Sottile v. Carney

596 N.E.2d 140, 230 Ill. App. 3d 1023, 172 Ill. Dec. 861, 1992 Ill. App. LEXIS 979
CourtAppellate Court of Illinois
DecidedJune 22, 1992
Docket1-90-1197
StatusPublished
Cited by5 cases

This text of 596 N.E.2d 140 (Sottile v. Carney) 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
Sottile v. Carney, 596 N.E.2d 140, 230 Ill. App. 3d 1023, 172 Ill. Dec. 861, 1992 Ill. App. LEXIS 979 (Ill. Ct. App. 1992).

Opinion

PRESIDING JUSTICE BUCKLEY

delivered the opinion of the court:

Plaintiff Nancy Sottile filed a complaint against defendant Andrew Carney, M.D. alleging medical negligence against defendant for the treatment she received from him and that defendant failed to adequately inform her of possible complications which could result from the surgery. The jury found in favor of defendant and against plaintiff. Thereafter, the circuit court denied plaintiff’s post-trial motion. Plaintiff appeals the denial of her post-trial motion and the jury’s verdict.

As a young adult, plaintiff suffered from facial flushing and dizzy spells. Plaintiff also complained about sharp pains on the right side of her head of such severity that she would vomit. Some time between 1975 and 1977, plaintiff began experiencing problems with her walk, such as unsteadiness and falling to one side. Prior to December 1979, plaintiff’s symptoms worsened and she began experiencing imbalance almost every day. Due to this condition, plaintiff was referred to Dr. Arvind Kumar.

Kumar performed several tests on plaintiff, all of which indicated that plaintiff had poor blood circulation to the brain. Kumar, therefore, referred plaintiff to CT Headscan for a dynamic CT scan. Dr. M.E Mafee at CT Headscan performed the scan. Mafee’s analysis also concluded that plaintiff’s blood circulation to the brain was poor. After receiving Mafee’s analysis, Kumar referred plaintiff to defendant.

On December 3, 1979, plaintiff was admitted to Oak Park Hospital, which is where and when defendant saw plaintiff for the first time. Defendant took a brief medical history from plaintiff during which plaintiff informed defendant that for the past three years she had been suffering from disequilibrium, numbness in the left arm and hand at night, pain on the right side of her head, weakness in her legs which caused her knees to buckle, resulting in her falling, an inability to stand in the morning when getting out of bed, walking into objects and hitting her right side, and blurred vision. Defendant observed that plaintiff repeated words, slurred her speech and suffered severe memory impairments. The above symptoms would worsen when plaintiff was upset.

On December 4, 1979, defendant performed a physical examination on plaintiff. Defendant also performed a passive tilt test. During the test, plaintiff’s blood pressures were checked. Further, the test allowed defendant to make a brachycephalic arterial evaluation from which he concluded that plaintiff’s neck artery was displaced and had tortuosity. Then, defendant examined plaintiff’s neck artery with a directional doppler and found that the blood velocity on both her right and left sides was low. Additionally, an ocular pulse transmission time test supported a diagnosis of a system problem along with a vascular problem. Plaintiff’s ocular pulse amplitude test was below normal, indicating an obstruction of her carotid artery on the right side. Defendant, therefore, performed a carotid compression test which further indicated the possibility of a right artery obstruction.

Plaintiff, then, underwent a four-vessel angiogram. The angiogram confirmed that plaintiff had considerable tortuosity of the right internal carotid artery, some tortuosity of a portion of the right vertebral artery, tortuosity of the left internal carotid artery and kinking at the origin of the left vertebral artery. Moreover, the angiogram showed that the right carotid artery folded upon itself with a hairpin tight obstruction at the level of the hypoglossal nerve. The angiogram also indicated dynamic obstructions of all four arteries with the worst obstruction being the right internal carotid.

Defendant reviewed plaintiff’s medical records from Illinois Masonic Hospital, including an isotope brain scan. The brain scan revealed a localized isotope concentration over the right middle cerebral artery. The records denoted right coronary artery disease, and reported a primary diagnosis of cerbrovascular insufficiency with verebral basilar disequilibrium. The Illinois Masonic findings were consistent with defendant’s work-up of plaintiff.

Defendant took an electroencephalogram (EEG) of plaintiff. The EEG disclosed low voltage. The EEG results were consistent with a diagnosis of carotid obstruction. Similarly, the EEG established that plaintiff was not getting enough blood to the brain.

Based upon the above litany of tests, findings and observations, defendant concluded that plaintiff had inadequate blood flow to the brain and coronary insufficiency. Defendant opined that there was a need to surgically reconstruct plaintiff’s right carotid artery. Defendant claims that during a conversation with plaintiff, he explained that the surgery would involve the use of an anesthetic which could cause a stroke, heart attack or death. Defendant also informed plaintiff that he would be using a transverse incision which would divide more nerves, but which would heal better. Defendant testified that he told plaintiff that there would be some pain from the incision. Further, defendant testified that he informed plaintiff that she could get numbness in her face and ear. Additionally, defendant told plaintiff that the surgery may not have any benefit, but, on the other hand, that it may help her recover certain functions.

Plaintiff denied that the above conversation took place. Plaintiff’s memory, however, is, by her own admission, terrible. Plaintiff explained, “I can’t remember what I ate yesterday let alone ten years ago.” Plaintiff’s son also admitted that plaintiff’s short-term memory from 1979 until the trial was poor. Moreover, plaintiff’s son admitted that plaintiff had told him that defendant had been in to talk to her alone about the surgery. Furthermore, defendant also had a second conversation with plaintiff at which plaintiff’s son was present. During the second conversation, defendant repeated the informed consent conversation in shorter form.

On December 10, 1979, defendant performed the surgery to which plaintiff agreed. During the surgical procedure, the greater auricular nerve was severed to gain access to the carotid artery. Plaintiff is not contending that the surgery itself was negligently performed. Rather, plaintiff claims to post-operatively suffer pain in the area of the incision and numbness and pain in her face, neck and right ear.

Dr. Glenn Dobben, an associate of Dr. Mafee, who had conducted plaintiff’s CT scan, testified on behalf of defendant as an expert witness. Plaintiff admitted that Dobben was never actually one of her treating physicians. Dobben testified that the surgery was indicated by all the tests, findings and observations and was, therefore, necessary. Dobben opined that defendant not only met the standard of care, but that he performed better than the standard and, therefore, “should be commended.”

After filing her complaint, plaintiff named Mafee as a respondent in discovery pursuant to section 2 — 402 (Ill. Rev. Stat. 1987, ch. 110, par. 2 — 402). Counsel filed a limited appearance on behalf of Mafee, along with a motion to dismiss Mafee as a respondent in discovery.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Gulino v. Zurawski
2015 IL App (1st) 131587 (Appellate Court of Illinois, 2015)
Buckholtz v. MacNeal Hospital
Appellate Court of Illinois, 2003
Bakala v. Bakala
576 S.E.2d 156 (Supreme Court of South Carolina, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
596 N.E.2d 140, 230 Ill. App. 3d 1023, 172 Ill. Dec. 861, 1992 Ill. App. LEXIS 979, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sottile-v-carney-illappct-1992.