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The Maya Kowalski medical abuse case has taken another turn after Johns Hopkins All Children's Hospital (JHAC) filed a motion for a new trial last week based on allegations that a juror in the trial, which concluded last month, wrote notes with suggestively placed Nazi symbols.

The motion comes after the defense filed a 140-page motion for a new trial on Nov. 24, after a Florida jury on Nov. 9 awarded more than $260 million in damages to the family of 17-year-old Kowalski, who alleged in a 2018 civil suit that the actions of staff at the St. Petersburg children's hospital, where she was being treated for a rare chronic pain condition, ultimately drove her mother, Beata Kowalski, to suicide in 2017.

The hospital is arguing that Juror No. 1 printed Dr. Sally Smith's name with "the letter ‘S’ is shaped in a manner identical to the symbol of the Nazi Schutzstaffel," a paramilitary organization that operated under Adolf Hitler's rule during World War II, while printing other words with "the letter ‘S’ throughout the note normally, with a curve in the spine," signifying an apparent dislike for Smith. 

"Printing the first letter of Dr. Smith's first and last name in this manner makes clear Juror No. 1's bias and prejudice against Dr. Smith (and thus Defendant), equating Dr. Smith with a notorious Nazi organization," the defense stated in its most recent court filing. 

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Juror No. 1's notes featuring Sally Smith's name with sharp 'S' letters

The hospital is arguing that Juror No. 1 printed Dr. Sally Smith's name with "the letter ‘S’ is shaped in a manner identical to the symbol of the Nazi Schutzstaffel" while printing other words with "the letter ‘S’ throughout the note normally, with a curve in the spine," signifying an apparent dislike for Smith. (Sarasota County court)

Dr. Smith was the medical director for the Pinellas County Child Protection Team in 2016, when staff at JHAC reached out to her for help to determine whether Beata Kowalski was possibly exhibiting signs of Munchausen syndrome by proxy — a form of medical abuse — in Maya's medical case. 

Maya was admitted to the hospital when she was 10 years old for severe pain caused by her poorly understood chronic neurological condition called complex regional pain syndrome (CRPS), which was previously diagnosed by another Florida doctor. Later in 2016, a court order removed Maya from the custody of her parents after staff accused Beata of medical abuse.

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Maya Kowalski wipes her tears with a tissue in court on Oct. 9, 2023

Maya Kowalski, who was wearing a necklace she gifted to her mother in court, broke down on the stand when describing how she felt something was amiss just before she learned of her mother's suicide. (Thomas Bender/Sarasota Herald-Tribune/Pool Photo/USA TODAY NETWORK)

The case has made recent headlines after it inspired the popular documentary series "Take Care of Maya."

On Nov. 9, the six-person jury found that JHAC had falsely imprisoned Maya, fraudulently billed her family and caused them severe emotional distress. The jury also determined that social worker Catherine Bedy had battered Maya, and Dr. Smith had medically neglected Maya.

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Maya Kowalski cries while hugging her attorneys at the conclusion of her trial

A Florida jury on Nov. 9 awarded Maya Kowalski, 17, and her family more than $260 million in damages and punitive damages after they alleged in a 2018 civil suit that the actions of staff at Johns Hopkins All Children's Hospital in St. Petersburg ultimately drove her mother, Beata Kowalski, to suicide in 2017. (POOL PHOTO/Mike Lang/Sarasota Herald-Tribune/USA TODAY NETWORK)

Now, the defense is asking for a new trial based on its allegations that "[j]uror No. 1's reference to Dr. Sally Smith with the use of Nazi symbolism demonstrates a clear bias, prejudice and prejudgment against her and thus Defendant in the above-styled cause, and demonstrates an additional basis upon which Defendant's Motion for New Trial Based on Juror Misconduct, Motion for Juror Interview, Motion to Open Discovery Into Evidence of Juror Misconduct, and Emergency Motion to Preserve Evidence as well as a new trial generally, should be granted."

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Greg Anderson, Maya's attorney, told Fox News Digital that he believes the most recent motion is "completely and utterly inappropriate."

Maya Kowalski in a hospital bed

Maya Kowalski began receiving treatment for CRPS at Johns Hopkins All Children's in 2016, when she was 10 years old. (WTVT)

"Even if there were some way to make a connection — which there's not in any way, shape or form. Going after a juror — and trying to make any connection at all to such a loathsome part of history is … inappropriate and contrary to everything that our rules of professional conduct stand for," he said, adding that he thinks the defense should "withdraw that second supplement."

There will be a hearing for a new trial in the case on Friday.

The defense also argued in court documents filed over the last two-and-a-half weeks that juror No. 1 engaged in other misconduct during the trial, in part because he "may have harbored ill feelings" toward the Florida Department of Children and Families (DCF). JHAC is arguing that the juror engaged in misconduct when he posted a statement about the trial on a public Facebook page named after the "Take Care of Maya" documentary, which the defense described as "sensationalized," on Nov. 23, expressing opposition to JHAC's motion for a new trial.

(L to R) Maya Kowalski; Jack Kowalski; Beata Kowalski; and Kyle Kowalski in Take Care of Maya

Netflix's "Take Care of Maya" follows the story of Maya Kowalski and her mother, Beata Kowalski — a registered nurse — as they navigate Maya's rare, chronic neurological condition called complex regional pain syndrome. (Netflix/'Take Care of Maya')

"I think they're grasping at straws. They've been going through their various arguments … for a new trial and try to attack a juror," Anderson said. "It's all tied together with their desire for a do-over, and…I don't want this to turn into a hoary cliché, but they just don't get it. And they still don't get it. They just don't understand that the jury, in fact, the country, has rejected their conduct."

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The motion comes after the defense filed a 140-page motion for a new trial last month, arguing that there was a "massively tainted verdict" in Maya's trial.

Maya Kowalski in a hospital bed

Staff at JHAC suspected that Beata Kowalski was suffering Munchausen syndrome by proxy after she pushed for unapproved ketamine treatment for her daughter's condition. (WTVT)

"The jury voted ‘yes’ on every possible method to award compensatory or punitive damages against [JHAC]. Under the leadership of Juror #1, the jury voted ‘yes’ despite the fact that, under the law instructed by the Court and the evidence presented during the trial, many of the claims were not proven or, at a minimum, the manifest weight of the evidence was contrary to a ‘yes’ vote on those claims," the defense stated.

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The November motion states that under Juror No. 1's leadership and the plaintiff's arguments, "counsel was overwhelmed by improper passion and prejudice and its belief that the Defendant’s employees had a specific intent to harm this child."