Roach v. Springfield Clinic

623 N.E.2d 246, 157 Ill. 2d 29, 191 Ill. Dec. 1, 1993 Ill. LEXIS 74
CourtIllinois Supreme Court
DecidedSeptember 23, 1993
Docket73394
StatusPublished
Cited by93 cases

This text of 623 N.E.2d 246 (Roach v. Springfield Clinic) is published on Counsel Stack Legal Research, covering Illinois Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roach v. Springfield Clinic, 623 N.E.2d 246, 157 Ill. 2d 29, 191 Ill. Dec. 1, 1993 Ill. LEXIS 74 (Ill. 1993).

Opinion

JUSTICE HARRISON

delivered the opinion of the court:

Sheila and Timothy Roach, as parents and next friends of their minor daughter, Kayla, brought a medical malpractice action in the circuit court of Sangamon County to recover damages after Kayla was born with cerebral palsy and irreversible brain damage. Named as defendants were Memorial Medical Center (Memorial), the hospital where Mrs. Roach gave birth to Kayla; E. Michael Bradley, M.D., and his partner, Michael Zinzilieta, M.D., Mrs. Roach’s obstetricians; and Springfield Clinic (Clinic), the facility from which Bradley and Zinzilieta conducted their obstetrics practice. Following a jury trial, a verdict was returned in favor of each of these defendants. The circuit court entered judgment on that verdict, and the appellate court affirmed (223 Ill. App. 3d 597). We then granted the Roaches’ petition for leave to appeal. (134 Ill. 2d R. 315.) The primary issue now before us is whether the circuit court properly excluded certain evidence at trial on the grounds that it was privileged and inadmissible under sections 8 — 2101 and 8— 2102 of the Code of Civil Procedure (735 ILCS 5/8— 2101, 8 — 2102 (West 1992)). For the reasons which follow, we hold that the disputed evidence was erroneously excluded and that the Roaches are entitled to a new trial on their claims against Memorial. The judgments in favor of the remaining defendants shall be affirmed.

The record before us shows that Sheila Roach became pregnant with Kayla in 1986 and sought obstetrical care from Doctors Bradley and Zinzilieta at the Clinic. Mrs. Roach was expected to give birth around December 31, 1986, but had still not delivered by January 5, 1987. When Dr. Bradley examined her in his office on that date, he advised her that, if she did not deliver in the next five days, she should undergo a “nonstress test” at Memorial to help assess the fetus’ status.

On the morning of January 10, Mrs. Roach submitted to the test. It was “nonreactive,” indicating the need for additional testing. Dr. Kintner, a first-year hospital resident, then performed a sonogram and gave Mrs. Roach a vaginal examination. Dr. Bradley subsequently performed his own examination, concluding that there was a potential for fetal distress and that delivery should proceed. Accordingly, he ordered that Mrs. Roach be admitted to the hospital and given Pitocin, a hormone preparation used to induce labor. He also alerted the hospital staff to the potential for fetal distress and the possible need for an emergency cesarean section (C-section). Bradley then left the hospital.

At 6 p.m. Bradley spoke with Kintner, who advised him that Mrs. Roach was continuing to have contractions. Kintner also reported intermittent periods of increased and decreased fetal heartbeats, but advised that there were no signs of fetal distress. Bradley decided that the Pitocin should be continued until 8 p.m., when it would be stopped so that Mrs. Roach could eat and rest for the night.

Thirty minutes after the Pitocin was discontinued, Dr. Kintner telephoned Bradley to advise him that Mrs. Roach was still having contractions, that her cervix had not changed significantly, and that there were still no signs of fetal distress. Monitoring of the fetal heartbeats was suspended for the remainder of the night. During that period, Dr. Bradley was not informed of any problems, nor was he advised of any problems the next morning, when the Pitocin injections were resumed. Bradley’s involvement with the treatment ended at 8 a.m. on January 11, when his partner, Dr. Zinzilieta, took over the management of Mrs. Roach’s care.

Dr. Zinzilieta reviewed the fetal monitor strips from the previous day, performed a vaginal examination on Mrs. Roach, and consulted the previous doctors’ and nurses’ notes. During the course of the vaginal exam, Dr. Zinzilieta felt an irregular structure at the cervix. He ruled out the possibility that this was caused by the umbilical cord, but admitted that he recognized the potential for a prolapsed cord (a situation in which the umbilical cord drops below the baby’s head into the birth canal and cuts off all oxygen to the baby as it comes through the vagina). He also performed a sonogram, which ruled out a hand or breech presentation.

Based on the foregoing, Dr. Zinzilieta concurred in Bradley’s judgment that there was no fetal distress and that the proper course was to continue attempting to induce labor using Pitocin. According to Zinzilieta, there were no indications that a cesarean section was necessary. Zinzilieta testified, however, that he informed Memorial of the potential for an emergency C-section if increased fetal distress were noted or if a prolapsed cord became evident. Dr. Zinzilieta also stated that he personally instructed Memorial nurses to prepare for a C-section and to alert the anesthesia department in the event that it were needed in an emergency situation. He then left Memorial to begin his rounds at another hospital.

At 11:30 a.m. the baby’s heart rate dropped suddenly and precipitously, falling from 140 beats per minute to 50 beats per minute within a three-minute time span. According to Dr. Putnam, the resident on duty, a heart rate of 60 to 70 beats per minute could cause brain damage within 10 minutes. Putnam was summoned to the scene at 11:33, and arrived two minutes later. Dr. Zinzilieta was paged immediately, and an attempt was made to contact the anesthesia department and the anesthesiologist, Dr. Gotanco.

The baby’s last audible heartbeat was heard at 11:37 a.m. At 11:38, Dr. Putnam took Mrs. Roach to the operating room. Dr. Zinzilieta arrived six minutes later, at 11:44 a.m. Although preparations for a C-section were in progress, Gotanco and the nurse anesthetist, Mike Funk, were still not there. Believing he could delay no longer, Dr. Zinzilieta decided to proceed with the operation using only a local anesthetic. He began cutting through Mrs. Roach’s abdominal wall at 11:47 a.m. Three minutes into the procedure, Gotanco and Funk finally arrived to administer the general anesthesia. At 11:51 a.m., Dr. Zinzilieta was able to remove Kayla from the womb, but found the umbilical cord wrapped so tightly around her neck that it had to be severed rather than unwrapped. Dr. Kozak, Kayla’s pediatrician, testified that Kayla was not breathing, had no heart tone, and was “next to being dead.” Resuscitation efforts were commenced immediately, but five minutes passed before a heart rate of 20 to 30 beats per minute could be attained. A normal heart rate was not reached until Kayla was 10 minutes of age. She now suffers from cerebral palsy and irreversible brain damage.

Plaintiffs subsequently filed this medical malpractice action in February of 1988. The case, as ultimately submitted to the jury, sought recovery from Drs. Bradley and Zinzilieta and their employer, the Clinic, on the grounds that those doctors were negligent for continuing to administer Pitocin for as long as they did and in not performing the C-section sooner. Plaintiffs also sought recovery from Memorial, alleging that the hospital’s nursing staff had failed to properly monitor Sheila Roach’s progress during the early morning hours prior to her delivery. More importantly, plaintiffs claimed that Memorial should be found negligent for having failed to make general anesthesia available for Mrs. Roach’s emergency C-section on a timely basis.

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Bluebook (online)
623 N.E.2d 246, 157 Ill. 2d 29, 191 Ill. Dec. 1, 1993 Ill. LEXIS 74, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roach-v-springfield-clinic-ill-1993.