Schilling v. Quincy Physicians & Surgeons Clinic, S.C.

2024 IL App (4th) 240520-U
CourtAppellate Court of Illinois
DecidedDecember 11, 2024
Docket4-24-0520
StatusUnpublished

This text of 2024 IL App (4th) 240520-U (Schilling v. Quincy Physicians & Surgeons Clinic, S.C.) 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
Schilling v. Quincy Physicians & Surgeons Clinic, S.C., 2024 IL App (4th) 240520-U (Ill. Ct. App. 2024).

Opinion

NOTICE 2024 IL App (4th) 240520-U This Order was filed under FILED Supreme Court Rule 23 and is December 11, 2024 not precedent except in the NO. 4-24-0520 Carla Bender limited circumstances allowed 4th District Appellate under Rule 23(e)(1). IN THE APPELLATE COURT Court, IL

OF ILLINOIS

FOURTH DISTRICT

ROBERT L. SCHILLING, ) Appeal from the Plaintiff-Appellant, ) Circuit Court of v. ) Adams County QUINCY PHYSICIANS & SURGEONS CLINIC, ) No. 18L53 S.C., d/b/a QUINCY MEDICAL GROUP and KREG J. ) LOVE, D.O., ) Honorable Defendants-Appellees. ) Scott D. Larson, ) Judge Presiding.

JUSTICE ZENOFF delivered the judgment of the court. Justices Knecht and DeArmond concurred in the judgment.

ORDER

¶1 Held: The appellate court affirmed a judgment in favor of defendants in a medical malpractice action where the trial court acted within its discretion by (1) denying plaintiff’s counsel’s motions for a mistrial, (2) refusing to conduct further polling of the jury, and (3) using the phrase “failed to diagnose” rather than the word “misdiagnosed” in a jury instruction.

¶2 Plaintiff, Robert L. Schilling, filed this medical malpractice action against

defendants, Dr. Kreg J. Love, D.O., and his employer, Quincy Physicians & Surgeons Clinic, S.C,

d/b/a Quincy Medical Group. The jury returned a verdict in favor of defendants. Plaintiff appeals,

arguing the trial court should have (1) declared a mistrial, (2) polled jurors more extensively

following the verdict, and (3) given a jury instruction that used the word “misdiagnosed” rather

than the phrase “failed to diagnose” to recite plaintiff’s allegations of negligence. We affirm.

¶3 I. BACKGROUND ¶4 The issues plaintiff raises on appeal do not require us to present a detailed overview

of the evidence. It will suffice to say the following. Between January 12 and 26, 2017, plaintiff,

who was diabetic, sought treatment for left foot pain and swelling with his primary care physician,

Dr. Love. Dr. Love treated plaintiff with antibiotics for an infection (cellulitis) before eventually

referring him to a podiatrist. On January 30, 2017, the podiatrist ordered an X-ray and discovered

plaintiff had multiple fractures, which required surgeries and ultimately amputation of his foot.

¶5 Summarized briefly, plaintiff’s theory was that Dr. Love was negligent for failing

to order an X-ray and failing to instruct plaintiff not to bear weight on the affected foot. According

to plaintiff, had his fractures been diagnosed sooner through an X-ray, he would have recovered

without surgery or amputation. Defendants’ theory was that Dr. Love properly treated plaintiff for

cellulitis, which was the most likely cause of the symptoms at the time. Defendants also contended

it was impossible to know whether plaintiff’s outcome would have been different had Dr. Love

ordered an X-ray or instructed plaintiff not to bear weight on the affected foot.

¶6 Plaintiff’s complaint alleged that Dr. Love “[f]ailed to diagnose” the fractures.

During trial, plaintiff took the position that such failure to diagnose inherently constituted a

misdiagnosis. At the jury instructions conference, plaintiff tendered an instruction that included

the proposition that he claimed defendants were negligent in that they “[f]ailed to diagnose broken

bones.” However, plaintiff tendered an alternative to this instruction that included the proposition

that he claimed defendants were negligent in that they “[m]isdiagnosed the broken bones.” Defense

counsel objected to the alternative instruction on three bases: (1) there was no testimony that Dr.

Love misdiagnosed broken bones, (2) this instruction was confusing and misleading, and (3) the

word “misdiagnosed” came from the medical records of plaintiff’s surgeon, who was not offered

as a standard-of-care expert. Plaintiff’s counsel argued that this was an issue of semantics, as a

-2- failure to diagnose was the same thing as a misdiagnosis. Plaintiff’s counsel also told the trial court

he was “not sure there was ever confirmation or not about” the cellulitis and that he was “just

referencing the misdiagnosis of the broken bones.” The court ruled it would instruct the jury about

a failure to diagnose rather than a misdiagnosis. The court reasoned it did not want to confuse the

jury or have the jury read too much into the word “misdiagnosed,” as there was no evidence here

of “what you would traditionally consider a misdiagnosis.” The court added: “I think it’s improper

to use misdiagnosed here when we’re talking about the negligence of a family practice physician

and the [word] misdiagnosis came from the expert testimony of the orthopedic surgeon.” Despite

the court’s ruling, and without an objection from the defense, during closing argument, plaintiff’s

counsel asserted the jury could decide what it meant and whether it was important that plaintiff’s

surgeon used the word “misdiagnosed.”

¶7 After six days of testimony, the jury began its deliberations at 2:25 p.m. on

November 1, 2023. At 5:10 p.m., the jury submitted a note asking whether it was to read and

interpret plaintiff’s allegations of negligence “as they are written or as we preceive [sic] the

evidence.” With the parties’ agreement, the trial court instructed the jury that the instructions

contained the law and the jury’s job was to determine and apply the facts to the law. At 6:22 p.m.,

the jury sent a note asking questions about the meanings of “negligance” [sic] and “standard of

care.” With the parties’ agreement, the court instructed the jury that those terms were defined in

the instructions given previously. At 7 p.m., the jury submitted the following note: “It is very

obvious that we will not come to an agreement unanimously. Sitting in here for hours and hours

will not make a difference.” Neither the parties nor the court proposed giving a Prim instruction

at this point, which is a pattern instruction designed for purportedly deadlocked juries. See Illinois

Pattern Jury Instructions, Civil, No. 1.05 (approved Dec. 8, 2011) (hereinafter IPI Civil No. 1.05);

-3- People v. Prim, 53 Ill. 2d 62 (1972). Rather, the parties agreed to provide the following response

to the jury: “Please continue your deliberations. We will check in with you shortly.” At 7:55 p.m.,

the court discharged the jury for the evening.

¶8 The jury recommenced deliberations at 9:02 a.m. on November 2, 2023. At 9:40

a.m., a juror who was never identified submitted the following handwritten note, which the parties

refer to in their appellate briefs as the “Surrender Note”:

“For the record, I will sign the verdict for the defendant Dr[.] Love. I am

firm in my support for the plaintiff Mr. Shilling.

I am only signing to end this deliberation and put an end to this. After many

hours of discussion and debate, we cannot come to a unanimous decision.

Therefore, it’s my position to sign only to end this.

I 100% believe Dr[.] Love was negligent in providing the appropriate care

to his patient. As a result, Mr[.] Schilling[’s] overall care was impacted because of

Dr[.] Love[’]s decision.

Once again, I am only agreeing to sign to end this.” (Emphases in original.)

Plaintiff’s counsel moved for a mistrial, arguing the Surrender Note showed the jury was

deadlocked and that any forthcoming verdict would be a product of undue influence. Defense

counsel, on the other hand, requested the trial court give the jury a Prim instruction. Plaintiff’s

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Related

Schilling v. Quincy Physicians & Surgeons Clinic, S.C.
2026 IL 131411 (Illinois Supreme Court, 2026)

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Bluebook (online)
2024 IL App (4th) 240520-U, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schilling-v-quincy-physicians-surgeons-clinic-sc-illappct-2024.