A20-0281 Precedential Affirmed Processed

Ola Abdelaziz, Appellant,

Minnesota Court of Appeals · Filed October 5, 2020

Opinion text

This opinion will be unpublished and
may not be cited except as provided by
Minn. Stat. § 480A.08, subd. 3 (2018).

STATE OF MINNESOTA
IN COURT OF APPEALS
A20-0281

Ola Abdelaziz,
Appellant,

vs.

Jeffrey D. Baker,
Respondent.

Filed October 5, 2020
Affirmed
Slieter, Judge

Carver County District Court
File No. 10-CV-19-51

Joel M. Anderson, White Bear Lake, Minnesota (for appellant)

Kelly A. Putney, Anuradha Chudasama, Bassford Remele, P.A., Minneapolis, Minnesota
(for respondent)

Considered and decided by Hooten, Presiding Judge; Florey, Judge; and Slieter,
Judge.
U N P U B L I S H E D O P I N I O N
SLIETER, Judge
Respondent-doctor Jeffrey D. Baker performed a bariatric weight loss procedure on
appellant Ola Abdelaziz. Because the procedure he performed was not the procedure that
she now asserts she wanted, Abdelaziz sued Baker for breach of contract and assault and
battery. The district court granted Baker’s motion for summary judgment b ecause

2
Abdelaziz signed an informed -consent form approving the procedure performed, leaving
no genuine disputes of material fact. Because Abdelaziz presented no contract to perform
a different surgery and because there can be no battery when the consent signed by
Abdelaziz approved the performed surgery, we affirm.
FACTS
Abdelaziz met with Baker in October 2016 to discuss possible bariatric weight loss
procedures. At this appointment, Abdelaziz expressed her interest in the “sleeve”
procedure and the two discussed the surgery.1 Approximately one month later, Abdelaziz
called Baker to express her interest in the “band” procedure. 2 Later, Abdelaziz met with
Baker to discuss the band procedure. After that appointment, Baker recalled that Abdelaziz
was to inform him if she wanted to switch to the band procedure but that, absent any
change, they would proceed with the sleeve procedure.3
Subsequently, Abdelaziz arrived at the medical facility for her surgery. The medical
record notes that an interpreter was present to aid Abdelaziz but that she declined this
service as her daughter agreed to interpret for her.4 Abdelaziz recalled differently, and

1 During the laparoscopic sleeve procedure, the patient’s stomach is cut and about 80% of
it is removed to reduce its size and limit the patient’s food consumption.

2 In the laparoscopic adjustable gastric band procedure, an adjustable band is placed around
the patient’s stomach to cr eate a smaller stomach pouch, which limits the patient’s food
consumption. Notably, the “sleeve” procedure is permanent and the “ band” procedure is
reversible.

3 Both procedures were authorized through Abdelaziz’s medical insurance.

4 Abdelaziz is originally from Egypt and Arabic is her primary language. She can converse
“lightly” in English but cannot read written English.

3
believed that the interpreter did not appear for her procedure so her daughter interpreted
for her. Her daughter believed that there was an interpreter available though not present at
the time.
A nurse met with Abdelaziz before her procedure and recalled that Abdelaziz
confirmed that she was having the vertical sleeve procedure. Because Abdelaziz cannot
read English, the nurse orally read the consent form to Abdelaziz. The form state d that
Abdelaziz was consenting to a “Laparoscopy Sleeve Gastrectomy.” Abdelaziz did not
remember “going over a consent form” but stated that her daughter interpreted the consent
form for her. Abdelaziz did not ask any questions about the form or procedure and signed
the form.5 Abdelaziz acknowledged that she did not have any questions that required her
daughter’s interpretation.6
Abdelaziz met with a second nurse before her procedure, who stated that it was her
standard practice to ask the patient to describe in her own words which procedure she was
having. This nurse also stated that she would have confirmed that this was the same
procedure as listed on the consent form, and that the consent form indicates that Abdelaziz
was having the sleeve procedure. While she did not remember Abdelaziz specifically, she

5 In her deposition, Abdelaziz could not “remember” if the signature on the consent form
was hers but she remembered that she sign ed a consent that she was having surgery and
that the signature on the form looked like hers.

6 Abdelaziz also stated that she knows the English words for “band” and “sleeve” refer to
the different procedures and that she knew that “sleeve” meant the proc edure where the
doctor would “cut” her stomach as opposed to inserting a temporary band.

4
noted that if there were any issues or questions, she would have documented them in
Abdelaziz’s medical record. There was no such documentation.
Abdelaziz also met with Baker, and he confirmed that she wanted to move forward
with the sleeve procedure. According to Baker, s he responded affirmatively, “Yes, yes,
yes, the sleeve, the sleeve.” Abdelaziz stated that she did not remember meeting with
Baker before the surgery.
Baker performed the laparoscopic vertical sleeve gastrectomy without
complication. Following the procedure, Abdelaziz and her family recalled expressing
surprise that Baker performed the sleeve procedure and not the band.
Approximately a year and a half after the surgery, Abdelaziz served Baker with a
complaint alleging breach of contract and assault and battery. Following discovery, Baker
moved for summary judgment. Abdelaziz opposed, alleging that there were genuine
disputes of material fact that precluded summary judgment. In a written order, the district
court found that the only contract between the parties was the written consent form
referring to the sleeve procedure, that it could not consider parol evidence to interpret that
unambiguous consent, and that no genuine issues of material fact remained. Accordingly,
it granted summary judgment on both counts and dismissed the matter with prejudice.
Abdelaziz appeals.
D E C I S I O N
Abdelaziz alleges two substantive claims i n her complaint: breach of contract and
assault and battery. To analyze these claims, it is essential to consider our role in analyzing
appeals from orders granting summary judgment. Appellate courts “review the grant of

5
summary judgment de novo to determine whether there are genuine issues of material fact
and whether the district court erred in its application of the law.” Montemayor v. Sebright
Prods., Inc., 898 N.W.2d 623, 628 (Minn. 2017) (quotation omitted) . Appellate courts
“view the evidence in the light most favorable to the party against whom summary
judgment was granted.” See STAR Ctrs., Inc. v. Faegre & Benson, L.L.P., 644 N.W.2d 72,
76 (Minn. 2002). With this framework in mind, we address Abdelaziz’s substantive claims.
I. The district court did not err by granting summary judgment on Abdelaziz’s
breach-of-contract claim.

We begin with Abdelaziz’s claim that Baker breached the parties’ contract. To
prevail on a breach -of-contract claim, Abdelaziz needs to prove three elem ents:
“(1) formation of a contract, (2) performance by plaintiff of any conditions precedent to
his right to demand performance by the defendant, and (3) breach of the contract by
defendant.” Park Nicollet Clinic v. Hamann , 808 N.W.2d 828, 833 (Minn. 2011 ). The
first element is dispositive because, when viewing the entire record in favor of Abdelaziz,
she has not shown the existence of a contract to perform the band procedure.
Contract Formation
Abdelaziz contends that the district court erred by concluding that there was no
contract for Baker to perform the band procedure . This question requires us to consider
whether the record presents sufficient evidence to reasonably conclude that a contract for
the band procedure was formed. “Whether a contract exists generally is a question for the
fact-finder.” Thomas B. Olson & Assocs., P.A. v. Leffert, Jay & Polglaze, P.A. ,
756 N.W.2d 907, 918 (Minn. App. 2008), review denied (Minn. Jan. 20, 2009). But “[t]o

6
defeat a summary-judgment motion, the nonmoving party cannot rely on denials or general
averments, but must offer specific facts to show that there is a genuine issue of material
fact for trial.” Southcross Commerce Ctr., LLP v. Tupy Props., LLC, 766 N.W.2d 704, 707
(Minn. App. 2009).
Abdelaziz does not offer any evidence that she and Baker had a contract to perform
the band surgery. Instead, she argues generally that contracts may be made orally,
implicitly, or by the conduct of the parties. However, we detect no evidence in the record
that a contract existed for Baker to perform the band procedure, and Abdelaziz fails to point
to any specific facts showing such a contract existed. She merely suggests that there was
some oral or implicit agreement that Baker w ould perform the band procedure instead of
the sleeve procedure. But this general assertion of an agreement is insufficient to overcome
summary judgment. See Nicollet Restoration, Inc. v. City of St. Paul , 533 N.W.2d 845,
848 (Minn. 1995) (stating that “general assertions” are not enough to create a genuine issue
of material fact).
Because Abdelaziz fails to demonstrate any genuine issues of material fact as to
whether there was a contract for Baker to perform the band rather than the sleeve procedure,
summary judgment was not erroneous.
Consent Form
Abdelaziz also argues that the district court erred by concluding that her signed
consent form , which approved the sleeve procedure that was performed, was an
enforceable contract. We first note that, as described above, Abdelaziz presented no
evidence of a contract to perform the band procedure. Therefore, whether the signed

7
consent form is an enforceable contract has no effect on this court’s determination that
summary-judgment dismissal of the breach of contract claim was proper. However,
because analysis of the consent form was integral to the consideration of the breach -of-
contract claim by the district court and the parties, we now consider the consent form. This
analysis will, as noted below, be important to this court’s consideration of the assault and
battery claim.
“Whether a contract exists generally is a question for the fact -finder.” Olson,
756 N.W.2d at 918. When reviewing summary judgment in this context, the key question
is whether there are any genuine disputes of material fact regarding whether the consent
was a contract. See Montemayor, 898 N.W.2d at 628.
Generally, “[a] contract consists of a bindin g promise or set of promises .” Lyon
Fin. Servs., Inc. v. Illinois Paper & Copier Co., 848 N.W.2d 539, 543 (Minn. 2014). “The
formation of a contract requires communication of a specific and definite offer, acceptance,
and consideration.” Olson, 756 N.W. 2d at 918 (quotation omitted). Contract formation
“is judged by the objective conduct of the parties rather than their subjective intent.” Id.
In this context, there were numerous discussions prior to the surgery day that
informed the parties’ decision t o move forward with the surgery, as authorized by the
consent form. Abdelaziz wished to undergo a bariatric medical procedure. Baker promised
to perform a certain medical procedure on her. Considering this matter in the most basic
contract principles, the consent form for the sleeve procedure that Baker prepared and
presented to Abdelaziz was an offer for Baker to perform the surgery. Abdelaziz accepted
his offer by signing the form and going forward with the sleeve procedure. See Welsh v.

8
Barnes-Duluth Shipbuilding Co. , 21 N.W.2d 43, 47 (Minn. 1945) (noting that in an
executory contract, “performance, either partial or in full, supplies a sufficient
consideration to support all its provisions”). The conduct of the parties, viewed
objectively, is consistent with the written consent form and thereby meets the elements for
a binding contract.
Caselaw supports this conclusion. “If the physician advises his patient to submit to
a particular operation, and the patient weighs the dangers and risks incid ent to its
performance, and finally consents, [she] thereby, in effect, enters into a contract
authorizing [her] physician to operate to the extent of the consent given, but no further.”
Mohr v. Williams , 104 N.W. 12, 15 (Minn. 1905 ) (emphasis added). This demonstrates
the supreme court has long recognized that a consent to medical treatment is a contract.
Thus, the district court did not err by concluding that the signed consent form
constituted a binding contract. Though Abdelaziz challenges the conten ts and
circumstances of the consent, as we address below, Abdelaziz does not offer any material
facts that dispute the existence of the contract.
Contract Terms

Abdelaziz also contends that the district court erred by applying the parol-evidence
rule to exclude extrinsic evidence of the parties’ contract terms. “Absent ambiguity, the
interpretation of a contract is a question of law.” Roemhildt v. Kristall Dev., Inc. ,
798 N.W.2d 371, 373 (Minn. App. 2011), review denied (Minn. July 19, 2011). We review
the application of the parol-evidence rule de novo. In re Foley Tr., 671 N.W.2d 206, 209
(Minn. App. 2003).

9
Pursuant to the parol-evidence rule, courts “exclude [] evidence outside a written
document which varies or contradicts the plain terms of the document.” Johnson Bldg. Co.
v. River Bluff Dev. Co., 374 N.W.2d 187, 193 (Minn. App. 1985). Said another way, “[t]he
rule forbids to add by parol when the writing is silent, as well as to vary where it speaks.”
Taylor v. More, 263 N.W. 537, 539 (Minn. 1935) (quotation omitted).
Abdelaziz acknowledges that the terms of the written consent form are
unambiguous. Baker agrees, as do we. Despite this lack of ambiguity, Abdelaziz seeks to
admit evidence to vary or contradict which procedure was authorized by the consent—one
of its terms. But she is unable to do so . Because the writing is unam biguous, parol
evidence may not be considered to vary or contradict its terms. See Johnson Bldg. Co. ,
374 N.W.2d at 193.
In an implicit acknowledgment of this, Abdelaziz argues instead that parol evidence
should be admissible nonetheless to demonstrate that the consent was based on fraud.7 An
exception to the parol -evidence rule exists “when a contract is attacked on grounds of
fraud.” See Johnson Bldg. Co., 374 N.W.2d at 193. The “rule is inapplicable to exclude
evidence of fraudulent oral representations by one party which induce another to enter into
a written contract.” Id. Under this exception, “[e]vidence of fraudulent representations is
not admitted to vary the terms of a contract but to establish that, because of such fraudulent
representations, no enforceable contract was made.” Id.

7 Abdelaziz also accuses Baker and the other medical professionals involved of using
“situational duress” and “ambush tactics” to induce her into agreeing to have this elective
surgery. These accusations do not have support in the record.

10
This claim lacks merit for two reasons. First, fraud-based claims must be plead ed
with particularity. See Minn. R. Civ. P. 9.02; see also Stubblefield v. Gruenberg ,
426 N.W.2d 912, 914 -15 (Minn. 1988) (“General allegations of fraud are insufficient to
meet the requirements of Rule 9.02.”). Abdelaziz’s complaint does not assert that Baker
engaged in fraud and therefore failed to meet this pleading requirement.
Second, Abdelaziz failed to describe how Baker’s conduct satisfied the elements for
fraudulent misrepresentation. See Weise v. Red Owl Stores, Inc. , 175 N.W.2d 184 , 187
(Minn. 1970) (“(1) There must be a representation. (2) That representation must be false
. . . .”). Specifically, she fails to present facts that show how or when Baker intentionally
falsely represented to her that he would perform the band procedure instead of the sleeve
procedure. Again, Abdelaziz cannot rely on general assertions but must offer specific facts
to show there is a genuine issue of material fact to overcome summary judgment. See
Southcross, 766 N.W.2d at 707 (“To defeat a summary-judgment motion, the nonmoving
party cannot rely on denials or general averments, but must offer specific facts to show that
there is a genuine issue of material fact for trial.”). She fails to do so here with regard to
her claim of fraud.8
In sum, Abdela ziz fails to show how the district court erred by granting Baker’s
summary-judgment motion to dismiss the breach-of-contract claim. Abdelaziz and Baker

8 Abdelaziz also suggests that if this argument does not otherwise prevail, “Minnesota law
should evolve to protect the vulnerable.” As an error-correcting court, it is not within our
authority to modify existing law. See Lake George Park, L.L.C. v. IBM Mid -America
Employees Fed. Credit Union, 576 N.W.2d 463, 466 (Minn. App. 1998) (stating that “[t]his
court, as an error correcting court, is without authority to change the law”), review denied
(Minn. June 17, 1998).

11
had no contract for Baker to perform the band procedure. Because there was no contract
for the band pr ocedure, there can be no breach. The parties did contract for Baker to
perform the sleeve procedure, which he performed. Additionally, parol evidence was
properly excluded to vary the terms of this unambiguous contract formed through consent.
Abdelaziz is unable to point to material facts in the record that present a genuine dispute
on her breach-of-contract claim and the district court did not err by granting summary
judgment.
II. The district court did not err by granting summary judgment on the assa ult
and battery claim.

Abdelaziz also contends that the district court erred by granting summary judgment
on her assault and battery claim. However, she fails to explicitly argu e this in her brief .
While she maintained at oral argument that her appeal challenges this claim, we note that
inadequately briefed issues are not properly before an appellate court. Melina v. Chaplin,
327 N.W.2d 19, 20 (Minn. 1982). Consequently, Abdelaziz forfeited this issue.
Even if we were to address the substance of the claim , summary judgment was not
erroneous. Medical battery “consists of an unpermitted touching, in the form of a medical
procedure or treatment. The touching is permitted if the patient consents to it.” Kohoutek
v. Hafner, 383 N.W.2d 295, 299 (Minn. 1986). For the reasons set forth in the previous
section, Abdelaziz explicitly consented to this procedure. Her consent undoubtedly
prevents her from prevailing on the merits of an alleged medical battery claim.
In what appears to be an effort to discredit Baker’s reliance on her consent,
Abdelaziz attempts to cast doubt on whether she actually signed or understood the written

12
consent. However, Baker supported the signed consent with additional witness
declarations, a copy of the executed document, and contemporaneous medical records that
demonstrate that she did . Abdelaziz fails to point to facts in the record that support her
theory that she did not understand she was consenting to the sleeve procedur e on the day
of her surgery. This failure justifies summary judgment on this claim, and the district court
did not err by granting summary judgment.
Affirmed.