Riley v. Physicians Weight Loss Centers, Inc.

548 N.E.2d 811, 192 Ill. App. 3d 23, 139 Ill. Dec. 426, 1989 Ill. App. LEXIS 1937
CourtAppellate Court of Illinois
DecidedDecember 22, 1989
Docket3-88-0806
StatusPublished
Cited by5 cases

This text of 548 N.E.2d 811 (Riley v. Physicians Weight Loss Centers, Inc.) 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
Riley v. Physicians Weight Loss Centers, Inc., 548 N.E.2d 811, 192 Ill. App. 3d 23, 139 Ill. Dec. 426, 1989 Ill. App. LEXIS 1937 (Ill. Ct. App. 1989).

Opinion

PRESIDING JUSTICE UNVERZAGT

delivered the opinion of the court:

Plaintiff, Sarah J. Riley, appeals from summary judgment in favor of the defendant, Physicians Weight Loss Centers, Inc. (the Center), on her five-count complaint claiming personal injury as a result of the Center’s negligence in failing to warn her of the potential health risks posed by its prescribed ketogenic diet or to adequately monitor her during the course of the diet so as to discover problems developing. The Center cross-appeals the court’s denial of its motion to strike plaintiff’s responsive affidavit. For the reasons set forth below, we dismiss the Center’s cross-appeal, reverse the court’s summary judgment and remand the cause for trial.

Plaintiff went to the Physicians Weight Loss Center in September 1984, after hearing its advertisement on a Peoria radio station. She was 42 years old at the time and weighed 251 pounds. She had tried several diet programs in the prior 10 years with intermittent success. The Center’s personnel explained to her its program which called for a reduced-calorie limited-carbohydrate ketogenic diet designed to induce a state of ketosis in the dieter. When in ketosis, fat is metabolized from stored fat in the body and weight loss occurs. A doctor performed a simple physical, and plaintiff started on the diet. Plaintiff apparently signed contracts with the Center in September 1984 and again in January 1985, but they are not included in the record on appeal. There was no discussion between the Center’s personnel and plaintiff about any health risks connected with the ketogenic diet; the diet was promoted to her as being completely safe. There were strict directions for her to follow as to the foods and caloric intake she was allowed. She was a very successful client on the program, achieving a loss of more than 70 pounds in a four-month period. Initially, she went to the Center daily and, later, weekly for weigh-in, urinalysis and blood-pressure checks.

In mid-December 1984, plaintiff experienced severe pain in her mid-epigastric area. She called her family doctor, Dr. Ameel Rashid, on December 17 and described her pain to him. On December 26, she again called Dr. Rashid’s office after suffering another attack of midepigastric pain. This time she talked to Dr. Donald Habecker, who arranged for a sonogram to be made on December 27. The sonogram revealed the presence of multiple gallstones. On New Year’s eve, Dr. Habecker called plaintiff and told her she should see a surgeon. She saw Dr. Stewart Roberts in January 1985. He told her her gallbladder should be removed and that it was up to her as to when to proceed with the surgery.

Plaintiff continued on the ketogenic diet and going to the Center in January 1985. She was admitted to the hospital in February on an emergency basis for surgery, but surgery was not performed then due to her abnormal liver function. At that time, Dr. Roberts told plaintiff he thought her gallbladder problems were due to her ketogenic diet. After that hospitalization, she continued to visit at the Center, but she was not on the diet. She changed her personal physician in March and began seeing Dr. R. Michael Gulley. Dr. Gulley also indicated to her he thought the ketogenic diet caused the gallstones. She had her gallbladder removed on March 11,1985.

Sometime after surgery, plaintiff started on a protein-sparing, modified fast diet, also a type of ketogenic diet, under Dr. Gulley’s supervision. Prior to embarking on the diet, Dr. Gulley gave the plaintiff a written warning form which he stated is used to impress upon the dieter the serious nature of the diet. In pertinent part, the form warned the dieter that the protein-sparing, modified fast diet is associated with rare side effects such as gout, kidney stones, anorexia, nausea, vomiting, restlessness, irritability/euphoria, faintness, syncope, cessation of menses and cardiac arrhythmias (including death). Further, the decrease in thyroid hormone utilization as a result of the diet can cause cold intolerance, dry skin, hair loss and muscle cramps. At the conclusion of the form the dieter indicated his/her understanding that the above problems could occur and that he/she understands the need for regular follow-up care.

Dr. Gulley took the plaintiff off the protein-sparing, modified fast diet when she continued to have stomach problems. Plaintiff started the protein-sparing, modified fast diet on her own again, however, in fall 1985. Thereafter, plaintiff and Dr. Gulley agreed she could follow a balanced deficit diet, that is, a nonketogenic reduced-calorie diet utilizing all the food groups. As of the date of plaintiff’s deposition on March 12, 1987, she stated she was still having the same type of midepigastric pain she had in December 1984 in addition to abdominal pain and spasm-type pain on her right side; she described the pain attacks as frequent and of varying duration. After plaintiff’s gallbladder surgery, she had chronic diarrhea necessitating hospitalization for tests, consultation with a gastroenterologist, and she was seen at the Mayo Clinic on three different occasions. Plaintiff had two surgeries subsequent to the gallbladder operation in connection with her stomach problems.

Plaintiff’s first amended five-count complaint alleged causes of action against the Center with respect to failure to warn her that the known possible consequences and hazards of the ketogenic diet include “gallstones, kidney stones, anorexia, death, and other serious health problems” (counts I (negligence) and II (wilful and wanton misconduct)) and failure to adequately monitor her while on the diet for possible and potential complications arising from the ketogenic diet (counts III (negligence) and IV (wilful and wanton misconduct)). Count V purported to set forth the cause of action for false advertising; it was dismissed on the Center’s motion to strike and dismiss counts II, IV and V of the plaintiff’s first amended complaint. The Center answered, denying plaintiff’s allegations and raising as a defense plaintiff’s comparative negligence in failing to follow instructions, to monitor her own condition and progress and to ask questions about the diet plan.

Following discovery, the Center filed a motion for summary judgment supported by Dr. R. Michael Gulley’s deposition. As to its failure to warn (counts I and II), the Center’s motion alleged that it was Dr. Gulley’s testimony that, assuming arguendo the standard of care applicable to physicians applied to it, that standard would not require warnings about the formation of gallstones on a ketogenic diet. Consequently, the Center’s motion concluded there was no genuine issue of material fact as to whether it breached the standard of care owed to plaintiff. As to its failure to monitor (counts III and IV), the Center’s motion alleged it was Dr. Gulley’s testimony that careful monitoring of the plaintiff while on the ketogenic diet would not have detected the development of the gallstones before they became a problem.

In opposition to the Center’s motion for summary judgment, plaintiff filed an affidavit of Dr. Gulley as her treating physician. Therein, Dr.

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Bluebook (online)
548 N.E.2d 811, 192 Ill. App. 3d 23, 139 Ill. Dec. 426, 1989 Ill. App. LEXIS 1937, Counsel Stack Legal Research, https://law.counselstack.com/opinion/riley-v-physicians-weight-loss-centers-inc-illappct-1989.