2022 IL App (1st) 211368-U 

SECOND DIVISION

August 30, 2022

No. 1-21-1368 

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the 

limited circumstances allowed under Rule 23(e)(1).

IN THE

APPELLATE COURT OF ILLINOIS

FIRST JUDICIAL DISTRICT

JONATHAN C. GAMZE, M.D., ) Appeal from the Circuit Court of 

 ) Cook County. 

 Plaintiff-Appellant, ) 

 ) 

v. ) No. 17 L 7185

 ) 

JOHN SEIBEL and CASSIDAY SCHADE, LLP, ) 

 ) Honorable Edward S. Harmening,

Defendants-Appellees. ) Judge Presiding.

JUSTICE HOWSE delivered the judgment of the court.

 Presiding Justice Fitzgerald Smith and Justice Cobbs concurred in the judgment.

ORDER

¶ 1 Held: We affirm the order of the circuit court in this legal malpractice case 

granting defendants’ motion for summary judgment; plaintiff failed to submit 

non-speculative evidence that a more favorable settlement in the underlying 

disciplinary proceedings would have been accepted by the Department; therefore, 

plaintiff failed to supply evidence of proximate cause. 

¶ 2 The Illinois Department of Financial and Professional Regulation (IDFPR) filed a 

disciplinary complaint against Plaintiff Jonathan Gamze, M.D. Dr. Gamze retained defendants 

John Seibel and Cassiday Schade, LLP to defend him against the disciplinary action. Following 
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negotiations, Dr. Gamze accepted a settlement from the IDFPR that resulted in restrictions on his 

medical privileges. 

¶ 3 After accepting the settlement and later regaining full medical privileges, Dr. Gamze filed 

this case against Seibel and Cassiday Schade. Dr. Gamze alleges in his complaint that his 

attorneys were negligent for failing to secure better settlement terms for him. Dr. Gamze claims 

that, had his attorneys complied with the standard of care when representing him, he would have 

received less stringent restrictions on his medical privileges and would have regained full 

medical privileges much sooner. Seibel and Cassiday Schade moved for summary judgment 

arguing that Dr. Gamze failed to submit evidence to create a genuine issue of material fact on the 

element of proximate cause because there is no evidence the IDFPR would have accepted a 

settlement with less stringent restrictions on plaintiff. Seibel and Cassiday Schade also argued 

that the expert opinion offered by Dr. Gamze should be stricken or otherwise disregarded 

because it is speculative and contains conclusions unsupported by facts. The trial court agreed 

with Seibel and Cassiday Schade that Dr. Gamze failed to submit evidence on the issue of 

proximate cause, finding that “the element of proximate cause is missing” and that there is a 

“fatal gap” in Dr. Gamze’s case. Dr. Gamze appeals from the trial court’s grant of summary 

judgment. For the following reasons, we affirm. 

¶ 4 BACKGROUND

¶ 5 Plaintiff Dr. Jonathan Gamze is a psychiatrist. In connection with his duties as a 

psychiatrist, plaintiff maintains both a medical license and a controlled substance license as he 

sometimes prescribes for his patients medications that are regulated by laws governing the 

distribution of controlled substances. 
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¶ 6 The Underlying Proceedings 

¶ 7 A pharmacist, Susan Johnson, became concerned when one of her customers, who was 

one of plaintiff’s patients, frequently presented prescriptions for high doses of Adderall which 

were being refilled early. Adderall is regulated as a Schedule II controlled substance because of 

its potential for abuse. Johnson searched the Illinois Prescription Monitoring Program database 

in which an entry is made each time a prescription is filled in Illinois for one of the controlled 

drugs. When Johnson reviewed the prescriptions being filled for this particular patient, she 

believed that plaintiff was overprescribing controlled substances to the patient. The amount and 

frequency with which this patient was refilling Adderall prescriptions, along with the fact that 

the prescriptions were being filled at multiple pharmacies, led Johnson to believe that the patient 

was abusing drugs or engaged in drug-seeking behavior. Johnson made a complaint with the 

IDFPR about plaintiff’s prescribing practices. 

¶ 8 After receiving the complaint from Johnson, the IDFPR began an investigation into 

plaintiff’s practice of prescribing controlled substances. The IDFPR received medical and 

prescription records from plaintiff’s office. The IDFPR wanted to look at all the records of 

plaintiff’s prescribing practices to make sure it was a widespread issue and not just an isolated 

incident—they wanted to make sure plaintiff was engaged in a pattern and practice of 

overprescribing controlled substances and that a prosecution was worth their time and effort. 

¶ 9 An investigator from the IDFPR spoke to plaintiff. The investigator documented in his 

report that plaintiff told the investigator during the interview that he did not know the law about 

prescribing Schedule II controlled substances. Plaintiff also told the investigator that it appeared 

he had messed up and was willing to accept the punishment.
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¶ 10 A few weeks after plaintiff met with the investigator from the IDFPR, he retained 

defendants John Seibel and Cassiday Schade, LLP to represent him in the coming disciplinary 

proceedings. Seibel was assisted on plaintiff’s matter by Kathleen Barrett, an associate attorney 

at the firm who previously worked at the IDFPR as a clerk under Illinois Supreme Court Rule 

711. Barrett had worked with Seibel on the firm’s IDFPR cases in the past because of the 

experience she gained from working at the IDFPR.

¶ 11 Seven months after plaintiff retained defendants to represent him, the IDFPR filed a 

complaint against plaintiff for overprescribing controlled substances. The complaint focused on 

one particular patient, A.S., to whom plaintiff prescribed Adderall, the patient whose 

prescriptions caught the attention of Pharmacist Johnson. The complaint detailed the evidence 

gathered during the IDFPR’s investigation of plaintiff. Plaintiff prescribed multiple controlled 

substances to A.S., including Adderall, Suboxone, and Valium. The IDFPR concluded that 

plaintiff “authorized multiple prescriptions for controlled substances without properly evaluating 

and/or monitoring patient A.S. for signs, symptoms and/or warning signs of drug abuse” and 

“ignored multiple red flags and/or signs of drug abuse exhibited by patient A.S.” over a threeyear period. The IDFPR alleged in the complaint that plaintiff violated the Medical Practices Act 

through his prescribing practices and claimed that plaintiff was likely to cause harm to patients in 

the future. The IDFPR sought revocation or suspension of both plaintiff’s medical and controlled 

substance licenses.

¶ 12 After the disciplinary complaint was filed, the prosecutor assigned to the case, Vladimir

Lozovskiy, offered plaintiff a settlement of the disciplinary case. The initial offer from 

Lozovskiy was an indefinite probation for a minimum of three years for plaintiff’s medical 

license and an indefinite suspension for a minimum of one year for plaintiff’s controlled 
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substance license. Defendants and Lozovskiy continued to negotiate from the initial offer. After 

negotiation, the IDFPR agreed to a negotiated settlement containing the same terms of probation 

for plaintiff’s medical license, but instead of an indefinite suspension with a minimum one-year 

suspension of his controlled substance license, plaintiff would receive an indefinite suspension of 

his controlled substance license with no minimum. The indefinite suspension, as opposed to the 

one-year suspension, would allow plaintiff to complete certain educational requirements and then 

apply for his suspension to be lifted immediately. Under the initial offer, plaintiff would have 

had to wait a year before he could apply for the lifting of the suspension. After the negotiated 

settlement was presented to plaintiff by his attorneys, he agreed to accept it.

¶ 13 Seven weeks after the suspension of plaintiff’s controlled substance license went into 

effect, plaintiff completed the educational requirements set forth in his settlement. Less than two 

months after the settlement went into effect, plaintiff, with the counsel of defendants, petitioned 

for the restoration of his controlled substance license. Defendants withdrew from representing 

plaintiff a few months after filing the petition for the restoration of his controlled substance 

license. Plaintiff’s license was subsequently restored, but not until it had already been suspended 

for 23 months. Plaintiff’s Illinois controlled substance license was restored in September 2017. 

His DEA license was restored in October 2017.

¶ 14 The Legal Malpractice Case

¶ 15 Plaintiff subsequently filed a legal malpractice case against defendants, his former 

attorneys. Plaintiff alleges defendants breached the standard of care and, as a result, he was 

forced to accept an unfavorable settlement. Plaintiff alleges that, if defendants complied with the 

standard of care, he would not have had his controlled substance license suspended or it would 

have been suspended for a far shorter period. Plaintiff claims he suffered an excess of $3 million 
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in damages due to the suspension of his controlled substance license because of defendants’ 

negligent performance of services. 

¶ 16 The parties conducted discovery including the depositions of the parties and their expert 

witnesses. In support of his claim for legal malpractice, plaintiff offered the expert opinion of 

Edward Williams, an attorney who regularly represents licensed professionals before the IDFPR, 

including many doctors. Williams previously served for three years as a prosecutor at the IDFPR 

and presided over the prosecutions of hundreds of licensed professionals. Williams opined that, 

had defendants complied with the applicable standard of care in their representation of plaintiff, 

plaintiff would have received a definite suspension of his controlled substance license for no 

more than 60 days. Williams’ opinion was based on his review of the file in this case, his 

experience working on the thousands of cases he has handled, and on a purportedly comparable 

case from the same time period in which a doctor he represented received a 60-day definite 

suspension of his controlled substance license. 

¶ 17 Williams concluded that defendants failed to take the necessary steps to put the case in a 

proper position from which they could negotiate a reasonable settlement for plaintiff. Williams 

believed, based on his review of the relevant materials, that plaintiff had a reasonable defense to 

the IDFPR complaint, that plaintiff would make a good witness, and that there were other 

mitigating circumstances that could lead to some room for negotiation of plaintiff’s punishment. 

Williams stated that in the past when the IDFPR prosecutors have made offers to his clients that 

are unfavorable, he has prepared for a trial and then been able to secure better offers. Williams 

explained that an attorney handling an IDFPR case should know that a definite suspension period 

is often more favorable because it does away with the requirement that the professional has to 

petition for reinstatement of his license which is often subject to significant delays.
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¶ 18 Williams’ opinion is that defendants were negligent in representing plaintiff because they

were: (1) completely ignorant of the way to defend an IDFPR overprescribing case; (2) failed to 

see whether discipline could be mitigated; (3) allowed an associate who had never defended an 

IDFPR case to be primarily responsible for the defense; (4) failed to understand the difference 

between definite and indefinite suspensions (and did not understand that definite suspensions 

even existed); (5) failed to consult with an expert after discovery was complete; (6) failed to 

conduct their own investigation into the matter; and (7) failed to investigate plaintiff’s defenses. 

¶ 19 Williams also described a case he handled for an orthopedic surgeon before the IDFPR 

during the same time period as plaintiff’s case. The surgeon in that case was accused of 

overprescribing a drug to a patient and received a definite suspension of 60 days of his controlled 

substance license. Williams detailed in his expert disclosure the steps he took in defense of the 

surgeon and offered his opinion that defendants could have obtained the same discipline for 

plaintiff that the surgeon he represented obtained. 

¶ 20 When deposing plaintiff’s expert, Williams, defendants questioned him about the lack of 

evidence that the IDFPR would have been willing to accept more favorable terms than those to 

which plaintiff agreed. When asked whether there was evidence that the IDFPR would have 

agreed to settlement terms other than what had been offered or agreed to, Williams testified:

“Q. Do you have any evidence from any source that Vlad [Lozovskiy] would have 

agreed to any terms different than what were offered in the consent order we just 

looked at in Exhibit 9 and was ultimately signed?

A. Physical evidence? No.
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Q. Do you have any facts that Vlad would have agreed to any different terms 

other than is reflected in the consent order that was ultimately executed by the 

Director?

A. Facts in this case? 

Q. Yes.

A. No.

Q. Do you have any facts that the Director of the Department would have agreed 

to any different terms other than included in the consent order that was ultimately 

approved in this case?

A. Any same - - question but for the Director?

Q. Yes.

A. There are no - - there’s no physical evidence in this case that would be 

contrary to that. Correct.” 

¶ 21 Vladimir Lozovskiy was the senior IDFPR attorney assigned to prosecute the case against 

plaintiff. Lozovskiy testified that the offers he makes to settle prosecutions at the IDFPR are 

generally “take it or leave it” offers that can be revoked at any time. Lozovskiy further testified 

that, if a respondent in a disciplinary hearing does not take an offered settlement, he has the 

discretion to amend the complaint to include additional violations of the Medical Practice Act 

before taking the case to trial. In this case, the IDFPR investigation focused on 11 additional 

patients to whom plaintiff allegedly overprescribed controlled substances. 

¶ 22 Defendants moved for summary judgment on plaintiff’s claim for legal malpractice.

Defendants argued in their motion that summary judgment was warranted because plaintiff could 

not prove the essential element of proximate causation. Defendants contended that plaintiff could 
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produce no non-speculative evidence that the IDFPR would have agreed to offer a more 

advantageous settlement or that plaintiff otherwise would have received a better outcome than 

the discipline he received under the settlement. 

¶ 23 In support of the motion for summary judgment, defendants relied on a variety of 

evidence, including the deposition of Vladimir Lozovskiy, the IDFPR prosecutor in charge of 

prosecuting plaintiff. 

¶ 24 Plaintiff responded to the motion for summary judgment and argued that he had 

submitted evidence to create a genuine issue of material fact on the question of proximate cause. 

Plaintiff relied predominately on the expert opinion and testimony of Williams to argue that it 

was more likely than not that plaintiff would have received a better outcome but for defendants’ 

negligent representation. Plaintiff contended that an attorney acting in accordance with the 

standard of care would have obtained for plaintiff a definite suspension of no more than 60 days 

and that it was defendant’s negligence that caused plaintiff to receive a worse outcome.

¶ 25 The trial court held a hearing on the motion for summary judgment in which it heard 

argument from the parties. At the conclusion of the hearing, the trial court stated that it was 

going to grant the motion for summary judgment. The trial court explained, “I do think that the 

element of proximate cause is missing and that there is a fatal gap, based upon the record I've 

heard. So the motion for summary judgment is granted.” The trial court subsequently entered a 

written order to confirm its ruling on the summary judgment motion. Plaintiff then filed this 

appeal.

¶ 26 ANALYSIS

¶ 27 Plaintiff argues that the trial court erred when it granted defendants’ motion for summary 

judgment. Summary judgment is appropriate when the pleadings, depositions, admissions, and 
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affidavits, viewed in a light most favorable to the nonmovant, fail to establish a genuine issue of 

material fact, thereby entitling the moving party to judgment as a matter of law. 735 ILCS 5/2–

1005 (West 2018); Fox v. Seiden, 2016 IL App (1st) 141984, ¶ 12. Summary judgment is 

encouraged as an expeditious manner of disposing of a lawsuit, but it should only be utilized 

when a party’s right to a judgment is clear and free from doubt. Adams v. Northern Illinois Gas 

Co., 211 Ill. 2d 32, 43 (2004). We review a trial court’s ruling on a motion for summary

judgment de novo. Illinois Tool Works Inc. v. Travelers Casualty & Surety Co., 2015 IL App 

(1st) 132350, ¶ 8. 

¶ 28 There is no issue here whether plaintiff violated the Illinois Medical Practice Act (225 

ILCS 60/1 et seq. (West 2020)) and the Controlled Substances Act (720 ILCS 570/100 et seq. 

(West 2020)). Plaintiff and several witnesses, including his own retained expert, confirm that 

plaintiff prescribed controlled substances in violation of the controlling statutes. The only issue 

for our examination sitting in de novo review is whether there is any evidence that plaintiff 

would have received a more favorable outcome with the IDFPR if defendants had taken actions 

plaintiff argues are required to comply with the applicable standard of care. Specifically, did 

plaintiff produce some evidence that, but for defendants’ conduct, (1) the IDFPR would have 

offered plaintiff a settlement with a suspension of his controlled substance license for a fixed

period of time that would not have required him to petition for restoration; or (2) would plaintiff

have received more favorable discipline after a full trial on the merits before the IDFPR if he 

rejected the settlement? Based on the record submitted, there is no evidence, and only 

inadmissible speculation, that plaintiff could have received lesser discipline of his controlled 

substance license from the IDFPR if defendants had taken alternative action in his defense. 
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¶ 29 Plaintiff submits that he has demonstrated through expert testimony that defendants’ 

representation of him failed to meet the prevailing standard of care and proximately caused his 

damages. Plaintiff relies almost exclusively on the expert opinion of Edward Williams to support 

his claim that he has submitted evidence to create a triable issue of fact on the question of 

proximate cause. Plaintiff argues that Williams’ expert opinion constitutes evidence showing that 

defendants’ deviations from the standard of care caused the differential between the actual 

outcome and the outcome that would have been obtained by a non-negligent attorney.

¶ 30 The elements of a cause of action for legal malpractice are: (1) the defendant-attorney 

owed the plaintiff-client a duty of care arising from an attorney-client relationship; (2) the 

attorney breached that duty; (3) the client suffered an injury in the form of actual damages; and 

(4) the actual damages resulted as a proximate cause of the breach. Huang v. Brenson, 2014 IL 

App (1st) 123231, ¶ 25. To prevail in a legal malpractice action alleging negligent handling of 

a settlement, the plaintiff must show that the settlement terms were less favorable than he could 

reasonably expect without malpractice. Brooks v. Brennan, 255 Ill. App. 3d 260, 270 (1994). 

Proximate cause in a legal malpractice case requires plaintiff to prove that “but for” the 

attorney’s negligence, the plaintiff would have been successful in the undertaking the attorney 

was retained to perform. King Koil Licensing Co. v. Harris, 2017 IL App (1st) 161019, ¶ 66

(citing Green v. Papa, 2014 IL App (5th) 130029, ¶ 33). Expert testimony may be used to 

demonstrate what the result should have been in the underlying proceeding. Nika v. Danz, 199 

Ill. App. 3d 296, 315 (1990) (citing 2 R. Mallen & J. Smith, Legal Malpractice § 27.16, at 679 

(3d ed. 1989)). 

¶ 31 Williams opined in his affidavit that the offer defendants negotiated, and that plaintiff 

accepted, was not a superior offer to the initial offer made by Lozovskiy. The initial offer had an 
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indefinite suspension of plaintiff’s controlled substance license for a minimum of one year. The 

negotiated settlement had only an indefinite suspension with no mandatory minimum. Because 

of the settlement, plaintiff was allowed to complete continuing education courses and petition for 

restoration of his controlled substance license seven weeks after the suspension went into effect. 

Had the one-year minimum term remained in the agreement, plaintiff would not have been able 

to petition for the restoration of his controlled substance license for another 10 months. While 

certain delays hampered the benefit afforded by the negotiated settlement, the negotiated 

settlement was undoubtedly superior to the initial offer made by the IDFPR. It is reasonable to 

assume plaintiff would have faced similar delays when he applied for restoration after one year, 

so the fact he was able to start the process 10 months earlier was a tangible benefit. When asked 

whether the terms of the negotiated settlement were more favorable than his initial offer, 

Lozovskiy confirmed that the negotiated settlement was more favorable “because it doesn’t have 

a minimum period attached to the indefinite period of suspension.” 

¶ 32 Plaintiff also received a significant benefit by entering into a settlement based on the 

allegations of impropriety related to only one patient. Plaintiff was under investigation for 

overprescribing controlled substances to 11 other patients identified by the IDFPR, and the 

complaint could have been amended to add those charges had the settlement not been accepted. 

¶ 33 The major thrust of Williams’ expert opinion is that defendants should have negotiated a 

definite suspension term for plaintiff because then his controlled substance license would have 

automatically reverted to active status following the period of suspension. Williams opines that 

not only did defendants fail to achieve such a result for plaintiff, defendants did not even know a 

definite period of suspension was a possibility. According to Williams, defendants failed to work 

up the case to put it in a position where they could achieve reasonable settlement terms for 
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plaintiff. Moreover, Williams claims that, had defendants complied with the standard of care, 

they could have secured no worse than a 60-day suspension of plaintiff’s controlled substance 

license. These statements are the principal basis for plaintiff’s claim that he has produced the 

necessary evidence of proximate causation to withstand summary judgment. 

¶ 34 Despite the expert opinion offered by plaintiff, plaintiff produced no evidence that the 

IDFPR would have under any circumstances agreed to a definite suspension period of plaintiff’s 

controlled substance license. Williams’ opinion is entirely speculative. The record reveals that

IDFPR prosecutors have discretion in crafting and offering settlements and there are myriad 

factors that go into deciding what settlement terms should be. Williams cannot testify with any 

level of certainty what IDFPR prosecutors might be willing to offer or to accept in a given case. 

There is no evidence that the IDFPR would have ever agreed to a fixed period of suspension in 

this case. Without some concrete evidence that defendants could have done something 

differently to ensure a settlement offer with a definite period of suspension, even if we were to 

assume the preparation of the case by the attorneys was deficient, plaintiff has not produced 

evidence that defendants proximately caused the complained-of injury to plaintiff. 

¶ 35 The uncontested evidence demonstrates that the IDFPR never offered plaintiff a definite 

term of suspension of his controlled substance license. Plaintiff had the opportunity to ask 

IDFPR prosecutor Lozovskiy in a deposition whether he would have agreed to discipline less 

stringent than what was included in the accepted settlement, but plaintiff did not ask the 

question. There is no evidence in the record that the IDFPR would have made better settlement 

terms available to plaintiff if his attorneys acted differently. The only “evidence” plaintiff relies 

upon that better settlement terms were attainable is the speculative assertion of his expert who 

could not conceivably know what the prosecutor would be willing to do in each individual case. 
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As Williams admitted in his deposition, he could not truly know whether the IDFPR would have 

agreed to any other terms in the settlement than those included in the settlement that was

ultimately executed. There is no evidence in the record that the IDFPR would have ever offered 

or agreed to accept any other discipline for plaintiff, regardless of the steps defendants took on 

plaintiff’s behalf. Williams’ speculation about what the IDFPR might have been willing to do 

cannot serve as a stand-in for evidence of proximate cause. See Kleiss v. Cassida, 297 Ill. App. 

3d 165, 174 (1998); Aguilera v. Mount Sinai Hospital Medical Center, 293 Ill. App. 3d 967, 974 

(1997). Speculation, conjecture, or guess is insufficient to withstand summary judgment. 

Empress Casino Joliet Corporation v. Averus, Inc., 2020 IL App (1st) 192071, ¶ 37. 

¶ 36 Moreover, the trial court was entitled to mostly disregard Williams’ opinion insofar as it 

related to a separate client that Williams represented before the IDFPR around the same time 

period as plaintiff’s disciplinary proceeding. See Berke v. Manilow, 2016 IL App (1st) 150397, 

¶ 21 (when an expert’s opinion relies on speculation, conjecture, or guess the court will not 

consider it as evidence to defeat a summary judgment motion). Affidavits offered in opposition 

to motions for summary judgment must consist of facts admissible in evidence and an expert’s 

opinion is only as valid as the reasons for the opinion. Id. It is essentially irrelevant what specific 

terms the IDFPR was willing to agree upon with a different physician based on different conduct

in a different case. Plaintiff does not establish that the doctor’s discipline in the comparable case 

is the standard for how all IDFPR discipline is applied. Instead, as it is described in Williams’ 

affidavit, he is describing what occurred “[i]n at least one case.” 

¶ 37 The orthopedic surgeon Williams represented was alleged to have improperly prescribed 

a Schedule III controlled substance, while plaintiff was alleged to have improperly prescribed a 

Schedule II controlled substance. Schedule II controlled substances have a greater degree of 
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potential for abuse and dependence (21 U.S.C. §812(b)(2-3) (West 2020)), and improperly 

prescribing a Schedule II substance is a more serious offense than improperly prescribing a 

Schedule III substance (see e.g., People v. Alcantara, 179 Ill. App. 3d 105, 109 (1989); United 

States v. Sullivan, 967 F.2d 370, 372-73 (10th Cir. 1992)). The surgeon Williams described did 

not make an inculpatory statement to investigators before retaining counsel as plaintiff did here, 

admitting to a violation of the relevant statutes and admitting that he did not know the law.

Plaintiff’s admissions put him in a disadvantageous settlement position before defendants were 

even retained to represent him. The surgeon in the other case operates in an entirely different 

field of medicine than plaintiff, so their prescribing practices cannot be neatly analogized. They 

are charged with prescribing different drugs to address different issues and they stand in different 

relationships with their respective patients. 

¶ 38 The overall terms of the two doctors’ discipline contain many differences and 

demonstrate that no two cases are the same and that the IDFPR structures all settlements 

differently. The orthopedic surgeon that Williams represented in the other case received a 

suspension of his medical license, plaintiff did not. Plaintiff received only probation on his 

medical license, so plaintiff was allowed to continue practicing medicine for the duration of his 

disciplinary proceedings until he was restored to full privileges. The surgeon was required to pay 

a $10,000 fine, plaintiff did not have to pay a fine. The surgeon was required to complete 30 

continuing education courses, plaintiff was required to complete three. The surgeon agreed to a 

permanent restriction on his ability to prescribe controlled substances to any patient for a period 

of longer than 12 weeks, no such restriction was placed on plaintiff and, in fact, plaintiff received 

no permanent restrictions whatsoever. Once plaintiff’s controlled substance license suspension 
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was lifted, plaintiff was able to return to having full, unencumbered medical privileges. The 

surgeon accepted a permanent restriction on his practice. 

¶ 39 There is a wide variance in the different elements of the two doctors’ discipline. Of 

course, settlements from different cases cannot necessarily be compared to establish malpractice 

as each matter is fact-intensive and must be taken on its own facts. See Justice v. Carter, 972 

F.2d 951, 956–57 (8th Cir. 1992) (cautioning against the use of putatively “comparable” cases as 

evidence in malpractice cases). Relying on a single comparison case in a situation as the one 

presented in this case is especially tenuous where the prosecutors have discretion to offer or 

refuse to offer certain terms as conditions for settlement. The allegations relating to plaintiff’s 

prescribing practices to just A.S. take up five and a half pages (55 paragraphs) and contain

unique, detailed descriptions of plaintiff’s wrongdoing. The results Williams achieved for a 

client in a single, unrelated case are not demonstrative that defendants’ actions or inaction were 

the cause of any adverse results for plaintiff. Bergman v. Kelsey, 375 Ill. App. 3d 612, 634 

(2007) (the personal practices used by a testifying expert are not relevant and are insufficient to 

establish the applicable standard of care); Stevenson v. Nauton, 71 Ill. App. 3d 831, 835 (1979) 

(the expert’s statements as to what he would have done in the situation encountered by the 

defendant are irrelevant since the issue before the trial court was whether the defendant acted 

contrary to accepted or customary standards at that time and place). The discipline imposed on a 

different doctor, from a different field of medicine, based on many different circumstances does 

not help to cure the speculative nature of Williams’ opinions nor does it provide evidence of 

proximate cause in this case. 

¶ 40 Plaintiff argues that proximate cause can be satisfied regardless of whether there is 

evidence that a settlement offer more favorable to plaintiff would have been accepted by the 
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IDFPR. In support of this argument, plaintiff relies heavily on our supreme court’s opinion in 

Smiley v. Manchester Insurance & Indemnity Co., 71 Ill. 2d 306 (1978). We find Smiley easily 

distinguishable. In Smiley, an insurance company was sued by its insured for unreasonably 

failing to settle a case for policy limits. Id. at 311. The insured had an automobile insurance 

policy with a policy limit of $20,000. Id. at 308. The insured was at fault in an accident where an 

individual was killed and another person was injured. Id. The family of the deceased and the 

injured party filed suit against the insured, but before trial the plaintiffs offered to settle the case 

for the policy limits. Id. Before the jury returned a verdict in the underlying case, the insurance 

company authorized the attorney to settle the case for the policy limits. Id. at 311. However, the 

attorney never conveyed the policy-limit offer to opposing counsel. Id. 

¶ 41 The jury returned verdicts for the plaintiffs against the insured for amounts exceeding the 

policy limit, resulting in a personal judgment against the insured. Id. The insured then assigned 

his cause of action against the insurance company, for unreasonably failing to settle the case, to 

the injured parties. Id. The injured parties, as assignees, sued the insurance company for 

unreasonable failure to settle. Id. The insurance company then filed a third-party malpractice 

complaint against its former attorney, arguing that he was negligent for failing to communicate 

the policy-limits settlement offer to the plaintiffs before the jury returned a verdict, because the 

plaintiffs’ settlement demand prior to the verdict was to settle for the policy limits. Id. at 311, 

315. 

¶ 42 In their malpractice case, the insurance company presented expert testimony to show 

what a reasonable attorney would have done under the circumstances. Id. at 312. The expert 

testified that a reasonable attorney would have taken some action on the authorization to settle 

and tried to resolve the case. Id. In holding in favor of the insurance company, the supreme court 
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explained that proximate cause was established even if the plaintiffs in the underlying case 

would not have accepted the settlement offer because the failure of the attorney to make an offer 

proximately caused damage to the insurance company. Id. at 314. 

¶ 43 Plaintiff here contends that the situation in this case is analogous because, “what 

Lozovskiy would have done if defendants had acted differently is inconsequential to 

determination of whether plaintiff has met its burden of proximate cause at the summary 

judgment stage.” We disagree. In Smiley, the issue of whether the settlement offer would have 

been accepted or not was inconsequential because the mere failure to offer a settlement

proximately caused damage—the failure exposed the insurance company to liability to its 

insured for unreasonably failing to settle the case for the policy limits. Id. at 317. Thus, the 

requirement of proximate cause was satisfied with the evidence the attorney failed to make a 

settlement offer. Id. 

¶ 44 In this case, we are dealing with a much more nebulous issue in which plaintiff has 

alleged that he would have received a better settlement offer if defendants acted differently while 

representing him. While in Smiley the issue of whether the settlement would have been accepted 

was inconsequential, in this case the question of whether Lozovskiy would have accepted a more 

favorable settlement if defendants acted as plaintiff argues they should have acted, is not 

“inconsequential”—it is the crux of his case. It is plaintiff’s contention that Lozovskiy would 

have made or accepted a far better offer if defendants acted as reasonable, competent attorneys 

under the circumstances. Plaintiff does not supply any evidence to support that contention and,

therefore, he cannot prove his malpractice claim. Because plaintiff failed to submit evidence on 

an essential element of his claim, the trial court properly granted summary judgment in 

defendants’ favor.
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¶ 45 CONCLUSION

¶ 46 Based on the foregoing, we affirm. 

¶ 47 Affirmed.