Scassifero v. Glaser

776 N.E.2d 859, 333 Ill. App. 3d 846, 267 Ill. Dec. 487
CourtAppellate Court of Illinois
DecidedSeptember 12, 2002
Docket2-01-0969
StatusPublished
Cited by34 cases

This text of 776 N.E.2d 859 (Scassifero v. Glaser) 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
Scassifero v. Glaser, 776 N.E.2d 859, 333 Ill. App. 3d 846, 267 Ill. Dec. 487 (Ill. Ct. App. 2002).

Opinion

JUSTICE GROMETER

delivered the opinion of the court:

Plaintiff, Larry Seassifero, appeals a jury verdict in favor of defendants, Scott E. Glaser, M.D., and Hinsdale Anesthesia Associates, Ltd. Plaintiff brought this medical malpractice action alleging that Dr. Glaser negligently performed an epidural injection, causing plaintiff to develop an epidural abscess. On appeal, plaintiff asserts that the trial court committed a variety of evidentiary errors that justify reversal. For the reasons that follow, we reverse and remand the cause for a new trial.

I. BACKGROUND

On July 8, 1996, plaintiff underwent a discectomy to reheve pain in his back. The surgery was performed by Dr. Michael Zindrick, an orthopaedic surgeon. The surgery provided plaintiff with relief for only a couple of days. Dr. Zindrick referred plaintiff to Dr. Glaser, an anesthesiologist specializing in pain management and a partner in Hinsdale Anesthesia Associates, Ltd.

Dr. Glaser treated plaintiff on July 18, 1996, at Hinsdale Hospital. At that time, plaintiff complained of lower back pain radiating into his right buttock and right thigh. On an increasing scale of 1 to 10, plaintiff rated his pain at level 8. Dr. Glaser took a medical history from plaintiff and reviewed plaintiffs medical records. Upon examination, Dr. Glaser noted that plaintiff was in severe pain and had trouble walking. Plaintiffs neurological examination and reflexes were normal and plaintiff was nontender to palpation. Dr. Glaser observed no signs of infection. Dr. Glaser diagnosed plaintiff with ridiculer pain and sympathetically mediated pain.

Based on his diagnosis, Dr. Glaser decided that plaintiff was a candidate for an epidural injection. Dr. Glaser attempted the procedure using two different approaches. Initially, Dr. Glaser tried the midline approach. Dr. Glaser began by administering an anesthetic. Dr. Glaser made numerous unsuccessful attempts to get a needle into the epidural space. Throughout the procedure, Dr. Glaser administered additional anesthesia as needed while the epidural needle was still in place. In attempting the injection, Dr. Glaser would “reangulate” the needle by partially withdrawing it to change the angle. Dr. Glaser made two or three reangulation attempts. However, he repeatedly struck bone, so he decided to abort the midline approach and try the paramedian approach.

Before commencing the paramedian approach, Dr. Glaser took a break. The parties offered differing recollections of the details of the break. Dr. Glaser did not recall leaving the room during the break, which he estimated lasted only five minutes. Plaintiff testified that the break lasted 10 minutes and that Dr. Glaser left the room during the break. Evelyn Scassifero, plaintiffs wife, testified that she entered the room during the break, and Dr. Glaser was not present during the time she was in the room. Janice Stevenson, the nurse who assisted Dr. Glaser with the epidural injection, testified that she has no recollection of either Dr. Glaser or herself leaving the room during the procedure. Stevenson also could not recall if Dr. Glaser even took a break. In any event, using the paramedian approach, Dr. Glaser was able to reach the epidural space. Upon completion of the procedure, plaintiff experienced significant pain relief. Based on a scale of 1 to 10, plaintiff rated his pain at level 2.

Within a few days of the procedure, plaintiff developed a fever and began to experience pain in his back. Plaintiff sought emergency medical treatment at Hinsdale Hospital, where he was later admitted. Plaintiff was diagnosed with an epidural abscess. Following his discharge from the hospital, plaintiff was given intravenous medication, including antibiotics that he injected through a shunt in his arm. Plaintiff subsequently experienced a second episode of fever. As a result, he was again hospitalized and prescribed a more intense dose of antibiotics.

Plaintiff then filed the instant suit against Dr. Glaser and Hinsdale Hospital. Plaintiff later amended his complaint to add Hinsdale Anesthesia Associates, Ltd., as a defendant. In essence, plaintiff alleged that he developed the epidural abscess as a result of Dr. Glaser’s failure to properly perform the epidural injection and the failure to maintain a sterile field. Plaintiff alleged that Hinsdale Hospital and Hinsdale Anesthesia Associates, Ltd., were vicariously liable for Dr. Glaser’s alleged negligence. Thereafter, Hinsdale Hospital (codefendant) settled with plaintiff, and the case proceeded to trial against Dr. Glaser and Hinsdale Anesthesia Associates, Ltd. (collectively, defendants). As noted above, the jury returned a verdict in defendants’ favor. This appeal ensued.

II. ANALYSIS

A. Evidence Regarding Contamination of the Equipment Tray

Plaintiff first argues that the trial court improperly limited evidence regarding contamination of the sterile field. More specifically, plaintiff maintains that the trial court improperly excluded his expert witness, Dr. Steven Minore, from testifying regarding the alleged contamination of the epidural equipment tray during Dr. Glaser’s alleged absence from the room where the injection was performed.

In his complaint, plaintiff alleged that Dr. Glaser failed to maintain a sterile field during the epidural injection, causing him to develop an abscess. During his discovery deposition, Dr. Minore testified that Dr. Glaser breached the standard of care by leaving the room during the procedure. Dr. Minore opined that under such circumstances there was no guarantee that the equipment tray used for the procedure remained sterile. Prior to trial, defendants filed a motion in limine seeking to bar Dr. Minore from rendering any opinions regarding potential contamination of the epidural equipment tray during the alleged absence of Dr. Glaser from the procedure room. At a hearing on the motion, defendants argued that any testimony that the equipment tray was contaminated during Dr. Glaser’s absence would constitute speculation because there was no factual evidence that the tray was contaminated. Plaintiff countered that there was sufficient circumstantial evidence to suggest that the equipment tray was contaminated. The trial court granted defendants’ motion, stating in relevant part:

“I’m going to grant that based upon the fact that it’s subjective. There’s no actual proof, theory that that’s the contamination.
Taking into account of having read the doctor’s deposition indicating that it was a difficult situation, there was no actual proof that he had left the room or that precautions were not taken, that apparently the Court learned that even the wife was brought into the room, anything could happen.
So, basically, the doctor or the expert, Dr. Minore, said that he merely went to the deposition, read the other deposition. He had no knowledge as to Dr. Glaser having left the room.
So at this — I am going to grant that motion.”

Following Dr. Minore’s testimony at trial, and outside the presence of the jury, plaintiff made an offer of proof with respect to Dr. Minore. Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
776 N.E.2d 859, 333 Ill. App. 3d 846, 267 Ill. Dec. 487, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scassifero-v-glaser-illappct-2002.