Kallal v. Lyons

2021 IL App (4th) 200319
Appellate Court of Illinois·Decided May 4, 2021·No. 4-20-0319·Published·Cited by 2 cases

Opinion

FILED

2021 IL App (4th) 200319 May 4, 2021 Carla Bender

NO. 4-20-0319 4th District Appellate Court, IL

IN THE APPELLATE COURT

OF ILLINOIS

FOURTH DISTRICT

KRISTA KALLAL and SKYLAR KALLAL, Individually ) Appeal from the and as Next Friends of Their Minor Child, Brooke Kallal, ) Circuit Court of Plaintiffs-Appellants, ) Jersey County v. ) No. 14L10.

TIMOTHY LYONS, M.D.; ILLINI MEDICAL ) ASSOCIATES, S.C.; JERSEY COMMUNITY ) HOSPITAL; ROSALEE HALLSTEAD; BEVERLY SUE ) HAWKINS; and COURTNEY STREBEL, ) Honorable Defendants-Appellees. ) Joshua Aaron Meyer, ) Judge Presiding.

PRESIDING JUSTICE KNECHT delivered the judgment of the court, with opinion.

Justices Cavanagh and Steigmann concurred in the judgment and opinion.

OPINION

¶1 Plaintiffs Krista, Skylar, and Brooke Kallal appeal from the circuit court’s order finding their counsel in contempt and assessing a daily fine based upon counsel’s refusal to direct them to comply with a discovery order that required each of them to submit to a blood draw for the purpose of Trio Whole Exome Sequencing (Trio WES) analysis. On appeal, plaintiffs argue we should (1) reverse the discovery order because the circuit court did not have the authority under Illinois Supreme Court Rule 215 (eff. Jan. 1, 2018) to order Krista and Skylar to submit to the blood draw and, without a sample from Krista and Skylar, the record fails to establish the requested testing of Brooke would be reasonably likely to lead to a medical explanation for her injuries and

(2) vacate the contempt order because their counsel’s refusal to direct them to comply with the discovery order was not contemptuous. We vacate the discovery and contempt orders and remand for further proceedings.

¶2 I. BACKGROUND

¶3 A. Complaint

¶4 Plaintiffs filed a complaint raising various claims against defendants Timothy Lyons, M.D.; Illini Medical Associates, S.C.; Jersey Community Hospital; Rosalee Hallstead; Beverly Hawkins; and Courtney Strebel, based upon, or stemming from, alleged injuries Brooke sustained around the time of her birth. Specifically, Brooke, by and through her biological parents, Krista and Skylar, asserted claims of negligence and lack of informed consent for alleged acts and omissions during labor and delivery, which caused her to suffer severe hypoxic ischemic encephalopathy, subgaleal hemorrhage, a fractured clavicle, and a right tension pneumothorax. In addition, Krista and Skylar, in their individual capacities, asserted claims under section 15 of the Rights of Married Persons Act (commonly referred to as the Family Expense Act (750 ILCS 65/15 (West 2012)) for their liability for current and future medical and family expenses incurred on behalf of Brooke due to the alleged negligent acts and omissions of defendants.

¶5 B. Rule 215 Motion

¶6 Pursuant to Rule 215, defendants filed a pretrial motion to compel plaintiffs to submit to a blood draw for the purpose of Trio WES analysis, a type of genetic testing. In support of their motion, defendants attached an affidavit from a clinical geneticist. The geneticist opined— based upon his review of Brooke’s physical characteristics, laboratory profile, impairments, and family history—that Brooke’s physical and mental impairments “likely have a substantial genetic cause.” The geneticist averred Trio WES analysis, utilizing child and parents blood sampling, “is

the optimal means of ascertaining whether Brooke has a genetic etiology for her current impairments.” The geneticist further averred Trio WES analysis “would require blood draws from Brooke Kallal and both biological parents.” In forming his opinion and suggesting plaintiffs submit to a blood draw for the purpose of Trio WES analysis, the geneticist acknowledged Brooke had previously undergone another type of genetic testing, chromosomal microarray, which produced normal results. The geneticist maintained Trio WES analysis would still be appropriate, as it “is significantly more complete in a comprehensive genetic evaluation.”

¶7 C. Memorandum of Law in Response to the Rule 215 Motion

¶8 Plaintiffs filed a memorandum of law in response to defendants’ Rule 215 motion. Plaintiffs objected to defendants’ motion, asserting the requested relief was inappropriate under Rule 215. With respect to Krista and Skylar, plaintiffs argued the court had “no authority under Rule 215 to order them to submit to a physical examination,” as their medical conditions were not in controversy. Plaintiffs also noted Krista and Skylar were pursuing claims on behalf of Brooke in a representative capacity. With respect to Brooke, plaintiffs argued Trio WES analysis, as described by defendants and their clinical geneticist, required samples from both the child and the biological parents. Without the samples from the parents, the requested testing would be meaningless. Plaintiffs also argued the requested testing went far beyond anything previously allowed in Illinois and was not justified based upon the clinical geneticist’s affidavit.

¶9 D. Reply in Response to the Memorandum of Law

¶ 10 Defendants filed a reply to plaintiffs’ memorandum of law in response to their Rule 215 motion. With respect to plaintiffs’ argument concerning Krista and Skylar, defendants argued:

“The Kallals have sued defendants asserting both individual and representative claims. They have placed their own physical (genetic)

conditions at issue in this case by claiming that their biological minor child was injured by negligence and denying that the minor’s injury could be related to a genetic defect (which the child’s own medical providers suspect). As Trio WES [analysis] requires parental sampling, the parents’ genetic composition is at issue, and the science establishing this reality is uncontradicted in the record before this court.”

Defendants further argued Krista’s and Skylar’s “medical/genetic conditions may be relevant to conditions of Brooke Kallal at birth and discovery of such medical/genetic information is necessary to prepare for trial.” With respect to plaintiffs’ argument concerning Brooke, defendants argued the unopposed affidavit from their clinical geneticist established their right to the requested relief and noted other courts have ordered blood tests for other types of genetic testing. Defendants did not respond to plaintiffs’ assertion that Trio WES analysis would be meaningless without the samples from the parents.

¶ 11 E. Hearing on the Rule 215 Motion

¶ 12 The circuit court held a hearing on defendants’ Rule 215 motion. During argument, defendants recognized “a more novel issue is the *** parental testing.” Defendants argued the genetic material from Krista and Skylar was “relevant to a complete evaluation of the genetic makeup of Brooke, *** and the parents are parties.” In so arguing, defendants noted it was “uncontradicted” that “Trio WES *** analysis requires parental testing.” In response, plaintiffs maintained Krista’s and Skylar’s physical conditions were not in controversy and, without samples from them, the requested testing on Brooke would be meaningless. In reply, defendants noted, “Trio WES testing the Trio comes from biological parents and the child” and “[t]here is WES

testing as well.” After hearing from defendants and plaintiffs, the circuit court, indicating it considered the arguments and material presented, found “in favor of the defendants on this issue and will find that there is good cause and that the probative value outweighs any risk or potential risk to the patient and that includes not only the child but the two parents.” The court entered a discovery order that required Krista, Skylar, and Brooke to submit to a blood draw for the purpose of Trio WES analysis.

¶ 13 F. Motion to Reconsider and Motion for Sanctions

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