Aimonette v. Hartmann

574 N.E.2d 776, 214 Ill. App. 3d 314, 158 Ill. Dec. 663, 1991 Ill. App. LEXIS 954
CourtAppellate Court of Illinois
DecidedJune 7, 1991
Docket2-90-0494
StatusPublished
Cited by9 cases

This text of 574 N.E.2d 776 (Aimonette v. Hartmann) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aimonette v. Hartmann, 574 N.E.2d 776, 214 Ill. App. 3d 314, 158 Ill. Dec. 663, 1991 Ill. App. LEXIS 954 (Ill. Ct. App. 1991).

Opinions

JUSTICE INGLIS

delivered the opinion of the court:

Plaintiff, William Aimonette, filed a medical malpractice action against defendants, Dr. Joseph Hartmann, A.H.M. Medical Associates, Dr. Thomas Chowattukunnel, and Naperville Medical Associates, for allegedly failing to properly diagnose and treat him. Following a lengthy trial, the jury returned a verdict in favor of all defendants. Plaintiff now appeals, contending that the trial court improperly instructed the jury on the issue of plaintiff’s contributory negligence and also erred in failing to tender instructions on comparative negligence. We affirm.

On August 13, 1985, plaintiff filed a complaint seeking damages for defendants’ alleged medical malpractice. On August 27, 1986, Dr. Chowattukunnel filed his answer to the complaint, along with an affirmative defense alleging that plaintiff was contributorily negligent for at least a portion of his injuries. Following a lengthy discovery period, the jury trial began on January 17,1990.

Plaintiff testified that he was an attorney who received his law degree in 1969 and was working for Sunbeam Corporation in 1980. In September 1980, plaintiff began a running program in an attempt to get back into shape. However, he was unable to jog more than one-fourth mile because he was experiencing “[sjhortness of breath and lightheadedness.” On November 19, 1980, Dr. Chowattukunnel examined plaintiff because plaintiff continued to experience problems with breathing and also had chest pains. Plaintiff’s chest X rays were negative, but an EKG revealed an abnormality. Plaintiff then checked into Edward Hospital for additional tests and a consultation with Dr. Hartmann, a cardiologist. Plaintiff told Dr. Hartmann that he was experiencing difficulty with his breathing, had chest pains, and also noticed a numbness in his right arm on occasion. Dr. Hartmann then ordered a treadmill EKG test. Following the test, Dr. Hartmann informed plaintiff that nothing was wrong with him except that he was “out of shape.” On November 20, 1980, plaintiff was released from the hospital.

After plaintiff was released, he and his family went to Florida for a previously scheduled vacation. During the vacation, plaintiff continued to experience problems with his breathing. Plaintiff had similar problems when he returned to work after the vacation. On December 3, 1980, plaintiff began to slur his words and called Dr. Hartmann. Plaintiff spoke to Dr. Hartmann’s secretary but never received a call back from Dr. Hartmann. On December 5, 1990, plaintiff went jogging at night and suffered a stroke. He was taken to Edward Hospital via ambulance.

A few days later, Dr. Hartmann informed plaintiff that his condition was diagnosed as mitral valve prolapse syndrome and that he had suffered a stroke. Plaintiff was released from the hospital on December 24,1990, and entered a rehabilitation center two days later.

On cross-examination, plaintiff stated that he did not tell Dr. Chowattukunnel about any numbness in his arm during the initial medical examination. Plaintiff also told Dr. Chowattukunnel that he did not want to be hospitalized on November 20, 1980, because he had a vacation in Florida already scheduled. In addition, he did not attempt to contact Dr. Chowattukunnel after he began experiencing problems with his speech a few days before he suffered the stroke.

Plaintiff presented two physicians, Dr. William Wehrmacher and Dr. Barry Singer, to testify as expert witnesses at trial. Dr. Wehrmacher, a cardiologist, testified that it was his opinion that plaintiff suffered from mitral valve prolapse syndrome which likely caused his “major cerebral vascular accident” (stroke). Dr. Wehrmacher stated that Dr. Chowattukunnel deviated from the minimum standard of care in treating plaintiff by failing to consider alternative causes of plaintiff’s symptoms after ruling out the initial diagnosis. According to Dr. Wehrmacher, Dr. Chowattukunnel’s deviation from the minimum standard of care “contributed” to plaintiff’s stroke.

Dr. Wehrmacher further testified that it was his opinion that Dr. Hartmann also deviated from the minimum standard of care when he failed to take an adequate medical history and did not continue to monitor plaintiff following his initial discharge from the hospital.

On cross-examination, Dr. Wehrmacher testified that it was appropriate for Dr. Chowattukunnel, a general practitioner, to consult with a cardiologist, Dr. Hartmann, to assist in treating plaintiff’s condition. In addition, he indicated that he could not determine within a reasonable degree of medical certainty whether there was a connection between Dr. Chowattukunnel’s treatment and plaintiff’s stroke.

On redirect examination, Dr. Wehrmacher indicated that he could not specifically connect Dr. Chowattukunnel’s treatment with plaintiff’s stroke because there were “areas of overlap and responsibility” between the two treating physicians. Thus, it was his opinion that both physicians were responsible for plaintiff’s condition to some degree.

Dr. Singer also opined that Dr. Chowattukunnel’s failure to obtain a proper history of plaintiff and to evaluate plaintiff’s symptoms following the November 20, 1980, discharge from the hospital were direct causes of plaintiff’s subsequent stroke. In addition, he stated that Dr. Hartmann failed to meet the minimum standard of care by failing to obtain an adequate history and did not explain to plaintiff the need for further monitoring after coronary artery disease was eliminated as a diagnosis.

Dr. Chowattukunnel testified that his initial impression concerning plaintiff’s symptoms was that plaintiff had “possible tracheal bronchitis” and angina. After reviewing plaintiff’s EKG, Dr. Chowattukunnel noted “nonspecific changes, with history strongly suggestive of unstable angina” in plaintiff’s medical record and recommended that plaintiff be admitted into the hospital for further tests. He also recommended that a cardiologist examine plaintiff. Following various tests at the hospital and after consulting with Dr. Hartmann, Dr. Chowattukunnel discharged plaintiff from the hospital. He told plaintiff to contact him when plaintiff returned from his vacation. However, plaintiff did not contact him and Dr. Chowattukunnel did not see plaintiff again until long after the stroke.

Dr. Hartmann testified that he examined plaintiff on November 20, 1980, at Edward Hospital and found no evidence of any “significant” heart disease. In addition, plaintiff did not exhibit any of the risk factors for a stroke at this time. Thus, according to Dr. Hartmann, the stroke was “[djefinitely not” predictable. Dr. Hartmann further stated that he would have had a neurologist examine plaintiff had plaintiff informed him of any additional symptoms, including problems with his speech.

Dr. Louis Caplan, a neurologist, and Dr. James Talano, a cardiologist, testified that Dr. Hartmann complied with the standard of care in his treatment of plaintiff. In addition, Dr. Finley Brown, a family practice physician, testified that Dr. Chowattukunnel’s examination and treatment of plaintiff complied with the standard of care for a family practitioner.

Dr. Ruth Ramsy, a radiologist who specializes in neurology, testified that it was her opinion that plaintiff had experienced one embolus, which she indicated was a single event.

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Aimonette v. Hartmann
574 N.E.2d 776 (Appellate Court of Illinois, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
574 N.E.2d 776, 214 Ill. App. 3d 314, 158 Ill. Dec. 663, 1991 Ill. App. LEXIS 954, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aimonette-v-hartmann-illappct-1991.