Lawler v. The University of Chicago Medical Center

2016 IL App (1st) 143189

SIXTH DIVISION
March 25, 2016

No. 1-14-3189

SHERI LAWLER, Executor of the Estate of Jill Prusak, ) Appeal from the
Deceased, ) Circuit Court
) of Cook County.
Plaintiff-Appellant, )
)
v. )
) No. 11 L 8152
THE UNIVERSITY OF CHICAGO MEDICAL CENTER, a )
corporation, THE UNIVERSITY OF CHICAGO HOSPITALS )
AND HEALTH SYSTEM, THE UNIVERSITY OF CHICAGO )
PHYSICIANS GROUP, THE UNIVERSITY OF CHICAGO )
HOSPITALS, UNIVERSITY RETINA AND MACULA )
ASSOCIATES, P.C., RAMA D. JAGER, M.D., ADVOCATE )
CHRIST HOSPITAL AND MEDICAL CENTER, a )
corporation, and ADVOCATE CHRIST MEDICAL CENTER, )
a corporation, )
)
Defendants-Appellees )
)
(Advocate Health and Hospitals Corporation, a corporation, )
Advocate Health Care Network, a corporation, Advocate Health )
Centers, Inc., a corporation, Advocate Professional Group, S.C., )
a corporation, Advocate Christ Hospital Health Partners, a )
corporation, Advocate South Suburban Hospital, a corporation, )
Advocate Health Partners, a corporation, Advocate Medical )
Group, a corporation, Advocate Christ Medical Group, a )
corporation, Advocate Christ Hospital Physician Partners, and )
Advocate Health Care, ) Honorable
) Daniel T. Gillespie,
Defendants). ) Judge Presiding.

JUSTICE DELORT delivered the judgment of the court, with opinion.
Justices Hoffman and Hall concurred in the judgment and opinion.

OPINION

¶1 This appeal concerns an issue of first impression in Illinois regarding the interplay of

three statutes. We must determine whether the medical malpractice statute of repose (735 ILCS
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5/13-212(a) (West 2010)) bars the application of the relation back doctrine (735 ILCS 5/2-616(b)

(West 2010)) for purposes of adding a claim to an existing case under the Illinois Wrongful

Death Act (740 ILCS 180/0.01 et seq. (West 2010)). We hold that the relation back doctrine

applies so the wrongful death action is not barred.

¶2 BACKGROUND

¶3 On August 4, 2011, Jill Prusak, the decedent in this case, filed a medical malpractice

cause of action within both the two-year statute of limitations and four-year statute of repose

under section 13-212(a). Prusak filed a two-count complaint against defendants, The University

of Chicago Medical Center, The University of Chicago Hospitals and Health System, The

University of Chicago Physicians Group, The University of Chicago Hospitals (collectively, the

University of Chicago defendants), University Retina and Macula Associates, P.C., Dr. Rama

Jager, Advocate Christ Hospital and Medical Center, and Advocate Christ Medical Center

(collectively, the Christ Hospital defendants), and other medical providers who have since been

dismissed from the case. 1 Prusak alleged that Dr. Jager misdiagnosed her macular pathology and

that this misdiagnosis led to defendants’ failure to recognize central nervous system lymphoma.

Count I alleged negligence against the University of Chicago defendants and asserted that Dr.

Jager was an agent or apparent agent of the University of Chicago defendants. Count II made the

same allegations with respect to the Advocate defendants and the Christ Hospital defendants. In

both counts, Prusak specifically alleged:

1
By agreed order, the parties stipulated to the voluntary dismissal of certain defendants
under section 2-1009 of the Illinois Code of Civil Procedure (Code) (735 ILCS 5/2-1009 (West
2010)), including Advocate Health and Hospitals Corporation, Advocate Health Care Network,
Advocate Health Centers, Inc., Advocate Professional Group, S.C., Advocate Christ Hospital
Health Partners, Advocate South Suburban Hospital, Advocate Health Partners, Advocate
Medical Group, Advocate Christ Medical Group, Advocate Christ Hospital Physician Partners,
and Advocate Health Care (collectively, the Advocate defendants).
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“From November 5, 2007 through July of 2009, and at all times mentioned herein,

Defendant, JAGER, was negligent in the following ways:

a) Failed to order appropriate diagnostic testing on November 5th, 2007 for a

patient with bilateral metamorphopsia and visual acuity that could not be

corrected to normal levels in either eyes;

b) Failed to diagnose macular pathology[;] and

c) Failed to perform appropriate medical evaluation of a 47 year old patient

with macular pathology and no known systemic illness.”

Prusak also alleged that she “neither knew or should have known her injury and that it may have

been wrongfully caused before August 7, 2009, when a brain biopsy was performed and this case

is brought within two (2) years of the date of said discovery.”

¶4 Defendants each filed answers to Prusak’s complaint by April 20, 2012. A period of

discovery followed during which Prusak answered defendants’ interrogatories on August 16,

2012. In response to the question asking Prusak to describe each and every personal injury,

condition, and symptom of ill-being sustained as a result of the occurrence alleged in her

complaint, she described reoccurrences of both lymphoma (second brain tumor) and ocular

lymphoma.

¶5 Prusak died on November 24, 2013, after the expiration of the four-year statute of repose.

On March 11, 2014, the trial court granted Prusak’s daughter, Sheri Lawler, leave to file an

amended complaint, substituting herself as party plaintiff and as the executor of Prusak’s estate.

¶6 Lawler filed a four-count first amended complaint on April 11, 2014. Two of the counts

alleged claims under the Illinois survival statute (755 ILCS 5/27-6 (West 2010)) for injuries

suffered by Prusak prior to her death. The other two counts sounded in wrongful death. The

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amended complaint identified Prusak’s survivors as Lawler; Charles Allen Boswell, Jr., Prusak’s

brother; and Charles Allen Boswell, Sr., her father. All four counts alleged the same acts of

negligence and operative facts as the original complaint.

¶7 On May 9, 2014, the University of Chicago defendants filed an answer to count II, the

survival claim, and moved to dismiss count I, the wrongful death claim, pursuant to section 2-

619(a)(5) of the Code (735 ILCS 5/2-619(a)(5) (West 2010)). The University of Chicago

defendants argued that the medical malpractice statute of repose (section 13-212(a)) barred

Lawler’s wrongful death claim. Defendants Dr. Jager and University Retina and Macula

Associates filed a similar motion to dismiss on May 29, 2014. The remaining defendants also

argued that Prusak’s brother and father were not proper beneficiaries under the Wrongful Death

Act and moved to strike the allegations concerning the pecuniary loss to those individuals. 2

¶8 On September 17, 2014, after briefing and argument, the trial court entered a written

order granting defendants’ motions to dismiss count I (wrongful death) of the amended

complaint with prejudice. The court found that the wrongful death claims were only valid “if the

deceased was not time-barred to bring the action at the time of his or her death.” The court

stated that because the wrongful death claims were added in the amended complaint in April

2014, more than four years after the date of the last medical treatment in July 2009, the claims

were barred by the statute of repose, “unless the Court finds that Plaintiff’s wrongful death claim

relates back to her original medical negligence claim.” The court held that the relation back

2
Whether Prusak’s brother and father are proper beneficiaries under the Wrongful Death
Act is not at issue in this appeal. Lawler agrees in her opening brief that the issue is not before
this court because the trial court, in dismissing the wrongful death counts in their entirety,
declined to grant the alternative relief defendants sought; however, the trial court indicated that
defendants’ position on this issue was correct. Lawler states that she “is persuaded that the
Defendants’ position with respect to the father and brother is probably meritorious, and in the
event of reversal and remand will undertake to cure the situation voluntarily.”
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doctrine did not apply to this case “because there is no precedent, as shown from the absence of

medical malpractice cases where courts allowed plaintiffs to file a claim after the four-year

period expired.” The trial court noted our supreme court’s decision in Hayes v. Mercy Hospital

& Medical Center, 136 Ill. 2d 450 (1990), which discussed the General Assembly’s efforts to

curb medical insurance premiums from increasing by artificially limiting the potential liability

that physicians and medical personnel might face for the care they provided to patients. The

court therefore concluded that Lawler’s wrongful death claim was a new action barred by the

four-year statute of repose. The order was made final and appealable under Illinois Supreme

Court Rule 304(a) (Ill. S. Ct. R. 304(a) (eff. Feb. 26, 2010)).

¶9 The trial court entered subsequent nunc pro tunc orders on October 2, 2014 and October

17, 2014 to add count III of the amended complaint to the original dismissal order and clarify

that the dismissal order also applied to the Christ Hospital defendants, University Retina and

Macula Associates, and Dr. Jager. The nunc pro tunc orders also included Rule 304(a) language.

This appeal followed.

¶ 10 ANALYSIS

¶ 11 Lawler argues that under a correct interpretation of the relevant statues, a wrongful death

action can relate back to the original complaint even after more than four years have elapsed

since the last date of the alleged negligent medical treatment. She notes that Prusak’s original

complaint was timely filed and that the alleged negligent transactions in the original and

amended complaint are completely identical. Lawler argues that the relation back doctrine

should apply because the original claims supplied defendants with the information necessary to

prepare their defense to the amended claims.

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¶ 12 Defendants respond that the trial court correctly dismissed the wrongful death counts in

the amended complaint because they were separate and distinct causes of action than those in the

existing action and, therefore, did not relate back to the original complaint. Defendants contend

that the relation back doctrine is not an exception to the medical malpractice statute of repose.

They rely on the language and purpose of the statute of repose, and the doctrine that the more

specific statute should govern over the more general relation back statute. They also argue that

the statute of repose controls because it is substantive and not procedural and, therefore, takes

precedence over the relation back statute.

¶ 13 Standard of Review and Statutory Interpretation

¶ 14 We review whether the trial court erred in dismissing Lawler’s wrongful death claims

pursuant to section 2-619(a)(5) of the Code, which provides that a defendant may file a motion

for dismissal if “the action was not commenced within the time limited by law.” 735 ILCS 5/2-

619(a)(5) (West 2010). We review this dismissal de novo. See O’Toole v. Chicago Zoological

Society, 2015 IL 118254, ¶ 16.

¶ 15 The cardinal rule of statutory construction is to ascertain and give effect to the

legislature’s intent, and the plain language of the statute is the best indication of that intent.

Acme Markets, Inc. v. Callanan, 236 Ill. 2d 29, 37-38 (2009). “The best evidence of legislative

intent is the language used in the statute itself, which must be given its plain and ordinary

meaning.” Roselle Police Pension Board v. Village of Roselle, 232 Ill. 2d 546, 552 (2009). “The

statute should be evaluated as a whole, with each provision construed in connection with every

other section.” Id. When statutory language is clear and unambiguous, we enforce it as written

without reading into it exceptions, conditions, or limitations not expressed by the legislature.

Martin v. Office of the State’s Attorney, 2011 IL App (1st) 102718, ¶ 10.

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¶ 16 “However, when the plain language of one statute apparently conflicts with the plain

language of another statute, we must resort to other means in determining the legislature’s intent.

Where two statutes conflict, we will attempt to construe them together, in pari materia, where

such an interpretation is reasonable.” Moore v. Green, 219 Ill. 2d 470, 479 (2006) (citing

Ferguson v. McKenzie, 202 Ill. 2d 304, 311-12 (2001)). We must presume that the legislature

did not intend to create absurd, inconvenient, or unjust results. Price v. Phillip Morris, Inc.,

2015 IL 117687, ¶ 30; State Farm Fire & Casualty Co. v. Yapejian, 152 Ill. 2d 533, 541 (1992).

“Further, in determining legislative intent, we may consider the purpose and necessity for the law

as well as the consequences that would result from interpreting the statute in one way or

another.” Price, 2015 IL 117687, ¶ 30 (citing People v. Gaytan, 2015 IL 116223, ¶ 23). The

interpretation of a statute is reviewed de novo. Id.

¶ 17 This case presents a classic clash of apparently conflicting statues which requires us to

assess each relevant statute to ensure they operate together consistently with their legislative

purposes. We now review each of the pertinent statutes and the legislature’s intent as interpreted

by Illinois courts.

¶ 18 Wrongful Death Act

¶ 19 No cause of action for wrongful death existed at common law. Moon v. Rhode, 2015 IL

App (3d) 130613, ¶ 16. First enacted in 1853, the Wrongful Death Act created a new cause of

action to compensate a decedent’s survivors. Wyness v. Armstrong World Industries, Inc., 131

Ill. 2d 403, 413 (1989). In contrast, “[p]ersonal injury actions were born of the common (judge-

made) law and are susceptible to changes by the judiciary.” Moon, 2015 IL App (3d) 130613, ¶

16. At common law, the personal injury action died with the decedent. Id. The survival statute

(755 ILCS 5/27-6 (West 2010)), also a creature of the legislature enacted in 1872, allows for

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recovery of damages the injured party could have recovered, had she survived. Moon, 2015 IL

App (3d) 130613, ¶ 16; see also Murphy v. Martin Oil Co., 56 Ill. 2d 423, 426 (1974). The

Wrongful Death Act and survival statute are conceptually distinct in that one relates to an action

arising upon wrongful death while the other relates to a right of action for personal injury arising

during the life of the injured person. Murphy, 56 Ill. 2d at 431. However, our supreme court has

noted that “[n]ot every death is recompensable.” Wyness, 131 Ill. 2d at 413. Illinois courts have

long held that, in a wrongful death action, “the cause of action is the wrongful act, neglect or

default causing death, and not merely the death itself.” (Internal quotation marks omitted.) Id. at

411.

¶ 20 The pertinent provisions of the Wrongful Death Act state:

“Whenever the death of a person shall be caused by wrongful act, neglect, or

default, and the act, neglect or default is such as would, if death had not ensued,

have entitled the party injured to maintain an action and recover damages in

respect thereof, then and in every such case the person who or company or

corporation which would have been liable if death had not ensued, shall be liable

to an action for damages, notwithstanding the death of the person injured, and

although the death shall have been caused under such circumstances as amount in

law to felony.” (Emphasis added.) 740 ILCS 180/1 (West 2010).

In addition, section 2 of the Wrongful Death Act states:

“Every such action shall be brought by and in the names of the personal

representatives of such deceased person, and, except as otherwise hereinafter

provided, the amount recovered in every such action shall be for the exclusive

benefit of the surviving spouse and next of kin of such deceased person. In every

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such action the jury may give such damages as they shall deem a fair and just

compensation with reference to the pecuniary injuries resulting from such death,

including damages for grief, sorrow, and mental suffering, to the surviving spouse

and next of kin of such deceased person.

***

Every such action shall be commenced within 2 years after the death of

such person ***.” 740 ILCS 180/2 (West 2010).

¶ 21 In short, the Wrongful Death Act provides the exclusive remedy available when death

occurs as a result of tortious conduct. Murphy, 56 Ill. 2d at 426. In Wyness, a wrongful death

action, the defendants argued that the two-year statute of limitations for personal injury actions

should have started running before the decedent’s death because the plaintiff knew of the

decedent’s injuries and the cause of those injuries before death. Our supreme court disagreed,

explaining:

“The ‘injury’ which opens the door to initiation of a personal injury suit *** is not

the same ‘injury’ which opens the door to a wrongful death suit. Though both

actions require an individual to have been harmed in some way through the

actions of another, this injury at the hands of another is not the sole thread which

weaves the fabric undergirding both causes of action. A wrongful death action

can only be instituted for the benefit of the next of kin who have suffered an

‘injury’ because a family member has died when that family member’s death

resulted from an injury wrongfully caused by another. [Citation.] The

precipitating ‘injury’ for the plaintiffs in a wrongful death action, unlike the injury

in a personal injury action, is the death; that the death must also be the result of a

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wrongfully caused injury suffered by the deceased at the hands of another does

not alter the analysis. The wrongful injury suffered by the deceased is the

distinguishing characteristic of the particular death.” (Emphasis added.)

Wyness, 131 Ill. 2d at 414-15.

¶ 22 The supreme court in Wyness explained that the decedent’s beneficiaries suffered a

pecuniary injury by reason of the decedent’s death. The decedent, however, was the person who

suffered the actual physical injury which led to the death. With respect to that physical injury,

the beneficiaries are said to step into the shoes of the decedent. In Kessinger v. Grefco, Inc., 251

Ill. App. 3d 980, 987-88 (1993), the court described the relationship this way:

“Although courts recognize the wrongful death action as an independent

cause of action which does not arise until after death, the action is derivative of

the injury to the decedent and is grounded on the same wrongful act of defendant

whether it was prosecuted by the injured party during his lifetime or by a

representative of the estate. The remedy depends upon the existence, in the

decedent, at the time of his death, of a right of action to recovery for such injury.”

Id.

¶ 23 A wrongful death action will lie where the deceased had a claim that was not time-barred

on or before his death. See O’Brien v. O’Donoghue, 292 Ill. App. 3d 699, 703 (1997);

Kessinger, 251 Ill. App. 3d at 986; Wolfe v. Westlake Community Hospital, 173 Ill. App. 3d 608,

612 (1988); Fountas v. Breed, 118 Ill. App. 3d 669, 674 (1983). The Wrongful Death Act

requires a plaintiff sue within two years from the time of death (740 ILCS 180/2 (West 2010)).

However, because the plaintiff’s rights are derivative of those which the decedent himself

possessed, that time may be impacted by other limitations provisions, which may supersede the

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wrongful death statute and recast the time in which the action may be brought. An example

includes the limitations provisions for medical malpractice claims (735 ILCS 5/13-212(a) (West

2010)), which we review next.

¶ 24 The Limitations for Filing a Medical Negligence Claim

¶ 25 Section 13-212(a) of the Code establishes limitation and repose periods for filing medical

malpractice actions against medical providers. First enacted on September 12, 1975, and

adopted as part of “An Act to revise the law in relation to medical malpractice” (Pub. Act 79-960

(eff. Nov. 11, 1975)), the section states:

“Except as provided in Section 13-215 of this Act, no action for damages for

injury or death against any physician, dentist, registered nurse or hospital duly

licensed under the laws of this State, whether based upon tort, or breach of

contract, or otherwise, arising out of patient care shall be brought more than 2

years after the date on which the claimant knew, or through the use of reasonable

diligence should have known, or received notice in writing of the existence of the

injury or death for which damages are sought in the action, whichever of such

date occurs first, but in no event shall such action be brought more than 4 years

after the date on which occurred the act or omission or occurrence alleged in such

action to have been the cause of such injury or death.” 735 ILCS 5/13-212(a)

(West 2010).

See also Anderson v. Wagner, 79 Ill. 2d 295 (1979) (providing a comprehensive history and

explanation of the enactment of the medical malpractice statute of repose).

¶ 26 In Hayes, a case in which defendants here strongly rely, our supreme court explained the

legislature enacted of the medical malpractice repose period as part of its response to a “medical

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malpractice insurance crisis,” created by “ ‘the increasing reluctance of insurance companies to

write medical malpractice insurance policies and the dramatic rise in premiums demanded by

those companies which continued to issue policies.’ ” Hayes, 136 Ill. 2d at 457 (quoting

Anderson, 79 Ill. 2d at 301).

¶ 27 In Hayes, the supreme court determined whether the four-year statute of repose in section

13-212(a) applied to third-party contribution actions brought against a doctor by the defendants

in an underlying negligence action. The Hayes court held that the application of the repose

period in section 13-212(a) was not limited to a direct action by the injured party. Id., at 456-57.

The court agreed that an action of contribution need not be predicated on the same theory of

recovery as that asserted by the plaintiff in the underlying action. Id. at 457. Indeed, “ ‘the basis

for a contributor’s obligation rests on his liability in tort to the injured party [citation]’ even if the

plaintiff in the direct action did not assert the theory of liability on which the third-party action

relies.” Id., at 457 (quoting J.I. Case Co. v. McCartin-McAuliffe Plumbing & Heating, Inc., 118

Ill. 2d 447, 462 (1987)).

¶ 28 The supreme court’s plain reading of the statute led it to conclude that “the medical

malpractice statute of repose bars any action after the period of repose seeking damages against a

physician or other enumerated health-care provider for injury or death arising out of patient care,

whether at law or in equity.” Id. at 456. “Because a suit for contribution against the insured for

damages arising out of patient care exposes insurance companies to the same liability as if the

patient were to have brought a direct action against the insured, we believe that the term ‘or

otherwise’ in the medical malpractice statute of repose includes actions for contribution against a

physician for injuries arising out of patient care.” Id. at 458. The supreme court believed

inclusion of the term ‘or otherwise,’ following more restrictive language, indicated the

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legislature intended the term to be all-inclusive and that its inclusion “demonstrates the General

Assembly’s desire at the time it originally enacted the statute to limit a physician’s exposure to

liability for damages for injury or death arising out of patient care under all theories of liability,

whether then existing or not.” Id. at 458-59.

¶ 29 Hayes is distinguishable from this case for one simple, but crucial, basis. The supreme

court did not consider the relation back doctrine and, therefore, did not have the opportunity to

consider the issue presented here.

¶ 30 Relation Back Doctrine

¶ 31 The relation back statute provides:

“The cause of action, cross claim or defense set up in any amended pleading shall

not be barred by lapse of time under any statute or contract prescribing or limiting

the time within which an action may be brought or right asserted, if the time

prescribed or limited had not expired when the original pleading was filed, and if

it shall appear from the original and amended pleadings that the cause of action

asserted, or the defense or cross claim interposed in the amended pleading grew

out of the same transaction or occurrence set up in the original pleading, even

though the original pleading was defective in that it failed to allege the

performance of some act or the existence of some fact or some other matter which

is a necessary condition precedent to the right of recovery or defense asserted, if

the condition precedent has in fact been performed, and for the purpose of

preserving the cause of action, cross claim or defense set up in the amended

pleading, and for that purpose only, an amendment to any pleading shall be held

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to relate back to the date of filing of the original pleading so amended.”

(Emphasis added.) 735 ILCS 5/2-616(b) (West 2010).

¶ 32 In Zeh v. Wheeler, 111 Ill. 2d 266, 269 (1986), the plaintiff amended her complaint to

change the address of the location where she allegedly was injured. The trial court granted the

defendants’ motion to dismiss because the amendment stated a new and different cause of action

which did not arise out of the same transaction or occurrence set forth in the original complaint.

Id. at 269-70. The parties agreed that the plaintiff’s amended complaint was barred by the

applicable personal injury statute of limitations unless the amendment related back to the date of

the filing of the original complaint.

¶ 33 The Zeh court affirmed the dismissal of the plaintiff’s amended complaint and,

significantly for the purposes of this case, noted that section 2-616(b) no longer required that the

original and amended pleadings state the same cause of action. Id. at 272-73. The court

explained:

“In 1933, the legislature replaced amended section 39 of the former practice act

with section 46 of the Civil Practice Act. The 1933 amendment omitted the

words ‘and is substantially the same as’ so that amendments could be made if the

matter introduced by the amended pleading ‘grew out of the same transaction or

occurrence set up in the original pleading.’ (Ill. Rev. Stat. 1939, ch. 110, par.

46(2).) The 1933 Civil Practice Act thus shifted from the common law

requirements as set out in Carlin v. City of Chicago (1914), 262 Ill. 564, 104 N.E.

905, that the original pleading technically state a cause of action and that the

amended pleading set up the same cause of action as the original pleading to a test

of identity of transaction or occurrence. [Citation.] The legislative change was

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based on the rationale that ‘a defendant has not been prejudiced so long as his

attention was directed, within the time prescribed or limited, to the facts that form

the basis of the claim asserted against him.’ ” Id., at 272-73 (quoting Simmons v.

Hendricks, 32 Ill. 2d 489, 495 (1965)).

The supreme court specifically noted that “a defendant should not be required to defend against

stale claims of which he had no notice or knowledge.” Id. at 274.

¶ 34 The Zeh court further explained that “the legislature’s reason for this change was its

belief that defendants would not be prejudiced by the addition of claims so long as they were

given the facts that form the basis of the claim asserted against them prior to the end of the

limitations period.” Avakian v. Chulengarian, 328 Ill. App. 3d 147, 154 (2002) (citing Zeh, 111

Ill. 2d at 273). “This emphasis on the identity of the occurrence rather than the identity of the

cause of action still provides protection to defendants because, as long as they are aware of the

occurrence or transaction that is the basis of the claim, they can be prepared to defend against

that claim, whatever theory is advanced.” Id., at 154 (citing Zeh, 111 Ill. 2d at 279). Thus, the

critical inquiry becomes “ ‘whether there is enough in the original description to indicate that

plaintiff is not attempting to slip in an entirely distinct claim in violation of the spirit of the

limitations act.’ ” Simmons, 32 Ill. 2d at 497 (quoting Oliver L. McCaskill, Illinois Civil Practice

Act Annotated, 126-127 (Supp. 1936)).

¶ 35 The Zeh court concluded that, because maintaining a stairway at one location involved

different conduct by different persons at a different time and a different place from maintaining a

stairway at another location, changing the address would involve two different locations and,

therefore, two different occurrences, which did not relate back to the original pleading. Zeh, 111

Ill. 2d at 275. In contrast, simply changing a word in an address from “Street” to “place” would

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relate back because it constituted two different descriptions of the same occurrence or locality.

(Internal quotation marks omitted.) Id. at 276-77.

¶ 36 Relevant to this case, the Zeh court, quoting a United States Supreme Court decision,

stated that “ ‘[t]here is no reason to apply a statute of limitations when, as here, the respondent

has had notice from the beginning that petitioner was trying to enforce a claim against it because

of the events leading up to the death of the deceased in the respondent’s yard.’ ” Id., at 280

(quoting Tiller v. Atlantic Coast Line R.R. Co., 323 U.S. 574, 581 (1945)). With these statutes

and legislative history in mind, we now turn to the merits of this case.

¶ 37 Application of the Relation Back Doctrine to the Statute of Repose

¶ 38 Defendants argue that a host of substantive and procedural differences exist between

Lawler’s wrongful death claims and the survival claims she is pursuing in Prusak’s name.

Defendants assert that, because Lawler’s wrongful death claims constitute distinct causes of

action than the survival claims, even though the underlying facts are the same, the addition of the

wrongful death claims to the amended complaint should be regarded as a new suit commenced

on the date the amended complaint was filed more than four years after the last act of alleged

medical malpractice and, therefore, outside the repose period.

¶ 39 One case defendants cite, Durham v. Michael Reese Hospital Foundation, 254 Ill. App.

3d 492 (1993), determined whether the four-year medical malpractice statute of repose or the

two-year Wrongful Death Act statute of limitations applied to a medical malpractice case where

the alleged malpractice caused the decedent’s death. Relying on Hayes, the Durham court found

that section 13-212(a) of the Code controlled and, therefore, barred the plaintiff’s action because

more than four years elapsed from the date of the alleged negligent treatment of the decedent

until the complaint’s filing. Id., at 495.

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¶ 40 Durham is inapposite as the decedent did not file his own medical malpractice claim prior

to his death, and the original cause of action in that case was filed after the expiration of the four-

year repose period. And like in Hayes, the parties in Durham did not raise the application of the

relation back doctrine.

¶ 41 Defendants also rely upon Real v. Kim, 112 Ill. App. 3d 427 (1983), in which the

plaintiff, as special administrator of decedent’s estate, filed an action under the then Wrongful

Death Act and survival statute (Ill. Rev. Stat. 1979, ch. 70, ¶ 1, et seq., and ch. 1101/2, ¶ 27-6),

alleging medical malpractice. Real, 112 Ill. App. 3d at 428. The trial court dismissed the case as

time-barred by section 21.1 of the Limitations Act (Ill. Rev. Stat. 1979, ch. 83, ¶ 22.1 (now

codified as section 13-212(a))). Real, 112 Ill. App. 3d at 428-29. The decedent received a

medical evaluation on April 13, 1976, which produced normal test results. The plaintiff alleged

that this diagnosis was incorrect because proper interpretation would have disclosed the presence

of an abnormality. Id. at 429. In June 1979, the decedent was diagnosed as having brain cancer.

The decedent died on August 9, 1980. The plaintiff filed the complaint on June 19, 1981. Id. at

430.

¶ 42 The Real court held that section 21.1 barred the survival action because the four-year

limitations period began to run from the date of the alleged acts of negligence–April 13, 1976.

Id. at 430. As to the wrongful death claim, the court noted that the plaintiff misapprehended the

distinction between the two-year limitations period under section 2 of the Wrongful Death Act

and “the fact that there is no liability under the Act unless the condition precedent specified by

section 1 has been fulfilled.” Id. at 432. “The plain language of section 1 provides that there

will be no liability under the Wrongful Death Act unless the decedent could have maintained an

action for damages ‘if death had not ensued [citation],’ and the supreme court has consistently

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acknowledged and given effect to this unambiguous provision.” (Emphasis added.) Id. (quoting

Ill. Rev. Stat. 1979, ch. 70, ¶ 1 (now codified as 740 ILCS 180/1 (West 2010)). “ ‘One condition

upon which the statutory liability depends is that the deceased had a right of recovery for the

injuries at the time of his death, and there is no right in the administrator to maintain an action

unless the deceased had the right to sue at the time of his death.’ ” Id. at 433 (quoting Mooney v.

City of Chicago, 239 Ill. 414, 423 (1909)).

¶ 43 At the time death occurred in Real, the four-year repose period of section 21.1 of the

Limitations Act (Ill. Rev. Stat. 1979, ch. 83, ¶ 21.1) barred the decedent from maintaining an

action for the conduct which allegedly caused his death. Real, 112 Ill. App. 3d at 434. “It

necessarily follows that section 1 of the Wrongful Death Act precludes plaintiff from bringing a

wrongful death action for the same alleged malpractice.” Id.

¶ 44 In this case, at the time of Prusak’s death, section 13-212(a) would not have precluded

her from maintaining an action for the conduct which allegedly caused her death because here,

unlike the decedent in Real, Prusak had already filed a cause of action for medical negligence. If

Prusak had not filed a medical malpractice action prior to her death, the four-year repose period

would have already expired, preventing Lawler from seeking a wrongful death claim under the

Real decision. Accordingly, based on the holding in Real, section 1 of the Wrongful Death Act

should not preclude Lawler from bringing a wrongful death claim for the same alleged

malpractice because Prusak could have maintained a cause of action for damages “ ‘if death had

not ensued.’ ” Id. at 432 (quoting Ill. Rev. Stat. 1979, ch. 70, ¶ 1 (now codified as 740 ILCS

180/1 (West 2010)).

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¶ 45 Similarly, defendant’s reliance on cases such as Wolfe, O’Brien, and Limer v. Lyman, 220

Ill. App. 3d 1036 (1991), is not well placed because those cases did not involve the relation back

doctrine.

¶ 46 In contrast to Durham, Real, O’Brien, and Limer, this case does not involve an original

action newly filed after the expiration of the statute of repose, but a case that was active at the

time of the decedent’s death and filed within the four-year repose period. This case involves the

filing of an amendment to an action that was timely filed and pending when the decedent died.

This distinguishing characteristic triggers the relation back doctrine, which provides that a

pleading may be amended before final judgment under certain circumstances. This section “is

remedial in nature and should be applied liberally to favor hearing a plaintiff’s claim.” Avakian,

328 Ill. App. 3d at 154 (citing Bryson v. News America Publications, Inc., 174 Ill. 2d 77, 106

(1996)). “Thus, plaintiffs are not to be barred from having the merits heard because of technical

rules of pleading, and courts are to elevate issues of substance over form.” Id. at 154. “Medical

malpractice plaintiffs, in particular, are afforded every reasonable opportunity to establish a case,

and to this end, amendments to pleadings are liberally allowed to enable the action to be heard on

the merits rather than brought to an end because of procedural technicalities.” Id.

¶ 47 The plaintiff in Sompolski v. Miller, 239 Ill. App. 3d 1087 (1992), appealed from the trial

court’s dismissal of her wrongful death claim stemming from a car accident that occurred on

December 10, 1985. The decedent sued the defendant for personal injuries on April 9, 1986. Id.

at 1088. The decedent died on November 14, 1988. Seven months later, the plaintiff moved to

substitute herself for the decedent and to appear in a representative capacity for him in the

personal injury suit filed against the defendant. On September 27, 1991, more than two years

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after the decedent’s death, the plaintiff filed an amended complaint that included an additional

count for damages relating to the decedent’s wrongful death. Id.

¶ 48 The Sompolski court reversed the trial court and ruled that the wrongful death claim

related back to the original personal injury claim filed by the decedent. Id. at 1094. The court

found the wrongful death claim was not barred by the two-year statute of limitations for personal

injury claims. Id. According to the court, “the additional wrongful death claim filed by plaintiff

arose from the same transaction or occurrence as that at issue in [the decedent’s] original

complaint, i.e., the December 1985 automobile accident.” Id. at 1091.

¶ 49 Citing Zeh, the Sompolski court stated that “[t]he right to amend does not depend on

whether the cause of action set out in the amendment is substantially the same as that stated in

the original pleading, but depends on whether the amendment relates back to the occurrence set

out in the original pleading.” Id. at 1090 (citing Zeh, 111 Ill. 2d at 272-73). “As long as the

defendant has been apprised of the essential information necessary to prepare a defense, an

amended complaint will be deemed to relate back to the original pleading [citation], and a

defendant is not prejudiced by allowance of an amendment ‘so long as his attention was directed,

within the time prescribed or limited, to the facts that form the basis of the claim asserted against

him.’ ” Id. at 1090-91 (quoting Simmons, 32 Ill. 2d at 495). Furthermore, “the liberal provisions

of section 2-616(b) apply regardless of whether the claims at issue are governed by a statute of

limitations or a prescription that limits the right to bring suit.” Id. at 1091 (citing Simmons, 32

Ill. 2d at 494). The court concluded that the plaintiff’s wrongful death suit was not an attempt to

“ ‘slip in an entirely distinct claim,’ but was instead an effort to recover full damages for the

injuries [the decedent] sustained as a result of the defendant’s alleged negligence in the

December 1985 automobile accident.” Id. at 1091-92.

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¶ 50 Defendants argue Sompolski is inapplicable to this case because it did not involve a

medical malpractice claim or the application of the four-year statute of repose. Defendants assert

the legislature treated medical malpractice cases differently from the other kinds of cases

because it recognized that medical malpractice cases are uniquely susceptible to long-tail liability

and pose special hazards to the public.

¶ 51 Although Sompolski did not involve a medical malpractice action, the court’s focus was

on whether the wrongful death claim was based on the same occurrence as that alleged in the

original complaint filed by the decedent. The Sompolski court specifically found the amended

claims and original claims sounded in negligence and made the same allegations respecting the

defendant’s alleged liability for the decedent’s injuries. Id. at 1092.

¶ 52 This is directly analogous to the case before us. Prusak timely filed her original

complaint within both the two-year statute of limitations and four-year statute of repose in

medical malpractice actions. She alleged in her complaint that defendants failed, among other

things, to diagnose her macular pathology. Prusak answered defendants’ interrogatories to

apprise them of her medical condition, a reoccurrence of both lymphoma and ocular lymphoma.

After Prusak died, Lawler filed her amended complaint after the statutorily mandated time

allotted to file a wrongful death action, just as in Sompolski. Like Sompolski, the wrongful death

claims in this case arose from the same transaction or occurrence described in Prusak’s original

complaint and defendants were advised of the essential facts necessary to prepare their defense.

Defendants have not shown how they will be prejudiced by the allowance of Lawler’s amended

complaint, especially considering their attention was directed, within the statutory time

prescribed, to the facts that form the basis of the claims asserted against them. Id. at 1091;

Simmons, 32 Ill. 2d at 495. Lawler’s amended complaint is not based on a new set of facts. This

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conclusion is bolstered by the liberal provisions of section 2-616(b), which apply “regardless of

whether the claims at issue are governed by a statute of limitations or a prescription that limits

the right to bring suit.” Sompolski, 239 Ill. App. 3d at 1091 (citing Simmons, 32 Ill. 2d at 494).

¶ 53 The above-described principles regarding the relation back doctrine also apply in medical

malpractice cases. See, e.g., Cammon v. West Suburban Hospital Medical Center, 301 Ill. App.

3d 939, 947 (1998) (newly-added allegations against the defendant hospital concerning the

failure to achieve adequate hemostasis related back because the original complaint had charged a

doctor with failing to achieve adequate hemostasis following the procedure).

¶ 54 The relation back doctrine has been frequently applied to permit an amended complaint

against the defendant medical providers when they had received adequate notice of the same

operative facts leading to the alleged medical negligence stated in an earlier, timely filed

complaint. See Castro v. Bellucci, 338 Ill. App. 3d 386, 394-95 (2003) (finding amended

complaint related back because the defendant hospital was informed in the second-amended

complaint, filed before the expiration of the medical malpractice statutes of limitation and

repose, of the plaintiff’s claim that symptoms of a predictive stroke were misdiagnosed);

Avakian, 328 Ill. App. 3d at 157-58 (holding that the defendants received adequate notice from

the timely filed earlier complaints that the plaintiff was alleging damages as a result of adverse

effects from a prescription); McArthur v. St. Mary’s Hospital of Decatur, 307 Ill. App. 3d 329,

335 (1999) (finding that the amended complaint related back to the timely filed original

complaint because it directed attention to facts concerning the reading of sonograms and X-rays).

¶ 55 We briefly address defendants’ additional arguments that certain principles of statutory

construction call for the statute of repose to control over the relation back doctrine and Wrongful

Death Act. Defendants argue that the statute of repose controls because it is more specific than

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the wrongful death and relation back statutes. Defendants also assert the statute of repose

controls because it is substantive, unlike the procedural amendments statute containing the

relation back provision.

¶ 56 We need not employ these principles of statutory construction because the statutory

language is clear and unambiguous. Accordingly, the statutes must be applied as written,

without resort to extrinsic aids of statutory construction. Blum v. Koster, 235 Ill. 2d 21, 29

(2009). We are enforcing the pertinent language of the Wrongful Death Act, the medical

malpractice statute of repose, and the relation back doctrine as written without imposing

limitations not expressed by the legislature upon them. Section 2-616(b) of the Code specifically

states, “The cause of action, cross claim or defense set up in any amended pleading shall not be

barred by lapse of time under any statute or contract prescribing or limiting the time within

which an action may be brought or right asserted, if the time prescribed or limited had not

expired when the original pleading was filed ***.” (Emphasis added.) 735 ILCS 5/2-616(b)

(West 2010). Applying this specific language to the medical malpractice statute of repose allows

Lawler to maintain the amended complaint alleging wrongful death. This interpretation does not

create absurd, inconvenient, or unjust results, because the proposed amended complaint, as

compared with the earlier, timely filed complaint, “show[s] that the events alleged were close in

time and subject matter and led to the same injury.” Porter v. Decatur Memorial Hospital, 227

Ill. 2d 343, 360 (2008).

¶ 57 CONCLUSION

¶ 58 For these reasons, we reverse the judgment of the trial court and remand for further

proceedings.

¶ 59 Reversed and remanded.

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