ROBERTA J. BLANSHAN and JOHN H. BLANSHAN, Plaintiffs-Appellants, vs. THOMAS A. CARLSTROM and THE IOWA CLINIC, P.C., Defendants-Appellees.
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IN THE COURT OF APPEALS OF IOWA
No. 7-750 / 06-1820
Filed November 29, 2007
ROBERTA J. BLANSHAN and
JOHN H. BLANSHAN,
Plaintiffs-Appellants,
vs.
THOMAS A. CARLSTROM and
THE IOWA CLINIC, P.C.,
Defendants-Appellees.
________________________________________________________________
Appeal from the Iowa District Court for Polk County, Richard G. Blane II,
Judge.
Plaintiffs appeal the trial court’s denial of their motion for new trial arguing
they were prejudiced by the court’s submission of one jury instruction.
AFFIRMED.
H. Daniel Holm, Jr. and Max E. Kirk of Ball, Kirk & Holm, Waterloo, for
appellants.
Richard C. Garberson, Jennifer Rinden, and Tricia Hoffman-Simanek, of
Shuttleworth & Ingersoll, PLC, Cedar Rapids, for appellees.
Heard by Huitink, P.J., and Miller and Eisenhauer, JJ.
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EISENHAUER, J.
Plaintiffs Roberta J. Blanshan (Roberta) and John H. Blanshan appeal a
jury verdict and district court judgment in favor of defendants Dr. Thomas A.
Carlstrom and The Iowa Clinic, P.C. (Dr. Carlstrom for both). The Blanshans
argue the district court erred in denying their new trial motion because they were
prejudiced by the court’s submission of jury instruction twelve over their
objection. Finding no error, we affirm.
I.
BACKGROUND FACTS AND PROCEEDINGS.
On December 13, 2002, Dr. Carlstrom performed cervical spine surgery
on Roberta. When Roberta’s symptoms returned, Dr. Carlstrom recommended
and performed another cervical spine surgery on December 21, 2002.
When Roberta’s pain continued to increase, she went to the Boone
County Hospital emergency room on December 24, 2002, and was transferred to
the Mayo Clinic in Rochester, Minnesota. On January 6, 2003, Mayo placed
Roberta in cervical traction, followed by a third cervical spine surgery.
On February 24, 2004, the Blanshans filed a petition alleging negligence
on the part of Dr. Carlstrom. After trial, the jury returned a verdict for defendants
on May 10, 2006. The Blanshan’s motion for new trial was denied on October
12, 2006, and they appeal.
II.
SCOPE AND STANDARDS OF REVIEW.
When a new trial motion is based on an alleged error regarding
challenged jury instructions, our review is for correction of errors of law. Estate
of Long v. Broadlawns Med. Ctr., 656 N.W.2d 71, 91 (Iowa 2002).
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III.
PHYSICIAN OPINION INSTRUCTION.
At trial, the Blanshans objected to the use of instruction twelve by stating:
[T]he only objection the plaintiffs would have would be to instruction
number 12. I realize the court has broadened the scope of that in
my objections. I simply don’t believe it’s a necessary instruction in
the case. I think it serves to give undue emphasis to certain
aspects of testimony in this case and not others. And I just don’t
think it’s necessary to be given.
Instruction twelve informed the jury:
You are to determine the standard of care, that being the
degree of skill, care, and learning to be possessed and exercised
by Dr. Carlstrom, based only on the opinions of the physicians,
including Dr. Carlstrom, who have testified as to the standard of
care.
You are also to determine whether Dr. Carlstrom met or
failed to meet the standard of care based only on the opinions of
the physicians, including Dr. Carlstrom, who have testified on the
issue.
Finally, you are to determine whether the failure to meet the
standard of care, if any, was a proximate cause of Plaintiff’s injury
based only on the opinions of the physicians, including Dr.
Carlstrom, who have testified in this case.
The Blanshans advance three arguments on appeal: (1) instruction twelve
incorrectly required the jury to “only” consider physician opinions; (2) instruction
twelve is inconsistent with instruction three; and (3) instruction twelve unduly
emphasizes Dr. Carlsrom’s testimony and credibility by utilizing his name five
times in three sentences.
We first address the second alleged error concerning an inconsistency
with instruction three. Since this was never argued before the district court, we
will not consider it for the first time on appeal. Meier v. Senecaut, 641 N.W.2d
532, 537 (Iowa 2002); Morgan v. Perlowski, 508 N.W.2d 724, 729 (Iowa 1993).
See Iowa R. Civ. P. 1.924.
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Alleged error concerning the use of the word “only” and the use of Dr.
Carlstom’s name were argued to the district court in the Blanshan’s motion for
new trial. In addressing the issue of use of the word “only,” the district court
stated: “Plaintiffs’ objection at trial was not specific on this issue.” Regarding the
use of Dr. Carlstrom’s name as emphasizing his testimony, the district court
stated: “This argument was not made at trial as part of the objection to this
instruction. Plaintiffs’ counsel’s objection . . . did not apprise the Court of a defect
in the instruction which Plaintiffs’ now want to assert.”
The Blanshans’ objection is required to “be sufficiently specific to alert the
trial court to the basis for the complaint so that if error does exist the court may
correct it before placing the case in the hands of the jury.” Morgan, 508 N.W.2d
at 729. We conclude there is nothing in the general objection the Blanshans
made to instruction twelve which would alert the trial court, at a time when the
instruction could have been changed, to the more specific arguments made in
the motion for new trial and on appeal. We fail to see how the trial court should
have discerned the Blanshans were specifically concerned about the use of the
word “only” or the use of Dr. Carlstrom’s name. In summary, the Blanshans did
not adequately identify the specific portions of instruction twelve deemed
objectionable and it is too late to supply these particulars on appeal. See Boham
v. City of Sioux City, 567 N.W.2d 431, 438 (Iowa 1997); Iowa R. Civ. P. 1.924.
AFFIRMED.
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