Zainab Abbas, M.D. v. Hetep Bilal Neter-Nu
Court
Indiana Supreme Court
Decided
June 26, 2025
Jurisdiction
S
Importance
54%
Case Summary
FILED Jun 26 2025, 11:46 am CLERK Indiana Supreme Court Court of Appeals and Tax Court IN THE Indiana Supreme Court Supreme Court Case No. 24S-CT-435 Zainab Abbas, M.D., Morgan Mittler, R.N., and Methodist Hospital, Appellants/Cross-Appellees (Defendants below) –v– Hetep Bilal Neter-Nu, Appellee/Cross-Appellant (Plaintiff below) Argued: January 23, 2025 | Decided: June 26, 2025 Appeal from the Lake Superior Court No. 45D11-1809-CT-541 The Honorable Bruce D. Parent, Judge On Petition to Transfer from the Indiana Court of Appeals No. 23A-CT-438 Opinion by Justice Goff Chief Justice Rush and Justices Massa, Slaughter, and Molter concur. Goff, Justice. Hetep Bilal “Franklyn” Neter-Nu stopped at Methodist Hospital complaining of nausea and vomiting. He ended up with an amputated foot three weeks later. Neter-Nu sued the hospital, Dr. Zainab Abbas, and Nurse Morgan Mittler (collectively “Health Care Providers” or “Providers”). A jury returned a verdict in favor of Neter-Nu. Providers raise several claims related to certain evidentiary issues and jury instructions, among others. We hold that the trial court erred when it denied Methodist’s Trial Rule 50(A) motion for partial judgment on the evidence and when it calculated prejudgment interest. But the trial court did not abuse its discretion in declining to give Providers’ proposed jury instructions and excluding certain evidence. Therefore, we affirm the jury verdict but reverse and remand with instructions to grant Methodist’s Rule 50(A) motion and recalculate prejudgment interest based on the Providers’ statutory liability. Facts and Procedural History Franklyn Neter-Nu was a truck driver who checked into the emergency room at Methodist Hospital in Gary, Indiana, on July 27, 2015, complaining of nausea and vomiting. He was given fluids and medications through an IV, but his attending nurse, Nurse Mittler, twice found the IV detached from Neter-Nu’s arm. She then placed the IV in Neter-Nu’s right foot, despite her lack of training and without a doctor’s order for that placement. On July 28, Neter-Nu complained of pain in his right foot, so Nurse Mittler paged Dr. Abbas. An x-ray ordered for his foot showed no fracture or soft-tissue swelling. On July 29, a nurse examined Neter-Nu’s right foot and saw signs of “IV infiltration,” and a nurse’s note from the next day said there was slight bruising with no reports of numbness. On July 30, Dr. Abbas discharged Neter-Nu. The discharge note instructed Neter-Nu to return to the emergency room if symptoms persisted or worsened. Upon discharge, Neter-Nu took a bus for sixteen hours to Sioux City, Iowa, where his employer had taken his truck. When he arrived, he Indiana Supreme Court | Case No. 24S-CT-435 | June 26, 2025 Page 2 of 22 checked into a hotel for three days, never left his room, kept his foot elevated, and avoided “putting weight on it.” Tr. Vol. 5, pp. 197–98. He then checked into Mercy Medical Center emergency/urgent care with black toes where treating physicians found no blood flow in several of his right toes. Concluding that the foot was “unsalvageable,” ER doctors referred Neter-Nu to the University of Nebraska Medical Center, where, on August 19, he underwent a below-the-knee amputation of his right leg. Ex. Vol. 11, p. 194. Neter-Nu filed a proposed complaint with the Indiana Department of Insurance. According to the medical-review panel, the evidence did not support a finding that medical providers failed to meet the standard of care. Neter-Nu then filed a complaint in the trial court against Dr. Abbas, Nurse Mittler, and Methodist Hospital. His complaint alleged that Nurse Mittler’s negligent placement of the IV in his foot resulted in his amputation, that Dr. Abbas negligently failed to identify and treat the foot after Nurse Mittler placed the IV, and that Methodist was vicariously liable for the actions of its employees. A two-week jury trial was held in October and November 2022. During the presentation of evidence, Providers unsuccessfully sought to introduce medical records suggesting that Neter-Nu had a habit of pulling out his IVs. And during cross-examination of Neter-Nu’s expert, Dr. Eric Tripp, the trial court denied Providers’ request to use certain emails to refresh the expert’s recollection or impeach him for inconsistent methodologies. At the close of Neter-Nu’s evidence, Methodist moved u
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FILED Jun 26 2025, 11:46 am
CLERK
Indiana Supreme Court
Court of Appeals
and Tax Court
IN THE
Indiana Supreme Court Supreme Court Case No. 24S-CT-435
Zainab Abbas, M.D., Morgan Mittler, R.N., and Methodist Hospital, Appellants/Cross-Appellees (Defendants below)
–v–
Hetep Bilal Neter-Nu,
Appellee/Cross-Appellant (Plaintiff below)
Argued: January 23, 2025 | Decided: June 26, 2025
Appeal from the Lake Superior Court
No. 45D11-1809-CT-541
The Honorable Bruce D. Parent, Judge
On Petition to Transfer from the Indiana Court of Appeals
No. 23A-CT-438
Opinion by Justice Goff
Chief Justice Rush and Justices Massa, Slaughter, and Molter concur. Goff, Justice.
Hetep Bilal “Franklyn” Neter-Nu stopped at Methodist Hospital complaining of nausea and vomiting. He ended up with an amputated foot three weeks later. Neter-Nu sued the hospital, Dr. Zainab Abbas, and Nurse Morgan Mittler (collectively “Health Care Providers” or “Providers”). A jury returned a verdict in favor of Neter-Nu. Providers raise several claims related to certain evidentiary issues and jury instructions, among others. We hold that the trial court erred when it denied Methodist’s Trial Rule 50(A) motion for partial judgment on the evidence and when it calculated prejudgment interest. But the trial court did not abuse its discretion in declining to give Providers’ proposed jury instructions and excluding certain evidence. Therefore, we affirm the jury verdict but reverse and remand with instructions to grant Methodist’s Rule 50(A) motion and recalculate prejudgment interest based on the Providers’ statutory liability.
Facts and Procedural History Franklyn Neter-Nu was a truck driver who checked into the emergency room at Methodist Hospital in Gary, Indiana, on July 27, 2015, complaining of nausea and vomiting. He was given fluids and medications through an IV, but his attending nurse, Nurse Mittler, twice found the IV detached from Neter-Nu’s arm. She then placed the IV in Neter-Nu’s right foot, despite her lack of training and without a doctor’s order for that placement. On July 28, Neter-Nu complained of pain in his right foot, so Nurse Mittler paged Dr. Abbas. An x-ray ordered for his foot showed no fracture or soft-tissue swelling. On July 29, a nurse examined Neter-Nu’s right foot and saw signs of “IV infiltration,” and a nurse’s note from the next day said there was slight bruising with no reports of numbness. On July 30, Dr. Abbas discharged Neter-Nu. The discharge note instructed Neter-Nu to return to the emergency room if symptoms persisted or worsened.
Upon discharge, Neter-Nu took a bus for sixteen hours to Sioux City, Iowa, where his employer had taken his truck. When he arrived, he
Indiana Supreme Court | Case No. 24S-CT-435 | June 26, 2025 Page 2 of 22 checked into a hotel for three days, never left his room, kept his foot elevated, and avoided “putting weight on it.” Tr. Vol. 5, pp. 197–98. He then checked into Mercy Medical Center emergency/urgent care with black toes where treating physicians found no blood flow in several of his right toes. Concluding that the foot was “unsalvageable,” ER doctors referred Neter-Nu to the University of Nebraska Medical Center, where, on August 19, he underwent a below-the-knee amputation of his right leg. Ex. Vol. 11, p. 194.
Neter-Nu filed a proposed complaint with the Indiana Department of Insurance. According to the medical-review panel, the evidence did not support a finding that medical providers failed to meet the standard of care. Neter-Nu then filed a complaint in the trial court against Dr. Abbas, Nurse Mittler, and Methodist Hospital. His complaint alleged that Nurse Mittler’s negligent placement of the IV in his foot resulted in his amputation, that Dr. Abbas negligently failed to identify and treat the foot after Nurse Mittler placed the IV, and that Methodist was vicariously liable for the actions of its employees.
A two-week jury trial was held in October and November 2022. During the presentation of evidence, Providers unsuccessfully sought to introduce medical records suggesting that Neter-Nu had a habit of pulling out his IVs. And during cross-examination of Neter-Nu’s expert, Dr. Eric Tripp, the trial court denied Providers’ request to use certain emails to refresh the expert’s recollection or impeach him for inconsistent methodologies. At the close of Neter-Nu’s evidence, Methodist moved u
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Decided
Date Decided
June 26, 2025
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district
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