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    "parties": [
      "CARMEN JUAREZ et al., Plaintiffs-Appellants, v. COMMONWEALTH MEDICAL ASSOCIATES et al., Defendants-Appellees."
    ],
    "opinions": [
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        "text": "JUSTICE WOLFSON\ndelivered the opinion of the court:\nTwo trials took place in this medical malpractice action filed by plaintiff Carmen Juarez. The first trial raises the question of a trial court\u2019s authority to act once it finds a lawyer intentionally brought about a mistrial.\nJudge Ronald Banks entered an order declaring a mistrial on the second day of the first jury trial, finding plaintiffs attorney, Jeanine L. Stevens (Stevens), repeatedly violated evidentiary and procedural rules as well as the court\u2019s order in limine. Judge Banks sanctioned Stevens for the mistrial by ordering her to pay all attorney fees and costs incurred by the defense during the trial.\nJudge Maureen Durkin Roy presided over the second jury trial, which resulted in a verdict in favor of defendants Commonwealth Medical Associates, S.C. (Commonwealth), Alam Khan, M.D. (Dr. Khan), Todd Grendon, M.D. (Dr. Grendon), and Joseph Car, M.D. (Dr. Car). Judge Durkin Roy denied plaintiffs subsequent motion for a new trial.\nStevens appeals the entry of sanctions against her. The following issues are raised in relation to Judge Banks\u2019 entry of the sanctions order: (1) whether Stevens violated the trial court\u2019s order in limine-, (2) whether the trial court erred in imposing monetary sanctions on Stevens in the form of payment of all opposing counsel\u2019s fees and costs accumulated during the first trial; and (3) whether defendant\u2019s bill for fees and costs should be stricken because it was inflated and failed to identify the person or entity entitled to payment.\nPlaintiff appeals Judge Durkin Roy\u2019s denial of her motion for a new trial and raises the following issues: (1) whether the trial court erred in precluding plaintiff from asking potential jurors during voir dire if they would be able to award a specific amount of money if they found in plaintiffs favor; (2) whether the trial court erred in precluding plaintiff from introducing evidence relating to her health maintenance organization (HMO) enrollment; (3) whether the trial court erred in barring plaintiff from introducing any evidence or opinions relating to plaintiffs treatment prior to April 4, 1994; and (4) whether the trial court erred in allowing defendants to withdraw two of four Rule 213(g) (166 Ill. 2d R. 213(g)) expert witnesses.\nWe reverse Judge Banks\u2019 order requiring Stevens to pay sanctions, but affirm Judge Durkin Roy\u2019s denial of plaintiffs motion for a new trial.\nFACTS\nDefendants were affiliated with Commonwealth and, at various times, acted as plaintiff\u2019s primary care physician. Dr. Car was plaintiffs primary care physician through July 31, 1994, when he left Commonwealth. Dr. Khan acted as plaintiff\u2019s primary care doctor from that time until May 18, 1996, when Dr. Grendon began treating plaintiff.\nEach of the doctors treated plaintiff several times for urological problems commonly associated with bladder infections. In 1992, while plaintiff was under Dr. Car\u2019s care, plaintiff was referred to Dr. Neil Friedman (Dr. Friedman), a urologist. Dr. Friedman performed a cytology (evaluation of urine for abnormal cells) in May 1992. This test showed abnormal cells were present. Three subsequent urine cytolo-gies tested negative for abnormal cells.\nDr. Friedman tested plaintiffs urine again in October 1992 and found traces of blood. Though Dr. Friedman told Dr. Car he wanted to repeat urine cytology tests, do a bladder biopsy, and obtain a urine culture, Dr. Car referred plaintiff to a medical oncologist. Bladder cancer was ruled out as a diagnosis after several more cytologies showed negative results.\nPlaintiff continued to have symptoms associated with bladder infections throughout the time Dr. Car acted as her primary care physician, but her symptoms resolved after she was given antibiotics. Dr. Khan and Dr. Grendon also treated plaintiff for urological problems. Each time, plaintiff\u2019s symptoms resolved after she took antibiotics.\nIn January 1998, plaintiff found blood in her urine and was referred to Dr. Michael Young, a urologist, by Dr. Melinda Ring, another Commonwealth doctor. Dr. Young diagnosed plaintiff with bladder cancer in February 1998. Plaintiffs treatment included removal of her bladder and creation of a \u201cneobladder\u201d from tissue taken from plaintiffs intestines.\nPlaintiff filed this suit on April 14, 1998, alleging defendants\u2019 failure to adequately diagnose and treat her bladder cancer resulted in a metastasis of the disease to surrounding lymph nodes and necessitated removal of her bladder. Because the four-year statute of repose for medical malpractice actions (735 ILCS 5/13 \u2014 212 (West 1998)) prohibited any allegations of negligence before April 14, 1994, plaintiffs complaint did not include allegations that negligence occurred during Dr. Car\u2019s early treatment of plaintiff\u2019s urological problems.\nDECISION\nFirst Trial \u2014 Mistrial and Sanctions\nThe trial court revisited issues surrounding the statute of repose several times before the first trial. Dr. Car brought a motion for summary judgment in which he alleged the statute of repose barred plaintiffs suit against him. The trial court denied Dr. Car\u2019s motion and found plaintiff\u2019s allegations of negligence against him were confined to his treatment of plaintiff from April 14, 1994, until he left Commonwealth on July 31, 1994, and that the only conduct at issue in the case was that which occurred on or after April 14, 1994.\nThe issue was discussed again when the court ruled on the parties\u2019 motions in limine. Defendants asked the court to prohibit plaintiff from introducing any evidence concerning her medical treatment prior to April 1994. Defendants feared plaintiff would imply Dr. Car was negligent for failing to refer her to Dr. Friedman for more tests after the May 1992 cytology results were positive. Plaintiff claimed she had no intention of alleging any negligence occurred before April 14, 1994, but needed to be able to establish a factual chronology of her medical treatment.\nDefendants also asked the trial court to bar any evidence of plaintiff\u2019s HMO enrollment. Plaintiff argued defendants\u2019 experts\u2019 deposition testimony placed the blame for any negligence on Dr. Friedman for failing to follow up on the May 1992 positive cytology results. Plaintiff asked the court to allow her to introduce the HMO evidence to show Dr. Friedman could not have seen her without a referral from Dr. Car.\nThe trial court barred plaintiff from introducing any evidence of her HMO enrollment but ruled she would be allowed to introduce purely factual evidence relating to her pre-1994 medical treatment. Judge Banks advised Stevens she could not introduce any evidence of a deviation from the standard of care prior to April 14, 1994, and specifically told Stevens to avoid suggesting that Dr. Car was negligent for failing to refer plaintiff to Dr. Friedman for more testing.\nDespite this warning, Stevens repeatedly implied Dr. Car was negligent in failing to authorize another referral to Dr. Friedman. Stevens also violated procedural and evidentiary rules during her opening argument and questioning of her first two witnesses. Judge Banks declared a mistrial during Stevens\u2019 direct examination of Dr. Friedman:\n\u201cQ. [In October of 1992] the patient was referred to you for one visit, correct?\n[Defense counsel]: I object, your Honor.\nTHE COURT: Objection sustained. He was referred to the doctor period.\nQ. Doctor, how many times did you see the patient in October of 1992?\n\u2756 \u2756 \u2756\nA. *** I saw her one time October of \u201992.\nQ. Okay.\nIn October of 1992 what was the reason for the referral of the patient?\nA. Chronic bladder infection.\nQ. Were you authorized to do any procedures at that time?\n[Defense counsel]: I object, your honor.\nTHE COURT: Objection sustained.\nAsk him what procedures he did.\nQ. He wasn\u2019t authorized to do any, your Honor.\n[Defense counsel]: I object, your Honor.\nTHE COURT: We will have a side-bar right now.\nTHE COURT: I have been very tolerant. You are violating the rules left and right. You do it again. I listened to your questions. You are trying to violate the rules. You do violate the rules. I\u2019m not only going to declare a mistrial. I\u2019m going to sanction you. You will pay all costs of litigation up to this time for the defense. This case will be transferred back to the presiding judge. There will be a new trial.\nI don\u2019t know what I could do, Counselor, every move you make you are in violation of the rules.\nYou are violating more rules than any lawyer I know. I\u2019m sorry to have to say it, but I can\u2019t take it. I don\u2019t care if they want a mistrial. It\u2019s all over. You present a bill for your costs. She\u2019ll pay it.\n[Plaintiffs counsel]: Thank you, your Honor.\n[Defense counsel]: Thank you.\nTHE COURT: And I know you were trying to do it only [sic] purpose because you want a mistrial, so we will work on that too.\u201d\nStevens contends the trial court erred in declaring a mistrial. She says while the trial court\u2019s order in limine barred evidence of plaintiff s HMO enrollment, her question concerning \u201cauthorization\u201d was not a violation of that order.\nThis argument misconstrues the basis for the mistrial. The trial court did not order a mistrial because plaintiff violated the order in limine prohibiting evidence of plaintiffs HMO membership. The court ordered the mistrial because it repeatedly sustained objections to Stevens\u2019 suggestions that Dr. Car deviated from the standard of care in 1992, repeatedly sustained objections to improper argument during her opening statement, sustained objections during her questioning of Dr. Bormes when she implied there was a family history of bladder cancer despite the trial court\u2019s order that she could not introduce this evidence, and sustained objections when counsel again implied that Dr. Car violated the standard of care prior to April 1994 during her direct examination of Dr. Bormes and Dr. Friedman.\nThe decision to grant a mistrial rests within the sound discretion of the trial court based upon the particular circumstances of the case. Benuska v. Dahl, 87 Ill. App. 3d 911, 913, 410 N.E.2d 249 (1980). The trial court\u2019s ruling will not be disturbed on appellate review absent a clear abuse of discretion. Benuska, 87 Ill. App. 3d at 913. Given Stevens\u2019 repeated violations of the court\u2019s order in limine, as well as her violation of procedural and evidentiary rules, we do not find the court\u2019s ruling to have been an abuse of discretion. But that does not end the matter.\nStevens also argues the trial court erred in ordering her to pay sanctions in the form of attorney fees and costs. We agree.\nAbsent an agreement between the parties or statutory authority, causing a mistrial does not give rise to liability for attorney fees. Freeman v. Myers, 191 Ill. App. 3d 223, 226, 547 N.E.2d 586 (1989). In Freeman, as in this case, the court\u2019s order in limine was continually violated by the attorney representing defendant. A mistrial was ordered based on the violations. Plaintiffs subsequently filed a motion for attorney fees and sanctions, as well as a rule to show cause why defendant\u2019s attorney should not be held in contempt. The trial court entered an order assessing attorney fees against defendant\u2019s attorney but did not find him in contempt. The appellate court reversed the award of sanctions and said:\n\u201cThis is not a case of mistaken tactics. [Defendant\u2019s attorney], an experienced trial lawyer, was repeatedly warned by the court. When reprimanded, [defendant\u2019s attorney] stated the excluded evidence was the theory of defendant\u2019s case. The trial court was justified in finding [his] violation of the court order to be intentional. In such a situation the court may have been able to fashion appropriate relief based on contempt. However, there was no finding of contempt. Though a different remedy may have been appropriate, absent authority or agreement, the trial court\u2019s award of attorney fees in this case cannot stand.\u201d Freeman, 191 Ill. App. 3d at 227-28.\nHere, there was no finding of contempt. Judge Banks entered the order authorizing sanctions at the same time he entered the order of mistrial. Defendants\u2019 attorneys never moved for sanctions or for a finding of contempt. When plaintiff appealed the sanctions, Judge Banks discussed his decision not to find Stevens in contempt:\n\u201cI knew I had the power of law to hold [Stevens] in contempt of court. I would not do that and the reason I would not do that, I spent most of my life in criminal and I thought about it. I\u2019ll be very honest with you. I thought about holding her in contempt of court but I\u2019ve always felt that when you\u2019re in direct contempt of court because of my criminal background that you should go to jail.\nAnd I didn\u2019t think that \u2014 I would have sent her if I had held her in contempt. I\u2019m not saying that as a threat or anything but I decided that that was not the proper thing to do. I didn\u2019t want to send a lawyer to jail. I\u2019ve never done it in my life.\nThe second thing is that although the ARDC may have felt it reached the point of a hearing for a possible censure, suspense and disbarment, I did not. I felt that the penalty that I was going to issue would be sufficient as a wake-up call to Ms. Stevens.\nMs. Stevens tried on the day of the mistrial to get her own mistrial. I did not grant her a mistrial on what she wanted a mistrial on. I told her not to force a mistrial.\u201d\nDefendants contend the trial court\u2019s entry of sanctions was permissible under Supreme Court Rule 219(c). 166 Ill. 2d R. 219(c). Rule 219(c) allows the court to sanction attorneys who fail to comply with discovery orders. It does not give trial courts the authority to sanction attorneys who violate orders in limine during trial. Though we do not condone Stevens\u2019 conduct, the trial court had no authority for its entry of sanctions in the form of attorney fees and costs. Freeman, 191 Ill. App. 3d at 228; see also Kilpatrick v. First Church of the Nazarene, 182 Ill. App. 3d 461, 470-71, 538 N.E.2d 136 (1989) (existing statutes and supreme court rules do not allow assessment of attorney expenses absent finding of contempt); In re Marriage of Spizzo, 168 Ill. App. 3d 487, 493, 522 N.E.2d 808 (1988) (absent finding of contempt, orders assessing attorney fees and costs against respondent and her attorney must be reversed).\nWe understand our conclusion in this case leaves a trial court little room, short of a contempt finding, to deal with a lawyer who purposely creates conditions for a mistrial. Whether trial judges should be granted the power to sanction a seriously misbehaving trial lawyer without first entering a contempt finding is a question this court does not have the authority to determine.\nBecause we find the trial court had no authority to order Stevens to pay defendants\u2019 attorney fees, we need not address her contention that the bill for fees submitted by the defense should be stricken.\nSecond Trial \u2014 Denial of Motion for a New Trial\nThe case was transferred to Judge Durkin Roy for a second trial. Judge Durkin Roy made many of the same rulings Judge Banks made on the parties\u2019 motions in limine. She denied plaintiff\u2019s motion requesting permission to enter evidence of HMO enrollment. She ruled factual evidence of plaintiffs medical history prior to April 14, 1994, was admissible, but warned plaintiff evidence of a deviation from the standard of care prior to 1994 would not be allowed.\nPlaintiff again raised her concern defendants would attempt to show Dr. Friedman was responsible for failing to follow up on plaintiffs May 1992 test results. Defendants again said they would not attempt to suggest Dr. Friedman was in any way negligent. Judge Durkin Roy told the parties they would not be allowed to suggest any negligence occurred prior to April 14, 1994.\nJudge Durkin Roy also denied plaintiffs request to ask potential jurors, during voir dire, whether they would be able to award plaintiff a specific amount of money if they found in her favor. The judge advised the parties that she generally asked potential jurors if they would be able to award a \u201csubstantial amount\u201d of money and did not see any need to elaborate by naming a specific amount.\nThe jury returned a verdict in defendants\u2019 favor, and Judge Dur-kin Roy denied plaintiffs motion for a new trial.\nPlaintiff first contends the trial court erred in denying her request to be allowed to ask potential jurors, during voir dire, whether they would be able to award $2 million if they found in her favor.\nThe trial judge has discretion in determining what questions to pose to the jury during voir dire, including whether potential jurors have fixed ideas about awards of specific sums of money. DeYoung v. Alpha Construction Co., 186 Ill. App. 3d 758, 764, 542 N.E.2d 859 (1989). Here, the trial court asked potential jurors whether they could award \u201csubstantial damages.\u201d We do not find the failure of the court to allow inquiry into a specific amount was an abuse of its discretion. Kern v. Uregas Service of West Frankfort, Inc., 90 Ill. App. 3d 182, 201, 412 N.E.2d 1037 (1980) (trial court did not abuse its discretion where attorneys were allowed to ask jurors whether they had any prejudice against \u201clarge verdicts\u201d). Furthermore, given that the jury returned a verdict in favor of defendants, any error committed by the trial court on this issue was harmless. See McDonnell v. McPartlin, 303 Ill. App. 3d 391, 402, 708 N.E.2d 412 (1999).\nPlaintiff next contends the trial court erred in denying her motion in limine requesting she be allowed to introduce evidence concerning her HMO membership. Plaintiff claims she did not intend to introduce this evidence for purposes of establishing liability, but instead intended to use it to show the circumstances under which Dr. Car referred plaintiff to Dr. Friedman.\nThe admissibility of evidence is committed to the sound discretion of the circuit court. Caponi v. Larry\u2019s 66, 236 Ill. App. 3d 660, 674, 601 N.E.2d 1347 (1992). An evidentiary ruling will not be reversed absent an abuse of that discretion. Poulos v. Lutheran Social Services of Illinois, Inc., 312 Ill. App. 3d 731, 745, 728 N.E.2d 547 (2000).\nPlaintiff claims she needed to introduce evidence of HMO enrollment in order to \u201cdefend Dr. Friedman against Defendants\u2019 experts opinions that he was to blame for the delay in diagnosis of plaintiffs cancer and that he deviated from the accepted standard of care by failing to follow-up *** from 1992 until 1998.\u201d As discussed above, the trial court ruled defendants would not be allowed to imply Dr. Friedman was negligent in 1992. While defendants\u2019 experts suggested during their depositions that Dr. Friedman, rather than Dr. Car, was at fault for failing to follow up on the 1992 positive cytology, the trial court barred this testimony at trial. The jury never heard it. Plaintiff does not point us to any testimony in the trial transcript that supports her argument, and after reviewing the record, we do not find any.\nPlaintiff also contends the trial court erred in prohibiting her from introducing facts and opinions that were not included in her medical chart concerning plaintiffs medical history prior to April 14, 1994. Plaintiff specifically claims the trial court erred in ruling she could not ask Dr. Friedman about his alleged May 1992 oral statement that a cytology test had a \u201cfalse-positive\u201d result.\nThe trial court\u2019s decision was based on its finding the statute of repose barred all evidence relating to any allegations of negligence prior to April 14,1994. Nothing in the court\u2019s order prohibited plaintiff from eliciting facts relating to plaintiffs treatment prior to April 14, 1994; the trial court simply said plaintiff could not attempt to prove any negligence occurred prior to that date.\nDr. Friedman\u2019s cross-examination testimony that the May 1992 cytology had a \u201cfalse-positive\u201d result was meant to explain why he did not diagnose plaintiff with cancer in 1992, though the cytology was positive. Dr. Friedman said after the following three cytologies were negative for abnormal cells, in his \u201cclinical judgment,\u201d the May 1992 result was a \u201cfalse-positive.\u201d Plaintiff was allowed to ask several follow-up questions concerning this testimony and was only prohibited from asking what \u201cneeded to be done\u201d for plaintiff in light of the May 1992 cytology after the trial court determined the question violated the order in limine. We do not find any of the court\u2019s rulings on this issue to be an abuse of discretion.\nPlaintiff contends Judge Durkin Roy erred in permitting defendants to withdraw two expert witnesses without notice. Plaintiff claims she should have been given an opportunity to cross-examine the experts concerning their withdrawn opinions that Dr. Friedman was responsible for the delay in plaintiffs diagnosis. Again, because these opinions were not elicited or discussed at trial, there was no need to allow plaintiff to cross-examine these experts on that subject.\nCONCLUSION\nFor the reasons discussed above, we reverse Judge Banks\u2019 award of sanctions and affirm Judge Durkin Roy\u2019s denial of plaintiffs motion for a new trial.\nAffirmed in part and reversed in part.\nCERDA and BURKE, JJ., concur.",
        "type": "majority",
        "author": "JUSTICE WOLFSON"
      }
    ],
    "attorneys": [
      "Thomas A. Clancy and Jeanine L. Stevens, both of Clancy & Stevens, of Chicago, for appellants.",
      "Mark J. Smith and Brian C. Rocca, both of Fedota Childers & Rocca, EC., of Chicago, for appellees."
    ],
    "corrections": "",
    "head_matter": "CARMEN JUAREZ et al., Plaintiffs-Appellants, v. COMMONWEALTH MEDICAL ASSOCIATES et al., Defendants-Appellees.\nFirst District (3rd Division)\nNos. 1\u201499\u20144081, 1\u201400\u20141361 cons.\nOpinion filed December 27, 2000.\nThomas A. Clancy and Jeanine L. Stevens, both of Clancy & Stevens, of Chicago, for appellants.\nMark J. Smith and Brian C. Rocca, both of Fedota Childers & Rocca, EC., of Chicago, for appellees."
  },
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