almost impossible with credulous and i think that's what happened here and i would like to touch on three issues not necessarily in order that they're in the brief but i think in order after review of then i asked him director even if we believe all over the world the news is new true that the cocaine and the substance abuse and all these problems are just conditions that mr ranger real walked into the hospital with that made him more thinks there was foundation for them but with no any of those pleadings in place or those arguments made his testimony proved an old issue that the jury had to decide in this case and therefore even if you did have formation they injected drugs into this case minus the use of those drugs who found nothing on liability and the images now  case law seems clear that it can't be speculation oh what happens when you're on your way to look up one thing and you find another here to me yesterday when i looked at the case of diarrhea which is where bush is cited in  twelve o five instruction this introduction of sevens is is still want to be sure that they haven't raised more people we know the reason there is so eliminates one flow of the muscle dies and that's the injury in this case because you laid on his arm for hours and hours and hours so a little bit of a question or two certainly but this is the first case that i recall the point i'm getting is that what i got out of this was that if you lay it on your arm long you can get perms is that correct that's determine what is appropriate or standard procedure i was thinking that maybe that stores and compartments similar are similar because they seem to have something to do with wayne  minister expert witness say look when someone's lying in one place for hours and hours and hours you have to move may have to check them and i think the evidence was clear if someone went in and just poked mr  means that remember off the problem was never made a big switch from the theoretical to the natural and in the cases  alcohol can build your senses but you're here today in front of a jury and you're talking about her own you're talking about injecting cocaine you're talking about holly's substance abuse and discoloration on his arm for hours and hours and hours and they were checking every fifteen minutes anyway so it would not cause all hospitals everywhere to change their procedure he was be checked but he wasn't being followed well enough he wasn't being recess it would be the same in any hospital if you  body is actually sending them back to the position they were at for the last forty five to fifty minutes so i'm trying to come up with what should have been done in order  to term whether or not there was a ridge and i'm having difficulty coming up with a formula that seems reasonable under the circumstances as compartment syndrome sounds like it should happen quite often unless of course people wake up because they they feel that it's whatever part of their body or lying down has fallen asleep or has given them some strange sensations and i think we can agree that the best source calm for on the feeling of change position for a long time so the question would be mr counting are you telling me that every nurse and every hospital in every room has to move all of patients every time and my answer would be no means we know the risk factors for bedsores in this particular case as a nurse le testify mr renshaw really was going downhill he'd been sent to the hospital even before he'd been sent to the hospital for flu like symptoms they'd put him in isolation and they put him on a fifteen minute ten thirty or who are eleven when he needed to be rushed emergency room so all they had many opportunities that were to answer your question situation nurse loven on one side and nurse johnson on the other there was certainly a dispute as to what the standard of care require it could have been tested by a special in our story was it wasn't and so it's impossible for this court to determine what the jury's deliberations involved did the jury decide there's been no deviation from the standard here count you would find counsel for the defendant the man whom you talked about who can perhaps a dozen times in the opening maybe a dozen times in the closing every witness was was asked about injecting dispassionately decide those issues instead of injecting pardon the pun cocaine into a case where if any of you go away and say all right how  well it doesn't have anything to do with liability and damages per illinois law so when we have good solid issues about which reasonable jurors can disagree i think it's anesthesia clause that no one ever said that drug use causes this it makes him more susceptible and not to split hairs but dead that is somewhat of a difference it is a difference and the reason  illinois jury instructions now we might be talking about something different if they had tender a twelve o five instruction but if you find the soul crushing the cause of his dangerous something other than the negligence