Walton v. MID-ATLANTIC SPINE SPECIALISTS

PRESENT: Koontz, Kinser, Lemons, Goodwyn, Millette, and Mims,
JJ., and Russell, S.J.


ANGELA WALTON
                                        OPINION BY
v.   Record No. 091009        JUSTICE LEROY F. MILLETTE, JR.
                                       June 10, 2010
MID-ATLANTIC SPINE SPECIALISTS,
P.C., ET AL.


       FROM THE CIRCUIT COURT OF THE CITY OF NEWPORT NEWS
                      C. Peter Tench, Judge


     In this medical malpractice case, we consider whether the

defendant doctor waived the attorney-client privilege for a

letter he wrote to his attorney regarding potential negligence

in his examination of key x-rays when that letter was produced

to the plaintiff during discovery.   We hold the doctor’s

disclosure of the letter was inadvertent, but that the doctor

waived his attorney-client privilege by failing to take

sufficient precautions to prevent the inadvertent disclosure.

                           BACKGROUND

     Angela Walton suffered a workplace injury to her wrist and

began treatment with Jeffrey Moore, M.D., an orthopedic surgeon,

and his practice group, Mid-Atlantic Spine Specialists, P.C.

(Mid-Atlantic) (collectively, the doctors).   Dr. Moore treated

Walton’s broken wrist from November 1998 to May 1999.

     Walton filed a workers’ compensation claim and later filed

a motion for judgment against the doctors, seeking damages for
medical malpractice associated with the examination, diagnosis,

and treatment of her wrist injury.

     On November 24, 1998, Dr. Moore took an x-ray of Walton’s

wrist.    Dr. Moore took another x-ray of Walton’s wrist on

December 1, 1998.   After Walton’s December 1, 1998 appointment,

Dr. Moore noted in her medical record that:   “Radiographs were

taken in plaster.   The thumb looks unremarkable.   Do not see any

fracture here.   The overall alignment looks good.”

     However, after reviewing the x-rays almost three years

later Dr. Moore wrote a letter to his attorney on October 30,

2001 (the letter), in which he explained his thought process in

the treatment he provided her.   In reference to the December 1st

x-ray, Dr. Moore wrote:

     I made a comment that the overall alignment looks
     “good.” I am not convinced I was actually
     looking at the x-ray from 12/01/98, and may have
     actually been looking at comparison film of
     11/24/98, and mistakenly thought it was the
     recent follow-up x-ray on that day in the office.
     I simply cannot remember these events, but I do
     not consider her overall alignment as looking
     “good” on 12/01/98.

According to Dr. Moore, he kept his file copy of the letter in a

white binder, while medical records were contained in a manila

folder.

     During discovery in the workers’ compensation case, a

subpoena duces tecum was issued to Mid-Atlantic.    Mid-Atlantic

hired Smart Copy Corporation (Smart Copy) to gather the


                                  2
subpoenaed documents.   Smart Copy obtained a copy of the letter

and produced it to the attorney for Walton’s employer in the

workers’ compensation case.   The record does not show how Smart

Copy obtained a copy of the letter.

     The letter was first produced to Walton’s counsel in the

medical malpractice case in November 2004. 1   Walton asserts that

she notified the doctors that she was in possession of the

letter in her June 2006 answers to interrogatories.

Interrogatory 11 requested information about any statements by

the doctors which Walton “consider[ed] to be an admission or

otherwise probative of liability or negligence.”    Walton

answered as follows:

     [Dr. Moore] has authored a letter which [Walton]
     considers to be an admission and/or probative of
     liability. The date of the letter is October 30,
     2001 and was produced by [Dr. Moore] to the
     [Workers’] Compensation Commission. As such,
     [Walton] is unaware how many people have read the
     letter, but believe[s] the number is substantial.
     [Dr. Moore] authored the letter and as such is
     aware of its contents.

However, the doctors assert they did not learn that

Walton was in possession of the letter until they were notified

in October 2007 that Walton had the letter and intended to use

it at trial.


     1
       Walton asserted that counsel representing Walton’s
employer in the worker’s compensation case also sent the letter
to the doctors’ counsel at that time in response to a subpoena
duces tecum.

                                 3
     In November 2007, the doctors filed a motion for a

protective order “against the use and/or distribution of [the]

letter,” alleging that it is protected by the attorney-client

privilege, and “contains retrospective critical analysis of the

case by [Dr. Moore] and his attorney.”    The circuit court held

several hearings on the doctors’ motion.   At the first hearing,

the circuit court determined that

          disclosure has to be voluntary or there is
          not a waiver. If it’s involuntary
          disclosure, there is not a waiver. If it’s
          . . . inadvertent or by mistake, if we show
          this to be inadvertent, then there can be a
          waiver, then we have . . . Lois Sportswear[,
          U.S.A., Inc. v. Levi Strauss & Co., 104
          F.R.D. 103, 105 (S.D.N.Y. 1985)], those
          factors.

It was undisputed that Dr. Moore’s attorney did not disclose the

letter, and neither party argued that criminal behavior or bad

faith was involved in the production of the letter.   The circuit

court took the motion under advisement to give the parties the

opportunity to present evidence regarding how Smart Copy

obtained the allegedly confidential document.

     At the second hearing, the circuit court applied a five-

factor test for inadvertent disclosure:    (1) the reasonableness

of precautions taken, (2) the number of the inadvertent

disclosures, (3) the extent of disclosure, (4) the delay and

measures taken to rectify the disclosure, and (5) the interests

of justice.   Based on this analysis, the circuit court made


                                 4
factual findings and held that the privilege had been waived.

The trial judge concluded that

             the only logical inference . . . is that
             Smart [Copy] copied according to their
             procedures and the medical records were
             provided to them and this document had to be
             commingled with them. I can’t believe that
             Smart [Copy] went into a separate place to
             take a binder that was not authorized and
             copied it.

After further argument by counsel, the circuit court again took

the motion under advisement to allow the doctors to “bring . . .

some evidence to show how the [letter] allegedly got out of Dr.

Moore’s hands and into the hands of Smart [Copy].”

     In February 2009, the doctors filed a motion in limine,

asking the circuit court to prohibit Walton’s counsel from

“asking questions of Dr. Moore regarding any opinions regarding

his current interpretation of events that occurred in 1998

and/or 1999.”    In its brief in support of the motion in limine,

the doctors argued that Dr. Moore had not been designated as an

expert witness, and Dr. Moore would only testify regarding his

care and treatment of Walton and his contemporaneous

interpretation of how Walton was progressing at the time of

treatment.

     At the third hearing on the doctors’ motion for a

protective order, counsel for Walton and for the doctors made

representations to the circuit court concerning the testimony of



                                   5
relevant employees of Mid-Atlantic and Dr. Moore’s front office

staff, and Smart Copy, who were employed in 2004, concerning

discovery procedures.   However, the circuit court concluded that

it was not possible to determine how the letter came to be

produced.

     The circuit court granted the doctors’ motion, ruling that

the letter was privileged, had been “involuntarily” disclosed,

and there had been no waiver.   The circuit court, in its ruling,

stated:    “And being involuntary by the fact that we don’t know

how [the letter] was disclosed, but we do know that Dr. Moore

has indicated that he didn’t give permission and he didn’t

provide it, and it was not in the records he had, and nobody

knows how it got disclosed.”    The circuit court entered an order

“prohibit[ing] [Walton] from any distribution of the privileged

correspondence, including but not limited to distributing the

letter to [her] experts, and [that] there [would] be no mention

of or use of the letter or its content at any trial of this

matter.”

     The circuit court also granted the doctors’ motion in

limine, and ordered that Walton’s counsel was “precluded from

asking any questions of Dr. Moore requiring his expert opinions

including his retrospective interpretation of events that

occurred during his treatment of [Walton] during 1998 and/or

1999.”


                                  6
     At trial, Dr. Richard Wells testified, as Walton’s expert

witness, that it would be a breach of the standard of care if

Dr. Moore did not look at the December 1, 1998 x-ray.      Dr. Wells

also testified that it would be a breach of the standard of care

if Dr. Moore mistakenly looked at the November 24, 1998 x-ray

thinking it was the December 1st x-ray.      Likewise, Dr. Terrence

O’Donovan testified as an expert for Walton that it would be a

breach of the standard of care if Dr. Moore failed to look at an

x-ray that was taken or if he mistakenly looked at the November

24th x-ray thinking it was the December 1st x-ray.

     Dr. Moore testified that he had no recollection of his

analysis of the x-rays because he “can’t remember them that far

back.”   Dr. Moore also testified that during his December 1,

1998 examination of Walton, he took another x-ray “to check two

things, . . . the fracture as well as the thumb and make sure

the thumb looked good on x-ray.”       Dr. Moore testified that

          [t]he alignment was good. All of that was
          good. The x-ray of the radius showed . . .
          some residual dorsal tilt, and that is that
          slight settling that occurs that we all
          heard about. It settles a little bit,
          natural tendency. They all do it . . . but
          there had been no significant change in
          anything that required me to do anything
          differently.
     Walton’s counsel examined Dr. Moore out of the presence of

the jury for purposes of a proffer regarding the excluded

evidence.   When Dr. Moore was asked, “Doctor, in fact, you may



                                   7
have been mistakenly looking at the November 24, 1998, film when

you thought you were looking at the December 1, 1998, film;

isn’t that true?” Dr. Moore answered, “Anything is possible.”

Walton’s counsel also proffered testimony from Dr. Gregory

Degnan that it would have been a breach of the standard of care

if, on December 1, 1998, after taking an x-ray, Dr. Moore did

not look at the x-ray or if he mistakenly picked up the November

24, 1998 x-ray and thought he was looking at the December 1st x-

ray.

       The jury rendered a verdict in favor of the doctors and the

circuit court entered final judgment on the verdict.

                             DISCUSSION

       As a general rule, confidential communications between an

attorney and his or her client made in the course of that

relationship and concerning the subject matter of the attorney’s

representation are privileged from disclosure.     Banks v. Mario

Indus., 274 Va. 438, 453, 650 S.E.2d 687, 695 (2007);

Commonwealth v. Edwards, 235 Va. 499, 508-09, 370 S.E.2d 296,

301 (1988).   The objective of the attorney-client privilege is

to encourage clients to communicate with attorneys freely,

without fearing disclosure of those communications made in the

course of representation, thereby enabling attorneys to provide

informed and thorough legal advice.     Upjohn Co. v. United

States, 449 U.S. 383, 389 (1981).     “Nevertheless, the privilege


                                  8
is an exception to the general duty to disclose, is an obstacle

to investigation of the truth, and should be strictly

construed.”   Edwards, 235 Va. at 509, 370 S.E.2d at 301.

     The attorney-client privilege may be expressly or impliedly

waived by the client’s conduct.        Banks, 274 Va. at 453-54, 650

S.E.2d at 695-96; Edwards, 235 Va. at 509, 370 S.E.2d at 301.

Courts must consider the specific facts of each case in making a

waiver determination, as there is no bright line rule for what

constitutes waiver.   Grant v. Harris, 116 Va. 642, 648, 82 S.E.

718, 719 (1914).   The proponent of the privilege has the burden

to establish that the attorney-client relationship existed, that

the communication under consideration is privileged, and that

the privilege was not waived.     Edwards, 235 Va. at 509, 370

S.E.2d at 301; United States v. Jones, 696 F.2d 1069, 1072 (4th

Cir. 1982).

     In this case, the parties do not dispute the existence of

an attorney-client relationship or that the letter was

privileged at the time it was written.       The issue presented is

whether Dr. Moore waived the privilege attached to the letter. 2

Whether inadvertent or involuntary disclosure of a privileged

document constitutes a waiver of the attorney-client privilege




     2
       Walton does not contend that Dr. Moore’s attorney waived
the attorney-client privilege.

                                   9
is a mixed question of law and fact subject to de novo review.

In re Grand Jury Proceedings, 33 F.3d 342, 353 (4th Cir. 1994).

     A.   Walton’s Argument

     Walton assigns error to the circuit court’s ruling that the

privilege attached to the letter was not waived.   Walton asserts

the letter was produced to her during the ordinary course of

discovery, the doctors did not produce any evidence that the

letter was disclosed as the result of criminal acts or bad

faith, and the letter contained an admission by Dr. Moore

regarding the most crucial liability issue in the case.   Walton

contends that the disclosure was not involuntary, but

inadvertent, and that the circuit court should have applied a

multi-factor analysis using considerations often attributed to

Lois Sportswear, U.S.A., Inc. v. Levi Strauss & Co., 104 F.R.D.

103, (S.D.N.Y 1985), which is applied by many jurisdictions in

cases of inadvertent disclosure of privileged documents during

the ordinary course of discovery. 3




     3
       We note that the recently promulgated Federal Rule of
Evidence 502(b) adopts general standards concerning whether the
party holding the privilege or protection took reasonable steps
to prevent disclosure, and promptly took reasonable steps to
rectify the error after inadvertent disclosure. The drafters
state that they intend to make available for consideration the
factors articulated in Lois Sportswear and Hartford Fire Ins.
Co. v. Garvey, 109 F.R.D. 323, 332 (N.D. Cal. 1985). Advisory
Committee Note of 2008 to Fed. R. Evid. 502.

                                10
     Walton argues that courts have only applied the involuntary

disclosure test when there is evidence that the disclosure

resulted from criminal activity or bad faith.   Walton maintains

that the doctors failed to produce any evidence of criminal

activity, bad faith, or any other explanation for the disclosure

of the letter besides a unilateral error of “carelessly placing

a privileged document in a box of discovery documents and

delivering them to the other side.”    Maldonado v. New Jersey,

225 F.R.D. 120, 129 (D. N.J. 2004).    Walton contends that the

doctors’ position that there was no evidence that Dr. Moore

himself was careless in placing the privileged document with the

other materials to be produced is an insufficient reason to find

the disclosure was involuntary.    Walton asserts that Dr. Moore

took no precautions to protect against the disclosure of the

letter and did not take any steps to rectify disclosure until

three years after he was first notified of the disclosure in

November 2004.   Walton argues that, under these facts, the

doctors failed to carry their burden to show that the attorney-

client privilege was not waived.

     Additionally, Walton argues that the interests of justice

require the letter to be admissible.   Walton asserts that the

December 1st x-ray and its interpretation were the most

important pieces of evidence at trial, because Dr. Moore did not

know if his notes were accurate regarding the most crucial x-


                                  11
ray.   Walton argues that the circuit court erred by excluding

the letter and allowing the jury to be misled.

                     B.    The Doctors’ Response

       The doctors argue that the attorney-client privilege

protecting the letter has not been waived, as the disclosure of

the letter cannot be inadvertent if not made by a party to the

privilege, in this case either Dr. Moore or his attorney.

According to Dr. Moore, Mid-Atlantic and/or Smart Copy disclosed

the letter in the course of the separate, independent workers’

compensation case and, therefore, the disclosure can only be

classified as involuntary.

       The doctors, citing cases from other jurisdictions, contend

that other courts have ruled that involuntary disclosure does

not waive the attorney-client privilege when the party takes

reasonable precautions to prevent the disclosure.    The doctors

maintain that, like the proponents of the privilege in those

cases, they did not cause the disclosure through their own

actions or inactions.     The doctors assert that several

individuals had access to the letter and all denied

responsibility for its production.     The circuit court could not

determine who disclosed the letter and, therefore, the attorney-

client privilege remained intact.

       The doctors argue that Dr. Moore took reasonable

precautions to prevent disclosure.     In an affidavit by Dr.


                                  12
Moore, he stated that his litigation materials were kept in a

white three-ring binder with no numbers on the side, in contrast

to medical records, which were kept in a manila folder with

numbers on the side.   The doctors assert that Dr. Moore, by

keeping the letter in a separate binder of a unique color, tried

to ensure that his legal documents did not commingle with

patient records, and that he cannot be held responsible for the

unexplained production of the letter.

     Moreover, the doctors contend that criminal activity or bad

faith is not required for involuntary disclosure and, even if

wrongdoing is required, the Mid-Atlantic employees and/or Smart

Copy employees misappropriated Dr. Moore’s personal documents.

According to the doctors, Dr. Moore met his burden of proof

because the undisputed evidence was that he and his attorney did

not disclose the letter, and that either Mid-Atlantic or Smart

Copy disclosed the letter, or the disclosure was otherwise

unexplained.

     Lastly, the doctors argue that the exclusion of the letter

was harmless error because Walton did not assign error to the

circuit court’s grant of the doctors’ motion in limine.   The

doctors assert that the letter contained only expert opinion and

retrospective critical analysis, but that Dr. Moore was not

designated as an expert witness.




                                13
                          C.   Analysis

     As an initial matter, we hold that the disclosure of the

letter was inadvertent, not involuntary, and that the circuit

court erred as a matter of law in finding that the disclosure

was involuntary instead of inadvertent.   There was no evidence

suggesting that the letter was knowingly produced by someone

other than the holder of the privilege through criminal activity

or bad faith, and the doctors do not argue that any criminal

activity or bad faith was involved.   All of the evidence

indicates that the doctors mistakenly produced the letter, and

therefore its disclosure was inadvertent, not involuntary.

     The determination whether the disclosure was involuntary

does not rest on the subjective intent of the doctors.   The

doctors’ intention to maintain the attorney-client privilege

does not lead inevitably to the conclusion that the disclosure

was involuntary instead of inadvertent.   If subjective intention

of the proponent of the privilege controlled, a disclosure would

always be considered involuntary.   However, in the waiver

context, involuntary means that another person accomplished the

disclosure through criminal activity or bad faith, without the

consent of the proponent of the privilege.   See, e.g., In re

Grand Jury Proceedings Involving Berkley and Co., Inc., 466

F.Supp. 863, 869 (D. Minn. 1979) (fired employee stole company’s

documents and disclosed them to the government); Resolution


                               14
Trust Corp. v. Clayton Dean, 813 F.Supp. 1426, 1430 (D. Ariz.

1993) (internal memorandum leaked to newspaper); Maldonado, 225

F.R.D. at 125-26 (letter from defendants to former attorney

inexplicably found in plaintiff’s mailbox).

     “The inadvertent production of a privileged document is a

specter that haunts every document intensive case.”   New Bank of

New England v. Marine Midland Realty Corp., 138 F.R.D. 479, 479-

80 (E.D. Va. 1991).   Inadvertent disclosure of a privileged

document includes a failure to exercise proper precautions to

safeguard the privileged document, and does not require that the

disclosure be a result of criminal activity or bad faith.    For a

disclosure to be considered inadvertent it is not required, as

contended by the doctors at oral argument, that “an attorney or

somebody on behalf of the client ma[de] a voluntary disclosure,

in other words, they g[a]ve it up knowingly, but then they

claim[ed] it was inadvertent, [claiming that] ‘I made a mistake

when I gave it up.’ ”   While knowingly, but mistakenly,

producing a document may be an inadvertent disclosure,

unknowingly providing access to a document by failing to

implement sufficient precautions to maintain its confidentiality

may also result in an inadvertent disclosure.

     Once the trial court determines that a disclosure of one or

more communications is inadvertent, it must then determine

whether the attorney-client privilege has been waived for the


                                15
items produced. In cases of inadvertent disclosure of a document

protected by the attorney-client privilege, we adopt the multi-

factor analysis set forth below, requiring the court to assess

whether the holder of the privilege or protection took

reasonable steps to prevent disclosure and promptly took

reasonable steps to rectify the error.   This approach avoids the

extremes, see New Bank of New England, 138 F.R.D. at 482, of an

across-the-board rule of waiver when a communication has been

produced, an approach often attributed to Dean Wigmore, 4 or a

blanket “no waiver” rule which would hold that negligence by

counsel or a producing party can never constitute waiver for

lack of clear and intentional decision to waive protections.

Id.

      Under the standards we now adopt, waiver may occur if the

disclosing party failed to take reasonable measures to ensure

and maintain the document’s confidentiality, or to take prompt

and reasonable steps to rectify the error.   See id. at 482.

This approach balances concerns of fairness and the fundamental

importance of protection of the privilege long recognized in

Virginia law “against the care or negligence with which the

privilege is guarded.”   Lois Sportswear, 104 F.R.D. at 105.


      4
       See, e.g., New Bank of New England, 138 F.R.D. at 481,
noting that the Wigmore approach held that the privilege should
be treated as destroyed by any disclosure under a narrow



                                16
Under this approach, the following factors are to be included in

the court’s consideration:    (1) the reasonableness of the

precautions to prevent inadvertent disclosures, (2) the time

taken to rectify the error, (3) the scope of the discovery, (4)

the extent of the disclosure, and (5) whether the party

asserting the claim of privilege or protection for the

communication has used its unavailability for misleading or

otherwise improper or overreaching purposes in the litigation,

making it unfair to allow the party to invoke confidentiality

under the circumstances.     See, e.g., Koch v. Cox, 489 F.3d 384,

390 (D.C. Cir. 2007)(considering whether the party asserting

privilege seeks to employ that privilege both as a sword and as

a shield, and thereby to gain litigation advantage); United

States v. Desir, 273 F.3d 39, 45 (1st Cir. 2001)(considering

unfairness of allowing invocation of the privilege when a party

testifies about portions of a communication or selectively

asserts protections, because the “privilege cannot be used as

both a shield and a sword”); United States v. Workman, 138 F.3d

1261, 1263-64 (8th Cir. 1998).    Thus, there may be “a

determination that the privilege holder’s conduct makes it

unfair to allow subsequent assertion of the privilege.”       United

States v. Yerardi, 192 F.3d 14, 18 (1st Cir. 1999)(“Probably the



construction of the privilege that emphasizes that
confidentiality is an exception to the general duty to disclose.

                                  17
most common example is a privilege holder’s effort to answer

some questions in a subject area (usually those that serve the

privilege holder’s interests) but not others (those that harm

the privilege holder’s interest).    Such a pick-and-choose

approach may seem unfair in general or because it distorts the

evidence that is presented to the factfinder”).     See

Developments in the Law – Privileged Communications, 98 Harv. L.

Rev. 1450, 1629-31 (1985).

     None of these factors is independently dispositive, and the

court must also consider any other factors arising from the

posture of the case at bar that have a material bearing on the

reasonableness issues.   Applying the relevant factors in this

case to determine whether the disclosing party took reasonable

measures to ensure and maintain the allegedly privileged

document’s confidentiality, and took prompt and reasonable steps

to rectify the error, we hold that the doctors waived the

attorney-client privilege attached to the letter.    Upon

consideration of the record as a whole, we conclude that the

doctors failed to take reasonable measures to ensure and

maintain the confidentiality of the letter.   We will analyze

each of the five primary factors in turn.   Our analysis takes

into consideration Dr. Moore’s actions, as well as those of Mid-

Atlantic, as the practice group to which Dr. Moore belonged and

with which he rendered medical treatment to Walton.       We also


                                18
give deference to the circuit court’s findings of fact made

during the second hearing on the doctors’ motion for a

protective order against use of the letter.     The Daily Press,

Inc. v. City of Newport News, 265 Va. 304, 309, 576 S.E.2d 430,

432-33 (2003).

                 1.   Reasonableness of Precautions

     We first consider the reasonableness of Dr. Moore’s

precautions to prevent an inadvertent disclosure of the letter.

As the holder of the attorney-client privilege, Dr. Moore was

charged with the responsibility to take reasonable precautions

to safeguard the letter and to preserve its confidentiality.

     Regarding the care exercised to ensure the letter was not

disclosed, Dr. Moore “kept it in a separate notebook, and he

kept it in his office.”   The separate notebook was a white

binder without numbers, whereas medical records were kept in a

manila folder with numbers.   However, Dr. Moore also kept

medical records in his office.   The notebook was not marked

privileged or confidential, nor was the letter itself marked

privileged or confidential.   The number of documents to be

reviewed before release was not extensive.    There were no time

constraints in responding to the discovery request that would

have precluded a review of what was produced.

     Neither the doctors nor their counsel conducted a privilege

review of the documents gathered by Smart Copy.    In fact, there


                                 19
was no evidence presented regarding any procedure for reviewing

documents before they were copied by Smart Copy.    Dr. Moore

could have insisted upon additional review, such as after the

documents were copied by Smart Copy and prior to their

production.   See Parkway Gallery Furniture, Inc. v.

Kittinger/Pennsylvania House Group, Inc., 116 F.R.D. 46, 51

(M.D. N.C. 1987).

     When a party utilizes an independent copy service like

Smart Copy for purposes of document production, it is especially

important to clearly mark documents intended to remain

confidential to avoid commingling such documents with documents

that are properly subject to discovery.   The doctors did not

establish that they took sufficient efforts to supervise the

Smart Copy employees or to prevent intermingling of the letter

with unprivileged, non-confidential documents.   We therefore

conclude that the doctors failed to take reasonable precautions

to prevent an inadvertent disclosure of the letter.

                 2.   Time Taken to Rectify Error

     There is some dispute as to when the doctors were notified

that the letter had been produced.   Walton contends that the

doctors were informed that the letter had been produced during

the workers’ compensation case in November 2004.    Regardless,

the doctors were again notified, in June 2006, that the letter

had been produced to Walton’s attorney through Walton’s answer


                                20
to Interrogatory 11.   In her answer, she refers specifically to

a letter dated October 30, 2001, authored by Dr. Moore, which

was produced during the workers’ compensation case, and which

she “consider[s] to be an admission or otherwise probative of

liability.”   Both parties agree that Walton’s attorney contacted

the doctors’ attorney in October 2007 regarding the proposed use

of the letter, but the doctors argue that they had not

previously been notified that the letter had been disclosed.

The doctors filed their motion for a protective order in

November 2007.

     Based on the information conveyed in Walton’s answer to

Interrogatory 11, the doctors should have inquired into the

whereabouts of the letter in question and attempted to rectify

any potential error in its disclosure.    A year and a half passed

between service of the answers to interrogatories to the doctors

and their filing of a protective order.   Even in October 2007,

the doctors did not take immediate measures to secure its return

and to protect the privilege.   Instead, the doctors allowed a

month to lapse before seeking relief from the circuit court in

the form of a protective order.    The doctors should have taken

immediate action to attempt to maintain the privilege attached

to the letter. 5


     5
       See, e.g., the recent amendment to the Part Four Rules of
Court adding Rule 4:1(b)(6)(ii), setting up a notice procedure

                                  21
                      3.    Scope of Discovery

     The doctors do not contend that the discovery in this case

was extensive or involved a massive exchange of documents.     Also

lacking was any evidence of time constraints or of any other

factor impeding the doctors’ ability to monitor the documents

being produced.   Because the discovery was not expedited or

extensive, the doctors are given less leeway regarding their

precautions to ensure the letter was not disclosed.

                     4.    Extent of Disclosure

     The disclosure of the letter was complete, because it was

disclosed not only to Walton, but also in the workers’

compensation case to the attorney for Walton’s employer, and

there is no indication that the document has not been copied,

digested, and analyzed.    The circuit court found that the

privilege was permanently destroyed, so that disclosure cannot

be cured simply by a return of the document.

                     5.    Interests of Justice




available when “a party believes that a document or
electronically stored information that has already been produced
is privileged or its confidentiality is otherwise protected,”
halting use and dissemination of the document and providing an
opportunity to obtain judicial determination.
     We also note that the General Assembly has enacted a new
Code § 8.01-420.7 in its 2010 session, which adopts, effective
July 1, 2010, provisions that implement the standards
articulated in this opinion to govern, inter alia, inadvertent
waiver of the attorney-client privilege and work product
doctrine confidentiality protections. See 2010 Acts ch. 350.

                                 22
     Lastly, we consider whether, by asserting the claim of

privilege as to the letter, the doctors used its unavailability

for a misleading or otherwise improper or overreaching purpose,

making it unfair under the circumstances to allow the doctors to

invoke confidentiality.   Waiver of the attorney-client privilege

should not be found in every instance in which upholding the

protections of confidentiality or privilege may unfairly become

an obstacle to the truth, because such an expansive view of

waiver would defeat the salutary purpose of the attorney-client

privilege.   However, parties should not be permitted to use the

privilege as both a shield, preventing the admission of

evidence, and as a sword to mislead the finder of fact by

allowing evidence that would be impeached by the privileged

information if it had not been suppressed.

     We hold that this factor also tips in favor of Walton.    By

ruling that the disclosure was involuntary and that the

privilege attached to the letter had not been waived, the

circuit court allowed the doctors’ counsel to engage in

questioning that had significant potential to mislead the jury.

Although framed as a question about what Dr. Moore wrote in his

December 1st note, Dr. Moore’s answer led the jury to believe he

had reviewed the December 1st x-ray when the suppressed letter

may have impeached him by demonstrating that he may instead have

mistakenly reviewed the November 24th x-ray.   The issue of which


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x-ray Dr. Moore reviewed was a question of fact and a key to

Walton’s claim of negligence, and did not require either an

expert opinion or retrospective critical analysis.

     Applying these five factors to the circumstances

surrounding the inadvertent disclosure of the letter, we hold

that the doctors did not fulfill their burden to prove that the

attorney-client privilege was not waived with respect to the

letter.   While the attorney-client privilege serves a very

important function in the administration of justice, it is

subject to waiver, and the holder of the privilege is

responsible for exercising reasonable caution to ensure that the

privilege remains intact.   For the proponent of the privilege to

enjoy the benefits of the privilege, he or she must also bear

the burden of taking sufficient measures to safeguard privileged

documents.   Such measures were lacking in this case.   Therefore,

the circuit court erred in ruling that the privilege was not

waived.

                            CONCLUSION

     For the reasons stated, we will reverse the judgment

appealed from and remand the case to the circuit court for

further proceedings consistent with this opinion.    Our decision

renders the doctors’ harmless error argument moot.

                                            Reversed and remanded.




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