Lead Opinion
[¶ 1.] In the first appeal of this medical malpractice suit, we reversed and remanded a judgment for the defendant, Dr. Linda Peterson, holding that the trial court abused its discretion when it misconstrued the rules of evidence on the relevancy and admissibility of plaintiff Lita St. John’s proffered evidence. St. John v. Peterson (St. John I),
BACKGROUND
[¶ 2.] After a 2010 jury verdict for Dr. Peterson in a negligence suit, St. John appealed. In our decision, we framed the issue as “[wjhether the trial court abused its discretion in precluding evidence regarding Dr. Peterson’s еxperience with similar medical procedures.” Id. ¶ 9. From the trial court’s ruling, we could not determine whether it deemed St. John’s proffered evidence relevant, because the “court only said that it did not appear that there was ‘sufficient relevancy’ to overcome or outweigh the prejudice that would be caused.” Id. ¶ 14. We declared that on remand, “the court must determine whether the proffered evidence was relevant before considering whether it is admissible.” Id.
[¶ 3.] Returning to the trial court at the end of 2011, Dr. Peterson sought to exclude plaintiffs proffered evidence, arguing that if the trial court determined that the evidence was admissible, it could then proceed with a new trial. But if, using the correct standard, the trial court
[¶ 4.] St. John responded that the trial court must order a new trial regardless, because this Court’s decision to reverse and remand meant the parties stood as if no trial had yet been held. Alternatively, St. John argued that if the trial court decided to reconsider the issue, Dr. Peterson’s admissions “that she had several failed attempts repairing vesicovaginal fís-tulas involving multiple patients” made it more probable that she breached the standard of care when she treated St. John. Additionally, St. John argued that the evidence was admissible under SDCL 19-12-5 (Rule 404(b)) as other acts evidence: Dr. Peterson’s past failures were relevant to prove Dr. Peterson’s deficiency in knowledge and skill. Lastly, St. John asserted that Dr. Peterson testified at trial as an expert, and therefore, the evidence was prоper for impeaching her knowledge, skill, experience, training, or education. The appellate briefs and the transcript from the oral argument for St John I were made part of the trial court’s record. After the hearing, the trial court issued a memorandum decision concluding that a retrial was not the only permissible option. It then reexamined the questioned evidence.
[¶ 5.] St. John’s proffеred evidence consisted of three other surgeries where Dr. Peterson’s patients suffered vesicova-ginal fistulas. With the first patient, Cheryl, Dr. Peterson performed an abdominal hysterectomy. She observed a “rent” on Cheryl’s bladder, but took no steps in response. Later, Cheryl developed a vesico-vaginal fistula. Dr. Peterson attempted to repair the fistula using the Latzko procedure, the same procedure used with St. John. Dr. Peterson thought the repair was successful, but Cheryl developed another fistula at a different location. Dr. Peterson repaired the second fistula, again using the Latzko procedure, but after that attempt, Cheryl sought care elsewhere.
[¶ 6.] While Cheryl's and St. John’s treatments were similar — total abdominal hysterectomies with vesicovaginal fistulas — the trial court fоund the evidence of Cheryl’s treatment irrelevant. It concluded that there was “a successful repair of one fistula and an unknown outcome concerning the other fistula.” Cheryl’s treatment, in the trial court’s opinion, did not make the existence of any fact in St. John’s case more or less probable. However, in her deposition, Dr. Peterson testified that she did indeed fail to repair a fistula fоr Cheryl. Even if relevant, the trial court went on to conclude that the probative value of this evidence was outweighed by the danger of unfair prejudice, confusion of the issues, and misleading the jury. This evidence, the trial court stated, was merely an allegation of negligence in the failure to repair one of Cheryl’s two vesicovaginal fistulas. Thus, the trial court reasoned, the jury would be required tо “conduct a mini-trial concerning the allegations about the treatment provided to Cheryl[.]” Moreover, “admission of the evidence from [Cheryl’s] case would open the door to Dr. Peterson presenting evidence in defense of those allegations as well as other successful outcomes.” The trial court ruled the evidence inadmissible under SDCL 19-12-3 (Rule 403).
[¶ 7.] As for the second patient, Crystal, during her vаginal hysterectomy, a hole was discovered in her bladder. Although Dr. Peterson repaired the hole during surgery, Crystal was later diagnosed with a vesicovaginal fistula. But Dr. Peterson did not diagnose the fistula or attempt to repair it. Because St. John’s negligence claim centered on Dr. Peterson’s repair of her fistula, and no such repair was performed by Dr. Peterson on
[¶ 8.] Ruth, the third patient, underwent a vaginal hysterectomy and also experienced a hole in her bladder. Dr. Peterson repaired the hole during surgery. Later, shе diagnosed Ruth with a vesicova-ginal fistula. Yet Dr. Peterson did not perform any repair because Ruth sought care elsewhere. Thus, the trial court found the evidence of Ruth’s care irrelevant and inadmissible; and even if relevant, any probative value it may have had would be outweighed by the risk of unfair prejudice, confusion of the issues, and misleading the jury.
[¶ 9.] Then, the trial court addressed St. John’s alternative argument that her proffered evidence was admissible as other acts evidence under SDCL 19-12-5 (Rule 404(b)) to prove Dr. Peterson’s insufficiency of knowledge. The trial court concluded that Dr. Peterson’s treatment of Cheryl, Crystal, and Ruth would not provide additional evidence on this subject, but would only serve to insinuate that Dr. Peterson committed malpractice in other cases, so she must have done the samе in St. John’s case.
[¶ 10.] Finally, the trial court examined St. John’s claim that her proffered evidence on the three other cases was admissible to impeach Dr. Peterson’s testimony as an expert witness. The trial court concluded from Dr. Peterson’s previous trial testimony that she did not testify as an expert, but rather explained how she treated St. John and the procedures her treatment required. St. John’s proffered evidence, the trial court ruled, was excludable as improper impeachment.
[¶ 11.] Accordingly the trial court granted the motion for reconsideration and entered a judgment for Dr. Peterson. In her appeal, St. John asserts that the trial court erred by reviving a judgment that had been reversed and remanded, and abused its discretion when it ruled that her proffered evidence was inadmissiblе.
STANDARD OF REVIEW
[¶ 12.] We review de novo whether a trial court’s action conformed with our mandate. Weins v. Sporleder,
DISCUSSION
[¶ 13.] Revision to ruling on a motion in limine
[¶ 14.] After our decision in St. John I, Dr. Petеrson moved for the trial court to reconsider a previous ruling on a motion in limine. Dr. Peterson argued that the trial court’s order on the motion in limine was reversed and remanded by this Court. This is incorrect. The trial court’s earlier error was its failure to determine, under the correct standards, the relevancy and admissibility of plaintiffs proffered evidence. We did not rule on our own that plaintiffs evidencе was admissible. We left that conclusion to the circuit court, indicating that the evidence “could” still be excluded. See St. John I,
[¶ 16.] The United States Supreme Court has also weighed in on the effect of rulings on motions in limine. “[I]n limine rulings are not binding on the trial judge, and the judge may always change his mind during the course of a trial.” Ohler v. United States,
[¶ 17.] On December 22, 2011, the trial court held a hearing on the motion for reconsideration of the motion in limine, where Dr. Peterson argued that if the trial court determined that certain evidence was inadmissible, it was not necessary tо go through a trial. St. John argued that evidence of three other surgeries performed by Dr. Peterson was relevant and demonstrated Dr. Peterson’s insufficient knowl
[¶ 18.] The trial court’s ruling on this evidentiary motion in limine is preliminary and interloсutory, and it is subject to change during trial. In assessing this case, we do not assert that a ruling on a motion in limine could never be a definitive ruling under SDCL 19-9-3 (Rule 103(a)). SDCL 19-9-3 (Rule 103(a)) addresses how and when to preserve an evidentiary ruling for appeal. The statute provides that “[o]nce the court makes a definitive ruling on the record admitting or excluding evidence, either at or before trial, a party need not renew an objection or offer of proof to preserve a claim of error for appeal.” SDCL 19-9-3 (Rule 103(a)). Rule 103(a) addresses a separate issue: how to preserve a record and how a party may preserve an evidentiary issue for appeal without repeated objections. See id.
[¶ 19.] Many issues addressed by motions in limine, including evidentiary issues, are frequently reexamined during trial аnd the trial court may change rulings based on the actual evidence at trial. Thus, it was an error for the trial court in this case to reinstate a judgment based on reconsidering and ruling on a motion in limine outside of the context of a trial. We reverse the trial court’s decision and remand for a new trial.
[¶ 20.] Legal effect of reversing a judgment
[¶ 21.] We have previously discussed the legal effect of reversal. See Gluscic v. Avera St. Luke’s,
[¶ 22.] Other appellate courts have taken the same position as we have when a judgment is reversed. “To ‘reverse’ a judgment means to ‘overthrow, vacate, set aside, mаke void, annul, repeal, or revoke it.’ ” Wheeler v. John Deere Co.,
[¶ 23.] The language that we used in St. John I is straightforward. In that case, we wrote, “[w]e reverse and remand.” St. John I,
CONCLUSION
[¶ 24.] We reverse the trial court’s decision and remand the matter to the trial court for retrial.
Notes
. SDCL 19-9-3 (Rule 103(a)) provides:
Error may not be predicated upon a ruling which admits or excludes evidence unless a substantial right of the party is affected, and:
(1) In case the ruling is one admitting evidence, a timely objection or motion to strike appears of record, stating the specific ground of objection, if the specific ground was not apparent from the context; or
(2) In case the ruling is one excluding evidence, the substance of the evidence was made known to the court by offer or was apparent from the context within which questions were asked.
Once the court makes a definitive ruling on the record admitting or excluding evidence, eithеr at or before trial, a party need not renew an objection or offer of proof to preserve a claim of error for appeal.
Dissenting Opinion
(dissenting).
[¶ 27.] This case was sent back to the circuit court to correct a legal error in deciding the admission of evidence. On remand, the court used the correct legal analysis and again excluded plaintiffs proffered evidencе. As the Court today acknowledges, “The trial court’s earlier error was its failure to determine, under the correct standards, the relevancy and admissibility of plaintiffs proffered evidence.” Nonetheless, despite the fact that the circuit court has now used the correct legal analysis in excluding the evidence, this Court holds that there must be a new trial because the trial court “may changе” its rulings.
[¶ 28.] A new trial is necessary, the Court reasons, because an in limine ruling is interlocutory and preliminary. Yet in our earlier decision, St. John I, we did not address the circuit court’s decision to exclude the evidence in the context of its preliminary or interlocutory nature. Rather, St. John I examined the court’s application during trial of two evidentiary rules, SDCL 19-12-1 (Rule 401) and SDCL 19-12-2 (Rule 402), as those rules related to the court’s decision to exclude plaintiffs proffered evidenсe. Then, because the record was “unclear” and because the trial court applied the wrong legal standard when it excluded the proffered evidence, we remanded because it was “possible that the exclusion of the evidence” affected the outcome of the jury’s verdict. See
[¶ 29.] Trial courts must do their best to conduct remand proceedings as consistent as possible with the appellate mandate. Pac. Gas & Elec. Co. v. United States,
[¶ 30.] That the circuit court made a “definitive ruling” excluding plaintiffs proffered evidence there can be no doubt. SDCL 19-9-3 (Rule 103(a)). This evidence, Dr. Peterson’s operations on other patients, has been consistently rejected, even to the extent of requiring separate trials for each plaintiff in order “to avoid the possibility of testimony from one case affecting the other cases[.]” St. John I,
[¶ 31.] ZINTER, Justice, joins this dissent.
. See Surgical Inst. of S.D., P.C. v. Sorrell,
. See Pac. Gas & Elec. Co.,
