Opinion
No. 2-16-0456
07-24-2017
JUDITH CALDWELL, individually, and as Special Administrator of the Estate of JEANNETTE M. DELUCA, Plaintiff-Appellant, v. ADVOCATE CONDELL MEDICAL CENTER, Defendant-Appellee.
NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1). Appeal from the Circuit Court of Lake County. No. 14-L-145 Honorable Diane Winter, Judge, Presiding. JUSTICE BIRKETT delivered the judgment of the court.
Justices Hutchinson and Zenoff concurred in the judgment.
ORDER
¶ 1 Held: We affirmed the judgment of the trial court that entered a jury verdict in favor of defendant hospital when: (1) the court did not err in admitting the testimony of two of the hospital's expert witnesses; (2) plaintiff did not receive improper notice of an evidence deposition, and the videotaped portion of that deposition was withdrawn before trial; (3) the trial court did not err in denying plaintiff's motion to bar the evidence deposition of one of the hospital's nurses; (4) no Petrillo violation occurred when the hospital's counsel talked to one of the hospital's nurses prior to her evidence deposition; and (5) the trial court did not err in refusing to give the jury a missing witness instruction when the testimony presented at trial did not establish that the hospital failed to produce a witness. ¶ 2 Plaintiff Judith Caldwell, individually and as special administrator of the estate of Jeannette Deluca (Caldwell), appeals from the trial court's order entering a jury verdict in favor of defendant, Advocate Condell Medical Center (Condell). On appeal, Caldwell argues that several errors occurred below in this medical malpractice action: (1) the trial court erred in allowing two expert witnesses to testify that Caldwell's mother had both sets of her dentures in her mouth when she choked on food and died following surgery at Condell; (2) the trial court erred in allowing the evidence deposition of one of Condell's nurses into evidence; (3) the trial court erred in sustaining Condell's objections on attorney-client privilege grounds during that nurse's evidence deposition; (4) Condell's counsel violated the Petrillo doctrine when she conducted an ex parte meeting with one of Condell's former employees; and (5) the trial court erred in refusing to grant Caldwell a "missing witness" jury instruction. For the following reasons, we affirm.
¶ 3 I. BACKGROUND
¶ 4 The record reflects that on March 5, 2014, Caldwell filed a medical malpractice action against Condell after Caldwell's mother, Jeanette Deluca, choked on food and died while receiving medical care from Condell on April 23, 2013. Specifically, Caldwell claimed that Condell, through its agents, failed to adequately monitor Deluca postoperatively, allowed her to eat pancakes without ensuring that her dentures were in her mouth, and failed to ensure that she was sufficiently recovered from surgery to consume food.
¶ 5 A. Pre-Trial Proceedings
¶ 6 Before trial, Caldwell's counsel sent a notice to Condell for the discovery deposition of Kathleen Likosar, a nurse manager at Condell. The notice was dated October 20, 2014, and in it, counsel asked Condell's counsel to produce Likosar for her deposition on October 30, 2014. Caldwell's counsel later sent an amended notice for Likosar's deposition on December 9, 2014. Likosar's deposition occurred on December 9, 2014. During that deposition, Condell's counsel objected on privilege grounds to Caldwell's questioning of Likosar about conversations between Likosar and Condell's counsel. ¶ 7 About 30 to 45 days before trial, Condell's counsel contacted Caldwell's counsel to inform him that Likosar was retiring and moving to Arizona, and that they would need to set up an evidence deposition. On February 9, 2016, Condell's counsel emailed Caldwell's counsel about setting up Likosar's evidence deposition for February 12, 2016. Caldwell's counsel agreed to that date, and the videotaped evidence deposition occurred on February 12, 2016. At that deposition, Caldwell's counsel complained that he never received a notice of the evidence deposition but admitted that he did agree to come to the deposition after being notified via telephone. Caldwell's counsel also argued that he never received notice that the deposition was going to be videotaped. Counsel repeated his objection prior to cross-examining Likosar, and said that the evidence deposition was "being taken without notice as required by supreme court rule." As in the discovery deposition, when Caldwell's counsel questioned Likosar about the substance of conversations between counsel for Condell and Likosar, Condell's counsel objected on attorney-client privilege grounds. Caldwell's counsel did not take issue with that objection and instead, counsel merely responded by saying, "okay," "all right," and "that's fine." Caldwell's counsel also never sought a ruling on the privilege objection. ¶ 8 Before trial began, Caldwell presented a motion to bar Likosar's evidence deposition. Caldwell's counsel argued that he had improper notice of the evidence deposition, and no notice of Condell's intention to videotape that deposition. Caldwell's counsel also raised an objection to Condell's assertion of the attorney-client privilege for any conversations between Condell's counsel and Likosar. Caldwell argued that Likosar was not a member of Condell's "control group," and the communications between Likosar and Condell's attorney that occurred immediately prior to her evidence deposition were not protected by the attorney-client privilege because at that time Likosar's employment with Condell had ceased. ¶ 9 In response, Condell's counsel agreed to withdraw use of the videotape. In resolving the remainder of Caldwell's notice objections, the court reviewed the email exchanges between the parties. On February 9, 2016, Condell's counsel sent Caldwell's counsel an email saying, "I want to set Likosar's evidence dep for my case for Friday, 2/12/16 at 10 a.m. at Condell. I think you said that works for you . . . can you confirm?" Caldwell's counsel responded to the email and said that that date "work[ed] for Likosar." ¶ 10 With regard to the objections based upon attorney-client privilege, Condell argued that Likosar was an admitted agent of Condell and a nurse who was insured under Condell's self-insured trust, both at the time of her care of Deluca and when she gave her discovery deposition. Also, Likosar established these facts in an affidavit. Finally, counsel argued that the allegations in Caldwell's complaint placed Likosar's care at issue at the time that she gave her discovery deposition. ¶ 11 The trial court found that, absent any case law to the contrary, and Caldwell's counsel had submitted none, Likosar's retirement between her discovery and evidence depositions was not determinative of her status for the purpose of the attorney-client privilege. Therefore, the trial court denied Caldwell's motion to bar Likosar's evidence deposition on both the notice and lack of privilege grounds. ¶ 12 Caldwell then presented a motion to bar the opinions of Condell's experts, Dr. Rachael Oosterbaan and nurse Faye Kopplin. Those individuals would testify that DeLuca had both sets of dentures in her mouth when she ate breakfast on April 23, 2013. At Dr. Oosterbaan's discovery deposition she testified that in her opinion, Deluca had both sets of dentures in her mouth based upon the fact that DeLuca was a "perfectly capable woman who would have asked for her lower dentures when she started eating" and that she was a "cognitively intact woman." When asked whether she was speculating that both sets of dentures were in Deluca's mouth when she ate breakfast, Dr. Oosterbaan said that it was safe to say that the lower partial plate was in place based upon the evidence and the records. This opinion was also based upon her interpretation of the facts in the depositions and in Deluca's medical chart. ¶ 13 At nurse Kopplin's discovery deposition, she testified that in her opinion, DeLuca's lower partial plate more likely than not stayed in her mouth while at Condell. Her opinion was based upon several factors, including that the patient was alert and oriented, had managed her own dentures for over 40 years, and that she would have asked for her dentures if they were missing, and if she did ask for her dentures, that information would have been noted in her chart. Kopplin said that Deluca's dentures were more likely than not in her mouth when she ate breakfast based upon the fact that Deluca's medical chart created a timeline of what transpired with her upper and lower dentures. The upper dentures were removed for Deluca's surgery and reinserted in the PACU. There was no indication in the chart that Deluca's lower plate was ever removed. Kopplin opined that based upon her experience with elderly patients, the first thing that they request when they wake up from anesthesia is their teeth. In addition to reviewing Deluca's medical records, Kopplin had also reviewed the deposition testimony of all the witnesses in this case. Kopplin opined that she reached an opinion as to a reasonable degree of medical certainty that Deluca's lower partial plate and upper dentures were in her mouth when she ate her breakfast on April 23, 2013. ¶ 14 The trial court denied Caldwell's request to exclude Dr. Oosterbaan or nurse Kopplin's opinions.
¶ 15 B. Trial Proceedings
¶ 16 At trial, Caldwell testified that on April 22, 2013, she returned to her home around 5:00 p.m. and found her 92-year-old mother, Jeanette Deluca, sitting in a chair with a bump on her head and a very red eye. Deluca said that she could not see out of her eye because she hit her head. Caldwell called Deluca's ophthalmologist, who directed them to the emergency room. ¶ 17 Caldwell and her husband took Deluca to Condell, where she was seen in the emergency room. When they arrived, they were told that Deluca should see a Dr. Michael Savitt at his office. Dr. Savitt examined Deluca and determined that it was necessary for him to perform surgery on Deluca's eye. Caldwell took Deluca back to Condell, and arrived around 10:30 p.m. that night. Deluca was admitted to floor 2-West at Condell. Prior to her admission, the last food Deluca had consumed was at noon that day. Caldwell testified that Deluca was very "vain" about her dentures and she never wanted Caldwell to see her without her dentures in her mouth. She said that even when she went into surgery, Deluca would not take her dentures out until she was wheeled away from Caldwell. Deluca was able to take care of her dentures by herself, and she never ate without her dentures in her mouth. ¶ 18 Caldwell said that Shannon Lunkenheimer checked Deluca onto the 2-West floor at Condell. Caldwell stayed with Deluca until she was wheeled out of her room and taken to surgery. At that time, Deluca had both of her upper and lower dentures in her mouth. According to Caldwell, Deluca did not allow the nurses to remove her dentures until after she was rolled away from her daughter. Caldwell testified that she had no idea if Deluca's dentures were in place during the surgery, when Deluca returned to the floor following surgery, or when Deluca was eating her breakfast the next morning. ¶ 19 Shannon Lunkenheimer testified that she was the registered nurse working at Condell on 2-West, the medical/surgical unit, at around 10 p.m. on April 22, 2013. She interviewed Deluca on that evening as a new admission to the floor. Lunkenheimer asked Deluca about her dentures and Deluca told her that she had upper dentures and a partial lower plate. Lunkenheimer did not take Deluca's dentures out when Deluca left 2-West and was moved to the operating room by transport. ¶ 20 Lunkenheimer said that if Deluca's dentures had been removed, they would have been placed at her bedside in a cup with her name on it. Lunkenheimer had cared for elderly patients with dentures in the past and she realized the importance of tracking their dentures. In her experience, most patients were very aware when their dentures were not in their mouths. ¶ 21 Bella Patseyevsky testified that she was a registered nurse who worked at Condell in the operating room as a circulating nurse preparing a case for surgery. As the circulating nurse, she interviews patients before surgery and brings them into the surgical suite. When the procedure is completed, Patseyevsky brings the patient to the recovery room. ¶ 22 On April 22, 2013, Patseyevsky was working as the circulating nurse on a 3:00 pm. to 11:30 p.m. shift. She remembered Deluca because of the emergency nature of the surgery. As part of her routine, she interviews the patient and asks him or her about personal effects, including dentures. Patseyevsky asked Deluca about her dentures because she knew Deluca was undergoing general anesthesia. When dentures are removed before an endotracheal tube is placed in the mouth, a patient's dentures are placed in a cup with the patient's name on the cup. The dentures are then kept on a counter in the operating room. ¶ 23 Patseyevsky testified that Deluca removed only her upper dentures and handed them to Patseyevsky, who then placed them in a cup. The cup would have been placed on the patient's cart on her trip from the pre-operative area to the operating room. When the patient is transferred from the cart to the operating table, the cup containing the dentures is placed on a shelf in the operating room. ¶ 24 Deluca was in the operating room from 10:45 p.m. until 12:06 a.m. After surgery, Patseyevsky moved Deluca from the operating room to the recovery area, also known as the Post-Anesthesia Case Unit (PACU). Generally, Patseyevsky takes the cup containing the patient's dentures from the shelf in the operating room and places it back on the patient's cart following surgery. In Deluca's chart, Patseyevsky noted that her upper dentures were "endorsed to recovery room nurse." She made no entry regarding the lower dentures, and she would have endorsed both dentures if she had removed the lower ones. In her experience, while upper dentures always come out prior to surgery, there are occasions when lower partial plates remain in the patient's mouth. If the lower partial plates are not removable, they stay in the patient's mouth during surgery. ¶ 25 Kim Kraus testified that she was the recovery room nurse who was called into Condell to cover Deluca in the recovery room following surgery. She took over Deluca's nursing care at 12:06 a.m. on April 23, 2013. She assessed Deluca at 12:36 a.m. and initially noted that Deluca was sleepy, but responded to her and was "arousable." Before she sent Deluca back to her hospital room she wrote in her chart, "final comments, upper dentures in mouth." According to Kraus, that told her that she either placed the upper dentures in Deluca's mouth or gave the dentures to Deluca to insert herself. If Deluca had lower dentures that were not in her mouth, but were in a cup, Kraus would have documented that fact. If both lower and upper dentures had been in Deluca's cup, she would have placed both of them in her mouth. Documenting the fact that the upper dentures were in Deluca's mouth told Kraus that Deluca was alert and able to place dentures securely in her mouth. According to Kraus, at 12:42 a.m., Deluca met the criteria for discharge from the PACU and she was then returned to the medical/surgical unit, at which point either she or the assistant working with her handed Deluca over to the medical/surgical floor nurse. ¶ 26 Deanne Awit testified that she was the registered nurse at Condell who accepted Jean Deluca back onto 2-West in the early morning hours of April 23, 2013. Awit performed an assessment of Deluca at 12:45 a.m., and took care of Deluca throughout the night. She had no concerns about Deluca's condition. Around 3:00 a.m., Awit gave Deluca medication. At 6:00 a.m. she performed an abdominal exam on her, and at 6:58 a.m. she checked Deluca's vital signs. Awit never had any concerns regarding Deluca's condition. ¶ 27 Awit said that she did not recall if she saw Deluca's dentures on her bedside table. If she had seen her dentures, she would have placed them in a cup. Her shift ended at 7:00 a.m. on April 23, and she provided a report to the nurse on the next shift. She did not see breakfast being delivered to Deluca. If she had had any concerns about Deluca she would not have allowed her to eat breakfast. ¶ 28 Awit responded to a rapid response call concerning Deluca around 7:20 a.m. She responded to the call after her shift ended because she knew Deluca as a patient better than the morning nurse. She ran to Deluca's room with her nurse manager, Kathleen Likosar, and watched Likosar remove Deluca's upper denture and perform a mouth sweep. She did not remember anything about Deluca's lower partial plate. A code team then took over. ¶ 29 Helen Dockery testified that she was the patient care technician (PCT) on duty on 2-West between 12:45 a.m. and 6:30 a.m. on April 23, 2013. There were two PCTs on duty during her shift and they would each care for half of the patients on the floor. Dockery's duties are to take vital signs, assist patients as needed, and advise the nurse if a patient has a problem. Dockery recorded 9 sets of vitals for Deluca during her shift, and she did not have any concerns about Deluca. During her shift, Dockery took Deluca to the bathroom. She first had Deluca sit at the end of the bed to make sure that Deluca was not dizzy and was able to walk. After Deluca used the bathroom, Dockery walked her back to her bed. ¶ 30 At some point during her shift Deluca told Dockery she was hungry. Dockery obtained a menu for Deluca, who said that she wanted pancakes. Dockery placed Deluca's order at 6:30 a.m. when Condell's kitchen opened. It usually takes 30 to 45 minutes for the food to arrive after it is ordered. ¶ 31 Dockery testified that she did not see Deluca's dentures on her bedside table. If they had been there, she would have placed them in a cup. Deluca did not ask her for help with her dentures. When Dockery's shift ended at 6:30 a.m., she would have reported to the next PCT that Deluca was postoperative and that breakfast had been ordered for her. If Dockery had any concerns about Deluca's condition, she would not have allowed Deluca to eat breakfast. Dockery did not see Deluca between 6:30 a.m. and 7:00 a.m. ¶ 32 Christina Riek testified that she was also working as a PCT on 2-West on April 23, 2013. She normally worked in the intensive care unit, but she was asked to be a "floater" on 2-West that day. Her shift began at 6:30 a.m., and she would have received a report from the outgoing shift. Riek had two interactions with Deluca. The secretary on the unit told Riek that Deluca's breakfast tray had arrived. Riek went to Deluca's room and asked her the usual questions such as, "[d]o you need anything? Are you okay? Just broad questions. Do you need anything. No, nothing. Nothing looked out of place or out of the ordinary. And I just continued. I went to the next room." ¶ 33 Riek did not recall asking Deluca whether she needed assistance with her dentures. She had no specific memory as to whether Deluca had her dentures in place. When she returned for a second visit to get Deluca's vital signs Riek said that Deluca did not look right. She went across the hall and asked the secretary to call for a rapid response. She was not part of the rapid response team, and she stayed outside Deluca's room at that time. ¶ 34 Likosar's evidence deposition was read to the jury without the use of the videotape. In her deposition, Likosar said that she worked as a nurse for 45 years until she retired on January 5, 2016. At the time of this incident, she worked at Condell as a nurse manager on 2-West, a floor that frequently had elderly patients. ¶ 35 Likosar was working as a nurse manager on 2-West on April 23, 2013, and she was a member of the rapid response team that was summoned to Deluca's room. When she arrived in Deluca's room, Deluca was unresponsive. She performed a mouth sweep and removed Deluca's upper dentures and pieces of pancake. Likosar did not document that she removed Deluca's upper dentures, but that was a customary practice. After she took the upper dentures out she placed them on the bedside table. She does not recall what happened to the dentures after that point. Once a patient dies, their dentures are placed in a cup and that cup goes with the patient to the morgue. Likosar did not know if Deluca had a lower plate, and had no memory of removing a lower plate. ¶ 36 Finally, Likosar testified that after a patient dies, the PCT performs post mortem care, including placing the patient's dentures in a cup to be taken to the morgue. Likosar called the coroner at 9:30 a.m. She did not know who attended to Likosar's body between 8:30 a.m. and 10:00 a.m. on April 23, 2013, when the coroner arrived. ¶ 37 Stephen Carroll testified that he was the Lake County deputy coroner who transported Deluca's body from Condell to the coroner's facility. When he arrived in Deluca's room, a bag was attached to her body. The bag held a denture container. Carroll did not remove the dentures, and he did not know if the container had both sets of dentures in it because he did not open it. Carroll then transported Deluca's body to the coroner's office. The custom in the coroner's office would be to have the dentures remain with the body, but he could not recall if that was specifically done in this case. He did not perform the autopsy on Deluca. ¶ 38 Karen Krooswyk testified that she was an advance practice nurse who reviewed this case as an expert for Caldwell. Krooswyk described Deluca as a very functional elderly lady who faithfully removed her dentures at night, had no history of chewing or swallowing problems, no history of problems with her dentures, and who removed, cleaned and replaced her dentures by herself. Deluca did not require nursing care at home and had been caring for her dentures for many years. Krooswyk saw no indication that Deluca ever ate without her dentures in place. Also, nothing in the record suggested that Deluca was incapable of asking for her dentures if they were missing at breakfast. Elderly patients frequently requested their dentures in the hospital. Krooswyk said that anyone could choke, including someone with all their teeth in place. When asked whether Deluca's lower partial plate made it out of the operating room, Krooswyk said that that was a "mystery" and that she could not figure out what happened to them. ¶ 39 Krooswyk opined that Condell's nurses and PCTs failed to give Deluca liquids, failed to assist her with her diet, failed to assess her ability to eat, failed to ensure that both dentures were in place, and failed to monitor the patient while she was eating. Krooswyk acknowledged, however, that she had not worked on a medical-surgical floor since about 1979. ¶ 40 Krooswyk agreed that nothing in the record established that Deluca's lower partial plate was ever removed. Hospital personnel had approximately 14 contacts with Deluca between 12:45 a.m. and 7:20 a.m. on April 23, 2013. She agreed that Deluca was alert and oriented when she returned to 2-West after surgery. Also, nothing in Deluca's chart indicated that she needed assistance with eating. Krooswyk admitted that someone could have watched Deluca chew and swallow, determine that it was safe for her to eat, walk out of the room, and Deluca still could have choked. ¶ 41 Dr. Steven Fox testified that he was a doctor of osteopathic medicine with a subspecialty in geriatrics. He was asked to render causation opinions on behalf of Caldwell. He treats geriatric patients, but he has no hospital affiliations. In Dr. Fox's opinion, all of the deviations that Krooswyk testified about could be a proximate cause of Deluca's death. Deluca died of asphyxia due to an airway obstruction. In Dr. Fox's opinion, if Deluca's dentures had been in place, she would have been able to chew and break up her food particles. Also, he believed that Deluca suffered from post-operative cognitive dysfunction and was probably not fully alert or capable of swallowing due to having general anesthesia at her age. However, he agreed that there was no objective evidence of cognitive impairment and that Deluca's chart indicated that she was alert and oriented with clear speech. ¶ 42 Nurse Kopplin testified as a nursing expert on behalf of Condell. At the time of the trial, Kopplin worked in an internal medicine practice, but she had worked in a hospital setting for 38 years, predominately in the PACU. In Kopplin's opinion, the nurses and PCTs at Condell complied with the standard of care in their treatment of Deluca. Nurses are not required to document if dentures remain in a patient's mouth; they must only document it when they are removed. ¶ 43 Kopplin opined that both Deluca's upper dentures and lower partial plate were in her mouth when she was eating her breakfast on April 23, 2013. In forming this opinion, Kopplin relied upon her experience that dentures are the first thing a patient requests upon arrival in the PACU. Also, Deluca was noted to be alert and oriented—a sharp elderly lady who always managed her own teeth. In addition, Kopplin noted that there was no documentary evidence that Deluca's lower partial plate was ever removed, lost, or missing. Further, there was no evidence in Deluca's chart that anyone ever removed Deluca's lower partial plate. Kopplin explained that some partial plates have clips on them and those types of plates remain in a patient's mouth for surgery. ¶ 44 In Kopplin's opinion, Deluca did not require supervision to eat her breakfast on April 23, 2013. There was no evidence of cognitive impairment, and the patient was alert and sharp. The nurses and PCTs were not required to stand there and watch while Deluca ate her breakfast. Kopplin said that in addition to reviewing Deluca's medical records, she had also reviewed the deposition testimony of all the witnesses in this case. She opined that, to a reasonable degree of medical certainty, Deluca's lower partial plate and upper dentures were in her mouth when she ate her breakfast on April 23, 2013. ¶ 45 Dr. Rachael Oosterbaan testified that she is a doctor of internal medicine and that she was asked by Condell to review this case. In her opinion, nothing that the nurses and PCTs did, or did not do, contributed to Deluca's death. Dr. Oosterbaan based her opinion on the evidence that Deluca was independent, managed her own dentures and was cognitively intact. Deluca requested a menu, ordered her food and unfortunately suffered a choking incident. ¶ 46 Dr. Oosterbaan also opined that Deluca had both dentures in place when she choked. Also, it was her medical opinion that the lower partial plate remained in Deluca's mouth the entire time she was at Condell. She based this opinion on the deposition and medical records in this case. Specifically, nurse Lunkenheimer documented that Deluca had upper dentures and a lower partial plate. Nurse Patseyevsky, the operating nurse, removed only the top dentures, and those dentures were sent to the PACU in a cup with Deluca's name on it. Dr. Oosterbaan also said that the PACU nurse documented that she placed Deluca's dentures back in her mouth. There was no documentation in the chart establishing that the lower partial plate was ever removed, only that it was in place when Deluca was sent to the operating room. In Dr. Oosterbaan's opinion, it was more likely than not that Deluca's lower partial plate remained in her mouth because those plates are much more difficult to take out. A person has to clip them out, and they are much more stable in the mouth, making it likely that there was not a need to take the lower partial plate out. When asked whether she believed that Deluca had any cognitive dysfunction, Dr. Oosterbaan said "absolutely not." Deluca was a healthy 92-year-old woman, and based upon Deluca's daughter's testimony, Deluca lived independently. Dr. Oosterbaan specifically testified that she was not speculating about what happened to the dentures, and that her opinion was medical in nature and not personal. ¶ 47 During the jury instruction conference, Caldwell's counsel tendered Illinois Pattern Jury Instruction (IPI) 5.01 (Failure to Produce Evidence or a Witness). Counsel argued that Helen Dockery testified that there were two PCTs working on 2-West during her shift and that they each cared for half of the patients on the floor. However, Christina Riek was the only one who had been identified as working the day shift on April 23, 3013. In addition, counsel argued, Riek could not recall whether she prepared Deluca's body. The court responded to Caldwell's counsel and said that Riek testified that she did not remember whether she did the postmortem care on Deluca or not, so she could have done it. The court said that it was possible, then, that Riek performed the postmortem care but she just forgot that she did it. Therefore, the court rejected Caldwell's request for an IPI 5.01 jury instruction and found that a witness's inability to remember the identity of an individual did not entitle Caldwell to a missing witness instruction under IPI 5.01. Instead, the court said that such a jury instruction was appropriate where a party fails to produce at trial a specific witness with knowledge of an occurrence. ¶ 48 The jury returned a verdict in Condell's favor. Caldwell filed a motion for a new trial. At the hearing on the post-trial motion, Condell's counsel informed the court that she re-read Riek's testimony and it appeared that Caldwell's counsel never asked Riek whether she performed the post mortem on Deluca (as opposed to Caldwell's counsel's assertion at the jury instruction conference that Riek testified that she could not remember whether she performed the post mortem on Caldwell). In denying Caldwell's post-trial motion, the trial court referred to Caldwell's argument regarding the 5.01 jury instruction and agreed that Riek was never asked if she was the person that performed the post mortem care on Deluca.
Actually, the operating nurse testified that Deluca took out her upper dentures and handed them to her. Also, the PACU nurse testified that her charting comment, "upper dentures in mouth" meant that either Deluca put the dentures in her mouth alone, or that she helped Deluca to put them in.
The record reflects, however, that Riek was never asked if she performed Deluca's post mortem care. --------
¶ 49 II. ANALYSIS
¶ 50 On appeal, Caldwell argues that the trial court made multiple, significant errors in managing the evidence introduced at trial, which combined, rose to the level of an abuse of discretion. Therefore, Caldwell requests that this court reverse the trial court's order denying her post-trial motion and remand this case for a new trial on all issues. Specifically, Caldwell contends that the following errors occurred below: (1) the trial court erred in allowing nurse Kopplin and Dr. Oosterbaan to testify that Caldwell's mother had both sets of her dentures in her mouth when she choked on food and died following surgery at Condell; (2) the trial court erred in allowing Likosar's evidence deposition into evidence; (3) the trial court erred in sustaining Condell's objections to the substance of conversations between Condell's counsel and Likosar on attorney-client privilege grounds during the evidence deposition; (4) Condell's counsel violated the Petrillo doctrine when she conducted an ex parte meeting with Likosar; and (5) the trial court erred in refusing to grant Caldwell a "missing witness" jury instruction.
¶ 51 A. Condell's Expert Witnesses
¶ 52 Caldwell first argues that the trial court erred when it denied her motion in limine to bar Dr. Rachel Oosterbaan and nurse Faye Kopplin's testimony that they believed that Deluca had both sets of dentures in her mouth when she choked on pancakes the morning after her surgery at Condell. Specifically, she argues that the only person who took care of Deluca when she was in distress was Likosar. However, Likosar testified that she only removed Deluca's upper dentures while attempting to clear her airway and that she never saw any lower dentures. Also, Deluca's lower dentures were not in her mouth when she was autopsied. Nevertheless, Caldwell complains, both of Condell's experts were allowed to testify that Deluca's lower dentures must have been in her mouth when she died because: (1) there was no charting in the file which indicated that the lower dentures were ever removed; and (2) Deluca would have complained if her dentures were not in her mouth. Caldwell claims that the issue of whether the dentures were in place at the time of Deluca's death is a matter of fact, and not of opinion. She also argues that Dr. Oosterbaan admitted that her opinion was not a medical one. Instead, she said it was based upon the testimony presented and the medical records in this case. Caldwell claims that Dr. Oosterbaan and Kopplin's opinions were based upon guess, speculation and conjecture without any basis in the medical record or in the depositions of the medical professionals who took care of Deluca. ¶ 53 "Expert testimony is admissible if the proffered expert is qualified by knowledge, skill, experience, training, or education, and the testimony will assist the trier of fact in understanding the evidence." Snelson v. Kamm, 204 Ill. 2d 1, 24 (2003). The proponent must lay an adequate foundation establishing the reliability of the information on which the expert's opinion is based. Fronabarger v. Burns, 385 Ill. App. 3d 560, 565 (2008). "'If the basis of an expert's opinion includes so many varying or uncertain factors that he is required to guess or surmise to reach an opinion, the expert's opinion is too speculative to be reliable.'" Modelski v. Navistar International Transportation Corp., 302 Ill. App.3d 879, App. 3d 879, 885 (1999) (quoting First Midwest Trust Co. v. Rogers, 296 Ill. App. 3d 416, 427-28 (1998)). Once a proper foundation has been established, the weight to be assigned to the expert's opinion is for the jury to determine. Fronabarger, 385 Ill. App. 3d at 565. The decision of whether to admit expert testimony is within the sound discretion of the trial court, and the trial court's ruling will not be reversed absent an abuse of that discretion. Snelson, 204 Ill. 2d at 24. A trial court abuses its discretion where its ruling is arbitrary, fanciful, unreasonable, or where no reasonable person would take the view adopted by the trial court. Taylor v. City of Cook, 2011 IL App (1st) 093085, ¶ 23. ¶ 54 After a careful review of the record we have determined that the trial court did not abuse its discretion in denying Caldwell's motion in limine and in allowing Dr. Oosterbaan and nurse Kopplin to testify as Condell's expert witnesses. First, even if we agreed with Caldwell that the issue of whether the dentures were in Deluca's mouth when she died is one of fact, it is well settled that an expert's testimony on an ultimate fact or issue does not impermissibly intrude on the fact finder's role, as long as all of the other requirements for the admission of the testimony are met. Jackson v. Seib, 372 Ill. App. 3d 1061, 1071 (2007) (citing Zavala v. Powermatic, Inc., 167 Ill.2d 542, 545 (1995)). The reason for this is that the trier of fact is not required to accept the expert's conclusion. Id. ¶ 55 Second, Caldwell does not make any challenge to Oosterbaan or Kopplin's qualifications to be experts in this case. Instead, she argues that their opinions were "speculative." However, the record is clear that Caldwell is incorrect. At her deposition, Kopplin testified that Deluca's dentures were more likely than not in her mouth when she ate breakfast based upon the fact that Deluca's medical chart created a timeline of what transpired with her upper and lower dentures. The upper dentures were removed for Deluca's surgery and reinserted in the PACU. There was no indication in the chart that Deluca's lower plate was ever removed. Kopplin also relied on the fact that Deluca was awake, alert and oriented at the time she was given her breakfast. Kopplin testified that based upon her experience with patients, if Deluca's dentures were not in her mouth, she would have asked for them and then that exchange would have been documented in Deluca's chart. Kopplin opined that based upon her experience with elderly patients, the first thing that they request when they wake up from anesthesia is their teeth. It is clear, then, that Kopplin's opinion was based upon the evidence that she reviewed in the record of this case, along with her experience treating elderly patients. At trial, Kopplin offered similar bases for her opinions. Kopplin said that in addition to reviewing Deluca's medical records, she had also reviewed the deposition testimony of all the witnesses in this case. She said that she reached an opinion to a reasonable degree of medical certainty that Deluca's lower partial plate and upper dentures were in Deluca's mouth when she ate her breakfast on April 23, 2013. Specifically, in her many years as a PACU nurse, her experience was that post-operative patients who were transferred to the recovery room typically request their teeth before making any other request. Her opinion was based upon the entries in Deluca's medical records that she was alert and oriented, and testimony that Deluca always managed her own teeth. Kopplin saw no documentation in the medical record that Deluca removed her lower partial plate. Kopplin's opinions were based upon her education, experience, and her review of the medical records and depositions. ¶ 56 Dr. Oosterbaan also demonstrated her bases for her opinion that Deluca's lower partial plate was in place when she ate her breakfast on April 23, 2013, both in her deposition and at trial. At her deposition, when asked whether she was speculating that both sets of dentures were in Deluca's mouth when she ate breakfast, Dr. Oosterbaan testified that it was safe to say that the lower partial plate was in place based upon the evidence and the records. This opinion was also based upon her interpretation of the facts in the depositions and in Deluca's medical chart. At trial, Dr. Oosterbaan testified that it was her opinion that Deluca's dentures were in her mouth when she ate breakfast. Again, her opinion was based upon both testimony and the medical records. Referencing Deluca's medical chart, Dr. Oosterbaan testified that Deluca went to the operating room with her upper dentures and lower partial plate in place, that the operating nurse removed the upper dentures before Deluca's surgery, packed them in a cup and sent them to PACU with Deluca's name on it. The PACU nurse then documented that she replaced Deluca's upper dentures in her mouth. ¶ 57 We recognize that Dr. Oosterbaan erred when she said that the operating nurse removed Deluca's upper dentures before surgery because that nurse testified that Deluca removed her upper dentures hereself and handed them to the operating nurse. Dr. Oosterbaan also erred when she testified that the PACU nurse replaced Deluca's upper dentures herself in the recovery room, because the record reflects that the PACU nurse only charted "final comments, upper dentures in mouth." However, the issue here is not whether Condell's staff or Deluca took her upper dentures out of her mouth or put them back in. Instead, our focus is on whether Deluca had her dentures in her mouth when she ate breakfast and choked on April 23, 2013. Therefore, these minor errors do not persuade us that the trial court abused its discretion in allowing Dr. Oosterbaan to testify as one of Condell's experts. ¶ 58 Dr. Oosterbaan also testified that there was no documentation that the lower dentures were taken out, only that they were in her mouth when she went to the operating room. Dr. Oosterbaan specifically testified that she was not speculating about what happened to the dentures, and that her opinion was medical in nature, and not personal. ¶ 59 It is abundantly clear that both nurse Kopplin and Dr. Oosterbaan offered opinions that Deluca's upper denture and lower partial plate were in place at the time she ate her breakfast, and they both offered several bases for those opinions. Therefore, the trial court acted within its discretion when it allowed these experts to testify as to their opinions that Deluca had both sets of dentures in her mouth when she choked on pancakes the morning after her surgery at Condell.
¶ 60 B. Likosar's Evidence Deposition
¶ 61 Next, Caldwell argues that the trial court erred in admitting Likosar's evidence deposition. Specifically, she argues that Likosar's deposition should not have been admitted into evidence because: (1) Condell failed to provide formal notice of Likosar's evidence deposition; and (2) the trial court erred in sustaining Condell's objections to certain testimony on attorney-client privilege grounds.
¶ 62 1. Lack of Formal Notice
¶ 63 Caldwell contends that the videotaped evidence deposition was conducted by Condell's counsel without any notice, in violation of Supreme Court Rule 206(a) (eff. Feb. 16, 2011). Specifically, she states that her counsel objected to the evidence deposition on the record before that deposition began, and reiterated that objection prior to cross-examining Likosar. Counsel also filed a motion to bar the evidence deposition, which the trial court denied. Caldwell claims that since Likosar appeared voluntarily and without objection, she was not under Condell's control. Finally, she contends, "[t]he hospital could have easily flown her back for live testimony, thus obviating any prejudice. The prejudice results from allowing this testimony via an unnoticed evidence deposition, [and] was compounded by the fact that defense counsel instructed the witness not to answer questions on cross-examination." Accordingly, Caldwell argues, the trial court abused its discretion in refusing to enforce Rule 206(a), and she must therefore be granted a new trial. ¶ 64 Illinois Supreme Court Rule 206(a) and (a)(2) (eff. Feb. 16, 2011) states:
"(a) Notice of Examination; Time and Place. A party desiring to take the deposition of any person upon oral examination shall serve notice in writing a reasonable time in advance on the other parties. The notice shall state the time and place for taking the deposition; the name and address of each person to be examined, if known, or, if
unknown, information sufficient to identify the deponent; and whether the deposition is for purposes of discovery or for use in evidence.¶ 65 The decision to admit testimony is within the sound discretion of the trial court. See Kamm, 204 Ill. 2d 1, 24 (2003). ¶ 66 Here, Caldwell does a poor job of explaining exactly what kind of "formal notice" was not given to her for Likosar's evidence deposition. In her brief, she admits that approximately 30 to 45 days before trial, Condell's counsel informed her counsel that Likosar had retired from Condell and was now a resident of Arizona, and the parties discussed the necessity of an evidence deposition. Also, the record reflects that on February 9, 2016, Condell's counsel sent Caldwell's counsel an email saying, "I want to set Likosar's evidence dep for my case for Friday, 2/12/16 at 10 a.m. at Condell. I think you said that works for you . . . can you confirm?" Caldwell's counsel responded to the email and said that that date "work[ed] for Likosar." Caldwell's counsel then appeared at the evidence deposition on February 12, 2016. Since it is clear from the emails that Caldwell's counsel was made aware of the date of the evidence deposition in writing and agreed to the specific date, we fail to see how Condell violated Supreme Court Rule 206(a) here. ¶ 67 The only problem we can see that Caldwell's counsel had with Likosar's deposition is that he was not notified that it was going to be videotaped. However, Condell's counsel withdrew the videotape in light of Caldwell's objections. Since the videotape was not shown to the jury, we find no violation of Supreme Court Rule 206(a)(2) as well.
(2) Audio-Visual Recording to be Used. If a party serving notice of deposition intends to record the deponent's testimony by use of an audio-visual recording device, the notice of deposition must so advise all parties to the deposition. If any other party intends to record the testimony of the witness by use of an audio-visual recording device, notice of that intent must likewise be served upon all other parties a reasonable time in advance. Such notices shall contain the name of the recording-device operator. After notice is given that a deposition will be recorded by an audio-visual recording device, any party may make a motion for relief in the form of a protective order under Rule 201. If a hearing is not held prior to the taking of the deposition, the recording shall be made subject to the court's ruling at a later time."
¶ 68 B. Attorney-Client Privilege
¶ 69 Caldwell next argues that the trial court erred in denying her motion to bar Likosar's evidence deposition based upon the lack of attorney-client privilege between Likosar and Condell's counsel. Specifically, at the evidence deposition, Condell's counsel objected to Caldwell's questions about conversations between Likosar and Condell's counsel that occurred before that evidence deposition. Caldwell claims that since Likosar had retired prior to her evidence deposition, she was no longer a Condell employee when her deposition was taken, and therefore was not subject to the attorney-client privilege. Also, she claims that nurses who provide care for a patient are not part of the hospital's "control group," i.e., they are not decision makers or employees who substantially influence corporate decisions, and therefore they cannot claim the attorney-client privilege. In addition, Caldwell argues that the insurer/insured privilege cannot apply here because no one was critical of Likosar's conduct in this case. Specifically, Likosar provided no patient care to Deluca before Deluca went into distress, the statute of limitations had run, and Likosar was never sued individually. Caldwell also contends that since Likosar was not able to provide a factual basis for Condell's claim of attorney-client privilege, the admission of Likosar's evidence deposition was highly prejudicial. ¶ 70 Illinois Supreme Court Rule 201(b)(2) (eff. July 30, 2014) provides, in pertinent part:
"All matters that are privileged against disclosure on the trial, including privileged communications between a party or his agent and the attorney for the party, are privileged against disclosure through any discovery procedure." (Emphasis added.)¶ 71 In order to determine which employees of a corporation enjoy the attorney-client privilege when communicating with an attorney on behalf of the corporation, Illinois applies the control-group test. Consolidation Coal Company. v. Bucyrus-Erie Company, 89 Ill.2d 103, 118-19 (1982). Under the control-group test, an employee whose advisory role to top management in a particular area is such that a decision would not normally be made without his or her advice or opinion, and whose opinion in fact forms the basis of any final decision by those with actual authority, is properly within the control group. Id. at 120. However, individuals who merely supply information to those in an advisory role are not members of the control group. Id. Only communications between an attorney and those in the control group of a corporation are protected from disclosure. Id. ¶ 72 The attorney-client privilege is designed to promote and encourage open and frank consultation between a client and his or her attorney. Pietro v. Marriott Senior Living Services, Inc., 348 Ill.App.3d 541 (2004). That privilege extends to communications between an insured and its insurer. Holland v. Schwan's Home Service, Inc., 2013 IL App (5th) 110560, ¶ 195. The basis for extending the privilege to an insurer is that the insured may properly assume that the communication is made to the insurer as an agent for the dominant purpose of transmitting it to an attorney for the protection of the interests of the insured. Id. "A non-party insured may assert the attorney-client privilege if the insured made the statement at issue when 'the possibility existed that [the insured] would be made a defendant in lawsuits that might arise as a result of the [incident]." Exline v. Exline, 277 Ill. App. 3d 10, 14 (1995). The party claiming the attorney-client privilege has the burden to present factual evidence establishing the privilege. Pietro, 348 Ill. App. 3d at 551. A trial court's determination of whether a privilege applies is reviewed de novo. People v. McRae, 2011 IL App (2d) 090798, ¶ 25. ¶ 73 We are not persuaded by Caldwell's arguments that the statements at issue here were not subject to attorney-client privilege. First, Condell did not argue to the trial court, and does not argue on appeal, that a "control group privilege" existed between Likosar and Condell. Second, it is very clear that Likosar was an agent of Condell and an insured under Condell's self-insured trust. Therefore, statements between Likosar and Condell were protected because of the insurer/insured relationship between them. Finally, the fact that Likosar retired weeks before her evidence deposition is completely irrelevant to her status at Condell's agent. Even if the statute of limitation for suing Likosar personally had run at the time of her evidence deposition, Likosar's actions could have given rise to vicarious liability on Condell's part. ¶ 74 For all these reasons we find that the trial court did not err in denying Caldwell's motion to bar Likosar's evidence deposition.
¶ 75 C. Application of the Petrillo Doctrine
¶ 76 Caldwell next contends that Condell's counsel violated the doctrine set out in Petrillo v. Syntex Laboratories, Inc., 148 Ill. App. 3d 581 (1986) when counsel met with Likosar before Likosar's evidence deposition on February 10, 2016. As support for this claim Caldwell cites to Baylaender v.Method, 230 Ill. App. 3d 610 (1992). However, Caldwell admits that she did not raise the issue of a possible Petrillo objection until her post-trial motion. ¶ 77 Petrillo was a landmark decision on doctor-patient privilege. In Petrillo, the minor plaintiff filed a product liability suit against Syntex Laboratories, Inc., alleging that he was injured from consuming one of its infant formulas. Petrillo, 148 Ill. App.3d at 585. Against the trial court's order, defense counsel attempted to have an ex parte communication with one of the plaintiff's treating doctors, and the trial court found counsel in contempt of court. Petrillo, 148 Ill. App. 3d at 584. The appellate court in Petrillo found that ex parte communications between a plaintiff's treating doctor and defense counsel are barred as a matter of public policy because they compromise the sanctity of the doctor-patient relationship. Petrillo, 148 Ill. App. 3d at 588. The court found that, in obtaining information or evidence, the defense attorney was restricted to the "regular channels of discovery including, but not limited to, written interrogatories and depositions." Petrillo, 148 Ill. App. 3d at 587. Four years later, in Roberson v. Liu, 198 Ill. App. 3d 332 (1990), the appellate court held that ex parte communications outside of authorized discovery channels are prohibited between a party's treating nurse, just as they are prohibited between an attorney and a party's treating physician. Id. at 336. ¶ 78 The appellate court subsequently recognized an exception to the Petrillo doctrine, allowing a hospital's attorneys to communicate ex parte with health-care employees who were specifically alleged to be negligent and whose negligence the plaintiff sought to impute to the hospital. Morgan v. County of Cook, 252 Ill. App. 3d 947, 952 (1993). In Morgan, the court held that if a plaintiff attempts to hold a hospital liable for the conduct of a hospital's own treating caregivers, "the defendant hospital is included within the physician-patient privilege and the patient has impliedly consented to the release of his medical information to the defendant hospital's attorneys." Morgan, 252 Ill. App. 3d at 954. The court reasoned that the "'exclusion of the hospital from the physician-patient privilege would * * * effectively prevent the hospital from defending itself by barring communication with the physician for whose conduct the hospital is allegedly liable.'" Morgan, 252 Ill. App.3d at 953 (quoting Ritter v. Rush- Presbyterian-St. Luke's Medical Center, 177 Ill. App. 3d 313, 317-18 (1988)). Then in Burger v. Lutheran General Hospital, 198 Ill. 2d 121 (2001), our supreme court adopted the reasoning in Morgan when the plaintiff made a Petrillo objection to ex parte communications between a hospital's counsel and plaintiff's caregivers who had not been specifically named as defendants in the complaint, but for whose conduct the hospital could be potentially liable. The Burger court found that if the hospital can communicate with the plaintiff's caregivers about the plaintiff's care before the commencement of a lawsuit, the filing of a lawsuit did not affect the nature of that information or the hospital's right or ability to access its own information about the care and treatment rendered to the patient at the hospital by its own caregivers. Id. at 58. ¶ 79 Here, we must first address Caldwell's admission that she failed to raise a Petrillo objection before or during trial, including before or during Likosar's discovery or evidence depositions. Instead, Caldwell raised this issue for the first time in her post-trial motion. ¶ 80 Generally, a failure to object to a challenged error before the trial court results in forfeiture. Matthews v. Avalon Petroleum Company, 375 Ill. App. 3d 1, 8 (2007). Nevertheless, this court has the authority to overlook a party's forfeiture of an issue and instead address its merits. See Dillon v. Evanston Hospital, 199 Ill. 2d 483, 504-05 (2002). A reviewing court may consider a forfeited argument particularly where, as here, the issue is a legal one and is fully briefed by the parties on appeal. See Committee for Educational Rights v. Edgar, 174 Ill. 2d 1, 11 (1996). For these reasons, we will overlook Caldwell's forfeiture of this issue. ¶ 81 Here, is it clear that no Petrillo violation occurred when Condell's counsel spoke to Likosar prior to her evidence deposition. In Caldwell's complaint, she alleged that the nurses and PCTs on 2-West failed to monitor Deluca postoperatively, failed to insure that she was sufficiently recovered from surgery to consume food, and negligently allowed her to eat pancakes without ensuring that her dentures were in place. Likosar was the floor manager on duty on 2-West at the time Deluca choked on her breakfast, and Likosar was the person who swept Deluca's mouth and attempted to clear her airway, albeit unsuccessfully, after she choked. Although Caldwell did not name any nurses in her complaint, her allegations of negligence related to the actions of the nurses that occurred during Likosar's shift as a nurse manager on 2-West. Under those circumstances, both Morgan and Burger support the conclusion that an exception to the Petrillo doctrine applied here. ¶ 82 We are not persuaded by Caldwell's reliance on Baylaender to support her claim that a Petrillo violation occurred here. In Baylaender, the plaintiff's estate and husband brought a survival and wrongful death action against a Dr. Method for his failure to correctly diagnose the plaintiff's cancer. The plaintiff's subsequent treating physician, Dr. Southwick, discussed the plaintiff's case with an attorney assigned to represent him by his insurance carrier, although he was not sued. That same attorney was later assigned by the insurance carrier to represent Dr. Method. The plaintiff appealed the trial court's denial of her motion in limine to bar Dr. Southwick's testimony. On appeal, the appellate court found that ex parte discussions by a treating physician with an attorney who ultimately represents the defendant in a medical malpractice action are in violation of the principles set forth in Petrillo. Id. at 625-626. ¶ 83 The unique facts in Baylaender are not applicable to the facts of this case. In Baylaender, no agency relationship existed between Dr. Method and Dr. Southwick, and neither physician could be held vicariously liable for the actions of the other. As we have noted, Condell could have been held vicariously liable for Likosar's actions, she was a nurse manager on 2-West at the time of Deluca's death, and the allegations in Deluca's complaint, even though Likosar was not named personally, directly related to the nurses on 2-West who cared for Deluca before her death. For all these reasons, we find that the Petrillo doctrine was not violated when Condell's counsel talked to Likosar before her discovery deposition.
¶ 84 D. Illinois Pattern Jury Instruction 5.01
¶ 85 Finally, Caldwell argues that the trial court erred in denying her request for a 5.01 Illinois Pattern Jury Instruction (IPI) (Failure to Produce Evidence or a Witness). Specifically, she argues that over her objection, Likosar was allowed to testify and speculate that the PCT who prepared Deluca's body could have removed the lower plate from Deluca's mouth. However, Caldwell claims, no PCT was ever identified as the individual who took custody or prepared Deluca's body for transport to the coroner's facility, even though that unknown individual was under Condell's control. Under these circumstances, she argues, the trial court abused its discretion in refusing to tender an IPI 5.01 instruction to the jury. ¶ 86 IPI 5.01 provides:
"5.01 Failure To Produce Evidence or A Witness¶ 87 Whether to give IPI 5.01 is a matter within the sound discretion of the trial court. Dunning v. Dynegy Midwest Generation, Inc., 2015 IL App (5th) 140168, ¶ 84. ¶ 88 After a careful review of the record we find that an IPI 5.01 instruction was not warranted because Caldwell never established that there was a missing witness. First, Likosar testified that PCTs performed post mortem care after a patient died, but she did not know which PCT provided postmortem care to Deluca. Second, at the jury instruction conference, Caldwell's counsel argued that Dockery testified that there were two PCTs on 2-West during her shift. However, Dockery worked the night shift, and not on the day shift, which was when someone prepared Deluca's body after she died. Third, Riek testified that she worked the day shift on April 23, 2013, and that she cared for Deluca before she choked. However, Riek was never asked whether she provided postmortem care to Deluca. Based upon Likosar's and Riek's testimony, it was reasonable for the jury to infer that Riek was the PCT who performed Deluca's postmortem care and that therefore there was no missing witness. For these reasons, the trial court did not abuse its discretion in denying Caldwell's request for a 5.01 IPI.
If a party to this case has failed [to offer evidence] [to produce a witness] within his power to produce, you may infer that the [evidence] [testimony of the witness] would be adverse to that party if you believe each of the following elements:
1. The [evidence] [witness] was under the control of the party and could have been produced by the exercise of reasonable diligence.
2. The [evidence] [witness] was not equally available to an adverse party.
3. A reasonably prudent person under the same or similar circumstances would have [offered the evidence] [produced the witness] if he believed [it to be] [the testimony would be] favorable to him.
4. No reasonable excuse for the failure has been shown."
¶ 89 III. CONCLUSION
¶ 90 In sum, the trial court did not err in allowing Dr. Oosterbaan and nurse Kopplin to testify as expert witnesses in Condell's case when their testimony was not speculative and instead both experts based their opinions on the medical records in this case, their professional experience, and the deposition testimony of other witnesses. Also, no violation of Illinois Supreme Court Rule 206(a) occurred when the record reflects that Caldwell's counsel agreed to the date for Likosar's evidence deposition, and Rule 206(a)(2) was not violated because Condell's counsel withdrew the videotape portion of that deposition before trial began in light of Caldwell's objections. 32 ¶ 91 We also reject Caldwell's argument that an attorney-client privilege did not exist between Likosar and Condell's counsel because Likosar was an agent of Condell and an insured under Condell's self-insured trust, and the fact that Likosar retired weeks before her evidence deposition was irrelevant to her status as Condell's agent. We found no violation of the Petrillo doctrine when Condell talked to Likosar before her evidence deposition based upon the analysis and holdings in Morgan v. County of Cook, 252 Ill. App. 3d 947 (1993) and Burger v. Lutheran General Hospital, 198 Ill. 2d 21 (2001). Finally, we held that that the trial court did not abuse its discretion in refusing to give the jury a missing witness instruction when the testimony offered at trial did not establish that Condell failed to produce such a witness. ¶ 92 For all these reasons, the judgment of the circuit court of Lake County is affirmed. ¶ 93 Affirmed.