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Date and Time: Thursday, February 11, 2021 3:12:00 AM EST

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1.

  • Cashion v. Smith
  • , 286 Va. 327

    Client/Matter: -None-

    Search Terms: euthanasia

    Search Type: Natural Language

    Narrowed by:

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    Cases Court: Virginia

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    As of: February 11, 2021 8:12 AM Z

    Cashion v. Smith

    Supreme Court of Virginia

    October 31, 2013, Decided

    Record No. 121797

    Reporter
    286 Va. 327 *; 749 S.E.2d 526 **; 2013 Va. LEXIS 139 ***; 2013 WL 5833265

    BRADLEY J. CASHION v. ROBERT S. SMITH, ET AL.

    Prior History: [***1] FROM THE CIRCUIT COURT OF
    THE CITY OF ROANOKE. Jonathan M. Apgar, Judge.

    Cashion v. Smith, 2010 Va. Cir. LEXIS 240, 82 Va. Cir.
    64 (2010)

    Disposition: Affirmed in part, reversed in part, and
    remanded.

    Core Terms

    endorsement, patient, euthanasia, Demurrer, waived,
    rhetorical, hyperbole, non-euthanasia, resuscitation,
    abandon, non-actionable, defamation, euthanize,
    malice, spite, purposefully, memorialize, acquiesced

    Case Summary

    Overview
    HOLDINGS: [1]-A surgeon’s statement that a patient
    could have made it with better resuscitation was not an
    opinion and was actionable as it directly attributed the
    patient’s death to the anesthesiologist, insinuating that
    he either failed to perform some action necessary to the
    patient’s recovery or acted affirmatively to prevent it;
    whether the quality of the anesthesiologist’s treatment

    caused or contributed to the patient’s death was an
    allegation of fact capable of being proven true or false;
    [2]-The surgeon’s statement that the anesthesiologist
    determined from the beginning that the patient wasn’t
    going to make it and purposefully didn’t resuscitate him
    was actionable as it accused the anesthesiologist of
    purposefully causing the death by withholding treatment;
    [3]-Qualified privilege could not be lost or abused only
    upon a showing of personal spite or ill will.

    Outcome
    Judgment affirmed, in part, and reversed, in part. Matter
    remanded.

    LexisNexis® Headnotes

    Civil Procedure > Appeals > Reviewability of Lower
    Court Decisions > Preservation for Review

    HN1[ ] Reviewability of Lower Court Decisions,
    Preservation for Review

    See Va. Code Ann. § 8.01-384(A).

    Civil Procedure > Appeals > Reviewability of Lower
    Court Decisions > Preservation for Review

    HN2[ ] Reviewability of Lower Court Decisions,
    Preservation for Review

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    Page 2 of 12

    The state’s highest court has on several occasions
    interpreted Va. Code Ann. § 8.01-384(A) to clarify the
    ambiguity of what constitutes a waiver by express
    written agreement in an endorsement of an order. The
    state’s highest court has repeatedly held that once a
    litigant informs the circuit court of his or her legal
    argument, in order for a waiver to occur within the
    meaning of § 8.01-384(A), the record must affirmatively
    show that the party who has asserted an objection has
    abandoned the objection or has demonstrated by his
    conduct the intent to abandon that objection.

    Civil Procedure > … > Affirmative
    Defenses > Statute of Limitations > Waiver

    HN3[ ] Statute of Limitations, Waiver

    Waiver is the voluntary and intentional abandonment of
    a known legal right, advantage, or privilege. The
    essential elements of waiver are knowledge of the facts
    basic to the exercise of the right and intent to relinquish
    that right. Waiver of a legal right will be implied only
    upon clear and unmistakable proof of the intention to
    waive such right for the essence of waiver is voluntary
    choice.

    Civil Procedure > Appeals > Reviewability of Lower
    Court Decisions > Preservation for Review

    HN4[ ] Reviewability of Lower Court Decisions,
    Preservation for Review

    The Virginia general assembly amended Va. Code Ann.
    § 8.01-384(A) to add the provision, “no party shall be
    deemed to have agreed to, or acquiesced in, any written
    order of a trial court so as to forfeit his right to contest
    such order on appeal except by express written
    agreement in his endorsement of the order” in its
    session following the state’s highest court’s Lamar Corp.
    decision. 1992 Va. Acts ch. 564.

    Civil Procedure > Appeals > Standards of
    Review > De Novo Review

    Torts > … > Defamation > Defenses > Fair
    Comment &

    Opinion

    Civil Procedure > Appeals > Standards of
    Review > Questions of Fact & Law

    HN5[ ] Standards of Review, De Novo Review

    The question of whether certain statements were
    expressions of opinion for defamation purposes is a
    question of law. The state’s highest court therefore
    reviews the circuit court’s ruling de novo.

    Torts > … > Defamation > Defenses > Fair
    Comment & Opinion

    HN6[ ] Defenses, Fair Comment & Opinion

    When a statement is relative in nature and depends
    largely on a speaker’s viewpoint, that statement is an
    expression of opinion. However, statements may be
    actionable if they have a provably false factual
    connotation and thus are capable of being proven true
    or false.

    Torts > … > Defenses > Privileges > Qualified

    Privileges

    HN7[ ] Privileges, Qualified Privileges

    A qualified privilege attaches to communications
    between persons on a subject in which the persons
    have an interest or duty. Whether a communication is
    privileged is a question of law.

    Torts > … > Defenses > Privileges > Qualified
    Privileges

    HN8[ ] Privileges, Qualified Privileges

    The state’s highest court has on occasion previously
    included good faith as a factor in the determination of
    whether a qualified privilege exists. However, the state’s
    highest court recognizes that the inclusion of good faith
    in this context is unwarranted, and hereby overrules the
    inclusion of that language in Great Coastal Express, Inc.
    v. Ellington, 334 S.E.2d 846 (Va. 1985) (citing Taylor v.
    Grace, 184 S.E. 211 (Va. 1936)).

    Civil Procedure > Trials > Jury Trials > Province of
    Court & Jury

    Torts > … > Defenses > Privileges > Qualified

    286 Va. 327, *327; 749 S.E.2d 526, **526; 2013 Va. LEXIS 139, ***1

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    Page 3 of 12

    Privileges

    HN9[ ] Jury Trials, Province of Court & Jury

    The question of whether a statement was made in good
    faith is a question of fact for the jury to decide when
    determining whether a qualified privilege has been lost
    or abused, and is not a question of law for the court to
    answer in deciding whether a privilege has attached.
    The state’s highest court reaffirms that approach.

    Evidence > Burdens of Proof > Allocation

    Torts > … > Defenses > Privileges > Qualified
    Privileges

    Evidence > Burdens of Proof > Clear & Convincing
    Proof

    HN10[ ] Burdens of Proof, Allocation

    Once a qualified privilege has attached to a
    communication, the plaintiff has the burden to prove that
    the privilege has been lost or abused, which must be
    shown by clear and convincing proof.

    Evidence > Burdens of Proof > Clear & Convincing
    Proof

    Governments > Courts > Common Law

    Torts > Intentional Torts > Abuse of
    Process > Elements

    Torts > … > Defenses > Privileges > Qualified
    Privileges

    Torts > … > Defamation > Elements > General
    Overview

    HN11[ ] Burdens of Proof, Clear & Convincing
    Proof

    The state’s highest court has approved a jury instruction
    on the elements of common law malice that will serve to
    defeat a qualified privilege that incorporate language
    used in a number of its earlier cases which discuss
    elements of common law malice and abuse of privilege.
    A non-exhaustive list of such elements included a
    showing that: (1) the statements were made with
    knowledge that they were false or with reckless

    disregard for their truth, (2) the statements were
    communicated to third parties who have no duty or
    interest in the subject matter, (3) the statements were
    motivated by personal spite or ill will, (4) the statements
    included strong or violent language disproportionate to
    the occasion, or (5) the statements were not made in
    good faith. The state’s highest court has held that any
    one of the elements if proved by clear and convincing
    evidence, defeats the privilege. The state’s highest court
    reiterates the rule of Great Coastal Express. Personal
    spite or ill will, independent of the occasion on which it
    was made, is certainly one of the elements that will
    establish common law malice. However, it is not the
    only element, and any one of the elements, if pled and
    proved, will suffice. The question of whether a
    defendant has lost or abused the privilege is a question
    of fact for the jury.

    Civil Procedure > Trials > Jury Trials > Province of
    Court & Jury

    Torts > … > Defamation > Defenses > Exaggeration
    s & Imaginative Commentary

    HN12[ ] Jury Trials, Province of Court & Jury

    Under Virginia law, rhetorical hyperbole is not
    defamatory. Statements characterized as rhetorical
    hyperbole are those from which no reasonable inference
    could be drawn that the individual identified in the
    statements, as a matter of fact, engaged in the conduct
    described. Whether a statement constitutes rhetorical
    hyperbole is a question of law for the court to determine.

    Counsel: Monica Taylor Monday (E. Scott Austin; Peter
    G. Irot; James J. O’Keeffe, IV; Gentry Locke Rakes &
    Moore, on briefs), for appellant.

    Frank K. Friedman (Agnis C. Chakravorty; Erin B.
    Ashwell; Woods Rogers, on brief), for appellee Carilion
    Medical Center.

    (Paul G. Beers; Glenn, Feldmann, Darby & Goodlatte,
    on brief), for appellee Robert S. Smith, M.D.

    286 Va. 327, *327; 749 S.E.2d 526, **526; 2013 Va. LEXIS 139, ***1

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    Page 4 of 12

    Judges: OPINION BY JUSTICE WILLIAM C. MIMS.
    JUSTICE McCLANAHAN, dissenting. JUSTICE
    POWELL, with whom JUSTICE GOODWYN joins,
    concurring in part and dissenting in part, and with whom
    JUSTICE McCLANAHAN joins in part.

    Opinion by: WILLIAM C. MIMS

    Opinion

    [*331] [**528] PRESENT: All the Justices

    OPINION BY JUSTICE WILLIAM C. MIMS

    In this appeal, we consider whether an endorsement of
    an order withdrew or waived issues for appeal under
    Code § 8.01-384(A), whether allegedly defamatory
    statements were non-actionable expressions of opinion
    or rhetorical hyperbole, and whether such statements
    were protected by qualified privilege.

    I. BACKGROUND AND MATERIAL PROCEEDINGS
    BELOW

    In November 2009, Dr. Robert Smith, a trauma surgeon,
    and Dr. Bradley Cashion, an anesthesiologist, provided
    emergency care to a critically injured patient. Dr. Smith
    is employed full-time by Carilion Medical Center
    (“Carilion”). Dr. Cashion was employed by
    Anesthesiology Consultants of Virginia, Inc., which
    provides services to Carilion. Despite the efforts of Dr.
    Smith and Dr. Cashion, the patient died during surgery.

    [*332] Following the patient’s death, [***2] Dr. Smith
    criticized Dr. Cashion in the operating room. Dr. Smith,
    in front of several other members of the operating team,
    made the following remarks to Dr. Cashion:1

    [**529] “He could have made it with better
    resuscitation.”
    “This was a very poor effort.”
    “You didn’t really try.”
    “You gave up on

    him.”

    “You determined from the beginning that he wasn’t
    going to make it and purposefully didn’t resuscitate

    1 We refer to these statements collectively as “the non-
    euthanasia statements.”

    him.”

    Immediately thereafter, Dr. Smith addressed Dr.
    Cashion in the hallway outside the operating room,
    stating: “You just euthanized my patient.” Nurse Sherri
    Zwart, who also had been in the operating room, and
    Dr. James Crawford, Chief of Anesthesia at Carilion,
    were present in the hallway at the time. In a subsequent
    meeting that evening between Drs. Smith, Cashion, and
    Crawford, Dr. Smith repeatedly stated that Dr. Cashion
    “euthanized” the patient.

    Dr. Cashion filed an amended complaint alleging
    defamation and defamation per se against Dr. Smith
    and Carilion, which Dr. Cashion alleged to be liable
    under a theory of respondeat superior. Dr. Smith and
    Carilion filed demurrers and pleas in bar asserting,
    among other things, [***3] that Dr. Smith’s statements
    were non-actionable expressions of opinion or rhetorical
    hyperbole. They also asserted that qualified privilege
    applied to the statements yet the amended complaint
    failed to allege facts establishing common law malice to
    overcome the privilege.

    After a hearing, the circuit court entered an order (“the
    Demurrer Order”) sustaining the demurrers and granting
    the pleas in bar as to the non-euthanasia statements
    on the ground that they were non-actionable
    expressions of opinion. Concomitantly, the court
    overruled the demurrers and denied the pleas in bar as
    to the euthanasia statements. Dr. Smith and Carilion
    annotated the Demurrer Order with their objections on
    the grounds asserted in their pleadings and at the
    hearing. Dr. Cashion endorsed it “WE ASK FOR THIS.”

    Following discovery, Dr. Smith and Carilion moved for
    summary judgment, again asserting their rhetorical
    hyperbole and qualified privilege arguments. Dr.
    Cashion responded by arguing, among other [*333]
    things, that qualified privilege did not apply because Dr.
    Smith did not make the euthanasia statements in good
    faith and was not discussing the care of the patient
    when he made them.

    After a hearing, the circuit [***4] court ruled that the
    euthanasia statements were not rhetorical hyperbole.
    However, it ruled that qualified privilege applied to Dr.
    Smith’s statements and there was no evidence of
    common law malice on the part of Dr. Smith necessary
    to overcome the privilege. Accordingly, it awarded Dr.
    Smith and Carilion summary judgment and dismissed
    the amended complaint. We awarded Dr. Cashion this
    appeal.

    286 Va. 327, *327; 749 S.E.2d 526, **526; 2013 Va. LEXIS 139, ***1

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    Page 5 of 12

    II. ANALYSIS

    A. OPINION OR STATEMENTS OF FACT

    Dr. Cashion asserts the circuit court erred by sustaining
    the demurrers and pleas in bar as to the non-
    euthanasia statements and ruling that they were non-
    actionable expressions of opinion. As an initial matter,
    Dr. Smith and Carilion argue that he has withdrawn or
    waived this argument for appeal under Code § 8.01-
    384(A) because he endorsed the Demurrer Order “WE
    ASK FOR THIS.” They assert that endorsement stated
    his express written agreement with the rulings it
    contained. We disagree.

    Code § 8.01-384(A) provides in relevant part that

    HN1[ ] No party shall be deemed to have agreed
    to, or acquiesced in, any written order of a trial
    court so as to forfeit his right to contest such order
    on appeal except by express written agreement in
    his endorsement of the order. [***5] Arguments
    made at trial via written pleading, memorandum,
    recital of objections in a final order, oral argument
    reduced to transcript, or agreed written statements
    of facts shall, unless expressly withdrawn or
    waived, be deemed preserved therein for assertion
    on appeal.

    HN2[ ] We have on several occasions interpreted this
    statute to clarify the ambiguity of what constitutes a
    waiver by “express written agreement in [an]
    endorsement of [an] order.” We have repeatedly held
    that “once a litigant informs the circuit court of his or her
    legal argument, in order for a waiver to [**530] occur
    within the meaning of Code § 8.01-384(A), the record
    must affirmatively show that the party who has asserted
    an objection has abandoned the objection or has
    demonstrated by his conduct the intent to abandon that
    objection.” Kellermann [*334] v. McDonough, 278 Va.
    478, 491, 684 S.E.2d 786, 792 (2009) (quoting Helms v.
    Manspile, 277 Va. 1, 6, 671 S.E.2d 127, 129 (2009))
    (internal alterations and quotation marks omitted).

    We discussed waiver by endorsement at length in
    Chawla v. BurgerBusters, Inc., 255 Va. 616, 499 S.E.2d
    829 (1998). In that case, the appellants assigned error
    to the circuit court’s ruling that they bore the
    [***6] burden of proof on the question of the
    reasonableness of a claim for attorneys’ fees. They
    noted objections to the interlocutory order effectuating
    that ruling but when the court restated it in a subsequent
    interlocutory order, they endorsed the second order as

    “SEEN AND AGREED.” They again noted their
    objection to the ruling on the final order. Id. at 621-22,
    499 S.E.2d at 832.

    On appeal, the appellee argued the “SEEN AND
    AGREED” endorsement waived the issue. We
    disagreed, holding:

    HN3[ ] Waiver is the voluntary and intentional
    abandonment of a known legal right, advantage, or
    privilege. Weidman v. Babcock, 241 Va. 40, 45, 400
    S.E.2d 164, 167, 7 Va. Law Rep. 1273 (1991); Fox
    v. Deese, 234 Va. 412, 425, 362 S.E.2d 699, 707, 4
    Va. Law Rep. 1248 (1987). The essential elements
    of waiver are knowledge of the facts basic to the
    exercise of the right and intent to relinquish that
    right. Weidman, 241 Va. at 45, 400 S.E.2d at 167;
    Fox, 234 Va. at 425, 362 S.E.2d at 707. Waiver of a
    legal right will be implied only upon clear and
    unmistakable proof of the intention to waive such
    right for the essence of waiver is voluntary choice.
    Weidman, 241 Va. at 45, 400 S.E.2d at 167; May v.
    Martin, 205 Va. 397, 404, 137 S.E.2d 860, 865
    (1964).

    In the present [***7] case, the [appellants] made
    clear to the trial court [their] objection to the ruling
    respecting the burden of proof issue and never
    abandoned or evidenced an intent to abandon the
    objection. Thus, [they] preserved the issue for
    appeal.

    Id. at 622-23, 499 S.E.2d at 833 (emphasis added). In
    short, the endorsement itself did not constitute a waiver.

    We reached the same result in Helms, even though the
    appellant never noted an objection on any order. In that
    case, the appellants assigned error to the circuit court’s
    ruling that they had failed to prove adverse possession
    by clear and convincing evidence. They endorsed as
    “Seen” the court’s final order effectuating that ruling.
    [*335] 277 Va. at 5-6, 671 S.E.2d at 129. Noting that
    the appellants had argued adverse possession in a
    written memorandum, we held that the court was
    thereby informed of their position, which they had not
    subsequently expressly withdrawn or waived. Id. at 7,
    671 S.E.2d at 129-30. Again, the endorsement itself did
    not constitute a waiver.

    We considered the endorsement “Seen and consented
    to” in Johnson v. Hart, 279 Va. 617, 692 S.E.2d 239
    (2010). In that case, the appellee assigned cross-error
    in an appeal from the circuit [***8] court’s award of

    286 Va. 327, *333; 749 S.E.2d 526, **529; 2013 Va. LEXIS 139, ***4

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    Page 6 of 12

    summary judgment in favor of the appellee. Considering
    whether the appellee’s endorsement waived the issue
    argued in the assignment of cross-error, we noted that
    the order contained elements favorable to both parties.
    We concluded that the appellee’s endorsement “Seen
    and consented to” indicated his consent only to the
    elements favorable to him, just as the appellant’s
    endorsement “Seen and objected to” objected only to
    the elements adverse to her. Id. at 624, 692 S.E.2d 243
    (alterations omitted). We also again observed that the
    appellee’s legal argument had been presented to the
    court in written memoranda and acquiescence to the
    entry of an order partly in his favor did not affirmatively
    waive or abandon it.

    The most recent case in which we considered the effect
    of a “WE ASK FOR THIS” endorsement was Lamar
    Corp. v. City of Richmond, 241 Va. 346, 402 S.E.2d 31,
    7 Va. Law Rep. 1776 (1991).2 However, our analysis

    2 In Lamar Corp., the City of Richmond condemned a parcel of
    real property. Portions of the parcel had been leased to two
    billboard advertising companies. The lessees were not parties
    to the condemnation proceeding. To the contrary, they entered
    a special appearance to assert that the city was required to
    institute a separate condemnation proceeding against them to
    acquire their interests in the parcels. Id. at 348-49, 402 S.E.2d
    at 32.

    The city and the landowners ultimately reached an agreement
    as to the value of just compensation. The circuit court entered
    a consent order awarding the landowners $360,000 for “all
    right, title and interest in the property and property rights
    acquired” in the condemnation proceeding. The order noted
    that the lessees appeared by special appearance, “without
    intending to subject either [of them] to the jurisdiction of th[e
    c]ourt in this action,” and further directed that “the compromise
    and settlement between the City and [the landowners] shall
    have no effect upon further proceedings by [***10] the City
    against [the lessees] and neither the City nor [the lessees]
    shall be prejudiced in any way by such settlement in
    subsequent proceedings between the City and” the lessees.
    Although the landowners and lessees endorsed the order “WE
    ASK FOR THIS,” the lessees included “(special appearance)”
    in their endorsement.

    When the city subsequently obtained permission from the
    court to remove the lessees’ billboards from the parcel, the
    lessees appealed. We held that a lessee is entitled by virtue of
    his lease to a portion of a landowner’s award of compensation
    following a condemnation proceeding. Id. at 350, 402 S.E.2d
    at 33. We also held that a lessee who improves a parcel by
    constructing a fixture annexed to it (such as the billboards) is
    entitled to a portion of the landowner’s award of compensation
    if the parcel is subsequently taken by condemnation. Id. at

    [*336] did not address [**531] Code § 8.01-384(A).
    The statute did not then include the provision, “[n]o party
    shall be deemed to have agreed to, or acquiesced in,
    any written order of a trial court so as to forfeit his right
    to contest such order on appeal except by express
    written agreement in [***9] his endorsement of the
    order.” HN4[ ] The General Assembly amended Code
    § 8.01-384(A) to add this language in its session
    following our Lamar Corp. decision. 1992 Acts ch. 564.

    Like the order in Johnson, the Demurrer Order contains
    elements favorable and unfavorable to Dr. Cashion.
    Although it sustains demurrers by Dr. Smith and Carilion
    to the non-euthanasia statements, it overrules their
    demurrers to the accusations of euthanasia. We have
    noted that “[i]t is entirely proper for a party to request
    that a court memorialize in an order a ruling made from
    the bench, even when that ruling is contrary to the
    party’s interest.” Levisa Coal Co. v. Consolidation Coal
    Co., 276 Va. 44, 56 n.4, 662 S.E.2d 44, 50 n.4 (2008).
    Dr. Cashion’s “WE ASK FOR THIS” endorsement on the
    Demurrer Order therefore reflects only his request that
    the court enter an order memorializing its ruling, not his
    agreement to the portion of the Demurrer Order adverse
    to him. It therefore does not constitute an “express
    written agreement” to waive this argument on appeal.

    HN5[ ] The question of whether the non-euthanasia
    statements were expressions of opinion is a question of
    law. Hyland v. Raytheon Tech. Servs. Co., 277 Va. 40,
    47, 670 S.E.2d 746, 750 (2009). We therefore review
    the circuit court’s ruling de novo. Board of Supervisors v.
    Davenport & Co. LLC, 285 Va. 580, 585, 742 S.E.2d 59,
    61 (2013).

    HN6[ ] “When [***12] a statement is relative in nature
    and depends largely on a speaker’s viewpoint, that
    statement is an expression of opinion.” Hyland, 277 Va.
    at 47, 670 S.E.2d at 750. However, statements may be
    actionable if they have a “‘provably false factual
    connotation'” and thus “are capable of being proven true
    or false.” Fuste v. Riverside Healthcare Ass’n, 265 Va.
    127, 575 S.E.2d 858, 861-62 (2003) (quoting WJLA-TV
    v. Levin, 264 Va. 140, 156, 564 S.E.2d 383, 392
    (2002)).

    352, 402 S.E.2d at 34. Nevertheless, we concluded that the
    lessees had waived any claim on the $360,000 awarded to the
    landowners because they had “asked for and consented to”
    the consent order, even though they had only entered a
    special appearance to argue that the city was required to
    commence a separate condemnation proceeding [***11] to
    acquire their interests. Id.

    286 Va. 327, *335; 749 S.E.2d 526, **530; 2013 Va. LEXIS 139, ***8

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    Page 7 of 12

    The statements “[t]his was a very poor effort,” “[y]ou
    didn’t really try,” and “[y]ou gave up on him,” fall into the
    former [*337] class because they are subjective and
    wholly depend on Dr. Smith’s viewpoint. However, the
    statements that the patient “could have made it with
    better resuscitation” and “[y]ou determined from the
    beginning that he wasn’t going to make it and
    purposefully didn’t resuscitate him” do not.

    The statement that the patient “could have made it with
    better resuscitation” directly attributes the patient’s
    death to Dr. Cashion, insinuating that he either failed
    [**532] to perform some action necessary to the
    patient’s recovery or acted affirmatively to prevent it.
    Insinuations may constitute defamatory statements.
    Hyland, 277 Va. at 47, 670 S.E.2d at 751. [***13] The
    statement asserts that the patient was capable of
    surviving, but for the quality of Dr. Cashion’s treatment.
    Whether the quality of Dr. Cashion’s treatment caused
    or even contributed to the patient’s death is an
    allegation of fact capable of being proven true or false,
    such as through expert opinion testimony. The second
    statement goes further, not only attributing the patient’s
    death to Dr. Cashion’s action or inaction but accusing
    him of purposefully causing the death by withholding
    treatment. Such a statement is indistinguishable from
    the alleged accusations of euthanasia.

    Accordingly, the circuit court erred by ruling that these
    two statements were non-actionable expressions of
    opinion. We therefore will reverse this portion of its
    judgment and remand for further proceedings.

    B. QUALIFIED PRIVILEGE

    Dr. Cashion also asserts that the circuit court erred by
    ruling that Dr. Smith’s euthanasia statements are
    protected by a qualified privilege and that Dr. Smith did
    not lose or abuse that privilege. HN7[ ] A qualified
    privilege attaches to “[c]ommunications between
    persons on a subject in which the persons have an
    interest or duty.” Larimore v. Blaylock, 259 Va. 568, 572,
    528 S.E.2d 119, 121 (2000). [***14] Whether a
    communication is privileged is a question of law. Fuste,
    265 Va. at 135, 575 S.E.2d at 863.

    Dr. Smith’s statements were communications on the
    subject of Dr. Cashion’s care of the patient. Dr. Smith,
    Dr. Cashion, and the medical professionals in the
    operating room during the patient’s treatment all had a
    continuing interest in the level of care that had been
    provided and the cause of death. Dr. Crawford, as the
    Chief of Anesthesiology, is charged with managing and
    supervising the anesthesiologists; thus, he too shared

    an interest in Dr. Cashion’s performance [*338] in the
    operating room. The circuit court therefore correctly
    determined that Dr. Smith’s euthanasia statements
    were privileged as a matter of law.

    Dr. Cashion argues that qualified privilege did not apply
    because Dr. Smith’s statements were not made in good
    faith. HN8[ ] This Court has on occasion previously
    included good faith as a factor in the determination of
    whether a qualified privilege exists. Great Coastal
    Express, Inc. v. Ellington, 230 Va. 142, 153, 334 S.E.2d
    846, 853 (1985) (citing Taylor v. Grace, 166 Va. 138,
    144, 184 S.E. 211, 213 (1936)). However, we recognize
    today that the inclusion of good faith in this context
    [***15] is unwarranted, and hereby overrule the
    inclusion of that language.

    Indeed, historically, this Court has repeatedly
    recognized that HN9[ ] the question of whether a
    statement was made in good faith is a question of fact
    for the jury to decide when determining whether a
    qualified privilege has been lost or abused, and is not a
    question of law for the court to answer in deciding
    whether a privilege has attached. Aylor v. Gibbs, 143
    Va. 644, 654, 129 S.E. 696, 699 (1925); Farley v.
    Thalhimer, 103 Va. 504, 507-08, 49 S.E. 644, 646
    (1905); Tyree v. Harrison, 100 Va. 540, 542, 42 S.E.
    295, 295 (1902); Strode v. Clement, 90 Va. 553, 556-57,
    19 S.E. 177, 178 (1894). We reaffirm that approach.

    HN10[ ] Once a qualified privilege has attached to a
    communication, the plaintiff has the burden to prove that
    the privilege has been lost or abused, Preston v. Land,
    220 Va. 118, 121, 255 S.E.2d 509, 511 (1979), which
    must be shown by clear and convincing proof. See
    Government Micro Res., Inc. v. Jackson, 271 Va. 29,
    43, 624 S.E.2d 63, 71 (2006). In this case, the circuit
    court determined that a qualified privilege may be lost
    only by clear and convincing evidence of personal spite
    or ill will, independent of the occasion [***16] on which
    the communication was made. Dr. Cashion argues this
    ruling was erroneous because the issue of whether
    there was malice is a question of fact for the jury, and a
    showing of pre-existing personal spite or ill will is only
    one of several ways in which a privilege can be lost. We
    agree.

    In Great Coastal Express, Inc. v. Ellington, 230 Va. 142,
    154, 334 S.E.2d 846, [**533] 854 (1985), HN11[ ] we
    approved a jury instruction on the elements of common
    law malice that will serve to defeat a qualified privilege
    that “incorporate[d] language used in a number of our
    earlier cases which discuss elements of common law

    286 Va. 327, *336; 749 S.E.2d 526, **531; 2013 Va. LEXIS 139, ***11

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    Page 8 of 12

    malice and [*339] abuse of privilege.” A non-
    exhaustive list of such elements included a showing
    that: (1) the statements were made with knowledge that
    they were false or with reckless disregard for their truth,
    Rayth eon Technical Servs. Co. v. Hyland, 273 Va. 292,
    301, 641 S.E.2d 84, 89-90 (2007); (2) the “statements
    [we]re communicated to third parties who have no duty
    or interest in the subject matter,” Larimore, 259 Va. at
    575, 528 S.E.2d at 122; (3) the statements were
    motivated by personal spite or ill will, Preston, 220 Va.
    at 120-21, 255 S.E.2d at 511; (4) the statements
    included “strong [***17] or violent language
    disproportionate to the occasion,” Story v. Norfolk-
    Portsmouth Newspapers, Inc., 202 Va. 588, 591, 118
    S.E.2d 668, 670 (1961); or (5) the statements were not
    made in good faith, Chalkley v. Atlantic Coast Line R.R.
    Co., 150 Va. 301, 325, 143 S.E. 631, 637-38 (1928). We
    held that “[a]ny one of the elements if proved” by clear
    and convincing evidence, defeats the privilege. Great
    Coastal Express, 230 Va. at 154, 334 S.E.2d at 854.

    Today we reiterate the rule of Great Coastal Express.
    Personal spite or ill will, independent of the occasion on
    which it was made, is certainly one of the elements that
    will establish common law malice. However, it is not the
    only element, and any one of the elements, if pled and
    proved, will suffice. Id. at 154, 334 S.E.2d at 854.

    The question of whether a defendant has lost or abused
    the privilege is a question of fact for the jury. Fuste, 265
    Va. at 135, 575 S.E.2d at 863 (collecting cases).
    Because the circuit court limited the elements capable
    of defeating a qualified privilege to the showing of
    personal spite or ill will, independent of the occasion on
    which it was made, it erred by deciding as a matter of
    law that Dr. Smith did not [***18] lose or abuse the
    privilege. We therefore will reverse this portion of the
    circuit court’s judgment and remand for further
    proceedings.

    C. RHETORICAL HYPERBOLE

    Dr. Smith and Carilion assert in assignments of cross-
    error that Dr. Smith’s statements accusing Dr. Cashion
    of committing euthanasia constitute nothing more than
    rhetorical hyperbole and therefore are not actionable.
    We disagree.

    HN12[ ] Under Virginia law, rhetorical hyperbole is not
    defamatory. Yeagle v. Collegiate Times, 255 Va. 293,
    295-96, 497 S.E.2d 136, 137 (1998). Statements
    characterized as rhetorical hyperbole are those from
    which “no reasonable inference could be drawn that the
    [*340] individual identified in the statements, as a

    matter of fact, engaged in the conduct described.” Id. at
    296, 497 S.E.2d at 137. Whether a statement
    constitutes rhetorical hyperbole is a question of law for
    the court to determine. Id. at 296, 497 S.E.2d at 138.

    In this case, as noted above, some of Dr. Smith’s
    statements can reasonably be interpreted as allegations
    of fact capable of being proven true or false.
    Considering the context in which the statements were
    made, a listener could believe that Dr. Cashion engaged
    in the conduct Dr. Smith attributed [***19] to him, i.e.,
    euthanizing the patient or causing or contributing to the
    patient’s death by providing deficient care. Dr. Smith’s
    position as a surgeon, having just left the operating
    room where the patient died, and his relationship to Dr.
    Cashion, an anesthesiologist whose participation in the
    surgery afforded him the opportunity to cause or
    contribute to the patient’s death, support the inference
    that Dr. Smith was conveying what he believed to be
    factual information about Dr. Cashion. Thus, we agree
    with the circuit court’s determination that the statements
    were not rhetorical hyperbole. We therefore will affirm
    this portion of the circuit court’s judgment.

    III. CONCLUSION

    For the foregoing reasons, we will affirm the circuit
    court’s rulings that Dr. Smith’s statements are not
    rhetorical hyperbole and that the statements enjoy a
    qualified privilege. However, we conclude that the circuit
    court erred by ruling that Dr. Smith’s statements
    [**534] that the patient “could have made it with better
    resuscitation” and that Dr. Cashion “determined from the
    beginning that he wasn’t going to make it and
    purposefully didn’t resuscitate him” were non-actionable
    expressions of opinion. We also conclude [***20] that
    the circuit court erred by ruling that qualified privilege
    can be lost or abused only upon a showing of personal
    spite or ill will. We therefore will reverse those portions
    of the circuit court’s judgment and remand for further
    proceedings consistent with this opinion.

    Affirmed in part, reversed in part, and remanded.

    Concur by: POWELL (In Part)

    Dissent by: McCLANAHAN; POWELL (In Part)

    Dissent

    286 Va. 327, *338; 749 S.E.2d 526, **533; 2013 Va. LEXIS 139, ***16

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    Page 9 of 12

    JUSTICE McCLANAHAN, dissenting.

    I agree with Justice Powell that Dr. Cashion waived any
    objection to challenge the non-euthanasia statements
    for the reasons stated in [*341] her analysis of that
    issue. Therefore, I also would not reach the merits of Dr.
    Cashion’s argument that the circuit court erred in
    determining that the non-euthanasia statements were
    expressions of opinion. As to the euthanasia
    statements, however, I would hold they are protected by
    the First Amendment to the United States Constitution
    and Article I, Section 12 of the Constitution of Virginia as
    rhetorical hyperbole and, therefore, not actionable.

    Both the United States Supreme Court and this Court
    have recognized that putatively defamatory statements
    that are not literal assertions of “actual fact” but, instead,
    “rhetorical hyperbole,” are constitutionally protected
    [***21] free speech. See, e.g., Milkovich v. Lorain
    Journal Co., 497 U.S. 1, 16-17, 110 S. Ct. 2695, 111 L.
    Ed. 2d 1 (1990); Old Dominion Branch No. 496 v.
    Austin, 418 U.S. 264, 284-86, 94 S. Ct. 2770, 41 L. Ed.
    2d 745 (1974); Greenbelt Coop. Publ’g Ass’n v. Bresler,
    398 U.S. 6, 13-14, 90 S. Ct. 1537, 26 L. Ed. 2d 6
    (1970); Yeagle v. Collegiate Times, 255 Va. 293, 295-
    96, 497 S.E.2d 136, 137-38 (1998); Crawford v. United
    Steel Workers, AFL-CIO, 230 Va. 217, 234-35, 335
    S.E.2d 828, 838-39 (1985). “The First Amendment’s
    shielding of figurative language reflects the reality that
    exaggeration and non-literal commentary have become
    an integral part of social discourse.” Levinsky’s, Inc. v.
    Wal-Mart Stores, Inc., 127 F.3d 122, 128 (1st Cir. 1997).
    Such protected speech specifically includes words that
    are “sure to be understood as merely a label for the
    labeler’s underlying assertions,” Dilworth v. Dudley, 75
    F.3d 307, 309 (7th Cir. 1996), and exaggerated rhetoric
    intended to convey outrage or condemnation.
    Greenbelt, 398 U.S. at 14; CACI Premier Technology,
    Inc. v. Rhodes, 536 F.3d 280, 301-03 (4th Cir. 2008);
    Horsley v. Rivera, 292 F.3d 695, 701-02 (11th Cir.
    2002). In other words, rhetorical hyperbole is not
    actionable because the speaker is not asserting a
    statement of fact, but is using exaggerated or
    [***22] figurative language to drive home an underlying
    factual assertion or point of view.

    In assessing Dr. Cashion’s claim of defamation based
    on the euthanasia statements, we must consider those
    statements in the context of the entirety of the
    statements made by Dr. Smith and the circumstances in
    which the statements were made. Yeagle, 255 Va. at

    297-98, 497 S.E.2d at 138; Lewis v. Kei, 281 Va. 715,
    725-26, 708 S.E.2d 884, 891-92 (2011). Dr. Cashion
    alleges in his amended complaint that, outside of the
    operating room, Dr. Smith accused him of euthanizing
    the patient when Nurse Zwart and Dr. Crawford, Chief of
    Anesthesia at the Carilion Clinic, were both present,
    and, again, during a conversation between Dr. Cashion,
    Dr. Crawford, and Dr. [*342] Smith shortly thereafter.
    Dr. Cashion’s allegations in his amended complaint and
    his responses to requests for admission make clear that
    Dr. Smith made the euthanasia statements immediately
    following a high-stress trauma situation, in the context of
    criticizing Dr. Cashion’s efforts to resuscitate a “critically
    injured patient” whose “demise seemed imminent.”

    Furthermore, we must accept Dr. Cashion’s theory of
    defamation that Dr. Smith accused him of “the
    [***23] commission of a criminal offense involving moral
    turpitude, specifically, deliberately causing the death of
    another [**535] person, for which Dr. Cashion may be
    indicted and punished.”1 See Horsley, 292 F.3d at 701
    (having alleged that defendant defamed plaintiff by
    stating he is chargeable with a felony, plaintiff is bound
    by that construction of the statements). Dr. Cashion
    argued in the circuit court that the accusation of
    euthanasia was “a straightforward allegation of the
    purposeful killing” through the use of a “calculated
    medical term to proclaim that another doctor had
    executed [the patient].” Similarly, in this Court, he
    argues that Dr. Smith accused him of “purposefully
    kill[ing] the patient like he was an animal.”2

    Examining the context surrounding the euthanasia
    statements and considering the entirety of the
    statements made by Dr. Smith in light of Dr. Cashion’s
    theory of defamation, I would conclude that no
    reasonable hearer would have understood Dr. Smith’s
    euthanasia statements as literally accusing Dr. Cashion
    of a crime for which he could be indicted and punished,

    1 Virginia does not permit “mercy killing or euthanasia” or “any
    affirmative or deliberate act or omission to end life other than
    to permit the natural process of dying.” See Code § 54.1-
    2990(D).

    2 Dr. Cashion’s theory of defamation is advanced repeatedly
    throughout his brief wherein he argues that in making the
    euthanasia statements, Dr. Smith “accused Dr. Cashion of
    killing the patient,” made a “statement of medical fact that Dr.
    Cashion had killed a patient,” and “suggested [***24] that Dr.
    Cashion had intentionally dispatched the patient as if he were
    an animal.”

    286 Va. 327, *340; 749 S.E.2d 526, **534; 2013 Va. LEXIS 139, ***20

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    Page 10 of 12

    i.e., criminal homicide.3 Dr. Smith allegedly accused Dr.
    Cashion of “euthaniz[ing his] patient” while criticizing Dr.
    Cashion for what he viewed as poor resuscitation efforts
    [*343] on a critically injured patient whose death was
    imminent.4 The statements were made in the presence
    of Dr. Crawford, who was familiar with the medical
    condition of the patient and the nature of Dr. Smith’s
    criticisms of Dr. Cashion, and a nurse involved in the
    resuscitation of the patient. All of the statements related
    to the treatment Dr. Cashion rendered to an already
    dying patient in the presence of numerous medical
    providers.5 Thus, the reasonable hearer of the
    euthanasia statements would have understood Dr.
    Smith’s statements as an exaggerated expression of
    outrage at [***25] Dr. Cashion’s resuscitation efforts,
    not a literal accusation of fact – that Dr. Cashion
    committed a criminal homicide.6 See Greenbelt, 398

    3 In concluding the euthanasia statements could be construed
    as stating facts about Dr. Cashion, the circuit court reasoned
    that “it is believable that a surgeon’s euthanasia comment
    about an anesthesiologist, directly after a patient has died on
    the operating table, meant that the anesthesiologist committed
    malpractice, and euthanized a hopeless patient.” Likewise,
    [***26] the majority states that a listener could believe Dr.
    Cashion “caus[ed] or contribut[ed] to the patient’s death by
    providing deficient care.” This reasoning wholly ignores Dr.
    Cashion’s theory of defamation regarding the euthanasia
    statements, which is that Dr. Smith accused him of a crime,
    not just malpractice or deficient care. See Horsley, 292 F.3d at
    701.

    4 In fact, because as Dr. Cashion asserts, the patient’s death
    from his injuries was imminent and the prohibition on
    euthanasia in Virginia does not extend to permitting the
    natural process of dying, see Code § 54.1-2990(D), the actual
    circumstances in which the statements were made would not
    permit a reasonable inference that Dr. Cashion criminally
    euthanized the patient or that Dr. Smith was stating, as a
    literal fact, that Dr. Cashion had criminally euthanized the
    patient.

    5 Although Dr. Cashion acknowledges that if taken literally, Dr.
    Smith would have been accusing him of the intentional killing
    of a patient in the presence of other health care providers, he
    posits that because the euthanasia could have been
    performed “without attracting attention,” the statement could
    reasonably be believed.

    6 Dr. Cashion argues that because he [***27] was an
    anesthesiologist and, therefore, capable of euthanasia, the
    statement could be taken to be literally true. While out of
    context, accusing an anesthesiologist of euthanizing a patient
    because an anesthesiologist is capable of such an act could

    U.S. at 14 (even the most careless reader would have
    perceived the word “blackmail” as a vigorous epithet
    used by those who considered a real estate developer’s
    negotiating position unreasonable and not as a charge
    of the commission of a criminal offense); Horsley, 292
    F.3d at 702-03 (reasonable viewer would have
    understood [**536] defendant’s use of phrase
    “accomplice to murder” as an expression of outrage,
    and not an accusation of the commission of a crime).
    Accordingly, the use of the word “euthanize” in this
    context was, in my view, a figurative label for Dr. Smith’s
    underlying criticisms, and would have been understood
    as such by the medical personnel who heard the
    euthanasia statements.7

    [*344] Further supporting the conclusion that Dr. Smith
    used the term “euthanasia” figuratively is Dr. Cashion’s
    own allegation in his amended complaint that Dr. Smith
    admitted he never believed [***28] Dr. Cashion actually
    committed euthanasia. Thus, the circuit court could not
    properly conclude, as it did, that “[i]f that is what Smith
    believed to have occurred, then a euthanasia comment
    would not be hyperbole.”

    For these reasons, I would hold the circuit court erred in
    its determination that the euthanasia statements were
    not rhetorical hyperbole. However, because I believe the
    circuit court reached the right result, I would affirm the
    circuit court’s grant of summary judgment. See Deerfield
    v. City of Hampton, 283 Va. 759, 767, 724 S.E.2d 724,
    728 (2012) (applying the right result for the wrong
    reason doctrine).

    JUSTICE POWELL, with whom JUSTICE GOODWYN
    joins, concurring in part and dissenting in part, and with
    whom JUSTICE McCLANAHAN joins in part.

    I concur in the Court’s judgment in all respects with
    regard to the euthanasia statements. However, I

    be taken as a literal statement of fact, we must examine the
    entirety of the statements in the context in which the
    statements were allegedly made, consider the identity of those
    who allegedly heard them, and determine what they
    reasonably would have believed under those circumstances.
    Yeagle, 255 Va. at 297-98, 497 S.E.2d at 138-39; Lewis, 281
    Va. at 725-26, 708 S.E.2d at 891-92.

    7 Dr. Smith’s use of non-literal language to make his point was
    not limited to his euthanasia statements since, as Dr. Cashion
    alleges in his amended complaint, Dr. Smith used a basketball
    analogy when he told Dr. Cashion in the presence of other
    medical personnel: “We [the trauma surgeons] were playing
    full court press and you were playing four corners” with the
    patient’s life.

    286 Va. 327, *342; 749 S.E.2d 526, **535; 2013 Va. LEXIS 139, ***24

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    Page 11 of 12

    believe that we need not reach the merits of Dr.
    Cashion’s argument that the circuit court erred in
    determining that the non-euthanasia statements were
    protected statements of opinion instead of actionable
    statements of fact, as Dr. Cashion expressly waived any
    such argument regarding the non-euthanasia
    statements. Therefore, I respectfully [***29] dissent
    from Part II.A. of the majority opinion.

    Although we have previously considered the
    endorsement, “WE ASK FOR THIS” as indicating that a
    party has “asked for and consented to an order,” Lamar
    Corp. v. City of Richmond, 241 Va. 346, 349, 352, 402
    S.E.2d 31, 32, 34, 7 Va. Law Rep. 1776 (1991), I
    recognize that we have yet to consider such an
    endorsement in the context of Code § 8.01-384(A).

    Code § 8.01-384(A) provides in relevant part as follows:

    No party shall be deemed to have agreed to, or
    acquiesced in, any written order of a trial court so
    as to forfeit his right to [*345] contest such order
    on appeal except by express written agreement in
    his endorsement of the order.

    (Emphasis added.)

    In the present case, it is undisputed that counsel for Dr.
    Cashion endorsed the Demurrer Order with the
    signature-block notation: “WE ASK FOR THIS.” The
    only logical interpretation of such an endorsement is
    that it is a request for the circuit court to enter the order
    as drafted, and therefore it constitutes an “express
    written agreement” with the terms of the order pursuant
    to Code § 8.01-384(A). Dr. Cashion, having agreed with
    “the action taken by the trial court [entering the order],
    should not [now] be allowed to assume [***30] an
    inconsistent position.” Clark v. Commonwealth, 220 Va.
    201, 214, 257 S.E.2d 784, 792 (1979).

    Code § 8.01-384(A) goes on to state:

    Arguments made at trial via written pleading,
    memorandum, recital of objections in a final order,
    oral argument reduced to transcript, or agreed
    written statements of facts shall, unless expressly
    withdrawn or waived, be deemed preserved therein
    for assertion on appeal.

    (Emphasis added.)

    A review of the orders in the case also indicates that
    counsel for Dr. Cashion knew the difference between
    objecting to a ruling as opposed to expressly agreeing
    with one. When endorsing an order with which he
    agreed, i.e., the order granting leave to amend his

    complaint, the order granting the motion to correct
    misnomer and the order at [**537] issue here, counsel
    for Dr. Cashion used the language: “WE ASK FOR
    THIS.”1 However, when objecting to an order, such as
    the final order granting summary judgment, Dr.
    Cashion’s counsel used the endorsement language
    “Seen and objected to,” despite the fact the circuit court
    ruled partly in Dr. Cashion’s favor by denying the motion
    for summary judgment on the issues relating to treating
    the statements made in the hallway as non-actionable
    rhetorical [***31] hyperbole. Clearly, when Dr. Cashion
    intended to object to a ruling of the circuit court, he did
    so. Here, he did not.

    [*346] Contrary to the majority opinion, there is nothing
    in the record indicating that the Demurrer Order “reflects
    only [Dr. Cashion’s] request that the court enter an order
    memorializing its ruling.” Indeed, it is clear that the
    circuit court ordered counsel for Dr. Cashion to “prepare
    an appropriate order and, after endorsements, send it to
    the Court for entry.” (JA 67). Levisa Coal Co. v.
    Consolidation Coal Co., 276 Va. 44, 56 n.4, 662 S.E.2d
    44, 50 n.4 (2008), the case upon which the majority
    relies for this notion, is inapposite to the present case.
    The actual issue in Levisa Coal involved the right of a
    party to request that a court memorialize its ruling in an
    order. As previously noted, there is nothing in the record
    that even remotely indicates that Dr. Cashion requested
    the circuit court memorialize its ruling.
    [***32] Furthermore, in Levisa Coal, the appellant
    specifically noted its objections and the trial court
    expressly reserved those objections by reference in its
    order. Id. In the present case, however, the Demurrer
    Order was drafted by counsel for Dr. Cashion, contained
    no reservation of objections and, in fact, affirmatively
    asked the trial court for dismissal of the claims based on
    the non-euthanasia statements.

    In Johnson v. Hart, 279 Va. 617, 624, 692 S.E.2d 239,
    243 (2010), we held that an appellee’s endorsement of
    an order granting summary judgment in his favor with
    “[s]een and consented to” did not constitute an express
    waiver under Code § 8.01-384 of the arguments he
    previously presented to the circuit court. Considering the
    context of the endorsement in that case – that it was
    made by the prevailing party on a final order that
    dismissed the case with prejudice in his favor – we

    1 Tellingly, Dr. Cashion signed this order “WE ASK FOR THIS”
    despite the fact that the demurrer was filed by Dr. Smith and
    Carilion. Additionally, although Dr. Smith and Carilion
    prevailed in part, they each noted their objections to the circuit
    court’s ruling.

    286 Va. 327, *344; 749 S.E.2d 526, **536; 2013 Va. LEXIS 139, ***28

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    Page 12 of 12

    concluded that “[s]een and consented to” only
    “indicate[d] that [appellee] consented to the trial court’s
    order granting his motion for summary judgment,” and
    did not convey his acquiescence with every ruling the
    circuit court made in granting the motion. Id. at 624, 692
    S.E.2d at 243.

    Johnson differs from the [***33] present case in that
    there is a distinction between a recognition that the
    circuit court has ruled for a party and that party
    “consents” to the entry of a proper final order and the
    relief contained therein, and a party’s affirmative request
    for the entry of an order and the relief contained therein.
    The latter clearly indicates that the party has yielded its
    position. Moreover, the Demurrer Order was not a final
    order disposing of the case in Dr. Cashion’s favor;
    rather, the circuit court ruled both for and against Dr.
    Cashion, and the case proceeded.

    [*347] I feel compelled to point out that the majority
    has made it virtually impossible for a party to “forfeit his
    right to contest [an] order on appeal” under Code §
    8.01-384(A). According to the majority, an express,
    written statement asking for a specific order and the
    relief contained therein with no objections noted is
    insufficient to waive an objection. Thus, under the
    majority’s rubric, for Dr. Cashion to waive his objections,
    he would be required to endorse the order with the
    statement: “I am affirmatively waiving my objection to
    the demurrer on the non-euthanasia statements.”

    In considering what constitutes waiver under Code §
    8.01-384(A), [***34] we have recognized that:

    Once a litigant informs the circuit court of his or her
    legal argument, in order for a waiver to occur within
    the meaning of Code § 8.01-384(A), the record
    must affirmatively show that the party who has
    asserted an objection has abandoned the [**538]
    objection or has demonstrated by his conduct the
    intent to abandon that objection.

    Helms v. Manspile, 277 Va. 1, 6, 671 S.E.2d 127, 129
    (2009) (internal quotation marks and alteration omitted)
    (emphasis added).

    In my opinion, the record clearly reveals that, in addition
    to expressly abandoning his objection in writing, Dr.
    Cashion “demonstrated by his conduct the intent to
    abandon [the] objection.” Helms, 277 Va. at 6, 671
    S.E.2d at 129 (internal quotation marks omitted). The
    focus of his pleadings and argument was on the
    statements relating to “euthanasia” and not the non-
    euthanasia statements. For example, in the Amended

    Complaint, Dr. Cashion alleged “[a] simple apology from
    Dr. Smith acknowledging that Dr. Cashion did not
    ‘euthanize’ the patient would have sufficed to end the
    matter at this early stage.” Notably, he makes no
    mention of an apology for the non-euthanasia
    comments. Further, during the course of the hearing,
    [***35] counsel for Dr. Cashion mentioned the word
    “euthanasia” or some form of it, (e.g., “purposely
    killed”) at least six times. By contrast, he referred to the
    non-euthanasia statements only once, and even then,
    only as factual support for the euthanasia statements.

    Further, the majority fails to consider the unintended
    consequences of its holding. In my opinion, the majority
    fails to give appropriate consideration to Dr. Cashion’s
    actions. If the conduct of a party is no longer considered
    in determining affirmative waiver, then [*348] I believe
    that the majority has opened the floodgates to invited
    error. Under the majority’s approach, as long as a party
    does not endorse an order in a manner that specifically
    waives the objection, that party’s objection to that order
    would be preserved regardless of that party’s
    subsequent actions. But see Saunders v.
    Commonwealth, 211 Va. 399, 401, 177 S.E.2d 637, 638
    (1970)) (recognizing that a party that unsuccessfully
    objects to an action of the trial court waives that
    objection when he subsequently acts in a manner that
    runs counter to his objection).

    By endorsing the order with “WE ASK FOR THIS” and
    failing to note any objections, Dr. Cashion affirmatively
    [***36] requested, and therefore yielded to, the terms of
    the entire Demurrer Order. Thus, he abandoned any
    objections he may have had to the order. Accordingly, I
    would hold that Dr. Cashion has waived his arguments
    on appeal regarding the actionability of the non-
    euthanasia statements.

    End of Document

    286 Va. 327, *346; 749 S.E.2d 526, **537; 2013 Va. LEXIS 139, ***32

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    This case study assignment explores euthanasia. Using the CSU Online Library and additional scholarly resources, research euthanasia in your state, and address the items below.

    · What is euthanasia?

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    · Explain a recent case about euthanasia and its outcome.

    · Based upon what you have read, give your opinion on euthanasia, and support your argument.

    Your case study will be at least three pages in length, not counting the title and reference pages. It should present an insightful and thorough analysis with strong arguments and evidence.

    You are required to use at least two outside resources, one of which must be from the CSU Online Library. All resources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. Your case study, including all references, will be formatted in APA style.

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    Our Services

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    The Value of a Nursing Degree
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    Nursing
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    We Handle Your Writing Tasks to Ensure Excellent Grades

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