Crim v. Dietrich

2016 IL App (4th) 150843, 67 N.E.3d 433
CourtAppellate Court of Illinois
DecidedNovember 7, 2016
Docket4-15-0843
StatusUnpublished
Cited by4 cases

This text of 2016 IL App (4th) 150843 (Crim v. Dietrich) 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
Crim v. Dietrich, 2016 IL App (4th) 150843, 67 N.E.3d 433 (Ill. Ct. App. 2016).

Opinion

FILED 2016 IL App (4th) 150843 November 7, 2016 Carla Bender NO. 4-15-0843 4th District Appellate Court, IL IN THE APPELLATE COURT

OF ILLINOIS

FOURTH DISTRICT

COLLIN CRIM, A Minor, By His Parents and Next ) Appeal from Friends, KRISTOPHER CRIM and TERI CRIM, Indi- ) Circuit Court of vidually, ) Adams County Plaintiffs-Appellants, ) No. 06L89 v. ) GINA DIETRICH, D.O., ) Honorable Defendant-Appellee. ) Mark A. Drummond, ) Judge Presiding.

JUSTICE STEIGMANN delivered the judgment of the court, with opinion. Justices Holder White and Appleton concurred in the judgment and opinion.

OPINION

¶1 In August 2015, plaintiffs, Kristopher Crim and Teri Crim, acting on behalf of

their biological son, Collin Crim (born June 17, 2005), filed a fourth amended medical malprac-

tice claim against defendant, Gina Dietrich, D.O., alleging that she failed to comply with the

standard of care applicable to an obstetrician. The Crims claimed, in pertinent part, that Die-

trich’s negligent failure to obtain Teri’s informed consent prior to Collin’s natural birth resulted

in a fracture to Collin’s right clavicle and nerve damage that extended down his right side to his

shoulder, wrist, hand, and fingers.

¶2 Following the presentation of the Crims’ case at a September 2015 jury trial, Die-

trich moved for a partially directed verdict on the issue of informed consent, which the trial court

granted. Thereafter, following additional evidence and argument, the jury returned a verdict in

Dietrich’s favor and against the Crims on their remaining claim, which sought to recover medical expenses under section 15 of the Rights of Married Persons Act (750 ILCS 65/15 (West 2014)).

The court later imposed costs on the Crims as permitted by section 5-109 of the Code of Civil

Procedure (Code) (735 ILCS 5/5-109 (West 2014)).

¶3 The Crims appeal, arguing that the trial court erred by (1) granting Dietrich a di-

rected verdict on the issue of informed consent and (2) barring certain medical testimony. Be-

cause we agree with the Crims’ first argument, we reverse.

¶4 I. BACKGROUND

¶5 A. Informed Consent

¶6 Because our resolution of this case concerns the trial court’s grant of a directed

verdict in Dietrich’s favor on the issue of informed consent, we provide the following brief ex-

planation of that concept to place the Crims’ claim in its proper context.

¶7 In a medical malpractice action raising a lack of informed consent, a plaintiff

must prove that a physician “should have informed the patient, prior to administering medical

treatment, of the diagnosis, the general nature of the contemplated procedure, the risks involved,

the prospects of success, the prognosis if the procedure is not performed and alterna-

tive medical treatment.” (Internal quotation marks omitted.) Taylor v. County of Cook, 2011 IL

App (1st) 093085, ¶ 53, 957 N.E.2d 413 (quoting Coryell v. Smith, 274 Ill. App. 3d 543, 549,

653 N.E.2d 1317, 1321 (1995), quoting Roberts v. Patel, 620 F. Supp. 323, 325 (N.D. Ill. 1985)).

At issue in this case is the Crims’ claim that Dietrich should have informed Teri about alterna-

tives to natural childbirth.

¶8 B. The Crims’ Claim

¶9 In August 2015, the Crims, acting on behalf of their minor son, Collin, filed a

fourth amended medical malpractice claim against Dietrich, alleging that she failed to comply

-2- with the standard of care applicable to an obstetrician. Essentially, the Crims claimed that during

Teri’s pregnancy, Dietrich failed to inform Teri that (1) Collin’s increasing weight would place

him at risk for injury if he was delivered by natural childbirth and (2) Teri had the option of de-

livering Collin by cesarean section (C-section) to mitigate possible injury. During Collin’s June

17, 2005, natural delivery, he suffered shoulder dystocia—that is, an obstructed labor whereby

after the delivery of the head, the anterior shoulder of the infant cannot pass or requires signifi-

cant manipulation. As a result, Collin suffered a clavicle fracture and “extensive injury” to the

network of nerves known as the brachial plexus. See http://www.mayoclinic.org/diseases-

conditions/ brachial-plexus-injury/home/ovc-20127336 (last visited Sept. 26, 2016) (defining

brachial plexus as a “network of nerves that sends signals from your spine to your shoulder,

arm[,] and hand”). In their prayer for relief, the Crims sought a judgment in their favor and com-

pensation for Collin’s injuries.

¶ 10 C. The Evidence at Trial

¶ 11 At a September 2015 jury trial on the Crims’ medical malpractice suit, they pre-

sented the following evidence.

¶ 12 In September 2004, Teri discovered that she was pregnant with her first child. In

October 2004, Teri made an initial appointment to see Dietrich, who administered Teri’s prenatal

care throughout the pregnancy. Dietrich performed ultrasounds in October 2004, January 2005,

and April 2005. Teri noted that Dietrich performed the April 2005 ultrasound because Dietrich

was concerned that Collin “was measuring large.” After conducting that ultrasound, Dietrich

confirmed that (1) Teri’s fluid levels were “okay” and (2) Collin was progressing normally. In

May 2005, Dietrich told Teri that Collin would be about eight pounds at birth. Thereafter, Die-

trich did not discuss again Collin’s weight with Teri. Ten days after Teri’s June 6, 2005, ex-

-3- pected delivery date, Dietrich induced Teri’s labor at a local hospital. Collin was born 26 hours

later, weighing 11 pounds, 2 ounces.

¶ 13 Teri testified that during her prenatal care, Dietrich did not discuss (1) Collin’s

weight, (2) potential complications associated with the natural birth of a large infant, or (3) the

option of Teri delivering Collin by C-section. After Collin was born, radiography confirmed that

he had a fractured clavicle. Shortly thereafter, Teri learned that Collin had injured his brachial

plexus. In the first few days after Collin’s birth, Teri observed that he did not move his right arm,

turn his hand, or move his fingers.

¶ 14 In February 2006, pediatric neurosurgeons surgically repaired Collin’s brachial

plexus by grafting a nerve from Collin’s leg into his neck. Teri then recounted her biannual trips

to St. Louis for occupational and physical therapy to improve Collin’s gross motor skills, such as

catching a ball and lifting his hand up to his mouth. (Each therapy session, which occurred for

about an hour, was recorded and published to the jury.) Teri opined that during the November

2007 therapy session, she saw “real improvement” and Collin “was actually gaining a little bit of

his *** movement back.” Teri noted, however, that Collin’s limited range of movement affected

the type of clothing they purchased for him, explaining “[w]e couldn’t buy [Collin] real tight

shirts, things like that, because that would be very difficult, and [Collin] would get upset trying

to put clothes on like that.” Teri acknowledged that despite his progress, 10-year-old Collin

could not lift or pour a full gallon of milk and had difficulty reaching above his head. Teri stated

that Collin (1) does not talk about his injury, (2) does not want others to know about his injury,

and (3) will change the subject if someone attempts to discuss his injury.

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Crim v. Dietrich
2016 IL App (4th) 150843 (Appellate Court of Illinois, 2017)

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Bluebook (online)
2016 IL App (4th) 150843, 67 N.E.3d 433, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crim-v-dietrich-illappct-2016.