5217 gary t. wight jeremy r. speckhals kipp and … · cv123- effect of willfully false testimony....

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1 SHAWN McGARRY 5217 GARY T. WIGHT 10994 JEREMY R. SPECKHALS 16381 KIPP AND CHRISTIAN, P.C. 10 Exchange Place, 4 th Floor Salt Lake City, Utah 84111 Telephone: (801) 521-3773 [email protected] [email protected] [email protected] Attorneys for Defendants Mohammad Alsolaiman, M.D., Eugene P. Zanolli, M.D., and Central Utah Clinic IN THE FOURTH JUDICIAL DISTRICT COURT OF UTAH COUNTY SPANISH FORK STATE OF UTAH CODY CULLIMORE, Plaintiff, vs. CENTRAL UTAH CLINIC, P.C., MOHAMMAD ALSOLAIMAN, M.D., EUGENE P. ZANOLLI, M.D., and JOHN DOES 1-10, Defendants. DEFENDANTS’ PROPOSED JURY INSTRUCTIONS AND SPECIAL VERDICT FORM Case No. 170300091 Judge Jared Eldridge Defendants Central Utah, P.C., Mohammad Alsolaiman, M.D., and Eugene P. Zanolli, M.D. (collectively, “Defendants”), by and through counsel, submit the following proposed jury instructions and special verdict form.

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Page 1: 5217 GARY T. WIGHT JEREMY R. SPECKHALS KIPP AND … · CV123- Effect of willfully false testimony. CV126- Depositions. CV127- Limited purpose evidence. CV128- Objections and rulings

1

SHAWN McGARRY – 5217

GARY T. WIGHT – 10994

JEREMY R. SPECKHALS – 16381

KIPP AND CHRISTIAN, P.C.

10 Exchange Place, 4th Floor

Salt Lake City, Utah 84111

Telephone: (801) 521-3773

[email protected]

[email protected]

[email protected]

Attorneys for Defendants Mohammad Alsolaiman, M.D.,

Eugene P. Zanolli, M.D., and Central Utah Clinic

IN THE FOURTH JUDICIAL DISTRICT COURT OF UTAH COUNTY – SPANISH FORK

STATE OF UTAH

CODY CULLIMORE,

Plaintiff,

vs.

CENTRAL UTAH CLINIC, P.C.,

MOHAMMAD ALSOLAIMAN, M.D.,

EUGENE P. ZANOLLI, M.D., and JOHN

DOES 1-10,

Defendants.

DEFENDANTS’ PROPOSED JURY

INSTRUCTIONS AND SPECIAL

VERDICT FORM

Case No. 170300091

Judge Jared Eldridge

Defendants Central Utah, P.C., Mohammad Alsolaiman, M.D., and Eugene P. Zanolli,

M.D. (collectively, “Defendants”), by and through counsel, submit the following proposed jury

instructions and special verdict form.

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Defendants agree with Plaintiff that the Court should give the following standard

preliminary and final jury instructions from MUJI2d: CV101, 102, 103, 104, 105, 107, 108, 127,

128, 137, 139 and 140.

Defendants note that the following instructions have been incorporated into other

instructions: CV101B, 106, and 110. Accordingly, the Court need not provide these instructions

separately.

In addition to the proposed preliminary and final jury instructions proposed by Plaintiff,

Defendants also request the Court instruct the jury with these additional standard instructions:

CV111B, 112, 114, 117, 118, 119, 121, 122, 123, 126, 127, 128, 129, 130B, 135, 136, and 141.

Beyond those standard preliminary and final instructions, Defendants also request the

Court instruct the jury by giving the following instructions: CV211, 301B, 301C, 305, 309, 320,

321, 324, 326, 2001, 2002, 2003, 2004, 2005, 2020, 2024, and 2025.

Consistent with the Court’s scheduling order dated April 29, 2019, Defendants will file

objections to non-stipulated jury instructions on September 3, 2019 or at another time as the parties

mutually agree.

An editable format of Defendants’ proposed jury instructions and proposed special verdict

form are attached as Exhibit “A” for the Court’s convenience.

DATED this 23rd day of August, 2019.

KIPP AND CHRISTIAN, P.C.

/S/ Gary T. Wight

SHAWN McGARRY

GARY T. WIGHT

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JEREMY R. SPECKHALS

Attorneys for Defendants Central Utah Clinic,

Mohammad Alsolaiman, M.D., and Eugene P.

Zanolli, M.D.

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CERTIFICATE OF SERVICE

I HEREBY CERTIFY that on the 23rd day of August, 2019, I caused a true and correct

copy of the DEFENDANTS’ PROPOSED JURY INSTRUCTIONS AND SPECIAL

VERDICT FORM to be E-filed through the Utah State Court and served upon the following:

D. David Lambert

Richard A. Roberts

HOWARD, LEWIS & PETERSEN, P.C.

120 East 300 North Street

P.O. Box 1248

Provo, UT 84603

[email protected]

[email protected]

/s/ Lisa Carroll

Legal Assistant to Gary T. Wight

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Exhibit “A”

Jury Instruction Index

CV101- General admonitions.

CV102- Role of the judge, jury and lawyers.

CV103- Nature of the case.

CV104- Order of trial.

CV105- Sequence of instructions not significant.

CV107- Jurors may not decide based on sympathy, passion and prejudice.

CV108- Note-taking.

CV111B- All persons equal before the law.

CV112- Multiple parties.

CV114- Multiple defendants.

CV117- Preponderance of the evidence.

CV118- Clear and convincing evidence.

CV119- Evidence.

CV120- Direct and circumstantial evidence.

CV121- Believability of witnesses.

CV122- Inconsistent statements.

CV123- Effect of willfully false testimony.

CV126- Depositions.

CV127- Limited purpose evidence.

CV128- Objections and rulings on evidence and procedure.

CV129- Statement of opinion.

CV130B- Charts and summaries of evidence.

CV135- Out-of-state or out-of-town experts.

CV136- Conflicting testimony of experts.

CV137- Selection of jury foreperson and deliberation.

CV138- Do not speculate or resort to chance.

CV139- Agreement on special verdict.

CV140- Discussing the case after the trial.

CV141- No record of testimony.

CV211- Allocation of fault.

CV301B- Elements of a medical negligence claim.

CV301C- “Standard of care” defined.

CV309- “Cause” defined.

CV320- Patient’s duty of care.

CV321- Patient’s negligence in failing to follow instructions.

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CV324- Use of alternative treatment methods.

CV326- Expert testimony required.

CV2001- Introduction to tort damages. Economic and noneconomic damages

introduced.

CV2002- Proof of damages.

CV2003- Economic damages defined.

CV2004- Noneconomic damages defined.

CV2005- Economic damages. Medical care and related expenses.

CV2020- Mitigation of damages.

CV2024- Collateral source payments.

CV2025- Arguments of counsel not evidence of damages.

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INSTRUCTION NO. ____

Now that you have been chosen as jurors, you are required to decide this case based only

on the evidence that you see and hear in this courtroom and the law that I will instruct you

about. For your verdict to be fair, you must not be exposed to any other information about the

case. This is very important, and so I need to give you some very detailed explanations about

what you should do and not do during your time as jurors.

First, you must not try to get information from any source other than what you see and

hear in this courtroom. It's natural to want to investigate a case, but you may not use any printed

or electronic sources to get information about this case or the issues involved. This includes the

internet, reference books or dictionaries, newspapers, magazines, television, radio, computers,

Blackberries, iPhones, Smartphones, PDAs, or any social media or electronic device.

You may not do any personal investigation. This includes visiting any of the places

involved in this case, using Internet maps or Google Earth, talking to possible witnesses, or

creating your own experiments or reenactments.

Second, you must not communicate with anyone about this case, and you must not allow

anyone to communicate with you. This also is a natural thing to want to do, but you may not

communicate about the case via emails, text messages, tweets, blogs, chat rooms, comments or

other postings, Facebook, MySpace, LinkedIn, or any other social media.

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You may notify your family and your employer that you have been selected as a juror

and you may let them know your schedule. But do not talk with anyone about the case,

including your family and employer. You must not even talk with your fellow jurors about the

case until I send you to deliberate. If you are asked or approached in any way about your jury

service or anything about this case, you must respond that you have been ordered not to discuss

the matter. And then please report the contact to the clerk or the bailiff, and they will notify me.

Also, do not talk with the lawyers, parties or witnesses about anything, not even to pass

the time of day.

I know that these restrictions affect activities that you consider to be normal and

harmless and very important in your daily lives. However, these restrictions ensure that the

parties have a fair trial based only on the evidence and not on outside information. Information

from an outside source might be inaccurate or incomplete, or it might simply not apply to this

case, and the parties would not have a chance to explain or contradict that information because

they wouldn’t know about it. That’s why it is so important that you base your verdict only on

information you receive in this courtroom.

Courts used to sequester—or isolate—jurors to keep them away from information that

might affect the fairness of the trial, but we seldom do that anymore. But this means that we

must rely upon your honor to obey these restrictions, especially during recesses when no one is

watching.

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Any juror who violates these restrictions jeopardizes the fairness of the proceedings, and

the entire trial may need to start over. That is a tremendous expense and inconvenience to the

parties, the court and the taxpayers. Violations may also result in substantial penalties for the

juror.

If any of you have any difficulty whatsoever in following these instructions, please let

me know now. If any of you becomes aware that one of your fellow jurors has done something

that violates these instructions, you are obligated to report that as well. If anyone tries to contact

you about the case, either directly or indirectly, or sends you any information about the case,

please report this promptly as well. Notify the bailiff or the clerk, who will notify me.

These restrictions must remain in effect throughout this trial. Once the trial is over, you

may resume your normal activities. At that point, you will be free to read or research anything

you wish. You will be able to speak—or choose not to speak—about the trial to anyone you

wish. You may write, or post, or tweet about the case if you choose to do so. The only

limitation is that you must wait until after the verdict, when you have been discharged from

your jury service.

So, keep an open mind throughout the trial. The evidence that will form the basis of your

verdict can be presented only one piece at a time, and it is only fair that you do not form an

opinion until I send you to deliberate.

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[CV101]

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INSTRUCTION NO. ____

You and I and the lawyers play important but different roles in the trial.

I supervise the trial and to decide all legal questions, such as deciding objections to

evidence and deciding the meaning of the law. I will also explain the meaning of the law.

You must follow that law and decide what the facts are. The facts generally relate to

who, what, when, where, why, how or how much. The facts must be supported by the evidence.

The lawyers present the evidence and try to persuade you to decide the case in favor of

his or her client.

Television and the movies may not accurately reflect the way real trials should be

conducted. Real trials should be conducted with professionalism, courtesy and civility.

[CV102]

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INSTRUCTION NO. ____

In this case, the Plaintiff, Mr. Cullimore, seeks damages from the Defendants based on

the following allegations of negligence: First, Mr. Cullimore claims Dr. Alsolaiman negligently

failed to diagnose a perforation to his colon immediately after a colonoscopy and failed to see

Mr. Cullimore at the emergency department or arrange for an admission on December 8, 2011.

Second, Mr. Cullimore claims Dr. Zanolli failed to emergently admit or recommend Mr.

Cullimore be emergently admitted when he presented to Timpanogos Regional Hospital

Emergency Department the day after the colonoscopy.

Defendants, Central Utah Clinic, Dr. Alsolaiman and Dr. Zanolli, deny liability. A

perforated colon is a known risk and complication which can occur during colonoscopies, even

without medical negligence. Mr. Cullimore’s risk was further complicated by presence of a

broad-based polyp in his colon, which required removal under the standard of care. There is no

evidence that a perforation existed either during the colonoscopy/polypectomy or immediately

thereafter. At the time of his initial emergency department visit, Mr. Cullimore’s CT scan did

not show any abnormalities which would have informed Drs. Alsolaiman or Zanolli that Mr.

Cullimore had a perforated bowel. Therefore, the standard of care did not require that Mr.

Cullimore should have been emergently admitted. Additionally, the standard of care did not

require Dr. Alsolaiman to personally examine Mr. Cullimore in the emergency department.

Defendants believe Mr. Cullimore is at fault for his injuries. He was given explicit

instructions to return within 24 hours if his symptoms did not improve, or to return immediately

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if his symptoms became worse. Despite those clear instructions, Mr. Cullimore did not return to

the hospital or otherwise seek medical care for nearly a week.

[CV103]

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INSTRUCTION NO. ____

The trial will proceed as follows:

(1) The lawyers will make opening statements, outlining what the case is about and what

they think the evidence will show.

(2) Plaintiff, Mr. Cullimore will offer evidence first, followed by the Defendants. I may

allow the parties to later offer more evidence.

(3) Throughout the trial and after the evidence has been fully presented, I will instruct

you on the law. You must follow the law as I explain it to you, even if you do not agree with it.

(4) The lawyers will then summarize and argue the case. They will share with you their

views of the evidence, how it relates to the law and how they think you should decide the case.

(5) The final step is for you to go to the jury room and discuss the evidence and the

instructions among yourselves until you reach a verdict.

[CV104]

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INSTRUCTION NO. ____

The order in which I give the instructions has no significance. You must consider the

instructions in their entirety, giving them all equal weight. I do not intend to emphasize any

particular instruction, and neither should you.

[CV105]

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INSTRUCTION NO. ____

You must decide this case based on the facts and the law, without regard to sympathy,

passion or prejudice. You must not decide for or against anyone because you feel sorry for or

angry at anyone.

[CV107]

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INSTRUCTION NO. ____

You may take notes during the trial and have those notes with you when you discuss the

case. If you take notes, do not over do it, and do not let your note-taking distract you from

following the evidence. Your notes are not evidence, and you should use them only as a tool to

aid your personal memory. I will secure your notes in the jury room during breaks and have

them destroyed at the end of the trial.

[CV108]

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INSTRUCTION NO. ____

The fact that one party is a natural person and another party is a hospital should not play

any part in your deliberations. You must decide this case as if it were between individuals.

[CV111B]

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INSTRUCTION NO. ____

There are multiple parties in this case, and each party is entitled to have its claims or

defenses considered on their own merits. You must evaluate the evidence fairly and separately

as to each plaintiff and each defendant. Unless otherwise instructed, all instructions apply to all

parties.

[CV112]

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INSTRUCTION NO. ____

Although there are three defendants, that does not mean that they are equally liable or

that any of them is liable. Each defendant is entitled to a fair consideration of his or its defense

against each of Mr. Cullimore’s claims. If you conclude that one defendant is liable, that does

not necessarily mean that one or more of the other defendants are liable.

[CV114]

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INSTRUCTION NO. ____

You may have heard that in a criminal case proof must be beyond a reasonable doubt,

but this is not a criminal case. In a civil case such as this one, a different level of proof applies:

proof by a preponderance of the evidence.

When I tell you that a party has the burden of proof or that a party must prove something

by a “preponderance of the evidence,” I mean that the party must persuade you, by the

evidence, that the fact is more likely to be true than not true.

Another way of saying this is proof by the greater weight of the evidence, however

slight. Weighing the evidence does not mean counting the number of witnesses nor the amount

of testimony. Rather, it means evaluating the persuasive character of the evidence. In weighing

the evidence, you should consider all of the evidence that applies to a fact, no matter which

party presented it. The weight to be given to each piece of evidence is for you to decide.

After weighing all of the evidence, if you decide that a fact is more likely true than not,

then you must find that the fact has been proved. On the other hand, if you decide that the

evidence regarding a fact is evenly balanced, then you must find that the fact has not been

proved, and the party has therefore failed to meet its burden of proof to establish that fact.

At the close of the trial, I will instruct you in more detail about the specific elements that

must be proved.

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[CV117]

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INSTRUCTION NO. ____

The claims against Dr. Zanolli must be proved by a higher level of proof called “clear

and convincing evidence.” When I tell you that a party must prove something by clear and

convincing evidence, I mean that the party must persuade you, by the evidence, to the point that

there remains no serious or substantial doubt as to the truth of the fact.

Proof by clear and convincing evidence requires a greater degree of persuasion than

proof by a preponderance of the evidence but less than proof beyond a reasonable doubt.

I will tell you specifically which of the facts must be proved by clear and convincing

evidence.

[CV118]

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INSTRUCTION NO. ____

“Evidence” is anything that tends to prove or disprove a disputed fact. It can be the

testimony of a witness or documents or objects or photographs or certain qualified opinions or

any combination of these things.

You must entirely disregard any evidence for which I sustain an objection and any

evidence that I order to be struck.

Anything you may have seen or heard outside the courtroom is not evidence and you

must entirely disregard it.

The lawyers might stipulate—or agree—to a fact or I might take judicial notice of a fact.

Otherwise, what I say and what the lawyers say usually are not evidence.

You are to consider only the evidence in the case, but you are not expected to abandon

your common sense. You are permitted to interpret the evidence in light of your experience.

[CV119]

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INSTRUCTION NO. ____

A fact may be proved by direct or circumstantial evidence. Circumstantial evidence

consists of facts that allow someone to reasonably infer the truth of the facts to be proved. For

example, if the fact to be proved is whether Johnny ate the cherry pie, and a witness testifies

that she saw Johnny take a bite of the cherry pie, that is direct evidence of the fact. If the

witness testifies that she saw Johnny with cherries smeared on his face and an empty pie plate

in his hand, that is circumstantial evidence of the fact.

[CV120]

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INSTRUCTION NO. ____

Testimony in this case will be given under oath. You must evaluate the believability of

that testimony. You may believe all or any part of the testimony of a witness. You may also

believe one witness against many witnesses or many against one, in accordance with your

honest convictions. In evaluating the testimony of a witness, you may want to consider the

following:

(1) Personal interest. Do you believe the accuracy of the testimony was affected one way

or the other by any personal interest the witness has in the case?

(2) Bias. Do you believe the accuracy of the testimony was affected by any bias or

prejudice?

(3) Demeanor. Is there anything about the witness’s appearance, conduct or actions that

causes you to give more or less weight to the testimony?

(4) Consistency. How does the testimony tend to support or not support other believable

evidence that is offered in the case?

(5) Knowledge. Did the witness have a good opportunity to know what [he] is testifying

about?

(6) Memory. Does the witness’s memory appear to be reliable?

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(7) Reasonableness. Is the testimony of the witness reasonable in light of human

experience?

These considerations are not intended to limit how you evaluate testimony. You are the

ultimate judges of how to evaluate believability.

[CV121]

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INSTRUCTION NO. ____

You may believe that a witness, on another occasion, made a statement inconsistent with

that witness’s testimony given here. That doesn’t mean that you are required to disregard the

testimony. It is for you to decide whether to believe the witness.

[CV122]

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INSTRUCTION NO. ____

If you believe any witness has intentionally testified falsely about any important matter,

you may disregard the entire testimony of that witness, or you may disregard only the

intentionally false testimony.

[CV123]

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INSTRUCTION NO. ____

A deposition is the sworn testimony of a witness that was given previously, outside of

court, with the lawyer for each party present and entitled to ask questions. Testimony provided

in a deposition is evidence and may be read to you in court or may be seen on a video monitor.

You should consider deposition testimony the same way that you would consider the testimony

of a witness testifying in court.

[CV126]

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INSTRUCTION NO. ____

Some evidence is received for a limited purpose only. When I instruct you that an item

of evidence has been received for a limited purpose, you must consider it only for that limited

purpose.

[CV127]

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INSTRUCTION NO. ____

From time to time during the trial, I may have to make rulings on objections or motions

made by the lawyers. Lawyers on each side of a case have a right to object when the other side

offers evidence that the lawyer believes is not admissible. You should not think less of a lawyer

or a party because the lawyer makes objections. You should not conclude from any ruling or

comment that I make that I have any opinion about the merits of the case or that I favor one side

or the other. And if a lawyer objects and I sustain the objection, you should disregard the

question and any answer.

During the trial I may have to confer with the lawyers out of your hearing about

questions of law or procedure. Sometimes you may be excused from the courtroom for that

same reason. I will try to limit these interruptions as much as possible, but you should

remember the importance of the matter you are here to decide. Please be patient even though

the case may seem to go slowly.

[CV128]

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INSTRUCTION NO. ____

Under limited circumstances, I will allow a witness to express an opinion. Consider

opinion testimony as you would any other evidence and give it the weight you think it deserves.

You may choose to rely on the opinion, but you are not required to do so.

If you find that a witness, in forming an opinion, has relied on a fact that has not been

proved, or has been disproved, you may consider that in determining the value of the witness’s

opinion.

[CV129]

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INSTRUCTION NO. ____

Certain charts and summaries will be shown to you to help explain the evidence.

However, these charts and summaries are not themselves evidence, and you will not have them

in the jury room when you deliberate. You may consider them to the extent that they correctly

reflect the evidence.

[CV130B]

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INSTRUCTION NO. ____

You may not discount the opinions of the parties’ experts merely because of where they

live or practice.

[CV135]

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INSTRUCTION NO. ____

In resolving any conflict that may exist in the testimony of the parties’ experts, you may

compare and weigh the opinion of one against that of another. In doing this, you may consider

the qualifications and credibility of each, as well as the reasons for each opinion and the facts on

which the opinions are based.

[CV136]

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INSTRUCTION NO. ____

When you go into the jury room, your first task is to select a foreperson. The foreperson

will preside over your deliberations and sign the verdict form when it’s completed. The

foreperson should not dominate the discussions. The foreperson’s opinions should be given the

same weight as the opinions of the other jurors.

After you select the foreperson you must discuss with one another—that is deliberate—

with a view to reaching an agreement. Your attitude and conduct during discussions are very

important.

As you begin your discussions, it is not helpful to say that your mind is already made up.

Do not announce that you are determined to vote a certain way or that your mind cannot be

changed. Each of you must decide the case for yourself, but only after discussing the case with

your fellow jurors.

Do not hesitate to change your opinion when convinced that it is wrong. Likewise, you

should not surrender your honest convictions just to end the deliberations or to agree with other

jurors.

[CV137]

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INSTRUCTION NO. ____

When you deliberate, do not flip a coin, speculate or choose one juror’s opinions at

random. Evaluate the evidence and come to a decision that is supported by the evidence.

If you decide that a party is entitled to recover damages, you must then agree upon the

amount of money to award that party. Each of you should state your own independent judgment

on what the amount should be. You must thoughtfully consider the amounts suggested, evaluate

them according to these instructions and the evidence, and reach an agreement on the amount.

You must not agree in advance to average the estimates.

[CV138]

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INSTRUCTION NO. ____

I am going to give you a form called the Special Verdict that contains several questions

and instructions. You must answer the questions based upon the instructions and the evidence

you have seen and heard during this trial.

Because this is not a criminal case, your verdict does not have to be unanimous. At least

six jurors must agree on the answer to each question, but they do not have to be the same six

jurors on each question.

As soon as six or more of you agree on the answer to all of the required questions, the

foreperson should sign and date the verdict form and tell the bailiff you have finished. The

bailiff will escort you back to this courtroom; you should bring the completed Special Verdict

with you.

[CV139]

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INSTRUCTION NO. ____

Ladies and gentlemen of the jury, this trial is finished. Thank you for your service. The

American system of justice relies on your time and your sound judgment, and you have been

generous with both. You serve justice by your fair and impartial decision. I hope you found the

experience rewarding.

You may now talk about this case with anyone you like. You might be contacted by the

press or by the lawyers. You do not have to talk with them - or with anyone else, but you may.

The choice is yours. I turn now to the lawyers to instruct them to honor your wishes if you say

you do not want to talk about the case.

If you do talk about the case, please respect the privacy of the other jurors. The

confidences they may have shared with you during deliberations are not yours to share with

others.

Again, thank you for your service.

[CV140]

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INSTRUCTION NO. ____

At the end of trial, you must make your decision based on what you recall of the

testimony. You will not have a transcript or recording of the witnesses’ testimony. I urge you to

pay close attention to the testimony as it is given.

[CV141]

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INSTRUCTION NO. ____

Mr. Cullimore claims that more than one person’s fault was a cause of the harm. If you

decide that more than one person is at fault, you must decide each person's percentage of fault

that caused the harm. This allocation must total 100%.

You may also decide to allocate a percentage to Mr. Cullimore. Mr. Cullimore’s total

recovery will be reduced by the percentage that you attribute to him. If you decide that Mr.

Cullimore’s percentage is 50% or greater, Mr. Cullimore will recover nothing.

When you answer the questions on damages, do not reduce the award by Mr.

Cullimore’s percentage. I will make that calculation later.

[CV211]

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INSTRUCTION NO. ____

To establish that Drs. Alsolaiman and Zanolli were at fault, Mr. Cullimore has the

burden of proving two things, a breach of the standard of care, and that the breach was a cause

of Mr. Cullimore’s harm.

[CV301B]

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INSTRUCTION NO. ____

A physician is required to use that degree of learning, care, and skill used in the same

situation by reasonably prudent physicians in good standing practicing in the same specialty.

This is known as the “standard of care.” The failure to follow the standard of care is a form of

fault known as either “medical negligence” or “medical malpractice.” (They mean the same

thing.)

The standard of care is established through expert witnesses and other evidence. You

may not use a standard based on your own experience or any other standard of your own. It is

your duty to decide, based on the evidence, what the standard of care is. The expert witnesses

may disagree as to what the standard of care is and what it requires. If so, it will be your

responsibility to determine the credibility of the experts and to resolve the dispute.

[CV301C]

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INSTRUCTION NO. ____

If you find that Dr. Alsolaiman or Dr. Zanolli breached the standard of care, then you

must determine whether that failure was a cause of Mr. Cullimore’s harm.

As used in the law, the word “cause” has a special meaning, and you must use this

meaning whenever you apply the word.

“Cause” means that:

(1) Dr. Alsolaiman’s or Dr. Zanolli’s acts or failures to act produced the harm directly or

set in motion events that produced the harm in a natural and continuous sequence; and

(2) Dr. Alsolaiman’s or Dr. Zanolli’s acts or failures to act could be foreseen by a

reasonable person to produce a harm of the same general nature.

There may be more than one cause of the same harm.

[CV309]

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INSTRUCTION NO. ____

A patient has the duty to use reasonable care to provide for his own health and safety. In

this action, Dr. Alsolaiman, Dr. Zanolli, and Central Utah Clinic claim that Mr. Cullimore

failed to use reasonable care by failing to follow discharge instructions—which instructed Mr.

Cullimore to return within 24 hours if his symptoms did not improve, or to return immediately

if his symptoms worsened.

If you find that Mr. Cullimore failed to act with reasonable care in this respect, then you

must determine whether that failure was a cause of his harm.

[CV320]

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INSTRUCTION NO. ____

Mr. Cullimore had a duty to follow Dr. Zanolli’s reasonable instructions. You may

consider the failure to do so in deciding whether the Mr. Cullimore was at fault and whether

any of Mr. Cullimore’s fault was a cause of his harm.

[CV321]

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INSTRUCTION NO. ____

The standard of care may include more than one acceptable method of treatment.

[CV324]

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INSTRUCTION NO. ____

You must use only the standard of care established through evidence presented in this

trial by expert witnesses and through other evidence admitted for the purpose of defining the

standard of care. You may not use a standard based on your own experience or any other

standard of your own.

[CV326]

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INSTRUCTION NO. ____

I will now instruct you about damages. My instructions are given as a guide for

calculating what damages should be if you find that Mr. Cullimore is entitled to them.

However, if you decide that Mr. Cullimore is not entitled to recover damages, then you must

disregard these instructions.

If you decide that Dr. Alsolaiman or Dr. Zanolli’s fault caused Mr. Cullimore’s harm,

you must decide how much money will fairly and adequately compensate Mr. Cullimore for

that harm. There are two kinds of damages: economic and noneconomic.

[CV2001]

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INSTRUCTION NO. ____

To be entitled to damages, Mr. Cullimore must prove two points:

First, Mr. Cullimore must prove that damages occurred. There must be a reasonable

probability, not just speculation, that Mr. Cullimore suffered damages from Dr Alsolaiman or

Dr. Zanolli’s fault.

Second, Mr. Cullimore must prove the amount of damages. The level of evidence

required to prove the amount of damages is not as high as what is required to prove the

occurrence of damages. There must still be evidence, not just speculation, that gives a

reasonable estimate of the amount of damages, but the law does not require a mathematical

certainty.

In other words, if Mr. Cullimore has proved that he has been damaged and has

established a reasonable estimate of those damages, Central Utah Clinic, PC., Dr. Alsolaiman

and Dr. Zanolli may not escape liability because of some uncertainty in the amount of damages.

[CV2002]

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INSTRUCTION NO. ____

Economic damages are the amount of money that will fairly and adequately compensate

Mr. Cullimore for measurable losses of money or property caused by Dr. Alsolaiman or Dr.

Zanolli’s fault.

[CV2003]

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INSTRUCTION NO. ____

Noneconomic damages are the amount of money that will fairly and adequately

compensate Mr. Cullimore for losses other than economic losses.

Noneconomic damages are not capable of being exactly measured, and there is no fixed

rule, standard or formula for them. Noneconomic damage must still be awarded even though

they may be difficult to compute. It is your duty to make this determination with calm and

reasonable judgment. The law does not require the testimony of any witness to establish the

amount of noneconomic damages.

In awarding noneconomic damages, among the things that you may consider are:

(1) the nature and extent of injuries;

(2) the pain and suffering, both mental and physical;

(3) the extent to which Mr. Cullimore has been prevented from pursuing his ordinary

affairs;

(4) the degree and character of any disfigurement;

(5) the extent to which Mr. Cullimore has been limited in the enjoyment of life; and

(6) whether the consequences of these injuries are likely to continue and for how long.

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While you may not award damages based upon speculation, the law requires only that

the evidence provide a reasonable basis for assessing the damages but does not require a

mathematical certainty.

I will now instruct you on particular items of economic and noneconomic damages

presented in this case.

[CV2004]

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INSTRUCTION NO. ____

Economic damages include reasonable and necessary expenses for medical care and

other related expenses incurred in the past.

[CV2005 – edited to exclude reference to future medical expenses, as no such claim has been

made]

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INSTRUCTION NO. ____

Mr. Cullimore has a duty to exercise reasonable diligence and ordinary care to minimize

the damages caused by Dr. Alsolaiman or Dr. Zanolli’s fault. Any damages awarded to Mr.

Cullimore should not include those that Mr. Cullimore could have avoided by taking reasonable

steps. It is Central Utah Clinic, P.C., Dr. Alsolaiman, and Dr. Zanolli’s burden to prove that Mr.

Cullimore could have minimized his damages but failed to do so. If Mr. Cullimore made

reasonable efforts to minimize his damages, then your award should include the amounts that

he reasonably incurred to minimize them.

[CV2020]

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INSTRUCTION NO. ____

You shall award damages in an amount that fully compensates Mr. Cullimore. Do not

speculate on or consider any other possible sources of benefit Mr. Cullimore may have

received. After you have returned your verdict, I will make whatever adjustments may be

appropriate.

[CV2024]

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INSTRUCTION NO. ____

You may consider the arguments of the attorneys to assist you in deciding the amounts

of damages, but their arguments are not evidence.

[CV2025]

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MEMBERS OF THE JURY:

Please answer the questions in the order they are presented.

At least six jurors must agree on the answer to all of the required questions, but they need

not be the same six on each question. When six or more of you have agreed on the answer to

each question that is required to be answered, your foreperson should sign and date the form and

advise the bailiff that you have reached a verdict.

1. Considering all of the evidence in the case, do you find by a preponderance of

evidence that defendant Dr. Alsolaiman was negligent?

Yes_____ No_____

If your answer is “No,” skip question 2 and move to question 3.

If your answer is “Yes,” answer question 2 before moving to question 3.

2. Considering all of the evidence in the case, do you find by a preponderance of the

evidence that Dr. Alsolaiman’s negligence was a proximate cause of Mr. Cullimore’s injuries?

Yes_____ No_____

3. Considering all of the evidence in the case, do you find by clear and convincing

evidence that Dr. Zanolli was negligent?

Yes_____ No_____

If you answer is “No,” skip question 4 and move to question 5.

If you answer is “Yes,” answer question 4 before moving to question 5.

4. Considering all of the evidence in the case, do you find by clear and convincing

evidence that Dr. Zanolli’s negligence was a proximate cause of Mr. Cullimore’s injuries?

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Yes_____ No_____

If you answered “No” to BOTH questions 1 and 3, or 2 and 4, stop here. Have the

foreperson sign and date the Special Verdict Form and notify the bailiff that you have

reached a verdict.

If you answered “Yes” to EITHER questions 2 or 4, you must answer further questions.

5. Considering all of the evidence in the case, did Mr. Cullimore contribute to his

own injuries?

Yes_____ No_____

6. Enter percentages in 6a through 6c. When you are completed, 6a through 6c must

equal either 0% or 100%.

A. Dr. Alsolaiman

Determine whether any percentage of fault should be assigned to Dr. Alsolaiman as

follows:

If you answered, “No” to EITHER question 1 or question 2, the amount you must enter

in the blank below is “0.”

If you answered, “Yes” to BOTH questions 1 and 2, please enter in the blank below the

percentage of fault, between 0 and 100, that you attribute to Dr. Alsolaiman.

_____%

B. Dr. Zanolli

If you answered, “No” to EITHER question 3 or question 4, the amount you must enter

in the blank below is “0.”

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If you answered, “Yes” to BOTH questions 3 and 4, please enter in the blank below the

percentage of fault, between 0 and 100, that you attribute to Dr. Alsolaiman.

_____%

C. Mr. Cullimore

If you answered, “No” to question 6, the amount you must enter in the blank below is

“0.”

If you answered, “Yes” to question 6, please enter in the blank below the percentage of

fault, between zero and 100, that you attribute to Mr. Cullimore

_____%

If the percentages in 6a through 6c total 0, stop here. Have the foreperson sign and date

the Special Verdict Form and notify the bailiff that you have reached a verdict.

If the percentages in 6a through 6c total 100, you must answer further questions.

7. What amount fairly compensates Mr. Cullimore for injuries sustained?

Economic Damages for past medical expenses $__________

Economic Damages for past lost wages $__________

General/Non-economic damages $__________

Total $__________

When six or more of you have agreed on the answer to each question that is required to

be answered, your foreperson should sign and date the form and advise the bailiff that you have

reached a verdict.

DATED this _____ day of October, 2019.

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____________________________________

Jury Foreperson