The ninth-circuit affirmed the district court’s denial of Alena Kriley’s requests to appoint pro bono counsel and extend filing deadlines, as well as its grant of summary judgment in favor of Defendants on all claims. The appellate court reviewed the denial of extension motions for abuse of discretion under Federal Rule of Civil Procedure 6(b), finding no abuse because Kriley failed to show good cause or excusable neglect; she already possessed necessary medical records and had previously been granted a four-month extension without diligently retaining an expert. Regarding summary judgment, the court applied de novo review and held that Washington’s Medical Injury Compensation Reform Act (RCW Chapter 7.70) provided the exclusive remedy for Kriley’s alleged health care injuries, rendering her claims for gross negligence, fraudulent misrepresentation, and negligent misrepresentation duplicative. Furthermore, because Kriley failed to disclose an expert witness, she could not establish breach of the standard of care or causation for her negligence, lack of informed consent, and loss of chance claims under Washington law. Her wrongful death claim failed because she was not the personal representative of the decedent’s estate, and her medical battery and lack of consent claims failed as a matter of law due to a signed consent form that created a prima facie presumption of consent which she did not rebut. Finally, the court affirmed the denial of counsel appointment under 28 U.S.C. § 1915(e)(1), determining Kriley did not demonstrate exceptional circumstances or a likelihood of success on the merits, and had sufficiently articulated her claims pro se. The practical consequence is that the district court’s judgment for Defendants stands and the case is closed.