Court Opinion

ID: 9390176
Source: CourtListenerOpinion
Date Created: 2023-04-26 21:04:39.371355+00
Date Added: 2024-06-11T17:18:32.376353
License: Public Domain

2023 IL App (5th) 220289-U
             NOTICE
                                                                                          NOTICE
 Decision filed 04/26/23. The
                                                                               This order was filed under
 text of this decision may be               NO. 5-22-0289
                                                                               Supreme Court Rule 23 and is
 changed or corrected prior to
                                                                               not precedent except in the
 the filing of a Petition for                  IN THE                          limited circumstances allowed
 Rehearing or the disposition of
                                                                               under Rule 23(e)(1).
 the same.
                                   APPELLATE COURT OF ILLINOIS

                               FIFTH DISTRICT
______________________________________________________________________________

ETTA MOORE,                         )     Appeal from the
                                    )     Circuit Court of
      Plaintiff-Appellee,           )     Jackson County.
                                    )
v.                                  )     No. 17-L-80
                                    )
TERESA MANDELL,                     )     Honorable
                                    )     Christy W. Solverson,
      Defendant-Appellant.          )     Judge, presiding.
_____________________________________________________________________________

         JUSTICE MOORE delivered the judgment of the court.
         Presiding Justice Boie and Justice McHaney concurred in the judgment.

                                              ORDER

¶1       Held: Circuit court erred when it improperly limited the scope of the defendant’s cross-
               examination of the plaintiff’s treating physician by prohibiting certain examination
               regarding bias, prior disciplinary actions, communications with counsel, and expert
               history.

¶2       This appeal arises out of a negligence and personal injury lawsuit from the circuit court of

Jackson County. Following a five-day trial, the jury returned a verdict in favor of the plaintiff, Etta

Moore, finding the defendant, Teresa Mandell, negligent and liable for the plaintiff’s personal

injuries and awarding her damages. The defendant now appeals that verdict and award arguing

that the trial court erred when it barred (1) evidence and testimony related to the plaintiff’s 2009

pre-accident right shoulder injury, (2) admission of evidence and testimony of statements the

plaintiff made months before trial to her medical providers in which she denied having functional

                                                  1
impairments that she later claimed at trial, and (3) admission of impeachment evidence and

testimony of the plaintiff’s medical expert, Dr. Rhode, regarding bias, prior disciplinary actions,

communications with counsel, and expert history. The plaintiff’s counsel has conceded that the

trial court erred in barring admission of impeachment evidence and testimony regarding Dr.

Rhode, and thus, we reverse the trial court’s judgment and remand for a new trial.

¶3                                      I. BACKGROUND

¶4     We initially note that for the sake of brevity and judicial economy we only recite the facts

relevant and necessary to our disposition of this matter.

¶5                             A. General Facts and Pretrial History

¶6     The plaintiff in this matter was born with spina bifida that paralyzed her legs from the knees

down. Despite not being able to walk, she learned to move around her house by crawling or by

using her manual wheelchair. When moving about outside of her home, she often employed the

aid of a motorized scooter. On September 30, 2015, an accident occurred involving a vehicle

operated by the defendant and the plaintiff. The vehicle of the defendant struck the plaintiff, who

at the time of the accident was traveling on her motorized scooter and attempting to cross a public

roadway. The plaintiff was taken to a hospital nearby and treated for various injuries, including a

dislocation to her right shoulder and severe pain. The plaintiff was admitted to the hospital and

stayed until her discharge on October 2, 2015.

¶7     Following discharge from the hospital, she returned to her home. After a period of

transition and limited recovery at home, the plaintiff was prescribed physical therapy for her

injuries. The plaintiff participated in the physical therapy, but made limited progress. She was then

referred to orthopedic surgeon, Dr. Treg Brown. After conservative treatment and monitoring over

a few visits, Dr. Brown ordered an MRI of the plaintiff’s injured shoulder. The MRI was completed

                                                 2
on January 4, 2016, and Dr. Brown diagnosed, inter alia, a rotator cuff tear. He recommended the

plaintiff undergo surgery to repair the rotator cuff. The plaintiff’s rotator cuff repair surgery was

performed on March 25, 2016. Three and a half months later, the plaintiff was discharged

following a visit with Dr. Brown on August 4, 2016.

¶8     Prior to her discharge from Dr. Brown’s care, the plaintiff was undergoing physical therapy

to rehabilitate her rotator cuff and shoulder. She continued with this therapy following her

discharge. As time passed, the plaintiff began to develop issues relating to the right side of her

neck, including pain and soreness, and left shoulder pain.

¶9     On September 19, 2017, the plaintiff filed the instant action against the defendant alleging

that, as a result of the defendant’s negligence, the plaintiff “sustained serious and permanent

injuries; was required, [and] will be required in the future, to seek extensive medical consultation

and treatment; has expended and will in the future continue to expend great sums of money to be

healed and cured of her maladies; [and has] suffered and will in the future continue to suffer great

pain, anguish and suffering.”

¶ 10   During the pendency of this lawsuit, the plaintiff was then referred to a pain management

specialist, Dr. Akshay Vakharia, by her primary care physician. The plaintiff’s first visit with Dr.

Vakharia occurred on August 9, 2018. Dr. Vakharia had the plaintiff continue her previously

prescribed pain medication and additionally prescribed a trigger point injection in the plaintiff’s

deltoid muscle to reduce the neck pain and shoulder pain.

¶ 11   On September 4, 2019, following continuing pain and other problems with her right

shoulder, the plaintiff met with orthopedic surgeon, Dr. Blair Rhode, for a second opinion

regarding her injuries. Dr. Rhode ordered an MRI and concluded from the MRI image that the

plaintiff’s right shoulder rotator cuff had healed. He recommended the plaintiff see a physical

                                                 3
therapist if the pain worsened and indicated there was no further treatment option available but

physical therapy for the ongoing pain in the right shoulder. The plaintiff only met with Dr. Rhode

on one occasion.

¶ 12                              B. Pretrial Discovery and Rulings

¶ 13    The plaintiff in her discovery deposition testified that she had no prior problems with her

right shoulder before the accident. However, during discovery, the defendant obtained medical

records which indicated that in 2009, the plaintiff sustained an injury to her right shoulder when

she was moving her wheelchair out of her vehicle. Following the injury, the plaintiff reported to

the Memorial Hospital of Carbondale emergency room and related complaints about her right

shoulder. An x-ray was completed which disclosed no evidence of acute fracture, or dislocation,

but disclosed mild hypertrophy of one joint. The medical records indicated that the plaintiff had

been diagnosed with “right shoulder pain—likely rotator cuff injury vs. strain.” Based upon the

available record, this is the only medical visit that the plaintiff had related to her right shoulder

until after the 2015 accident.

¶ 14    Multiple motions in limine were filed by both parties prior to trial regarding the evidence

depositions taken by the parties. Relevant to the issues at hand, the trial court struck the defendant’s

cross-examination of Dr. Rhode regarding Dr. Rhode’s communications with the plaintiff

regarding preparation of an expert report prior to becoming a treating physician of the plaintiff,

Dr. Rhode’s professional reprimands, Dr. Rhode’s prior work as a hired expert physician for

plaintiffs and claimants, and Dr. Rhode’s financial compensation derived from expert litigation

work.

                                                   4
¶ 15                                           C. Trial

¶ 16    On December 6, 2021, following an admission of negligence on the part of the defendant,

the trial in this matter commenced before a jury on damages. During the trial, it was undisputed

that the plaintiff suffered a dislocation of her right shoulder because of the 2015 accident. It was

further undisputed that in 2016, after the accident, the plaintiff was discovered to have a right

shoulder rotator cuff tear which required surgery to repair. Disputed among the parties, however,

was whether the plaintiff’s right shoulder rotator cuff tear was caused by the accident or whether

it was a result of a prior alleged injury which occurred in 2009. Also disputed was whether the

plaintiff made a full recovery following the surgical repair of her rotator cuff or if she continued

to have ongoing pain and functional limitations even after recovery from the surgery.

¶ 17    During the trial, the plaintiff called a number of witnesses to testify, including medical

providers and relatives. For brevity, we do not recite the testimony of the witnesses not relevant to

the resolution of this disposition.

¶ 18    Dr. Michael Chipman testified that he was the emergency room physician who treated the

plaintiff at Carbondale Memorial Hospital following the 2015 accident. He testified that the

plaintiff presented to him with right shoulder pain and abrasions to her body. She complained of

pain and was given morphine, and eventually Dilaudid, to keep her pain under control. He

diagnosed her with a right shoulder dislocation. He testified that following sedation, the plaintiff’s

right shoulder was put back into place. He then testified that the plaintiff was admitted to the

hospital for further treatment and observation as a result of her continued high level of pain and

inability to use her upper arms, especially in combination with her spina bifida, which led to a

general fear of her ability to take care of herself. He did not treat her after that visit, and he did not

offer any opinions on her recovery or other alleged injuries.

                                                    5
¶ 19    Dr. Quincy Scott, a family care physician with SIU Family Medicine testified that he also

treated the plaintiff. He testified that while in the hospital following the 2015 accident, the plaintiff

was treated with regular doses of IV pain medication, but that she still reported high pain, such as

“10/10” and “8/10.” He testified that he ordered physical and occupational therapy evaluations and

treatment for the plaintiff while she was in the hospital. He then discharged the plaintiff with pain

medication and prescriptions for home physical therapy, a Hoyer lift, to aid her in getting in and

out of bed, and a bedside commode. Dr. Scott then testified regarding the plaintiff’s subsequent

visits to his office where she was seen by various medical providers. He testified that he would

defer his opinion on any orthopedic issues to the orthopedic specialists who treated her. He did not

offer any testimony as to the plaintiff’s recovery or injuries at the time of the trial, nor any opinions

as to future issues.

¶ 20    Dr. Treg Brown, an orthopedic surgeon, testified that he regularly treats rotator cuff injuries

and performs rotator cuff surgeries. He testified generally regarding his treatment of the plaintiff.

Specifically, Dr. Brown testified that after his initial visit with the plaintiff, he ordered her to place

her right arm in a sling and rest it for four weeks. During this time, he also had the plaintiff start

physical therapy to regain some range of motion and stabilize the shoulder area.

¶ 21    Dr. Brown then testified that at the next medical visit, the plaintiff had “improved relative

to our initial visit” so he ordered her to continue physical therapy and return in another month to

see how she progressed. At the third visit, the plaintiff still had decreased range of motion in the

shoulder, as well as muscle weakness. As a result, Dr. Brown ordered an MRI of the right shoulder.

He testified that he doubted the plaintiff had a significant rotator cuff injury prior to the accident

because she did not have any ongoing prior complaints before to the 2015 accident. He testified

that he wanted to treat the shoulder conservatively at first because the plaintiff used her shoulder

                                                    6
for weight bearing due to her spina bifida and needed the shoulder to operate her wheelchair. Thus,

he held an added concern regarding rotator cuff surgery because he knew the plaintiff would be

essentially immobilized during her recovery to prevent damage to the newly repaired shoulder.

Ultimately, after further consultation, the plaintiff decided to move forward with surgery.

¶ 22    Dr. Brown testified that he performed the rotator cuff surgery on March 25, 2016. He

testified that the surgery revealed, inter alia, that the plaintiff had a “large to massive” sized rotator

cuff tear in the right shoulder. He testified that he believed a return to 80% function to be a success

for the plaintiff. He also believed that given the degree of the plaintiff’s tear and her age, she was

at an increased risk for some future problem with the repaired rotator cuff as opposed to her other

normal shoulder. When asked specifically if the noninjured side was more likely to tear due to

overcompensation, Dr. Brown declined to agree, stating that it “would be difficult to say.”

¶ 23    Dr. Brown then testified regarding the plaintiff’s progress and her physical therapy. He

indicated that her physical therapy notes indicated she was progressing and that during her

recovery she had a family member who lived with her. On August 4, 2016, during his last visit

with the plaintiff, he recalled the plaintiff was doing much better. When asked if the plaintiff had

reached maximum medical improvement, he replied that he felt the plaintiff “would very likely

continue to improve given the trajectory of her improvement and the fact that she was only three

and a half months out from surgery.” He then went on to state that he was not sure if the shoulder

would be “exactly the same” as before the accident, “but certainly everything had done well

enough and healed well enough for her to return to her pre-injury activities.” He then testified that

based upon a physical therapy note, the plaintiff had asked to be discharged from physical therapy

on July 28, 2016, a few days before her visit with him, stating “I want physical therapy to be done

now.” He then ended his testimony by stating that the plaintiff had not returned to him for any

                                                    7
additional treatment or relayed any concerns, and that he was unaware of her current condition at

the time of the trial. He offered no testimony as to her future prognosis.

¶ 24    Dr. Khalid Sonbol testified that he was a hospitalist licensed in Illinois and Minnesota.

During his residency at Southern Illinois University and while working for Southern Illinois

Family Medicine Center, he treated the plaintiff. He testified that the plaintiff had a significant

amount of pain during her stay at the hospital following the 2015 accident. He testified that it was

difficult to keep her pain under control and that it was not typical for a shoulder dislocation alone

to cause that much pain. He testified that during her visits with the SIU Family Medicine group

prior to the accident, the plaintiff never reported any right shoulder pain complaints. Complaints

regarding the plaintiff’s right shoulder only appeared after the 2015 accident. He offered his

medical opinion that based upon his examination of the patient, he believed the 2015 accident

caused her rotator cuff tear. He testified that he was the physician who completed the plaintiff’s

preoperative evaluation for her rotator cuff surgery. He stated that following surgery, Dr. Brown

would be the physician primarily responsible for addressing the plaintiff’s right shoulder

complaints and monitoring her recovery. He testified that based upon the medical records from the

plaintiff’s visits with SIU Family Medicine from June of 2016 through August 2017, there were

no noted complaints of right shoulder pain made by the plaintiff. He gave no testimony as to the

plaintiff’s current status at the time of the trial or any future pain and suffering.

¶ 25    Dr. Akshay Vakharia, a pain management physician, testified that he had a consultation

with the plaintiff on August 9, 2018. The plaintiff was referred to him for neck pain and right

shoulder pain. The plaintiff also reported that her activities were restricted by the injury. Dr.

Vakharia testified that the plaintiff’s paraspinal muscles were tender and the muscles were

spasming, especially in the deltoid. When the plaintiff appeared to him, she was taking prescribed

                                                   8
pain medication and muscle relaxant medication. He only treated the plaintiff on one occasion,

and he recommended a medial nerve block injection to help with her neck and shoulder pain. He

further testified that the plaintiff relayed to him that she had experienced pain since the 2015

accident and following the surgery, but he noted that something had occurred approximately three

months prior to the visit which aggravated those injuries resulting in the consultation. He was not

sure what led to the increased pain and aggravation. He offered no opinions relating to her

condition at the time of trial nor any opinions as to future pain and suffering.

¶ 26   Christopherson Caro, a physical therapist who treated the plaintiff, also testified. He

testified regarding his care for the plaintiff prior to her surgery and his treatment of her postsurgery

during her recovery. He testified that on the day the plaintiff was discharged that she reported no

pain in her right shoulder, but he clarified that, “it doesn’t mean that she won’t have any pain in

the future. Just on that day she had no pain on that day.” He further testified that the plaintiff had

previously reported she had no difficulty doing her usual hobbies.

¶ 27   Dr. Blair Rhode, an orthopedic surgeon, testified that he had one visit with the plaintiff on

September 4, 2019. He testified that the plaintiff came to see him seeking a second opinion after

her surgery with Dr. Brown. He offered testimony that the more severe the rotator cuff tear,

generally the worse the patient outcomes. Also, he stated that some research studies suggested that

large to massive tears such as the plaintiff’s “have a recurrence rate of as high as 90 percent.” He

testified that not only did the accident cause her rotator cuff tear and the issues previously

discussed, but he also believed it resulted in a cervical neck strain and injury. He testified that in

2019 the plaintiff had “residual symptomatology” or “residual deficits,” despite the shoulder

surgery, and that those lingering issues were related to the 2015 accident. He also testified that he

discovered that the plaintiff had developed compensatory left shoulder pain and cervical pain. The

                                                   9
compensatory left shoulder pain and cervical pain, according to Dr. Rhode’s testimony, occurred

because the plaintiff was using her left side or arm to compensate for injury or pain located on her

right side. He testified that he did not believe the plaintiff had a previous rotator cuff tear because

there were no records indicating ongoing issues with that shoulder prior to the 2015 accident. He

testified that it was his medical opinion that “even though she has *** successful rotator cuff

repairs delineated by the postoperative MRI showing no retear, it’s my opinion the patient has

moderate to significant functioning deficits due to this [2015] accident.” Dr. Rhode then testified

that based upon his examination of the plaintiff, he believed to a reasonable degree of medical

certainty that the right shoulder and neck injuries she sustained from the 2015 accident were

permanent. On cross-examination, Dr. Rhode testified that he saw the plaintiff in his satellite office

in Peoria, Illinois, and only saw her once for approximately 10 to 15 minutes.

¶ 28   Following the plaintiff’s case-in-chief, the defendant presented a single expert witness,

orthopedic surgeon, Dr. Gary Klaud Miller. Dr. Miller testified that the plaintiff dislocated her

shoulder in the 2015 accident. He agreed the shoulder dislocation would be painful and that the

plaintiff would have limitations for a period of time. He gave his medical opinion that he believed

she did not tear her rotator cuff because of the 2015 accident, but that the tear occurred as a result

of general degenerative changes due to the plaintiff’s age and high use of her arms. He did concede

that during his 2020 examination of the plaintiff, she did complain of right shoulder pain; however,

he believed she was “magnifying her symptoms.” He also did not believe that the healed rotator

cuff was still causing any of the plaintiff’s pain or injuries, instead he believed that the pain she

now experienced stemmed from AC joint arthritis.

¶ 29   Closing arguments were then given by the parties. In closing arguments, the plaintiff’s

counsel made the following requests of the jury:

                                                  10
               “For loss of a normal life experienced over the last six years, I would suggest a

       figure in the amount of $500,000. These permanent limitations will continue to confine

       [the plaintiff’s] life without her permission and it is going to deny her the enjoyment she

       worked so hard for every moment of her life. It will be for the rest of her life. It is not

       because I said it, it is her independent doctors that said it. We suggest $560,000 would be

       a place to consider as a starting point.

               The next element of damages is for the pain and suffering experienced as a result

       of the injuries. *** For that pain that [the plaintiff] has endured since the date of the crash

       until today, we suggest an amount $450,000. The thing about chronic pain is that it is just

       that, it is chronic. We know where it began for [the plaintiff], but it will have no end. Dr.

       Rhode testified that [the plaintiff’s] pain is permanent. This is her new normal. For the pain

       and suffering that [the plaintiff] is certain to continue to experience into the future, we

       suggest that $250,000 would be a place to consider as a starting point for you.”

¶ 30                                       D. Posttrial

¶ 31   Following the trial, the jury returned the following itemized verdict in favor of the plaintiff:

               “We assess the damages in the sum of $818,655.03. Loss of a normal life

       experience and reasonably certain to be experienced in the future: $350,000; Pain and

       suffering experienced and reasonably certain to be experienced in the future as a result of

       the injuries: $350,000; The reasonable expense of necessary medical care, treatment and

       services received, $118,655.03.”

¶ 32   On January 20, 2022, the trial court entered judgment nunc pro tunc on the jury verdict in

the amount of $818,655.03 and also awarded the plaintiff prejudgment interest, without objection.

The defendant filed a postjudgment motion for a new trial or, in the alternative, to amend judgment

                                                  11
arguing the issues stated on appeal. On April 12, 2022, the trial court in a docket order entry denied

the defendant’s postjudgment motion. This timely appeal followed.

¶ 33                                     II. ANALYSIS

¶ 34   Numerous issues are raised by the defendant on appeal; however, the plaintiff has admitted

one of those issues to be error during oral argument before this court. Thus, we first turn our

attention to that issue. The defendant claims that the circuit court erred when it excluded

impeachment evidence and testimony of the plaintiff’s medical expert, Dr. Rhode, regarding bias,

prior disciplinary actions, communications with counsel, and his previous work as a medical expert

in litigation. The plaintiff has conceded that the circuit court erred in not allowing the defendant

to introduce this evidence. We agree with both the defendant and plaintiff that the circuit court

erred in limiting the defendant’s cross-examination of Dr. Rhode.

¶ 35   “A reviewing court will not reverse a circuit court’s decision with respect to a motion for

a new trial unless it finds that the circuit court abused its discretion.” York v. Rush-Presbyterian-

St. Luke’s Medical Center, 222 Ill. 2d 147, 179 (2006). “[A] trial court abuses its discretion only

if it acts arbitrarily without the employment of conscientious judgment, exceeds the bounds of

reason and disregards recognized principles of law, or if no reasonable person would take the

position adopted by the trial court.” Campbell v. Autenrieb, 2018 IL App (5th) 170148, ¶ 26. “If

the trial court’s decision rests on an error of law, then it is clear that an abuse of discretion has

occurred, as it is always an abuse of discretion to base a decision on an incorrect view of the law.”

(Internal quotation marks omitted.) Id. However, “[e]rroneous evidentiary rulings are only a basis

for reversal if the error was ‘substantially prejudicial and affected the outcome of trial.’ ”

Ittersagen v. Advocate Health & Hospitals Corp., 2020 IL App (1st) 190778, ¶ 71 (quoting

Holland v. Schwan’s Home Service, Inc., 2013 IL App (5th) 110560, ¶ 192). “We will not reverse

                                                 12
if it is apparent that ‘no harm has been done.’ ” Id. (quoting Jackson v. Pellerano, 210 Ill. App. 3d

464, 471 (1991)). “Importantly, ‘[w]hen erroneously admitted evidence is cumulative and does not

otherwise prejudice the objecting party, error in its admission is harmless.’ ” Id. (quoting Greaney

v. Industrial Comm’n, 358 Ill. App. 3d 1002, 1013 (2005)). “ ‘The burden rests with the party

seeking reversal to establish prejudice.’ ” Id. (quoting Watkins v. American Service Insurance Co.,

260 Ill. App. 3d 1054, 1065 (1994)).

¶ 36   First, it appears the circuit court limited the cross-examination based upon a believed

distinction between treating physicians and controlled expert witnesses under Illinois Supreme

Court Rule 213 (eff. Jan. 1, 2018). Specifically, the circuit court held that a treating physician is

subject to a narrower scope of cross-examination as a result of how that physician became involved

in the case. However, contrary to the circuit court’s ruling, defendants are entitled to the same

scope of cross-examination of a treating physician as they are of a controlled expert. Kim v.

Evanston Hospital, 240 Ill. App. 3d 881, 890 (1992) (“an opposing party should have the same

ability to cross-examine a treating physician that he would have in cross-examining a retained

expert”). The distinction between an independent and a controlled expert witness “applies only to

the method of disclosure, rather than the substance of the testimony.” Id. Thus, Illinois law

guarantees that, regarding the substance of expert cross-examination, the opposing party “must be

given the widest latitude during cross-examination to demonstrate any interest, bias, or motive of

the expert witness to testify, and to test his accuracy, recollection and credibility.” (Internal

quotation marks omitted.) Jackson v. Reid, 402 Ill. App. 3d 215, 234 (2010). More specifically,

our courts have held that evidence tending to show bias, prior dealings, or that otherwise calls into

question the relationship between the plaintiff’s counsel and a treating physician is squarely within

the scope of cross-examination. See, e.g., Noel v. Jones, 177 Ill. App. 3d 773, 780 (1988)

                                                 13
(“Certainly it was proper for the jury to consider the ‘steady stream of lucrative referrals’ from

plaintiff’s attorney to the treating physicians when evaluating the credibility, bias, and financial

interest of the physicians.” (quoting Sears v. Rutishauser, 102 Ill. 2d 402, 410 (1984))).

¶ 37   To plaintiff’s counsel’s credit, he admitted this during oral arguments in front of this court:

               “I think that there are some points that in all reality that need to be conceded ***

       let me address for a moment the—the issue of cross-examination of Dr. Rhode. In regard

       to that issue, I’ll have to concede, that it was—it had to be an abuse of discretion for the

       judge to bar completely any cross-examination of Dr. Rhode. Because there was simply no

       law supporting it and there was law contrary to it that a treating physician should be subject

       to cross-examination to some of the items that were laid out.”

¶ 38   The plaintiff went on to argue that despite the error by the circuit court, the opportunity

missed by the defendant to fully cross-examine Dr. Rhode when taken as a whole with the other

testimony did not result in prejudice to the defendant and did not materially affect the outcome of

the trial. Specifically, the plaintiff argued that the nature of the plaintiff’s pain and suffering as

evidenced over the previous years was sufficient to justify the $818,655.03 award. As previously

stated, this court will not reverse a decision concerning the admissibility of evidence unless the

circuit court abused its discretion and the decision had prejudicial effect. Bergman v. Kelsey, 375

Ill. App. 3d 612, 630 (2007). Thus, while we have found an abuse of discretion on the part of the

circuit court relating to its limitation of the defendant’s cross-examination of Dr. Rhode, we must

now determine if the error was such that it prejudiced the defendant. We conclude that it did.

¶ 39   First, we note the subjects the defendant was prohibited from addressing in the cross-

examination of Dr. Rhode due to the circuit court’s ruling. The defendant was unable to present

evidence relating to Dr. Rhode’s professional disciplinary reprimands, Dr. Rhode’s previous

                                                 14
history of serving as a controlled expert witness for plaintiffs and claimants, that Dr. Rhode

continues to earn a substantial amount of income from that expert work on behalf of plaintiffs and

claimants, that communications existed between Dr. Rhode and the plaintiff’s counsel which

appeared to address the subject of his medical opinions, that communications existed wherein

plaintiff’s counsel appeared to request to pay Dr. Rhode to author a written report prior to him

becoming a treating physician of the plaintiff, and that communications existed wherein plaintiff’s

counsel sought an opinion from Dr. Rhode that the plaintiff may need to be confined to a nursing

facility as a result of the accident. This court finds that the failure of these pieces of evidence to be

presented to the jury is prejudicial to the defendant because the information could have impacted

the jury’s perception of Dr. Rhode’s credibility and impartiality. Further, there is evidence that the

circuit court also felt these subjects were at least relevant to the jurors in their decision-making

because the judge allowed cross-examination of the defendant’s controlled expert witness by the

plaintiff as to many of the same issues, including professional reprimands, prior expert work, and

financial compensation.

¶ 40    Second, and most importantly, Dr. Rhode is the only medical provider to offer a firm,

outright medical opinion on the permanent nature of the plaintiff’s injuries, to relate a cervical

strain/injury from the 2015 accident, and to testify that the plaintiff was medically certain to have

continued pain and suffering from the 2015 accident. He also was the only physician who testified

that he believed that the plaintiff’s subsequent left shoulder pain was compensatory pain from

overuse due to the injury to her right shoulder. He was the only physician who testified that the

plaintiff was likely to suffer a rotator cuff injury to her other arm because of the injury to her right

shoulder. Thus, it is apparent from the record that Dr. Rhode’s testimony was crucial to the

                                                   15
plaintiff’s ability to seek a significant recovery for certain portions of past pain and suffering and

loss of a normal life and the entirety of future pain and suffering and loss of a normal life.

¶ 41   As noted above, the plaintiff requested specific amounts of money for loss of a normal life

and for future pain and suffering.

               “For loss of a normal life experienced over the last six years, I would suggest a

       figure in the amount of $500,000. These permanent limitations will continue to confine

       [the plaintiff’s] life without her permission and it is going to deny her the enjoyment she

       worked so hard for every moment of her life. It will be for the rest of her life. It is not

       because I said it, it is her independent doctors that said it. We suggest $560,000 would be

       a place to consider as a starting point.

               The next element of damages is for the pain and suffering experienced as a result

       of the injuries. *** For that pain that [the plaintiff] has endured since the date of the crash

       until today, we suggest an amount $450,000. The thing about chronic pain is that it is just

       that, it is chronic. We know where it began for [the plaintiff], but it will have no end. Dr.

       Rhode testified that [the plaintiff’s] pain is permanent. This is her new normal. For the pain

       and suffering that [the plaintiff] is certain to continue to experience into the future, we

       suggest that $250,000 would be a place to consider as a starting point for you.”

Combining the two elements of loss of a normal life and pain and suffering, the plaintiff asked for

an award of $950,000 for the plaintiff’s loss of a normal life and pain and suffering from the time

of the accident to trial and $810,000 for the plaintiff’s future loss of a normal life and pain and

suffering. Of the total, the plaintiff asked for 46% of the award to be for future problems that the

plaintiff would experience. That is a significant amount. While the jury verdict did not separate

                                                  16
past and future loss of a normal life and pain and suffering, it is reasonable to assume that a portion

of the $800,000 plus award was for the plaintiff’s future problems, thus prejudicing the defendant.

¶ 42   Lastly, we note that during closing arguments, the plaintiff relied heavily on the testimony

offered by Dr. Rhode. Plaintiff’s counsel specifically referred to Dr. Rhode a total of 17 times

during closing arguments. Plaintiff’s counsel referred to all of the plaintiff’s other medical

providers a combined total of 23 times. Thus, it is clear that plaintiff’s counsel sought to emphasize

the importance of Dr. Rhode’s testimony. Again, this court “will not reverse if it is apparent that

‘no harm has been done.’ ” Ittersagen, 2020 IL App (1st) 190778, ¶ 71 (quoting Jackson, 210 Ill.

App. 3d at 471). “ ‘[W]hen erroneously admitted evidence is cumulative and does not otherwise

prejudice the objecting party, error in its admission is harmless.’ ” Id. (quoting Greaney, 358 Ill.

App. 3d at 1013). However, here, where we find that Dr. Rhode offered opinions not otherwise

given by any other medical providers, and where the plaintiff’s orthopedic surgeon’s testimony

offered a better overall opinion of the plaintiff’s outcome, we find that the failure of the trial court

to allow a full cross-examination of Dr. Rhode was prejudicial to the defendant and reversal is

warranted.

¶ 43   Because reversal is required for this issue, it is not necessary to fully analyze the remaining

issues alleged by the defendant. It is apparent from a review of the record and the briefs on appeal

that the circuit court and the parties are well versed and aware of the relevant case law and

controlling precedent on these issues. It is not directly evident that any of the remaining issues will

arise again on remand; however, we trust that if one or more should, the trial court will apply the

law properly.

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¶ 44                                    III. CONCLUSION

¶ 45   Accordingly, due to the conceded error on the part of the trial court by the plaintiff’s

counsel in light of the clearly controlling legal precedent and given the prejudicial nature of the

testimony offered by Dr. Rhode which affected the outcome of the trial, we reverse the trial court’s

judgment and remand for a new trial.

¶ 46   Reversed and remanded for new trial.

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