APPEAL from the Circuit Court of Kane County; the Hon. JOHN A.
LEIFHEIT, Judge, presiding.
MR. JUSTICE LINDBERG DELIVERED THE OPINION OF THE COURT:
Plaintiff, Beverly Cutsinger, brings this appeal from a judgment dismissing her medical malpractice complaint on the basis the action was barred by the statute of limitations. Ill. Rev. Stat. 1977, ch. 83, par. 22.1.
On October 8, 1969, defendant John Cullinan, M.D., performed gall bladder surgery on plaintiff at Copley Memorial Hospital. It is alleged in count I of the complaint that during the course of this operation a surgical sponge was negligently left in plaintiff's abdominal cavity. Count II alleges that plaintiff began experiencing severe pain and infectious reactions at the surgical site immediately after the operation, that she consulted defendant regarding this pain on numerous occasions between 1973-1976 and that during this time defendant negligently treated plaintiff by failing to order X rays and other appropriate diagnostic tests. Count III of the complaint alleges that co-defendant Copley Hospital was negligent in allowing the sponge to remain undetected in plaintiff's body at the close of the operation.
Plaintiff testified in her deposition, although it is not alleged in her complaint, that X rays were finally taken on August 11 or 12, 1976, and that they revealed a sponge located near the site of her 1969 surgery. Plaintiff also testified that she was informed by Dr. Cullinan for the first time of the X ray results on September 4 and that surgery was then performed to remove the sponge on October 7 by Drs. Lampert and Cullinan. Although defendant has not acknowledged that the sponge was a product of the surgery he performed in 1969, plaintiff alleges that was the only operation she had had prior to 1976.
Plaintiff filed her complaint against Dr. Cullinan and Copley Hospital on January 13, 1977, seven years and three months after the allegedly negligent operation and approximately four to five months after discovery of the sponge. On February 10, 1977, Dr. Cullinan filed a motion to dismiss the complaint on the basis it was barred by the four-year limitation provision in section 21.1 of the Limitations Act (Ill. Rev. Stat. 1977, ch. 83, par. 22.1). Copley Hospital joined in the motion to dismiss on October 7. After a hearing on October 7, 1977, the trial court granted the motion and dismissed the complaint. This appeal followed.
The first issue to be resolved is whether the trial court applied the correct statute of limitations to this action. Section 21.1 was added to the Limitations Act in 1965 following the decision in Mosby v. Michael Reese Hospital (1964), 49 Ill. App.2d 336, 199 N.E.2d 633. In applying the traditional rule that the two-year limitation period for personal injury actions begins to run when the negligent act is committed, Mosby held a medical malpractice suit brought six years after a surgical needle was left in plaintiff's body was barred even though the injury had only recently been discovered. Section 21.1 changed this harsh result by providing that the two-year period will not begin to run in cases involving foreign objects left in the bodies of medical patients until the patient knows or should have known of the injuries (the "Discovery Rule"). In no event, however, could an action for damages be brought more than 10 years after the allegedly negligent operation.
These terms remained a part of section 21.1 until it was amended in 1976. The amendment eliminated the reference to foreign objects and provided generally that no action for medical malpractice could be brought more than two years after the plaintiff knew or should have known of the injury. The amendment also reduced the maximum filing period from 10 to four years. The amendment became effective September 19, 1976. The limitation provision in existence at the time this lawsuit was filed, therefore, barred actions brought more than four years after the negligent act, whereas the provision in effect at the time of plaintiff's surgery precluded suits filed more than 10 years after the negligent act. Both versions bar actions brought more than two years after the plaintiff knew or should have known of the injury. The motion to dismiss filed by defendants and presumably the trial court's order were based on the assumption that the version in effect at the time suit was filed governed. Because plaintiff brought this suit more than seven years after the alleged negligence, it was dismissed as barred by the four-year limitation period.
1 Based on the record, there is some question whether the plaintiff discovered the apparent cause of her injury on September 4, 1976 (when she was informed of the X ray results), or on October 7, 1976 (when the sponge was surgically removed). The September date is 15 days prior to the effective date of the amendment to section 21.1, while the October date is 18 days after the amendment's effective date. We find it unnecessary, however, to pinpoint the exact effective date of discovery. We believe that to apply the 1976 amendment shortening the limitations period to four years in this case would unjustly deny the plaintiff's action without allowing her a reasonable time after amendment to file her action.
In the recent case of Arnold Engineering, Inc. v. Industrial Com. (1978), 72 Ill.2d 161, 166, 380 N.E.2d 782, the court restated the principle that an amendment to a statute of limitations which shortens the period of limitations will not be allowed "to terminate a cause of actions unless the party has a reasonable amount of time after the amendment's effective date in which to file his action." This requirement of a reasonable period was applied to a medical malpractice action in Anderson v. Wagner (1978), 61 Ill. App.3d 822, 825, 378 N.E.2d 805. Applying this principle to the present case would preclude the use of the shortened limitation period. A September 4 discovery date gave plaintiff only some 15 days to file her complaint prior to the amendment's effective date. We find a 15-day period to be an unreasonably short time to file a medical malpractice action under the circumstances of this case. (Compare Anderson, where an eight-month period was found to be reasonable.) An October 7 discovery date would have allowed plaintiff no period whatsoever and thus would be a plain violation of the Arnold principle.
Having reached the conclusion that the 1976 amendment to the statute of limitations does not cut off plaintiff's action, there is no need to consider plaintiff's challenge to the constitutionality of this amendment of section 21.1.
2 The defendants also argue that the complaint was properly dismissed as the action was brought more than two years after the date the plaintiff knew or reasonably should have known of her injury. While it is true that section 21.1 refers to knowledge of the "injury," the law is now clear that it is knowledge of the negligent cause of the injury which is controlling. (Roper v. Markle (1978), 59 Ill. App.3d 706, 375 N.E.2d 934; Kristina v. St. James Hospital (1978), 63 Ill. App.3d 810, 380 N.E.2d 816; Fure v. Sherman Hospital (1978), 64 Ill. App.3d 259, 380 N.E.2d 1376; see also Letvin, In Search of the Spirit of Lipsey: Discovery of Malpractice and the Statute of Limitations, 1978 S. Ill. U.L.J. 345.) Thus the fact that the defendant experienced pain and discomfort almost immediately following her original surgery does not mean that the limitations period began to run before the autumn of 1976 when she first discovered that the apparent cause of her problems was the sponge that was negligently left in her body. Plaintiff filed her action in January of 1978 which was well within the two-year limitation period as measured from the discovery that her injury was caused by the defendants' negligence.
Finally, defendant Copley Hospital asserts that the plaintiff cannot rely on the Discovery Rule because she has failed to plead the facts necessary to invoke the rule. In Auster v. Keck (1976), 63 Ill.2d 485, 488, 349 N.E.2d 20, the court held that in an action for architectural malpractice brought 12 years after the alleged negligence, plaintiffs were required to plead that the defective condition remained undiscovered from the time of construction until the time of their purchase. On the basis of Auster, the court in Chicago Park District v. Kenroy, Inc. (1978), 58 Ill. App.3d 879, 887-88, 374 N.E.2d 670, held that in an action for fraud, misrepresentation or enforcement of a constructive trust filed six years after the challenged conduct, plaintiffs had the burden of pleading that the facts supporting its cause of action were not discovered and could not have been discovered until suit was filed. In the absence of such pleading, the court held the Discovery Rule inapplicable and plaintiff's action barred by the five-year limitation period.
3, 4 Auster and Kenroy are exceptions to the general rule that a plaintiff is not required to guard against the Statute of Limitations in stating his cause of action. (25 Ill. L. & Prac. Limitations § 181 (1956); 1 Nichols, Civil Practice § 245 (1976).) Even though it appears from the face of the complaint that his action is barred, a plaintiff is not required to allege or plead facts which demonstrate the action was brought within the prescribed time. *fn1 (Anderson v. Behr (1939), 299 Ill. App. 90, 94, 19 N.E.2d 428; 25 Ill. L. & Prac. Limitations § 181 (1956); 1 Nichols Civil Practice § 245 (1976).) The statute of limitations, in other words, is not at issue until it is raised by the defendant as an affirmative defense in either an answer (City of Rochelle v. Stocking (1948), 336 Ill. App. 6, 82 N.E.2d 693) or motion to dismiss (Ill. Rev. Stat. 1977, ch. 110, par. 48(1)(e)). Only then does it become incumbent upon the plaintiff to meet the allegations or face dismissal of his complaint. 25 Ill. L. & Prac. Limitations § 181 (1956).
Neither Auster nor Kenroy involves actions for medical malpractice under the limitation provisions of section 21.1. This is significant in terms of pleading since the Discovery Rule has been codified in section 21.1 where it had not been in section 15 at issue in Auster and Kenroy. One of the questions in Auster was whether the judicially created Discovery Rule applied when the limitation statute was silent. The court avoided the issue by concluding that the rule had not been properly invoked since plaintiff failed to plead that the injury was not discovered and could not have been discovered sooner. Thus in light of the general rule discussed above, Auster may be read to require the pleading of ...