Browning v. Advocate Health & Hospital Corp.

2023 IL App (1st) 221430, 250 N.E.3d 930
CourtAppellate Court of Illinois
DecidedSeptember 15, 2023
Docket1-22-1430
StatusPublished
Cited by4 cases

This text of 2023 IL App (1st) 221430 (Browning v. Advocate Health & Hospital Corp.) 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
Browning v. Advocate Health & Hospital Corp., 2023 IL App (1st) 221430, 250 N.E.3d 930 (Ill. Ct. App. 2023).

Opinion

2023 IL App (1st) 221430 No. 1-22-1430 Opinion filed September 15, 2023 Sixth Division

IN THE

APPELLATE COURT OF ILLINOIS

FIRST DISTRICT

JOSEPH BROWNING and CHRISTINE ) BROWNING, ) Appeal from the Circuit Court ) of Cook County. Plaintiffs-Appellees, ) ) v. ) No. 16 L 6592 ) ADVOCATE HEALTH AND HOSPITAL ) CORPORATION, d/b/a Advocate ) The Honorable Medical Group and Advocate Lutheran General ) John P. Kirby, Hospital, ) Judge, presiding. and DANIEL RESNICK, M.D., ) ) Defendants-Appellants. )

JUSTICE HYMAN delivered the judgment of the court, with opinion. Justice Pucinski concurred in the judgment and opinion. Justice Lavin dissented, with opinion.

OPINION

¶1 About two weeks after the gallbladder surgery, Joseph Browning had most of his bowel

and part of his stomach removed and a bowel transplant. Browning and his wife, Christine,

sued Advocate Health and Hospital Corporation, d/b/a Advocate Medical Group and Advocate

Lutheran General Hospital (Advocate), alleging that physicians at Advocate Lutheran General

Hospital, including defendant Dr. Daniel Resnick, negligently failed to recognize and promptly

treat Browning for a sepsis infection after removing his gallbladder. The Brownings contended 1-22-1430

defendants’ failure to perform diagnostic tests and procedures, including timely exploratory

surgery, caused Browning permanent injuries and loss of a normal life and entitled his wife to

damages for loss of consortium.

¶2 In pretrial rulings, the motion judge deemed seven physicians who treated Browning as

Advocate’s apparent agents, either by agreement or as a sanction for defendants’ discovery

violation. Later, the trial court granted the Brownings’ motion in limine over defendants’

objections, letting them read excerpts of the treating physicians’ discovery depositions to the

jury. The trial court found the depositions fell under the hearsay exception in Illinois Rule of

Evidence 801(d)(2)(D) (eff. Oct. 15, 2015), as statements by a party’s agent “concerning a

matter within the scope of the agency or employment, made during the existence of the

relationship.” Defendants called six of the seven physicians as witnesses in their case.

¶3 After a four week trial, the jury awarded the Brownings $49.25 million in damages,

interest, and costs. The trial court denied defendants’ motion for a new trial.

¶4 Defendants charge the trial court erred in (i) finding the treating physicians’ discovery

depositions admissible hearsay, despite having not been made during the agency relationship,

which spanned the 11 days they treated Browning, and (ii) allowing excerpts of physician

discovery depositions read to the jury, thereby preventing timely cross-examination.

¶5 We agree with defendants on the inadmissibility of the discovery depositions under Rule

801(d)(2)(D), as the physicians were not Advocate’s agents when deposed. But well-

established law requires the party seeking a new trial to demonstrate both prejudice and that

the error affected the outcome. Defendants have failed to indicate the nature of the testimony

they were prevented from eliciting that would have changed the outcome other than arguing

-2- 1-22-1430

about the unfairness of a one week or so delay between the reading of the discovery deposition

excerpts to the jury and defendants’ examination of the physicians. We affirm.

¶6 One point regarding the dissent. The dissenter would review the sanctions order, an order

that defendants did not appeal. Illinois Supreme Court Rule 303(b)(2) (eff. July 1, 2017)

prohibits the reviewing court from revisiting and deciding orders not before it. The rule

requires the appellant to specify in the notice of appeal “the judgment or part thereof or other

orders appealed from and the relief sought.” Id.; see General Motors Corp. v. Pappas, 242 Ill.

2d 163, 176 (2011) (notice of appeal confers jurisdiction on court of review to consider only

judgments or parts of judgments specified in notice). Accordingly, we are deprived of

jurisdiction to consider the sanction order.

¶7 Background

¶8 Joseph Browning was admitted to Advocate Lutheran General Hospital on February 10,

2015, after medical imaging scans revealed an inflamed gallbladder. Surgeon Dr. Daniel

Resnick, an Advocate employee, removed Browning’s gallbladder the following evening

through a procedure called a laparoscopic cholecystectomy.

¶9 Browning began developing troubling symptoms the next day, including low blood

pressure, atrial fibrillation (a faster-than-normal heart rate), and abdominal pain. He was taken

to the intensive care unit for a suspected sepsis infection and placed on broad-spectrum

antibiotics. While in the intensive care unit (ICU), several physicians treated Browning,

including specialists in critical care, internal medicine, infectious diseases, and kidneys, and

Browning’s primary care physician, Dr. Mark Conley, also an Advocate employee.

¶ 10 Browning remained in the ICU for almost two weeks. His condition fluctuated. While his

doctors concurred the sepsis was intra-abdominal, they disagreed on its source. Some

-3- 1-22-1430

considered it a postoperative complication or possibly, though less likely, a kidney or urinary

tract infection. Others thought the sepsis was secondary to Browning’s inflamed gallbladder.

¶ 11 Browning’s primary care physician, Dr. Conley, suspected the sepsis most likely

represented a postoperative complication. He conferred with Dr. Resnick, recommending the

surgical team reevaluate Browning. Conley also suggested imaging to rule out surgical

complications. Based on Browning’s medical record, the surgical team thought the abdomen

was an unlikely source of the sepsis and recommended continued medical monitoring rather

than surgical treatment.

¶ 12 One of Browning’s ICU doctors ordered a computed tomography (CT) scan on February

13. Before the scan, Browning became unstable with shortness of breath and a rapidly

fluctuating heart rate. He returned to the ICU. Doctors had to intubate him and prescribe blood

pressure medications. And doctors removed fluid from Browning’s abdomen that tested

positive for two types of bacteria, indicating peritonitis, an inflammation of the abdominal

wall.

¶ 13 On February 20, Browning underwent a CT scan. The report indicated dilation of his small

bowel, more fluid, and possibly a mechanical bowel obstruction and a perforation. An

infectious disease specialist thought the sepsis might be from a bowel perforation; however,

the CT scan was indefinite. A critical care specialist reviewed the scan and discussed it with

Dr. Resnick, who doubted the utility of further surgery because Browning seemed to be

improving. On February 23, Browning again had fluid removed. Distressingly, this time the

fluid contained blood and bacteria. His condition appearing to worsen, doctors ordered another

abdominal CT scan. Unlike the earlier scan, this scan revealed an amount of free air, indicating

a hole in the abdomen, necessitating surgery.

-4- 1-22-1430

¶ 14 On February 24, 11 days after removing Browning’s gallbladder, Dr. Resnick conducted

exploratory surgery and determined that nearly all of the small bowel was ischemic (inadequate

blood supply) and necrotic (refers to death of body tissue) and needed removal. Plus, Browning

had a “Petersen’s hernia,” restricting oxygen supply to the bowel. Resnick had detected no

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2023 IL App (1st) 221430, 250 N.E.3d 930, Counsel Stack Legal Research, https://law.counselstack.com/opinion/browning-v-advocate-health-hospital-corp-illappct-2023.