Schroeder v. Northwest Community Hospital

862 N.E.2d 1011, 308 Ill. Dec. 808, 371 Ill. App. 3d 584
Appellate Court of Illinois·Decided December 12, 2006·No. 1-05-2594·Published·Cited by 38 cases

Opinion

JUSTICE SOUTH

delivered the opinion of the court:

This appeal arises from an order of the circuit court of Cook County which granted summary judgment in favor of defendant Northwest Community Hospital (Northwest) and against plaintiff, Carol Schroeder, executor of the estate of Charles Schroeder, deceased, in a medical malpractice/wrongful death action.

Plaintiffs decedent, Charles Schroeder, suffered from rheumatoid arthritis and was admitted for treatment as an inpatient at Northwest in December 1998, May 1999, and October 1999. During these hospitalizations he was under the care and treatment of codefendant Todd Leverentz, M.D., his primary care physician, as well as several consulting physicians: codefendants Kenneth Crane, David Sager, Ladonna Koziel, and Azza S. Suleiman. During these hospitalizations decedent was administered the drug methotrexate, which is an anti-metabolite used in the treatment of adult rheumatoid arthritis. Methotrexate is contraindicated for patients who are in severe renal failure and on hemodialysis because they require functioning kidneys in order to eliminate the drug from their bodies. If a patient who is in severe renal failure is administered methotrexate, toxic levels of the drug will build up in his body, resulting in serious complications. It is undisputed that methotrexate was contraindicated for Charles because he was on hemodialysis and in severe renal failure.

Charles died at age 53 on November 6, 1999. On November 5, 2001, plaintiff, Carol Schroeder, as executrix of her husband’s estate, filed a six-count medical malpractice/wrongful death complaint against Northwest, Dr. Leverentz, and the consulting physicians. Count I of the complaint sought production of decedent’s medical records. However, since those records were subsequently produced, that count has been rendered moot. Count II alleges medical malpractice against Dr. Leverentz. Counts III and IV allege medical malpractice by the physicians who participated in the care and treatment of decedent as consultants at the request of Dr. Leverentz. And counts V and VI seek recovery from Northwest under the theory of respondeat superior pursuant to the Wrongful Death Act (740 ILCS 180/1 et seq. (West 2004)) and the survival statute (755 ILCS 5/27 — 6 (West 2004)). Count V seeks to hold Northwest vicariously liable under the theory that the named physicians were either its actual or apparent agents. Plaintiffs theory of recovery is that Northwest and codefendants negligently administered methotrexate to decedent even after he exhibited signs of methotrexate toxicity, which caused him to develop lymphoma.

On February 4, 2002, plaintiff filed a physician’s affidavit pursuant to section 2 — 622 of the Code of Civil Procedure (735 ILCS 5/2— 622 (West 2004)), which reads in pertinent part:

“I am a licensed physician board-certified in internal medicine, specializing in the practice of rheumatology and familiar with the issues raised in the matter of Charles Schroeder. I have reviewed the medical records of Northwest Community Hospital, Northwest Suburban Medical Group, and Rheumatic Disease Center Physicians. Based on my review of the records and my knowledge, training and experience, Dr. Leverentz, Northwest Community Hospital and the physicians caring for Mr. Schroeder during his various hospitalizations after he developed renal insufficiency eventually requiring dialysis failed to meet the standard of care regarding administration of the drag methotrexate. Specifically, methotrexate was given to Mr. Schroeder when it was contraindicated due to his severe renal insufficiency, the need for dialysis, and various signs and symptoms of methotrexate toxicity. As a result of the failure to meet the applicable standard of care, Mr. Schroeder developed lymphoma caused by immunosuppression due to methotrexate[.] [E]ven after this diagnosis was reached, the methotrexate was continued. As a result, the lymphoma metastasized and Mr. Schroeder died on November 5, 1999 despite discontinuation of the drug[,] administration of leukovorin, and chemotherapy.”

Following extensive discovery, Northwest filed a motion for summary judgment on the grounds that it should be dismissed from the action with prejudice because the codefendant physicians were not its actual or apparent agents but were, in fact, independent contractors. Attached to the motion were the three universal consent forms signed by plaintiff and decedent. Each time decedent was admitted in December of 1998 and May and October of 1999, either he or his wife initialed and signed a consent form. This one-page document contained six sections pertaining to (1) a general consent for treatment, (2) a disclosure statement, (3) a release of responsibility for valuables, (4) an assignment of insurance benefits, (5) a payment guarantee, (6) and an acknowledgment. Item 2 of the consent form, which was the subject of defendant’s motion for summary judgment, states in pertinent part:

“Item 2 disclosure Statement: Your care will be managed by your personal physician or other physicians who are not employed by Northwest Community Hospital or Northwest Community Day Surgery Center but have privileges to care for patients at this facility. Your physician’s care is supported by a variety of individuals employed by Northwest Community Hospital or Northwest Community Day Surgery Center, including nurses, technicians and ancillary staff. Your physician may also decide to call in consultants who practice in other specialities and may be involved in your care. Like your physician, those consultants have privileges to care for patients at this facility, but are not employed by Northwest Community Hospital or Northwest Community Day Surgery Center.” (Emphasis added.)

Item 6 of the consent form entitled “Acknowledgment” reads:

“Upon signing this form, I acknowledge that I have read and understood the foregoing and accept its terms.”

It is undisputed that decedent signed the consent forms on December 21, 1998, and May 13, 1999, at the time of his admissions to the hospital, and his wife, plaintiff, signed the consent form on his behalf at the time of his last admission on October 20, 1999, although there is no explanation or evidence in the record as to why he did not sign the form on that occasion.

Plaintiffs response to the motion for summary judgment was twofold. First, she maintained that even if defendant’s argument about apparent agency was correct, the motion should still be denied as a matter of law because there was sufficient evidence for a jury to find that the hospital, through its nurse employees, violated the standard of care by administering methotrexate to the decedent, which their training and the hospital’s own drug reference materials told them was contraindicated for and dangerous to him. In support of her response, plaintiff submitted the deposition transcript of a nurse employed by Northwest at the time of decedent’s hospitalization and the affidavit of a registered nurse who is experienced in the relevant area of nursing and familiar with the applicable standard of care.

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Schroeder v. Northwest Community Hospital, 862 N.E.2d 1011, 308 Ill. Dec. 808, 371 Ill. App. 3d 584 (Ill. Ct. App. 2006).

862 N.E.2d 1011 (Schroeder v. Northwest Community Hospital) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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