Appeal from the Circuit Court of St. Clair County; the Hon.
Stephen M. Kernan, Judge, presiding.
JUSTICE HARRISON DELIVERED THE OPINION OF THE COURT:
Plaintiff, Clyde Greenfield, filed a multicount complaint in the circuit court of St. Clair County against defendant, Consolidated Rail Corporation, for damages resulting from plaintiff's heart attack, which he alleged was caused by his employment with defendant. Judgment was entered upon a jury verdict for defendant. Plaintiff appeals contending (1) the verdict was against the manifest weight of the evidence, (2) the court erred in dismissing one of his counts, (3) the jury was improperly instructed on causation, negligence, and pre-existing conditions, and (4) counsel for defendant violated an in limine order which prohibited reference to collateral sources of compensation. We affirm.
Plaintiff had been employed by Pennsylvania Truck Lines (PTL), a wholly owned subsidiary of Consolidated Rail Corporation (Conrail), at the Roselake railyards in St. Clair County since 1975 or 1976. He was working as a groundman in the railyards on Saturday, September 19, 1981, helping to load trailers onto railroad flatcars. This is commonly known as a piggyback operation. Plaintiff's job on that day was to secure the trailers to the flatcars after they were loaded and to lower and raise bridgeplates between the flatcars. Bridgeplates are steel planks which are placed between the flatcars, making a continuous path between them and bridging the gap over the space where they are coupled. Several flatcars are loaded together, so it is necessary for the vehicle loading them to drive from the lead flatcar to the last car, deposit a trailer, drive back across all the cars, get another trailer, and drive across all the cars again to place the trailer at the next available space. After the flatcars are loaded with trailers, the bridgeplates, which are permanently attached to the flatcars, are raised.
Plaintiff's work required him to climb on and off the flatcars as he secured the trailers and lowered and raised bridgeplates. In the course of his work that day, he started feeling "a little woozy." After this onset of wooziness, plaintiff came to a bridgeplate which needed to be raised but was stuck. Plaintiff had encountered the same problem previously in his experience loading trailers. Doing what had worked for him before when confronted with this problem, he picked up a railroad car brake shoe which was on the ground nearby, positioned himself under the bridgeplate, and struck the bridgeplate with the shoe six or eight times. The evidence showed this bridgeplate weighed approximately 160 pounds and the brake shoe weighed 22 pounds. Plaintiff testified that while banging on the bridgeplate, "I really got sick and I vomited." He backed away from his work, took a deep breath, and crawled back under the bridgeplate and resumed hitting it with the brake shoe. He was eventually able to dislodge it so it could be raised. After this episode, he resumed his work despite continuing to feel sick. He later stopped to have lunch and, after eating, vomited again, but returned to work. Plaintiff testified that he thought he was suffering from a chest cold or the flu. He completed his normal workday, then went home. He continued feeling sick and vomited again that evening and the next morning. In the morning he and his wife were driving to church when his wife decided he was so ill he should be taken to a hospital emergency room.
It was determined that plaintiff had a heart attack. Medical experts testified that he technically died after arriving at the hospital, but was revived. Plaintiff was released from the hospital after 21 days, but has not been able to return to work. Plaintiff must restrict his activity considerably.
Certain medical evidence at trial was undisputed. There was no dispute that plaintiff had an advanced case of atherosclerosis, or coronary artery disease, prior to his heart attack. This is a progressive disease which causes arteries to become blocked, restricting the flow of blood. Plaintiff's disease worsened after the heart attack to the point that, in 1983, bypass surgery was performed. It was also undisputed that hypertension, diabetes and smoking are risk factors for atherosclerosis, and that plaintiff suffered from hypertension and diabetes prior to his heart attack and that he had smoked regularly up until 1976. Plaintiff had also had a kidney removed in 1976. There was also undisputed medical evidence that nausea and vomiting often occur at the onset of a heart attack.
Several medical experts testified regarding the cause of plaintiff's heart attack. Dr. John Codd, a cardiovascular surgeon, testified for plaintiff by way of an evidence deposition. Dr. Codd performed bypass surgery on plaintiff in September of 1983, two years after the heart attack. He testified that any form of stress or exercise can precipitate heart attacks, particularly when a person has underlying coronary artery disease, as plaintiff does. He added that it is not always physical activity that precipitates the heart attack, but that heart attacks can also occur during sleep, although the risk is greater during stress. Dr. Codd made a statement that plaintiff's banging on a bridgeplate precipitated his heart attack. However, later in his testimony he stated that "the exact precipitating event that occurred in my mind is more than likely a combination of things." When asked if "what it boils down to is with as far as the precipitating event occurs is just whatever the person was doing before he had the heart attack, assuming he was doing something, that would be the precipitating event of the heart attack," Dr. Codd answered, "Correct." Dr. Codd testified that because plaintiff was known to have risk factors associated with heart attacks, a screening test should have been performed to determine his capabilities for doing strenuous work.
Dr. Edward Massie, a cardiologist, examined plaintiff after his heart attack. He testified that he conducted an electrocardiogram on plaintiff which confirmed he had suffered a heart attack. To be more specific, Dr. Massie described plaintiff's attack as an anterior lateral myocardial infarction. He explained that part of plaintiff's heart muscle had died. Plaintiff had a "fair amount" of atherosclerosis, or coronary artery disease, at the time he suffered his heart attack, according to Dr. Massie. It was Dr. Massie's opinion that plaintiff's heart attack actually began on September 19 and continued into the next day. He testified that plaintiff's banging on the bridgeplate had a specific connection with the development of the heart attack and stated this banging was "the incriminating action" which gave plaintiff has primary trouble, and that it helped precipitate the heart attack. Dr. Massie stated that the word "precipitate" means "cause." He also testified that the strenuous nature of plaintiff's work over many years can advance atherosclerosis and that it is probable that had a treadmill test been done sometime prior to the heart attack plaintiff's problem would have been discovered.
Dr. Duk C. Kim testified on behalf of defendant by way of an evidence deposition. He had treated plaintiff for diabetes and hypertension since 1976. In September of 1980, plaintiff underwent an electrocardiogram which showed no irregularity, although Dr. Kim stated such a test does not always show when coronary artery disease is present. Dr. Kim testified that he believed plaintiff's condition had progressed gradually up until the heart attack. The doctor stated that the stress and physical exertion encountered by plaintiff at his job could have accelerated his heart disease and that the type of work done by plaintiff is the type of work which can precipitate a heart attack. However, according to Dr. Kim, a precipitating factor is not the same as a cause. It was his opinion the cause of plaintiff's heart attack was an advanced stage of atherosclerosis. He testified there is no way to completely prevent heart attacks and that they can occur during sleep. Furthermore, Dr. Kim testified that he would not conduct a stress test on a patient if the patient has no symptoms associated with atherosclerosis and added that plaintiff showed no signs of such symptoms.
Dr. Robert Lewis Litchfield, a cardiologist and osteopathic physician, testified by way of an evidence deposition for defendant that coronary artery disease is a progressive disease and that the more progressed the disease is, the more likely the person is to have a heart attack. He confirmed that plaintiff had significant coronary artery disease at the time of his heart attack and that this is what caused plaintiff to suffer the attack. It was his opinion plaintiff's heart attack occurred shortly before he was brought to the hospital. Dr. Litchfield testified that anything plaintiff might have been doing at the time of the attack could be considered a precipitating factor and that heart attacks can occur while walking, eating, or sleeping. He testified that heart attacks can many times be the natural result of atherosclerosis. The doctor stated he was not trying to say plaintiff's employment played no part in his heart attack and that the banging on the bridgeplate could be considered the precipitating event. However, he added that a precipitating event is merely a circumstance in time. Dr. Litchfield found no reason for a stress test to have been conducted on plaintiff prior to his heart attack because plaintiff showed no symptoms associated with an advanced stage of atherosclerosis. He also stated that considering all that was known about plaintiff's physical condition prior to the heart attack, he would have authorized him to work as a groundman.
There was also testimony from several employees of both Conrail and PTL. Testifying on behalf of plaintiff, they described the work which plaintiff performed in the railyard. Several of them testified it was common for bridgeplates to become stuck and that it was common practice to use a brake shoe to knock them loose. They testified that the cause of the bridgeplates becoming jammed is a failure of the airbrakes or handbrakes on the flatcars. The workers stated that when the brakes fail, the cars roll together, jamming the bridgeplates in between. Several of these employees also testified that the job of freeing the bridgeplates would be much easier if catwalks were provided. Catwalks are steel walkways running parallel to the tracks at a height level with the beds of the flatcars. Regarding the nature of their employment, several of the PTL workers testified they often took orders from Conrail employees in the course of their work.
Plaintiff presented several theories of liability to the jury: (1) the Federal Employers' Liability Act (45 U.S.C.A. sec. 51 et seq. (West 1972)) (hereinafter FELA), (2) the Federal Safety Appliance Act (45 U.S.C.A. sec. 1 et seq. (West 1972)), and (3) common law premises liability. Plaintiff attempted to present a fourth theory of liability under a separate count, but this count was dismissed prior to trial. The jury returned a general verdict in favor of defendant and judgment was entered thereon.
• 1, 2 Plaintiff first contends the verdict was against the manifest weight of the evidence. "A verdict is against `the manifest weight of the evidence' only when an opposite conclusion is clearly apparent or when the finding of the jury appears arbitrary and unsubstantiated by the evidence. [Citation.] A reviewing court will not overturn a jury's verdict unless, considering all evidence in the light most favorable to the party who prevailed at trial, the jury's conclusion is palpably erroneous and wholly unwarranted." (Holmes v. Sahara Coal Co. (1985), 131 Ill. App.3d 666, 674, 475 N.E.2d 1383, 1389.) Under Federal law in FELA cases, a jury verdict will be set aside only when there is a complete absence of probative facts to support the conclusion reached. (Meyer v. Penn Central Transportation Co. (1979), 78 Ill. App.3d 110, 115, 397 N.E.2d 60, 63.) We find plaintiff has not met these stringent standards for overturning the jury's verdict for defendant.
Plaintiff had two general theories of defendant's liability at trial. First, he attempted to show defendant caused his heart attack by failing to provide him with a safe place to work. While the medical experts agreed that plaintiff's heart attack could be attributed generally to his atherosclerosis, which was present before the heart attack, plaintiff argues that the evidence shows the banging on the bridgeplate was also a cause, working in combination with the pre-existing condition. However, plaintiff testified he was feeling woozy prior to the banging on the bridgeplate. There was medical evidence that nausea is one of the symptoms of the onset of a heart attack. The jury could reasonably find plaintiff's heart attack had begun prior to the banging on the bridgeplate. Even if the jury found the banging on the bridgeplate precipitated the heart attack, Drs. Litchfield and Codd testified that a precipitating factor is simply anything the person is doing at the time of the onset of the heart attack. Dr. Kim testified that to precipitate does not mean to cause. The medical experts agreed that coronary artery disease is a progressive disease, and Dr. Litchfield stated that many times a heart attack is the natural result of atherosclerosis. Thus, there was sufficient evidence to support a finding that plaintiff's heart attack began prior to the banging on the bridgeplate or a finding ...