Benjamin v. Aroostook Medical

USCA1 Opinion












United States Court of Appeals United States Court of Appeals
For the First Circuit For the First Circuit
____________________

No. 94-2024

JAMES BENJAMIN, JR., M.D.,

Plaintiff, Appellant,

v.

THE AROOSTOOK MEDICAL CENTER, INC., ET AL.,

Defendants, Appellees.

____________________

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MAINE

[Hon. Morton A. Brody, U.S. District Judge] ____________________

____________________

Before

Selya, Circuit Judge, _____________
Bownes, Senior Circuit Judge, ____________________
and Stahl, Circuit Judge. _____________

____________________

James P. Chandler with whom Chandler & Robertson was on brief for __________________ ____________________
appellant.
Christopher D. Nyhan with whom Elizabeth J. Wyman and Preti, ______________________ ____________________ ______
Flaherty, Beliveau & Pachios were on brief for appellees. ____________________________


____________________

June 19, 1995
____________________




















STAHL, Circuit Judge. This appeal arises from an STAHL, Circuit Judge. ______________

action brought by Dr. James Benjamin, Jr., and several of his

patients against the Aroostook Medical Center ("TAMC"),

alleging the racially-motivated termination of Benjamin's

staff privileges.1 The district court dismissed the

patients' claims, holding that they lacked standing to

challenge TAMC's actions. Subsequently, the court dismissed

Benjamin's claims with prejudice, explaining that Benjamin's

counsel had failed to make himself available for proceedings

and to respond to notices from the court. We affirm the

dismissal of the patients' claims and modify the district

court's order dismissing Benjamin's claims so that it

operates without prejudice.

I. I. __

Background Background __________

On February 12, 1992, Benjamin, a physician of

African-American descent, submitted a completed application

for staff privileges to TAMC. TAMC did not approve

Benjamin's application, but instead, on October 12, 1992,

granted him a "provisional appointment." Benjamin had

licenses to practice medicine in California, Connecticut,

Minnesota and Maine, and had received a certification in the


____________________

1. In addition to TAMC, the complaint designates several
named and unnamed TAMC officers, agents, employees and staff
physicians as defendants. For purposes of this opinion, we
will refer to all defendants collectively as "TAMC."

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"Specialty of Internal Medicine" from the American Board of

Internal Medicine. TAMC, which is located in Presque Isle,

Maine, has approximately forty-five physicians on its medical

staff and it does not allow physicians without staff

privileges to treat patients at its facilities. At the time

of Benjamin's appointment, TAMC had no African-American

physician on its staff.

On October 11, 1993, TAMC's Medical Staff Executive

Committee recommended that TAMC terminate Benjamin's

provisional staff privileges. Subsequently, on January 7,

1994, Benjamin and seventeen of his patients commenced this

action pro se in federal district court alleging that TAMC, ___ __

through discriminatory policies and practices, had denied

Benjamin staff privileges on account of his race. On

February 11, 1994, the district court issued a scheduling

order setting forth discovery deadlines and an expected trial

date for August 1994. The district court amended the

scheduling order twice to extend the time, first for Benjamin

and then for TAMC, to designate expert witnesses. On March

4, 1994, TAMC filed a motion to dismiss the patients' claims

for lack of standing. After Benjamin and the patients

responded through newly obtained counsel, the district court

granted the motion, finding that the patients had not

sufficiently alleged that they had suffered any "injury-in-

fact" as a result of the hospital's actions.



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On April 29, 1994, Benjamin's counsel sought to

withdraw, citing irreconcilable differences with Benjamin.

The district court granted the motion, pending an appearance

by replacement counsel (or by Benjamin pro se). On May 31, ___ __

1994, Benjamin's counsel renewed the motion to withdraw, and

the district court ordered Benjamin to show cause why he had

not obtained new counsel. On June 8, 1994, TAMC filed a

motion to dismiss, arguing that Benjamin had failed to make

himself available for a deposition and had obstructed TAMC's

efforts to complete discovery. Two days later, TAMC filed a

second motion to dismiss and/or for summary judgment, arguing

that Benjamin's claims failed on the merits. On June 16,

1994, James P. Chandler of Washington, D.C., entered a notice

of appearance on behalf of Benjamin and simultaneously moved

to enlarge the time to respond to TAMC's pending motions to

dismiss. The district court granted this motion, giving

Benjamin and his new counsel until July 15, 1994, to respond.

On July 7, 1994, Chandler became seriously ill and

was hospitalized in Washington, D.C. At the time of his

hospitalization, Chandler had not responded to TAMC's motion

nor consulted with Benjamin's former counsel. On July 15,

1994, a law clerk for Chandler moved for an additional

enlargement of time on account of Chandler's sudden illness.

The district court denied the motion in light of TAMC's

objection and because it was improperly filed by an



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individual without authority to practice before the court.

On August 2, 1994, Chandler filed another motion for

enlargement of time, which the district court denied by

endorsement.

On August 17, 1994, the district court held a

hearing on TAMC's pending motions to dismiss at which neither

Chandler nor Benjamin appeared. Noting that, since

Chandler's appearance on Benjamin's behalf, Chandler had

neither made himself available for any proceedings nor

responded to notices from the court, the district court

granted TAMC's motion to dismiss with prejudice. This appeal

followed.

II. II. ___

Discussion Discussion __________

We address two issues on appeal. First, Benjamin's

patients contest the district court's finding that they lack

standing to assert their claims against TAMC. Second,

Benjamin argues that his counsel's sudden and severe illness

should excuse his failure to make himself available and

respond to notices from the court.

A. The Patients' Claims ________________________

At oral argument, counsel for the patients and

Benjamin asserted that the patients' standing argument rested







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primarily on 42 U.S.C. 1981.2 The patients contend that

they have standing because TAMC's actions interfered with

their 1981-protected right to contract with Benjamin, a

minority physician. TAMC, however, maintains that the

patients themselves have no legally cognizable injury and, at

best, only assert the third-party rights of Benjamin. After

careful review, we conclude that, on the facts alleged in

this case, the patients do not have standing.

The burden of alleging facts necessary to establish

standing falls upon the party seeking to invoke the

jurisdiction of the federal court. Warth v. Seldin, 422 U.S. _____ ______

490, 518 (1975); United States v. AVX Corp., 962 F.2d 108, _____________ _________

114 (1st Cir. 1992). We review de novo a district court's __ ____


____________________

2. 42 U.S.C. 1981 provides in relevant part:

(a) Statement of equal rights Statement of equal rights
All persons within the jurisdiction
of the United States shall have the same
right in every State and Territory to
make and enforce contracts, to sue, be
parties, give evidence, and to the full
and equal benefit of all laws and
proceedings for the security of persons
and property as is enjoyed by white
citizens . . . .

(b) "Make and enforce contracts" defined "Make and enforce contracts" defined
For purposes of this section, the
term "make and enforce contracts"
includes the making, performance,
modification, and termination of
contracts, and the enjoyment of all
benefits, privileges, terms and
conditions of the contractual
relationship.

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standing determination, employing an approach that, in

practice, differs little from that used to review motions to

dismiss under Fed. R. Civ. P. 12(b)(6). AVX Corp., 962 F.2d _________

at 114. In conducting our review, we are obliged to "accept

as true all material allegations of the complaint, and . . .

construe the complaint in favor of the complaining party."

Warth, 422 U.S. at 501; see also Adams v. Watson 10 F.3d 915, _____ ___ ____ _____ ______

919 (1st Cir. 1993).

"Standing is the determination of whether a

specific person is the proper party to bring a particular

matter to the Court for adjudication." Erwin Chemerinsky,

Federal Jurisdiction 2.3, at 48 (1989). The "inquiry _____________________

involves both constitutional limitations on federal-court

jurisdiction and prudential limitations on its exercise."

Warth, 422 U.S. at 498; see also Vote Choice, Inc. v. _____ ___ ____ __________________

DiStefano, 4 F.3d 26, 36 (1st Cir. 1993). The constitutional _________

limitations derive from the language of Article III that

provides, inter alia, that federal courts shall resolve _____ ____

disputes involving only "Cases" or "Controversies." AVX ___

Corp., 962 F.2d at 113. The Supreme Court has interpreted _____

this general constitutional proscription as setting forth

three fundamental requisites of standing that every litigant

invoking the jurisdiction of the federal courts must possess:

(1) injury-in-fact -- an invasion of a legally-protected

interest that is both concrete and particularized, and actual



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or imminent; (2) causation; and (3) redressability. Lujan v. _____

Defenders of Wildlife, 504 U.S. 555, 560-61 (1992); Libertad _____________________ ________

v. Welch, No. 94-1699, slip op. at 10-11 (1st Cir. Apr. 28, _____

1995).

Several prudential considerations also infuse

standing determinations. These considerations, which

militate against standing, principally concern whether the

litigant (1) asserts the rights and interests of a third

party and not his or her own, (2) presents a claim arguably

falling outside the zone of interests protected by the

specific law invoked, or (3) advances abstract questions of

wide public significance essentially amounting to generalized

grievances more appropriately addressed to the representative

branches. Libertad, slip op. at 11. Consideration of these ________

prudential factors enables the federal judiciary "to avoid

deciding questions of broad social import where no individual

rights would be vindicated and to limit access to the federal ___

courts to those litigants best suited to assert a particular ____ ______

claim." Gladstone, Realtors v. Village of Bellwood, 441 U.S. ___________________ ___________________

91, 99-100 (1979) (emphasis added); see also Conservation Law ___ ____ ________________

Found. of New England v. Reilly, 950 F.2d 38, 41 (1st Cir. ______________________ ______

1991).

For purposes of this appeal, we need not resolve

whether the patients have met the constitutional requisites

of standing, rather we believe that, because the patients'



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allegedly infringed-upon rights fall outside what we have

previously found to be protected by 1981, the patients

essentially assert the third-party rights of Benjamin rather

than their own. Furthermore, because the patients have not

satisfied the minimum requirements for an exception to the

prudential rule against third-party standing, and because the

reasons underlying the rule obtain in this case, we believe

the district court did not err in dismissing their claims.

Whether a party is asserting its own rights, as

opposed to seeking to vindicate the rights of a third party,

is often a difficult question. See generally, Henry P. ___ _________

Monaghan, Third Party Standing, 84 Colum. L. Rev. 277 (1984). ____________________

Though the patients claim a direct infringement of their

right to contract with a minority physician, at its essence,

we believe their claim is more accurately described as an

assertion of Benjamin's third-party right to a race-neutral

review process.

Primarily, the patients' allegedly infringed-upon

rights fall outside what we, and other courts, have

previously found to be protected by 42 U.S.C. 1981.3 Most

____________________

3. Although standing in no way depends on
the merits of the plaintiff's contention
that particular conduct is illegal, e.g., ____
Flast v. Cohen, 392 U.S. 83, 90 (1968), _____ _____
it often turns on the nature and source
of the claim asserted. . . . [T]he source
of the plaintiff's claim to relief
assumes critical importance with respect
to the prudential rules of standing that,

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cases brought pursuant to 1981 involve allegations of

discriminatory conduct prompted by hostility towards the

plaintiff's race. See Dartmouth Review v. Dartmouth College, ___ ________________ _________________

889 F.2d 13, 17 (1st Cir. 1989). Occasionally, however,

courts have allowed cases to proceed where a plaintiff

challenges a discriminatory action motivated by animosity

towards another person's race. See, e.g., Des Vergnes v. ___ ____ ___________

Seekonk Water Dist., 601 F.2d 9, 13-14 (1st Cir. 1979); ____________________

Winston v. Lear-Siegler, Inc., 558 F.2d 1266, 1268-70 (6th _______ __________________

Cir. 1977); DeMatteis v. Eastman Kodak Co., 511 F.2d 306, _________ __________________

311-12 (2d Cir.), modified on other grounds, 520 F.2d 409 ________ __ _____ _______

(1975). Such cases have generally been limited to situations

in which the plaintiff was the direct target of the

defendant's discriminatory action. In Des Vergnes, for _____________

example, a water district acted directly against the non-

minority developer by refusing the developer's request to

include a tract of land proposed for low-income minority

housing in the water district. Des Vergnes, 601 F.2d at 11- ___________

12. Consequently, we held that the non-minority developer

____________________

apart from Art. III's minimum
requirements, serve to limit the role of
the courts in resolving public disputes.
Essentially, the standing question in
such cases, is whether the constitutional
or statutory provision on which the claim
rests properly can be understood as
granting a person in the plaintiff's
position a right to judicial relief.

Warth, 422 U.S. at 500. _____

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had standing under 1981 even though the water district's

alleged discriminatory action was motivated by animosity

towards the race of the prospective tenants and not the race

of the developer. Id. at 14. Other cases most typically ___

involve a discriminatory employment action (e.g., firing) ____

taken by an employer directly against a non-minority employee

because of that employee's association with, or advocacy of,

minorities. See, e.g., Alizadeh v. Safeway Stores, Inc., 802 ___ ____ ________ ____________________

F.2d 111, 114 (5th Cir. 1986) (white plaintiff fired because

married to minority spouse); Winston, 558 F.2d at 1270 (white _______

employee fired for advocating rights of minority); cf. Phelps ___ ______

v. Wichita Eagle-Beacon, 886 F.2d 1262, 1266-67 (10th Cir. _____________________

1989) (white lawyer had standing under 1981 to sue

newspaper that published allegedly false articles about him

because he represented minorities).

Here, the patients challenge an action by TAMC

neither motivated by animosity towards the patients' race nor

specifically targeted at, or taken directly against, the

patients. The patients' alleged injury arises only as a

derivative effect of TAMC's administration of its general

policies governing the grant and review of physician staff

privileges. Cf. Department of Labor v. Triplett, 494 U.S. ___ ___________________ ________

715, 720 (1990) (standing may exist where "enforcement of a

restriction against a litigant prevents a third party from ________

entering into a relationship with the litigant (typically a



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contractual relationship), to which the third party has a

legal entitlement") (emphasis added); see generally Monaghan, ___ _________

84 Colum. L. Rev. at 306-11 (discussing the distinction

between direct and indirect interference with right to

interact as a limit on standing). The direct injury in this

case is TAMC's alleged discriminatory revocation of

Benjamin's staff privileges, which TAMC directed specifically

at Benjamin on account of Benjamin's race.

Furthermore, the patients do not allege that TAMC's

action completely precluded them from receiving treatment.

TAMC has other physicians on staff who practice in Benjamin's

specialty, and the patients do not allege that TAMC has

refused to admit them as patients. Finally, neither does the

fact that Benjamin cannot treat the patients at TAMC

completely disrupt the patients' relationship with Benjamin:

TAMC's revocation of Benjamin's staff privileges does not

preclude him from treating the patients outside of TAMC

facilities. Accordingly, because the patients' injury

occurs, if at all, only as a derivative effect of TAMC's

action against Benjamin, we hold that, in attempting to bring

their claims under 1981, they are asserting Benjamin's

third-party rights, and not their own. See Mackey v. ___ ______

Nationwide Ins. Co., 724 F.2d 419, 421-22 (4th Cir. 1984) ____________________

(insurance agent challenging insurer's redlining policy is

asserting third-party rights of homeowners); Capital Nat'l _____________



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Bank of N.Y. v. McDonald's Corp., 625 F. Supp. 874, 882 ______________ ________________

(S.D.N.Y. 1986) (non-minority lender to minority franchisee

asserts only third-party rights of minority franchisee in

challenge to franchisor's alleged discriminatory termination

of franchisee's contract).

While the general proscription on third-party

standing is not absolute, Powers v. Ohio, 499 U.S. 400, 410 ______ ____

(1991); Warth, 422 U.S. at 500-01, no exception to the ban is _____

applicable in this case. In Powers, the Supreme Court stated ______

that an individual seeking to assert the rights of a third

party must, as a prerequisite, satisfy three specific

criteria: "The litigant must have suffered an 'injury in

fact,' . . . ; the litigant must have a close relationship to

the third party; and there must exist some hindrance to the ____ _____ ____ _________

third party's ability to protect his or her own interests."

Powers, 499 U.S. at 411 (citations omitted) (emphasis added); ______

see also Playboy Enters. v. Public Serv. Comm'n of P.R., 906 ___ ____ _______________ ___________________________

F.2d 25, 37-39 (1st Cir.), cert. denied, 498 U.S. 959 (1990). _____ ______

Assuming arguendo that the patients could satisfy ________

the first two criteria, they clearly fail to establish the

third. No hindrance exists in this case that prevents the

third party, Benjamin, from asserting his own rights. In

order to satisfy this criterion, a party must show that some

barrier or practical obstacle (e.g., third party is ____

unidentifiable, lacks sufficient interest, or will suffer



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some sanction) prevents or deters the third party from

asserting his or her own interest. See, e.g., Powers, 499 ___ ____ ______

U.S. at 414-15 (lack of economic incentive); Clifton Terrace _______________

Assocs. v. United Technologies Corp., 929 F.2d 714, 721 (D.C. _______ _________________________

Cir. 1991) (no barriers because, inter alia, third parties _____ ____

are plainly identifiable); Playboy Enters., 906 F.2d at 37-38 _______________

(threat of official sanction) Here, the injured party is

clearly identified and has sufficient interest in the

litigation (e.g., professional reputation) to pursue (and, in ____

fact, has pursued) the action. Accordingly, the patients

have not met the minimum requisites for third-party standing.

Furthermore, our holding, that Benjamin, and not

the patients, is the proper party to bring an action against

TAMC, is consistent with the policies underlying the

prudential rule against third-party standing. See Singleton ___ _________

v. Wulff, 428 U.S. 106, 114 (1976) (general proscription on _____

third-party standing may be avoided where the "underlying

justifications are absent"). Indeed, one of the principal

justifications for the rule is that it assures that the party

bringing the litigation will be the "most effective advocate

of the rights at issue." Duke Power Co. v. Carolina Envtl. ______________ _______________

Study Group, Inc., 438 U.S. 59, 80 (1978); see also Secretary _________________ ___ ____ _________

of State v. Joseph H. Munson Co., 467 U.S. 947, 955 (1984) ________ _____________________

(rule against third-party standing guarantees that issues

essential to litigation will be "concrete and sharply



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presented"). Here, because the merits of the action turn

largely on an evaluation of Benjamin's performance at TAMC,

he, and not the patients, is clearly the best party to assert

the claim. Not only would Benjamin be best able to contest

TAMC's assertion of professional incompetence, but, in

addition, he would likely be far more able to point to

specific instances of conduct attributable to TAMC that

suggest a discriminatory motive. Indeed, it is far from

clear that the patients, who would not be privy to all the

particulars of Benjamin's relationship with the hospital,

could effectively proceed without Benjamin's participation.

To summarize, because the patients' claims fall

outside what we, and other courts, have previously found to

be protected by 1981, we believe the patients assert the

third-party rights of Benjamin and not their own.

Furthermore, because the patients have not met the minimum

requisites for third-party standing, we hold that the

district court did not err in dismissing their claims.

B. Benjamin's Claims _____________________

Benjamin contends that the district court erred in

granting TAMC's motion to dismiss with prejudice. Benjamin

maintains that the district court granted the motion

essentially because his counsel failed to prosecute the

action by not responding to TAMC's motion to dismiss or

appearing at the August 17 hearing. Benjamin argues,



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however, that these failures are excusable in light of his

attorney's sudden and serious illness.

We treat the district court's dismissal as issued

pursuant to Rule 41(b).4 We review dismissals under Rule


____________________

4. Fed R. Civ. P. 41(b) provides in relevant part:

For failure of the plaintiff to prosecute
or to comply with these rules or any
order of court, a defendant may move for
dismissal of an action or of any claim
against the defendant. Unless the court
in its order for dismissal otherwise
specifies, a dismissal under this
subdivision and any dismissal not
provided for in this rule, other than a
dismissal for lack of jurisdiction for
improper venue, or for failure to join a
party under Rule 19, operates as an
adjudication upon the merits.

TAMC contends that the district court dismissed
Benjamin's claims pursuant to Local Rule 19(c) and not Rule
41(b). Local Rule 19(c) provides that the failure to file a
timely written response to a pending motion will waive any
objections to that motion. U.S. Dist. Ct. Me. Gen. R. 19(c).
Our reading of the district court's order, however,
convinces us that it was acting pursuant to Rule 41(b). The
district court did not cite Local Rule 19(c) in ordering the
dismissal of the case. Neither did the district court state
that the dismissal was compelled because Benjamin's failure
to respond constituted a waiver of any objection to the
motion. Instead, the district court reasoned, "Because the
plaintiff, through counsel, has failed to make himself
available for any proceedings since the appearance of Mr.
Chandler and since the plaintiff, through counsel, has not
responded to notices from the Court, defendant's Motion to
Dismiss plaintiff's actions is hereby GRANTED with _______
prejudice." We think this rather terse statement makes
apparent that the court's motivation stemmed more from its
displeasure at Benjamin and Chandler's failure either to
appear at the hearing or to notify the court (and opposing
counsel) of their expected absence, than just Benjamin and
Chandler's (arguably) excusable failure to respond to TAMC's
motion to dismiss.

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41(b) for abuse of discretion. Capo v. United States, 7 F.3d ____ _____________

283, 284 (1st Cir. 1993); Enlace Mercantil Internacional, ________________________________

Inc. v. Senior Indus., Inc., 848 F.2d 315, 317 (1st Cir. ____ ____________________

1988). Claims of abuse of discretion under Rule 41(b)

typically have "not received a sympathetic ear from us."

Damiani v. Rhode Island Hosp., 704 F.2d 12, 17 (1st Cir. _______ ___________________

1983) (collecting cases). At the same time, this "does not

mean we have rubber-stamped the decisions of the district

court." Id. Dismissal with prejudice "is a harsh sanction," ___

Richman v. General Motors Corp., 437 F.2d 196, 199 (1st Cir. _______ ____________________

1971), which runs counter to our "strong policy favoring the

disposition of cases on the merits." Zavala Santiago v. _______________

Gonzalez Rivera, 553 F.2d 710, 712 (1st Cir. 1977). As a ________________

result, we have indicated that such an option should be

employed only when a plaintiff's misconduct is particularly

egregious or extreme. See, e.g., Estate of Solis-Rivera v. ___ ____ ______________________

United States, 993 F.2d 1, 2 (1st Cir. 1993); see also Cosme _____________ ___ ____ _____

Nieves v. Deschler, 826 F.2d 1, 2 (1st Cir. 1987) ("[i]n all ______ ________

the cases in which we have upheld a dismissal for want of

prosecution, we have found either extremely protracted

inaction (measured in years), disobedience of court orders,

ignorance of warnings, contumacious conduct or some other

aggravating circumstance"). In reviewing the trial court's

actions, we engage in an "open-ended balancing test," giving

appropriate consideration to all relevant factors. Figueroa ________



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Ruiz v. Algria, 896 F.2d 645, 648 (1st Cir. 1990); see also ____ ______ ___ ____

HMG Property Investors, Inc. v. Parque Indus. Rio Canas, ______________________________ __________________________

Inc., 847 F.2d 908, 917 n.13 (1st Cir. 1988). ____

If the district court's order ensued solely because

Attorney Chandler's sudden illness prevented him from

responding to TAMC's motion to dismiss, Benjamin's argument

would have significantly more bite. Indeed, we have

suggested that, in deciding a motion for an extension of

time, a district court's failure to allow for factors beyond

a party's control, such as the unexpected illness of counsel,

may, in a certain case, constitute an abuse of discretion.

See Maldonado-Denis v. Castillo-Rodriguez, 23 F.3d 576, 584 ___ _______________ __________________

(1st Cir. 1994) (finding no abuse of discretion in denial of

motion for enlargement of time where, inter alia, party does _____ ____

not advert to "circumstances beyond a party's control, such

as an attorney's illness"); cf. Smith-Weik Mach. Corp. v. ___ _______________________

Murdock Mach. & Eng'g Co., 423 F.2d 842, 844 (5th Cir. 1970). _________________________

In this case, however, other factors obtain, most importantly

Chandler's failure to appear at the August 17 hearing or to

notify the court and opposing counsel in advance of his

expected absence. See Simpson v. Welch, 900 F.2d 33, 34-35 ___ _______ _____

(4th Cir. 1990) (no abuse of discretion to dismiss pursuant

to Rule 41(b) where counsel did not respond to summary

judgment motion or appear at hearing on motion). Moreover,

Chandler's failure to appear occurred after the court had



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already extended the time to respond to TAMC's motion to

dismiss upon Chandler's late appearance in the case. Cf. 9 ___

Charles A. Wright & Arthur R. Miller, Federal Practice and _____________________

Procedure 2352, at 402 (2d ed. 1995) (prior delays relevant _________

in evaluating denial of continuance).

On the other hand, though Chandler's failure to

notify the district court and opposing counsel that he would

not be present at the August 17 hearing cannot be overlooked,

we believe that, when viewed in context, the egregiousness of

his conduct becomes somewhat mitigated. TAMC does not

dispute that Chandler, who lives in Washington, D.C., was

seriously ill. Indeed, Chandler had apprised the district

court and opposing counsel of the severity of his illness

through two motions for enlargement of time filed on July 15

and August 2. The August 2 motion expressly states that "The

prognosis of [Chandler's] primary care physician is that

[Chandler] will not be able to resume his court duties until

after mid-August." Thus, we think that Chandler provided the

court and TAMC at least some notice that he might not be able

to attend the August 17 hearing. Moreover, the district

court scheduled the date of the August 17 hearing only after

Chandler filed the second motion for enlargement of time.

Finally, the litigation, at the time of the court's

dismissal, was less than one year old.





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We sympathize with the district court's frustration

in the face of counsel's failure to appear, and we fully

appreciate the district court's need to control its docket.

Furthermore, we "wholeheartedly endorse the use of stiff

sanctions, including dismissal [with prejudice], where

appropriate." Velazquez-Rivera v. Sea-Land Serv., Inc., 920 ________________ ____________________

F.2d 1072, 1079 (1st Cir. 1990). While we agree that

Chandler's failure to appear or to notify the court warrants

punishment, we believe that, in this case, the district

court's use of the ultimate sanction of dismissal with

prejudice was a step too far. Hence, we modify the order of

the district court to a dismissal without prejudice. See 9 ___

Wright & Miller, Federal Practice and Procedure 2373, at _______________________________

402 ("The decision of the trial court to dismiss with

prejudice may be reviewed on appeal and the appellate court

may order the dismissal to be without prejudice.").

III. III. ____

Conclusion Conclusion __________

For the foregoing reasons, we affirm the dismissal

of the patients' claims and modify the district court's order

dismissing Benjamin's claims to operate without prejudice.











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