Jack v. Pugeda

539 N.E.2d 1328, 184 Ill. App. 3d 66, 132 Ill. Dec. 522, 1989 Ill. App. LEXIS 847
CourtAppellate Court of Illinois
DecidedJune 7, 1989
Docket5-87-0551
StatusPublished
Cited by8 cases

This text of 539 N.E.2d 1328 (Jack v. Pugeda) 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
Jack v. Pugeda, 539 N.E.2d 1328, 184 Ill. App. 3d 66, 132 Ill. Dec. 522, 1989 Ill. App. LEXIS 847 (Ill. Ct. App. 1989).

Opinion

JUSTICE CHAPMAN

delivered the opinion of the court:

The questions before this court are relatively simple ones:

Did the trial court err in refusing the plaintiffs’ motion for continuance and did it err in denying the plaintiffs’ post-trial motion based upon its refusal to allow the continuance?

While the questions are simple, their resolution requires this court to balance the supreme court’s interests in the prompt disposition of cases with its equal interest in ensuring that the ends of justice are attained. In view of the circumstances presented in this appeal we reluctantly reverse and remand for a new trial. The use of the word reluctantly in the preceding sentence does not mean that this court is unsure of the rightness of its ruling. It does mean that this court is cognizant of both the intent of Supreme Court Rule 231(a) (107 111. 2d R. 231(a)) and of the difficulties inherent in implementing that rule under certain circumstances.

The intent of Supreme Court Rule 231(a) is to require the moving party to furnish the trial judge with adequate information upon which to make a reasonable decision. Courts are cautioned against granting continuances at the last minute, particularly after a case has been called for trial or after the trial is actually underway. Waltz v. Schlattman (1980), 81 Ill. App. 3d 971,401 N.E.2d 994; Montgomery v. Terminal R.R. Association (1979), 73 Ill. App. 3d 650, 392 N.E.2d 77.

What facts then justify our reversal of the trial court’s decision, reluctant though the reversal might be?

This is a medical malpractice suit brought against the defendant doctor, Faustino V. Pugeda, in which the plaintiff claimed that the sterilization procedure performed upon her was negligently done and that as a result she suffered an unwanted pregnancy. During the original sterilization procedure of January 12, 1983, the defendant made a small incision in the abdomen, inserted a laparoscope and visualized the Fallopian tubes. He then inserted an additional instrument, grasped the tube, made a loop in the tube approximately V-lz to 2 centimeters long and placed a ring around this loop and tightened it. This procedure was performed upon both the right and left Fallopian tubes. The theory behind this type of procedure is that within a few days or weeks the portions of the Fallopian tubes enclosed in the ring will become necrotic and they will fall apart, rendering the patient sterile.

The plaintiff became pregnant following this procedure and on February 17, 1984, gave birth to a son. The next day the defendant performed a second and different type of sterilization procedure. The question of whether the defendant removed all or only a small portion of the Fallopian tubes dining this second procedure was to become the subject of significant controversy at trial and indeed is the underlying basis for this appeal. Therefore the testimony concerning this procedure and the timing of that testimony will be discussed in some detail.

The first reference to the second surgery was contained in the defendant’s operative notes which described it as a bilateral salpingectomy, or removal of the entire right and left Fallopian tubes. Dr. Katubig, the pathologist who examined the sections of the tubes shortly after their removal, also described the procedure as a bilateral salpingectomy. In addition, Dr. Katubig’s original notes indicated that the portion of the right tube that was submitted to him measured one centimeter in length while the left tube specimen was seven centimeters long. His original notes also indicated that no scarring or other abnormality was observed on either specimen.

The lack of scarring and the seven-centimeter length of the left tube formed the basis of the plaintiff’s expert’s opinion of malpractice; that is, since the Fallopian tube is 7 to 10 centimeters long in its entirety, and since the seven-centimeter section of the left tube was described by Dr. Katubig as without scars or other abnormalities, the ring could not have been properly applied in the original surgery, for if it had been, there would have been scarring somewhere in the seven-centimeter section.

Returning to a chronological review of the references to the length of the removed tubes, the record reveals that the defendant’s deposition of October 17, 1985, implied that the tubes were removed in their entirety. In December of 1986, Dr. Katubig did indicate that his pathology report was in error and that only zero point seven (0.7) centimeters were submitted to him rather than the seven centimeters stated in his original report. However, following Dr. Katubig’s deposition in December of 1986 came the defendant’s expert’s discovery deposition in January of 1987 in which he stated that Dr. Pugeda had removed the entire tubes and formulated his opinion based on the removal of the entire tubes.

A summary of the pretrial information on the second surgery discloses the following:

(1.) Defendant’s operative notes of February 18, 1984 — bilateral salpingectomy, i.e., total removal of tubes.
(2.) Dr. Katubig’s pathology report approximately February 18, 1984 — removal of both tubes, one centimeter of the right, seven centimeters of the left.
(3.) Defendant’s deposition, October 17, 1985 — implies total removal of both tubes.
(4.) Dr. Katubig’s deposition of December 1986 — removal of one centimeter of right tube and zero point seven (0.7) centimeters of left tube.
(5.) Dr. Fischer’s (defendant’s expert’s) deposition of January 28, 1987 — relies upon total removal of tubes in formulating his opinion.

With this background we turn to the testimony at trial. On March 9, 1987, the first day of trial, the defendant was called under section 2 — 1102 (Ill. Rev. Stat. 1987, ch. 110, par. 2 — 1102) as the plaintiff’s first witness. He testified: “I removed the tubes on both sides, left and right side.” This statement was essentially a reiteration of his earlier operative notes and of his testimony at the time of his deposition. The plaintiff’s expert then testified and relied upon the February 18, 1984, removal of an unscarred seven-centimeter section of the left Fallopian tube in formulating his opinion. That concluded the first day of trial.

On the next day the plaintiff testified on her own behalf and then rested her case. The defendant was then called in his own case and testified as follows:

“Q. How much of the tubes did you remove?
A. About a centimeter.
Q. On each side?
A. On the right side and I believe about a centimeter on the left side.”

On cross-examination the defendant acknowledged that bilateral salpingectomy meant the removal of the entire tubes, but explained the use of that term in his operative notes as a misnomer.

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Cite This Page — Counsel Stack

Bluebook (online)
539 N.E.2d 1328, 184 Ill. App. 3d 66, 132 Ill. Dec. 522, 1989 Ill. App. LEXIS 847, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jack-v-pugeda-illappct-1989.