Michael T. Byrne v. Camran Nezhat, M.D.

Michael T. BYRNE, Movant-Appellant,

Debra Manov, Plaintiff-Appellant,
v.

Camran NEZHAT, M.D., Farr Nezhat, M.D., et. al., Defendants-Appellees.

No. 99-12623.

United States Court of Appeals,

Eleventh Circuit.
Aug. 14, 2001.

Appeals from the United States District Court for the Northern District of Georgia. (No. 96-00096-CV-GET-
1), G. Ernest Tidwell, Judge.

Before TJOFLAT, BIRCH and DUBINA, Circuit Judges.

TJOFLAT, Circuit Judge:
Stripped to its essentials, this is a simple medical malpractice case. It was brought, however, as a
multi-count RICO prosecution. Suspecting that the claims in the complaint lacked factual bases, the district

court took an unusual step and granted the defendants leave to conduct discovery for the purpose of
determining whether plaintiff's counsel had violated Rule 11 of the Federal Rules of Civil Procedure. The

discovery was to determine whether plaintiff's counsel had conducted an "inquiry reasonable under the
circumstances" into the factual support for the claims presented in the complaint.1 After the court took this

1
Fed.R.Civ.P. 11 states:

(b) Representations to Court. By presenting to the court (whether by signing, filing,
submitting, or later advocating) a pleading, written motion, or other paper, an attorney or
unrepresented party is certifying that to the best of the person's knowledge, information,
and belief, formed after an inquiry reasonable under the circumstances,—
(1) it is not being presented for any improper purpose, such as to harass or to
cause unnecessary delay or needless increase in the cost of litigation;

(2) the claims, defenses, and other legal contentions therein are warranted by
existing law or by a nonfrivolous argument for the extension, modification, or reversal of
existing law or the establishment of new law;

(3) the allegations and other factual contentions have evidentiary support or, if
specifically so identified, are likely to have evidentiary support after a reasonable
opportunity for further investigation or discovery; and

(4) the denials of factual contentions are warranted on the evidence or, if
specifically so identified, are reasonably based on a lack of information or belief.

(c) Sanctions. If, after notice and a reasonable opportunity to respond, the court
step, the plaintiff moved the court to recuse pursuant to 28 U.S.C. § 455.2 The court denied the motion.

During the Rule 11 discovery, the court dismissed the plaintiff's claims against one of the defendants
for failure to state a claim upon which relief could be granted. After the discovery was completed, the

defendants moved the court to sanction the plaintiff and one of her attorneys pursuant to Rule 11, 28 U.S.C.

§ 1927,3 and the court's inherent power. They contended that, with the exception of the plaintiff's medical
malpractice claim, none of the claims presented had a factual basis and the claims had been brought in bad
faith for the sole purpose of harassment. The court agreed. In two orders issued sixteen months apart, the

court dismissed the remainder of plaintiff's claims, except for the malpractice claim. In addition, it required

the plaintiff and her attorney to pay the attorneys' fees and costs incurred in defending the dismissed claims.

Two months after the first order issued, the plaintiff renewed her motion for recusal; as before, the court
denied the motion.

These consolidated appeals came after the district court issued its second sanctions order.
Appellants—plaintiff and one of her attorneys—challenge the denials of the plaintiff's motions for recusal,
the dismissal of the plaintiff's claims (except the malpractice claim), and the imposition of monetary sanctions

in the form of attorneys' fees and costs.
We organize this opinion as follows. In Part I, we recite the events that led the defendants to seek
Rule 11 sanctions early in the case. In Part II, we address the plaintiff's argument that the district court should

have recused. In Part III, we consider the propriety of the court's dismissal of all but the plaintiff's
malpractice claim as well as the court's imposition of monetary sanctions against the plaintiff and her attorney

under Rule 11, 28 U.S.C. § 1927, and the court's inherent power. Finally, in Part IV, we discuss the tools a
district court should use in dealing with the types of pleadings filed by the attorneys in this case.

determines that subdivision (b) has been violated, the court may, subject to conditions
stated below, impose an appropriate sanction upon attorneys, law firms, or parties that
have violated subdivision (b) or are responsible for the violation.
2
The plaintiff's motion did not specify the subsection of section 455 on which it was based. Only two
were conceivably applicable, subsections (a) and (b)(1). Subsection (a) states: "Any justice, judge, or
magistrate of the United States shall disqualify himself in any proceeding in which his impartiality might
reasonably be questioned." Subsection (b) states: "He shall also disqualify himself in the following
circumstances: (1) Where he has a personal bias or prejudice concerning a party, or personal knowledge
of disputed evidentiary facts concerning the proceeding[.]" See infra note 40.
3
28 U.S.C. § 1927 states: [a]ny attorney or other person admitted to conduct cases in any court of the
United States or any Territory thereof who so multiplies the proceedings in any case unreasonably and
vexatiously may be required by the court to satisfy personally the excess costs, expenses, and attorneys'
fees reasonably incurred because of such conduct.
 I.

In September 1992, Debbie Manov ("Manov"), a New Jersey resident suffering from endometriosis,4

traveled to the Atlanta Center for Fertility and Endocrinology ("the Center")5 for corrective laparoscopic

surgery. Drs. Farr Nezhat and Camran Nezhat, two of the Center's specialists,6 performed the surgery at
Northside Hospital ("Northside"). Prior to the surgery, the doctors told Manov that her appendix might be
infected and that, if infected, it should be removed. She agreed. During the surgery, the doctors determined

that the appendix was infected and removed it. Following the surgery, Manov developed an infection, which

necessitated her readmission to Northside. Drs. Nezhat treated the infection with antibiotics, which Manov

claims contributed to her loss of hearing.7

In August 1994, Manov, represented by Atlanta attorney Edward Kellogg, filed a medical malpractice
suit in the Superior Court of Fulton County, Georgia. Named as defendants were Drs. Farr and Camran

Nezhat and the Center. The alleged malpractice was the removal of a healthy appendix (during the
laparoscopic procedure) which, in turn, caused an infection requiring further hospitalization.

Shortly after filing suit, Manov consulted James Neal ("Neal"), a Pennsylvania lawyer practicing out
of his residence in Ohio. At the time, Neal and Michael Mixson ("Mixson"), an attorney from Monroe,
Georgia, were prosecuting two other medical malpractice cases in Atlanta, both filed in December 1993, on

behalf of Mary Mullen ("Mullen"). The first lawsuit, brought against Drs. Farr and Camran Nezhat, Dr. Earl
Pennington, the Center, and Northside, was pending in the Fulton County Superior Court.8 The second suit,

4
Endometriosis is "a condition in which tissue containing typical endometrial granular and stromal
elements occurs aberrantly in various locations in the pelvic cavity or some other area of the body."
Dorland's Illustrated Medical Dictionary (28th ed.1994). According to Merriam Webster's Medical
Dictionary 205 (1995), endometriosis is defined as "the presence and growth of functioning endometrial
tissue in places other than the uterus that often results in severe pain and infertility."
5
The Center is located in Atlanta, Georgia.
6
Throughout this opinion, we refer to the Nezhat defendants and the Center defendant jointly in that
(1) the Nezhats are employed by the Center, and (2) all allegations against the Center are based solely on
their conduct.
7
According to Manov, her appendix was not infected; its removal therefore constituted negligence on
the part of the Drs. Nezhat. She claims that their negligence also caused the post-operative infection.
Finally, she claims that in performing the appendectomy, the doctors only removed part of her appendix;
this caused feces to leak into her abdomen and pelvic cavity which in turn led to an E. coli bacteria
infection.
8
On February 11, 1994, the defendants moved the superior court to disqualify Neal from representing
the plaintiff because he had not been granted leave to represent her pro hac vice. The court denied the
brought against the members of Northside's board of directors in their individual capacities, was pending in

the United States District Court for the Northern District of Georgia.9 Because Mullen's cases are of central

importance to the instant case, we relay the history of her cases as follows.
In her superior court complaint, Mullen alleged that on December 18, 1991, the Drs. Nezhat and

Pennington negligently performed a bowel resection procedure to alleviate rectal endometriosis. Mullen

alleged that the procedure was experimental, caused severe physical complications, and that it was performed
without her informed consent. Mullen's complaint contained seven counts, each proceeding on a tort law

theory predicated on the bowel resection procedure.10 In her district court complaint, framed in one count,

Mullen alleged that members of Northside's board were negligent in permitting the doctors to perform an
experimental bowel resection without the patient's informed consent.11

defendants' motion and granted Neal pro hac vice status on July 12, 1995. See infra note 9.
9
Neal petitioned the district court for admission to appear pro hac vice on January 18, 1994. The
record does not indicate whether the court granted his petition at that time. What the record does reveal is
that on February 11, 1994, the defendants moved to disqualify Neal from appearing as Mullen's
co-counsel, and that on May 1, 1994, the court denied the motion. Mullen v. Spanier, No. 1:93-CV-2882-
RHH (N.D.Ga.) (May 11, 1994). The defendants renewed their motion to disqualify Neal on September
27, 1995. According to an order the district court issued in Manov's case on February 23, 1998, Neal
withdrew from Mullen's case on October 27, 1995, before the court could rule on the defendants' renewed
motion to disqualify. Manov v. Nezhat et al., No. 1:96-CV-0096-GET (N.D.Ga.) (February 23, 1998).
10
The counts were as follows: Count I, the negligence described in the above text; Count II, surgery
performed without the patient's informed consent; Count III, battery committed because the surgery was
performed without the patient's informed consent; Count IV, negligence committed by Northside when it
granted the defendant physicians surgical privileges; Count V, fraud on the part of the physicians when
they induced Mullen to undergo the bowel resection by misrepresenting or omitting material facts; Count
VI, the "tort of outrage"; Count VII, punitive damages. Counts II and III were duplicative, both alleging
an unauthorized touching, i.e., a battery. Count VII did not allege a separate cause of action; rather, it
merely sought punitive damages in the previous counts.
11
In its January 23, 1997 order granting the defendants' renewed motion for summary judgment, the
district court described the medical services rendered to Mullen by Drs. Farr and Camran Nezhat, Dr.
Pennington, the Center, and Northside as follows:

Mullen, a California resident, was referred to Dr. Camran Nezhat and Dr. Farr Nezhat of
Atlanta for treatment of pelvic pain. In connection with his treatment of [Mullen], in
December 1988, Dr. Camran Nezhat performed video laserscopy upon [Mullen] for
treatment of endometriosis. [Mullen] subsequently returned to Atlanta in December 1991
for further treatment by Drs. Nezhat. She was admitted to Northside ... and underwent
the surgery that is the basis of this action on December 18, 1991. Drs. Nezhat, apparently
with the assistance of one of the named Defendants [Dr. Pennington], performed a bowel
resection upon [Mullen]. Shortly after the surgery, [Mullen's] rectum and bowel
prolapsed while she was using the bathroom. [Mullen] contends that since that time, she
has had continuous medical problems as a direct result of this surgery.

Mullen v. Spanier et al., No. 1:93-CV-2882-CC (N.D.Ga.) (January 23, 1997).
 By the time Manov spoke to Neal, he had amended the allegations in Mullen's state court suit to add

two causes of action, for a total of nine.12 Counts VIII and IX, brought against the Drs. Nezhat and the

Center,13 sought compensatory and punitive damages for violations of the Georgia RICO14 statute, O.C.G.A.

§ 16-14-4. Count VIII alleged that the defendants were operating a "criminal enterprise" and engaging in "a
pattern of racketeering activity," and that such racketeering activity had caused Mullen injury. The "acts of

racketeering" were, among others, that the Drs. Nezhat (1) made false statements in medical journal articles;

(2) failed to obtain valid consent for surgical procedures from Mullen and other patients at the Center, thereby
committing aggravated battery on the patients; (3) improperly billed insurance companies for experimental

surgeries; and (4) improperly used experimental drugs. Mullen v. Nezhat, 223 Ga.App. 278, 477 S.E.2d 417,

419 (1996). Count IX alleged aggravated battery, and federal mail and wire fraud as acts of racketeering.

Count IX asserted that the Drs. Nezhat committed aggravated battery by failing to obtain " 'valid informed
consent ... by fraudulently misrepresenting the true nature of their experimental surgery, [and] by repetitively
performing non-indicated unnecessary surgery' on Mullen and other patients, thereby 'deliberately and

maliciously causing bodily harm' amounting to aggravated battery." The mail and wire fraud allegedly
occurred when the defendants "engage[ed] in experimental and non-consensual medical treatment by
implanting Estradiol pellets into 'hundreds if not thousands of women without their knowledge that this

hormonal implant was not approved.' " Id.

Apparently, Manov was impressed with the manner in which Neal was handling Mullen's cases, so

she decided that Neal should take over her lawsuit against Drs. Nezhat and the Center. Neal said he would

take the case, but would need to associate local counsel. Manov agreed. Neal thereafter searched the records

of the Fulton County Superior Court for the names of other attorneys who had sued the Nezhats or the Center.
He found one, Michael T. Byrne ("Byrne"), one of the appellants now before us.15 In the spring of 1995,

12
The information regarding Mullen's claims is taken from the decision of the Georgia Court of
Appeals in Mullen v. Nezhat, 223 Ga.App. 278, 477 S.E.2d 417, 419 (1996), which affirmed the partial
summary judgment entered against Mullen by the Fulton County Superior Court.
13
Dr. Pennington and Northside, the other defendants in the lawsuit, were not sued in Count VIII. We
cannot determine from the record whether Pennington or Northside were named in Count IX.
14
RICO is an acronym for Racketeer Influenced and Corrupt Organizations.
15
Byrne had litigated an employment discrimination case against the Nezhats on behalf of a former
Center employee.
Byrne appeared as Manov's counsel in the state court suit, and Edward Kellogg withdrew.

Unbeknownst to Manov, the continuation of Neal's pro hac vice status in Mullen's state and federal

court cases was being challenged on the grounds that he had violated the courts' discovery rules and the Code

of Professional Responsibility by engaging in malicious and harassing conduct against the Nezhats and the
Center. These challenges began in February 1994, when the defendants in both of Mullen's cases moved the

courts to revoke Neal's pro hac vice status. In each case, the court denied the motion, but nonetheless

condemned Neal's behavior. The district court's May 11, 1994 order stated that, although Neal's "conduct
did not conclusively violate the Code of Professional Responsibility .... [his] actions bordered on conduct

unbecoming an officer of the Court."16 The superior court's order, issued July 11, 1994, was more explicit.
It stated that "Neal's communication with various counsel for Defendants borders on unprofessional,
scurrilous, and distasteful conduct.... [His] conduct has come as close to the line as one could possibly come
to violating the Georgia Code of Professional Responsibility."17 He communicated with defense counsel "in
a cavalier and 'half-cocked' manner in an effort to bully the Defendants into a quick and favorable

settlement."18 As part of his bullying tactics, he "threatened criminal prosecution to gain a civil advantage;19

16
Mullen v. Spanier, No. 1:93-CV-2882-RHH (N.D.Ga.) (May 11, 1994).
17
Mullen v. Nezhat, No. E-23339 (Ga.Sup.Ct) (July 11, 1994).
18
Id.
19
Id. During his litigation of Mullen's claims, Neal informed counsel for the Nezhats that they may be
subject to criminal prosecution. In a February 1, 1994 letter to their lawyers, Neal represented that he
"served as an agency special assistant to a U.S. Attorney for a number of years ... know[s] attorneys
within the Government and know[s] ... that medical fraud cases are very high on the Government's
prosecution list due to health care reform concerns" (emphasis in original). Neal's letter implied that the
Nezhats, during the course of their medical practice, had engaged in criminal activity which could lead to
a federal RICO prosecution and the confiscation of their business assets. The chances of such a
prosecution, Neal opined, would be increased if members of the press learned of the allegations he had
made on Mullen's behalf. After informing counsel of the risk their clients would run if they persisted in
contesting Mullen's claims, Neal's letter reminded counsel that they had "an awesome responsibility. If
you make a wrong decision, then things could quickly move out of all of our control." Neal closed his
letter with the following warning: "If you make the mistake of handling this case like any other, then all
hell may break loose, to both our detriments. If you choose to ignore the risks involved—if you choose to
simply accept the denials of your clients, then we will go forward. If we do go forward, then we will
spare no expense or effort in proving our case and in making it the largest case that we possibly can. It is
on your shoulders."
From the Spring of 1994 to June 1996, Neal sent letters to federal prosecutors, the
Federal Bureau of Investigation, and the Food and Drug Administration. Each letter accused the
Nezhats of fraud and other criminal conduct. For example, in a May 1, 1994 letter to the United
States Attorney for the Northern District of Georgia, Neal wrote: "I am writing concerning two
Iranian surgeons (brothers/Naturalized Citizens), who I have become convinced are dangerous
threatened to use the media as a sounding board in order to gain a civil advantage; ... engaged in activities
to subvert justice; ... [and] threatened to be the causing agent to send some of the Defendants [i.e., the

Nezhats] back to their home country."20 Notwithstanding such conduct, the court permitted Neal to continue
his representation of the plaintiff because "a party should be represented by an attorney of [her] choice
whenever possible."21

According to the defendants in Mullen's cases, Neal failed to heed the courts' admonitions. They

therefore renewed their motions to revoke Neal's pro hac vice status and to have him disqualified as

co-counsel in Mullen's cases.22 On August 16, 1995, the superior court barred Neal from further participation
in the case. In its order, a part of which we quote in the margin, the court found that "Neal's continued
unethical behavior, ... despite the earlier admonitions, has tipped the balance in favor of ensuring ethical

conduct on the part of lawyers over the right of the Plaintiff to have her chosen counsel."23 The superior court

and amoral men, capable of and perhaps even inclined to harm Ms. Stacy Mullen, my client."
Neal represented that the Nezhats had "committed a series of criminal maimings by deception."
The May 1 letter was the first of several Neal directed to that United States Attorney. Neal's
letters to the FBI contained similar allegations of criminal wrongdoing. Among other things,
Neal told the FBI that the Nezhats were preparing to move their assets "off shore." As indicated
in the text infra, the Fulton County Superior Court eventually barred Neal from participating in
Mullen's case against the Nezhats and the Center, and shortly thereafter, he voluntarily withdrew
from representing Mullen in her district court case against the directors of Northside.
Notwithstanding his withdrawal from Mullen's cases, Neal's letters to the United States Attorney
and the FBI continued unabated. In fact, Neal's letter-writing campaign against the Nezhats
continued into the prosecution of the instant case on behalf of Manov.
20
Id.
21
Id.
22
The defendants renewed their motion in the Georgia Superior court on April 10, 1995 and in the
district court on September 27, 1995.
23
The court balanced a party's right to counsel of her choice against the court's, and the public's,
interest in "maintaining the integrity of the judicial process." Referring to its order of July 11, 1994,
admonishing Neal about his conduct, the court described Neal's "current conduct" in these words:

Neal's "informal discovery procedures" and his continued requests for information from
Georgia Baptist Hospital and Northside Hospital concerning allegations that Dr. Camran
Nezhat engaged in inappropriate sexual conduct with his patients. The "informal"
discovery procedures complained of include requests by [Neal] for information
concerning Dr. Nezhat from Stanford University Hospital in Palo Alto, California;
Millard Fillmore Hospital in Buffalo, New York; and St. Joseph's Hospital in Atlanta,
Georgia. The information requested by Mr. Neal was contained in various hospitals'
credentialing files. The information was not released by the hospitals as the information
is either privileged or would not be released without written authorization by Dr. Nezhat.
See Parker v. St. Clare's Hospital, 553 N.Y.S.2d 533, 159 A.D.2d 919 (1990) and
Matchett v. Superior Court, 40 Cal.App.3d 623, 115 Cal. Rptr. 317 (1974).
 [Neal] justifies his actions by claiming that he only requested information
concerning application forms filled out by Dr. Nezhat for the hospitals. This is simply
semantics. It is clear that Plaintiff's counsel was attempting to subvert the system and
hopefully discover information to which he may not otherwise have been entitled. Mr.
Neal, as a former Hospital Counsel, understands the privileges that accompany medical
credential files. However, he attempted to undermine this privilege. No where in his
letters to these institutions did he identify himself as an attorney involved in litigation
against Dr. Nezhat.

Further evidence that [Neal] knew his conduct was deceitful comes from the fact
that the same day he sent the letters to the hospitals requesting information about Dr.
Nezhat, he sent a letter to Defendant's counsel, Mr. Green, requesting that Dr. Nezhat
sign a broad authorization for the release of his credential files at the various institutions
at which he practiced. [Neal] obviously anticipated that Dr. Nezhat would not sign such
a request and therefore, before even receiving a response to the request for authorization.
Mr. Neal was already requesting the same information from those same hospitals,
knowing of their privileged nature. This violates Georgia Code of Professional
Responsibility DR 1-102(A)(4): "A lawyer shall not engage in professional conduct
involving dishonesty, fraud, deceit, or misrepresentation." [Neal] was deceitful and
dishonest in his attempts to gain privileged and protected information in Dr. Nezhat's
credential files.
The second activity complained of by the Defendants is [Neal's] repeated
attempts to discover information concerning Dr. Nezhat's alleged sexual misconduct with
his patients. [Neal] based those allegations on a telephone conversation with Mr.
Michael Frick, general counsel for Georgia Baptist. In that conversation Mr. Frick
claimed there were rumors that Dr. Nezhat engaged in sexual improprieties with his
patients. In an attempt to clear up any misunderstanding, Mr. Frick has checked the
docket of the Superior Court House of Fulton County and the records at Georgia Baptist
Hospital. He determined there was nothing on the dockets or in the hospital records
concerning any improprieties by Dr. Nezhat. Mr. Frick also examined the file of Dr.
Nezhat kept at Georgia Baptist on Dr. Nezhat and found no complaints against Dr.
Nezhat concerning sexual misconduct. Mr. Frick has subsequently filed an affidavit on
this matter outlining the steps he took in the course of his investigation and concluded
that he was mistaken in believing Dr. Nezhat was involved in sexual misconduct.
Further, Georgia Baptist has responded to Plaintiff's request for Production of Documents
indicating that there are no records at their hospital that support the allegations of sexual
misconduct.

Despite the affidavit of Mr. Frick and the response of Georgia Baptist, [Neal] is
undeterred. He has filed a Motion to Compel directed to Georgia Baptist for documents
concerning any misconduct by Dr. Nezhat and has used the telephone conversation with
Mr. Frick as the basis for Plaintiff's Motion to Compel in the United States District Court
action against the Board of Directors at Northside Hospital.
[Neal] contends that he is justified in this course of action due to his firm belief
in these allegations. He has stated that these allegations are supported by other people,
but has provided no proof of such. Mr. Neal also claims that Mr. Frick is not credible
due to his current position as Counsel for Georgia Baptist. Mr. Frick has filed an
affidavit under oath and penalty of perjury stating that as a result of his investigations,
Dr. Nezhat has not been involved in any sexual misconduct. Further, Georgia Baptist has
stated it has no such records concerning this matter. [Neal's] continued attempts to gain
this information in the face of such denials is a violation of Georgia Code of Professional
Responsibility DR 7-102(A)(1): "(A) In representing his client, a lawyer shall not: (1) ...
assert a position ... or take other actions on behalf of his client when he knows or it is
obvious that such action would serve merely to harass or maliciously injure another." In
issued a second order on August 16, 1995 granting the defendants summary judgment on Mullen's RICO

claims. Mullen, now represented solely by Mixson, appealed the judgment.24

The defendants in Mullen's district court case also sought Neal's disqualification. On September 27,

1995, they renewed their motion to revoke his pro hac vice status. Neal promptly withdrew from the case,

thereby mooting defendants' motion.25
As Neal's privilege to represent Mullen in her state and federal court cases was coming to an end,

Byrne, on July 13, 1995, voluntarily dismissed Manov's superior court lawsuit.26 Six months later, on January
12, 1996, one day before the Georgia renewal statute would have barred refiling of Manov's case,27 Byrne

this case it is obvious that there is no information concerning Dr. Nezhat's alleged sexual
misconduct. The unrelenting fashion in which [Neal] has attempted to acquire this
information is harassing and malicious.

It is well established that: "The rules of disqualification of an attorney will not
be mechanically applied; rather we should look to the facts peculiar to each case in
balancing the need to ensure ethical conduct on the part of lawyers appearing before the
court and other special interests, which include the litigants right to freely chosen
counsel." Stoddard v. Board of Tax Assessors, 173 Ga.App. 467, 326 S.E.2d 827 (1985).
[Neal] has already received a stern warning from this Court concerning ethical violations,
particularly conduct that could be viewed as malicious and harassing. [Neal] was
walking on thin ice when admitted pro hac vice to practice in Georgia. Admission was
explicitly conditional on Mr. Neal following the Code of Professional Responsibility to
the letter. Mr. Neal's continued unethical behavior in this case, despite the earlier
admonitions, has tipped the balance in favor of ensuring ethical conduct on the part of
lawyers over the right of the Plaintiff to have her chosen counsel. Mr. Neal has left no
option for this Court other than to disqualify him as Plaintiff's counsel.

Mullen v. Nezhat, No. E-23339 (Ga.Sup.Ct.) (August 16, 1995).
24
The Georgia Court of Appeals affirmed the summary judgment on October 22, 1996, while the
instant case was still pending. See Mullen v. Nezhat, 223 Ga.App. 278, 477 S.E.2d 417 (1996).
25
See supra note 9. Neal was replaced by Edward T.M. Garland and Robin N. Loeb of Atlanta. On
January 24, 1997, the district court granted the defendants summary judgment. Mullen appealed, and we
affirmed. See 11th Cir. R. 36-1. Mullen v. Spanier, 131 F.3d 156 (11th Cir.1997) (unpublished table
decision).
26
While Byrne had filed an appearance as Manov's counsel of record, Mixson is the attorney who
signed the voluntary dismissal. In a September 25, 2000 letter to this court, Mixson indicated that he only
made a brief appearance on behalf of Manov in her state court case and did not become involved in her
federal court case until after the district court's February 23, 1998 order sanctioning Byrne and Manov.

We note also that on April 10, 1995, the defendant renewed their motion to disqualify
Neal in Mullen's superior court case. This motion was pending resolution when Byrne
voluntarily dismissed Manov's superior court case.
27
See O.C.G.A. § 9-2-61.
brought Manov's malpractice claim to the district court, filing the lawsuit now before us.28 Although he was

Manov's lawyer, Neal neither signed the complaint nor sought leave to appear pro hac vice.29 In addition to

Drs. Farr and Camran Nezhat and the Center, the complaint named as defendants Dr. Ceana Nezhat, Ali

Nezhat,30 and Northside.
As noted above, Manov's state court complaint contained only one count: the medical malpractice
claim. The complaint Manov filed in the district court, however, which consisted of 78 pages and 299

paragraphs, contained eight additional counts. Its centerpiece was Manov's claims for damages under the

state and federal RICO statutes, O.C.G.A. § 16-14-631 and 18 U.S.C. § 1964(c),32 Counts III and IX,

28
Manov's case was initially assigned to Judge Charles A. Moye, Jr. According to the case's docket
sheet, on January 18, 1996, Judge Moye entered an "ORDER transferring [the] case to another district
judge on the regular rotation list." That same day, the district court clerk assigned the case to Judge G.
Ernest Tidwell, who presided over the case until its conclusion. In this opinion, in referring to the district
court, we refer to Judge Tidwell.
29
In his deposition taken by the defendants pursuant to the district court's order permitting them to
engage in Rule 11 discovery, Byrne testified that, even though both he and Neal were representing
Manov, they purposely omitted Neal's name from Manov's complaint. Byrne explained that they did not
want Neal to become an issue in Manov's case.
30
Drs. Farr, Camran, and Ceana Nezhat and Ali Nezhat are brothers. The physicians are employed by
the Center; Ali Nezhat is the Center's office manager.
31
Section 16-14-6(c), "Available civil remedies," provides: "Any person who is injured by reason of
any violation of Code Section 16-14-4 shall have a cause of action for three times the actual damages
sustained and, where appropriate, punitive damages." Section 16-14-4, "Prohibited activities," provides:
(a) It is unlawful for any person, through a pattern of racketeering activity or proceeds
derived therefrom, to acquire or maintain, directly or indirectly, any interest in or control
of any enterprise, real property, or personal property of any nature, including money.

(b) It is unlawful for any person employed by or associated with any enterprise to
conduct or participate in, directly or indirectly, such enterprise through a pattern of
racketeering activity.
(c) It is unlawful for any person to conspire or endeavor to violate any of the provisions
of subsection (a) or (b) of this Code section.
Neither Count III nor any other part of Manov's complaint cited the subsection(s) of section 16-
14-4 the defendants allegedly violated.
32
Section 1964(c) provides, in pertinent part, that:

Any person injured in his business or property by reason of a violation of [18 U.S.C. §
]1962 of this chapter may sue therefor in any appropriate United States District Court and
shall recover threefold the damages he sustains and the cost of the suit, including a
reasonable attorney's fee.

Section 1962 contains four subsections, (a)-(d). Subsection (a) makes it a crime for anyone who
respectively. The allegations of the two RICO counts were essentially the same. According to Manov, each
defendant was an "enterprise" which was conducted "through a pattern of racketeering activity."

Each count of the complaint incorporated by reference the allegations of each preceding count.33

Count I, sounding in negligence, was brought against Northside for failing to monitor and investigate the

Nezhats' practice of surgery at the hospital. Count II alleged medical malpractice on the part of Drs. Farr and
Camran Nezhat. Count III sought recovery under the Georgia RICO statute against all of the defendants.

Count IV alleged that Drs. Farr and Camran Nezhat committed battery by performing an appendectomy

without Manov's consent. Count V alleged that Dr. Farr Nezhat fraudulently misrepresented that Manov's

appendix might be infected and require removal. Count VI alleged that the manner in which Drs. Farr and
Camran Nezhat, the Center, and Northside billed Manov and other patients for services rendered constituted

"theft by deception." Count VII alleged that Drs. Farr and Camran Nezhat failed to obtain Manov's "informed
consent" to perform an appendectomy. Count VIII sought punitive damages against all defendants.34 Count

IX alleged violations of the federal RICO statute by Drs. Farr, Camran, and Ceana Nezhat, Ali Nezhat, and

the Center.

has derived income from "a pattern of racketeering activity ... in which such person has
participated as a principal ... to use or invest, directly or indirectly, any part of such income ... in
acquisition of any interest in, or the establishment or operation of, any enterprise ... engaged in ...
interstate ... commerce." Subsection (b) imposes criminal liability on anyone, who "through a
pattern of racketeering activity ... acquire[s] or maintain[s], directly or indirectly, any interest in
or control of any enterprise ... engaged in ... interstate ... commerce." Subsection (c) makes it a
crime for any person "employed by or associated with any enterprise engaged in ... interstate ...
commerce ... to conduct or participate, directly or indirectly, in the conduct of such enterprise's
affairs through a pattern of racketeering activity." Subsection (d) makes it a crime for anyone to
conspire to violate the substantive offenses of sections 1962(a)-(c).
Neither Count IX nor any other part of Manov's complaint cited the subsection(s) of section 1962
the defendants allegedly violated.
33
Each count explicitly referred to one or more named defendants. For example, the allegations
appearing under the heading "Count V" focused on Dr. Farr Nezhat:

Count V—Fraud
Defendant Farr Nezhat
Because each count incorporated each preceding count, however, Count V actually sought
recovery against the defendants who had been named in one or more of the preceding counts. In
the Part III.B.2, we filter out the incorporated allegations that are obviously irrelevant to the
theory of recovery stated in the title of the count.
34
We note that a prayer for punitive damages is not an independent cause of action. Instead, certain
causes of action, such as intentional torts, may provide for the recovery of punitive as well as
compensatory damages.
 The defendants answered Manov's complaint, asserting several affirmative defenses, including that
the complaint failed to state a claim for relief.35 On May 3, 1996, before any significant discovery had taken

place, defense counsel wrote the district court asking leave to engage in Rule 11 discovery. They contended
that Neal was Manov's lawyer; that he had ghost-written Manov's complaint; that Byrne had signed it merely

in his capacity as local counsel and had not conducted the requisite pre-filing investigation of the facts

underpinning the complaint's claims; that the complaint's RICO allegations were similar to those Neal had
made in the Mullen cases,36 and that the superior court had barred Neal from further participation in Mullen's

case. Counsel attached to their letter a copy of the superior court's August 16, 1995 orders (removing Neal
from the case and granting the defendants summary judgment on Mullen's RICO claims), and represented that

Neal, through Byrne, was using Manov's case as a vehicle to continue his vendetta against the Nezhats.

Counsel pointed out that Manov's case had begun as a simple, one-count medical malpractice case in the
Fulton County Superior Court, but that after Neal entered the picture, it became a "blunderbuss" RICO
prosecution aimed at extorting a quick settlement.

On June 5, 1996, the district court granted the defendants leave to conduct Rule 11 discovery.37

35
After answering the complaint, Northside moved the court to dismiss Manov's claims against it
pursuant to Fed.R.Civ.P. 12(b)(6). The motion was in effect a nullity since Northside had asserted in its
answer as an affirmative defense that the complaint failed to state a claim for relief. Had Northside
wished to file a Rule 12(b)(6) motion for failure to state a claim for relief, it should have done so before
filing its answer containing the same defense. See Rule 12(b) ("[a] motion making any of these defenses
shall be made before [answering the complaint].") Northside followed the same procedure after Manov
filed an amended complaint. First, it answered the amended complaint and asserted the affirmative
defense of failure to state a claim for relief; then, sometime later, it filed a motion which presented the
same defense.
36
For instance, both Mullen's state court complaint and Manov's complaint in the instant case alleged
that the defendants violated the Georgia RICO statute. As incidents of racketeering activity, both
complaints alleged that the Drs. Nezhat had committed medical journal fraud and had improperly
prescribed experimental medications. Similarly, both complaints alleged that the Drs. Nezhat failed to
obtain the plaintiff's informed consent to perform the surgery at issue. Based on the lack of such consent,
the complaints alleged that the Drs. Nezhat committed battery when they operated on Mullen and Manov.
Furthermore, both complaints contained allegations of sexual misconduct. Mullen's state court complaint,
at paragraph 258, alleged that Camran Nezhat had exhibited a "propensity to violence against women."
Manov's complaint in the instant case, at paragraph 158, alleged that "Camran Nezhat was represented by
counsel relating to matters of sexual improprieties upon patients." Finally, in her district court case,
Mullen moved the court for a protective order on the ground that the Drs. Nezhat were intimidating her
witnesses. The district court denied the motion because there was no evidence to support it. This
intimidation-of-witnesses claim was repled in Manov's complaint as an incident of racketeering activity.
37
The defendants' intent to seek Rule 11 discovery was disclosed to Manov's counsel and the district
court in the Joint Planning Report and Scheduling Order the parties filed with the court on April 26, 1996.
On May 16, 1996, Byrne responded to defense counsels' May 3 letter, and defense counsel replied on
May 23. In ordering Rule 11 discovery, the court explained that it was treating the May 3 letter as a
Three weeks later, on June 26, Manov moved the court to permit her to engage in Rule 11 discovery as well.

The requested discovery related to Count I titled, "Negligence against Northside": specifically, the allegation

in paragraph 158 stating that "Dr. [Camran] Nezhat has been represented by counsel relating to matters of

sexual imposition upon patients,"38 and Counts III and VIII, alleging violations of the Georgia and federal

RICO statutes.
On June 28, Manov moved the court for leave to file an amended complaint. At this time, she also

filed a "Motion for an Order Directing Defendant Ceana Nezhat to provide Sworn Testimony to this Court

Within Three Days that He is a Bona Fide Physician."39 On July 8, while the foregoing motions were

motion by the defendants for leave to conduct discovery limited to the question of whether Manov's
complaint had been filed in violation of Rule 11. Although the court required such discovery to be
completed within 45 days, it took 13 months to complete.
38
The discovery Manov requested was in the form of interrogatories and requests for production of
documents directed to the Center, Northside, and 19 hospitals and medical facilities. A proposed
interrogatory to the 19 hospitals read as follows:

[Interrogatory No.] 5.
Have there been any incident reports or other documentation generated at your
institution concerning Camran, Farr or Ceana Nezhat:

A. That have involved the striking of nurses/physicians?

B. That have involved operating outside specialty/surgical privileges?

C. That have involved sexual contact with patients?
D. That have involved any other incident?

(emphasis added). Proposed interrogatories nos. 36 and 37 asked Northside whether it received
"any information from Georgia Baptist Hospital to the effect that Camran Nezhat has beaten a
female physician in a stairwell at Georgia Baptist Hospital ... or concerning providing fee [sic]
vaginal examinations to employees of Georgia Baptist or was making inappropriate comments to
said individuals during vaginal examinations." Proposed interrogatory no. 50 asked Northside
whether Camran Nezhat "was ever referred to as 'Hands On' Nezhat ... while he was a resident in
Buffalo." In the Proposed Findings of Fact the defendants submitted to the court on July 10,
1997, in support of their motions for sanctions, the defendants represented that Camran Nezhat
served his residency in Buffalo, New York "twenty years ago."
39
As indicated in the text infra, the court granted Manov's motion for leave to amend her complaint.
Manov's September 6, 1996 amended complaint alleged that Ceana Nezhat was not a medical doctor, in
that he "has not been awarded a medical degree." That allegation appeared in Count IV, "Georgia RICO,"
as an act of racketeering, and in Count V, "Battery," as part of Manov's claim that the appendectomy the
Nezhats performed constituted a battery. In Manov's June 19, 1996 motion for reconsideration of the
court's June 5 order granting the defendants leave to conduct Rule 11 discovery, Byrne represented that
he had a "reasonable belief" that Ceana Nezhat was not a physician. In Byrne's view, as he stated on
deposition, (see supra note 37), every time Ceana Nezhat "touche[d] a woman in the practice and t[old]
people he [wa]s a doctor, there [wa]s a lack of informed consent and that's a battery under Georgia law
and that would be a felony."
pending, Manov moved the court to recuse, pursuant to 28 U.S.C. § 455(a), on the ground that one of its law

clerks, Dan McDevitt ("McDevitt"), had been formerly employed by the law firm representing the Nezhats
and the Center.40 On July 9, after entertaining the arguments of counsel, the district court ruled on these

motions. The court granted Manov leave to amend her complaint, but denied her other motions.

Byrne based his belief that Ceana Nezhat was not a medical doctor on the following
information obtained by Neal: On January 23, 1996, Neal wrote the Swiss Embassy in Tehran to
inquire about Ceana Nezhat's medical training. Because the United States did not have
diplomatic relations with Iran, Neal directed his correspondence through the Swiss Embassy. In
his letter, he stated his belief that Ceana had not graduated from the University of Tehran Medical
School in 1981 and asked the Swiss Embassy to confirm this belief. Neal received four
documents in response. The first was a letter handwritten in Persian. The second, a translation of
the letter, indicated "non-attendance" at the medical school by Ceana Nezhat after the first
semester of 1978-79. The third document was a letter from Dr. G. Pourmand, Vice-Chancellor
for Research and International Relations at Tehran University of Medical Sciences and Health
Services, which, purporting to rely on information received from another part of the university,
stated that Ceana Nezhat did not complete the 1978/79 period "due to no reference," and was not
awarded a doctoral degree in medicine. The fourth document, a Swiss Embassy transmittal
accompanying the first three, interpreted them only as stating that "Mr. Nezhat has no record of
completing his medical course at the said University" (emphasis in original).
Apparently, there is a dispute about whether the language translation contained in the
second document was accurate. The defendants contend—based on an unverified search and in
the face of the ambiguity created by the fourth document, which indicated that there was simply
no record of Ceana Nezhat completing his degree—that it was irresponsible for Byrne to allege in
Manov's amended complaint that Ceana Nezhat was not a medical doctor. The lack of a record,
they submit, does not parlay into the lack of a degree; rather, in light of the overwhelming
evidence to the contrary, the allegation appears baseless. Ceana Nezhat holds a license to
practice medicine and surgery from the State of Georgia. Furthermore, the Educational
Commission for Foreign Medical Graduates ("ECFMG"), the lawfully designated agency for
investigating and determining whether foreign medical graduates can be certified to practice
medicine in the United States, certified that Ceana Nezhat satisfied all of its requirements and
successfully passed its examinations. The defendants assert that, in certifying Ceana Nezhat, the
ECFMG determined that he had a medical degree. Finally, Byrne ignored Ceana Nezhat's
graduate work in medicine at the Nassau County Medical Center, a major affiliate of the State
University of New York at Stoney Brook, and at the University of Illinois.

In addition to using Ceana Nezhat's purported lack of a medical degree as a basis for
Manov's claims in Count IV and Count V of her amended complaint, the defendants contended
that, in an effort to extort a settlement, Byrne and Neal informed the media and the medical
community that Ceana Nezhat was not a physician. Northside's counsel represented to the district
court that Manov's attorneys had sent a copy of their motion questioning Ceana Nezhat's
credentials to a reporter, Linda Carroll, because, hours after the motion was filed, Carroll called
Northside's counsel to ask "How can you allow persons not a doctor to be practicing there?" In
his deposition (taken as part of the Rule 11 discovery), Byrne admitted speaking with Carroll a
"dozen or less" times about the Nezhats.
40
As indicated in note 2 supra, Manov's motion did not specify the subsection of 28 U.S.C. § 455 on
which it was based. Only two were conceivably applicable, subsections (a) and (b)(1). In none of her
submissions to the court regarding recusal pursuant to section 455 did Manov cite subsection (b)(1) or
any of the language thereof. Rather, all of her submissions cited the language of subsection (a),
specifically the words "impartiality might reasonably be questioned." Moreover, in her second motion for
recusal, filed April 23, 1998, Manov used the term, section "455(a)." Hence, we treat Manov's motions as
having sought the court's recusal pursuant to section 455(a).
 Two months later, on September 6, Byrne filed an amended complaint.41 The amended complaint

contained the same claims as Manov's original complaint with the exception of Count VI (theft by deception),
Count VII (the claim that Drs. Farr and Camran Nezhat had not obtained Manov's informed consent prior to

surgery), and Count IX (the federal RICO claim), which had been deleted.42 On September 23, 1996, the
defendants answered the complaint; their answers once again included the affirmative defense of failure to
state a claim for relief.

Four days later, on September 27, Byrne, apparently anticipating the defendants' motions for Rule

11 sanctions, filed a memorandum in support of Manov's claims.43 On October 15, Northside moved the court

to dismiss Manov's claims against it in Counts III and IV for failure to state a claim for relief.44 On November
5, Byrne filed a memorandum in response to Northside's motion, and on November 11, Byrne and Neal filed
a memorandum supplementing Byrne's September 27 memorandum in support of Manov's amended
complaint.45 The court granted Northside's motion to dismiss on December 11, 1996.46 The court dismissed

41
Byrne styled the pleading "First Amended Complaint." We refer to it as the amended complaint.
42
The amended complaint consisted of 32 pages and 126 paragraphs. It rearranged and restated in
part the remaining six counts of the original complaint, so that Count I of the original complaint became
Count III, Count II became Count I, Count III became Count IV, Count IV became Count V, Count V
became Count II, and Count VIII became Count VI.
Thus, the amended complaint read as follows: Count I alleging medical malpractice by
the Center and Drs. Farr and Camran Nezhat; Count II alleging fraud by the Center and Drs. Farr
and Camran Nezhat; Count III alleging negligence by Northside; Count IV alleging violations of
Georgia RICO by all defendants; Count V alleging battery by Drs. Camran, Farr, and Ceana
Nezhat; Count VI, "Punitive Damages [Against] All Defendants."
43
The memorandum contained 45 pages and 92 exhibits, which, Byrne represented, constituted
evidentiary support for Manov's several claims.
44
Northside's motion merely replicated its affirmative defense of failure to state a claim for relief and
therefore was a nullity. See note 35 supra.
45
The memorandum contained 146 pages.
46
As we have noted, see notes 35 and 44 supra, Northside's motion to dismiss for failure to state a
claim for relief was a nullity because, prior to filing its motion, Northside had answered the amended
complaint and had included therein the affirmative defense of failure to state a claim for relief. If
Northside wished the court to pass on the sufficiency of that affirmative defense, it should have moved
the district court for a judgment on the pleadings pursuant to Fed.R.Civ.P. 12(c). We therefore treat the
court as having considered Northside's motion to dismiss as a motion filed pursuant to Rule 12(c). As
indicated in the following text, in dismissing Count III, as time barred, the court considered a fact not
alleged in the complaint, to-wit: that Manov's malpractice complaint in the Fulton County Superior Court
did not name Northside as a defendant. The court had to consider this fact in order to conclude that the
statute of limitations on the Count III negligence claim had run and that the claim was not saved by the
Count III on the ground that it was time barred, and the claim against Northside in Count IV on the ground
that it failed to allege a violation of the Georgia RICO statute by the hospital.47 Following this ruling, the
defendants, including Northside, continued their Rule 11 discovery.
On July 8, 1997, Northside moved the district court to sanction Manov and Byrne pursuant to Rule

11, 28 U.S.C. § 1927, and the court's inherent power. Two days later, the Center and Nezhat defendants filed

a similar motion. On July 14, Manov moved the court to defer ruling on the defendants' motions until she
could conduct "Rule 11 defense discovery." Manov's motion did not describe the defensive discovery she

wished to conduct. The court denied Manov's motion on July 30. On July 31, Manov supplemented her

motion with a request that she be granted leave to obtain (1) records pertaining to the Drs. Nezhats' medical

credentials, (2) reports relating to appendectomies performed by the Nezhats during 1992, and (3) reports
relating to bowel resection procedures performed on sixteen patients. Manov contended that these records

and reports would demonstrate that Count IV, alleging violations of the Georgia RICO statute, had
evidentiary support. On August 6, 1997, the court denied Manov's motion.

On October 15, 1997, Neal, still lacking pro hac vice status but nonetheless appearing for Manov,

moved the district court to impose sanctions against two of the Nezhats' lawyers, Henry D. Green and David
F. Walbert, pursuant to the court's inherent power. Neal's motion represented that these attorneys had made

"25 misrepresentations/material concealments in a May 3, 1996 letter to the Court, which in turn resulted in

Georgia renewal statute. Because the court considered a matter outside the four corners of the complaint,
it should have treated Northside's motion as one for summary judgment and disposed of it as provided in
Fed.R.Civ.P. 56. See Rule 12(c) ("the motion shall be treated as one for summary judgment and disposed
of as provided in Rule 56, and all parties shall be given reasonable opportunity to present all material
made pertinent to such a motion by Rule 56.").
47
Stripped to its essentials, Count III charged Northside with negligent supervision of the Drs.
Nezhat; Count IV alleged that Northside (and the other defendants) had violated the Georgia RICO
statute. In dismissing Count III as time barred, the court considered matters beyond the four corners of
the amended complaint and, thus, in effect, granted Northside summary judgment. See Fed.R.Civ.P.
12(c). See note 46 supra.

The court dismissed Count IV on the ground that, under the Georgia RICO statute, a
corporation is not amenable to suit; rather, the plaintiff must sue the corporation's board of
directors. Manov failed to do that. The court therefore concluded that Northside should be
dropped from Count IV.

The court did not enter final judgment for Northside until September 1, 1999, when,
pursuant to court order, "judgment [was] entered for the defendants against plaintiff on all claims
and the action [was] dismissed."
unilateral [Rule 11] discovery."48

On February 23, 1998, the court granted the defendants' motions for sanctions and denied Neal's

motion for sanctions. Drawing on its authority under Fed.R.Civ.P. 11, 28 U.S.C. § 1927, and its inherent
power, the court found that Byrne's "pre-filing investigation [did] not support the filing of a RICO claim

against the Nezhats ... [and that] the claim against the Nezhats was brought without a reasonable factual

basis." The court held Manov and Byrne liable for the defendants' attorneys' fees and costs, the amounts to
be fixed in a subsequent order.49 The court also dismissed Manov's amended complaint with prejudice—save

for the medical malpractice claim against the Nezhats and the Center—on the ground that Manov had failed
to establish a cognizable claim for relief. The court did so even though the legal sufficiency of Manov's

(dismissed) claims was not formally before it.50 Finally, on its own initiative, the court ordered Neal "not to

participate in any form or fashion" in the prosecution of Manov's malpractice claim against the Nezhats and

the Center.51
On April 23, 1998, Manov again moved the district court to recuse pursuant to 28 U.S.C. § 455(a).

48
An additional ground for the imposition of sanctions, according to Neal, was the attorneys' use of
"German phrases and commands at the deposition of a Jewish physician."
49
The court considered imposing sanctions against Neal (even though the defendants' had not pressed
the court to sanction Neal). In its February 23 order, the court chose not to sanction Neal for the
following reasons:
Although Neal has clearly had an involvement in this matter, Neal is not the attorney of
record. Further, Neal has not been deposed about the extent of his involvement and the
extent of his pre-filing investigation. However, due to the grossly intemperate nature of
Neal's allegations, there is a strong suspicion that Neal's assumptions and suspicions are
not reasonable or factually supportable. However, Neal has not been deposed and has not
had the opportunity to support and defend his position relative to sanctions. Unlike
Byrne, the discovery to determine the extent of Neal's investigation in this matter has
been limited. Thus, defendants have failed to make a sufficient showing to convince this
court that under the record as it now stands, Neal is subject to sanctions.
50
The defendants did not move the district court to dismiss Manov's complaint or amended complaint
(or any of the claims therein) pursuant to Fed.R.Civ.P. 12(b)(6) for failure to state a claim for relief.
Instead, they included in their answers the affirmative defense of failure to state a claim for relief. The
sufficiency of the affirmative defense was not before the court because (1) Manov had not moved to strike
it, and (2) the court had not informed the parties that it would consider the sufficiency of the defense on
its own initiative in the context of ruling on the parties' respective motions for sanctions.
51
The record does not indicate whether the court directed that Neal be served a copy of its order, or
whether Neal otherwise received actual notice that the order had been entered. After entry of the
February 23 sanctions order, the defendants took Manov's deposition regarding her medical malpractice
claim. During this deposition, she stated that she did not know that the court had banned Neal from
further participation in the case.
In addition to the circumstance of McDevitt's former employment with the lawfirm representing the Nezhats

and the Center (the basis for Manov's first motion to recuse), Manov contended that the court's rulings

demonstrated an apparent bias against her. Thus, the court's "impartiality might reasonably be questioned."
The district court denied the motion on June 1, 1998.

After the district court dismissed Manov's claims against Northside under Rule 12(c), as part of the
February 23, 1998 sanctions order, struck all of Manov's claims against the Nezhats and the Center except

the medical malpractice claim, the Nezhats and the Center commenced discovery on the merits of that claim.

When Manov refused to comply with a court order requiring her to provide the Nezhats and the Center with
the basis for the opinion of her medical expert, they moved on April 21, 1998 to strike the expert from

Manov's list of witnesses.52 The court granted the motion on May 26, 1998. This left Manov without a

medical expert to support her malpractice claim. Since Georgia law requires that a plaintiff suing for medical

malpractice produce expert testimony that the physician defendant deviated from the pertinent standard of
care, Manov had no case. Accordingly, on July 21, 1998, she moved the court to dismiss her medical

malpractice claim with prejudice. The court granted the motion.
The district court's February 23, 1998 sanctions order required the defendants to present
"documentation" evidencing the attorneys' fees and costs they had incurred in defending against Manov's

claims (except her malpractice claim) and conducting their Rule 11 discovery. After the defendants submitted
such proof, the court, on February 17, 1999, ordered Byrne and Manov to present evidence of their ability
to pay the fees and costs the defendants were requesting.53 Having received their submissions, on June 24,
1999, the court entered an order setting the amount of monetary sanctions to be levied against Byrne and

Manov. The order awarded attorneys' fees and costs in the amounts of $50,378.22 to Northside, and

$332,500.00 to the Nezhats and the Center.54 On September 1, 1999, the court entered final judgment for the

52
See generally, Fed.R.Civ.P. 26(a)(2) (pertaining to disclosure of expert testimony).
53
The court's instructions were in accord with Baker v. Alderman, 158 F.3d 516 (11th Cir.1998)
(holding that a court should take into account a party's ability to pay when determining the amount of
monetary sanctions to be awarded).
54
Because her financial affidavits had not been notarized and were unintelligible, the district court
found that Manov failed to comply with its February 17, 1999 order. The court, therefore, held that
Manov waived her right to have the court consider her financial ability to pay. Accordingly, the court
found Manov liable for 100% and Byrne for 50% of Northside's fees and costs, which the court fixed at
$50,378.22. Specifically, the court provided that Byrne and Manov were jointly and severally liable to
Northside for $25,189.11 and that Manov was liable to Northside in the additional amount of $25,189.11.
defendants and against Manov and Byrne on all claims and closed the case. These consolidated appeals
followed.

Manov appeals (1) the two orders denying her motions to recuse pursuant to 28 U.S.C. § 455(a), (2)

the court's dismissal of her claims against Northside, (3) the court's dismissal of all of her claims, except her

medical malpractice count, against the Nezhats and the Center, and (4) the court's imposition of monetary

sanctions. Byrne appeals the district court's imposition of monetary sanctions as well. We consider first
Manov's argument that the district court should have recused.

II.
Section 455(a) of the United States Code states: "Any justice, judge, or magistrate of the United

States shall disqualify himself in any proceeding in which his impartiality might reasonably be questioned."55

On July 8, 1996, one month after the court ordered Rule 11 discovery, Manov moved the district court to
recuse pursuant to this statute. The court denied the motion the next day, following a hearing on various

matters.56 Manov renewed the motion on April 23, 1998, two months after the court entered the first
sanctions order. The court denied this motion as well. Both of Manov's motions for recusal were based on

the notion that the district court created an appearance of impartiality by having in its chambers a law clerk,
McDevitt, who had been employed by one of the law firms representing the Nezhats and the Center in this
case and in Mullen's state court case.57 Manov's second motion added another basis for recusal—the court's

Similarly, the court found Manov liable for 100% and Byrne for 50% of the Nezhats and Center's fees and
costs. It provided that Byrne and Manov were jointly and severally liable to the Nezhats and the Center
for $166,250.00 and that Manov was liable to the Nezhats and the Center in the additional amount of
$166,250.00. The amounts awarded by the order were to be paid in equal quarterly installments over a
seven year period with interest at the rate of 7% per annum on the unpaid installments.
55
See supra notes 2 and 40.
56
At the hearing, the court considered, among other things, Manov's motions for the district court's
recusal; for leave to file an amended complaint; for leave to conduct Rule 11 discovery; and for an order
directing Ceana Nezhat to provide sworn testimony that he was a bona fide physician.
57
The record does not indicate when Manov's attorneys, Byrne and Neal, learned of McDevitt's
former employment. In their brief opposing Manov's renewed motion to recuse, the Nezhats and the
Center asserted that Manov's counsel moved to recuse "long after" they knew the identity of the district
judge to whom the case had been assigned. Defense counsel did not, unfortunately, provide the date on
which they contend Manov's attorneys first learned of McDevitt's former employment. In her reply brief,
Manov refuted the contention that she knew of the law clerk's former employment long before she moved
for recusal and claimed that she moved for recusal as soon as she learned of it. We note that the basis for
Manov's recusal arguments regarding McDevitt—a defense motion filed in Mullen's state court case and
signed by McDevitt as co-counsel—was dated December 29, 1994. Nonetheless, we assume that Manov
learned of McDevitt's former involvement in Mullen's state court case around July 8, 1996, the date she
rulings against Manov demonstrated that the court's impartiality might reasonably be questioned. Due to this

additional alleged ground for recusal, we address the motions separately. Our standard of review is whether

the district court abused its discretion when it denied Manov's motions. Jaffree v. Wallace, 837 F.2d 1461,

1465 (11th Cir.1988).

A.
At some time prior to the commencement of his law clerk's duties with the district court, McDevitt

was employed by Sullivan, Hall, Booth & Smith, an Atlanta law firm. The firm served as co-counsel for the

Nezhats and the Center in the instant case.58 The firm also represented the Nezhats and the Center in Mullen's
state court case. The record does not indicate when McDevitt was employed by the Sullivan firm or when
he came to work in the district court's chambers. All we know is that, on January 18, 1996, when Judge

Tidwell received the case on reassignment,59 McDevitt was one of his law clerks.
Judge Tidwell recognized immediately that McDevitt had worked for one of the law firms involved

in the case; therefore, he isolated McDevitt from the case and assigned the matter to another law clerk, Nancy
Chapman. On July 8, 1996, Judge Tidwell learned from reading Manov's motion for recusal that McDevitt,

while working as a Sullivan associate, had done some work on Mullen's state court case. After entertaining
Manov's motion for recusal at a hearing the next day, Judge Tidwell said:
[I]t seems to have become both fashionable and a fad that when any party is faced with an adverse
decision that a motion to recuse follows almost as a matter of course. In this case when the case was
filed it was assigned to my law clerk Nancy Chapman because I was aware that Dan McDevitt had
been with a firm that had some connection with either this case or with a prior connection. Dan—I
didn't find out until yesterday that I believe it is correct that Dan had worked on some aspect of this
case before he came to work for me. But he has not, will not have any connection with this case.
He is and has been and will be completely and totally separated from this case.

It is not unusual for me to separate these cases. Many times law clerks have accepted a job
offer at the conclusion of the law clerk tenure, and when that happens as similar to the situation in
this case, I merely just assign any case to be worked on to the other law clerk. And in this case Dan
has not, will not have any part, will not play any part, has not had any input or any connection with
this case since it was filed and assigned to me or any rulings that I have made or will make for that
matter.

The record before us reveals that McDevitt's involvement in Mullen's state court case was limited to

the following: McDevitt, as a Sullivan associate, worked for Henry D. Green, a Sullivan partner and

moved for recusal.
58
Walbert & Mathis, an Atlanta law firm, also represented the Nezhats and the Center.
59
See supra note 28.
co-counsel of record for the Nezhats and the Center. In this capacity, McDevitt signed a "Brief in Support

of Defendants' Motion to Strike Plaintiff's Supplemental Affidavits Filed after October 23, 1994." The brief

addressed the issue of whether, under Georgia law, untimely affidavits, filed in opposition to a motion for

summary judgment, could be considered by the court in ruling on the motion. In addition to this, McDevitt

was shown, along with Green, to have received a copy of one of the orders entered in Mullen's state court

case.60

The test for determining whether a judge should disqualify himself under section 455(a) is whether

a reasonable person knowing all the facts would conclude that the judge's impartiality might reasonably be

questioned. See Hepperle v. Johnston, 590 F.2d 609, 614 (5th Cir.1979). Stated another way, the question

is "whether an objective, disinterested, lay observer fully informed of the facts underlying the grounds on

which recusal was sought would entertain a significant doubt about the judge's impartiality." Carter v. West

Pub. Co., No. 99-11959-EE (11th Cir. November 1, 1999). Reduced to its essentials, Manov's argument is

that, notwithstanding the district court's statements at the July 9 hearing, such an observer would entertain
a significant doubt as to the court's impartiality. In other words, the observer would either (1) doubt the

court's statement that McDevitt had been isolated from the case from the outset, or (2) conclude that, despite
such isolation, there was a substantial likelihood that McDevitt would impart to the court information he had
gleaned while working on Mullen's state court case, thereby prejudicing the court against Manov.61
The record contains nothing that would cause a reasonable observer to doubt the truth of the court's
statement that McDevitt had been, and would continue to be, isolated from the case. Moreover, there is

60
An earlier order in that case, titled "Order on Defendants Motion to Deny Pro Hac Vice Admission
to Practice and Order on Motion of James J. Neal to be Admitted Pro Hac Vice to Practice in the State of
Georgia" (and granting Neal pro hac vice status), lists in a preamble to the order the names of the
attorneys for each party as follows: "[t]he Plaintiff was represented by Attorney Michael K. Mixson and
James J. Neal; the Defendants were represented by Henry D. Green, Sidney F. Wheeler, Robert D. Roll,
Stephen L. Goldner, and Susan V. Sommers." McDevitt's name is not on the list.
61
Manov's second (renewed) motion for recusal made a similar argument. Manov complained about
the court's refusal to allow her to depose McDevitt. Underlying her request to depose McDevitt are the
inferences (1) that Manov did not believe Judge Tidwell's statement that McDevitt had not worked on
Manov's case and therefore had not passed information to him regarding Mullen's case, and (2) that
Manov and her attorneys were uninformed about the extent of McDevitt's involvement in Mullen's case.
Given the court's repeated, unambiguous statements about McDevitt's isolation, we find no credence in
Manov's position that McDevitt needed to be deposed to find out whether he had passed information
about Mullen's case to the court. Moreover, Neal was Mullen's attorney when McDevitt co-signed the
December 29, 1994 Brief in Support of Defendants' Motion to Strike Plaintiff's Supplemental Affidavits
filed after October 23, 1994. Accordingly, Neal was aware of the extent of McDevitt's involvement in the
Mullen litigation.
nothing in the record that could cause a reasonable observer to draw the opposite conclusion—that McDevitt

had been serving, and would continue to serve, as the court's elbow law clerk on the case. This brings us to
the second inference Manov would have us draw: McDevitt's mere presence in the court's chambers created

the appearance that the court was, and would continue to be, partial to the defendants.

As an initial matter we note that "[i]f a clerk has a possible conflict of interest, it is the clerk, not the

judge who must be disqualified." Hunt v. American Bank & Trust Co., 783 F.2d 1011, 1016 (11th Cir.1986).

Manov contends that because the instant case concerns a law clerk's former employment, cases, such as Hunt,

involving a possible conflict of interest due to a law clerk's future employment, are inapplicable. Whereas

the isolation of a law clerk when future employment is involved alleviates the significant doubt an objective

observer would have about the court's impartiality, Manov says that the same is not true when the case

involves former employment.62
We disagree for two reasons. First, we reject the underlying assumption of Manov's argument,
namely, that when a court employs a law clerk whose former employer appears before the court, there is a

stronger basis for questioning the court's impartiality than when a court employs a law clerk who has accepted
future employment with a firm appearing before the court. A law clerk has little incentive to influence a
judge in an effort to "curry favor" with a former employer. Conversely, a law clerk has a financial incentive

to benefit a future employer. Given this financial incentive, if ever a law clerk were of a mind to influence
his judge, it would likely be for the benefit of a future rather than a former employer. Because precedent
approves the isolation of a law clerk who has accepted future employment with counsel appearing before the

court (see e.g., Hunt, 783 F.2d at 1015-16) it follows that isolating a law clerk should also be acceptable when

the clerk's former employer appears before the court.

62
Manov relies on Hall v. Small Bus. Admin., 695 F.2d 175 (5th Cir.1983), in which a magistrate
judge's law clerk worked on a sex discrimination case brought against her former employer, the Small
Business Administration ("SBA"). Prior to accepting the clerkship, the law clerk had worked for the SBA
during the same time period as the plaintiff. See id. at 176. The law clerk had resigned from the SBA
because she felt she was the victim of sexual discrimination. See id. Thereafter, as the magistrate judge's
law clerk, she participated in the pre-trial process, prepared bench memoranda, and worked on the order
disposing of the case on the merits. See id. at 176-79. While Hall mentioned the law clerk's former
employment, the event that triggered the magistrate judge's obligation to recuse or isolate the law clerk
was her acceptance of employment with plaintiff's counsel while working on the case for the court. See
id. at 179. Therefore, although Manov correctly noted in her brief to the district court that the law clerk
in Hall worked for the defendant (the SBA) before her employment with the court, this fact was not the
basis for the Hall court's decision. Hall is, therefore, inapposite. Consider that the court of appeals
explained that "[w]hether or not the law clerk actually affected the magistrate's decision, her continuing
participation with the magistrate in a case in which her future employers were counsel gave rise to an
appearance of partiality." Id. at 179 (emphasis added).
 Second, we note that a law clerk has no incentive to violate a court's instruction that he isolate himself

from the case and thereby subject himself to discharge. In this case, the district judge explained that, as a
matter of course, he isolates law clerks from cases involving past or future employers. The obvious purpose

of this procedure is to ensure that the appearance of impartiality does not arise; as such, only a foolhardy law

clerk would purposely circumvent the court's instruction by attempting to pass on information about a case.

In sum, we hold that the district court did not abuse its discretion in denying Manov's first motion for recusal.
B.

As noted, Manov's second motion for recusal cited the district court's rulings against Manov and
asserted that such rulings would lead a reasonable observer to harbor a significant doubt about the court's

impartiality. We are not persuaded. Precedent clearly holds that adverse rulings alone do not provide a party

with a basis for holding that the court's impartiality is in doubt. Carlsen v. Duron, 229 F.3d 1162, No. 99-

4065 (10th Cir.2000) (unpub.disp.). Given this precedent, Manov's argument, that the court's refusal to recuse

was an abuse of discretion, fails.
III.

We now turn to the remaining issues in this appeal. First, we determine de novo whether the district

court erred as a matter of law in dismissing Manov's claims against Northside in Counts III and IV. See

Haitian Refugee Ctr. v. Baker, 949 F.2d 1109, 1110 (11th Cir.1991) ("[I]f the trial court misapplies the law

we will review and correct the error without deference to that court's determination."). Second, we determine
whether the court abused its discretion in imposing sanctions against Manov and Byrne, which, except for

Manov's medical malpractice claim, included the dismissal of the remaining counts of the complaint. See

United States v. Sigma Intern., Inc., 244 F.3d 841, 852 (11th Cir.2001) (In determining whether the court

abused its discretion we ask whether it "applie[d] the wrong legal standard or ma[de] findings of fact that are
clearly erroneous.") (internal citations omitted).

Both of these determinations—whether the court erred as a matter of law in dismissing the claims

against Northside or abused its discretion in awarding sanctions—are guided by the fact that the root of this

litigation is the medical malpractice claim that Manov brought against Drs. Farr and Camran Nezhat and the
Center in the Fulton County Superior Court in August 1994. Manov alleged that she came to the Center in

September 1992 for laproscopic surgery to alleviate endometriosis. The surgery was to be performed by Drs.

Farr and Camran Nezhat. Prior to surgery, they informed her that her appendix may be infected and, if so,
it should be removed when they performed the laproscopy. Manov agreed, and executed a consent both to

the laproscopic procedure and a "possible appendectomy and any other procedure deemed necessary." During

the laproscopic procedure, the doctors decided that Manov's appendix was infected and performed the
appendectomy. Manov contended that the appendix was not infected and that the doctors were negligent in

removing it. They were also negligent, she asserted, in the manner in which they performed the

appendectomy because they left a portion of the appendix in her abdomen. This, in turn, caused an infection,
which required further hospitalization and caused other complications.

As our discussion unfolds, it will become clear that the allegedly botched appendectomy and the

resulting complications constitute the sum and substance of the injury Manov suffered in this case. Every

count of the complaint, including Manov's Georgia RICO claim, derives from the appendectomy. With this
background in mind, we address the issues posed above. We begin with the dismissal of Manov's claims

against Northside in Counts III and IV.
A
1.

Count III alleged that Northside breached its "duty of due care to monitor and investigate the ...

practice of surgery [by the Drs. Nezhat] at Northside." Among other things, Northside failed to check the
Nezhats' credentials, protect the Nezhats' patients from experimental and unnecessary surgery, and prevent

the Nezhats from ordering nurses to perform medical procedures required by law to be performed by

physicians. But for such negligence, argued Manov, Drs. Farr and Camran Nezhat would not have performed
the appendectomy at issue.
The district court dismissed Count III pursuant to Rule 12(c) of the Federal Rules of Civil Procedure

as time barred.63 As noted supra, Byrne voluntarily dismissed Manov's state court suit against Drs. Farr and

63
Although Northside moved, and the district purported, to dismiss Count III pursuant to Fed.R.Civ.P.
12(b)(6), we treat the court as having made the ruling pursuant to Rule 12(c). See notes 46, and 47 supra.
In order to conclude that the statute of limitations on Manov's Count III negligence claim had run and that
the claim was not saved by the Georgia renewal statute, the court considered a fact not alleged in the
complaint, to-wit: that Manov's malpractice complaint in the Fulton County Superior Court did not name
Northside as a defendant. Because it considered a fact not alleged in the complaint, the court should have
treated Northside's motion as one for summary judgment and disposed of it as provided by Fed.R.Civ.P.
56. Because the court did not do so, Manov contends that we should vacate the court's judgment on
Count III and remand the case for further proceedings so that she may "be given reasonable opportunity
to present all material made pertinent by such a motion by Rule 56." Fed.R.Civ.P. 12(b) and (c).

The court's error was harmless. See Denis v. Liberty Mut. Ins. Co., 791 F.2d 846, 850
(11th Cir.1986); Boateng v. Interamerican Univ., Inc., 210 F.3d 56, 60 (1st Cir.2000). As the
Camran Nezhat and the Center on July 13, 1995, and refiled it in the district court on January 12, 1996, one

day before the six month period under Georgia's renewal statute expired. O.C.G.A. § 9-2-61. When Byrne
refiled the case in the district court, he added Northside as a defendant.

Georgia's renewal statute provides that when an action is commenced in state court within the proper

statute of limitations period, and the plaintiff voluntarily dismisses the action, the plaintiff may recommence
the proceeding in federal court within six months after the dismissal. O.C.G.A. § 9-2-61. The district court

found that the statute of limitations had expired on Manov's negligence claim against Northside. Under

Georgia law, a plaintiff must bring a negligence action within two years of the act giving rise to the claim.

O.C.G.A. § 9-3-33. Since Manov underwent surgery at Northside in September 1992, her negligence claim
against Northside should have been brought by September 1994. She did not bring the claim until January

1996—thus, it was barred by the statute of limitations. The claim was not saved by Georgia's renewal statute

because the statute only suspends the running of the statute of limitations against defendants named in the

original complaint. Cornwell v. Williams Bros. Lumber Co., 139 Ga.App. 773, 229 S.E.2d 551, 552 (1976);

Wagner v. Casey, 169 Ga.App. 500, 313 S.E.2d 756, 758 (1984).64 We agree with the district court's holdings

that the statute of limitations had run on Manov's Count III claim against Northside and that the renewal
statute did not save it. Accordingly, the court did not err in dismissing the count.
2.

Count IV alleged that the defendants, including Northside, violated Georgia's RICO law by engaging
in racketeering activity. The district court dismissed Northside as a Count IV defendant on the ground that

Northside was not capable of committing a crime. Under Georgia law, a corporation qua corporation, cannot

be held to answer for a crime, and therefore could not violate the Georgia RICO statute. O.C.G.A. § 16-2-

22(a)(2); Cobb County v. Jones Group, 218 Ga.App. 149, 460 S.E.2d 516, 521 (1995). This is not to say

that a corporation may disregard the law with impunity. If a crime has been committed, the agents of the

corporation who are responsible are subject to prosecution. Manov's amended complaint, however, neither

record amply demonstrates, at the time the court entertained Northside's motion to dismiss, the
record was replete with references—some made by Manov's counsel—to the complaint in
Manov's state court case, to the fact that the complaint did not name Northside, and to the date
Byrne dismissed the case. In sum, Manov acknowledged, albeit tacitly, that there was no dispute
concerning the facts relating to the time-bar issue.
64
Manov contends that the statute of limitations was tolled on the theory that Northside somehow
defrauded her. The district court rejected the theory as patently frivolous, and we do as well.
alleges nor mentions which Northside agent was responsible for Northside's violation of the Georgia RICO

statute. We, therefore, find no error in the district court's dismissal of the RICO claim against Northside.65

B.

Having disposed of the first issue posed above, we turn to the second issue: whether the district court
abused its discretion when it granted both Northside's and the Nezhats and Center's motions for sanctions,

required Byrne and Manov to pay the defendants' attorneys' fees and costs, and dismissed all but one of

Manov's claims against the Nezhats and the Center. The district court took this action pursuant to three
separate sources of authority: Fed.R.Civ.P. 11, 28 U.S.C. § 1927, and the court's inherent power.

In reviewing the award of sanctions, we first discuss these sources of authority. After that, we

examine the award of sanctions against Byrne and Manov. Specifically, we determine whether the district
court abused its discretion because, as Manov contends, the court erred in concluding that the claims it
dismissed (against the Nezhats and the Center) lacked a factual foundation. We have already determined that

the court did not err in dismissing her claims against Northside; hence, as to that defendant, the question is
whether the court abused its discretion in awarding Northside attorney's fees and costs. We defer answering
that question at this juncture because the answer becomes self-evident after we examine Manov's complaint

as a whole and find it (except for Count I) baseless.66
1.
In considering a motion for sanctions pursuant to Fed.R.Civ.P. 11,67 a court conducts a two-step
inquiry: "(1) whether the party's claims are objectively frivolous; and (2) whether the person who signed

the pleadings should have been aware that they were frivolous." Baker v. Alderman, 158 F.3d 516, 524 (11th

Cir.1998). When filing a pleading in federal court, an attorney "certifies that he or she has conducted a

reasonable inquiry and that the pleading is well-grounded in fact, legally tenable, and 'is not presented for any

65
Given this disposition, we defer discussion of whether Count IV alleged a RICO violation against
any defendant.
66
Although the district court, in handing down its February 23, 1998 sanctions order, did not formally
have before it the Nezhats and Center's affirmative defense of failure to state a claim for relief, see supra
notes 35, 44, 46 and 47, it had to examine Manov's claims and find them either legally insufficient or
factually unsupported in order to impose the sanctions at issue—both the dismissal of the claims and the
award of attorney's fees and costs. Therefore, in order to hold that the court's action did not constitute an
abuse of discretion, we must satisfy ourselves that the dismissed counts lacked a legal or factual basis.
67
See supra note 1 for the pertinent text of Rule 11.
improper purpose.' " Id. (quoting Fed.R.Civ.P. 11(b)). Thus, if, after dismissing a party's claim as baseless,

the court finds that the party's attorney failed to conduct a reasonable inquiry into the matter, then the court

is obligated to impose sanctions even if the attorney had a good faith belief that the claim was sound. In re

Mroz, 65 F.3d 1567, 1573 (11th Cir.1995). Although typically levied against an attorney, a court is

authorized to issue Rule 11 sanctions against a party even though the party is neither an attorney nor the

signor of the pleadings. See Souran v. Travelers Ins. Co., 982 F.2d 1497, 1508 n. 14 (11th Cir.1993) (" 'Even

though it is the attorney whose signature violates the rule, it may be appropriate under the circumstances of
the case to impose a sanction on the client.' " (quoting Fed.R.Civ.P. 11 advisory committee's note)).

The second source of authority for the sanctions levied in this case is 28 U.S.C. § 1927, which states:

[a]ny attorney or other person admitted to conduct cases in any court of the United States or any
Territory thereof who so multiplies the proceedings in any case unreasonably and vexatiously may
be required by the court to satisfy personally the excess costs, expenses, and attorneys' fees
reasonably incurred because of such conduct.

As the express language of section 1927 indicates, this sanctioning mechanism is aimed at the unreasonable
and vexatious multiplication of proceedings. Unlike Rule 11, which is aimed primarily at pleadings, under
section 1927 attorneys are obligated to avoid dilatory tactics throughout the entire litigation. Also unlike Rule

11, "awards pursuant to § 1927 may be imposed only against the offending attorney; clients may not be

saddled with such awards." United States v. Int'l B'hd of Teamsters, Chauffeurs, 948 F.2d 1338, 1345 (2d

Cir.1991).
The third source of authority for the award of sanctions in this case is the district court's inherent
power. This power is derived from the court's need "to manage [its] own affairs so as to achieve the orderly

and expeditious disposition of cases." Chambers v. NASCO, Inc., 501 U.S. 32, 43, 111 S.Ct. 2123, 2132, 115

L.Ed.2d 27 (1991). The "inherent power of a court can be invoked even if procedural rules exist which

sanction the same conduct." Chambers, 501 U.S. at 46, 111 S.Ct. at 2133.

One aspect of a court's inherent power is the ability to assess attorneys' fees and costs against the

client or his attorney, or both, when either has "acted in bad faith, vexatiously, wantonly, or for oppressive

reasons."68 Id. at 45-46, 111 S.Ct. at 2133. This court has explained that "[t]he key to unlocking a court's

inherent power is a finding of bad faith." Barnes v. Dalton, 158 F.3d 1212, 1214 (11th Cir.1998); see also

Mroz, 65 F.3d at 1575 ("Invocation of a court's inherent power requires a finding of bad faith."). A court

68
This is sometimes referred to as the bad faith exception to the American Rule against fee shifting.
United States v. Int'l B'hd of Teamsters, Chauffeurs, 948 F.2d 1338, 1345 (2d Cir.1991).
should be cautious in exerting its inherent power and "must comply with the mandates of due process, both

in determining that the requisite bad faith exists and in assessing fees." Chambers, 501 U.S. at 50, 111 S.Ct.

at 2132. Because the court's inherent power is so potent, it should be exercised "with restraint and

discretion."69 Id.

2.

The district court awarded sanctions against Byrne and Manov because the claims in the amended
complaint, apart from the malpractice claim, lacked either a legal or a factual basis and because Byrne had

failed to conduct a reasonable inquiry into the factual bases of the claims. As we have concluded, the district
court properly dismissed Manov's claims against Northside. Our ensuing discussion, therefore, concerns

Manov's claims against the Nezhats and the Center. The district court found those claims—in Counts II, IV,

V70—lacking because "plaintiff and plaintiff's counsel have failed to conduct an investigation that is
reasonable, objective and proper under the circumstances before filing ... the complaint[ ]; the [complaint]

[is] replete with false and baseless claims and allegations, which plaintiff and her counsel knew or with
reasonable investigation should have know [sic] to be irresponsible and baseless." Reading this language in

the light of (1) the defendants' May 3, 1996 letter to the court, asserting that Byrne had not conducted the sort
of independent pre-filing investigation required by Rule 11, and (2) the court's June 5, 1996 order granting
the defendants leave to conduct Rule 11 discovery to determine "if [Byrne had conducted an] appropriate

pre-filing investigation of the facts underlying the allegations [of the complaint]," we conclude that the court
did not dismiss Counts II, IV, and V because they failed to state claims recognized by the law. Rather, the
court dismissed those counts because the Rule 11 discovery revealed that Byrne had not conducted the

requisite pre-filing investigation to determine the truth of the factual allegations contained in Manov's

complaint.
Our review of the district court's award of sanctions necessarily begins with an analysis of the

69
In Chambers, the Supreme Court indicated that the district court made detailed factual findings
concerning the sanctioned party's involvement in the events of the case. See id. at 58, 111 S.Ct. at 2139.
Recognizing the need for caution, some circuits require that a district court make a particularized showing
of bad faith to justify the use of its inherent power. See, e.g., United States v. Int'l B'hd of Teamsters,
Chauffeurs, 948 F.2d 1338, 1345 (2d Cir.1991) (citing Oliveri v. Thompson, 803 F.2d 1265, 1272 (2d
Cir.1986) (requiring "a high degree of specificity in the factual findings of [the] lower courts")).
70
As noted supra, the amended complaint contained six counts. Count VI was a claim for punitive
damages. Count VI did not state an independent cause of action; instead, it only sought punitive
damages for the preceding claims, Counts I through V.
complaint, here the amended complaint. We note that, if the facts as pled failed to state a claim for relief, it

was irrelevant whether Byrne conducted the requisite Rule 11 pre-filing factual investigation. Identifying
Manov's claims—in terms of their legal underpinnings—is not difficult; the heading of each count announces

whether the claim is for negligence, fraud, and so forth. The problem lies in determining which factual

allegations of the complaint relate to which cause of action. The amended complaint, containing 6 counts,

consists of 32 pages and 126 paragraphs. The amended complaint was drafted like the original complaint,
in that each of the counts following Count I incorporated by reference every paragraph, and therefore every

count, preceding it. Each count added a few paragraphs, which, in turn, were incorporated into the next
count. In drafting a complaint this way, the pleader inevitably incorporates into a count factual allegations,

and even defendants, that are not germane to the cause of action purportedly stated in that count.

Accordingly, to determine whether a claim was legally cognizable, we must strip the claims to their essentials,
which, in this case, requires considerable weeding. Having done so, we conclude that Count II, fraud, Count
IV, Georgia RICO, and Count V, battery were properly dismissed because they lacked factual support.

Moreover, even if we accept Count IV's factual allegations as true, the count still fails because it failed to state
a cause of action.

a.
The district court had no difficulty, and neither do we, in discerning the allegations that relate to
Count I, the medical malpractice claim. Given the circumstances set forth above surrounding the September

1992 surgery performed by Drs. Farr and Camran Nezhat at Northside, the court properly held that Count I
stated a claim for relief.

b.
Count II—fraud on the part of Drs. Farr and Camran Nezhat and the Center—and Count V—battery

on the part of Drs. Farr, Camran, and Ceana Nezhat—are based almost exclusively on the facts giving rise

to Count I. In Count II, Manov alleged that the defendants Nezhat obtained her consent to the appendectomy
by fraudulently misrepresenting the potential presence of endometriosis on her appendix. In other words, the

doctors knew that her appendix was healthy and lied when they told Manov that it might be infected. Their

motive for lying, Manov alleged, was their "desire for continued financial gain at the expense of [Manov's]

health and safety." In Count V, Manov alleged that the above fraudulent misrepresentation "vitiated" her
consent; thus, in performing the appendectomy, the doctors committed a battery.71

The district court properly found that Manov consented to the appendectomy. Manov does not

dispute that she signed a consent form agreeing to the procedure. Thus, a contract between Manov and Drs.

Farr and Camran Nezhat (the defendants who performed the appendectomy) was formed. Mattair v. St.

Joseph's Hospital, Inc., 141 Ga.App. 597, 598, 234 S.E.2d 537 (1977). In entering into the contract, the

physicians implicitly promised to exercise the care and skill required by the medical profession in the

community. Id. Count I of the complaint alleged that the Drs. Farr and Camran Nezhat and the Center

breached this duty of care.

Under Georgia law, one who consents to a surgical procedure cannot thereafter sue the surgeon for

battery. Battery is an unlawful touching, so one who consents to being touched cannot claim a battery.
Manov, however, attempted to circumvent this bar by contending that the physicians procured her consent
through fraud—by stating falsely that her appendix might be infected. The district court rejected Manov's

attempt because there is nothing in the record—save a bald assertion in her complaint—to support her
allegation that the doctors knew in advance that her appendix was healthy and should not be removed. In any
event, the doctors statements constituted reasoned medical opinions about what they might find once the

laproscopic procedure was underway. Such statements do not amount to fraud. Cannon v. Smith, 187

Ga.App. 434, 370 S.E.2d 529, 531 (1988) ("At best, [such] allegations might establish negligence but not

fraud."). In sum, both Count II-Fraud and Count V-Battery were nothing more than thinly veiled attempts
to recast the malpractice claim. As such, these counts were not factually supportable.
c.

Finally, we turn to the meat of Manov's amended complaint: Count IV alleging the violation of the
Georgia RICO statute by all defendants.72 The statute makes it "unlawful for any person"
(a) ... through a pattern of racketeering activity or proceeds derived therefore, to acquire or maintain,
directly or indirectly, any interest in or control of any enterprise, real property, or personal property
of any nature, including money.

(b) ... employed by or associated with any enterprise to conduct or participate in directly or indirectly,
such enterprise through a pattern of racketeering activity.

71
The Count V claim against Ceana Nezhat has nothing to do with the laproscopy or appendectomy.
The count alleges that Ceana Nezhat lacked a medical degree; consequently, when he performed a
medical examination on Manov two months after the surgery, he committed a battery. As we indicate
infra, the contention that Ceana Nezhat lacked a medical degree has no factual basis in the record.
72
Count IV consisted of 18 pages and 60 paragraphs.
 (c) ... to conspire or endeavor to violate any of the provisions of subsection (a) or (b) of the Code
section.
O.C.G.A. § 16-14-4. Neither Count IV nor any other part of the amended complaint cites which of these

provisions the defendants allegedly violated. We rule out a violation of subsection (c) because neither the

count nor the amended complaint speaks of a conspiracy. Due to the pleader's failure to track any of the

statutory language—with the exception of the words "enterprise" and "pattern of racketeering activity"—we
cannot say with confidence whether Manov meant to allege a violation of subsection (a) or (b) or both.

While never identifying which subsection of O.C.G.A. § 16-14-4 the defendants allegedly violated,

both the original complaint and the amended complaint alleged that each defendant was an "enterprise" and
engaged in a "pattern of racketeering activity." The racketeering activity pled in the amended complaint

consisted of eleven separate acts. The ensuing discussion depicts these acts in greater detail; we list them

briefly here by means of an introduction. The racketeering acts were introduced with headings. The first was
"18 U.S.C. 1341." It was followed by "FALSE/FRAUDULENT BILLIING," "$200.00 INITIAL HOSPITAL
CHARGE," "SERVICES PROVIDED BY ONLY ONE PHYSICIAN," "SERVICES PROVIDED BY NON-

PHYSICIANS," "SEVERITY OF DISEASE/'22' MODIFIERS," "INSURANCE FORM INFORMATION,"
"ESTROPEL," "HOSPITAL COMPLICITY," "EVIDENCE TAMPERING," and "INFLUENCING
WITNESSES."

Finally, we note that Count IV incorporates by reference all prior counts; therefore, it includes Count
I-Malpractice, Count II-Fraud, and Count III-Negligence by Northside. Counts II and III do double service
in that Count IV explicitly states that they also constituted acts of racketeering. Count V, the battery count,

while not incorporated by reference, nonetheless serves as the basis for an act of racketeering as well. With
these observations in mind, we examine the legal sufficiency of Count IV, specifically, each act of

racketeering.

We dispose easily of the alleged acts of racketeering that amount to nothing more than the same fraud

and battery charged in Counts II and V. Our prior discussion of these counts demonstrates they were pled
without a factual basis. Similarly, the act of racketeering entitled "Hospital Complicity" is legally insufficient

because, as discussed supra Part III.A.2, the pleader did not identify the Northside agent(s) responsible for

the allegedly unlawful conduct.
The remaining acts of racketeering are all anchored on the federal mail fraud statute, 18 U.S.C. §

1341. To determine if these acts of racketeering were pled with legal or factual sufficiency, we review this
circuit's requirements for pleading mail fraud in civil RICO cases. Mail fraud occurs when a person (1)

intentionally participates in a scheme to defraud another of money or property and (2) uses the mails in

furtherance of that scheme. See Pelletier, 921 F.2d at 1498; United States v. Downs, 870 F.2d 613, 615 (11th

Cir.1989). Pelletier explains that in a criminal prosecution "the government ... is not required to show that

the intended victim was actually deceived and suffered injury." Id. at 1499; United States v. Dynalectric Co.,

859 F.2d 1559 (11th Cir.1988). A private plaintiff, however, such as Manov, must show not only that the

mail fraud statute has been violated, but that she suffered injury as a result of the violation. Pelletier, 921

F.2d at 1499-1500 (stating that "when the alleged predicate act is mail ... fraud, the plaintiff must have been

a target of the scheme to defraud and must have relied to his detriment on misrepresentations made in

furtherance of that scheme").

In that the mail fraud statute "has been interpreted by the Supreme Court and lower courts to include
a proximate cause requirement—the plaintiff's injury must have been proximately caused by the commission

of the predicate acts." Pelletier, 921 F.2d at 1499. This court's restrictive view of the proximate cause

requirement73 means that a plaintiff has standing to sue only if his injury flowed directly from the commission

of the predicate acts. Id; see also Gentry v. Volkswagen of America, Inc., 238 Ga.App. 785, 521 S.E.2d 13,

19 (1999). As such, a plaintiff lacks standing to assert, as the basis for mail fraud, misrepresentations directed

toward another person or entity. See Johnson Enter. v. FPL Group, Inc., 162 F.3d 1290, 1313 (11th

Cir.1998); see also Gentry v. Volkswagen of America, Inc., 238 Ga.App. 785, 521 S.E.2d 13, 19 (1999)

(citing Pelletier and Johnson Enterprises for the proposition that, "[t]he question is whether the injury was

directly caused by any RICO violation, not whether the injury was reasonably foreseeable ... In this case, the
alleged misrepresentations were directed to [a non party, not the plaintiff] ... [Therefore,] [t]he [plaintiff] lacks
standing to pursue a RICO claim based on those misrepresentations").

The following analysis of the remaining acts of racketeering reveals that they fail for either or both

of the following reasons: (1) they do not state an injury to Manov or (2) they assert injuries allegedly suffered

by third persons (namely Mullen). We consider these acts of racketeering in turn.

One alleged act of racketeering, pled in paragraphs 59-65 of the amended complaint, was that the

73
In Pelletier, we explain that the circuit courts hold differing views on whether the proximate cause
requirement "limits damages recoverable to those caused directly by the predicate act (e.g., by reliance on
the defendant's fraudulent representations) or to those caused indirectly by the predicate act (e.g., by
purchasing property at a price that has been artificially inflated by a scheme to defraud)." Id. at 1499.
We adhere to the more restrictive view.
defendants Nezhat committed medical journal fraud. The crux of this allegation is that the Nezhats used their

medical journal articles as part of a marketing scheme to obtain money by false pretenses. In short, the
amended complaint alleged that the defendants Nezhat used "the popular media" to advertise falsely their

credentials and success rates. In particular, it alleged that the Nezhats falsely advertised that they developed

the use of "surgery via laparoscope with a picture on a television screen" and that their work produced the

highest pregnancy rates ever reported. The amended complaint further alleged that the Nezhats hired a public
relations firm to ensure that their surgical successes were published in the popular media and that they

authored a series of medical journal articles in which they claimed to have developed new, successful
procedures.

According to the amended complaint, the Nezhats' representations to the media and in their journal

articles were false because (1) the Nezhats could not produce a list of patients referenced in their articles
without considerable effort, and (2) potential co-authors withdrew from the articles because the Nezhats were
unable to verify patient data. Manov alleged that the Nezhats devised this marketing scheme to entice patients

to travel to Atlanta, and that they executed the scheme in violation of the federal mail fraud statute, 18 U.S.C.
§ 1341. Manov alleged that she "was attracted to Atlanta by virtue of the aforementioned scheme, which

included the use of the U.S. mails in furtherance of the scheme, and was injured thereby."
Manov is not a victim of a fraudulent misrepresentation. She sought the services of the Nezhats so
they could surgically alleviate her endometriosis. The Nezhats represented to Manov that they would perform

surgery to rectify her endometriosis and remove her appendix if it was infected. Any alleged injury Manov
suffered as a result of this representation would be the result of malpractice, not fraud. In an attempt to

recover treble damages under the Georgia RICO statute, however, the amended complaint's allegations about
the Nezhats' purported misrepresentations reach far beyond her surgery to alleviate her endometriosis—the

allegations encompass utter irrelevancies. For instance, Manov's surgery was conducted with a laparoscope;

beyond this fact, there is no connection between her surgery and an allegation that the Nezhats falsely claimed
to have invented laparoscopic surgery.

Furthermore, claims of surgical success in medical journals and popular magazines seem more akin

to puffing than actionable misrepresentations. The label attributed to the Nezhats' statements, however, is

unimportant because (1) none of the alleged misrepresentations were made to Manov, and (2) the alleged
misrepresentations were unrelated to any harm suffered by Manov. Thus, insofar as Manov's mail fraud claim

is based on medical journal and media fraud, it fails as a matter of law because the facts do not support a
prima facie case for fraud.

Finally, we note that Neal asserted this same medical journal fraud claim as an act of racketeering
in Mullen's state court case. The Fulton County Superior Court dismissed Mullen's RICO claim on summary

judgment, and the Georgia Court of Appeals affirmed on October 22, 1996, shortly after Manov filed the

amended complaint now before us.74

Paragraphs 66-68 of the amended complaint bore the heading "FALSE/FRAUDULENT BILLING."

None of the eleven instances of fraudulent billing listed under this heading, however, injured Manov. The
amended complaint never specified how the supposed acts of fraudulent billing even related to Manov.

Because "a civil RICO plaintiff must show ... that he was injured by reason of the defendant's acts of

deception," Pelletier, 921 F.2d at 1499, this allegation fails as a matter of law.

Paragraphs 69-71 of the amended complaint bore the heading "$200.00 INITIAL HOSPITAL
CHARGE." While these paragraphs alleged an injury to Manov in that she contends she was billed for a

service she did not receive, this claim fails as an act of racketeering, because the allegations did not

demonstrate how the billing constituted mail fraud. "When the alleged predicate act is mail ... fraud, the
plaintiff must have been a target of the scheme to defraud and must have relied to his detriment on

misrepresentations made in furtherance of that scheme." Tom's Amusement Co., Inc. v. Total Vending Serv.,

243 Ga.App. 294, 533 S.E.2d 413, 419 (2000) (citing Pelletier, 921 F.2d at 1499). The amended complaint

neither alleged that Manov was a target of the Nezhats' scheme to defraud patients by billing an initial
hospital charge, nor that Manov relied on the misrepresentation to her detriment and suffered harm as a result.
In fact, in her deposition (taken during Rule 11 discovery), she admitted that regarding "the monies she was

charged for the services that were performed by the Nezhats, ... she was not out of pocket for any of those
medical services." Furthermore, Manov's allegations that Mullen and a Judy Glatzer, another Nezhat patient,

may have been billed an initial hospital charge for care they did not receive is of no moment. A plaintiff lacks

standing to seek damages for mail fraud perpetrated on another person or entity. See Johnson Enter. v. FPL

Group, Inc., 162 F.3d 1290, 1313 (11th Cir.1998).

Paragraphs 72-73 of the amended complaint bore the heading "SERVICES PROVIDED BY ONLY

ONE PHYSICIAN." Manov believed that only Dr. Farr Nezhat was present for one of her surgeries, but she

received a bill for the services of both Drs. Farr and Camran Nezhat. The district court found that there was

74
See supra note 12.
no factual basis for this allegation and that Byrne would have realized that the claim was frivolous had he

conducted a reasonable investigation. But, whether or not there was a factual basis, the allegation was flawed
because it failed to include the elements of fraud. Paragraphs 72 and 73 are not saved by Manov's assertion

that Mullen also believes that she was billed for the services of both Drs. Farr and Camran Nezhat when only

one of them was present at her surgery. As explained above, Manov lacks standing to bring a claim based

on an alleged misrepresentation to a third party. See Johnson Enter. v. FPL Group, Inc., 162 F.3d 1290, 1313

(11th Cir.1998).

Paragraphs 74-75 of the amended complaint bore the heading "SERVICES PROVIDED BY NON-
PHYSICIANS." These paragraphs alleged that the Center routinely billed for physician services when the

services were actually "performed by a non-physician, such conduct in violation of 18 U.S.C. 1341 (Mail

Fraud), O.C.G.A. § 16-8-3 (Theft by Deception), and O.C.G.A. § 16-5-23 (Battery)." Manov based this

allegation on her lawyers' belief that Ceana Nezhat had not been awarded a medical degree.75 Because he was
not a licensed physician, the amended complaint asserted that his vaginal examination of Manov two months

after her appendectomy constituted a battery.76
We agree with the district court that this allegation was frivolous because it lacked a factual basis.

Moreover, it typified the harassing, bad faith nature in which Manov's attorneys prosecuted this case. Cf.

Pelletier, 921 F.2d at 1514 (stating that Rule 11 sanctions are warranted when a party files a pleading in bad

faith for an improper purpose). The factual inadequacies aside, the allegation was legally frivolous because

the simple battery alleged in this case was not, and could not have been, an act of racketeering.
The amended complaint cited simple battery, O.C.G.A. § 16-5-23, as an act of racketeering. Simple
battery is a misdemeanor. O.C.G.A. § 16-5-23(b). While Georgia RICO's definition of racketeering activity

includes a crime "in Article 2 of Chapter 5, relating to bodily injury" (O.C.G.A. § 16-14-3(9)(A)(v)), the

precatory language at the beginning of the definition clearly states that racketeering activity constitutes "any
crime which is chargeable by indictment" (O.C.G.A. § 16-14-3(9)). At issue, then, is whether "chargeable

by indictment" means must be charged by indictment or may be charged by indictment. Article 2 of Chapter

5 of Georgia's statutory code contains seven assault and battery laws. Some of these laws are misdemeanors

75
See supra note 39. Manov also alleges that the defendants forced nurses to perform artificial
inseminations, a procedure they claim Georgia law authorizes only physicians to perform.
76
We note that Manov repeats this allegation in Count V as another instance of battery committed by
the Drs. Nezhat.
(such as the simple battery alleged in this case), and some are felonies.77 The reference in the definition of

racketeering activity to "the laws in Article 2 of Chapter 5" (O.C.G.A. § 16-4-3(9)(A)(v)) seems to indicate

that a violation of any of "the laws in Article 2 of Chapter 5" constitutes racketeering activity without regard

to whether the violation is a misdemeanor or a felony. Consider that all crimes, including misdemeanors, may

be charged by indictment. O.C.G.A. § 17-7-71. Felonies, however, must be charged by indictment unless

the right to an indictment is waived. O.C.G.A. § 17-7-70. If "chargeable by indictment" means may be

charged by indictment, every crime would constitute racketeering activity. We do not think the scope of
Georgia RICO is so broad.

The Georgia Supreme Court has held that misdemeanors are not included in the definition of

racketeering activity. In Clark v. Security Life Insur. Co., 270 Ga. 165, 509 S.E.2d 602, 605 (1998), it stated:

O.C.G.A. § 16-14-3(9)(A) meticulously defines "racketeering activity" by reference to specific state
and federal statutes. O.C.G.A. § 16-14-3(9)(B) provides that "racketeering activity" shall also
include various crimes punishable as federal or state crimes by imprisonment for more than one year.
Violations of the insurance code, which are misdemeanors, are not included in this definition.
(emphasis added). Although interpreting the catch-all provision in the definition of racketeering activity,

O.C.G.A. § 16-4-3(9)(B), Clark clearly evidences the Georgia Supreme Court's unwillingness to import

misdemeanor conduct into the definition of racketeering activity.
The [Georgia] General Assembly enacted RICO

"to impose sanctions against [the] subversion of the economy by organized criminal elements and
to provide compensation to private persons injured thereby. It is not the intent of the General
Assembly that isolated incidents of misdemeanor conduct be prosecuted under this chapter but only
an interrelated pattern of criminal activity, the motive or effect of which is to derive pecuniary gain."

Sevcech v. Ingles Markets, Inc., 222 Ga.App. 221, 474 S.E.2d 4, 6 (1996) (second alteration in original)

(citing O.C.G.A. § 16-14-2(b)). Finally, Georgia RICO's version of a catch-all provision, which makes

out-of-state and federal offenses acts of racketeering, requires that the offenses be felonies, i.e., crimes
"chargeable under the laws of the United States or any of the several states and ... punishable by
imprisonment for more than one year." O.C.G.A. § 16-14-3(9)(B).

Pretermitting the question of whether Georgia RICO's definition of racketeering activity includes the

77
Article 2 of Section 5 of Georgia's statutory code lists the following crimes: 16-5-20 Simple
Assault (a misdemeanor with exceptions), 16-5-21 Aggravated Assault (a felony), 16-5-22 Conviction of
assault with intent to commit a crime if the intended crime is actually committed, 16-5-23 Simple battery
(a misdemeanor unless against a person who is 65 years of age or older, in a public transit vehicle, against
a police officer, against a family member, against a person licensed as a long term or health care
professional), 16-5-23.1 Battery (a misdemeanor with exceptions), 16-5-24 Aggravated battery (a felony),
16-5-25 Opprobrious or abusive language as justification for simple assault or simple battery.
misdemeanor of simple battery,78 we find that Georgia RICO does not include the type of isolated, simple

battery alleged in this case. See Larson v. Smith, 194 Ga.App. 698, 391 S.E.2d 686, 688 (1990) (stating that

"[i]t is not the intent of the General Assembly that isolated incidents of misdemeanor conduct be prosecuted

under [this chapter] but only an interrelated pattern of criminal activity, the motive or effect of which is to

derive pecuniary gain") (first alteration in original) (emphasis added). The amended complaint did not

indicate that Ceana Nezhat committed this alleged battery on Manov on more than one occasion. Moreover,
the amended complaint failed to state a claim under Georgia RICO because it alleged an isolated instance of

simple battery rather than an interrelated pattern of activity intended to derive pecuniary gain.79
The other alleged acts of racketeering were similarly flawed. Consider paragraphs 76-79 of the

amended complaint which bore the heading "SEVERITY OF DISEASE/ '22' MODIFIERS."80 In these
paragraphs, Manov alleged that the procedure to remove her healthy appendix was labeled with a 22 modifier

code prior to surgery. Byrne, in his deposition, explained that 22 modifier codes were used on insurance

forms for surgery if, after the surgery in question, the surgeon determined that a higher bill was justified

because the surgery was more complex than usual. Manov also alleged that Mullen's surgical procedure was
labeled with a 22 modifier code. This conduct did not constitute an act of racketeering under Georgia RICO
for two reasons. First, the use of a 22 modifier code to describe Manov's surgery did not injure Manov, and,

under Pelletier, a plaintiff must suffer a direct injury as a result of a defendant's violation of the mail fraud

statute. 921 F.2d at 1499. Second, the use of a 22 modifier code in Mullen's case caused Manov no harm,

and, under Johnson Enterprises, a plaintiff lacks standing to assert a misrepresentation made to another

person. See 162 F.3d at 1313.

Paragraphs 80-81 of the amended complaint bore the heading "INSURANCE FORM

INFORMATION." Manov alleged that the Nezhat defendants submitted forms to insurance companies

indicating that patients had not pre-paid for services even though some patients, such as Manov, had pre-paid

78
Such a determination is not necessary to our decision and is better left to the Georgia courts.
79
We note that all of the alleged incidents of racketeering activity are similarly deficient; as such,
plaintiff has failed to allege an "interrelated pattern of activity intended to derive pecuniary gain."
80
The amended complaint does not allege which Georgia or federal law was violated by the use of a
"22 MODIFIER CODE" or by the following act of racketeering, "INSURANCE FORM
INFORMATION." Giving Manov the benefit of the doubt, we assume that the amended complaint
alleged that these acts were part of a mail fraud scheme.
for services. Nowhere did the amended complaint indicate how this was an intentional misrepresentation
upon which Manov relied to her detriment; nowhere did it allege that Manov was harmed by this practice.

This allegation, therefore, was insufficient (1) because the complaint failed to allege the elements of fraud,

see Tom's Amusement Co., Inc. v. Total Vending Servs., 243 Ga.App. 294, 533 S.E.2d 413, 419 (2000)

(explaining that when the alleged predicate act is mail fraud, the plaintiff must allege that he was a target of
the scheme to defraud and that he relied to his detriment on misrepresentations made in furtherance of that

scheme), and (2) because it failed to allege harm to Manov, see Pelletier, 921 F.2d at 1499 ("A civil RICO

plaintiff must show ... that he was injured by reason of the defendant's acts of deception.").

Finally, paragraphs 111-116 of the amended complaint bore the heading "INFLUENCING

WITNESSES." The thrust of this allegation was that the Nezhat defendants had persuaded a physician not
to testify about the Nezhats' medical journal fraud. The physician, Dr. Harry Reich, would have testified that
"Camran Nezhat could not produce patient data to verify [his] claims that he had laparoscopically treated 42
ectopic pregnancies, with no complications."81 Assuming that Dr. Reich would have produced such
testimony, we fail to comprehend its relevance here.

The final acts of racketeering bear the headings "ESTROPEL" and "EVIDENCE TAMPERING."
Like the other acts of racketeering, these acts fail for want of a showing that they somehow injured Manov.
In conclusion, we concur with the district court that Count IV lacked a basis in fact. More

importantly, it also lacked a legal basis. The court, therefore, had no alternative but to strike the count as
frivolous.
3.

Having distilled Manov's amended complaint to its essentials, we find that it remains what it was

when Manov first brought suit in the Fulton County Superior Court: a garden variety medical malpractice

claim. By expanding her case to include the RICO charge and the other baseless claims discussed above,

Byrne subjected himself to sanctions. Pelletier, 921 F.2d at 1514 (stating that sanctions are proper "(1) when

a party files a pleading that has no reasonable factual basis; (2) when a party files a pleading that is based

81
According to the amended complaint, the Nezhats had intimidated expert witnesses in cases brought
against them by others. Once again, Manov failed to demonstrate how such conduct injured her.
Moreover, these allegations are clearly nothing more than an attempt to reassert the witness intimidation
arguments made by Neal in Mullen's federal court case in a motion for a protective order. The federal
court denied the motion for protective order because Mullen had no evidence to support her claims. See
supra note 36.
on a legal theory that has no reasonable chance of success and that cannot be advanced as a reasonable

argument to change existing law; and (3) when a party files a pleading in bad faith for an improper purpose").

Byrne's professional responsibilities in this case required him to perform a reasonably thorough and

objective investigation of the facts before asserting them as the bases for these causes of action. Byrne did
not speak to a single person, apart from Neal, who had actual knowledge regarding the facts that purportedly

supported the fraud charges. What is more, Byrne failed to research the law. Had he done so, he would have
learned that Manov's RICO claims were doomed to failure. Byrne's responsibility to act with professional

judgment only after a thorough, reasonable, and objective investigation of the claims at issue was heightened

(1) because Mullen's RICO claims were pending appeal of an adverse summary judgment ruling and (2)

because of the extraordinary nature of the RICO allegations in this case. See id. at 1522 (emphasizing that

"[p]articularly with regard to civil RICO claims, plaintiffs must stop and think before filing them"). In short,

we affirm the district court's imposition of monetary sanctions against Byrne pursuant to Rule 11.82
Not only were sanctions justified under Rule 11, but the record is replete with instances of bad faith
and dilatory tactics—thereby justifying sanctions under 28 U.S.C. § 1927 and the court's inherent power.

Before he filed the case at hand, Byrne was aware of the orders issued by the judges presiding over Mullen's
state and federal cases, which, collectively, labeled Neal's conduct as "deceitful and dishonest," "unethical,"
"malicious and harassing," and "unbecoming of an officer of the court." We find it telling that even though

Byrne knew that Neal "was walking on thin ice when admitted [by the Fulton County Superior Court] pro
hac vice to practice in Georgia", that the superior court had disqualified Neal from participating in Mullen's
case, and that the judge in Mullen's federal court case was on the brink of doing so when Neal withdrew from

the case, Byrne got involved in the case and continued to advance Neal's arguments. Moreover, shortly after

82
Upon reviewing the history of this case as it was presented to the district court, including
defendants' request for Rule 11 discovery and Manov's response, we find that the district court did not
abuse its discretion in directing Rule 11 discovery at the outset of the case, particularly since the court
envisioned that discovery would be completed in forty-five days. Due in large part to Manov's attorneys'
dilatory tactics, discovery was not completed, however, until over one year later. Rule 11 sanctions
"normally will be determined at the end of litigation," but "the timing of sanctions rests in the district
judge's discretion." Baker v. Alderman, 158 F.3d 516, 523 (11th Cir.1998).

Similarly, the court properly denied Manov's July 14 and 31, 1997 motions to engage in
limited Rule 11 discovery. Specifically, Manov's discovery requests sought discovery of (1) the
appendectomy surgeries performed by Drs. Nezhat and the Center during 1992; (2) the Center's
records of sixteen patients who had bowel resection surgeries; (3) discovery as to the authenticity
of the medical credentials of Drs. Farr, Camran, and Ceana Nezhat; and (4) the depositions of the
defendant doctors. In that Manov's requests were neither relevant to defendants' motions for
sanctions nor related to Rule 11, the district court properly denied the motions.
filing Manov's case, Byrne was forewarned that Rule 11 sanctions were looming. Despite concerns expressed
by the defendants and the court regarding the baseless allegations in the complaint, Byrne realleged and

repled most of those allegations in the amended complaint, thereby forcing the defendants to respond to the

same claims a second time.

Any doubt as to the meritless nature of the Georgia RICO count was removed when the Georgia

Court of Appeals affirmed the summary judgment dismissal of Mullen's RICO claims. See Mullen v. Nezhat,

223 Ga.App. 278, 477 S.E.2d 417 (Ga.Ct.App.1996). Manov's Georgia RICO count was essentially a

repleading of Mullen's RICO claims that the Fulton County Superior Court had rejected. At the time Byrne

filed the complaint in this case, the summary judgment in Mullen's case had been appealed to the Georgia

Court of Appeals. When Byrne filed Manov's amended complaint on September 6, 1996, the Georgia court
had the appeal under advisement. Very disturbing to us is that Byrne failed to notify the district court after
the Georgia Court of Appeals affirmed the summary judgment dismissal a few weeks later on October 22,

1996, effectively gutting his client's RICO claim.83 See Attwood v. Singletary, 105 F.3d 610, 612 (11th

Cir.1997) (explaining that in the context of establishing in forma pauperis status, "a party is responsible for

reaffirming all contentions in papers filed before the court and informing the court of any changes in
circumstances that would render a contention meritless"). Further, he neither withdrew the claim nor sought

leave to file a repleader. Instead, he continued to prosecute the RICO claim with vigor until the court
disposed of the claim in its February 23, 1998 order granting the defendants' motions for sanctions. Pressing

on with Manov's RICO claim after the Georgia Court of Appeals' adverse decision in Mullen is but one of

the acts of bad faith Byrne committed during the course of this litigation. Given such conduct, we would be

remiss if we did not affirm the district court's imposition of monetary sanctions against Byrne under section
1927 and the court's inherent power as well as under Rule 11.

The conclusion is inescapable that, with the exception of Manov's medical malpractice claim—which

the district court's sanctions order left undisturbed—Byrne filed a frivolous lawsuit, in bad faith, for the

83
Defense counsel notified the district court of the court of appeals' decision on November 6, 1996.
The canons of ethics required that Byrne, himself, inform the court. The Fourth Circuit described the
duty of candor in United States v. Shaffer Equipment Co., 11 F.3d 450, 457 (4th Cir.1993), "as that duty
attendant to the attorney's role as an officer of the court with a 'continuing duty to inform the Court of any
development which may conceivable affect the outcome of litigation.' ... 'Thus, attorneys are expected to
bring directly before the Court all those conditions and circumstances which are relevant in a given case
.... we are confident that a general duty of candor to the court exists in connection with an attorney's role
as officer of the court.' " (internal citations omitted).
purpose of extorting a settlement from the defendants. As a willing participant in Neal's continuing vendetta

against the Nezhats, Byrne abused the judicial process. As such, sanctions against Byrne were wholly
warranted.

C.

1.
We turn now to the award of sanctions against Manov. The district court's February 23, 1998 order

granted both Northside's and the Nezhats and Center's motions for sanctions against Byrne and Manov,

finding them jointly and severally liable for attorneys' fees and costs, and dismissed the remaining claims

(except the malpractice claim) in the amended complaint. As in the award of sanctions against Byrne, the
district court cited Rule 11, 28 U.S.C. § 1927, and its inherent power as the authority for the sanctions against

Manov. In this subpart, we address the monetary sanctions imposed against Manov. In subpart 3, we

consider the dismissal of her claims.
While the district court did not consider Manov's conduct separately from Byrne's conduct, it

thoroughly analyzed each of the counts of the amended complaint. The court concluded from its analysis that
the amended complaint (apart from the malpractice claim) was filed in violation of Rule 11, because there
was "no factual or legal basis for the claims" against Northside, and that "had Byrne conducted the

reasonable, open-minded investigation required of him, he should have concluded that the Georgia RICO
claims against the Nezhats and the Center fell beyond the scope of what could be properly pled within the
confines of Rule 11."84

Sanctions against Manov under Rule 11 were proper if she knew or should have known that the

allegations in the complaint were frivolous. See Worldwide Primates, Inc. v. McGreal, 26 F.3d 1089, 1093

(11th Cir.1994) (remanding the case to impose an appropriate sanction because the client pursued the claim

"when it knew, or should have known, that its claim was legally and factually baseless"). That Manov was

a represented party, not an attorney, does not insulate her from sanctions under Rule 11. A client may be

sanctioned under Rule 11 even if the client did not sign the frivolous pleadings. See Souran v. Travelers Ins.

Co., 982 F.2d 1497, 1508 n. 14 (11th Cir.1993) (" 'Even though it is the attorney whose signature violates

the rule, it may be appropriate under the circumstances of the case to impose a sanction on the client.' "

84
The court made similar comments in disposing of Manov's other counts against the Nezhats and the
Center.
(quoting Fed.R.Civ.P. 11 advisory committee's note)). Rule 11 does not permit sanctioning a client, however,

when the basis for the sanction is that the pleading was legally frivolous.85 See, e.g., Schrag v. Simpson, 141

F.3d 1185 (10th Cir.1998) (unpublished table decision) (stating "such legal matters as the frivolousness of

a claim or the impropriety of a discovery request, which are 'peculiarly [within] the province of lawyers,'
would not, without specific findings implicating knowing participation, support Rule 11 sanctions against

a party" (citing White v. General Motors Corp., 908 F.2d 675, 686 (10th Cir.1990))). Typically, sanctions

are levied against a client when he misrepresents facts in the pleadings. See id. ("[A] knowing factual

misrepresentation warrants sanction."). A client is also subject to sanctions when it is clear that he is the

"mastermind" behind the frivolous case. See, e.g., Pelletier, 921 F.2d 1465 (discussing the client's scheme

to institute frivolous litigation to extort settlement and noting that the client was skilled in the law).

The defendants contend that Manov's deposition testimony contradicted the allegations in the
complaint, that her amendments to her deposition demonstrated that she was trying to change her testimony,
and that she continued to rely on Neal after she learned of his disqualification in Mullen's state court case.

Even if these allegations and other like-styled arguments set forth by the defendants are true, they do not
indicate that Manov knew the complaint filed on her behalf was factually or legally baseless. Further, there
is no evidence in the record indicating that Manov provided false information to her attorneys, thereby

facilitating a factually groundless complaint. See Calloway v. Marvel Entm't Group, 854 F.2d 1452, 1474-75

(2d Cir.1988) (noting that a factual misrepresentation is an example of wrongful conduct for which a party

may be sanctioned in addition to, or instead of, counsel) rev'd on other grounds, Pavelic & LeFlore v. Marvel

Entm't Group, 493 U.S. 120, 110 S.Ct. 456, 107 L.Ed.2d 438 (1989); see also Elliott v. M/V Lois B., 980

F.2d 1001, 1007 (5th Cir.1993) (affirming a sanction against a party for misrepresentations in the pleadings).

There is no indication that Manov was anything but truthful in relaying to counsel facts about her

surgeries and post-operative complications. The inadequacies in the RICO and other counts in the amended

complaint stemmed directly from her attorneys. The district court recognized that Neal and Byrne, not

Manov, were responsible for the frivolous complaint. For example, consider the court's reasoning regarding
the RICO claim brought against Northside:

85
Fed.R.Civ.P. 11(c)(2)(A) provides that "Monetary sanctions may not be awarded against a
represented party for a violation of subdivision (b)(2)"; subdivision (b)(2) provides "the claims, defenses,
and other legal contentions therein are warranted by existing law or a nonfrivolous argument for the
extension, modification, or reversal of existing law or the establishment of new law."
 [p]laintiff's counsel did not have any specific factual support for the RICO claims against Northside
prior to the time the original and amended complaints were filed. This is evidenced by plaintiff's
testimony, which indicates that plaintiff's counsel was the author of the RICO claim against
Northside. Plaintiff testified that she was not even aware that racketeering allegations had been
included in the complaint. Plaintiff admitted that she did not understand the meaning of
"racketeering." Plaintiff has no personal knowledge to support the allegations that Northside
knowingly permitted the Nezhats to perform "unnecessary, unwarranted, non-consensual and
experimental surgeries" on patients for Northside's own benefit. Further, plaintiff has no personal
knowledge that any nurses at Northside committed battery. Further, plaintiff admits that no
Northside agent, employee or representative ever touched her or performed treatment on her without
consent. Finally, plaintiff admits that she has no personal knowledge of any criminal activity
committed by an officer, board member, or other individual in a managerial capacity at Northside....
It was the decision of plaintiff's counsel in this matter to file this action and to radically expand the
scope of the allegations far beyond those pled by plaintiff's original attorney.

Similarly, the court stated the following regarding the Nezhats and the Center's motion for sanctions:

Byrne did not have any evidence to support a claim against the Nezhats for RICO. Byrne did not talk
to a single person—and apparently did not even have second hand knowledge through Neal—of
anyone who had actual knowledge regarding the matters at issue here who had ventured the view that
there were facts to support the charge of fraud. The fact that the alleged "scheme" is unsupported by
any evidence should have led reasonable counsel to the conclusion that no scheme existed. It should
also have caused Byrne to be put on notice that further inquiry was required, particularly in light of
the past adjudications and demonstration of Neal's past behavior.... Therefore, had Byrne conducted
a reasonable, objective and open-minded investigation, ... he should have concluded that the claim
for Georgia RICO fell beyond the scope of what could be properly pled within the confines of Rule
11. It was the decision of plaintiff's counsel in this matter to file this action and to radically expand
the scope of the allegation far beyond those pled by plaintiff's original attorney, in order to take
advantage of what Byrne had hoped would be more expansive discovery, among other reasons.
Further, because plaintiff and plaintiff's counsel have acted with bad faith86 in pursuing this RICO
claim against the Nezhats, this court is authorized pursuant to 28 U.S.C. § 1927 and the inherent
power of this court to GRANT defendants' motion for sanctions. Accordingly, the defendants have
complied with all of the appropriate requirements in order to establish their entitlement to Rule 11
sanctions.
Implicit in the district court's reasoning is the understanding that Manov's attorneys, not Manov, were
responsible for the frivolous claims and pleadings. Accordingly, insofar as the monetary sanctions levied

against Manov were based on the court's authority under Rule 11, they cannot be upheld.

The district court's failure to specify her sanctionable conduct is not what gives rise to our conclusion

that the court abused its discretion in imposing monetary sanctions on Manov under Rule 11. See, e.g., White,

908 F.2d at 681(explaining that "[w]hile the court's method of imposing sanctions was not optimal, neither

was it an abuse of discretion, [because t]he court's findings and conclusions, which we have extensively
quoted, were detailed enough to assist in appellate review, help assure the litigants [ ] that the decision was

the product of thoughtful deliberation, and [ ] enhance[ ] the deterrent effect of the ruling.") (final alteration

in original); Independent Fire Ins. Co. v. Lea, 979 F.2d 377, 379 (5th Cir.1992) (noting that the trial court

86
We address the court's finding of bad faith on the part of Manov in Part III.C.2, supra.
"clearly identified the many grounds and circumstances on which it felt that actions taken by [one of the

clients] failed to satisfy the requirements of Rule 11; but no where did the Trial Court identify any similar

actions as having been taken by [the other clients]"). The reason we cannot affirm the Rule 11 monetary
sanctions against Manov is that to do so based on the district court's reasoning or the evidence in the record

before us would be to impose strict or vicarious liability, neither of which is warranted under Rule 11. See

Independent Fire Ins. Co. v. Lea, 979 F.2d at 379 ("There is nothing in the express language of Rule 11 that

all parties at interest on a particular side of a given lawsuit shall be subject to sanctions on a pro rata or joint

and several liability or in solido basis; and we do not think that the basic policies of 'deterrence and

education' behind Rule 11 require an interpretation of the Rule which creates such forms of vicarious

liability."); Southern Leasing Partners, Ltd. v. McMullan, 801 F.2d 783, 789 (5th Cir.1986) ("Rule 11 is not

a rule of strict liability.").
The court expressly stated that "it was the decision of plaintiff's counsel to expand this litigation

beyond the scope of that pled by her original attorney in state court"; as such, it is clear that Manov was not
involved in the management of her case or the decisions that resulted in the actions the court found improper

under Rule 11. See Independent Fire Ins. Co., 979 F.2d at 379 (explaining that "[w]hile Rule 11 ... does

contemplate that sanctions can be levied against a 'represented party', we are constrained to hold under the
facts of this case that the 'represented party' against which sanctions are levied must be a party who had some

direct personal involvement in the management of the litigation and/or the decisions that resulted in the
actions which the court finds improper under Rule 11"). Moreover, the court's statements demonstrate that,

unlike the client in Pelletier, 921 F.2d 1465, Manov was not the mastermind behind the frivolous litigation.

See also In re Big Rapids Mall Assocs., 98 F.3d 926, 932 (6th Cir.1996).87 In sum, because "Rule 11 directs

that the sanction should fall upon the individual responsible for the filing of the offending document,"

Chevron, USA, Inc. v. Hand, 763 F.2d 1184, 1187 (10th Cir.1985), we cannot affirm the Rule 11 monetary

87
In Big Rapids, the Sixth Circuit reviewed the bankruptcy court's conclusion "that 'the attorneys and
clients shared responsibility for the litigation strategy.' " 98 F.3d at 932. As in the instant case, the
bankruptcy court in Big Rapids imposed sanctions jointly and severally on the clients and the attorneys.
While in the instant case the court did not detail the client's (Manov's) conduct and the court in Big
Rapids failed to detail the attorneys' conduct, this difference is of no moment. Big Rapids stands for the
general proposition that Rule 11 is not a rule of vicarious liability. See id. ("Without any findings to
support the imposition of sanctions on appellants, the bankruptcy ruling amounts to vicarious liability on
the part of appellants for the perceived unreliability of their clients' testimony."). Like the court in Big
Rapids, we find "no facts to support a conclusion of 'shared responsibility' " to justify the award of Rule
11 sanctions against Manov. Id.
sanctions against Manov.88

2.

Although we find that monetary sanctions against Manov were not justified under Rule 11, the award
of these sanctions may still be affirmed if the sanctions were proper under the court's inherent power.89 As

explained supra Part III.B.1, a federal court may resort to its inherent power to sanction an attorney or a party

for bad faith conduct. "A finding of bad faith is warranted where an attorney [or a client] knowingly or
recklessly raises a frivolous argument, or argues a meritorious claim for the purpose of harassing an opponent.

A party also demonstrates bad faith by delaying or disrupting the litigation or hampering enforcement of a

court order." Barnes, 158 F.3d at 1214 (11th Cir.1998) (citing Primus Automotive Fin. Servs., Inc. v. Batarse,

115 F.3d 644, 649 (9th Cir.1997)). In its February 23, 1998 sanctions order, the district court discussed each
defendant's motion separately but it reached virtually the same legal conclusion: "because plaintiff and

plaintiff's counsel have acted with bad faith in pursuing [these] claim[s], this court is authorized pursuant to
28 U.S.C. § 1927 and the inherent power of this court to grant ... defendants' motion for sanctions." Because
a finding of bad faith is "the key to unlocking the inherent power," we consider each of the district court's

findings that Manov acted in bad faith.
a.

In granting Northside's motion for sanctions, the district court repeatedly emphasized that

88
A line of cases holds that dismissal of a case for an attorney's neglect does not unfairly prejudice the
client because the client is responsible for the actions of his attorney. These cases have been used to
support the general proposition that a client is liable for the actions of his attorney. Most case law in this
area stems from Link v. Wabash R.R. Co., 370 U.S. 626, 82 S.Ct. 1386, 8 L.Ed.2d 734 (1962), in which
the district court dismissed the client's case because the client's attorney failed to attend a scheduled
pretrial conference. Link reasoned:
[T]here is certainly no merit to the contention that dismissal of petitioner's claim because
of his counsel's unexcused conduct imposes an unjust penalty on the client. Petitioner
voluntarily chose this attorney as his representative in the action, and he cannot now
avoid the consequences of the acts or omissions of his freely selected agent. Any other
notion would be wholly inconsistent with our system of representative litigation, in which
each party is deemed bound by the acts of this lawyer-agent and is considered to have
"notice of all facts, notice of which can be charged upon the attorney."

Id. at 633-34, 82 S.Ct. at 1390 (citation omitted). We agree with the Eighth Circuit that "[t]he
principle enunciated by the Supreme Court [in Link ] simply does not apply in a Rule 11 sanction
context. Otherwise every award against an attorney under Rule 11 could also be assessed against
the client." Kirk Capital Corp. v. Bailey, 16 F.3d 1485, 1492 (8th Cir.1994).
89
We note that 28 U.S.C. § 1927 does not authorize sanctioning a client, such as Manov. We
presume, therefore, that the district court relied on the authority derived from its inherent power to
sanction Manov and the authority of both section 1927 and its inherent power to sanction Byrne.
 Plaintiff's counsel did not have any specific factual support for the RICO claims against Northside
prior to the time the original and amended complaints were filed. This is evidenced by plaintiff's
testimony, which indicates that plaintiff's counsel was the author of the RICO claim against
Northside. Plaintiff testified that she was not even aware that racketeering allegations had been
included in the complaint. Plaintiff also admitted that she did not understand the meaning of
"racketeering." ... It was the decision of plaintiff's counsel in this matter to file this action and to
radically expand the scope of the allegations far beyond those pled by plaintiff's original attorney.

The district court went on to support its finding of bad faith by listing the following egregious acts: (1)

plaintiff's counsel brought a negligence claim one-and-a-half years after the statute of limitations had run;
(2) plaintiff's counsel argued that the statute was tolled as a result of Northside's fraudulent acts even though

the complaint failed to allege any fraudulent acts on the part of Northside; (3) plaintiff's counsel had no
evidence that Northside had engaged in any racketeering activity; (4) plaintiff was not aware at the time of

filing that her counsel had alleged a RICO claim; (5) plaintiff's counsel repled and repeated the frivolous

arguments in the amended complaint, forcing Northside to respond to the amended complaint and renew its
motion to dismiss—in this regard plaintiff and plaintiffs's counsel unreasonably and vexatiously multiplied
this action. Despite its cognizance that plaintiff's counsel, not plaintiff, were behind both the baseless RICO

allegations and the untimely filing of the negligence claim against Northside, the district court summarily
stated that "Northside has shown that plaintiff and plaintiff's counsel have acted with bad faith so as to recover

sanctions pursuant to section 1927 and the inherent power of the court." The court concluded that "sanctions
are proper under the court's inherent power because plaintiff and plaintiff's counsel have abused the judicial
process by using the court as a vehicle to continue Neal's pursuit of the Nezhats."

b.
The district court followed similar reasoning in granting the Nezhats and the Center's motion for

sanctions. Regarding the Georgia RICO claim, the district court stated: "It was the decision of plaintiff's
counsel in this matter to file this action and to radically expand the scope of the allegations far beyond those

pled by plaintiff's original attorney, in order to take advantage of what Byrne had hoped would be more

expansive discovery, among other reasons." After emphasizing that it was plaintiff's counsel who expanded
the scope of this litigation, the district court stated that plaintiff's counsel and plaintiff acted in bad faith in

pursuing the RICO claim against the Nezhats. Therefore, according to the court, it was authorized under 28

U.S.C. § 1927 and the inherent power of the court to sanction plaintiff and her counsel.

Similarly, regarding Manov's battery count it stated:
had Byrne conducted a reasonable, objective and open-minded investigation required by the
professional responsibility of an attorney, counsel should have concluded that the claim of battery
fell beyond the scope of what could be properly pled within the confines of Rule 11. Further, it was
 the decision of plaintiff's counsel in this matter to file this action and to radically expand the scope
of the allegation far beyond those pled by plaintiff's original attorney. Finally because plaintiff and
plaintiff's counsel have acted with bad faith in pursuing this battery claim against Camran, Farr and
Ceana Nezhat, this court is authorized pursuant to 28 U.S.C. § 1927 and the inherent power of this
court to grant ... defendants' motion for sanctions.
Again, regarding Manov's fraud count, the district court stated:

[n]o evidence has been presented that the Nezhats made fraudulent misrepresentations to plaintiff or
that the Nezhats concealed material information. Thus, plaintiff's counsel has no reasonable factual
bases upon which to bring a claim against the Nezhats for fraud. Further, plaintiff's fraud claim is
objectively frivolous because counsel has no evidence of fraudulent activity on behalf of the Nezhats.
Finally, because plaintiff and plaintiffs's counsel have acted with bad faith in pursuing this fraud
claim against Camran, Farr and Ceana Nezhat, this court is authorized pursuant to 18 U.S.C. § 1927
and the inherent power of this court to grant ... defendants' motion for sanctions.

c.
The above analysis of the asserted bases for sanctioning Manov evidences a distinct and erroneous

trend in the district court's reasoning. As a sanction against Manov and Byrne, the court awarded attorney's

fees and dismissed all but the malpractice count. To justify these sanctions, the court cited Byrne's conduct
from which it inferred bad faith. Then, the court summarily stated that both Byrne and Manov acted in bad

faith. To support its findings of bad faith and otherwise sanctionable conduct, the court impermissibly relied

solely on the actions of counsel. See Primus Automotive Financial Servs. Inc., 115 F.3d at 650 (citing Martin

v. Brown, 63 F.3d 1252, 1256 (3d Cir.1995) (explaining that "any sanctions imposed against [an attorney]

should be based solely on his 'own improper conduct without considering the conduct of the parties or any

other attorney' ") (quoting Martin v. Brown, 63 F.3d 1252, 1265 (3d Cir.1995))). Sanctionable conduct by

a party's counsel does not necessarily parlay into sanctionable conduct by a party. See Donaldson v. Clark,

819 F.2d 1551, 1557 n. 6 (11th Cir.1987) (explaining that it is advisable to avoid a sanction that penalizes

the parties for the offenses of their counsel); M.E.N. Co. v. Control Fluidics, Inc., 834 F.2d 869, 873 (10th

Cir.1987) ("Where sanctions are concerned, ... we have cautioned that '[i]f the fault lies with the attorneys,
that is where the impact of the sanction should be lodged.' " (citation omitted)).

While bad faith is the "key to unlocking the court's inherent power," Barnes, 158 F.3d at 1214, a

court must do more than conclude that a party acted in bad faith; it should make specific findings as to the
party's conduct that warrants sanctions.90 This is not a case in which sanctions can be upheld despite the lack

90
The Sixth Circuit explained the ideal inquiry undertaken by a district court when deciding to
implement sanctions:
[W]hat information about the client's business did the attorneys have? Was the
information verified? How involved had these attorneys been in their client's business?
of specificity in the district court's order. See generally Barber v. Int'l Bhd., 778 F.2d 750, 756 (11th

Cir.1985) (" 'In some cases if [the trial court] fails to make a finding on a particular fact it has been assumed

that ... [it] impliedly made a finding consistent with [the] general finding.' " (quoting Charles Alan Wright

& Arthur R. Miller, Federal Practice and Procedure § 2579 at 712-13 (1971)); Clinkenbeard v. Central S.W.

Oil Corp., 526 F.2d 649 (5th Cir.1976)). Unless the evidence on the issue of bad faith is uncontroverted, a

district court should examine a party's conduct and make findings on that issue.

d.

Nothing in the record indicates that Manov knew that a baseless claim had been brought on her behalf

or that she was pursuing the Nezhats for a harassing or other impermissible purpose. See Barnes, 158 F.3d

at 1214 ("A finding of bad faith is warranted where an attorney [or a client] knowingly or recklessly raises

a frivolous argument, or argues a meritorious claim for the purpose of harassing an opponent. A party also
demonstrates bad faith by delaying or disrupting the litigation or hampering enforcement of a court order.").
In fact, the minimal findings regarding Manov in the February 23, 1998 sanctions order directly undermined

any conclusion of bad faith on her part. The court stated that "plaintiff testified that she was not even aware
that racketeering allegations had been included in the complaint. Plaintiff also admitted that she did not
understand the meaning of 'racketeering.' ... It was the decision of plaintiff's counsel in this matter to file this

action and to radically expand the scope of the allegations far beyond those pled by plaintiff's original
attorney." The district court's statement that Manov was not even aware that racketeering allegations had

For how long? Were other professionals, such as accountants, or bankers consulted?
What independent investigation, if any, did the attorneys undertake prior to the filing?
What did their clients tell them? Were they justified in believing what their clients told
them? Did a time problem exist when a decision to file was made? What was the
business (and legal) sophistication of the clients and the attorneys? These along with a
myriad of other factual details would be crucial to have in hand before determining
whether the action taken or not taken by the attorneys prior to filing ... was or was not
reasonable.

In re Big Rapids Mall Assocs., 98 F.3d at 930. In the case before us, the district court conducted
this type of extensive review of Byrne's pre-filing investigation. As to Manov, however, the
district court's analysis is flawed in that

[t]he court merely stated that "misrepresentations" existed in various pleadings made to
"improperly or abusively delay and hinder the [defendant]." ... The court did not identify
these "misrepresentations" nor the pleadings containing them, and no facts in the record
exist to reflect that appellants knew or should have known that there were any
misrepresentations.

Id.
been included in the complaint precludes the conclusion that she knowingly or recklessly filed a frivolous
claim. As such, the court's findings that Manov acted in bad faith are clearly erroneous.

Not only does the court's own statement undermine a conclusion of bad faith, but its failure to
specify Manov's sanctionable conduct renders us unable to affirm. This was brought to the court's attention

in plaintiff's March 12, 1999 Response to Submission of Nezhat Defendants and Northside Hospital

Regarding Baker v. Alderman, 158 F.3d 516 (11th Cir.1998).91 Manov argued that the court never made a

finding that she herself participated in any wrongdoing. The court acknowledged plaintiff's argument in its

June 24, 1999 order setting the amount of monetary sanctions to be awarded.
[T]he court made specific findings regarding plaintiff's personal wrongdoing in its February 23, 1998
sanctions order. Not only does it appear that plaintiff has made several false assertions in affidavits,
depositions and sworn statements filed with the court, see Nezhat Defendants Proposed Findings of
Fact [docket number 109-11], pages 151-76, but incredibly, plaintiff continues to rely on attorney
Neal for counsel despite this court's specific admonitions regarding his involvement in this litigation.
Irrespective of the overwhelming evidence of unprofessional conduct by Neal, plaintiff has never
disavowed either her relationship with him or his conduct.

These above quoted statements demonstrate that the court considered plaintiff's argument and rejected it. The
statements also constitute an attempt to clarify or issue the following findings: (1) plaintiff made false
statements in documents filed with the court and (2) plaintiff continued to rely on Neal after he was barred

from the case. Finally, the court's statements demonstrate that it relied on a portion of the Defendants'
Proposed Findings of Facts.
e.

At first glance, it seems as if the district court, in its June 24, 1999 order, "cured" the failure of its
February 23, 1998 sanctions order to cite Manov's sanctionable conduct. We must, nonetheless, reverse
because the findings set forth in the June 24 order are irrelevant and could not serve as a basis for sanctions.

Consider the finding that Manov made several false assertions in affidavits, depositions, and sworn statements
filed with the court. Even if we accept this finding as true, false statements alone do not indicate bad faith.

Without a "smoking gun" statement from the plaintiff, i.e., "I know my claim is frivolous and I am pursuing

this claim to harass the defendants," a district court makes a determination of bad faith by drawing inferences

91
See supra note 53, explaining that Baker requires a court to consider a party's ability to pay when
fashioning an award of monetary sanctions. We note that in her March 9, 1998 motion for
reconsideration of the court's order awarding sanctions, Manov did not argue that the district court failed
to specify her misconduct. The court denied her motion on June 1, 1998. Manov's argument regarding
the district court's failure to specify wrongdoing on her part was not brought to the court's attention until
her March 5, 1999 response to the court's February 17, 1999 order directing Manov and Byrne to comply
with Baker by submitting financial information on their respective abilities to pay monetary sanctions.
from the conduct before it. Standing alone, a false or inconsistent statement in a deposition does not compel
the conclusion of bad faith. A false statement can be evidence of bad faith, if, for instance, there is other

evidence in the record indicating that the statement was made for a harassing or frivolous purpose. The
record in this case, however, does not yield the inference that Manov knew her claim was frivolous or that

she sought to harass the Nezhats. For instance, in their Proposed Findings of Fact, the defendants asserted

(and the district court implicitly adopted)92 that Manov was happy with the Nezhats after her surgery because
her pain had subsided. As defendants pointed out, an underlying premise of this case is that she was unhappy
with the care she received from the Nezhats. Even if viewed as "false," this latter statement is not evidence

that Manov knew her claim was frivolous and therefore acted in bad faith in pursuing the Nezhats.93

f.
The district court also found that Manov acted in bad faith because she continued to rely on Neal

despite the court's specific admonition regarding his involvement in the litigation.94 Once again, standing
alone, the finding that Manov relied on Neal does not compel the inference that she knew her claim was

frivolous or that she was pursuing her claim for a harassing purpose.95 In her deposition, Manov indicated

92
In its June 24, 1999 order, the district court explicitly refers to pages 151-76 of the Defendants'
Proposed Findings of Fact to support its finding that Manov made false assertions in statements filed with
the court.
93
That Manov did not knowingly make false assertions to further this baseless litigation is evident
from the following example cited in the Defendants' Proposed Findings of Fact. One aspect of her
lawyers' theory of the case is that in their medical journal articles, the Nezhats concealed complications,
such as those in Manov's and Mullen's surgeries. At her lawyers' behest, Manov executed an affidavit
stating that the Nezhats reported an absence of complications in 100 consecutive appendectomies. Her
counsel prepared the affidavit which stated, "They must have forgotten about me." At her deposition,
counsel for the Nezhats informed Manov that the article claiming that the Drs. Nezhat had encountered no
complications in their last 100 appendectomies was published one year before her surgery. Upon learning
of this discrepancy, she said she was unaware of the date of the article, acknowledged that it was
impossible for her to be included in the article, and admitted that this argument should not have been
presented to the court. Rather than demonstrating a bad faith attempt to pursue frivolous litigation, this
example demonstrates that Manov was unaware of the frivolous nature of the claims made on her behalf
and that she was not pursuing the Nezhats in bad faith.
94
Given Neal's repeated unethical and unprofessional behavior, the district court took the proper
course in barring him from "participating in any form or fashion" in the case.
95
This case is unlike Baker, 158 F.3d 516 (a case decided under the pre-1993 amendments to Rule
11), in which the plaintiff argued that he should not have been sanctioned because he relied on the advice
of his attorney and never signed any papers filed with the court. In Baker, we noted that while the district
court stated that "ignorance of the law is no excuse," it did not respond to plaintiff's argument that he
relied on the advice of counsel. Id. at 526. We affirmed the district court based on its findings that
"Plaintiff should have believed the pleadings he filed were not well-grounded in facts and law." Id. The
plaintiff had also read important documents filed by the defendants informing him his case was frivolous.
that she wanted Neal to represent her because she believed that he cared about her, that he listened to her, and

that he had her best interests in mind. She stated, "I think from my dealing with him he's a very caring
person, genuine and trying to do the right thing for people." This demonstrates that Manov relied on Neal

because he was nice to her rather than because she wanted to join a vexatious pursuit of the Nezhats. Indeed,

her deposition revealed that she did not believe that whatever the Nezhats had done was so bad that they
should be driven out of business. She expressly stated that ruining the Nezhats was not the goal or purpose

of her suit. Even the Defendants' Proposed Findings of Fact, upon which the court relied, stated that Manov

was nothing but a pawn in Neal's zealous pursuit against the Nezhats.96 Despite this clear evidence regarding

Manov's role in this litigation, the district court repeatedly concluded that Manov acted in bad faith.
g.

Moreover, instead of supporting the conclusion of bad faith, the Defendants' Proposed Findings of

Fact, upon which the district court relied, further evidence that Manov was unaware of the frivolous and
vexatious nature of this litigation. Consider the following statements from the Defendants' Proposed Findings
of Fact: (1) none of Manov's lawyers informed her that Neal had been disqualified from Mullen's case in

Fulton County Court or that Neal had been found unethical, malicious, relentless, harassing, and to be
conducting a vendetta against the Nezhats; (2) in Manov's April 27, 1998 deposition, she stated she was
unaware that the district court had ordered Neal not to participate "in any form or fashion in this case";97 (3)
Manov was never shown a copy of the complaint before it was filed in the district court; (4) Manov's lawyers

told her that the racketeering allegations would be supported by Mullen's allegations—no one informed
Manov that Mullen's allegations had been dismissed on summary judgment and that the Georgia Court of

Appeals affirmed the dismissal; (5) Manov had not been told that the medical journal allegations in her

complaint had been dismissed on summary judgment in Mullen's state court case; (6) Manov's lawyers did
not inform her that the witness intimidation claims made in her case had been rejected in Mullen's federal

Moreover, the plaintiff knew that "the Second District Court of Appeal[ ] ruled on [his case and that] the
Florida Supreme Court denied hearing, and so did [the federal district court] in its order granting
summary judgment to Defendants." Id.
96
Unlike Chambers v. NASCO, Inc., 501 U.S. 32, 111 S.Ct. 2123, 115 L.Ed.2d 27 (1991), in which
the district court found that the sanctioned plaintiff was the strategist behind the fraud committed on the
court, in this case the district court did not find, and the record does not demonstrate, that Manov was the
mastermind behind the baseless claims.
97
During this deposition, the parties telephoned the district court, informing it that Manov had
testified that she had not been shown the court's order instructing Neal not to participate in the case.
court case; (7) Manov did not know that Neal never appeared as counsel of record in her case.

It is clear from the record—indeed, from the Defendants' Proposed Findings of Fact upon which the

district court relied—that Manov's lawyers did not inform her of developments in her case.98 Because she
was kept uninformed about her case, it is hard to say that she knowingly filed and continued to prosecute the
case in bad faith. Finally, we emphasize that even if the limited findings in the June 24, 1999 sanctions order

yield an inference of bad faith, this inference is undermined by the court's only findings as to Manov in the

February 23, 1998 sanctions order—the findings that Manov was unaware of the RICO allegations pled on
her behalf and that she did not know the meaning of the term "racketeering."

3.

Although monetary sanctions against Manov pursuant to Rule 11 and the court's inherent power were
not proper, the court's dismissal of all counts except her malpractice claim was justified. As noted in Part I
of this opinion, the district court entered its sanctions orders without explicitly passing on the sufficiency of

the Nezhats and the Center's affirmative defense of failure to state a claim for relief. The court determined
that some of the counts of the complaint—Count IV, Georgia RICO and Count II, fraud—lacked factual
support, and that one count—battery—should be dismissed because the deposition testimony of record,

coupled with the count's allegations, demonstrated that the count was both legally and factually frivolous.
That the court considered the adequacy, as well as the frivolity, of Manov's claims is evident from its decision

not to dismiss the malpractice claim, as it was pled with a legal and factual basis. Moreover, our review of
the complaint, particularly the RICO count, reveals that Manov's claims are insufficient as a matter of law,

see supra Part III.B.2.c. As such, the court did not err in dismissing all but the malpractice count of the

complaint.99

98
In M.E.N. Co., 834 F.2d at 873-74, the Tenth Circuit remanded the case for specific findings as to
the attorneys' misconduct, and advised the district court that if it found that the attorneys failed to
communicate with their clients during the course of litigation, particularly if they failed to inform their
clients of critical matters in court orders, the district court should consider discipline and possible referral
to state licensing authorities.
99
While in their answer the Nezhats and the Center asserted as an affirmative defense that the
complaint failed to state a claim for relief, we recognize that such defense was not before the court when
it entered the first sanctions order. That is, these defendants had not moved the court pursuant to
Fed.R.Civ.P. 12(c) for a judgment on the pleadings, which would have required the court, in light of the
above affirmative defense, to determine whether any of the counts were legally cognizable. This is of no
moment, however, because a court may dismiss a complaint sua sponte assuming the court exercises
caution. See Clorox Co. v. Proctor & Gamble Commercial Co., 228 F.3d 24, 30 (1st Cir.2000) (stating
that "it is occasionally appropriate for a district court to note the inadequacy of the complaint and, on its
own initiative, dismiss the complaint [,] a court may not do so without at least giving plaintiffs notice of
 IV.
This case began in the Fulton County Superior court as an ordinary medical malpractice case. When

the plaintiff switched lawyers, so did the scope and tenor of the case. Instead of simple medical malpractice,

the case burgeoned into a broad-based RICO prosecution. The plaintiff's new lawyers were determined that
the defendants would either settle or suffer professional ruin. They used every tool they could conceive of

to extort settlement: going to the press, the United States Attorney, and even the FBI. The defendants refused

to cave in. The case dragged on for three and a half years ending in the dismissal of the plaintiff's

claims—including her malpractice claim—and the imposition of close to $400,000 in monetary sanctions
against the plaintiff and one of her lawyers. One must ask, "how could it take so long and cost so much to

dispose of such a case?" We would be remiss if we concluded this opinion without explaining how this could

happen, and, more importantly, how it could have been avoided.
A.

Manov's original complaint contained 78 pages, 299 paragraphs, 139 subparagraphs, and nine counts.
Counts II through IX incorporated by reference all antecedent paragraphs, such that Count IX was an

amalgamation of everything in the complaint. To say that the allegations of the complaint were vague and
ambiguous—leaving the reader to guess at precisely what the plaintiff was claiming—is an understatement.100

Nonetheless, the district court treated Manov's complaint as having stated, in each count, a claim for relief.
Manov's amended complaint was just as vague and ambiguous as the initial complaint. The court, however,

continued to treat Manov's claims against the Nezhats and the Center as legally cognizable and sufficiently
pled, even after it granted Northside's motion to dismiss Count III and struck Northside from Count IV. In

fact, the claims against the Nezhats and the Center remained undisturbed for two years, until the court passed

the proposed action and affording them an opportunity to address the issue.") (alteration in
original)(internal citation omitted). Given the numerous hearings, motions, and voluminous memoranda
filed by both sides regarding the adequacy of the complaint, we find that the parties knew the court was
considering the complaint's sufficiency. Even if the parties did not have such knowledge, we could still
find that the court properly treated the claims as if ruling on a Rule 12(c) motion because reversal of a sua
sponte dismissal without notice may not be "mandated if amendment [of the complaint] would be futile or
if it is patently obvious that the plaintiff could not prevail." Wyatt v. City of Boston, 35 F.3d 13, 15 n. 1
(1st Cir.1994). It is patently obvious, given the legal and factual inadequacies of the complaint, that
Manov could not prevail. Accordingly, reversal of the district court's order dismissing the claims is not
warranted.
100
For example, and as our previous discussion reveals, neither the federal nor the state RICO count
of Manov's initial complaint cited the provision(s) of the RICO statute on which the count was based.
The amended complaint, which contained only the Georgia RICO count, had the same deficiency.
on their sufficiency in granting the defendants' motions for sanctions.101

B.

Rule 12(e) of the Federal Rules of Civil Procedure states:
If a pleading to which a responsive pleading is permitted is so vague or ambiguous that a party cannot
reasonably be required to frame a responsive pleading, the party may move for a more definite
statement before interposing a responsive pleading. The motion shall point out the defects
complained of and the details desired. If the motion is granted and the order of the court is not
obeyed ... the court may strike the pleading to which the motion was directed or make such order as
it deems just.
The complaints in this case were "so vague and ambiguous that [the defendants] [could] not

reasonably be required to frame a responsive pleading." None of the defendants, however, moved the court

to order the plaintiff to file a more definite statement; instead, the defendants simply answered the
complaints. In their answers, they responded to the numbered paragraphs of the complaints, admitting or

denying the allegations thereof, and then asserted a variety of affirmative defenses. With minor exception,

none of the affirmative defenses responded to a particular count of the complaint; rather, the affirmative
defenses addressed the complaint as a whole, as if each count was like every other count. Northside's answer
to the amended complaint asserted twenty-six affirmative defenses, most of which were pled in one sentence.

They included "estoppel," "statute of limitations," "failure to state a claim for relief," "consent," "accord and
satisfaction," "payment and release," "waiver," that the Georgia RICO statute is "unconstitutionally vague,"
and that plaintiff's claim for punitive damages "violate[ed] the Eighth, Thirteenth, and Fourteenth

Amendments of the Constitution of the United States of America." The Nezhats and the Center's answer was
pled in a similar fashion; their affirmative defenses totaled fourteen and mimicked many of Northside's
defenses.

Although the defendants' affirmative defenses were comprehensible in a literal sense, because they

addressed the amended complaint as a whole they were, as a practical matter, as vague and ambiguous as the

amended complaint. By eschewing a Rule 12(e) motion for a more definite statement and choosing to answer
the amended complaint in this fashion, the defendants in effect joined the plaintiff in setting the stage for the

immense and unnecessary expenditure of resources evident in this case.102
We have labeled pleadings such as Manov's complaints and the defendants' answers "shotgun"

101
Manov filed her initial complaint on January 12, 1996. She filed her amended complaint on
September 6, 1996. The district court issued its first sanctions order on February 23, 1998.
102
The parties wasted their own resources as well as the resources of the district court and this court.
pleadings. See, e.g., Magluta v. Samples, 256 F.3d 1282 (11th Cir.2001); Ebrahimi v. City of Huntsville Bd.

of Ed., 114 F.3d 162, 168 (11th Cir.1997) (per curiam); Cesnik v. Edgewood Baptist Church, 88 F.3d 902,

905 (11th Cir.1996); Anderson v. Dist. Bd. of Trs. of Cent. Fla. Comm. Coll., 77 F.3d 364, 366-67 (11th

Cir.1996); Pelletier v. Zweifel, 921 F.2d 1465, 1517-18 (11th Cir.1991); Fullman v. Graddick, 739 F.2d 553,

557 (11th Cir.1984). Unless the court requires a repleader—under Rule 12(e) or on its own initiative—a

shotgun complaint leads to a shotgun answer. Where, as here, each count incorporates every antecedent

allegation by reference, the defendant's affirmative defenses are not likely to respond to a particular cause of
action but, instead, to the complaint as a whole. Such disjointed pleadings make it difficult, if not impossible,

to set the boundaries for discovery. Hence, discovery disputes are inevitable.103 Resolving them can be

time-consuming. If the court does not intervene and require the parties to narrow the issues, the discovery
disputes continue unabated—until a motion for summary judgment or a pretrial conference brings them to
a halt. At that point, the court is confronted with the time-consuming tasks it avoided earlier—rearranging

the pleadings and discerning whether the plaintiff has stated a claim, or claims, for relief, and whether the
defendant's affirmative defenses are legally sufficient.104 If the court performs these tasks, it will have to
strike all of the allegations of the complaint and answer that are insufficient, immaterial, or impertinent105—so
that, when the tasks are finished, the complaint consists of a "short and plain statement of the claim," or

claims, for relief, and the answer states "in short and plain terms the [defendant]'s defenses to each claim
asserted." Fed.R.Civ.P. 8(a) and (b).106

Unfortunately, many district judges opt to do nothing; they simply let the case proceed to trial on
the pleadings as they stand. They do so for two reasons. First, given a day-certain trial date, the case may

settle. Second, narrowing the issues by effectively rearranging the pleadings in the style required by Rules

103
Lawyers being compensated by the hour may have little incentive to curb the use of shotgun
pleadings and the discovery disputes that inevitably result.
104
In short, the court must do what the litigants have not done as required by Rules 8 and 10(b) of the
Federal Rules of Civil Procedure.
105
Fed.R.Civ.P. 12(f), which is a codification of part of the district court's inherent power to manage
pending litigation, states, in pertinent part: "[u]pon the court's own initiative at any time, the court may
order stricken from any pleading any insufficient defense or any redundant, immaterial, impertinent, or
scandalous matter."
106
It is obvious that the "judicial work that results from shotgun pleadings is far more time consuming
than the work required up front to prevent the case from proceeding beyond the pleadings until the issues
are reasonably well defined." Johnson Enter. v. FPL Group, Inc., 162 F.3d 1290, 1333 (11th Cir.1998).
8 and 10, and then striking the insufficient claims and defenses, may render superfluous much of the parties'
discovery. If that happens, the judge is effectively reversing his earlier, albeit tacit, position that the pleadings

were legally sufficient, and saying to the parties: "You have needlessly expended time and money, and I

allowed it." Consequently, it is unlikely that the issues will be narrowed to the point that only the meritorious
claims and defenses remain. If the case does not settle, it proceeds to trial with the issues unnarrowed. There,

the potential for error—and an unjust result and a subsequent appeal—is considerable.

Litigating a case framed by shotgun pleadings obviously harms one or both of the parties.107 Why,

then, would a lawyer engage in shotgun pleading? Plaintiffs file shotgun complaints and include frivolous
claims to extort the settlement of a meritorious claim; worse yet, they file shotgun complaints to extort the

settlement of unmeritorious claims, as demonstrated in this case. Extortion cuts both ways. Depending on

his financial resources, a defendant may use a shotgun answer to obtain a settlement that waters down a
meritorious claim. In either situation, the extorted settlement provides a financial benefit to the "prevailing"
party and a windfall in the form of fees for the "prevailing" lawyer.108

In addition to watering down the rights of the parties to have valid claims litigated
efficiently—whether the plaintiff's or the defendant's—shotgun pleadings wreak havoc on the judicial system.

Cases framed by shotgun pleadings consume an inordinate amount of a court's time. As a result, justice is
delayed, if not denied, for litigants who are standing in the queue waiting to be heard. Their impression of
the court's ability to take care of its business can hardly be favorable. As the public becomes aware of the

harm suffered by the victims of shotgun pleading, it, too, cannot help but lose respect for the system.
Moreover, the consequence of a trial court's inability, or apparent unwillingness, to halt the use of shotgun
pleadings may prompt parties to turn to non-judicial forums to resolve their disputes.109

Shotgun pleadings, if tolerated, harm the court by impeding its ability to administer justice. The time

107
In a case framed by shotgun pleadings, the transaction costs are disproportionately high. Such
costs may cause the plaintiff or the defendant to settle an open and shut claim or defense, thereby
watering down the litigant's rights. And, if the case proceeds to trial without a careful delineation of the
issues, the potential for an unjust result is heightened, further diluting the litigant's rights.
108
It goes without saying that a plaintiff with a solid case does not need to file a shotgun complaint.
By the same token, a defendant with a strong defense need not file a shotgun answer.
109
Another consequence of judicial tolerance of shotgun pleadings is that the transaction costs
generated by such pleadings may effectively close the court house doors to some citizens whose rights
can be enforced only in a United States district court.
a court spends managing litigation framed by shotgun pleadings should be devoted to other cases waiting to
be heard. "[W]ast[ing] scarce judicial and parajudicial resources ... impedes the due administration of justice"

and, in a very real sense, amounts to obstruction of justice. United States v. Silverman, 745 F.2d 1386,1395

(11th Cir.1984). See also United States v. Essex, 407 F.2d 214, 218 (6th Cir.1969). Although obstruction

of justice is typically discussed in the context of criminal contempt, the concept informs the rules of
law—both substantive and procedural—that have been devised to protect the courts and litigants (and

therefore the public) from abusive litigation tactics, like shotgun pleadings.110 If use of an abusive tactic is

110
From the time they were established, Article III courts have had an assortment of "inherent
powers," all derived from the common law. While never specified in the Constitution or legislative
enactments, these powers assisted courts in exercising their enumerated judicial powers, such as
managing their cases and courtrooms. See United States v. Kouri-Perez, 187 F.3d 1, 7 (1st Cir.1999).
"These implicit powers include the judicial authority to sanction counsel for litigation abuses which
threaten to ... disrupt its efficient management of the proceedings. Chambers, 501 U.S. 32, 43, 111 S.Ct.
2123, 2132, 115 L.Ed.2d 27 (1990) (noting that inherent district court powers include the authority to
'control admission to its bar and to discipline attorneys who appear before it'); Roadway Express, Inc. v.
Piper, 447 U.S. 752, 766, 100 S.Ct. 2455, 65 L.Ed.2d 488 (1980) ('The power of a court over members of
its bar is at least as great as its authority over litigants.')." Id.

Some of these inherent powers are made explicit by the enactment of procedural,
disciplinary, and ethical rules. Id. For instance, 18 U.S.C. § 401 codified a court's implicit power
to hold litigants in criminal contempt: "[a] court ... shall have power to punish by fine or
imprisonment, at its discretion, such contempt of its authority, and none other, as—(1)
Misbehavior of any person in its presence or so near thereto as to obstruct the administration of
justice; ... (3) Disobedience or resistance to its lawful writ, process, order, rule, decree, or
command." 28 U.S.C. § 1927 authorizes the imposition of costs and fees upon counsel "who so
multiplies the proceedings in any case unreasonably and vexatiously." Likewise, the Federal
Rules of Civil Procedure include provisions authorizing courts to punish counsel for abuse in
pleading and discovery. For instance, the following rules provide for the imposition of attorney's
fees as a sanction: Fed.R.Civ.P. 11 (certification requirement for papers), 16(f) (pretrial
conferences), 26(g) (certification requirement for discovery requests), 30(g) (oral deposition), 37
(sanctions for failure to cooperate with discovery), 56(g) (affidavits accompanying summary
judgment motions). See also Chambers v. NASCO, Inc., 501 U.S. 32, 42 n. 8, 111 S.Ct. 2123,
115 L.Ed.2d 27 (1990). Although they differ by context, sanctioning mechanisms are similar in
that they are all rooted in the same basic goals—protecting the court and the public from
litigation which impedes the administration of justice.

Besides being aimed at redressing obstruction of justice, sanctioning mechanisms are also
similar in that

[i]n each instance, the sanctions are punitive in nature, see Horn, 29 F.3d at 765
n. 13 ("[C]ontempt ... continues to serve essentially 'the same purpose' as do
sanctions imposed under the supervisory power.") (citation omitted), in that the
court intends to penalize counsel for an earlier failure to conform to some
threshold of professional conduct imposed by court order, statute or rule. See,
e.g., Peterson v. BMI Refractories, 124 F.3d 1386, 1395 (11th Cir.1997) (noting
that 28 U.S.C. § 1927 is "penal in nature"); Cooper v. Salomon Bros., 1 F.3d 82,
85 (2d Cir.1993) ("Rule 11 sanctions are often punitive or aimed at deterrence.");
Hamilton v. Ford Motor Co., 636 F.2d 745, 747 (D.C.Cir.1980) ("The principal
purpose of Rule 37(b) is punitive, not compensatory.").
deliberate and actually impedes the orderly litigation of the case,111 to-wit: obstructs justice, the perpetrator
could be cited for criminal contempt.112
C.

As the district court stated in its February 23, 1998 order granting the defendants' motions for
sanctions, the plaintiff and her lawyers "abused the judicial process" when they invoked the court's

jurisdiction for the purposes of extorting a settlement from the defendants and, in the process, ruining the

Nezhats' professional reputations. The defendants, of course, were aware of these purposes from the outset;
the Nezhats, in particular, had been suffering the same abuse in Mullen's state court lawsuit. Unsure of what

course to take to bring an end to the litigation, and thus the abuse, the defendants' lawyers turned to the court.

After answering the plaintiff's complaint, they wrote a letter to the court describing their plight and suggesting
that the court consider allowing them to conduct Rule 11 discovery to determine whether Byrne had
conducted a pre-filing "inquiry reasonable under the circumstances" into the facts of the case, as required by

Rule 11(b). In pursuing this course, defense counsel chose not to employ the tools provided by the Rules of
Procedure, such as Rules 12(e) and (f), for stripping a complaint of bogus claims and scandalous allegations.
The court, in turn, allowed itself to be guided by counsels' suggestion and similarly chose to allow the

shotgun pleading to stand. Foregoing use of the tools provided by the Rules, the court granted the defendants

Id. In short, rules and procedures designed to redress obstruction of justice are "designed not only
to protect participants in judicial proceedings but also to prevent miscarriages of justice." United
States v. Walasek, 527 F.2d 676, 680 (3d Cir.1975).
111
We note that to convict a person of criminal contempt, it is not necessary to establish "that the
defendant harbored the specific purpose of obstructing the due administration of justice; all [that] has to
[be] establish[ed] is that the defendant should have reasonably forseen that the natural and probable
consequences of the success of his scheme would achieve precisely that result." Silverman, 745 F.2d at
1393. "An ordinary lawyer engaging in the conduct [the defendant] was charged with here would know
[what] would come to pass [and that these consequences] would adversely impinge upon the due
administration of justice." Id. at 1395.
112
"In considering appropriate sanctions for attorney misconduct, the district court has an array of
options, ranging from criminal contempt to non-contempt measures." Kouri-Perez, 187 F.3d at 8 (citing
Eash v. Riggins Trucking, Inc., 757 F.2d 557, 564 (3d Cir.1985) (noting that district judges have "a[ ]
wide range of tools to promote efficiency in their courtrooms")). See note 115 (discussing procedural,
disciplinary, and ethical rules, such as 18 U.S.C. § 401, 28 U.S.C. § 1927, Fed.R.Civ.P. 11, 16, 26, 30,
37, and 56, which codify aspects of the court's inherent power to address litigation abuses). Because its
potency necessitates that it be used with restraint and discretion, there are often "sound grounds for not
invoking the court's criminal-contempt power." Kouri-Perez, 187 F.3d at 8. "[T]here is much to be said
for deploying the least extreme sanction reasonably calculated to achieve the appropriate punitive and
deterrent purposes." Id. "[T]he criminal contempt power is to be reserved for conduct that bespeaks of
criminal mens rea (i.e., intentional or reckless conduct) and has been proven beyond a reasonable doubt,
whereas non-contempt sanctions usually suffice in circumstances involving 'less culpable states of mind.'
" Id.
leave to discover whether Byrne had investigated the factual underpinnings of his claims as required by Rule
11.

D.

The importance of using the Rules to uncover bogus claims and defenses, thereby reducing the

parties' dispute to its bare essentials, cannot be overemphasized. As we have stated on several occasions over

the past twelve years, if, in the face of a shotgun complaint, the defendant does not move the district court

to require a more definite statement, the court, in the exercise of its inherent power, must intervene sua sponte

and order a repleader.113 Implicit in such instruction is the notion that if the plaintiff fails to comply with the
court's order—by filing a repleader with the same deficiency—the court should strike his pleading or,
depending on the circumstances, dismiss his case and consider the imposition of monetary sanctions.114
District court intervention in this fashion accomplishes several objectives. First, it conserves judicial
and parajudicial resources and thereby benefits litigants standing in the queue waiting to be heard.115 Second,

it curtails the need for satellite litigation under Rule 11, 28 U.S.C. § 1927, or the court's inherent power.

113
Discharging this duty ensures that the issues get defined at the earliest stages of litigation. The
district court "should [strike] the complaint[ ] and instruct[ ] counsel to replead the[ ] case[ ]—if counsel
could in good faith make the representations required by Fed.R.Civ.P. 11(b)." Cramer v. Florida, 117
F.3d 1258, 1263 (11th Cir.1997) citing Ebrahimi v. City of Huntsville Bd. of Ed., 114 F.3d 162 (11th
Cir.1997) (per curiam); Cesnik v. Edgewood Baptist Church, 88 F.3d 902, 905 (11th Cir.1996);
Anderson v. Dist. Bd. of Trs. of Cent. Fla. Cmty. Coll., 77 F.3d 364, 366-67 (11th Cir.1996); Pelletier v.
Zweifel, 921 F.2d 1465, 1517-18 (11th Cir.1991); Fullman v. Graddick, 739 F.2d 553, 557 (11th
Cir.1984).
114
The same duty to intervene sua sponte applies whether the court is faced with a shotgun complaint
or a shotgun answer.
115
In Malguta v. Samples, No. 00-12540 (11th Cir. July 13, 2001), a panel of this court reviewed a
case exemplifying the waste of judicial resources shotgun pleadings are capable of producing. Because
the litigation and subsequent district court order dismissing the complaint pursuant to Fed.R.Civ.P.
12(b)(6) were spawned by a shotgun complaint, the panel declined to parse through the incoherent
complaint to determine whether it stated a claim for relief. Instead, taking its lead from our decision in
Cesnik v. Edgewood Baptist Church, 88 F.3d 902, 910 (11th Cir.1996), the panel vacated the judgment
and remanded the case to the district court with the instruction that it strike the complaint and require the
plaintiff to replead his case. The panel explained: "[w]e are unwilling to address and decide serious
constitutional issues on the basis of this complaint.... [T]oleration of complaints such as this one 'does
great disservice to the administration of civil justice' " (citing Johnson Enter. v. FPL Group, Inc., 162
F.3d 1290, 1332 (11th Cir.1998)).
After hearing oral argument and wading through the voluminous record in this case, our
first thought was to return the case to the district court and instruct it to narrow the issues by
ordering the plaintiff to redraft the complaint so that it conformed with the pleading requirements
of Fed.R.Civ.P. 8 and 10. However, given the vast resources the parties and the district court had
invested in the case thus far, as well as the need to bring this bitter controversy to an end, we
opted to perform this narrowing exercise ourselves and conclude this torturous case.
Third, it minimizes counsel's and his client's exposure to a criminal contempt citation. Fourth, it limits the

potential for post-litigation tort actions for abuse of process or malicious prosecution.116 Fifth, early sua

sponte intervention—coupled with the imposition of punitive measures when the use of abusive litigation

tactics is deliberate—operates as both a specific and a general deterrent. And, finally, early sua sponte

intervention will ensure public confidence in the court's ability to administer civil justice.

V.
For the reasons we have stated, the imposition of monetary sanctions against Byrne is AFFIRMED;

the court's dismissal of the claims against Northside and the claims against the Nezhats and the Center (except

Count I which Manov voluntarily dismissed) is AFFIRMED; and the imposition of monetary sanctions

against Manov is VACATED.
SO ORDERED.

116
A district judge who tolerates shotgun pleading effectively leaves to the tort law the job of
redressing the abuse. A suit for abuse of process or malicious prosecution may compensate the injured
party. The tort law is not aimed, however, at redressing the injury to the court and the judicial system as a
whole. While successful completion of a meritorious abuse of process or malicious prosecution claim is
predicated on the misuse of the judicial system, these torts only vindicate the court's integrity indirectly.
As such, they should not be viewed as a viable alternative to the court's inherent power or ability to
impose sanctions under Rule 11. Unlike the tort law, these tools are aimed directly at redressing the harm
suffered by the judicial system.