Searching over 5,500,000 cases.

Buy This Entire Record For $7.95

Download the entire decision to receive the complete text, official citation,
docket number, dissents and concurrences, and footnotes for this case.

Learn more about what you receive with purchase of this case.

06/07/89 Patsy Jack, v. Faustino V. Pugeda

June 7, 1989







539 N.E.2d 1328, 184 Ill. App. 3d 66, 132 Ill. Dec. 522 1989.IL.856

Appeal from the Circuit Court of Williamson County; the Hon. Richard E. Richman, Judge, presiding.


JUSTICE CHAPMAN delivered the opinion of the court. GOLDENHERSH and RARICK, JJ., concur.


The questions before this court are relatively simple ones:

Did the trial court err in refusing the plaintiffs' motion for continuance and did it err in denying the plaintiffs' post-trial motion based upon its refusal to allow the continuance?

While the questions are simple, their resolution requires this court to balance the supreme court's interests in the prompt Disposition of cases with its equal interest in ensuring that the ends of Justice are attained. In view of the circumstances presented in this appeal we reluctantly reverse and remand for a new trial. The use of the word reluctantly in the preceding sentence does not mean that this court is unsure of the rightness of its ruling. It does mean that this court is cognizant of both the intent of Supreme Court Rule 231(a) (107 Ill. 2d R. 231(a)) and of the difficulties inherent in implementing that rule under certain circumstances.

The intent of Supreme Court Rule 231(a) is to require the moving party to furnish the trial Judge with adequate information upon which to make a reasonable decision. Courts are cautioned against granting continuances at the last minute, particularly after a case has been called for trial or after the trial is actually underway. Waltz v. Schlattman (1980), 81 Ill. App. 3d 971,401 N.E.2d 994; Montgomery v. Terminal R.R. Association (1979), 73 Ill. App. 3d 650, 392 N.E.2d 77.

What facts then justify our reversal of the trial court's decision, reluctant though the reversal might be?

This is a medical malpractice suit brought against the defendant doctor, Faustino V. Pugeda, in which the plaintiff claimed that the sterilization procedure performed upon her was negligently done and that as a result she suffered an unwanted pregnancy. During the original sterilization procedure of January 12, 1983, the defendant made a small incision in the abdomen, inserted a laparoscope and visualized the Fallopian tubes. He then inserted an additional instrument, grasped the tube, made a loop in the tube approximately 1 1/2 to 2 centimeters long and placed a ring around this loop and tightened it. This procedure was performed upon both the right and left Fallopian tubes. The theory behind this type of procedure is that within a few days or weeks the portions of the Fallopian tubes enclosed in the ring will become necrotic and they will fall apart, rendering the patient sterile.

The plaintiff became pregnant following this procedure and on February 17, 1984, gave birth to a son. The next day the defendant performed a second and different type of sterilization procedure. The question of whether the defendant removed all or only a small portion of the Fallopian tubes during this second procedure was to become the subject of significant controversy at trial and indeed is the underlying basis for this appeal. Therefore the testimony concerning this procedure and the timing of that testimony will be discussed in some detail.

The first reference to the second surgery was contained in the defendant's operative notes which described it as a bilateral salpingectomy, or removal of the entire right and left Fallopian tubes. Dr. Katubig, the pathologist who examined the sections of the tubes shortly after their removal, also described the procedure as a bilateral salpingectomy. In addition, Dr. Katubig's original notes indicated that the portion of the right tube that was submitted to him measured one centimeter in length while the left tube specimen was seven centimeters long. His original notes also indicated that no scarring or other abnormality was observed on either specimen.

The lack of scarring and the seven-centimeter length of the left tube formed the basis of the plaintiff's expert's opinion of malpractice; that is, since the Fallopian tube is 7 to 10 centimeters long in its entirety, and since the seven-centimeter section of the left tube was described by Dr. Katubig as without scars or other abnormalities, the ring could not have been properly applied in the original surgery, for if it had been, there would have been scarring somewhere in the seven-centimeter section.

Returning to a chronological review of the references to the length of the removed tubes, the record reveals that the defendant's deposition of October 17, 1985, implied that the tubes were removed in their entirety. In December of 1986, Dr. Katubig did indicate that his pathology report was in error and that only zero point seven (0.7) centimeters were submitted to him rather than the seven centimeters stated in his original report. However, following Dr. Katubig's deposition in December of 1986 came the defendant's expert's discovery deposition in January of 1987 in which he stated that Dr. Pugeda had removed the entire tubes and formulated his opinion based on the removal of the entire tubes.

A summary of the pretrial information on the second surgery discloses the following:

(1.) Defendant's operative notes of February 18, 1984 -- bilateral salpingectomy, i.e., total removal of tubes.

(2.) Dr. Katubig's pathology report approximately February 18, 1984 -- removal of both tubes, one centimeter of the right, seven centimeters of the left.

(3.) Defendant's deposition, October 17, 1985 -- implies total removal of both tubes.

(4.) Dr. Katubig's deposition of December 1986 -- removal of one centimeter of right tube and zero point seven (0.7) centimeters of left tube.

(5.) Dr. Fischer's (defendant's expert's) deposition of January 28, 1987 -- relies upon total removal of ...

Buy This Entire Record For $7.95

Download the entire decision to receive the complete text, official citation,
docket number, dissents and concurrences, and footnotes for this case.

Learn more about what you receive with purchase of this case.