                                                            [DO NOT PUBLISH]



               IN THE UNITED STATES COURT OF APPEALS

                        FOR THE ELEVENTH CIRCUIT
                          ________________________

                                No. 17-14400
                            Non-Argument Calendar
                          ________________________

                    D.C. Docket No. 3:15-cv-00350-HES-JBT



ANDREA J. CAGLE,
as Personal Representative of the
Estate of Raymond W. Cagle Jr.,
Deceased,

                                                              Plaintiff-Appellant,

                                        versus

UNITED STATES OF AMERICA,

                                                             Defendant-Appellee.

                          ________________________

                   Appeal from the United States District Court
                       for the Middle District of Florida
                         ________________________

                                    (June 8, 2018)

Before MARTIN, JILL PRYOR, and NEWSOM, Circuit Judges.

PER CURIAM:
      Andrea J. Cagle, proceeding pro se, appeals the district court’s order

granting summary judgment in favor of the government and dismissing her

complaint. She also appeals the district court’s orders denying her motions to

impose sanctions against the government, compel discovery, and appoint counsel.

We first address Cagle’s motions, and then proceed to the court’s summary-

judgment decision. Finding that the district court appropriately denied Cagle’s

motions and, because Cagle failed to meet the requirements of Florida law, that the

court did not err in granting the government summary judgment, we affirm.


                                          I

      We have an obligation to satisfy ourselves of our own jurisdiction and may

raise the issue sua sponte. AT&T Mobility, LLC v. Nat’l Ass’n for Stock Car Auto

Racing, Inc., 494 F.3d 1356, 1360 (11th Cir. 2007). We review jurisdictional

issues de novo. Id. We review a district court’s decision to deny sanctions for

abuse of discretion. See Peer v. Lewis, 606 F.3d 1306, 1311 (11th Cir. 2010)

(addressing sanctions under Federal Rule of Civil Procedure 11, 28 U.S.C. § 1927,

and the court’s inherent power). We will not consider issues that were not before

the district court, subject to certain exceptions not relevant here. Access Now, Inc.

v. Southwest Airlines Co., 385 F.3d 1324, 1331-32 (11th Cir. 2004).

      As a general rule, we have jurisdiction only over judgments or orders that

are specified in the notice of appeal. Osterneck v. E.T. Barwick Indus., Inc., 825

                                          2
F.2d 1521, 1528 (11th Cir. 1987). We will allow appeals from orders not specified

in the notice of appeal, however, so long as the omitted order was entered “prior to

or contemporaneously with” the orders specified in the notice of appeal.

McDougald v. Jenson, 786 F.2d 1465, 1474 (11th Cir. 1986).

      Here, the only order specified in Cagle’s notice of appeal is the final

judgment. Because the final judgment was entered on August 4, 2017, while the

order denying Cagle’s motion for sanctions was entered on August 24, 2017, the

latter order was not entered “prior to or contemporaneously with” the final

judgment specified in Cagle’s notice of appeal. See McDougald, 786 F.2d at 1474.

Accordingly, this Court does not have jurisdiction to review the order denying

Cagle’s motion for sanctions. Moreover, although Cagle now argues that she was

deprived of a proper mediation due to the mediator’s conduct, she did not clearly

present that issue to the district court. Because the issue of the mediator’s conduct

was not before the district court, this Court will not consider it on appeal. See

Access Now, Inc., 385 F.3d at 1331-32.

                                          II

      We review the denial of a motion to compel discovery for abuse of

discretion. Sanderlin v. Seminole Tribe of Fla., 243 F.3d 1282, 1285 (11th Cir.

2001). We will reverse a district court’s discovery ruling only if the court

committed a clear error of judgment or applied the wrong legal standard. Josendis


                                          3
v. Wall to Wall Residence Repairs, Inc., 662 F.3d 1292, 1307 (11th Cir. 2011).

Additionally, we will not overturn a discovery ruling unless the ruling resulted in

substantial harm to the appellant. Id.

        Federal Rule of Civil Procedure 26(b) grants the district court broad

authority to control the scope of discovery. See Fed. R. Civ. P. 26(b). Under Rule

16(b), a district court must issue a scheduling order limiting the time to complete

discovery. Fed. R. Civ. P. 16(b)(3)(A). “[W]e have often held that a district

court’s decision to hold litigants to the clear terms of its scheduling orders is not an

abuse of discretion.” Josendis, 662 F.3d at 1307.

        Here, the district court did not abuse its discretion when it decided to strictly

enforce its scheduling order. The court’s scheduling order indicated that the date

of completion for discovery was the final date that discovery could be made. The

order further stated that all discovery requests and motions had to be filed so that

the discovery requested would be due before the completion date. Pursuant to the

court’s last discovery-deadline extension, the completion date was February 21,

2017.

        Because interrogatories and requests for admission are “discovery paper”

within the meaning of Federal Rule of Civil Procedure 5, they are subject to its

service requirements, which make service by mail permissible. See Fed. R. Civ. P.

5(a)(1)(C), 5(b)(2)(C). Further, because Rules 33 and 36 specify time periods, but


                                            4
do not provide a method of computing those time periods, they are subject to the

rules articulated in Rule 6. See Fed. R. Civ. P. 6(a), 33, 36. As a result, when

Cagle mailed her interrogatories on January 20, 2017, and her request for

admissions on January 21, 2017, the government’s responses were due on February

23 and February 24, 2017, respectively. See Fed. R. Civ. P. 6(d), 33(b)(2),

36(a)(3). Because Cagle’s discovery requests required responses after the

completion date for discovery, she failed to comply with the terms of the court’s

scheduling order. The district court’s decision to enforce the terms of its

scheduling order and deny Cagle’s motion to compel discovery did not constitute

an abuse of discretion. Josendis, 662 F.3d at 1307.

                                         III

      We review a district court’s decision not to appoint counsel for abuse of

discretion. Smith v. Sch. Bd. Of Orange Cty., 487 F.3d 1361, 1365 (11th Cir.

2007).

      Under Federal Rule of Civil Procedure 72, a party may file objections to a

magistrate judge’s ruling on non-dispositive matters within 14 days of being served

with the order. Fed. R. Civ. P. 72(a). We have stated that “where a party fails to

timely challenge a magistrate’s nondispositive order before the district court, the

party waived his right to appeal those orders in this Court.” Smith, 487 F.3d at




                                          5
1365. That rule holds even for pro se litigants. Farrow v. West, 320 F.3d 1235,

1248 n.21 (11th Cir. 2003).

      Here, Cagle has waived her right to appeal the magistrate judge’s orders

denying her motions to appoint counsel. The magistrate judge denied Cagle’s

initial motion to appoint counsel on April 8, 2015. To the extent that we may

construe Cagle’s second motion to appoint counsel as an objection to the

magistrate judge’s order, the motion was untimely because it was filed on May 5,

2015. See Fed. R. Civ. P. 72(a). Similarly, to the extent that we may construe the

parties’ case-management-report statement that Cagle anticipated filing a motion

seeking an accommodation as an objection to the magistrate judge’s June 5, 2015,

order denying her second motion to appoint counsel, it was also untimely because

it was filed on October 6, 2015. See Fed. R. Civ. P. 72(a). Because Cagle did not

timely object to the magistrate judge’s orders, she waived her right to appeal those

orders. See Smith, 487 F.3d at 1365; Farrow, 320 F.3d at 1248 n.21.

                                         IV

      We review a district court’s order granting summary judgment de novo, and

view “the evidence and all reasonable inferences drawn from it in the light most

favorable to the nonmoving party.” Battle v. Bd. of Regents., 468 F.3d 755, 759

(11th Cir. 2006). A district court may grant summary judgment if “the movant

shows that there is no genuine dispute as to any material fact and the movant is


                                         6
entitled to judgment as a matter of law.” Shaw v. City of Selma, 884 F.3d 1093,

1098 (11th Cir. 2018). If shown, the burden shifts to the nonmoving party to show

that a genuine issue of fact exists. Id. “An issue of fact is ‘genuine’ if the record

taken as a whole could lead a rational trier of fact to find for the nonmoving party.”

Hickson Corp. v. N. Crossarm Co., Inc., 357 F.3d 1256, 1260 (11th Cir. 2004).

       Under the Federal Tort Claims Act, the United States is liable for the

negligence of federal employees acting within the scope of their employment if a

private person under like circumstances would be liable under the law of the state

where the act or omission occurred. 28 U.S.C. §§ 1346(b)(1), 2674; Zelaya v.

United States, 781 F.3d 1315, 1322 (11th Cir. 2015). However, tort claims not

presented to the appropriate agency within two years of the claim arising are

barred. 28 U.S.C. § 2401(b). The two-year statute of limitations begins when the

plaintiff is injured. Price v. United States, 775 F.2d 1491, 1493 (11th Cir. 1985).

Because the acts and omissions in this case are alleged to have occurred in Florida,

Florida law applies.

      Whether a claim constitutes a medical-malpractice claim under Florida law

depends on whether it meets the statutory definition of a medical-malpractice

claim. J.B. v. Sacred Heart Hosp. of Pensacola, 635 So. 2d 945, 947 (Fla. 1994).

A medical-malpractice claim is defined as a claim “arising out of the rendering of,

or the failure to render, medical care or services.” Fla. Stat. § 766.106(1)(a). In


                                           7
determining whether a claim is a medical-malpractice claim, the plaintiff’s labels

are not dispositive; the court must decide whether the allegations contained in the

complaint rely on the application of the medical-malpractice standard of care.

Vance v. Okaloosa-Walton Urology, P.A., 228 So. 3d 1199, 1200 (Fla. Dist. Ct.

App. 2017); see Palms W. Hosp. Ltd. P’ship v. Burns, 83 So. 3d 785, 788 (Fla.

Dist. Ct. App. 2011) (holding that allegations of a death resulting from lack of

treatment constituted a medical negligence claim where the death was alleged to

have resulted from on-call doctors failing to respond).

      Under Florida’s medical-negligence statute “[t]he prevailing professional

standard of care for a given health care provider shall be that level of care, skill,

and treatment which, in light of all relevant surrounding circumstances, is

recognized as acceptable and appropriate by reasonably prudent similar health care

providers.” Fla. Stat. § 766.102(1); see id. § 766.202(7) (defining “medical

negligence” as “medical malpractice”).

      If a complaint asserts a medical-malpractice claim, the plaintiff must

establish “the standard of care owed by the defendant, the defendant’s breach of

the standard of care, and that said breach proximately caused the damages

claimed.” Gooding v. Univ. Hosp. Bldg., Inc., 445 So. 2d 1015, 1018 (Fla. 1984);

Fla. Stat. § 766.102(1). “In medical malpractice cases, the standard of care is

determined by a consideration of expert testimony.” Pate v. Threlkel, 661 So. 2d


                                           8
278, 281 (Fla. 1995). Although expert testimony is not necessary where “only the

exercise of common sense and ordinary judgment are required” to prove medical

negligence, Stepien v. Bay Mem’l Med. Ctr., 397 So.2d 333, 334 (Fla. Dist. Ct.

App. 1981), if “the method of treatment is challenged[] [then] expert testimony is

required” because “neither the court nor the jury can or should be permitted to

decide, arbitrarily, what is or is not a proper diagnosis or an acceptable method of

treatment,” Sims v. Helms, 345 So. 2d 721, 723 (Fla. 1977) (quoting Atkins v.

Humes, 110 So. 2d 663, 666 (Fla. 1959)). “Where a plaintiff in a medical

negligence action does not establish what standard of care existed under the

circumstances of the case, and therefore is unable to show a breach of such care, a

directed verdict is appropriate.” Stepien, 397 So. 2d at 334. If a defendant shows

that a plaintiff is unable to present evidence of the negligence that he alleges in his

complaint, then no genuine issue of material fact exists and summary judgment

may be granted in favor of the defendant. Sims, 345 So. 2d at 724 (Fla. 1977).

                                           A

      Before addressing the merits of the district court’s summary judgment

decision, we must dispose of two threshold matters.

      First, Cagle asserts that the district court had no authority to grant summary

judgment because the following motions were pending at the time: a motion for

sanctions regarding depositions, a motion for accommodations, a motion to extend


                                           9
time for discovery, a motion for reconsideration, and a motion for sanctions for the

government’s violation of a mediation notice. That is incorrect. There were only

two pending motions before the district court when it granted summary judgment.

First, there was no motion for sanctions against the government for the

nonappearance of five witnesses at Cagle’s deposition because the language that

Cagle utilized in her motion to compel discovery and her motion for sanctions

indicated that sanctions on those grounds would be sought in a future motion.

Second, there were no pending motions for accommodations because the request

was denied by the magistrate judge and the case-management report only indicated

a future intent to file another motion. Third, Cagle’s motion for reconsideration

was not pending because the court rendered a decision on the motion

contemporaneously with its grant of summary judgment. Therefore, the only

motions not addressed by the court at the time it granted summary judgment were

Cagle’s motion for sanctions and the renewed motion to compel discovery

contained in her response to the government’s motion for summary judgment.

      The district court did not err in ruling on these two pending motions after

granting summary judgment. The court had the authority to rule on Cagle’s

sanctions motion after imposing judgment and, by the same token, did not have to

rule on the motion before imposing judgment. See Didie v. Howes, 988 F.2d 1097,

1103 (11th Cir. 1993). As to Cagle’s renewed motion to compel disclosure, we


                                         10
find no error in the district court’s reaffirmation of its previous decision that the

motion was untimely; the renewed motion was identical to the previously denied

motion to compel and, as already explained, that motion was not timely filed.

Further, the court affirmed its ruling on Cagle’s motion contemporaneously with

its order granting summary judgment.

      Second, Cagle’s complaint alleges that, on August 20, 2010, Raymond was

beaten, choked, and threatened by VA nurses after he broke free from his restraints

and was found using a cellphone that the nurses negligently allowed him to keep.

The VA letter indicates, however, that Cagle filed her administrative claim on June

14, 2013, and solely on negligence grounds. Because the intentional-tort claim

was not presented to the VA within two years of the claim arising, that claim is

barred, and will not be considered in determining whether the court erred in

granting summary judgment. 28 U.S.C. § 2401(b).

                                           B

      As to the merits, Cagle asserts what is in fact a medical-malpractice claim—

her insistence to the contrary notwithstanding—and she failed to meet the

requirements for proving such a claim. Cagle’s references to Florida’s wrongful

death statute, wrongful death, and the term “medical malpractice” in her complaint

and civil cover sheet are not dispositive of whether her claim is a medical-

malpractice claim. Vance, 228 So. 3d at 1200. In making her allegations that the


                                           11
VA breached a duty of care owed to Raymond, however, Cagle relies on a standard

of care that is identical to Florida’s medical-malpractice standard of care.

Regarding Raymond’s borderline personality disorder (“BPD”), Cagle alleges that

the VA’s psychiatrists erred in not diagnosing Raymond with BPD and that their

failure to do so resulted in the VA physicians making misinformed treatment

decisions that contributed to Raymond’s death. Although Cagle also alleges that

the VA failed to document Raymond’s BPD in its records, that omission arises

from the psychiatrist’s conclusion that Raymond no longer had that diagnosis.

Because the allegations surrounding Raymond’s BPD rely on the application of

medical skill and judgment in making a diagnosis and recommending treatment,

those allegations arise from the rendering of medical services and are therefore

medical-malpractice claims under Florida law. See Palms W. Hosp. Ltd. P’ship, 83

So. 3d at 788.

      Cagle’s factual allegations surrounding Raymond’s ischemic heart disease

all involve allegations that the VA failed to conduct evaluations and tests in

response to various heart-related risk factors and diagnose Raymond with ischemic

heart disease, or that the VA failed to make treatment decisions to prevent the

disease. As with the allegations surrounding Raymond’s BPD, these allegations

rely on the application of medical skill and judgment to deciding whether risk

factors related to heart disease required that the VA conduct certain tests or provide


                                          12
specific treatments. Consequently, Cagle’s ischemic-heart-disease allegations arise

from the failure to render medical services, see Palms W. Hosp. Ltd. P’ship, 83 So.

3d at 788, and she therefore asserts a medical malpractice claim rather than an

ordinary negligence claim, see Vance, 228 So. 3d at 1200.

                                    *     *      *

      Cagle asserted a medical-malpractice claim, and Florida law thus required

that she prove the standard of care owed by the VA. See Gooding, 445 So. 2d at

1018; Fla. Stat. § 766.102(1). Though Cagle alleged that the VA owed Raymond a

duty of care and that it breached that duty of care, she did not present any expert

testimony to establish what standard of care the VA owed, and she was therefore

unable to establish the elements of medical malpractice. See Stepien, 397 So. 2d at

334. As a result, no genuine issue of material fact existed, and the district court did

not err in granting summary judgment. See Sims, 345 So. 2d at 724.

      AFFIRMED.




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