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Downey v. Dunnington

Citations: 895 N.E.2d 271; 384 Ill. App. 3d 350; 324 Ill. Dec. 108; 2008 Ill. App. LEXIS 930Docket: 4-07-0681

Court: Appellate Court of Illinois; August 21, 2008; Illinois; State Appellate Court

Narrative Opinion Summary

The case involves a medical malpractice lawsuit where the plaintiff, alleging professional negligence, claimed that a surgeon provided misleading information about her family medical history, leading her to undergo unnecessary prophylactic mastectomies. The defendants argued that the plaintiff's inaccurate reporting of her medical history justified the treatment options offered. The jury ruled in favor of the defendants, prompting the plaintiff to appeal on grounds of erroneous evidentiary rulings and a verdict contrary to the evidence. The appellate court acknowledged errors in evidentiary decisions but found them inconsequential to the outcome, affirming the lower court's denial of a new trial. Central issues included the standard of care in verifying patient medical history before elective procedures and the impact of financial constraints on genetic testing referrals. The trial court granted summary judgment on specific claims and permitted amendments to the complaint, which precluded those claims' review on appeal. The court also addressed admissibility concerns regarding professional standards and expert testimony, ultimately ruling that such evidence could be used for impeachment but not as substantive evidence. The verdict was upheld, as the evidence and expert testimonies presented allowed the jury to reasonably decide in favor of the defendants.

Legal Issues Addressed

Admissibility of Professional Standards as Evidence

Application: The trial court ruled that certain professional standards could not be considered substantive evidence, limiting their use to impeachment purposes.

Reasoning: The trial court did not sustain any objections to plaintiff's exhibit No. 24 in front of the jury and allowed the plaintiff's attorney to argue about it, indicating that the decision to send exhibits to the jury room lies within the court's discretion.

Affirmative Defense of Misrepresentation

Application: The defendants argued that the plaintiff's inaccurate reporting of her family medical history led to the treatment options provided, including the prophylactic mastectomies.

Reasoning: The defendants assert an affirmative defense, stating that the plaintiff, Sandra Downey, provided inaccurate personal and family medical history, which led the defendants to offer certain treatment options, including bilateral prophylactic mastectomies.

Evidentiary Rulings on Appeal

Application: The appellate court identified errors in two evidentiary rulings but concluded that these would not have changed the verdict, thus affirming the trial court's judgment.

Reasoning: The appellate court identified errors in two evidentiary rulings but determined that these would not have altered the verdict, as it was supported by the evidence.

Informed Consent in Medical Malpractice

Application: The plaintiff claimed that the surgeon provided erroneous information regarding her family medical history, influencing her decision to undergo unnecessary surgeries.

Reasoning: The case revolves around informed consent, with Downey claiming that Dunnington provided erroneous information regarding her family medical history, which influenced her decision to undergo bilateral prophylactic mastectomies.

Motion in Limine to Exclude Evidence

Application: The trial court granted a motion in limine to exclude allegations regarding the influence of the plaintiff's financial situation on the decision not to refer for genetic testing.

Reasoning: The court granted the defendants' motion in limine regarding paragraphs 4 and 5.

Relevance of Expert Testimony in Medical Malpractice

Application: The court examined the relevance of expert testimony regarding the impact of financial constraints on genetic counseling referrals, ultimately excluding speculative opinions.

Reasoning: The court upheld objections from the defendants' attorney concerning the relevancy of certain testimony in Weber's deposition.

Standard of Care for Medical Professionals

Application: The court assessed the expert testimonies regarding the standard of care, focusing on whether the surgeon should have verified the plaintiff's family medical history before recommending surgery.

Reasoning: Weber, the plaintiff's expert witness with credentials in internal medicine, medical oncology, and genetics, criticized Dunnington's adherence to the standard of care.

Summary Judgment and Amendment of Complaint

Application: The trial court's partial summary judgment on specific counts led to the plaintiff amending the complaint, effectively withdrawing the contested allegations.

Reasoning: The trial court granted this motion on March 8, 2007. Subsequently, on March 13, 2007, the plaintiff sought to amend the second amended complaint by replacing 'genetic testing' with 'genetic counseling.'