appeal, the plaintiff
argued the time limits for filing affidavits was mandatory and that the Gonzales affidavit
could not be considered. (Id. at p. 1670.) At the outset of its discussion of that issue, the
Erikson court characterized plaintiff's claim as arguing "the aggregate 30-day time period
provided in section 659a for filing affidavits in support of a new trial motion is
mandatory (also called jurisdictional)." (Id. at p. 1671, italics added.) Focusing on the
statute's use of the word "shall," the court held the period was mandatory and
jurisdictional, reasoning also that section 659a specified a "consequence" for exceeding
the time limit, namely the ability to obtain an additional extension of time by the court.
(Id. at p. 1672.) It further reasoned that the time period was jurisdictional because any
extension beyond the aggregate 30-day period of time would encroach upon the interests
of the opposing party's allotted time to file counteraffidavits or the period for the court to
deliberate on the motion. (Id. at pp. 1672-1673.) Erikson distinguished several cases
stating that the time limits for filing affidavits are not jurisdictional. (Id. at p. 1673.)
We are not persuaded by Erikson's analysis and reasoning. Generally,
"requirements relating to the time within which an act must be done are directory rather
than mandatory or jurisdictional, unless a contrary [legislative] intent is clearly
12
expressed." (Edwards v. Steele (1979) 25 Cal. 3d 406, 410; see People v. Allen (2007) 42
Cal. 4th 91, 102; Brewer Corporation v. Point Center Financial, Inc. (2014) 223
Cal. App. 4th 831, 854.) Section 659a contains no clear legislative intent that its
requirements are jurisdictional. The fact the deadlines are expressed in mandatory terms
(i.e., "Within 10 days of filing the notice, the moving party shall serve . . .", italics added)
is not determinative. "[I]t should not be assumed that every statute that uses [the term
"shall"] is mandatory." (People v. Lara (2010) 48 Cal. 4th 216, 227; People v. Allen,
supra, 42 Cal.4th at p. 102 ["Neither the word 'may,' nor the word 'shall,' is dispositive"].)
And, the new trial statutes contain other "mandatory" requirements that if unmet, do not
result in a void order or an order in excess of the trial court's jurisdiction. (See Nichols v.
Hast, supra, 62 Cal.2d at pp. 600-601 [trial court is not deprived of jurisdiction where a
party fails to comply with section 659's requirement that a notice of intention to move for
a new trial "shall" state whether the motion will be made upon affidavits or the minutes
of the court].) Thus, Erikson's focus on the use of "mandatory" language (Erikson, supra,
48 Cal.App.4th at p. 1672) does not compel its conclusion that the time limitations are
jurisdictional.
Nor are we persuaded by Erikson's interpretation of the statute and its purported
consequences. According to the Erikson court, the prescribed "remedy" for
noncompliance with the 10-day filing deadline is that the trial court may extend the time
to file for an "additional period of not exceeding 20 days," and it reasoned that the court
therefore "has no discretion to admit affidavits submitted thereafter." (Erickson, supra,
48 Cal.App.4th at p. 1672.) We do not read section 659a as either prescribing a remedy,
13
or specifying a consequence or penalty for a party's failure to meet the 10-day deadline
specified therein (or the 30-day aggregate extended period) for filing affidavits. The
statute merely gives the party the option to obtain an extension of that time. "The
Legislature's failure to include a penalty or consequence for noncompliance with the
statutory procedure . . . indicates that the requirement is directory rather than mandatory."
(People v. Lara, supra, 48 Cal.4th at p. 217.)
We believe the Erikson court also confused the mandatory vs. directory dichotomy
by equating a violation of a "mandatory" requirement with a lack of fundamental
jurisdiction. " 'A typical misuse of the term "jurisdictional" is to treat it as synonymous
with "mandatory." There are many time provisions, e.g., in procedural rules, which are
not directory but mandatory; these are binding, and parties must comply with them to
avoid default or other penalty. But failure to comply does not render the proceeding void
. . . .' " (Poster v. Southern Cal. Rapid Transit Dist. (1990) 52 Cal. 3d 266, 274.) "A lack
of jurisdiction in its fundamental or strict sense results in ' "an entire absence of power to
hear or determine the case, an absence of authority over the subject matter or the parties."
[Citation.] On the other hand, a court may have jurisdiction in the strict sense but
nevertheless lack " 'jurisdiction' (or power) to act except in a particular manner, or to give
certain kinds of relief, or to act without the occurrence of certain procedural
prerequisites." [Citation.] When a court fails to conduct itself in the manner prescribed,
it is said to have acted in excess of jurisdiction.' " (People v. Lara, supra, 48 Cal.4th at p.
224.)
14
The Erikson court incorrectly concluded that the defendant's failure to meet the
section 659a deadline deprived the trial court of any ability to accept the evidence. We
disagree with that conclusion. Rather, in light of the general rule and the absence of clear
legislative intent to the contrary, we conclude the period in which to file opposing papers,
whether it be 10 or 30 days, is not jurisdictional in the fundamental sense, but is only
jurisdictional in the sense that it deprives the court of power to act except in a particular
manner, or to act without the occurrence of certain procedural prerequisites.
Accordingly, the court's acceptance of such evidence was in excess of its jurisdiction, but
nevertheless within its fundamental jurisdiction. (People v. Lara, supra, 48 Cal.App.4th
at p. 224.) Our conclusion is consistent with the weight of authority cited above (see part
I (A), ante), holding that the section 659a deadlines are not jurisdictional.
C. Sharp May Not Raise its Timeliness Challenges
The foregoing analysis compels us to conclude that Sharp may not raise for the
first time on appeal its arguments as to timeliness. The distinction between an act that is
beyond a court's jurisdiction in the fundamental sense and an act that is in excess of
jurisdiction is important. " '[A] claim based on a lack of [ ] fundamental jurisdiction[ ]
may be raised for the first time on appeal. [Citation.] "In contrast, an act in excess of
jurisdiction is valid until set aside, and parties may be precluded from setting it aside by
such things as waiver, estoppel, or the passage of time." ' " (People v. Lara, supra, 48
Cal.4th at p. 225.) "[A] claim that a trial court acted in excess of its jurisdiction, as
15
opposed to lacking fundamental jurisdiction to act, is subject to forfeiture by failing to
preserve it in the trial court." (People v. Taylor (2009) 174 Cal. App. 4th 920, 937-938.)
Because Sharp did not challenge below either the timeliness of plaintiff's filed
supporting papers and affidavits, or the period of time in which it was to file its
opposition to plaintiff's motion, but rather opposed the motion on the merits, it may not
for the first time on appeal challenge the court's power to consider plaintiff's new trial
motion. We therefore turn to Sharp's claims as to the correctness of the trial court's new
trial order.
II. New Trial Order
A. Legal Principles and Standard of Review
"To entitle a party to have a new trial on [the ground of newly discovered
evidence], 'it must appear . . . "1. That the evidence, and not merely its materiality, be
newly discovered; 2. That the evidence be not cumulative merely; 3. That it be such as
to render a different result probable on retrial of the cause; 4. That the party could not
with reasonable diligence have discovered and produced it at the trial; and 5. That these
facts be shown by the best evidence of which the case admits." ' " (People v. Williams
(1962) 57 Cal. 2d 263, 270; see Sherman v. Kinetic Concepts, Inc. (1998) 67 Cal. App. 4th
1152, 1161; Easom v. General Mortg. Co. (1929) 101 Cal. App. 186, 194.)
"[T]he rule . . . that a new trial should not be granted where the evidence is merely
cumulative, must be regarded (in this state) not as an independent rule, additional to those
established by the provisions of section 657 of the code, but as a mere application of
those rules, or, as it has been expressed, as 'a corollary of the requirement that the newly
16
discovered evidence must be such as to render a different result probable on a retrial of
the case.' [Citation.] For . . . 'it is evident that new evidence, although cumulative, might
be of so overwhelming a character as to render a different result certain' (or probable);
and in such case under the express provisions of the code a new trial should be granted.
The rule should therefore be construed as simply holding that cumulative evidence is
insufficient 'unless it is clear such evidence would change the result.' [Citation.] Hence,
'a new trial should not be refused merely because the evidence is cumulative in a case
where the cumulation is sufficiently strong to render a different result probable.' "
(Oberlander v. Fixen & Co. (1900) 129 Cal. 690, 691-692.) Accordingly, "[e]ven where
[evidence is cumulative], the court is not thereby precluded granting a new trial . . . . The
question before the trial court, even where the newly discovered evidence is simply
cumulative, is whether if such evidence had been presented on the trial of the cause it
would probably have produced a different result. The determination of that question is
peculiarly within the province of the trial court. It is a matter addressed wholly to its
discretion and as a general proposition whether its ruling is favorable or unfavorable on a
motion for new trial based on newly discovered evidence which appears to be merely
cumulative, that discretion will not be reviewed except for manifest abuse." (Cahill v.
E.B. & A.L. Stone Company (1914) 167 Cal. 126, 135; see also Brannock v. Bromley
(1939) 30 Cal. App. 2d 516, 519-520; People v. Lakenan (1923) 61 Cal. App. 368, 373.)
Under the applicable abuse of discretion standard, the court's order granting a new
trial must be sustained on appeal unless the opposing party demonstrates that no
reasonable finder of fact could have found for the moving party on the theory relied upon
17
by the trial court. (Lane v. Hughes Aircraft Co. (2000) 22 Cal. 4th 405, 412; People v.
Williams, supra, 57 Cal.2d at p. 270; Slemons v. Paterson (1939) 14 Cal. 2d 612, 615-
616.)9 "So long as a reasonable or even fairly debatable justification under the law is
shown for the order granting the new trial, the order will not be set aside." (Jimenez v.
Sears, Robuck & Co. (1971) 4 Cal. 3d 379, 387; Candido v. Huitt (1984) 151 Cal. App. 3d
918, 922-923.)
B. New Trial Evidence
Dr. Grice's new trial declaration recounted his autopsy findings from having
examined slides of tissue blocks taken from Dr. Wokocha's cervical spinal cord.
According to Dr. Grice, plaintiff's mid-cervical spinal cord was "markedly abnormal"
with no remaining normal spinal cord at the abnormal area; the normal cord tissue had
been replaced by "a disorganized neural proliferation accompanied by fibrosis—
consistent with 'traumatic' neuroma." He stated that a traumatic neuroma "occurs in the
9 We observe that Sharp relies on the principle that motions for new trial on grounds
of newly discovered evidence "are looked upon with disfavor . . . ." (People v. Williams,
supra, 57 Cal.2d at p. 270; Shivers v. Palmer (1943) 59 Cal. App. 2d 572, 576.) But
"[d]istrust or disfavor of the motion does not mean 'that when the trial court has exercised
its discretion and granted a new trial that such action is looked upon with either distrust
or disfavor. In fact, it has been said that one of the most prolific causes of miscarriages
of justice is the reluctance of trial judges to exercise the discretion with which they are
clothed to grant a new trial when the circumstances show that justice would be thereby
served. This by reason of the curtailed power of appellate courts to disturb the discretion
of the trial court once it is exercised in such matters. It is recognized that despite the
exercise of diligent effort, cases will sometimes occur where, after trial, new evidence
most material to the issues and which would probably have produced a different result is
discovered. It is for such cases that the remedy of a motion for a new trial on the ground
of newly discovered evidence has been given.' " (People v. Love (1959) 51 Cal. 2d 751,
758; see also People v. Minnick (1989) 214 Cal. App. 3d 1478, 1481.)
18
setting of trauma (e.g. blunt force injury)" and was not a neoplasm.10 Dr. Grice stated:
"There was no evidence whatsoever of a neoplasm (including an astrocytoma) in any part
of the obliterated mid-cervical spinal cord segment. However, peripeheral to this mid-
cervical area, where the spinal cord displayed its normal microscopic architecture, there
was evidence of an infiltrating astrocytoma, not forming a tumorous mass per se, but
composed of individual neoplastic astrocytes infiltrating the normal cord parencyma." It
was Dr. Grice's opinion that the obliteration of plaintiff's spinal cord was "not likely due
primarily to the presence of an astrocytic tumor," but rather "to a reasonable medical
probability, that the completely obliterated mid-cervical spinal cord was replaced by a
traumatic neuroma—in this instance caused by trauma."
In his supporting new trial declaration, Dr. Gross averred that all of the defense
causation experts testified that plaintiff's neurological deterioration was caused by growth
of the cervical spinal cord tumor. Dr. Gross recounted his opinions at trial, stating: "I
testified in deposition and at trial that the acute neurologic deterioration that Dr.
Wokocha suffered late on January 16, 2009, and early on January 17, 2009, was caused
by an acute traumatic injury to Dr. Wokocha's cervical spinal cord on the morning of
January 16, 2009, and that the trauma responsible for this injury was to a reasonable
medical probability a whiplash-type (acceleration-deceleration) injury that occurred when
Dr. Wokocha was returned to the bed following an attempted transfer to a shower
commode chair . . . . The acceleration-deceleration injury resulted in the development of
10 Plaintiff's trial expert neuropathologist, Dr. Saleir Gultekin, testified that a
"neoplastic process" would mean some sort of cancer.
19
an epidural hematoma which, by the early morning of January 16, 2009, had rendered Dr.
Wokocha a near-total quadriplegic by compressing his spinal cord. It was my opinion to
a reasonable medical probability that the acute neurological deterioration that occurred
late on January 16, 2009, and early on January 17, 2009, was not related to the
astrocytoma. It was also my opinion to a reasonable medical probability that, had the
acute injury . . . caused by the transfer incident not occurred, Dr. Wokocha to a
reasonable medical probability, would not have deteriorated to near-total quadriplegia,
would have successfully completed his course of rehabilitation, and would have been
able to return to a largely independent life that included resuming work as a clinical
psychologist." Dr. Gross stated that Dr. Grice's description correlated with what he saw
on MRI studies, and that because plaintiff did not have treatment of any kind for the
astrocytoma, the absence of tumor cells from the obliterated area of his spinal cord
"elevates from a reasonable medical probability to a medical certainty my degree of
confidence that Dr. Wokocha's neurological deterioration to near total quadriplegia on
late January 16, 2009, and early January 17, 2009[,] was not in any way related to his
astrocytoma, and was caused by trauma related to the transfer incident." Dr. Gross
averred, "We now know with complete medical certainty that the tumor was not a
causative factor . . . ."
In opposition, Sharp argued the autopsy findings were consistent with its defense
experts' trial opinions, and thus the new evidence was merely cumulative. It argued the
evidence could have been discovered with reasonable diligence before trial by
performing a further biopsy of Dr. Wokocha's spinal cord. It maintained none of the
20
evidence would change the result of the trial, in which the jury rejected plaintiff's
causation theory. Sharp presented a declaration from its trial expert Douglas Miller,
M.D., a neuropathologist, who averred, in part, that nothing in the autopsy slides would
change his trial opinion that, "with a reasonable degree of medical probability, Dr.
Wokocha's demise was due to the presence of a cervical cord astrocytoma, and not due to
spinal cord necrosis from pressure from an epidural hematoma which was supposed to
have resulted from an alleged drop incident."
C. Analysis
Sharp contends the trial court abused its discretion in granting a new trial because
plaintiff's assertedly new evidence was merely cumulative of the trial evidence.
Specifically, Sharp points out that both Dr. Grice and Dr. Gross in their declarations
conclude that there was abnormal fibrous tissue in plaintiff's mid-cervical spine replacing
the spinal cord that was consistent with trauma. It argues, "[Dr. Grice's and Dr. Gross's]
opinions . . . as is evident by Dr. Gross' declaration alone, are entirely consistent and
'substantially the same' as the testimony offered by plaintiff's experts at trial." (Some
capitalization omitted.) Sharp compares the circumstances to Evans v. Celotex
Corporation (1987) 194 Cal. App. 3d 741 and Smith v. Exxon Mobile Oil Corporation
(2007) 153 Cal. App. 4th 1407, in which courts addressed a party's ability to bring a new
lawsuit against the same defendant based on assertedly new facts or evidence. But these
cases involved not motions for new trial on a claim of newly discovered evidence, but
application of the doctrine of collateral estoppel, in which the court looks merely to
whether identical issues were decided in successive actions (Vandenberg v. Superior
21
Court (1999) 21 Cal. 4th 815, 828), not whether a different result in the same trial would
be reached upon new and different evidence. (Mills v. U.S. Bank (2008) 166 Cal. App. 4th
871, 896 [former judgment is collateral estoppel on issues that are raised even though
some factual matters that could have been presented were not].) These authorities are
inapposite.11
Sharp further maintains that Kabran admitted below the cumulative nature of the
new evidence when she argued it showed his trial expert, Dr. Gross, "had it right" and the
cumulative aspect of the evidence is evident from the court's ruling that the autopsy
findings were supportive of plaintiff's position on causation. But as we have explained,
11 In Evans v. Celotex Corp., supra, 194 Cal. App. 3d 741, a deceased man's family
sought to sue a defendant for wrongful death after the defendant had successfully
defended a suit brought by the man during his lifetime. In part, the family argued
collateral estoppel could not be applied where "new facts have occurred since the
judgment" and an autopsy permitted a "better diagnostic evaluation" showing asbestosis
was the proximate cause of his death. (Id. at p. 747.) The court concluded that the
additional evidence did not change the legal relationship of the deceased and the
defendant and there were no new events for conditions that "caused a different legal
doctrine to be applied" so as to prevent application of collateral estoppel. (Id. at p. 748.)
"An exception to collateral estoppel cannot be grounded on the alleged discovery of more
persuasive evidence. Otherwise, there would be no end to litigation." (Ibid.) Smith
relied on an equitable component to collateral estoppel in which a prior trial does not
provide "a full and fair opportunity to present a defense." (Smith v. ExxonMobil Corp.,
supra, 153 Cal.App.4th at p. 1420.) "[E]ven where the technical requirements [of
collateral estoppel] are all met, the doctrine is to be applied 'only where such application
comports with fairness and sound public policy.' " (Id. at p. 1414.) In Smith, plaintiffs
sought to use collateral estoppel offensively to preclude a defendant from raising
defenses to liability in a new lawsuit. Its defense was supported by testimony of a
defense expert who was unable to testify in the prior trial due to the sudden death of his
daughter while trial was in progress. In those "unusual and compelling circumstances,"
in which the prior trial did not provide a full and fair opportunity to present a defense, the
appellate court concluded it would be unfair to apply collateral estoppel. (Id. at p. 1420.)
22
the fact the evidence is cumulative does not require denial of the new trial motion; it is
for the trial court to assess the evidence to determine whether the cumulation is
sufficiently strong as to render a different result probable. (Oberlander v. Fixen & Co.,
supra, 129 Cal. at pp. 691-692; Cahill v. E.B. & A.L. Stone Company, supra, 167 Cal. at
p. 135; Brannock v. Bromley, supra, 30 Cal.App.2d at pp. 519-520.)
Sharp additionally argues that the proffered new evidence does not contradict the
testimony of defense experts as plaintiff urged below. It argues its experts at trial agreed
that the abnormal area of Dr. Wokocha's spine consisted of both tumor and cysts; that
there was a "cystic aspect of the 'tumor' " and tumor cells were integrated along the cyst
walls.
As Kabran points out, the trial evidence demonstrates that while an intraoperative
biopsy was performed on the mass in Dr. Wokocha's spinal cord during the January 7,
2009 decompression surgery, only "minute" fragments of tissue were obtained, and a
definitive diagnosis of the mass was difficult. Plaintiff's expert neuropathologist, Dr.
Gultekin, evaluated the material obtained during that biopsy. He explained that in his
experience with spinal cord tumors, such a "very, very small amount of tissue" was
typically all that could be obtained; and that in Dr. Wokocha's case, the pathologist to
whom the sample was sent during surgery could not reach a certain diagnosis so she sent
the slides to a world renowned expert at the Mayo Clinic, who described it as a
"frustratingly difficult diagnostic problem." Dr. Gultekin had chosen a representative
photograph of a slide from that biopsy and stated that overall it "doesn't seem to be a
diagnostically useful specimen" and "not really very informative per se." He denied
23
seeing anything on any portion of the slides he reviewed that permitted him to identify a
tumor cell, and he testified that if he were to give a diagnosis as a neuropathologist
clinician, he could not find definitive evidence of tumor present. His overall conclusion
based on the slides and other materials he had reviewed was that the lesion in plaintiff's
spine "may not actually be a tumor. I don't see any good evidence that this is an
astrocytoma in any of these elements that we have described." Though Dr. Gultekin
recognized a possibility of an astrocytoma, he testified it would have to be "low grade at
best . . . "
Dr. Gross, plaintiff's causation expert, testified at trial that he did not disagree that
plaintiff's biopsy showed a low grade astrocytoma. However, according to Dr. Gross,
plaintiff's February 2009 MRI showed a fluid filled cyst, also called a syrinx or cystic
myelomalacia, in the middle of plaintiff's spinal cord, which was the result of trauma to
the cord, namely, compressive pressure from a hematoma that occurred on January 16,
2009. Though he agreed astrocytomas could cause a syrinx, Dr. Gross testified the cyst
or syrinx was not tumor-related, nor was it related to plaintiff's earlier January 7, 2009
surgery at Scripps. Dr. Wokocha's August 2012 MRI did not change Dr. Gross's
conclusion that there was no relationship between the tumor and the cyst; there was no
significant progression of the astrocytoma from October 2008 to August 2012. Dr.
Gultekin similarly testified the syrinx shown in Dr. Wokocha's February 2009 MRI could
form "from trauma, from tumor, or from a hematoma," and that trauma could result from
surgery or the chronic stenosis (narrowing).
24
The defense experts' conclusions were decidedly conflicting. Sharp's
neurosurgery expert, Dr. Duncan McBride, ultimately testified that a February 19, 2009
image of Dr. Wokocha's spinal cord was inconsistent with a traumatically caused syrinx
and by July 2009 showed "complete utter invasion and overgrowth of tumor with the
spinal cord just destroyed in there." He testified that Dr. Wokocha's August 2012 film
showed a large tumor, not any cystic change due to prior trauma. He opined that had
nothing else happened to Dr. Wokocha, he would have been a quadriplegic simply due to
the growth or expansion of the tumor. David Allen Reardon, Sharp's neurooncologist,
testified that Dr. Wokocha had a large lesion with an area of enhancement on his cervical
spinal cord, characteristic of an aggressive tumor.
Sharp's causation expert, neuropathologist Douglas Miller, testified he had "zero
doubt" that the January 7, 2009 biopsy showed astrocytoma, and that without treatment
for that tumor, Dr. Wokocha would be a complete quadriplegic even without any
intervening event or development of a hematoma. He reviewed Dr. Wokocha's February
2009 MRI and testified that the abnormal area was "absolutely not" a syrinx or
myelomalacia. He testified he had no doubt based on all of the MRIs that plaintiff had a
low grade and expanding astrocytoma. Thus, as Sharp itself points out, its experts
reached ultimate opinions, contradicting plaintiff's experts, that the tumor was the cause
of plaintiff's quadriplegia.
Dr. Wokocha's autopsy enabled a neuropathologist to examine tissue blocks of the
obliterated portion of his spinal cord, which was now removed and fixed in a
preservative, and resulted in a materially different type of sample allowing Dr. Grice to
25
specify what had replaced the normal spinal cord tissue, and Dr. Gross to testify to a
medical certainty about the cause of Dr. Wokocha's total quadriplegia. Indeed, Sharp's
own expert, Dr. Miller, generally confirmed the importance of autopsy findings when he
stated: "[O]bviously if Dr. Wokocha were to expire and have an autopsy, and I was
given the opportunity to look at what was in his cervical cord under the microscope, if I
can't find any tumor there, I would change my opinion, but short of that, I don't see any
other means of providing evidence that I'm wrong . . . ." Sharp argues that biopsy slides
already existed and were reviewed by experts, but it is apparent from plaintiff's expert
neuropathologist's testimony that the samples were so minute as to render diagnosis
difficult.12 Where it is doubtful that evidence is cumulative, it becomes a matter of
discretion, and unless there is a manifest abuse of it, the reviewing court will not
interfere. (Brannock v. Bromley, supra, 30 Cal.App.2d at p. 521.) And, we give great
weight to the court's conclusion that the new evidence made it reasonably probable that
plaintiff would have obtained a more favorable result. (Santillan v. Roman Catholic
Bishop of Fresno (2012) 202 Cal. App. 4th 708, 728.) "The trial court determines what
evidence to believe, and the evidence submitted by the prevailing party, along with its
reasonable inferences, is deemed established." (Ibid.)
12 Sharp maintains in passing that because this biopsy had been performed, it can be
argued that the information stemming from plaintiff's autopsy was "available at the time
of trial" and that experts were permitted to offer opinions and theories on the make-up of
the abnormal spinal tissue from the original biopsy. But the trial judge reasonably
concluded that a biopsy performed as a result of an autopsy would be materially different
from the minute amounts of tissue taken in January 2009.
26
Given the limited scope of our review on the trial court's grant of a new trial
(Candido v. Huitt, supra, 151 Cal.App.3d at p. 923), we affirm. We cannot say under all
of the circumstances, given the vastly conflicting medical expert opinions presented at
trial, that the trial court, who listened to all of the trial evidence, manifestly or
unmistakably abused its wide discretion as to compel us to reverse its decision.
Finally, Sharp contends the new evidence does not make a different judgment
probable on retrial because it does not advance plaintiff's trial theory that the alleged drop
incident caused a hematoma that compressed plaintiff's spine and caused plaintiff's
injury, and thus does not link the incident to plaintiff's injury. It recounts the expert
testimony relating to the age of a hematoma removed from plaintiff's spine on January
17, 2009, the day after the alleged drop incident, and argues that four defense experts
agreed it was an old hematoma that predated the alleged drop incident. It argues the
weight of the evidence was that the hematoma was not what compressed plaintiff's
cervical spine, and points to plaintiff's own neurooncology expert who could not link the
hematoma to plaintiff's traumatic injury.13 The point of plaintiff's motion for new trial
13 This theory was not presented in Sharp's opposition to the new trial motion, but
was argued by counsel during oral argument. He argued that plaintiff's theory was that
the blunt force trauma was the development of the hematoma, but the evidence showed
the hematoma developed at Scripps Clinic, not Sharp. Counsel argued "the jury can
decide causation on that fact alone" and thus did not need to decide what was inside the
lesion on plaintiff's spine. The court responded to this argument in part by saying, ". . . I
sat through the trial. [The jury] probably found that something happened that shouldn't
have. . . . He was dropped. Something happened. They didn't use the right commode.
Anyway, something happened. [¶] And then the question was what caused him to
become a flaccid quad. And that's where it got very heated, very complicated. There
were many, many witnesses. And there was evidence he didn't have an astrocytoma;
27
was not to present evidence in strict keeping with its theory at trial, but to present new
evidence that would cause a jury to reach a different conclusion as to causation. New
evidence that a neuroma caused by trauma replaced plaintiff's normal spinal cord does
not prevent a jury from reaching a conclusion that a drop caused plaintiff's quadriplegia
notwithstanding the evidence of hematoma, which was highly contested at trial.
DISPOSITION
The order is affirmed.
O'ROURKE, J.
WE CONCUR:
HUFFMAN, Acting P. J.
HALLER, J.
there's evidence that he did. There's evidence that he should be dead by now; there's
evidence that he's going to live another 50 years. I mean it was very, very—there was no
real agreement on anything. And then we get to the slides, and that was even more
complicated with MRIs and stains. I mean it was beyond the capability of most people—
nonmedical people to comprehend, I think."
28