Opinion

Schilling v. Quincy Physicians & Surgeons Clinic, S.C.

  • 2024 IL App (4th) 240520-U
Court
Appellate Court of Illinois
Filed
Dec 11, 2024
Status
Unpublished
Cited by
1 cases
Authority
More cited than 45.3%

The opinion

NOTICE 2024 IL App (4th) 240520-U

This Order was filed under

FILED

Supreme Court Rule 23 and is December 11, 2024

not precedent except in the NO. 4-24-0520 Carla Bender

limited circumstances allowed 4th District Appellate

under Rule 23(e)(1). IN THE APPELLATE COURT Court, IL

OF ILLINOIS

FOURTH DISTRICT

ROBERT L. SCHILLING, ) Appeal from the

Plaintiff-Appellant, ) Circuit Court of

v. ) Adams County

QUINCY PHYSICIANS & SURGEONS CLINIC, ) No. 18L53

S.C., d/b/a QUINCY MEDICAL GROUP and KREG J. )

LOVE, D.O., ) Honorable

Defendants-Appellees. ) Scott D. Larson,

) Judge Presiding.

JUSTICE ZENOFF delivered the judgment of the court.

Justices Knecht and DeArmond concurred in the judgment.

ORDER

¶1 Held: The appellate court affirmed a judgment in favor of defendants in a medical

malpractice action where the trial court acted within its discretion by (1) denying

plaintiff’s counsel’s motions for a mistrial, (2) refusing to conduct further polling

of the jury, and (3) using the phrase “failed to diagnose” rather than the word

“misdiagnosed” in a jury instruction.

¶2 Plaintiff, Robert L. Schilling, filed this medical malpractice action against

defendants, Dr. Kreg J. Love, D.O., and his employer, Quincy Physicians & Surgeons Clinic, S.C,

d/b/a Quincy Medical Group. The jury returned a verdict in favor of defendants. Plaintiff appeals,

arguing the trial court should have (1) declared a mistrial, (2) polled jurors more extensively

following the verdict, and (3) given a jury instruction that used the word “misdiagnosed” rather

than the phrase “failed to diagnose” to recite plaintiff’s allegations of negligence. We affirm.

¶3 I. BACKGROUND

¶4 The issues plaintiff raises on appeal do not require us to present a detailed overview

of the evidence. It will suffice to say the following. Between January 12 and 26, 2017, plaintiff,

who was diabetic, sought treatment for left foot pain and swelling with his primary care physician,

Dr. Love. Dr. Love treated plaintiff with antibiotics for an infection (cellulitis) before eventually

referring him to a podiatrist. On January 30, 2017, the podiatrist ordered an X-ray and discovered

plaintiff had multiple fractures, which required surgeries and ultimately amputation of his foot.

¶5 Summarized briefly, plaintiff’s theory was that Dr. Love was negligent for failing

to order an X-ray and failing to instruct plaintiff not to bear weight on the affected foot. According

to plaintiff, had his fractures been diagnosed sooner through an X-ray, he would have recovered

without surgery or amputation. Defendants’ theory was that Dr. Love properly treated plaintiff for

cellulitis, which was the most likely cause of the symptoms at the time. Defendants also contended

it was impossible to know whether plaintiff’s outcome would have been different had Dr. Love

ordered an X-ray or instructed plaintiff not to bear weight on the affected foot.

¶6 Plaintiff’s complaint alleged that Dr. Love “[f]ailed to diagnose” the fractures.

During trial, plaintiff took the position that such failure to diagnose inherently constituted a

misdiagnosis. At the jury instructions conference, plaintiff tendered an instruction that included

the proposition that he claimed defendants were negligent in that they “[f]ailed to diagnose broken

bones.” However, plaintiff tendered an alternative to this instruction that included the proposition

that he claimed defendants were negligent in that they “[m]isdiagnosed the broken bones.” Defense

counsel objected to the alternative instruction on three bases: (1) there was no testimony that Dr.

Love misdiagnosed broken bones, (2) this instruction was confusing and misleading, and (3) the

word “misdiagnosed” came from the medical records of plaintiff’s surgeon, who was not offered

as a standard-of-care expert. Plaintiff’s counsel argued that this was an issue of semantics, as a

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failure to diagnose was the same thing as a misdiagnosis. Plaintiff’s counsel also told the trial court

he was “not sure there was ever confirmation or not about” the cellulitis and that he was “just

referencing the misdiagnosis of the broken bones.” The court ruled it would instruct the jury about

a failure to diagnose rather than a misdiagnosis. The court reasoned it did not want to confuse the

jury or have the jury read too much into the word “misdiagnosed,” as there was no evidence here

of “what you would traditionally consider a misdiagnosis.” The court added: “I think it’s improper

to use misdiagnosed here when we’re talking about the negligence of a family practice physician

and the [word] misdiagnosis came from the expert testimony of the orthopedic surgeon.” Despite

the court’s ruling, and without an objection from the defense, during closing argument, plaintiff’s

counsel asserted the jury could decide what it meant and whether it was important that plaintiff’s

surgeon used the word “misdiagnosed.”

¶7 After six days of testimony, the jury began its deliberations at 2:25 p.m. on

November 1, 2023. At 5:10 p.m., the jury submitted a note asking whether it was to read and

interpret plaintiff’s allegations of negligence “as they are written or as we preceive [sic] the

evidence.” With the parties’ agreement, the trial court instructed the jury that the instructions

contained the law and the jury’s job was to determine and apply the facts to the law. At 6:22 p.m.,

the jury sent a note asking questions about the meanings of “negligance” [sic] and “standard of

care.” With the parties’ agreement, the court instructed the jury that those terms were defined in

the instructions given previously. At 7 p.m., the jury submitted the following note: “It is very

obvious that we will not come to an agreement unanimously. Sitting in here for hours and hours

will not make a difference.” Neither the parties nor the court proposed giving a Prim instruction

at this point, which is a pattern instruction designed for purportedly deadlocked juries. See Illinois

Pattern Jury Instructions, Civil, No. 1.05 (approved Dec. 8, 2011) (hereinafter IPI Civil No. 1.05);

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People v. Prim, 53 Ill. 2d 62 (1972). Rather, the parties agreed to provide the following response

to the jury: “Please continue your deliberations. We will check in with you shortly.” At 7:55 p.m.,

the court discharged the jury for the evening.

¶8 The jury recommenced deliberations at 9:02 a.m. on November 2, 2023. At 9:40

a.m., a juror who was never identified submitted the following handwritten note, which the parties

refer to in their appellate briefs as the “Surrender Note”:

“For the record, I will sign the verdict for the defendant Dr[.] Love. I am

firm in my support for the plaintiff Mr. Shilling.

I am only signing to end this deliberation and put an end to this. After many

hours of discussion and debate, we cannot come to a unanimous decision.

Therefore, it’s my position to sign only to end this.

I 100% believe Dr[.] Love was negligent in providing the appropriate care

to his patient. As a result, Mr[.] Schilling[’s] overall care was impacted because of

Dr[.] Love[’]s decision.

Once again, I am only agreeing to sign to end this.” (Emphases in original.)

Plaintiff’s counsel moved for a mistrial, arguing the Surrender Note showed the jury was

deadlocked and that any forthcoming verdict would be a product of undue influence. Defense

counsel, on the other hand, requested the trial court give the jury a Prim instruction. Plaintiff’s

counsel contended a Prim instruction might have been appropriate the previous night but that the

issue raised by the Surrender Note was “incurable.”

¶9 The trial court denied the motion for a mistrial and explained to the parties it would

give a Prim instruction without seeking to ascertain the numerical division of the jury. The court

denied plaintiff’s counsel’s request to attempt to determine which juror authored the Surrender

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Note. The court brought in the jury, confirmed with the foreperson that she believed the jury was

deadlocked, and provided the following Prim instruction both orally and in writing:

“The verdict must represent the considered judgment of each juror. In order

to return a verdict, it is necessary that each juror agree to it. Your verdict must be

unanimous. It is your duty, as jurors, to consult with one another and to deliberate

with a view to reaching an agreement, if you can do so without violence to

individual judgment. Each of you must decide the case for yourself, but do so only

after an impartial consideration of the evidence with your fellow jurors. In the

course of your deliberations, do not hesitate to re-examine your own views and

change your opinion if convinced it is erroneous. But, do not surrender your honest

conviction as to the weight or effect of evidence solely because of the opinion of

your fellow jurors or for the mere purpose of returning a verdict. You are not

partisans. You are judges—judges of the facts. Your sole interest is to ascertain the

truth from the evidence in the case.”

The jury returned to its deliberations at 10:10 a.m.

¶ 10 At 10:20 a.m., the jury sent the following note: “Please provide clarification of the

phrase ‘deviation from standard of care’ and ‘professional negligence.’ Is this to be interpreted as

‘neglect?’ WE NEED A CLEAR INTERPRETATION! What exhibit is Dr[.] Honnakers [sic]

deposition? Would like to review.” With the parties’ agreement, the trial court provided the

following response to these questions: “The information requested is contained in the jury

instructions you have been provided[.] The exhibits for you to review are in your possession.”

¶ 11 While the jury was still deliberating, plaintiff’s counsel reiterated his request for a

mistrial based on the Surrender Note. The trial court denied this motion.

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¶ 12 At 11 a.m., the jury informed the trial court it had reached a verdict. Plaintiff’s

counsel requested the court poll the jurors before the verdict was announced. The court ruled it

would poll the jurors afterward by asking each person whether this was then and is now his or her

verdict. The court explained to the parties that if any juror provided a dissent or a “qualified

answer” during polling, the court would have a further discussion with that juror outside the

presence of the other jurors. Plaintiff’s counsel responded that although he did not object to this

procedure, he believed the Surrender Note indicated a juror already had a “dissenting opinion.”

Thus, plaintiff’s counsel proposed that even if all jurors indicated during polling that this was then

and is now their verdict, the court should ask each juror whether he or she wrote the Surrender

Note; upon identifying the author, the court should ask that juror whether he or she had changed

his or her opinion since writing the Surrender Note. The court denied plaintiff’s counsel’s request

for enhanced polling of this nature.

¶ 13 The jury returned a verdict for defendants signed by all 12 jurors. However, the

foreperson also signed an incomplete verdict form for plaintiff before crossing out her name. The

trial court’s clerk asked each juror whether this was then and is now his or her verdict. All jurors

responded, “Yes.” The court discharged the jury but asked the foreperson to stay. Upon

questioning by the court, the foreperson explained she signed the verdict form for plaintiff

erroneously. She confirmed that the defense verdict was her decision, and nobody forced her or

coerced her to sign a verdict for defendants.

¶ 14 After the trial court discharged the foreperson, plaintiff’s counsel stated for the

record that juror No. 34 (who was not the foreperson) gave “a clear and obvious hesitation” and

sighed loudly before saying “Yes” to the clerk’s question during polling. Neither defense counsel

nor the court disputed plaintiff’s counsel’s representation that juror No. 34 hesitated and sighed.

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Plaintiff’s counsel renewed his motion for a mistrial and asked the court not to accept the verdict.

The court denied those requests, reasoning that (1) sentiments like those documented in the

Surrender Note are likely often expressed during jury deliberations though not reduced to writing

and (2) it would improperly delve into the jury’s decision-making process to question jurors after

they answered “Yes” to the clerk’s polling question. The court entered a judgment on the verdict.

¶ 15 Plaintiff filed a postjudgment motion, which the trial court denied. The court

reconfirmed its views that it appropriately (1) gave a Prim instruction in response to the Surrender

Note, (2) denied plaintiff’s counsel’s request for enhanced polling, and (3) refused to instruct the

jury using the word “misdiagnosed.” Plaintiff filed a timely notice of appeal.

¶ 16 II. ANALYSIS

¶ 17 A. Requests for a Mistrial

¶ 18 Plaintiff maintains the trial court abused its discretion by failing to declare a mistrial

upon receiving the Surrender Note. Plaintiff’s central points are: (1) he was deprived of his right

to a unanimous jury verdict, as the Surrender Note showed that a juror disagreed with the verdict

and would side with the majority merely to end deliberations; (2) the Surrender Note was

indicative of juror misconduct; (3) the Prim instruction was inherently coercive in light of the

Surrender Note and because the jury was already hopelessly deadlocked; and (4) the verdict was

an improper “compromise verdict.” A common theme through plaintiff’s argument is that the juror

who authored the Surrender Note made a promise, guarantee, or assurance to return a verdict based

on improper considerations. Plaintiff submits this juror fulfilled such a promise and that it would

be speculation to assume the juror changed his or her opinions during deliberations after receiving

the Prim instruction.

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¶ 19 Defendants respond that the trial court properly denied plaintiff’s counsel’s motions

for a mistrial and provided a Prim instruction. In defendants’ view, plaintiff merely speculates that

the juror who wrote the Surrender Note did not change his or her opinions during deliberations

after receiving the Prim instruction.

¶ 20 Generally, “[a] mistrial should be granted when there is an occurrence of such

character and magnitude as to deprive a party of a fair trial and the moving party demonstrates

actual prejudice as a result.” Tirado v. Slavin, 2019 IL App (1st) 181705, ¶ 31. One such example

is where a trial court determines the jury is “hopelessly deadlocked.” People v. Wolf, 178 Ill. App.

3d 1064, 1066 (1989). Whether to declare a mistrial is a matter committed to the “sound discretion

of the trial court.” Slavin, 2019 IL App (1st) 181705, ¶ 29. A reviewing court will not reverse such

a decision absent an abuse of discretion, which occurs where “no reasonable person would take

the view adopted by the trial court.” Slavin, 2019 IL App (1st) 181705, ¶ 29.

¶ 21 Trial courts are in the best position to evaluate whether continued deliberations will

allow the jury to reach a just verdict. People v. Kimble, 2019 IL 122830, ¶ 37. Some factors a court

may consider in deciding whether to declare a mistrial based on jury deadlock include:

“ ‘(1) statements from the jury that it cannot agree, (2) the length of the deliberations, (3) the length

of the trial, (4) the complexity of the issues, (5) the jury’s communications to the judge, and (6) the

potentially prejudicial impact of continued forced deliberations.’ ” People v. Richardson, 2022 IL

App (2d) 210316, ¶ 40 (quoting Kimble, 2019 IL 122830, ¶ 38).

¶ 22 If a trial court does not believe a mistrial is warranted based on deadlock, the court

must avoid employing “coercive means” to pressure the jury to reach a verdict. Kimble, 2019 IL

122830, ¶ 37. One historically common method of coercion was to tell jurors who held a minority

viewpoint they should reevaluate their positions and consider that the jurors in the majority heard

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the same evidence. Prim, 53 Ill. 2d at 73. Sensitive to the possibility of coercion, in Prim, our

supreme court adopted the American Bar Association’s standards for addressing potentially

deadlocked juries. Prim, 53 Ill. 2d at 75-76. Those standards are codified as IPI Civil No. 1.05:

“The verdict must represent the considered judgment of each juror. In order

to return a verdict, it is necessary that each juror agree to it. Your verdict must be

unanimous.

It is your duty, as jurors, to consult with one another and to deliberate with

a view to reaching an agreement, if you can do so without violence to individual

judgment. Each of you must decide the case for yourself, but do so only after an

impartial consideration of the evidence with your fellow jurors. In the course of

your deliberations, do not hesitate to re-examine your own views and change your

opinion if convinced it is erroneous. But, do not surrender your honest conviction

as to the weight or effect of evidence solely because of the opinion of your fellow

jurors or for the mere purpose of returning a verdict.

You are not partisans. You are judges—judges of the facts. Your sole

interest is to ascertain the truth from the evidence in the case.”

¶ 23 Upon a close review of the circumstances here, we hold that the trial court did not

abuse its discretion by denying plaintiff’s counsel’s requests for a mistrial. The parties took six

days to present their evidence, much of which was medical testimony. Approximately four and a

half hours into its first day of deliberations on November 1, 2023, the jury submitted a note that

stated: “It is very obvious that we will not come to an agreement unanimously. Sitting in here for

hours and hours will not make a difference.” Although the court would have been within its

discretion to give the Prim instruction at this point, neither party asked for such instruction. Rather,

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cognizant that the jury would soon be sent home for the evening, the parties agreed to tell the jury:

“Please continue your deliberations. We will check in with you shortly.”

¶ 24 Thirty-eight minutes after the jury recommenced its deliberations on November 2,

2023, the trial court received the Surrender Note:

“For the record, I will sign the verdict for the defendant Dr[.] Love. I am

firm in my support for the plaintiff Mr. Shilling.

I am only signing to end this deliberation and put an end to this. After many

hours of discussion and debate, we cannot come to a unanimous decision.

Therefore, it’s my position to sign only to end this.

I 100% believe Dr[.] Love was negligent in providing the appropriate care

to his patient. As a result, Mr[.] Schilling[’s] overall care was impacted because of

Dr[.] Love[’]s decision.

Once again, I am only agreeing to sign to end this.” (Emphases in original.)

Contrary to what plaintiff asserts, the Surrender Note was not necessarily a promise, guarantee, or

assurance that the author was intent on returning a verdict for an improper purpose. A different

reasonable interpretation is that the author simply wanted to get the court’s attention about the

perceived deadlock, especially considering the court did not provide any guidance when the jury

first declared itself deadlocked the previous night. Significantly, after approximately six hours of

deliberations, the jury did not return a verdict contemporaneously with the Surrender Note, but

instead awaited a response from the court. This strongly suggests the Surrender Note was a plea

for guidance rather than confirmation that the author had truly and permanently abandoned his or

her duties and convictions. Although plaintiff is correct that the Surrender Note was not something

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that is “routine” in a jury trial, the court reasonably rejected plaintiff’s counsel’s suggestion that

the situation was incurable and required declaring an immediate mistrial.

¶ 25 For the same reasons, plaintiff’s claim that the Surrender Note evinced juror

misconduct is unpersuasive. “Courts should be exceedingly vigilant and careful that there is no

misconduct on the part of jurors that would reflect any question on the honesty of their

performance.” Miller v. Scandrett, 326 Ill. App. 631, 637 (1945). Here, plaintiff contends that

“(1) the juror assured the Court he was going to enter a verdict solely to end deliberations” and

“(2) this statement represents a clear unwillingness to continue deliberations or deliberate in good

faith in such a way where the author was willing to reverse his or her opinion.” However, the juror

who authored the Surrender Note plainly was taking his or her duties seriously, as he or she was

passionate at that point in time, based on the evidence presented, that plaintiff proved his

malpractice claim. This is a far cry from United States v. Fattah, 914 F.3d 112, 140-43 (3d Cir.

2019), a case plaintiff cites in which a juror purportedly had an axe to grind with the government,

refused to listen to other jurors, screamed at them, put his hand on a fellow juror, and told a deputy

he was intent on a hung jury. Here, the trial court reasonably viewed the Surrender Note as an

indication the jury continued to view itself as deadlocked, not that a juror had committed

misconduct.

¶ 26 The trial court was careful to follow the procedures outlined in the committee notes

to IPI Civil No. 1.05 and to avoid any response to the Surrender Note that could be deemed

coercive. For example, plaintiff’s counsel requested the court question jurors about the Surrender

Note. The court properly refused to do so, as this likely would have identified both the author of

the note and whether the author was the lone holdout. See IPI Civil No. 1.05, Committee Note

(establishing that before giving this instruction, a court should question the foreperson about

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whether the jury is able to reach a verdict but avoid soliciting information about the numerical

division of the voting). Some courts have suggested that when a court learns both the numerical

division of a purportedly deadlocked jury and the identities of the jurors holding the minority

viewpoint, that increases the risk that jurors in the minority may feel the court is singling them out

through further instructions. See United States v. Williams, 547 F.3d 1187, 1207 (9th Cir. 2008)

(recognizing the possible coercive effect of instructing a jury to continue deliberating when the

court knows both the numerical split of the jury and the identities of the jurors holding the minority

viewpoint). Here, the court acted within its discretion by limiting its inquiry to asking the

foreperson whether she believed the jury was deadlocked. When she responded in the affirmative,

the court gave the Prim instruction.

¶ 27 Plaintiff argues the Prim instruction was unwarranted, as the jury was already

hopelessly deadlocked by the time the trial court received the Surrender Note. However, the court

had discretion to assess whether and when the jury was hopelessly deadlocked. Considering the

length and complexity of this trial, it is not surprising the jury failed to reach a consensus within

the first five or six hours of deliberations. We also consider that the jury had not been given a Prim

instruction before the court received the Surrender Note. Contra Richardson, 2022 IL App (2d)

210316, ¶¶ 41, 43 (holding that the trial court should have declared a mistrial where jury

deliberations exceeded the length of the trial testimony and where the jury declared itself

deadlocked after being given a Prim instruction).

¶ 28 Plaintiff maintains the Prim instruction itself was coercive in light of the Surrender

Note. This argument is untenable, as our supreme court adopted this instruction specifically to

avoid the possibility of undue coercion and trial courts are given broad discretion to determine

whether circumstances require a mistrial. When a court determines a jury should be instructed on

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a subject, the court must use the pattern instruction approved by our supreme court unless such

instruction “does not accurately state the law.” Ill. S. Ct. R. 239(a) (eff. Apr. 8, 2013). Thus, there

is no merit to plaintiff’s position that the Prim instruction was coercive.

¶ 29 Accordingly, we hold that the trial court acted within its discretion by giving the

Prim instruction rather than declaring a mistrial upon receiving the Surrender Note.

¶ 30 Plaintiff also presents arguments about events that happened after the trial court

gave the Prim instruction. Specifically, plaintiff argues he was deprived of his right to a unanimous

verdict, the verdict was akin to an improper “compromise verdict,” and it would be speculation to

assume the author of the Surrender Note changed his or her opinion about the case during

subsequent deliberations. These arguments are unpersuasive. Plaintiff was not deprived of his right

to a unanimous verdict, as all 12 jurors signed a verdict for the defense and all jurors answered in

the affirmative when asked whether this was then and is now their verdict. Additionally, in a

strictly legal sense, an improper “compromise verdict” is where a jury assesses damages far lower

than what the uncontested evidence warrants, thus raising suspicions that the jury did not actually

agree about liability. See Svetanoff v. Kramer, 80 Ill. App. 3d 575, 578 (1979). Here, the jury

returned a verdict for the defense and awarded plaintiff no damages. There was no discrepancy

between liability and damages, so this does not meet the criteria for an improper “compromise

verdict.”

¶ 31 Plaintiff’s argument about speculation does not change our analysis. Juries

deliberate in private, so courts are not privy to the discussions. The premise of plaintiff’s

contention regarding speculation is that the juror who authored the Surrender Note made a promise,

guarantee, or assurance that he or she would return a verdict for the defense despite his or her

convictions and then fulfilled that promise. We repeat, an unknown juror wrote the Surrender Note

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before the trial court gave a Prim instruction, which expressly informed jurors not to surrender

their honest conviction as to the weight or effect of evidence solely because of the opinion of

fellow jurors or for the mere purpose of returning a verdict. We presume that jurors follow the

instructions given to them. First Midwest Bank v. Rossi, 2023 IL App (4th) 220643, ¶ 174. After

being given the Prim instruction, the jury continued its deliberations, asked for clarification

regarding the law governing the merits of the case, and returned a verdict for the defense. All jurors

then indicated during polling that this was then and is now their verdict. Under the circumstances,

plaintiff’s point about speculation does not convince us the court abused its discretion by denying

a mistrial.

¶ 32 B. Plaintiff’s Counsel’s Request for Additional Polling

¶ 33 Plaintiff next argues that in light of the Surrender Note, the trial court erred by

refusing to poll the jury beyond asking each juror whether this was then and is now his or her

verdict. Plaintiff submits it was also “problematic” that one juror “sighed loudly, and hesitantly

answered ‘yes’ ” during poling. Plaintiff notes that the court questioned the foreperson about

coercion, and he contends the court should have done the same for all the jurors. Plaintiff proposes

that if additional polling of the jury was inappropriate, that only supports his previous argument

that the court should have declared a mistrial upon receiving the Surrender Note.

¶ 34 Defendants respond that the trial court properly refused to conduct further polling

of the jury after each juror answered “Yes” to the clerk’s question. According to defendants, pauses

and sighs do not require additional polling. Defendants argue that additional polling would have

intruded on the jurors’ decision-making process.

¶ 35 Our supreme court has said the following about polling juries:

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“When a jury is polled, each juror should be questioned individually as to

whether the announced verdict is his own. The poll should be conducted so as to

obtain an unequivocal expression from each juror. [Citation.] The very purpose of

the formality of polling is to afford the juror, before the verdict is recorded, an

opportunity for free expression unhampered by the fears or the errors which may

have attended the private proceedings of the jury room. [Citation.] In conducting

the poll, each juror should be examined to make sure that he truly assents to the

verdict. [Citation.]

The trial court may use its discretion in selecting the specific form of

question to be asked in the polling process as long as a juror is given the opportunity

to dissent. The double-barreled question used in this case, ‘Was this then and is this

now your verdict?’ has often been used in Illinois. [Citation.] We see nothing wrong

with using this question in polling the jury. However, if a juror indicates some

hesitancy or ambivalence in his answer, then it is the trial judge’s duty to ascertain

the juror’s present intent by affording the juror the opportunity to make an

unambiguous reply as to his present state of mind. [Citation.] Jurors must be able

to express disagreement during the poll or else the polling process would be a farce

and the jurors would be bound by their signatures on the verdict. Before the final

verdict is recorded, a juror has the right to inform the court that a mistake has been

made, or to ask that the jury be permitted to reconsider its verdict, or to express

disagreement with the verdict returned. If the trial judge determines that any juror

does dissent from the verdict submitted to the court, then the proper remedy is for

the trial court, on its own motion if necessary, to either direct the jury to retire for

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further deliberations [citation], or to discharge it [citation].” (Internal quotation

marks omitted.) People v. Kellogg, 77 Ill. 2d 524, 527-29 (1979).

Nevertheless, courts “must be careful not to make the polling process another arena for

deliberations.” Kellogg, 77 Ill. 2d at 529.

¶ 36 When reviewing a challenge to polling procedures, we must keep in mind that the

trial court was tasked with determining whether each juror freely assented to the verdict. Kellogg,

77 Ill. 2d at 529. Whereas we review the cold record, the trial court heard each juror’s response

and observed each juror’s demeanor and tone of voice. Kellogg, 77 Ill. 2d at 529. We will overturn

a verdict based on polling procedures only where “the interrogation precludes the opportunity to

dissent or if the record reflects that the juror in the poll has not in fact assented to the verdict.”

Kellogg, 77 Ill. 2d at 529. “A trial court’s determination as to a juror’s voluntariness of his assent

to the verdict will not be set aside unless the trial court’s conclusion is clearly unreasonable.”

People v. Cabrera, 116 Ill. 2d 474, 490 (1987).

¶ 37 We hold that the trial court’s method of polling the jury was not clearly

unreasonable and did not amount to an abuse of discretion. The question the clerk asked each

juror—whether this was then and is now his or her verdict—is a standard polling question that has

been approved by our courts. See Kellogg, 77 Ill. 2d at 528 (our supreme court saw “nothing

wrong” with this question); People v. Carter, 2020 IL App (3d) 170745, ¶¶ 15, 28 (finding no

defect in polling where each juror answered in the affirmative when asked, “ ‘[W]as this your

verdict when you signed it and is it still your verdict[?]’ ”). Significantly, no juror here responded

to the polling question by manifesting dissent to the verdict or providing an ambiguous answer.

Contra Kellogg, 77 Ill. 2d at 529-30 (additional polling was required where a juror asked during

polling whether she could change her vote); People v. Beasley, 384 Ill. App. 3d 1039, 1044-45,

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1049 (2008) (additional polling was required where a juror responded to the question “ ‘[I]s this

your verdict?’ ” by shaking his head and saying, “ ‘Um—I have to say, yes, I guess.’ ”). We

recognize the parties seem to agree that juror No. 34 paused and sighed before answering “Yes”

when asked whether this was and is his verdict. We remain mindful that the trial court had the

opportunity to hear this juror’s response and to observe his demeanor and tone of voice (Kellogg,

77 Ill. 2d at 529) but did not discern a need to question him further. We cannot substitute our

judgment for the trial court’s as to whether juror No. 34 exhibited such a degree of hesitancy during

his response as to justify further questioning.

¶ 38 Moreover, plaintiff directs our attention to no case holding that a juror pausing or

sighing during polling requires a trial court to continue polling that juror. To the contrary, case law

establishes that a juror must either express dissent to the verdict or provide an ambiguous response

to require the court to continue polling that juror. See People v. McDonald, 168 Ill. 2d 420, 461,

463 (1995) (no additional polling was necessary where a juror said that, “[r]eluctantly,” this was

and is his verdict at a death sentence hearing); Cabrera, 116 Ill. 2d at 489-90 (where a juror

answered “Yes” when asked whether this was and is her verdict, there was no need to conduct

further polling, even though this juror also attempted to explain herself before being cut off by the

trial court); Ferry v. Checker Taxi Co., 165 Ill. App. 3d 744, 748, 753 (1987) (although a juror

initially “expressed some doubt as to the verdict” when questioned by defense counsel, because

all jurors subsequently told the trial court that this was then and is now their verdict, there was no

need for additional polling); People v. Herron, 30 Ill. App. 3d 788, 789, 791-92 (1975) (no error

in accepting a verdict where one juror responded to the question “ ‘Was this and is this now your

verdict?’ ” by saying, “ ‘It wasn’t, but it is.’ ”). As stated in People v. Hill, 14 Ill. App. 3d 20, 22

(1973): “We do not see how hesitating before answering ‘Yes’ can be construed to be an answer

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of ‘No.’ If the hesitation proves anything it is that the juror was careful about her answer.” Here,

the purpose of polling was satisfied, as the jurors each had an “ ‘opportunity to disclose any

coercion, mistake, or dissention from the verdict announced.’ ” Carter, 2020 IL App (3d) 170745,

¶ 28 (quoting People v. Williams, 97 Ill. 2d 252, 308 (1983)).

¶ 39 In arguing that the polling was insufficient, plaintiff relies heavily on the

circumstances surrounding the Surrender Note. In his reply brief, plaintiff goes so far as to assert:

“The fact the Surrender Note was issued prior to polling should be treated as if one of the jurors

had read the contents of the Surrender Note verbatim into the record during polling before stating

‘yes.’ ” However, plaintiff cites no case law indicating that events occurring before the jury reaches

a verdict are relevant to a challenge of polling procedures. As we discussed in the preceding

section, a juror wrote the Surrender Note before the trial court gave a Prim instruction, before the

jury reached a verdict, and before the court polled the jury about the verdict. By obtaining

affirmative responses from each juror indicating this was then and is now their verdict, the court

assured there was no dissent to the verdict and that it was not the product of coercion. That is what

the law governing polling requires.

¶ 40 Plaintiff proposes the trial court should have continued its polling to obtain “an

affirmative statement or documentation by the author [of the Surrender Note] that he or she

reconsidered his or her position and was signing the verdict form for a proper reason in accordance

with the author’s beliefs and oath as a juror.” However, absent a manifestation of dissent or an

ambiguous answer during polling, the court reasonably determined that identifying and

interrogating the author of the Surrender Note was unnecessary. Again, a court “must be careful

not to make the polling process another arena for deliberations.” Kellogg, 77 Ill. 2d at 529; see

Freeman v. City of Chicago, 2017 IL App (1st) 153644, ¶¶ 23-28, 75 (finding no abuse of

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discretion where (1) the jury returned an initial verdict, (2) a juror indicated during polling that she

was under duress and did not want this to be her verdict, (3) the trial court allowed the jury to

continue deliberating the next morning, (4) the jury returned a second identical verdict after only

five to seven additional minutes of deliberating, (5) all jurors indicated that this was their verdict,

and (6) the trial court entered judgment on the second verdict).

¶ 41 The trial court’s decision to ask additional questions of the foreperson does not

change our analysis. The foreperson signed conflicting verdict forms but crossed her name out on

one. The court acted within its discretion by ensuring the foreperson meant to sign a verdict for

the defense. The circumstances did not require the court to conduct a broader inquiry of the entire

jury to ascertain the author of the Surrender Note.

¶ 42 C. Jury Instruction

¶ 43 Finally, plaintiff argues the trial court erred by refusing to use the word

“misdiagnosed” in an instruction outlining plaintiff’s allegations of negligence. According to

plaintiff, there was a basis in the evidence to use the word “misdiagnosed.” Citing Willis v.

Khatkhate, 373 Ill. App. 3d 495, 504-05 (2007), plaintiff further submits that failures to “make the

ultimate diagnosis” and to “offer proper treatment” inherently constitute a misdiagnosis. Citing

one of the jury notes, plaintiff asserts that “the jurors were struggling to understand” the instruction

containing the phrase “failed to diagnose.”

¶ 44 Defendants respond that the trial court properly used the phrase “failed to diagnose”

rather than “misdiagnosed.” According to defendants, the verdict for the defense shows the jury

determined Dr. Love did not negligently fail to diagnose plaintiff’s fractures, which means there

is no issue about any misdiagnosis. Defendants submit that plaintiff’s point about “misdiagnosed”

being synonymous with “failed to diagnose” proves plaintiff suffered no prejudice from the way

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the court instructed the jury (“[I]f the terms are interchangeable and the same, it would not have

made a difference.”).

¶ 45 “[C]ivil litigants are entitled to have the jury instructed on the issues presented, the

applicable legal principles, and the facts that must be proved to support a verdict.” Bailey v. Mercy

Hospital & Medical Center, 2021 IL 126748, ¶ 41. “ ‘While the threshold for permitting an

instruction in a civil case is modest, the standard for reversing a judgment based on failure to

permit an instruction is high,’ ” as the trial court has discretion as to which instructions to use.

Bailey, 2021 IL 126748, ¶ 41 (quoting Heastie v. Roberts, 226 Ill. 2d 515, 543 (2007)). When

determining whether the court abused its discretion, we consider whether the instructions, taken

as a whole, were sufficiently clear, not misleading, and fairly and correctly stated the law. Bailey,

2021 IL 126748, ¶ 42. “Ultimately, a reviewing court should grant a new trial only when the trial

court’s refusal to give a tendered jury instruction results in serious prejudice to the party’s right to

a fair trial.” Bailey, 2021 IL 126748, ¶ 42.

¶ 46 We hold that the trial court did not abuse its discretion when instructing the jury.

Both versions of the subject instruction plaintiff tendered apparently were derived from Illinois

Pattern Jury Instructions, Civil, No. 20.01 (approved Aug. 24, 2023), which identifies the issues

in the pleadings and directs courts to “[s]et forth in simple form without undue emphasis or

repetition those allegations of the complaint as to the negligence of the defendants which have not

been withdrawn or ruled out by the court and are supported by the evidence.” (Emphases omitted.)

In his complaint, plaintiff alleged Dr. Love “[f]ailed to diagnose” his fractures. The trial evidence

was undisputed that Dr. Love never diagnosed fractures, but instead treated plaintiff with

antibiotics for cellulitis. Plaintiff’s counsel told the court during the discussion on the subject jury

instruction that he was “not sure there was ever confirmation or not about” the cellulitis and that

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he was “just referencing the misdiagnosis of the broken bones.” Given that plaintiff’s counsel

conceded it was unknown whether plaintiff had cellulitis when he saw Dr. Love, the word

“misdiagnosed” had the potential to mislead or confuse the jury, inviting the jury to focus on

whether plaintiff had cellulitis when the real dispute was whether Dr. Love was negligent for

missing the fractures. The court also appropriately recognized that part of plaintiff’s counsel’s

basis for wanting to use the word “misdiagnosed” was that plaintiff’s surgeon, who was not a

standard-of-care expert, used that word. Furthermore, plaintiff’s reliance on Willis does not

convince us that the court abused its discretion under the circumstances presented. The appellate

court in Willis addressed a question regarding tort immunity, not a discretionary ruling on a jury

instruction.

¶ 47 Plaintiff has also failed to demonstrate prejudice from the way the trial court

instructed the jury. His assertion that the jury struggled to understand the subject instruction is

unfounded, as the jury never asked any question specifically about the phrase “failed to diagnose.”

Moreover, if plaintiff is correct that failure to diagnose is inherently a misdiagnosis, then he

suffered no prejudice from the court using a synonymic phrase. We further note that during closing

argument, plaintiff’s counsel asserted the jury could decide what it meant and whether it was

important that plaintiff’s surgeon used the word “misdiagnosed” in her medical records. Thus,

despite the court’s ruling regarding the subject jury instruction, plaintiff got his point across to the

jury that he believed Dr. Love misdiagnosed him.

¶ 48 III. CONCLUSION

¶ 49 For the reasons stated, we affirm the trial court’s judgment.

¶ 50 Affirmed.

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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