Legal Research AI

Daigle v. Maine Medical Center, Inc.

Court: Court of Appeals for the First Circuit
Date filed: 1994-01-31
Citations: 14 F.3d 684
Copy Citations
107 Citing Cases
Combined Opinion
                  UNITED STATES COURT OF APPEALS
                      FOR THE FIRST CIRCUIT

                                             

No. 93-1470

                           DAWN DAIGLE,

                      Plaintiff, Appellant,

                                v.

                   MAINE MEDICAL CENTER, INC.,

                       Defendant, Appellee.

                                             

           APPEAL FROM THE UNITED STATES DISTRICT COURT

                FOR THE DISTRICT OF NEW HAMPSHIRE

         [Hon. Joseph A. DiClerico, U.S. District Judge]
                                                       

                                             

                              Before

                      Selya, Circuit Judge,
                                          

                  Coffin, Senior Circuit Judge,
                                              

                     and Cyr, Circuit Judge.
                                           

                                             

     Christine  M. Rockefeller, with whom  Paul R. Cox and Burns,
                                                                 
Bryant,  Hinchey,  Cox  &  Schulte,   P.A.  were  on  brief,  for
                                          
plaintiff.
     Gerald  F. Petruccelli, with whom Mary Mitchell Friedman and
                                                             
Petruccelli & Martin were on brief, for defendant.
                    

                                             

                         January 31, 1994
                                             

          SELYA, Circuit  Judge.  This  appeal seeks to  test the
          SELYA, Circuit  Judge.
                               

constitutionality  of Maine's Health Security Act, Me. Rev. Stat.

Ann.  tit. 24,     2851-2859  (West 1990)  (the Health  Act), the

mechanics   of  its  application  in  diversity  suits,  and  the

appropriateness of  sundry  evidentiary rulings  made during  the

course of trial in the district court.  After assembling the test

results, we affirm.

                                I.
                                  

                            Background
                                      

          On or  about April 9,  1987, while in  her thirty-first

week  of  pregnancy,  plaintiff-appellant  Dawn   Daigle,  a  New

Hampshire resident, developed symptoms associated with pregnancy-

induced hypertension.   She sought treatment at  Frisbie Memorial

Hospital, Rochester,  New Hampshire.    There, Daigle's  treating

obstetrician  advised her that she required an immediate cesarean

section.    Because  Frisbie Memorial  Hospital  maintained  only

rudimentary neonatal facilities, the obstetrician suggested  that

the surgery be performed at a tertiary-care hospital.

          Following  her  doctor's suggestion,  Daigle  presented

herself at Maine Medical Center  (MMC) in the early morning hours

of  April 10,  1987.   Examination  confirmed her  obstetrician's

diagnosis  and hospital  personnel  prepared  her  for  immediate

surgery.  The preparations did not go smoothly:  while a catheter

was  being  inserted  into  the  jugular vein  to  monitor  blood

pressure  and  provide access  to  medications,  Daigle's carotid

artery was punctured.   A hematoma then formed  in Daigle's neck,

                                2

deviating her trachea.   Consequently, although the  delivery was

otherwise  successful, the  attending physicians  were forced  to

intubate Daigle while she was fully awake.  Daigle was discharged

from the hospital on April 17, 1987.

                               II.
                                  

                          The Health Act
                                        

          Because many of  the arguments on appeal relate  to the

Health Act, we offer an overview of the statutory scheme.

          The Maine legislature passed the Health Act in response

to an emergent crisis that threatened the availability of medical

malpractice insurance.   The legislature designed the  Health Act

in an  effort to  stem the  proliferation of medical  malpractice

litigation,  weed out  nonmeritorious  claims, and  promote early

settlement of meritorious  claims.  See Me. Rev.  Stat. Ann. tit.
                                       

24,   2851(1)(A)  & (B); see also  Sullivan v. Johnson,  628 A.2d
                                                      

653, 655-56 (Me. 1993).   By its terms, the Act  requires parties

to submit medical malpractice claims to a prelitigation screening

panel as a condition precedent to court access, unless both sides

agree to bypass the panel hearing.  See Me. Rev. Stat.  Ann. tit.
                                       

24,   2853.   Each screening panel  is composed of a  person with

judicial experience (such  as a retired jurist), an attorney, and

either  one or two  health care  professionals, depending  on the

circumstances of the particular case.  See id.   2852(2).
                                              

          A screening panel is  authorized to conduct evidentiary

hearings and  render a decision.  See id.     2854-2855.  A party
                                         

who submits to the screening  process is entitled to proceed with

                                3

her  court   case  regardless  of   the  outcome  of   the  panel

deliberations.   See id.    2858.   Withal, the  panel's findings
                        

(the  Findings)   are  admissible   as  evidence   in  subsequent

litigation if they  are unanimous.  See id.  When admissible, the
                                           

Findings  are to  be  introduced "without  explanation."   Id.   
                                                              

2857(1)(B).

                               III.
                                   

                        Proceedings Below
                                         

          On June 28,  1988 Daigle sued MMC in  the United States

District  Court for  the  District of  New  Hampshire.   Invoking

diversity jurisdiction, see 28 U.S.C.   1332 (1988),  she alleged
                           

negligence relating  to  treatment rendered  during her  hospital

stay.  MMC challenged the court's in  personam jurisdiction, and,
                                              

failing  in  its   jurisdictional  objection,  defended   on  the

merits.1

          In due season, the district court determined that Maine

law applied to Daigle's suit  and that, therefore, the Health Act

pertained.   Under  the compulsion of  that ruling,  Daigle first

presented  her  case  to a  prelitigation  screening  panel which

consisted  of a retired jurist, two  physicians, and an attorney.

After  an  evidentiary  hearing,  the  panel  found  no  acts  of

negligence  attributable either to  MMC or to  Daigle's attending

                    

     1MMC has  cross-appealed from the  denial of  its motion  to
dismiss.   Given our  disposition of Daigle's  appeal, see infra,
                                                                
nothing  turns on  the cross-appeal.    Hence, we  dismiss it  by
separate order.   Cf.  Feinstein v.  Resolution Trust  Corp., 942
                                                            
F.2d 34, 40-41 (1st Cir. 1991). 

                                4

physicians at MMC,viz., Dr. Constance Taylor andDr. David Bryce.2
                      

          Notwithstanding  the panel's  adverse decision,  Daigle

decided to go forward.  At trial, the district court,  noting the

panel's unanimity,  allowed the  Findings to  be introduced  into

evidence.   Thereafter,  Daigle attempted  to  impeach the  panel

proceedings,  but  to   no  avail;  the  court   sustained  MMC's

objections.  The jury  returned a verdict in MMC's favor on March

10, 1993.  Daigle moved  unsuccessfully for a new trial and  then

appealed.  We have jurisdiction under 28 U.S.C.   1291 (1988).

                               IV.
                                  

                            Discussion
                                      

                                A.
                                  

                  The Constitutional Challenges
                                               

          Appellant's  main   offensive  comprises   a  host   of

challenges  to  the constitutionality  of  the Health  Act.   She

asserts,  inter alia,  that the  statute  violates principles  of
                    

equal protection and due process, and also impermissibly abridges

her right to  trial by jury.  Despite  this asseverational array,

the constitutional sortie need not occupy us for long.

          The short  of the matter  is that  appellant failed  to

raise    these   claims    or   otherwise   to    challenge   the

constitutionality of the  Health Act in the district  court.  Our

law is  clear that  a party  ordinarily may not  raise on  appeal

issues  that were not seasonably advanced (and, hence, preserved)

                    

     2Although Daigle did not sue  either Dr. Taylor or Dr. Bryce
in the federal court, she later sued them in a Maine state court.
That suit is still pending.

                                5

below.   See, e.g., United States v. Slade,  980 F.2d 27, 30 (1st
                                          

Cir. 1993); Clauson  v. Smith, 823 F.2d 660, 666  (1st Cir. 1987)
                             

(collecting  cases).  The  raise-or-waive rule applies  with full

force  to constitutional challenges.   See  Cohen v.  President &
                                                                 

Fellows of  Harvard Coll., 729  F.2d 59, 60-61 (1st  Cir.), cert.
                                                                 

denied, 469 U.S. 874 (1984).
      

          To  be sure,  the raise-or-waive  rule  is not  totally

inelastic; there  are exceptions to  it, but, for the  most part,

the exceptions  are narrowly configured and  sparingly dispensed.

We will,  for example,  relax the  rule upon  a showing  of plain

error, see  United States  v. Griffin, 818  F.2d 97,  99-100 (1st
                                     

Cir.),  cert.  denied,  484  U.S.  844  (1987),  but  appellant's
                     

constitutional claims do not qualify for such  treatment.  "Plain

error" requires the proponent to  show that softening the rule is

necessary to prevent  a clear miscarriage of justice,  see id. at
                                                              

100, and the "errors" assigned here are, in all events, likely to

prove a losing  proposition.3  We can  also relax the rule  in an

"exceptional case,"  United States v. La Guardia,  902 F.2d 1010,
                                                

1013 (1st Cir. 1990), but we invoke that  exception only when, at

a bare minimum, the omitted  ground is so compelling as virtually

                    

     3At  initial  blush,   none  of  appellant's  constitutional
contentions are convincing.   With respect to her  claim that the
Health  Act violates equal  protection in requiring  only medical
malpractice claimants to submit to screening before proceeding to
trial, we believe  that the statute is rationally  related to the
legitimate   legislative   goal   of   containing   the    sudden
proliferation of  medical malpractice  litigation.   See Houk  v.
                                                             
Furman, 613  F. Supp. 1022,  1030-33 (D. Me. 1985).   Appellant's
      
due process and  Seventh Amendment claims appear to  be even more
severely flawed.

                                6

to  ensure an  appellant's success.   See Slade, 980  F.2d at 31.
                                               

Obviously, Daigle cannot clear this hurdle.  See supra note 3.
                                                      

          We  hold,  therefore, that  appellant's  constitutional

claims are procedurally defaulted.4

                                B.
                                  

                    The Section 2857 Challenge
                                              

          Next,  appellant  launches  a barrage  of  interrelated

reasons  aimed  at  showing  why the  district  court  erred,  on

evidentiary  grounds, in  admitting the  Findings into  evidence.

These theories do not withstand scrutiny.

          1.    The  Meaning of  "Without  Explanation".   First,
          1.    The  Meaning of  "Without  Explanation".
                                                       

appellant claims that  the district court erred in giving literal

effect  to the Health  Act, which  provides that  unanimous panel

decisions, i.e.,  Findings, may be  admitted into evidence  at an
               

ensuing trial "without  explanation."  Me.  Rev. Stat. Ann.  tit.

24,   2857.  The district court interpreted "without explanation"

as preventing either side from eliciting testimony concerning the

circumstances of, and deliberative process at, the panel hearing,

but as  permitting counsel  for the parties  to comment  upon the

                    

     4In  connection with these claims, appellant also presses an
argument that the panel as constituted was biased, resulting in a
fundamentally  unfair hearing and,  hence, in a  violation of her
due  process rights.   Unlike  her  other constitutional  claims,
appellant successfully  preserved this issue for review.  But the
bottom  line remains unchanged.   Assuming, for  argument's sake,
that   the  district  court  possessed  the  power  to  entertain
appellant's objection to the panel's  supposed bias   a matter on
which we do not opine   our perscrutation of the record persuades
us,  beyond serious  question, that  the district  court  did not
abuse its discretion  in denying appellant's motion  to set aside
the Findings and order a fresh start.

                                7

Findings  in   opening  statements   and  closing  arguments   (a

prerogative  which MMC desired  and which appellant  would sooner

have seen by the wayside).

          In  arguing  that   this  protocol  constitutes  error,

appellant  is whistling  past  the graveyard.    Her position  is

entirely undone by the recent opinion in Sullivan v. Johnson, 628
                                                            

A.2d 653  (Me. 1993),  a case in  which Maine's  Supreme Judicial

Court interpreted "without explanation"  in precisely the  manner

that the district judge anticipated.  The Sullivan court  elected
                                                  

to read the  statute "as a whole with a  view toward effectuating

the Legislature's purpose of encouraging  pre-trial resolution of

these claims."  Id. at  655-56.  Proceeding in this  fashion, the
                   

court found that because the "Legislature's intent [was] to force

final disposition  of .  . . claims  [that the  panel unanimously

determines to be  without merit] short  of trial," the  statutory

language only barred  "explanation of the panel  deliberations or

proceedings."  Id. at 656.  In that vein, the court  specifically
                  

held that  "it is  permissible for the  [parties] to  utilize [in

opening statements and-or closing arguments] the admissible panel

findings  as they would any other  piece of admissible evidence."

Id.
   

          A federal court sitting  in diversity jurisdiction  and

called upon in that role  to apply state law is  absolutely bound

by a current interpretation of that law formulated by the state's

highest tribunal.  See Commissioner  v. Estate of Bosch, 387 U.S.
                                                       

456,  464-65 (1967).   So  it  is here.   Sullivan  categorically
                                                  

                                8

disposes of appellant's plaint.

          2.  The Erie Initiative.  Appellant also  contends that
          2.  The Erie Initiative.
                                 

the lower  court erred, as  a matter of federal  evidentiary law,

both in admitting the Findings  into evidence and in  foreclosing

an  opportunity for impeachment.   Though  recondite, appellant's

theory appears  to be  that section 2857  is a  state evidentiary

rule and, as such, must give way to the Federal Rules of Evidence

in a diversity  suit.  See Fed. R. Evid. 101 (explaining that the
                          

federal Evidence  Rules "govern proceedings" in  federal courts);

see  also Erie  R.R. Co.  v. Tompkins,  304 U.S.  64, 78  (1938).
                                     

Since the panel's determination is hearsay, this thesis goes, the

district court bumbled  in not requiring MMC first to demonstrate

an applicable exclusion or exception to the hearsay rule in order

to justify admission of  the evidence.  And, moreover,  appellant

remonstrates, even  if the  Findings were appropriately  admitted

into  evidence,  she had  a right,  under Fed.  R. Evid.  806, to

impeach the panelists' credibility.5

          The fatal weakness  in appellant's construct lies  with

her premise that the Health Act's evidentiary strictures are mere

procedural  rules.   Authoritative  case  law  makes  clear  that

federal courts sitting in diversity jurisdiction are obligated to

                    

     5Fed. R. Evid. 806 provides in pertinent part:

               When  a hearsay statement . . . has been
          admitted in evidence, the credibility of  the
          declarant  may be  attacked, and  if attacked
          may be supported, by any evidence which would
          be admissible for those purposes if declarant
          had testified as a witness.

                                9

apply  state law unless  applicable federal procedural  rules are

sufficiently  broad  to  control a  particular  issue  before the

court.    See Walker  v.  Armco Steel  Corp.,  446 U.S.  740, 749
                                            

(1980); Hanna v. Plumer, 380 U.S.  460, 470-71 (1965).  In  Armco
                                                                 

Steel, for example, the  Supreme Court upheld the application  of
     

Oklahoma's  tolling statute,  which  required actual  service  of

process, in  lieu of  Fed. R. Civ.  P. 3,  which provided  that a

civil action  could be commenced  by filing a complaint  with the

court.  See Armco Steel, 446 U.S. at 742-44.  The Court noted the
                       

state's policy interest  in enforcing its statute  of limitations

and in deferring tolling until a defendant had actual notice of a

suit.   See id. at 751.   On this basis,  the Court reasoned that
               

the Oklahoma statute was a  "statement of a substantive  decision

by  that  state,"  forming an  "'integral'  part  of  the several

policies served by  the statute of limitations."   Id. at 751-52.
                                                      

The Court concluded that "[federal]  Rule 3 does not replace such

policy determinations," but,  rather, exists "side by  side" with

the state  statute, "each controlling its own  intended sphere of

coverage without conflict."  Id. at 752.
                                

          The evidentiary  provisions of Maine's  Health Act  are

similarly bound up with the state's substantive decision making -

in   this  instance,  the  state's  choice  to  encourage  early,

inexpensive  resolution  of  medical   malpractice  claims.    As

observed by  Maine's highest  court in  Sullivan, directing  that
                                                

unanimous  Findings be  admitted  "without explanation,"  thereby

circumventing a replay of the screening proceeding, is a rational

                                10

means of ensuring that panel proceedings will not become merely a

dress rehearsal, but  will serve to encourage  final dispositions

without the need for jury trials.  See Sullivan, 628 A.2d at 656.
                                               

Since   the   federal  Evidence   Rules  governing   hearsay  and

impeachment do  not seek to  displace the Health Act's  policy of

limiting frivolous malpractice  suits, the federal rules  and the

state statute can  peacefully coexist, each operating  within its

own sphere of influence. 

          In short,  we see  no conflict.   Indeed, a  refusal to

give  effect to  the Health  Act's  evidentiary provisions  would

disserve Erie  principles by  undercutting Erie's  twin goals  of
                                               

discouraging   forum   shopping   and   eliminating   inequitable

administration of the law as  between federal and state  courts.6

See Hanna, 380 U.S. at 468; see also Armco Steel, 446 U.S. at 751
                                                

(explaining   that   a   federal  court   sitting   in  diversity

jurisdiction  ordinarily  should  give   effect  to  the  state's

"substantive decision[s]").

          3.  Form  of Presentation.  Appellant's  last objection
          3.  Form  of Presentation.
                                   

to the Findings  centers on the form  of the proffer.   She avers

that  the district court  committed reversible error  in allowing

                    

     6We  note in  passing  that, Erie  principles  to one  side,
                                      
admitting the Findings  into evidence does not  seem inconsistent
with the Evidence Rules.  Since, by statute, screening panels are
administered through  the superior court, admitting  the Findings
is analogous  to allowing into  evidence the report of  a master,
Fed. R. Civ. P. 53, or the  reports of public offices or agencies
setting forth factual findings resulting from investigations made
pursuant to  law, Fed. R. Evid. 803(8)(c),  or giving effect to a
presumption respecting a  fact integral to a claim  or defense as
to which state law supplies the  rule of decision, Fed. R.  Evid.
302.

                                11

the  Findings,  in  written  form,   to  be  introduced  as  full

exhibits.7  Although appellant  never articulates the theoretical

basis for  the objection,  her central  point is apparently  that

admitting the writings  themselves, rather than merely  eliciting

testimony recounting the  Findings, violated Fed. R.  Evid. 403.8

This argument is unavailing.

          District courts  possess wide  latitude  in striking  a

balance   under  Rule  403   between  the  probative   force  and

prejudicial impact of relevant evidence.  See Onujiogu v.  United
                                                                 

States, 817 F.2d 3, 6 (1st  Cir. 1987) (collecting cases).  "Only
      

rarely   and  in extraordinarily compelling circumstances    will

we, from the vista of a cold appellate record, reverse a district

court's on-the-spot judgment concerning the relative weighing  of

probative  value and  unfair effect."   Freeman v.  Package Mach.
                                                                 

Co., 865 F.2d 1331,  1340 (1st Cir. 1988).  The test  is abuse of
   

discretion, see, e.g.,  Doty v. Sewall, 908 F.2d  1053, 1058 (1st
                                      

Cir. 1990), and we find no hint of abuse in this situation.

          Given the issues in the case, the Findings were  highly

relevant.    The  district  court,  recognizing   the  evidence's

                    

     7The panel  made separate  written Findings  as to MMC,  Dr.
Taylor, and Dr. Bryce.  MMC proffered all three documents.

     8Fed. R. Evid. 403 provides in pertinent part:

               Although  relevant,   evidence  may   be
          excluded   if   its    probative   value   is
          substantially  outweighed  by the  danger  of
          unfair prejudice, confusion of the issues, or
          misleading the jury, or  by considerations of
          undue  delay,  waste  of  time,  or  needless
          presentation of cumulative evidence.

                                12

capacity  for  prejudice,  handled  it  gingerly,  redacting  the

proffered exhibits  by removing the  official seal  of the  state

superior court and  the court caption.  Moreover,  the court gave

an   appropriate  cautionary  instruction   to  the  jury      an

instruction  to which appellant  did not contemporaneously object

and to  which she  does not  now assign  error.   And, because  a

screening panel's findings  do not have independent  legal effect

outside the  paper on which  they are recorded, admitting  a duly

authenticated  writing  pays  appropriate  tribute  to  the  best

evidence rule.  See Fed. R.  Evid. 1002; see also R & R  Assocs.,
                                                                 

Inc. v. Visual Scene, Inc., 726 F.2d 36, 38 (1st Cir. 1984).
                          

          On  a related topic,  appellant also protests  that the

court transgressed Rule 403 when it allowed MMC to introduce into

evidence  the Findings  that concerned  Dr. Bryce and  Dr. Taylor

(neither of whom was a defendant in the federal suit).  We do not

think  that  this ruling  constituted  an  abuse  of the  court's

discretion.   Inasmuch as  appellant's case against  MMC included

theories of vicarious  liability, the acts  and omissions of  the

two physicians   MMC's agents   were called into direct question,

making the  disputed evidence  squarely relevant  to the  federal

proceedings.

          We  will not paint the lily.   All evidence is meant to

be  prejudicial; elsewise,  the proponent  would  be unlikely  to

offer  it.   It is  a  necessary corollary  of this  conventional

wisdom that evidence cannot be  kept from the jury merely because

it hurts  a party's  chances.   See Freeman,  865  F.2d at  1339;
                                           

                                13

Onujiogu,  817 F.2d at  6.  The  element that triggers  a need to
        

exclude  evidence under  Rule  403 is  not prejudice,  but unfair
                                                                 

prejudice.  See United States v. Rodriguez-Estrada, 877 F.2d 153,
                                                  

156 (1st Cir. 1989).  No such unfairness lurks in this record.

                                C.
                                  

                          The Deposition
                                        

          Appellant's  final  foray  is   a  two-pronged  assault

directed  against  the  district court's  ruling  permitting  Dr.

Bryce's  deposition testimony  to  be  placed  before  the  jury.

First, appellant argues that MMC failed to establish the doctor's

unavailability.   Second, she maintains that the testimony should

have been  excluded because the deposition was incomplete.  These

incursions lack force.  

          1.    Unavailability.    The  Civil  Rules  provide  in
          1.    Unavailability.
                              

relevant part that  "[t]he deposition of a  witness . . .  may be

used by any party  for any purpose if  the court finds . .  . the

witness is at a greater distance than one  hundred miles from the

place of  trial or hearing."   Fed. R.  Civ. P. 32(a)(3)(B).   In

general, the  district court  has discretion  in matters of  case

management, see, e.g., Thibeault v. Square D Corp., 960 F.2d 239,
                                                  

242  (1st Cir.  1992); In  re San  Juan  Dupont Plaza  Hotel Fire
                                                                 

Litig., 859  F.2d 1007, 1019  (1st Cir.  1988), and we  think the
      

same deference  attaches to  the court's rulings  under Rule  32.

See Oostendorp  v. Khanna,  937 F.2d 1177,  1179 (7th  Cir. 1991)
                         

                                14

(holding  that "the  decision to  admit  deposition testimony  is

within  the sound  discretion  of  the  district  court"),  cert.
                                                                 

denied, 112 S. Ct. 951 (1992); Reeg v. Shaughnessy, 570 F.2d 309,
                                                  

317 (10th Cir. 1978) (similar).   Hence, we will not disturb  the

district court's finding that a  witness is more than one hundred

miles away, or  otherwise unavailable for  trial, absent a  clear

showing of discretion misused.

          Appellant   has  not  made  such  a  showing.    Before

authorizing  resort   to  the  deposition,  the   district  court

considered  Dr. Bryce's  statement, made  during his  deposition,

that he was soon to move to Wisconsin.  The court also considered

a letter  sent by the doctor to his attorney shortly before trial

in which  he indicated he would  be unable to leave  Wisconsin in

order  to testify.   Appellant did  not then,  nor does  she now,

dispute  that  Dr. Bryce  had  relocated, and  she  concedes that

Wisconsin is more  than one hundred miles from  the New Hampshire

border.  This  one-sided record is ample to  sustain the district

court's finding that Rule 32(a)(3)(B) had been satisfied.

          Appellant's  rejoinder  is  twofold.    Initially,  she

suggests that Rule 32(a)(3)(B) requires an evidentiary showing of

unavailability.  But the rule  itself imposes no such condition  

and we  see no reason  to read such a  condition into it.   Under

ordinary circumstances, a  district court possesses the  power to

accept,  and  act upon,  a reliable  explanation of  a deponent's

                                15

whereabouts  without convening  an  evidentiary  hearing.9    See
                                                                 

Hartman v. United States, 538  F.2d 1336, 1345-46 (8th Cir. 1976)
                        

(upholding district  court's admission of deposition  solely upon

deponent's uncontradicted  statement, seven months  before trial,

that he  lived more than  one hundred miles form  the courthouse;

noting,  inter  alia, that  deponent  had no  apparent  reason to
                    

return for trial).  

          Next, appellant intimates that a witness, though at the

stated distance from  the place of trial, is  not unavailable if,

with reasonable  efforts, he might  be persuaded to attend.   But

the language  of the rule  does not permit  a court to  read this

sort  of  qualification  into  it.    Distance  is  the  decisive

criterion:   so long as  a witness is shown  to be more  than one

hundred  miles from  the  place of  trial,  the admissibility  of

deposition testimony under the  aegis of Rule 32(a)(3)(B)  is not

contingent  upon  a   showing  that  the  witness   is  otherwise

unavailable.10   See   Carey  v. Bahama  Cruise Lines,  Inc., 864
                                                            

F.2d 201, 204 n.2 (1st Cir. 1988).      

                    

     9Appellant  relies heavily  on Moore  v. Mississippi  Valley
                                                                 
State Univ., 871  F.2d 545 (5th Cir.  1989), a case in  which the
           
Fifth Circuit upheld  a district court's exclusion  of deposition
testimony  under  Rule  32(a)(3)  because  the  proffering  party
"offered nothing except  the plain assertion that  [the deponent]
was unavailable."  Id. at 552.  As recounted  above, however, the
                      
facts in the  case at hand are crucially  different.  Whereas the
attorney in Moore "made  no effort to explain the  unavailability
                 
or offer some  explanation to the trial court,"  id., MMC offered
                                                    
an uncontroverted, entirely plausible explanation.

     10There is, of  course, an exception for cases  in which "it
appears that the absence of the witness was procured by the party
offering the  deposition."   Fed. R. Civ.  P. 32(a)(3)(B).   This
case falls outside the boundaries of that exception.

                                16

          2.   Completeness.   Appellant's last  line of  fire is
          2.   Completeness.
                           

trained on the putative incompleteness of Dr. Bryce's deposition.

Before advancing  to the merits  of this assertion, we  note that

the  broad  discretionary  powers  to  manage  cases,  which  are

necessarily enjoyed by  district courts, apply to  the regulation

of discovery disputes.  See Thibeault, 960 F.2d at 242; San  Juan
                                                                 

Dupont Plaza, 859 F.2d  at 1019.  We believe that this discretion
            

extends  to   determining  whether  a  deposition  is  reasonably

complete.  Moreover,  even if it is determined  that a deposition

is not complete,  a court has the  power to allow all or  part of

the   testimony   into  evidence   if   customary   standards  of

admissibility have  been met and  if no unfairness inheres.   See
                                                                 

Lentomyynti  Oy v.  Medivac, Inc.,  997 F.2d  364, 371  (7th Cir.
                                 

1993);  see also  Fed.  R. Evid.  611  (recognizing the  district
                

court's control over "the manner in which deposition testimony is

presented"); Fed.  R. Civ.  P. 32(a) (providing  for use  of "any

part or all of a deposition, so far as admissible under the rules

of  evidence"  and  directing  the  district  court  to  consider

"fairness" if less than all of the deposition  testimony is to be

admitted). 

          In the instant case, the court made an implicit finding

that the deposition had been completed.  We think  such a finding

is supportable.   Dr.  Bryce was examined  on November  29, 1989.

The examination was suspended after a  dispute arose anent access

to two memoranda.  Appellant  thereafter filed a motion to compel

production of the memoranda, which  the court granted on July 26,

                                17

1990.   MMC  promptly complied with  the turnover order.   A fair

reading of the memoranda in  light of appellant's line of inquiry

at the deposition  suggests that her attorneys declined to resume

the  deposition because  they  did  not  perceive  that  fruitful

queries remained to be posed.

          Even  if the deposition properly could be classified as

unfinished business, we would reject the assignment of error.  In

the  first place,  the  district  court  carefully  redacted  the

deposition to  prevent any cognizable unfairness.   In the second

place,  if appellant, after receiving the memoranda, thought that

they bore on Dr. Bryce's testimony, it was incumbent  upon her to

renotice  and  resume the  deposition  at some  point  during the

nearly  three years  that intervened  between  production of  the

memoranda  and  the start  of  trial.   We  have held  in various

contexts that a  party who does  not actively pursue  perceptible

rights in the district court is at grave risk of waiver,  and may

well be barred from asserting those rights on appeal.  See, e.g.,
                                                                

Dow v. United  Bhd. of Carpenters &  Joiners, 1 F.3d 56,  61 (1st
                                            

Cir. 1993) (holding that plaintiffs  waived any right to complain

of refused discovery because, after district court declined their

initial  discovery request with leave to renew, plaintiffs failed

to make a second request); Reilly v. United States, 863 F.2d 149,
                                                  

168 (1st Cir. 1988) (finding waiver of right to challenge judge's

appointment of technical  advisor).  We see no  reason to deviate

here from  our usual  practice of denying  relief to  parties who

                                18

have slept too long upon their rights.11

Affirmed.  Costs to appellee.
                            

                    

     11This practice seems  fully compatible with Civil  Rule 32.
The rule's "general principle is to require defects in the taking
of  depositions to be pointed out  promptly on pain of waiver" so
as  to "give  the  erring  party an  opportunity  to correct  the
mistake, and to prevent waste  of time and money by  a subsequent
claim  that  a deposition  must  be  suppressed because  of  some
technical  error long  ago."   8 Charles  A. Wright  & Arthur  R.
Miller, Federal Practice and Procedure   2153, at 475 (1970); cf.
                                                                 
Fed.  R. Civ.  P. 32(d)(3)  (ordaining that  "errors of  any kind
which might be obviated, removed, or cured if promptly presented,
are waived  unless seasonable  objection thereto  is made  at the
taking of the deposition").

                                19