FILED
NOT FOR PUBLICATION MAY 24 2010
MOLLY C. DWYER, CLERK
UNITED STATES COURT OF APPEALS U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
SANDRA SANDOVAL, No. 08-56067
Plaintiff - Appellant, D.C. No. 2:06-cv-03769-WDK-
VBK
v.
ST JOHNS REGIONAL MEDICAL MEMORANDUM*
CENTER, Erroneously Sued As Catholic
Healthcare West doing business as St
Johns Regional Medical Center; et al.,
Defendants - Appellees.
Appeal from the United States District Court
for the Central District of California
William D. Keller, District Judge, Presiding
Argued and Submitted May 5, 2010
Pasadena, California
Before: B. FLETCHER and PAEZ, Circuit Judges, and EZRA, District Judge.**
Sandra Sandoval appeals the amount of the district court’s award of
economic damages in her medical malpractice suit. We affirm.
*
This disposition is not appropriate for publication and is not precedent
except as provided by 9th Cir. R. 36-3.
**
The Honorable David A. Ezra, United States District Judge for the
District of Hawaii, sitting by designation.
On October 13, 2004, Sandra Sandoval, then 18 years old, delivered a baby
girl at St. John’s Regional Medical Center. Although Sandoval attempted to
deliver her baby vaginally, the labor did not progress as expected. As a result, Dr.
Afshan Ghiai delivered Sandoval’s baby by Cesarean section. Although the baby
was delivered successfully by C-section, Sandoval’s condition deteriorated. Dr.
Ghiai performed a second operation and discovered a uterine laceration/tear. This
second surgery, however, did not solve the problem and several days later
Sandoval underwent a third surgery to perform a hysterectomy (removal of
Sandoval’s uterus). The surgeon also removed one of Sandoval’s ovaries.
Sandoval filed a medical malpractice suit in California state court, which
defendants removed to federal court as provided by 42 U.S.C. § 233. The district
court found Dr. Ghiai liable and awarded $250,000 in non-economic damages for
pain and suffering, the maximum amount allowed under California law, along with
$10,738.07 to satisfy a medical bill, and $736.50 for all other economic damages.
The district court denied Sandoval’s claim for $300,000 in economic damages,
which she sought to cover the cost of future fertility treatments to produce eggs for
three additional biological children and to pay surrogate mothers to carry the
babies.
Page 2 of 4
We have jurisdiction under 28 U.S.C. § 1291 and we review the district
court’s calculation of damages under state law for clear error. Felder v. United
States, 543 F.2d 657, 664 (1976); Lentini v. Cal. Ctr. for the Arts, Escondido, 370
F.3d 837, 843 (9th Cir. 2004). We conclude the district court did not err in
denying as speculative Sandoval’s claim for economic damages for future fertility
treatment and surrogate-mother expenses.
“It is well-established under California law that while the fact of damages
must be clearly shown, the amount need not be proved with the same degree of
certainty, so long as the court makes a reasonable approximation.” Robi v. Five
Platters, Inc., 918 F.2d 1439, 1443 (9th Cir. 1990); 23 Cal. Jur. 3d Damages § 63
(“[D]amages may be awarded for future medical care and treatment if such care
and treatment is reasonably certain to be required and provided that the damages
awarded are not speculative.”). The evidence concerning the fact of damages
consisted of Sandoval’s testimony that she would like to have three additional
children and her testimony that she and her boyfriend both came from large
families. To prove the amount of damages, Sandoval introduced reports from
fertility treatment centers about the cost of the fertility treatments and the cost of
securing a surrogate mother to carry Sandoval’s future children. While we are
sympathetic to Sandoval, the evidence in the record is too speculative to establish
Page 3 of 4
with reasonable certainty that Sandoval would incur such expenses. Sandoval did
not testify that she intended to undergo such treatments or arrange for a surrogate
mother. Thus, we affirm the district court’s denial of economic damages for future
fertility treatment and surrogate-mother expenses. Sandoval argues that to deny
her damages would violate her constitutional right to bear children. Tragic as
Sandoval’s plight is, we find no constitutional violation.
AFFIRMED.
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